Athens_Clarke_202602 _ _ 26030.txt

TXT text file 10 MB Posted

Attached to
RFP 26030 - Pharmacy Benefit Administration
Solicitation number
PE-62960-NONST-2026-000000107
Issued by
Atkinson County, Georgia

Text of this file

NDC|DRUG_NAME|PHMCY_NUMBER|PHMCY_NAME|FILL_DATE|QUANTITY|DAYS_SUPPLY|CLAIM_TYPE|BRND_GNC_IND|DAW|MBR_ID|COMPOUND_IND|FRMLY_TIER|SRX|CARRIER|ACCOUNT|GROUP|CLAIM_STATUS 00002147180|MOUNJARO (4) INJ 10/0.5|1427097484|PUBLIX PHARMACY|2025-01-01|2.000|28|R|B|0|82B767B014014B3D89CD17B6477365D73DE2378C1F943ACE564394AD62D39F36|N|3|N|8311|GA6140|GA6140M301|P 00093081005|NORTRIPTYLIN CAP 10MG|1619397478|KROGER PHARMACY|2025-01-01|60.000|30|R|G|0|DC92CDDB8167B77057254475EE4A95D1DE0A72D587A47DF9FCF3A6796AAA3597|N|1|N|8311|GA6140|GA6140M407|P 00169430730|RYBELSUS TAB 7MG|1689777344|CVS PHARMACY|2025-01-01|30.000|30|R|B|0|D1B8FEBBECD5A5063808B1F4B5CE31B5C1511FF4843D4CDEA20CE8B2A66128FE|N|3|N|8311|GA6140|GA6140M200|P 00378001401|METHOTREXATE TAB 2.5MG|1346343191|CVS PHARMACY|2025-01-01|24.000|30|R|G|0|079407059F7C9823C22AA6F2A620BA5208712D6292F3A5E10E5CE89CBEB16A1E|N|1|N|8311|GA6140|GA6140M407|P 00378040301|SPIRONO/HCTZ TAB 25/25|1689777344|CVS PHARMACY|2025-01-01|30.000|30|R|G|0|D1B8FEBBECD5A5063808B1F4B5CE31B5C1511FF4843D4CDEA20CE8B2A66128FE|N|1|N|8311|GA6140|GA6140M200|P 00378427577|VALACYCLOVIR TAB 500MG|1700309317|WALGREENS|2025-01-01|30.000|30|R|G|0|00237E069FCA7C74300E4E255AFB2B11B6CD095709950C9F1DAF8B13079D7F10|N|1|N|8311|GA6140|GA6140M301|P 00555901658|SPRINTEC TAB 0.25/35|1619397478|KROGER PHARMACY|2025-01-01|28.000|28|R|G|0|86B7A12D756806D7745AFAF7B8453F8B05CF4B34C8A4AC3F51434C491F4456F9|N|1|N|8311|GA6140|GA6140M301|P 00555906458|KELNOR (28) TAB 1/35|1043244866|KROGER PHARMACY|2025-01-01|28.000|28|R|G|0|B32A3C19AFD24A4E759AEAF25A2705E48B9DAB28D0D3F52783136190999170E2|N|1|N|8311|GA6140|GA6140M301|P 00597015230|JARDIANCE TAB 10MG|1689777344|CVS PHARMACY|2025-01-01|30.000|30|R|B|0|D1B8FEBBECD5A5063808B1F4B5CE31B5C1511FF4843D4CDEA20CE8B2A66128FE|N|3|N|8311|GA6140|GA6140M200|P 00904728060|DOCUSATE SOD CAP 100MG|1619397478|KROGER PHARMACY|2025-01-01|30.000|30|R|G|0|AE75EE6FC95A7BD8DA209FFACC5D754B432372CEDA32322BE14004BC49C27035|N|1|N|8311|GA6140|GA6140M101|P 13668013701|ESCITALOPRAM TAB 20MG|1689777344|CVS PHARMACY|2025-01-01|30.000|30|R|G|0|B1D538BC7E273AD20B1C31A289B2094E5B0167728BC1D7ABBFAE81CE6E294441|N|1|N|8311|GA6140|GA6140M301|P 16571011401|HYDROXYZ HCL TAB 25MG|1558089391|PUBLIX PHARMACY|2025-01-01|30.000|30|R|G|0|858BF6184CDB7B14FFB1BC5E3669A9AFCF90A369E5AA49501FB828B36593A28E|N|1|N|8311|GA6140|GA6140M301|P 21922001105|TACROLIMUS OIN 0.1%|1740207083|WALMART PHARMACY|2025-01-01|30.000|30|R|G|0|4AC0C39C3147554D77F42DF26E79DB51BB76D31EF5FECCA0AB4BF66AAAF3FE6E|N|1|N|8311|GA6140|GA6140M200|P 23155072401|LABETALOL TAB 200MG|1255434007|CVS PHARMACY|2025-01-01|60.000|30|R|G|0|1487AE7624712E50EC457A3250FE070F099FAD265F9ED15CAE9BF8F3DE1C7139|N|1|N|8311|GA6140|GA6140M301|P 24208046325|LATANOPROST SOL 0.005%|1285659060|KROGER PHARMACY|2025-01-01|2.500|25|R|G|0|1276A9C2EFD05E4906F81066850D4EBC66CA0E17532DBF65DAA4971B1CDEEA67|N|1|N|8311|GA6140|GA6140M301|P 27241009706|DULOXETINE CAP 20MG DR|1033303946|PUBLIX PHARMACY|2025-01-01|60.000|30|R|G|0|16F445D928EFA6DC5B208F7675B05D7019ADC3C4C6E95B0A35EEEC3D8680E7FC|N|1|N|8311|GA6140|GA6140M405|P 29300018901|BISOPRL/HCTZ TAB 10/6.25|1104843523|WALMART PHARMACY|2025-01-01|30.000|30|R|G|0|6F05311ED51E6C506F4E8E3251F1E2C9FF23259B6916EE8B18D18C94A6786B88|N|1|N|8311|GA6140|GA6140M200|P 29300039710|AMLODIPINE TAB 5MG|1689777344|CVS PHARMACY|2025-01-01|30.000|30|R|G|0|D1B8FEBBECD5A5063808B1F4B5CE31B5C1511FF4843D4CDEA20CE8B2A66128FE|N|1|N|8311|GA6140|GA6140M200|P 29300039710|AMLODIPINE TAB 5MG|1689777344|CVS PHARMACY|2025-01-01|30.000|30|R|G|0|B1D538BC7E273AD20B1C31A289B2094E5B0167728BC1D7ABBFAE81CE6E294441|N|1|N|8311|GA6140|GA6140M301|P 29300039710|AMLODIPINE TAB 5MG|1437252277|CVS PHARMACY|2025-01-01|30.000|30|R|G|0|B49E88DF3075BE0678B2CE568AF2F551127248DC73229A4DE58232B79665050A|N|1|N|8311|GA6140|GA6140M503|P 29300039810|AMLODIPINE TAB 10MG|1427097484|PUBLIX PHARMACY|2025-01-01|30.000|30|R|G|0|82B767B014014B3D89CD17B6477365D73DE2378C1F943ACE564394AD62D39F36|N|1|N|8311|GA6140|GA6140M301|P 29300039810|AMLODIPINE TAB 10MG|1689777344|CVS PHARMACY|2025-01-01|30.000|30|R|G|0|3E32DD291B045F54089F86BA49F5DB8472736BE7E8D30525EFAD9CE702E4015E|N|1|N|8311|GA6140|GA6140M200|P 29300047705|BUSPIRONE TAB 15MG|1619397478|KROGER PHARMACY|2025-01-01|90.000|30|R|G|0|E8C9728F5E968603E6F18D1BD06A5502A9F86A5C68973491188D6C900FF49704|N|1|N|8311|GA6140|GA6140M301|P 42291086810|TRAZODONE TAB 50MG|1053379974|DUBLIN VAMC|2025-01-01|30.000|30|R|G|0|C080122103BBC202DB7199AB5EE5EAD287FC300A42556034664EC77CC4EE3D32|N|1|N|8311|GA6140|GA6140M101|P 42806034101|AMPHET/DEXTR TAB 10MG|1568402998|PUBLIX PHARMACY|2025-01-01|90.000|30|R|G|0|7638F62465D942B9BD6CDCCDF90C9EA3BFE9C0ED3CCFCA679E0DE21FEEA4A1C6|N|1|N|8311|GA6140|GA6140M307|P 50111056001|TRAZODONE TAB 50MG|1174540413|WALMART PHARMACY|2025-01-01|30.000|30|R|G|0|C4A8470B6F4F6BC45186AEE7487DC734F648200668AC81470912AC49B5F82EA1|N|1|N|8311|GA6140|GA6140M307|P 59651030030|TAMOXIFEN TAB 20MG|1689777344|CVS PHARMACY|2025-01-01|30.000|30|R|G|0|3E32DD291B045F54089F86BA49F5DB8472736BE7E8D30525EFAD9CE702E4015E|N|1|N|8311|GA6140|GA6140M200|P 59651049905|HYDROXYZ HCL TAB 10MG|1447528039|CVS PHARMACY|2025-01-01|30.000|10|R|G|0|6D3C02F0A519EDDF8753A9B50EE9CC2833AB559DDF7C033B56FBB88D32BBF334|N|1|N|8311|GA6140|GA6140M307|P 60219126601|OSELTAMIVIR CAP 75MG|1437252277|CVS PHARMACY|2025-01-01|10.000|5|R|G|0|AE838585DF3F6C887FB8959DECC98425CB54B4E8D7128084D4FF5C3DCDF1EDEF|N|1|N|8311|GA6140|GA6140M301|P 60505014201|GLIPIZIDE TAB 10MG|1467698886|INGLES PHARMACY|2025-01-01|60.000|30|R|G|0|CFFDE003C74E547F906C49782ADF532868791AFFECCCED6561614D3FA844241B|N|1|N|8311|GA6140|GA6140M503|P 62332002891|LOSARTAN POT TAB 50MG|1437252277|CVS PHARMACY|2025-01-01|30.000|30|R|G|0|B49E88DF3075BE0678B2CE568AF2F551127248DC73229A4DE58232B79665050A|N|1|N|8311|GA6140|GA6140M503|P 65162027250|SMZ/TMP DS TAB 800-160|1811106750|WALMART PHARMACY|2025-01-01|6.000|3|R|G|0|48346BC9CB8CF68C2ED485E8E2691BA594A3C59B55920B180D17789669C1E9D9|N|1|N|8311|GA6140|GA6140M407|P 65862001099|METFORMIN TAB 1000MG|1255434007|CVS