Draft_Data_Pkg_8_Unreplenished_Agents_for_OP1 _OP2 _and_OP3_(Oct _2012).xlsx

XLSX spreadsheet 69 KB Posted May 22, 2013

Attached to: TRICARE Pharmacy Program, Fourth Generation (TPharm4)
Solicitation number: HT9402-13-R-0001
Issued by: Defense Health Agency

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Draft Data Pkg 8_Unreplenished Agents for OP1 OP2 and OP3 (Oct 2012)

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8.01. OP1

TPharm Mail Order Pharmacy Unreplenished Report
November 4, 2009 - October 31, 2010
Drug Name	NDC	GCN #	last date dispensed	Unreplenished Balance	Reason for Requested Change
COZAAR 50 MG TABLET	00006095228	14851	3/31/10	8	Discontinued
TIMOP DRO.5%60/BX	00006969060	32826	1/9/10	8	Discontinued
ALTABAX 1% OINTMENT	00007518005	98373	8/24/10	2	Discontinued
ALTA OINT1% 10GM	00007518010	98373	5/7/10	2	Discontinued
EFFEX TAB25MG	00008070108	16811	1/31/10	210	Discontinued
BETA DRO.25%10MLB	00023452610	33311	1/9/10	1	Discontinued
ASTE SPR/PU137MCG	00037024230	60544	2/11/10	115	Discontinued
PANCREASE MT-4 EC CAPSULE	00045034160	54150	7/14/10	1,558	Discontinued
PANCREASE MT-10 EC CAPSULE	00045034260	10002	6/3/10	40	Discontinued
PANCREASE MT-16 EC CAPSULE	00045034360	10003	6/17/10	7,734	Discontinued
PANCREASE MT-20 EC CAPSULE	00045034660	10016	7/6/10	7,668	Discontinued
ULTRACET 37.5	00045065060	13909	1/8/10	1,943	Discontinued
ULTRA TAB50MG	00045065960	07221	12/2/09	410	Discontinued
NAVANE 5 MG CAPSULE	00049573066	15694	4/26/11	460	Discontinued
ULTRA ER TAB300MG	00062065730	50427	2/17/10	745	Discontinued
SANTYL OINTMENT	00064501015	21190	5/31/11	8	Discontinued
TRAVATAN 0.004% EYE DROP	00065026625	98379	7/2/10	180	Discontinued
TRAVATAN 0.004% EYE DROP	00065026634	98379	9/7/10	60	Discontinued
ERYTHROCIN 500 MG FILMTAB	00074631613	40644	10/14/10	31	Discontinued
BUSPA TAB5MG	00087081841	28890	5/7/10	120	Discontinued
METAGLIP 2.5-500 MG TABLET	00087607731	18367	7/8/10	2,260	Discontinued
METAGLIP 5-500 MG TABLET	00087607831	18368	5/14/10	2,315	Discontinued
APIDRA 100 UNITS/ML CARTRIDGE	00088250052	25275	7/1/10	13	Discontinued
ROSAC CREAM	00145261705	20224	8/17/10	5	Discontinued
ROSAC WASH	00145268105	97666	8/4/10	3	Discontinued
ACTO/CALC TAB28'S	00149047501	25276	1/19/10	50	Discontinued
VAGIFEM 25 MCG VAGINAL TAB	00169517303	05842	8/16/10	233	Discontinued
FOLTRIN CAPSULE	00185538076	58912	8/16/10	24	Discontinued
PRENEXA CAPSULE	00245017730	28180	6/9/10	270	Discontinued
PREN CAP30-1.2-55	00245018830	15985	12/30/09	30	Discontinued
CALO SPRAY 18ML	00256020301	98727	3/10/10	12	Discontinued
LUP-PED KIT7.5MG	00300210801	13173	12/2/09	4	Discontinued
OVCON28 TAB1/.05	00430058514	11475	11/14/09	18	Discontinued
AEROBID-M AEROSOL WITH ADAPTER	00456067099	52861	8/11/10	7	Discontinued
OXISTAT 1% CREAM	00462035815	46920	2/5/10	1	Discontinued
ED A-HIST TABLET SA	00485005401	66031	3/31/10	360	Discontinued
ED-FLEX CAPSULE	00485006601	72230	9/15/10	80	Discontinued
ED-CHLOR-TAN CAPLET	00485007201	20722	9/28/10	660	Discontinued
NEEVO DHA CAPSULE	00525203030	16238	4/12/11	240	Discontinued
DIATX ZN TABLET	00525428190	24115	2/16/10	450	Discontinued
TRI-LO-SPRIN28'S	00555906558	18126	5/20/10	12	Discontinued
INTEG SYR25GX5/8"	08290305277	94200	2/14/10	36	Discontinued
BD INTE29GX1/2"	08290305282	94200	11/13/09	360	Discontinued
SAFE-08290305930	08290305930	94200	12/22/11	16	Discontinued
SAFE SYR29X.5"	08290305932	94200	12/21/11	46	Discontinued
BLOOD LANCETSTERL	08881602125	94200	5/22/10	4	Discontinued
DECON CT 10-16CHW	10122020210	97266	12/10/09	360	Discontinued
EASPRIN 975 MG TABLET EC	10802975701	16725	3/19/10	80	Discontinued
PHENY-BRO 15-12MG	10914060001	91947	3/7/10	420	Discontinued
DICEL 75-5MG/ML	11528010016	26619	6/8/10	302	Discontinued
DICEL DM SUSPENSION	11528010516	26621	3/7/11	568	Discontinued
TRIMA 70-150-10	13811004390	97147	11/2/10	90	Discontinued
TRIM-138110044	13811004490	97148	7/18/10	180	Discontinued
TRIF CAP150-25-1	13811004590	97142	5/11/10	90	Discontinued
TRIVEEN-CF NAC TABLET	13811056890	26469	7/22/11	90	Discontinued
ROVIN-NV DHA CAPSULE	13811057230	16238	5/27/11	90	Discontinued
SE-VATE 21/7 28'S	13925007028	98829	12/2/10	3	Discontinued
LOCOID 0.1% SOLUTION	14290031262	48811	11/24/10	5	Discontinued
PHENAZOFORTE PLUS TABLET	15310007003	14039	12/7/09	3	Discontinued
OVACE WASH 10% LIQUID	23589002306	98844	1/31/11	5	Discontinued
SALVAX DUO COMBO PACK	23710000603	25625	3/21/10	3	Discontinued
PILOC DRO3%15ML	24208081115	32751	2/4/10	1	Discontinued
SERADEX-LA TABLET	28595011001	99033	5/5/10	230	Discontinued
PANCRELIPASE EC 4,500 CAPSULE	39822904501	50393	1/11/10	3,200	Discontinued
PANCRELIPASE EC 16,000 CAPSULE	39822916001	10003	2/1/10	860	Discontinued
PANCRELIPASE EC 20,000 CAPSULE	39822920001	10016	1/4/10	60	Discontinued
