Exhibit A-Sample Invoice Excel.xlsx

XLSX spreadsheet 283 KB Posted Dec 8, 2025

Attached to: Audit Services of Pharmacy Billings
Solicitation number: B26001276
Issued by: Hawaii

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Other files

File	Type	Posted
Attachment 1-Offeror Qualification Form.pdf	PDF	Dec 8, 2025
AG-008 103D General Conditions (1.10.23).pdf	PDF	Dec 8, 2025
Invitation for Bids-IFB HSH 26 02 Pharmacy Billing Audit.docx	DOCX document	Dec 8, 2025
Attachment 2-Wage Certificate.pdf	PDF	Dec 8, 2025
Attachment 3-IRS Form W9.pdf	PDF	Dec 8, 2025
Exhibit B-Sample Invoice pdf.pdf	PDF	Dec 8, 2025

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2024 December

SAMPLE: DECEMBER 2024
BILLING_PERIOD	FACILITY_NAME	DATE_FILLED	NDC_NUM	PRODUCT_NAME	DISPENSED_QTY	DUE_AMT	AWP_AT_DISP	WAC_AT_DISP	Brand / Generic
20241231	HAWAII STATE HOSPITAL	20241025	0	NARCOTIC INVOICE #3193491739	0.000	$41.79			NON-DRUG
20241231	HAWAII STATE HOSPITAL	20241025	0	NARCOTIC INVOICE #3193491739	0.000	$265.31			NON-DRUG
20241231	HAWAII STATE HOSPITAL	20241025	0	NARCOTIC INVOICE #3193491739	0.000	$421.67			NON-DRUG
20241231	HAWAII STATE HOSPITAL	20241025	0	NARCOTIC INVOICE #3193491739	0.000	$46.76			NON-DRUG
20241231	HAWAII STATE HOSPITAL	20241025	0	NARCOTIC INVOICE #3193491739	0.000	$169.72			NON-DRUG
20241231	HAWAII STATE HOSPITAL	20241025	0	NARCOTIC INVOICE #3193491739	0.000	$11.52			NON-DRUG
20241231	HAWAII STATE HOSPITAL	20241025	0	NARCOTIC INVOICE #3193491739	0.000	$41.72			NON-DRUG
20241231	HAWAII STATE HOSPITAL	20241025	0	NARCOTIC INVOICE #3193491739	0.000	$25.07			NON-DRUG
20241231	HAWAII STATE HOSPITAL	20241025	0	NARCOTIC INVOICE #3193555279	0.000	$56.16			NON-DRUG
20241231	HAWAII STATE HOSPITAL	20241025	0	NARCOTIC INVOICE #3193492140	0.000	$29.35			NON-DRUG
20241231	HAWAII STATE HOSPITAL	20241029	0	NARCOTIC INVOICE #3193868509	0.000	$1,140.00			NON-DRUG
20241231	HAWAII STATE HOSPITAL	20241105	0	NARCOTIC INVOICE #3194640079	0.000	$0.89			NON-DRUG
20241231	HAWAII STATE HOSPITAL	20241114	0	NARCOTIC INVOICE #3195826419	0.000	$17.28			NON-DRUG
20241231	HAWAII STATE HOSPITAL	20241114	0	NARCOTIC INVOICE #3195826419	0.000	$41.79			NON-DRUG
20241231	HAWAII STATE HOSPITAL	20241114	0	NARCOTIC INVOICE #3195826419	0.000	$8.36			NON-DRUG
20241231	HAWAII STATE HOSPITAL	20241114	0	NARCOTIC INVOICE #3195826419	0.000	$20.07			NON-DRUG
20241231	HAWAII STATE HOSPITAL	20241114	0	NARCOTIC INVOICE #3195826419	0.000	$56.16			NON-DRUG
20241231	HAWAII STATE HOSPITAL	20241125	0	HOT SHOT FEE 10/24	0.000	$156.19			NON-DRUG
20241231	HAWAII STATE HOSPITAL	20241126	0	NARCOTIC INVOICE #3197117706	0.000	$16.72			NON-DRUG
20241231	HAWAII STATE HOSPITAL	20241126	0	NARCOTIC INVOICE #3197117706	0.000	$56.16			NON-DRUG
20241231	HAWAII STATE HOSPITAL	20241126	0	NARCOTIC INVOICE #3197117706	0.000	$11.52			NON-DRUG
20241231	HAWAII STATE HOSPITAL	20241209	0	NARCOTIC INVOICE #3198464850	0.000	$75.18			NON-DRUG
20241231	HAWAII STATE HOSPITAL	20241209	0	NARCOTIC INVOICE #3198464850	0.000	$56.16			NON-DRUG
20241231	HAWAII STATE HOSPITAL	20241209	0	NARCOTIC INVOICE #3198464850	0.000	$23.15			NON-DRUG
20241231	HAWAII STATE HOSPITAL	20241209	0	NARCOTIC INVOICE #3198464850	0.000	$93.52			NON-DRUG
20241231	HAWAII STATE HOSPITAL	20241209	0	NARCOTIC INVOICE #3198464850	0.000	$42.48			NON-DRUG
20241231	HAWAII STATE HOSPITAL	20241210	0	NARCOTIC INVOICE #3198673714	0.000	$56.16			NON-DRUG
20241231	HAWAII STATE HOSPITAL	20241219	0	RFP-HTH 430-1-18 ADMIN FEE 12/24	0.000	$79,000.00			NON-DRUG
20241231	HAWAII STATE HOSPITAL	20241219	0	CAREFUSION RFP-4301-12-001PYXIS 12/24	0.000	$13,948.16			NON-DRUG
20241231	HAWAII STATE HOSPITAL	20241230	0	MED RECORDS 12/24	0.000	$60.00			NON-DRUG
20241231	HAWAII STATE HOSPITAL	20241213	00002143380	TRULICITY 0.75 MG/0.5 ML PEN	2.000	$4.60	586.45000	488.71000	BRAND
20241231	HAWAII STATE HOSPITAL	20241106	00002759701	ZYPREXA 10 MG VIAL	2.000	$100.52	60.31000	50.26000	BRAND
20241231	HAWAII STATE HOSPITAL	20241129	00002759701	ZYPREXA 10 MG VIAL	1.000	$50.26	60.31000	50.26000	BRAND
20241231	HAWAII STATE HOSPITAL	20241024	00002759701	ZYPREXA 10 MG VIAL	1.000	$50.26	60.31000	50.26000	BRAND
20241231	HAWAII STATE HOSPITAL	20241223	00002763711	ZYPREXA RELPREVV 405 MG VL KIT	1.000	$1,137.24	1364.69000	1137.24000	BRAND
20241231	HAWAII STATE HOSPITAL	20241212	00002771559	BASAGLAR 100 UNIT/ML KWIKPEN	3.000	$4.60	26.10867	21.75733	BRAND
20241231	HAWAII STATE HOSPITAL	20241031	00006027731	JANUVIA 100 MG TABLET	15.000	$286.50	22.92000	19.10000	BRAND
20241231	HAWAII STATE HOSPITAL	20241212	00006027731	JANUVIA 100 MG TABLET	30.000	$573.00	22.92000	19.10000	BRAND
20241231	HAWAII STATE HOSPITAL	20241111	00006027731	JANUVIA 100 MG TABLET	29.000	$553.90	22.92000	19.10000	BRAND
20241231	HAWAII STATE HOSPITAL	20241204	00006468101	M-M-R II VACCINE VIAL	1.000	$94.82	113.79100	94.82204	BRAND
20241231	HAWAII STATE HOSPITAL	20241204	00006468101	M-M-R II VACCINE VIAL	1.000	$94.82	113.79100	94.82204	BRAND
20241231	HAWAII STATE HOSPITAL	20241212	00023031204	REFRESH LACRI-LUBE OINTMENT	3.500	$9.77	3.34857	2.79142	BRAND
20241231	HAWAII STATE HOSPITAL	20241223	00023031204	REFRESH LACRI-LUBE OINTMENT	3.500	$9.77	3.34857	2.79142	BRAND
20241231	HAWAII STATE HOSPITAL	20241216	00023031204	REFRESH LACRI-LUBE OINTMENT	3.500	$9.77	3.34857	2.79142	BRAND
20241231	HAWAII STATE HOSPITAL	20241223	00023031204	REFRESH LACRI-LUBE OINTMENT	3.500	$9.77	3.34857	2.79142	BRAND
20241231	HAWAII STATE HOSPITAL	20241219	00023079815	REFRESH TEARS 0.5% EYE DROP	15.000	$8.39	0.67133	0.55933	BRAND
20241231	HAWAII STATE HOSPITAL	20241203	00023079815	REFRESH TEARS 0.5% EYE DROP	15.000	$8.39	0.67133	0.55933	BRAND
20241231	HAWAII STATE HOSPITAL	20241204	00023079815	REFRESH TEARS 0.5% EYE DROP	15.000	$8.39	0.67133	0.55933	BRAND
20241231	HAWAII STATE HOSPITAL	20241202	00023079815	REFRESH TEARS 0.5% EYE DROP	15.000	$8.39	0.67133	0.55933	BRAND
20241231	HAWAII STATE HOSPITAL	20241206	00023079815	REFRESH TEARS 0.5% EYE DROP	15.000	$8.39	0.67133	0.55933	BRAND
20241231	HAWAII STATE HOSPITAL	20241213	00023079815	REFRESH TEARS 0.5% EYE DROP	15.000	$8.39	0.67133	0.55933	BRAND
20241231	HAWAII STATE HOSPITAL	20241223	00023079815	REFRESH TEARS 0.5% EYE DROP	15.000	$8.39	0.67133	0.55933	BRAND
20241231	HAWAII STATE HOSPITAL	20241203	00023079815	REFRESH TEARS 0.5% EYE DROP	15.000	$8.39	0.67133	0.55933	BRAND
20241231	HAWAII STATE HOSPITAL	20241223	00023455430	REFRESH CELLUVISC 1% EYE GEL	30.000	$11.00	0.44000	0.36666	BRAND
