Service Area|Px Code|Generic Name|CPT(R)/HCPCS Code|NDC|Unit Price|Override Bill Code|Override Price
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500000|Lidocaine HCl Local Preservative Free (PF) Inj 1%|J3490|63323049257|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500000|Lidocaine HCl Local Preservative Free (PF) Inj 1%|J3490|55150016102|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500000|Famotidine Inj 20 MG/2ML|J3490|55390002910|23.00|S0028|23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500000|Levalbuterol HCl Soln Nebu 1.25 MG/3ML (Base Equiv)|J7614|00591273823|4.38||4.38
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Insulin Regular (Human) Inj 100 Unit/ML|J1815|00002821501|50.20||50.20
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Methylprednisolone Sod Succ For Inj 1000 MG (Base Equiv)|J2930|00009001820|71.04||71.04
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Methylprednisolone Sod Succ For Inj 125 MG (Base Equiv)|J2930|00009004722|46.94||46.94
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Methylprednisolone Sod Succ For Inj 125 MG (Base Equiv)|J2930|00009004725|46.94||46.94
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Methylprednisolone Sod Succ For Inj 40 MG (Base Equiv)|J2920|00009003928|30.12||30.12
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Methylprednisolone Sod Succ For Inj 40 MG (Base Equiv)|J2920|00009003930|30.12||30.12
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Morphine Sulfate IV Soln PF 4 MG/ML|J2270|00409189101|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Morphine Sulfate IV Soln PF 10 MG/ML|J2270|00409189301|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Levonorgestrel Releasing IUD 14 MCG/DAY (13.5 MG Total)|J7301|50419042201|2,560.46||2,560.46
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Acetylcysteine Inhal Soln 20%|J7608|00409330803|21.31||21.31
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Morphine Sulfate IV Soln PF 2 MG/ML|J2270|00409189001|23.00||23.00,23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Morphine Sulfate IV Soln PF 2 MG/ML|J2270|00409189003|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Neostigmine Methylsulfate IV Soln 10 MG/10 ML (1 MG/ML)|J2710|63323041510|225.70||225.70
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Ipratropium Bromide Inhal Soln 0.02%|J7644|00487980130|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Insulin Aspart Soln Pen-injector 100 Unit/ML|J1815|00169633910|234.04||234.04
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Insulin Detemir Soln Pen-injector 100 Unit/ML|J1815|00169643810|218.95||218.95
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Insulin Aspart Prot & Aspart Sus Pen-inj 100 Unit/ML (70-30)||00169369619|66.69||66.69
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Epinephrine Solution Auto-injector 0.15 MG/0.3ML (1:2000)|J0171|49502050102|821.22||821.22
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Epinephrine Solution Auto-injector 0.15 MG/0.15ML (1:1000)|J0171|00115169549|432.54||432.54
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Epinephrine Solution Auto-injector 0.3 MG/0.3ML (1:1000)|J0171|54505010202|432.54||432.54
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Epinephrine Solution Auto-injector 0.3 MG/0.3ML (1:1000)|J0171|00115169449|432.54||432.54
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Epinephrine Solution Auto-injector 0.3 MG/0.3ML (1:1000)|J0171|49502050002|821.22||821.22
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Propofol IV Emul 200 MG/20ML (10 MG/ML)|J2704|00409469930|49.00||49.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Propofol IV Emul 200 MG/20ML (10 MG/ML)|J2704|25021060820|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Propofol IV Emul 200 MG/20ML (10 MG/ML)|J2704|00409469950|49.00||49.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML|J3010|00409909332|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML|J3010|00409909422|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML|J3010|00641602701|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML|J3010|00641602725|23.00||23.00,23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML|J3010|00409909337|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Atropine Sulfate Soln Prefill Syr 1 MG/10ML (0.1 MG/ML)||00409491134|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Atropine Sulfate Inj 8 MG/20ML (0.4 MG/ML)||00641600601|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Atropine Sulfate Inj 8 MG/20ML (0.4 MG/ML)||00641600610|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Heparin Sodium (Porcine) Lock Flush IV Soln 100 Unit/ML|J1642|63807060051|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Heparin Sodium (Porcine) Lock Flush IV Soln 100 Unit/ML|J1642|00409128135|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Heparin Sodium (Porcine) Lock Flush IV Soln 100 Unit/ML|J1642|00409115270|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Heparin Sodium (Porcine) Lock Flush IV Soln 100 Unit/ML|J1642|08290306513|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Heparin Sodium (Porcine) Lock Flush IV Soln 100 Unit/ML|J1642|63323054505|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Diazepam Inj 5 MG/ML|J3360|00409127332|93.71||93.71
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Diazepam Inj 5 MG/ML|J3360|00409127303|93.71||93.71
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Sod Ferric Gluc Cmplx in Sucrose IV Soln 12.5 MG/ML (Fe Eq)|J2916|00024279210|127.11||127.11
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Budesonide Inhalation Susp 0.5 MG/2ML|J7626|00093681673|41.15||41.15
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Budesonide Inhalation Susp 0.5 MG/2ML|J7626|00591376830|25.96||25.96
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Budesonide Inhalation Susp 0.5 MG/2ML|J7626|00487970130|24.15||24.15
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Budesonide Inhalation Susp 0.5 MG/2ML|J7626|00115168974|58.68||58.68
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Levonorgestrel Releasing IUD 20 MCG/DAY (52 MG Total)|J7298|50419042301|2,909.61||2,909.61
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Midazolam HCl Inj 2 MG/2ML (Base Equivalent)|J2250|00409230502|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Midazolam HCl Inj 2 MG/2ML (Base Equivalent)|J2250|00409230517|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Midazolam HCl Inj 2 MG/2ML (Base Equivalent)|J2250|00641605725|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Midazolam HCl Inj 2 MG/2ML (Base Equivalent)|J2250|00641605701|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Lidocaine HCl Local Inj 1%|J3490|00409427601|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Lidocaine HCl Local Inj 1%|J3490|00409427602|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Lidocaine HCl Local Inj 1%|J3490|00409427616|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Lidocaine HCl Local Inj 2%|J3490|00409427702|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Lidocaine HCl Local Inj 2%|J3490|63323048627|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Lidocaine HCl IV Inj 20 MG/ML|J2001|00409132305|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Methylprednisolone Acetate Inj Susp 40 MG/ML|J1030|00009307301|41.93||41.93,23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Methylprednisolone Acetate Inj Susp 40 MG/ML|J1030|00009307303|41.93||41.93
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Methylprednisolone Acetate Inj Susp 80 MG/ML|J1040|00009347501|57.00||57.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Methylprednisolone Acetate Inj Susp 80 MG/ML|J1040|00009347503|57.00||57.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Metoclopramide HCl Inj 5 MG/ML (Base Equivalent)|J2765|00409341401|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Metronidazole in NaCl 0.79% IV Soln 500 MG/100ML|J3490|00409781124|58.31||58.31
