A19-J.10-PWS TECHNICAL EXHIBIT 3D-CY2023 PHARMACY TRANSACTIONS FOR THE LS PROGRAM.xlsx

XLSX spreadsheet 56 KB Posted Sep 30, 2024

Attached to: PHARMACY BENEFITS MANAGEMENT SERVICES (PBM) Federal contract opportunity
Solicitation number: 1605C3-24-R-00011
Issued by: Department of Labor Office of the Assistant Secretary for Administration and Management

About this file

Written by GovTribe AI · Sep 30, 2024

This document is a federal contract opportunity for Pharmacy Benefits Management (PBM) Services on behalf of the U.S. Department of Labor (DOL), Office of Workers' Compensation Programs (OWCP). The Government anticipates a single award fixed priced contract. Questions regarding the Request for Proposal (RFP) must be submitted by October 21, 2024, and responses will be provided as an amendment to the solicitation. Proposals are due on a date to be specified in a later amendment. The solicitation seeks PBM services, and offers a fixed price contract. No other details about specific products, services, or requirements are provided in this file.

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Other files for this federal contract opportunity

Other files attached to PHARMACY BENEFITS MANAGEMENT SERVICES (PBM), newest first.
File	Type	Posted
RFP PBM Amend 0004.pdf	PDF	Feb 13, 2025
1605C3-24-R-00011 Amend 00003.pdf	PDF	Jan 23, 2025
QAs Amend 0002- FINAL.pdf	PDF	Jan 13, 2025
RFP PBM Amend 0002.pdf	PDF	Jan 13, 2025
A19-J.14 - PWS TECHNICAL EXHIBIT 6 - FULL PASS THROUGH PRICING EXAMPLES.docx	DOCX document	Dec 6, 2024
A19-J.17 - OWCP Award Term Plan-.docx	DOCX document	Dec 6, 2024
PBM III QUESTION_AND_ANSWERS.xlsx	XLSX spreadsheet	Dec 6, 2024
A19 - REVISED SOLICITATION 1605C3-24-R-00011.pdf	PDF	Dec 6, 2024
A19-J.4 – PBM DISCOUNT REBATE FEES WORKBOOK rev.xlsx	XLSX spreadsheet	Dec 6, 2024
A19-J.15 - DOL Cybersecurity Policy Portfolio.pdf	PDF	Dec 6, 2024
A19-J16- DLMS 7 Chapter 1100.pdf	PDF	Dec 6, 2024
A19-J.3 - QUESTION AND ANSWER SPREADSHEET.xlsx	XLSX spreadsheet	Sep 30, 2024
A19-J.1 – PAST PERFORMANCE QUESTIONNAIRE.docx	DOCX document	Sep 30, 2024
A19-J.12- PWS TECHNICAL EXHIBIT 4- STAFF PORTAL DATA ELEMENTS (2).docx	DOCX document	Sep 30, 2024
A19-J.8 -PWS TECHNICAL EXHIBIT 3B- CY2023 PHARMACY TRANSACTIONS FOR THE DEEOIC PROGRAM.xlsx	XLSX spreadsheet	Sep 30, 2024
A19-J.7-PWS TECHNICAL EXHIBIT 3A- CY2023 PHARMACY TRANSACTIONS FOR THE DCMWC PROGRAM (1).xlsx	XLSX spreadsheet	Sep 30, 2024
A19-J.5-PWS TECHNICAL EXHIBIT 1- PERFORMANCE REQUIREMENTS SUMMARY.docx	DOCX document	Sep 30, 2024
RFP 1605C3-24-R-00011.pdf	PDF	Sep 30, 2024
A19-J.11-PWS TECHNICAL EXHIBIT 3E- DME AND DIAGNOSTICS BILLS FOR ALL PROGRAMS.xlsx	XLSX spreadsheet	Sep 30, 2024
A19-J.6-PWS TECHNICAL EXHIBIT 2- DELIVERABLES SCHEDULE (1).docx	DOCX document	Sep 30, 2024
A19-J.2 – SMALL BUSINESS SUBCONTRACTING PLAN TEMPLATE 9.29.24.xlsx	XLSX spreadsheet	Sep 30, 2024
A19-J.13 -PWS TECHNICAL EXHIBIT 5- EXAMPLES OF FORMULARY FILES AND THEIR REQUIRED DATA (1).xlsx	XLSX spreadsheet	Sep 30, 2024
A19-J.9 -PWS TECHNICAL EXHIBIT 3C- CY2023 PHARMACY TRANSACTIONS FOR THE FECA PROGRAM.xlsx	XLSX spreadsheet	Sep 30, 2024
A19-J.4 – PBM DISCOUNT REBATE FEES WORKBOOK.xlsx	XLSX spreadsheet	Sep 30, 2024

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Longshore RX Transactions

Case Number Redacted	State	Prescriber DEA Number	Pharmacy Number	Rx Number	Date of Service	NDC	NDC Description	Compound	Quantity	Days Supply
134132403-0270752341-23412345234	MD	BS5947013	3953228	000000850382	01/22/2023	72888001400	CYCLOBENZAPR TAB 10MG	No	90	30
134132403-0270752341-23412345234	MD	BS5947013	3953228	000005127264	01/22/2023	39532296032	CMPD-HYDROCODO/ACETAMIN/M	Yes	90	30
245302-120765234145135416622	PA	BS1972997	3914175	000001302716	01/17/2023	59011041010	OXYCONTIN TAB 10MG CR	No	60	30
24536-178015234145135416622	AL	BB5391406	0103010	000000797738	01/30/2023	68180078001	ZOLPIDEM ER TAB 12.5MG	No	30	30
24536-143531234145135416622	US	FE0105836	0132681	000002795517	01/09/2023	00093719801	FLUOXETINE CAP 40MG	No	60	30
24536-143531234145135416622	US	FE0105836	0132681	000002797593	01/11/2023	60505265301	TRAZODONE TAB 50MG	No	30	30
24536-143531234145135416622	US	FE0105836	0132681	000002797594	01/11/2023	59148003713	REXULTI TAB 1MG	No	30	30
245307-148011234145135416622	AL	FB6078580	0105583	000001491256	01/09/2023	00406012510	HYDROCO/APAP TAB 10-325MG	No	90	30
245307-148011234145135416622	AL	FB6078580	0105583	000001491258	01/12/2023	70010075401	METHOCARBAM TAB 500MG	No	60	15
24536-200402234145135416622	US	BC0376257	0130839	000001656422	01/23/2023	00406012505	HYDROCO/APAP TAB 10-325MG	No	60	30
24536-200402234145135416622	US	BC0376257	0130839	000001656423	01/23/2023	45963055650	GABAPENTIN CAP 300MG	No	90	30
24536-200402234145135416622	US	MB5327146	0130839	000001632290	01/23/2023	00904699860	DOCUSATE SOD CAP 100MG	No	30	30
24536-200402234145135416622	US	MB5327146	0130839	000001651482	01/13/2023	00480095356	NAPROXEN SOD TAB 750MG ER	No	30	30
24536-200402234145135416622	US	MB5327146	0130839	000001656420	01/23/2023	00591352530	LIDOCAINE PAD 5%	No	30	30
134125406-17965431432155	AL	AC5607277	0111853	000001885313	01/28/2023	69097015907	MELOXICAM TAB 15MG	No	30	30
134125406-17965431432155	AL	AC5607277	0111853	000001885313	01/01/2023	69097015907	MELOXICAM TAB 15MG	No	30	30
134125406-17965431432155	AL	AC5607277	0111853	000001885496	01/04/2023	00093005805	TRAMADOL HCL TAB 50MG	No	60	15
134125406-17965431432155	AL	AC5607277	0111853	000001892121	01/04/2023	43386035701	HYDROCO/APAP TAB 7.5-325	No	60	30
24536-078706234145135416622	MS	MB1702059	2503971	000002109888	01/17/2023	47781023005	OXYCOD/APAP TAB 10-325MG	No	97	28
24536-078706234145135416622	MS	MB1702059	2503971	000006726273	01/04/2023	65162055310	METAXALONE TAB 800MG	No	90	30
24536-078706234145135416622	MS	MB1702059	2503971	000006732204	01/17/2023	67877022310	GABAPENTIN CAP 300MG	No	84	28
24536-078706234145135416622	MS	MB1702059	2503971	000006732205	01/17/2023	69097042207	CELECOXIB CAP 100MG	No	30	30
24536-078706234145135416622	MS	MB1702059	2503971	000006732207	01/17/2023	45802011101	DICLOFENAC GEL 3%	No	300	30
24536-078706234145135416622	MS	MB1702059	2503971	000006732208	01/31/2023	65162055310	METAXALONE TAB 800MG	No	90	30
245308-089566234145135416622	TX	BM5516414	4515207	000000227315	01/11/2023	42858080101	MORPHINE SUL TAB 15MG ER	No	60	30
245308-089566234145135416622	TX	BM5516414	4515207	000000227316	01/11/2023	42858030201	HYDROMORPHON TAB 4MG	No	90	30
245308-110327234145135416622	TX	BM5070898	4540589	000000920086	01/16/2023	64980041109	PREGABALIN CAP 50MG	No	60	30
245308-110327234145135416622	TX	BM5070898	4540589	000000925723	01/18/2023	27808003701	HYDROCO/APAP TAB 10-325MG	No	120	30