PHARMACY|2025-01-01|60.000|30|R|G|0|1487AE7624712E50EC457A3250FE070F099FAD265F9ED15CAE9BF8F3DE1C7139|N|1|N|8311|GA6140|GA6140M301|P 65862035705|CLOPIDOGREL TAB 75MG|1427097484|PUBLIX PHARMACY|2025-01-01|30.000|30|R|G|0|ED7210A86DA41423A12D5D2A1251C8C5B2B4C0C81CDFE594F601C84FAE16E05C|N|1|N|8311|GA6140|GA6140M301|P 65862053513|AMOX/K CLAV SUS 600/5ML|1841468287|INGLES PHARMACY|2025-01-01|125.000|10|R|G|0|67016A9C9566C77BEC702363BD11F2078D050DA8B71286380D3BD4E34E2E2579|N|1|N|8311|GA6140|GA6140M301|P 65862053575|AMOX/K CLAV SUS 600/5ML|1922025246|WALMART PHARMACY|2025-01-01|150.000|10|R|G|0|77117CA7E1558BF1A940E4D077D00C7830EC96F81BF2FB143BBB24D786C49083|N|1|N|8311|GA6140|GA6140M200|P 67877044790|OLMESARTAN TAB 40MG|1740207083|WALMART PHARMACY|2025-01-01|30.000|30|R|G|0|D6D8889C96427B99BE6E8741B1719142BCE6B4A3EDEAC5568B6F969660A64854|N|1|N|8311|GA6140|GA6140M301|P 67877059005|METOPROL SUC TAB 25MG ER|1427097484|PUBLIX PHARMACY|2025-01-01|60.000|30|R|G|0|ED7210A86DA41423A12D5D2A1251C8C5B2B4C0C81CDFE594F601C84FAE16E05C|N|1|N|8311|GA6140|GA6140M301|P 68001040100|FLUOXETINE CAP 40MG|1558089391|PUBLIX PHARMACY|2025-01-01|30.000|30|R|G|0|858BF6184CDB7B14FFB1BC5E3669A9AFCF90A369E5AA49501FB828B36593A28E|N|1|N|8311|GA6140|GA6140M301|P 68180098103|LISINOPRIL TAB 20MG|1689777344|CVS PHARMACY|2025-01-01|30.000|30|R|G|0|B1D538BC7E273AD20B1C31A289B2094E5B0167728BC1D7ABBFAE81CE6E294441|N|1|N|8311|GA6140|GA6140M301|P 68382056410|METOPROL SUC TAB 25MG ER|1619397478|KROGER PHARMACY|2025-01-01|30.000|30|R|G|0|8CE076604824AA5D0D1631EB23A57CD159A093897CD5F8DF1CD41C886B7ED2FE|N|1|N|8311|GA6140|GA6140M301|P 68462013281|NORE/EE (21) TAB 1/20|1033303946|PUBLIX PHARMACY|2025-01-01|21.000|21|R|G|0|6CCC002989D4A03ACC5FBC8AB25A902C90E234FA0010433D35FFBA3B8A3F5388|N|1|N|8311|GA6140|GA6140M307|P 68462015713|ONDANSETRON ODT 4MG|1922025246|WALMART PHARMACY|2025-01-01|10.000|7|R|G|0|77117CA7E1558BF1A940E4D077D00C7830EC96F81BF2FB143BBB24D786C49083|N|1|N|8311|GA6140|GA6140M200|P 68645052254|SERTRALINE TAB 50MG|1174540413|WALMART PHARMACY|2025-01-01|30.000|30|R|G|0|C4A8470B6F4F6BC45186AEE7487DC734F648200668AC81470912AC49B5F82EA1|N|1|N|8311|GA6140|GA6140M307|P 68645057559|GLIPIZIDE TAB 10MG|1740207083|WALMART PHARMACY|2025-01-01|60.000|30|R|G|0|D6D8889C96427B99BE6E8741B1719142BCE6B4A3EDEAC5568B6F969660A64854|N|1|N|8311|GA6140|GA6140M301|P 68645059559|METFORMIN TAB 500MG ER|1740207083|WALMART PHARMACY|2025-01-01|120.000|30|R|G|0|DB09C8E7075B9C5FB2F56740DC84403D72F9E09E075CFD49B8F22B698FF5B292|N|1|N|8311|GA6140|GA6140M405|P 68645059559|METFORMIN TAB 500MG ER|1104843523|WALMART PHARMACY|2025-01-01|30.000|30|R|G|0|6F05311ED51E6C506F4E8E3251F1E2C9FF23259B6916EE8B18D18C94A6786B88|N|1|N|8311|GA6140|GA6140M200|P 69238183107|LEVOTHYROXIN TAB 50MCG|1356444103|CVS PHARMACY|2025-01-01|30.000|30|R|G|0|EDA75163FA1EBCDA09D7509B3DE209568559D808439629EC9ADAAD28936A7A9D|N|1|N|8311|GA6140|GA6140M200|P 69238183207|LEVOTHYROXIN TAB 75MCG|1700309317|WALGREENS|2025-01-01|30.000|30|R|G|0|D5076798BFB54CBA31CF42CD7CF8E76AC3FDFE6B2DC9A31F06585AAA716C50E1|N|1|N|8311|GA6140|GA6140M307|P 70010006505|METFORMIN TAB 1000MG|1467698886|INGLES PHARMACY|2025-01-01|60.000|30|R|G|0|CFFDE003C74E547F906C49782ADF532868791AFFECCCED6561614D3FA844241B|N|1|N|8311|GA6140|GA6140M503|P 70377000713|ROSUVASTATIN TAB 10MG|1689777344|CVS PHARMACY|2025-01-01|30.000|30|R|G|0|D1B8FEBBECD5A5063808B1F4B5CE31B5C1511FF4843D4CDEA20CE8B2A66128FE|N|1|N|8311|GA6140|GA6140M200|P 70377007713|ATORVASTATIN TAB 10MG|1689777344|CVS PHARMACY|2025-01-01|30.000|30|R|G|0|B1D538BC7E273AD20B1C31A289B2094E5B0167728BC1D7ABBFAE81CE6E294441|N|1|N|8311|GA6140|GA6140M301|P 70436015542|PROMETHAZINE SOL DM|1437252277|CVS PHARMACY|2025-01-01|118.000|5|R|G|0|AE838585DF3F6C887FB8959DECC98425CB54B4E8D7128084D4FF5C3DCDF1EDEF|N|1|N|8311|GA6140|GA6140M301|P 70954005920|PREDNISONE TAB 10MG|1437252277|CVS PHARMACY|2025-01-01|15.000|5|R|G|0|AE838585DF3F6C887FB8959DECC98425CB54B4E8D7128084D4FF5C3DCDF1EDEF|N|1|N|8311|GA6140|GA6140M301|P 72511076002|REPATHA SURE INJ 140MG/ML|1356444103|CVS PHARMACY|2025-01-01|2.000|28|R|B|0|DC9A4AB1ABB84F849A4DEEF88DB76AB25F0ACF21B240895C1225EA7BE4BC4E54|N|3|N|8311|GA6140|GA6140M307|P 80491782503|QUVIVIQ TAB 25MG|1356444103|CVS PHARMACY|2025-01-01|30.000|30|R|B|0|CB74C4EAC930539FEFBE68EC61A49BCC1524CCEE395621990516D883C4B09A48|N|3|N|8311|GA6140|GA6140M301|P 00002149580|MOUNJARO (4) INJ 5/0.5|1538305933|WALGREENS|2025-01-02|2.000|28|R|B|0|6F35DD6B3DED54F8EF9534F0F63230DCCF79886C663E7DD4997034019989F7D2|N|3|N|8311|GA6140|GA6140M405|P 00002318280|TRULICITY(4) INJ 4.5/0.5|1740207083|WALMART PHARMACY|2025-01-02|2.000|28|R|B|0|533324D02A2182555932745F856AD1036644696A74B3EEA07F0E86BF3080EAAA|N|3|N|8311|GA6140|GA6140M407|P 00006011231|JANUVIA TAB 50MG|1497063275|INGLES PHARMACY|2025-01-02|30.000|30|R|B|0|76D8A7F24A6A1005A447CDD2A6B1CD614D92C735259AAC240D47BD41593EA63D|N|3|N|8311|GA6140|GA6140M101|P 00069243210|COMIRNATY INJ 2024-25|1801022918|CVS PHARMACY|2025-01-02|.300|1|R|B|0|D9D291D7F918F122114F07BB8A24FBB0E95544F82D2065D4B25912BA9E748938|N|3|N|8311|GA6140|GA6140M301|P 00078107068|COSENTYX UNO INJ 300/2ML|1518948413|CARELON RX SPECIALTY|2025-01-02|2.000|28|R|B|0|6EEF7CFC7FB2649351397193CEAC80ACC7B3DBFF6F4F047A25C7152E8108113A|N|3|Y|8311|GA6140|GA6140M307|P 00093317431|ALBUTEROL AER HFA (PA)|1912028267|KROGER PHARMACY|2025-01-02|8.500|16|R|G|0|377CCA08DCFBC216378B85C6C0A195A291D76282F5026BA8F1F7DB67F7298CD3|N|1|N|8311|GA6140|GA6140M301|P 00093416173|AMOXICILLIN SUS 400/5ML|1033292198|INGLES PHARMACY|2025-01-02|100.000|7|R|G|0|6CC25538FBCF6E5DF90D74FE2337B780797ED57A8FCAD329C15B4B6F998E5E4F|N|1|N|8311|GA6140|GA6140M407|P 00093720298|PRAVASTATIN TAB 40MG|1043735350|WALGREENS|2025-01-02|30.000|30|R|G|0|3E3D88FEF286649DAA9F132CE410624CB991E4D7A8086EBC8026829756C222E5|N|1|N|8311|GA6140|GA6140M101|P 00172392670|DIAZEPAM TAB 5MG|1619397478|KROGER PHARMACY|2025-01-02|2.000|1|R|G|0|AE75EE6FC95A7BD8DA209FFACC5D754B432372CEDA32322BE14004BC49C27035|N|1|N|8311|GA6140|GA6140M101|P 00173089310|TRELEGY AER 200MCG|1033303946|PUBLIX PHARMACY|2025-01-02|60.000|30|R|B|0|7EA35097043669250EB4BE6A425231076D357B14360C0A5B9B759E79A44B8472|N|3|N|8311|GA6140|GA6140M101|P 00185209901|AMPHET/DEXTR TAB 30MG|1346343191|CVS PHARMACY|2025-01-02|30.000|30|R|G|0|4DD1CE99CA1FFA634396D0FE9FBD6E5F161AD8F80A8C9690F5A7DCC12B41BC25|N|1|N|8311|GA6140|GA6140M503|P 