20241231	HAWAII STATE HOSPITAL	20241206	00023455430	REFRESH CELLUVISC 1% EYE GEL	30.000	$11.00	0.44000	0.36666	BRAND
20241231	HAWAII STATE HOSPITAL	20241206	00054032656	FLUTICASONE-SALMETEROL 100-50	60.000	$216.86	6.02400	1.56183	GENERIC
20241231	HAWAII STATE HOSPITAL	20241209	00054032656	FLUTICASONE-SALMETEROL 100-50	60.000	$216.86	6.02400	1.56183	GENERIC
20241231	HAWAII STATE HOSPITAL	20241217	00054032756	FLUTICASONE-SALMETEROL 250-50	60.000	$269.45	7.48467	1.94066	GENERIC
20241231	HAWAII STATE HOSPITAL	20241211	00054032756	FLUTICASONE-SALMETEROL 250-50	60.000	$269.45	7.48467	1.94066	GENERIC
20241231	HAWAII STATE HOSPITAL	20241209	00054032756	FLUTICASONE-SALMETEROL 250-50	60.000	$269.45	7.48467	1.94066	GENERIC
20241231	HAWAII STATE HOSPITAL	20241204	00054032756	FLUTICASONE-SALMETEROL 250-50	60.000	$1.55	7.48467	1.94066	GENERIC
20241231	HAWAII STATE HOSPITAL	20241206	00054032756	FLUTICASONE-SALMETEROL 250-50	60.000	$269.45	7.48467	1.94066	GENERIC
20241231	HAWAII STATE HOSPITAL	20241213	00054032756	FLUTICASONE-SALMETEROL 250-50	60.000	$269.45	7.48467	1.94066	GENERIC
20241231	HAWAII STATE HOSPITAL	20241224	00054032856	FLUTICASONE-SALMETEROL 500-50	60.000	$354.38	9.84383	2.55233	GENERIC
20241231	HAWAII STATE HOSPITAL	20241213	00054327099	FLUTICASONE PROP 50 MCG SPRAY	16.000	$56.00	5.83313	0.85250	GENERIC
20241231	HAWAII STATE HOSPITAL	20241211	00054327099	FLUTICASONE PROP 50 MCG SPRAY	16.000	$56.00	5.83313	0.85250	GENERIC
20241231	HAWAII STATE HOSPITAL	20241209	00054327099	FLUTICASONE PROP 50 MCG SPRAY	16.000	$56.00	5.83313	0.85250	GENERIC
20241231	HAWAII STATE HOSPITAL	20241218	00054327099	FLUTICASONE PROP 50 MCG SPRAY	16.000	$56.00			GENERIC
20241231	HAWAII STATE HOSPITAL	20241224	00054327099	FLUTICASONE PROP 50 MCG SPRAY	16.000	$56.00	5.83313	0.85250	GENERIC
20241231	HAWAII STATE HOSPITAL	20241203	00054327099	FLUTICASONE PROP 50 MCG SPRAY	16.000	$56.00	5.83313	0.85250	GENERIC
20241231	HAWAII STATE HOSPITAL	20241213	00054327099	FLUTICASONE PROP 50 MCG SPRAY	16.000	$56.00	5.83313	0.85250	GENERIC
20241231	HAWAII STATE HOSPITAL	20241218	00054327099	FLUTICASONE PROP 50 MCG SPRAY	16.000	$56.00	5.83313	0.85250	GENERIC
20241231	HAWAII STATE HOSPITAL	20241112	00054327099	CR FLUTICASONE PROP 5	16.000	-$56.00			GENERIC
20241231	HAWAII STATE HOSPITAL	20241211	00054327099	FLUTICASONE PROP 50 MCG SPRAY	16.000	$56.00	5.83313	0.85250	GENERIC
20241231	HAWAII STATE HOSPITAL	20241213	00054327099	FLUTICASONE PROP 50 MCG SPRAY	16.000	$56.00	5.83313	0.85250	GENERIC
20241231	HAWAII STATE HOSPITAL	20241213	00054327099	FLUTICASONE PROP 50 MCG SPRAY	16.000	$56.00	5.83313	0.85250	GENERIC
20241231	HAWAII STATE HOSPITAL	20241217	00054327099	FLUTICASONE PROP 50 MCG SPRAY	16.000	$56.00	5.83313	0.85250	GENERIC
20241231	HAWAII STATE HOSPITAL	20241210	00054327099	FLUTICASONE PROP 50 MCG SPRAY	16.000	$56.00	5.83313	0.85250	GENERIC
20241231	HAWAII STATE HOSPITAL	20241218	00054327099	FLUTICASONE PROP 50 MCG SPRAY	16.000	$56.00	5.83313	0.85250	GENERIC
20241231	HAWAII STATE HOSPITAL	20241231	00054350049	LIDOCAINE 2% VISCOUS SOLN	200.000	$15.84	0.13200	0.11000	GENERIC
20241231	HAWAII STATE HOSPITAL	20241028	00054981725	PREDNISONE 10 MG TABLET	10.000	$1.46	0.24280	0.19420	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00078065920	ENTRESTO 24 MG-26 MG TABLET	60.000	$688.01	13.76017	11.46683	BRAND
20241231	HAWAII STATE HOSPITAL	20241209	00088210224	PRIFTIN 150 MG TABLET	72.000	$348.78	5.81292	4.84416	BRAND
20241231	HAWAII STATE HOSPITAL	20241203	00088221905	LANTUS SOLOSTAR 100 UNIT/ML	6.000	$38.55	7.71067	6.42533	BRAND
20241231	HAWAII STATE HOSPITAL	20241231	00088221905	LANTUS SOLOSTAR 100 UNIT/ML	6.000	$38.55	7.71067	6.42533	BRAND
20241231	HAWAII STATE HOSPITAL	20241216	00088221905	LANTUS SOLOSTAR 100 UNIT/ML	3.000	$4.60	7.71067	6.42533	BRAND
20241231	HAWAII STATE HOSPITAL	20241203	00088221905	LANTUS SOLOSTAR 100 UNIT/ML	3.000	$19.28	7.71067	6.42533	BRAND
20241231	HAWAII STATE HOSPITAL	20241203	00088221905	LANTUS SOLOSTAR 100 UNIT/ML	3.000	$19.28	7.71067	6.42533	BRAND
20241231	HAWAII STATE HOSPITAL	20241230	00088221905	LANTUS SOLOSTAR 100 UNIT/ML	3.000	$19.28	7.71067	6.42533	BRAND
20241231	HAWAII STATE HOSPITAL	20241203	00088222033	LANTUS 100 UNIT/ML VIAL	10.000	$64.26	7.71100	6.42600	BRAND
20241231	HAWAII STATE HOSPITAL	20241111	00093005301	BUSPIRONE HCL 5 MG TABLET	29.000	$13.42	0.77120	0.05150	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00093005301	BUSPIRONE HCL 5 MG TABLET	90.000	$4.50	0.77120	0.05150	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00093005301	BUSPIRONE HCL 5 MG TABLET	88.000	$40.72	0.77120	0.05150	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00093005301	BUSPIRONE HCL 5 MG TABLET	17.000	$7.87	0.77120	0.05150	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00093005401	BUSPIRONE HCL 10 MG TABLET	114.000	$92.00	1.34500	0.07070	GENERIC
20241231	HAWAII STATE HOSPITAL	20241119	00093005401	BUSPIRONE HCL 10 MG TABLET	122.000	$98.45	1.34500	0.07070	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00093005401	BUSPIRONE HCL 10 MG TABLET	116.000	$93.61	1.34500	0.07070	GENERIC
20241231	HAWAII STATE HOSPITAL	20241206	00093031101	LOPERAMIDE 2 MG CAPSULE	1.000	$1.14	1.36510	1.13754	BRAND
20241231	HAWAII STATE HOSPITAL	20241017	00093031101	LOPERAMIDE 2 MG CAPSULE	1.000	$1.14	1.36510	1.13754	BRAND
20241231	HAWAII STATE HOSPITAL	20241017	00093031101	LOPERAMIDE 2 MG CAPSULE	2.000	$2.28	1.36510	1.13754	BRAND
20241231	HAWAII STATE HOSPITAL	20241103	00093031101	LOPERAMIDE 2 MG CAPSULE	1.000	$1.14	1.36510	1.13754	BRAND
20241231	HAWAII STATE HOSPITAL	20241128	00093031101	LOPERAMIDE 2 MG CAPSULE	1.000	$1.14	1.36510	1.13754	BRAND
20241231	HAWAII STATE HOSPITAL	20241111	00093031901	DILTIAZEM 60 MG TABLET	106.000	$99.65	1.56690	0.23500	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00093077198	PRAVASTATIN SODIUM 10 MG TAB	29.000	$55.94	3.21511	0.26522	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00093077198	PRAVASTATIN SODIUM 10 MG TAB	30.000	$57.87	3.21511	0.26522	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00093077198	PRAVASTATIN SODIUM 10 MG TAB	8.000	$15.43	3.21511	0.26522	GENERIC
20241231	HAWAII STATE HOSPITAL	20241203	00093077198	PRAVASTATIN SODIUM 10 MG TAB	7.000	$13.51	3.21511	0.26522	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00093100301	BUSPIRONE HCL 15 MG TABLET	60.000	$72.69	2.01920	0.08770	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00093100301	BUSPIRONE HCL 15 MG TABLET	50.000	$60.58	2.01920	0.08770	GENERIC
