Utah State Maximum Allowable Cost List · Utah State Maximum Allowable Cost List as of 11/9/2016 SMAC disputes MUST be submitted to Changehealthcare for review within 30 days of the

Utah State Maximum Allowable Cost List

as of 11/9/2016

SMAC disputes MUST be submitted to Changehealthcare for review within 30 days of the date of service.

Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC

Effective DateSMAC Type

*Alcohol Swabs*** 0.02172 06/25/2012All NDCs

*Amino Acid Electrolyte Infusion 8.5%*** 0.01724 06/25/2012All NDCs

*Amino Acid Infusion 8.5%*** 0.01608 06/25/2012All NDCs

*Amino Acids-Protein Hydrolysate Liquid*** 0.02209 06/25/2012All NDCs

*Artificial Tear Ophth Ointment*** 1.06197 06/25/2012All NDCs

*B-Complex Vitamin Cap** 0.03480 06/25/2012All NDCs

*B-Complex Vitamin Inj** 1.15600 06/25/2012All NDCs

*B-Complex w/ C & E + Zn Tab*** 0.17500 06/25/2012All NDCs

*B-Complex w/ C & E Tab*** 0.17500 06/25/2012All NDCs

*B-Complex w/ C & Folic Acid Cap 1 MG*** 0.20388 06/25/2012All NDCs

*B-Complex w/ C & Folic Acid Tab 0.8 MG*** 0.08100 06/25/2012All NDCs

*B-Complex w/ C & Folic Acid Tab 1 MG*** 0.16536 06/25/2012All NDCs

*B-Complex w/ C & Folic Acid Tab*** 0.17500 06/25/2012All NDCs

*B-Complex w/ C Cap** 0.17500 06/25/2012All NDCs

*B-Complex w/ C Tab CR** 0.17500 06/25/2012All NDCs

*B-Complex w/ C Tab** 0.17500 06/25/2012All NDCs

*B-Complex w/ Folic Acid Tab** 0.02460 06/25/2012All NDCs

*B-Complex w/Biotin & Folic Acid Tab*** 0.17500 06/25/2012All NDCs

*Calamine Lotion*** 0.01526 06/25/2012All NDCs

*Cod Liver Oil Cap*** 0.02388 06/25/2012All NDCs

*Diaper Rash Products - Ointment** 0.05506 06/25/2012All NDCs

*Emollient - Ointment** 0.02154 06/25/2012All NDCs

*Flavoring Agent - Concentrate** 0.06980 06/25/2012All NDCs

*Gelatin Capsules (Empty)** 0.01152 06/25/2012All NDCs

*Hydroquinone Cream 4% w/ Sunscreens*** 0.90793 06/25/2012All NDCs

*Hydroquinone Gel 4% w/ Sunscreens*** 0.95069 06/25/2012All NDCs

*Iron w/ Vitamin Tab** 0.17500 06/25/2012All NDCs

*L-Methylfolate w/ Vit B6-Vit B12 Tab 3-35-2

MG***

1.30000 06/25/2012All NDCs

*Lactobacillus - Packet** 0.62000 06/25/2012All NDCs

*Lactobacillus Acidophilus-Pectin Cap** 0.02736 06/25/2012All NDCs

*Lactobacillus Chew Tab** 0.10800 06/25/2012All NDCs

*Lactobacillus Tab** 0.03360 06/25/2012All NDCs

*Masks*** 11.52000 06/25/2012All NDCs

*Menthol-Methyl Salicylate Cream*** 0.05774 06/25/2012All NDCs

Page 2 of 92All SMACs are reviewed quarterly. The current SMAC effective date listed does not correspond to

the date the SMAC was last reviewed.

Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


*Mesalamine Rectal Enema 4 GM & Cleanser

Wipe Kit**

164.20800 06/25/2012All NDCs

*Mineral Oil-Hydrophilic Petrolatum

Ointment***

0.02180 06/25/2012All NDCs

*Misc. Devices** 0.07056 06/25/2012All NDCs

*Multiple Vitamin Cap** 0.17500 06/25/2012All NDCs

*Multiple Vitamin Inj** 0.17500 06/25/2012All NDCs

*Multiple Vitamin Liquid** 0.17500 06/25/2012All NDCs

*Multiple Vitamin Tab** 0.01056 06/25/2012All NDCs

*Multiple Vitamins w/ Calcium Tab** 0.17500 06/25/2012All NDCs

*Multiple Vitamins w/ Iron Tab** 0.17500 06/25/2012All NDCs

*Multiple Vitamins w/ Minerals & FA Tab 1.25

MG***

0.17500 06/25/2012All NDCs

*Multiple Vitamins w/ Minerals Cap** 0.17500 06/25/2012All NDCs

*Multiple Vitamins w/ Minerals Chew Tab** 0.17500 06/25/2012All NDCs

*Multiple Vitamins w/ Minerals Liquid** 0.17500 06/25/2012All NDCs

*Multiple Vitamins w/ Minerals Pack** 0.17500 06/25/2012All NDCs

*Multiple Vitamins w/ Minerals Tab CR** 0.17500 06/25/2012All NDCs

*Multiple Vitamins w/ Minerals Tab** 0.16366 06/25/2012All NDCs

*Neomycin-Bacitracin-Polymyxin Oint*** 0.18903 0.10583 01/01/2013All NDCs

*Nystatin Topical Powder** 1.31990 0.59172 10/01/2016All NDCs

*Omega-3 Fatty Acids Cap 1000 MG** 0.04584 06/25/2012All NDCs

*Omega-3 Fatty Acids Cap 500 MG** 0.03452 06/25/2012All NDCs

*Oral Electrolyte Solution*** 0.00527 06/25/2012All NDCs

*Oral Vehicles*** 0.01897 06/25/2012All NDCs

*Pediatric Multiple Vitamin Liq** 0.17500 06/25/2012All NDCs

*Pediatric Multiple Vitamin w/ C & FA Chew

Tab**

0.02460 06/25/2012All NDCs

*Pediatric Multiple Vitamin w/ C Soln 35

MG/ML**

0.09480 06/25/2012All NDCs

*Pediatric Multiple Vitamin w/ Minerals & C

Chew Tab 60 MG**

0.04840 06/25/2012All NDCs

*Pediatric Multiple Vitamins w/ Fluoride Chew

Tab 0.25 MG***

0.22680 0.18049 01/01/2013All NDCs


Tab 0.5 MG***

0.22680 0.17813 01/01/2015All NDCs


Tab 1 MG***

0.22680 0.18448 01/01/2014All NDCs

*Pediatric Multiple Vitamins w/ Fluoride Soln

0.25 MG/ML***

0.23600 06/25/2012All NDCs

*Pediatric Multiple Vitamins w/ Iron Chew Tab

15 MG**

0.02472 06/25/2012All NDCs

*Pediatric Multiple Vitamins w/ Iron Drops 10

MG/ML**

0.07968 06/25/2012All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


*Pediatric Vitamins ACD Fluoride & Fe Drops

0.25-10 MG/ML***

0.18540 06/25/2012All NDCs

*Pediatric Vitamins ACD w/ Fluoride Soln 0.25

MG/ML***

0.14960 06/25/2012All NDCs

*Pediatric Vitamins ADC Drops 1500 Unit-400

Unit-35 MG/ML***

0.09480 06/25/2012All NDCs

*Prenat MV Fe Fum-FA Tab 18-1 MG &

Coenzyme Q10 Cap 125 MG**

0.17500 06/04/2014All NDCs

*Prenat Vit-Fe Poly Cmplx-Fe Heme Poly-FA

Tab 22-6-1 MG***

0.17500 11/21/2012All NDCs

*Prenat Vit-Fe Poly Cmplx-Fe Heme Poly-FA

Tab 28-6-1 MG***

0.17500 10/09/2013All NDCs

*Prenat w/ Fe Fum-FA Tab 28-0.8 MG &

Omega 3 Cap 223 MG Pak*

0.17500 01/15/2014All NDCs

*Prenat w/ Fe Poly Cmplx-Fe Asp-Fe Gly-FA

Tab & DHA Cap Pak*

0.17500 10/09/2013All NDCs

*Prenat w/ Iron Cbn-Fe Asp Glyc-FA-Omega

Cap 30-10-1-200 MG*

0.17500 10/09/2013All NDCs

*Prenat w/Fe Poly-Na Fered-FA Tab 25-1 &

Omega Cap DR 400MG*

0.17500 06/25/2012All NDCs


Omega Cap DR 430MG*

0.17500 06/25/2012All NDCs


Omega Cap 278 MG***

0.17500 0.17500 10/09/2013All NDCs


Omega Cap DR 374MG*

0.17500 0.17500 10/09/2013All NDCs


Omega Cap DR 380MG*

0.17500 10/09/2013All NDCs


Omega Cap DR 430MG*

0.17500 10/09/2013All NDCs

*Prenat w/FeCbn-FA-DSS Tab 29-1 MG &

Omega 3 Cap 387 MG Pak*

0.17500 12/05/2012All NDCs

*Prenat w/o A FeFum-FA Tab 27-1 MG & Fish

Oil Chew Cap Pak**

0.17500 10/09/2013All NDCs

*Prenat w/o A w/ Fe Bisglyc-FA Tab 32-1 MG

& Omega Cap Pack*

0.17500 0.17500 10/09/2013All NDCs

*Prenat w/o A w/ Fe Cbnyl-FA Tab 20-1 MG &

Vit B6 Tab Pak*

0.17500 10/09/2013All NDCs

*Prenat w/o A w/ Fe Chelate-L Methylfol-FA

Tab & DHA Cap Pk*

0.17500 11/21/2012All NDCs

*Prenat w/o A w/ Fe

Fumerate-Methylfolate-FA-Omega 3 Cap***

0.17500 10/09/2013All NDCs

*Prenat w/o A w/FeAsp-Methylf-FA-Omeg Cap

29-0.6-0.4-340 MG*

0.17500 02/25/2014All NDCs

*Prenat w/o A

w/FeCbn-FeAspGlyc-FA-Omega Cap

35-5-1-200 MG**

0.17500 0.17500 10/09/2013All NDCs

*Prenat w/o A w/FeCbn-FeGlu-FA Tab 20-1

MG & Vit B6 Tab Pak*

0.17500 10/09/2013All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


*Prenat w/o A w/FeCbn-Methylf-FA-DHA Cap

29-0.6-0.4-350 MG**

0.17500 12/05/2012All NDCs

*Prenat w/o A w/FeFum-Methfol-FA-DHA Cap

27-0.6-0.4-300 MG**

0.17500 0.17500 10/09/2013All NDCs

*Prenat w/o A w/FeFum-Methfol-FA-DHA Cap

30-0.6-0.4-200 MG**

0.17500 11/28/2012All NDCs

*Prenat w/o A w/FeFum-Methylfol-FA-Omegas

Cap 27-1.53 MG***

0.17500 0.17500 10/09/2013All NDCs

*Prenat w/o Vit A w/ Fe Fum-DSS-FA-DHA

Cap 29-1.25-337.5 MG*

0.17500 0.17500 10/09/2013All NDCs

*Prenat-Fe Bis-Fe Prot Succ-FA-Ca Tab &

Omega 3 Cap 250 Pk**

0.17500 0.17500 10/09/2013All NDCs



0.17500 0.17500 10/09/2013All NDCs



0.17500 0.17500 10/09/2013All NDCs


Omega Cap DR 400 Pk*

0.17500 0.17500 10/09/2013All NDCs


Omega Cap DR 430 Pk*

0.17500 0.17500 10/09/2013All NDCs

*Prenat-Fe Poly Cmplx-Fe Heme Poly-FA Tab

& Omega 3 Cap Pck*

0.17500 10/09/2013All NDCs

*Prenat-Fe Poly Cmplx-Fe Heme

Poly-FA-DHA Cap 22-6-1-200 MG*

0.17500 10/09/2013All NDCs

*Prenat-FePoly-NaFered-FA Tab 13-13-1 &

Omega Cap DR 374 MG*

0.17500 10/09/2013All NDCs

*Prenatal Multivitamins & Minerals w/ Fe & FA

Tab 0.25 MG***

0.17500 12/05/2012All NDCs

*Prenatal Multivitamins & Minerals w/ Iron &

FA Cap 1 MG***

0.17500 11/28/2012All NDCs

*Prenatal Multivitamins & Minerals w/Iron &

FA Tab 0.8 MG***

0.17500 11/20/2012All NDCs

*Prenatal MV w/FeCbn-FeGl-DSS-FA Tab &

DHA Cap 275 MG Pack*

0.17500 11/28/2012All NDCs

*Prenatal MV & Min w/Fe Carbonyl-FA-DHA

Tab 15-0.5-50 MG***

0.17500 10/09/2013All NDCs

*Prenatal MV w/ Fe Polysac Cmplx-FA-DHA

Cap 27-1-200 MG***

0.17500 10/09/2013All NDCs

*Prenatal MV w/ Fe Polysac Cmplx-FA-DHA

Cap 29-1-200 MG***

0.17500 10/09/2013All NDCs

*Prenatal MV w/Fe Carbonyl-DSS-FA-DHA

Tab 15-25-0.5-50 MG***

0.17500 10/09/2013All NDCs

*Prenatal MV w/Fe Fum-FA Tab 65-1 MG &

DHA Cap 250 MG Pack *

0.17500 0.17500 10/09/2013All NDCs

*Prenatal MV w/Fe Poly-FA Chw 29-1 MG &

DHA Cap 250 MG Pak *

0.17500 10/09/2013All NDCs

*Prenatal Vit w/ Docusate-Iron-FA Tab 65-1

MG***

0.17500 11/28/2012All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


*Prenatal Vit w/ DSS-Fe Fumarate-FA Tab

29-1 MG***

0.17500 0.17500 10/09/2013All NDCs

*Prenatal Vit w/ DSS-Fe Fumarate-FA Tab CR

90-1 MG***

0.17500 11/21/2012All NDCs

*Prenatal Vit w/ DSS-Iron Carbonyl-FA Tab

29-1 MG***

0.17500 11/21/2012All NDCs

*Prenatal Vit w/ DSS-Iron Carbonyl-FA Tab

90-1 MG***

0.17500 0.17500 10/09/2013All NDCs

*Prenatal Vit w/ Fe Bisglycinate Chelate-FA

Tab 29-1 MG***

0.17500 0.17500 10/09/2013All NDCs

*Prenatal Vit w/ Fe Cbn-Fe Asp Glyc-FA Tab

30-20-1 MG***

0.17500 10/09/2013All NDCs

*Prenatal Vit w/ Fe Cbn-Fe Asp

Glyc-FA-Omega 3 Cap 27-1MG***

0.17500 0.17500 10/09/2013All NDCs

*Prenatal Vit w/ Fe Fum-FA-Omega 3 Cap

28-0.8-235 MG***

0.17500 01/15/2014All NDCs


28-1-200 MG***

0.17500 0.17500 10/09/2013All NDCs


28-1-215.8 MG***

0.17500 0.17500 10/09/2013All NDCs

*Prenatal Vit w/ Fe Fum-Fe Bisglycin-FA

Chew Tab 28-1 MG***

0.17500 11/28/2012All NDCs

*Prenatal Vit w/ Fe Fum-Methylfolate-FA Tab

27-0.6-0.4 MG***

0.17500 0.17500 10/09/2013All NDCs

*Prenatal Vit w/ Fe Fumarate-FA Cap 13.5-0.4

MG***

0.17500 11/21/2012All NDCs

*Prenatal Vit w/ Fe Fumarate-FA Chew Tab

29-1 MG***

0.17500 0.17500 10/09/2013All NDCs

*Prenatal Vit w/ Fe Fumarate-FA Tab 14-0.4

MG***

0.17500 11/21/2012All NDCs


MG***

0.17500 06/25/2012All NDCs

*Prenatal Vit w/ Fe Fumarate-FA Tab 27-1

MG***

0.17500 0.17500 10/09/2013All NDCs


MG***

0.17500 11/07/2012All NDCs


MG***

0.17500 0.17500 10/09/2013All NDCs


MG***

0.17500 0.17500 10/09/2013All NDCs


MG***

0.17500 0.17500 10/09/2013All NDCs


MG***

0.17500 0.17500 10/09/2013All NDCs


MG***

0.17500 11/28/2012All NDCs

*Prenatal Vit w/ Fe Gluc-Fe Fum-FA Tab

20-0.8 MG***

0.17500 12/05/2012All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


*Prenatal Vit w/ Fe Gluconate-FA Tab 30-0.8

MG***

0.17500 11/21/2012All NDCs

*Prenatal Vit w/ Fe Polysac Cmplx-FA Chew

Tab 29-1 MG***

0.17500 0.17500 10/09/2013All NDCs

*Prenatal Vit w/ Iron Carbonyl-FA Tab 29-1

MG***

0.17500 0.17500 10/09/2013All NDCs

*Prenatal Vit w/ Iron Carbonyl-FA Tab 50-1.25

MG***

0.17500 0.17500 10/09/2013All NDCs

*Prenatal Vit w/ Iron Carbonyl-FA Tab 65-1

MG***

0.17500 11/28/2012All NDCs

*Prenatal Vit w/ Iron Carbonyl-Fe Gluc-FA Tab

27-1 MG***

0.17500 0.17500 10/09/2013All NDCs

*Prenatal Vit w/ Sel-Fe Fumarate-FA Tab 27-1

MG***

0.17500 0.17500 10/09/2013All NDCs

*Prenatal Vit w/o Vit A w/ Fe Bisglycinate-FA

Tab 32-1 MG***

0.17500 0.17500 10/09/2013All NDCs

*Prenatal Vitamin Fast Dissolving Tab** 0.17500 11/21/2012All NDCs

*Prenatal w/ Calcium Carbonate-B6-B12-FA

Tab 1 MG***

0.17500 0.17500 10/09/2013All NDCs

*Prenatal w/ Calcium-Vit B6-FA-Ginger Tab

1.2 MG**

0.17500 0.17500 10/09/2013All NDCs

*Prenatal w/ Sod Feredetate-FA Tab 30-1 &

Omega 3 Cap DR***

0.17500 10/09/2013All NDCs

*Prenatal w/Fe Cbnyl-Fe Asp

Glyc-FA-DSS-Omega Cap 20-7-1 MG*

0.17500 0.17500 10/09/2013All NDCs

*Prenatal w/Fe Fum-FA Tab 27-0.8 MG &


0.17500 11/21/2012All NDCs

*Prenatal w/Fe Fum-FA Tab DR 27-1 MG &


0.17500 10/09/2013All NDCs

*Prenatal w/Fe Fum-Fe Poly -FA-Omega 3

Cap 53.5-38-1 MG***

0.17500 10/09/2013All NDCs

*Prenatal w/Fe Fum-Iron Polysacch Cmplx

-FA-Omega 3 Cap***

0.17500 0.17500 10/09/2013All NDCs

*Prenatal w/Fe Fumarate-FA-DSS-Fish Oil

Cap 27-1-500 MG***

0.17500 10/09/2013All NDCs

*Prenatal w/o A Vit w/ Fe Cbn-Fe Fum-FA Tab

60-1 MG***

0.17500 10/09/2013All NDCs

*Prenatal w/o A Vit w/ Fe Fum-FA Tab Chew

28-1 MG***

0.17500 10/09/2013All NDCs


29-1 MG***

0.17500 10/09/2013All NDCs


40-1 MG***

0.17500 0.17500 10/09/2013All NDCs

*Prenatal w/o A Vit w/ Fe Fumarate-FA Cap

106.5-1 MG***

0.17500 0.17500 10/09/2013All NDCs

*Prenatal w/o A Vit w/ Fe Fumarate-FA Tab

30-1 MG***

0.17500 0.17500 10/09/2013All NDCs

*Prenatal w/o A w/ Fe Carbonyl-Fe

Gluc-DSS-FA Tab 27-1MG***

0.17500 0.17500 10/09/2013All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


*Prenatal w/o A w/ FeFum-L Methylfol-FA Tab

18-0.6-0.4 MG***

0.17500 03/05/2014All NDCs

*Prenatal w/o A w/Fe Cbn-DSS-FA-DHA Cap

27-1-250 MG***

0.17500 10/09/2013All NDCs

*Prenatal w/o A w/Fe Cbn-DSS-FA-DHA Cap

29-1-265 MG***

0.17500 01/16/2013All NDCs

*Prenatal w/o A w/Fe Fum-Fe Poly-FA Cap

130-92.4-1 MG***

0.17500 10/09/2013All NDCs

*Prenatal w/o A w/Fe Fum-Fe Poly-FA Cap

162.115.2-1 MG***

0.17500 0.17500 10/09/2013All NDCs

*Prenatal w/o A w/FeCbn-Fe Asp

Glyc-FA-Fish Cap 40-10-1 MG*

0.17500 10/09/2013All NDCs

*Prenatal w/o A w/FeCbn-Fe Asp

Glyc-FA-Fish Cap 50-1-476 MG*

0.17500 08/08/2012All NDCs

*Prenatal w/o A w/FeCbn-FeAspGlyc-FA-DHA

Chew 15-5-1-100 MG*

0.17500 10/09/2013All NDCs

*Prenatal w/o Vit A w/ Fe Cbn-DSS-FA-DHA

Cap 30-1-260 MG***

0.17500 0.17500 10/09/2013All NDCs

*Prenatal w/o Vit A w/ Fe Fum-Doc-FA-DHA

Cap 29-1.25-350 MG*

0.17500 0.17500 10/09/2013All NDCs

*Prenatal w/o Vit A w/ Fe Fum-DSS-FA-DHA

Cap 26-1.2-300 MG**

0.17500 10/09/2013All NDCs


Cap 27-1.25-300 MG*

0.17500 10/09/2013All NDCs


Cap 29-1.25-325 MG*

0.17500 0.17500 10/09/2013All NDCs


Cap 30-1.2-265 MG**

0.17500 10/09/2013All NDCs

*Prenatal w/o Vit A w/ Fe Fum-FA-Omega 3

Cap 28-1-250 MG***

0.17500 10/09/2013All NDCs

*Prenatal w/o Vit A w/ Fe Polysac Cmplx-FA

Cap 60-1 MG***

0.17500 10/09/2013All NDCs

*Prenatal w/o Vit A w/Fe Fum-DSS-FA-DHA

Cap 30-1.24-265 MG**

0.17500 10/09/2013All NDCs

*Prenatal without A w/ Fe Asparto Gly-Doc-FA

Tab 30-1MG***

0.17500 0.17500 10/09/2013All NDCs

*Salicylic Acid Cream 6% & Cleanser Liqd

Kit**

159.08400 06/25/2012All NDCs

*Salicylic Acid Lotion 6% & Cleanser Liqd Kit** 0.15324 06/25/2012All NDCs

*Skin Protectants Misc - Cream*** 0.04067 06/25/2012All NDCs

*Skin Protectants Misc - Lotion*** 0.01319 06/25/2012All NDCs

*Sodium Phosphates - Enema*** 0.00587 06/25/2012All NDCs

*Sodium Phosphates - Soln*** 0.06454 06/25/2012All NDCs

*Sodium Polystyrene Sulfonate Powder** 0.23821 0.17644 01/01/2014All NDCs

*Spacer/Aerosol-Holding Chambers -

Device***

31.55000 03/23/2016All NDCs

*Speciality Vitamin Product Cap** 0.17500 06/25/2012All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


*Speciality Vitamin Product Tab** 0.17500 06/25/2012All NDCs

*Throat Lozenges - Lozenges** 0.04000 06/25/2012All NDCs

*Vitamins A & D Cap*** 0.17500 06/25/2012All NDCs

*Vitamins A & D Oint** 0.02947 06/25/2012All NDCs

*Vitamins A & D Tab*** 0.17500 06/25/2012All NDCs

*Vitamins w/ Lipotropics Cap** 0.17500 06/25/2012All NDCs

*Vitamins w/ Lipotropics Tab** 0.04140 06/25/2012All NDCs

*Witch Hazel (Hamamelis Virginiana)

Cleansing Pads**

0.05508 06/25/2012All NDCs

*Wound Dressings - Emulsion*** 0.66373 06/25/2012All NDCs

1ST CHOICE MIS LANCETS

(08517015722)

0.03553 10/14/2011Specific NDC


(08517030722)

0.03171 10/14/2011Specific NDC


(08517035722)

0.03553 10/14/2011Specific NDC


(08517065722)

0.04248 10/14/2011Specific NDC

Acamprosate Calcium Tab Delayed Release

333 MG

0.85438 10/01/2015All NDCs

Acarbose Tab 100 MG 0.89594 06/25/2012All NDCs

Acarbose Tab 25 MG 0.69478 06/25/2012All NDCs

Acarbose Tab 50 MG 0.50063 0.36626 10/01/2015All NDCs

ACCU-CHEK MIS MLTICLIX

(50924045001)

0.09087 10/14/2011Specific NDC

ACCU-CHEK MIS MLTICLIX

(50924098101)

0.07156 10/14/2011Specific NDC

Acebutolol HCl Cap 200 MG 0.42883 06/25/2012All NDCs

Acebutolol HCl Cap 400 MG 0.62782 06/25/2012All NDCs

Acetaminophen Cap 500 MG 0.03746 06/25/2012All NDCs

Acetaminophen Chew Tab 160 MG 0.14065 06/25/2012All NDCs

Acetaminophen Chew Tab 80 MG 0.04600 06/25/2012All NDCs

Acetaminophen Dispersible Tab 160 MG 0.08750 06/25/2012All NDCs

Acetaminophen Dispersible Tab 80 MG 0.05600 06/25/2012All NDCs

Acetaminophen Elixir 160 MG/5ML 0.02761 06/25/2012All NDCs

Acetaminophen Liquid 160 MG/5ML 0.00895 06/25/2012All NDCs

Acetaminophen Soln 100 MG/ML 0.15450 06/25/2012All NDCs

Acetaminophen Soln 160 MG/5ML 0.01327 06/25/2012All NDCs

Acetaminophen Suppos 120 MG 0.50792 06/25/2012All NDCs



Acetaminophen Susp 160 MG/5ML 0.02172 08/27/2012All NDCs

Acetaminophen Susp 80 MG/0.8ML 0.00000 0.17584 10/01/2012All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


Acetaminophen Tab 325 MG 0.01429 06/25/2012All NDCs

Acetaminophen Tab 500 MG 0.01080 06/25/2012All NDCs

Acetaminophen Tab CR 650 MG 0.05786 06/25/2012All NDCs

Acetaminophen w/ Codeine Soln 120-12

MG/5ML

0.02939 06/25/2012All NDCs

Acetaminophen w/ Codeine Tab 300-15 MG 0.14028 06/25/2012All NDCs

Acetaminophen w/ Codeine Tab 300-30 MG 0.19985 06/25/2012All NDCs

Acetaminophen w/ Codeine Tab 300-60 MG 0.27840 0.23092 07/01/2015All NDCs

Acetaminophen w/ Hydrocodone Tab 500-2.5

MG

0.20481 06/25/2012All NDCs

Acetaminophen w/ Hydrocodone Tab 500-5

MG

0.04765 0.04075 11/20/2013All NDCs


MG

0.15775 0.07507 01/01/2013All NDCs


MG

0.17320 06/25/2012All NDCs


MG

0.19759 06/25/2012All NDCs


MG

0.50502 06/25/2012All NDCs


MG

0.14477 06/25/2012All NDCs

Acetaminophen-Caffeine-Dihydrocodeine Tab

712.8-60-32 MG

1.68336 06/25/2012All NDCs

Acetazolamide Cap SR 12HR 500 MG 2.01454 2.76520 04/28/2016All NDCs

Acetazolamide Tab 250 MG 2.21540 2.11456 04/01/2016All NDCs

Acetic Acid 2% in Aluminum Acetate Otic Soln 0.92700 06/25/2012All NDCs

Acetic Acid Irrigation Soln 0.25% 0.00317 06/25/2012All NDCs

Acetic Acid Otic Soln 2% 2.06000 1.60267 01/01/2014All NDCs

Acetylcysteine Inhal Soln 10% 0.39480 06/25/2012All NDCs

Acetylcysteine Inhal Soln 20% 0.25064 06/25/2012All NDCs

ACTI-LANCE MIS 28G (51028000128) 0.11448 10/14/2011Specific NDC

Acyclovir Cap 200 MG 0.13822 06/25/2012All NDCs

Acyclovir Sodium For Inj 1000 MG 37.57300 06/25/2012All NDCs

Acyclovir Susp 200 MG/5ML 0.43518 0.77746 12/14/2015All NDCs

Acyclovir Tab 400 MG 0.19378 0.18515 10/01/2016All NDCs

Acyclovir Tab 800 MG 0.27009 0.18348 10/01/2016All NDCs

Adapalene Cream 0.1% 5.24000 06/25/2012All NDCs

Adapalene Gel 0.1% 3.27622 2.50933 04/01/2016All NDCs

ADVATE INJ 1000UNIT (00944294310) 1.29780 10/14/2011Specific NDC







Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC



ADVIL TAB 200MG (00573016151) 0.06125 10/14/2011Specific NDC

ADVIL CHILD SUS 100/5ML (00573017030) 0.03308 10/14/2011Specific NDC

ADVIL CHILD SUS 100/5ML (00573017130) 0.03308 10/14/2011Specific NDC

ADVOCATE MIS LANCETS

(94046000106)

0.01892 10/14/2011Specific NDC

ADVOCATE MIS LANCETS

(94046000109)

0.01892 10/14/2011Specific NDC

AGAMATRIX MIS 33G (08554197101) 0.04727 10/14/2011Specific NDC

Albumin, Human Inj 25% 2.19192 06/25/2012All NDCs

Albuterol Sulfate Soln Nebu 0.083% (2.5

MG/3ML)

0.10755 0.06933 01/01/2014All NDCs

Albuterol Sulfate Soln Nebu 0.5% (5 MG/ML) 0.62950 0.56808 07/01/2015All NDCs

Albuterol Sulfate Soln Nebu 0.63 MG/3ML

(Base Equiv)

0.42744 0.34080 04/01/2016All NDCs

Albuterol Sulfate Soln Nebu 1.25 MG/3ML

(Base Equiv)

0.42744 0.34430 01/01/2014All NDCs

Albuterol Sulfate Syrup 2 MG/5ML 0.04138 0.10588 08/03/2016All NDCs

Albuterol Sulfate Tab 2 MG 0.21326 06/25/2012All NDCs

Albuterol Sulfate Tab 4 MG 0.13327 3.32800 11/13/2015All NDCs

Albuterol Sulfate Tab SR 12HR 4 MG 1.22780 1.47330 06/15/2016All NDCs

Albuterol Sulfate Tab SR 12HR 8 MG 1.76632 1.93000 03/02/2013All NDCs

Alclometasone Dipropionate Cream 0.05% 2.19616 04/20/2016All NDCs

Alclometasone Dipropionate Oint 0.05% 0.77465 06/25/2012All NDCs

Alcohol Absolute Inj 98% 12.00000 06/25/2012All NDCs

ALDURAZYME INJ 2.9MG/5M

(58468007001)

155.00000 09/04/2012Specific NDC

Alendronate Sodium Tab 10 MG 0.22334 09/01/2012All NDCs



Alendronate Sodium Tab 5 MG 0.40149 0.34900 10/01/2016All NDCs


Alfuzosin HCl Tab SR 24HR 10 MG 0.40910 09/01/2012All NDCs

Allopurinol Tab 100 MG 0.07341 06/25/2012All NDCs

Allopurinol Tab 300 MG 0.34000 0.32057 10/01/2015All NDCs

Alprazolam Orally Disintegrating Tab 0.25 MG 1.29480 06/25/2012All NDCs

Alprazolam Orally Disintegrating Tab 0.5 MG 1.61328 1.42932 10/01/2015All NDCs

Alprazolam Orally Disintegrating Tab 1 MG 2.15244 06/25/2012All NDCs

Alprazolam Tab 0.25 MG 0.05742 0.02805 01/01/2013All NDCs

Alprazolam Tab 0.5 MG 0.06527 0.03100 01/01/2013All NDCs

Alprazolam Tab 1 MG 0.08276 0.03433 01/01/2013All NDCs

Alprazolam Tab 2 MG 0.16319 0.07447 01/01/2013All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