FOLAST TABLET	42192031190	24116	4/7/11	390	Discontinued
ENFOLAST-N TABLET	42192031390	26469	5/29/11	90	Discontinued
PNV-IRON TABLET	42192031490	97250	6/23/11	90	Discontinued
ENFOLAST TABLET	42192031690	20703	7/15/11	180	Discontinued
NEURPATH-B TABLET	42192031790	28219	4/1/11	690	Discontinued
SEB-PREV 10% CREAM	45802095496	20846	7/21/10	1	Discontinued
DIFIL G TAB	45985064701	19197	11/6/09	250	Discontinued
ZORPRIN CR 800 MG TABLET	49884065701	16741	8/10/10	300	Discontinued
NUTROPIN 5 MG VIAL	50242007203	25955	12/5/11	31	Discontinued
UREA LO40%236.6ML	50383066308	14748	1/5/10	4	Discontinued
UREAL CRE50%142GM	50383070105	24775	2/6/10	2	Discontinued
UREAL CRE50%255GM	50383070109	24775	2/24/10	4	Discontinued
SALIC CRE6%400GM	50383071540	22581	1/13/10	3	Discontinued
POLYGESIC 5/500 CAPSULE	50991000501	70320	3/21/10	10	Discontinued
PROLEX-DM LIQ	51674001907	56539	9/1/10	720	Discontinued
TRYP OI90U/87/G	51991012422	15667	3/4/10	3	Discontinued
SULFATOL GEL	51991017245	19475	8/2/10	3	Discontinued
SULFATOL CLEANSER	51991017326	24632	7/21/10	1	Discontinued
UTAC TABLET	51991019901	90373	9/2/10	350	Discontinued
FLUTABS TABLET	51991044201	18533	11/26/10	240	Discontinued
SELENOS 2.25% SHAMPOO	51991047268	23824	8/23/10	1	Discontinued
SALITOP 6% CREAM	51991047646	22581	6/4/10	4	Discontinued
SALITOP 6% LOTION	51991047747	24624	5/25/10	2	Discontinued
QUARTUSS SYRUP	51991051316	13982	3/1/11	1,189	Discontinued
TRIAL SYR8-2-0.75	51991052416	26084	1/20/10	427	Discontinued
DYPHYLLINE GG ES TABLET	51991053601	19197	9/7/10	130	Discontinued
OTIRX EAR DROPS	51991067171	95577	11/13/10	4	Discontinued
HALFLYTELY-BISACODYL BOWEL KIT	52268052101	98993	8/13/10	3	Discontinued
DILACOR XR 120 MG CAPSULE	52544048201	07463	7/21/10	30	Discontinued
DILACOR XR 180 MG CAPSULE	52544048301	07461	7/26/10	60	Discontinued
TANDEM DHA CAPSULE	52747090460	98775	7/3/10	90	Discontinued
SURESTEP TEST STRIPS	53885005210	25200	2/18/10	1	Discontinued
SURESTEP TEST STRIPS	53885035950	25200	3/5/10	4	Discontinued
ONE TOUCH TEST STRIPS	53885037410	25200	1/7/10	12	Discontinued
PROAMATINE 2.5 MG TABLET	54092000301	28322	11/19/09	80	Discontinued
PROAMATINE 5 MG TABLET	54092000401	28321	11/30/10	440	Discontinued
PROCHIEVE 8% GEL	55056160108	63011	4/3/10	1	Discontinued
PRECISION Q-I-D TEST STRIPS	57599740105	25200	2/1/10	25	Discontinued
BEN 4% GEL 42.5GM	59366272702	22935	12/7/09	1	Discontinued
BEN PEROX 8% KIT	59366285404	97501	3/2/10	2	Discontinued
COGNE CAP20MG	59630019112	00471	3/14/10	60	Discontinued
NITROLINGUAL 0.4 MG SPRAY	59630030026	92257	3/10/10	3	Discontinued
PRENATE DHA SOFTGEL	59630041830	23495	8/11/10	3	Discontinued
PANCRECARB MS-16 EC CAPSULE	59767000301	23247	6/21/10	10	Discontinued
PILOC 6% 15ML SOL	61314020815	32754	12/2/09	5	Discontinued
MAXZI TA75/50	62794046001	88740	1/15/10	530	Discontinued
MAXZI TAB25MG	62794046401	88741	2/3/10	150	Discontinued
FRAG VI10MU/ML9.5	62856010201	63731	3/9/10	5	Discontinued
MOBAN 10 MG TABLET	63481007370	15650	2/16/10	80	Discontinued
ZACLIR 8% CLEANSING LOTION	63717003111	28619	4/14/10	2	Discontinued
Z-COF 8 DM ORAL SUSPENSION	65224061616	99400	2/14/11	240	Discontinued
AXID 150 MG PULVULE	65726014415	47710	7/16/10	180	Discontinued
DYNACIRC CR 10 MG TABLET	65726023610	02615	4/5/10	3,115	Discontinued
RYTHMOL 300 MG TABLET	65726026725	12432	9/1/10	200	Discontinued
DUET DHACOMBO60'S	66479088030	23666	2/18/10	4	Discontinued
DUET DHA COMPLETE COMBO PACK	66479088530	28185	8/17/10	9	Discontinued
RECTAGEL HC GEL	66663035705	26383	7/4/10	19	Discontinued
NATELLE C TABLET	66663072401	25849	3/4/10	90	Discontinued
VAZOTAN SUSPENSION	66992022004	27194	1/3/11	296	Discontinued
VAZOBID SUSPENSION	66992023004	97465	1/18/11	11	Discontinued
EPIQU CRE4%30GM	67402001030	20120	6/17/10	6	Discontinued
UNIPH TA400MG	67781025101	00421	3/3/10	1,625	Discontinued
UNIPHYL TAB600MG	67781025201	00422	4/1/10	365	Discontinued
ISMO 20 MG TABLET	67857070201	01931	6/2/10	110	Discontinued
COLCHICINE 0.6 MG TABLET	68013000101	35674	4/26/10	70	Discontinued
DIPH TAB10MG-25MG	68032020560	19887	2/10/10	180	Discontinued
DARPA TAB81-0.12	68032028190	17603	1/26/10	90	Discontinued
PREFERA-OB TABLET	68220008890	98539	11/4/10	180	Discontinued
BROM ER CA15/12MG	68453020010	91947	1/27/10	270	Discontinued
BROM CA7.5-6MG	68453020110	91948	1/3/10	310	Discontinued

49,538 $ 153,253.92 (Amt Owed to ESI)

8.02. OP2

TPharm Mail Order Pharmacy Unreplenished Report
November 1, 2010 - October 31, 2011
Product Name	NDC	GCN #	last date dispensed	Unreplenished Balance	Reason for Requested Change
HUMALOG MIX 50-50 PEN	00002879359	50461	11/11/10	13	Discontinued
FOSAMAX 5 MG TABLET	00006092531	21682	4/1/10	150	Discontinued
FOSAMAX 70 MG/75 ML SOLUTION	00006383334	21109	1/8/11	19	Discontinued