20241231	HAWAII STATE HOSPITAL	20241119	00093100301	BUSPIRONE HCL 15 MG TABLET	124.000	$150.23	2.01920	0.08770	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00093100301	BUSPIRONE HCL 15 MG TABLET	30.000	$36.35	2.01920	0.08770	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00093100301	BUSPIRONE HCL 15 MG TABLET	26.000	$31.50	2.01920	0.08770	GENERIC
20241231	HAWAII STATE HOSPITAL	20241024	00093314705	CEPHALEXIN 500 MG CAPSULE	30.000	$24.27	1.34830	0.20600	GENERIC
20241231	HAWAII STATE HOSPITAL	20241126	00093314705	CEPHALEXIN 500 MG CAPSULE	40.000	$32.36	1.34830	0.20600	GENERIC
20241231	HAWAII STATE HOSPITAL	20241129	00093314705	CEPHALEXIN 500 MG CAPSULE	15.000	$12.13	1.34830	0.20600	GENERIC
20241231	HAWAII STATE HOSPITAL	20241129	00093314705	CV CEPHALEXIN 500 MG	15.000	-$12.13	1.34830	0.20600	GENERIC
20241231	HAWAII STATE HOSPITAL	20241212	00093314705	CEPHALEXIN 500 MG CAPSULE	24.000	$1.55	1.34830	0.20600	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00093314705	CEPHALEXIN 500 MG CAPSULE	19.000	$15.37	1.34830	0.20600	GENERIC
20241231	HAWAII STATE HOSPITAL	20241115	00093314705	CEPHALEXIN 500 MG CAPSULE	15.000	$12.13	1.34830	0.20600	GENERIC
20241231	HAWAII STATE HOSPITAL	20241206	00093537619	CLOZAPINE ODT 150 MG TABLET	3.000	$37.29	20.71646	0.00000	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00093537619	CLOZAPINE ODT 150 MG TABLET	49.000	$609.07	20.71646	0.00000	GENERIC
20241231	HAWAII STATE HOSPITAL	20241205	00093537619	CLOZAPINE ODT 150 MG TABLET	28.000	$348.04	20.71646	0.00000	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00093537619	CLOZAPINE ODT 150 MG TABLET	1.000	$12.43	20.71646	0.00000	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00093537719	CLOZAPINE ODT 200 MG TABLET	29.000	$480.60	27.62083	0.00000	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00093537719	CLOZAPINE ODT 200 MG TABLET	10.000	$165.73	27.62083	0.00000	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00093537719	CLOZAPINE ODT 200 MG TABLET	58.000	$961.21	27.62083	0.00000	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00093537719	CLOZAPINE ODT 200 MG TABLET	57.000	$944.63	27.62083	0.00000	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00093537719	CLOZAPINE ODT 200 MG TABLET	2.000	$33.14	27.62083	0.00000	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00093537719	CLOZAPINE ODT 200 MG TABLET	29.000	$480.60	27.62083	0.00000	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00093537719	CLOZAPINE ODT 200 MG TABLET	21.000	$348.02	27.62083	0.00000	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00093541719	CLOZAPINE ODT 25 MG TABLET	58.000	$104.32	2.99771	0.00000	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00093541719	CLOZAPINE ODT 25 MG TABLET	58.000	$104.32	2.99771	0.00000	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00093541919	CLOZAPINE ODT 100 MG TABLET	18.000	$88.29	8.17500	0.00000	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00093541919	CLOZAPINE ODT 100 MG TABLET	29.000	$142.25	8.17500	0.00000	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00093541919	CLOZAPINE ODT 100 MG TABLET	21.000	$103.01	8.17500	0.00000	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00093719801	FLUOXETINE HCL 40 MG CAPSULE	29.000	$88.19	5.06830	0.77500	GENERIC
20241231	HAWAII STATE HOSPITAL	20241028	00093719801	FLUOXETINE HCL 40 MG CAPSULE	7.000	$21.29	5.06830	0.77500	GENERIC
20241231	HAWAII STATE HOSPITAL	20241022	00093719801	FLUOXETINE HCL 40 MG CAPSULE	21.000	$63.86	5.06830	0.77500	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00093719801	FLUOXETINE HCL 40 MG CAPSULE	58.000	$176.38	5.06830	0.77500	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00093719801	FLUOXETINE HCL 40 MG CAPSULE	29.000	$88.19	5.06830	0.77500	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00093720198	PRAVASTATIN SODIUM 20 MG TAB	30.000	$4.50	3.26711	0.26955	GENERIC
20241231	HAWAII STATE HOSPITAL	20241121	00093720198	PRAVASTATIN SODIUM 20 MG TAB	36.000	$70.57	3.26711	0.26955	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00115180301	HYDROXYZINE PAM 25 MG CAP	18.000	$2.23	0.20600	0.13200	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00121043130	MILK OF MAGNESIA SUSP UD	90.000	$4.21	0.07804	0.06503	GENERIC
20241231	HAWAII STATE HOSPITAL	20241113	00121043130	MILK OF MAGNESIA SUSP UD	780.000	$36.52	0.07804	0.06503	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00121043130	MILK OF MAGNESIA SUSP UD	120.000	$5.62	0.07804	0.06503	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00121043130	MILK OF MAGNESIA SUSP UD	60.000	$2.81	0.07804	0.06503	GENERIC
20241231	HAWAII STATE HOSPITAL	20241126	00121043130	MILK OF MAGNESIA SUSP UD	270.000	$12.64	0.07804	0.06503	GENERIC
20241231	HAWAII STATE HOSPITAL	20241210	00121058104	HALOPERIDOL LAC 2 MG/ML CONC	240.000	$4.50	0.45167	0.23000	GENERIC
20241231	HAWAII STATE HOSPITAL	20241227	00121058104	HALOPERIDOL LAC 2 MG/ML CONC	120.000	$32.52	0.45167	0.23000	GENERIC
20241231	HAWAII STATE HOSPITAL	20241230	00121058104	HALOPERIDOL LAC 2 MG/ML CONC	240.000	$4.50	0.45167	0.23000	GENERIC
20241231	HAWAII STATE HOSPITAL	20241203	00121067585	VALPROIC ACID 250 MG/5 ML SOLN	1419.000	$130.50	0.15328	0.03964	GENERIC
20241231	HAWAII STATE HOSPITAL	20241210	00121067585	VALPROIC ACID 250 MG/5 ML SOLN	1419.000	$130.50	0.15328	0.03964	GENERIC
20241231	HAWAII STATE HOSPITAL	20241212	00121087332	LACTULOSE 10 GM/15 ML SOLUTION	946.000	$4.50	0.05835	0.02949	GENERIC
20241231	HAWAII STATE HOSPITAL	20241129	00121087332	LACTULOSE 10 GM/15 ML SOLUTION	12298.000	$430.55	0.05835	0.02949	GENERIC
20241231	HAWAII STATE HOSPITAL	20241226	00121087332	LACTULOSE 10 GM/15 ML SOLUTION	12298.000	$430.55	0.05835	0.02949	GENERIC
20241231	HAWAII STATE HOSPITAL	20241218	00121087332	LACTULOSE 10 GM/15 ML SOLUTION	1892.000	$66.24	0.05835	0.02949	GENERIC
20241231	HAWAII STATE HOSPITAL	20241218	00121087332	LACTULOSE 10 GM/15 ML SOLUTION	3784.000	$132.48	0.05835	0.02949	GENERIC
20241231	HAWAII STATE HOSPITAL	20241204	00121087332	LACTULOSE 10 GM/15 ML SOLUTION	946.000	$33.12	0.05835	0.02949	GENERIC
20241231	HAWAII STATE HOSPITAL	20241212	00121087332	LACTULOSE 10 GM/15 ML SOLUTION	946.000	$33.12	0.05835	0.02949	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00121115430	LACTULOSE 20 GM/30 ML SOLN CUP	870.000	$4.50	0.06567	0.02263	GENERIC
