Attachment S_Pharmacy Data Tables_10132025.xlsx

1 MB Posted

Attached to
RFP for Medical & Pharmacy Benefits
Solicitation number
S-44300-00014758
Issued by
Marion County, Oregon

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The file "Attachment S_Pharmacy Data Tables_10132025.xlsx" is an attachment related to the Public Employees' Benefit Board (PEBB) Request for Proposal (RFP) for medical and pharmacy benefits in Oregon. The RFP seeks comprehensive medical and pharmacy benefits services for PEBB members, with proposals to be submitted electronically through the Proposal Technologies Network, Inc.'s online platform by November 14, 2025. The procurement process requires vendors to provide detailed proposals addressing medical and pharmacy benefit plan designs, including specific questionnaires, plan specifications, and comprehensive data analysis. The project involves developing flexible benefit plans that meet PEBB's membership needs, providing robust pharmacy and medical coverage, and demonstrating comprehensive network access and pricing strategies.

The RFP includes extensive documentation such as census data, medical and pharmacy claims data, provider discount information, and clinical program details. The evaluation criteria are expected to focus on network coverage, pricing competitiveness, clinical program effectiveness, and overall value proposition. The procurement includes provisions for diverse business participation, with Attachment E specifically addressing Certification of Business Inclusion and Diversity (COBID), potentially offering set-aside opportunities or preferences for disadvantaged business enterprises. While specific budget ranges are not disclosed, the complexity and volume of data suggest a significant, multi-year contract opportunity targeting established healthcare benefits administrators with capabilities in managing large-scale public employee benefit programs.

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Other files

File Type Posted
AttachB_Definitions.pdf PDF
AttachE_COBID.pdf PDF
PEBB Medical_Rx_MainRFP_clean.pdf PDF
AttachA_Questionnaire.pdf PDF
Total Revenue Disclosure Statement_Blank.xlsx XLSX spreadsheet
Attachment V - Detailed Weight Component Info.pdf PDF
AttachI_SampleGrpBenCon_MedRx.pdf PDF
AttachI_SampleGrpBenefitsCon_Rx_v4.pdf PDF
AttachK_Point Solutions Guidelines.pdf PDF
AttachG_FinalSubForm_v2.pdf PDF
Attachment M_Medical Claims Data_clean.xlsx XLSX spreadsheet
AttachI_SampleGrpBenCon_MedOnly.pdf PDF
Attachment N_Provider Disruption Data_clean.xlsx XLSX spreadsheet
AddendumFive_clean.pdf PDF
AttachC_PlanDesigns.pdf PDF
Attachment L_Census Data_clean.xlsx XLSX spreadsheet
AttachF_RespInquiry.pdf PDF
AddendumSix_Final.pdf PDF
AttachI_SampleGrpBenCon_MedOnly_v3.pdf PDF
Oregon PEBB 2025 Medical and Pharmacy RFP_20251111.pdf PDF
Oregon PEBB 2025 Medical and Pharmacy RFP_20251016PT.pdf PDF
Attachment A_10032025.pdf PDF
Attachment N_Provider Disruption Data updated.xlsx XLSX spreadsheet
Amendment 001 - RFI PAD MOUNT XFMR 2025.pdf PDF
Attachment Q_Pharmacy Clinical Programs.xlsx XLSX spreadsheet
Attachment S_Pharmacy Data Tables.xlsx XLSX spreadsheet
AddendumTwo.pdf PDF
AttachB_Definitions_v2.pdf PDF
Oregon PEBB 2025 Medical and Pharmacy RFP_20251015.pdf PDF
AddendumFour~1.pdf PDF
Attachment T_Pharmacy Pricing Terms_10132025.xlsx XLSX spreadsheet
AttachI_SampleGrpBenCon_MedRx_v3.pdf PDF
Attachment U_Pharmacy Claims Data.xlsx XLSX spreadsheet
AttachI_SampleGrpBenCon_MedRx_v2.pdf PDF
AttachG_FinalSubForm.pdf PDF
Attachment R_Pharmacy GeoAccess Analysis Template.xlsx XLSX spreadsheet
AddendumThree_20251015_clean.pdf PDF
Attachment P_Pharmacy Plan Design Summary.xlsx XLSX spreadsheet
AttachI_SampleGrpBenCon_MedOnly_v2.pdf PDF
MainRfp_UpdatedByAddenda1-2_20250917.pdf PDF
MainRfp_UpdatedByAddenda1-3_20251015~1.pdf PDF
AddendumOne~1.pdf PDF
Attachment T_Pharmacy Pricing Terms.xlsx XLSX spreadsheet
Attachment O_Provider Discount Data_clean.xlsx XLSX spreadsheet
MainRfp_UpdatedByAddenda1-6_Final.pdf PDF
AttachI_SampleGrpBenefitsCon_Rx_v3.pdf PDF
Attachment J_Data Warehouse File Layout_clean.xlsx XLSX spreadsheet
GeoAccess Standards for Out of State Providers.xlsx XLSX spreadsheet
AttachI_SampleGrpBenefitsCon_Rx.pdf PDF
Attachment W_Pharmacy Claims Data Layout.xlsx XLSX spreadsheet
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Data Summary Client: Oregon Public Employees Benefit Board (PEBB) Incumbent Vendor: All Experience Period: 7/1/24 to 6/30/25