245306-206584234145135416622	US	FF1454026	1718634	000366077698	01/08/2023	00406052301	OXYCOD/APAP TAB 10-325MG	No	24	8
245306-206584234145135416622	US	FF1454026	1718634	000366077703	01/08/2023	59011044010	OXYCONTIN TAB 40MG CR	No	16	8
245306-206584234145135416622	US	FF1454026	1718634	000368820973	01/23/2023	59011044010	OXYCONTIN TAB 40MG CR	No	60	30
245306-206584234145135416622	US	FF1454026	1718634	000368820982	01/23/2023	00406052301	OXYCOD/APAP TAB 10-325MG	No	90	30
24536-050654234145135416622	FL	FN6229175	1083079	000002173790	01/25/2023	00406052305	OXYCOD/APAP TAB 10-325MG	No	90	30
24536-050654234145135416622	FL	FN6229175	1083079	000002173791	01/25/2023	42858080101	MORPHINE SUL TAB 15MG ER	No	90	30
24536-050654234145135416622	FL	FN6229175	1083079	000006898362	01/25/2023	65649015090	RELISTOR TAB 150MG	No	90	30
245307-094699234145135416622	LA	BH6444892	1936294	000000775876	01/04/2023	59011041010	OXYCONTIN TAB 10MG CR	No	60	30
245307-143727234145135416622	LA	AM7522572	1901669	000001513127	01/21/2023	64380080707	IBUPROFEN TAB 800MG	No	60	30
245307-171960234145135416622	LA	BP9301665	1933553	000000935756	01/27/2023	00406052301	OXYCOD/APAP TAB 10-325MG	No	120	30
245318-085456234145135416622	OR	MP4880577	3810339	000001479292	01/30/2023	16714033002	GABAPENTIN TAB 600MG	No	56	28
245318-085456234145135416622	OR	MP4880577	3810339	000001479292	01/02/2023	16714033002	GABAPENTIN TAB 600MG	No	56	28
245318-085456234145135416622	OR	MP4880577	3810339	000001483763	01/30/2023	27241009990	DULOXETINE CAP 60MG	No	28	28
245318-085456234145135416622	OR	MP4880577	3810339	000001483763	01/02/2023	27241009990	DULOXETINE CAP 60MG	No	28	28
245318-085456234145135416622	OR	MP4880577	3810339	000001499224	01/04/2023	63304075801	MORPHINE SUL TAB 60MG ER	No	56	28
245306-190048234145135416622	AL	FB6078580	0137984	000001086297	01/29/2023	55111018015	TIZANIDINE TAB 4MG	No	60	30
245306-190048234145135416622	AL	FB6078580	0137984	000001086297	01/04/2023	55111018015	TIZANIDINE TAB 4MG	No	60	30
245306-190048234145135416622	AL	FB6078580	0137984	000001086298	01/04/2023	45963055650	GABAPENTIN CAP 300MG	No	90	30
245306-190048234145135416622	AL	FB6078580	0137984	000001086299	01/29/2023	29300041901	AMITRIPTYLIN TAB 10MG	No	30	30
245306-190048234145135416622	AL	FB6078580	0137984	000001086299	01/04/2023	29300041901	AMITRIPTYLIN TAB 10MG	No	30	30
245306-190048234145135416622	AL	FB6078580	0137984	000001086300	01/29/2023	65862090901	CELECOXIB CAP 200MG	No	30	30
245306-190048234145135416622	AL	FB6078580	0137984	000001086300	01/04/2023	65862090901	CELECOXIB CAP 200MG	No	30	30
245306-190048234145135416622	AL	FB6078580	0137984	000001096276	01/24/2023	00406012305	HYDROCO/APAP TAB 5-325MG	No	60	30
245306-318223234145135416622	FL	FP1208912	1051096	000003863542	01/23/2023	42858080301	MORPHINE SUL TAB 60MG ER	No	60	30
245303-027075234145135416622	MD	BS5947013	3953228	000000850382	02/23/2023	72888001400	CYCLOBENZAPR TAB 10MG	No	90	30
245303-027075234145135416622	MD	BS5947013	3953228	000005128742	02/23/2023	39532296033	CMPD-HYDROCODO/ACETAMIN/M	Yes	90	30
245302-120765234145135416622	PA	BS1972997	3914175	000001306748	02/15/2023	59011041010	OXYCONTIN TAB 10MG CR	No	60	30
24536-197367234145135416622	AL	AI9406124	0130839	000001639005	02/26/2023	60219175303	SILDENAFIL TAB 100MG	No	10	30
24536-178015234145135416622	AL	BB5391406	0103010	000000800963	02/22/2023	00054071025	METHADONE TAB 10MG	No	56	28
24536-178015234145135416622	AL	BB5391406	0103010	000000800964	02/27/2023	51991098201	ZOLPIDEM ER TAB 12.5MG	No	30	30
245307-148011234145135416622	AL	FB6078580	0105583	000001491257	02/08/2023	00406012510	HYDROCO/APAP TAB 10-325MG	No	90	30
24536-200402234145135416622	US	BC0376257	0130839	000001667900	02/24/2023	00406012505	HYDROCO/APAP TAB 10-325MG	No	60	30
24536-200402234145135416622	US	MB5327146	0130839	000001632290	02/24/2023	00904699860	DOCUSATE SOD CAP 100MG	No	30	30
24536-200402234145135416622	US	MB5327146	0130839	000001632320	02/24/2023	52817033200	CYCLOBENZAPR TAB 10MG	No	60	30
24536-200402234145135416622	US	MB5327146	0130839	000001656420	02/24/2023	00591352530	LIDOCAINE PAD 5%	No	30	30
245306-179654234145135416622	AL	AC5607277	0111853	000001885496	02/04/2023	65162062711	TRAMADOL HCL TAB 50MG	No	60	15
245306-179654234145135416622	AL	AC5607277	0111853	000001898765	02/04/2023	43386035701	HYDROCO/APAP TAB 7.5-325	No	60	30
24536-078706234145135416622	MS	MD6179433	2503971	000006733902	02/02/2023	67877021905	CEPHALEXIN CAP 500MG	No	20	10
24536-078706234145135416622	MS	MM7474529	2503971	000002110500	02/13/2023	47781023005	OXYCOD/APAP TAB 10-325MG	No	97	24
24536-078706234145135416622	MS	MM7474529	2503971	000006735072	02/13/2023	67877022310	GABAPENTIN CAP 300MG	No	84	28
24536-078706234145135416622	MS	MM7474529	2503971	000006735073	02/13/2023	69097042207	CELECOXIB CAP 100MG	No	30	30
24536-078706234145135416622	MS	MM7474529	2503971	000006735074	02/14/2023	45802011101	DICLOFENAC GEL 3%	No	300	30
24536-078706234145135416622	MS	MM7474529	2503971	000006735075	02/13/2023	13668018630	SILDENAFIL TAB 25MG	No	10	30
245308-089566234145135416622	TX	BM5516414	4515207	000000227621	02/10/2023	00406831501	MORPHINE SUL TAB 15MG ER	No	60	30
245308-089566234145135416622	TX	BM5516414	4515207	000000227622	02/10/2023	42858030201	HYDROMORPHON TAB 4MG	No	90	30
06-2065843251235	US	BH8057576	5741372	000370198633	02/01/2023	49483070350	FLUOXETINE CAP 40MG	No	180	90
06-2065843251235	US	BH8057576	5741372	000370198642	02/27/2023	00378320525	PRAZOSIN HCL CAP 5MG	No	90	90
06-2065843251235	US	BH8057576	5741372	000370198650	02/02/2023	13668018801	SILDENAFIL TAB 100MG	No	90	90
06-2065843251235	US	BH8057576	5741372	000370198653	02/01/2023	64380074207	BUSPIRONE TAB 10MG	No	270	90
06-2065843251235	US	FF1454026	1021384	000003350078	02/23/2023	00406052301	OXYCOD/APAP TAB 10-325MG	No	90	30
06-2065843251235	US	FF1454026	1718634	000368820977	02/16/2023	59011044010	OXYCONTIN TAB 40MG CR	No	60	30
24536-050654234145135416622	FL	FN6229175	1083079	000002174377	02/25/2023	00406052305	OXYCOD/APAP TAB 10-325MG	No	90	30
24536-050654234145135416622	FL	FN6229175	1083079	000002174378	02/25/2023	42858080101	MORPHINE SUL TAB 15MG ER	No	90	30
24536-050654234145135416622	FL	FN6229175	1083079	000004191805	02/24/2023	60505379609	PREGABALIN CAP 100MG	No	270	90
245307-094699234145135416622	LA	BH6444892	1936294	000000783882	02/02/2023	59011041010	OXYCONTIN TAB 10MG CR	No	60	30
245307-143727234145135416622	LA	AM7522572	1901669	000001513127	02/19/2023	64380080707	IBUPROFEN TAB 800MG	No	60	30
245307-157292234145135416622	MS	BC8846721	2586254	000000393560	02/14/2023	65162011511	HYDROCO/APAP TAB 7.5-325	No	60	10
245307-171960234145135416622	LA	BP9301665	1933553	000000902737	02/23/2023	45963055650	GABAPENTIN CAP 300MG	No	90	30
245307-171960234145135416622	LA	BP9301665	1933553	000000941875	02/25/2023	00406052301	OXYCOD/APAP TAB 10-325MG	No	120	30