Alprazolam Tab SR 24HR 0.5 MG 0.35015 09/01/2012All NDCs

Alprazolam Tab SR 24HR 1 MG 0.43078 0.41320 07/01/2016All NDCs



Alum & Mag Hydroxide-Simethicone Chew

Tab 200-200-25 MG

0.03592 06/25/2012All NDCs

Alum & Mag Hydroxide-Simethicone Susp

200-200-20 MG/5ML

0.00630 06/25/2012All NDCs

Alum & Mag Hydroxide-Simethicone Susp

400-400-40 MG/5ML

0.00731 06/25/2012All NDCs

Aluminum Chloride Soln 20% 0.14400 06/25/2012All NDCs

Aluminum Hydroxide Gel Susp 320 MG/5ML 0.00913 06/25/2012All NDCs

Aluminum Hydroxide-Magnesium Carbonate

Susp 95-358 MG/15ML

0.01302 06/25/2012All NDCs

Aluminum Hydroxide-Magnesium Trisilicate

Chew Tab 80-20 MG

0.04241 06/25/2012All NDCs

Amantadine HCl Cap 100 MG 1.41000 1.17843 04/01/2016All NDCs

Amantadine HCl Syrup 50 MG/5ML 0.06135 06/25/2012All NDCs

Amantadine HCl Tab 100 MG 1.49832 06/25/2012All NDCs

Amiloride & Hydrochlorothiazide Tab 5-50 MG 0.06312 06/25/2012All NDCs

Amiloride HCl Tab 5 MG 0.56681 0.41557 07/01/2015All NDCs

Aminocaproic Acid Syrup 25% 1.03550 06/25/2012All NDCs

Aminocaproic Acid Tab 500 MG 1.86000 4.46250 05/28/2014All NDCs

Amiodarone HCl Tab 200 MG 0.23391 0.16891 01/01/2013All NDCs

Amiodarone HCl Tab 400 MG 3.36760 06/25/2012All NDCs

Amitriptyline HCl Tab 10 MG 0.04739 0.13520 08/22/2014All NDCs






Amlodipine Besylate Tab 10 MG 0.16665 0.11759 10/01/2016All NDCs

Amlodipine Besylate Tab 2.5 MG 0.12064 0.02838 01/01/2013All NDCs

Amlodipine Besylate Tab 5 MG 0.12064 0.02949 01/01/2013All NDCs

Amlodipine Besylate-Benazepril HCl Cap

10-20 MG

0.55753 0.51095 07/01/2015All NDCs


10-40 MG

0.96703 0.47203 10/01/2014All NDCs


2.5-10 MG

2.05061 06/25/2012All NDCs

Amlodipine Besylate-Benazepril HCl Cap 5-10

MG

0.46937 0.45380 10/01/2016All NDCs


MG

0.47519 0.35451 10/01/2015All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC



MG

0.83118 0.56352 07/01/2015All NDCs

Amlodipine Besylate-Valsartan Tab 10-160

MG

0.80629 07/01/2015All NDCs

Amlodipine Besylate-Valsartan Tab 10-320

MG

1.02353 07/01/2015All NDCs

Amlodipine Besylate-Valsartan Tab 5-160 MG 0.71066 07/01/2015All NDCs

Amlodipine Besylate-Valsartan Tab 5-320 MG 0.90162 07/01/2015All NDCs

AMNESTEEM CAP 10MG (00378661193) 12.18376 12/05/2012Specific NDC

AMNESTEEM CAP 20MG (00378661293) 7.71069 12/05/2012Specific NDC

Amoxapine Tab 100 MG 1.28969 06/25/2012All NDCs




Amoxicillin & K Clavulanate Chew Tab 400-57

MG

2.66243 1.35685 01/01/2013All NDCs

Amoxicillin & K Clavulanate For Susp

200-28.5 MG/5ML

0.26654 06/25/2012All NDCs


250-62.5 MG/5ML

0.64603 0.49039 04/01/2016All NDCs

Amoxicillin & K Clavulanate For Susp 400-57

MG/5ML

0.16514 0.12686 10/01/2016All NDCs


600-42.9 MG/5ML

0.14460 0.10781 07/01/2015All NDCs

Amoxicillin & K Clavulanate Tab 250-125 MG 4.57192 06/25/2012All NDCs

Amoxicillin & K Clavulanate Tab 500-125 MG 0.81575 0.69487 10/01/2014All NDCs

Amoxicillin & K Clavulanate Tab 875-125 MG 0.62357 1.24700 05/24/2016All NDCs

Amoxicillin & K Clavulanate Tab SR 12HR

1000-62.5 MG

3.64500 3.16472 07/01/2013All NDCs

Amoxicillin (Trihydrate) Cap 250 MG 0.06107 06/25/2012All NDCs

Amoxicillin (Trihydrate) Cap 500 MG 0.11157 06/25/2012All NDCs

Amoxicillin (Trihydrate) Chew Tab 250 MG 0.33719 06/25/2012All NDCs

Amoxicillin (Trihydrate) For Susp 125

MG/5ML

0.01879 06/25/2012All NDCs


MG/5ML

0.07045 06/25/2012All NDCs


MG/5ML

0.02796 06/25/2012All NDCs


MG/5ML

0.03835 09/01/2012All NDCs

Amoxicillin (Trihydrate) Tab 500 MG 0.44220 06/25/2012All NDCs

Amoxicillin (Trihydrate) Tab 875 MG 0.22350 09/01/2012All NDCs

Amphetamine-Dextroamphetamine Cap SR

24HR 10 MG

3.71400 3.48938 07/01/2016All NDCs


24HR 15 MG

3.72500 3.54752 07/01/2016All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC



24HR 20 MG

3.15334 3.55210 01/05/2016All NDCs


24HR 25 MG

3.36534 3.67540 02/01/2016All NDCs


24HR 30 MG

3.50093 3.28619 10/01/2016All NDCs


24HR 5 MG

3.43658 3.79850 03/08/2016All NDCs

Amphetamine-Dextroamphetamine Tab 10

MG

0.97062 0.70527 04/01/2016All NDCs

Amphetamine-Dextroamphetamine Tab 12.5

MG

0.98612 0.74920 04/01/2016All NDCs


MG

0.88903 0.76220 04/01/2016All NDCs


MG

0.86430 0.73440 07/01/2016All NDCs


MG

0.82578 0.69482 04/01/2016All NDCs

Amphetamine-Dextroamphetamine Tab 5 MG 1.10500 0.93135 10/01/2015All NDCs

Amphetamine-Dextroamphetamine Tab 7.5

MG

1.06642 06/25/2012All NDCs

Amphotericin B For Inj 50 MG 18.92631 06/25/2012All NDCs

Ampicillin & Sulbactam Sodium For Inj 1.5

(1-0.5) GM

3.60758 06/25/2012All NDCs

Ampicillin & Sulbactam Sodium For IV Soln

15 (10-5) GM

59.36683 06/25/2012All NDCs

Ampicillin & Sulbactam Sodium For IV Soln 3

(2-1) GM

6.64352 06/25/2012All NDCs

Ampicillin Cap 250 MG 0.10082 06/25/2012All NDCs

Ampicillin Cap 500 MG 0.16199 06/25/2012All NDCs

Ampicillin For Susp 125 MG/5ML 0.06396 06/25/2012All NDCs

Ampicillin For Susp 250 MG/5ML 0.10876 06/25/2012All NDCs

Anagrelide HCl Cap 0.5 MG 0.41103 06/25/2012All NDCs

Anagrelide HCl Cap 1 MG 0.82207 06/25/2012All NDCs

Anastrozole Tab 1 MG 0.31963 0.24300 10/01/2016All NDCs

ANTIOXIDANT CAP (00182446619) 0.17500 01/16/2006Specific NDC

APATATE FORT LIQ (00482001608) 0.17500 10/14/2011Specific NDC

AQUADEKS CAP (58914001106) 0.17500 10/14/2011Specific NDC

AQUADEKS DRO (58914021460) 0.16366 10/14/2011Specific NDC

Arginine Tab 500 MG 0.06576 06/25/2012All NDCs

Aripiprazole Oral Solution 1 MG/ML 5.38964 07/01/2016All NDCs

Aripiprazole Tab 10 MG 7.97000 3.82000 10/01/2016All NDCs






Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC




Ascorbic Acid Chew Tab 500 MG 0.03300 06/25/2012All NDCs

Ascorbic Acid Inj 500 MG/ML 0.33360 06/25/2012All NDCs

Ascorbic Acid Tab 1000 MG 0.04488 06/25/2012All NDCs



Aspirin Buffered (Ca Carb-Mg Carb-Mg Ox)

Tab 325 MG

0.01439 06/25/2012All NDCs

Aspirin Chew Tab 81 MG 0.04484 06/25/2012All NDCs

Aspirin Tab 325 MG 0.01564 06/25/2012All NDCs

Aspirin Tab Delayed Release 325 MG 0.01929 06/25/2012All NDCs

Aspirin Tab Delayed Release 81 MG 0.02999 06/25/2012All NDCs

Aspirin-Acetaminophen-Caffeine Tab

250-250-65 MG

0.03024 06/25/2012All NDCs

ASSURE LANCE MIS LOW FLOW

(08317980125)

0.12746 10/14/2011Specific NDC

ASSURE LANCE MIS LOW FLOW

(08317980225)

0.11587 10/14/2011Specific NDC

Atenolol & Chlorthalidone Tab 100-25 MG 0.28692 06/25/2012All NDCs

Atenolol & Chlorthalidone Tab 50-25 MG 0.10493 0.39920 11/01/2015All NDCs

Atenolol Tab 100 MG 0.14194 0.03778 01/01/2013All NDCs

Atenolol Tab 25 MG 0.08349 06/25/2012All NDCs

Atenolol Tab 50 MG 0.09305 06/25/2012All NDCs

Atorvastatin Calcium Tab 10 MG (Base

Equivalent)

0.22041 06/25/2012All NDCs


Equivalent)

0.31346 0.23239 10/01/2016All NDCs


Equivalent)

0.30147 0.25443 10/01/2016All NDCs


Equivalent)

0.31346 0.30592 10/01/2016All NDCs

Atropine Sulfate Inj 0.4 MG/ML 2.10000 06/25/2012All NDCs

Atropine Sulfate Ophth Soln 1% 2.68000 12.69975 09/15/2015All NDCs

AURORA LANCE MIS 30G (08214065724) 0.05400 10/14/2011Specific NDC

AURORA LANCE MIS THIN 23G

(08214015724)

0.05400 10/14/2011Specific NDC

AUTO LANCET MIS (51709000729) 0.13132 10/14/2011Specific NDC

Azathioprine Tab 50 MG 0.35100 0.49580 12/10/2015All NDCs

Azelastine HCl Nasal Spray 0.1% (137

MCG/SPRAY)

1.17181 0.99167 07/01/2016All NDCs

Azelastine HCl Ophth Soln 0.05% 16.65000 12.50000 10/01/2012All NDCs

Azithromycin For Susp 100 MG/5ML 1.07541 0.82041 04/01/2016All NDCs

Azithromycin For Susp 200 MG/5ML 0.91124 0.63868 07/01/2016All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


Azithromycin Powd Pack for Susp 1 GM 21.92000 06/25/2012All NDCs

AZITHROMYCIN SUS 200/5ML

(00093202623)

1.16524 11/04/2014Specific NDC

AZITHROMYCIN SUS 200/5ML

(59762312001)

1.24520 02/16/2015Specific NDC

Azithromycin Tab 250 MG 0.69417 09/01/2012All NDCs



Bacitracin Oint 500 Unit/GM 0.09338 06/25/2012All NDCs

Bacitracin Ophth Oint 500 Unit/GM 12.68228 06/25/2012All NDCs

Bacitracin Zinc Oint 500 Unit/GM 0.21257 06/25/2012All NDCs

Bacitracin-Polymyxin B Ophth Oint 3.37881 06/25/2012All NDCs

Baclofen Powder 2.68800 06/25/2012All NDCs

Baclofen Tab 10 MG 0.20263 0.17780 10/01/2016All NDCs

Baclofen Tab 20 MG 0.35570 0.31442 10/01/2016All NDCs

Balsalazide Disodium Cap 750 MG 0.58900 0.56154 07/01/2016All NDCs

BAYER MICRLT MIS LANCETS

(00193654621)

0.07694 10/14/2011Specific NDC

BD ECLIPSE MIS 1ML/30G (08290305778) 0.39521 10/14/2011Specific NDC

BD LANCET UF MIS 30G (08290325772) 0.05121 10/14/2011Specific NDC




BD MICROTAIN MIS LANCETS

(08290366592)

0.19660 10/14/2011Specific NDC


(08290366593)

0.28474 10/14/2011Specific NDC


(08290366594)

0.28474 10/14/2011Specific NDC

BD ULT FINE MIS LANCETS

(54868580700)

0.08837 10/14/2011Specific NDC

BEBULIN VH INJ 200-1200 (64193024402) 0.43825 10/14/2011Specific NDC

Beclomethasone Dipropionate (Bulk) Powder 36.48000 06/25/2012All NDCs

Belladonna Alkaloids & Opium Suppos

16.2-30 MG

22.23600 06/25/2012All NDCs

Benazepril & Hydrochlorothiazide Tab 10-12.5

MG

1.46157 1.10556 10/01/2015All NDCs


MG

1.32500 1.07575 04/01/2016All NDCs

Benazepril & Hydrochlorothiazide Tab 20-25

MG

1.05042 1.25247 07/01/2016All NDCs


MG

0.44356 06/25/2012All NDCs

Benazepril HCl Tab 10 MG 0.07488 09/01/2012All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


Benazepril HCl Tab 20 MG 0.23390 0.07370 01/01/2013All NDCs

Benazepril HCl Tab 40 MG 0.25417 0.08585 01/01/2013All NDCs

Benazepril HCl Tab 5 MG 0.24833 06/25/2012All NDCs

Benzocaine Dental Gel 20% 0.26520 06/25/2012All NDCs

Benzocaine-Antipyrine Otic Soln 1.4-5.4% 0.82640 0.76519 01/01/2013All NDCs

Benzonatate Cap 100 MG 0.13121 06/25/2012All NDCs

Benzonatate Cap 200 MG 0.23006 06/25/2012All NDCs

Benzoyl Peroxide Creamy Wash 4% &

Cleanser Lotion Kit

56.02800 06/25/2012All NDCs

Benzoyl Peroxide Gel 10% 0.28220 06/25/2012All NDCs

Benzoyl Peroxide Gel 2.5% 0.26900 06/25/2012All NDCs

Benzoyl Peroxide Gel 5% 0.27540 0.18157 04/01/2016All NDCs

Benzoyl Peroxide Liq 10% 0.12121 06/25/2012All NDCs




Benzoyl Peroxide Lotion 10% 0.09200 06/25/2012All NDCs




Benzoyl Peroxide-Erythromycin Gel 5-3% 0.89002 7.05787 05/20/2016All NDCs

Benztropine Mesylate Inj 1 MG/ML 36.00000 06/25/2012All NDCs

Benztropine Mesylate Tab 0.5 MG 0.06986 0.16000 06/17/2014All NDCs

Benztropine Mesylate Tab 1 MG 0.04480 0.19653 09/22/2013All NDCs

Benztropine Mesylate Tab 2 MG 0.11297 06/25/2012All NDCs

Beta Carotene Cap 10000 Unit 0.02580 06/25/2012All NDCs

Betamethasone Dipropionate Augmented

Cream 0.05%

0.51396 0.28500 04/01/2016All NDCs

Betamethasone Dipropionate Augmented Gel

0.05%

1.45752 06/25/2012All NDCs

Betamethasone Dipropionate Augmented

Lotion 0.05%

1.61280 06/25/2012All NDCs

Betamethasone Dipropionate Augmented Oint

0.05%

2.75652 2.37223 07/01/2014All NDCs

Betamethasone Dipropionate Cream 0.05% 1.19730 06/25/2012All NDCs

Betamethasone Dipropionate Lotion 0.05% 0.14028 0.58620 06/15/2015All NDCs

Betamethasone Dipropionate Oint 0.05% 1.82770 06/25/2012All NDCs

Betamethasone Valerate Cream 0.1% 0.72000 0.82451 07/13/2015All NDCs

Betamethasone Valerate Lotion 0.1% 0.75933 06/25/2012All NDCs

Betamethasone Valerate Oint 0.1% 0.64803 06/25/2012All NDCs

Betaxolol HCl Tab 10 MG 1.19280 06/25/2012All NDCs

Bethanechol Chloride Tab 10 MG 0.31817 04/01/2015All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC





Bicalutamide Tab 50 MG 0.49652 07/01/2012All NDCs

BIOSUPP LIQ (45737021316) 0.17500 10/14/2011Specific NDC

BIOTECT PLUS CAP (58552030860) 0.17500 12/11/2004Specific NDC

BIOTECT PLUS LIQ (45737021416) 0.17500 10/14/2011Specific NDC

Biotin Cap 5 MG 0.04582 06/25/2012All NDCs

Biotin Tab 300 MCG 0.02844 06/25/2012All NDCs

BIOVOL SYP (45737021516) 0.17500 10/14/2011Specific NDC

Bisacodyl Suppos 10 MG 0.19440 06/25/2012All NDCs

Bisacodyl Tab Delayed Release 5 MG 0.04557 06/25/2012All NDCs

Bismuth Subsalicylate Chew Tab 262 MG 0.07184 06/25/2012All NDCs

Bismuth Subsalicylate Susp 262 MG/15ML 0.00877 06/25/2012All NDCs

Bismuth Subsalicylate Tab 262 MG 0.07705 06/25/2012All NDCs

Bisoprolol & Hydrochlorothiazide Tab 10-6.25

MG

0.07911 06/25/2012All NDCs

Bisoprolol & Hydrochlorothiazide Tab 2.5-6.25

MG

0.16720 0.07463 01/01/2013All NDCs

Bisoprolol & Hydrochlorothiazide Tab 5-6.25

MG

0.17889 06/25/2012All NDCs

Bisoprolol Fumarate Tab 10 MG 0.99957 06/25/2012All NDCs

Bisoprolol Fumarate Tab 5 MG 0.99957 0.78728 04/03/2013All NDCs

Black Cohosh (Cimicifuga racemosa) Cap

540 MG

0.06780 06/25/2012All NDCs

BREVICON TAB 0.5/35 (52544025428) 2.05816 10/14/2011Specific NDC

Brimonidine Tartrate Ophth Soln 0.15% 13.20000 06/25/2012All NDCs

Brimonidine Tartrate Ophth Soln 0.2% 1.50750 0.85488 07/01/2015All NDCs

Bromfenac Sodium Ophth Soln 0.09% (Base

Equivalent)

51.36960 06/25/2012All NDCs

Bromocriptine Mesylate Cap 5 MG (Base

Equivalent)

4.44400 06/25/2012All NDCs

Bromocriptine Mesylate Tab 2.5 MG (Base

Equivalent)

3.09650 2.86705 10/01/2015All NDCs

Budesonide Delayed Release Particles Cap 3

MG

8.96895 04/13/2016All NDCs

Budesonide Inhalation Susp 0.25 MG/2ML 3.38896 3.46000 09/10/2012All NDCs

Budesonide Inhalation Susp 0.5 MG/2ML 4.96000 3.80116 07/01/2013All NDCs

Bumetanide Tab 0.5 MG 0.16301 06/25/2012All NDCs

Bumetanide Tab 1 MG 0.67850 0.61879 10/01/2015All NDCs

Bumetanide Tab 2 MG 0.89540 0.24605 10/01/2015All NDCs

Buprenorphine HCl SL Tab 2 MG (Base

Equiv)

1.87625 1.07686 07/01/2015All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


Buprenorphine HCl SL Tab 8 MG (Base

Equiv)

2.13520 1.86776 04/01/2016All NDCs

Buprenorphine HCl-Naloxone HCl SL Tab

2-0.5 MG (Base Equiv)

3.62500 07/01/2015All NDCs

Buprenorphine HCl-Naloxone HCl SL Tab 8-2

MG (Base Equiv)

5.69000 07/01/2015All NDCs

Bupropion HCl (Smoking Deterrent) Tab SR

12HR 150 MG

0.60599 0.47621 10/01/2015All NDCs

Bupropion HCl Tab 100 MG 0.55342 0.71340 03/14/2016All NDCs

Bupropion HCl Tab 75 MG 0.50922 0.47409 07/01/2016All NDCs

Bupropion HCl Tab SR 12HR 100 MG 0.31649 0.25881 07/01/2015All NDCs





Buspirone HCl Tab 10 MG 0.06677 06/25/2012All NDCs


Buspirone HCl Tab 30 MG 0.73659 0.57745 10/01/2014All NDCs


Buspirone HCl Tab 7.5 MG 0.89854 0.77824 10/01/2015All NDCs

Butalbital-Acetaminophen-Caff w/ COD Cap

50-325-40-30 MG

1.11250 1.08383 01/01/2015All NDCs

Butalbital-Acetaminophen-Caffeine Cap

50-325-40 MG

0.43430 06/25/2012All NDCs

Butalbital-Acetaminophen-Caffeine Tab

50-325-40 MG

0.19104 0.66352 01/02/2015All NDCs

Butalbital-Acetaminophen-Caffeine Tab

50-500-40 MG

0.40603 06/25/2012All NDCs

Butalbital-Aspirin-Caff w/ Codeine Cap

50-325-40-30 MG

0.70413 09/01/2012All NDCs

Butorphanol Tartrate Nasal Soln 10 MG/ML 15.55908 13.52231 10/01/2014All NDCs

Cabergoline Tab 0.5 MG 9.47181 9.28488 07/01/2016All NDCs

Caffeine Citrate Oral Soln 60 MG/3ML (10

MG/ML Base Equiv)

11.97379 06/25/2012All NDCs

Calcipotriene Cream 0.005% 4.90097 10/01/2015All NDCs

Calcipotriene Oint 0.005% 4.94200 06/25/2012All NDCs

Calcipotriene Soln 0.005% (50 MCG/ML) 2.27450 06/25/2012All NDCs

Calcitonin (Salmon) Nasal Soln 200 Unit/ACT 14.48471 12.15146 01/01/2015All NDCs

Calcitriol Cap 0.25 MCG 0.67178 09/01/2012All NDCs

Calcitriol Cap 0.5 MCG 1.49386 0.92007 01/01/2014All NDCs

Calcitriol Oral Soln 1 MCG/ML 8.99846 7.01700 04/02/2014All NDCs

Calcium Acetate (Phosphate Binder) Cap 667

MG (169 MG Ca)

0.41758 0.33138 10/01/2016All NDCs

Calcium Carbonate (Antacid) Chew Tab 1000

MG

0.04290 06/25/2012All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC



MG

0.02059 06/25/2012All NDCs


MG

0.03371 06/25/2012All NDCs

Calcium Carbonate (Antacid) Tab 648 MG 0.00748 06/25/2012All NDCs

Calcium Carbonate Chew Tab 1250 MG (500

MG Elemental Ca)

0.03480 06/25/2012All NDCs

Calcium Carbonate Tab 1250 MG (500 MG

Elemental Ca)

0.07099 06/25/2012All NDCs

Calcium Carbonate Tab 1500 MG (600 MG

Elemental Ca)

0.06166 06/25/2012All NDCs

Calcium Carbonate Tab 600 MG 0.05948 06/25/2012All NDCs

Calcium Carbonate-Cholecalciferol Tab 500

MG-400 Unit

0.01800 06/25/2012All NDCs

Calcium Carbonate-Vitamin D Tab 500

MG-200 Unit

0.01386 06/25/2012All NDCs


MG-200 Unit

0.01920 06/25/2012All NDCs


MG-400 Unit

0.02000 06/25/2012All NDCs

Calcium Citrate Tab 950 MG (200 MG

Elemental Ca)

0.03288 06/25/2012All NDCs

Calcium Citrate-Vitamin D Tab 200 MG-250

Unit (Elemental Ca)

0.04020 06/25/2012All NDCs

Calcium Citrate-Vitamin D Tab 315 MG-250

Unit (Elemental Ca)

0.03492 06/25/2012All NDCs

Calcium Gluconate Tab 500 MG 0.12707 06/25/2012All NDCs

Calcium Polycarbophil Tab 625 MG 0.07534 06/25/2012All NDCs

Calcium Tab 600 MG 0.05400 06/25/2012All NDCs

Calcium w/ Vitamin D Tab 600 MG-200 Unit 0.04980 06/25/2012All NDCs

Calcium-Magnesium-Zinc Tab 333-133-5 MG 0.02460 06/25/2012All NDCs

Candesartan Cilexetil Tab 8 MG 2.32000 07/01/2016All NDCs

Capsaicin Cream 0.025% 0.12810 06/25/2012All NDCs

Capsicum Oleoresin Cream 0.025% 0.21243 06/25/2012All NDCs

Captopril & Hydrochlorothiazide Tab 25-15

MG

0.22062 06/25/2012All NDCs


MG

0.22071 06/25/2012All NDCs


MG

0.95233 0.18009 01/01/2013All NDCs


MG

0.34622 06/25/2012All NDCs

Captopril Tab 100 MG 0.10100 06/25/2012All NDCs

Captopril Tab 12.5 MG 0.02179 06/25/2012All NDCs

Captopril Tab 25 MG 0.02459 06/25/2012All NDCs

Captopril Tab 50 MG 1.92883 1.49158 10/01/2015All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


Carbamazepine Cap SR 12HR 100 MG 1.39312 1.27937 10/01/2015All NDCs



Carbamazepine Chew Tab 100 MG 0.42510 0.38208 07/01/2015All NDCs

Carbamazepine Susp 100 MG/5ML 0.12018 0.14018 10/21/2015All NDCs

Carbamazepine Tab 200 MG 0.67410 0.82100 08/06/2016All NDCs

Carbamazepine Tab SR 12HR 200 MG 1.18010 1.42000 08/19/2016All NDCs

Carbamazepine Tab SR 12HR 400 MG 2.44821 3.36250 12/23/2015All NDCs

Carbamide Peroxide 6.5% Otic Soln 0.09200 06/25/2012All NDCs

Carbidopa & Levodopa Tab 10-100 MG 0.17738 09/01/2012All NDCs

Carbidopa & Levodopa Tab 25-100 MG 0.15091 09/01/2012All NDCs

Carbidopa & Levodopa Tab 25-250 MG 0.21000 0.19852 10/01/2015All NDCs

Carbidopa & Levodopa Tab CR 25-100 MG 0.27144 09/01/2012All NDCs

Carbidopa & Levodopa Tab CR 50-200 MG 0.74000 0.44690 04/01/2016All NDCs

Carbinoxamine Maleate Tab 4 MG 0.65832 06/25/2012All NDCs

Carbitol Liquid 0.07680 06/25/2012All NDCs

Carbonyl Iron Chew Tab 15 MG (Elemental

Iron)

0.23980 06/25/2012All NDCs

Carboplatin IV Soln 150 MG/15ML 1.29780 06/25/2012All NDCs




Carboxymethylcellulose Sodium Ophth Soln

0.5%

0.56240 06/25/2012All NDCs

CARDENZ TAB (17204042940) 0.17500 01/01/2011Specific NDC

CAREONE LANC MIS 28G (08214035721) 0.03514 10/14/2011Specific NDC

CAREONE LANC MIS THIN 23G

(08214015721)

0.03514 10/14/2011Specific NDC

Carisoprodol Tab 250 MG 3.17364 06/25/2012All NDCs

Carisoprodol Tab 350 MG 0.07958 06/25/2012All NDCs

Carisoprodol w/ Aspirin & Codeine Tab

200-325-16 MG

1.83750 04/20/2016All NDCs

Carisoprodol w/ Aspirin Tab 200-325 MG 0.25326 06/25/2012All NDCs

Carteolol HCl Ophth Soln 1% 3.42996 06/25/2012All NDCs

Carvedilol Tab 12.5 MG 0.13327 0.04859 11/20/2013All NDCs

Carvedilol Tab 25 MG 0.13327 0.12222 10/01/2015All NDCs



Castor Oil 0.03646 06/25/2012All NDCs

Cefaclor Cap 250 MG 0.80690 06/25/2012All NDCs

Cefaclor Cap 500 MG 1.32385 06/25/2012All NDCs

Cefaclor For Susp 125 MG/5ML 0.14564 06/25/2012All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC




Cefadroxil Cap 500 MG 0.62151 0.37787 10/01/2015All NDCs

Cefadroxil For Susp 250 MG/5ML 0.46968 06/25/2012All NDCs

Cefadroxil For Susp 500 MG/5ML 0.65021 06/25/2012All NDCs

Cefadroxil Tab 1 GM 5.51644 06/25/2012All NDCs

Cefazolin Sodium For Inj 1 GM 2.01623 06/25/2012All NDCs

Cefazolin Sodium For Inj 10 GM 9.73353 06/25/2012All NDCs

Cefdinir Cap 300 MG 1.18484 1.15874 07/01/2016All NDCs

Cefdinir For Susp 125 MG/5ML 0.46520 0.36558 10/01/2016All NDCs

Cefdinir For Susp 250 MG/5ML 1.18520 0.51725 07/01/2016All NDCs

Cefepime HCl For Inj 1 GM 16.97280 06/25/2012All NDCs

Cefepime HCl For Inj 2 GM 13.10920 09/01/2012All NDCs

Cefotaxime Sodium For Inj 1 GM 2.64000 06/25/2012All NDCs

Cefoxitin Sodium For IV Soln 2 GM 15.01152 06/25/2012All NDCs

Cefpodoxime Proxetil For Susp 100 MG/5ML 0.80432 06/25/2012All NDCs

Cefpodoxime Proxetil For Susp 50 MG/5ML 0.44418 06/25/2012All NDCs

Cefpodoxime Proxetil Tab 100 MG 3.74895 06/25/2012All NDCs

Cefpodoxime Proxetil Tab 200 MG 6.76560 06/25/2012All NDCs

Cefprozil For Susp 125 MG/5ML 0.38157 06/25/2012All NDCs

Cefprozil For Susp 250 MG/5ML 0.69151 06/25/2012All NDCs

Cefprozil Tab 250 MG 2.23885 06/25/2012All NDCs

Cefprozil Tab 500 MG 4.30113 2.06300 10/01/2012All NDCs

Ceftazidime For Inj 1 GM 6.99600 4.16123 04/02/2014All NDCs

Ceftazidime For Inj 2 GM 14.04000 06/25/2012All NDCs

Ceftazidime For Inj 6 GM 23.09010 06/25/2012All NDCs

Ceftriaxone Sodium For Inj 1 GM 3.26525 2.51204 11/20/2013All NDCs

Ceftriaxone Sodium For Inj 10 GM 32.44511 06/25/2012All NDCs

Ceftriaxone Sodium For Inj 2 GM 5.56202 3.55944 01/01/2015All NDCs

Ceftriaxone Sodium For Inj 250 MG 2.23320 06/25/2012All NDCs

Ceftriaxone Sodium For Inj 500 MG 4.14000 1.71600 01/01/2013All NDCs

Ceftriaxone Sodium For IV Soln 1 GM 17.10000 06/25/2012All NDCs

Cefuroxime Axetil For Susp 125 MG/5ML 0.52923 06/25/2012All NDCs

Cefuroxime Axetil For Susp 250 MG/5ML 0.79490 06/25/2012All NDCs

Cefuroxime Axetil Tab 250 MG 1.53200 1.49389 07/01/2015All NDCs

Cefuroxime Axetil Tab 500 MG 0.77271 2.59000 03/16/2014All NDCs

Celecoxib Cap 100 MG 0.94235 0.72539 04/01/2016All NDCs

Celecoxib Cap 200 MG 1.23353 1.59000 07/19/2016All NDCs

Celecoxib Cap 400 MG 2.91333 04/01/2015All NDCs

Celecoxib Cap 50 MG 0.65210 10/15/2015All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


CENTRUM CHW (00005452835) 0.17500 10/14/2011Specific NDC

CENTRUM CHW (00005452861) 0.17500 10/14/2011Specific NDC

CENTRUM TAB CARDIO (00005432960) 0.17500 10/14/2011Specific NDC

CENTRUM TAB PERFORMA

(00005443013)

0.17500 10/14/2011Specific NDC

CENTRUM TAB SILVER (00005446367) 0.17500 10/14/2011Specific NDC

CENTRUM TAB SILVER (00005475650) 0.17500 10/14/2011Specific NDC

Cephalexin Cap 250 MG 0.15431 06/25/2012All NDCs

Cephalexin Cap 500 MG 0.25531 0.12836 10/01/2012All NDCs

Cephalexin For Susp 125 MG/5ML 0.08351 0.17520 10/15/2014All NDCs

Cephalexin For Susp 250 MG/5ML 0.19585 0.17474 01/01/2016All NDCs

Cephalexin Tab 250 MG 0.88451 06/25/2012All NDCs

Cephalexin Tab 500 MG 1.73829 06/25/2012All NDCs

Cetirizine HCl Chew Tab 10 MG 4.31240 06/25/2012All NDCs

Cetirizine HCl Chew Tab 5 MG 0.90960 4.43066 04/20/2015All NDCs

Cetirizine HCl Oral Soln 1 MG/ML (5 MG/5ML) 0.07080 01/01/2015All NDCs

Cetirizine HCl Tab 10 MG 0.05921 0.13300 11/30/2015All NDCs

Cetirizine HCl Tab 5 MG 0.36219 0.26069 01/01/2015All NDCs

Cetirizine-Pseudoephedrine Tab SR 12HR

5-120 MG

0.60190 06/25/2012All NDCs

Cherry Syrup 0.02596 06/25/2012All NDCs

CHEW-12 CHW (11694084601) 0.17500 07/01/2010Specific NDC

CHILD-MULTI CHW VITAMINS

(41163023031)