Data Summary

Average during Experience PeriodCurrent as ofTotal during Experience PeriodTotal during Experience Period
Mar. 2025
# of covered employees/retirees59,40859,083# of non- specialty utilization management (PA, ST, QL) reviews8,504# of 1st level appeals241
# of covered members (employees/retirees plus dependents)145,809141,816# of specialty utilization management (PA, ST, QL) reviews1,990# of 2nd level appeals16
# of employees /retirees enrolled in CDH plans00# of formulary exceptions3,032# of external appeals5
# of members enrolled in CDH plans00
# of RDS members00
Drug status as of
date dispensedNumber of RxsTotal Days' SupplyUndiscounted AWP
Retail-30 Network, non-specialty drugs
Multi-source Generic658,98416,087,847$ 113,215,099
Single-source Generic3,539114,334$ 913,698
Multi-source Brand18,439626,439$ 7,750,995
Single-source Brand54,3371,534,681$ 57,072,675
OTC Brand7,820313,784$ 1,000,364
OTC Generic4,196108,194$ 241,206
subtotal747,31518,785,279$ 180,194,037
Retail-90 Network, subject to pricing other than retail or mail, non-specialty drugs (if applicable)
Multi-source Generic294,22326,176,710$ 111,721,449
Single-source Generic44140,144$ 274,716
Multi-source Brand6,172560,706$ 6,480,183
Single-source Brand13,2461,119,389$ 27,090,424
OTC Brand5,360496,884$ 483,487
OTC Generic1,460130,546$ 17,787
subtotal320,90228,524,379$ 146,068,046
Mail at Retail network, retail claims subject to standard mail order pricing and costshare, non-specialty drugs (if applicable)
Multi-source Generic00$ - 0
Single-source Generic00$ - 0
Multi-source Brand00$ - 0
Single-source Brand00$ - 0
OTC Brand00$ - 0
OTC Generic00$ - 0
subtotal00$ - 0
Retail SpecialtyMulti-source Generic16290$ 49,973
Single-source Generic00$ - 0
Multi-source Brand6137$ 23,589
Single-source Brand62018,663$ 5,115,908
Biosimilar53989$ 128,759
subtotal69520,079$ 5,318,230
Mail Order, non-specialty drugs
Multi-source Generic170,73010,567,661$ 52,258,731
Single-source Generic1238,568$ 55,952
Multi-source Brand3,884248,011$ 2,886,033
Single-source Brand12,646747,156$ 21,653,437
OTC Brand1,678128,383$ 943,884
OTC Generic3,955219,014$ 504,698
subtotal193,01611,918,793$ 78,302,735
Specialty Pharmacy (mail)Multi-source Generic1,24334,128$ 9,626,819
Single-source Generic17528$ 180,273
Multi-source Brand2256,443$ 4,602,660
Single-source Brand13,456447,509$ 158,436,130
Biosimilar62317,759$ 1,100,960
subtotal15,564506,367$ 173,946,842
Compounds4,597144,490$ 27,331,255
Paper/ Member Submitted Claims79735,623$ 583,455
Non-340b claims dispensed at a 340b Pharmacy00$ - 0
340b claims dispensed at a 340b pharmacy39717,709$ 304,116
Vaccine Claims36,38137,614$ 4,688,896
All other excluded claims (including Secondary COB and VA), if any38,5031,504,998$ 17,401,134
subtotal80,6751,740,434$ 50,308,855
GRAND TOTAL1,358,16761,495,331$ 634,138,746
Select an OptionSelect an Option
SSG in the Multi-source Generic rowsin the Multi-source Generic rows
SSG in the Single-source Generic rowsin the Single-source Generic rows
SSG in the Multi-source Brand rowsin the Multi-source Brand rows
SSG in the Single-source Brand rowsin the Single-source Brand rows
not included belown/a, we don't use house generics

&10&K000000PEBB Medical & Pharmacy Benefit RFP OregonBuys Bid No. S-44300-00014758 &10&K000000Attachment S Pharmacy Data Tables