20241231	HAWAII STATE HOSPITAL	20241114	00121115430	LACTULOSE 20 GM/30 ML SOLN CUP	60.000	$2.36	0.06567	0.02263	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00121115430	LACTULOSE 20 GM/30 ML SOLN CUP	60.000	$2.36	0.06567	0.02263	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00121115430	LACTULOSE 20 GM/30 ML SOLN CUP	30.000	$1.18	0.06567	0.02263	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00121115430	LACTULOSE 20 GM/30 ML SOLN CUP	390.000	$15.37	0.06567	0.02263	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00121115430	LACTULOSE 20 GM/30 ML SOLN CUP	480.000	$18.91	0.06567	0.02263	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00121115430	LACTULOSE 20 GM/30 ML SOLN CUP	360.000	$14.18	0.06567	0.02263	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00121115430	LACTULOSE 20 GM/30 ML SOLN CUP	1800.000	$70.93	0.06567	0.02263	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00121115430	LACTULOSE 20 GM/30 ML SOLN CUP	870.000	$34.28	0.06567	0.02263	GENERIC
20241231	HAWAII STATE HOSPITAL	20241219	00121115430	LACTULOSE 20 GM/30 ML SOLN CUP	300.000	$10.89	0.06567	0.02263	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00121115430	LACTULOSE 20 GM/30 ML SOLN CUP	1290.000	$50.83	0.06567	0.02263	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00121115430	LACTULOSE 20 GM/30 ML SOLN CUP	660.000	$26.00	0.06567	0.02263	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00121115430	LACTULOSE 20 GM/30 ML SOLN CUP	2700.000	$106.39	0.06567	0.02263	GENERIC
20241231	HAWAII STATE HOSPITAL	20241120	00121127610	GUAIFENESIN-DM 200-20 MG/10 ML	240.000	$39.84	0.27665	0.00000	GENERIC
20241231	HAWAII STATE HOSPITAL	20241130	00121127610	GUAIFENESIN-DM 200-20 MG/10 ML	30.000	$4.98	0.27665	0.00000	GENERIC
20241231	HAWAII STATE HOSPITAL	20241203	00121127610	GUAIFENESIN-DM 200-20 MG/10 ML	10.000	$1.66	0.27665	0.00000	GENERIC
20241231	HAWAII STATE HOSPITAL	20241219	00121127610	GUAIFENESIN-DM 200-20 MG/10 ML	100.000	$16.60	0.27665	0.00000	GENERIC
20241231	HAWAII STATE HOSPITAL	20241030	00121148810	GUAIFENESIN 200 MG/10 ML CUP	820.000	$94.96	0.19300	0.00000	GENERIC
20241231	HAWAII STATE HOSPITAL	20241118	00121176130	ANTACID/SIME PLUS SUSP UD	150.000	$15.80	0.12642	0.10535	BRAND
20241231	HAWAII STATE HOSPITAL	20241017	00121176130	ANTACID/SIME PLUS SUSP UD	210.000	$22.12	0.12642	0.10535	BRAND
20241231	HAWAII STATE HOSPITAL	20241111	00121176130	ANTACID/SIME PLUS SUSP UD	120.000	$12.64	0.12642	0.10535	BRAND
20241231	HAWAII STATE HOSPITAL	20241111	00121176130	ANTACID/SIME PLUS SUSP UD	900.000	$94.82	0.12642	0.10535	BRAND
20241231	HAWAII STATE HOSPITAL	20241113	00121176130	ANTACID/SIME PLUS SUSP UD	210.000	$22.12	0.12642	0.10535	BRAND
20241231	HAWAII STATE HOSPITAL	20241227	00121176130	ANTACID/SIME PLUS SUSP UD	150.000	$11.90	0.12642	0.10535	BRAND
20241231	HAWAII STATE HOSPITAL	20241111	00121176130	ANTACID/SIME PLUS SUSP UD	2610.000	$274.96	0.12642	0.10535	BRAND
20241231	HAWAII STATE HOSPITAL	20241129	00121176130	ANTACID/SIME PLUS SUSP UD	60.000	$6.32	0.12642	0.10535	BRAND
20241231	HAWAII STATE HOSPITAL	20241111	00121176130	ANTACID/SIME PLUS SUSP UD	60.000	$6.32	0.12642	0.10535	BRAND
20241231	HAWAII STATE HOSPITAL	20241115	00121176130	ANTACID/SIME PLUS SUSP UD	30.000	$3.16	0.12642	0.10535	BRAND
20241231	HAWAII STATE HOSPITAL	20241111	00121176130	ANTACID/SIME PLUS SUSP UD	360.000	$37.93	0.12642	0.10535	BRAND
20241231	HAWAII STATE HOSPITAL	20241025	00121176130	ANTACID/SIME PLUS SUSP UD	270.000	$28.44	0.12642	0.10535	BRAND
20241231	HAWAII STATE HOSPITAL	20241102	00121176130	ANTACID/SIME PLUS SUSP UD	30.000	$3.16	0.12642	0.10535	BRAND
20241231	HAWAII STATE HOSPITAL	20241017	00121176130	ANTACID/SIME PLUS SUSP UD	30.000	$3.16	0.12642	0.10535	BRAND
20241231	HAWAII STATE HOSPITAL	20241019	00121176130	ANTACID/SIME PLUS SUSP UD	60.000	$6.32	0.12642	0.10535	BRAND
20241231	HAWAII STATE HOSPITAL	20241021	00121176130	ANTACID/SIME PLUS SUSP UD	300.000	$31.61	0.12642	0.10535	BRAND
20241231	HAWAII STATE HOSPITAL	20241209	00121467500	VALPROIC ACID 250 MG/5 ML CUP	20.000	$3.59	0.29950	0.27428	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00121467505	VALPROIC ACID 250 MG/5 ML CUP	720.000	$129.60	0.30000	0.14785	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00121467505	VALPROIC ACID 250 MG/5 ML CUP	30.000	$5.40	0.30000	0.14785	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00121467505	VALPROIC ACID 250 MG/5 ML CUP	140.000	$4.50	0.30000	0.14785	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00121467505	VALPROIC ACID 250 MG/5 ML CUP	640.000	$115.20	0.30000	0.14785	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00121467505	VALPROIC ACID 250 MG/5 ML CUP	1160.000	$208.80	0.30000	0.14785	GENERIC
20241231	HAWAII STATE HOSPITAL	20241205	00132020140	FLEET ENEMA	133.000	$1.11			BRAND
20241231	HAWAII STATE HOSPITAL	20241211	00132020140	FLEET ENEMA	133.000	$1.11			BRAND
20241231	HAWAII STATE HOSPITAL	20241020	00143980305	DOXYCYCLINE HYCLATE 100 MG CAP	3.000	$9.96	5.53222	0.28000	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00143980305	DOXYCYCLINE HYCLATE 100 MG CAP	6.000	$19.91	5.53222	0.28000	GENERIC
20241231	HAWAII STATE HOSPITAL	20241224	00168008031	HYDROCORTISONE 2.5% CREAM	30.000	$6.60	0.36667	0.11000	GENERIC
20241231	HAWAII STATE HOSPITAL	20241204	00169430330	CR RYBELSUS 3 MG TABL	30.000	-$968.52			BRAND
20241231	HAWAII STATE HOSPITAL	20241204	00169430330	RYBELSUS 3 MG TABLET	30.000	$968.52			BRAND
20241231	HAWAII STATE HOSPITAL	20241203	00169430730	RYBELSUS 7 MG TABLET	30.000	$968.52	38.74067	32.28400	BRAND
20241231	HAWAII STATE HOSPITAL	20241216	00169430730	RYBELSUS 7 MG TABLET	30.000	$968.52	38.74067	32.28400	BRAND
20241231	HAWAII STATE HOSPITAL	20241205	00169430730	RYBELSUS 7 MG TABLET	30.000	$968.52	38.74067	32.28400	BRAND
20241231	HAWAII STATE HOSPITAL	20241211	00169430730	RYBELSUS 7 MG TABLET	30.000	$968.52	38.74067	32.28400	BRAND
20241231	HAWAII STATE HOSPITAL	20241210	00169431430	RYBELSUS 14 MG TABLET	30.000	$968.52	38.74067	32.28400	BRAND
20241231	HAWAII STATE HOSPITAL	20241212	00169750111	NOVOLOG 100 UNIT/ML VIAL	10.000	$72.34	8.68100	7.23400	BRAND
20241231	HAWAII STATE HOSPITAL	20241216	00169750111	NOVOLOG 100 UNIT/ML VIAL	10.000	$72.34	8.68100	7.23400	BRAND