245318-085456234145135416622	OR	MP4880577	3810339	000001479292	02/27/2023	16714033002	GABAPENTIN TAB 600MG	No	56	28
245318-085456234145135416622	OR	MP4880577	3810339	000001483763	02/27/2023	27241009990	DULOXETINE CAP 60MG	No	28	28
245318-085456234145135416622	OR	MP4880577	3810339	000001499225	02/01/2023	63304075801	MORPHINE SUL TAB 60MG ER	No	56	28
245306-190048234145135416622	AL	FB6078580	0137984	000001086298	02/20/2023	45963055650	GABAPENTIN CAP 300MG	No	90	30
245306-190048234145135416622	AL	FB6078580	0137984	000001112617	02/25/2023	00406012305	HYDROCO/APAP TAB 5-325MG	No	60	30
245306-318223234145135416622	FL	FP1208912	1051096	000003872925	02/14/2023	10702005601	OXYCODONE TAB 10MG	No	120	30
245306-318223234145135416622	FL	FP1208912	1051096	000003875527	02/21/2023	42858080301	MORPHINE SUL TAB 60MG ER	No	60	30
245303-027075234145135416622	MD	BS5947013	3953228	000000885818	03/23/2023	29300041510	CYCLOBENZAPR TAB 10MG	No	90	30
245303-027075234145135416622	MD	BS5947013	3953228	000005128741	03/23/2023	39532296034	CMPD-HYDROCODO/ACETAMIN/M	Yes	90	30
245302-120765234145135416622	PA	BS1972997	3914175	000001310755	03/16/2023	59011041010	OXYCONTIN TAB 10MG CR	No	60	30
24536-197367234145135416622	AL	AI9406124	0130839	000001639005	03/26/2023	60219175303	SILDENAFIL TAB 100MG	No	10	30
24536-178015234145135416622	AL	BB5391406	0103010	000000800964	03/27/2023	51991098201	ZOLPIDEM ER TAB 12.5MG	No	30	30
24536-178015234145135416622	AL	BB5391406	0103010	000000804411	03/22/2023	62332012690	PREGABALIN CAP 300MG	No	60	30
24536-178015234145135416622	AL	BB5391406	0103010	000000804432	03/21/2023	00406577162	METHADONE TAB 10MG	No	60	30
245307-148011234145135416622	AL	AC1910555	0105583	000001497274	03/07/2023	16714047802	AMOX/K CLAV TAB 875-125	No	20	10
245307-148011234145135416622	AL	FB6078580	0105583	000001496735	03/10/2023	00406012510	HYDROCO/APAP TAB 10-325MG	No	90	30
245307-148011234145135416622	AL	FB6078580	0105583	000001496738	03/01/2023	70010075401	METHOCARBAM TAB 500MG	No	60	30
245307-148011234145135416622	AL	FB6078580	0105583	000001496739	03/01/2023	16714025801	AMITRIPTYLIN TAB 25MG	No	30	30
24536-200402234145135416622	US	BC0376257	0130839	000001678423	03/27/2023	45963055650	GABAPENTIN CAP 300MG	No	90	30
24536-200402234145135416622	US	BC0376257	0130839	000001678424	03/27/2023	00406012505	HYDROCO/APAP TAB 10-325MG	No	60	30
24536-200402234145135416622	US	MB5327146	0130839	000001671636	03/09/2023	00480095356	NAPROXEN SOD TAB 750MG ER	No	30	30
24536-200402234145135416622	US	MB5327146	0130839	000001678418	03/27/2023	00591352530	LIDOCAINE PAD 5%	No	30	15
24536-200402234145135416622	US	MB5327146	0130839	000001678419	03/27/2023	52817033200	CYCLOBENZAPR TAB 10MG	No	60	30
245306-179654234145135416622	AL	AC5607277	0111853	000001904556	03/05/2023	65162011510	HYDROCO/APAP TAB 7.5-325	No	60	30
245306-179654234145135416622	AL	AC5607277	0111853	000001904557	03/05/2023	65162062711	TRAMADOL HCL TAB 50MG	No	60	15
24536-078706234145135416622	MS	MM7474529	2503971	000002111103	03/13/2023	47781023005	OXYCOD/APAP TAB 10-325MG	No	96	24
24536-078706234145135416622	MS	MM7474529	2503971	000006738146	03/13/2023	69097042207	CELECOXIB CAP 100MG	No	30	30
24536-078706234145135416622	MS	MM7474529	2503971	000006738147	03/13/2023	13668018630	SILDENAFIL TAB 25MG	No	10	30
24536-078706234145135416622	MS	MM7474529	2503971	000006738148	03/13/2023	00168084401	DICLOFENAC GEL 3%	No	300	30
24536-078706234145135416622	MS	MM7474529	2503971	000006738149	03/13/2023	65162055310	METAXALONE TAB 800MG	No	90	30
24536-078706234145135416622	MS	MM7474529	2503971	000006738150	03/13/2023	67877022310	GABAPENTIN CAP 300MG	No	84	28
245308-089566234145135416622	TX	BM5516414	4515207	000000227832	03/10/2023	42858080101	MORPHINE SUL TAB 15MG ER	No	60	30
245308-089566234145135416622	TX	BM5516414	4515207	000000227833	03/09/2023	42858030201	HYDROMORPHON TAB 4MG	No	90	30
245308-089566234145135416622	TX	BM5516414	4515207	000001184239	03/10/2023	67877022405	GABAPENTIN CAP 400MG	No	240	30
245308-110327234145135416622	TX	AF2738221	4540589	000000935183	03/29/2023	62332025130	AZITHROMYCIN TAB 250MG	No	6	5
245308-110327234145135416622	TX	BM5070898	4540589	000000931736	03/01/2023	13668011030	DULOXETINE CAP 30MG	No	30	30
245308-110327234145135416622	TX	BM5070898	4540589	000000931741	03/01/2023	27808003701	HYDROCO/APAP TAB 10-325MG	No	120	30
245308-110327234145135416622	TX	BM5070898	4540589	000000931742	03/02/2023	64980041109	PREGABALIN CAP 50MG	No	60	30
245306-206584234145135416622	US	BH8057576	1718634	000370198664	03/11/2023	13668000810	ZOLPIDEM TAB 10MG	No	90	90
245306-206584234145135416622	US	FF1454026	1718634	000368821733	03/14/2023	59011044010	OXYCONTIN TAB 40MG CR	No	16	8
245306-206584234145135416622	US	FF1454026	1718634	000376163647	03/21/2023	59011044010	OXYCONTIN TAB 40MG CR	No	44	22
24536-050654234145135416622	FL	FN6229175	1083079	000002175045	03/30/2023	42858080101	MORPHINE SUL TAB 15MG ER	No	90	30
24536-050654234145135416622	FL	FN6229175	1083079	000002175046	03/30/2023	00406052305	OXYCOD/APAP TAB 10-325MG	No	90	30
245307-094699234145135416622	LA	BH6444892	1936294	000000790899	03/03/2023	59011041010	OXYCONTIN TAB 10MG CR	No	60	30
245307-143727234145135416622	LA	AM7522572	1901669	000001513127	03/19/2023	64380080707	IBUPROFEN TAB 800MG	No	60	30
245307-171960234145135416622	LA	BP9301665	1933553	000000948247	03/26/2023	00406052301	OXYCOD/APAP TAB 10-325MG	No	120	30
245318-085456234145135416622	OR	MP4880577	3810339	000001479291	03/03/2023	71093014105	METHOCARBAM TAB 750MG	No	28	28
245318-085456234145135416622	OR	MP4880577	3810339	000001499226	03/01/2023	63304075801	MORPHINE SUL TAB 60MG ER	No	56	28
245318-085456234145135416622	OR	MP4880577	3810339	000001504789	03/27/2023	16714033002	GABAPENTIN TAB 600MG	No	56	28
245318-085456234145135416622	OR	MP4880577	3810339	000001504845	03/27/2023	27241009990	DULOXETINE CAP 60MG	No	28	28
245318-085456234145135416622	OR	MP4880577	3810339	000001504846	03/27/2023	71093014105	METHOCARBAM TAB 750MG	No	28	28
245318-085456234145135416622	OR	MP4880577	3810339	000001504848	03/29/2023	63304075801	MORPHINE SUL TAB 60MG ER	No	56	28
245306-190048234145135416622	AL	FB6078580	0137984	000001115195	03/06/2023	55111018015	TIZANIDINE TAB 4MG	No	60	30
245306-190048234145135416622	AL	FB6078580	0137984	000001115196	03/06/2023	65862090901	CELECOXIB CAP 200MG	No	30	30
245306-190048234145135416622	AL	FB6078580	0137984	000001115197	03/06/2023	29300041901	AMITRIPTYLIN TAB 10MG	No	30	30
245306-190048234145135416622	AL	FB6078580	0137984	000001124978	03/22/2023	45963055650	GABAPENTIN CAP 300MG	No	90	30
245306-190048234145135416622	AL	FB6078580	0137984	000001126976	03/27/2023	00406012305	HYDROCO/APAP TAB 5-325MG	No	60	30