AVANDARYL 4 MG-1 MG TABLET	00007315113	26125	10/13/11	105	Discontinued
AVANDARYL 4 MG-2 MG TABLET	00007315213	26126	10/12/11	180	Discontinued
AVANDARYL 4 MG-4 MG TABLET	00007315313	26127	10/15/11	360	Discontinued
AVANDAMET 2 MG-1,000 MG TAB	00007316318	20313	10/9/11	574	Discontinued
AVANDAMET 4 MG-1,000 MG TABLET	00007316418	20314	10/3/11	1,200	Discontinued
AVANDAMET 2 MG-500 MG TABLET	00007316718	91742	10/17/11	1,230	Discontinued
AVANDAMET 4 MG-500 MG TABLET	00007316818	91743	10/7/11	390	Discontinued
AVANDIA 2 MG TABLET	00029315818	93193	10/2/11	285	Discontinued
AVANDIA 4 MG TABLET	00029315913	93203	10/10/11	1,602	Discontinued
AVANDIA 8 MG TABLET	00029316013	93363	10/3/11	900	Discontinued
LUFYLLIN-GG ELIXIR	00037054568	14255	8/18/10	41	Discontinued
RYNA-12 TABLET	00037067310	17757	8/30/11	210	Discontinued
TUSSI-12 TABLET	00037068110	13078	6/22/11	250	Discontinued
TUSSI-12D TABLET	00037069210	18771	7/11/11	275	Discontinued
RYNATAN TABLET	00037070710	14855	7/5/11	632	Discontinued
RYNATAN PEDIATRIC CHEWABLE TAB	00037071203	25747	7/15/11	90	Discontinued
RYNATAN PEDIATRIC ORAL SUSP	00037071416	12746	8/23/11	661	Discontinued
RYNATUSS TABLET	00037071792	96196	7/29/11	20	Discontinued
RYNA-12X TABLET	00037170803	20378	11/13/11	180	Discontinued
ORGANIDIN NR 200 MG TABLET	00037431201	02482	7/5/11	890	Discontinued
NAVANE 2 MG CAPSULE	00049572066	15692	11/18/11	230	Discontinued
NAVANE 10 MG CAPSULE	00049574066	15691	9/19/11	400	Discontinued
ROXICET 5-500 CAPLET	00054478425	70490	10/6/11	35	Discontinued
MODICON 28 TABLET	00062171415	11471	2/2/10	3	Discontinued
BENZACLIN CAREKIT	00066049555	25844	7/17/10	2	Discontinued
ESTRADERM 0.05 MG PATCH	00078048042	28840	8/31/11	45	Discontinued
ESTRADERM 0.1 MG PATCH	00078048142	28841	11/1/11	35	Discontinued
AVALIDE 300-25 MG TABLET	00087278832	24622	1/4/11	6,801	Discontinued
ALLEGRA-D 12 HOUR TABLET	00088109047	63565	2/10/11	31,408	Discontinued
ALLEGRA-D 24 HOUR TABLET	00088109547	24394	4/6/11	11,018	Discontinued
ALLEGRA 30 MG/5 ML SUSPENSION	00088109720	97779	2/16/11	7,344	Discontinued
ALLEGRA 60 MG TABLET	00088110747	46593	3/16/11	200	Discontinued
ALLEGRA 180 MG TABLET	00088110947	46594	2/23/11	290	Discontinued
ALLEGRA ODT 30 MG TABLET	00088111330	98722	3/6/11	540	Discontinued
LANTUS 100 UNITS/ML CARTRIDGE	00088222052	18145	3/15/11	58	Discontinued
PROPOXYPH-ACETAMINOPHN 100-650	00093049001	70931	11/11/10	760	Discontinued
FEXOFENADINE HCL 30 MG TABLET	00093725101	37198	12/3/10	80	Discontinued
FEXOFENADINE HCL 60 MG TABLET	00093725205	46593	7/10/11	25,990	Discontinued
MEBENDAZOLE 100 MG TAB CHEW	00093910729	43181	3/21/12	8	Discontinued
LODRANE 12D TABLET SA	00095064501	17447	8/3/11	588	Discontinued
LODRANE 24 ER CAPSULE	00095120006	23679	8/17/11	1,164	Discontinued
LODRANE 24D CAPSULE SA	00095129006	97644	8/21/11	1,038	Discontinued
GEL-KAM 0.63% DENTAL RINSE	00126231068	25853	3/5/11	3	Discontinued
OLUX-E FOAM KIT	00145230003	99438	1/4/11	4	Discontinued
OLUX FOAMPK 100GM	00145230050	99438	1/14/11	3	Discontinued
DUAC CS CONVENIENCE KIT	00145236701	99043	4/4/11	34	Discontinued
BREVOXYL-4 GEL	00145237406	22935	4/1/11	4	Discontinued
BREVOXYL-4 COMPLETE PACK	00145256408	13379	2/10/11	3	Discontinued
BREVOXYL-8 COMPLETE PACK	00145259408	13391	2/10/11	1	Discontinued
UREA 50% OINTMENT	00168049245	24782	7/5/11	1	Discontinued
UREA-00168064610	00168064610	99983	11/12/11	2	Discontinued
NORDITROPIN 5 MG/1.5 ML CRTG	00169776811	92386	7/7/11	15	Discontinued
NORDITROPIN 15 MG/1.5 ML CRTG	00169777011	92376	1/2/11	3	Discontinued
GUANABENZ ACETATE 4 MG TAB	00172422660	01400	9/13/11	140	Discontinued
GUANABENZ ACETATE 8 MG TAB	00172422760	01401	7/8/11	65	Discontinued
CITRANATAL HARMONY CAPSULE	00178081230	28394	4/1/11	270	Discontinued
NAFTIN PUMP 1% CREAM	00259412603	47770	7/15/11	3	Discontinued
DALLERGY CAPLET SA	00277018201	17034	10/16/10	370	Discontinued
BENZAC AC 5% GEL	00299362560	22931	12/30/10	2	Discontinued
BENZAC AC 10% GEL	00299363060	22930	9/2/11	4	Discontinued
BENZA LIQ5%240ML	00299364008	99676	3/23/11	2	Discontinued
BENZAC AC WASH 10% LIQUID	00299364508	24673	2/20/11	8	Discontinued
METROGEL 1% KIT	00299382004	97735	3/11/11	5	Discontinued
ROSAN KIT10-5%	00299383901	99598	1/7/11	5	Discontinued
DESO KIT0.05%	00299576500	99498	6/8/11	6	Discontinued
DESO-00299576503	00299576503	99498	3/1/11	3	Discontinued
DESO-00299577501	00299577501	99846	12/28/10	1	Discontinued
PERIOSTAT 20 MG TABLET	00299596002	13521	10/8/10	30	Discontinued
ACTICIN 5% CREAM	00378613106	44370	1/20/11	1	Discontinued
METHYLIN ER 20 MG TABLET	00406145101	16180	6/21/10	90	Discontinued
DORYX DR 75 MG TABLET	00430011120	25283	7/7/10	180	Discontinued
DORYX DR 100 MG TABLET	00430011224	25284	9/3/11	389	Discontinued