0.17500 10/14/2011Specific NDC

Chlordiazepoxide HCl Cap 10 MG 0.08211 06/25/2012All NDCs



Chlordiazepoxide HCl-Clidinium Bromide Cap

5-2.5 MG

0.94800 06/25/2012All NDCs

Chlordiazepoxide-Amitriptyline Tab 10-25 MG 0.91503 06/25/2012All NDCs

Chlordiazepoxide-Amitriptyline Tab 5-12.5 MG 0.64851 06/25/2012All NDCs

Chlorhexidine Gluconate Liquid 4% 0.04871 06/25/2012All NDCs

Chlorhexidine Gluconate Soln 0.12% 0.01019 06/25/2012All NDCs

Chloroquine Phosphate Tab 500 MG 4.03200 2.02760 04/03/2013All NDCs

Chlorothiazide Tab 250 MG 0.11440 06/25/2012All NDCs

Chlorothiazide Tab 500 MG 0.19506 06/25/2012All NDCs

Chlorpheniramine & Phenylephrine Liquid

1-3.5 MG/ML

1.07120 06/25/2012All NDCs

Chlorpheniramine & Pseudoephedrine Tab

4-60 MG

0.93403 06/25/2012All NDCs

Chlorpheniramine Maleate Tab 4 MG 0.05149 06/25/2012All NDCs

Chlorpromazine HCl Tab 10 MG 2.64520 2.44319 04/01/2016All NDCs




Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC





Chlorpropamide Tab 250 MG 0.45985 06/25/2012All NDCs

Chlorthalidone Tab 25 MG 0.78780 0.91250 05/01/2015All NDCs

Chlorthalidone Tab 50 MG 0.42928 1.18450 11/03/2015All NDCs

Chlorzoxazone Tab 500 MG 0.07079 0.23500 01/06/2015All NDCs

Cholecalciferol Cap 1000 Unit 0.08267 06/25/2012All NDCs



Cholecalciferol Oral Liquid 400 Unit/ML 0.13080 06/25/2012All NDCs

Cholecalciferol Tab 1000 Unit 0.01968 06/25/2012All NDCs



Cholestyramine Light Powder 4 GM/DOSE 0.20507 0.24510 12/11/2014All NDCs

Cholestyramine Light Powder Packets 4 GM 1.09552 1.99500 07/10/2014All NDCs

Cholestyramine Powder 4 GM/DOSE 0.11393 0.24500 09/18/2014All NDCs

Cholestyramine Powder Packets 4 GM 2.04000 1.82821 04/01/2016All NDCs

Choline & Magnesium Salicylates Tab 1000

MG

0.54526 06/25/2012All NDCs

Ciclopirox Gel 0.77% 2.59440 06/25/2012All NDCs

Ciclopirox Olamine Cream 0.77% (Base

Equiv)

0.29222 09/01/2012All NDCs

Ciclopirox Olamine Susp 0.77% (Base Equiv) 1.40285 06/25/2012All NDCs

Ciclopirox Shampoo 1% 1.17880 06/25/2012All NDCs

Ciclopirox Solution 8% 1.48998 06/25/2012All NDCs

Cilostazol Tab 100 MG 0.31265 0.24922 07/01/2014All NDCs

Cilostazol Tab 50 MG 0.26421 06/25/2012All NDCs

Cimetidine HCl Soln 300 MG/5ML 0.10652 06/25/2012All NDCs

Cimetidine Tab 200 MG 0.35031 0.33080 10/01/2014All NDCs




Ciprofloxacin HCl (Bulk) Powder 0.21120 06/25/2012All NDCs

Ciprofloxacin HCl Ophth Soln 0.3% 2.15533 1.37809 01/01/2013All NDCs

Ciprofloxacin HCl Tab 100 MG (Base Equiv) 2.60333 06/25/2012All NDCs



Ciprofloxacin HCl Tab 750 MG (Base Equiv) 0.44891 0.34600 01/01/2013All NDCs

Ciprofloxacin-Ciprofloxacin HCl Tab SR 24HR

500 MG (Base Eq)

9.40680 06/25/2012All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


Cisplatin Inj 100 MG/100ML (1 MG/ML) 2.81972 06/25/2012All NDCs

Cisplatin Inj 200 MG/200ML (1 MG/ML) 2.82206 06/25/2012All NDCs

Citalopram Hydrobromide Oral Soln 10

MG/5ML

0.19270 0.29540 06/26/2015All NDCs

Citalopram Hydrobromide Tab 10 MG (Base

Equiv)

0.17117 0.06607 01/01/2013All NDCs


Equiv)

0.04439 09/01/2012All NDCs


Equiv)

0.18613 0.05839 01/01/2013All NDCs

CITRANATAL CAP HARMONY

(00178079730)

0.45000 10/02/2013Specific NDC

CITRANATAL MIS 90 DHA (00178082930) 0.45000 0.17500 01/07/2015Specific NDC

CITRANATAL MIS B-CALM (00178083230) 0.73510 12/17/2014Specific NDC

CITRANATAL PAK ASSURE (00178089330) 0.45000 0.17500 01/07/2015Specific NDC

CITRANATAL TAB RX (00178085990) 0.16366 10/14/2011Specific NDC

Citric Acid Powder 0.02326 06/25/2012All NDCs

CLARAVIS CAP 10MG (00555105456) 12.18376 12/05/2012Specific NDC




Clarithromycin For Susp 125 MG/5ML 0.39551 06/25/2012All NDCs

Clarithromycin For Susp 250 MG/5ML 0.75272 0.66048 10/01/2015All NDCs

Clarithromycin Tab 250 MG 1.24552 06/25/2012All NDCs

Clarithromycin Tab 500 MG 1.63518 1.06536 10/01/2016All NDCs

Clarithromycin Tab SR 24HR 500 MG 2.99121 3.52100 09/17/2014All NDCs

CLARITIN SYP 5MG/5ML (11523719701) 0.06559 10/14/2011Specific NDC

CLARITIN TAB 10MG (11523716001) 0.72600 10/14/2011Specific NDC

















Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC







CLARITIN-D TAB 10-240MG

(11523716102)

0.98880 10/14/2011Specific NDC


(11523716103)

1.00000 10/14/2011Specific NDC


(41100008043)

0.98880 10/14/2011Specific NDC


(41100008049)

1.00000 10/14/2011Specific NDC


(41100080289)

1.00000 10/14/2011Specific NDC

CLARITIN-D TAB 5-120MG (11523716201) 0.85902 10/14/2011Specific NDC












Clemastine Fumarate Tab 1.34 MG (1 MG

Base Equiv)

0.20892 06/25/2012All NDCs

Clemastine Fumarate Tab 2.68 MG 0.54059 06/25/2012All NDCs

Clindamycin HCl Cap 150 MG 0.27592 0.11401 01/01/2013All NDCs

Clindamycin HCl Cap 300 MG 0.57412 0.30925 11/20/2013All NDCs

Clindamycin Palmitate HCl For Soln 75

MG/5ML (Base Equiv)

0.49117 0.29194 10/01/2015All NDCs

Clindamycin Phosphate Foam 1% 2.64036 06/25/2012All NDCs

Clindamycin Phosphate Gel 1% 1.71000 1.62850 04/02/2014All NDCs

Clindamycin Phosphate Inj 300 MG/2ML 1.15083 06/25/2012All NDCs


Clindamycin Phosphate Inj 9 GM/60ML 0.80804 06/25/2012All NDCs


Clindamycin Phosphate IV Soln 600 MG/4ML 1.17839 06/25/2012All NDCs

Clindamycin Phosphate IV Soln 900 MG/6ML 1.01005 06/25/2012All NDCs

Clindamycin Phosphate Lotion 1% 1.42469 1.21053 01/01/2016All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


Clindamycin Phosphate Soln 1% 0.86263 0.82208 10/01/2016All NDCs

Clindamycin Phosphate Swab 1% 0.58919 0.39833 01/01/2015All NDCs

Clindamycin Phosphate Vaginal Cream 2% 0.93762 1.73000 06/20/2013All NDCs

Clindamycin Phosphate-Benzoyl Peroxide Gel

1-5%

3.25704 06/25/2012All NDCs

Clobetasol Propionate Cream 0.05% 4.42500 4.23659 04/01/2015All NDCs

Clobetasol Propionate Emollient Base Cream

0.05%

0.68134 0.52017 04/03/2013All NDCs

Clobetasol Propionate Foam 0.05% 2.02272 07/01/2012All NDCs

Clobetasol Propionate Gel 0.05% 0.43394 2.62000 04/06/2016All NDCs

Clobetasol Propionate Oint 0.05% 5.05000 6.67000 10/03/2015All NDCs

Clobetasol Propionate Shampoo 0.05% 1.69076 10/01/2015All NDCs

Clobetasol Propionate Soln 0.05% 2.19852 2.08640 10/01/2016All NDCs

Clomiphene Citrate Tab 50 MG 0.76290 11/20/2013All NDCs

Clomipramine HCl Cap 25 MG 8.69878 8.96120 03/11/2015All NDCs



Clonazepam Orally Disintegrating Tab 0.125

MG

0.98000 0.71021 10/01/2015All NDCs

Clonazepam Orally Disintegrating Tab 0.25

MG

0.72510 0.84520 02/09/2016All NDCs

Clonazepam Orally Disintegrating Tab 0.5 MG 1.00167 0.81151 10/01/2015All NDCs

Clonazepam Orally Disintegrating Tab 1 MG 0.85068 1.01210 02/01/2016All NDCs

Clonazepam Orally Disintegrating Tab 2 MG 1.58607 06/25/2012All NDCs

Clonazepam Tab 0.5 MG 0.02138 09/01/2012All NDCs

Clonazepam Tab 1 MG 0.07294 0.03311 01/01/2013All NDCs

Clonazepam Tab 2 MG 0.04350 09/01/2012All NDCs

Clonidine HCl Powder 21.88800 06/25/2012All NDCs

Clonidine HCl Tab 0.1 MG 0.04554 09/01/2012All NDCs

Clonidine HCl Tab 0.2 MG 0.13186 0.07607 01/01/2013All NDCs

Clonidine HCl Tab 0.3 MG 0.16974 0.05804 01/01/2013All NDCs

Clonidine HCl Tab SR 12HR 0.1 MG 3.54000 3.25928 10/01/2016All NDCs

Clonidine HCl TD Patch Weekly 0.1

MG/24HR

16.48142 15.05759 10/01/2016All NDCs


MG/24HR

28.11819 26.52000 07/01/2016All NDCs


MG/24HR

37.52000 35.05853 04/01/2016All NDCs

Clopidogrel Bisulfate Tab 75 MG (Base Equiv) 0.26000 0.18849 10/01/2016All NDCs

Clorazepate Dipotassium Tab 15 MG 0.25756 06/25/2012All NDCs

Clorazepate Dipotassium Tab 3.75 MG 0.32000 0.89652 08/10/2016All NDCs

Clorazepate Dipotassium Tab 7.5 MG 0.18208 0.43520 05/02/2016All NDCs

Clotrimazole Cream 1% 0.78000 0.76445 10/01/2015All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


Clotrimazole Crystals 1.96800 06/25/2012All NDCs

Clotrimazole Soln 1% 0.44189 3.61000 03/29/2016All NDCs

Clotrimazole Troche 10 MG 0.60471 0.50948 01/01/2014All NDCs

Clotrimazole Vaginal Cream 1% 0.16290 06/25/2012All NDCs

Clotrimazole Vaginal Cream 2% 0.36749 06/25/2012All NDCs

Clotrimazole w/ Betamethasone Cream

1-0.05%

1.00735 06/25/2012All NDCs

Clotrimazole w/ Betamethasone Lotion

1-0.05%

1.69417 2.23000 11/28/2012All NDCs

Clozapine Tab 100 MG 1.08573 0.95746 10/01/2016All NDCs




COAGUCHEK MIS LANCETS

(50924004301)

0.21321 10/14/2011Specific NDC

Coal Tar Shampoo 0.5% 0.01104 06/25/2012All NDCs

Cocaine HCl Soln 10% 53.92500 06/25/2012All NDCs

Coenzyme Q10 Cap 200 MG 0.58280 06/25/2012All NDCs

Coenzyme Q10 Cap 50 MG 0.21960 06/25/2012All NDCs

COLACE CAP 100MG (67618010110) 0.27810 10/14/2011Specific NDC




Colchicine Tab 0.6 MG 0.10800 5.36000 02/05/2016All NDCs

Colchicine w/ Probenecid Tab 0.5-500 MG 0.96780 0.82553 01/01/2015All NDCs

Colestipol HCl Granule Packets 5 GM 2.40360 06/25/2012All NDCs

Colestipol HCl Tab 1 GM 0.50817 0.82310 10/30/2015All NDCs

Colistimethate Sodium For Inj 150 MG 33.60000 16.67678 04/02/2014All NDCs

COMFORTOUCH MIS LANCET

(08214046001)

0.02989 10/14/2011Specific NDC


(08214046501)

0.03615 10/14/2011Specific NDC


(08470043001)

0.03595 10/14/2011Specific NDC


(08470043501)

0.04341 10/14/2011Specific NDC


(08470046001)

0.03595 10/14/2011Specific NDC


(08470046501)

0.04341 10/14/2011Specific NDC

Condoms Latex Lubricated 0.23900 06/25/2012All NDCs

Cromolyn Sodium Nasal Aerosol Soln 5.2

MG/ACT (4%)

0.32262 06/25/2012All NDCs

Cromolyn Sodium Ophth Soln 4% 1.98856 0.82000 07/01/2013All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


Cromolyn Sodium Soln Nebu 20 MG/2ML 0.28379 1.41200 02/10/2015All NDCs

CVS LANCETS MIS 21G (38396050275) 0.03669 10/14/2011Specific NDC

CVS LANCETS MIS ORIGINAL

(59779032304)

0.03425 10/14/2011Specific NDC

CVS LANCETS MIS THIN (59779032301) 0.04341 10/14/2011Specific NDC

CVS LANCETS MIS THIN (59779032302) 0.03425 10/14/2011Specific NDC

CVS LANCETS MIS THIN 26G

(38396050175)

0.04519 10/14/2011Specific NDC


(38396050375)

0.03669 10/14/2011Specific NDC


(50428001771)

0.04341 10/14/2011Specific NDC


(38396052175)

0.04519 10/14/2011Specific NDC


(38396052275)

0.03669 10/14/2011Specific NDC

Cyanocobalamin Inj 1000 MCG/ML 6.99762 6.70000 10/01/2016All NDCs

Cyanocobalamin Tab 100 MCG 0.01704 06/25/2012All NDCs



CYCLESSA PAK (00052028306) 1.49258 10/14/2011Specific NDC

Cyclobenzaprine HCl Cap SR 24HR 15 MG 11.09380 06/25/2012All NDCs

Cyclobenzaprine HCl Cap SR 24HR 30 MG 10.16660 06/25/2012All NDCs

Cyclobenzaprine HCl Tab 10 MG 0.09679 0.05012 01/01/2013All NDCs

Cyclobenzaprine HCl Tab 5 MG 0.09501 0.04137 11/20/2013All NDCs

Cyclopentolate HCl Ophth Soln 1% 0.68157 06/25/2012All NDCs

Cyclophosphamide For Inj 1 GM 128.71441 569.22000 09/15/2016All NDCs

Cyclophosphamide For Inj 2 GM 257.42882 06/25/2012All NDCs

Cyclophosphamide For Inj 500 MG 64.36493 06/25/2012All NDCs

Cyclophosphamide Tab 50 MG 2.96757 06/25/2012All NDCs

Cyclosporine Cap 100 MG 5.26000 8.14520 08/13/2015All NDCs

Cyclosporine Cap 25 MG 1.20561 06/25/2012All NDCs

Cyclosporine Modified Cap 100 MG 3.10000 2.10018 04/02/2014All NDCs

Cyclosporine Modified Cap 25 MG 0.80334 0.69935 04/01/2015All NDCs

Cyclosporine Modified Oral Soln 100 MG/ML 5.65824 06/25/2012All NDCs

Cyproheptadine HCl Syrup 2 MG/5ML 0.08191 0.10500 01/15/2013All NDCs

Cyproheptadine HCl Tab 4 MG 0.63000 0.59316 10/01/2016All NDCs

Cytarabine For Inj 100 MG 0.32733 06/25/2012All NDCs

Cytarabine Inj 20 MG/ML 0.33063 06/25/2012All NDCs

Cytarabine Inj PF 100 MG/ML 0.78780 06/25/2012All NDCs

D 1000 PLUS TAB ALOE (11845015395) 0.17500 10/14/2011Specific NDC

Danazol Cap 200 MG 3.68739 6.14210 11/03/2015All NDCs

Dantrolene Sodium Cap 100 MG 1.53936 06/25/2012All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


Dantrolene Sodium Cap 25 MG 0.91283 0.72225 07/01/2015All NDCs

Dantrolene Sodium Cap 50 MG 1.23747 1.04556 07/01/2015All NDCs

Dapsone Tab 100 MG 1.30000 06/25/2012All NDCs

Dapsone Tab 25 MG 1.06000 06/25/2012All NDCs

DECONGESTANT TAB 120MG ER

(37205044652)

0.43260 10/14/2011Specific NDC

DECUBI-VITE CAP (55198000100) 0.17500 10/14/2011Specific NDC

Demeclocycline HCl Tab 150 MG 8.88004 06/25/2012All NDCs

Demeclocycline HCl Tab 300 MG 16.07432 3.37995 10/01/2012All NDCs

Desipramine HCl Tab 10 MG 0.84128 07/20/2012All NDCs

Desipramine HCl Tab 100 MG 3.01250 2.67172 10/01/2015All NDCs


Desipramine HCl Tab 25 MG 1.13400 0.97338 10/01/2015All NDCs



Desmopressin Acetate Nasal Spray Soln

0.01%

16.45291 19.72520 06/16/2015All NDCs

Desmopressin Acetate Nasal Spray Soln

0.01% (Refrigerated)

19.74402 19.53240 04/01/2016All NDCs

Desmopressin Acetate Tab 0.1 MG 1.20627 0.98484 10/01/2016All NDCs

Desmopressin Acetate Tab 0.2 MG 1.28035 1.05002 04/01/2016All NDCs

Desogest-Eth Estrad & Eth Estrad Tab

0.15-0.02/0.01 MG(21/5)

1.65481 06/25/2012All NDCs

Desogest-Ethin Est Tab

0.1-0.025/0.125-0.025/0.15-0.025MG-MG

0.92809 06/25/2012All NDCs

Desogestrel & Ethinyl Estradiol Tab 0.15

MG-30 MCG

0.60631 0.48307 04/01/2016All NDCs

DESONIDE LOT 0.05% (00168031002) 1.89660 10/09/2012Specific NDC

Desonide Cream 0.05% 4.02435 3.94847 01/01/2015All NDCs

Desonide Lotion 0.05% 0.44519 2.57850 11/12/2014All NDCs

Desonide Oint 0.05% 3.29500 3.15242 07/01/2014All NDCs

Desoximetasone Cream 0.05% 2.53792 06/25/2012All NDCs

Desoximetasone Cream 0.25% 2.53676 1.44730 04/03/2013All NDCs

Desoximetasone Gel 0.05% 3.00657 06/25/2012All NDCs

Desoximetasone Oint 0.25% 3.15013 06/25/2012All NDCs

Dexamethasone Acetate Powder 20.40000 06/25/2012All NDCs

Dexamethasone Elixir 0.5 MG/5ML 0.20759 0.17241 10/01/2016All NDCs

Dexamethasone Sodium Phosphate Inj 4

MG/ML

0.16834 06/25/2012All NDCs

Dexamethasone Sodium Phosphate Ophth

Soln 0.1%

3.27386 06/25/2012All NDCs

Dexamethasone Tab 0.5 MG 0.14577 0.06700 01/01/2013All NDCs

Dexamethasone Tab 0.75 MG 0.25554 06/25/2012All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


Dexamethasone Tab 1.5 MG 0.09939 01/01/2013All NDCs

Dexamethasone Tab 4 MG 0.12408 06/25/2012All NDCs

Dexamethasone Tab 6 MG 0.75195 06/25/2012All NDCs

Dexmethylphenidate HCl Cap SR 24 HR 10

MG

6.18944 6.98520 10/07/2015All NDCs


MG

5.01554 10/01/2015All NDCs


MG

4.22258 5.74520 10/08/2015All NDCs


MG

5.43054 10/01/2015All NDCs

Dexmethylphenidate HCl Tab 10 MG 1.08150 06/25/2012All NDCs

Dexmethylphenidate HCl Tab 2.5 MG 0.52762 06/25/2012All NDCs

Dexmethylphenidate HCl Tab 5 MG 0.75218 06/25/2012All NDCs

Dextroamphetamine Sulfate Cap SR 24HR 10

MG

3.14339 3.75400 10/12/2015All NDCs


MG

4.56000 4.38633 04/01/2016All NDCs


MG

3.13000 2.31413 07/01/2015All NDCs

Dextroamphetamine Sulfate Tab 10 MG 1.48288 1.62500 04/19/2016All NDCs

Dextroamphetamine Sulfate Tab 5 MG 1.64000 1.48140 10/01/2015All NDCs

Dextromethorphan HBr Liquid 15 MG/5ML 0.03966 06/25/2012All NDCs

Dextromethorphan HBr Syrup 15 MG/5ML 0.02023 06/25/2012All NDCs

Dextromethorphan HBr Syrup 7.5 MG/5ML 0.04109 06/25/2012All NDCs

Dextromethorphan-Guaifenesin Liquid 10-100

MG/5ML

0.02350 06/25/2012All NDCs


MG/5ML

0.01722 06/25/2012All NDCs


MG/5ML

0.04068 06/25/2012All NDCs

Dextromethorphan-Guaifenesin Syrup 10-100

MG/5ML

0.00891 06/25/2012All NDCs

Dextromethorphan-Guaifenesin Tab 20-400

MG

0.10776 06/25/2012All NDCs

Dextromethorphan-Guaifenesin Tab SR 12HR

60-1200 MG

0.57588 06/25/2012All NDCs

Dextromethorphan-Phenylephrine-APAP Cap

10-5-325 MG

0.18500 06/25/2012All NDCs

Dextrose 5% w/ Sodium Chloride 0.225% 0.00214 06/25/2012All NDCs



Dextrose Inj 10% 0.00632 06/25/2012All NDCs





Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC



DIABETES PAK HEALTH (31604001020) 0.17500 10/14/2011Specific NDC

DIALYVITE TAB 800/IRON (10542007510) 0.17500 10/14/2011Specific NDC

Diazepam Inj 5 MG/ML 0.48203 7.59854 06/10/2015All NDCs

Diazepam Rectal Gel Delivery System 10 MG 320.67600 06/25/2012All NDCs

Diazepam Rectal Gel Delivery System 2.5 MG 270.32400 06/25/2012All NDCs

Diazepam Rectal Gel Delivery System 20 MG 320.67600 06/25/2012All NDCs

Diazepam Tab 10 MG 0.05358 0.03313 11/20/2013All NDCs

Diazepam Tab 2 MG 0.03956 06/25/2012All NDCs

Diazepam Tab 5 MG 0.02547 0.02310 11/20/2013All NDCs

Dibucaine Rectal Ointment 1% 0.21428 06/25/2012All NDCs

Diclofenac Potassium Tab 50 MG 0.18697 0.46500 02/13/2015All NDCs

Diclofenac Sodium Ophth Soln 0.1% 2.25869 01/01/2013All NDCs

Diclofenac Sodium Tab Delayed Release 25

MG

1.09834 06/25/2012All NDCs


MG

0.36883 0.28281 10/01/2015All NDCs


MG

0.23275 0.18973 10/01/2016All NDCs

Diclofenac Sodium Tab SR 24HR 100 MG 1.43841 0.43659 10/01/2012All NDCs

Diclofenac w/ Misoprostol Tab Delayed

Release 50-0.2 MG

2.68540 11/20/2013All NDCs

Dicloxacillin Sodium Cap 250 MG 0.29925 0.25033 04/01/2015All NDCs

Dicloxacillin Sodium Cap 500 MG 0.92700 0.50925 10/01/2012All NDCs

Dicyclomine HCl Cap 10 MG 0.11319 0.09423 10/01/2016All NDCs

Dicyclomine HCl Tab 20 MG 0.03787 06/25/2012All NDCs

Didanosine Delayed Release Capsule 200

MG

4.77045 06/25/2012All NDCs


MG

6.07908 06/25/2012All NDCs


MG

9.49457 06/25/2012All NDCs

Diethylpropion HCl Tab SR 24HR 75 MG 1.01232 06/25/2012All NDCs

Diflorasone Diacetate Cream 0.05% 1.67105 06/25/2012All NDCs

Diflorasone Diacetate Oint 0.05% 2.89546 06/25/2012All NDCs

Diflunisal Tab 500 MG 1.08198 06/25/2012All NDCs

Digoxin Tab 125 MCG (0.125 MG) 0.99407 0.89287 10/01/2015All NDCs

Digoxin Tab 250 MCG (0.25 MG) 1.08885 1.02997 04/01/2016All NDCs

Diltiazem HCl Cap SR 12HR 120 MG 0.95597 06/25/2012All NDCs



Diltiazem HCl Cap SR 24HR 120 MG 0.58907 0.41392 04/01/2016All NDCs




Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC



Diltiazem HCl Coated Beads Cap SR 24HR

120 MG

0.53611 0.45533 07/01/2015All NDCs


180 MG

0.51178 0.39545 04/01/2015All NDCs


240 MG

0.52284 0.48488 10/01/2016All NDCs


300 MG

0.80200 0.76411 10/01/2015All NDCs

Diltiazem HCl Coated Beads Tab SR 24HR

180 MG

2.85640 06/25/2012All NDCs


240 MG

3.20160 06/25/2012All NDCs


360 MG

4.48080 06/25/2012All NDCs

Diltiazem HCl Extended Release Beads Cap

SR 24HR 120 MG

0.74653 06/25/2012All NDCs


SR 24HR 180 MG

0.96665 0.63945 01/01/2013All NDCs


SR 24HR 240 MG

1.27840 06/25/2012All NDCs


SR 24HR 300 MG

1.77692 06/25/2012All NDCs


SR 24HR 360 MG

1.19639 09/01/2012All NDCs


SR 24HR 420 MG

1.89820 06/25/2012All NDCs

Diltiazem HCl Tab 120 MG 0.21800 0.11213 11/20/2013All NDCs

Diltiazem HCl Tab 30 MG 0.09530 06/25/2012All NDCs

Diltiazem HCl Tab 60 MG 0.10418 06/25/2012All NDCs

Diltiazem HCl Tab 90 MG 0.21622 0.09063 01/01/2013All NDCs

Diphenhydramine HCl Cap 25 MG 0.01429 06/25/2012All NDCs

Diphenhydramine HCl Cap 50 MG 0.02081 06/25/2012All NDCs

Diphenhydramine HCl Elixir 12.5 MG/5ML 0.01281 06/25/2012All NDCs

Diphenhydramine HCl Inj 50 MG/ML 2.04699 06/25/2012All NDCs

Diphenhydramine HCl Liquid 12.5 MG/5ML 0.01281 06/25/2012All NDCs

Diphenhydramine HCl Syrup 12.5 MG/5ML 0.01094 06/25/2012All NDCs

Diphenhydramine HCl Tab 25 MG 0.02100 06/25/2012All NDCs

Diphenhydramine HCl Tab 50 MG 0.06912 06/25/2012All NDCs

Diphenhydramine-Acetaminophen Tab 25-500

MG (sleep)

0.04512 06/25/2012All NDCs

Diphenhydramine-Phenylephrine Liq 6.25-2.5

MG/5ML

0.02125 06/25/2012All NDCs

Diphenoxylate w/ Atropine Tab 2.5-0.025 MG 0.46346 0.42559 04/01/2016All NDCs

Dipyridamole Tab 25 MG 0.27851 06/25/2012All NDCs




Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC



Disopyramide Phosphate Cap 100 MG 0.55917 1.40110 07/15/2016All NDCs

Disopyramide Phosphate Cap 150 MG 0.58807 06/25/2012All NDCs

Disopyramide Phosphate Cap SR 12HR 150

MG

1.35389 06/25/2012All NDCs

Disulfiram Tab 250 MG 2.03500 2.18847 07/01/2016All NDCs

Disulfiram Tab 500 MG 4.01316 1.19864 10/01/2016All NDCs

Divalproex Sodium Cap Delayed Release

Sprinkle 125 MG

0.52695 0.59560 10/17/2016All NDCs

Divalproex Sodium Tab Delayed Release 125

MG

0.25167 0.10134 04/02/2014All NDCs


MG

0.29652 0.13198 01/01/2016All NDCs


MG

0.27361 0.20635 07/01/2016All NDCs

Divalproex Sodium Tab SR 24 HR 250 MG 1.54766 1.41138 04/01/2016All NDCs

Divalproex Sodium Tab SR 24 HR 500 MG 1.10831 1.01930 10/01/2016All NDCs

Docusate Calcium Cap 240 MG 0.06320 06/25/2012All NDCs

Docusate Sodium Cap 100 MG 0.02894 06/25/2012All NDCs

Docusate Sodium Cap 250 MG 0.06945 06/25/2012All NDCs

Docusate Sodium Liquid 150 MG/15ML 0.00888 06/25/2012All NDCs

Docusate Sodium Syrup 60 MG/15ML 0.00783 06/25/2012All NDCs

Docusate Sodium Tab 100 MG 0.03588 06/25/2012All NDCs

Donepezil Hydrochloride Tab 10 MG 0.15840 06/25/2012All NDCs

Donepezil Hydrochloride Tab 5 MG 0.16000 06/25/2012All NDCs

Dorzolamide HCl Ophth Soln 2% 1.56900 1.36800 07/01/2015All NDCs

Dorzolamide HCl-Timolol Maleate Ophth Soln

22.3-6.8 MG/ML

1.77050 1.70300 07/01/2016All NDCs

Doxazosin Mesylate Tab 1 MG 0.48574 0.36660 10/01/2016All NDCs



Doxazosin Mesylate Tab 8 MG 0.08831 06/25/2012All NDCs

Doxepin HCl Cap 10 MG 0.15240 0.37540 06/23/2015All NDCs


Doxepin HCl Cap 150 MG 0.65866 06/25/2012All NDCs




Doxepin HCl Conc 10 MG/ML 0.10708 06/25/2012All NDCs

Doxorubicin HCl For Inj 10 MG 0.90437 06/25/2012All NDCs

Doxorubicin HCl For Inj 50 MG 33.59046 06/25/2012All NDCs

Doxorubicin HCl Inj 2 MG/ML 1.09581 06/25/2012All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