00378470693|SAXAGLIPTIN TAB 5MG|1043244866|KROGER PHARMACY|2025-01-02|30.000|30|R|G|0|976DB16595EC991254F8D1BE16BE88723F8B71B8F33D139E19C836FAD90E0ABE|N|1|N|8311|GA6140|GA6140M201|P 00378668910|PANTOPRAZOLE TAB 40MG|1689777344|CVS PHARMACY|2025-01-02|30.000|30|R|G|0|2094F9CE1B343C05EAC9886311B815A68D902A5B717BB703E3DD2FD95BE716E4|N|1|N|8311|GA6140|GA6140M301|P 00406511201|LISDEXAMFETA CAP 20MG|1730129248|PUBLIX PHARMACY|2025-01-02|30.000|30|R|G|0|8F265D5ACAC5E81347567C5503FEC6D05E90DE40BEDDADF6E04A6C64B6DF1FAF|N|1|N|8311|GA6140|GA6140M200|P 00555905058|KARIVA TAB 28 DAY|1346343191|CVS PHARMACY|2025-01-02|28.000|28|R|G|0|7AF6E218E0C5A9F5A3FA5D696649D8F1B505DBC8BDC94FD3ED163880977A98BD|N|1|N|8311|GA6140|GA6140M301|P 00591544210|PREDNISONE TAB 10MG|1568075430|NORTHEAST GEORGIA PHARMACY|2025-01-02|14.000|7|R|G|0|7F8F80475DEAE0AB3C68EAC2DF745C0467AB5554F15AA59BA992511E11070605|N|1|N|8311|GA6140|GA6140M301|P 00597015290|JARDIANCE TAB 10MG|1073678405|BUY WISE DRUGS|2025-01-02|30.000|30|R|B|0|9DA396CF3FA4711F7A9B16D3622CAD2B26D89DA28BE5379EB3F8A667B9667919|N|3|N|8311|GA6140|GA6140M101|P 10702001801|OXYCODONE TAB 5MG|1639421704|PIEDMONT ATHENS REGIONAL PHCY|2025-01-02|10.000|3|R|G|0|EFFD9A09EB855DDE365353FA76E017E3BF948BE88DC578828C12194162CE9508|N|1|N|8311|GA6140|GA6140M101|P 10702002501|PHENTERMINE TAB 37.5MG|1619397478|KROGER PHARMACY|2025-01-02|90.000|90|R|G|0|4777C4B08AFE60495B5204F128E92B2F9048E312A5D1EEA472EDE583A421508A|N|1|N|8311|GA6140|GA6140M301|P 10702025350|BUT/APAP/CAF TAB 325MG|1801022918|CVS PHARMACY|2025-01-02|15.000|5|R|G|0|C60374FE2B4EFF469889844B4CBBB8DC97D6802772E7B5296E94A3BB7912882E|N|1|N|8311|GA6140|GA6140M101|P 13668001005|CITALOPRAM TAB 20MG|1861941718|WEGMANS PHARMACY|2025-01-02|30.000|30|R|G|0|7BB6ED9B85DEBFCDC66189BB3BED8C42621D07CA91E725D685AAB49F4456084E|N|1|N|8311|GA6140|GA6140M200|P 13668001005|CITALOPRAM TAB 20MG|1033303946|PUBLIX PHARMACY|2025-01-02|30.000|30|R|G|0|D6979E7A8528BC184B95CD069D15CFAC742D80020667C66C5E7F14AACC9DC28A|N|1|N|8311|GA6140|GA6140M503|P 13668013605|ESCITALOPRAM TAB 10MG|1851473649|HAWTHORNE DRUG COMPANY|2025-01-02|30.000|30|R|G|0|93B8C24371E2196C16CFC7CCA7AEA8D6BE396E36F7DE51B5E09DC6B5DC4C8F77|N|1|N|8311|GA6140|GA6140M407|P 13668033005|TRAZODONE TAB 50MG|1033303946|PUBLIX PHARMACY|2025-01-02|30.000|30|R|G|0|C98883FA8DB9F21A85251EAFEF8D13AA53DD031EA316E2E643869A064DAA0E5F|N|1|N|8311|GA6140|GA6140M307|P 13668051501|ACYCLOVIR OIN 5%|1619397478|KROGER PHARMACY|2025-01-02|30.000|15|R|G|0|AE75EE6FC95A7BD8DA209FFACC5D754B432372CEDA32322BE14004BC49C27035|N|1|N|8311|GA6140|GA6140M101|P 16571013910|ATORVASTATIN TAB 80MG|1861526501|MEDICINE SHOPPE PHARMACY|2025-01-02|30.000|30|R|G|0|D21DC9EA63F4AE19181A26CCB32D01722D2ACC40CFA0ED2296BE8990FA413014|N|1|N|8311|GA6140|GA6140M101|P 16571040250|CETIRIZINE TAB 10MG|1689777344|CVS PHARMACY|2025-01-02|30.000|30|R|G|0|BDE049613C055E3D27B94442839A9F3E4E1FF89B64B31CB34B07D7C05184A44B|N|1|N|8311|GA6140|GA6140M200|P 16571066001|MECLIZIN RX TAB 12.5MG|1619397478|KROGER PHARMACY|2025-01-02|15.000|5|R|G|0|12E57457D1B79B123079F0F32B2D8095C47B3E58556459B8D1300EAE258364C3|N|1|N|8311|GA6140|GA6140M301|P 16571075610|ESCITALOPRAM TAB 10MG|1033303946|PUBLIX PHARMACY|2025-01-02|30.000|30|R|G|0|B166D013E8E6CCB7EBB3585811798B6935507FB99C2F0E9340F85FEEF82540C8|N|1|N|8311|GA6140|GA6140M307|P 16571075710|ESCITALOPRAM TAB 20MG|1033303946|PUBLIX PHARMACY|2025-01-02|30.000|30|R|G|0|97D3BB1C284A179339AE965D33BDEEB71409D21750D95726FF33964F3E80C2B3|N|1|N|8311|GA6140|GA6140M301|P 16714008212|HYDROXYZ HCL TAB 25MG|1861941718|WEGMANS PHARMACY|2025-01-02|30.000|10|R|G|0|5D1B37426E918DFA9CB9259476753DD18AC22EA8A8F3683515D195F09F2988F5|N|1|N|8311|GA6140|GA6140M200|P 16714029701|AMOX/K CLAV TAB 875-125|1568075430|NORTHEAST GEORGIA PHARMACY|2025-01-02|14.000|7|R|G|0|7F8F80475DEAE0AB3C68EAC2DF745C0467AB5554F15AA59BA992511E11070605|N|1|N|8311|GA6140|GA6140M301|P 16714072204|FLUOXETINE CAP 40MG|1861941718|WEGMANS PHARMACY|2025-01-02|30.000|30|R|G|0|5D1B37426E918DFA9CB9259476753DD18AC22EA8A8F3683515D195F09F2988F5|N|1|N|8311|GA6140|GA6140M200|P 16714082901|BUDESONIDE CAP 3MG DR|1902543838|COSTCO PHARMACY|2025-01-02|90.000|30|R|G|0|1E57844D62A2C8E0B2C644909AADCFDFA85B7D13B8898D64D702C701A89FC8C7|N|1|N|8311|GA6140|GA6140M405|P 16729045115|LEVOTHYROXIN TAB 100MCG|1780792101|MADISON DRUG LLC|2025-01-02|30.000|30|R|G|0|9A47333165519DC944965FF56BB9784795703B8F85DB76D52783532736EA56D8|N|1|N|8311|GA6140|GA6140M407|P 16729045117|LEVOTHYROXIN TAB 100MCG|1073678405|BUY WISE DRUGS|2025-01-02|30.000|30|R|G|0|9DA396CF3FA4711F7A9B16D3622CAD2B26D89DA28BE5379EB3F8A667B9667919|N|1|N|8311|GA6140|GA6140M101|P 23155000810|HYDROCHLOROT TAB 25MG|1346343191|CVS PHARMACY|2025-01-02|30.000|30|R|G|0|A0DF2D5B95AA6B8313CA00954CD32771F90A20DF41151DA010729BCC989AD354|N|1|N|8311|GA6140|GA6140M200|P 24658031205|DOXYCYCL HYC TAB 100MG|1689777344|CVS PHARMACY|2025-01-02|28.000|14|R|G|0|B59BEB2C405EF5CC325D95F1EF704E2136BA6B33B9E60F6917387F39E01FEA64|N|1|N|8311|GA6140|GA6140M101|P 27241009903|DULOXETINE CAP 60MG DR|1346343191|CVS PHARMACY|2025-01-02|30.000|30|R|G|0|D12DF91208FB6236FB22597927B1D5690AED754459BE217AA21D82D1BBB12301|N|1|N|8311|GA6140|GA6140M101|P 27241016701|DOXEPIN HCL CAP 10MG|1619397478|KROGER PHARMACY|2025-01-02|60.000|30|R|G|0|4777C4B08AFE60495B5204F128E92B2F9048E312A5D1EEA472EDE583A421508A|N|1|N|8311|GA6140|GA6140M301|P 27808009301|DEXMETHYLPH TAB 10MG|1861526501|MEDICINE SHOPPE PHARMACY|2025-01-02|30.000|30|R|G|0|A853A73776945873AF8E1E8EE307E61A7E71778C5432177099EB2A4272879FC0|N|1|N|8311|GA6140|GA6140M503|P 29300011605|TOPIRAMATE TAB 50MG|1033303946|PUBLIX PHARMACY|2025-01-02|90.000|30|R|G|0|97D3BB1C284A179339AE965D33BDEEB71409D21750D95726FF33964F3E80C2B3|N|1|N|8311|GA6140|GA6140M301|P 29300012810|HYDROCHLOROT TAB 25MG|1225043334|WALGREENS|2025-01-02|30.000|30|R|G|0|9BE620032D12CCBEDFA5ADA221BD427C490573C366597535CEBBB3D916EBA5FC|N|1|N|8311|GA6140|GA6140M301|P 29300035005|ALLOPURINOL TAB 300MG|1558089391|PUBLIX PHARMACY|2025-01-02|45.000|30|R|G|0|9CAE1115294B5DF4C3C8B48EF2DE9C86AAB5D7672514DA70A54A241EB3DACC09|N|1|N|8311|GA6140|GA6140M405|P 29300039810|AMLODIPINE TAB 10MG|1689777344|CVS PHARMACY|2025-01-02|30.000|30|R|G|0|2094F9CE1B343C05EAC9886311B815A68D902A5B717BB703E3DD2FD95BE716E4|N|1|N|8311|GA6140|GA6140M301|P 