Data Pkg 7 Specialty Drug Utilization, Retail and Mail.xlsx

XLSX spreadsheet 94 KB Posted Dec 2, 2019

Attached to: DRAFT RFP TRICARE Pharmacy Services, 5th Generation (TPharm5) Federal contract opportunity
Solicitation number: HT940220R0002
Issued by: Defense Health Agency

About this file

Written by GovTribe AI · Dec 28, 2023

This draft request for proposals from the Defense Health Agency seeks pharmacy services for the TRICARE Pharmacy Program, 5th Generation. The anticipated contract would have an 18-month base period for transition, seven 1-year option periods for healthcare delivery, and potential 6-month extension. The Defense Health Agency is requesting industry feedback on sections of the draft RFP related to statements of objectives, specialty pharmacy, retail network access, compounded medications, care coordination, patient safety notifications, and quality control. Interested parties should submit any questions or comments on the draft RFP by January 17, 2020. The Defense Health Agency estimates issuing a formal solicitation in mid-2020.

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Other files for this federal contract opportunity

Other files attached to DRAFT RFP TRICARE Pharmacy Services, 5th Generation (TPharm5), newest first.
File	Type	Posted
Responses to Industry on Revised Draft Section C 20200504.pdf	PDF	May 4, 2020
TPharm5 - Overview of Changes to Draft Section C.DOCX	DOCX document	Apr 6, 2020
TPharm5 Section C Draft RFP2 2020-4-6.docx	DOCX document	Apr 6, 2020
DHA Responses to Industry on Draft RFP 20200318.pdf	PDF	Mar 18, 2020
Attachment L-2 Retail Network Reimbursement Table.docx	DOCX document	Dec 2, 2019
TPharm5 Draft RFP READ FIRST 20191202.docx	DOCX document	Dec 2, 2019
Tpharm5 Draft Section G 20191202.docx	DOCX document	Dec 2, 2019
TPharm5 Draft Section E 20191120.docx	DOCX document	Dec 2, 2019
Attachment L-4 Negotiated Specialty Retail Replenished Dispensing Fees.docx	DOCX document	Dec 2, 2019
Attachment L-9.9 Fluoride Products List.xlsx	XLSX spreadsheet	Dec 2, 2019
Attachment L-12 IHS_Pharmacy_Listing_2019.xlsx	XLSX spreadsheet	Dec 2, 2019
Attachment L-8 MMC Sample File.xlsx	XLSX spreadsheet	Dec 2, 2019
Attachment L-9.8 PA_ST_QL List.XLSX	XLSX spreadsheet	Dec 2, 2019
Data Pkg 15 IHS_Pharmacy_Claims_Volume_2017_&_2018.xlsx	XLSX spreadsheet	Dec 2, 2019
TPharm5 Draft Section D 20191120.docx	DOCX document	Dec 2, 2019
Attachment L-1.1 List of Data Packages.docx	DOCX document	Dec 2, 2019
Attachment L-19 Past Performance Questionnaire Template Tab F 20191120.docx	DOCX document	Dec 2, 2019
Data Pkg 13 - MTF Claims Volumes by Site.xlsx	XLSX spreadsheet	Dec 2, 2019
Attachment L-3 Specialty Reimbursement for Use in Determining Incentiv....docx	DOCX document	Dec 2, 2019
Attachment L-9 Benefit Design Document_TPharm5.xlsx	XLSX spreadsheet	Dec 2, 2019
Data Pkg 17 - TRICARE Beneficiaries by Zip Code.xlsx	XLSX spreadsheet	Dec 2, 2019
Attachment L-1.3 Business Associate Agreement.docx	DOCX document	Dec 2, 2019
Attachment L-9.2 Retail Vaccine List.docx	DOCX document	Dec 2, 2019
Attachment L-9.1 Non-FCP Compliant List.xlsx	XLSX spreadsheet	Dec 2, 2019
Data Pkg 1 Retail Utilization by Pharmacy.xlsx	XLSX spreadsheet	Dec 2, 2019
Data Pkg 4 - Clinical Review Volume.xlsx	XLSX spreadsheet	Dec 2, 2019
Attachment L-6 Client Authorization.docx	DOCX document	Dec 2, 2019
TPharm5 Draft Section K 20191120.docx	DOCX document	Dec 2, 2019
HT940220R0002 SF33 and Section B 20191202.pdf	PDF	Dec 2, 2019
Attachment J-4 MTF Sites.xlsx	XLSX spreadsheet	Dec 2, 2019
Attachment L-10 Small Business Participation Plan.docx	DOCX document	Dec 2, 2019
Data Pkg 8 Mail and Retail Monthly Utilizers.xlsx	XLSX spreadsheet	Dec 2, 2019
TPharm5 Draft Section J 20191127.docx	DOCX document	Dec 2, 2019
Data Pkg 2 - Retail Utilization by Drug.xlsx	XLSX spreadsheet	Dec 2, 2019
TPharm5 Draft Section M 20191202.docx	DOCX document	Dec 2, 2019
Attachment J-1 Definitions.DOCX	DOCX document	Dec 2, 2019
Data Pkg 19 Historical_TMDS_Volume_2017-2018.xlsx	XLSX spreadsheet	Dec 2, 2019
Attachment L-9.3 Covered OTCs - Purchased Care.xlsx	XLSX spreadsheet	Dec 2, 2019
Attachment L-19.1 PPI Tool Instructions.docx	DOCX document	Dec 2, 2019
Attachment J-2 Acronym List.docx	DOCX document	Dec 2, 2019
Attachment J-3 Website Links.docx	DOCX document	Dec 2, 2019
Attachment L-5 Guaranty_Agreement.pdf	PDF	Dec 2, 2019
Attachment L-7 Teaming Subcontractor Consent Ltr.docx	DOCX document	Dec 2, 2019
Data Pkg 3 TRICARE Retail Pharmacy Claim Volume.xlsx	XLSX spreadsheet	Dec 2, 2019
TPharm5 Draft Section C 20191202.docx	DOCX document	Dec 2, 2019
Data Pkg 6 - MOP Utilization.xlsx	XLSX spreadsheet	Dec 2, 2019
Attachment L-13 VA_Pharmacy_Listing_2019.xlsx	XLSX spreadsheet	Dec 2, 2019
Attachment L-1.2 Non-Disclosure Agreement.docx	DOCX document	Dec 2, 2019
Data Pkg 21 Enrolled Beneficiary Population.xlsx	XLSX spreadsheet	Dec 2, 2019
TPharm5 Draft Section H 20191121.docx	DOCX document	Dec 2, 2019

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Specialty Drugs 2017

FOR OFFICIAL USE ONLY
Title: Retail & Mail Order Specialty Drug RX Volume
Date Range: 1/1/2017 - 12/31/2017
		Jan-17		Feb-17		Mar-17		Apr-17		May-17		Jun-17		Jul-17		Aug-17		Sep-17		Oct-17		Nov-17		Dec-17		Grand Total
		# RX	# RX	# RX	# RX	# RX	# RX	# RX	# RX	# RX	# RX	# RX	# RX	# RX	# RX	# RX	# RX	# RX	# RX	# RX	# RX	# RX	# RX	# RX	# RX	# RX
Drug/Strength/Form	Brand/Generic Indicator	Mail Order	Retail	Mail Order	Retail	Mail Order	Retail	Mail Order	Retail	Mail Order	Retail	Mail Order	Retail	Mail Order	Retail	Mail Order	Retail	Mail Order	Retail	Mail Order	Retail	Mail Order	Retail	Mail Order	Retail
abatacept 125 MG/ML AUTO INJCT	Brand Single Source	43	12	58	11	52	11	65	8	77	14	85	6	94	13	86	8	110	8	119	8	144	15	133	13	1,193
abatacept 125 MG/ML SYRINGE	Brand Single Source	294	37	231	39	277	48	244	41	285	49	256	41	254	50	276	45	213	45	263	50	217	50	233	39	3,577
abatacept 87.5MG/0.7 SYRINGE	Brand Single Source																	1		1				1		3
adalimumab 10MG/0.2ML SYRINGEKIT	Brand Single Source	3		2		2		3		2				1		1		2		1				1	1	19
adalimumab 20MG/0.4ML SYRINGEKIT	Brand Single Source	22	2	26	1	33		28	1	25	1	37	1	31		27		26		17		23	1	34		336
adalimumab 40MG/0.8ML PEN IJ KIT	Brand Single Source	3,466	435	3,125	428	3,518	497	3,295	441	3,566	503	3,549	474	3,473	445	3,742	495	3,210	447	3,567	460	3,444	426	3,362	397	46,765
adalimumab 40MG/0.8ML SYRINGEKIT	Brand Single Source	678	110	526	110	683	107	601	110	678	108	617	99	620	90	668	96	569	100	605	97	619	94	607	98	8,690
anakinra 100MG/0.67 SYRINGE	Brand Single Source	26	4	15	4	18	2	19	4	17	4	23	6	17	5	18	5	24	4	16	2	16	4	22	2	277
antihemophil.FVIII,full length 1000 (+/-) VIAL	Brand Originator		11		15		19		16		19		16		19		17		15		15		17		14	193
antihemophil.FVIII,full length 1500 (+/-) VIAL	Brand Single Source		9		11		9		9		8		11		6		10		6		5		5		5	94
antihemophil.FVIII,full length 2000 (+/-) VIAL	Brand Originator		8		14		13		18		15		16		15		17		20		20		21		19	196