Doxycycline Hyclate Cap 100 MG 1.09452 0.87454 10/01/2016All NDCs

Doxycycline Hyclate Cap 50 MG 0.99356 0.89590 10/01/2016All NDCs

Doxycycline Hyclate Tab 100 MG 1.99825 1.02000 04/01/2016All NDCs

Doxycycline Hyclate Tab 20 MG 0.87317 0.42023 01/01/2013All NDCs

Doxycycline Hyclate Tab Delayed Release

100 MG

9.34992 8.98440 07/01/2015All NDCs

Doxycycline Hyclate Tab Delayed Release 75

MG

7.27060 06/25/2012All NDCs

Doxycycline Monohydrate Cap 100 MG 0.57000 0.52457 10/01/2016All NDCs

Doxycycline Monohydrate Cap 50 MG 0.35867 0.28381 07/01/2015All NDCs

Doxycycline Monohydrate Tab 100 MG 0.85400 09/01/2012All NDCs

Doxycycline Monohydrate Tab 50 MG 2.23021 0.68233 01/01/2014All NDCs

Doxylamine Succinate (Sleep) Tab 25 MG 0.14100 06/25/2012All NDCs

Doxylamine Succinate Powder 1.68960 06/25/2012All NDCs

Dronabinol Cap 10 MG 21.62200 10.77804 04/02/2014All NDCs

Dronabinol Cap 2.5 MG 3.59650 3.86000 05/26/2016All NDCs

Dronabinol Cap 5 MG 6.30561 5.79224 10/01/2015All NDCs

Drospirenone-Ethinyl Estradiol Tab 3-0.02 MG 1.73394 0.75631 10/01/2016All NDCs

Drospirenone-Ethinyl Estradiol Tab 3-0.03 MG 2.11555 1.70830 07/01/2013All NDCs

Duloxetine HCl Enteric Coated Pellets Cap 20

MG

0.89992 0.65897 04/01/2016All NDCs


MG

0.72609 0.54032 07/01/2016All NDCs


MG

0.66783 0.56238 07/01/2016All NDCs

E-Z JECT MIS 21G (38396030400) 0.03669 10/14/2011Specific NDC

E-Z JECT MIS 21G COLR (38396030500) 0.04519 10/14/2011Specific NDC


E-Z JECT MIS 30G (38396030800) 0.04519 10/14/2011Specific NDC


E-Z JECT MIS LANC 21G (38396030300) 0.04519 10/14/2011Specific NDC

E-Z JECT MIS THIN 26G (38396030100) 0.04519 10/14/2011Specific NDC

E-Z JECT MIS THIN 26G (38396030200) 0.03669 10/14/2011Specific NDC

EASY COMFORT MIS 30G (91237000104) 0.03615 12/03/2011Specific NDC

EASY COMFORT MIS 30G (91237000116) 0.03615 12/03/2011Specific NDC

EASY COMFORT MIS LANC/30G

(91237000115)

0.03615 10/14/2011Specific NDC

Econazole Nitrate Cream 1% 0.45749 0.21226 01/01/2013All NDCs

ECOTRIN TAB 325MG EC

(00135001427)

0.04016 10/14/2011Specific NDC

ECOTRIN TAB 325MG EC

(00135001430)

0.03279 10/14/2011Specific NDC

Enalapril Maleate & Hydrochlorothiazide Tab

10-25 MG

0.33905 0.24400 07/01/2014All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


Enalapril Maleate & Hydrochlorothiazide Tab

5-12.5 MG

0.32665 0.19788 07/01/2015All NDCs

Enalapril Maleate Tab 10 MG 0.06845 0.37000 04/25/2016All NDCs

Enalapril Maleate Tab 2.5 MG 0.04423 0.31210 06/08/2015All NDCs



ENLIVE LIQ (70074053463) 0.17500 10/14/2011Specific NDC

Enoxaparin Sodium Inj 100 MG/ML 20.20000 15.53000 10/01/2016All NDCs

Enoxaparin Sodium Inj 120 MG/0.8ML 105.02233 37.52000 07/01/2015All NDCs

Enoxaparin Sodium Inj 150 MG/ML 117.08880 38.52000 07/01/2015All NDCs





Entacapone Tab 200 MG 2.83277 04/01/2015All NDCs

Epinastine HCl Ophth Soln 0.05% 20.54160 06/25/2012All NDCs

Epinephrine HCl Inj 1 MG/ML 0.28000 06/25/2012All NDCs

Eplerenone Tab 25 MG 2.06265 2.21000 09/01/2015All NDCs

Eplerenone Tab 50 MG 2.54354 2.12629 04/03/2013All NDCs

EQL LANCETS MIS 21G COLR

(38396030740)

0.04519 10/14/2011Specific NDC

EQL LANCETS MIS THIN 26G

(38396030140)

0.04519 10/14/2011Specific NDC


(38396030240)

0.03669 10/14/2011Specific NDC


(38396030540)

0.04519 10/14/2011Specific NDC


(38396030640)

0.03669 10/14/2011Specific NDC

Ergocalciferol Cap 50000 Unit 0.44338 10/01/2012All NDCs

Ergocalciferol Soln 8000 Unit/ML 1.21120 06/25/2012All NDCs

Ergotamine w/ Caffeine Tab 1-100 MG 0.93311 06/25/2012All NDCs

Erythromycin Ethylsuccinate Tab 400 MG 0.78162 06/25/2012All NDCs

Erythromycin Gel 2% 3.76520 1.92789 10/01/2015All NDCs

Erythromycin Ophth Oint 5 MG/GM 3.48224 3.00285 10/01/2016All NDCs

Erythromycin Pads 2% 1.22133 06/25/2012All NDCs

Erythromycin Soln 2% 0.06425 0.64250 02/27/2013All NDCs

Erythromycin Tab 250 MG 4.85500 7.56300 04/06/2015All NDCs

Erythromycin Tab 500 MG 8.88247 11.13520 04/29/2015All NDCs

Erythromycin-Sulfisoxazole For Susp 200-600

MG/5ML

0.16871 06/25/2012All NDCs

Escitalopram Oxalate Soln 5 MG/5ML (Base

Equiv)

0.42073 11/20/2013All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


Escitalopram Oxalate Tab 10 MG (Base

Equiv)

0.17290 0.13000 01/01/2014All NDCs

Escitalopram Oxalate Tab 20 MG (Base

Equiv)

3.38196 0.19344 10/03/2012All NDCs

Escitalopram Oxalate Tab 5 MG (Base Equiv) 3.11300 0.16055 10/03/2012All NDCs

Esomeprazole Magnesium Cap Delayed

Release 40 MG (Base Eq)

5.66505 07/01/2016All NDCs

Estazolam Tab 1 MG 0.55412 06/25/2012All NDCs

Estazolam Tab 2 MG 0.60313 06/25/2012All NDCs

Esterified Estrogens & Methyltestosterone Tab

1.25-2.5 MG

1.62000 06/25/2012All NDCs

Estradiol & Norethindrone Acetate Tab 1-0.5

MG

1.88839 09/01/2012All NDCs

Estradiol Powder 4.08000 06/25/2012All NDCs

Estradiol Tab 0.5 MG 0.09799 06/25/2012All NDCs

Estradiol Tab 1 MG 0.14168 0.05433 01/01/2013All NDCs

Estradiol Tab 2 MG 0.12394 06/25/2012All NDCs

Estradiol TD Patch Twice Weekly 0.0375

MG/24HR

9.23125 07/01/2016All NDCs

Estradiol TD Patch Twice Weekly 0.05

MG/24HR

9.32000 07/01/2016All NDCs

Estradiol TD Patch Weekly 0.025 MG/24HR 10.94830 06/25/2012All NDCs

Estradiol TD Patch Weekly 0.0375 MG/24HR

(37.5 MCG/24HR)

14.50800 06/25/2012All NDCs





Estradiol Valerate IM in Oil 10 MG/ML 14.62800 06/25/2012All NDCs

Estriol Micronized Powder 115.20000 06/25/2012All NDCs

Estropipate Tab 0.75 MG 0.24505 06/25/2012All NDCs

Estropipate Tab 1.5 MG 0.29158 06/25/2012All NDCs

Estropipate Tab 3 MG 0.67924 06/25/2012All NDCs

Eszopiclone Tab 1 MG 0.86000 0.70027 07/01/2015All NDCs



Ethambutol HCl Tab 100 MG 0.45588 06/25/2012All NDCs

Ethambutol HCl Tab 400 MG 1.31988 1.00861 04/01/2016All NDCs

Ethosuximide Cap 250 MG 1.02550 1.31250 02/25/2015All NDCs

Ethosuximide Soln 250 MG/5ML 0.28330 0.36330 11/16/2015All NDCs

Ethynodiol Diacetate & Ethinyl Estradiol Tab 1

MG-35 MCG

0.82437 0.70631 10/01/2015All NDCs

Etodolac Cap 200 MG 0.54711 06/25/2012All NDCs

Etodolac Tab 400 MG 0.36689 06/25/2012All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


Etodolac Tab 500 MG 0.38233 1.15000 06/16/2016All NDCs

Etodolac Tab SR 24HR 400 MG 1.08281 06/25/2012All NDCs



Etoposide Cap 50 MG 44.28874 06/25/2012All NDCs

EX-L TAB (11694097301) 0.17500 07/01/2010Specific NDC

Exemestane Tab 25 MG 8.46520 7.37000 10/01/2016All NDCs

EZ SMART MIS LANCETS (53459000073) 0.01853 10/14/2011Specific NDC

EZ-LETS 23G MIS LANCETS

(25294000806)

0.03646 07/06/2011Specific NDC

Famciclovir Tab 125 MG 4.49081 1.40125 11/20/2013All NDCs



Famotidine For Susp 40 MG/5ML 1.48500 1.10455 04/01/2016All NDCs

Famotidine Tab 10 MG 0.10280 06/25/2012All NDCs

Famotidine Tab 20 MG 0.14028 0.04116 01/01/2013All NDCs

Famotidine Tab 40 MG 0.06600 09/01/2012All NDCs

FD&C Yellow #6 Aluminum Lake Powder 0.35616 06/25/2012All NDCs

Fe Fumarate w/ B12-Vit C-FA-IFC Cap

110-0.015-75-0.5-240 MG

0.39120 06/25/2012All NDCs

Felbamate Susp 600 MG/5ML 1.81520 1.65469 04/01/2016All NDCs

Felbamate Tab 400 MG 4.50000 3.59170 04/02/2014All NDCs

Felbamate Tab 600 MG 4.21686 3.79177 04/01/2015All NDCs

Felodipine Tab SR 24HR 10 MG 0.79955 0.68068 10/01/2015All NDCs

Felodipine Tab SR 24HR 2.5 MG 1.16717 06/25/2012All NDCs

Felodipine Tab SR 24HR 5 MG 0.64906 0.27221 07/01/2015All NDCs

Fenofibrate Micronized Cap 134 MG 1.32638 06/25/2012All NDCs



Fenofibrate Tab 145 MG 1.90867 1.69111 04/01/2015All NDCs



Fenofibrate Tab 54 MG 0.61190 06/25/2012All NDCs

Fenoprofen Calcium Tab 600 MG 1.24666 06/25/2012All NDCs

Fentanyl Citrate Lozenge on a Handle 1200

MCG

34.72400 06/25/2012All NDCs


MCG

42.82626 06/25/2012All NDCs


MCG

14.52613 06/25/2012All NDCs


MCG

18.40384 06/25/2012All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC



MCG

22.54163 06/25/2012All NDCs


MCG

26.70850 06/25/2012All NDCs

Fentanyl TD Patch 72HR 100 MCG/HR 12.94811 12.35853 10/01/2015All NDCs





FER-IN-SOL DRO 15MG/ML

(00087074002)

0.14909 10/14/2011Specific NDC

Ferrous Fumarate Tab 325 MG (106 MG

Elemental Fe)

0.13640 06/25/2012All NDCs

Ferrous Sulfate Dried Tab 200 MG (65 MG

Elemental Fe)

0.02256 06/25/2012All NDCs

Ferrous Sulfate Dried Tab CR 160 MG (50

MG Fe Equivalent)

0.17000 06/25/2012All NDCs

Ferrous Sulfate Elixir 220 MG/5ML (44

MG/5ML Elemental Fe)

0.00952 06/25/2012All NDCs

Ferrous Sulfate Soln 75 MG/ML (15 MG/ML

Elemental Fe)

0.10200 06/25/2012All NDCs

Ferrous Sulfate Tab 325 MG (65 MG

Elemental Fe)

0.00946 06/25/2012All NDCs

Ferrous Sulfate Tab EC 325 MG (65 MG Fe

Equivalent)

0.11634 06/25/2012All NDCs

Ferrous Sulfate-Vit C-Folic Acid Tab CR

105-500-0.8 MG

0.55800 06/25/2012All NDCs

FEVERALL INF SUP 80MG (00472120006) 0.61928 10/14/2011Specific NDC

FEVERALL INF SUP 80MG (00472120050) 0.57257 10/14/2011Specific NDC

Fexofenadine HCl Tab 180 MG 0.64523 09/01/2012All NDCs



Fexofenadine-Pseudoephedrine Tab SR

12HR 60-120 MG

2.15028 06/25/2012All NDCs

Fexofenadine-Pseudoephedrine Tab SR

24HR 180-240 MG

4.43004 06/25/2012All NDCs

Finasteride Tab 1 MG 2.16710 11/20/2013All NDCs

Finasteride Tab 5 MG 0.36764 0.30748 07/01/2015All NDCs

FINGERSTIX MIS LANCETS

(00193596531)

0.14345 10/14/2011Specific NDC

Flecainide Acetate Tab 100 MG 0.33542 09/01/2012All NDCs

Flecainide Acetate Tab 150 MG 0.80841 0.64169 04/01/2016All NDCs

Flecainide Acetate Tab 50 MG 0.22422 09/01/2012All NDCs

Fluconazole For Susp 10 MG/ML 0.76504 0.30179 10/01/2012All NDCs

Fluconazole For Susp 40 MG/ML 0.58420 1.08521 12/28/2015All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


Fluconazole Tab 100 MG 0.15500 1.63000 02/05/2014All NDCs




Fludrocortisone Acetate Tab 0.1 MG 0.43711 0.40992 07/01/2016All NDCs

Flunisolide Nasal Soln 25 MCG/ACT (0.025%) 1.94948 06/25/2012All NDCs

Fluocinolone Acetonide Cream 0.01% 0.76529 06/25/2012All NDCs

Fluocinolone Acetonide Cream 0.025% 0.57989 06/25/2012All NDCs

Fluocinolone Acetonide Oint 0.025% 0.57989 06/25/2012All NDCs

Fluocinolone Acetonide Soln 0.01% 1.23450 2.47800 09/22/2013All NDCs

Fluocinonide Cream 0.05% 0.80389 2.09520 05/27/2015All NDCs

Fluocinonide Emulsified Base Cream 0.05% 0.22941 0.42500 09/22/2013All NDCs

Fluocinonide Gel 0.05% 0.46434 2.28470 07/13/2015All NDCs

Fluocinonide Oint 0.05% 2.32855 2.10709 04/01/2016All NDCs

Fluocinonide Soln 0.05% 1.38000 1.29662 01/01/2013All NDCs

Fluorometholone Ophth Susp 0.1% 1.55273 06/25/2012All NDCs

Fluorouracil Cream 5% 4.34075 4.06150 07/01/2014All NDCs

Fluorouracil Inj 1 GM/20ML (50 MG/ML) 0.12158 06/25/2012All NDCs

Fluorouracil Inj 2.5 GM/50ML (50 MG/ML) 0.11222 06/25/2012All NDCs

Fluorouracil Inj 5 GM/100ML (50 MG/ML) 0.10287 06/25/2012All NDCs

Fluorouracil Inj 500 MG/10ML (50 MG/ML) 0.11222 06/25/2012All NDCs

Fluorouracil Soln 5% 3.89580 04/20/2016All NDCs

Fluoxetine HCl (PMDD) Cap 10 MG 0.11155 06/25/2012All NDCs

Fluoxetine HCl (PMDD) Cap 20 MG 0.09401 06/25/2012All NDCs

Fluoxetine HCl Cap 10 MG 0.11155 0.03902 01/01/2013All NDCs



Fluoxetine HCl Cap Delayed Release 90 MG 31.59600 29.81321 04/01/2016All NDCs

Fluoxetine HCl Solution 20 MG/5ML 0.07770 0.06558 07/01/2016All NDCs

Fluoxetine HCl Tab 10 MG 1.14700 0.78469 07/01/2016All NDCs

Fluoxetine HCl Tab 20 MG 1.56900 1.49289 10/01/2016All NDCs

Fluphenazine Decanoate Inj 25 MG/ML 24.90400 26.71449 12/09/2014All NDCs

Fluphenazine HCl Inj 2.5 MG/ML 9.77280 06/25/2012All NDCs

Fluphenazine HCl Oral Conc 5 MG/ML 0.99233 06/25/2012All NDCs

Fluphenazine HCl Tab 1 MG 0.19268 0.15500 07/01/2015All NDCs


Fluphenazine HCl Tab 2.5 MG 0.25952 06/25/2012All NDCs


Flurazepam HCl Cap 15 MG 0.09118 06/25/2012All NDCs

Flurazepam HCl Cap 30 MG 0.10736 0.58965 06/27/2015All NDCs

Flurbiprofen Sodium Ophth Soln 0.03% 2.25000 08/08/2012All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


Flurbiprofen Tab 100 MG 0.22800 06/25/2012All NDCs

Flurbiprofen Tab 50 MG 0.60873 06/25/2012All NDCs

Flutamide Cap 125 MG 1.60749 06/25/2012All NDCs

Fluticasone Propionate Cream 0.05% 0.82001 0.62237 07/01/2013All NDCs

Fluticasone Propionate Nasal Susp 50

MCG/ACT

0.68402 0.44748 07/01/2015All NDCs

Fluticasone Propionate Oint 0.005% 0.52937 09/01/2012All NDCs

Fluvoxamine Maleate Cap SR 24HR 150 MG 6.89936 10/01/2015All NDCs

Fluvoxamine Maleate Tab 100 MG 0.30979 0.27458 01/01/2016All NDCs



Folic Acid Tab 1 MG 0.03535 06/25/2012All NDCs

Folic Acid Tab 400 MCG 0.01032 06/25/2012All NDCs

Folic Acid Tab 800 MCG 0.01824 06/25/2012All NDCs

Folic Acid-Vitamin B6-Vitamin B12 Tab

2.2-25-0.5 MG

0.36504 06/25/2012All NDCs

Fondaparinux Sodium Subcutaneous Inj 10

MG/0.8ML

162.96000 06/25/2012All NDCs

Fondaparinux Sodium Subcutaneous Inj 2.5

MG/0.5ML

110.78400 06/25/2012All NDCs

Fondaparinux Sodium Subcutaneous Inj 5

MG/0.4ML

308.66400 275.17188 10/01/2012All NDCs

Fondaparinux Sodium Subcutaneous Inj 7.5

MG/0.6ML

205.77600 181.05833 01/01/2013All NDCs

Formaldehyde Solution 10% 0.38566 06/25/2012All NDCs

Fosinopril Sodium & Hydrochlorothiazide Tab

10-12.5 MG

1.25826 06/25/2012All NDCs

Fosinopril Sodium & Hydrochlorothiazide Tab

20-12.5 MG

1.25826 06/25/2012All NDCs

Fosinopril Sodium Tab 10 MG 0.16433 09/01/2012All NDCs

Fosinopril Sodium Tab 20 MG 0.28495 0.18500 10/01/2016All NDCs

Fosinopril Sodium Tab 40 MG 0.52212 0.35955 04/01/2015All NDCs

FREESTYLE MIS LANCETS

(99073013001)

0.07850 04/04/2013Specific NDC

FREESTYLE MIS LANCETS

(99073070428)

0.18953 10/14/2011Specific NDC

Furosemide Inj 10 MG/ML 0.20857 1.58000 09/15/2016All NDCs

Furosemide Oral Soln 10 MG/ML 0.12158 06/25/2012All NDCs

Furosemide Tab 20 MG 0.05265 0.01327 01/01/2013All NDCs

Furosemide Tab 40 MG 0.05602 0.01718 11/20/2013All NDCs

Furosemide Tab 80 MG 0.09754 06/25/2012All NDCs

Gabapentin Cap 100 MG 0.07715 06/25/2012All NDCs

Gabapentin Cap 300 MG 0.10296 0.08789 10/01/2015All NDCs

Gabapentin Cap 400 MG 0.12862 0.10246 10/01/2016All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


Gabapentin Oral Soln 250 MG/5ML 0.10133 0.15200 10/31/2016All NDCs

Gabapentin Powder 2.45760 06/25/2012All NDCs

Gabapentin Tab 600 MG 0.59230 0.17782 07/01/2016All NDCs

Gabapentin Tab 800 MG 0.28942 0.25474 10/01/2015All NDCs

Galantamine Hydrobromide Cap SR 24HR 16

MG

5.49920 2.75981 01/01/2013All NDCs

Galantamine Hydrobromide Tab 12 MG 3.05160 06/25/2012All NDCs

Galantamine Hydrobromide Tab 4 MG 2.74960 06/25/2012All NDCs

GAMMAGARD INJ 10GM/100

(00944270005)

10.65404 10/14/2011Specific NDC

GAMMAGARD INJ 1GM/10ML

(00944270002)

10.65435 10/14/2011Specific NDC

GAMMAGARD INJ 2.5GM/25

(00944270003)

10.65435 10/14/2011Specific NDC

GAMMAGARD INJ 5GM/50ML

(00944270004)

10.65404 10/14/2011Specific NDC

GAMMAGARD SD INJ 10GM HU

(00944262004)

654.66337 10/14/2011Specific NDC

GAMMAGARD SD INJ 2.5GM HU

(00944262002)

163.66584 10/14/2011Specific NDC

GAMMAGARD SD INJ 5GM HU

(00944262003)

327.33168 10/14/2011Specific NDC

GAVISCON CHW (00135009626) 0.05523 10/14/2011Specific NDC

GAVISCON SUS (00135009441) 0.01461 10/14/2011Specific NDC

Gelatin Cap 650 MG 0.03204 06/25/2012All NDCs

Gemfibrozil Tab 600 MG 0.11871 06/25/2012All NDCs

Gentamicin Sulfate Cream 0.1% 0.18704 06/25/2012All NDCs

Gentamicin Sulfate Inj 40 MG/ML 1.26500 06/30/2012All NDCs

Gentamicin Sulfate Oint 0.1% 0.18704 06/25/2012All NDCs

Gentamicin Sulfate Ophth Oint 0.3% 4.34146 06/25/2012All NDCs

Gentamicin Sulfate Ophth Soln 0.3% 1.15750 7.07880 12/14/2015All NDCs

Glimepiride Tab 1 MG 0.09782 06/25/2012All NDCs

Glimepiride Tab 2 MG 0.15551 0.06142 01/01/2013All NDCs

Glimepiride Tab 4 MG 0.24510 0.21584 10/01/2016All NDCs

Glipizide Tab 10 MG 0.11147 06/25/2012All NDCs

Glipizide Tab 5 MG 0.06537 06/25/2012All NDCs

Glipizide Tab SR 24HR 10 MG 0.43002 0.35370 10/01/2016All NDCs

Glipizide Tab SR 24HR 2.5 MG 0.31414 0.26148 04/01/2015All NDCs

Glipizide Tab SR 24HR 5 MG 0.29839 06/25/2012All NDCs

Glipizide-Metformin HCl Tab 2.5-250 MG 0.64040 06/25/2012All NDCs

Glipizide-Metformin HCl Tab 2.5-500 MG 0.76392 06/25/2012All NDCs

Glipizide-Metformin HCl Tab 5-500 MG 0.76392 0.43474 11/20/2013All NDCs

GLUCOCOM MIS 28G (08525010300) 0.05561 10/14/2011Specific NDC



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC




GLUCOSAMINE TAB MSM CMPL

(00904547352)

0.10860 02/19/2012Specific NDC

Glucosamine Sulfate Cap 500 MG 0.11160 06/25/2012All NDCs

Glucosamine-Chondroitin Cap 500-400 MG 0.13550 06/25/2012All NDCs

Glucosamine-Chondroitin Tab 500-400 MG 0.17980 06/25/2012All NDCs

Glucosamine-Chondroitin-MSM Tab

750-400-375 MG

0.17600 06/25/2012All NDCs

Glucose Gel 40% 0.08136 06/25/2012All NDCs

GLUCOSOURCE MIS LANCETS

(08278220011)

0.03839 10/14/2011Specific NDC

Glyburide Micronized Tab 1.5 MG 0.12114 06/25/2012All NDCs

Glyburide Micronized Tab 3 MG 0.10126 06/25/2012All NDCs

Glyburide Micronized Tab 6 MG 0.08321 06/25/2012All NDCs

Glyburide Tab 1.25 MG 0.11634 06/25/2012All NDCs

Glyburide Tab 2.5 MG 0.15878 06/25/2012All NDCs

Glyburide Tab 5 MG 0.15036 06/25/2012All NDCs

Glyburide-Metformin Tab 1.25-250 MG 0.16551 06/25/2012All NDCs

Glyburide-Metformin Tab 2.5-500 MG 0.33624 0.12275 01/01/2013All NDCs

Glyburide-Metformin Tab 5-500 MG 0.20736 0.10150 11/20/2013All NDCs

Glycerin Liquid 0.03388 06/25/2012All NDCs

Glycerin Suppos 1.2 GM 0.12500 06/25/2012All NDCs

Glycerin Suppos 2.1 GM 0.11900 06/25/2012All NDCs

Glycerin Suppos 80.7% 0.09600 06/25/2012All NDCs

Glycerin Topical Liquid 0.00743 06/25/2012All NDCs

Glycopyrrolate Inj 0.2 MG/ML 0.30127 0.43956 10/29/2012All NDCs

Glycopyrrolate Tab 1 MG 0.46202 0.37321 07/01/2016All NDCs

Glycopyrrolate Tab 2 MG 0.76560 1.01250 07/15/2016All NDCs

GNP LANCETS MIS (87701057044) 0.04627 10/14/2011Specific NDC

GNP LANCETS MIS (87701057046) 0.03472 10/14/2011Specific NDC

GNP LANCETS MIS 21G (38396034264) 0.04519 10/14/2011Specific NDC

GNP LANCETS MIS 21G (38396034364) 0.03669 10/14/2011Specific NDC

GNP LANCETS MIS SUP THIN

(87701039908)

0.05554 10/14/2011Specific NDC

GNP LANCETS MIS THIN (87701044671) 0.04051 10/14/2011Specific NDC

GNP LANCETS MIS THIN 26G

(38396034464)

0.04519 10/14/2011Specific NDC


(38396034564)

0.03669 10/14/2011Specific NDC


(87701095986)

0.03855 10/14/2011Specific NDC

Granisetron HCl Tab 1 MG 9.28471 6.71980 04/02/2014All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


Griseofulvin Microsize Susp 125 MG/5ML 0.26837 0.11766 04/02/2014All NDCs

Guaifenesin Liquid 100 MG/5ML 0.01036 06/25/2012All NDCs

Guaifenesin Syrup 100 MG/5ML 0.00668 06/25/2012All NDCs

Guaifenesin Tab 200 MG 0.03600 06/25/2012All NDCs

Guaifenesin Tab 400 MG 0.09360 06/25/2012All NDCs

Guaifenesin-Codeine Soln 100-10 MG/5ML 0.07550 0.05975 07/01/2016All NDCs

Guanfacine HCl Tab 1 MG 0.11615 0.08111 01/01/2013All NDCs

Guanfacine HCl Tab 2 MG 0.34092 0.11975 01/01/2013All NDCs

Guanfacine HCl Tab SR 24HR 1 MG (Base

Equiv)

0.81542 0.78823 10/01/2015All NDCs


Equiv)

0.81542 07/01/2015All NDCs


Equiv)

0.81542 07/01/2015All NDCs


Equiv)

0.81542 07/01/2015All NDCs

GYNE-LOTRIM CRE 1% VAG

(00085088709)

0.21120 07/01/2010Specific NDC

GYNE-LOTRIM CRE 1% VAG

(00085088711)

0.21120 07/01/2010Specific NDC

HAEMOLANCE MIS HIGH FLO

(08317990800)

0.17268 10/14/2011Specific NDC

HAEMOLANCE MIS LOW FLOW

(08317950000)

0.14780 10/14/2011Specific NDC

HAEMOLANCE MIS LOW FLOW

(08317955000)

0.17149 10/14/2011Specific NDC

HAEMOLANCE MIS PLUS (08317990200) 0.17268 10/14/2011Specific NDC




HAEMOLANCE MIS PLUS LOW

(08317990900)

0.17268 10/14/2011Specific NDC

HAEMOLANCE MIS PLUS LOW

(08317990950)

0.20054 10/14/2011Specific NDC

HAEMOLANCE MIS PLUS MAX

(08317990600)

0.17268 10/14/2011Specific NDC

HAEMOLANCE MIS PLUS PED

(08317990400)

0.17268 10/14/2011Specific NDC

HAEMOLANCE MIS RETRACT

(08317015001)

0.14780 10/14/2011Specific NDC

HAEMOLANCE MIS RETRACT

(08317035050)

0.17149 10/14/2011Specific NDC

Halobetasol Propionate Cream 0.05% 1.05330 06/25/2012All NDCs

Halobetasol Propionate Oint 0.05% 1.08312 06/25/2012All NDCs

Haloperidol Decanoate IM Soln 50 MG/ML 23.06880 06/25/2012All NDCs

Haloperidol Lactate Inj 5 MG/ML 2.20175 4.59660 10/01/2015All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


Haloperidol Lactate Oral Conc 2 MG/ML 0.12803 06/25/2012All NDCs

Haloperidol Tab 0.5 MG 0.05663 0.26000 05/14/2014All NDCs

Haloperidol Tab 1 MG 0.38111 0.28126 10/01/2016All NDCs





HC VALERATE OIN 0.2% (51672129201) 4.01000 01/21/2013Specific NDC

HEMENATAL OB MIS + DHA (76331090430) 0.45000 10/02/2013Specific NDC

Heparin Sod Lock Flush & NaCl Lock Flush

10 Unt/ML-0.9% Kit

0.30000 06/25/2012All NDCs

Heparin Sodium (Porcine) Inj 1000 Unit/ML 0.78518 06/25/2012All NDCs

Heparin Sodium (Porcine) Inj 10000 Unit/ML 3.49325 3.10100 01/01/2015All NDCs

Heparin Sodium (Porcine) Inj 20000 Unit/ML 16.09536 06/25/2012All NDCs

Heparin Sodium (Porcine) Inj 5000 Unit/ML 1.25522 1.18077 01/01/2016All NDCs

Heparin Sodium (Porcine) Lock Flush IV Soln

10 Unit/ML

0.23380 06/25/2012All NDCs

Heparin Sodium (Porcine) Lock Flush IV Soln

100 Unit/ML

0.02624 06/25/2012All NDCs

HOMINEX-2 POW (70074051119) 0.14906 10/14/2011Specific NDC

HUMULIN INJ 70/30 (00002871517) 6.56880 01/26/2012Specific NDC

HUMULIN N PN INJ U-100 (00002873001) 10.61418 10/14/2011Specific NDC

HUMULIN N PN INJ U-100 (00002873059) 10.61418 10/14/2011Specific NDC

HUMULIN PEN INJ 70/30 (00002877001) 10.61418 10/14/2011Specific NDC

HUMULIN PEN INJ 70/30 (00002877059) 10.61418 10/14/2011Specific NDC

HYALEX TAB (17204043240) 0.17500 01/01/2011Specific NDC

Hydralazine HCl Tab 10 MG 0.15441 0.09385 07/01/2015All NDCs




Hydrochlorothiazide Cap 12.5 MG 0.11466 06/25/2012All NDCs

Hydrochlorothiazide Tab 12.5 MG 0.33600 0.15121 01/01/2013All NDCs

Hydrochlorothiazide Tab 25 MG 0.05357 0.01430 11/20/2013All NDCs

Hydrochlorothiazide Tab 50 MG 0.04666 06/25/2012All NDCs

Hydrocodone w/ Homatropine Syrup 5-1.5

MG/5ML

0.14280 06/25/2012All NDCs

Hydrocodone-Acetaminophen Soln 7.5-325

MG/15ML

0.20450 0.05983 07/01/2016All NDCs

Hydrocodone-Acetaminophen Soln 7.5-500

MG/15ML

0.02660 09/01/2012All NDCs

Hydrocodone-Acetaminophen Tab 10-325 MG 0.36501 0.21836 01/01/2016All NDCs




Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


Hydrocodone-Acetaminophen Tab 10-750 MG 0.86172 06/25/2012All NDCs

Hydrocodone-Acetaminophen Tab 5-300 MG 1.27865 10/01/2015All NDCs


Hydrocodone-Acetaminophen Tab 7.5-325

MG

0.15642 0.21520 01/04/2016All NDCs

Hydrocodone-Ibuprofen Tab 7.5-200 MG 0.51210 0.48329 07/01/2016All NDCs

Hydrocortisone Acetate Suppos 25 MG 1.29950 06/25/2012All NDCs

Hydrocortisone Acetate Suppos 30 MG 3.99650 06/25/2012All NDCs

Hydrocortisone Acetate w/ Pramoxine Rectal

Cream 1-1%

2.33600 06/25/2012All NDCs

Hydrocortisone Acetate w/ Pramoxine Rectal

Cream 2.5-1%

1.73920 06/25/2012All NDCs

Hydrocortisone Butyrate Cream 0.1% 1.11770 04/20/2016All NDCs

Hydrocortisone Butyrate Oint 0.1% 2.85063 3.18711 04/08/2016All NDCs

Hydrocortisone Butyrate Soln 0.1% 3.06160 04/20/2016All NDCs

Hydrocortisone Cream 0.5% 0.04769 06/25/2012All NDCs

Hydrocortisone Cream 1% 0.05237 06/25/2012All NDCs

Hydrocortisone Cream 2.5% 0.15431 06/25/2012All NDCs

Hydrocortisone Enema 100 MG/60ML 0.12385 06/25/2012All NDCs

Hydrocortisone Lotion 1% 0.07507 04/20/2016All NDCs

Hydrocortisone Lotion 2.5% 0.31482 0.20723 04/01/2016All NDCs

Hydrocortisone Oint 0.5% 0.10790 06/25/2012All NDCs

Hydrocortisone Oint 1% 0.05237 06/25/2012All NDCs

Hydrocortisone Oint 2.5% 0.09922 06/25/2012All NDCs

Hydrocortisone Rectal Cream 2.5% 0.66541 1.78601 07/27/2015All NDCs

Hydrocortisone Tab 10 MG 0.38567 0.35379 04/01/2016All NDCs

Hydrocortisone Tab 20 MG 0.13200 06/25/2012All NDCs

Hydrocortisone Valerate Cream 0.2% 4.20000 3.06942 01/01/2015All NDCs

Hydrocortisone Valerate Oint 0.2% 0.61566 3.09500 03/20/2014All NDCs

Hydrocortisone w/ Acetic Acid Otic Soln 1-2% 10.77990 10.28491 07/01/2013All NDCs