29300041301|CYCLOBENZAPR TAB 5MG|1639181506|SAFEWAY PHARMACY|2025-01-02|30.000|5|R|G|0|65620C696E79E3E7C2BF8D391BF4E8E9CC7F4A0A9B2FDE3D440285290ACBDFA3|N|1|N|8311|GA6140|GA6140M307|P 29300041510|CYCLOBENZAPR TAB 10MG|1992460687|PUBLIX PHARMACY|2025-01-02|90.000|30|R|G|0|38C63D9103307FB15153137093BBB4B9F092FE15E98ED0ACDB6622416BFD202B|N|1|N|8311|GA6140|GA6140M200|P 29300041910|AMITRIPTYLIN TAB 10MG|1043681604|WALMART PHARMACY|2025-01-02|30.000|30|R|G|0|57B385F806AD2DBA1A3D67A0566507B502AAF33F4D9B4A29F455CCAF25F5EA88|N|1|N|8311|GA6140|GA6140M503|P 31722000860|ZAFIRLUKAST TAB 20MG|1568402998|PUBLIX PHARMACY|2025-01-02|60.000|30|R|G|0|C4D8BBF5BEFBE5745EFF81EAF8A3E08077E43E47FFC21892C200C37638A83BD4|N|1|N|8311|GA6140|GA6140M101|P 31722014805|GABAPENTIN CAP 100MG|1619397478|KROGER PHARMACY|2025-01-02|120.000|30|R|G|0|AE75EE6FC95A7BD8DA209FFACC5D754B432372CEDA32322BE14004BC49C27035|N|1|N|8311|GA6140|GA6140M101|P 31722052101|HYDRALAZINE TAB 50MG|1487671707|WALMART PHARMACY|2025-01-02|90.000|30|R|G|0|380C63C3DEFF1041886EA6C40E20399467E80A1D196CB3ABD8D6483C6B41B8DE|N|1|N|8311|GA6140|GA6140M101|P 31722058830|NEBIVOLOL TAB 20MG|1780107334|WALGREENS|2025-01-02|30.000|30|R|G|0|E13B37C2725A768D4C77432A37958322F8EA0F97EDC03CC7AF81D15E33571CA7|N|1|N|8311|GA6140|GA6140M405|P 31722070490|VALACYCLOVIR TAB 500MG|1619397478|KROGER PHARMACY|2025-01-02|6.000|3|R|G|0|AE75EE6FC95A7BD8DA209FFACC5D754B432372CEDA32322BE14004BC49C27035|N|1|N|8311|GA6140|GA6140M101|P 31722070530|VALACYCLOVIR TAB 1GM|1356444103|CVS PHARMACY|2025-01-02|30.000|30|R|G|0|A3B4FD77FEBDBE3AE7F41331094D22EE51226F6DCCF9486F4AE964FC7468E0B8|N|1|N|8311|GA6140|GA6140M301|P 31722071310|PANTOPRAZOLE TAB 40MG|1730113549|KROGER DRUGSTORE|2025-01-02|60.000|30|R|G|0|250A325E4D4E06C89A0E22DAD6CFC1C919E378D8956D427B6431724F76E627D0|N|1|N|8311|GA6140|GA6140M301|P 31722072610|MONTELUKAST TAB 10MG|1730113549|KROGER DRUGSTORE|2025-01-02|30.000|30|R|G|0|D8F89CBBDC1DABB669BD2A42F5A93E97CD33B73B25987A390771F94151843A86|N|1|N|8311|GA6140|GA6140M101|P 42192062303|LEVONOR/ETHI TAB 0.1-20|1851473649|HAWTHORNE DRUG COMPANY|2025-01-02|28.000|28|R|G|0|0F5B1CA0F845F6BD37477E5C545899B54F5F5384C28B31A9F96866D04C9414CC|N|1|N|8311|GA6140|GA6140M407|P 42806040021|METHYLPRED TAB 4MG DPAK|1912028267|KROGER PHARMACY|2025-01-02|21.000|6|R|G|0|377CCA08DCFBC216378B85C6C0A195A291D76282F5026BA8F1F7DB67F7298CD3|N|1|N|8311|GA6140|GA6140M301|P 42806040021|METHYLPRED TAB 4MG DPAK|1689777344|CVS PHARMACY|2025-01-02|21.000|6|R|G|0|BDE049613C055E3D27B94442839A9F3E4E1FF89B64B31CB34B07D7C05184A44B|N|1|N|8311|GA6140|GA6140M200|P 42806040021|METHYLPRED TAB 4MG DPAK|1619397478|KROGER PHARMACY|2025-01-02|21.000|6|R|G|0|4777C4B08AFE60495B5204F128E92B2F9048E312A5D1EEA472EDE583A421508A|N|1|N|8311|GA6140|GA6140M301|P 42806071405|BENZONATATE CAP 100MG|1912028267|KROGER PHARMACY|2025-01-02|15.000|5|R|G|0|377CCA08DCFBC216378B85C6C0A195A291D76282F5026BA8F1F7DB67F7298CD3|N|1|N|8311|GA6140|GA6140M301|P 43547028110|ESCITALOPRAM TAB 10MG|1225043334|WALGREENS|2025-01-02|30.000|30|R|G|0|306754F065BC311397985B2FF830CED4325320B6350198769326778A0DC034D0|N|1|N|8311|GA6140|GA6140M503|P 43547033003|IRBESAR/HCTZ TAB 150-12.5|1285659060|KROGER PHARMACY|2025-01-02|15.000|30|R|G|0|7AA49F62C014ED9AF78C37751D67F2B62E4C674B2368233AAAFA97403926E26B|N|1|N|8311|GA6140|GA6140M301|P 43547035311|LISINOPRIL TAB 10MG|1780792101|MADISON DRUG LLC|2025-01-02|30.000|30|R|G|0|9A47333165519DC944965FF56BB9784795703B8F85DB76D52783532736EA56D8|N|1|N|8311|GA6140|GA6140M407|P 43547036111|LOSARTAN POT TAB 50MG|1043244866|KROGER PHARMACY|2025-01-02|30.000|30|R|G|0|976DB16595EC991254F8D1BE16BE88723F8B71B8F33D139E19C836FAD90E0ABE|N|1|N|8311|GA6140|GA6140M201|P 43547039309|OLMESART HCT TAB 40-25MG|1689777344|CVS PHARMACY|2025-01-02|30.000|30|R|G|0|2094F9CE1B343C05EAC9886311B815A68D902A5B717BB703E3DD2FD95BE716E4|N|1|N|8311|GA6140|GA6140M301|P 43547039309|OLMESART HCT TAB 40-25MG|1447528039|CVS PHARMACY|2025-01-02|30.000|30|R|G|0|8C6CF3487085E36A99CB5FA1694669A836203E59CC9AA9975F6F5AA7E2EA3EFA|N|1|N|8311|GA6140|GA6140M301|P 43547042409|LOSARTAN/HCT TAB 100-25|1427097484|PUBLIX PHARMACY|2025-01-02|30.000|30|R|G|0|82B767B014014B3D89CD17B6477365D73DE2378C1F943ACE564394AD62D39F36|N|1|N|8311|GA6140|GA6140M301|P 43547052609|NEBIVOLOL TAB 10MG|1861526501|MEDICINE SHOPPE PHARMACY|2025-01-02|30.000|30|R|G|0|32292508F401653C7F6AEE241865EF745C3F2E061595248451A977A23746AA3F|N|1|N|8311|GA6140|GA6140M407|P 45802005435|TRIAMCINOLON OIN 0.025%|1689777344|CVS PHARMACY|2025-01-02|75.000|30|R|G|0|9928549E8530CFCBB49E2CAE9619B56BC98F525DBD97B910812EA3F8258476B7|N|1|N|8311|GA6140|GA6140M307|P 47781064310|LEVOTHYROXIN TAB 50MCG|1568402998|PUBLIX PHARMACY|2025-01-02|30.000|30|R|G|0|C4D8BBF5BEFBE5745EFF81EAF8A3E08077E43E47FFC21892C200C37638A83BD4|N|1|N|8311|GA6140|GA6140M101|P 49281012465|FLUZONE HD INJ 2024-25|1801022918|CVS PHARMACY|2025-01-02|.500|1|R|B|0|D9D291D7F918F122114F07BB8A24FBB0E95544F82D2065D4B25912BA9E748938|N|3|N|8311|GA6140|GA6140M301|P 49483070101|FLUOXETINE CAP 10MG|1033303946|PUBLIX PHARMACY|2025-01-02|30.000|30|R|G|0|C98883FA8DB9F21A85251EAFEF8D13AA53DD031EA316E2E643869A064DAA0E5F|N|1|N|8311|GA6140|GA6140M307|P 49483070301|FLUOXETINE CAP 40MG|1033303946|PUBLIX PHARMACY|2025-01-02|30.000|30|R|G|0|C98883FA8DB9F21A85251EAFEF8D13AA53DD031EA316E2E643869A064DAA0E5F|N|1|N|8311|GA6140|GA6140M307|P 49884079011|OL/AM/HCT 40 TAB 10-25MG|1689777344|CVS PHARMACY|2025-01-02|30.000|30|R|G|0|095298091533393F557E3A6A8C091C303760A7F250DC2194D406EEAD0A1648AA|N|1|N|8311|GA6140|GA6140M101|P 50111033401|METRONIDAZOL TAB 500MG|1689777344|CVS PHARMACY|2025-01-02|4.000|1|R|G|0|B4A17DBA3B65C42F4FAC39903AA8283A41D65BC63A9FED73755F9E980B42DEA3|N|1|N|8311|GA6140|GA6140M503|P 50111056101|TRAZODONE TAB 100MG|1346343191|CVS PHARMACY|2025-01-02|30.000|30|R|G|0|D12DF91208FB6236FB22597927B1D5690AED754459BE217AA21D82D1BBB12301|N|1|N|8311|GA6140|GA6140M101|P 50228011890|ROSUVASTATIN TAB 20MG|1821048935|FARMERS PRESCRIPTION SHOP INC|2025-01-02|30.000|30|R|G|0|580230B8F99E8D53FB20F3627682B77BF20408747B0C477C93FBA5E1FBBBE6A4|N|1|N|8311|GA6140|GA6140M301|P 50742061510|METOPROL SUC TAB 25MG ER|1356444103|CVS PHARMACY|2025-01-02|30.000|30|R|G|0|5A5C6F0E0FA3480684FF923DF67964E35ADAD61ED67D972586BF817D7B683A68|N|1|N|8311|GA6140|GA6140M101|P 51672131200|MUPIROCIN