antihemophil.FVIII,full length 250 (+/-) VIAL	Brand Originator		10		11		11		10		13		11		6		8		11		13		4		9	117
antihemophil.FVIII,full length 3000 (+/-) VIAL	Brand Originator		17		17		16		17		16		18		16		11		9		9		17		11	174
antihemophil.FVIII,full length 4000 (+/-) VIAL	Brand Single Source		2		5		3		1										3				1			15
antihemophil.FVIII,full length 500 (+/-) VIAL	Brand Originator		35		18		20		20		27		20		20		27		20		22		22		24	275
antihemophilic factor, hum rec 1000 (+/-) VIAL	Brand Single Source								2		1		1		1		1		1		2		1			10
antihemophilic factor, hum rec 1500 (+/-) VIAL	Brand Single Source		2		3		2		2		1		2		2		2		3		4		3		1	27
antihemophilic factor, hum rec 2000 (+/-) VIAL	Brand Single Source		2		2		3		3		2		3		4		4		3		5		3		2	36
antihemophilic factor, hum rec 250 (+/-) VIAL	Brand Single Source		1		1		2								1		1		1		2		1			10
antihemophilic factor, hum rec 500 (+/-) VIAL	Brand Single Source		1		1				3		1		1												1	8
antihemophilic factor, human 1000 (+/-) VIAL	Brand Originator		1																							1
antihemophilic factor, human 1000 (+/-) VIAL	Brand Single Source				2		2		1		1		2		2		1		2		2		2		1	18
antihemophilic factor, human 250 (+/-) VIAL	Brand Single Source														1		1				1		1		1	5
antihemophilic factor, human 500 (+/-) VIAL	Brand Single Source														1		1						1		2	5
antihemophilic factor/VWF 1000 (400) VIAL	Brand Single Source		4		3		1				1		2		2		2		1		2		4		2	24
antihemophilic factor/VWF 1000-2400 VIAL	Brand Single Source		3		6		3		7		7		6		6		7		3		4		5		7	64
antihemophilic factor/VWF 1500 (600) VIAL	Brand Single Source		2		1		4		4		1				1		1		2				4			20
antihemophilic factor/VWF 1K-1K UNIT VIAL	Brand Single Source		4		6		7		6		6		5		4		7		5		4		5		6	65
antihemophilic factor/VWF 2000 (800) VIAL	Brand Single Source		3		7		2		6		5		4		4		3		3		4		4		5	50
antihemophilic factor/VWF 250 (100) VIAL	Brand Single Source		3		3		1		1		2		2				1		1		1		2		2	19
antihemophilic factor/VWF 250-600 VIAL	Brand Single Source		3		4		1				2				1		2		2		2		1		1	19
antihemophilic factor/VWF 500 (200) VIAL	Brand Single Source		4		4		2		1		3		5		2		3		2		1		2		4	33
antihemophilic factor/VWF 500-1200 VIAL	Brand Single Source		6		4		3		2		5		1		2		5		5		2		3		3	41
antihemophilic factor/VWF 500-500 VIAL	Brand Single Source				1						2															3
apremilast 10-20-30MG TAB DS PK	Brand Single Source	17	13	14	12	14	19	13	13	16	12	14	8	19	6	13	12	9	7	12	15	8	12	12	13	303
apremilast 30 MG TABLET	Brand Single Source	755	117	643	115	743	154	706	128	774	141	756	116	781	111	767	134	656	113	780	122	689	115	737	107	10,260
axitinib 1 MG TABLET	Brand Single Source	4	3	6	6	6	5	4	5	3	4	8	1	11	1	9		8	1	10	1	5		3		104
axitinib 5 MG TABLET	Brand Single Source	5	11	8	7	10	9	7	11	7	11	12	2	14	5	14	5	13	4	14	5	11	3	14	1	203
bexarotene 1 % GEL (GRAM)	Brand Single Source	4		5	1	3	3	4	2	5	1	4	1	3				4		3		4	1	4		52
bexarotene 75 MG CAPSULE	Brand Originator	12		6		11		9	1	11		10		9		18		3		10		14		13		127
bexarotene 75 MG CAPSULE	Generic		7		6		7		6		5		6		4		2		4		4		2		3	56
bosentan 125 MG TABLET	Brand Originator		116		108		120		104		121		113		108		114		106		107		98		104	1,319
bosentan 32 MG TAB SUSP	Brand Single Source																						1		1	2
bosentan 62.5 MG TABLET	Brand Originator		24		17		22		18		21		17		21		24		16		21		22		15	238
certolizumab pegol 400 MG KIT	Brand Single Source	7		6	1	5		9		6		5		5		7		6	1	4	2	9		5		78
certolizumab pegol 400MG/2ML SYRINGEKIT	Brand Single Source	251	38	247	37	259	43	230	34	275	32	235	32	246	35	243	30	236	30	228	31	226	16	220	29	3,283
coagulation factor VIIa,recomb 1 MG VIAL	Brand Single Source		2		2		1		1		1						1		1				1		3	13
coagulation factor VIIa,recomb 2 MG VIAL	Brand Single Source		2		9		3		2		2		1		2		3		4		2		1		2	33
coagulation factor VIIa,recomb 5 MG VIAL	Brand Single Source				1		2		2		1		1		2		2		3				2		7	23
coagulation factor VIIa,recomb 8 MG VIAL	Brand Single Source						1		1		1		1		1		1						1		1	8
darbepoetin alfa in polysorbat 100 MCG/ML VIAL	Brand Single Source	2		2	2	2	1	1		2	5	1	2	2	3	3	3	1	2	3	2	2	3		1	45
darbepoetin alfa in polysorbat 100MCG/0.5 SYRINGE	Brand Single Source	14	8	9	1	9	1	11	2	9	3	10	4	12	2	4	1	4	3	8	4	8	5	4	3	139
darbepoetin alfa in polysorbat 150MCG/0.3 SYRINGE	Brand Single Source	1	1	3	2	1	2		1	3	2	2	5	3	5	2	3	3		3	1	1	1	1	1	47
darbepoetin alfa in polysorbat 200 MCG/ML VIAL	Brand Single Source	1	2	1	2	2	5			1	1		2	1	1	1		2	1	2		1	2		1	29
darbepoetin alfa in polysorbat 200MCG/0.4 SYRINGE	Brand Single Source	9	5	6	3	7	5	4	6	6	2	6	3	10	4	10	4	4	2	9	2	7	3	3	1	121
darbepoetin alfa in polysorbat 25 MCG/ML VIAL	Brand Single Source	1		2			2			1	1				1			1	3		2	1	2	2	2	21
darbepoetin alfa in polysorbat 25MCG/0.42 SYRINGE	Brand Single Source		3	4	3	2	2	2	2	1	1	1	1	1	5	2	4	4	3		5	1	3	5		55
darbepoetin alfa in polysorbat 300 MCG/ML VIAL	Brand Single Source	1	1		1	1							2		1		1	1						1		10
darbepoetin alfa in polysorbat 300MCG/0.6 SYRINGE	Brand Single Source	3	5	2	3	4	2	2	4	4	4	2	3	3	2	2	4	2	2	3	3	1	3	6	4	73
darbepoetin alfa in polysorbat 40 MCG/0.4 SYRINGE	Brand Single Source	6	5	3	6	3	6	5	9	5	2	3	2	2	5	1	4	7	4	3	6	4	3	6	3	103
darbepoetin alfa in polysorbat 40 MCG/ML VIAL	Brand Single Source	2	1	1			2	1	4	4	5	3	2		1	1	4		1	1						33
darbepoetin alfa in polysorbat 500 MCG/ML SYRINGE	Brand Single Source	2		3		3		1		5		2		3		1		1		3		3	1	2	1	31
darbepoetin alfa in polysorbat 60 MCG/0.3 SYRINGE	Brand Single Source	16	7	12	5	8	6	6	4	11	3	6	5	9	4	7	8	6	1	9	6	5	3	7	4	158
darbepoetin alfa in polysorbat 60 MCG/ML VIAL	Brand Single Source		1	1	2	1	4	1	3	1	1			2	1		2	1			1	1	3		1	27
dasatinib 100 MG TABLET	Brand Single Source	100	15	103	18	100	16	90	18	102	14	92	14	95	13	94	14	108	12	99	13	98	13	90	19	1,350
dasatinib 140 MG TABLET	Brand Single Source	7		5		5	1	2	2	9	6	3	1	7	2	4	2	6	1	6		3	1	2	1	76
dasatinib 20 MG TABLET	Brand Single Source	16	1	12		15	1	15		17		16		9		18		17		16	1	15	1	14	1	185
dasatinib 50 MG TABLET	Brand Single Source	33	3	33	3	31	3	28	3	30	1	28	1	31	1	36	3	30	2	31	1	32	4	37	4	409
dasatinib 70 MG TABLET	Brand Single Source	11	5	10	3	15	7	15	5	15	8	13	6	13	7	9	7	17	4	14	4	10	4	16	6	224
dasatinib 80 MG TABLET	Brand Single Source	10	5	4	5	7	2	11	2	14	3	10		9	2	12	3	12	2	14	1	11	5	13	2	159
deferasirox 125 MG TAB DISPER	Brand Originator	3		5		1		3	1	3	1	3		3	2	3	2	4		1	2	2		3	1	43
deferasirox 250 MG TAB DISPER	Brand Originator	3	1	1	1	4		7		4		2		4		3		4		2		2		2	2	42
deferasirox 500 MG TAB DISPER	Brand Originator	15	3	14	4	6		3	1	11	1	6		17	2	18	3	12	2	9	1	7	2	8	1	146
desmopressin (nonrefrigerated) 10/SPRAY SPRAY/PUMP	Brand Originator		1	2	1		1	2	2			1	1	2		1	1	1				1	1	1		19
desmopressin (nonrefrigerated) 10/SPRAY SPRAY/PUMP	Generic	45	33	50	51	40	50	53	50	45	47	49	46	45	42	51	38	44	44	55	39	53	42	47	32	1,091
desmopressin acetate 0.1 MG/ML SOLUTION	Brand Single Source	1	2	1		2	2		2	1	3	1	2	3	1	1	3	2		1		1	1	1	1	32
desmopressin acetate 10/SPRAY SPRAY/PUMP	Generic	2	38		32		37		31		30		23		28		25		27		26		25		27	351