245306-318223234145135416622	FL	FP1208912	1051096	000003885026	03/16/2023	00406851001	OXYCODONE TAB 10MG	No	120	30
245306-318223234145135416622	FL	FP1208912	1051096	000003887827	03/23/2023	42858080301	MORPHINE SUL TAB 60MG ER	No	60	30
245303-027075234145135416622	MD	BS5947013	3953228	000000885818	04/23/2023	29300041510	CYCLOBENZAPR TAB 10MG	No	90	30
245303-027075234145135416622	MD	BS5947013	3953228	000005128740	04/23/2023	39532296036	CMPD-HYDROCODO/ACETAMIN/M	Yes	90	30
245302-120765234145135416622	PA	BS1972997	3914175	000001315329	04/16/2023	59011041010	OXYCONTIN TAB 10MG CR	No	60	30
24536-197367234145135416622	AL	AI9406124	0130839	000001639005	04/23/2023	60219175303	SILDENAFIL TAB 100MG	No	10	30
24536-178015234145135416622	AL	BB5391406	0103010	000000804411	04/20/2023	62332012690	PREGABALIN CAP 300MG	No	60	30
24536-178015234145135416622	AL	BB5391406	0103010	000000804428	04/24/2023	51991098201	ZOLPIDEM ER TAB 12.5MG	No	30	30
24536-178015234145135416622	AL	BB5391406	0103010	000000804429	04/20/2023	00406577162	METHADONE TAB 10MG	No	60	30
24536-178015234145135416622	AL	ZZ1433654	0103010	000000804770	04/20/2023	65862019105	CYCLOBENZAPR TAB 10MG	No	90	30
24536-143531234145135416622	US	FE0105836	0132681	000002795517	04/28/2023	00093719801	FLUOXETINE CAP 40MG	No	60	30
24536-143531234145135416622	US	FE0105836	0132681	000002797594	04/28/2023	59148003713	REXULTI TAB 1MG	No	30	30
245307-148011234145135416622	AL	FB6078580	0105583	000001496737	04/08/2023	00406012510	HYDROCO/APAP TAB 10-325MG	No	90	30
24536-200402234145135416622	US	BC0376257	0130839	000001678423	04/27/2023	45963055650	GABAPENTIN CAP 300MG	No	90	30
24536-200402234145135416622	US	BC0376257	0130839	000001689134	04/27/2023	00406012505	HYDROCO/APAP TAB 10-325MG	No	60	30
24536-200402234145135416622	US	MB5327146	0130839	000001632290	04/27/2023	00904699860	DOCUSATE SOD CAP 100MG	No	30	30
24536-200402234145135416622	US	MB5327146	0130839	000001678418	04/27/2023	00591352530	LIDOCAINE PAD 5%	No	30	30
24536-200402234145135416622	US	MB5327146	0130839	000001689135	04/29/2023	00480095356	NAPROXEN SOD TAB 750MG ER	No	30	30
24536-200402234145135416622	US	MB5327146	0130839	000001689148	04/27/2023	29300041510	CYCLOBENZAPR TAB 10MG	No	60	30
245306-179654234145135416622	AL	AC5607277	0111853	000001911257	04/06/2023	65162011510	HYDROCO/APAP TAB 7.5-325	No	60	30
24536-078706234145135416622	MS	MM7474529	2503971	000002111697	04/10/2023	47781023005	OXYCOD/APAP TAB 10-325MG	No	95	30
24536-078706234145135416622	MS	MM7474529	2503971	000006741037	04/10/2023	69097042207	CELECOXIB CAP 100MG	No	30	30
24536-078706234145135416622	MS	MM7474529	2503971	000006741038	04/10/2023	45802011101	DICLOFENAC GEL 3%	No	300	30
24536-078706234145135416622	MS	MM7474529	2503971	000006741040	04/10/2023	65162055310	METAXALONE TAB 800MG	No	90	30
245308-089566234145135416622	TX	BM5516414	4515207	000000228047	04/06/2023	00406831501	MORPHINE SUL TAB 15MG ER	No	60	30
245308-089566234145135416622	TX	BM5516414	4515207	000001186415	04/06/2023	67877022405	GABAPENTIN CAP 400MG	No	240	30
245308-110327234145135416622	TX	BM5070898	4540589	000000935919	04/03/2023	27808003701	HYDROCO/APAP TAB 10-325MG	No	120	30
245308-110327234145135416622	TX	BM5070898	4540589	000000935926	04/03/2023	65862053750	LEVOFLOXACIN TAB 500MG	No	14	14
245306-206584234145135416622	US	FF1454026	1718634	000380138238	04/17/2023	59011044010	OXYCONTIN TAB 40MG CR	No	60	30
245306-206584234145135416622	US	MR4199053	1718634	000380127477	04/17/2023	45802081184	NALOXONE HCL SPR 4MG	No	4	60
24536-050654234145135416622	FL	FN6229175	1083079	000002175612	04/30/2023	00406052305	OXYCOD/APAP TAB 10-325MG	No	90	30
24536-050654234145135416622	FL	FN6229175	1083079	000006915551	03/30/2023	65649015090	RELISTOR TAB 150MG	No	90	30
245307-094699234145135416622	LA	BH6444892	1936294	000000799268	04/11/2023	59011041010	OXYCONTIN TAB 10MG CR	No	60	30
245307-143727234145135416622	LA	AM7522572	1901669	000001513127	04/15/2023	64380080707	IBUPROFEN TAB 800MG	No	60	30
245307-143727234145135416622	LA	FD3135301	1901669	000001542028	04/26/2023	69097015907	MELOXICAM TAB 15MG	No	30	30
245307-143727234145135416622	LA	FD3135301	1901669	000001542036	04/26/2023	00591252001	CHLORZOXAZON TAB 500MG	No	90	30
245307-171960234145135416622	LA	BP9301665	1933553	000000954975	04/25/2023	00406052301	OXYCOD/APAP TAB 10-325MG	No	120	30
245318-085456234145135416622	OR	MP4880577	3810339	000001504789	04/24/2023	16714033002	GABAPENTIN TAB 600MG	No	56	28
245318-085456234145135416622	OR	MP4880577	3810339	000001504845	04/24/2023	27241009990	DULOXETINE CAP 60MG	No	28	28
245318-085456234145135416622	OR	MP4880577	3810339	000001504846	04/24/2023	71093014105	METHOCARBAM TAB 750MG	No	28	28
245318-085456234145135416622	OR	MP4880577	3810339	000001504849	04/26/2023	42858080301	MORPHINE SUL TAB 60MG ER	No	56	28
245318-085456234145135416622	OR	MP4880577	4904517	000000174118	04/10/2023	49045196053	CMPD-KETAMINE/BENZALKON/	Yes	60	74
245306-190048234145135416622	AL	FB6078580	0137984	000001115195	04/01/2023	55111018015	TIZANIDINE TAB 4MG	No	60	30
245306-190048234145135416622	AL	FB6078580	0137984	000001115196	04/01/2023	65862090901	CELECOXIB CAP 200MG	No	30	30
245306-190048234145135416622	AL	FB6078580	0137984	000001115197	04/01/2023	29300041901	AMITRIPTYLIN TAB 10MG	No	30	30
245306-190048234145135416622	AL	FB6078580	0137984	000001124978	04/23/2023	45963055650	GABAPENTIN CAP 300MG	No	90	30
245306-190048234145135416622	AL	FB6078580	0137984	000001143046	04/27/2023	00406012305	HYDROCO/APAP TAB 5-325MG	No	60	30
245306-318223234145135416622	FL	FP1208912	1051096	000003898845	04/20/2023	00406851001	OXYCODONE TAB 10MG	No	120	30
245303-027075234145135416622	MD	BS5947013	3953228	000000885818	05/23/2023	29300041510	CYCLOBENZAPR TAB 10MG	No	90	30
245303-027075234145135416622	MD	BS5947013	3953228	000005129664	05/23/2023	39532296037	CMPD-HYDROCODO/ACETAMIN/M	Yes	90	30
245302-120765234145135416622	PA	BS1972997	3914175	000001319153	05/15/2023	59011041010	OXYCONTIN TAB 10MG CR	No	60	30
24536-197367234145135416622	AL	AI9406124	0130839	000001698834	05/25/2023	60219175303	SILDENAFIL TAB 100MG	No	10	30
24536-178015234145135416622	AL	BB5391406	0103010	000000812650	05/22/2023	00406577162	METHADONE TAB 10MG	No	60	30
24536-178015234145135416622	AL	BB5391406	0103010	000000812652	05/22/2023	62332012690	PREGABALIN CAP 300MG	No	60	30
24536-178015234145135416622	AL	BB5391406	0103010	000000813250	05/22/2023	51991098201	ZOLPIDEM ER TAB 12.5MG	No	30	30
24536-178015234145135416622	AL	ZZ1433654	0103010	000000804770	05/18/2023	65862019105	CYCLOBENZAPR TAB 10MG	No	90	30
24536-143531234145135416622	US	FE0105836	0132681	000002795517	05/30/2023	00093719801	FLUOXETINE CAP 40MG	No	60	30
24536-143531234145135416622	US	FE0105836	0132681	000002886298	05/30/2023	59148003813	REXULTI TAB 2MG	No	30	30