Hydrocortisone-Aloe Vera Cream 0.5% 0.04769 06/25/2012All NDCs

Hydrocortisone-Aloe Vera Cream 1% 0.05237 06/25/2012All NDCs

Hydromorphone HCl Inj 2 MG/ML 0.41280 06/25/2012All NDCs

Hydromorphone HCl Preservative Free (PF)

Inj 10 MG/ML

1.87471 10/17/2012All NDCs

Hydromorphone HCl Preservative Free (PF)

Inj 2 MG/ML

0.41280 10/17/2012All NDCs

Hydromorphone HCl Tab 2 MG 0.25347 0.17584 04/02/2014All NDCs



Hydroquinone Cream 4% 0.90793 06/25/2012All NDCs

Hydroxychloroquine Sulfate Tab 200 MG 3.11250 1.90224 04/01/2016All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


Hydroxyprogesterone Caproate (Bulk) Powder 2.88000 06/25/2012All NDCs

Hydroxypropyl Methylcellulose Ophth Soln

0.4%

0.22000 06/25/2012All NDCs

Hydroxyurea Cap 500 MG 0.33988 09/01/2012All NDCs

Hydroxyzine HCl IM Soln 50 MG/ML 0.78795 06/25/2012All NDCs

Hydroxyzine HCl Syrup 10 MG/5ML 0.12541 0.09375 07/01/2015All NDCs

Hydroxyzine HCl Tab 10 MG 0.45499 0.12984 01/01/2013All NDCs



Hydroxyzine Pamoate Cap 100 MG 0.48428 06/25/2012All NDCs



Hyoscyamine Sulfate Elixir 0.125 MG/5ML 0.07608 06/25/2012All NDCs

Hyoscyamine Sulfate Soln 0.125 MG/ML 1.36667 1.20867 10/01/2014All NDCs

Hyoscyamine Sulfate Tab 0.125 MG 0.28672 0.47580 07/11/2015All NDCs

Hyoscyamine Sulfate Tab Disp 0.125 MG 0.31216 0.20452 10/01/2015All NDCs

Hyoscyamine Sulfate Tab SL 0.125 MG 0.46210 0.18555 07/01/2016All NDCs

Hyoscyamine Sulfate Tab SR 12HR 0.375 MG 1.24743 0.80600 10/01/2012All NDCs

Hypromellose (Bulk) Powder 0.03994 06/25/2012All NDCs

Ibandronate Sodium Tab 150 MG (Base

Equivalent)

40.53675 29.97333 01/01/2016All NDCs

Ibuprofen Cap 200 MG 0.04430 06/25/2012All NDCs

Ibuprofen Chew Tab 100 MG 0.14000 06/25/2012All NDCs

Ibuprofen Susp 100 MG/5ML 0.03527 0.04659 09/27/2012All NDCs

Ibuprofen Susp 40 MG/ML 0.42080 06/25/2012All NDCs

Ibuprofen Tab 200 MG 0.05400 06/25/2012All NDCs



Ibuprofen Tab 800 MG 0.10300 0.09516 10/01/2016All NDCs

ICAPS AREDS TAB FORMULA

(00065804010)

0.17500 10/14/2011Specific NDC

ICAPS LUTEIN TAB ZEAXANTH

(00065804053)

0.17500 10/14/2011Specific NDC

ICAPS LUTEIN TAB ZEAXANTH

(00065804054)

0.17500 10/14/2011Specific NDC

ICAPS PLUS TAB (00065804030) 0.17500 10/14/2011Specific NDC

ICAPS PLUS TAB (00065804052) 0.17500 10/14/2011Specific NDC

Imipramine HCl Tab 10 MG 0.20199 0.14912 07/01/2015All NDCs



Imipramine Pamoate Cap 100 MG 7.42000 4.93460 04/02/2014All NDCs

Imipramine Pamoate Cap 150 MG 14.16040 06/25/2012All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


Imipramine Pamoate Cap 75 MG 14.16040 06/25/2012All NDCs

Imiquimod Cream 5% 8.47597 6.33500 10/01/2015All NDCs

Indapamide Tab 1.25 MG 0.09679 06/25/2012All NDCs

Indapamide Tab 2.5 MG 0.10521 06/25/2012All NDCs

Indomethacin Cap 25 MG 0.16075 0.10871 10/01/2016All NDCs

Indomethacin Cap 50 MG 0.22287 0.17907 10/01/2016All NDCs

Indomethacin Cap CR 75 MG 1.58651 1.41833 01/01/2016All NDCs

INSULIN SYRG MIS 0.3/30G (08222093356) 0.15102 10/14/2011Specific NDC



















INSULIN SYRG MIS 1ML/30G

(08222093158)

0.15102 10/14/2011Specific NDC


(08290328278)

0.21192 11/11/2011Specific NDC


(08290841101)

0.21707 11/11/2011Specific NDC


(08496801501)

0.33797 10/14/2011Specific NDC


(38396040812)

0.13518 10/14/2011Specific NDC


(38396041808)

0.13518 10/14/2011Specific NDC


(41405130301)

0.05253 10/14/2011Specific NDC


(41405130310)

0.22209 10/14/2011Specific NDC


(57515009315)

0.15102 10/14/2011Specific NDC



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC



(86227062105)

0.24874 10/14/2011Specific NDC

Insulin Syringe/Needle U-100 0.3 ML 30 x 1/2" 0.17767 06/25/2012All NDCs

Insulin Syringe/Needle U-100 1/2 ML 30 x 1/2" 0.17767 06/25/2012All NDCs

Insulin Syringe/Needle U-100 1/2 ML 31 x

5/16"

0.26613 06/25/2012All NDCs

Iodoquinol-HC Cream 1% 0.88522 06/25/2012All NDCs

Ipratropium Bromide Inhal Soln 0.02% 0.08648 0.04428 07/01/2015All NDCs

Ipratropium Bromide Nasal Soln 0.03% (21

MCG/SPRAY)

0.71200 0.65834 07/01/2016All NDCs

Ipratropium Bromide Nasal Soln 0.06% (42

MCG/SPRAY)

2.14340 1.30418 04/02/2014All NDCs

Ipratropium-Albuterol Nebu Soln 0.5-2.5(3)

MG/3ML

0.12014 09/01/2012All NDCs

Irbesartan Tab 150 MG 0.35000 10/31/2012All NDCs

Irbesartan Tab 300 MG 0.51250 0.29033 10/01/2016All NDCs

Irbesartan Tab 75 MG 0.35000 10/31/2012All NDCs

Irbesartan-Hydrochlorothiazide Tab 150-12.5

MG

0.52134 0.28797 10/01/2015All NDCs

Irbesartan-Hydrochlorothiazide Tab 300-12.5

MG

0.56334 0.39300 07/01/2015All NDCs

Irinotecan HCl Inj 40 MG/2ML (20 MG/ML) 5.40365 06/25/2012All NDCs

Iron Polysacch Complex-Vit B12-FA Cap

150-0.025-1 MG

0.14388 06/25/2012All NDCs

Iron-Vit C-Vit B12-Folic Acid Tab

100-250-0.025-1 MG

0.23800 06/25/2012All NDCs

Isometheptene-Dichloral-Acetaminophen Cap

65-100-325 MG

1.81500 06/25/2012All NDCs

Isoniazid Syrup 50 MG/5ML 0.09894 06/25/2012All NDCs

Isoniazid Tab 100 MG 0.08186 04/20/2016All NDCs

Isoniazid Tab 300 MG 0.08323 06/25/2012All NDCs

Isosorbide Dinitrate SL Tab 2.5 MG 0.14475 06/25/2012All NDCs

Isosorbide Dinitrate Tab 10 MG 0.04909 06/25/2012All NDCs




Isosorbide Mononitrate Tab 10 MG 0.57142 06/25/2012All NDCs

Isosorbide Mononitrate Tab 20 MG 0.28995 0.12099 07/01/2015All NDCs

Isosorbide Mononitrate Tab SR 24HR 120 MG 0.35588 06/25/2012All NDCs



Isotretinoin Cap 20 MG 7.03089 7.05866 07/01/2016All NDCs

Isotretinoin Cap 40 MG 7.04245 7.00633 01/01/2016All NDCs

Isoxsuprine HCl Tab 10 MG 1.04016 06/25/2012All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


Isradipine Cap 2.5 MG 1.05439 06/25/2012All NDCs

Isradipine Cap 5 MG 1.54183 06/25/2012All NDCs

Itraconazole Cap 100 MG 7.18703 5.86738 11/20/2013All NDCs

K-PAX CAP DOUBLE (88856000002) 0.17500 10/14/2011Specific NDC

K-PAX CAP SINGLE (88856000001) 0.17500 10/14/2011Specific NDC

Ketamine HCl (Bulk) Powder 3.07200 06/25/2012All NDCs

Ketoconazole Cream 2% 0.76000 1.05500 02/16/2015All NDCs

Ketoconazole Foam 2% 3.54936 06/25/2012All NDCs

Ketoconazole Powder 2.76480 06/25/2012All NDCs

Ketoconazole Shampoo 2% 0.10906 0.08881 10/01/2016All NDCs

Ketoconazole Tab 200 MG 0.66123 0.34000 10/01/2012All NDCs

Ketoprofen Cap 50 MG 0.08250 09/01/2012All NDCs

Ketoprofen Cap 75 MG 0.29088 06/25/2012All NDCs

Ketoprofen Cap SR 24HR 200 MG 2.36061 06/25/2012All NDCs

Ketoprofen Powder 0.50880 06/25/2012All NDCs

Ketorolac Tromethamine IM Inj 60 MG/2ML

(30 MG/ML)

0.74160 1.23500 08/12/2016All NDCs

Ketorolac Tromethamine Inj 30 MG/ML 1.05060 06/25/2012All NDCs

Ketorolac Tromethamine Inj 300 MG/10ML

(30 MG/ML)

0.74160 06/25/2012All NDCs

Ketorolac Tromethamine Inj 60 MG/2ML (30

MG/ML)

0.57937 06/25/2012All NDCs

Ketorolac Tromethamine Ophth Soln 0.4% 2.40625 09/01/2012All NDCs

Ketorolac Tromethamine Ophth Soln 0.5% 2.78234 2.41600 04/01/2016All NDCs

Ketorolac Tromethamine Tab 10 MG 1.09520 0.55147 07/01/2016All NDCs

Ketotifen Fumarate Ophth Soln 0.025% (Base

Equiv)

1.03560 06/25/2012All NDCs

KINNEY MIS LANCETS (08214018718) 0.03483 10/14/2011Specific NDC

KINNEY THIN MIS LANCETS

(08214020718)

0.03483 10/14/2011Specific NDC

KLB6 CAP (74312001210) 0.17500 02/01/2003Specific NDC

KOGENATE FS INJ 1000/BS

(00026379550)

1.29780 10/14/2011Specific NDC

KOGENATE FS INJ 1000UNIT

(00026378550)

1.29780 10/14/2011Specific NDC

KOGENATE FS INJ 250/BS (00026379220) 1.29780 10/14/2011Specific NDC


(00026378220)

1.29780 10/14/2011Specific NDC

KOGENATE FS INJ 500/BS (00026379330) 1.29780 10/14/2011Specific NDC


(00026378330)

1.29780 10/14/2011Specific NDC

KONSYL-D POW 52.3% (00224182203) 0.00875 10/14/2011Specific NDC

KROGER LANCE MIS (36652030418) 0.02259 07/17/2011Specific NDC



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


KROGER LANCE MIS THIN (36652030118) 0.04519 07/17/2011Specific NDC

KROGER LANCE MIS THIN (36652030218) 0.03669 07/17/2011Specific NDC

Labetalol HCl Tab 100 MG 0.34871 0.24975 10/01/2016All NDCs



Lactase Tab 3000 Unit 0.08500 06/25/2012All NDCs

Lactated Ringer's Solution 0.00869 06/25/2012All NDCs

Lactic Acid (Ammonium Lactate) Cream 12% 0.07740 06/25/2012All NDCs

Lactic Acid (Ammonium Lactate) Lotion 10% 0.07576 06/25/2012All NDCs

Lactic Acid (Ammonium Lactate) Lotion 12% 0.05101 0.08471 10/18/2013All NDCs

Lactic Acid (Ammonium Lactate) Lotion 5% 0.05777 06/25/2012All NDCs

Lactic Acid w/ Vitamin E Cream 10%-3500

Unit/30GM

0.13016 06/25/2012All NDCs

Lactose Powder 0.00922 06/25/2012All NDCs

LACTRASE CAP 250MG (00091350501) 0.47222 10/14/2011Specific NDC

Lactulose (Encephalopathy) Solution 10

GM/15ML

0.02066 0.01657 10/01/2016All NDCs

Lactulose Solution 10 GM/15ML 0.01207 06/25/2012All NDCs

Lamotrigine Tab 100 MG 0.10338 07/01/2012All NDCs

Lamotrigine Tab 150 MG 0.08802 07/01/2012All NDCs

Lamotrigine Tab 200 MG 0.31900 0.11209 11/20/2013All NDCs

Lamotrigine Tab 25 MG 0.43969 0.07756 10/01/2012All NDCs

Lamotrigine Tab Chewable Dispersible 25 MG 0.39525 0.33374 04/03/2013All NDCs

Lamotrigine Tab Chewable Dispersible 5 MG 0.12955 0.29654 07/14/2015All NDCs

Lamotrigine Tab SR 24HR 100 MG 6.42513 7.49520 10/20/2015All NDCs



LANCET MIS 2MM (08326200001) 0.15527 10/14/2011Specific NDC

LANCET STAND MIS 21G (38396091825) 0.04519 10/14/2011Specific NDC

LANCET STAND MIS 21G (38396091925) 0.03669 10/14/2011Specific NDC

LANCET SUPER MIS THIN 30G

(08214065726)

0.03523 10/14/2011Specific NDC


(08214465714)

0.03523 10/14/2011Specific NDC


(38396032325)

0.04519 10/14/2011Specific NDC


(38396054764)

0.04519 10/14/2011Specific NDC

LANCET ULTRA MIS THIN 30G

(38396030318)

0.04519 10/14/2011Specific NDC

LANCETS MIS (08464010001) 0.14831 08/25/2011Specific NDC





Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


LANCETS MIS 21G (38396030418) 0.03669 10/14/2011Specific NDC


LANCETS MIS 21G COLR

(38396035506)

0.04519 10/14/2011Specific NDC

LANCETS MIS 21G COLR

(38396036606)

0.03669 10/14/2011Specific NDC



LANCETS MIS THIN (38396030112) 0.04519 10/14/2011Specific NDC

LANCETS MIS THIN (38396030512) 0.04519 10/14/2011Specific NDC

LANCETS MIS THIN 26G (38396031506) 0.04519 10/14/2011Specific NDC



LANCETS THIN MIS 26G (38396030118) 0.04519 10/14/2011Specific NDC





LANCETS ULTR MIS THIN (08271036100) 0.03855 10/14/2011Specific NDC



LANCETS ULTR MIS THIN 28G

(08214535714)

0.03483 10/14/2011Specific NDC


(38396030557)

0.04519 10/14/2011Specific NDC


(40986001668)

0.01529 10/14/2011Specific NDC


(40986001669)

0.01429 11/11/2011Specific NDC

Lanolin 0.05915 06/25/2012All NDCs

Lansoprazole Cap Delayed Release 15 MG 0.90581 0.85417 07/01/2014All NDCs

Lansoprazole Cap Delayed Release 30 MG 0.53956 0.52022 07/01/2016All NDCs

Lansoprazole Tab Delayed Release Orally

Disintegrating 30 MG

5.66652 06/25/2012All NDCs

Latanoprost Ophth Soln 0.005% 3.99000 3.46940 10/01/2016All NDCs

LB LANCET MIS 28G (08214035726) 0.03445 10/14/2011Specific NDC

Leflunomide Tab 10 MG 1.28948 0.60948 07/01/2013All NDCs

Leflunomide Tab 20 MG 5.31250 5.13346 04/01/2016All NDCs

Letrozole Tab 2.5 MG 0.31800 06/25/2012All NDCs

Leucovorin Calcium For Inj 200 MG 7.65722 06/25/2012All NDCs



Leucovorin Calcium Tab 25 MG 10.57363 06/25/2012All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


Leucovorin Calcium Tab 5 MG 1.00958 0.82403 04/01/2016All NDCs

Leuprolide Acetate Inj Kit 5 MG/ML 111.24040 06/25/2012All NDCs

Levalbuterol HCl Soln Nebu 1.25 MG/3ML

(Base Equiv)

2.49690 0.85165 07/01/2016All NDCs

Levetiracetam Oral Soln 100 MG/ML 0.07167 0.04520 10/01/2016All NDCs

Levetiracetam Tab 1000 MG 0.41154 0.37053 10/01/2016All NDCs




Levetiracetam Tab SR 24HR 500 MG 0.51063 0.49484 01/01/2014All NDCs

Levetiracetam Tab SR 24HR 750 MG 0.65896 0.46101 04/01/2016All NDCs

Levobunolol HCl Ophth Soln 0.5% 1.02384 06/25/2012All NDCs

Levocarnitine Oral Soln 1 GM/10ML (10%) 0.19475 0.17688 04/02/2014All NDCs

Levocarnitine Tab 330 MG 0.66477 0.53204 10/01/2015All NDCs

Levocetirizine Dihydrochloride Soln 2.5

MG/5ML (0.5 MG/ML)

0.42887 04/03/2013All NDCs

Levocetirizine Dihydrochloride Tab 5 MG 0.39364 0.33889 04/02/2014All NDCs

Levofloxacin IV Soln 25 MG/ML 1.90000 06/25/2012All NDCs

Levofloxacin Ophth Soln 0.5% 14.35200 06/25/2012All NDCs

Levofloxacin Oral Soln 25 MG/ML 1.20700 0.92058 04/01/2016All NDCs

Levofloxacin Tab 250 MG 0.40392 06/25/2012All NDCs

Levofloxacin Tab 500 MG 0.92592 0.35167 10/01/2012All NDCs

Levofloxacin Tab 750 MG 0.59973 09/01/2012All NDCs

Levonorgestrel & Ethinyl Estradiol (91-Day)

Tab 0.15-0.03 MG

1.10096 0.68707 07/01/2015All NDCs

Levonorgestrel & Ethinyl Estradiol Tab 0.1

MG-20 MCG

0.75516 0.72898 01/01/2015All NDCs

Levonorgestrel & Ethinyl Estradiol Tab 0.15

MG-30 MCG

0.68305 0.52255 04/01/2016All NDCs

Levonorgestrel Tab 0.75 MG 17.55000 16.48500 07/01/2013All NDCs

Levonorgestrel-Eth Estra Tab

0.05-30/0.075-40/0.125-30MG-MCG

0.70428 0.52259 07/01/2016All NDCs

Levonorgestrel-Ethinyl Estradiol (Continuous)

Tab 90-20 MCG

2.03657 06/25/2012All NDCs

Levothyroxine Sodium Tab 100 MCG 0.27916 0.47500 08/11/2014All NDCs



Levothyroxine Sodium Tab 137 MCG 0.34904 06/25/2012All NDCs








Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC





Lidocaine Cream 4% 1.00000 06/25/2012All NDCs

Lidocaine HCl Cream 3% 1.98307 1.16709 10/01/2015All NDCs

Lidocaine HCl Gel 2% 0.33116 0.28206 10/01/2016All NDCs

Lidocaine HCl Local Inj 1% 0.06797 06/25/2012All NDCs

Lidocaine HCl Soln 4% 0.14151 06/25/2012All NDCs

Lidocaine HCl Viscous Soln 2% 0.04797 0.03423 10/01/2016All NDCs

Lidocaine Oint 5% 6.12476 5.99030 04/01/2016All NDCs

Lidocaine-Hydrocortisone Acetate Rectal

Cream 3-0.5%

2.18413 06/25/2012All NDCs

Lidocaine-Hydrocortisone Acetate Rectal

Cream Kit 3-1%

16.80600 06/25/2012All NDCs

Lidocaine-Hydrocortisone Acetate Rectal Gel

2.8-0.55%

1.03620 06/25/2012All NDCs

Lidocaine-Prilocaine Cream 2.5-2.5% 0.65749 0.59264 01/01/2013All NDCs

Lidocaine-Prilocaine Cream Kit 2.5-2.5% 0.65749 06/25/2012All NDCs

LIFE PACK MIS MENS (54629205253) 0.17500 10/14/2011Specific NDC

LIFE PACK MIS WOMENS (54629205273) 0.17500 10/14/2011Specific NDC

Lindane Shampoo 1% 1.76208 06/25/2012All NDCs

Linezolid For Susp 100 MG/5ML 4.67000 12/02/2015All NDCs

Linezolid Tab 600 MG 119.25100 10.21000 04/01/2016All NDCs

Liothyronine Sodium Tab 25 MCG 0.81260 0.76865 04/01/2015All NDCs

Liothyronine Sodium Tab 5 MCG 0.49273 0.41321 01/01/2016All NDCs

Liothyronine Sodium Tab 50 MCG 1.28717 10/01/2015All NDCs

Lisinopril & Hydrochlorothiazide Tab 10-12.5

MG

0.09438 06/25/2012All NDCs

Lisinopril & Hydrochlorothiazide Tab 20-12.5

MG

0.05796 09/01/2012All NDCs

Lisinopril & Hydrochlorothiazide Tab 20-25

MG

0.05955 09/01/2012All NDCs

Lisinopril Tab 10 MG 0.06312 0.02871 01/01/2013All NDCs

Lisinopril Tab 2.5 MG 0.03441 06/25/2012All NDCs

Lisinopril Tab 20 MG 0.07435 06/25/2012All NDCs


Lisinopril Tab 40 MG 0.14028 0.07518 01/01/2013All NDCs


LITE TOUCH MIS LANCETS

(32671020133)

0.05407 10/14/2011Specific NDC

LITE TOUCH MIS LANCETS

(32671020233)

0.04635 10/14/2011Specific NDC

Lithium Carbonate Cap 150 MG 0.08025 07/01/2012All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


Lithium Carbonate Cap 300 MG 0.12511 0.03636 10/01/2012All NDCs

Lithium Carbonate Cap 600 MG 0.18052 07/01/2013All NDCs

Lithium Carbonate Tab 300 MG 0.19945 06/25/2012All NDCs

Lithium Carbonate Tab CR 300 MG 0.23441 09/01/2012All NDCs

Lithium Carbonate Tab CR 450 MG 0.36360 0.35734 07/01/2016All NDCs

LOESTRIN 21 TAB 1.5/30 (51285008297) 2.15316 10/14/2011Specific NDC

LOESTRIN FE TAB 1.5/30 (51285008498) 1.72553 10/14/2011Specific NDC

LOESTRIN FE TAB 1/20 (35356036328) 1.89328 10/14/2011Specific NDC

LOESTRIN FE TAB 1/20 (51285008198) 1.77065 10/14/2011Specific NDC

LONGS LANCET MIS STANDARD

(38396032870)

0.03271 10/14/2011Specific NDC

LONGS LANCET MIS THIN (38396032970) 0.03271 10/14/2011Specific NDC

LONGS LANCET MIS ULTRA TH

(38396033070)

0.04519 10/14/2011Specific NDC

Loperamide HCl Cap 2 MG 0.23520 0.38520 04/21/2016All NDCs

Loperamide HCl Liq 1 MG/5ML (0.2 MG/ML) 0.03469 06/25/2012All NDCs

Loperamide HCl Liq 1 MG/7.5ML 0.03469 06/25/2012All NDCs

Loperamide HCl Tab 2 MG 0.23110 06/25/2012All NDCs

Loratadine & Pseudoephedrine Tab SR 12HR

5-120 MG

0.74818 06/25/2012All NDCs

Loratadine & Pseudoephedrine Tab SR 24HR

10-240 MG

0.52565 06/25/2012All NDCs

Loratadine Rapidly-Disintegrating Tab 10 MG 0.44040 06/25/2012All NDCs

Loratadine Syrup 5 MG/5ML 0.06546 06/25/2012All NDCs

Loratadine Tab 10 MG 0.10692 0.18524 10/08/2014All NDCs

Lorazepam (Bulk) Powder 3.02352 06/25/2012All NDCs

Lorazepam Conc 2 MG/ML 1.09580 0.83492 10/01/2015All NDCs

Lorazepam Inj 2 MG/ML 0.84975 06/25/2012All NDCs

Lorazepam Inj 4 MG/ML 3.55388 06/25/2012All NDCs

Lorazepam Tab 0.5 MG 0.06920 0.03162 01/01/2013All NDCs

Lorazepam Tab 1 MG 0.07687 0.03524 11/20/2013All NDCs

Lorazepam Tab 2 MG 0.13719 0.06269 11/20/2013All NDCs

Losartan Potassium & Hydrochlorothiazide

Tab 100-12.5 MG

0.28333 0.20742 04/01/2015All NDCs


Tab 100-25 MG

0.28242 0.25764 10/01/2015All NDCs


Tab 50-12.5 MG

0.30040 0.11791 10/01/2012All NDCs

Losartan Potassium Tab 100 MG 0.12731 09/01/2012All NDCs

Losartan Potassium Tab 25 MG 0.20186 0.07181 01/01/2013All NDCs

Losartan Potassium Tab 50 MG 0.27160 0.09236 11/20/2013All NDCs

Lovastatin Tab 10 MG 0.27866 0.23867 01/01/2015All NDCs

Lovastatin Tab 20 MG 0.10850 09/01/2012All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


Lovastatin Tab 40 MG 0.10086 09/01/2012All NDCs

Loxapine Succinate Cap 10 MG 0.66591 0.50164 01/01/2013All NDCs

Loxapine Succinate Cap 25 MG 0.97791 0.88611 04/01/2016All NDCs

Loxapine Succinate Cap 5 MG 0.76709 06/25/2012All NDCs

Loxapine Succinate Cap 50 MG 1.29851 06/25/2012All NDCs

Lysine Acetate Tab 500 MG 0.02676 06/25/2012All NDCs

Magaldrate w/ Simethicone Susp 540-40

MG/5ML

0.01194 06/25/2012All NDCs

Magnesium Chloride Tab CR 535 MG (64 MG

Elemental Mg)

0.08100 06/25/2012All NDCs

Magnesium Citrate Soln 0.00466 06/25/2012All NDCs

Magnesium Hydroxide Susp 400 MG/5ML 0.00659 06/25/2012All NDCs

Magnesium Oxide Tab 400 MG 0.06790 0.03023 10/01/2016All NDCs

Magnesium Oxide Tab 500 MG (Mg

Supplement)

0.02304 06/25/2012All NDCs

Magnesium Sulfate Inj 50% 0.12720 0.16900 09/15/2016All NDCs

Magnesium Sulfate Oral Granules 0.00259 06/25/2012All NDCs

Malathion Lotion 0.5% 2.52346 2.54786 04/02/2014All NDCs

Mebendazole Chew Tab 100 MG 4.50110 06/25/2012All NDCs

Meclizine HCl Tab 12.5 MG 0.23520 0.17197 10/01/2016All NDCs

Meclizine HCl Tab 25 MG 0.31008 06/25/2012All NDCs

MEDLANCE MIS EXTR 21G

(08271138300)

0.10038 12/31/2011Specific NDC

MEDLANCE MIS LITE 25G

(08271138100)

0.10038 10/14/2011Specific NDC

MEDLANCE MIS UNV 21G

(08271138200)

0.10038 10/14/2011Specific NDC

MEDLANCE PLS MIS LITE 25G

(51028000125)

0.11448 10/14/2011Specific NDC

MEDLANCE PLS MIS UNIV 21G

(51028000121)

0.11448 10/14/2011Specific NDC

Medroxyprogesterone Acetate IM Susp 150

MG/ML

43.81930 64.25000 10/22/2014All NDCs

Medroxyprogesterone Acetate Tab 10 MG 0.22074 0.07878 01/01/2013All NDCs

Medroxyprogesterone Acetate Tab 2.5 MG 0.18938 06/25/2012All NDCs

Medroxyprogesterone Acetate Tab 5 MG 0.23734 0.09362 11/20/2013All NDCs

Mefloquine HCl Tab 250 MG 8.18049 5.73500 07/01/2013All NDCs

Megestrol Acetate Susp 40 MG/ML 0.08235 09/01/2012All NDCs

Megestrol Acetate Tab 20 MG 0.32630 0.28570 10/01/2016All NDCs

Megestrol Acetate Tab 40 MG 0.22863 0.18703 07/01/2015All NDCs

MEIJER MIS LANCETS (38396030120) 0.04519 10/14/2011Specific NDC






Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


Melatonin Tab 3 MG 0.06840 06/25/2012All NDCs

Meloxicam Tab 15 MG 0.05367 0.04420 01/01/2014All NDCs

Meloxicam Tab 7.5 MG 0.04143 06/25/2012All NDCs

Memantine HCl Tab 10 MG 0.36921 0.32618 10/01/2016All NDCs

Memantine HCl Tab 5 MG 0.61210 10/08/2015All NDCs

MENS PAK (31604001025) 0.17500 11/11/2011Specific NDC

Menthol Lozenge 7 MG 0.04000 06/25/2012All NDCs

Menthol-Zinc Oxide Oint 0.44-20.625% 0.03398 06/25/2012All NDCs

Meperidine HCl Tab 100 MG 0.95770 0.32779 07/01/2013All NDCs

Meperidine HCl Tab 50 MG 0.29815 0.65210 03/28/2015All NDCs

Meprobamate Tab 200 MG 1.08166 06/25/2012All NDCs

Meprobamate Tab 400 MG 2.01506 3.19521 10/28/2015All NDCs

Mercaptopurine Tab 50 MG 1.92540 1.79216 04/01/2016All NDCs

Meropenem IV For Soln 500 MG 33.78240 06/25/2012All NDCs

Mesalamine Enema 4 GM 0.20329 0.23500 01/15/2013All NDCs

METAMUCIL POW 63% (37000074117) 0.02020 02/19/2012Specific NDC

Metaproterenol Sulfate Syrup 10 MG/5ML 0.05210 06/25/2012All NDCs

Metaxalone Tab 800 MG 3.33707 2.45130 10/01/2016All NDCs

Metformin HCl Tab 1000 MG 0.07398 0.04939 11/20/2013All NDCs

Metformin HCl Tab 500 MG 0.04255 0.02850 11/20/2013All NDCs

Metformin HCl Tab 850 MG 0.06949 06/25/2012All NDCs

Metformin HCl Tab SR 24HR 500 MG 0.15691 0.05786 10/01/2012All NDCs

Metformin HCl Tab SR 24HR 750 MG 0.36851 0.18381 01/01/2013All NDCs

Metformin HCl Tab SR 24HR Osmotic 1000

MG

4.87540 12.62400 12/09/2015All NDCs

Metformin HCl Tab SR 24HR Osmotic 500

MG

2.46944 10/01/2015All NDCs

Methadone HCl Conc 10 MG/ML 0.63646 0.67600 03/18/2015All NDCs

Methadone HCl Tab 10 MG 0.31250 0.14154 01/01/2016All NDCs

Methadone HCl Tab 5 MG 0.06411 06/25/2012All NDCs

Methadone HCl Tab For Oral Susp 40 MG 0.22989 06/25/2012All NDCs

Methazolamide Tab 25 MG 0.29459 06/25/2012All NDCs

Methazolamide Tab 50 MG 0.43488 06/25/2012All NDCs

Methenamine Hippurate Tab 1 GM 1.72710 1.52988 10/01/2015All NDCs

Methenamine Mandelate Tab 1 GM 1.36290 06/25/2012All NDCs

Methimazole Tab 10 MG 0.24404 0.19137 07/01/2015All NDCs

Methimazole Tab 5 MG 0.19525 0.13442 01/01/2016All NDCs

Methocarbamol Tab 500 MG 0.18171 0.13857 01/01/2015All NDCs

Methocarbamol Tab 750 MG 0.20531 0.12158 01/01/2013All NDCs

Methotrexate Sodium Inj 250 MG/10ML (25

MG/ML)