OIN 2%|1285659060|KROGER PHARMACY|2025-01-02|22.000|11|R|G|0|327621ACC95168410FFC7554010BF4B6A5A4BF170505D12AE7CAECEF7BF6B5BA|N|1|N|8311|GA6140|GA6140M307|P 51991081701|PROPRANOLOL CAP 60MG ER|1285659060|KROGER PHARMACY|2025-01-02|30.000|30|R|G|0|560F9AEC4E78D4270033D5DECC135D92147596C5E70A884CCFA7008304085D15|N|1|N|8311|GA6140|GA6140M101|P 53489011905|DOXYCYCL HYC CAP 100MG|1689777344|CVS PHARMACY|2025-01-02|20.000|10|R|G|0|BDE049613C055E3D27B94442839A9F3E4E1FF89B64B31CB34B07D7C05184A44B|N|1|N|8311|GA6140|GA6140M200|P 53885027210|ONE TOUCH TES VERIO|1619397478|KROGER PHARMACY|2025-01-02|100.000|25|R|B|0|3CC16B5B0396B26E23D7C6ED654B72E918079E2AC685E84EB2F7A2A712782C1B|N|3|N|8311|GA6140|GA6140M301|P 53885099425|ONE TOUCH TES ULTRA|1619397478|KROGER PHARMACY|2025-01-02|100.000|25|R|B|0|D37621702850CE3C632EA4BC07849692475F5CA313EE64F8F7029C47B2B84371|N|3|N|8311|GA6140|GA6140M301|P 55111053401|DIVALPROEX TAB 500MG ER|1043681604|WALMART PHARMACY|2025-01-02|30.000|30|R|G|0|45767CE12A265ADE1B3A7786D36177F0A014DD81E2147A0F35E1E85536583CAC|N|1|N|8311|GA6140|GA6140M301|P 55111064505|OMEPRAZOLE CAP 40MG|1730113549|KROGER DRUGSTORE|2025-01-02|30.000|30|R|G|0|6F2A4AACA71630910BCE27F6F450A6460EF4771CD29C0A975F03476A5029D81C|N|1|N|8311|GA6140|GA6140M200|P 57237000511|FLUCONAZOLE TAB 150MG|1184663155|PUBLIX PHARMACY|2025-01-02|2.000|3|R|G|0|297FEEAE68A42B5455200181EBBAE81665AC1660C9FF7133EEDC1006222E4EE1|N|1|N|8311|GA6140|GA6140M301|P 57237000511|FLUCONAZOLE TAB 150MG|1861526501|MEDICINE SHOPPE PHARMACY|2025-01-02|2.000|2|R|G|0|32292508F401653C7F6AEE241865EF745C3F2E061595248451A977A23746AA3F|N|1|N|8311|GA6140|GA6140M407|P 58160084252|BOOSTRIX INJ|1801022918|CVS PHARMACY|2025-01-02|.500|1|R|B|0|D9D291D7F918F122114F07BB8A24FBB0E95544F82D2065D4B25912BA9E748938|N|3|N|8311|GA6140|GA6140M301|P 58160084811|AREXVY INJ 120MCG|1801022918|CVS PHARMACY|2025-01-02|1.000|1|R|B|0|D9D291D7F918F122114F07BB8A24FBB0E95544F82D2065D4B25912BA9E748938|N|3|N|8311|GA6140|GA6140M301|P 58406003204|ENBREL SRCLK INJ 50MG/ML|1518948413|CARELON RX SPECIALTY|2025-01-02|4.000|28|R|B|0|71E7101C1F74A31612CD77A274021ACC89FDFC6D5D87AF9ED2351FCB57C30137|N|3|Y|8311|GA6140|GA6140M101|P 59651011960|DOFETILIDE CAP 250MCG|1568179489|CARELONRX PHARMACY INC|2025-01-02|180.000|90|M|G|0|28F6C96233D861972C1ABC23DED654936B2315FD2D1CAEC318491F448B1BBB47|N|1|Y|8311|GA6140|GA6140M301|P 59651030801|FLUOXETINE TAB 10MG|1306929468|CRAWFORD BREAZEALE DRUG CO|2025-01-02|30.000|30|R|G|0|ED82957AE38A61D021ECCA84ECA38B3355BB6ADB17A95669EE8FF5203EEBD443|N|1|N|8311|GA6140|GA6140M101|P 59651050005|HYDROXYZ HCL TAB 25MG|1346343191|CVS PHARMACY|2025-01-02|90.000|30|R|G|0|D21DC9EA63F4AE19181A26CCB32D01722D2ACC40CFA0ED2296BE8990FA413014|N|1|N|8311|GA6140|GA6140M101|P 60219170801|PREDNISONE TAB 20MG|1053350926|PUBLIX PHARMACY|2025-01-02|8.000|6|R|G|0|41705D5AFDFE565D8AB0B479854FDC6586FFF3A5FC7D61E9F79E44E14660C7D4|N|1|N|8311|GA6140|GA6140M301|P 60219170801|PREDNISONE TAB 20MG|1568402998|PUBLIX PHARMACY|2025-01-02|10.000|5|R|G|0|D8B7B875088DE5EE0E7DA4EAD1FC7741EA9BCAD2FED75BDCB929C86B7D58E6E2|N|1|N|8311|GA6140|GA6140M301|P 60505014201|GLIPIZIDE TAB 10MG|1497063275|INGLES PHARMACY|2025-01-02|60.000|30|R|G|0|76D8A7F24A6A1005A447CDD2A6B1CD614D92C735259AAC240D47BD41593EA63D|N|1|N|8311|GA6140|GA6140M101|P 60505393001|GUANFACINE TAB 4MG ER|1861526501|MEDICINE SHOPPE PHARMACY|2025-01-02|30.000|30|R|G|0|A853A73776945873AF8E1E8EE307E61A7E71778C5432177099EB2A4272879FC0|N|1|N|8311|GA6140|GA6140M503|P 62332000231|FAMOTIDINE TAB 40MG|1992460687|PUBLIX PHARMACY|2025-01-02|30.000|30|R|G|0|38C63D9103307FB15153137093BBB4B9F092FE15E98ED0ACDB6622416BFD202B|N|1|N|8311|GA6140|GA6140M200|P 62332025130|AZITHROMYCIN TAB 250MG|1619397478|KROGER PHARMACY|2025-01-02|6.000|5|R|G|0|BCA83CFEC688D48A749EBE5179F9A62FE012F5723417DDDB23B8972578ED52BC|N|1|N|8311|GA6140|GA6140M101|P 62332038690|MODAFINIL TAB 200MG|1043681604|WALMART PHARMACY|2025-01-02|60.000|30|R|G|0|45767CE12A265ADE1B3A7786D36177F0A014DD81E2147A0F35E1E85536583CAC|N|1|N|8311|GA6140|GA6140M301|P 62559099130|FLUCONAZOLE TAB 100MG|1033303946|PUBLIX PHARMACY|2025-01-02|14.000|14|R|G|0|05BBBA9650946D2D9DBFEC84C5490391EFA3E3EC552D5158593EEFE64F9F57CD|N|1|N|8311|GA6140|GA6140M200|P 64380071307|BENZONATATE CAP 200MG|1689777344|CVS PHARMACY|2025-01-02|30.000|10|R|G|0|BDE049613C055E3D27B94442839A9F3E4E1FF89B64B31CB34B07D7C05184A44B|N|1|N|8311|GA6140|GA6140M200|P 64850050201|AMPHET/DEXTR TAB 10MG|1285659060|KROGER PHARMACY|2025-01-02|45.000|30|R|G|0|BD3393AE8E85C8CC807D3BB6C4702179A8CB168B3FEA7A2FAF36C95193B1B7D7|N|1|N|8311|GA6140|GA6140M101|P 65862000899|METFORMIN TAB 500MG|1447528039|CVS PHARMACY|2025-01-02|30.000|30|R|G|0|8C6CF3487085E36A99CB5FA1694669A836203E59CC9AA9975F6F5AA7E2EA3EFA|N|1|N|8311|GA6140|GA6140M301|P 65862001099|METFORMIN TAB 1000MG|1811399090|ATHENS NEIGHBORHOOD PHARMACY|2025-01-02|60.000|30|R|G|0|829276FEF9460C4C6283DF833597980A3344D7BD6AE287FBC62FF427A389A574|N|1|N|8311|GA6140|GA6140M301|P 65862001105|SERTRALINE TAB 25MG|1861526501|MEDICINE SHOPPE PHARMACY|2025-01-02|30.000|30|R|G|0|A853A73776945873AF8E1E8EE307E61A7E71778C5432177099EB2A4272879FC0|N|1|N|8311|GA6140|GA6140M503|P 65862001905|CEPHALEXIN CAP 500MG|1992720221|MADDENS PHARMACY|2025-01-02|90.000|30|R|G|0|3CE90376BF14D69AEE7AE373393FA718CBF19F090A4A452D3763F31324690A46|N|1|N|8311|GA6140|GA6140M407|P 65862019299|FLUOXETIN(P) CAP 10MG|1437252277|CVS PHARMACY|2025-01-02|30.000|30|R|G|0|D9B799805A3C526262714E60C054EFD196B354EF5D26DC8CE5A7A308471BAD32|N|1|N|8311|GA6140|GA6140M307|P 65862021150|MINOCYCLINE CAP 100MG|1033303946|PUBLIX PHARMACY|2025-01-02|60.000|30|R|G|0|05BBBA9650946D2D9DBFEC84C5490391EFA3E3EC552D5158593EEFE64F9F57CD|N|1|N|8311|GA6140|GA6140M200|P 65862029490|ROSUVASTATIN TAB 10MG|1619397478|KROGER PHARMACY|2025-01-02|30.000|30|R|G|0|F91A2E6FFA2990267B0899A71A446B131E98D40B1EF8FA170EA3A3766A15BE18|N|1|N|8311|GA6140|GA6140M301|P 65862076090|PREGABALIN CAP 75MG|1992460687|PUBLIX PHARMACY|2025-01-02|60.000|30|R|G|0|38C63D9103307FB15153137093BBB4B9F092FE15E98ED0ACDB6622416BFD202B|N|1|N|8311|GA6140|GA6140M200|P 65862083030|PRASUGREL TAB 10MG|1487671707|WALMART PHARMACY|2025-01-02|30.000|30|R|G|0|380C63C3DEFF1041886EA6C40E20399467E80A1D196CB3ABD8D6483C6B41B8DE|N|1|N|8311|GA6140|GA6140M101|P 65862085530|AMLOD/OLMESA TAB 