NATACHEW TABLET CHEW	00430022323	25593	11/11/10	90	Discontinued
FEMTRACE 1.8 MG TABLET	00430039124	25481	7/10/11	230	Discontinued
CAMPRAL 333 MG DOSE PAK	00456333060	23849	2/22/11	3	Discontinued
ACLOVATE 0.05% OINTMENT	00462026415	33730	4/25/11	4	Discontinued
TRIAMCINOLONE 0.1% CREAM	00472030105	31232	3/29/10	8	Discontinued
GLUTOFAC-ZX CAPLET	00482015906	13129	9/24/10	90	Discontinued
ANAMANTLE HC CREAM	00482480014	19196	4/8/11	7	Discontinued
ANAMANTLE HC CREAM KIT	00482480020	23885	9/21/11	23	Discontinued
ANAMANTLE HC FORTE CREAM KIT	00482480220	24873	10/5/10	2	Discontinued
ANAMANTLE HC 2.5% GEL KIT	00482480420	26794	12/24/10	2	Discontinued
OB-NATAL ONE PRENATAL CAPSULE	00527176030	14405	2/2/11	15	Discontinued
OXYCODONE-ASA 4.5-0.38-325 TAB	00591082001	70481	3/6/10	60	Discontinued
PROPOXYPHENE HCL 65 MG CAP	00603511021	16481	11/15/10	166	Discontinued
PROPOXYPH-ACETAMINOPHEN 65-650	00603546228	70925	11/2/10	96	Discontinued
PROPOXYPH-ACETAMINOPHEN 50-325	00603546521	70933	10/1/10	60	Discontinued
PROPOXYPH-ACETAMINOPHN 100-650	00603546821	70931	10/8/10	(30,994)	Discontinued
THEROBEC TABLET	00603596921	98504	7/18/11	40	Discontinued
VICA-FORTE CAPSULE	00603638121	99127	2/8/11	50	Discontinued
CALCIFOLIC-D CHEWABLE WAFER	00642006860	97669	7/5/11	450	Discontinued
VITAFOL SYRUP	00642007416	17429	9/27/10	1,920	Discontinued
RENAX 5.5 TABLET	00642275590	25267	9/9/11	120	Discontinued
VICAP FORTE CAPSULE	00904030460	99127	5/29/10	50	Discontinued
ROBAFEN AC SYRUP	00904506516	91713	2/4/11	186	Discontinued
FORMULA B PLUS TABLET	00904792960	10361	6/6/11	150	Discontinued
FEXOFENADINE-PSE ER 60-120 TAB	00955170550	63565	3/15/11	45,933	Discontinued
AERO-04351079850	04351079850	94200	8/10/11	1	Discontinued
ECLI-08290305781	08290305781	94200	8/1/11	19	Discontinued
BD SYR LEUR-LO 3M	08290309585	94200	1/7/11	234	Discontinued
BD LEURLCK SY 1CC	08290309602	94200	1/6/11	78	Discontinued
BD SYR 5CC	08290309603	94200	5/3/11	43	Discontinued
PRODIGY VC STP50S	08484052900	25200	3/17/10	4	Discontinued
BALACET 325 TABLET	10122030110	24375	12/1/09	10	Discontinued
ALLER PAK20'S	10122065020	99401	8/23/11	27	Discontinued
ALLER PAK60'S	10122065060	99401	8/16/11	9	Discontinued
ALLERX-D TABLET SA	10122070260	93578	7/2/11	90	Discontinued
ALLERX DF DOSE PACK TABLET	10122070420	97164	8/9/11	17	Discontinued
ALLERX DF 30 DOSE PACK TAB	10122070460	97164	10/2/11	14	Discontinued
ALLERX PE DOSE PACK TABLET SA	10122070520	97209	8/27/11	18	Discontinued
ALLERX PE DOSE PACK TABLET SA	10122070560	97209	8/31/11	6	Discontinued
KEROL AD 45% EMULSION	10337064324	27591	7/10/11	1	Discontinued
KEROL 50% SUSPENSION	10337064510	98508	7/6/11	1	Discontinued
KEROL EMU50%284ML	10337064610	99983	10/6/11	4	Discontinued
KERALAC OINTMENT	10337064745	24782	1/6/11	2	Discontinued
KERALAC NAILSTIK	10337064810	25511	12/4/10	1	Discontinued
CARMOL 40 CREAM	10337065219	24774	11/16/10	10	Discontinued
CARMOL 40 CREAM	10337065249	24774	12/2/10	4	Discontinued
CARMOL 40 CREAM	10337065252	24774	12/6/10	14	Discontinued
CARMOL 10% SCALP LOTION	10337065319	14518	10/2/10	2	Discontinued
CARMOL 40 LOTION	10337065651	14748	4/7/11	2	Discontinued
CARMOL 40 GEL	10337065715	15916	12/11/10	4	Discontinued
KERALAC CREAM	10337065805	24775	10/6/10	2	Discontinued
KERALAC CREAM	10337065809	24775	10/25/10	3	Discontinued
KERALAC NAIL GEL	10337065915	22589	10/1/10	2	Discontinued
ROSULA AQUEOUS GEL	10337066145	19475	12/1/10	1	Discontinued
KERALAC LOTION	10337066311	22592	5/18/11	3	Discontinued
ROSULA NS MEDICATED PADS	10337066410	23143	1/4/11	6	Discontinued
ROSULA CLARIFYING WASH	10337066716	98535	1/4/11	1	Discontinued
ROSU CLK KIT1'S	10337066801	99219	1/10/11	1	Discontinued
ROSULA 10%-4% FOAM	10337066999	28865	4/13/11	3	Discontinued
LIDAMANTLE 3% CREAM	10337070019	30480	6/7/11	5	Discontinued
LIDAMANTLE LOTION	10337070510	20883	11/10/10	2	Discontinued
LIDAMANTLE HC 0.5-3% CREAM	10337071019	13397	8/4/11	9	Discontinued
LIDAMANTLE HC LOTION	10337071510	20884	8/13/10	1	Discontinued
ZODERM 4.5% CLEANSER	10337074451	20986	7/2/10	2	Discontinued
ZODERM 8.5% CLEANSER	10337074551	20987	1/9/11	1	Discontinued
ZODERM 4.5% REDI-PADS	10337075210	25686	8/10/10	3	Discontinued
ZODER WASH 473ML	10337075851	99386	8/2/10	3	Discontinued
BENZASHAVE 10% CREAM	10337080641	98903	3/8/10	(1)	Discontinued
ULTRAVATE 0.05% OINTMENT	10631010215	31211	1/7/11	9	Discontinued
ISOPTIN SR 120 MG TABLET	10631048801	32472	11/4/10	40	Discontinued
ISOPTIN SR 180 MG TABLET	10631048901	32471	1/11/11	70	Discontinued
NEOBENZ MICRO WASH PLUS PACK	10922082223	19934	1/6/11	5	Discontinued
Z-DEX SYRUP	13811000216	20427	12/24/10	180	Discontinued
CAVAN ONE OMEGA SOFTGEL	13925008030	14405	6/16/11	90	Discontinued
SE-PLETE DHA SOFTGEL	13925012060	97246	4/7/11	30	Discontinued