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Sodium Chloride Inj 0.45%|J3490|00338004304|54.82||54.82
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Water For Injection|A4216|00409488720|23.00||23.00,23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Water For Injection|A4216|00409488710|10.00||10.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Water For Injection|A4216|63323018550|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Triamcinolone Acetonide Inj Susp 40 MG/ML|J3301|00003029305|56.37||56.37
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Clindamycin Phosphate Inj 600 MG/4ML|J3490|00409405101|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Clindamycin Phosphate Inj 600 MG/4ML|J3490|00009077526|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Clindamycin Phosphate Inj 600 MG/4ML|J3490|00009077520|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Clindamycin Phosphate Inj 900 MG/6ML|J3490|63323028206|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Ciprofloxacin 400 MG/200ML in D5W|J0744|00409477702|150.66||150.66
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Ciprofloxacin 400 MG/200ML in D5W|J0744|25021011487|86.25||86.25
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Ondansetron HCl Inj 4 MG/2ML (2 MG/ML)|J2405|63323037302|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Ondansetron HCl Inj 4 MG/2ML (2 MG/ML)|J2405|00409475503|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Ondansetron HCl Inj 4 MG/2ML (2 MG/ML)|J2405|00641607801|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Ondansetron HCl Inj 4 MG/2ML (2 MG/ML)|J2405|00641607825|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Ondansetron HCl Inj 4 MG/2ML (2 MG/ML)|J2405|55150012502|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360000|Dronabinol Cap 5 MG|Q0167|00904659804|51.35||51.35
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2580001|Nitroglycerin IV Soln 100 MCG/ML in D5W||00338104702|89.74||89.74
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2580001|Nitroglycerin IV Soln 200 MCG/ML in D5W||00338104902|124.27||124.27
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500005|Albuterol Sulfate Soln Nebu 0.083% (2.5 MG/3ML)|J7613|00487950101|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500005|Neostigmine Methylsulfate Inj 1 MG/ML|J2710|10019027010|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500005|Promethazine HCl Tab 25 MG|Q0169|00591530701|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500005|Ipratropium-Albuterol Nebu Soln 0.5-2.5(3) MG/3ML|J7620|00487020101|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Flurbiprofen Sodium Ophth Soln 0.03%||24208031425|22.84||22.84
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Flurbiprofen Sodium Ophth Soln 0.03%||60758091003|23.48||23.48
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Multiple Vitamins w/ Minerals Cap||00065804601|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Wound Cleansers - Liquid||68455010854|37.69||37.69
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Lidocaine Inj 1% w/ Epinephrine-1:100000||00409317801|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Lidocaine Inj 1% w/ Epinephrine-1:100000||00409317803|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Lidocaine Inj 1% w/ Epinephrine-1:100000||63323048227|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Lidocaine Inj 1% w/ Epinephrine-1:100000||63323048226|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Lidocaine Inj 2% w/ Epinephrine-1:100000||00409318201|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Lidocaine-Prilocaine Cream 2.5-2.5%||50383066730|35.38||35.38
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Diclofenac Sodium Gel 1%||65162083366|165.82||165.82
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Tamsulosin HCl Cap 0.4 MG||51079029401|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Tamsulosin HCl Cap 0.4 MG||51079029420|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Tamsulosin HCl Cap 0.4 MG||62756016088|3.78||3.78
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Mupirocin Oint 2%||51672131200|17.35||17.35
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Mupirocin Oint 2%||00168035222|40.05||40.05
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Mupirocin Oint 2%||45802011222|25.86||25.86
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Sodium Chloride Flush IV Soln 0.9%|A4216|63807010011|10.00||10.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Sodium Chloride Flush IV Soln 0.9%|A4216|08290306547|10.00||10.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Sodium Chloride Flush IV Soln 0.9%|A4216|08290093010|1.50||1.50
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Sodium Chloride Flush IV Soln 0.9%|A4216|64253011130|10.00||10.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Bupivacaine Inj 0.25% w/ Epinephrine 1:200000 (PF)||63323046837|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Bupivacaine HCl Preservative Free (PF) Inj 0.25%||00409155910|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Bupivacaine HCl Preservative Free (PF) Inj 0.25%||00409155930|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Bupivacaine HCl Preservative Free (PF) Inj 0.25%||63323046437|36.69||36.69
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Bupivacaine HCl Preservative Free (PF) Inj 0.25%||00409155918|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Bupivacaine HCl Preservative Free (PF) Inj 0.25%||00409155919|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Bupivacaine HCl Preservative Free (PF) Inj 0.5%||00409156029|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Bupivacaine HCl Preservative Free (PF) Inj 0.5%||00409116202|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Bupivacaine HCl Preservative Free (PF) Inj 0.5%||00409116201|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Bupivacaine HCl Preservative Free (PF) Inj 0.5%||63323046617|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Bupivacaine HCl Preservative Free (PF) Inj 0.5%||00409156019|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Bupivacaine HCl Preservative Free (PF) Inj 0.5%||00409116219|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Bupivacaine HCl Preservative Free (PF) Inj 0.5%||00409116218|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Neomycin-Polymyxin-Dexamethasone Ophth Susp 0.1%||24208083060|17.02||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Neomycin-Polymyxin-Dexamethasone Ophth Susp 0.1%||61314063006|77.26||77.26
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Neomycin-Polymyxin-Dexamethasone Ophth Oint 0.1%||24208079535|58.76||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Oseltamivir Phosphate For Susp 6 MG/ML (Base Equiv)||00004082205|892.06||892.06
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Silver Nitrate-Potassium Nitrate Applicator 75-25%||12165010003|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Sodium Chloride Irrigation Soln 0.9%||00338004802|8.88||8.88
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Sodium Chloride Irrigation Soln 0.9%||00338004803|10.33||10.33
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Emollient - Ointment||72140003147|46.50||46.50
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Cyanocobalamin Cap 1000 MCG||31604002551|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Tobramycin-Dexamethasone Ophth Oint 0.3-0.1%||00065064835|581.47||581.47
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Racepinephrine HCl Soln Nebu 2.25% (Base Equivalent)||00487590199|8.63||8.63