Pricing Detail Client: Oregon Public Employees Benefit Board (PEBB) Bidding Vendor Name: PBM B Exp Period (claims incurred): 7/1/24 to 6/30/25

All Drug Data
Instructions:Please populate the yellow shaded cells below using the data provided on the claim level file extract and your proposed Pricing Proposal.
Please include all claims.
Populate columns B - H replicating the data provided on the claim level data file extract (be sure you pull in the AWP costs provided on the original claim file). Populate columns I through N to reflect your proposal.
If a listed drug is Excluded from your proposed formulary, please provide formulary alternatives in columns O through AP, as applicable.
Note: "Domestic Pharmacy" includes onsite pharmacies, inhouse pharmacies, and client owned pharmacies.
Only populate columns O and over if listed drug is excluded from your proposed formulary.
NDC-11Drug Name340b Status Code

Dilello, Grace: the dispensing pharmacy's 340b Status Code per the NCPDP DataQ database

Channel DispensedTotal # of RXsTotal Days SupplyTotal Undiscounted AWPDrug TypeIncluded in which Discount Guarantee?If no Discount Guarantee, Reason for ExclusionIncluded in which minimum Rebate Guarantee?If Excluded from minimum Rebate guarantees, Reason for ExclusionCopay TierIf Excluded, Therapeutic Substitute 1Drug TypeIncluded in which Discount Guarantee?If no Discount Guarantee, Reason for ExclusionIncluded in which minimum Rebate Guarantee?If Excluded from minimum Rebate guarantees, Reason for ExclusionCopay TierIf Excluded, Therapeutic Substitute 2Drug TypeIncluded in which Discount Guarantee?If no Discount Guarantee, Reason for ExclusionIncluded in which minimum Rebate Guarantee?If Excluded from minimum Rebate guarantees, Reason for ExclusionCopay TierIf Excluded, Therapeutic Substitute 3Drug TypeIncluded in which Discount Guarantee?If no Discount Guarantee, Reason for ExclusionIncluded in which minimum Rebate Guarantee?If Excluded from minimum Rebate guarantees, Reason for ExclusionCopay TierIf Excluded, Therapeutic Substitute 4Drug TypeIncluded in which Discount Guarantee?If no Discount Guarantee, Reason for ExclusionIncluded in which minimum Rebate Guarantee?If Excluded from minimum Rebate guarantees, Reason for ExclusionCopay Tier
Example: 60505257909ATORVASTATIN TAB 20MGN/A, 36, 37, 38, 39D30, D90, R30, R90, RM, R, RS, M, S

Lewis, Jon: D30 = Domestic Pharmacy, 30 days supply D90 = Domestic Pharmacy, 90 days supply R30 = Retail Pharmacy, 30 days supply R90 = Retail Pharmacy, 90 days supply RM = Mail Order pricing at Retail Pharmacy R = All other in-network Retail claims (non-specialty) RS = All other in-network Retail claims (specialty) M = Mail Order S = Specialty drugs via specialty mail pharmacies # Scripts 0 - 100 $ SSB/MSB/SSG/MSG/OTC B/OTC G/ Biosimilar D30B, D30G, D90B, D90G, DS, R30B, R30G, R90B, R90G, RS, MB, MG, S, No Discount Guarantee Dilello, Grace: D30B = Domestic Pharmacy, 30-Day, non-specialty brand D30G = Domestic Pharmacy, 30-Day, non-specialty, generic DS = Domestic Pharmacy, specialty brand&generic

R30B = Retail-30 Network, non-specialty, brand R30G = Retail-30 Network, non-specialty, generic R90B = Retail-90 Network, non-specialty, brand R90G = Retail-90 Network, non-specialty, generic RS = Specialty drugs via Retail network pharmacies MB = Mail Order non-specialty, brand (includes Mail at Retail network non-specialty, brand) MG = Mail Order non-specialty, generic (includes Mail at Retail network non-specialty, generic) S = Specialty drugs via Specialty mail pharmacies

Zero Paid, U&C, OTC, LDD, State exclusion, SCC=20, 340B pharmacy… Dilello, Grace: SCC = submission clarification code R30B, R90B, RSB, MB, SB, No Rebate Guarantee Dilello, Grace: R30B = Retail-30 Network, non-specialty, brand R90B = Retail-90 Network, non-specialty, brand RSB = Specialty drugs via Retail network pharmacies MB = Mail Order non-specialty, brand (includes Mail at Retail network non-specialty, brand) SB = Specialty drugs via Specialty mail pharmacies