desmopressin acetate 150/SPRAY SPRAY/PUMP	Brand Single Source	10	10	8	9	5	11	11	7	6	5	5	13	7	11	13	20	4	7	7	6	8	6	6	11	206
desmopressin acetate 4 MCG/ML AMPUL	Generic		1		1																					2
desmopressin acetate 4 MCG/ML VIAL	Brand Originator	1	1		1			1	1		2	1	1	1				2		2		2		2		18
desmopressin acetate 4 MCG/ML VIAL	Generic		1				1		1		1		2		1		1				1					9
dimethyl fumarate 120 MG CAPSULE DR	Brand Single Source	8	1	7		5		6	1	4	2	6		4		10		6		7		4		9		80
dimethyl fumarate 120-240 MG CAPSULE DR	Brand Single Source	12	1	21	1	23		14	2	23		11	2	12	1	9	1	15		11		25	2	14	1	201
dimethyl fumarate 240 MG CAPSULE DR	Brand Single Source	358	142	304	129	329	143	326	119	346	127	314	113	327	101	302	107	283	104	306	104	300	98	280	80	5,142
epoetin alfa 10000/ML VIAL	Brand Originator	42	52	34	51	46	59	37	59	44	51	50	43	40	53	46	51	43	54	43	47	36	37	42	42	1,102
epoetin alfa 2000/ML VIAL	Brand Originator	1	10	2	1	2	2	1	2	1	3	2	6	2	5	6	7	3	2	4	3	5	2	4	4	80
epoetin alfa 20000/2ML VIAL	Brand Originator	3	5	1	4	5	8	2	2	3		2	3	2	2	2	1	6	2	2	2	2	5	2	3	69
epoetin alfa 20000/ML VIAL	Brand Originator	49	42	42	47	52	57	40	46	50	56	48	39	38	36	48	40	37	37	52	39	39	40	33	39	1,046
epoetin alfa 3000/ML VIAL	Brand Originator	1	9	1	5	1	1	1	4	1	1	2	1	1		1	1	1	1		2			2	1	38
epoetin alfa 4000/ML VIAL	Brand Originator	8	12	7	7	5	5	9	4	6	3	6	5	6	6	9	4	4	10	4	8	7	9	4	8	156
epoetin alfa 40000/ML VIAL	Brand Single Source	45	33	34	27	39	30	34	38	38	39	45	33	50	31	36	41	44	52	46	36	50	48	34	34	937
etanercept 25 MG VIAL	Brand Single Source	80	15	69	11	71	14	66	11	77	21	72	16	72	12	78	10	69	8	65	11	80	10	73	15	1,026
etanercept 25MG/0.5ML SYRINGE	Brand Single Source	76	12	59	13	60	12	55	10	65	13	55	13	57	9	68	10	54	10	60	11	53	11	46	12	844
etanercept 50MG/ML(1) CARTRIDGE	Brand Single Source																					2		4		6
etanercept 50MG/ML(1) PEN INJCTR	Brand Single Source	1,273	169	1,105	154	1,275	170	1,087	156	1,250	168	1,134	156	1,169	143	1,133	127	1,075	118	1,160	144	1,104	115	1,024	121	15,530
etanercept 50MG/ML(1) SYRINGE	Brand Single Source	490	58	373	62	432	65	384	56	479	65	416	61	418	42	421	56	349	39	393	46	394	35	363	37	5,534
everolimus 10 MG TABLET	Brand Single Source	35	47	26	52	35	47	41	49	35	50	62	24	60	18	64	20	66	16	55	19	54	22	52	22	971
everolimus 2 MG TAB SUSP	Brand Single Source		1		1	1	1		2	1	1	1	1	2	1	2	1	1	1			1	1	1	1	22
everolimus 2.5 MG TABLET	Brand Single Source	3	1	1	1	3	2	6	2	4	2	1	3	6	3	3	1	3	4	2	1	4	3	2	4	65
everolimus 3 MG TAB SUSP	Brand Single Source				1						1					1		2		1		1				7
everolimus 5 MG TAB SUSP	Brand Single Source		1		2			2	2			2	1		2	1	1	1	1	1	1		1	1	1	21
everolimus 5 MG TABLET	Brand Single Source	21	37	22	33	14	32	18	34	22	31	33	17	44	5	44	9	34	9	47	10	33	8	29	5	591
everolimus 7.5 MG TABLET	Brand Single Source	7	11	7	12	11	15	6	10	6	10	15	8	17	5	17	4	13	3	12	5	15	3	12	3	227
factor IX 1000 (+/-) VIAL	Brand Originator		1		1		1		2		1				1		1				1		1			10
factor IX 1500 (+/-) VIAL	Brand Single Source		1				1				1				1		1									5
factor IX 500 (+/-) VIAL	Brand Single Source								1								1									2
factor IX human recombinant 1000 UNIT VIAL	Brand Originator		4		1		2		2		5		1				2				1				1	19
factor IX human recombinant 2000 UNIT VIAL	Brand Originator		2		3		4		1		3		4		5		5		2		2		3		2	36
factor IX human recombinant 250 UNIT VIAL	Brand Originator		1		1												1				1		2			6
factor IX human recombinant 3000 UNIT VIAL	Brand Originator		2		2		5		2		2		4		5		3		1		4		3		4	37
factor IX human recombinant 500 UNIT VIAL	Brand Originator		1		2		2														2					7
factor XIII 1000-1600 VIAL	Brand Single Source		1		1		1		2		1		2		1		2		1		1		2		1	16
filgrastim 300 MCG/ML VIAL	Brand Single Source	8	13	9	16	4	18	10	5	9	15	7	16	13	13	10	12	13	11	14	12	15	10	7	11	271
filgrastim 300MCG/0.5 SYRINGE	Brand Single Source	15	18	10	22	21	12	10	21	11	21	16	15	11	16	15	27	5	15	10	20	11	26	5	23	376
filgrastim 480MCG/0.8 SYRINGE	Brand Single Source	14	22	7	12	6	17	10	18	11	13	25	11	6	13	11	10	13	9	12	9	15	6	9	16	295
filgrastim 480MCG/1.6 VIAL	Brand Single Source	1	1		5	3	2	1			2	3	2	1	1	1	1	1		1	1		2	4	1	34
fingolimod HCl 0.5 MG CAPSULE	Brand Single Source	252	33	245	38	238	42	247	33	257	34	238	33	245	28	245	41	221	30	229	33	242	35	202	28	3,269
glatiramer acetate 20 MG/ML SYRINGE	Brand Originator	4	8	6	8	6	5	4	2	8	6	8	6	1	3	6	3	10	4	1	2	4	3	7	5	120
glatiramer acetate 20 MG/ML SYRINGE	Generic	52	23	49	23	58	28	42	18	58	20	47	22	46	26	56	16	45	19	45	20	42	17	47	17	836
glatiramer acetate 40 MG/ML SYRINGE	Brand Originator	342	67	335	68	378	63	289	56	408	60	336	66	331	68	363	60	310	43	327	38	343	23	296	22	4,692
glatiramer acetate 40 MG/ML SYRINGE	Generic																				4		12		16	32
golimumab 100 MG/ML PEN INJCTR	Brand Single Source	39	3	31	1	43	1	39		36	2	32		29		34		31		37	2	33		38	2	433
golimumab 100 MG/ML SYRINGE	Brand Single Source	3		1	1	3		2		2	1	5		3		4		3	2	4		2	1	1	1	39
golimumab 50MG/0.5ML PEN INJCTR	Brand Single Source	167	18	160	20	190	13	153	13	160	18	176	14	170	13	166	9	149	12	166	13	168	10	141	9	2,128
golimumab 50MG/0.5ML SYRINGE	Brand Single Source	28	1	26	6	27	5	22	6	18	8	26	5	26	8	22	4	27	4	20	3	19	4	25	4	344
imatinib mesylate 100 MG TABLET	Brand Originator	124	3	93	3	120	2	105	1	107	2	77	2	4	2	5	1	4	1	6	2	2	1	7	1	675
imatinib mesylate 100 MG TABLET	Generic		39	1	45	1	44		42	1	44	43	36	112	32	103	36	102	30	108	28	107	28	101	27	1,110
imatinib mesylate 400 MG TABLET	Brand Originator	335	11	281	8	279	9	152	8	19	4	14	6	18	7	16	9	15	9	15	7	12	5	13	7	1,259
imatinib mesylate 400 MG TABLET	Generic		69		79		86	157	89	267	103	335	72	286	68	339	75	294	67	315	77	321	65	318	68	3,550
interferon alfa-2b,recomb. 10MM UNIT VIAL	Brand Single Source		1	1	1	5		3		1											3	1	2			18
interferon alfa-2b,recomb. 10MM/ML VIAL	Brand Single Source	2		6		1	1	2		2		5		2		1	1	2	2	1	1	1		1	1	32
interferon alfa-2b,recomb. 18MM UNIT VIAL	Brand Single Source	1	2	1	1			1		1		1		2		1		1		1						13
interferon alfa-2b,recomb. 50MM UNIT VIAL	Brand Single Source	1							1	2						1	2			1				1		9
interferon alfa-2b,recomb. 6MMUNIT/ML VIAL	Brand Single Source	7	1	5	5	2	4	3	3	6	5	3	4	4	2	2	2	1	2	3	3	3	3	1	2	76
interferon beta-1a 30MCG/.5ML PEN IJ KIT	Brand Single Source	106	17	72	13	104	22	83	18	92	15	78	13	81	15	90	14	75	15	75	12	78	13	71	14	1,186
interferon beta-1a 30MCG/.5ML SYRINGEKIT	Brand Single Source	84	23	73	15	82	23	71	14	77	23	68	15	68	10	66	12	68	10	63	12	69	11	59	11	1,027
interferon beta-1a/albumin 22MCG/.5ML PEN INJCTR	Brand Single Source	2		2		1		1		2		2		2		4		4		3		4				27
interferon beta-1a/albumin 22MCG/.5ML SYRINGE	Brand Single Source	2		3		8		3		1		4		4		4		6	1	2	1	6	1	4	1	51
interferon beta-1a/albumin 30 MCG KIT	Brand Single Source	8	2	4		2		4	2	8			1	5	1	7	2	2	1	7	1	1	1	5	1	65
interferon beta-1a/albumin 44MCG/.5ML PEN INJCTR	Brand Single Source	30	1	34	3	39	7	30	4	43	2	35	2	38	3	39	1	41	2	36	5	25	2	32	3	457