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Multiple Vitamin Inj||54643564900|46.82||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Multiple Vitamin Inj||54643564901|152.53||152.53
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Glycopyrrolate Inj 4 MG/20ML (0.2 MG/ML)||00143967901|34.74||34.74
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Glycopyrrolate Inj 4 MG/20ML (0.2 MG/ML)||00143967910|34.74||34.74
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Lactobacillus Tab||64980012950|8.88||8.88
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Bupivacaine HCl Preservative Free (PF) Inj 0.75%||00409158229|47.70||47.70
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Bupivacaine HCl Preservative Free (PF) Inj 0.75%||63323047237|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Umeclidinium-Vilanterol Aero Powd BA 62.5-25 MCG/INH||00173086910|858.50||858.50
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Calcium Carbonate-Cholecalciferol Chew Tab 600 MG-800 Unit||00005556819|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Calcium Chloride Inj 10%||00409163110|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Calcium Chloride Inj 10%||00409492834|47.58||47.58
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Carbidopa & Levodopa Cap ER 36.25-145 MG||64896066201|18.66||18.66
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Scopolamine TD Patch 72HR 1 MG/3DAYS||00067434504|67.20||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Norepinephrine Bitartrate IV Soln 1 MG/ML||55390000210|30.51||30.51
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Norepinephrine Bitartrate IV Soln 1 MG/ML||00409337504|72.45||72.45
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Interferon Beta-1a IM Auto-Injector Kit 30 MCG/0.5ML||59627033304|2,331.82||2,331.82
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Calcium Acetate (Phosphate Binder) Cap 667 MG (169 MG Ca)||00054008826|14.58||14.58
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Wound Dressings - Paste||09958003361|69.56||69.56
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Bacitracin Zinc Oint 500 Unit/GM||00168011109|5.25||5.25
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Bacitracin Zinc Oint 500 Unit/GM||54162001709|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Promethazine w/ Codeine Syrup 6.25-10 MG/5ML||60432060616|81.43||81.43
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Water For Inject, Bacteriostatic Benzyl Alcohol||00409397703|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Sevoflurane Inhal Soln||10019065364|366.08||366.08
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Albuterol Sulfate Inhal Aero 108 MCG/ACT (90MCG Base Equiv)||00173068220|136.67||136.67
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Albuterol Sulfate Inhal Aero 108 MCG/ACT (90MCG Base Equiv)||00173068221|74.29||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Albuterol Sulfate Inhal Aero 108 MCG/ACT (90MCG Base Equiv)||00173068224|76.98||76.98
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Albuterol Sulfate Inhal Aero 108 MCG/ACT (90MCG Base Equiv)||59310057922|140.13||140.13
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Sennosides Tab 8.6 MG||00904516561|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Nitroprusside Sodium IV Soln 25 MG/ML||00409302401|61.38||61.38
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Nitroprusside Sodium IV Soln 25 MG/ML||00187430202|1,139.05||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Cyclopentolate HCl Ophth Soln 1%||17478010002|19.47||19.47
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Cyclopentolate HCl Ophth Soln 1%||24208073501|46.21||46.21
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Cyclopentolate HCl Ophth Soln 1%||00065039605|14.40||14.40
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Etomidate IV Soln 2 MG/ML||00409669501|33.73||33.73
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Etomidate IV Soln 2 MG/ML||00069000602|51.77||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Cefdinir For Susp 125 MG/5ML||65862021860|17.34||17.34
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Dextrose Inj 50%||00409490234|49.91||49.91
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Dextrose Inj 50%||76329330101|23.35||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Diphenhydramine HCl Cap 25 MG|Q0163|00904530661|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Diphenhydramine HCl Tab 25 MG||00045010825|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Docusate Sodium Liquid 150 MG/15ML||54838011680|37.39||37.39
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Pantoprazole Sodium For IV Soln 40 MG (Base Equiv)||00008092351|23.12||23.12
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Pantoprazole Sodium For IV Soln 40 MG (Base Equiv)||00008200101|30.99||30.99
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Pantoprazole Sodium For IV Soln 40 MG (Base Equiv)||00008200110|30.99||30.99
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Fluticasone-Salmeterol Aer Powder BA 250-50 MCG/DOSE||00173069604|377.93||377.93
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Fluticasone-Salmeterol Aer Powder BA 500-50 MCG/DOSE||00173069704|614.68||614.68
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Felodipine Tab ER 24HR 5 MG||53489036901|10.56||10.56
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Loratadine & Pseudoephedrine Tab ER 24HR 10-240 MG||63868015410|4.36||4.36
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Loratadine & Pseudoephedrine Tab ER 24HR 10-240 MG||51660072469|4.36||4.36
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Rizatriptan Benzoate Oral Disintegrating Tab 5 MG (Base Eq)||00378370159|21.27||21.27
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Iopamidol IV Soln 61%||00270131530|78.10||78.10
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Iopamidol IV Soln 61%||00270131535|127.20||127.20
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Sodium Phosphates - Enema||00536741551|8.47||8.47
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Chlorhexidine Gluconate Liquid 4%||00234057532|42.29||42.29
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Ephedrine Sulfate Inj 50 MG/ML||17478051500|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Sodium Phosphates - Enema||00132020140|498.75||498.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Sodium Phosphates - Enema||00132020220|9.40||9.40
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Folic Acid Inj 5 MG/ML||63323018410|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Gentamicin Sulfate Ophth Oint 0.3%||17478028435|39.44||39.44
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Glycopyrrolate Inj 0.2 MG/ML||00143968201|109.12||109.12
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Glycopyrrolate Inj 0.2 MG/ML||00143968225|109.12||109.12
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Ophthalmic Irrigation Solution - Intraocular||00065079515|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Multiple Vitamin Inj||61703042282|44.22||44.22
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Nystatin Topical Powder 100000 Unit/GM||68308015215|59.25||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Phenol Swabs 89%||00884629730|29.13||29.13
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Pentafluoropropane-Tetrafluoroethane Aero Spray||00386000802|112.89||112.89
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Isoflurane Inhal Soln||10019036040|164.54||164.54
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Ipratropium Bromide HFA Inhal Aerosol 17 MCG/ACT||00597008717|394.61||394.61