20241231	HAWAII STATE HOSPITAL	20241017	00172208380	HYDROCHLOROTHIAZIDE 25 MG TAB	20.000	$0.95	0.07925	0.04112	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00172208380	HYDROCHLOROTHIAZIDE 25 MG TAB	29.000	$1.38	0.07925	0.04112	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00172208380	HYDROCHLOROTHIAZIDE 25 MG TAB	29.000	$1.38	0.07925	0.04112	GENERIC
20241231	HAWAII STATE HOSPITAL	20241126	00172572860	FAMOTIDINE 20 MG TABLET	13.000	$18.89	2.42200	0.14000	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00172572860	FAMOTIDINE 20 MG TABLET	58.000	$84.29	2.42200	0.14000	GENERIC
20241231	HAWAII STATE HOSPITAL	20241127	00172572860	FAMOTIDINE 20 MG TABLET	12.000	$17.44	2.42200	0.14000	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00172572860	FAMOTIDINE 20 MG TABLET	29.000	$42.14	2.42200	0.11200	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00172572860	FAMOTIDINE 20 MG TABLET	30.000	$43.60	2.42200	0.14000	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00172572860	FAMOTIDINE 20 MG TABLET	58.000	$4.97	2.42200	0.14000	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00172572860	FAMOTIDINE 20 MG TABLET	26.000	$37.78	2.42200	0.14000	GENERIC
20241231	HAWAII STATE HOSPITAL	20241217	00173085910	BREO ELLIPTA 100-25 MCG INHALR	60.000	$60.52	8.14433	6.78700	BRAND
20241231	HAWAII STATE HOSPITAL	20241212	00173088710	TRELEGY ELLIPTA 100-62.5-25	60.000	$657.68	13.15367	10.96133	BRAND
20241231	HAWAII STATE HOSPITAL	20241209	00185067401	HYDROXYZINE PAM 25 MG CAP	1.000	$0.18	0.29940	0.07670	GENERIC
20241231	HAWAII STATE HOSPITAL	20241203	00185067401	HYDROXYZINE PAM 25 MG CAP	2.000	$0.36	0.29940	0.07670	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00185067401	HYDROXYZINE PAM 25 MG CAP	58.000	$10.42	0.29940	0.07670	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00185067401	HYDROXYZINE PAM 25 MG CAP	29.000	$5.21	0.29940	0.07670	GENERIC
20241231	HAWAII STATE HOSPITAL	20241202	00185067401	HYDROXYZINE PAM 25 MG CAP	3.000	$0.54	0.29940	0.07670	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00185067401	HYDROXYZINE PAM 25 MG CAP	1.000	$0.18	0.29940	0.07670	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00185067401	HYDROXYZINE PAM 25 MG CAP	64.000	$11.50	0.29940	0.07670	GENERIC
20241231	HAWAII STATE HOSPITAL	20241208	00185067401	HYDROXYZINE PAM 25 MG CAP	1.000	$0.18	0.29940	0.07670	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00185067401	HYDROXYZINE PAM 25 MG CAP	9.000	$1.61	0.29940	0.07670	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00185067401	HYDROXYZINE PAM 25 MG CAP	100.000	$17.96	0.29940	0.07670	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00185067401	HYDROXYZINE PAM 25 MG CAP	22.000	$3.95	0.29940	0.07670	GENERIC
20241231	HAWAII STATE HOSPITAL	20241206	00185067401	HYDROXYZINE PAM 25 MG CAP	1.000	$0.18	0.29940	0.07670	GENERIC
20241231	HAWAII STATE HOSPITAL	20241107	00185067601	HYDROXYZINE PAM 50 MG CAP	3.000	$0.58	0.32190	0.10480	GENERIC
20241231	HAWAII STATE HOSPITAL	20241129	00185067601	HYDROXYZINE PAM 50 MG CAP	9.000	$1.74	0.32190	0.10480	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00185067601	HYDROXYZINE PAM 50 MG CAP	6.000	$1.39	0.32190	0.10480	GENERIC
20241231	HAWAII STATE HOSPITAL	20241126	00185067601	HYDROXYZINE PAM 50 MG CAP	3.000	$0.58	0.32190	0.10480	GENERIC
20241231	HAWAII STATE HOSPITAL	20241120	00185067601	HYDROXYZINE PAM 50 MG CAP	8.000	$1.55	0.32190	0.10480	GENERIC
20241231	HAWAII STATE HOSPITAL	20241206	00185067601	HYDROXYZINE PAM 50 MG CAP	2.000	$0.38	0.32190	0.10480	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00185067601	HYDROXYZINE PAM 50 MG CAP	58.000	$11.20	0.32190	0.10480	GENERIC
20241231	HAWAII STATE HOSPITAL	20241129	00185067601	HYDROXYZINE PAM 50 MG CAP	17.000	$3.28	0.32190	0.10480	GENERIC
20241231	HAWAII STATE HOSPITAL	20241122	00185067601	HYDROXYZINE PAM 50 MG CAP	10.000	$1.93	0.32190	0.10480	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00185067601	HYDROXYZINE PAM 50 MG CAP	87.000	$16.81	0.32190	0.10480	GENERIC
20241231	HAWAII STATE HOSPITAL	20241104	00185067601	HYDROXYZINE PAM 50 MG CAP	3.000	$0.58	0.32190	0.10480	GENERIC
20241231	HAWAII STATE HOSPITAL	20241126	00185067601	HYDROXYZINE PAM 50 MG CAP	13.000	$2.51	0.32190	0.10480	GENERIC
20241231	HAWAII STATE HOSPITAL	20241113	00185067601	HYDROXYZINE PAM 50 MG CAP	27.000	$5.21	0.32190	0.10480	GENERIC
20241231	HAWAII STATE HOSPITAL	20241216	00185067601	HYDROXYZINE PAM 50 MG CAP	30.000	$5.80	0.32190	0.10480	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00185067601	HYDROXYZINE PAM 50 MG CAP	2.000	$0.38	0.32190	0.10480	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00185067601	HYDROXYZINE PAM 50 MG CAP	26.000	$5.02	0.32190	0.10480	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00185067601	HYDROXYZINE PAM 50 MG CAP	78.000	$15.07	0.32190	0.10480	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00185067601	HYDROXYZINE PAM 50 MG CAP	4.000	$0.77	0.32190	0.10480	GENERIC
20241231	HAWAII STATE HOSPITAL	20241129	00185067601	HYDROXYZINE PAM 50 MG CAP	6.000	$1.16	0.32190	0.10480	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00185067601	HYDROXYZINE PAM 50 MG CAP	17.000	$3.28	0.32190	0.10480	GENERIC
20241231	HAWAII STATE HOSPITAL	20241121	00185067601	HYDROXYZINE PAM 50 MG CAP	7.000	$1.35	0.32190	0.10480	GENERIC
20241231	HAWAII STATE HOSPITAL	20241207	00185067601	HYDROXYZINE PAM 50 MG CAP	3.000	$0.58	0.32190	0.10480	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00186077760	BRILINTA 90 MG TABLET	60.000	$451.21	9.02417	7.52016	BRAND
20241231	HAWAII STATE HOSPITAL	20241111	00228282011	HYDROCHLOROTHIAZIDE 12.5 MG TB	29.000	$14.34	0.82430	0.28000	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378001805	METOPROLOL TARTRATE 25 MG TAB	54.000	$7.86	0.24250	0.04560	GENERIC
20241231	HAWAII STATE HOSPITAL	20241113	00378001805	METOPROLOL TARTRATE 25 MG TAB	31.000	$4.51	0.24250	0.04560	GENERIC
20241231	HAWAII STATE HOSPITAL	20241129	00378001805	METOPROLOL TARTRATE 25 MG TAB	20.000	$2.91	0.24250	0.04560	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00378001805	METOPROLOL TARTRATE 25 MG TAB	60.000	$8.73	0.24250	0.04560	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00378003210	METOPROLOL TARTRATE 50 MG TAB	30.000	$9.80	0.54430	0.04250	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378021401	HALOPERIDOL 2 MG TAB	29.000	$11.00	0.63200	0.50560	GENERIC
20241231	HAWAII STATE HOSPITAL	20241129	00378032701	HALOPERIDOL 5 MG TAB	1.000	$0.61	1.02380	0.81900	GENERIC