245307-148011234145135416622	AL	FB6078580	0105583	000001502964	05/04/2023	16714025801	AMITRIPTYLIN TAB 25MG	No	30	30
245307-148011234145135416622	AL	FB6078580	0105583	000001502979	05/04/2023	70010075401	METHOCARBAM TAB 500MG	No	60	30
245307-148011234145135416622	AL	FB6078580	0105583	000001502982	05/08/2023	00406012510	HYDROCO/APAP TAB 10-325MG	No	90	30
24536-200402234145135416622	US	BC0376257	0130839	000001699415	05/27/2023	00406012505	HYDROCO/APAP TAB 10-325MG	No	60	30
24536-200402234145135416622	US	BC0376257	0130839	000001699416	05/27/2023	45963055650	GABAPENTIN CAP 300MG	No	90	30
24536-200402234145135416622	US	MB5327146	0130839	000001678418	05/27/2023	00591352530	LIDOCAINE PAD 5%	No	30	15
24536-200402234145135416622	US	MB5327146	0130839	000001689135	05/31/2023	00480095356	NAPROXEN SOD TAB 750MG ER	No	30	30
24536-200402234145135416622	US	MB5327146	0130839	000001689148	05/27/2023	29300041510	CYCLOBENZAPR TAB 10MG	No	60	30
245306-179654234145135416622	AL	AC5607277	0111853	000001904557	05/08/2023	65162062711	TRAMADOL HCL TAB 50MG	No	60	15
245306-179654234145135416622	AL	AC5607277	0130459	000002826181	05/16/2023	00406012405	HYDROCO/APAP TAB 7.5-325	No	60	30
24536-078706234145135416622	MS	MM7474529	2503971	000002112309	05/08/2023	47781023005	OXYCOD/APAP TAB 10-325MG	No	94	24
24536-078706234145135416622	MS	MM7474529	2503971	000006743864	05/08/2023	67877022310	GABAPENTIN CAP 300MG	No	84	28
24536-078706234145135416622	MS	MM7474529	2503971	000006743865	05/08/2023	45802011101	DICLOFENAC GEL 3%	No	300	30
24536-078706234145135416622	MS	MM7474529	2503971	000006743866	05/08/2023	65162055310	METAXALONE TAB 800MG	No	90	30
24536-078706234145135416622	MS	MM7474529	2503971	000006743867	05/08/2023	69097042207	CELECOXIB CAP 100MG	No	30	30
245308-089566234145135416622	TX	BM5516414	4515207	000000228242	05/04/2023	00406831501	MORPHINE SUL TAB 15MG ER	No	60	30
245308-089566234145135416622	TX	BM5516414	4515207	000000228248	05/04/2023	42858030201	HYDROMORPHON TAB 4MG	No	90	30
245308-089566234145135416622	TX	BM5516414	4515207	000001188318	05/04/2023	67877022405	GABAPENTIN CAP 400MG	No	240	30
245306-206584234145135416622	US	BH8057576	1718634	000381545642	05/31/2023	13668000810	ZOLPIDEM TAB 10MG	No	90	90
245306-206584234145135416622	US	BH8057576	1718634	000381545680	05/14/2023	00378320525	PRAZOSIN HCL CAP 5MG	No	90	90
245306-206584234145135416622	US	BH8057576	5741372	000381545654	04/28/2023	49483070350	FLUOXETINE CAP 40MG	No	180	90
245306-206584234145135416622	US	BH8057576	5741372	000381545668	04/28/2023	64380074207	BUSPIRONE TAB 10MG	No	270	90
245306-206584234145135416622	US	BH8057576	5741372	000381545677	05/02/2023	13668018801	SILDENAFIL TAB 100MG	No	90	90
245306-206584234145135416622	US	FF1454026	1718634	000380138062	05/14/2023	00406052301	OXYCOD/APAP TAB 10-325MG	No	90	30
245306-206584234145135416622	US	FF1454026	1718634	000380138244	05/14/2023	59011044010	OXYCONTIN TAB 40MG CR	No	60	30
24536-050654234145135416622	FL	FN6229175	1083079	000002175718	05/04/2023	42858080101	MORPHINE SUL TAB 15MG ER	No	90	30
24536-050654234145135416622	FL	FN6229175	1083079	000002175978	05/31/2023	42858010450	OXYCOD/APAP TAB 10-325MG	No	90	30
24536-050654234145135416622	FL	FN6229175	1083079	000004192934	05/18/2023	60505379609	PREGABALIN CAP 100MG	No	270	90
24536-050654234145135416622	FL	FN6229175	1083079	000006920550	04/28/2023	65649015090	RELISTOR TAB 150MG	No	90	30
245307-094699234145135416622	LA	BH6444892	1936294	000000808234	05/10/2023	59011041010	OXYCONTIN TAB 10MG CR	No	18	9
245307-094699234145135416622	LA	BH6444892	1936294	000000810692	05/22/2023	59011041010	OXYCONTIN TAB 10MG CR	No	60	30
245307-143727234145135416622	LA	AM7522572	1901669	000001513127	05/11/2023	64380080707	IBUPROFEN TAB 800MG	No	60	30
245307-143727234145135416622	LA	FD3135301	1901669	000001548284	05/24/2023	00591252001	CHLORZOXAZON TAB 500MG	No	90	30
245307-143727234145135416622	LA	FD3135301	1901669	000001548525	05/24/2023	69097015907	MELOXICAM TAB 15MG	No	30	30
245307-157292234145135416622	MS	BC8846721	2586254	000000400290	05/16/2023	00406012405	HYDROCO/APAP TAB 7.5-325	No	60	20
245307-171960234145135416622	LA	BP9301665	1933553	000000960902	05/23/2023	00406052301	OXYCOD/APAP TAB 10-325MG	No	120	30
245318-085456234145135416622	OR	MP4880577	3810339	000001504789	05/22/2023	16714033002	GABAPENTIN TAB 600MG	No	56	28
245318-085456234145135416622	OR	MP4880577	3810339	000001504845	05/22/2023	27241009990	DULOXETINE CAP 60MG	No	28	28
245318-085456234145135416622	OR	MP4880577	3810339	000001504846	05/22/2023	71093014105	METHOCARBAM TAB 750MG	No	28	28
245318-085456234145135416622	OR	MP4880577	3810339	000001504850	05/24/2023	42858080301	MORPHINE SUL TAB 60MG ER	No	56	28
245306-190048234145135416622	AL	FB6078580	0137984	000001152977	05/18/2023	65862090901	CELECOXIB CAP 200MG	No	30	30
245306-190048234145135416622	AL	FB6078580	0137984	000001152978	05/20/2023	29300041901	AMITRIPTYLIN TAB 10MG	No	30	30
245306-190048234145135416622	AL	FB6078580	0137984	000001152979	05/20/2023	55111018015	TIZANIDINE TAB 4MG	No	60	30
245306-190048234145135416622	AL	FB6078580	0137984	000001154812	05/22/2023	45963055650	GABAPENTIN CAP 300MG	No	90	30
245306-318223234145135416622	FL	FP1208912	1051096	000003911183	05/23/2023	00406851001	OXYCODONE TAB 10MG	No	120	30
245306-318223234145135416622	FL	FP1208912	1051096	000003913204	05/28/2023	42858080301	MORPHINE SUL TAB 60MG ER	No	60	30
245303-027075234145135416622	MD	BS5947013	3953228	000000885818	06/22/2023	29300041510	CYCLOBENZAPR TAB 10MG	No	90	30
245303-027075234145135416622	MD	BS5947013	3953228	000005130698	06/22/2023	39532296039	CMPD-HYDROCODO/ACETAMIN/M	Yes	90	30
245302-120765234145135416622	PA	BS1972997	3914175	000001323111	06/12/2023	59011041010	OXYCONTIN TAB 10MG CR	No	60	30
245303-027534234145135416622	DE	BM2756736	0801402	000001604631	06/06/2023	00406012505	HYDROCO/APAP TAB 10-325MG	No	30	28
24536-197367234145135416622	AL	AI9406124	0130839	000001698834	06/27/2023	60219175303	SILDENAFIL TAB 100MG	No	10	30
24536-178015234145135416622	AL	BB5391406	0103010	000000812651	06/19/2023	00406577162	METHADONE TAB 10MG	No	60	30
24536-178015234145135416622	AL	BB5391406	0103010	000000812652	06/19/2023	76282057590	PREGABALIN CAP 300MG	No	60	30
24536-178015234145135416622	AL	BB5391406	0103010	000000813250	06/20/2023	51991098201	ZOLPIDEM ER TAB 12.5MG	No	30	30
24536-178015234145135416622	AL	BB5391406	0103010	000000814128	06/19/2023	65862019105	CYCLOBENZAPR TAB 10MG	No	90	30
245306-202496234145135416622	US	AC5607277	0132275	000003057262	06/30/2023	50228046601	NABUMETONE TAB 750MG	No	60	30
245307-148011234145135416622	AL	FB6078580	0105583	000001502984	06/07/2023	00406012510	HYDROCO/APAP TAB 10-325MG	No	90	30