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Lidocaine HCl Gel 2%||76329301305|24.86||24.86
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Lidocaine HCl Viscous Soln 2%||00054350049|4.48||4.48
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Lidocaine HCl Viscous Soln 2%||50383077504|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Magnesium Oxide Tab 500 MG (Mg Supplement)||00904423960|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Mannitol IV Soln 20%|J2150|00409771503|107.20||107.20
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Megestrol Acetate Tab 20 MG||49884028901|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Nafcillin Sodium For Inj 1 GM||25021013910|45.81||45.81
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Nafcillin Sodium For Inj 2 GM||00781312595|89.29||89.29
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Nitrofurantoin Macrocrystalline Cap 100 MG||47781030801|6.82||6.82
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Oxymetazoline HCl Nasal Soln 0.05%||00904571135|6.49||6.49
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Oxymetazoline HCl Nasal Soln 0.05%||15127030405|8.15||8.15
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Pancuronium Bromide Inj 1 MG/ML||00703280403|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Phenylephrine HCl Ophth Soln 2.5%||42702010215|226.72||226.72
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Pilocarpine HCl Ophth Soln 2%||17478022412|161.72||161.72
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Pilocarpine HCl Ophth Soln 2%||24208068115|80.66||80.66
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Pilocarpine HCl Ophth Soln 2%||61314020415|221.90||221.90
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Proparacaine HCl Ophth Soln 0.5%||17478026312|77.26||77.26
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Fluticasone Propionate Nasal Susp 50 MCG/ACT||50383070016|19.85||19.85
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Methohexital Sodium For Inj 500 MG||42023010501|154.21||154.21
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Menthol Lozenge 5.4 MG||11509020518|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Silver Sulfadiazine Cream 1%||67877012425|29.25||29.25
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Silver Sulfadiazine Cream 1%||67877012440|117.34||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Silver Sulfadiazine Cream 1%||00591081083|16.30||16.30
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Simethicone Chew Tab 125 MG||00067011718|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Simethicone Chew Tab 125 MG||00067012918|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Simethicone Chew Tab 125 MG||00536453408|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Sodium Bicarbonate Inj 8.4%||00409663734|48.91||48.91
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Sodium Bicarbonate Inj 8.4%||00548335200|92.51||92.51
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Sodium Bicarbonate Inj 8.4%||76329335201|24.08||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Sodium Chloride Inj 0.9%|J3490|63323018610|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Sodium Chloride Soln Nebu 0.9%||00487930102|3.75||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Sodium Chloride Soln Nebu 0.9%||00378698601|17.81||17.81
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Sodium Chloride Soln Nebu 0.9%||00487930201|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Atropine Sulfate Ophth Soln 1%||17478021505|139.89||139.89
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Water For Irrigation, Sterile Irrigation Soln||00338000404|5.97||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Rasagiline Mesylate Tab 1 MG (Base Equiv)||00093306156|41.07||41.07
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Guaifenesin Liquid 100 MG/5ML||00121074404|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Tetracaine HCl Ophth Soln 0.5%||00065074114|39.45||39.45
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Tetracaine HCl Ophth Soln 0.5%||00065074112|23.18||23.18
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Budesonide-Formoterol Fumarate Dihyd Aerosol 160-4.5 MCG/ACT||00186037028|534.57||534.57
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Diphenhydramine-Phenylephrine Soln 12.5-5 MG/5ML||00045017005|28.38||28.38
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Cholecalciferol Cap 1000 Unit||54458032344|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Tuberculin PPD Inj 5 Unit/0.1ML|86580|42023010401|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Tuberculin PPD Inj 5 Unit/0.1ML|86580|49281075221|0.58||0.58
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Bacitracin Oint 500 Unit/GM||63868091628|26.37||26.37
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Bacitracin Oint 500 Unit/GM||15127013501|15.86||15.86
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Bacitracin Oint 500 Unit/GM||45802006070|5.25||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Neomycin-Bacitracin-Polymyxin Oint||15127012201|16.31||16.31
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Neomycin-Bacitracin-Polymyxin Oint||49999015430|72.41||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Neomycin-Bacitracin-Polymyxin Oint||00713026831|11.88||11.88
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Bacitracin-Polymyxin B Ophth Oint||24208055555|30.22||30.22
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Ascorbic Acid Tab 500 MG||00904052360|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Ascorbic Acid Tab 500 MG||00904052361|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Formoterol Fumarate Soln Nebu 20 MCG/2ML||49502060530|66.93||66.93
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Glycerin Suppos 80.7%||00904266612|6.64||6.64
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Acetazolamide Cap ER 12HR 500 MG||00555051302|23.48||23.48
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Alum & Mag Hydroxide-Simethicone Susp 200-200-20 MG/5ML||00904000414|3.75||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Aluminum Chloride Soln 20%||00096070737|140.63||140.63
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Metoprolol Tartrate IV Soln 5 MG/5ML||00409228505|33.93||33.93
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Metoprolol Tartrate IV Soln 5 MG/5ML||00409177805|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Bisacodyl Enema 10 MG/30ML||00132070336|14.31||14.31
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Bumetanide Inj 0.25 MG/ML||00641600810|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Bupivacaine Inj 0.5% w/ Epinephrine 1:200000||63323046357|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Butamben-Tetracaine-Benzocaine Aerosol Spray 2-2-14%||10223002011|17.13||17.13
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Butamben-Tetracaine-Benzocaine Aerosol Spray 2-2-14%||10223020103|166.60||166.60,39.30
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Butamben-Tetracaine-Benzocaine Aerosol Spray 2-2-14%||54569202800|167.35||167.35,430.07
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Nicardipine HCl IV Soln 20 MG/200ML in Sodium Chloride 0.86%||24477031101|477.80||477.80
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML)||00409955805|23.13||23.13
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Diltiazem HCl IV Soln 25 MG/5ML (5 MG/ML)||00641601301|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Diltiazem HCl IV Soln 25 MG/5ML (5 MG/ML)||00641601310|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Diltiazem HCl IV Soln 125 MG/25ML (5 MG/ML)||00641601510|26.63||26.63
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Artificial Saliva - Solution||55299060104|39.61||39.61