2.08575 04/13/2016All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


Methotrexate Sodium Inj 50 MG/2ML (25

MG/ML)

2.08575 04/13/2016All NDCs

Methotrexate Sodium Inj PF 100 MG/4ML (25

MG/ML)

1.33270 04/13/2016All NDCs

Methotrexate Sodium Inj PF 1000 MG/40ML

(25 MG/ML)

1.33270 04/13/2016All NDCs


MG/ML)

1.33270 04/13/2016All NDCs

Methotrexate Sodium Inj PF 250 MG/10ML

(25 MG/ML)

1.33270 04/13/2016All NDCs


MG/ML)

1.33270 04/13/2016All NDCs

Methotrexate Sodium Tab 2.5 MG (Base

Equiv)

1.40988 1.37185 10/01/2016All NDCs

Methscopolamine Bromide Tab 2.5 MG 2.43456 06/25/2012All NDCs

Methyclothiazide Tab 5 MG 1.04674 06/25/2012All NDCs

Methylcellulose Gel 1% 0.04800 06/25/2012All NDCs

Methyldopa Tab 250 MG 0.17021 06/25/2012All NDCs

Methyldopa Tab 500 MG 0.48899 0.30731 04/03/2013All NDCs

Methylergonovine Maleate Tab 0.2 MG 21.31169 20.86736 10/01/2015All NDCs

Methylphenidate HCl Cap CR 10 MG (CD) 3.85200 3.27103 10/01/2015All NDCs






Methylphenidate HCl Cap SR 24HR 20 MG

(LA)

4.30674 4.68690 02/01/2016All NDCs


(LA)

4.63028 4.79360 11/02/2015All NDCs


(LA)

4.21746 10/01/2015All NDCs

Methylphenidate HCl Soln 10 MG/5ML 0.97134 10/01/2015All NDCs

Methylphenidate HCl Soln 5 MG/5ML 0.68655 0.56353 04/01/2016All NDCs

Methylphenidate HCl Tab 10 MG 0.81746 0.66886 10/01/2015All NDCs



Methylphenidate HCl Tab CR 10 MG 5.45071 5.79540 11/06/2015All NDCs

Methylphenidate HCl Tab CR 20 MG 4.26053 3.30364 10/01/2016All NDCs

Methylphenidate HCl Tab SA OSM 18 MG 5.04114 6.29540 01/20/2015All NDCs






Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


Methylprednisolone Acetate Inj Susp 40

MG/ML

0.00000 4.34250 11/20/2013All NDCs

Methylprednisolone Sodium Succinate For Inj

1000 MG

10.93287 06/25/2012All NDCs


125 MG

2.84589 06/25/2012All NDCs


40 MG

1.80765 06/25/2012All NDCs


500 MG

5.95432 06/25/2012All NDCs

Methylprednisolone Tab 16 MG 2.98152 06/25/2012All NDCs

Methylprednisolone Tab 32 MG 4.44000 06/25/2012All NDCs

Methylprednisolone Tab 4 MG 1.09767 0.85715 04/01/2016All NDCs

Methylprednisolone Tab Therapy Pack 4 MG

(21)

0.60323 04/20/2016All NDCs

Metoclopramide HCl Soln 5 MG/5ML (10

MG/10ML)

0.01449 06/25/2012All NDCs

Metoclopramide HCl Tab 10 MG 0.10240 0.05949 01/01/2013All NDCs

Metoclopramide HCl Tab 5 MG 0.14615 0.05056 01/01/2013All NDCs

Metolazone Tab 10 MG 1.25555 06/25/2012All NDCs

Metolazone Tab 2.5 MG 1.34300 1.30543 04/01/2015All NDCs

Metolazone Tab 5 MG 1.73000 1.48101 04/01/2016All NDCs

Metoprolol & Hydrochlorothiazide Tab 100-25

MG

1.59540 06/25/2012All NDCs


MG

1.67450 11/20/2013All NDCs


MG

1.02120 06/25/2012All NDCs

Metoprolol Succinate Tab SR 24HR 100 MG

(Tartrate Equiv)

0.67889 0.58212 10/01/2016All NDCs


(Tartrate Equiv)

1.94632 1.79369 04/03/2013All NDCs


(Tartrate Equiv)

0.50280 0.37318 10/01/2016All NDCs


(Tartrate Equiv)

0.47134 0.44446 07/01/2016All NDCs

Metoprolol Tartrate Tab 100 MG 0.06453 06/25/2012All NDCs

Metoprolol Tartrate Tab 25 MG 0.06733 0.03448 01/01/2014All NDCs

Metoprolol Tartrate Tab 50 MG 0.04676 06/25/2012All NDCs

Metronidazole Benzoate Powder 0.67200 06/25/2012All NDCs

Metronidazole Cap 375 MG 3.62242 06/25/2012All NDCs

Metronidazole Cream 0.75% 2.32760 2.18334 04/01/2015All NDCs

Metronidazole Gel 0.75% 1.72161 1.63708 04/01/2016All NDCs

Metronidazole in NaCl 0.79% IV Soln 500

MG/100ML

0.09420 06/25/2012All NDCs

Metronidazole Lotion 0.75% 3.29000 2.50939 10/01/2015All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


Metronidazole Powder 0.24960 06/25/2012All NDCs

Metronidazole Tab 250 MG 0.32000 06/25/2012All NDCs

Metronidazole Tab 500 MG 0.53925 0.47294 10/01/2016All NDCs

Metronidazole Vaginal Gel 0.75% 1.52457 1.46829 07/01/2016All NDCs

Mexiletine HCl Cap 150 MG 0.49640 0.32528 01/01/2014All NDCs

Mexiletine HCl Cap 200 MG 0.90829 06/25/2012All NDCs

Mexiletine HCl Cap 250 MG 1.18617 06/25/2012All NDCs

Miconazole Nitrate Cream 2% 0.17280 06/25/2012All NDCs

Miconazole Nitrate Ointment 2% 0.13705 06/25/2012All NDCs

Miconazole Nitrate Powder 1.38240 06/25/2012All NDCs

Miconazole Nitrate Powder 2% 0.08480 06/25/2012All NDCs

Miconazole Nitrate Vaginal Cream 2% 0.18248 06/25/2012All NDCs

Miconazole Nitrate Vaginal Supp 200 MG &

2% Cream 9 GM Kit

7.47782 06/25/2012All NDCs

Miconazole Nitrate Vaginal Suppos 100 MG 0.72062 06/25/2012All NDCs

Midazolam HCl Inj 10 MG/10ML (Base

Equivalent)

0.27810 06/25/2012All NDCs


Equivalent)

0.34501 06/25/2012All NDCs


Equivalent)

0.34501 06/25/2012All NDCs

Midazolam HCl Syrup 2 MG/ML (Base

Equivalent)

0.43856 04/20/2016All NDCs

Midodrine HCl Tab 10 MG 1.50588 0.99030 04/03/2013All NDCs

Midodrine HCl Tab 2.5 MG 0.30838 09/01/2012All NDCs

Midodrine HCl Tab 5 MG 0.47556 0.45086 10/01/2014All NDCs

MILCO-B-FORT TAB (17204039840) 0.17500 07/01/2010Specific NDC

Mineral Oil Enema 0.01489 06/25/2012All NDCs

Minocycline HCl Cap 100 MG 0.56214 0.40890 01/01/2016All NDCs



Minocycline HCl Tab 100 MG 1.76240 3.70200 05/07/2016All NDCs

Minocycline HCl Tab 50 MG 2.08406 04/20/2016All NDCs

Minocycline HCl Tab 75 MG 4.44000 04/20/2016All NDCs

Minocycline HCl Tab SR 24HR 90 MG 22.30400 6.08000 11/20/2013All NDCs

Minoxidil Tab 10 MG 0.65139 0.26988 01/01/2013All NDCs

Minoxidil Tab 2.5 MG 0.20121 0.09810 10/01/2016All NDCs

MIRALAX POW 3350 NF (41100082073) 0.03271 10/14/2011Specific NDC

MIRALAX POW 3350 NF (41100082076) 0.03699 10/14/2011Specific NDC

Mirtazapine Orally Disintegrating Tab 15 MG 0.98543 0.85260 04/01/2016All NDCs





Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


Mirtazapine Tab 15 MG 0.31745 0.27759 01/01/2015All NDCs

Mirtazapine Tab 30 MG 0.20781 06/25/2012All NDCs

Mirtazapine Tab 45 MG 0.62437 0.52824 01/01/2015All NDCs

Mirtazapine Tab 7.5 MG 1.41703 2.15210 04/06/2016All NDCs

Misoprostol Tab 100 MCG 0.63635 06/25/2012All NDCs

Misoprostol Tab 200 MCG 0.62387 0.90633 10/22/2014All NDCs

Mitomycin For IV Soln 20 MG 137.16756 631.97000 09/15/2016All NDCs

Mitomycin For IV Soln 5 MG 48.47626 06/25/2012All NDCs

Mitoxantrone HCl Inj Conc 20 MG/10ML (2

MG/ML)

37.79005 06/25/2012All NDCs

Mitoxantrone HCl Inj Conc 25 MG/12.5ML (2

MG/ML)

41.77076 06/25/2012All NDCs

Mitoxantrone HCl Inj Conc 30 MG/15ML (2

MG/ML)

39.39764 06/25/2012All NDCs

Modafinil Tab 100 MG 9.53540 3.29000 07/01/2015All NDCs

Modafinil Tab 200 MG 3.51000 3.75040 07/01/2016All NDCs

Moexipril HCl Tab 15 MG 0.50287 09/01/2012All NDCs

Moexipril HCl Tab 7.5 MG 1.06126 06/25/2012All NDCs

Moexipril-Hydrochlorothiazide Tab 15-12.5

MG

1.13266 0.51414 01/01/2013All NDCs

Moexipril-Hydrochlorothiazide Tab 15-25 MG 0.75292 0.53742 01/01/2013All NDCs

Moexipril-Hydrochlorothiazide Tab 7.5-12.5

MG

1.13266 06/25/2012All NDCs

Mometasone Furoate Cream 0.1% 0.41520 0.37919 04/01/2016All NDCs

Mometasone Furoate Nasal Susp 50

MCG/ACT

8.33027 07/01/2016All NDCs

Mometasone Furoate Oint 0.1% 0.39991 0.30378 01/01/2015All NDCs

Mometasone Furoate Solution 0.1% (Lotion) 0.35097 06/25/2012All NDCs

MONOCLATE-P INJ 250UNIT

(00053765601)

0.61725 10/14/2011Specific NDC

MONOCLATE-P INJ 500UNIT

(00053765602)

0.61725 10/14/2011Specific NDC

MONOLET MIS LANCETS

(08881602018)

0.04627 10/14/2011Specific NDC

MONOLET MIS LANCETS

(08881602075)

0.04542 10/14/2011Specific NDC

MONOLET MIS LANCETS

(08881602125)

0.05623 10/14/2011Specific NDC

MONOLET MIS LANCETS

(08881602141)

0.03784 10/14/2011Specific NDC

MONOLET MIS LANCETS

(08881602190)

0.03784 10/14/2011Specific NDC

MONONINE INJ 250UNIT (00053766801) 0.77880 07/01/2010Specific NDC

MONONINE INJ 500UNIT (00053766802) 0.77880 03/09/2011Specific NDC



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


Montelukast Sodium Chew Tab 4 MG (Base

Equiv)

0.36815 0.32700 10/01/2016All NDCs

Montelukast Sodium Chew Tab 5 MG (Base

Equiv)

0.40610 0.30030 10/01/2016All NDCs

Montelukast Sodium Oral Granules Packet 4

MG (Base Equiv)

4.24006 10/01/2015All NDCs

Montelukast Sodium Tab 10 MG (Base Equiv) 0.28219 0.24077 10/01/2016All NDCs

Morphine Sulfate Inj 10 MG/ML 1.01900 06/25/2012All NDCs

Morphine Sulfate IV Soln 50 MG/ML 0.43878 06/25/2012All NDCs

Morphine Sulfate Oral Soln 100 MG/5ML (20

MG/ML)

0.35289 0.30106 10/01/2016All NDCs

Morphine Sulfate Tab 15 MG 0.14151 06/25/2012All NDCs

Morphine Sulfate Tab 30 MG 0.24117 06/25/2012All NDCs

Morphine Sulfate Tab CR 100 MG 2.37784 2.29053 04/01/2016All NDCs





MUCINEX TAB 600MG ER

(63824000850)

0.33937 10/14/2011Specific NDC

MULTI VITAMN TAB MINERALS

(54629111301)

0.17500 10/14/2011Specific NDC

MULTI-DELYN LIQ /IRON (54838000970) 0.17500 10/14/2011Specific NDC

MULTI-DELYN LIQ /IRON (54838000980) 0.17500 10/14/2011Specific NDC

Mupirocin Calcium Cream 2% 2.84998 7.47580 10/21/2015All NDCs

Mupirocin Oint 2% 0.45352 0.38182 10/01/2016All NDCs

MURO 128 OIN 5% OP (24208038555) 4.00818 10/14/2011Specific NDC

MURO 128 OIN 5% OP (24208038556) 3.08780 10/14/2011Specific NDC

MURO 128 SOL 5% OP (24208027715) 0.93524 10/14/2011Specific NDC

MURO 128 SOL 5% OP (24208027730) 0.60255 10/14/2011Specific NDC

Mycophenolate Mofetil Cap 250 MG 0.33493 0.30482 07/01/2014All NDCs

Mycophenolate Mofetil Tab 500 MG 0.38800 0.54210 04/15/2016All NDCs

Mycophenolate Sodium Tab DR 360 MG

(Mycophenolic Acid Equiv)

5.10177 04/01/2016All NDCs

MYORISAN CAP 10MG (61748030111) 12.18376 12/05/2012Specific NDC




Nabumetone Tab 500 MG 0.23322 09/01/2012All NDCs

Nabumetone Tab 750 MG 0.28200 0.23638 10/01/2016All NDCs

Nadolol Tab 20 MG 3.10000 2.21000 04/02/2014All NDCs

Nadolol Tab 40 MG 0.40112 3.21000 12/21/2012All NDCs

Nadolol Tab 80 MG 0.66217 06/25/2012All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


Nafcillin Sodium For Inj 1 GM 14.01360 06/25/2012All NDCs

Nafcillin Sodium For Inj 10 GM 103.02657 102.82911 10/01/2015All NDCs

Nafcillin Sodium For Inj 2 GM 27.19200 06/25/2012All NDCs

Naltrexone HCl Tab 50 MG 1.22333 1.13534 10/01/2015All NDCs

Naproxen Sodium Tab 220 MG 0.07428 06/25/2012All NDCs

Naproxen Sodium Tab 275 MG 0.21832 06/25/2012All NDCs

Naproxen Sodium Tab 550 MG 2.39000 2.17292 04/01/2016All NDCs

Naproxen Susp 125 MG/5ML 0.07052 0.11012 02/21/2014All NDCs

Naproxen Tab 250 MG 0.05481 06/25/2012All NDCs



Naproxen Tab EC 375 MG 0.76477 0.35970 04/03/2013All NDCs

Naproxen Tab EC 500 MG 0.20156 09/01/2012All NDCs

Naratriptan HCl Tab 1 MG (Base Equiv) 7.63611 01/01/2013All NDCs

Naratriptan HCl Tab 2.5 MG (Base Equiv) 4.44084 3.73604 07/01/2015All NDCs

NATALVIRT MIS 90 DHA (76439024560) 0.17500 01/07/2015Specific NDC

NATALVIRT CA PAK (76439024460) 0.17500 01/07/2015Specific NDC

Nateglinide Tab 120 MG 1.47384 06/25/2012All NDCs

Nateglinide Tab 60 MG 1.56920 0.92480 07/01/2013All NDCs

NECON TAB 1/50-28 (52544024531) 0.81306 0.86937 10/30/2012Specific NDC

NECON TAB 10/11-28 (52544055428) 0.88671 10/14/2011Specific NDC

Nefazodone HCl Tab 100 MG 0.67152 06/25/2012All NDCs



Nefazodone HCl Tab 250 MG 1.37633 1.12579 04/01/2016All NDCs

Nefazodone HCl Tab 50 MG 1.27123 1.00520 04/01/2016All NDCs

Neomycin Sulfate Tab 500 MG 0.95775 0.75088 01/01/2016All NDCs

Neomycin-Bacitrac Zn-Polymyx

5(3.5)MG-400Unt-10000Unt Op Oin

10.97857 01/01/2013All NDCs

Neomycin-Bacitracin-Polymyxin-Pramoxine

Oint 1%

0.16292 06/25/2012All NDCs

Neomycin-Polymy-Gramicid Op Sol

1.75-10000-0.025MG-UNT-MG/ML

1.89384 06/25/2012All NDCs

Neomycin-Polymyxin-Dexamethasone Ophth

Oint 0.1%

3.69283 3.23848 04/02/2014All NDCs

Neomycin-Polymyxin-Dexamethasone Ophth

Susp 0.1%

2.60040 3.28080 11/21/2015All NDCs

Neomycin-Polymyxin-HC Ophth Susp 9.39363 06/25/2012All NDCs

Neomycin-Polymyxin-HC Otic Soln 1% 8.20520 2.74300 01/01/2016All NDCs

Neomycin-Polymyxin-HC Otic Susp 3.5

MG/ML-10000 Unit/ML-1%

1.90722 8.39000 11/10/2015All NDCs

Nevirapine Tab 200 MG 0.22000 10/31/2012All NDCs

NEXA PLUS CAP (00245037430) 0.45000 10/02/2013Specific NDC



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


Niacin Cap CR 500 MG 0.04812 06/25/2012All NDCs

Niacin Tab 100 MG 0.01932 06/25/2012All NDCs

Niacin Tab 500 MG 0.03647 06/25/2012All NDCs

Niacin Tab CR 1000 MG 0.06264 06/25/2012All NDCs

Niacin Tab CR 500 MG 0.04788 06/25/2012All NDCs

Niacinamide Tab 500 MG 0.03240 06/25/2012All NDCs

Nicardipine HCl Cap 20 MG 0.31564 06/25/2012All NDCs

Nicardipine HCl Cap 30 MG 2.18780 04/20/2016All NDCs

NICODERM CQ DIS 14MG/24H

(00135019502)

2.71700 10/14/2011Specific NDC


(00135014502)

2.71700 10/14/2011Specific NDC


(00135019401)

3.15290 10/14/2011Specific NDC


(00135019402)

2.71700 10/14/2011Specific NDC


(00135019403)

2.30940 10/14/2011Specific NDC

NICODERM CQ DIS 7MG/24HR

(00135019602)

2.71700 10/14/2011Specific NDC

NICORETTE GUM 2MG CINN

(00135046602)

0.38184 10/14/2011Specific NDC

NICORETTE GUM 2MG ORIG

(00135015710)

0.29690 10/14/2011Specific NDC

NICORETTE GUM 2MGFRUIT

(00135024101)

0.56470 10/14/2011Specific NDC


(00135024102)

0.38184 10/14/2011Specific NDC

NICORETTE GUM 4MG CINN

(00135046702)

0.38184 10/14/2011Specific NDC

NICORETTE GUM 4MG MINT

(00135022602)

0.38184 10/14/2011Specific NDC

NICORETTE GUM 4MG ORIG

(00135015810)

0.29690 10/14/2011Specific NDC


(00135024201)

0.56470 10/14/2011Specific NDC


(00135024202)

0.38184 10/14/2011Specific NDC

NICORETTE ST GUM 2MG MINT

(00135022502)

0.38184 10/14/2011Specific NDC

NICORETTE ST GUM 2MG ORIG

(00135015707)

0.34713 10/14/2011Specific NDC

NICORETTE ST GUM 4MG ORIG

(00135015807)

0.34713 10/14/2011Specific NDC

Nicotine Polacrilex Gum 2 MG 0.26386 06/25/2012All NDCs

Nicotine Polacrilex Gum 4 MG 0.31518 06/25/2012All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


Nicotine Polacrilex Lozenge 2 MG 0.48265 06/25/2012All NDCs

Nicotine Polacrilex Lozenge 4 MG 0.50225 06/25/2012All NDCs

Nicotine TD Patch 24HR 14 MG/24HR 1.94560 1.98000 09/12/2012All NDCs



Nifedipine Cap 10 MG 0.67406 0.54179 04/01/2016All NDCs

Nifedipine Cap 20 MG 1.54678 06/25/2012All NDCs

Nifedipine Powder 2.20800 06/25/2012All NDCs

Nifedipine Tab SR 24HR 30 MG 0.57933 0.45063 10/01/2015All NDCs

Nifedipine Tab SR 24HR 60 MG 0.92154 0.68342 04/01/2016All NDCs

Nifedipine Tab SR 24HR 90 MG 1.98177 06/25/2012All NDCs

Nifedipine Tab SR 24HR Osmotic Release 30

MG

0.48785 0.42310 10/01/2016All NDCs


MG

0.63439 0.54020 04/01/2016All NDCs


MG

0.77627 0.75037 04/01/2016All NDCs

Nisoldipine Tab SR 24HR 8.5 MG 5.52756 06/25/2012All NDCs

Nitrofurantoin Macrocrystalline Cap 100 MG 1.35843 1.20412 07/01/2015All NDCs

Nitrofurantoin Macrocrystalline Cap 50 MG 0.84928 0.76327 10/01/2016All NDCs

Nitrofurantoin Monohydrate Macrocrystalline

Cap 100 MG

1.63435 1.59038 07/01/2016All NDCs

Nitrofurantoin Susp 25 MG/5ML 1.90100 1.55348 10/01/2015All NDCs

Nitroglycerin Cap CR 2.5 MG 0.53496 06/25/2012All NDCs

Nitroglycerin Cap CR 6.5 MG 0.61776 06/25/2012All NDCs

Nitroglycerin Cap CR 9 MG 0.34840 06/25/2012All NDCs

Nitroglycerin SL Tab 0.3 MG 0.10729 06/25/2012All NDCs



Nitroglycerin TD Patch 24HR 0.1 MG/HR 0.85713 07/01/2012All NDCs


Nitroglycerin TD Patch 24HR 0.4 MG/HR 0.75705 0.66400 10/01/2014All NDCs


Nitroglycerin TL Soln 0.4 MG/SPRAY (400

MCG/SPRAY)

23.27500 06/25/2012All NDCs

NIX CREM RIN LIQ 1% (54569108501) 0.11887 10/14/2011Specific NDC

Nizatidine Cap 150 MG 0.20160 0.32351 01/14/2013All NDCs

Nizatidine Cap 300 MG 0.80916 09/01/2012All NDCs

Nizatidine Oral Soln 15 MG/ML 0.66150 06/25/2012All NDCs

Norethindrone & Ethinyl Estradiol Tab 0.4

MG-35 MCG

1.23709 0.85772 10/01/2015All NDCs

Norethindrone & Ethinyl Estradiol Tab 0.5

MG-35 MCG

0.68124 0.79850 02/13/2016All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


Norethindrone & Ethinyl Estradiol Tab 1

MG-35 MCG

0.63805 0.50974 04/01/2016All NDCs

Norethindrone & Ethinyl Estradiol-Fe Chew

Tab 0.4 MG-35 MCG

2.50900 06/25/2012All NDCs

Norethindrone Ac-Ethinyl Estrad-Fe Tab

1-20/1-30/1-35 MG-MCG

1.57672 06/25/2012All NDCs

Norethindrone Ace & Ethinyl Estradiol Tab 1

MG-20 MCG

0.91794 0.79229 10/01/2015All NDCs

Norethindrone Ace & Ethinyl Estradiol Tab 1.5

MG-30 MCG

1.06457 06/25/2012All NDCs

Norethindrone Ace & Ethinyl Estradiol-FE Tab

1 MG-20 MCG

0.66952 0.58241 04/01/2016All NDCs

Norethindrone Ace & Ethinyl Estradiol-FE Tab

1.5 MG-30 MCG

0.79843 0.39141 07/01/2015All NDCs

Norethindrone Acetate Tab 5 MG 1.63467 1.60534 10/01/2015All NDCs

Norethindrone Acetate-Ethinyl Estradiol Tab 1

MG-5 MCG

2.24906 06/25/2012All NDCs

Norethindrone Tab 0.35 MG 0.28358 0.23179 10/01/2016All NDCs

Norethindrone-Eth Estradiol Tab

0.5-35/0.75-35/1-35 MG-MCG

0.88837 0.53661 07/01/2015All NDCs

Norethindrone-Eth Estradiol Tab

0.5-35/1-35/0.5-35 MG-MCG

1.21415 06/25/2012All NDCs

Norgestimate & Ethinyl Estradiol Tab 0.25

MG-35 MCG

0.45773 0.36294 10/01/2016All NDCs

Norgestimate-Eth Estrad Tab

0.18-25/0.215-25/0.25-25 MG-MCG

1.99771 0.94377 07/01/2016All NDCs

Norgestimate-Eth Estrad Tab

0.18-35/0.215-35/0.25-35 MG-MCG

0.44032 0.42791 10/01/2015All NDCs

Norgestrel & Ethinyl Estradiol Tab 0.3 MG-30

MCG

0.82260 0.57009 04/01/2016All NDCs

NORINYL TAB 1+50-28 (52544026531) 2.24328 10/14/2011Specific NDC

NORINYL TAB 1/35 (52544025928) 2.05761 10/14/2011Specific NDC

Nortriptyline HCl Cap 10 MG 0.09530 06/25/2012All NDCs




Nortriptyline HCl Soln 10 MG/5ML 0.10516 0.31440 06/07/2016All NDCs

NOVA SURE MIS LANCETS

(08548043421)

0.05561 10/14/2011Specific NDC

NUCYNTA ER TAB 200MG (50458086301) 7.78980 10/17/2012Specific NDC

NUQUIN HP GEL 4% (58980047510) 0.95069 02/19/2012Specific NDC

Nystatin Cream 100000 Unit/GM 0.64909 0.55810 04/01/2015All NDCs

Nystatin Oint 100000 Unit/GM 0.72233 0.67341 10/01/2014All NDCs

Nystatin Susp 100000 Unit/ML 0.13778 0.08885 10/01/2015All NDCs

Nystatin Tab 500000 Unit 0.59314 0.63767 07/01/2016All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


Nystatin-Triamcinolone Cream 100000-0.1

Unit/GM-%

3.16400 3.50220 01/08/2013All NDCs

Nystatin-Triamcinolone Oint 100000-0.1

Unit/GM-%

3.01250 5.65000 02/17/2015All NDCs

O-CAL FA TAB (00813931601) 0.17500 06/25/2012Specific NDC

OB COMPLETE CAP ONE (68025004430) 0.45000 10/02/2013Specific NDC

Octreotide Acetate Inj 100 MCG/ML (0.1

MG/ML)

5.00581 06/25/2012All NDCs

Octreotide Acetate Inj 1000 MCG/ML (1

MG/ML)

73.69676 06/25/2012All NDCs


MG/ML)

11.12404 06/25/2012All NDCs


MG/ML)

3.75436 06/25/2012All NDCs

Ofloxacin Ophth Soln 0.3% 0.65089 09/01/2012All NDCs

Ofloxacin Otic Soln 0.3% 3.15420 19.40270 07/01/2015All NDCs

Ofloxacin Tab 200 MG 3.69542 06/25/2012All NDCs



OGESTREL TAB (52544084828) 1.23931 10/14/2011Specific NDC

Olanzapine Orally Disintegrating Tab 10 MG 2.37000 2.06280 04/01/2016All NDCs




Olanzapine Tab 10 MG 0.39313 0.33370 01/01/2015All NDCs


Olanzapine Tab 2.5 MG 0.25046 0.21503 07/01/2015All NDCs



Olanzapine Tab 7.5 MG 0.34060 06/25/2012All NDCs

Omeprazole Cap Delayed Release 10 MG 0.44000 09/01/2012All NDCs

Omeprazole Cap Delayed Release 20 MG 0.12125 09/01/2012All NDCs

Omeprazole Cap Delayed Release 40 MG 0.24760 0.24135 10/01/2016All NDCs

Omeprazole Delayed Release Tab 20 MG 0.64000 06/25/2012All NDCs

Omeprazole-Sodium Bicarbonate Cap

20-1100 MG

5.75040 06/25/2012All NDCs

Omeprazole-Sodium Bicarbonate Cap

40-1100 MG

5.75040 06/25/2012All NDCs

OMNICAP TAB (64038010330) 0.17500 10/14/2011Specific NDC

ONCOVITE TAB (00178055001) 0.17500 10/14/2011Specific NDC

Ondansetron HCl and Dextrose Inj 32

MG/50ML

0.61707 06/25/2012All NDCs

Ondansetron HCl Inj 4 MG/2ML (2 MG/ML) 0.59104 06/25/2012All NDCs

Ondansetron HCl Inj 40 MG/20ML (2 MG/ML) 0.17914 06/25/2012All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


Ondansetron HCl Oral Soln 4 MG/5ML 1.08587 0.72401 10/01/2015All NDCs

Ondansetron HCl Tab 24 MG 7.51853 06/25/2012All NDCs

Ondansetron HCl Tab 4 MG 0.31923 0.26563 10/01/2016All NDCs

Ondansetron HCl Tab 8 MG 0.19313 0.53200 10/14/2016All NDCs

Ondansetron Orally Disintegrating Tab 4 MG 0.63505 0.58971 10/01/2016All NDCs

Ondansetron Orally Disintegrating Tab 8 MG 0.68993 0.45562 11/20/2013All NDCs

ONE-A-DAY TAB ESSENT (16500007303) 0.17500 10/14/2011Specific NDC

ONE-A-DAY TAB MENS (16500008004) 0.17500 10/14/2011Specific NDC

ONE-A-DAY TAB MENS (16500008012) 0.17500 10/14/2011Specific NDC

ONE-A-DAY TAB WOMENS

(16500007406)

0.17500 10/14/2011Specific NDC

ONE-A-DAY TAB WOMENS

(16500007410)

0.17500 10/14/2011Specific NDC

ONETOUCH MIS LANC DEV

(53885013920)

0.15758 10/14/2011Specific NDC


(53885014020)

0.15758 10/14/2011Specific NDC


(53885014110)

0.15758 10/14/2011Specific NDC

ONETOUCH MIS LANCETS

(53885004610)

0.07786 10/14/2011Specific NDC

ONETOUCH MIS LANCETS

(53885010207)

0.05237 10/14/2011Specific NDC

ONETOUCH US MIS LANCETS

(53885039310)

0.07971 10/14/2011Specific NDC

ONETOUCH US MIS LANCETS

(54868579800)

0.10343 10/14/2011Specific NDC

Opium Tincture 1% (10 MG/ML) (Morphine

Equiv)

6.72895 06/25/2012All NDCs

OPTISOURCE CHW (43900017500) 0.17500 09/28/2011Specific NDC

OPTIVITE TAB P.M.T. (50520000103) 0.17500 01/02/2003Specific NDC

Orphenadrine Citrate Tab SR 12HR 100 MG 0.52833 0.41740 10/01/2016All NDCs

ORTHO TRI- TAB CYCLEN (35356002168) 1.46103 10/14/2011Specific NDC

Oxandrolone Tab 10 MG 17.80040 06/25/2012All NDCs

Oxandrolone Tab 2.5 MG 5.24928 06/25/2012All NDCs

Oxaprozin Tab 600 MG 2.32000 1.72036 07/01/2015All NDCs

Oxazepam Cap 10 MG 0.50156 06/25/2012All NDCs



Oxcarbazepine Susp 300 MG/5ML (60

MG/ML)

0.57450 0.43010 10/01/2016All NDCs

Oxcarbazepine Tab 150 MG 0.22494 0.19407 04/02/2014All NDCs





Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


Oxybutynin Chloride Syrup 5 MG/5ML 0.02410 04/20/2016All NDCs

Oxybutynin Chloride Tab 5 MG 0.35831 0.26581 10/01/2016All NDCs

Oxybutynin Chloride Tab SR 24HR 10 MG 0.97335 0.86630 10/01/2016All NDCs



Oxycodone HCl Cap 5 MG 0.19995 06/25/2012All NDCs

Oxycodone HCl Conc 100 MG/5ML (20

MG/ML)