CAVAN-X TABLET	13925012690	22654	3/22/11	90	Discontinued
VAZOTAN SUSPENSION	15014022004	28194	2/21/11	428	Discontinued
RU-HIST FORTE TABLET SA	15370000810	13828	10/14/11	70	Discontinued
DALLERGY SYRUP	16477081901	26084	9/20/11	543	Discontinued
DALL LIQ2-10-.75	16477082101	99301	7/13/11	172	Discontinued
GESTICARE TABLET	18860021501	14307	3/13/11	90	Discontinued
ELESTRIN 0.06% GEL	18860049002	98473	11/26/10	2	Discontinued
OVACE PLUS WASH 10% LIQ	23589001916	27529	10/3/10	3	Discontinued
OVACE 10% FOAM	23589002270	19736	3/14/11	1	Discontinued
OVACE WASH 10% LIQUID	23589002312	98844	1/5/11	2	Discontinued
CLEAN&TREAT 30'S	23710005202	99558	11/29/10	1	Discontinued
LOTEMAX 0.5% EYE DROPS	24208029925	95464	5/27/11	3	Discontinued
PROPOXYPH-ACETAMINOPHN 100-325	24486032510	24375	11/16/10	40	Discontinued
PROPOXYPH-ACETAMINOPHN 100-500	24486032610	20359	3/4/10	70	Discontinued
HYOMAX-SR 0.375 MG TABLET	24486060210	18960	7/1/11	760	Discontinued
HYOMAX-FT 0.125 MG CHEW MELT	24486060310	13299	7/12/11	280	Discontinued
HYOMAX-DT 0.375 MG TABLET	24486060490	24349	1/6/11	180	Discontinued
RYNEZE LIQUID	24839034616	27413	7/10/11	84	Discontinued
RENEW LANCET100'S	38396044455	94200	3/13/10	1	Discontinued
PACNEX 7% WASH	43538011016	15751	12/31/10	1	Discontinued
PACNEX MX 4.25% CLEANSER	43538012016	32058	4/5/11	1	Discontinued
BENZOYL PEROXIDE 2.5% GEL	45802090596	22932	9/6/11	3	Discontinued
BENZ LIQ2.5%227ML	45802090734	99620	8/1/11	1	Discontinued
BENZ LIQ5%142ML	45802091301	99676	7/3/11	7	Discontinued
BENZ-45802091326	45802091326	99676	5/31/11	5	Discontinued
BENZO LIQ5%240ML	45802091334	99676	7/1/11	34	Discontinued
BENZOYL PEROXIDE 10% WASH	45802091801	24673	7/12/11	3	Discontinued
BENZOYL PEROXIDE 10% WASH	45802091834	24673	7/27/11	12	Discontinued
SEB-PREV 10% WASH	45802093901	98844	11/3/11	5	Discontinued
SODIUM SULF-SULFUR WASH	45802094201	48810	7/17/11	1	Discontinued
SODIUM SULF-SULFUR WASH	45802094202	48810	7/6/11	4	Discontinued
BENZOYL PEROXIDE 5% GEL	45802099596	98278	11/17/11	2	Discontinued
EPIPEN 0.3 MG AUTO-INJECTOR	49502050001	19862	10/3/11	52	Discontinued
EPIPEN JR 0.15 MG AUTO-INJCT	49502050101	19861	10/3/11	1	Discontinued
AVAR LS CLEANSER	49769056508	28226	4/11/11	2	Discontinued
ORAV-49884008226	49884008226	99633	11/3/11	4	Discontinued
POLY-TUSSIN DM SYRUP	50991032016	96114	8/25/11	494	Discontinued
DURABAC FORTE TABLET	50991040301	26688	2/3/11	40	Discontinued
DILEX-G 400 TABLET	50991041301	17613	11/11/10	10	Discontinued
FLEXTRA PLUS CAPSULE	50991043601	21539	11/11/10	60	Discontinued
ALA-HIST TABLET	50991052701	99188	11/13/09	360	Discontinued
ALAH LIQ7.5-25MG	50991060716	99339	3/23/11	35	Discontinued
FLEXTRA-650 TABLET	50991065001	14897	1/23/11	338	Discontinued
FLEXTRA-DS TABLET	50991083001	72822	6/10/11	230	Discontinued
VINATE AZ EXTRA TABLETS	51991051490	21836	4/26/11	180	Discontinued
DESIPRAMINE 25 MG TABLET	52152034202	16586	2/19/10	(60)	Discontinued
NOREL SR TABLET	52747042070	23306	9/7/11	320	Discontinued
TANDEM F CAPSULE	52747090160	26935	5/11/10	69	Discontinued
SILDEC PE-DM SYRUP	54838054480	25727	11/9/10	14	Discontinued
PROCHIEVE 4% GEL	55056040601	96805	1/12/11	1	Discontinued
FEXO-551110192	55111019290	37198	8/31/11	1,830	Discontinued
FEXOFENADINE HCL 180 MG TABLET	55111019401	46594	4/17/11	160	Discontinued
FEXO-551110572	55111057201	24394	7/5/11	7,885	Discontinued
PRECISION Q-I-D TEST STRIPS	57599740004	25200	2/16/10	18	Discontinued
STAFLEX CAPLET	58407040701	26246	9/14/10	340	Discontinued
STAHIST TABLET	58407052701	25624	9/28/11	875	Discontinued
CARBA-XP LIQUID	58809030301	17476	8/30/10	434	Discontinued
CARBATUSS SYRUP	58809053601	33808	9/14/11	794	Discontinued
ACANYA GEL	59987010125	16849	3/2/11	9	Discontinued
CAFGESIC CAPSULE	60258005301	21542	10/2/11	190	Discontinued
CAFGESIC FORTE TABLET	60258005801	26688	12/19/10	40	Discontinued
PRENACARE TABLET	60258018401	98909	10/12/10	90	Discontinued
DEHISTINE SYRUP	60258022016	96622	6/4/11	618	Discontinued
CHLOR-MES D LIQUID	60258022116	96625	9/19/10	358	Discontinued
CORFEN-DM LIQUID	60258023816	19347	10/27/10	120	Discontinued
GANI-TUSS-DM NR LIQUID	60258026216	53491	11/10/11	748	Discontinued
DYPHYLLINE-GG ELIXIR	60258033516	14255	7/5/11	473	Discontinued
DYPHYLLINE GG TABLET	60258033601	51300	11/24/10	570	Discontinued
DY-G LIQUID	60258037116	51290	2/21/11	381	Discontinued
CERON SYRUP	60258041416	25732	6/11/10	240	Discontinued
CERON-DM SYRUP	60258041516	25727	11/12/11	4,262	Discontinued
DEX-TUSS LIQUID	60258075016	97360	7/14/11	360	Discontinued
AMINOBENZOATE POT ENVULE 2 GM	60258084150	35120	10/20/10	7	Discontinued
SCOPACE 0.4 MG TABLET	60267030100	18161	4/27/11	390	Discontinued
SAL-TROPINE 0.4 MG TABLET	60267074230	18711	5/31/11	560	Discontinued
TIMOLOL 0.5% EYE DROPS	60505055102	32821	12/2/09	1	Discontinued