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Prednisolone Syrup 15 MG/5ML (USP Solution Equivalent)||50383004224|51.88||51.88
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Prednisolone Syrup 15 MG/5ML (USP Solution Equivalent)||00093611887|909.52||909.52
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Ciprofloxacin HCl Ophth Soln 0.3%||61314065625|20.17||20.17
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Ciprofloxacin HCl Ophth Soln 0.3%||17478071410|12.25||12.25
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Ciprofloxacin HCl Ophth Soln 0.3%||16571012050|35.23||35.23
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Dantrolene Sodium For IV Soln 20 MG||42023012306|176.68||176.68
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2500006|Benzoin Compound Tincture||00395024392|25.35||25.35
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2550005|Iopamidol IV Soln 76%|Q9967|00270131635|100.22||100.22
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2550005|Iopamidol IV Soln 76%|Q9967|00270131652|64.39||64.39
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2550005|Iodixanol Inj 270 MG/ML|Q9966|00407222202|256.97||256.97
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2580005|Magnesium Sulfate in Dextrose 5% IV Soln 1 GM/100ML|J3475|00409672723|92.07||92.07
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2580005|Dopamine Inj 0.8 MG/ML in D5W|J1265|00338100503|345.14||345.14
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2580005|Lidocaine IV Infusion in D5W Inj 4 MG/ML|J2001|00409793124|78.10||78.10
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2580005|Saline Injection Bacteriostatic||00409196607|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2580005|Heparin Sodium (Porcine) 50 Unit/ML in Sodium Chloride 0.45%|J1644|00409765103|75.19||75.19
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2580005|Heparin Sodium (Porcine) 50 Unit/ML in Sodium Chloride 0.45%|J1644|00409765113|95.56||95.56
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2580005|Dextrose Inj 5%|J7060|00338001702|57.73||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2580005|Dextrose Inj 5%|J7060|00338001703|54.82||54.82
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2580005|Dextrose Inj 5%|J7070|00338001704|54.82||54.82
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2580005|Dextrose Inj 5%|J7060|00338001748|55.40||55.40
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2580005|Dextrose Inj 5%|J7060|00338055118|62.39||62.39
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2580005|Sodium Chloride IV Soln 0.9%|J7050|00338004902|53.37||53.37
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2580005|Sodium Chloride IV Soln 0.9%|J7040|00338004903|57.73||57.73
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2580005|Sodium Chloride IV Soln 0.9%|J7030|00338004904|54.82||54.82
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2580005|Sodium Chloride IV Soln 0.9%|J7050|00338004948|55.40||55.40
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2580005|Sodium Chloride IV Soln 0.9%|J7050|00338055318|57.15||57.15
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2580005|Lactated Ringer's Solution|J7120|00338011704|54.82||54.82
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2580005|Sodium Chloride IV Soln 0.9%|J7040|00338004903|57.73||57.73
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2580005|Sodium Chloride IV Soln 0.9%|J7030|00338004904|54.82||54.82
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2580005|Sodium Chloride IV Soln 0.9%|J7050|00338004948|55.40||55.40
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|2580005|lactated ringer's solution|J7120|00338011704|54.82||54.82
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Heparin Sodium (Porcine) Inj 1000 Unit/ML|J1644|63323027602|53.37||53.37
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Heparin Sodium (Porcine) Inj 10000 Unit/ML|J1644|25021040301|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Heparin Sodium (Porcine) Inj 10000 Unit/ML|J1644|00641041012|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Heparin Sodium (Porcine) Inj 10000 Unit/ML|J1644|00641041037|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Heparin Sodium (Porcine) Inj 10000 Unit/ML|J1644|63323054201|42.75||42.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Labetalol HCl IV Soln 5 MG/ML|J3490|00409226720|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Leuprolide Acetate For Inj Kit 7.5 MG|J9217|00074364203|2,237.91||2,237.91
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Lorazepam Inj 2 MG/ML|J2060|00409198530|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Lorazepam Inj 2 MG/ML|J2060|00409677802|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Lorazepam Inj 2 MG/ML|J2060|00641604401|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Olanzapine Pamoate For Extended Rel IM Susp 300 MG (Base Eq)|J2358|00002763611|1,292.70||1,292.70
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Olanzapine Pamoate For Extended Rel IM Susp 300 MG (Base Eq)|J2358|00002765901|1,286.60||1,286.60
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Methylprednisolone Sod Succ For Inj 500 MG (Base Equiv)|J2930|00009000302|61.19||61.19
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Pneumococcal 13-Valent Conjugate Vaccine Inj|90670|00005197102|397.36||397.36
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Pneumococcal 13-Valent Conjugate Vaccine Inj|90670|00005197105|397.36||397.36
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Denosumab Inj 60 MG/ML|J0897|55513071001|1,815.54||1,815.54
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Enoxaparin Sodium Inj 30 MG/0.3ML|J1650|00548560100|30.70||30.70
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Enoxaparin Sodium Inj 30 MG/0.3ML|J1650|00955100310|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Enoxaparin Sodium Inj 40 MG/0.4ML|J1650|00955100410|24.34||24.34
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Enoxaparin Sodium Inj 40 MG/0.4ML|J1650|00075062040|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Enoxaparin Sodium Inj 60 MG/0.6ML|J1650|00548560300|54.50||54.50
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Enoxaparin Sodium Inj 60 MG/0.6ML|J1650|00955100610|34.06||34.06
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Enoxaparin Sodium Inj 80 MG/0.8ML|J1650|00955100810|44.88||44.88
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Enoxaparin Sodium Inj 80 MG/0.8ML|J1650|00548563400|48.99||48.99
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Enoxaparin Sodium Inj 80 MG/0.8ML|J1650|00075062280|44.31||44.31
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Enoxaparin Sodium Inj 100 MG/ML|J1650|00548560500|60.84||60.84
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Enoxaparin Sodium Inj 100 MG/ML|J1650|00955101010|55.64||55.64
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Denosumab Inj 120 MG/1.7ML|J0897|55513073001|3,399.77||3,399.77
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Pneumococcal Vaccine Polyvalent Inj 25 MCG/0.5ML|90732|00006483703|203.15||203.15
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Pneumococcal Vaccine Polyvalent Inj 25 MCG/0.5ML|90732|00006483702|203.15||203.15
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Potassium Chloride Inj 10 mEq/100ML|J3480|00409707426|65.88||65.88
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Potassium Chloride Inj 10 mEq/100ML|J3480|00338070948|60.06||60.06
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|KCl 20 MEQ/L (0.15%) in NaCl 0.9% Inj|J3480|00338069104|72.28||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Penicillin G Benzathine Intramuscular Susp 1200000 Unit/2ML|J0561|60793070110|425.47||425.47