6.90000 5.50783 07/01/2014All NDCs

Oxycodone HCl Soln 5 MG/5ML 0.05716 0.18238 05/15/2013All NDCs

Oxycodone HCl Tab 10 MG 0.29756 0.24301 07/01/2015All NDCs





Oxycodone w/ Acetaminophen Cap 5-500 MG 0.25768 06/25/2012All NDCs

Oxycodone w/ Acetaminophen Tab 10-325

MG

0.71140 0.64237 07/01/2016All NDCs

Oxycodone w/ Acetaminophen Tab 10-650

MG

1.26960 0.47356 10/01/2012All NDCs

Oxycodone w/ Acetaminophen Tab 2.5-325

MG

1.96716 06/25/2012All NDCs

Oxycodone w/ Acetaminophen Tab 5-325 MG 0.17024 06/25/2012All NDCs


MG

0.52810 0.45843 10/01/2016All NDCs


MG

0.43763 09/01/2012All NDCs

Oxycodone-Aspirin Tab 4.8355-325 MG 0.91278 06/25/2012All NDCs

Oxycodone-Ibuprofen Tab 5-400 MG 1.13866 06/25/2012All NDCs

Oxymetazoline HCl Nasal Soln 0.05% 0.31920 06/25/2012All NDCs

Oxymorphone HCl Tab 10 MG 3.94210 2.24747 10/01/2016All NDCs

Oxymorphone HCl Tab SR 12HR 15 MG 4.88904 06/25/2012All NDCs

Oxymorphone HCl Tab SR 12HR 30 MG 6.35736 10/01/2015All NDCs

Oxymorphone HCl Tab SR 12HR 7.5 MG 2.68068 06/25/2012All NDCs

Oyster Shell Calcium Tab 500 MG 0.01343 06/25/2012All NDCs

Pamidronate Disodium For Inj 30 MG 37.08013 06/25/2012All NDCs

Pamidronate Disodium For Inj 90 MG 111.24040 06/25/2012All NDCs

Pamidronate Disodium IV Soln 3 MG/ML 3.70801 06/25/2012All NDCs

Pantoprazole Sodium EC Tab 20 MG (Base

Equiv)

0.20000 06/25/2012All NDCs

Pantoprazole Sodium EC Tab 40 MG (Base

Equiv)

0.13440 06/25/2012All NDCs

Paromomycin Sulfate Cap 250 MG 4.86000 06/25/2012All NDCs

Paroxetine HCl Oral Susp 10 MG/5ML (Base

Equiv)

0.48840 06/25/2012All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


Paroxetine HCl Tab 10 MG 0.10542 09/01/2012All NDCs

Paroxetine HCl Tab 20 MG 0.33434 0.13564 01/01/2013All NDCs



Paroxetine HCl Tab SR 24HR 12.5 MG 3.99650 3.46022 10/01/2015All NDCs

Paroxetine HCl Tab SR 24HR 25 MG 3.56098 4.65000 06/20/2016All NDCs

Paroxetine HCl Tab SR 24HR 37.5 MG 4.49000 3.57685 10/01/2015All NDCs

PC LANCETS MIS 30G (08214535716) 0.04341 10/14/2011Specific NDC

PEG 3350-KCl-Na Bicarb-NaCl-Na Sulfate

For Soln 236 GM

0.00455 0.00353 11/20/2013All NDCs

PEG 3350-KCl-Na Bicarb-NaCl-Na Sulfate

For Soln 240 GM

0.00231 06/25/2012All NDCs

PEG 3350-KCl-Sod Bicarb-NaCl For Soln 420

GM

0.00634 06/25/2012All NDCs

Penicillin V Potassium For Soln 125 MG/5ML 0.03398 06/25/2012All NDCs

Penicillin V Potassium For Soln 250 MG/5ML 0.03329 06/25/2012All NDCs

Penicillin V Potassium Tab 250 MG 0.19752 06/25/2012All NDCs

Penicillin V Potassium Tab 500 MG 0.18344 0.45210 10/15/2015All NDCs

Pentazocine w/ Naloxone Tab 50-0.5 MG 1.16904 06/25/2012All NDCs

Pentoxifylline Tab CR 400 MG 0.24646 0.15522 01/01/2013All NDCs

PEPCID AC TAB 20MG (16837085505) 0.14028 05/22/2012Specific NDC







Permethrin Cream 5% 0.86278 1.07000 08/14/2013All NDCs

Permethrin Lotion 1% 0.10723 06/25/2012All NDCs

Perphenazine Tab 16 MG 2.76520 2.14530 10/01/2015All NDCs




Perphenazine-Amitriptyline Tab 2-10 MG 0.46939 06/25/2012All NDCs



Phenazopyridine HCl Tab 100 MG 0.51424 1.02530 11/20/2014All NDCs

Phenazopyridine HCl Tab 200 MG 0.26610 06/25/2012All NDCs

Phenelzine Sulfate Tab 15 MG 0.79820 0.60882 10/01/2015All NDCs

PHENEX-2 POW (70074051123) 0.07481 11/11/2011Specific NDC

PHENEX-2 POW (70074055756) 0.08348 10/14/2011Specific NDC



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


Phenobarbital Elixir 20 MG/5ML 0.15274 0.10726 10/01/2015All NDCs

Phenobarbital Tab 100 MG 0.11763 06/25/2012All NDCs

Phenobarbital Tab 15 MG 0.01584 06/25/2012All NDCs

Phenobarbital Tab 30 MG 0.03012 0.18259 02/01/2013All NDCs

Phenobarbital Tab 32.4 MG 0.55000 0.42367 04/01/2016All NDCs

Phenobarbital Tab 60 MG 0.08402 0.21806 01/26/2016All NDCs

Phenol Liquid 1.4% 0.01322 06/25/2012All NDCs

Phentermine HCl Cap 15 MG 1.50444 06/25/2012All NDCs

PHENYL-FREE POW 2HP (00087008141) 0.10252 10/14/2011Specific NDC

PHENYLADE POW (00847095000) 0.23661 10/14/2011Specific NDC

PHENYLADE POW MTE (00847095960) 0.23661 10/14/2011Specific NDC

Phenylephrine in Hard Fat Rectal Suppos

0.25%

0.20900 06/25/2012All NDCs

Phenylephrine w/ DM-GG Syrup 5-10-100

MG/5ML

0.01739 06/25/2012All NDCs

Phenylephrine-Brompheniramine-DM Elixir

2.5-1-5 MG/5ML

0.02125 06/25/2012All NDCs

Phenylephrine-Chlorphen-DM Liquid 10-4-15

MG/5ML

0.04820 06/25/2012All NDCs

Phenylephrine-Chlorphen-DM Liquid 2-1-3

MG/ML

0.57960 06/25/2012All NDCs

Phenylephrine-Chlorphen-DM Liquid 3.5-1-3

MG/ML

1.47480 06/25/2012All NDCs

Phenylephrine-Chlorphen-DM Syrup 5-2-15

MG/5ML

0.05408 06/25/2012All NDCs

Phenylephrine-DM Soln 2.5-5 MG/5ML 0.04109 06/25/2012All NDCs

Phenylephrine-Promethazine w/ Codeine

Syrup 5-6.25-10 MG/5ML

0.09024 06/25/2012All NDCs

Phenylephrine-Shark Liver Oil-MO-Pet Oint

0.25-3-14-71.9%

0.06338 06/25/2012All NDCs

Phenytoin Sodium Extended Cap 100 MG 0.50210 0.31970 10/01/2016All NDCs

Phenytoin Susp 125 MG/5ML 0.14224 06/25/2012All NDCs

Pilocarpine HCl Ophth Soln 1% 2.10120 06/25/2012All NDCs

Pilocarpine HCl Ophth Soln 2% 2.15270 5.23840 09/09/2014All NDCs

Pilocarpine HCl Ophth Soln 4% 2.26600 06/25/2012All NDCs

Pilocarpine HCl Tab 5 MG 1.01054 0.34738 10/01/2012All NDCs

Pilocarpine HCl Tab 7.5 MG 1.27366 04/20/2016All NDCs

Pindolol Tab 10 MG 0.31590 1.23000 05/21/2015All NDCs

Pindolol Tab 5 MG 0.52955 06/25/2012All NDCs

Pioglitazone HCl Tab 15 MG (Base Equiv) 3.10000 0.20875 02/27/2013All NDCs



Piperacillin Sod-Tazobactam Na For Inj 3.375

GM (3-0.375 GM)

15.36960 06/25/2012All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


Piperacillin Sod-Tazobactam Sod For Inj 4.5

GM (4-0.5 GM)

21.04680 06/25/2012All NDCs

Piroxicam Cap 10 MG 1.16600 08/28/2012All NDCs

Piroxicam Cap 20 MG 1.70423 1.67017 07/01/2015All NDCs

PKU 3 POW (81361093470) 0.17613 10/14/2011Specific NDC

PNV OB+DHA PAK (59088011560) 0.17500 0.17500 01/07/2015Specific NDC

Podofilox Soln 0.5% 16.21143 14.79714 07/01/2013All NDCs

Polyethylene Glycol 1450 Liquid 0.01776 06/25/2012All NDCs

Polyethylene Glycol 3350 Oral Packet 1.90250 1.57834 10/01/2015All NDCs

Polyethylene Glycol 3350 Oral Powder 0.03506 0.03124 07/01/2016All NDCs

Polyethylene Glycol-Propylene Glycol Ophth

Soln 0.4-0.3%

0.68750 11/20/2013All NDCs

Polymyxin B-Trimethoprim Ophth Soln 10000

Unit/ML-0.1%

0.85500 0.59246 10/01/2016All NDCs

Polysaccharide Iron Complex Cap 150 MG

(Iron Equivalent)

0.19392 06/25/2012All NDCs

Polyvinyl Alcohol Ophth Soln 1.4% 0.23360 06/25/2012All NDCs

Polyvinyl Alcohol-Povidone Ophth Soln 5-6

MG/ML (0.5-0.6%)

0.10720 06/25/2012All NDCs

Pot Phos Monobasic w/Sod Phos Di &

Monobas Tab 155-852-130MG

0.13500 06/25/2012All NDCs

Potassium Bicarbonate Effer Tab 25 mEq 0.25620 06/25/2012All NDCs

Potassium Chloride Cap CR 10 mEq 0.51834 0.40179 10/01/2016All NDCs

Potassium Chloride Cap CR 8 mEq 0.77436 0.64391 10/01/2015All NDCs

Potassium Chloride Inj 2 mEq/ML 0.03244 06/25/2012All NDCs

Potassium Chloride Microencapsulated Crys

CR Tab 10 mEq

0.40466 0.36327 01/01/2016All NDCs

Potassium Chloride Microencapsulated Crys

CR Tab 20 mEq

0.30678 06/25/2012All NDCs

Potassium Chloride Oral Soln 10% (20

MEQ/15ML)

0.26411 04/01/2016All NDCs

Potassium Chloride Powder Packet 20 mEq 1.27498 1.11406 04/01/2016All NDCs

Potassium Chloride Tab CR 10 mEq 0.33009 0.31394 10/01/2016All NDCs

Potassium Chloride Tab CR 8 mEq (600 MG) 0.39425 06/25/2012All NDCs

Potassium Citrate & Citric Acid Powder Pack

3300-1002 MG

0.71748 06/25/2012All NDCs

Potassium Citrate & Citric Acid Soln 1100-334

MG/5ML

0.02788 06/25/2012All NDCs

Potassium Citrate Tab CR 10 MEQ (1080

MG)

1.18448 06/25/2012All NDCs

Potassium Citrate Tab CR 5 MEQ (540 MG) 0.72708 06/25/2012All NDCs

Pramipexole Dihydrochloride Tab 0.125 MG 0.23333 0.15441 07/01/2016All NDCs



Pramipexole Dihydrochloride Tab 0.75 MG 0.23333 06/25/2012All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


Pramipexole Dihydrochloride Tab 1 MG 0.11834 09/01/2012All NDCs

Pramipexole Dihydrochloride Tab 1.5 MG 0.20000 06/25/2012All NDCs

Pramoxine-HC Cream 1-2.5% 2.17183 06/25/2012All NDCs

Pramoxine-HC-Chloroxylenol Otic Soln

10-10-1 MG/ML

1.23720 06/25/2012All NDCs

PRASCION FC PAD 10-5% (66993090530) 6.64120 02/19/2012Specific NDC

PRASCION FC PAD 10-5% (66993090560) 6.64120 02/19/2012Specific NDC

Prasterone Powder 1.49760 06/25/2012All NDCs

Pravastatin Sodium Tab 10 MG 0.09959 09/01/2012All NDCs

Pravastatin Sodium Tab 20 MG 0.55100 0.41957 10/01/2015All NDCs



Prazosin HCl Cap 1 MG 0.34633 0.42420 08/19/2016All NDCs



PRECISN XTRA TES KETONE

(57599074501)

3.76618 10/14/2011Specific NDC

Prednicarbate Cream 0.1% 0.90820 06/25/2012All NDCs

Prednicarbate Oint 0.1% 1.22980 06/25/2012All NDCs

Prednisolone Acetate Ophth Susp 1% 8.85000 7.85424 07/01/2016All NDCs

Prednisolone Sod Phosph Oral Soln 6.7

MG/5ML (5 MG/5ML Base)

0.19970 0.67560 08/19/2013All NDCs

Prednisolone Sod Phosphate Oral Soln 15

MG/5ML (Base Equiv)

0.19537 0.09204 01/01/2013All NDCs

Prednisolone Sodium Phosphate Ophth Soln

1%

4.63193 06/25/2012All NDCs

Prednisolone Syrup 15 MG/5ML (USP

Solution Equivalent)

0.08957 0.04342 01/01/2013All NDCs

Prednisone Tab 1 MG 0.18171 0.08022 01/01/2013All NDCs


Prednisone Tab 2.5 MG 0.06107 06/25/2012All NDCs

Prednisone Tab 20 MG 0.07519 06/25/2012All NDCs


Prednisone Tab 50 MG 0.23762 06/25/2012All NDCs

PRENAISSANCE PAK 90 DHA

(42192035560)

0.17500 01/07/2015Specific NDC

PRENAISSANCE PAK PROMISE

(42192035460)

0.17500 01/07/2015Specific NDC

PRENATAL TAB PLUS (00440818030) 0.17500 07/01/2010Specific NDC

PRENEXA CAP (00245017830) 0.45000 10/02/2013Specific NDC

Primidone Tab 250 MG 0.75333 0.20458 10/01/2012All NDCs

Primidone Tab 50 MG 0.10625 09/01/2012All NDCs

PRIVIGEN INJ 10GRAMS (44206043710) 10.28973 10/14/2011Specific NDC



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


PRIVIGEN INJ 20GRAMS (44206043820) 10.28973 10/14/2011Specific NDC

PRIVIGEN INJ 5 GRAMS (44206043605) 10.28973 10/14/2011Specific NDC

Probenecid Tab 500 MG 0.66018 0.56611 10/01/2015All NDCs

Prochlorperazine Maleate Tab 10 MG (Base

Equivalent)

0.16533 0.07188 01/01/2013All NDCs

Prochlorperazine Maleate Tab 5 MG (Base

Equivalent)

0.17912 0.16363 10/01/2015All NDCs

Prochlorperazine Suppos 25 MG 2.35227 3.19000 09/04/2012All NDCs

Progesterone IM in Oil 50 MG/ML 3.72000 3.21400 07/01/2016All NDCs

Progesterone Micronized Cap 100 MG 1.18281 1.02431 04/01/2016All NDCs

Progesterone Micronized Cap 200 MG 1.77576 10/01/2015All NDCs

Progesterone Micronized Powder 0.49920 06/25/2012All NDCs

Progesterone Powder 1.35000 06/25/2012All NDCs

Promethazine & Phenylephrine Syrup 6.25-5

MG/5ML

0.06621 06/25/2012All NDCs

Promethazine HCl (Bulk) Powder 7.20000 06/25/2012All NDCs

Promethazine HCl Inj 25 MG/ML 1.01970 06/25/2012All NDCs

Promethazine HCl Suppos 12.5 MG 8.90000 9.25000 07/02/2014All NDCs

Promethazine HCl Suppos 25 MG 7.57285 7.35597 04/01/2016All NDCs

Promethazine HCl Suppos 50 MG 9.66900 06/25/2012All NDCs

Promethazine HCl Syrup 6.25 MG/5ML 0.03598 06/25/2012All NDCs

Promethazine HCl Tab 12.5 MG 0.42085 0.11549 01/01/2013All NDCs

Promethazine HCl Tab 25 MG 0.26400 0.10380 01/01/2013All NDCs

Promethazine HCl Tab 50 MG 0.25104 0.19661 07/01/2015All NDCs

Promethazine w/ Codeine Syrup 6.25-10

MG/5ML

0.01974 06/25/2012All NDCs

Propafenone HCl Cap SR 12HR 225 MG 5.67360 06/25/2012All NDCs

Propafenone HCl Cap SR 12HR 325 MG 7.18800 06/25/2012All NDCs

Propafenone HCl Tab 150 MG 0.22463 09/01/2012All NDCs

Propafenone HCl Tab 225 MG 0.38675 0.36113 01/01/2016All NDCs

Propafenone HCl Tab 300 MG 2.29425 1.00328 04/01/2016All NDCs

Proparacaine HCl Ophth Soln 0.5% 0.57937 06/25/2012All NDCs

Propranolol & Hydrochlorothiazide Tab 40-25

MG

0.08201 06/25/2012All NDCs

Propranolol & Hydrochlorothiazide Tab 80-25

MG

0.12345 06/25/2012All NDCs

Propranolol HCl Cap SR 24HR 120 MG 0.75650 1.01000 07/12/2013All NDCs

Propranolol HCl Cap SR 24HR 160 MG 1.07488 09/01/2012All NDCs



Propranolol HCl Inj 1 MG/ML 9.60000 06/25/2012All NDCs

Propranolol HCl Tab 10 MG 0.28530 0.21764 10/01/2016All NDCs




Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC





Propylthiouracil Tab 50 MG 0.15120 06/25/2012All NDCs

Protriptyline HCl Tab 10 MG 1.81922 1.62260 04/01/2016All NDCs

Pseudoephed-Bromphen-DM Elixir 15-1-5

MG/5ML

0.01109 06/25/2012All NDCs

Pseudoephed-Chlorphen-DM Liq 15-1-5

MG/5ML

0.02023 06/25/2012All NDCs

Pseudoephedrine HCl Liq 15 MG/5ML 0.01393 06/25/2012All NDCs

Pseudoephedrine HCl Liq 30 MG/5ML 0.02034 06/25/2012All NDCs

Pseudoephedrine HCl Syrup 30 MG/5ML 0.01577 06/25/2012All NDCs

Pseudoephedrine HCl Tab 30 MG 0.06548 07/27/2012All NDCs

Pseudoephedrine HCl Tab 60 MG 0.03784 06/25/2012All NDCs

Pseudoephedrine HCl Tab SR 12HR 120 MG 0.29760 06/25/2012All NDCs

Psyllium Cap 0.52 GM 0.05287 06/25/2012All NDCs

Psyllium Powder 28.3% 0.02074 06/25/2012All NDCs

Psyllium Powder 33% 0.01104 06/25/2012All NDCs



Psyllium Powder 95% 0.01022 06/25/2012All NDCs

PX LANCETS MIS 28G (08326281101) 0.04635 10/14/2011Specific NDC

PX LANCETS MIS 28G (08326281102) 0.04635 10/14/2011Specific NDC

PX LANCETS MIS ULT THIN

(08214035729)

0.03004 10/14/2011Specific NDC

Pyreth-Piperonyl Butox Sham-Permeth

Aero-Nit Remover Gel Kit

12.67200 06/25/2012All NDCs

Pyrethrins-Piperonyl Butoxide Liq 0.33-4% 0.05075 06/25/2012All NDCs

Pyrethrins-Piperonyl Butoxide Shampoo

0.33-4%

0.03718 06/25/2012All NDCs

Pyridostigmine Bromide Tab 60 MG 0.86000 0.85000 07/01/2016All NDCs

Pyridoxine HCl Inj 100 MG/ML 10.78800 06/25/2012All NDCs

Pyridoxine HCl Tab 100 MG 0.02549 06/25/2012All NDCs



Pyridoxine-Kelp-Lecithin-Vinegar Cap

5-0.75-200-50 MG

0.17500 06/25/2012All NDCs

Pyridoxine-Kelp-Lecithin-Vinegar Tab

8.3-25-100-40 MG

0.17500 06/25/2012All NDCs

Quetiapine Fumarate Tab 100 MG 0.21587 0.13432 10/01/2016All NDCs






Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC




Quinacrine HCl Powder 1.11360 06/25/2012All NDCs

Quinapril HCl Tab 10 MG 0.23380 06/25/2012All NDCs




Quinapril-Hydrochlorothiazide Tab 10-12.5

MG

0.94451 06/25/2012All NDCs

Quinapril-Hydrochlorothiazide Tab 20-12.5

MG

0.94451 0.57724 10/01/2015All NDCs

Quinapril-Hydrochlorothiazide Tab 20-25 MG 0.94451 0.75300 11/20/2013All NDCs

Quinidine Gluconate Tab CR 324 MG 0.96188 06/25/2012All NDCs

Quinidine Sulfate Tab 200 MG 0.15087 06/25/2012All NDCs

Quinidine Sulfate Tab 300 MG 0.28736 06/25/2012All NDCs

RA E-ZJECT MIS 28G (38396031114) 0.04519 10/14/2011Specific NDC

RA E-ZJECT MIS THIN 26G (38396030114) 0.04519 10/14/2011Specific NDC

RA E-ZJECT MIS THIN 28G (38396031214) 0.03669 10/14/2011Specific NDC

RA E-ZJECT MIS ULT THIN (38396030514) 0.04519 10/14/2011Specific NDC

Rabeprazole Sodium EC Tab 20 MG 0.84566 0.74476 04/01/2016All NDCs

RAGUS TAB (17204043840) 0.17500 01/01/2011Specific NDC

Raloxifene HCl Tab 60 MG 2.66587 1.70916 10/01/2016All NDCs

Ramipril Cap 1.25 MG 0.12084 09/01/2012All NDCs

Ramipril Cap 10 MG 0.14048 09/01/2012All NDCs

Ramipril Cap 2.5 MG 0.10000 09/01/2012All NDCs

Ramipril Cap 5 MG 0.10000 09/01/2012All NDCs

Ranitidine HCl Cap 150 MG 0.79728 06/25/2012All NDCs

Ranitidine HCl Cap 300 MG 2.05578 06/25/2012All NDCs

Ranitidine HCl Syrup 15 MG/ML (75 MG/5ML) 0.05740 0.03620 10/01/2016All NDCs

Ranitidine HCl Tab 150 MG 0.08677 0.02641 11/20/2013All NDCs

Ranitidine HCl Tab 300 MG 0.07029 0.16062 07/02/2015All NDCs

Ranitidine HCl Tab 75 MG 0.09520 06/25/2012All NDCs

Raspberry Syrup 0.03007 06/25/2012All NDCs

RECOMBINATE INJ 220-400

(00944283110)

1.25917 10/14/2011Specific NDC


(00944283210)

1.25917 10/14/2011Specific NDC


(00944283310)

1.25917 10/14/2011Specific NDC

RELION LANCE MIS STND 21G

(81306022114)

0.01545 10/14/2011Specific NDC

RELION LANCE MIS THIN 26G

(38396044902)

0.04519 10/14/2011Specific NDC



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC



(81306021214)

0.03043 10/14/2011Specific NDC


(38396045102)

0.04519 10/14/2011Specific NDC


(38396045202)

0.03669 10/14/2011Specific NDC


(38396045302)

0.04519 10/14/2011Specific NDC


(81306021314)

0.04442 10/14/2011Specific NDC


(81306022314)

0.02255 10/14/2011Specific NDC

RENEW ADV MIS REFILLS

(38396044455)

0.11587 10/14/2011Specific NDC

Repaglinide Tab 2 MG 0.62333 04/01/2015All NDCs

REPLACE CAP (11694084201) 0.17500 07/01/2010Specific NDC

REPLACE CAP (11694084205) 0.17500 07/01/2010Specific NDC

RI-MAG PLUS SUS (24385040940) 0.00845 10/14/2011Specific NDC

Ribavirin Cap 200 MG 0.89310 0.47912 07/01/2013All NDCs

Ribavirin Tab 200 MG 0.72537 0.62510 01/01/2015All NDCs

Ribavirin Tab 400 MG 14.78652 06/25/2012All NDCs

Ribavirin Tab 600 MG 22.25180 06/25/2012All NDCs

RID LIQ (74300000320) 0.04631 10/14/2011Specific NDC



Rifampin Cap 150 MG 0.82000 04/01/2016All NDCs

Rifampin Cap 300 MG 0.91307 0.95259 07/01/2016All NDCs

Riluzole Tab 50 MG 2.75000 01/01/2016All NDCs

Rimantadine Hydrochloride Tab 100 MG 1.41407 06/25/2012All NDCs

Risedronate Sodium Tab 35 MG 55.46000 07/01/2015All NDCs

Risperidone Orally Disintegrating Tab 0.5 MG 0.90493 0.79127 04/01/2016All NDCs

Risperidone Orally Disintegrating Tab 1 MG 1.27226 0.91511 10/01/2015All NDCs




Risperidone Soln 1 MG/ML 0.65002 0.48005 04/01/2015All NDCs

Risperidone Tab 0.25 MG 0.20604 0.13592 10/01/2014All NDCs

Risperidone Tab 0.5 MG 0.17557 0.14547 01/01/2016All NDCs

Risperidone Tab 1 MG 0.14229 09/01/2012All NDCs

Risperidone Tab 2 MG 0.21036 0.14200 10/01/2016All NDCs



Rivastigmine Tartrate Cap 1.5 MG 2.96342 09/01/2012All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


Rivastigmine Tartrate Cap 3 MG 3.03152 2.28460 01/01/2013All NDCs

Rivastigmine Tartrate Cap 4.5 MG 4.07380 06/25/2012All NDCs

Rivastigmine Tartrate Cap 6 MG 2.91562 09/01/2012All NDCs

Rizatriptan Benzoate Oral Disintegrating Tab

10 MG (Base Eq)

1.73666 10/01/2014All NDCs

Rizatriptan Benzoate Tab 10 MG (Base

Equivalent)

2.12148 1.48223 01/01/2016All NDCs

Ropinirole Hydrochloride Tab 0.25 MG 0.25068 09/01/2012All NDCs

Ropinirole Hydrochloride Tab 0.5 MG 0.21657 0.16481 10/01/2016All NDCs

Ropinirole Hydrochloride Tab 1 MG 0.21597 0.17420 07/01/2015All NDCs





Ropinirole Hydrochloride Tab SR 24HR 2 MG

(Base Equivalent)

1.62500 07/01/2016All NDCs

Ropinirole Hydrochloride Tab SR 24HR 4 MG

(Base Equivalent)

2.81826 01/01/2015All NDCs

Rosuvastatin Calcium Tab 10 MG 8.05556 8.02827 10/01/2016All NDCs

RX SUPPORT TAB HEARTBUR

(11845015065)

0.17500 10/14/2011Specific NDC

Saccharin Powder 0.38095 06/25/2012All NDCs

SAFE-T-PRO MIS LANCETS

(50924095120)

0.19466 10/14/2011Specific NDC

SAFE-T-PRO MIS PLUS (50924007920) 0.21321 10/14/2011Specific NDC

SAFETY LET MIS LANCETS

(38415010001)

0.05021 11/20/2011Specific NDC

Salicylic Acid Cream 6% 0.16674 06/25/2012All NDCs

Salicylic Acid Lotion 6% 0.16110 06/25/2012All NDCs

Salicylic Acid Soln 26% 7.18560 06/25/2012All NDCs

Saline Injection Bacteriostatic 0.04571 06/25/2012All NDCs

Saline Injection w/ Benzyl Alcohol 0.04571 06/25/2012All NDCs

Saline Nasal Spray 0.65% 0.02100 06/25/2012All NDCs

Salsalate Tab 500 MG 0.13970 06/25/2012All NDCs

Salsalate Tab 750 MG 0.18403 06/25/2012All NDCs

SB LANCETS MIS THIN (15127099010) 0.04457 10/14/2011Specific NDC

SB LANCETS MIS THIN (15127099020) 0.03472 10/14/2011Specific NDC

SB LANCETS MIS ULTR THN

(15127099110)

0.04457 10/14/2011Specific NDC

SB LANCETS MIS ULTR THN

(15127099120)

0.03472 10/14/2011Specific NDC

SB NAT FIBER POW 49% (15127080319) 0.01461 10/14/2011Specific NDC

SELECT-OB+ PAK DHA (00642007530) 0.45000 10/02/2013Specific NDC



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


Selegiline HCl Cap 5 MG 0.83425 06/25/2012All NDCs

Selegiline HCl Tab 5 MG 1.39000 06/25/2012All NDCs

Selenium Sulfide Lotion 1% 0.01675 06/25/2012All NDCs

Selenium Sulfide Lotion 2.5% 0.07014 06/25/2012All NDCs

Selenium Sulfide-Pyrithione Zinc in Urea

Shampoo 2.25%

0.60866 06/25/2012All NDCs

Senna Syrup 176 MG/5ML 0.06050 06/25/2012All NDCs

Sennosides Syrup 8.8 MG/5ML 0.06456 06/25/2012All NDCs

Sennosides Tab 8.6 MG 0.03784 06/25/2012All NDCs

Sennosides-Docusate Sodium Tab 8.6-50 MG 0.08490 06/25/2012All NDCs

SENOKOT TAB 8.6MG (67618030010) 0.16253 10/14/2011Specific NDC




Sertraline HCl Oral Conc 20 MG/ML 0.82760 0.63927 07/01/2015All NDCs

Sertraline HCl Tab 100 MG 0.11999 0.21520 01/28/2016All NDCs

Sertraline HCl Tab 25 MG 0.11999 06/25/2012All NDCs

Sertraline HCl Tab 50 MG 0.05445 0.13180 04/16/2016All NDCs

Sildenafil Citrate Tab 20 MG 0.65019 0.55041 10/01/2016All NDCs

Silver Sulfadiazine Cream 1% 0.17506 0.14510 10/01/2015All NDCs

Simethicone Cap 180 MG 0.26600 06/25/2012All NDCs

Simethicone Chew Tab 125 MG 0.06360 06/25/2012All NDCs

Simple - Syrup 0.02525 06/25/2012All NDCs

Simvastatin Tab 10 MG 0.15691 06/25/2012All NDCs





SM GLUCOSE CHW ORANGE

(49348091301)

0.92236 12/03/2011Specific NDC

SM GLUCOSE CHW ORANGE

(49348091409)

0.10490 12/03/2011Specific NDC

SM GLUCOSE CHW RASPBERY

(49348091501)

0.92236 12/03/2011Specific NDC

SM GLUCOSE CHW RASPBERY

(49348091609)

0.10490 12/03/2011Specific NDC

SM LANCETS MIS 21G (38396070339) 0.04519 10/14/2011Specific NDC



SM LANCETS MIS THIN 26G

(38396071339)

0.04519 10/14/2011Specific NDC


(38396075339)

0.03669 10/14/2011Specific NDC



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC



(38396072339)

0.04519 10/14/2011Specific NDC

Sodium Bicarbonate Inj 8.4% 0.01467 0.15621 10/01/2014All NDCs

Sodium Bicarbonate Tab 325 MG 0.00892 06/25/2012All NDCs

Sodium Bicarbonate Tab 650 MG 0.01054 06/25/2012All NDCs

Sodium Chloride Hypertonic Ophth Oint 5% 2.67285 06/25/2012All NDCs

Sodium Chloride Hypertonic Ophth Soln 5% 0.75962 06/25/2012All NDCs

Sodium Chloride Inj 0.45% 0.00208 06/25/2012All NDCs

Sodium Chloride Inj 0.9% 0.02796 06/25/2012All NDCs

Sodium Chloride Irrigation Soln 0.9% 0.00313 0.00520 07/20/2015All NDCs

Sodium Chloride IV Soln 0.9% 0.00295 06/25/2012All NDCs

Sodium Chloride Soln Nebu 0.9% 0.04119 06/25/2012All NDCs

Sodium Chloride Soln Nebu 10% 0.04880 06/25/2012All NDCs

Sodium Chloride Tab 1 GM 0.05280 06/25/2012All NDCs

Sodium Citrate & Citric Acid Soln 500-334

MG/5ML

0.01519 06/25/2012All NDCs

Sodium Fluoride Chew Tab 0.25 MG F (from

0.55 MG NaF)

0.03790 06/25/2012All NDCs

Sodium Fluoride Chew Tab 0.5 MG F (from

1.1 MG NaF)

0.03990 06/25/2012All NDCs

Sodium Fluoride Chew Tab 1 MG F (from 2.2

MG NaF)