Generic, Vaccine, Zero Paid, U&C, OTC, LDD, House Generic, claim approved by formulary exception, SCC=20, 340B pharmacy… Dilello, Grace: SCC = submission clarification code 1,2,3,4, E Dilello, Grace: E = Excluded NDC11 SSB/MSB/SSG/MSG/OTC B/OTC G/ Biosimilar D30B, D30G, D90B, D90G, DS, R30B, R30G, R90B, R90G, RS, MB, MG, S, No Discount Guarantee Dilello, Grace: D30B = Domestic Pharmacy, 30-Day, non-specialty brand D30G = Domestic Pharmacy, 30-Day, non-specialty, generic DS = Domestic Pharmacy, specialty brand&generic

R30B = Retail-30 Network, non-specialty, brand R30G = Retail-30 Network, non-specialty, generic R90B = Retail-90 Network, non-specialty, brand R90G = Retail-90 Network, non-specialty, generic RS = Specialty drugs via Retail network pharmacies MB = Mail Order non-specialty, brand (includes Mail at Retail network non-specialty, brand) MG = Mail Order non-specialty, generic (includes Mail at Retail network non-specialty, generic) S = Specialty drugs via Specialty mail pharmacies

Zero Paid, U&C, OTC, LDD, State exclusion, SCC=20, 340B pharmacy… Dilello, Grace: SCC = submission clarification code R30B, R90B, RSB, MB, SB, No Rebate Guarantee Dilello, Grace: R30B = Retail-30 Network, non-specialty, brand R90B = Retail-90 Network, non-specialty, brand RSB = Specialty drugs via Retail network pharmacies MB = Mail Order non-specialty, brand (includes Mail at Retail network non-specialty, brand) SB = Specialty drugs via Specialty mail pharmacies

Generic, Vaccine, Zero Paid, U&C, OTC, LDD, House Generic, claim approved by formulary exception, SCC=20, 340B pharmacy… Dilello, Grace: SCC = submission clarification code 1,2,3,4, E Dilello, Grace: E = Excluded NDC11 SSB/MSB/SSG/MSG/OTC B/OTC G/ Biosimilar D30B, D30G, D90B, D90G, DS, R30B, R30G, R90B, R90G, RS, MB, MG, S, No Discount Guarantee Dilello, Grace: D30B = Domestic Pharmacy, 30-Day, non-specialty brand D30G = Domestic Pharmacy, 30-Day, non-specialty, generic DS = Domestic Pharmacy, specialty brand&generic

R30B = Retail-30 Network, non-specialty, brand R30G = Retail-30 Network, non-specialty, generic R90B = Retail-90 Network, non-specialty, brand R90G = Retail-90 Network, non-specialty, generic RS = Specialty drugs via Retail network pharmacies MB = Mail Order non-specialty, brand (includes Mail at Retail network non-specialty, brand) MG = Mail Order non-specialty, generic (includes Mail at Retail network non-specialty, generic) S = Specialty drugs via Specialty mail pharmacies

Zero Paid, U&C, OTC, LDD, State exclusion, SCC=20, 340B pharmacy… Dilello, Grace: SCC = submission clarification code R30B, R90B, RSB, MB, SB, No Rebate Guarantee Dilello, Grace: R30B = Retail-30 Network, non-specialty, brand R90B = Retail-90 Network, non-specialty, brand RSB = Specialty drugs via Retail network pharmacies MB = Mail Order non-specialty, brand (includes Mail at Retail network non-specialty, brand) SB = Specialty drugs via Specialty mail pharmacies

Generic, Vaccine, Zero Paid, U&C, OTC, LDD, House Generic, claim approved by formulary exception, SCC=20, 340B pharmacy… Dilello, Grace: SCC = submission clarification code 1,2,3,4, E Dilello, Grace: E = Excluded NDC11 SSB/MSB/SSG/MSG/OTC B/OTC G/ Biosimilar D30B, D30G, D90B, D90G, DS, R30B, R30G, R90B, R90G, RS, MB, MG, S, No Discount Guarantee Dilello, Grace: D30B = Domestic Pharmacy, 30-Day, non-specialty brand D30G = Domestic Pharmacy, 30-Day, non-specialty, generic DS = Domestic Pharmacy, specialty brand&generic

R30B = Retail-30 Network, non-specialty, brand R30G = Retail-30 Network, non-specialty, generic R90B = Retail-90 Network, non-specialty, brand R90G = Retail-90 Network, non-specialty, generic RS = Specialty drugs via Retail network pharmacies MB = Mail Order non-specialty, brand (includes Mail at Retail network non-specialty, brand) MG = Mail Order non-specialty, generic (includes Mail at Retail network non-specialty, generic) S = Specialty drugs via Specialty mail pharmacies