RESPA A.R. TABLET SA	60575017719	15439	12/3/10	320	Discontinued
RESPAHIST-II TABLET SA	60575061919	99033	6/11/11	260	Discontinued
RESPA-BR TABLET SA	60575078619	98860	7/6/11	10	Discontinued
SEPTRA 80-400 TABLET	61570005201	90161	2/11/11	78	Discontinued
OPAN TAB7.5MG	63481052270	99492	4/12/11	240	Discontinued
OPANA TAB 15MG	63481055370	99493	3/11/11	60	Discontinued
HYLIRA HYDRATING LOTION	63717003610	27028	12/9/10	4	Discontinued
ICAR-C PLUS SR CAPSULE	63717011201	20165	5/1/11	330	Discontinued
CORZALL PLUS LIQUID	63717055316	27639	9/29/11	1,892	Discontinued
EXALL LIQUID	63717055416	27638	1/25/11	240	Discontinued
EPIDRIN CAPSULE	64125010101	13996	11/11/10	421	Discontinued
BPM 6 MG TABLET	64376054301	13783	4/2/11	180	Discontinued
BPM PSEUDO 6-45 MG SR TABLET	64376054431	17447	5/15/11	365	Discontinued
PSE BROM DM SYRUP	64376070616	94275	3/22/10	180	Discontinued
DEX PC SYRUP	64376071116	18096	10/13/11	261	Discontinued
C-PHEN DM SYRUP	64376072740	25727	3/11/11	586	Discontinued
FEROTRIN CAPSULE	64376080506	58912	5/19/11	210	Discontinued
RESCON-JR. SR TABLET	64543008490	28085	7/3/11	180	Discontinued
VITA S FORTE CAPLET	64980010201	97589	11/8/10	60	Discontinued
DARVON-N 100 MG TABLET	66479051210	16510	11/11/10	15	Discontinued
DARVOCET A500 TABLET	66479051310	20359	11/16/10	10	Discontinued
DARVOCET-N 50 TABLET	66479051410	70933	11/11/10	185	Discontinued
DARVOCET-N 100 TABLET	66479051550	70931	11/16/10	717	Discontinued
DUET DHA COMPLETE COMBO PACK	66479089030	28834	11/26/10	6	Discontinued
NATELLE PLUS COMBO PACK	66663033330	99054	12/13/10	3	Discontinued
NATELLE-EZ TABLET	66663066801	21835	3/17/11	90	Discontinued
UDAMIN CAPLET	66869022010	22876	8/1/11	130	Discontinued
FEXOFENADINE HCL 60 MG TABLET	66993010704	46593	6/9/11	540	Discontinued
R-TANNA TABLET	66993053402	14855	8/29/11	480	Discontinued
LAVOCLEN-4 CREAMY WASH	66993092606	22981	4/1/11	10	Discontinued
MEBARAL 32 MG TABLET	67386080102	17482	6/20/11	30	Discontinued
MEBARAL 50 MG TABLET	67386080202	17483	6/11/11	50	Discontinued
MEBARAL 100 MG TABLET	67386080302	17480	4/28/11	380	Discontinued
NEOBE CRE3.5%45GM	67402002045	26247	11/30/09	3	Discontinued
BENZOYL PEROXIDE 10% WASH	67405043005	24673	7/18/11	2	Discontinued
XIBROM 0.09% EYE DROPS	67425000412	24445	3/14/11	21	Discontinued
XIBROM 0.09% EYE DROPS	67425000450	24445	3/11/11	10	Discontinued
ZOTEX-12D SR TABLET	68025003310	18241	7/7/10	40	Discontinued
RE 10 WASH	68032010012	98844	3/22/11	3	Discontinued
ROSADERM CLEANSER	68032010406	48810	1/10/11	7	Discontinued
LIDOCAINE HCL 3% LOTION	68032010517	20883	2/15/11	2	Discontinued
SULFACETAMIDE SODIUM 10% LOT	68032010903	14518	10/26/10	3	Discontinued
UREA 50% NAIL GEL	68032012118	22589	1/8/11	4	Discontinued
LIDOCAINE-HC 3-0.5% LOTION	68032013617	20884	3/13/11	1	Discontinued
RE SA 6% CREAM	68032014640	22581	3/22/11	1	Discontinued
UREA 42% CLOTHS	68032022275	97270	4/12/11	2	Discontinued
SODIUM HYALURONATE 0.1% LOTION	68032023800	27028	1/12/11	3	Discontinued
SODIUM HYALURONATE 0.1% LOTION	68032023812	27028	2/27/11	1	Discontinued
REOCYTE PLUS CAPSULE	68032023910	13277	6/7/11	360	Discontinued
RE DUALVIT OB CAPSULE	68032024090	26939	3/30/11	90	Discontinued
RE DUALVIT F CAPSULE	68032024190	26935	3/25/11	90	Discontinued
RECAL D CHEWABLE WAFER	68032027060	97669	2/8/11	30	Discontinued
BENZOYL PEROXIDE 4% LOTION	68032028511	28614	1/3/11	1	Discontinued
RE BENZOYL PEROXIDE 8.5% CREAM	68032029145	26249	5/2/11	1	Discontinued
EDGE OB CAPLET	68032032290	25604	11/5/10	90	Discontinued
RE OB 90 + DHA PACK	68032033860	99121	6/29/11	2	Discontinued
SODIUM HYALURONATE 0.2% GEL	68032034812	25484	2/19/11	2	Discontinued
RE-U40 FOAM	68032035470	97473	3/25/11	2	Discontinued
RE PRENATAL MULTIVIT W-IRON TB	68032038890	25593	3/22/11	180	Discontinued
RE BENZOYL PEROXIDE 7% WASH	68032042018	16168	3/2/11	1	Discontinued
MULTI-NATE 30 TABLET	68032044410	24966	3/23/11	70	Discontinued
BE-FLEX PLUS CAPSULE	68047011601	72230	5/6/11	350	Discontinued
LOHIST 12HR TABLET SA	68047012101	13783	9/29/11	650	Discontinued
LOHIST 12D TABLET SA	68047012201	17447	8/17/11	320	Discontinued
EXEFEN-IR TABLET	68047015401	54921	6/27/11	80	Discontinued
NOHIST CAPLET	68047016001	66031	7/1/11	470	Discontinued
NOHIST DMX SR TABLET	68047016701	18241	6/20/11	20	Discontinued
SUDAHIST TABLET	68047033001	96429	9/2/11	240	Discontinued
DALLERGY CHEWABLE TABLET	68134015201	96621	8/22/11	115	Discontinued
DALLERGY PE CAPLET	68134015401	96624	9/3/11	240	Discontinued
PREFERA-OB PLUS DHA COMBO PACK	68220008930	27348	11/5/10	6	Discontinued
TRANDOLAPR-VERAPAM ER 1-240 MG	68462029401	32112	4/2/11	120	Discontinued
TRANDOLAPR-VERAPAM ER 2-180 MG	68462029501	32111	3/27/11	270	Discontinued
BENZOYL PEROX 4% CREAMY WASH	68462041438	22981	3/3/11	10	Discontinued