20241231	HAWAII STATE HOSPITAL	20241107	00378032701	HALOPERIDOL 5 MG TAB	9.000	$5.53	1.02380	0.81900	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378032701	HALOPERIDOL 5 MG TAB	53.000	$32.56	1.02380	0.81900	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378032701	HALOPERIDOL 5 MG TAB	51.000	$31.33	1.02380	0.81900	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378032701	HALOPERIDOL 5 MG TAB	61.000	$37.47	1.02380	0.81900	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378032701	HALOPERIDOL 5 MG TAB	1.000	$0.61	1.02380	0.81900	GENERIC
20241231	HAWAII STATE HOSPITAL	20241123	00378032701	HALOPERIDOL 5 MG TAB	1.000	$0.61	1.02380	0.81900	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378032701	HALOPERIDOL 5 MG TAB	58.000	$35.63	1.02380	0.81900	GENERIC
20241231	HAWAII STATE HOSPITAL	20241122	00378032701	HALOPERIDOL 5 MG TAB	2.000	$1.23	1.02380	0.81900	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378032701	HALOPERIDOL 5 MG TAB	58.000	$35.63	1.02380	0.81900	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378032701	HALOPERIDOL 5 MG TAB	29.000	$17.81	1.02380	0.81900	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378032701	HALOPERIDOL 5 MG TAB	29.000	$17.81	1.02380	0.81900	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378032701	HALOPERIDOL 5 MG TAB	2.000	$1.23	1.02380	0.81900	GENERIC
20241231	HAWAII STATE HOSPITAL	20241126	00378032701	HALOPERIDOL 5 MG TAB	2.000	$1.23	1.02380	0.81900	GENERIC
20241231	HAWAII STATE HOSPITAL	20241130	00378032701	HALOPERIDOL 5 MG TAB	2.000	$1.23	1.02380	0.81900	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378032701	HALOPERIDOL 5 MG TAB	4.000	$2.46	1.02380	0.81900	GENERIC
20241231	HAWAII STATE HOSPITAL	20241101	00378032701	HALOPERIDOL 5 MG TAB	1.000	$0.05	1.02380	0.81900	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00378032701	HALOPERIDOL 5 MG TAB	12.000	$7.37	1.02380	0.81900	GENERIC
20241231	HAWAII STATE HOSPITAL	20241030	00378032701	HALOPERIDOL 5 MG TAB	7.000	$4.30	1.02380	0.81900	GENERIC
20241231	HAWAII STATE HOSPITAL	20241018	00378032701	HALOPERIDOL 5 MG TAB	55.000	$3.75	1.02380	0.81900	GENERIC
20241231	HAWAII STATE HOSPITAL	20241112	00378032701	HALOPERIDOL 5 MG TAB	71.000	$43.61	1.02380	0.81900	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378032701	HALOPERIDOL 5 MG TAB	29.000	$17.81	1.02380	0.81900	GENERIC
20241231	HAWAII STATE HOSPITAL	20241106	00378032701	HALOPERIDOL 5 MG TAB	6.000	$3.68	1.02380	0.81900	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378032701	HALOPERIDOL 5 MG TAB	18.000	$11.06	1.02380	0.81900	GENERIC
20241231	HAWAII STATE HOSPITAL	20241126	00378032701	HALOPERIDOL 5 MG TAB	4.000	$2.46	1.02380	0.81900	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378032701	HALOPERIDOL 5 MG TAB	5.000	$3.07	1.02380	0.81900	GENERIC
20241231	HAWAII STATE HOSPITAL	20241126	00378032701	HALOPERIDOL 5 MG TAB	4.000	$2.46	1.02380	0.81900	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378032701	HALOPERIDOL 5 MG TAB	1.000	$0.61	1.02380	0.81900	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378033401	HALOPERIDOL 10 MG TABLET	29.000	$32.76	1.88280	1.50620	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00378033401	HALOPERIDOL 10 MG TABLET	61.000	$68.91	1.88280	1.50620	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378033401	HALOPERIDOL 10 MG TABLET	29.000	$32.76	1.88280	1.50620	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378033401	HALOPERIDOL 10 MG TABLET	58.000	$65.52	1.88280	1.50620	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00378033401	HALOPERIDOL 10 MG TABLET	60.000	$4.50	1.88280	1.50620	GENERIC
20241231	HAWAII STATE HOSPITAL	20241203	00378033401	HALOPERIDOL 10 MG TABLET	13.000	$14.69	1.88280	1.50620	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00378033401	HALOPERIDOL 10 MG TABLET	5.000	$5.65	1.88280	1.50620	GENERIC
20241231	HAWAII STATE HOSPITAL	20241031	00378033401	HALOPERIDOL 10 MG TABLET	1.000	$1.13	1.88280	1.50620	GENERIC
20241231	HAWAII STATE HOSPITAL	20241113	00378033401	HALOPERIDOL 10 MG TABLET	3.000	$1.25	1.88280	1.50620	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378033401	HALOPERIDOL 10 MG TABLET	63.000	$71.17	1.88280	1.50620	GENERIC
20241231	HAWAII STATE HOSPITAL	20241202	00378033401	HALOPERIDOL 10 MG TABLET	24.000	$27.11	1.88280	1.50620	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378033401	HALOPERIDOL 10 MG TABLET	1.000	$1.13	1.88280	1.50620	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378033401	HALOPERIDOL 10 MG TABLET	13.000	$14.69	1.88280	1.50620	GENERIC
20241231	HAWAII STATE HOSPITAL	20241127	00378033401	HALOPERIDOL 10 MG TABLET	1.000	$1.13	1.88280	1.50620	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378033401	HALOPERIDOL 10 MG TABLET	87.000	$98.28	1.88280	1.50620	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378033401	HALOPERIDOL 10 MG TABLET	1.000	$1.13	1.88280	1.50620	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378033401	HALOPERIDOL 10 MG TABLET	2.000	$2.26	1.88280	1.50620	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378033401	HALOPERIDOL 10 MG TABLET	29.000	$32.76	1.88280	1.50620	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378033401	HALOPERIDOL 10 MG TABLET	2.000	$2.26	1.88280	1.50620	GENERIC
20241231	HAWAII STATE HOSPITAL	20241113	00378033401	HALOPERIDOL 10 MG TABLET	1.000	$1.13	1.88280	1.50620	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378033401	HALOPERIDOL 10 MG TABLET	4.000	$4.52	1.88280	1.50620	GENERIC
20241231	HAWAII STATE HOSPITAL	20241124	00378033401	HALOPERIDOL 10 MG TABLET	6.000	$6.78	1.88280	1.50620	GENERIC
20241231	HAWAII STATE HOSPITAL	20241209	00378033401	HALOPERIDOL 10 MG TABLET	1.000	$1.13	1.88280	1.50620	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378033401	HALOPERIDOL 10 MG TABLET	29.000	$32.76	1.88280	1.50620	GENERIC
20241231	HAWAII STATE HOSPITAL	20241125	00378033401	HALOPERIDOL 10 MG TABLET	3.000	$3.39	1.88280	1.50620	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378033401	HALOPERIDOL 10 MG TABLET	4.000	$4.52	1.88280	1.50620	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378033401	HALOPERIDOL 10 MG TABLET	58.000	$65.52	1.88280	1.50620	GENERIC
20241231	HAWAII STATE HOSPITAL	20241129	00378033401	HALOPERIDOL 10 MG TABLET	1.000	$1.13	1.88280	1.50620	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00378033401	HALOPERIDOL 10 MG TABLET	60.000	$1.55	1.88280	1.50620	GENERIC
20241231	HAWAII STATE HOSPITAL	20241127	00378033401	HALOPERIDOL 10 MG TABLET	3.000	$3.39	1.88280	1.50620	GENERIC