interferon beta-1a/albumin 44MCG/.5ML SYRINGE	Brand Single Source	50	17	68	10	53	9	55	8	52	8	59	10	48	9	54	8	39	8	46	7	54	4	41	6	723
interferon beta-1a/albumin 8.8-22(6) PEN INJCTR	Brand Single Source	3	1	2	1	3		3	1	5	1	4		4		3	1	1		7			1	1	1	43
interferon beta-1a/albumin 8.8-22(6) SYRINGE	Brand Single Source	1		1		3		1				1		1				2				1		1		12
interferon beta-1b 0.3 MG KIT	Brand Originator	53	12	44	8	59	12	45	9	56	7	56	10	39	6	48	6	53	6	43	8	34	7	47	5	673
interferon gamma-1b,recomb. 100MCG/0.5 VIAL	Brand Single Source	7		3		5		4		3		6		3		3		7		4		4		4		53
ledipasvir/sofosbuvir 90MG-400MG TABLET	Brand Originator	93	27	96	26	110	33	98	26	94	32	74	22	70	28	110	23	96	27	92	32	106	28	81	20	1,444
leuprolide acetate 1 MG/0.2ML KIT	Generic	5	126	15	110	7	146	2	91	9	141	17	79	24	97	21	89	27	80	14	79	11	61	16	99	1,366
leuprolide acetate 11.25 MG KIT	Brand Single Source	4		5	3	4	2	2	2	5	1	1	2	2	1			5		3		2		3	1	48
leuprolide acetate 11.25 MG SYRINGEKIT	Brand Single Source	47	12	42	11	39	15	37	18	51	9	34	6	34	16	40	15	34	10	35	12	40	11	33	24	625
leuprolide acetate 15 MG KIT	Brand Single Source	12		6	1	8	1	5	1	7		6	1	2		3	1	5	1	5	1	5		5	1	77
leuprolide acetate 22.5 MG SYRINGE	Brand Single Source	2	1	2	2				1	2	2				2	1		3		3	1	1		3	2	28
leuprolide acetate 22.5 MG SYRINGEKIT	Brand Single Source	13	10	9	3	15	6	10	4	8	7	17	4	8	2	13	10	6	2	9	3	9	6	8	2	184
leuprolide acetate 3.75 MG SYRINGEKIT	Brand Single Source	47	28	37	32	41	30	41	27	42	16	53	28	46	15	47	20	47	19	30	20	50	21	32	19	788
leuprolide acetate 30 MG SYRINGE	Brand Single Source		1		1								1	2								1	1			7
leuprolide acetate 30 MG SYRINGEKIT	Brand Single Source	21	2	29	2	27	2	27	4	25	3	28	5	21	4	24	4	21	4	18	2	28	6	18	3	328
leuprolide acetate 45 MG SYRINGE	Brand Single Source	2				1		1	1		1	3			1					1		2	1			14
leuprolide acetate 45 MG SYRINGEKIT	Brand Single Source	1	1	7	1	5	2	2	2	3	1	3	1	2	1	5		3		3	1	6	1	7	3	61
leuprolide acetate 7.5 MG KIT	Brand Single Source	3		4		2	1	3		3	1	2	1	5		3		3		3		3		1		38
leuprolide acetate 7.5 MG SYRINGE	Brand Single Source							1			4	2	4				1	1				1		1		15
leuprolide acetate 7.5 MG SYRINGEKIT	Brand Single Source	7	2	7	2	4	2	3	5	7	2	5	2	7	1	3	1	7	1	3	3	2	2	2	5	85
octreotide acetate 100 MCG/ML AMPUL	Brand Originator			1	1	1	1	3	1		4	2			1	2	1	1			1	2			2	24
octreotide acetate 100 MCG/ML AMPUL	Generic														1											1
octreotide acetate 100 MCG/ML SYRINGE	Brand Single Source	12	2	2	3	3	2	5	1	5	2	3	8	3	6	4	7	2	3	10	5	3	2	3	6	102
octreotide acetate 100 MCG/ML VIAL	Generic	2	5	2	7	1	6	2	6	2	5	2	9	4	8		8	2	4	1	4	2	10	3	11	106
octreotide acetate 1000MCG/ML VIAL	Brand Originator	8	1	6		10	1	6	1	5	1	7		9		4		5	1	7	1	4		6		83
octreotide acetate 1000MCG/ML VIAL	Generic		2		5		1		3		2		1		1		5		1		1		1		5	28
octreotide acetate 200 MCG/ML VIAL	Brand Originator	5		6		4		3		4		8		2		6		3		5		5		2		53
octreotide acetate 200 MCG/ML VIAL	Generic		2		3		1	1	2				2		1		1		1		1		2		4	21
octreotide acetate 50 MCG/ML AMPUL	Brand Originator	1			2		5		6	1	9	1	7		8		2					1	1	1		45
octreotide acetate 50 MCG/ML AMPUL	Generic						1		1																	2
octreotide acetate 50 MCG/ML SYRINGE	Brand Single Source	5		6	2	2		7	1	4	2	5	1	6	2	3	1	3	1	6	2	4	4	6	4	77
octreotide acetate 50 MCG/ML VIAL	Generic		2		2		3		6		7		6		2		3		5		5		5		2	48
octreotide acetate 500 MCG/ML AMPUL	Brand Originator																		1							1
octreotide acetate 500 MCG/ML SYRINGE	Brand Single Source								1		1							1						1		4
octreotide acetate 500 MCG/ML VIAL	Generic								1		1		1													3
ombita/paritap/riton/dasabuvir 12.5-75-50 TAB DS PK	Brand Single Source	1										1				1		1								4
ombita/paritap/riton/dasabuvir 8.33-50 MG TAB BP 24H	Brand Single Source		2		1		1				1		1		1											7
pazopanib HCl 200 MG TABLET	Brand Single Source	46	81	38	78	48	86	48	75	63	90	108	27	123	19	127	22	121	20	102	24	113	27	100	24	1,610
pegfilgrastim 6 MG/0.6ML SYR W/ INJ	Brand Single Source	3	9	2	11	3	8	3	11	2	10	3	8		4	1	8	1	7		7	2	12	5	8	128
pegfilgrastim 6 MG/0.6ML SYRINGE	Brand Single Source	28	29	18	24	25	24	19	22	22	29	27	26	18	23	23	36	29	24	38	28	29	33	30	31	635
peginterferon alfa-2a 135MCG/0.5 PEN INJCTR	Brand Single Source	1						1								1						1				4
peginterferon alfa-2a 180MCG/0.5 PEN INJCTR	Brand Single Source																			1						1
peginterferon alfa-2a 180MCG/0.5 SYRINGE	Brand Single Source	1	2		1	3	3	2	1	2	1	2	2	2	1	2		1						1		27
peginterferon alfa-2a 180MCG/ML VIAL	Brand Single Source	1	1	4	2	7	1	3		6		3	2	5	3	5	2	4	1	3	1	3	1	4	1	63
peginterferon alfa-2b 200 MCG KIT	Brand Single Source						1	1				1						1						1		5
peginterferon alfa-2b 300 MCG KIT	Brand Single Source	1	1			1		1				2						1		1				1		9
ribavirin 200 MG CAPSULE	Generic	6	3	4	6	5	8	2	4	3	3	1	2	1		2	1	2	2	1	4		4		5	69
ribavirin 200 MG TABLET	Generic	8	7	9	3	9	3	5	8	1	5	4	4	6		12	5	4	3	1	3	2	5	3	1	111
ribavirin 400-400 MG TAB DS PK	Generic								1																	1
ribavirin 600 MG TABLET	Brand Single Source	1																							1	2
ribavirin 600-400 MG TAB DS PK	Brand Single Source	1	1			1	2	1		1			1		1		1				1					11
ribavirin 600-600 MG TAB DS PK	Brand Single Source	2		1																						3
ribavirin 600-600 MG TAB DS PK	Generic				1																					1
sargramostim 250 MCG VIAL	Brand Single Source	2	3	3		1	1	1	2	2		2	1	4	2	1	1	2		2	2	1	2	2		37
sofosbuvir 400 MG TABLET	Brand Single Source	10	1	4	1	3		3		2	1	1	1	2	1	4		1	1	2		1	2	2	1	44
sofosbuvir/velpatasvir 400-100 MG TABLET	Brand Originator	21	45	15	51	24	61	21	47	26	54	48	17	44	17	33	15	25	12	26	11	25	15	25	17	695
sorafenib tosylate 200 MG TABLET	Brand Single Source	20	35	21	35	33	41	28	31	30	37	45	12	55	11	54	10	50	9	60	9	50	7	55	7	745
sunitinib malate 12.5 MG CAPSULE	Brand Single Source	10		7	2	18	1	9		8	2	11	1	18	1	15	2	11	3	15		7	1	13		155
sunitinib malate 25 MG CAPSULE	Brand Single Source	20	1	17	1	16		12	2	16	2	19	4	18	2	15	2	17	3	18	3	26	3	22	3	242
sunitinib malate 37.5 MG CAPSULE	Brand Single Source	16	4	20	4	19	6	19	6	22	8	26	5	23	2	20	4	27	3	19	5	22	5	17	6	308
sunitinib malate 50 MG CAPSULE	Brand Single Source	29	6	32	7	24	13	23	4	24	3	29	3	22	3	28	8	21	5	26	5	18	9	13	3	358
teriflunomide 14 MG TABLET	Brand Single Source	206	13	178	16	238	21	181	15	208	19	216	20	197	15	196	16	187	14	193	17	172	17	196	11	2,562
teriflunomide 7 MG TABLET	Brand Single Source	10	3	15	4	13	3	16	3	20	3	23	3	14	4	15	4	18	2	22	2	23	1	20	1	242
teriparatide 20MCG/DOSE PEN INJCTR	Brand Single Source	895	183	687	176	905	208	719	181	869	204	793	201	825	181	856	197	723	194	819	197	786	195	763	190	11,947
tocilizumab 162 MG/0.9 SYRINGE	Brand Single Source	155	18	124	15	151	20	135	18	153	17	183	25	162	19	187	19	155	19	179	17	170	15	166	18	2,140
tofacitinib citrate 5 MG TABLET	Brand Single Source	391	58	375	50	363	51	367	44	376	49	356	48	378	55	351	42	346	41	392	48	321	43	331	36	4,912
ustekinumab 45MG/0.5ML SYRINGE	Brand Single Source	206	18	179	36	205	38	182	30	204	14	217	26	186	25	210	24	199	19	205	24	209	26	194	15	2,691