BENZOYL PEROX 8% CREAMY WASH	68462041538	92841	3/1/11	5	Discontinued
BENZOYL PEROXIDE 4% WASH KIT	68462054838	97500	3/10/11	4	Discontinued
BENZOYL PEROXIDE 8% WASH KIT	68462054938	97501	4/14/11	6	Discontinued
TRIAZ 6% CLEANSER	99207011612	95833	4/21/11	5	Discontinued
TRIAZ 3% CLEANSER	99207020612	92975	5/6/11	3	Discontinued
TRIAZ 9% CLEANSER	99207020812	17422	4/11/11	1	Discontinued
TRIAZ 3% PAD	99207022130	20049	4/4/11	11	Discontinued
TRIAZ 6% PAD	99207022230	20048	6/9/11	3	Discontinued
DYNACIN 100 MG TABLET	99207049250	40450	6/4/10	20	Discontinued

159,084 $ 359,896.47 (Amt owed to ESI)

8.03. OP3

TPharm Mail Order Pharmacy Unreplenished Report, as of October 31, 2012
November 1, 2011 - October 31 2012
Drug Name	NDC	GCN #	last date dispensed	Unreplenished Balance	Reason for Requested Change
PEGASYS 180 MCG/0.5 ML SYRINGE	00004035239	21199	12/19/11	15	Discontinued
PRINZIDE 20-12.5 MG TABLET	00006014058	88000	4/12/12	50	Discontinued
PRINZIDE 10-12.5 MG TABLET	00006014558	88002	10/20/10	90	Discontinued
CRIXIVAN 400 MG CAPSULE	00006057354	26822	9/16/11	1	Discontinued
ARALEN PHOSPHATE 500 MG TAB	00024008401	42891	2/29/12	97	Discontinued
MYTELASE 10 MG CAPLET	00024128704	18490	8/22/12	25	Discontinued
COVERA-HS ER 180 MG TABLET	00025201131	32473	9/6/11	520	Discontinued
COVERA-HS ER 240 MG TABLET	00025202131	32474	2/15/11	480	Discontinued
ROXICET 5-325 TABLET	00054465025	70491	12/1/11	320	Discontinued
ERTACZO 2% CREAM	00062165003	43590	2/24/12	12	Discontinued
NUTRADERM LOTION	00064270016	21410	4/13/12	2	Discontinued
VICODIN HP 10-660 MG TABLET	00074227414	70363	5/8/10	80	Discontinued
METHERGINE 0.2 MG TABLET	00078005405	11350	2/19/12	624	Discontinued
TEGRETOL 100 MG TABLET CHEW	00078049205	17460	6/5/12	355	Discontinued
VALTURNA 150-160 MG TABLET	00078057215	27642	7/9/12	24	Discontinued
VALTURNA 300-320 MG TABLET	00078057415	27643	6/23/12	74	Discontinued
CELESTONE 0.6 MG/5 ML SOLUTION	00085094205	27250	1/10/12	60	Discontinued
INSPIR SYSTEM	00085460202	94200	10/31/11	1	Discontinued
INSPIR RES BAG3'S	00085460203	94200	4/5/12	2	Discontinued
BUDEPRION XL 150 MG TABLET	00093535005	20317	3/9/12	240	Discontinued
POTA LI40MEQ/15ML	00121046616	03442	4/1/12	2,495	Discontinued
CHLORAL HYDRATE 500 MG/5 ML	00121053216	13471	4/7/12	606	Discontinued
POTASSIUM CIT-CITRIC ACID SLN	00121067616	14065	5/21/12	338	Discontinued
AMINOPHYLLINE 100 MG TABLET	00143102001	00561	2/24/12	780	Discontinued
AMINOPHYLLINE 200 MG TABLET	00143102501	00564	11/5/11	50	Discontinued
BELLADONNA-PHENOBARBITAL TAB	00143114010	74070	5/15/12	277	Discontinued
DYNACIRC CR 5 MG TABLET	00173078401	02614	2/1/12	1,710	Discontinued
DYNACIRC CR 10 MG TABLET	00173078501	02615	2/3/12	1,405	Discontinued
CITRANATAL HARMONY CAPSULE	00178079930	29572	3/1/12	510	Discontinued
CITRANATAL B-CALM PACK	00178086630	28099	8/5/12	2	Discontinued
KETOSTIX REAGENT STRIPS	00193264020	35600	3/3/12	2	Discontinued
CLENIA FOAMING WASH	00245016812	48810	2/1/12	14	Discontinued
NAFTIN PUMP 1% CREAM	00259412609	47770	3/11/12	1	Discontinued
LACTOCAL-F TABLET	00277017901	11162	3/14/12	180	Discontinued
FUMATINIC ER CAPSULE	00277018101	58890	5/27/11	150	Discontinued
CLINDAGEL 1% GEL	00299450040	20176	11/9/11	4	Discontinued
PYRIDIUM 100 MG TABLET	00430019024	42121	7/6/11	729	Discontinued
FEMTRACE 0.45 MG TABLET	00430038924	25478	8/2/12	266	Discontinued
FEMHRT 1-5 TABLET	00430054414	92296	8/2/12	24	Discontinued
FEMHRT 1-5 TABLET	00430054423	92296	5/29/12	2,685	Discontinued
AMEVIVE 15 MG VIAL	00469002103	19031	12/26/11	3	Discontinued
SODIUM SULFACETAMIDE-SULFUR	00472046030	23229	1/26/11	6	Discontinued
K-PHOS M.F. TABLET	00486113501	03601	3/10/12	76	Discontinued
NEEVO COMBO PACK	00525100760	29596	3/17/12	3	Discontinued
ZINCATE 220 MG CAPSULE	00574916701	97145	6/19/12	180	Discontinued
NALFON 200 MG PULVULE	00884660010	35750	7/5/11	10	Discontinued
ISOPTO CARBACHOL 3% DROPS	00998022515	32643	6/21/12	3	Discontinued
ISOPTO HYOSCINE 0.25% DROPS	00998033105	32990	8/13/12	4	Discontinued
INSU-08290309306	08290309306	94200	4/23/12	10	Discontinued
BD SY BX/100 1CC	08290328410	94200	6/12/12	90	Discontinued
INSU-08290328412	08290328412	94200	11/12/11	30	Discontinued
BD SYR MF 3/10 BX	08290328430	94200	6/20/12	31	Discontinued
BD SY BX100 1/2CC	08290328465	94200	5/2/12	58	Discontinued
ULTI-08326304001	08326304001	94200	3/15/11	1	Discontinued
ULTR-08396801000	08396801000	94200	4/21/12	230	Discontinued
ACURA TEST STRIPS	08463620350	25200	6/15/12	2	Discontinued
THERMAZENE 1% CREAM	08880950510	31630	9/24/12	2	Discontinued
CARMOL HC 1% CREAM	10337055019	85200	10/12/11	1	Discontinued
WESTCORT 0.2% OINTMENT	10631010515	06040	4/6/11	11	Discontinued
DRITHO-SCALP 0.5% CREAM	11086003501	09611	5/24/12	1	Discontinued