Zero Paid, U&C, OTC, LDD, State exclusion, SCC=20, 340B pharmacy… Dilello, Grace: SCC = submission clarification code R30B, R90B, RSB, MB, SB, No Rebate Guarantee Dilello, Grace: R30B = Retail-30 Network, non-specialty, brand R90B = Retail-90 Network, non-specialty, brand RSB = Specialty drugs via Retail network pharmacies MB = Mail Order non-specialty, brand (includes Mail at Retail network non-specialty, brand) SB = Specialty drugs via Specialty mail pharmacies

Generic, Vaccine, Zero Paid, U&C, OTC, LDD, House Generic, claim approved by formulary exception, SCC=20, 340B pharmacy… Dilello, Grace: SCC = submission clarification code 1,2,3,4, E Dilello, Grace: E = Excluded NDC11 SSB/MSB/SSG/MSG/OTC B/OTC G/ Biosimilar D30B, D30G, D90B, D90G, DS, R30B, R30G, R90B, R90G, RS, MB, MG, S, No Discount Guarantee Dilello, Grace: D30B = Domestic Pharmacy, 30-Day, non-specialty brand D30G = Domestic Pharmacy, 30-Day, non-specialty, generic DS = Domestic Pharmacy, specialty brand&generic

R30B = Retail-30 Network, non-specialty, brand R30G = Retail-30 Network, non-specialty, generic R90B = Retail-90 Network, non-specialty, brand R90G = Retail-90 Network, non-specialty, generic RS = Specialty drugs via Retail network pharmacies MB = Mail Order non-specialty, brand (includes Mail at Retail network non-specialty, brand) MG = Mail Order non-specialty, generic (includes Mail at Retail network non-specialty, generic) S = Specialty drugs via Specialty mail pharmacies

Zero Paid, U&C, OTC, LDD, State exclusion, SCC=20, 340B pharmacy… Dilello, Grace: SCC = submission clarification code R30B, R90B, RSB, MB, SB, No Rebate Guarantee Dilello, Grace: R30B = Retail-30 Network, non-specialty, brand R90B = Retail-90 Network, non-specialty, brand RSB = Specialty drugs via Retail network pharmacies MB = Mail Order non-specialty, brand (includes Mail at Retail network non-specialty, brand) SB = Specialty drugs via Specialty mail pharmacies

Generic, Vaccine, Zero Paid, U&C, OTC, LDD, House Generic, claim approved by formulary exception, SCC=20, 340B pharmacy… Dilello, Grace: SCC = submission clarification code 1,2,3,4, E Dilello, Grace: E = Excluded

Specialty List Client: Oregon Public Employees Benefit Board (PEBB) Bidding Vendor Name: PBM B The below list is current as of what date:

Specialty Drug List
Instructions:In the space below, please provide your entire proposed list of Specialty Drugs by NDC-11.
In columns L and M, please specify whether or not each NDC-11 is included/excluded from your proposed minimum discount/rebate guarantees.
Vendor comments, if any:
AWP DiscountDispensing FeeLimited Distribution Drug (LDD)? (Y/N)LDD excluded from current AWP Discount guarantees (Y/N)?LDD excluded from current minimum Rebate guarantees (Y/N)?
NDC-11Drug NameTherapeutic Class (e.g., Hepatitis-C, HIV, PCSK9, etc.)RetailSpecialty Pharmacy (Open)Specialty Pharmacy (Exclusive)RetailSpecialty Pharmacy (Open)Specialty Pharmacy (Exclusive)

Non-Spec LDD List Client: Oregon Public Employees Benefit Board (PEBB) Bidding Vendor Name: PBM B The below list is current as of what date:

Non-specialty LDD List
Instructions:In the space below, please provide your entire list of NON-Specialty limited distribution drugs that are excluded from your proposed AWP Discount and/or per Brand Rebate guarantees.
You only need to complete this tab if there are NON-SPECIALTY LDDs that are excluded from your proposed AWP discount guarantees and/or your proposed minimum rebate guarantees.
In columns K and L, please specify whether or not each NDC-11 is included/excluded from your proposed minimum discount/rebate guarantees.
Vendor comments, if any:
AWP DiscountDispensing FeeIncluded/Excluded from proposed AWP Discount guarantees?
NDC-11Drug NameTherapeutic Class (e.g., Hepatitis-C, HIV, PCSK9, etc.)RetailSpecialty Pharmacy (Open)Specialty Pharmacy (Exclusive)RetailSpecialty Pharmacy (Open)Specialty Pharmacy (Exclusive)Included/Excluded from proposed minimum Rebate guarantees?