ustekinumab 90 MG/ML SYRINGE	Brand Single Source	180	15	154	14	177	32	167	25	189	30	213	26	197	26	228	21	208	23	240	26	224	20	213	34	2,682
	Grand Total	12,716	3,064	11,092	3,008	12,637	3,346	11,427	2,956	12,761	3,229	12,471	2,767	12,349	2,608	12,882	2,762	11,474	2,479	12,437	2,607	12,028	2,491	11,609	2,456	179,656

Specialty Drugs 2018

FOR OFFICIAL USE ONLY
Title: Retail & Mail Order Specialty Drug RX Volume
Date Range: 1/1/2018 - 12/31/2018
		Jan-18		Feb-18		Mar-18		Apr-18		May-18		Jun-18		Jul-18		Aug-18		Sep-18		Oct-18		Nov-18		Dec-18		Grand Total
		# RX	# RX	# RX	# RX	# RX	# RX	# RX	# RX	# RX	# RX	# RX	# RX	# RX	# RX	# RX	# RX	# RX	# RX	# RX	# RX	# RX	# RX	# RX	# RX	# RX
Drug/Strength/Form	Brand/Generic Indicator	Mail Order	Retail	Mail Order	Retail	Mail Order	Retail	Mail Order	Retail	Mail Order	Retail	Mail Order	Retail	Mail Order	Retail	Mail Order	Retail	Mail Order	Retail	Mail Order	Retail	Mail Order	Retail	Mail Order	Retail
abatacept 125 MG/ML AUTO INJCT	Brand Single Source	140	12	141	12	147	12	129	10	152	15	135	21	165	19	181	23	147	13	207	24	183	23	180	27	2,118
abatacept 125 MG/ML SYRINGE	Brand Single Source	243	45	222	45	225	48	221	46	250	50	204	50	238	44	242	45	191	36	224	38	224	34	214	31	3,210
abatacept 50MG/0.4ML SYRINGE	Brand Single Source			1				1		1				1				1	1	1		1				8
abatacept 87.5MG/0.7 SYRINGE	Brand Single Source			2		3	1	3		3		1		1		2		2		1		2		1		22
adalimumab 10MG/0.1ML SYRINGEKIT	Brand Single Source													1		1		1		1		1		1		6
adalimumab 10MG/0.2ML SYRINGEKIT	Brand Single Source		1	1		1				1				2		1				1				1		9
adalimumab 20MG/0.2ML SYRINGEKIT	Brand Single Source											6		10		17		23		23		24	2	24		129
adalimumab 20MG/0.4ML SYRINGEKIT	Brand Single Source	23		29		21	1	30		22		24		18		19		8		10	1	7	1	9		223
adalimumab 40MG/0.4ML PEN IJ KIT	Brand Single Source									5		20		35		100	6	213	34	446	78	575	90	674	129	2,405
adalimumab 40MG/0.4ML SYRINGEKIT	Brand Single Source											11		19		24	8	58	17	79	17	113	20	114	27	507
adalimumab 40MG/0.8ML PEN IJ KIT	Brand Single Source	3,813	445	3,304	408	3,528	451	3,560	414	3,622	450	3,470	393	3,574	422	3,605	425	3,154	361	3,310	370	2,864	298	2,684	262	45,187
adalimumab 40MG/0.8ML SYRINGEKIT	Brand Single Source	638	108	571	86	625	104	622	104	580	109	581	89	608	93	579	92	547	94	517	100	532	83	444	79	7,985
adalimumab 80 MG-40MG PEN IJ KIT	Brand Single Source															2	2	8	8	21	10	16	17	20	23	127
adalimumab 80 MG-40MG SYRINGEKIT	Brand Single Source											1				2		2		2		1			2	10
adalimumab 80MG/0.8ML PEN IJ KIT	Brand Single Source															4	3	15	6	23	12	11	18	23	16	131
adalimumab 80MG/0.8ML SYRINGEKIT	Brand Single Source													2		2		1		1		1			2	9
anakinra 100MG/0.67 SYRINGE	Brand Single Source	26	2	20	4	17	3	20	2	17	3	20	7	16	3	16	3	16	3	18	11	18	3	24	4	276
antihemophil.FVIII,full length 1000 (+/-) VIAL	Brand Originator		20		15		14		20		13		19		17		29		19		21		19		18	224
antihemophil.FVIII,full length 1500 (+/-) VIAL	Brand Single Source		5		6		6		5		8		8		6		13		13		10		12		8	100
antihemophil.FVIII,full length 2000 (+/-) VIAL	Brand Originator		16		16		20		11		17		17		13		11		9		13		10		13	166
antihemophil.FVIII,full length 250 (+/-) VIAL	Brand Originator		11		8		8		12		12		7		10		8		10		8		9		9	112
antihemophil.FVIII,full length 3000 (+/-) VIAL	Brand Originator		14		12		10		13		15		12		14		13		10		13		7		7	140
antihemophil.FVIII,full length 4000 (+/-) VIAL	Brand Single Source								1		3		2				1		2		1		1		1	12
antihemophil.FVIII,full length 500 (+/-) VIAL	Brand Originator		24		21		22		26		20		14		12		15		15		17		12		13	211
antihemophilic factor, hum rec 1000 (+/-) VIAL	Brand Single Source		2				2		1				1		1				1		1		1			10
antihemophilic factor, hum rec 1500 (+/-) VIAL	Brand Single Source		2						1		2				2		1		2		2		1		1	14
antihemophilic factor, hum rec 2000 (+/-) VIAL	Brand Single Source		4		1		3		2		4		4		4		3		3		1		3		1	33
antihemophilic factor, hum rec 250 (+/-) VIAL	Brand Single Source								1												1		1		1	4
antihemophilic factor, hum rec 500 (+/-) VIAL	Brand Single Source		1		1		1		1		3		1		2		2		1				1			14
antihemophilic factor, human 1000 (+/-) VIAL	Brand Originator		1																							1
antihemophilic factor, human 1000 (+/-) VIAL	Brand Single Source		1		1																					2
antihemophilic factor, human 250 (+/-) VIAL	Brand Single Source		1						1		2		1				1		1							7
antihemophilic factor, human 500 (+/-) VIAL	Brand Single Source		2		1				1		2		1				1		1							9
antihemophilic factor/VWF 1000 (400) VIAL	Brand Single Source		1		2		3		2		2		2		2		4		1		2		3		3	27
antihemophilic factor/VWF 1000-2400 VIAL	Brand Single Source		4		3		4		11		5		3		5		5		4		4		5		5	58
antihemophilic factor/VWF 1500 (600) VIAL	Brand Single Source		1						1						1		1		1				3		2	10
antihemophilic factor/VWF 1K-1K UNIT VIAL	Brand Single Source		7		3		4		1		3		3		7		3		3		6		6		4	50
antihemophilic factor/VWF 2000 (800) VIAL	Brand Single Source		6		4		3		4		4		2		2		2		3		4		2		5	41
antihemophilic factor/VWF 250 (100) VIAL	Brand Single Source		1		1		2		3		1		2		1		2		1		1		1			16
antihemophilic factor/VWF 250-600 VIAL	Brand Single Source				2		2		6				1				1		3						1	16
antihemophilic factor/VWF 500 (200) VIAL	Brand Single Source		3		3		1		2		3		3				1		1		3		1		2	23
antihemophilic factor/VWF 500-1200 VIAL	Brand Single Source		1		3		2		9		1		2		2		3		1		3		1		1	29
antihemophilic factor/VWF 500-500 VIAL	Brand Single Source														1								1		1	3
apremilast 10-20-30MG TAB DS PK	Brand Single Source	10	13	9	10	27	14	28	16	23	17	13	11	18	12	8	11	10	16	22	18	15	11	15	16	363
apremilast 30 MG TABLET	Brand Single Source	779	103	707	114	788	101	783	106	826	119	809	121	781	106	856	114	772	98	863	137	797	133	811	124	10,948
axitinib 1 MG TABLET	Brand Single Source	8		7		2		6		9		5	1	7	1	5	2	3	1	6	1	5		6	1	76
axitinib 5 MG TABLET	Brand Single Source	13	2	13	2	19	5	10	3	17	4	11	5	15	2	11	5	15	1	10	1	11	1	13	1	190
bexarotene 1 % GEL (GRAM)	Brand Single Source	2		5	1	2		1		6		3	1	3		4	3	2		4	1	1	1		2	42
bexarotene 75 MG CAPSULE	Brand Originator	12		11		10		9		12		8		12		9		12		13		12		7		127
bexarotene 75 MG CAPSULE	Generic		4		6		13		7		9		8		9		13		10		6		8	6	4	103
bosentan 125 MG TABLET	Brand Originator		105		98		94		101		97		89		96		88		77		88		87		79	1,099
bosentan 32 MG TAB SUSP	Brand Single Source		1		1		1		1		3		1		2		1		1		1		1			14
bosentan 62.5 MG TABLET	Brand Originator		18		15		18		18		17		16		17		19		13		16		13		16	196
certolizumab pegol 400 MG KIT	Brand Single Source	4		8		6		11		6		7	1	4	1	10		7		8	1	7		10		91
certolizumab pegol 400MG/2ML SYRINGEKIT	Brand Single Source	249	27	206	28	244	26	230	32	234	27	213	30	249	36	229	29	216	29	247	23	230	27	221	25	3,107
coagulation factor VIIa,recomb 1 MG VIAL	Brand Single Source		3				1										2		1							7
coagulation factor VIIa,recomb 2 MG VIAL	Brand Single Source				2		3		1								3		1		1		2		3	16
coagulation factor VIIa,recomb 5 MG VIAL	Brand Single Source		2		1				3																	6