5-40MG|1780107334|WALGREENS|2025-01-02|30.000|30|R|G|0|E13B37C2725A768D4C77432A37958322F8EA0F97EDC03CC7AF81D15E33571CA7|N|1|N|8311|GA6140|GA6140M405|P 65862093574|AUROVELA TAB 1.5/30|1033303946|PUBLIX PHARMACY|2025-01-02|21.000|21|R|G|0|A7AB05E7CC8B93A03374D6043D422FD19B4A75C4FB33E0774BE31074BE83111D|N|1|N|8311|GA6140|GA6140M407|P 66993001968|ALBUTEROL AER HFA (V)|1043244866|KROGER PHARMACY|2025-01-02|18.000|16|R|G|0|270413F748FA3418EF72462E2B1651F7A96493B0FD2F503A99B6DD86A25091E4|N|3|N|8311|GA6140|GA6140M407|P 66993013697|FLUTIC/VILAN INH 200-25|1568402998|PUBLIX PHARMACY|2025-01-02|60.000|30|R|G|0|C4D8BBF5BEFBE5745EFF81EAF8A3E08077E43E47FFC21892C200C37638A83BD4|N|3|N|8311|GA6140|GA6140M101|P 66993060536|ETONOGESTREL VAG ETHY EST|1700309317|WALGREENS|2025-01-02|1.000|28|R|G|0|E1E9D1AEA0CF8674AB548DA0CB20EDC9092CAA3FAB70F0A3881C26B576FF678D|N|1|N|8311|GA6140|GA6140M307|P 67877021905|CEPHALEXIN CAP 500MG|1285659060|KROGER PHARMACY|2025-01-02|20.000|10|R|G|0|327621ACC95168410FFC7554010BF4B6A5A4BF170505D12AE7CAECEF7BF6B5BA|N|1|N|8311|GA6140|GA6140M307|P 67877022205|GABAPENTIN CAP 100MG|1861526501|MEDICINE SHOPPE PHARMACY|2025-01-02|30.000|30|R|G|0|8FCE1F708CD92F9C3D131606668F70997638813E470FADD89E63F5330CDC8F08|N|1|N|8311|GA6140|GA6140M301|P 67877022405|GABAPENTIN CAP 400MG|1033292198|INGLES PHARMACY|2025-01-02|180.000|30|R|G|0|4F03CAF8E48E35053443A785903BF4BB5F1B3C87DFC59D467C42FFD159902CB1|N|1|N|8311|GA6140|GA6140M101|P 67877025130|TRIAMCINOLON CRE 0.1%|1346343191|CVS PHARMACY|2025-01-02|60.000|30|R|G|0|9D524C227B2185983D326E78C744EB21FC890CE9DBD30C05F8D3307D388D7504|N|1|N|8311|GA6140|GA6140M301|P 67877048330|TELMISARTAN TAB 40MG|1356444103|CVS PHARMACY|2025-01-02|30.000|30|R|G|0|5A5C6F0E0FA3480684FF923DF67964E35ADAD61ED67D972586BF817D7B683A68|N|1|N|8311|GA6140|GA6140M101|P 67877054360|CEFDINIR CAP 300MG|1447528039|CVS PHARMACY|2025-01-02|20.000|10|R|G|0|3374EECB72B0A9ABDB803EFBA6F9181F9CF653027A9C180D8DDF9B70B58315B0|N|1|N|8311|GA6140|GA6140M301|P 68001033508|LISINOPRIL TAB 20MG|1992720221|MADDENS PHARMACY|2025-01-02|30.000|30|R|G|0|97B2C36BE1BBC59FC420E9DCC8A82698CE6B4BEF3CC80421493E2CB31C4D6551|N|1|N|8311|GA6140|GA6140M101|P 68094090030|AZITHROMYCIN TAB 250MG|1851473649|HAWTHORNE DRUG COMPANY|2025-01-02|6.000|5|R|G|0|0F5B1CA0F845F6BD37477E5C545899B54F5F5384C28B31A9F96866D04C9414CC|N|1|N|8311|GA6140|GA6140M407|P 68180042308|CEFIXIME CAP 400MG|1689777344|CVS PHARMACY|2025-01-02|2.000|1|R|G|0|B4A17DBA3B65C42F4FAC39903AA8283A41D65BC63A9FED73755F9E980B42DEA3|N|1|N|8311|GA6140|GA6140M503|P 68180045901|AMLOD/BENAZP CAP 5-20MG|1255434007|CVS PHARMACY|2025-01-02|30.000|30|R|G|0|1487AE7624712E50EC457A3250FE070F099FAD265F9ED15CAE9BF8F3DE1C7139|N|1|N|8311|GA6140|GA6140M301|P 68180051303|LISINOPRIL TAB 5MG|1043244866|KROGER PHARMACY|2025-01-02|30.000|30|R|G|0|61ECF7C1A4501E33A77A9FA4085C8568C6AD2F64EBE2E38C4F1EA954ECF562B1|N|1|N|8311|GA6140|GA6140M200|P 68180065001|DOXYCYC MONO CAP 50MG|1447528039|CVS PHARMACY|2025-01-02|30.000|30|R|G|0|8C6CF3487085E36A99CB5FA1694669A836203E59CC9AA9975F6F5AA7E2EA3EFA|N|1|N|8311|GA6140|GA6140M301|P 68180065208|DOXYCYC MONO CAP 100MG|1689777344|CVS PHARMACY|2025-01-02|14.000|7|R|G|0|B4A17DBA3B65C42F4FAC39903AA8283A41D65BC63A9FED73755F9E980B42DEA3|N|1|N|8311|GA6140|GA6140M503|P 68180088673|NIKKI (28) TAB 3-0.02MG|1730113549|KROGER DRUGSTORE|2025-01-02|28.000|28|R|G|0|BD0EDDC80185B01B428102CB521699318935EB7F1C8AE3AFA349F21D8114B72E|N|1|N|8311|GA6140|GA6140M301|P 68180096301|ALBUTEROL AER HFA (PA)|1568075430|NORTHEAST GEORGIA PHARMACY|2025-01-02|8.500|67|R|G|0|7F8F80475DEAE0AB3C68EAC2DF745C0467AB5554F15AA59BA992511E11070605|N|1|N|8311|GA6140|GA6140M301|P 68180098103|LISINOPRIL TAB 20MG|1811399090|ATHENS NEIGHBORHOOD PHARMACY|2025-01-02|30.000|30|R|G|0|829276FEF9460C4C6283DF833597980A3344D7BD6AE287FBC62FF427A389A574|N|1|N|8311|GA6140|GA6140M301|P 68180098103|LISINOPRIL TAB 20MG|1346343191|CVS PHARMACY|2025-01-02|60.000|30|R|G|0|A0DF2D5B95AA6B8313CA00954CD32771F90A20DF41151DA010729BCC989AD354|N|1|N|8311|GA6140|GA6140M200|P 68382005105|MELOXICAM TAB 15MG|1043244866|KROGER PHARMACY|2025-01-02|30.000|30|R|G|0|4A681C9DC0DC170798DF42034AF9C4AAC4E5FC49D9FDA5C58079A70411B00DDE|N|1|N|8311|GA6140|GA6140M200|P 68382005105|MELOXICAM TAB 15MG|1780792101|MADISON DRUG LLC|2025-01-02|30.000|30|R|G|0|9A47333165519DC944965FF56BB9784795703B8F85DB76D52783532736EA56D8|N|1|N|8311|GA6140|GA6140M407|P 68382070718|DOXYCYC MONO CAP 100MG|1568402998|PUBLIX PHARMACY|2025-01-02|14.000|7|R|G|0|D8B7B875088DE5EE0E7DA4EAD1FC7741EA9BCAD2FED75BDCB929C86B7D58E6E2|N|1|N|8311|GA6140|GA6140M301|P 68382075016|TIADYLT CAP 420MG/24|1043735350|WALGREENS|2025-01-02|30.000|30|R|G|0|3E3D88FEF286649DAA9F132CE410624CB991E4D7A8086EBC8026829756C222E5|N|1|N|8311|GA6140|GA6140M101|P 68382097001|CHLORTHALID TAB 25MG|1255434007|CVS PHARMACY|2025-01-02|30.000|30|R|G|0|1487AE7624712E50EC457A3250FE070F099FAD265F9ED15CAE9BF8F3DE1C7139|N|1|N|8311|GA6140|GA6140M301|P 68462022605|EZETIMIBE TAB 10MG|1821048935|FARMERS PRESCRIPTION SHOP INC|2025-01-02|30.000|30|R|G|0|580230B8F99E8D53FB20F3627682B77BF20408747B0C477C93FBA5E1FBBBE6A4|N|1|N|8311|GA6140|GA6140M301|P 68462026390|ROSUVASTATIN TAB 20MG|1043735350|WALGREENS|2025-01-02|30.000|30|R|G|0|AC0F057F2373140F72B894F9B2C284EC33CC69CB13610F805E1C583D8A995F73|N|1|N|8311|GA6140|GA6140M307|P 68645019059|METOPROL TAR TAB 50MG|1487671707|WALMART PHARMACY|2025-01-02|60.000|30|R|G|0|380C63C3DEFF1041886EA6C40E20399467E80A1D196CB3ABD8D6483C6B41B8DE|N|1|N|8311|GA6140|GA6140M101|P 68645052354|SERTRALINE TAB 100MG|1043681604|WALMART PHARMACY|2025-01-02|30.000|30|R|G|0|60F19A17ABBDF62FDF03FC14015F9475596CF708D53BC069BE5DA9EF75332F90|N|1|N|8311|GA6140|GA6140M307|P 68645059559|METFORMIN TAB 500MG ER|1043681604|WALMART PHARMACY|2025-01-02|30.000|30|R|G|0|45767CE12A265ADE1B3A7786D36177F0A014DD81E2147A0F35E1E85536583CAC|N|1|N|8311|GA6140|GA6140M301|P 68645060890|LISINOPRIL TAB 2.5MG|1487671707|WALMART PHARMACY|2025-01-02|30.000|30|R|G|0|380C63C3DEFF1041886EA6C40E20399467E80A1D196CB3ABD8D6483C6B41B8DE|N|1|N|8311|GA6140|GA6140M101|P 68645061190|LISINOPRIL TAB 20MG|1043681604|WALMART PHARMACY|2025-01-02|30.000|30|R|G|0|60F19A17ABBDF62FDF03FC14015F9475596CF708D53BC069BE5DA9EF75332F90|N|1|N|8311|GA6140|GA6140M307|P 69097012705|AMLODIPINE TAB 5MG|1043244866|KROGER