Projections

Client:Oregon Public Employees Benefit Board (PEBB)Bidding Vendor Name:PBM B
Rebate Projections
Instructions: Please complete the following charts to provide your best estimate of projected AWP, Ingredient Cost, and rebates assuming no membership changes or changes to the current plan designs or programs.
PROJECTED 2027PROJECTED 2028PROJECTED 2029
Total # of Brand claimsEstimated Total # of Brand claims that will get the minimum per brand claim rebate guarantee in 2026Estimated total minimum guaranteed rebatesTotal # of Brand claimsEstimated Total # of Brand claims that will get the minimum per brand claim rebate guarantee in 2027Estimated total minimum guaranteed rebatesTotal # of Brand claimsEstimated Total # of Brand claims that will get the minimum per brand claim rebate guarantee in 2028Estimated total minimum guaranteed rebates
Retail-30 Network (non-specialty)
Retail-90 Network (non-specialty)
Mail at Retail Network
Retail Specialty
Mail Order
Specialty Pharmacy
Domestic Pharmacy (30 day, non-specialty)
Domestic Pharmacy (90 day, non-specialty)
Domestic Pharmacy (specialty)
Total
# of assumed employees/retirees
# of assumed members
PROJECTED 2027PROJECTED 2028PROJECTED 2029
Total # of RXsUndiscounted AWPIngredient CostTotal # of RXsUndiscounted AWPIngredient CostTotal # of RXsUndiscounted AWPIngredient Cost
Retail-30 Network (non-specialty)
Retail-90 Network (non-specialty)
Mail at Retail Network
Retail Specialty
Mail Order
Specialty Pharmacy
Domestic Pharmacy (30 day, non-specialty)
Domestic Pharmacy (90 day, non-specialty)
Domestic Pharmacy (specialty)
Total
# of assumed employees/retirees
# of assumed members
Do the above estimates account for expected Humira/Stelara biosimilar adoption?

Formulary Client: ABC Co Bidding Vendor Name: PBM B Experience Period: 7/1/24 to 6/30/25