coagulation factor VIIa,recomb 8 MG VIAL	Brand Single Source		1		1		1				1						1		1				1		1	8
darbepoetin alfa in polysorbat 100 MCG/ML VIAL	Brand Single Source	3	1	1	2			1	2	1	1	1	1	1	2	1	3	2	1		1	1	3	1	1	31
darbepoetin alfa in polysorbat 100MCG/0.5 SYRINGE	Brand Single Source	2	3	2	2	3	1	8	1	4		5	6	6	5	3	1	4	3	7	3	2	1	7	9	88
darbepoetin alfa in polysorbat 150MCG/0.3 SYRINGE	Brand Single Source			2		1	1	1		1	1	2	1	1	1	2	1	3		6	2	2	4	3	1	36
darbepoetin alfa in polysorbat 200 MCG/ML VIAL	Brand Single Source	2	2	1	1		2	1	2		1	1	1	3	2		2			1		1	1		1	25
darbepoetin alfa in polysorbat 200MCG/0.4 SYRINGE	Brand Single Source	7	6	7	2	7	1	7	2	8	5	9	4	9	2	5	5	7	2	11	3	4	4	7	3	127
darbepoetin alfa in polysorbat 25 MCG/ML VIAL	Brand Single Source			1		1	1		3		2	1	1		1		1		2		3	3	4		1	25
darbepoetin alfa in polysorbat 25MCG/0.42 SYRINGE	Brand Single Source		2		2	4	4	1	1	2	3	1	2	3	1	3	2	3	3	5		2	2	2	3	51
darbepoetin alfa in polysorbat 300MCG/0.6 SYRINGE	Brand Single Source	1	7	1	6	5	2	5	4	2	1	4	1	4	3	3		1	2	2	4	4	5	1	1	69
darbepoetin alfa in polysorbat 40 MCG/0.4 SYRINGE	Brand Single Source	6	3	5	5	5	8	4	6	5	6	7	4	6	12	8	9	6	9	2	9	3	4	4	2	138
darbepoetin alfa in polysorbat 40 MCG/ML VIAL	Brand Single Source	1			1	1	1		2	2			1	1			3	2	2	2	2	3	1	1	2	28
darbepoetin alfa in polysorbat 500 MCG/ML SYRINGE	Brand Single Source	4	4	5	1	3		3	2	4	3	3	4	4	4	3	3	4	1	2	3	3	1	2	2	68
darbepoetin alfa in polysorbat 60 MCG/0.3 SYRINGE	Brand Single Source	9	4	10	2	9	4	3	7	10	6	8	2	8	4	9	4	11	5	4	6	4	9	10	3	151
darbepoetin alfa in polysorbat 60 MCG/ML VIAL	Brand Single Source	1	5		2						1		3		1		1							1		15
dasatinib 100 MG TABLET	Brand Single Source	95	19	86	12	101	13	91	13	84	16	88	16	85	14	81	22	78	25	79	19	83	13	75	17	1,225
dasatinib 140 MG TABLET	Brand Single Source		5	4	4	3	2	3	1	1	1	4		2		5		2	3	5	2	3	2	3		55
dasatinib 20 MG TABLET	Brand Single Source	17	2	14	2	16		22	1	17	1	18	2	21	1	18	2	23		23	1	22	1	18	1	243
dasatinib 50 MG TABLET	Brand Single Source	34	6	31	4	32	4	33	5	41	3	31	3	36	2	38	4	23	3	40	2	40	3	27	2	447
dasatinib 70 MG TABLET	Brand Single Source	15	7	10	1	22	5	15	5	17	5	15	6	20	5	16	2	18	2	20	1	14	3	17	3	244
dasatinib 80 MG TABLET	Brand Single Source	12	5	11	5	14	3	8	2	12	4	12	1	14	1	14	2	9	2	13	3	12	1	11		171
deferasirox 125 MG TAB DISPER	Brand Originator	4	1		3	4		1			2	4		1		5		1		1	3	2	1		1	34
deferasirox 250 MG TAB DISPER	Brand Originator	4	1	1	1	2		2		4	1	2	1	3	2	6	3	1	1	4	2	6	2	4	3	56
deferasirox 500 MG TAB DISPER	Brand Originator	10	2	5	3	10	1	12	1	9	1	6	2	5	1	12	1	10	2	7	1	7	3	6	3	120
desmopressin (nonrefrigerated) 10/SPRAY SPRAY/PUMP	Brand Originator			1	1	2		1		1		2				2		1				1		2	1	15
desmopressin (nonrefrigerated) 10/SPRAY SPRAY/PUMP	Generic	63	35	37	36	54	47	40	39	44	53	47	48	35	46	51	49	47	45	47	61	50	50	42	49	1,115
desmopressin acetate 0.1 MG/ML SOLUTION	Brand Single Source	3	1		1			1	2	3		1		3	3	2	2	1	2	2	1	2		1		31
desmopressin acetate 10/SPRAY SPRAY/PUMP	Generic		23		13		25		18		22		14		19		19		19		16		20		14	222
desmopressin acetate 150/SPRAY SPRAY/PUMP	Brand Single Source	5	9	5	9	10	19	10	13	5	17	7	10	15	18	13	15		10		14		20		23	247
desmopressin acetate 4 MCG/ML AMPUL	Generic						2				3												1		1	7
desmopressin acetate 4 MCG/ML VIAL	Brand Originator		2	2	1	1	1			1	1	2	1	1	1	2		1	1	1		1	1	1	1	23
desmopressin acetate 4 MCG/ML VIAL	Generic		2		2				1		1		1		2		1		3		2		2		2	19
dimethyl fumarate 120 MG CAPSULE DR	Brand Single Source	6	2	5	2	7	1	4	1	8		6		8	1	4	1	7		10		5		4		82
dimethyl fumarate 120-240 MG CAPSULE DR	Brand Single Source	13		21		19		22		26	1	16	2	17	2	12	1	19		18	1	21	1	12	1	225
dimethyl fumarate 240 MG CAPSULE DR	Brand Single Source	318	86	266	87	288	85	276	83	291	91	284	67	298	71	282	76	277	68	291	79	294	76	263	58	4,355
epoetin alfa 10000/ML VIAL	Brand Originator	37	33	24	40	50	34	28	32	33	51	30	42	29	40	53	41	28	41	38	61	32	51	34	47	929
epoetin alfa 2000/ML VIAL	Brand Originator	2	3	1	2	2	2	1	5	3	5	2	9	1	7	6	6	3	2	2	3	2	5	1	2	77
epoetin alfa 20000/2ML VIAL	Brand Originator	2	8	4	4	4	3	2	4	4	2		6	4		3	4	1	4	2	5	5	2	2	2	77
epoetin alfa 20000/ML VIAL	Brand Originator	35	45	35	37	31	57	6	44	16	45	48	41	38	64	31	60	34	41	28	52	32	42	26	30	918
epoetin alfa 3000/ML VIAL	Brand Originator	2			1		3	2	1		2	2	1		3	2	4	1		1	3	1	5	1	4	39
epoetin alfa 4000/ML VIAL	Brand Originator	7	5	7	9	6	4	5	5	7	9	9	4	11	9	5	6	12	3	5	5	4	3	11	5	156
epoetin alfa 40000/ML VIAL	Brand Single Source	48	35	31	37	34	40	41	30	42	27	37	32	37	28	37	24	40	29	43	23	29	27	35	22	808
etanercept 25 MG VIAL	Brand Single Source	62	11	65	12	73	11	69	12	55	9	71	12	55	14	65	15	50	12	68	12	59	12	56	8	888
etanercept 25MG/0.5ML SYRINGE	Brand Single Source	72	18	47	15	55	13	42	7	70	9	57	10	50	11	52	8	47	10	44	14	55	11	47	7	771
etanercept 50MG/ML(1) CARTRIDGE	Brand Single Source	5	1	9	3	24	1	33	2	36	5	52	6	49	8	65	5	87	12	87	7	98	5	108	7	715
etanercept 50MG/ML(1) PEN INJCTR	Brand Single Source	1,225	165	991	129	1,074	132	1,060	135	1,079	119	1,010	117	1,086	127	1,055	135	942	110	1,048	121	1,009	115	920	112	14,016
etanercept 50MG/ML(1) SYRINGE	Brand Single Source	414	42	326	38	398	42	390	37	395	45	369	31	371	33	402	42	344	31	390	40	318	29	346	32	4,905
everolimus 10 MG TABLET	Brand Single Source	63	24	47	20	55	16	50	18	58	15	59	16	54	12	48	12	61	16	62	18	54	14	52	22	866
everolimus 2 MG TAB SUSP	Brand Single Source	2	1	1		1		1		1		1		1		2				2		1	1		4	19
everolimus 2.5 MG TABLET	Brand Single Source	5	4	3	4	2	3	4	3	3	1	6	2	5	2	2	3	5	1	5	3	1	1	6	2	76
everolimus 3 MG TAB SUSP	Brand Single Source					1			1		2		1		1		1		1				3		3	14
everolimus 5 MG TAB SUSP	Brand Single Source	1	1	1	1	1	1		1	3	2		2	2	1	3	1		2	2			1	1	2	29
everolimus 5 MG TABLET	Brand Single Source	39	9	29	7	44	11	39	6	43	9	41	9	36	8	47	10	45	14	49	12	47	11	51	12	628
everolimus 7.5 MG TABLET	Brand Single Source	12	6	9	3	15	5	14	4	13	5	11	5	12	4	14	4	6	5	13	6	14	6	13	6	205
factor IX 1000 (+/-) VIAL	Brand Originator		2		1						1				1				1				1			7
factor IX 1500 (+/-) VIAL	Brand Single Source				1						1				1				1				1			5
factor IX human recombinant 1000 UNIT VIAL	Brand Originator		1				1		2		4		2				1		2		3		1		3	20
factor IX human recombinant 2000 UNIT VIAL	Brand Originator		3		2		2		5		4		4		1		1		2		1		3		2	30
factor IX human recombinant 250 UNIT VIAL	Brand Originator				1																1		2			4
factor IX human recombinant 3000 UNIT VIAL	Brand Originator				1		3		3		7		1		2		2		1		3		4		3	30
factor IX human recombinant 500 UNIT VIAL	Brand Originator		1				1		2		2				1		1		2		3		4		3	20
factor XIII 1000-1600 VIAL	Brand Single Source		2		1		2				1		2		1		2		2		3		2		3	21
filgrastim 300 MCG/ML VIAL	Brand Single Source	7	10	5	7	8	10	6	17	11	14	14	13	9	15	11	21	16	12	14	11	17	9	9	11	277
filgrastim 300MCG/0.5 SYRINGE	Brand Single Source	6	17	14	13	9	11	9	18	11	16	8	15	7	15	8	26	4	30	13	23	6	16	11	10	316
filgrastim 480MCG/0.8 SYRINGE	Brand Single Source	14	14	12	16	17	9	6	18	12	8	7	13	9	19	9	10	7	14	6	11	6	17	4	22	280
filgrastim 480MCG/1.6 VIAL	Brand Single Source	6	2	3	3	1	2	1	3	1	4	2		3	1	1	2	1		2	2	1	1	1	1	44