PHARMACY|2025-01-02|30.000|30|R|G|0|4E0FF94A32F9BF560230E5FE5AE611E4ABDDED2A01B6AD0E86A65C966A33AD4B|N|1|N|8311|GA6140|GA6140M407|P 69097012815|AMLODIPINE TAB 10MG|1033292198|INGLES PHARMACY|2025-01-02|30.000|30|R|G|0|4F03CAF8E48E35053443A785903BF4BB5F1B3C87DFC59D467C42FFD159902CB1|N|1|N|8311|GA6140|GA6140M101|P 69097014260|ALBUTEROL AER HFA (PV)|1689777344|CVS PHARMACY|2025-01-02|6.700|30|R|G|0|C6D32C3E2EFE003136E5E072E0A9A17C9F5CA9D1CCC19ECF3835BD52812A3417|N|1|N|8311|GA6140|GA6140M307|P 69097042112|CELECOXIB CAP 200MG|1033292198|INGLES PHARMACY|2025-01-02|30.000|30|R|G|0|4F03CAF8E48E35053443A785903BF4BB5F1B3C87DFC59D467C42FFD159902CB1|N|1|N|8311|GA6140|GA6140M101|P 69097084507|CYCLOBENZAPR TAB 5MG|1689777344|CVS PHARMACY|2025-01-02|30.000|30|R|G|0|20CF0FBA7A68CCC0DD20F49FEF9F73BDFC8FFF318CF9B138D1537BC292395D62|N|1|N|8311|GA6140|GA6140M301|P 69238106507|POT CL MICRO TAB 10MEQ ER|1043244866|KROGER PHARMACY|2025-01-02|60.000|30|R|G|0|093A797601368607EDDC06B413F80DD4FEE6EC8685DFFC053568FF1A6A9133C6|N|1|N|8311|GA6140|GA6140M200|P 69238183507|LEVOTHYROXIN TAB 112MCG|1619397478|KROGER PHARMACY|2025-01-02|30.000|30|R|G|0|F91A2E6FFA2990267B0899A71A446B131E98D40B1EF8FA170EA3A3766A15BE18|N|1|N|8311|GA6140|GA6140M301|P 69238183701|LEVOTHYROXIN TAB 137MCG|1437252277|CVS PHARMACY|2025-01-02|30.000|30|R|G|0|DA176B8E89B817195B0691DCBB734599C5782D8D0C027CC3A12DAE4F896B00C6|N|1|N|8311|GA6140|GA6140M200|P 69238183701|LEVOTHYROXIN TAB 137MCG|1437252277|CVS PHARMACY|2025-01-02|30.000|30|R|G|0|E75C72571E8C96003534175C0BCCAFB93E469072D96AB1B1739DDAE5B5079225|N|1|N|8311|GA6140|GA6140M301|P 69315090410|LORAZEPAM TAB 0.5MG|1992720221|MADDENS PHARMACY|2025-01-02|20.000|10|R|G|0|3CE90376BF14D69AEE7AE373393FA718CBF19F090A4A452D3763F31324690A46|N|1|N|8311|GA6140|GA6140M407|P 69367020301|BUT/APAP/CAF TAB 325MG|1043681604|WALMART PHARMACY|2025-01-02|30.000|5|R|G|0|57B385F806AD2DBA1A3D67A0566507B502AAF33F4D9B4A29F455CCAF25F5EA88|N|1|N|8311|GA6140|GA6140M503|P 69547062702|NARCAN SPR 4MG OTC|1780107334|WALGREENS|2025-01-02|2.000|30|R|B|0|E13B37C2725A768D4C77432A37958322F8EA0F97EDC03CC7AF81D15E33571CA7|N|1|N|8311|GA6140|GA6140M405|P 69616027430|FYCOMPA TAB 4MG|1134538747|VILLAGE DRUG SHOP AT ADVANTAGE|2025-01-02|30.000|30|R|B|0|015DB66CD2E32E4124D873E3F28CE4068D5448B9FA16A3836172C9FBF96E082F|N|2|N|8311|GA6140|GA6140M301|P 70010003001|AMPHET/DEXTR CAP 10MG ER|1639421704|PIEDMONT ATHENS REGIONAL PHCY|2025-01-02|30.000|30|R|G|0|E4AC2FCC698A387F206A644470E20ADEE7F7A2D044B93BB88782A499BB7FF1DD|N|1|N|8311|GA6140|GA6140M503|P 70010049105|METFORMIN ER TAB 500MG GP|1730113549|KROGER DRUGSTORE|2025-01-02|30.000|30|R|G|0|D8F89CBBDC1DABB669BD2A42F5A93E97CD33B73B25987A390771F94151843A86|N|1|N|8311|GA6140|GA6140M101|P 70010049105|METFORMIN ER TAB 500MG GP|1285659060|KROGER PHARMACY|2025-01-02|30.000|30|R|G|0|560F9AEC4E78D4270033D5DECC135D92147596C5E70A884CCFA7008304085D15|N|1|N|8311|GA6140|GA6140M101|P 70010077001|METHOCARBAM TAB 750MG|1730113549|KROGER DRUGSTORE|2025-01-02|30.000|30|R|G|0|D8F89CBBDC1DABB669BD2A42F5A93E97CD33B73B25987A390771F94151843A86|N|1|N|8311|GA6140|GA6140M101|P 70377000812|ROSUVASTATIN TAB 20MG|1487671707|WALMART PHARMACY|2025-01-02|30.000|30|R|G|0|380C63C3DEFF1041886EA6C40E20399467E80A1D196CB3ABD8D6483C6B41B8DE|N|1|N|8311|GA6140|GA6140M101|P 70377000813|ROSUVASTATIN TAB 20MG|1689777344|CVS PHARMACY|2025-01-02|30.000|30|R|G|0|095298091533393F557E3A6A8C091C303760A7F250DC2194D406EEAD0A1648AA|N|1|N|8311|GA6140|GA6140M101|P 70377000913|ROSUVASTATIN TAB 40MG|1689777344|CVS PHARMACY|2025-01-02|30.000|30|R|G|0|2094F9CE1B343C05EAC9886311B815A68D902A5B717BB703E3DD2FD95BE716E4|N|1|N|8311|GA6140|GA6140M301|P 70377007913|ATORVASTATIN TAB 40MG|1255434007|CVS PHARMACY|2025-01-02|30.000|30|R|G|0|1487AE7624712E50EC457A3250FE070F099FAD265F9ED15CAE9BF8F3DE1C7139|N|1|N|8311|GA6140|GA6140M301|P 70436015542|PROMETHAZINE SOL DM|1568402998|PUBLIX PHARMACY|2025-01-02|140.000|7|R|G|0|D8B7B875088DE5EE0E7DA4EAD1FC7741EA9BCAD2FED75BDCB929C86B7D58E6E2|N|1|N|8311|GA6140|GA6140M301|P 70700011684|ALTAVERA TAB|1073965729|PROPEL PHARMACY LLC|2025-01-02|28.000|21|R|G|0|F57B229068DCC2F2FFBECF8C8F7B4DF56975C7EF1EAD67A7376BB2813BA5ABDC|N|1|N|8311|GA6140|GA6140M503|P 70700016201|PROGESTERONE CAP 100MG|1619397478|KROGER PHARMACY|2025-01-02|30.000|30|R|G|0|1F8D1F36E3F426E6B96087E5013261DA3D2BE18FD3035C817033BD9210848C3D|N|1|N|8311|GA6140|GA6140M101|P 70710101002|OSELTAMIVIR CAP 75MG|1821847146|PUBLIX PHARMACY|2025-01-02|10.000|5|R|G|0|8F368EACD57D151A975149CF5EF32547AEE0BE1443CA2DA3A030221A95BA8BA3|N|1|N|8311|GA6140|GA6140M200|P 70710113908|FLUCONAZOLE TAB 150MG|1437252277|CVS PHARMACY|2025-01-02|2.000|2|R|G|0|18C7190566F71F9C5A4FD013C7AE1A998356EDC360556794313E990F6FE72C1C|N|1|N|8311|GA6140|GA6140M301|P 70710116003|MIRABEGRON TAB 50MG ER|1730113549|KROGER DRUGSTORE|2025-01-02|30.000|30|R|G|0|6F2A4AACA71630910BCE27F6F450A6460EF4771CD29C0A975F03476A5029D81C|N|1|N|8311|GA6140|GA6140M200|P 70756063525|CYANOCOBALAM INJ 1000MCG|1447528039|CVS PHARMACY|2025-01-02|1.000|30|R|G|0|AE12FB3A52997E4472E9F5E4724654DB2137FDD693A1C1F69257D69766957B42|N|1|N|8311|GA6140|GA6140M503|P 70954001910|PRAZOSIN HCL CAP 1MG|1285659060|KROGER PHARMACY|2025-01-02|150.000|30|R|G|0|560F9AEC4E78D4270033D5DECC135D92147596C5E70A884CCFA7008304085D15|N|1|N|8311|GA6140|GA6140M101|P 70954005920|PREDNISONE TAB 10MG|1245333079|CVS PHARMACY|2025-01-02|20.000|5|R|G|0|E61A8D3D105AFE38816975D758ED1073BF21DDB37B26D56996CEC76B6A039F11|N|1|N|8311|GA6140|GA6140M307|P 70954006020|PREDNISONE TAB 20MG|1043244866|KROGER PHARMACY|2025-01-02|5.000|5|R|G|0|270413F748FA3418EF72462E2B1651F7A96493B0FD2F503A99B6DD86A25091E4|N|1|N|8311|GA6140|GA6140M407|P 70954056510|ESTRADIOL TAB 1MG|1821048935|FARMERS PRESCRIPTION SHOP INC|2025-01-02|30.000|30|R|G|0|CABE63D002EB19B0871CCBE8AAE744C5329C75E2F116294E34FB4C6988E837AF|N|1|N|8311|GA6140|GA6140M301|P 71093012005|GABAPENTIN CAP 100MG|1639421704|PIEDMONT ATHENS REGIONAL PHCY|2025-01-02|30.000|10|R|G|0|EFFD9A09EB855DDE365353FA76E017E3BF948BE88DC578828C12194162CE9508|N|1|N|8311|GA6140|GA6140M101|P 72205002499|ATORVASTATIN TAB 40MG|1043244866|KROGER PHARMACY|2025-01-02|30.000|30|R|G|0|093A797601368607EDDC06B413F80DD4FEE6EC8685DFFC053568FF1A6A9133C6|N|1|N|8311|GA6140|GA6140M200|P 72205014399|LOSARTAN POT TAB 