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Penicillin G Benzathine Intramuscular Susp 1200000 Unit/2ML|J0561|60793070102|388.82||388.82
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Tocilizumab IV Inj 80 MG/4ML|J3262|50242013501|842.26||842.26
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Tocilizumab IV Inj 200 MG/10ML|J3262|50242013601|1,197.51||1,197.51
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Fulvestrant Inj 250 MG/5ML|J9395|00310072010|2,858.69||2,858.69
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Levofloxacin in D5W IV Soln 250 MG/50ML|J1956|25021013281|121.14||121.14
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Levofloxacin in D5W IV Soln 500 MG/100ML|J1956|00781334209|106.87||106.87
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Levofloxacin in D5W IV Soln 500 MG/100ML|J1956|25021013282|92.40||92.40
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Levofloxacin in D5W IV Soln 500 MG/100ML|J1956|00781334246|106.87||106.87
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Levofloxacin in D5W IV Soln 750 MG/150ML|J1956|00781334309|104.13||104.13
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Levofloxacin in D5W IV Soln 750 MG/150ML|J1956|25021013283|62.10||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Levofloxacin in D5W IV Soln 750 MG/150ML|J1956|00781334355|76.06||76.06
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Ertapenem Sodium For Inj 1 GM (Base Equivalent)|J1335|00006384371|348.15||348.15
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Rabies Virus Vaccine, HDC Inj|90675|49281025051|545.61||545.61
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Leuprolide Acetate (6 Month) For Inj Kit 45 MG|J9217|00074347303|13,419.59||13,419.59
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Terbutaline Sulfate Inj 1 MG/ML|J3105|55390010110|26.74||26.74
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Tetanus-Diphtheria Toxoids (Td) Inj 5-2 LFU|90714|49281021510|43.85||43.85
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Ferric Carboxymaltose IV Soln 750 MG/15ML (Fe Equivalent)|J1439|00517065001|1,280.77||1,280.77
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Tbo-Filgrastim Soln Prefilled Syringe 300 MCG/0.5ML|J1447|63459091015|604.96||604.96
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Tbo-Filgrastim Soln Prefilled Syringe 300 MCG/0.5ML|J1447|63459091012|604.96||604.96
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Tbo-Filgrastim Soln Prefilled Syringe 480 MCG/0.8ML|J1447|63459091211|1,078.65||1,078.65
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Tbo-Filgrastim Soln Prefilled Syringe 480 MCG/0.8ML|J1447|63459091215|1,078.65||1,078.65
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Tbo-Filgrastim Soln Prefilled Syringe 480 MCG/0.8ML|J1447|63459091212|1,078.65||1,078.65
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Hylan Intra-articular Solution Prefilled Syringe 48 MG/6ML|J7325|58468009003|1,907.94||1,907.94
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Hydrocortisone Sodium Succinate PF For Inj 100 MG|J1720|00009001103|53.41||53.41
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Hydrocortisone Sodium Succinate PF For Inj 100 MG|J1720|00009001104|54.35||54.35
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Hydrocortisone Sodium Succinate PF For Inj 1000 MG||00009000501|91.45||91.45
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Hydrocortisone Sodium Succinate PF For Inj 500 MG|J1720|00009001612|45.16||45.16
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Perflutren Lipid Microsphere IV Susp 6.52 MG/ML (1.1 MG/ML)|Q9957|11994001104|269.60||269.60
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Testosterone Cypionate IM Inj in Oil 200 MG/ML|J1071|00009041701|56.02||56.02
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Rho D Immune Globulin IM Soln Pref Syr 1500 Unit (300MCG)|J2790|00562780501|319.42||319.42
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Rho D Immune Globulin IM Soln Pref Syr 1500 Unit (300MCG)|J2790|00562780500|319.42||319.42
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Influenza Virus Vac Split Quadrivalent Susp Pref Syr 0.5ML|90686|58160089841|35.00||35.00,35.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Influenza Virus Vac Split Quadrivalent Susp Pref Syr 0.5ML|90686|58160089852|35.00||35.00,35.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Calcium Gluconate Inj 10%|J0610|63323031119|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Calcium Gluconate Inj 10%|J0610|63323031110|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Rituximab IV Soln 100 MG/10ML|J9310|50242005121|1,056.04||1,056.04
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Rituximab IV Soln 500 MG/50ML|J9310|50242005306|6,172.63||6,172.63
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Pegfilgrastim Soln Prefilled Syringe 6 MG/0.6ML|J2505|55513019001|7,971.25||7,971.25
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Interferon Beta-1a IM Prefilled Syringe Kit 30 MCG/0.5ML|Q3027|59627022205|2,331.82||2,331.82
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Chlorpromazine HCl Inj 50 MG/2ML||00641139835|43.85||43.85
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Filgrastim Soln Prefilled Syringe 480 MCG/0.8ML (600 MCG/ML)|J1442|55513020910|1,338.46||1,338.46
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Darbepoetin Alfa Soln Prefilled Syringe 60 MCG/0.3ML|J0882|55513002301|1,157.14||1,157.14
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Darbepoetin Alfa Soln Prefilled Syringe 60 MCG/0.3ML|J0882|55513002304|1,157.14||1,157.14
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Darbepoetin Alfa Soln Prefilled Syringe 100 MCG/0.5ML|J0882|55513002501|1,079.88||1,079.88
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Darbepoetin Alfa Soln Prefilled Syringe 100 MCG/0.5ML|J0882|55513002504|1,079.88||1,079.88
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Linezolid IV Soln 600 MG/300ML (2 MG/ML)|J2020|00009514004|185.07||185.07
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Naloxone HCl Soln Prefilled Syringe 2 MG/2ML|J2310|76329336901|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Levonorgestrel Releasing IUD 17.5 MCG/DAY (19.5 MG Total)|J7296|50419042401|2,909.61||2,909.61
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Epinephrine PF Soln Prefilled Syringe 1 MG/10ML (0.1 MG/ML)|J0171|76329331601|39.14||39.14
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Epinephrine PF Inj 1 MG/ML|J0171|00409724101|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Epinephrine PF Inj 1 MG/ML|J0171|42023015925|60.41||60.41
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Pamidronate Disodium For Inj 90 MG|J2430|55390012901|164.01||164.01
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Vancomycin HCl For IV Soln 1 GM (Base Equivalent)|J3370|67457034000|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Vancomycin HCl For IV Soln 1 GM (Base Equivalent)|J3370|63323028420|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Cefazolin Sodium For Inj 1 GM|J0690|60505074905|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Cefazolin Sodium For Inj 1 GM|J0690|25021010110|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Cefazolin Sodium For Inj 1 GM|J0690|00781345170|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Cefazolin Sodium For Inj 1 GM|J0690|60505074901|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Cefazolin Sodium For Inj 1 GM|J0690|60505614200|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Cefazolin Sodium For Inj 1 GM|J0690|60505614205|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Adenosine IV Soln 3 MG/ML (Diagnostic)|J0153|00469087120|536.53||536.53