fingolimod HCl 0.5 MG CAPSULE	Brand Single Source	224	50	219	41	220	36	235	37	244	36	216	33	217	29	247	36	190	31	245	33	235	25	206	32	3,117
glatiramer acetate 20 MG/ML SYRINGE	Brand Originator	2	3	5	4	4	2	4	4	3	3	2	3	9	4	3	6	5	3	3	5	6	4	3	5	95
glatiramer acetate 20 MG/ML SYRINGE	Generic	40	17	46	15	46	21	47	19	34	22	44	17	42	13	39	15	33	10	45	13	39	10	35	9	671
glatiramer acetate 40 MG/ML SYRINGE	Brand Originator	347	31	305	26	315	22	104	27	81	25	77	28	83	31	69	20	75	21	83	23	66	20	62	17	1,958
glatiramer acetate 40 MG/ML SYRINGE	Generic	1	23	1	19	1	19	175	18	232	22	215	34	219	32	227	35	211	38	255	38	227	36	215	34	2,327
golimumab 100 MG/ML PEN INJCTR	Brand Single Source	38	3	26		38	1	34	2	36		29	2	39	1	28	3	33	3	37	3	29	2	27	1	415
golimumab 100 MG/ML SYRINGE	Brand Single Source	5	1	4		2		2		3		2		1		1		4		3		2				30
golimumab 50MG/0.5ML PEN INJCTR	Brand Single Source	168	16	134	13	159	12	157	15	166	14	164	11	164	14	160	12	137	10	141	10	164	11	132	10	1,994
golimumab 50MG/0.5ML SYRINGE	Brand Single Source	23	4	25	4	25	8	25	5	16	5	21	2	19	2	20	3	20	6	19	3	18	3	18	5	299
imatinib mesylate 100 MG TABLET	Brand Originator	3		3		3		3		3	1	2	1	3		4		3		5		3		2		39
imatinib mesylate 100 MG TABLET	Generic	107	25	97	25	101	27	125	24	120	23	115	27	113	30	106	29	103	25	114	37	108	35	109	25	1,650
imatinib mesylate 400 MG TABLET	Brand Originator	14	7	10	5	12	4	13	7	13	6	10	5	9	3	9	5	8	4	9	5	8	5	11	5	187
imatinib mesylate 400 MG TABLET	Generic	309	72	279	72	288	73	302	75	312	66	291	60	292	62	301	60	289	55	307	57	283	52	297	56	4,310
interferon alfa-2b,recomb. 10MM UNIT VIAL	Brand Single Source		2	1	1	1		1																	1	7
interferon alfa-2b,recomb. 10MM/ML VIAL	Brand Single Source	1	1	1	1	1	1		1	2	1	2			1	1		1			1					16
interferon alfa-2b,recomb. 18MM UNIT VIAL	Brand Single Source				1	1											1									3
interferon alfa-2b,recomb. 50MM UNIT VIAL	Brand Single Source											2														2
interferon alfa-2b,recomb. 6MMUNIT/ML VIAL	Brand Single Source	3	4	3	4	2	5	2	4	2	2	3	2	3	3	2	1	1	3	4	3	3	3	4	2	68
interferon beta-1a 30MCG/.5ML PEN IJ KIT	Brand Single Source	75	22	72	17	75	20	67	18	85	19	53	18	71	14	85	12	55	13	74	17	70	14	65	14	1,045
interferon beta-1a 30MCG/.5ML SYRINGEKIT	Brand Single Source	63	6	68	8	50	13	63	13	70	13	56	12	65	9	58	15	50	7	66	11	61	7	47	7	838
interferon beta-1a/albumin 22MCG/.5ML PEN INJCTR	Brand Single Source	4				1		2				1		2		1		2		3				3		19
interferon beta-1a/albumin 22MCG/.5ML SYRINGE	Brand Single Source	2	1	3	1	4	1	3	1	5	1	6	1	3	1	6	2	1	2	4	1	4	2	3	1	59
interferon beta-1a/albumin 30 MCG KIT	Brand Single Source	4	1	4	2	3	1	4	3	2	2	7	2	3	1	3	2	5	2	1	2	4	4	1	1	64
interferon beta-1a/albumin 44MCG/.5ML PEN INJCTR	Brand Single Source	32	9	30	5	38	4	21	5	27	4	37	2	24	1	28	4	27	3	26	1	30	3	26	1	388
interferon beta-1a/albumin 44MCG/.5ML SYRINGE	Brand Single Source	45	7	40	8	43	8	43	8	51	8	46	6	46	7	38	4	40	6	40	9	45	7	38	2	595
interferon beta-1a/albumin 8.8-22(6) PEN INJCTR	Brand Single Source	1	3	1	1	3		1		1	1			1		2	2	1		3		2		1		24
interferon beta-1a/albumin 8.8-22(6) SYRINGE	Brand Single Source	1						2	1	2		1		1						1						9
interferon beta-1b 0.3 MG KIT	Brand Originator	37	6	41	8	44	10	41	9	51	9	34	7	35	6	58	10	33	9	40	5	48	4	37	4	586
interferon gamma-1b,recomb. 100MCG/0.5 VIAL	Brand Single Source	1		5		4	2			5		2		4		3		3		3		1		3		36
ledipasvir/sofosbuvir 90MG-400MG TABLET	Brand Originator	83	13	85	12	91	18	83	21	79	18	81	17	66	17	53	17	42	19	48	12	60	15	69	10	1,029
leuprolide acetate 1 MG/0.2ML KIT	Generic	16	70	9	73	10	91	8	92	12	140	22	89	13	86	8	85	13	77	15	107	11	95	14	105	1,261
leuprolide acetate 11.25 MG KIT	Brand Single Source	2		2		1		1		2	2	1	1	1	1	1		3		2		3		1		24
leuprolide acetate 11.25 MG SYRINGEKIT	Brand Single Source	39	15	34	9	44	12	44	10	30	13	43	13	38	11	46	15	29	10	36	9	34	8	30	9	581
leuprolide acetate 15 MG KIT	Brand Single Source	6	1	4		3	1	6		1	1	4	1	2	2	5		2	1	3		4	1	4	1	53
leuprolide acetate 22.5 MG SYRINGE	Brand Single Source	2	3	3		5	4	2	2	6	2	2		6	1	4	1	5	1	4		5		4		62
leuprolide acetate 22.5 MG SYRINGEKIT	Brand Single Source	10	8	5	6	10	6	14	3	9	10	10	6	14	6	11	7	10	4	16	5	16	3	10	6	205
leuprolide acetate 3.75 MG SYRINGEKIT	Brand Single Source	43	24	46	26	37	32	41	33	46	27	53	22	48	25	44	28	46	21	61	27	48	25	44	18	865
leuprolide acetate 30 MG SYRINGE	Brand Single Source					2							1			1				1	1	1				7
leuprolide acetate 30 MG SYRINGEKIT	Brand Single Source	23	3	25	5	25	4	30	4	22	4	24	2	30	6	30	3	21	4	32	6	30	4	20	3	360
leuprolide acetate 45 MG SYRINGE	Brand Single Source	1	1								4		3		1		1	1			2	1	1	1	1	18
leuprolide acetate 45 MG SYRINGEKIT	Brand Single Source	8	3	3		7		4	2	1	1	7	2	4		6	4	1		6	1		1	5	1	67
leuprolide acetate 7.5 MG KIT	Brand Single Source	1		2	1	1	1	3	1	1		1		2		2		1						1		18
leuprolide acetate 7.5 MG SYRINGE	Brand Single Source			1		1				2						1				1			2	1	2	11
leuprolide acetate 7.5 MG SYRINGEKIT	Brand Single Source	4	3	4	5	5	3	6	2	3	1	2	1	4	1	2	1	5	2	2	1	2	4	6	3	72
octreotide acetate 100 MCG/ML AMPUL	Brand Originator	1		1		2		1				2			1	1	2		2	2	1			1		17
octreotide acetate 100 MCG/ML SYRINGE	Brand Single Source	2	4	4	4	7	3	2	3	3	3	7	3	6	1	9	1	5	1	8		3	1	9	1	90
octreotide acetate 100 MCG/ML VIAL	Generic	4	10	5	8	3	8	3	15	1	17	1	29	2	8	4	10	2	11	3	10	3	10	3	5	175
octreotide acetate 1000MCG/ML VIAL	Brand Originator	10	1	5		6		4	1	5		7	1				1									41
octreotide acetate 1000MCG/ML VIAL	Generic						3		1		1		1	9	1	5		4	1	10	1	6	2	7	1	53
octreotide acetate 200 MCG/ML VIAL	Brand Originator	7		3																						10
octreotide acetate 200 MCG/ML VIAL	Generic	1	3	3	2	2	5	6	1	9	1	3	2	2	3	4	5	3	2	6	3	3	1	4	3	77
octreotide acetate 50 MCG/ML AMPUL	Brand Originator	2	1															1						1		5
octreotide acetate 50 MCG/ML SYRINGE	Brand Single Source	3	2	3	2	6		2		5	1	1	1	6	1	5	4	5	1	4	2	3	3	3		63
octreotide acetate 50 MCG/ML VIAL	Generic		1		3		1		3		5		5		8		4		4		4		6		9	53
octreotide acetate 500 MCG/ML SYRINGE	Brand Single Source			1						1										1			1			4
octreotide acetate 500 MCG/ML VIAL	Generic				1		1		2			2									1		1		1	9
pazopanib HCl 200 MG TABLET	Brand Single Source	97	24	94	16	94	21	96	18	100	17	93	18	113	21	95	22	91	21	99	19	97	23	80	19	1,388
pegfilgrastim 6 MG/0.6ML SYR W/ INJ	Brand Single Source	2	6	5	8	3	21	2	11	2	14	4	10	3	15	5	10	1	8	1	4	3	18	3	9	168
pegfilgrastim 6 MG/0.6ML SYRINGE	Brand Single Source	36	29	31	25	35	30	41	26	33	21	21	34	23	35	33	36	28	30	30	23	32	26	26	20	704
peginterferon alfa-2a 135MCG/0.5 PEN INJCTR	Brand Single Source			1																						1
peginterferon alfa-2a 180MCG/0.5 PEN INJCTR	Brand Single Source	1								1										1						3
peginterferon alfa-2a 180MCG/0.5 SYRINGE	Brand Single Source			1		1								2		1						1		1		7
peginterferon alfa-2a 180MCG/ML VIAL	Brand Single Source		2	11	2	5	1	2	2	7	2	3	1	9		4	2	2	3	9	2	2	3	7	2	83
peginterferon alfa-2b 300 MCG KIT	Brand Single Source					1																				1