245307-148011234145135416622	AL	FB6078580	0105583	000001508184	06/29/2023	16714025801	AMITRIPTYLIN TAB 25MG	No	30	30
245307-148011234145135416622	AL	FB6078580	0105583	000001508185	06/29/2023	70010075401	METHOCARBAM TAB 500MG	No	60	30
24536-200402234145135416622	US	BC0376257	0130839	000001656423	06/26/2023	45963055650	GABAPENTIN CAP 300MG	No	90	30
24536-200402234145135416622	US	BC0376257	0130839	000001708813	06/26/2023	00406012505	HYDROCO/APAP TAB 10-325MG	No	60	30
24536-200402234145135416622	US	MB5327146	0130839	000001612239	06/26/2023	00591352530	LIDOCAINE PAD 5%	No	30	30
24536-200402234145135416622	US	MB5327146	0130839	000001689148	06/26/2023	29300041510	CYCLOBENZAPR TAB 10MG	No	60	30
24536-200402234145135416622	US	MB5327146	0130839	000001708830	06/26/2023	00904728060	DOCUSATE SOD CAP 100MG	No	30	30
245306-179654234145135416622	AL	AC5607277	0111853	000001924511	06/13/2023	69097015907	MELOXICAM TAB 15MG	No	30	30
245306-179654234145135416622	AL	AC5607277	0111853	000001924516	06/13/2023	00603188016	LIDOCAINE PAD 5%	No	30	30
245306-179654234145135416622	AL	AC5607277	0111853	000001924584	06/13/2023	65162062711	TRAMADOL HCL TAB 50MG	No	60	14
245306-179654234145135416622	AL	AC5607277	0111853	000001924585	06/13/2023	27808003701	HYDROCO/APAP TAB 10-325MG	No	45	30
24536-078706234145135416622	MS	MM7474529	2503971	000002112877	06/05/2023	47781023005	OXYCOD/APAP TAB 10-325MG	No	93	23
24536-078706234145135416622	MS	MM7474529	2503971	000006746599	06/05/2023	67877022310	GABAPENTIN CAP 300MG	No	90	30
24536-078706234145135416622	MS	MM7474529	2503971	000006746600	06/05/2023	45802011101	DICLOFENAC GEL 3%	No	300	30
24536-078706234145135416622	MS	MM7474529	2503971	000006746601	06/05/2023	69097042207	CELECOXIB CAP 100MG	No	30	30
24536-078706234145135416622	MS	MM7474529	2503971	000006746602	06/05/2023	13668018630	SILDENAFIL TAB 25MG	No	10	30
24536-078706234145135416622	MS	MM7474529	2503971	000006746603	06/05/2023	65162055310	METAXALONE TAB 800MG	No	90	30
245308-089566234145135416622	TX	BM5516414	4515207	000000228402	06/01/2023	42858030201	HYDROMORPHON TAB 4MG	No	90	30
245308-089566234145135416622	TX	BM5516414	4515207	000000228403	06/01/2023	42858080101	MORPHINE SUL TAB 15MG ER	No	60	30
245308-089566234145135416622	TX	BM5516414	4515207	000000228678	06/29/2023	42858030201	HYDROMORPHON TAB 4MG	No	90	30
245308-089566234145135416622	TX	BM5516414	4515207	000001189741	06/01/2023	67877022405	GABAPENTIN CAP 400MG	No	240	30
245308-110327234145135416622	TX	BM5070898	4540589	000000945614	06/20/2023	68462039790	OMEPRAZOLE CAP 40MG	No	30	30
245308-110327234145135416622	TX	BM5070898	4540589	000000945615	06/20/2023	27808003701	HYDROCO/APAP TAB 10-325MG	No	120	30
245308-110327234145135416622	TX	BM5070898	4540589	000000945616	06/20/2023	64980041109	PREGABALIN CAP 50MG	No	60	30
245306-206584234145135416622	US	FF1454026	1718634	000380138058	06/12/2023	47781023001	OXYCOD/APAP TAB 10-325MG	No	90	30
245306-206584234145135416622	US	FF1454026	1718634	000380138235	06/12/2023	59011044010	OXYCONTIN TAB 40MG CR	No	60	30
24536-050654234145135416622	FL	FN6229175	1083079	000002175977	06/08/2023	42858080101	MORPHINE SUL TAB 15MG ER	No	90	30
24536-050654234145135416622	FL	FN6229175	1083079	000002176756	06/30/2023	42858010450	OXYCOD/APAP TAB 10-325MG	No	42	7
24536-050654234145135416622	FL	FN6229175	1083079	000006931321	06/30/2023	67877021905	CEPHALEXIN CAP 500MG	No	4	1
245307-094699234145135416622	LA	BH6444892	1936294	000000817993	06/19/2023	59011041010	OXYCONTIN TAB 10MG CR	No	60	30
245307-143727234145135416622	LA	FD3135301	1901669	000001554059	06/21/2023	69097015907	MELOXICAM TAB 15MG	No	30	30
245307-171960234145135416622	LA	BP9301665	1933553	000000964059	06/16/2023	69097094312	GABAPENTIN CAP 300MG	No	90	30
245307-171960234145135416622	LA	BP9301665	1933553	000000967116	06/22/2023	47781023005	OXYCOD/APAP TAB 10-325MG	No	120	30
245318-085456234145135416622	OR	MP4880577	3810339	000001504789	06/19/2023	16714033002	GABAPENTIN TAB 600MG	No	56	28
245318-085456234145135416622	OR	MP4880577	3810339	000001504845	06/19/2023	27241009990	DULOXETINE CAP 60MG	No	28	28
245318-085456234145135416622	OR	MP4880577	3810339	000001504846	06/19/2023	10135072305	METHOCARBAM TAB 750MG	No	28	28
245318-085456234145135416622	OR	MP4880577	3810339	000001510346	06/21/2023	42858080301	MORPHINE SUL TAB 60MG ER	No	56	28
245318-085456234145135416622	OR	MP4880577	4904517	000000180528	06/12/2023	49045196054	CMPD-KETAMINE/BENZALKON/	Yes	60	74
245306-190048234145135416622	AL	FB6078580	0137984	000001152977	06/12/2023	65862090901	CELECOXIB CAP 200MG	No	30	30
245306-190048234145135416622	AL	FB6078580	0137984	000001152978	06/14/2023	29300041901	AMITRIPTYLIN TAB 10MG	No	30	30
245306-190048234145135416622	AL	FB6078580	0137984	000001152979	06/14/2023	55111018015	TIZANIDINE TAB 4MG	No	60	30
245306-190048234145135416622	AL	FB6078580	0137984	000001154812	06/27/2023	45963055650	GABAPENTIN CAP 300MG	No	90	30
245306-190048234145135416622	AL	FB6078580	0137984	000001160223	06/01/2023	00406012305	HYDROCO/APAP TAB 5-325MG	No	60	30
245306-190048234145135416622	AL	FB6078580	0137984	000001173640	06/30/2023	00406012305	HYDROCO/APAP TAB 5-325MG	No	60	30
245306-318223234145135416622	FL	FP1208912	1051096	000003922076	06/22/2023	00406851001	OXYCODONE TAB 10MG	No	112	28
245306-318223234145135416622	FL	FP1208912	1051096	000003923884	06/27/2023	42858080301	MORPHINE SUL TAB 60MG ER	No	60	30
245303-027075234145135416622	MD	BS5947013	3953228	000000885818	07/20/2023	29300041510	CYCLOBENZAPR TAB 10MG	No	90	30
245303-027075234145135416622	MD	BS5947013	3953228	000005131695	07/20/2023	39532296040	CMPD-HYDROCODO/ACETAMIN/M	Yes	90	30
245302-120765234145135416622	PA	BS1972997	3914175	000001327111	07/11/2023	59011041010	OXYCONTIN TAB 10MG CR	No	60	30
24536-197367234145135416622	AL	AI9406124	0130839	000001698833	07/20/2023	55111018015	TIZANIDINE TAB 4MG	No	60	30
24536-178015234145135416622	AL	BB5391406	0103010	000000814128	07/18/2023	65862019105	CYCLOBENZAPR TAB 10MG	No	90	30
24536-178015234145135416622	AL	BB5391406	0103010	000000815804	07/18/2023	76282057590	PREGABALIN CAP 300MG	No	60	30
24536-178015234145135416622	AL	BB5391406	0103010	000000815805	07/19/2023	51991098201	ZOLPIDEM ER TAB 12.5MG	No	30	30
24536-143531234145135416622	US	FE0105836	0132681	000002795517	07/05/2023	00093719801	FLUOXETINE CAP 40MG	No	60	30
24536-143531234145135416622	US	FE0105836	0132681	000002886298	07/05/2023	59148003813	REXULTI TAB 2MG	No	30	30
245307-148011234145135416622	AL	FB6078580	0105583	000001508186	07/07/2023	00406012510	HYDROCO/APAP TAB 10-325MG	No	90	30
24536-200402234145135416622	US	BC0376257	0130839	000001699416	07/26/2023	45963055650	GABAPENTIN CAP 300MG	No	90	30
24536-200402234145135416622	US	BC0376257	0130839	000001718949	07/26/2023	00406012505	HYDROCO/APAP TAB 10-325MG	No	60	30