20241231	HAWAII STATE HOSPITAL	20241227	00378086005	CLOZAPINE 100 MG TABLET	15.000	$29.60	3.28932	2.08006	GENERIC
20241231	HAWAII STATE HOSPITAL	20241202	00378381501	CLOZAPINE ODT 100 MG TABLET	30.000	$204.36	8.17460	6.81189	BRAND
20241231	HAWAII STATE HOSPITAL	20241202	00378381601	CLOZAPINE ODT 150 MG TABLET	30.000	$372.88	20.71580	17.26320	GENERIC
20241231	HAWAII STATE HOSPITAL	20241120	00378381601	CLOZAPINE ODT 150 MG TABLET	18.000	$223.73	20.71580	17.26320	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378381601	CLOZAPINE ODT 150 MG TABLET	45.000	$559.33	20.71580	17.26320	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00378381601	CLOZAPINE ODT 150 MG TABLET	59.000	$270.28	20.71580	17.26320	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00378395005	ATORVASTATIN 10 MG TABLET	30.000	$72.77	4.04310	0.10850	GENERIC
20241231	HAWAII STATE HOSPITAL	20241115	00378395005	ATORVASTATIN 10 MG TABLET	1.000	$0.51	4.04310	0.10850	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00378395005	ATORVASTATIN 10 MG TABLET	30.000	$72.77	4.04310	0.10850	GENERIC
20241231	HAWAII STATE HOSPITAL	20241212	00378395005	ATORVASTATIN 10 MG TABLET	30.000	$72.77	4.04310	0.10850	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378395005	ATORVASTATIN 10 MG TABLET	20.000	$48.52	4.04310	0.10850	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378395005	ATORVASTATIN 10 MG TABLET	29.000	$70.35	4.04310	0.10850	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378395005	ATORVASTATIN 10 MG TABLET	29.000	$70.35	4.04310	0.10850	GENERIC
20241231	HAWAII STATE HOSPITAL	20241115	00378395005	ATORVASTATIN 10 MG TABLET	18.000	$43.67	4.04310	0.10850	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378395005	ATORVASTATIN 10 MG TABLET	29.000	$70.35	4.04310	0.10850	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00378395005	ATORVASTATIN 10 MG TABLET	30.000	$72.77	4.04310	0.10850	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378395005	ATORVASTATIN 10 MG TABLET	29.000	$70.35	4.04310	0.10850	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378395005	ATORVASTATIN 10 MG TABLET	8.000	$19.40	4.04310	0.10850	GENERIC
20241231	HAWAII STATE HOSPITAL	20241118	00378395005	ATORVASTATIN 10 MG TABLET	21.000	$50.95	4.04310	0.10850	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00378395005	ATORVASTATIN 10 MG TABLET	1.000	$2.42	4.04310	0.10850	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378395005	ATORVASTATIN 10 MG TABLET	15.000	$36.39	4.04310	0.10850	GENERIC
20241231	HAWAII STATE HOSPITAL	20241126	00378395005	ATORVASTATIN 10 MG TABLET	14.000	$33.96	4.04310	0.10850	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00378395005	ATORVASTATIN 10 MG TABLET	30.000	$72.77	4.04310	0.10850	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378395005	ATORVASTATIN 10 MG TABLET	29.000	$70.35	4.04310	0.10850	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378395005	ATORVASTATIN 10 MG TABLET	29.000	$70.35	4.04310	0.10850	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378395005	ATORVASTATIN 10 MG TABLET	29.000	$70.35	4.04310	0.10850	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378395005	ATORVASTATIN 10 MG TABLET	29.000	$70.35	4.04310	0.10850	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00378395005	ATORVASTATIN 10 MG TABLET	30.000	$72.77	4.04310	0.10850	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00378395005	ATORVASTATIN 10 MG TABLET	30.000	$72.77	4.04310	0.10850	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378395005	ATORVASTATIN 10 MG TABLET	29.000	$70.35	4.04310	0.10850	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378395005	ATORVASTATIN 10 MG TABLET	29.000	$70.35	4.04310	0.10850	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378395105	ATORVASTATIN 20 MG TABLET	29.000	$100.35	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378395105	ATORVASTATIN 20 MG TABLET	29.000	$100.35	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00378395105	ATORVASTATIN 20 MG TABLET	30.000	$103.81	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241202	00378395105	ATORVASTATIN 20 MG TABLET	30.000	$103.81	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378395105	ATORVASTATIN 20 MG TABLET	29.000	$100.35	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00378395105	ATORVASTATIN 20 MG TABLET	30.000	$103.81	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00378395105	ATORVASTATIN 20 MG TABLET	60.000	$207.62	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378395105	ATORVASTATIN 20 MG TABLET	29.000	$100.35	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378395105	ATORVASTATIN 20 MG TABLET	29.000	$100.35	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378395105	ATORVASTATIN 20 MG TABLET	29.000	$100.35	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378395105	ATORVASTATIN 20 MG TABLET	2.000	$6.92	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241112	00378395105	ATORVASTATIN 20 MG TABLET	27.000	$93.43	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378395105	ATORVASTATIN 20 MG TABLET	29.000	$100.35	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378395105	ATORVASTATIN 20 MG TABLET	29.000	$100.35	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241028	00378395105	ATORVASTATIN 20 MG TABLET	18.000	$0.90	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378395105	ATORVASTATIN 20 MG TABLET	29.000	$100.35	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378395105	ATORVASTATIN 20 MG TABLET	29.000	$100.35	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241204	00378395105	ATORVASTATIN 20 MG TABLET	5.000	$17.30	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20240126	00378395105	CV ATORVASTATIN 20 MG	23.000	-$99.49	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20240126	00378395105	ATORVASTATIN 20 MG TABLET	23.000	$79.59	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20240219	00378395105	CV ATORVASTATIN 20 MG	29.000	-$125.44	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20240219	00378395105	ATORVASTATIN 20 MG TABLET	29.000	$100.35	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20240319	00378395105	ATORVASTATIN 20 MG TABLET	30.000	$103.81	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20240319	00378395105	CV ATORVASTATIN 20 MG	30.000	-$129.77	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20240418	00378395105	ATORVASTATIN 