Formulary
Instructions:Complete the yellow shaded cells based on your proposed Formulary/PDL (preferred drug list)
Vendor comments, if any:
Formulary With Exclusions
Name of Proposed Formulary:
NDC-11Drug nameApplicable Copay Tier under proposed Formulary/PDL (tier-1, tier-2, tier-3, Excluded)If tier-3 or Excluded, specify tier-1 and tier-2 drug alternative(s)
00002143380Trulicity
00002143480Trulicity
00002143611Emgality
00002144511Taltz
00002145780Mounjaro
00002146080Mounjaro
00002147180Mounjaro
00002148480Mounjaro
00002149580Mounjaro
00002150680Mounjaro
00002223680Trulicity
00002237711Emgality
00002245780Zepbound
00002246080Zepbound
00002247180Zepbound
00002248480Zepbound
00002249580Zepbound
00002250680Zepbound
00002311509Emgality
00002318280Trulicity
00002448354Verzenio
00002449108Reyvow
00002481554Verzenio
00002533754Verzenio
00002614511Baqsimi one pack
00002751001Humalog
00002771227Humalog KwikPen
00002771459Humalog junior kwikpen
00002771559Basaglar kwikpen
00002772411Taltz
00002772801Lyumjev
00002773701Insulin lispro
00002775205Insulin lispro junior kwikpen
00002777211Ebglyss
00002820705Lyumjev kwikpen
00002822259Insulin lispro kwikpen
00002850101Humulin R U-500 (concentrated)
00002879959Humalog KwikPen
00002880559Humulin N KwikPen
00002882427Humulin r u-500 kwikpen
00003089321Eliquis
00003089421Eliquis
00003089470Eliquis
00003089511Sotyktu
00003218851Orencia clickject
00003376474Eliquis starter pack
00005010005Trumenba
00005200002Prevnar 20
00005200010Prevnar 20
00006000530Belsomra
00006003330Belsomra
00006022761Isentress
00006033530Belsomra
00006308001Isentress hd
00006409602Vaqta
00006411903Gardasil 9
00006412102Gardasil 9
00006434702Capvaxive
00006468100M-M-R II
00006482700Varivax
00006483703Pneumovax 23
00006500701Delstrigo
00006505506Lagevrio
00006505509Lagevrio
00006509101Winrevair
00008083321Effexor XR
00008083621Effexor XR
00009001103Solu-cortef
00009027101Depo-estradiol
00009470913Depo-subq provera 104
00013104201Estring
00013262681Genotropin
00013264681Genotropin
00013264902Genotropin Miniquick
00023320503Lumigan
00023320508Lumigan
00023649810Ubrelvy
00023650110Ubrelvy
00023650116Ubrelvy
00024414260Multaq
00024586903Toujeo solostar
00024587102Toujeo max solostar
00024591401Dupixent
00024591502Dupixent
00024591801Dupixent
00024591902Dupixent
00024592410Admelog
00032004570Creon
00032004670Creon
00032004770Creon
00032120370Creon
00032121201Creon
00032122401Creon
00032263601Creon
00032301613Creon
00037682210Proctofoam hc
00046087221Premarin
00046110081Premarin
00046110181Premarin
00046110281Premarin
00046110291Premarin
00046110511Prempro
00046110611Prempro
00046110711Prempro
00046110811Prempro
00052032601Follistim aq
00054001025Flecainide acetate
00054001121Flecainide acetate
00054001825Prednisone
00054001925Prednisone
00054002025Lithium carbonate er
00054002125Lithium carbonate er
00054002129Lithium carbonate er
00054004544Ipratropium bromide
00054004641Ipratropium bromide
00054006258Citalopram Hydrobromide
00054007725Torsemide
00054008425Zaleplon
00054008813Calcium acetate
00054016325Mycophenolate Mofetil
00054016329Mycophenolate Mofetil
00054017613Buprenorphine HCl
00054017713Buprenorphine HCl
00054018813Buprenorphine HCl/Naloxone HCl
00054018913Buprenorphine HCl/Naloxone HCl
00054023525Morphine sulfate
00054023749Morphine sulfate
00054024425Codeine sulfate
00054027803Naratriptan hcl
00054027903Naratriptan hcl
00054032656Fluticasone propionate/salmeterol
00054032756Fluticasone propionate/salmeterol
00054032856Fluticasone propionate/salmeterol
00054033425Cevimeline hydrochloride
00054037025Lisdexamfetamine dimesylate
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00378180910Levothyroxine Sodium
00378181110Levothyroxine Sodium
00378181177Levothyroxine Sodium
00378181310Levothyroxine Sodium
00378181510Levothyroxine Sodium
00378181577Levothyroxine Sodium
00378181710Levothyroxine Sodium
00378181777Levothyroxine Sodium
00378181910Levothyroxine Sodium
00378182310Levothyroxine Sodium
00378193093Emtricitabine/tenofovir disoproxil fumarate
00378193601Lenalidomide
00378193701Lenalidomide
00378194021Lenalidomide
00378210005Loperamide hydrochloride
00378230210Prazosin hydrochloride
00378267001Phenytek
00378289520Ferric citrate
00378292077Telmisartan
00378292093Telmisartan
00378292177Telmisartan
00378292193Telmisartan
00378306577Fenofibrate
00378306677Fenofibrate
00378334053Xulane
00378334999Estradiol
00378335099Estradiol
00378335199Estradiol
00378335299Estradiol
00378336099Estradiol
00378336199Estradiol
00378343193Armodafinil
00378343293Armodafinil
00378343393Armodafinil
00378351501Mirtazapine
00378354752Mercaptopurine
00378375093Phenytek
00378395005Atorvastatin Calcium
00378395077Atorvastatin Calcium
00378395105Atorvastatin Calcium
00378395177Atorvastatin Calcium
00378395205Atorvastatin Calcium
16714088501Acyclovir
00378395305Atorvastatin Calcium
00378395377Atorvastatin Calcium
00378416001Atovaquone/proguanil hcl
00378416201Atovaquone/proguanil hydrochloride
00378425001Doxepin hcl