24536-200402234145135416622	US	MB5327146	0130839	000001678418	07/26/2023	00591352530	LIDOCAINE PAD 5%	No	30	15
24536-200402234145135416622	US	MB5327146	0130839	000001689148	07/26/2023	29300041510	CYCLOBENZAPR TAB 10MG	No	60	30
24536-200402234145135416622	US	MB5327146	0130839	000001719042	07/26/2023	00904728060	DOCUSATE SOD CAP 100MG	No	30	30
245306-179654234145135416622	AL	AC5607277	0111853	000001924511	07/11/2023	69097015907	MELOXICAM TAB 15MG	No	30	30
245306-179654234145135416622	AL	AC5607277	0111853	000001924516	07/13/2023	65162079108	LIDOCAINE PAD 5%	No	30	30
245306-179654234145135416622	AL	AC5607277	0111853	000001930047	07/14/2023	53746011001	HYDROCO/APAP TAB 10-325MG	No	45	22
24536-078706234145135416622	MS	MM7474529	2503971	000002113435	07/03/2023	47781023005	OXYCOD/APAP TAB 10-325MG	No	92	23
24536-078706234145135416622	MS	MM7474529	2503971	000002113977	07/31/2023	47781023005	OXYCOD/APAP TAB 10-325MG	No	91	23
24536-078706234145135416622	MS	MM7474529	2503971	000006749506	07/03/2023	13668018630	SILDENAFIL TAB 25MG	No	10	30
24536-078706234145135416622	MS	MM7474529	2503971	000006749507	07/03/2023	67877022310	GABAPENTIN CAP 300MG	No	90	30
24536-078706234145135416622	MS	MM7474529	2503971	000006749508	07/03/2023	65162055310	METAXALONE TAB 800MG	No	90	30
24536-078706234145135416622	MS	MM7474529	2503971	000006749529	07/03/2023	69097042207	CELECOXIB CAP 100MG	No	30	30
24536-078706234145135416622	MS	MM7474529	2503971	000006749532	07/03/2023	45802011101	DICLOFENAC GEL 3%	No	300	30
24536-078706234145135416622	MS	MM7474529	2503971	000006752246	07/31/2023	45802011101	DICLOFENAC GEL 3%	No	300	30
24536-078706234145135416622	MS	MM7474529	2503971	000006752247	07/31/2023	69097042107	CELECOXIB CAP 200MG	No	30	30
24536-078706234145135416622	MS	MM7474529	2503971	000006752250	07/31/2023	67877022310	GABAPENTIN CAP 300MG	No	90	30
245308-089566234145135416622	TX	BM5516414	4515207	000000228881	07/27/2023	42858030201	HYDROMORPHON TAB 4MG	No	90	30
245308-089566234145135416622	TX	BM5516414	4515207	000001192491	07/05/2023	67877022405	GABAPENTIN CAP 400MG	No	240	30
245308-110327234145135416622	TX	BM5070898	4540589	000000931736	07/05/2023	13668011030	DULOXETINE CAP 30MG	No	30	30
245306-206584234145135416622	US	BC1529392	1021384	000003472113	07/18/2023	00406851001	OXYCODONE TAB 10MG	No	90	30
245306-206584234145135416622	US	BC1529392	1718634	000390063824	07/15/2023	59011044010	OXYCONTIN TAB 40MG CR	No	60	30
245306-206584234145135416622	US	BH8057576	5741372	000391513628	07/25/2023	64380074207	BUSPIRONE TAB 10MG	No	270	90
245306-206584234145135416622	US	BH8057576	5741372	000391513631	07/25/2023	49483070350	FLUOXETINE CAP 40MG	No	180	90
245306-206584234145135416622	US	BH8057576	5741372	000391513634	07/26/2023	13668018801	SILDENAFIL TAB 100MG	No	90	90
245306-206584234145135416622	US	BH8057576	5741372	000391513636	07/25/2023	00378320525	PRAZOSIN HCL CAP 5MG	No	90	90
24536-050654234145135416622	FL	FN6229175	1083079	000002176525	07/09/2023	42858080101	MORPHINE SUL TAB 15MG ER	No	90	30
24536-050654234145135416622	FL	FN6229175	1083079	000002176966	07/12/2023	42858000201	OXYCODONE TAB 10MG	No	90	30
24536-050654234145135416622	FL	FN6229175	1083079	000006935072	07/25/2023	65649015090	RELISTOR TAB 150MG	No	90	30
245307-094699234145135416622	LA	BH6444892	1936294	000000825578	07/25/2023	59011041010	OXYCONTIN TAB 10MG CR	No	60	30
245307-143727234145135416622	LA	FD3135301	1901669	000001554196	07/17/2023	69097015907	MELOXICAM TAB 15MG	No	30	30
245307-143727234145135416622	LA	FD3135301	1901669	000001554206	07/03/2023	00591252001	CHLORZOXAZON TAB 500MG	No	90	30
245307-171960234145135416622	LA	BP9301665	1933553	000000973599	07/24/2023	45963055650	GABAPENTIN CAP 300MG	No	90	30
245307-171960234145135416622	LA	BP9301665	1933553	000000974338	07/27/2023	00406052301	OXYCOD/APAP TAB 10-325MG	No	120	30
245318-085456234145135416622	OR	MP4880577	3810339	000001504789	07/17/2023	65862052305	GABAPENTIN TAB 600MG	No	56	28
245318-085456234145135416622	OR	MP4880577	3810339	000001504845	07/17/2023	27241009990	DULOXETINE CAP 60MG	No	28	28
245318-085456234145135416622	OR	MP4880577	3810339	000001510345	07/19/2023	42858080301	MORPHINE SUL TAB 60MG ER	No	56	28
245306-190048234145135416622	AL	FB6078580	0137984	000001181423	07/19/2023	55111018015	TIZANIDINE TAB 4MG	No	60	30
245306-190048234145135416622	AL	FB6078580	0137984	000001181424	07/19/2023	29300041901	AMITRIPTYLIN TAB 10MG	No	30	30
245306-190048234145135416622	AL	FB6078580	0137984	000001181425	07/19/2023	65862090901	CELECOXIB CAP 200MG	No	30	30
245306-190048234145135416622	AL	FB6078580	0137984	000001187471	07/28/2023	45963055650	GABAPENTIN CAP 300MG	No	90	30
245306-318223234145135416622	FL	FP1208912	1051096	000003933119	07/21/2023	00406851001	OXYCODONE TAB 10MG	No	120	30
245306-318223234145135416622	FL	FP1208912	1051096	000003934659	07/26/2023	42858080301	MORPHINE SUL TAB 60MG ER	No	60	30
245303-027075234145135416622	MD	BS5947013	3953228	000000885818	08/20/2023	29300041510	CYCLOBENZAPR TAB 10MG	No	90	30
245303-027075234145135416622	MD	BS5947013	3953228	000005131696	08/20/2023	39532296041	CMPD-HYDROCODO/ACETAMIN/M	Yes	90	30
245302-120765234145135416622	PA	BS1972997	3914175	000001330873	08/09/2023	59011041010	OXYCONTIN TAB 10MG CR	No	60	30
24536-178015234145135416622	AL	BB5391406	0103010	000000815803	08/18/2023	00406577101	METHADONE TAB 10MG	No	10	5
24536-178015234145135416622	AL	BB5391406	0103010	000000815804	08/17/2023	76282057590	PREGABALIN CAP 300MG	No	60	30
24536-178015234145135416622	AL	BB5391406	0103010	000000815805	08/21/2023	51991098201	ZOLPIDEM ER TAB 12.5MG	No	30	30
24536-178015234145135416622	AL	ZZ1433654	0103010	000000815801	08/28/2023	65862019105	CYCLOBENZAPR TAB 10MG	No	90	30
245306-202496234145135416622	US	AC5607277	0132275	000003057262	08/28/2023	50228046601	NABUMETONE TAB 750MG	No	60	30
24536-143531234145135416622	US	FE0105836	0132681	000002795517	08/04/2023	00093719801	FLUOXETINE CAP 40MG	No	60	30
24536-143531234145135416622	US	FE0105836	0132681	000002797594	08/10/2023	59148003713	REXULTI TAB 1MG	No	30	30
24536-143531234145135416622	US	FE0105836	0139116	000001048480	08/11/2023	59148003813	REXULTI TAB 2MG	No	30	30
245307-148011234145135416622	AL	FB6078580	0105583	000001508184	08/03/2023	16714025801	AMITRIPTYLIN TAB 25MG	No	30	30
245307-148011234145135416622	AL	FB6078580	0105583	000001508185	08/03/2023	70010075401	METHOCARBAM TAB 500MG	No	60	30
245307-148011234145135416622	AL	FB6078580	0105583	000001508187	08/04/2023	00406012510	HYDROCO/APAP TAB 10-325MG	No	90	30
245307-148011234145135416622	AL	FB6078580	0105583	000001514347	08/30/2023	16714025801	AMITRIPTYLIN TAB 25MG	No	30	30
245307-148011234145135416622	AL	FB6078580	0105583	000001514348	08/30/2023	69584061150	METHOCARBAM TAB 500MG	No	60	15