ribavirin 200 MG CAPSULE	Generic		3		2		4		3		3		1				1								3	20
ribavirin 200 MG TABLET	Generic	2	8	3	4	2	9	2	2	3	2	1			1	1	1					2	1	4	4	52
ribavirin 40 MG/ML SOLUTION	Brand Single Source		1						1																	2
sargramostim 250 MCG VIAL	Brand Single Source	1	4	1				2	1	2	1	1	2		1		3		2	1	4	1	3		1	31
sofosbuvir 400 MG TABLET	Brand Single Source	1		1		1				2		1			1	1	2									10
sofosbuvir/velpatasvir 400-100 MG TABLET	Brand Originator	23	15	20	8	24	9	25	6	26	8	26	3	16	3	14	2	14	3	25	4	19	6	18	3	320
sorafenib tosylate 200 MG TABLET	Brand Single Source	49	7	50	4	41	9	48	5	50	10	47	8	55	6	43	7	46	3	39	9	33	4	42	3	618
sunitinib malate 12.5 MG CAPSULE	Brand Single Source	13		8		7		10	1	8		9	2	9	2	7	3	5	2	7	2	6	1	3	3	108
sunitinib malate 25 MG CAPSULE	Brand Single Source	27	5	25	2	28	2	24	1	20	1	20		19	4	23	1	11	1	20	1	21	2	19	1	278
sunitinib malate 37.5 MG CAPSULE	Brand Single Source	23	8	17	9	24	8	23	3	23	4	16	3	24	5	21	4	14	4	19	4	15	7	18	6	302
sunitinib malate 50 MG CAPSULE	Brand Single Source	27	9	18	2	18	7	17	7	17	3	18	1	20		13	4	12	3	20	7	14	6	20	7	270
teriflunomide 14 MG TABLET	Brand Single Source	214	17	164	18	229	21	192	20	202	22	202	22	211	20	209	21	200	21	225	27	206	18	200	25	2,706
teriflunomide 7 MG TABLET	Brand Single Source	18	5	22	3	20	4	20	2	26	3	15	2	24	3	26	2	20	1	30	1	25	4	15	3	294
teriparatide 20MCG/DOSE PEN INJCTR	Brand Single Source	864	161	679	177	721	175	772	213	727	204	696	179	694	167	754	171	644	149	748	156	704	125	615	130	10,625
tocilizumab 162 MG/0.9 SYRINGE	Brand Single Source	205	26	162	21	202	19	196	20	202	26	199	31	205	27	200	38	200	36	216	43	206	29	205	31	2,745
tofacitinib citrate 10 MG TABLET	Brand Single Source													1		1		6	2	10	9	13	11	19	14	86
tofacitinib citrate 5 MG TABLET	Brand Single Source	374	41	328	34	384	40	333	35	350	35	329	34	370	39	326	36	333	32	319	44	344	35	352	39	4,586
ustekinumab 45MG/0.5ML SYRINGE	Brand Single Source	198	26	196	15	171	24	183	34	207	20	205	25	195	16	220	12	190	12	189	31	207	17	187	14	2,594
ustekinumab 90 MG/ML SYRINGE	Brand Single Source	274	32	210	20	248	27	242	23	286	23	257	28	252	26	287	23	271	29	293	41	295	24	296	26	3,533
	Grand Total	12,928	2,637	11,173	2,366	12,205	2,570	12,014	2,557	12,383	2,671	11,839	2,427	12,224	2,457	12,475	2,567	11,336	2,318	12,678	2,657	11,972	2,412	11,475	2,340	174,681

Specialty Drug Listing 2017

PRODUCT_SERVICE_ID	LABEL_TXT	DRUG_LIST_ID	DRUG_LIST_NME
00053765601	MONOCLATE-P 250 UNIT KIT	164348	DOD-Specialty Drug list
00053765602	MONOCLATE-P 500AHFU KIT	164348	DOD-Specialty Drug list
62756052926	DESMOPRESSIN 40 MCG/10 ML VIAL	164348	DOD-Specialty Drug list
55566504001	DESMOPRESSIN AC 4 MCG/ML VIAL	164348	DOD-Specialty Drug list
69918090110	DESMOPRESSIN AC 4 MCG/ML VIAL	164348	DOD-Specialty Drug list
62756052940	DESMOPRESSIN 40 MCG/10 ML VIAL	164348	DOD-Specialty Drug list
55566230000	DDAVP 4 MCG/ML VIAL	164348	DOD-Specialty Drug list
00703505101	DESMOPRESSIN AC 4 MCG/ML VIAL	164348	DOD-Specialty Drug list
00075245153	DDAVP 4 MCG/ML VIAL	164348	DOD-Specialty Drug list
00703505401	DESMOPRESSIN AC 4 MCG/ML VIAL	164348	DOD-Specialty Drug list
00703505103	DESMOPRESSIN AC 4 MCG/ML VIAL	164348	DOD-Specialty Drug list
55566503001	DESMOPRESSIN AC 4 MCG/ML AMPUL	164348	DOD-Specialty Drug list
69918089901	DESMOPRESSIN AC 4 MCG/ML AMPUL	164348	DOD-Specialty Drug list
69918089910	DESMOPRESSIN AC 4 MCG/ML AMPUL	164348	DOD-Specialty Drug list
00075245101	DDAVP 4 MCG/ML AMPUL	164348	DOD-Specialty Drug list
00409226501	DESMOPRESSIN AC 4 MCG/ML AMPUL	164348	DOD-Specialty Drug list
55566220000	DDAVP 4 MCG/ML AMPUL	164348	DOD-Specialty Drug list
00074228203	LUPRON DEPOT-PED 11.25 MG KIT	164348	DOD-Specialty Drug list
00074210803	LUPRON DEPOT-PED 7.5 MG KIT	164348	DOD-Specialty Drug list
00074244003	LUPRON DEPOT-PED 15 MG KIT	164348	DOD-Specialty Drug list
55513054610	NEUPOGEN 480 MCG/1.6 ML VIAL	164348	DOD-Specialty Drug list
55513054601	NEUPOGEN 480 MCG/1.6 ML VIAL	164348	DOD-Specialty Drug list
55513020910	NEUPOGEN 480 MCG/0.8 ML SYR	164348	DOD-Specialty Drug list
55513020991	NEUPOGEN 480 MCG/0.8 ML SYR	164348	DOD-Specialty Drug list
55513020901	NEUPOGEN 480 MCG/0.8 ML SYR	164348	DOD-Specialty Drug list
55513092410	NEUPOGEN 300 MCG/0.5 ML SYR	164348	DOD-Specialty Drug list
55513092491	NEUPOGEN 300 MCG/0.5 ML SYR	164348	DOD-Specialty Drug list
55513092401	NEUPOGEN 300 MCG/0.5 ML SYR	164348	DOD-Specialty Drug list
55513000204	ARANESP 25 MCG/ML VIAL	164348	DOD-Specialty Drug list
55513000201	ARANESP 25 MCG/ML VIAL	164348	DOD-Specialty Drug list
55513000304	ARANESP 40 MCG/ML VIAL	164348	DOD-Specialty Drug list
55513000301	ARANESP 40 MCG/ML VIAL	164348	DOD-Specialty Drug list
55513000404	ARANESP 60 MCG/ML VIAL	164348	DOD-Specialty Drug list
55513000401	ARANESP 60 MCG/ML VIAL	164348	DOD-Specialty Drug list
55513000504	ARANESP 100 MCG/ML VIAL	164348	DOD-Specialty Drug list
55513000501	ARANESP 100 MCG/ML VIAL	164348	DOD-Specialty Drug list
55513000601	ARANESP 200 MCG/ML VIAL	164348	DOD-Specialty Drug list
65862029070	RIBAVIRIN 200 MG CAPSULE	164348	DOD-Specialty Drug list
65862029056	RIBAVIRIN 200 MG CAPSULE	164348	DOD-Specialty Drug list
66435010118	RIBASPHERE 200 MG CAPSULE	164348	DOD-Specialty Drug list
65862029084	RIBAVIRIN 200 MG CAPSULE	164348	DOD-Specialty Drug list
65862029042	RIBAVIRIN 200 MG CAPSULE	164348	DOD-Specialty Drug list
65862029018	RIBAVIRIN 200 MG CAPSULE	164348	DOD-Specialty Drug list
66435010142	RIBASPHERE 200 MG CAPSULE	164348	DOD-Specialty Drug list
68382026007	RIBAVIRIN 200 MG CAPSULE	164348	DOD-Specialty Drug list
68382026004	RIBAVIRIN 200 MG CAPSULE	164348	DOD-Specialty Drug list
68382026012	RIBAVIRIN 200 MG CAPSULE	164348	DOD-Specialty Drug list
68382026009	RIBAVIRIN 200 MG CAPSULE	164348	DOD-Specialty Drug list
68084017965	RIBAVIRIN 200 MG CAPSULE	164348	DOD-Specialty Drug list
66435010170	RIBASPHERE 200 MG CAPSULE	164348	DOD-Specialty Drug list
66435010156	RIBASPHERE 200 MG CAPSULE	164348	DOD-Specialty Drug list
68084017911	RIBAVIRIN 200 MG CAPSULE	164348	DOD-Specialty Drug list
66435010184	RIBASPHERE 200 MG CAPSULE	164348	DOD-Specialty Drug list
00781204316	RIBAVIRIN 200 MG CAPSULE	164348	DOD-Specialty Drug list
00781204304	RIBAVIRIN 200 MG CAPSULE	164348	DOD-Specialty Drug list
00085135105	REBETOL 200 MG CAPSULE	164348	DOD-Specialty Drug list
00085119403	REBETOL 200 MG CAPSULE	164348	DOD-Specialty Drug list
00085138507	REBETOL 200 MG CAPSULE	164348	DOD-Specialty Drug list
00781204342	RIBAVIRIN 200 MG CAPSULE	164348	DOD-Specialty Drug list
54738095384	RIBAVIRIN 200 MG CAPSULE	164348	DOD-Specialty Drug list
54738095370	RIBAVIRIN 200 MG CAPSULE	164348	DOD-Specialty Drug list
54738095356	RIBAVIRIN 200 MG CAPSULE	164348	DOD-Specialty Drug list
00781204367	RIBAVIRIN 200 MG CAPSULE	164348	DOD-Specialty Drug list
54738095342	RIBAVIRIN 200 MG CAPSULE	164348	DOD-Specialty Drug list
54738095318	RIBAVIRIN 200 MG CAPSULE	164348	DOD-Specialty Drug list

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 2, 2019.