0.03790 06/25/2012All NDCs

Sodium Fluoride Cream 1.1% 0.12101 06/25/2012All NDCs

Sodium Fluoride Gel 1.1% (0.5% F) 0.11352 06/25/2012All NDCs

Sodium Fluoride Soln 0.125 MG/DROP F

(0.275 MG/DROP NaF)

0.18704 06/25/2012All NDCs

Sodium Fluoride Soln 0.5 MG/ML F (from 1.1

MG/ML NaF)

0.16272 06/25/2012All NDCs

Sodium Fluoride Tab 0.5 MG F (from 1.1 MG

NaF)

0.03035 06/25/2012All NDCs

Sodium Fluoride Tab 1 MG F (from 2.2 MG

NaF)

0.02834 06/25/2012All NDCs

Sodium Hydroxide Solution 10% 0.02164 06/25/2012All NDCs

Sodium Polystyrene Sulfonate Oral Susp 15

GM/60ML

0.05701 06/25/2012All NDCs

SOFT TOUCH MIS LANCETS

(50924058510)

0.06488 10/14/2011Specific NDC

SOFTCLIX MIS LANCETS (50924097110) 0.08111 10/14/2011Specific NDC



Sorbitol Solution (Bulk) 0.00913 06/25/2012All NDCs

Sotalol HCl (AFIB/AFL) Tab 120 MG 0.52228 06/25/2012All NDCs





Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


Sotalol HCl Tab 120 MG 0.19350 09/01/2012All NDCs


Sotalol HCl Tab 240 MG 3.71755 0.50412 10/01/2012All NDCs


SOURCECF CAP (68212050060) 0.17500 10/14/2011Specific NDC

SOURCECF CHW (68212060090) 0.17500 10/14/2011Specific NDC

Spironolactone & Hydrochlorothiazide Tab

25-25 MG

0.32387 06/25/2012All NDCs

Spironolactone Tab 100 MG 0.45358 0.35641 10/01/2016All NDCs

Spironolactone Tab 25 MG 0.09943 09/01/2012All NDCs

Spironolactone Tab 50 MG 0.28707 0.20228 10/01/2016All NDCs

Squaric Acid Dibutylester Powder 17.63520 06/25/2012All NDCs

Stannous Fluoride Conc 0.63% 0.03740 06/25/2012All NDCs

Stavudine Cap 15 MG 1.95477 04/20/2016All NDCs




Sucralfate Susp 1 GM/10ML 0.51000 06/25/2012All NDCs

Sucralfate Tab 1 GM 0.22630 0.21114 10/01/2015All NDCs

Sulfacetamide Sodium Liquid 10% 0.31906 06/25/2012All NDCs

Sulfacetamide Sodium Lotion 10% (Acne) 0.61780 0.55440 10/01/2014All NDCs

Sulfacetamide Sodium Ophth Soln 10% 3.23679 3.06600 07/01/2016All NDCs

Sulfacetamide Sodium w/ Sulfur Cleansing

Cloth 10-5%

6.64120 06/25/2012All NDCs

Sulfacetamide Sodium w/ Sulfur Emulsion

10-5%

0.84638 06/25/2012All NDCs

Sulfacetamide Sodium w/ Sulfur Lotion 10-5% 0.80000 06/25/2012All NDCs

Sulfacetamide Sodium w/ Sulfur Susp 10-5% 1.90000 06/25/2012All NDCs

Sulfacetamide Sodium-Prednisolone Ophth

Soln 10-0.23(0.25)%

2.89688 06/25/2012All NDCs

Sulfamethoxazole-Trimethoprim Susp 200-40

MG/5ML

0.32238 0.22875 04/01/2016All NDCs

Sulfamethoxazole-Trimethoprim Tab 400-80

MG

0.12391 06/25/2012All NDCs

Sulfamethoxazole-Trimethoprim Tab 800-160

MG

0.07087 09/01/2012All NDCs

Sulfasalazine Tab 500 MG 0.14636 0.18046 03/11/2013All NDCs

Sulfasalazine Tab Delayed Release 500 MG 0.28327 0.22827 10/01/2014All NDCs

Sulindac Tab 150 MG 0.31021 06/25/2012All NDCs

Sulindac Tab 200 MG 0.40112 0.29333 10/01/2015All NDCs

Sumatriptan Nasal Spray 20 MG/ACT 42.99000 06/25/2012All NDCs

Sumatriptan Nasal Spray 5 MG/ACT 42.99000 06/25/2012All NDCs

Sumatriptan Succinate Inj 4 MG/0.5ML 166.17600 06/25/2012All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


Sumatriptan Succinate Inj 6 MG/0.5ML 166.17600 141.92119 04/03/2013All NDCs

Sumatriptan Succinate Tab 100 MG 1.05573 0.96516 10/01/2016All NDCs

Sumatriptan Succinate Tab 25 MG 1.22512 1.16071 07/01/2016All NDCs

Sumatriptan Succinate Tab 50 MG 0.92431 09/01/2012All NDCs

SUPER POW NU-THERA

(58223010652)

0.17500 10/14/2011Specific NDC

SUPER THIN MIS LANCETS

(11917001648)

0.02997 10/14/2011Specific NDC

SUPER THIN MIS LANCETS

(38396030520)

0.04519 10/14/2011Specific NDC

SURE-LANCE MIS LANCETS

(59707000110)

0.05747 10/14/2011Specific NDC

SURE-LANCE MIS LANCETS

(59707000112)

0.05747 10/14/2011Specific NDC

TAB-A-VITE TAB WOMENS (00904571352) 0.17500 10/14/2011Specific NDC

Tacrolimus Cap 0.5 MG 0.88647 0.55715 10/01/2015All NDCs

Tacrolimus Cap 1 MG 0.74892 0.39900 10/01/2016All NDCs

Tacrolimus Cap 5 MG 9.27234 4.60417 04/01/2016All NDCs

TAGAMET HB TAB 200MG (00135014805) 0.12279 10/14/2011Specific NDC

Tamoxifen Citrate Tab 10 MG (Base

Equivalent)

0.38627 06/25/2012All NDCs

Tamoxifen Citrate Tab 20 MG (Base

Equivalent)

0.25125 0.57850 06/25/2015All NDCs

Tamsulosin HCl Cap 0.4 MG 0.39234 0.29892 10/01/2016All NDCs

TECHLITE MIS LANCETS (08317880125) 0.01568 10/14/2011Specific NDC




TECHLITE AST MIS LANCETS

(08317880300)

0.01568 10/14/2011Specific NDC

Telmisartan Tab 80 MG 0.78950 07/01/2016All NDCs

Telmisartan-Hydrochlorothiazide Tab 80-25

MG

3.94533 10/01/2014All NDCs

Temazepam Cap 15 MG 0.12765 06/25/2012All NDCs

Temazepam Cap 22.5 MG 4.58181 10/01/2015All NDCs

Temazepam Cap 30 MG 0.16347 0.10198 01/01/2013All NDCs

Temazepam Cap 7.5 MG 4.59644 3.81187 07/01/2015All NDCs

Temozolomide Cap 100 MG 223.61196 11/20/2013All NDCs






Terazosin HCl Cap 1 MG 0.13327 06/25/2012All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC



Terazosin HCl Cap 2 MG 0.13327 0.08138 01/01/2013All NDCs


Terbinafine HCl Cream 1% 0.30120 06/25/2012All NDCs

Terbinafine HCl Tab 250 MG 0.62396 0.21624 10/01/2012All NDCs

Terbutaline Sulfate Tab 2.5 MG 0.32401 06/25/2012All NDCs

Terbutaline Sulfate Tab 5 MG 0.56532 06/25/2012All NDCs

Terconazole Vaginal Cream 0.4% 0.77206 0.62267 07/01/2014All NDCs

Terconazole Vaginal Cream 0.8% 1.85812 0.71833 10/01/2012All NDCs

Terconazole Vaginal Suppos 80 MG 12.60209 06/25/2012All NDCs

Testosterone Cypionate IM Inj in Oil 200

MG/ML

16.38414 07/01/2016All NDCs

Testosterone TD Gel 50 MG/5GM (1%) 11.43666 07/01/2016All NDCs

Tetrabenazine Tab 12.5 MG 63.25627 07/01/2016All NDCs

Tetracaine HCl Inj 1% 2.52936 06/25/2012All NDCs

Tetracaine HCl Ophth Soln 0.5% 0.67520 06/25/2012All NDCs

Tetracaine HCl Powder 0.68736 06/25/2012All NDCs

Tetracycline HCl Cap 250 MG 0.06434 06/25/2012All NDCs

Tetracycline HCl Cap 500 MG 0.09118 06/25/2012All NDCs

Tetrahydroz-Dextran-PEG-Povidone Ophth

Soln 0.05-0.1-1-1%

0.11200 06/25/2012All NDCs

Tetrahydrozoline HCl Ophth Soln 0.05% 0.11200 06/25/2012All NDCs

TGT LANCET MIS 23G (08214015720) 0.03414 10/14/2011Specific NDC




Theophylline Tab SR 12HR 100 MG 0.18433 06/25/2012All NDCs

Theophylline Tab SR 12HR 200 MG 0.20201 0.42250 02/04/2015All NDCs

Theophylline Tab SR 12HR 300 MG 0.24549 2.47240 05/24/2016All NDCs




THERA-M TAB (00904549213) 0.17500 10/14/2011Specific NDC

THERA-M TAB (00904549280) 0.17500 10/14/2011Specific NDC

THERA-TABS M TAB (57896062110) 0.17500 10/14/2011Specific NDC

THERAGRAN-M TAB (11917006737) 0.17500 10/14/2011Specific NDC

THERAGRAN-M TAB 50 PLUS

(11917007784)

0.17500 10/14/2011Specific NDC

THERAGRAN-M TAB ADVANCED

(11917009568)

0.17500 10/14/2011Specific NDC

THERAGRAN-M TAB PREMIER

(11917006739)

0.17500 10/14/2011Specific NDC



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC



(11917006740)

0.17500 10/14/2011Specific NDC


(11917009501)

0.17500 10/14/2011Specific NDC

THERAMILL CAP FORTE (17204054685) 0.17500 10/14/2011Specific NDC

THERAMILL CAP FORTE (17204054750) 0.17500 10/14/2011Specific NDC

THERAPEUTIC SOL (00482011614) 0.17500 10/14/2011Specific NDC

Thiamine HCl Inj 100 MG/ML 5.97000 06/25/2012All NDCs

Thiamine HCl Tab 100 MG 0.02069 06/25/2012All NDCs

Thiamine HCl Tab 50 MG 0.01644 06/25/2012All NDCs

THIN LANCETS MIS (57599004305) 0.04859 10/14/2011Specific NDC



THIN LANCETS MIS 26G (38396050232) 0.05786 10/14/2011Specific NDC



Thioridazine HCl Tab 10 MG 0.09650 09/01/2012All NDCs

Thioridazine HCl Tab 100 MG 0.32260 0.68240 03/30/2015All NDCs

Thioridazine HCl Tab 25 MG 0.35334 06/25/2012All NDCs

Thioridazine HCl Tab 50 MG 0.18881 0.55059 10/23/2014All NDCs

Thiothixene Cap 1 MG 0.12981 06/25/2012All NDCs

Thiothixene Cap 10 MG 0.38017 1.47904 11/04/2014All NDCs

Thiothixene Cap 2 MG 0.17395 0.69178 11/05/2014All NDCs

Thiothixene Cap 5 MG 0.27710 06/25/2012All NDCs

Tiagabine HCl Tab 2 MG 4.80402 10/01/2015All NDCs

Tiagabine HCl Tab 4 MG 5.27500 5.53080 09/21/2016All NDCs

Ticlopidine HCl Tab 250 MG 0.25550 06/25/2012All NDCs

Timolol Maleate Ophth Gel Forming Soln

0.25%

7.64777 06/25/2012All NDCs

Timolol Maleate Ophth Gel Forming Soln

0.5%

8.46250 7.92721 07/01/2013All NDCs

Timolol Maleate Ophth Soln 0.25% 0.65232 06/25/2012All NDCs

Timolol Maleate Ophth Soln 0.5% 0.84171 06/25/2012All NDCs

Timolol Maleate Tab 10 MG 0.45909 06/25/2012All NDCs



Tinidazole Tab 500 MG 5.14479 10/01/2015All NDCs

Tizanidine HCl Cap 4 MG (Base Equivalent) 1.69489 10/01/2015All NDCs

Tizanidine HCl Tab 2 MG (Base Equivalent) 0.20652 06/25/2012All NDCs

Tizanidine HCl Tab 4 MG (Base Equivalent) 0.36820 0.20865 01/01/2014All NDCs

Tobramycin Ophth Soln 0.3% 2.35042 06/25/2012All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


Tobramycin Sulfate Inj 1.2 GM/30ML (40

MG/ML) (Base Equiv)

1.15033 06/25/2012All NDCs

Tobramycin Sulfate Inj 2 GM/50ML (40

MG/ML) (Base Equiv)

1.11125 06/25/2012All NDCs

Tobramycin Sulfate Inj 80 MG/2ML (40

MG/ML) (Base Equiv)

1.15033 06/25/2012All NDCs

Tobramycin-Dexamethasone Ophth Susp

0.3-0.1%

13.06900 07/01/2012All NDCs

Tolazamide Tab 250 MG 0.96254 06/25/2012All NDCs

Tolazamide Tab 500 MG 1.45361 06/25/2012All NDCs

Tolbutamide Tab 500 MG 0.81094 06/25/2012All NDCs

Tolmetin Sodium Cap 400 MG 0.91348 06/25/2012All NDCs

Tolmetin Sodium Tab 200 MG 0.57937 06/25/2012All NDCs

Tolmetin Sodium Tab 600 MG 2.25864 06/25/2012All NDCs

Tolnaftate Cream 1% 0.05040 06/25/2012All NDCs

Tolterodine Tartrate Cap SR 24HR 2 MG 4.73003 10/01/2015All NDCs

Tolterodine Tartrate Cap SR 24HR 4 MG 3.88927 07/01/2016All NDCs

Tolterodine Tartrate Tab 2 MG 2.25666 1.09339 10/01/2016All NDCs

Topiramate Sprinkle Cap 15 MG 0.28017 0.41250 10/12/2015All NDCs

Topiramate Sprinkle Cap 25 MG 0.39638 0.30869 04/01/2016All NDCs

Topiramate Tab 100 MG 0.10146 07/01/2012All NDCs




Torsemide Tab 10 MG 0.44891 0.19607 10/01/2015All NDCs

Torsemide Tab 100 MG 0.62105 0.42442 11/20/2013All NDCs

Torsemide Tab 20 MG 0.10188 09/01/2012All NDCs

Torsemide Tab 5 MG 0.42085 06/25/2012All NDCs

Tramadol HCl Tab 50 MG 0.03330 0.04250 03/16/2015All NDCs

Tramadol HCl Tab SR 24HR 100 MG 2.71791 2.48934 07/01/2016All NDCs



Tramadol HCl Tab SR 24HR Biphasic

Release 100 MG

3.27330 11/20/2013All NDCs


Release 200 MG

5.87290 11/20/2013All NDCs


Release 300 MG

7.87290 6.07355 04/01/2016All NDCs

Tramadol-Acetaminophen Tab 37.5-325 MG 0.38760 0.25990 11/20/2013All NDCs

Trandolapril Tab 1 MG 0.62342 06/25/2012All NDCs



Tranylcypromine Sulfate Tab 10 MG 1.06548 06/25/2012All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


Trazodone HCl Tab 100 MG 0.05283 0.12520 09/02/2015All NDCs




Tretinoin (Facial Wrinkles) Cream 0.05% 3.24000 06/25/2012All NDCs

Tretinoin Cap 10 MG 21.08090 06/25/2012All NDCs

Tretinoin Cream 0.025% 0.72111 09/01/2012All NDCs

Tretinoin Cream 0.05% 1.30070 09/01/2012All NDCs

Tretinoin Cream 0.1% 1.88661 1.37300 01/01/2013All NDCs

Tretinoin Gel 0.01% 1.44234 06/25/2012All NDCs

Tretinoin Gel 0.025% 1.09195 09/01/2012All NDCs

Tretinoin Microsphere Gel 0.1% 12.67390 10.96356 07/01/2014All NDCs

Triamcinolone Acetonide Cream 0.025% 0.15964 0.18521 08/20/2015All NDCs

Triamcinolone Acetonide Cream 0.1% 0.15190 0.10410 10/01/2015All NDCs

Triamcinolone Acetonide Cream 0.5% 0.51126 06/25/2012All NDCs

Triamcinolone Acetonide Dental Paste 0.1% 10.65127 9.96000 07/01/2016All NDCs

Triamcinolone Acetonide Lotion 0.025% 0.46350 06/25/2012All NDCs

Triamcinolone Acetonide Lotion 0.1% 0.55620 0.48333 04/01/2016All NDCs

Triamcinolone Acetonide Oint 0.025% 0.05360 0.29406 12/20/2013All NDCs

Triamcinolone Acetonide Oint 0.05% 0.06419 06/25/2012All NDCs

Triamcinolone Acetonide Oint 0.1% 0.13438 0.09560 10/01/2015All NDCs

Triamcinolone Acetonide Oint 0.5% 0.52014 06/25/2012All NDCs

Triamcinolone Acetonide Powder 6.72000 06/25/2012All NDCs

Triamterene & Hydrochlorothiazide Cap

37.5-25 MG

0.15169 06/25/2012All NDCs

Triamterene & Hydrochlorothiazide Cap 50-25

MG

1.60433 06/25/2012All NDCs

Triamterene & Hydrochlorothiazide Tab

37.5-25 MG

0.13984 06/25/2012All NDCs

Triamterene & Hydrochlorothiazide Tab 75-50

MG

0.20500 08/01/2012All NDCs

Triazolam Tab 0.125 MG 0.28169 06/25/2012All NDCs

Triazolam Tab 0.25 MG 0.15000 0.99840 06/06/2016All NDCs

Trifluoperazine HCl Tab 1 MG 0.43754 06/25/2012All NDCs

Trifluoperazine HCl Tab 10 MG 1.22418 0.76098 07/01/2013All NDCs



Trifluridine Ophth Soln 1% 15.89295 06/25/2012All NDCs

Trihexyphenidyl HCl Tab 2 MG 0.11924 06/25/2012All NDCs

Trihexyphenidyl HCl Tab 5 MG 0.21463 0.13130 01/01/2013All NDCs

Trimethobenzamide HCl Cap 300 MG 1.22440 06/25/2012All NDCs

Trimethoprim Tab 100 MG 0.24744 09/01/2012All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


Triprolidine & Pseudoephedrine Tab 2.5-60

MG

0.05668 04/20/2016All NDCs

Tropicamide Ophth Soln 0.5% 0.65500 04/20/2016All NDCs

Tropicamide Ophth Soln 1% 3.62000 04/20/2016All NDCs

Trospium Chloride Tab 20 MG 1.50421 07/01/2016All NDCs

TRUPLUS LANC MIS 28G (56151014260) 0.05021 10/14/2011Specific NDC

Trypsin w/ Castor Oil & Peruvian Balsam Oint 0.87600 06/25/2012All NDCs

TUMS CHW 500MG (00135007003) 0.03454 10/14/2011Specific NDC





TUMS E-X CHW 750MG (00135007422) 0.04376 10/14/2011Specific NDC












TUMS KIDS CHW 750MG (00135046901) 0.08604 10/14/2011Specific NDC

TUMS SMOOTHI CHW 750MG

(00135024402)

0.05689 10/14/2011Specific NDC

TUMS SMOOTHI CHW 750MG

(00135045603)

0.05689 10/14/2011Specific NDC

TUMS ULTRA CHW 1000MG

(00135011883)

0.04741 10/14/2011Specific NDC


(00135011983)

0.04741 10/14/2011Specific NDC


(00135018014)

0.03891 10/14/2011Specific NDC


(00135018103)

0.05472 10/14/2011Specific NDC


(00135018114)

0.03891 10/14/2011Specific NDC


(00135022801)

0.05472 10/14/2011Specific NDC

TYR COOLER LIQ (50600053992) 0.17500 10/14/2011Specific NDC

TYREX-2 POW (70074051127) 0.14906 10/14/2011Specific NDC

ULTILET MIS 26G (08326261001) 0.04635 10/14/2011Specific NDC



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC





ULTILET MIS LANCETS (08326280001) 0.04635 10/14/2011Specific NDC

ULTILET MIS LANCETS (08326280002) 0.04635 10/14/2011Specific NDC

ULTRA MEGA TAB 75MG CR

(48107005067)

0.17500 07/01/2010Specific NDC

ULTRA MEGA TAB TWO (48107005064) 0.17500 07/01/2010Specific NDC

ULTRA MEGA TAB TWO (48107005065) 0.17500 07/01/2010Specific NDC

ULTRA MEGA G TAB 100MG (48107005070) 0.17500 07/01/2010Specific NDC



ULTRA MEGA G TAB 75MG CR

(48107005066)

0.17500 07/01/2010Specific NDC

ULTRA THIN MIS LANCETS

(50428235155)

0.03140 10/14/2011Specific NDC


(50428235157)

0.03993 10/14/2011Specific NDC


(98302000106)

0.08497 10/14/2011Specific NDC

UNILET MIS 21G (08470040001) 0.03595 10/14/2011Specific NDC

UNILET EX II MIS 28G (08214053001) 0.02687 10/14/2011Specific NDC




UNILET EXCEL MIS 23G (08214051001) 0.02687 10/14/2011Specific NDC




UNILET G.P MIS SUPR 23G

(08214045001)

0.02850 10/14/2011Specific NDC

UNILET G.P MIS SUPR 23G

(08214045501)

0.03568 10/14/2011Specific NDC

UNILET G.P. MIS 21G (08214041401) 0.03336 10/14/2011Specific NDC




UNILET GP 28 MIS ULT THIN

(08214092001)

0.02618 10/14/2011Specific NDC


(08214092501)

0.02781 10/14/2011Specific NDC


(08470092001)

0.03595 10/14/2011Specific NDC



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC



(08470092501)

0.04341 10/14/2011Specific NDC

UNILET LANCE MIS 21G (08214040001) 0.03452 10/14/2011Specific NDC

UNILET SUPER MIS 23G (08214044001) 0.03452 10/14/2011Specific NDC




UNILET SUPER MIS G.P. 23G

(08470045001)

0.03715 10/14/2011Specific NDC

UNILET SUPER MIS G.P. 23G

(08470045501)

0.04156 10/14/2011Specific NDC

UNISTIK 3 MIS COMFORT (08470104701) 0.21383 10/14/2011Specific NDC

UNISTIK 3 MIS EXTRA (08470101201) 0.20270 10/14/2011Specific NDC

UNISTIK 3 MIS EXTRA (08470101401) 0.18030 10/14/2011Specific NDC

UNISTIK 3 MIS NORMAL (08470100701) 0.21383 10/14/2011Specific NDC

UNISTIK CZT MIS COMFORT

(08470104801)

0.21630 10/14/2011Specific NDC

UNISTIK CZT MIS NORMAL (08470100801) 0.21630 10/14/2011Specific NDC

UNIVERSAL 1 MIS LANC 26G

(38396030137)

0.04519 10/14/2011Specific NDC

UNIVERSAL 1 MIS LANC 30G

(38396030537)

0.04519 10/14/2011Specific NDC

Urea Cream 20% 0.12148 06/25/2012All NDCs

Urea Cream 40% 0.23867 06/25/2012All NDCs

Urea Lotion 10% 0.04100 06/25/2012All NDCs

Urea Lotion 40% 0.13022 09/01/2012All NDCs

Ursodiol Cap 300 MG 4.38721 3.94956 07/01/2016All NDCs

Ursodiol Tab 250 MG 2.57508 1.97317 04/03/2013All NDCs

Ursodiol Tab 500 MG 2.72958 2.06215 10/01/2015All NDCs

Valacyclovir HCl Tab 1 GM 0.89301 0.87387 07/01/2016All NDCs

Valacyclovir HCl Tab 500 MG 0.57964 0.50659 10/01/2016All NDCs

Valganciclovir HCl Tab 450 MG (Base

Equivalent)

43.34338 04/01/2016All NDCs

Valproate Sodium Syrup 250 MG/5ML (Base

Equiv)

0.01547 0.09740 08/26/2015All NDCs

Valproic Acid Cap 250 MG 0.18200 09/01/2012All NDCs

Valsartan Tab 160 MG 0.58611 0.51100 10/01/2016All NDCs


Valsartan Tab 40 MG 0.56833 04/01/2015All NDCs


Valsartan-Hydrochlorothiazide Tab 160-12.5

MG

0.47955 10/01/2014All NDCs

Valsartan-Hydrochlorothiazide Tab 160-25 MG 0.44015 0.40078 10/01/2016All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC



MG

0.52867 0.32000 10/01/2016All NDCs

Valsartan-Hydrochlorothiazide Tab 320-25 MG 0.56778 0.35000 10/01/2016All NDCs


MG

0.45377 0.43467 01/01/2016All NDCs

Vancomycin HCl Cap 125 MG 10.17736 04/01/2016All NDCs

Vancomycin HCl Cap 250 MG 23.40000 12.76900 07/01/2015All NDCs

Vancomycin HCl For Inj 10 GM 133.73837 45.88552 04/02/2014All NDCs

Vancomycin HCl For Inj 1000 MG 5.18570 09/01/2012All NDCs

Vancomycin HCl For Inj 500 MG 3.03950 06/25/2012All NDCs

Vancomycin HCl For Inj 5000 MG 25.90974 20.77995 04/02/2014All NDCs

Vancomycin HCl in Dextrose Inj 1 GM/200ML 0.09352 06/25/2012All NDCs

Venlafaxine HCl Cap SR 24HR 150 MG (Base

Equivalent)

0.31617 0.34521 05/02/2016All NDCs

Venlafaxine HCl Cap SR 24HR 37.5 MG

(Base Equivalent)

0.28386 0.25755 10/01/2015All NDCs

Venlafaxine HCl Cap SR 24HR 75 MG (Base

Equivalent)

0.23606 0.17520 10/01/2016All NDCs

Venlafaxine HCl Tab 100 MG 0.38250 0.36629 10/01/2015All NDCs


Venlafaxine HCl Tab 37.5 MG 0.27142 0.34820 10/06/2015All NDCs



Venlafaxine HCl Tab SR 24HR 150 MG (Base

Equivalent)

3.85140 2.78222 10/01/2015All NDCs

Venlafaxine HCl Tab SR 24HR 37.5 MG

(Base Equivalent)

1.69214 2.26520 06/18/2015All NDCs

Venlafaxine HCl Tab SR 24HR 75 MG (Base

Equivalent)

2.43575 2.19513 07/01/2014All NDCs

Verapamil HCl Cap SR 24HR 100 MG 1.45230 06/25/2012All NDCs

Verapamil HCl Cap SR 24HR 120 MG 0.77156 0.47746 01/01/2015All NDCs






Verapamil HCl Tab 120 MG 0.10736 06/25/2012All NDCs



Verapamil HCl Tab CR 120 MG 0.72406 0.33579 10/01/2012All NDCs



VIACTIV MULT CHW VITAMIN

(00045016415)

0.17500 01/01/2012Specific NDC



Product Description

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SMAC Price

Current

SMAC Price

Current SMAC


Vinblastine Sulfate For Inj 10 MG 0.79401 06/25/2012All NDCs

Vinblastine Sulfate Inj 1 MG/ML 1.02174 4.30000 09/15/2016All NDCs

Vincristine Sulfate IV Soln 1 MG/ML 4.05657 5.26000 09/15/2016All NDCs

VITA-BOB CAP (00372002701) 0.17500 07/01/2010Specific NDC

VITA-PLUS H CAP (00372002401) 0.17500 07/01/2010Specific NDC

VITAFOL-ONE CAP (00642007030) 0.45000 10/02/2013Specific NDC

VITAMAX CHW (49813000101) 0.17500 11/20/2011Specific NDC

Vitamin E Cap 1000 Unit 0.17424 06/25/2012All NDCs

Vitamin E Cap 400 Unit 0.05316 06/25/2012All NDCs

VITASANA TAB (93190008039) 0.17500 07/01/2010Specific NDC

VITASANA TAB (93190008040) 0.17500 07/01/2010Specific NDC

Voriconazole Tab 200 MG 45.02960 36.67480 01/01/2013All NDCs

VPRIV INJ 400UNIT (54092070104) 1,365.80000 02/20/2012Specific NDC

W&F LANCETS MIS 21G (38396016201) 0.04519 10/14/2011Specific NDC

W&F LANCETS MIS 26G (38396090178) 0.04519 10/14/2011Specific NDC

Warfarin Sodium Tab 1 MG 0.10079 09/01/2012All NDCs

Warfarin Sodium Tab 10 MG 0.35027 0.13654 01/01/2013All NDCs


Warfarin Sodium Tab 2.5 MG 0.12746 0.23521 08/11/2015All NDCs





Warfarin Sodium Tab 7.5 MG 0.17750 09/01/2012All NDCs

Water For Injection 0.02317 06/25/2012All NDCs

Water For Irrigation, Sterile Irrigation Soln 0.00338 06/25/2012All NDCs

Water For IV Injection 0.01613 06/25/2012All NDCs

WEIGHT SMART TAB ADVANCED

(16500051328)

0.17500 10/14/2011Specific NDC

WEIGHT SMART TAB ADVANCED

(16500051329)

0.17500 10/14/2011Specific NDC

White Petrolatum Gel 0.01902 06/25/2012All NDCs

WITEPSOL H15 MIS (51552085806) 0.02855 02/19/2012Specific NDC

WOMENS PAK (31604001015) 0.17500 11/11/2011Specific NDC

WOMENS BIO- TAB MULTIPLE

(48107000008)

0.17500 10/30/2011Specific NDC

WOMENS MENOP MIS VITA PAK

(48107004673)

0.17500 07/01/2010Specific NDC

WOMENS VITA MIS PAK (48107004676) 0.17500 07/01/2010Specific NDC

Zafirlukast Tab 10 MG 1.59080 1.29894 01/01/2013All NDCs

Zafirlukast Tab 20 MG 1.24528 1.18906 04/03/2013All NDCs

Zaleplon Cap 10 MG 0.69076 0.31238 01/01/2013All NDCs



Product Description

Previous

SMAC Price

Current

SMAC Price

Current SMAC


Zaleplon Cap 5 MG 0.30948 09/01/2012All NDCs

Zidovudine Cap 100 MG 1.55998 06/25/2012All NDCs

Zidovudine Syrup 10 MG/ML 0.18160 06/25/2012All NDCs

Zidovudine Tab 300 MG 0.85199 0.42510 10/01/2015All NDCs

Zinc Gluconate Tab 50 MG (Elemental Zn) 0.17500 06/25/2012All NDCs

Zinc Oxide Oint 20% 0.08423 06/25/2012All NDCs

Zinc Oxide Oint 40% 0.01650 06/25/2012All NDCs

Zinc Sulfate Cap 220 MG (50 MG Elemental

Zn)

0.02652 06/25/2012All NDCs

Zinc Tab 50 MG 0.02436 06/25/2012All NDCs

Ziprasidone HCl Cap 20 MG 0.94585 0.85697 01/01/2016All NDCs




Zolpidem Tartrate Tab 10 MG 0.06584 06/25/2012All NDCs

Zolpidem Tartrate Tab 5 MG 0.06584 06/25/2012All NDCs

Zolpidem Tartrate Tab CR 12.5 MG 1.32555 1.16401 01/01/2016All NDCs

Zolpidem Tartrate Tab CR 6.25 MG 3.08168 1.74938 01/01/2015All NDCs

Zonisamide Cap 100 MG 0.21713 0.17432 04/02/2014All NDCs

Zonisamide Cap 25 MG 0.18059 06/25/2012All NDCs

Zonisamide Cap 50 MG 0.19752 06/25/2012All NDCs

ZOVIA 1/50E TAB (52544038428) 0.91844 10/14/2011Specific NDC

ZYRTEC ALLGY TAB 10MG (50580072632) 0.16460 10/14/2011Specific NDC



ZYRTEC CHILD CHW ALG 10MG

(50580072219)

0.69782 10/14/2011Specific NDC

ZYRTEC-D TAB 5-120MG (49999049012) 2.66384 10/14/2011Specific NDC







Documents

Utah State Maximum Allowable Cost List · Utah State Maximum Allowable Cost List as of 11/9/2016 SMAC disputes MUST be submitted to Changehealthcare for review within 30 days of the