24536-200402234145135416622	US	FW2751293	0130839	000001728739	08/24/2023	16571020210	DICLOFENAC TAB 50MG DR	No	60	30
24536-200402234145135416622	US	FW2751293	0130839	000001728746	08/25/2023	00406012305	HYDROCO/APAP TAB 5-325MG	No	90	30
24536-200402234145135416622	US	MB5327146	0130839	000001729732	08/27/2023	29300041510	CYCLOBENZAPR TAB 10MG	No	60	30
245306-179654234145135416622	AL	AC5607277	0111853	000001924511	08/10/2023	69097015907	MELOXICAM TAB 15MG	No	30	30
245306-179654234145135416622	AL	AC5607277	0111853	000001935647	08/14/2023	53746011001	HYDROCO/APAP TAB 10-325MG	No	45	22
24536-078706234145135416622	MS	MM7474529	2503971	000002114598	08/28/2023	47781023005	OXYCOD/APAP TAB 10-325MG	No	90	30
24536-078706234145135416622	MS	MM7474529	2503971	000006752248	08/01/2023	13668018630	SILDENAFIL TAB 25MG	No	10	30
24536-078706234145135416622	MS	MM7474529	2503971	000006752249	08/01/2023	55111065001	METAXALONE TAB 800MG	No	90	30
24536-078706234145135416622	MS	MM7474529	2503971	000006755451	08/28/2023	00093534156	SILDENAFIL TAB 25MG	No	10	30
24536-078706234145135416622	MS	MM7474529	2503971	000006755453	08/28/2023	69097042107	CELECOXIB CAP 200MG	No	30	30
24536-078706234145135416622	MS	MM7474529	2503971	000006755455	08/28/2023	67877022310	GABAPENTIN CAP 300MG	No	90	30
24536-078706234145135416622	MS	MM7474529	2503971	000006755459	08/28/2023	55111065001	METAXALONE TAB 800MG	No	90	30
245308-089566234145135416622	TX	BM5516414	4515207	000000229112	08/24/2023	42858030201	HYDROMORPHON TAB 4MG	No	90	30
245308-089566234145135416622	TX	BM5516414	4515207	000000229113	08/25/2023	42858080101	MORPHINE SUL TAB 15MG ER	No	60	30
245308-089566234145135416622	TX	BM5516414	4515207	000001194428	08/24/2023	67877022405	GABAPENTIN CAP 400MG	No	240	30
245308-110327234145135416622	TX	BM5070898	4540589	000000920088	08/19/2023	13668011030	DULOXETINE CAP 30MG	No	30	30
245306-206584234145135416622	US	BC1529392	1718634	000390063817	08/24/2023	47781023001	OXYCOD/APAP TAB 10-325MG	No	90	30
245306-206584234145135416622	US	BC1529392	1718634	000390064022	08/24/2023	59011044010	OXYCONTIN TAB 40MG CR	No	60	30
24536-050654234145135416622	FL	FN6229175	1083079	000002177179	08/10/2023	42858080101	MORPHINE SUL TAB 15MG ER	No	90	30
24536-050654234145135416622	FL	FN6229175	1083079	000002177181	08/10/2023	42858000201	OXYCODONE TAB 10MG	No	90	30
24536-050654234145135416622	FL	FN6229175	1083079	000004194338	08/30/2023	60505379609	PREGABALIN CAP 100MG	No	90	30
24536-050654234145135416622	FL	FN6229175	1083079	000006942333	08/24/2023	65649015090	RELISTOR TAB 150MG	No	90	30
245307-094699234145135416622	LA	BH6444892	1936294	000000832861	08/22/2023	10702005601	OXYCODONE TAB 10MG	No	30	30
245307-094699234145135416622	LA	BH6444892	1936294	000000832862	08/22/2023	59011041010	OXYCONTIN TAB 10MG CR	No	60	30
245307-143727234145135416622	LA	FD3135301	1901669	000001554196	08/12/2023	69097015907	MELOXICAM TAB 15MG	No	30	30
245307-143727234145135416622	LA	FD3135301	1901669	000001554206	08/12/2023	00591252001	CHLORZOXAZON TAB 500MG	No	90	30
245307-171960234145135416622	LA	BP9301665	1933553	000000973599	08/20/2023	45963055650	GABAPENTIN CAP 300MG	No	90	30
245307-171960234145135416622	LA	BP9301665	1933553	000000982637	08/28/2023	00406052301	OXYCOD/APAP TAB 10-325MG	No	120	30
245318-085456234145135416622	OR	MP4880577	3810339	000001504789	08/14/2023	65862052305	GABAPENTIN TAB 600MG	No	56	28
245318-085456234145135416622	OR	MP4880577	3810339	000001504845	08/14/2023	27241009990	DULOXETINE CAP 60MG	No	28	28
245318-085456234145135416622	OR	MP4880577	3810339	000001504846	08/01/2023	70010077005	METHOCARBAM TAB 750MG	No	30	30
245318-085456234145135416622	OR	MP4880577	3810339	000001510348	08/16/2023	42858080301	MORPHINE SUL TAB 60MG ER	No	56	28
245318-085456234145135416622	OR	MP4880577	4904517	000000180528	08/11/2023	49045196054	CMPD-KETAMINE/BENZALKON/	Yes	60	74
245306-190048234145135416622	AL	FB6078580	0137984	000001181423	08/14/2023	55111018015	TIZANIDINE TAB 4MG	No	60	30
245306-190048234145135416622	AL	FB6078580	0137984	000001181424	08/14/2023	29300041901	AMITRIPTYLIN TAB 10MG	No	30	30
245306-190048234145135416622	AL	FB6078580	0137984	000001181425	08/14/2023	65862090901	CELECOXIB CAP 200MG	No	30	30
245306-190048234145135416622	AL	FB6078580	0137984	000001188756	08/01/2023	00406012305	HYDROCO/APAP TAB 5-325MG	No	60	30
245306-318223234145135416622	FL	FP1208912	1051096	000003944006	08/22/2023	42858000201	OXYCODONE TAB 10MG	No	120	30
245306-318223234145135416622	FL	FP1208912	1051096	000003946204	08/26/2023	42858080301	MORPHINE SUL TAB 60MG ER	No	60	30
245303-027075234145135416622	MD	BS5947013	3953228	000000885818	09/19/2023	29300041510	CYCLOBENZAPR TAB 10MG	No	90	30
245303-027075234145135416622	MD	BS5947013	3953228	000005132764	09/19/2023	39532296043	CMPD-HYDROCODO/ACETAMIN/M	Yes	90	30
245302-120765234145135416622	PA	BS1972997	3914175	000001334731	09/08/2023	59011041010	OXYCONTIN TAB 10MG CR	No	60	30
24536-197367234145135416622	AL	AI9406124	0130839	000001698834	09/07/2023	60219175303	SILDENAFIL TAB 100MG	No	10	30
24536-178015234145135416622	AL	BB5391406	0103010	000000819156	09/18/2023	00406577101	METHADONE TAB 10MG	No	60	30
24536-178015234145135416622	AL	BB5391406	0103010	000000819158	09/20/2023	68180078001	ZOLPIDEM ER TAB 12.5MG	No	30	30
24536-178015234145135416622	AL	BB5391406	0103010	000000819161	09/18/2023	76282057590	PREGABALIN CAP 300MG	No	60	30
24536-178015234145135416622	AL	ZZ1433654	0103010	000000815801	09/22/2023	52817033200	CYCLOBENZAPR TAB 10MG	No	90	30
24536-143531234145135416622	US	FE0105836	0132681	000002795517	09/08/2023	00093719801	FLUOXETINE CAP 40MG	No	60	30
245307-148011234145135416622	AL	FB6078580	0105583	000001514478	09/01/2023	00406012510	HYDROCO/APAP TAB 10-325MG	No	90	30
24536-200402234145135416622	US	FW2751293	0130839	000001728739	09/22/2023	16571020210	DICLOFENAC TAB 50MG DR	No	60	30
24536-200402234145135416622	US	FW2751293	0130839	000001739873	09/25/2023	00406012305	HYDROCO/APAP TAB 5-325MG	No	90	30
245306-179654234145135416622	AL	AC5607277	0111853	000001941429	09/13/2023	69097015907	MELOXICAM TAB 15MG	No	30	30
245306-179654234145135416622	AL	AC5607277	0111853	000001941430	09/13/2023	00093005805	TRAMADOL HCL TAB 50MG	No	60	15
245306-179654234145135416622	AL	AC5607277	0111853	000001941434	09/13/2023	53746011001	HYDROCO/APAP TAB 10-325MG	No	45	22
24536-078706234145135416622	MS	MM7474529	2503971	000006755450	09/01/2023	45802011101	DICLOFENAC GEL 3%	No	300	30
24536-078706234145135416622	MS	MW5380679	2503971	000002115185	09/25/2023	47781023005	OXYCOD/APAP TAB 10-325MG	No	90	30

This is the start of the file's text. The full file is on GovTribe.

File details come from the government source that posted it. Updated Sep 30, 2024.