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Dextrose 5% w/ Sodium Chloride 0.45%|J7799|00338008504|54.82|S5010|54.82
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Dextrose 5% w/ Sodium Chloride 0.9%|J7042|00338008904|54.82||54.82
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Cefepime HCl For Inj 1 GM|J0692|25021012120|26.48||26.48
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Cefepime HCl For Inj 2 GM|J0692|60505068100|42.89||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Cefepime HCl For Inj 2 GM|J0692|25021012250|48.33||48.33
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Meropenem IV For Soln 500 MG|J2185|63323050720|32.91||32.91
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Meropenem IV For Soln 500 MG|J2185|63323050721|36.69||36.69
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Meropenem IV For Soln 1 GM|J2185|63323050831|48.75||48.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Piperacillin Sod-Tazobactam Sod For Inj 4.5 GM (4-0.5 GM)|J2543|25021016648|54.03||54.03
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Piperacillin Sod-Tazobactam Sod For Inj 4.5 GM (4-0.5 GM)|J2543|55150012150|65.79||65.79
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Piperacillin Sod-Tazobactam Na For Inj 3.375 GM (3-0.375 GM)|J2543|60505068704|42.73||42.73
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Piperacillin Sod-Tazobactam Na For Inj 3.375 GM (3-0.375 GM)|J2543|00409338513|52.47||52.47
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Piperacillin Sod-Tazobactam Na For Inj 3.375 GM (3-0.375 GM)|J2543|25021016530|41.38||41.38
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Piperacillin Sod-Tazobactam Na For Inj 3.375 GM (3-0.375 GM)|J2543|67457052200|59.92||59.92
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Piperacillin Sod-Tazobactam Na For Inj 3.375 GM (3-0.375 GM)|J2543|67457052237|59.92||59.92
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Piperacillin Sod-Tazobactam Na For Inj 3.375 GM (3-0.375 GM)|J2543|60505068701|42.73||42.73
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Piperacillin Sod-Tazobactam Na For Inj 3.375 GM (3-0.375 GM)|J2543|39822012503|43.63||43.63
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Piperacillin Sod-Tazobactam Na For Inj 3.375 GM (3-0.375 GM)|J2543|39822012504|43.63||43.63
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Piperacillin Sod-Tazobactam Na For Inj 3.375 GM (3-0.375 GM)|J2543|64679005601|50.08||50.08
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Piperacillin Sod-Tazobactam Na For Inj 3.375 GM (3-0.375 GM)|J2543|64679005602|50.08||50.08
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Piperacillin Sod-Tazobactam Sod For Inj 2.25 GM (2-0.25 GM)|J2543|55150011930|47.73||47.73
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Medroxyprogesterone Acetate IM Susp 150 MG/ML|J1050|59762453701|213.91||213.91
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Medroxyprogesterone Acetate IM Susp 150 MG/ML|J1050|59762453702|213.91||213.91
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Cyanocobalamin Inj 1000 MCG/ML|J3420|00517003125|42.51||42.51
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Cyanocobalamin Inj 1000 MCG/ML|J3420|00517003225|7.03||7.03
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Cyanocobalamin Inj 1000 MCG/ML|J3420|63323004401|24.53||24.53,23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Leuprolide Acetate (3 Month) For Inj Kit 11.25 MG|J1950|00074366303|5,631.55||5,631.55
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Leuprolide Acetate (3 Month) For Inj Kit 22.5 MG|J9217|00074334603|6,710.49||6,710.49
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Azithromycin IV For Soln 500 MG|J0456|63323039810|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Azithromycin IV For Soln 500 MG|J0456|00069315084|39.20||39.20
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Azithromycin IV For Soln 500 MG|J0456|00069315083|39.20||39.20
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Leuprolide Acetate (4 Month) For Inj Kit 30 MG|J9217|00074368303|8,946.81||8,946.81
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Ketorolac Tromethamine Inj 30 MG/ML|J1885|00409228731|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Ketorolac Tromethamine Inj 30 MG/ML|J1885|00409379501|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Ketorolac Tromethamine Inj 30 MG/ML|J1885|76045010410|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Ketorolac Tromethamine Inj 30 MG/ML|J1885|00409228720|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Ketorolac Tromethamine Inj 30 MG/ML|J1885|00409228703|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Dexamethasone Sodium Phosphate Inj 10 MG/ML|J1100|00641036721|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Dexamethasone Sodium Phosphate Inj 10 MG/ML|J1100|00641036725|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Dexamethasone Sodium Phosphate Inj 4 MG/ML|J1100|55150023701|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Dexamethasone Sodium Phosphate Inj 4 MG/ML|J1100|63323016502|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Dexamethasone Sodium Phosphate Inj 4 MG/ML|J1100|63323016501|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Infliximab For IV Inj 100 MG|J1745|57894003001|1,790.53||1,790.53,1,642.50
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Digoxin Inj 0.25 MG/ML|J1160|00641141035|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Octreotide Acetate For IM Inj Kit 30 MG|J2353|00078064881|7,109.55||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Glucagon (rDNA) For Inj Kit 1 MG|J1610|00002803101|757.92||757.92
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Diphenhydramine HCl Inj 50 MG/ML|J1200|00641037621|23.00||23.00,23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Diphenhydramine HCl Inj 50 MG/ML|J1200|00641037625|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Ceftriaxone Sodium For IV Soln 1 GM|J0696|00409733304|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Tenecteplase For IV Soln Kit 50 MG|J3101|50242012001|8,985.65||8,985.65
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Iron Sucrose Inj 20 MG/ML (Fe Equiv)|J1756|00517234010|159.56||159.56
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Prednisolone Sod Phosphate Oral Soln 15 MG/5ML (Base Equiv)|J7510|00121075908|5.97||5.97
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Alteplase For Inj 2 MG|J2997|50242004164|413.86||413.86
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Furosemide Inj 10 MG/ML|J1940|00409610204|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Furosemide Inj 10 MG/ML|J1940|00409610218|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Gentamicin Sulfate Inj 40 MG/ML|J1580|00409120703|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Gentamicin Sulfate Inj 40 MG/ML|J1580|63323001002|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Zoledronic Acid Inj Conc For IV Infusion 4 MG/5ML|J3489|60505611000|866.19||866.19
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Haloperidol Lactate Inj 5 MG/ML|J1630|63323047401|36.81||36.81
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Omalizumab For Inj 150 MG|J2357|50242004062|1,014.47||1,014.47
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Hydralazine HCl Inj 20 MG/ML|J0360|17478093401|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Hydralazine HCl Inj 20 MG/ML|J0360|67457029100|52.05||52.05
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Hydralazine HCl Inj 20 MG/ML|J0360|67457029101|52.05||52.05
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Hydralazine HCl Inj 20 MG/ML|J0360|63323061401|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Daptomycin For IV Soln 500 MG|J0878|67919001101|1,285.40||1,285.40