VANOXIDE HC LOTION KIT	11086004501	14583	5/25/12	3	Discontinued
MAXARON FORTE CAPSULE	11528013501	99421	11/7/11	480	Discontinued
DIATX ZN TABLET	11528090545	24115	12/29/11	210	Discontinued
SE BPO 7-5.5% WASH KIT	13925012110	19934	3/25/12	3	Discontinued
LOCOID 0.1% LIPOCREAM	14290031315	20706	9/12/12	46	Discontinued
NUCORT LOTION	15014018502	15123	9/28/11	2	Discontinued
RHINOFLEX 500 MG-50 MG TABLET	15370000710	72822	10/14/11	190	Discontinued
COPD TABLET	15370002110	51300	7/19/11	200	Discontinued
KERAFOAM 30% FOAM	16781015760	97556	2/15/12	2	Discontinued
HYLATOPIC PLUS-AURSTAT KIT	16781020496	29523	7/5/12	2	Discontinued
CLOBETA KIT	23589007591	28898	12/26/11	3	Discontinued
NEOSALUS 180 PACK CREAM	23710000136	27998	12/29/11	1	Discontinued
LO-OVRAL-28 TABLET	24090080184	11500	3/16/12	120	Discontinued
OPTIPRANOLOL 0.3% EYE DROPS	24208027507	33350	2/15/12	2	Discontinued
NEXICLON XR 0.17 MG TABLET	24478030120	29347	2/5/12	90	Discontinued
METROGEL-VAGINAL 0.75% GEL	29336020025	49261	2/1/12	8	Discontinued
MAXAIR AUTOHALER 0.2 MG AERO	29336081521	48021	12/1/11	25	Discontinued
ENTRE-B SUSPENSION	42192051304	97465	12/15/10	32	Discontinued
NICOTINAMIDE TABLET	42546091760	19745	7/16/12	390	Discontinued
EPIKLOR 20 MEQ PACKET	42806009801	03404	12/1/11	25	Discontinued
EPIKLOR 25 MEQ PACKET	42806009901	03405	3/25/11	60	Discontinued
BENZOYL PEROXIDE 5% GEL	45802091001	22931	7/6/12	4	Discontinued
BENZOYL PEROXIDE 5% GEL	45802091096	22931	3/10/12	5	Discontinued
BENZOYL PEROXIDE 10% GEL	45802091501	22930	12/5/11	1	Discontinued
BENZOYL PEROXIDE 10% GEL	45802091596	22930	3/11/12	11	Discontinued
RETROVIR 300 MG TABLET	49702021418	44533	10/9/12	420	Discontinued
NEOCATE POWDER	49735010804	98443	9/7/11	2	Discontinued
NUTROPIN AQ 5 MG/ML VIAL	50242002220	25954	10/8/12	33	Discontinued
SOFT TCH LAN200'S	50924093720	94200	4/25/12	2	Discontinued
SEASONALE 0.15-0.03 MG TAB	51285005866	20414	4/4/12	2	Discontinued
SOMNOTE 500 MG SOFTGEL	51991008051	13433	10/5/12	402	Discontinued
VINATE CALCIUM PRENATAL TABLET	51991046901	42212	2/1/12	80	Discontinued
VINATE IC CAPSULE	51991053090	26939	9/10/12	90	Discontinued
DIVISTA SOFTGEL CAPSULE	52747011060	21625	10/11/11	360	Discontinued
PEDIAPRED 6.7 MG/5 ML SOLN	53014025001	09115	7/5/12	480	Discontinued
CYCLOBENZAPRINE ER 15 MG CAP	55253027660	97959	10/12/11	5,715	Discontinued
PRESTIGE SMART SYS TEST STP	56151091001	25200	7/3/11	1	Discontinued
PRESTIGE SMART SYS TEST STP	56151095050	25200	8/17/11	10	Discontinued
BENTYL 10 MG/5 ML SYRUP	58914001516	19323	1/12/11	335	Discontinued
RYZOLT ER 100 MG TABLET	59011033430	99151	7/11/12	319	Discontinued
RYZOLT ER 300 MG TABLET	59011033630	99153	7/14/12	240	Discontinued
PRENATE ELITE TABLET	59630041690	16153	3/1/12	120	Discontinued
PRENATE ESSENTIAL SOFTGEL	59630041930	28345	3/11/12	270	Discontinued
SULAR ER 25.5 MG TABLET	59630050210	99447	4/6/11	940	Discontinued
TWINJECT 0.3 MG AUTO-INJECTOR	59630080201	98224	4/11/12	7	Discontinued
CEPHADYN TABLET	59702065001	72710	1/3/12	630	Discontinued
ATUSS DS SUSPENSION	59702080016	97532	2/13/11	21	Discontinued
ACID JELLY	60267012585	63080	12/29/11	2	Discontinued
THALITONE 15 MG TABLET	61570002401	34985	5/19/12	406	Discontinued
MICRO-K 10 MEQ EXTENCAPS	64011000904	03321	11/23/11	180	Discontinued
PRENATE PLUS TABLET	64376081801	28679	8/31/11	300	Discontinued
TEKRAL SR 100 MG-120 MG TABLET	64543002590	27588	9/14/11	180	Discontinued
RESCON-MX SR TABLET	64543009190	28004	8/25/11	200	Discontinued
RESCON TABLET	64543009690	16832	8/30/11	230	Discontinued
VISICOL TABLET	65649060104	97016	5/16/11	32	Discontinued
ORAMORPH SR 15 MG TABLET	66479054010	16643	4/14/11	120	Discontinued
DUET DHA BALANCED COMBO PACK	66479089530	29231	12/5/11	6	Discontinued
SYMLIN 0.6 MG/ML VIAL	66780011001	24398	1/7/11	18	Discontinued
PRASCION CLEANSER	66993090206	48810	8/3/12	52	Discontinued
PRASCION RA CREAM	66993090445	20224	8/1/12	25	Discontinued
EPICERAM SKIN BARRIER EMULSION	67857080090	13349	12/17/11	35	Discontinued
DELATESTRYL 200 MG/ML VIAL	67979050140	10253	7/29/11	9	Discontinued
ACUFLEX CAPLET	68025000410	22832	5/12/11	200	Discontinued
ZENIEVA CREAM	68032045514	14445	11/20/11	1	Discontinued
FOLPACE RX TABLET	68220001890	20466	10/26/12	270	Discontinued
QUIXIN 0.5% EYE DROPS	68669013505	89452	6/21/12	3	Discontinued
IQUIX 1.5% EYE DROPS	68669014505	98899	2/9/12	5	Discontinued
ALAMAST 0.1% DROPS	68669071110	15571	1/16/12	11	Discontinued
ELECARE AMINO ACID POWDER	70074054666	33722	11/17/11	26	Discontinued
ADVOCATE TEST STRIP	94046000100	25200	10/17/12	14	Discontinued
PLEXION SCT CREAM	99207074404	99562	9/3/11	6	Discontinued

30,777 218522.40734 (Amt owed to ESI)

File details come from the government source that posted it. Updated Nov 14, 2017.