20 MG TABLET	29.000	$100.35	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20240418	00378395105	CV ATORVASTATIN 20 MG	29.000	-$125.44	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20240517	00378395105	ATORVASTATIN 20 MG TABLET	27.000	$93.43	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20240517	00378395105	CV ATORVASTATIN 20 MG	27.000	-$116.79	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00378395105	ATORVASTATIN 20 MG TABLET	30.000	$3.00	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00378395205	ATORVASTATIN 40 MG TABLET	21.000	$72.67	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241107	00378395205	ATORVASTATIN 40 MG TABLET	9.000	$31.15	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378395205	ATORVASTATIN 40 MG TABLET	29.000	$100.35	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00378395205	ATORVASTATIN 40 MG TABLET	30.000	$12.07	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00378395205	ATORVASTATIN 40 MG TABLET	25.000	$3.75	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378395205	ATORVASTATIN 40 MG TABLET	5.000	$0.75	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378395205	ATORVASTATIN 40 MG TABLET	29.000	$100.35	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00378395205	ATORVASTATIN 40 MG TABLET	30.000	$4.50	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378395205	ATORVASTATIN 40 MG TABLET	29.000	$100.35	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00378395205	ATORVASTATIN 40 MG TABLET	30.000	$3.00	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378395205	ATORVASTATIN 40 MG TABLET	29.000	$100.35	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00378395205	ATORVASTATIN 40 MG TABLET	14.000	$48.44	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241101	00378395205	ATORVASTATIN 40 MG TABLET	4.000	$13.84	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378395205	ATORVASTATIN 40 MG TABLET	29.000	$100.35	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378395205	ATORVASTATIN 40 MG TABLET	29.000	$100.35	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00378395205	ATORVASTATIN 40 MG TABLET	30.000	$8.00	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241012	00378395205	ATORVASTATIN 40 MG TABLET	30.000	$103.81	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00378395205	ATORVASTATIN 40 MG TABLET	30.000	$103.81	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378395205	ATORVASTATIN 40 MG TABLET	29.000	$100.35	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378395205	ATORVASTATIN 40 MG TABLET	29.000	$100.35	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00378395205	ATORVASTATIN 40 MG TABLET	21.000	$72.67	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241107	00378395205	ATORVASTATIN 40 MG TABLET	9.000	$31.15	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00378395205	ATORVASTATIN 40 MG TABLET	29.000	$100.35	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00378395205	ATORVASTATIN 40 MG TABLET	30.000	$4.50	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378395205	ATORVASTATIN 40 MG TABLET	29.000	$100.35	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378395205	ATORVASTATIN 40 MG TABLET	29.000	$100.35	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00378395205	ATORVASTATIN 40 MG TABLET	22.000	$76.13	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00378395205	ATORVASTATIN 40 MG TABLET	30.000	$103.81	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241119	00378395205	ATORVASTATIN 40 MG TABLET	15.000	$51.91	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00378395205	ATORVASTATIN 40 MG TABLET	30.000	$5.25	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20240612	00378395205	CV ATORVASTATIN 40 MG	3.000	-$12.98	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20240612	00378395205	ATORVASTATIN 40 MG TABLET	3.000	$10.38	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20240615	00378395205	ATORVASTATIN 40 MG TABLET	30.000	$103.81	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20240615	00378395205	CV ATORVASTATIN 40 MG	30.000	-$129.77	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20240715	00378395205	ATORVASTATIN 40 MG TABLET	30.000	$103.81	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20240715	00378395205	CV ATORVASTATIN 40 MG	30.000	-$103.81	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20240814	00378395205	CV ATORVASTATIN 40 MG	29.000	-$100.35	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20240814	00378395205	ATORVASTATIN 40 MG TABLET	29.000	$100.35	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20240912	00378395205	CV ATORVASTATIN 40 MG	5.000	-$17.30	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20240912	00378395205	ATORVASTATIN 40 MG TABLET	5.000	$17.30	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20240917	00378395205	CV ATORVASTATIN 40 MG	30.000	-$103.81	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20240917	00378395205	ATORVASTATIN 40 MG TABLET	30.000	$103.81	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00378395205	ATORVASTATIN 40 MG TABLET	30.000	$103.81	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241125	00378395205	CV ATORVASTATIN 40 MG	30.000	-$103.81	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241125	00378395205	ATORVASTATIN 40 MG TABLET	30.000	$103.81	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241218	00378395205	ATORVASTATIN 40 MG TABLET	30.000	$103.81	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00378395205	ATORVASTATIN 40 MG TABLET	30.000	$103.81	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00378395205	ATORVASTATIN 40 MG TABLET	30.000	$103.81	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378395205	ATORVASTATIN 40 MG TABLET	29.000	$100.35	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378395205	ATORVASTATIN 40 MG TABLET	25.000	$86.51	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378395305	ATORVASTATIN 80 MG TABLET	29.000	$100.35	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241111	00378395305	ATORVASTATIN 80 MG TABLET	29.000	$100.35	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241108	00378395305	ATORVASTATIN 80 MG TABLET	8.000	$27.68	5.76728	0.15444	GENERIC
20241231	HAWAII STATE HOSPITAL	20241017	00378395305	ATORVASTATIN 80 MG TABLET	30.000	$103.81	5.76728	0.15444	GENERIC

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 Dec 9, 2025.