100MG|1043735350|WALGREENS|2025-01-02|30.000|30|R|G|0|3E3D88FEF286649DAA9F132CE410624CB991E4D7A8086EBC8026829756C222E5|N|1|N|8311|GA6140|GA6140M101|P 72426081803|NEXLIZET TAB 180/10MG|1821048935|FARMERS PRESCRIPTION SHOP INC|2025-01-02|30.000|30|R|B|0|CABE63D002EB19B0871CCBE8AAE744C5329C75E2F116294E34FB4C6988E837AF|N|3|N|8311|GA6140|GA6140M301|P 72511076002|REPATHA SURE INJ 140MG/ML|1619397478|KROGER PHARMACY|2025-01-02|2.000|28|R|B|0|CAE048BCD82F606405AD20AEF0C758AA74D1B10533987A3EFBA197B415A20447|N|3|N|8311|GA6140|GA6140M200|P 72618300002|NURTEC ODT 75MG|1861526501|MEDICINE SHOPPE PHARMACY|2025-01-02|8.000|30|R|B|0|D21DC9EA63F4AE19181A26CCB32D01722D2ACC40CFA0ED2296BE8990FA413014|N|3|N|8311|GA6140|GA6140M101|P 72865018605|GEMFIBROZIL TAB 600MG|1194783142|AUGUSTA UPTOWN VAMC PHARMACY|2025-01-02|180.000|90|R|G|0|05269873BAB5070BA4E026346015719906AE845D10AB5EDF6EA68C9C9C7558E1|N|1|N|8311|GA6140|GA6140M407|P 72888015305|CLONAZEPAM TAB 1MG|1043244866|KROGER PHARMACY|2025-01-02|30.000|30|R|G|0|4A681C9DC0DC170798DF42034AF9C4AAC4E5FC49D9FDA5C58079A70411B00DDE|N|1|N|8311|GA6140|GA6140M200|P 72974041501|MYFEMBREE TAB|1043681604|WALMART PHARMACY|2025-01-02|28.000|28|R|B|0|45767CE12A265ADE1B3A7786D36177F0A014DD81E2147A0F35E1E85536583CAC|N|3|N|8311|GA6140|GA6140M301|P 81964022101|AMOX/K CLAV TAB 875-125|1912028267|KROGER PHARMACY|2025-01-02|14.000|7|R|G|0|377CCA08DCFBC216378B85C6C0A195A291D76282F5026BA8F1F7DB67F7298CD3|N|1|N|8311|GA6140|GA6140M301|P 81964022101|AMOX/K CLAV TAB 875-125|1619397478|KROGER PHARMACY|2025-01-02|14.000|7|R|G|0|12E57457D1B79B123079F0F32B2D8095C47B3E58556459B8D1300EAE258364C3|N|1|N|8311|GA6140|GA6140M301|P 81964022114|AMOX/K CLAV TAB 875-125|1033303946|PUBLIX PHARMACY|2025-01-02|14.000|7|R|G|0|635477771233A8A71EA43BBE1B61FFE3EF8965E72A744058987189994DB3CFA7|N|1|N|8311|GA6140|GA6140M307|P 00002223680|TRULICITY(4) INJ 3/0.5|1922025246|WALMART PHARMACY|2025-01-03|2.000|28|R|B|0|54239BFF8B24643BF881100BC671917918DB0D205BA683F98EEDD48520BE17EE|N|3|N|8311|GA6140|GA6140M407|P 00002751001|HUMALOG VIA 100U/ML|1215959002|CVS PHARMACY|2025-01-03|40.000|30|R|B|0|EF1C69595AC58FA8A9FE15616863D0FB307CF44A54C2A0B50929D2BE16F419E4|N|3|N|8311|GA6140|GA6140M101|P 00002831501|HUMULIN N VIA 100U/ML|1346343191|CVS PHARMACY|2025-01-03|10.000|25|R|B|0|1919A7E425FF27CDEEF1DEDAA85667D9ECC7EC4CDE4A26CD805715BE8CDD66C6|N|3|N|8311|GA6140|GA6140M301|P 00054074287|ALBUTEROL AER HFA (PV)|1851815419|WALGREENS|2025-01-03|6.700|16|R|G|0|4E9C85A3D2F97CEBF038D94CEBB28B661F6FD168C8DF80BADBACF0D9AFCF4DEF|N|1|N|8311|GA6140|GA6140M301|P 00054327099|FLUTICASONE SPR 50MCG RX|1700309317|WALGREENS|2025-01-03|16.000|30|R|G|0|5155F823EEC5F27200B0E1D7B1E4934853DA60FCC7971FDB85094378B06FD77D|N|1|N|8311|GA6140|GA6140M301|P 00093005301|BUSPIRONE TAB 5MG|1538305933|WALGREENS|2025-01-03|90.000|30|R|G|0|71BA8DC5770D089F1211FBC61EF69478BF53625BEF752FAB9C0EFE610443E234|N|1|N|8311|GA6140|GA6140M301|P 00093310905|AMOXICILLIN CAP 500MG|1437458593|CVS PHARMACY|2025-01-03|60.000|30|R|G|0|3EBF876584FF51A688E7D139ABFECE0F34E07251919BCB7DDEA2EC98730FA3A3|N|1|N|8311|GA6140|GA6140M301|P 00093727398|PIOGLITAZONE TAB 45MG|1801022918|CVS PHARMACY|2025-01-03|30.000|30|R|G|0|A093A3B63A647C80901157937ED8561018495E4349D03512FB03BD9F33F4D2C3|N|1|N|8311|GA6140|GA6140M200|P 00169418113|OZEMP .25/.5 INJ 2MG/3ML|1043244866|KROGER PHARMACY|2025-01-03|3.000|28|R|B|0|093A797601368607EDDC06B413F80DD4FEE6EC8685DFFC053568FF1A6A9133C6|N|3|N|8311|GA6140|GA6140M200|P 00310626060|XIGDUO XR TAB 5-1000MG|1043308752|THRIFTY MAC DISCOUNT DRUG|2025-01-03|60.000|30|R|B|2|7D797FA813A2DFFAC5FB06DA73B7E43ABECE678C8D2EF794AB52171135E87C1D|N|3|N|8311|GA6140|GA6140M101|P 00378292293|TELMISARTAN TAB 80MG|1033292198|INGLES PHARMACY|2025-01-03|30.000|30|R|G|0|ADF64C71B3BD80FCFAF58331C4A81A905EB0D71562C654E0427715FF8BA07B76|N|1|N|8311|GA6140|GA6140MS41|P 00378668910|PANTOPRAZOLE TAB 40MG|1700825718|PUBLIX PHARMACY|2025-01-03|30.000|30|R|G|0|4DE514BBE844AA0B76EB26B726C582429A21EB13D09C8070C5F1CC8BC6595738|N|1|N|8311|GA6140|GA6140M307|P 00406052305|OXYCOD/APAP TAB 10-325MG|1851473649|HAWTHORNE DRUG COMPANY|2025-01-03|150.000|30|R|G|0|F759133C5043527DA0CC8DC09015866C65963CD2C7727C2ECBF96A12205F65A3|N|1|N|8311|GA6140|GA6140M101|P 00555057202|METHOTREXATE TAB 2.5MG|1740207083|WALMART PHARMACY|2025-01-03|32.000|28|R|G|0|2B571C2FC64850EB39C665B8B3501EEEA0EEAEF24A5CC7CD9861DA80BBFC97E3|N|1|N|8311|GA6140|GA6140M200|P 00555088602|ESTRADIOL TAB 1MG|1861595522|CVS PHARMACY|2025-01-03|30.000|30|R|G|0|BE49A47890A80C274BEF6A148A48CE899A1FE212ECDD957CFCD39F1A3010F6B1|N|1|N|8311|GA6140|GA6140M407|P 00555902658|JUNEL FE 28 TAB 1/20|1346343191|CVS PHARMACY|2025-01-03|28.000|28|R|G|0|EA496E57902F63A0C83089E7C5BA5520CFB17E2338AB380BBB155BF58A7B3E31|N|1|N|8311|GA6140|GA6140M407|P 00574403105|TOBRA/DEXAME SUS 0.3-0.1%|1427097484|PUBLIX PHARMACY|2025-01-03|5.000|15|R|G|0|969438D9196E0406D6C6A6984D796764019F92237A1E23011699C66640D5F55B|N|1|N|8311|GA6140|GA6140M301|P 00642747001|SLYND TAB 4MG|1295278166|PRESTIGE PHARMACY|2025-01-03|28.000|28|R|B|0|E1B2CB7F841C4630167384FE92193CC4FEA31456D62676B826F9E3DC87162EE8|N|3|N|8311|GA6140|GA6140M307|P 00713068631|NYSTATIN OIN 100000U|1851815419|WALGREENS|2025-01-03|90.000|30|R|G|0|7AEE1140986D6E2FFBF51DAA1EFB2E307E0895CEA69CEA4AC47DC2AAC9A42984|N|1|N|8311|GA6140|GA6140M307|P 00781716783|ESTRADIOL(V) DIS 0.1/24|1437458593|CVS PHARMACY|2025-01-03|8.000|28|R|G|0|469049377E87426303B4188F24DA2F6DF3D79EBA6135BDE9540D8505BD9323A4|N|1|N|8311|GA6140|GA6140M301|P 00781716783|ESTRADIOL(V) DIS 0.1/24|1346343191|CVS PHARMACY|2025-01-03|8.000|28|R|G|0|1404B017FE4A1DEB99A35B30EEB2F49ADDE47282827CF0C02CBE12F9A78B6F54|N|1|N|8311|GA6140|GA6140M301|P 00781808926|AZITHROMYCIN TAB 250MG|1851815419|WALGREENS|2025-01-03|6.000|5|R|G|0|4E9C85A3D2F97CEBF038D94CEBB28B661F6FD168C8DF80BADBACF0D9AFCF4DEF|N|1|N|8311|GA6140|GA6140M301|P 00832112005|TESTOST(T/V) GEL 1%(50MG)|1619397478|KROGER PHARMACY|2025-01-03|150.000|30|R|G|0|770A5779A20884DD67C3EEA1CE36CFCAC9DE86C47EB0609E89F4497B95110ABE|N|3|N|8311|GA6140|GA6140M301|P 00904675180|ASPIRIN LOW TAB 81MG EC|1912028267|KROGER PHARMACY|2025-01-03|42.000|21|R|G|0|670E3979B6699436B90A299B94C8C0F3FAA735169D4B180E850CF12D75A59009|N|1|N|8311|GA6140|GA6140M301|P 08627007701|DEXCOM G7 MIS SENSOR|1922025246|WALMART…

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