00378427577Valacyclovir hydrochloride
00378427593Valacyclovir hydrochloride
00378427677Valacyclovir hydrochloride
00378427693Valacyclovir hydrochloride
00378428785Eletriptan hydrobromide
00378428885Eletriptan hydrobromide
00378456105Potassium Chloride ER
00378456177Potassium Chloride ER
00378459610Metoprolol Succinate ER
00378459777Metoprolol Succinate ER
00378461926Estradiol
00378462026Estradiol
00378462126Estradiol
00378464026Estradiol
00378464126Estradiol
00378464226Estradiol
00378464326Estradiol
00378464426Estradiol
00378479106Fluorouracil
00378508973Varenicline tartrate
00378509073Varenicline tartrate
00378551093Olanzapine odt
00378551193Olanzapine odt
00378561578Levetiracetam
00378581377Valsartan
00378581577Valsartan
00378606001Diltiazem hcl er
00378609001Diltiazem hcl er
00378612001Diltiazem hcl er
00378623101Citalopram Hydrobromide
00378623105Citalopram Hydrobromide
00378623201Citalopram Hydrobromide
00378623205Citalopram Hydrobromide
00378623301Citalopram Hydrobromide
00378623305Citalopram Hydrobromide
00378632277Valsartan/hydrochlorothiazide
00378632377Valsartan/hydrochlorothiazide
00378632577Valsartan/hydrochlorothiazide
00378633380Acamprosate calcium dr
00378647044Scopolamine
00378647097Scopolamine
00378647099Scopolamine
00378655053Levonorgestrel/ethinyl estradiol
00378661293Amnesteem
00378661493Amnesteem
00378685577Lisdexamfetamine dimesylate
00378685677Lisdexamfetamine dimesylate
00378685777Lisdexamfetamine dimesylate
00378685877Lisdexamfetamine dimesylate
00378685977Lisdexamfetamine dimesylate
00378686077Lisdexamfetamine dimesylate
00378696112Glatiramer acetate
00378699789Sodium chloride
00378705752Albuterol sulfate
00378705852Albuterol sulfate
00378718505Metformin hydrochloride
00378718705Metformin hydrochloride
00378727253Norethindrone
00378728053Norethindrone acetate/ethinyl estradiol
00378728153Levonorgestrel/ethinyl estradiol
00378728353Norethindrone acetate/ethinyl estradiol/ferrous fumarate
00378728490Levonorgestrel and ethinyl estradiol
00378728590Levonorgestrel/ethinyl estradiol
00378728753Levonorgestrel/ethinyl estradiol
00378728853Norethindrone acetate/ethinyl estradiol/ferrous fumarate
00378729189Norethindrone acetate
00378729253Norethindrone
00378729453Estradiol/norethindrone acetate
00378729553Estradiol/norethindrone acetate
00378729653Desogestrel/ethinyl estradiol
00378729953Drospirenone/ethinyl estradiol
00378729985Drospirenone/ethinyl estradiol
00378730353Norethindrone acetate/ethinyl estradiol/ferrous fumarate
00378730753Ethynodiol diacetate/ethinyl estradiol
00378730853Norethindrone & ethinyl estradiol ferrous fumarate
00378750232Breyna
00378750332Breyna
00378797093Ipratropium bromide
00378803077Lansoprazole
00378806790Glucagon emergency kit for low blood sugar
00378808220Tretinoin
00378808245Tretinoin
00378808320Tretinoin
00378808345Tretinoin
00378808420Tretinoin
00378808445Tretinoin
00378808515Tretinoin
00378808545Tretinoin
00378808615Tretinoin
00378808645Tretinoin
00378809045Tretinoin
00378821293Erythromycin
00378826093Methylphenidate
00378827052Albuterol sulfate
00378827055Albuterol sulfate
00378827091Albuterol sulfate
00378876058Cyclosporine
00378876091Cyclosporine
00378876793Buprenorphine hydrochloride/naloxone hydrochloride
00378877035Estradiol
00378910293Nitroglycerin transdermal
00378911998Fentanyl
00378912198Fentanyl
00378912498Fentanyl
00378920535Sucralfate
00378932032Wixela inhub
00378932132Wixela inhub
00378932232Wixela inhub
00378967130Ipratropium bromide/albuterol sulfate
00378969252Levalbuterol hydrochloride
00406012301Hydrocodone Bitartrate/Acetaminophen
00406012305Hydrocodone Bitartrate/Acetaminophen
00406012310Hydrocodone Bitartrate/Acetaminophen
00406012362Hydrocodone Bitartrate/Acetaminophen
00406012401Hydrocodone/Acetaminophen
00406012405Hydrocodone/Acetaminophen
00406012410Hydrocodone/Acetaminophen
00406012501Hydrocodone Bitartrate/Acetaminophen
00406012505Hydrocodone Bitartrate/Acetaminophen
00406012510Hydrocodone Bitartrate/Acetaminophen
00406012701Methylphenidate hydrochloride er
00406013601Methylphenidate hydrochloride er
00406015401Methylphenidate hydrochloride er
00406048401Acetaminophen/codeine
00406048410Acetaminophen/codeine
00406048462Acetaminophen/codeine
00406048501Acetaminophen/codeine
00406051201Oxycodone/Acetaminophen
00406051205Oxycodone/Acetaminophen
00406051262Oxycodone/Acetaminophen
00406052201Oxycodone/Acetaminophen
00406052205Oxycodone/Acetaminophen
00406052301Oxycodone/Acetaminophen
00406052305Oxycodone/Acetaminophen
00406055201Oxycodone hydrochloride
00406080301Amphetamine/dextroamphetamine er
00406080401Amphetamine/dextroamphetamine er
00406114201Methylphenidate hydrochloride
00406114401Methylphenidate hydrochloride
00406114601Methylphenidate hydrochloride
00406117001Naltrexone hydrochloride
00406117003Naltrexone hydrochloride
00406123601Diphenoxylate hydrochloride/atropine sulfate
00406144501Methylphenidate hydrochloride er

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File details come from the government source that posted it. Updated .