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Daptomycin For IV Soln 500 MG|J0878|00703012501|1,285.40||1,285.40
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Hydromorphone HCl Inj 2 MG/ML|J1170|00409131230|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Adenosine IV Soln 6 MG/2ML|J0153|00469823412|143.87||143.87
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Adenosine IV Soln 6 MG/2ML|J0153|17478054202|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Adenosine IV Soln 12 MG/4ML|J0153|25021030104|40.86||40.86
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Adenosine IV Soln 12 MG/4ML|J0153|67457085404|30.16||30.16
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Flumazenil IV Soln 0.5 MG/5ML (0.1 MG/ML)|J3490|00143978410|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Iron Dextran Inj 50 MG/ML (Elemental Iron)|J1750|52544093102|149.02||149.02
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Tobramycin Sulfate Inj 80 MG/2ML (40 MG/ML) (Base Equiv)|J3260|00409357801|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Hyaluronidase Ovine Inj 200 Unit/ML|J3471|24208000201|151.79||151.79
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Hyaluronidase Ovine Inj 200 Unit/ML|J3471|24208000202|193.73||193.73
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Aminophylline Inj 25 MG/ML|J0280|00409592201|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Aminophylline Inj 25 MG/ML|J0280|00517382025|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Tet Tox-Diph-Acell Pertuss Ad Inj 5-2-15.5 LF-LF-MCG/0.5ML|90715|49281040015|75.25||75.25
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Tet Tox-Diph-Acell Pertuss Ad Inj 5-2-15.5 LF-LF-MCG/0.5ML|90715|49281040088|75.25||75.25
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Tet Tox-Diph-Acell Pertuss Ad Inj 5-2-15.5 LF-LF-MCG/0.5ML|90715|49281040020|76.63||76.63
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Ampicillin Sodium For Inj 1 GM|J0290|63323070408|36.11||36.11
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Ampicillin Sodium For Inj 1 GM|J0290|63323038910|36.28||36.28
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Magnesium Sulfate Inj 50%|J3475|00517260225|23.00||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Magnesium Sulfate Inj 50%|J3475|00517261025|91.73||91.73
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Magnesium Sulfate Inj 50%|J3475|63323006402|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Mannitol IV Soln 25%|J2150|00409403101|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Meperidine HCl Inj 25 MG/ML|J2175|00409117630|30.87||30.87
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Meperidine HCl Inj 25 MG/ML|J2175|00409117603|30.87||30.87
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Orphenadrine Citrate Inj 30 MG/ML|J2360|00591322247|51.44||51.44
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Orphenadrine Citrate Inj 30 MG/ML|J2360|17478053802|26.28||26.28
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Orphenadrine Citrate Inj 30 MG/ML|J2360|00591322202|51.44||51.44
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Oxytocin Inj 10 Unit/ML|J2590|42023011625|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Oxytocin Inj 10 Unit/ML|J2590|63323001201|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005||J7321|89122072420|330.44||330.44
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Phenylephrine HCl Inj 10 MG/ML|J2370|00641614201|27.34||27.34
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Phenylephrine HCl Inj 10 MG/ML|J2370|00641614225|27.32||27.32
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Phenytoin Sodium Inj 50 MG/ML|J1165|00641049321|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Phenytoin Sodium Inj 50 MG/ML|J1165|00641049325|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Promethazine HCl Inj 25 MG/ML|J2550|00641092821|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Promethazine HCl Inj 25 MG/ML|J2550|39822552503|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Promethazine HCl Inj 25 MG/ML|J2550|39822552502|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Streptomycin Sulfate For Inj 1 GM|J3000|39822070602|45.82||45.82
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Succinylcholine Chloride Inj 20 MG/ML|J0330|00409662902|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Succinylcholine Chloride Inj 20 MG/ML|J0330|00781300995|23.00||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Succinylcholine Chloride Inj 20 MG/ML|J0330|00409662912|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Human Papillomavirus (HPV) Quadrivalent Recombinant Vac Inj|90649|00006404541|354.22||354.22
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Levetiracetam Inj 500 MG/5ML (100 MG/ML)|J1953|50474000263|144.44||144.44
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Dobutamine HCl Inj 12.5 MG/ML|J1250|00409234402|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Thiamine HCl Inj 100 MG/ML|J3411|63323001302|34.35||34.35
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Zoledronic Acid IV Soln 5 MG/100ML|J3489|55111068852|540.28||540.28
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Zoledronic Acid IV Soln 5 MG/100ML|J3489|25021083082|227.79||227.79
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Clindamycin Phosphate Inj 300 MG/2ML|S0077|47781045968|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Vancomycin HCl For IV Soln 500 MG (Base Equivalent)|J3370|00409433201|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Vancomycin HCl For IV Soln 500 MG (Base Equivalent)|J3370|67457033950|51.92||51.92
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Vancomycin HCl For IV Soln 500 MG (Base Equivalent)|J3370|67457033900|51.92||51.92
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Phytonadione Inj 10 MG/ML|J3430|00409915801|179.43||179.43
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Alteplase For Inj 100 MG|J2997|50242008527|12,141.20||12,141.20
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Ampicillin & Sulbactam Sodium For Inj 1.5 (1-0.5) GM|J0295|00641611610|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Ampicillin & Sulbactam Sodium For Inj 1.5 (1-0.5) GM|J0295|55150011620|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Ampicillin & Sulbactam Sodium For Inj 3 (2-1) GM|J0295|55150011720|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Ampicillin & Sulbactam Sodium For Inj 3 (2-1) GM|J0295|00049001481|23.65||23.65
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Ampicillin & Sulbactam Sodium For Inj 3 (2-1) GM|J0295|00049001483|23.65||23.65
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Regadenoson IV Inj 0.4 MG/5ML (0.08 MG/ML)|J2785|00469650189|610.17||610.17
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Betamethasone Sod Phosphate & Acetate Inj Susp 6 (3-3) MG/ML|J0702|00517072001|119.49||119.49
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Amiodarone HCl Inj 150 MG/3ML (50 MG/ML)|J0282|63323061603|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Ceftriaxone Sodium For Inj 1 GM|J0696|00409733201|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Ceftriaxone Sodium For Inj 1 GM|J0696|60505075204|23.66||23.66
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Ceftriaxone Sodium For Inj 2 GM|J0696|00409733503|56.76||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Ceftriaxone Sodium For Inj 500 MG|J0696|00409733801|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Imipenem-Cilastatin Intravenous For Soln 500 MG|J0743|63323032225|78.94||78.94
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Ketorolac Tromethamine IM Inj 60 MG/2ML (30 MG/ML)|J1885|00409379601|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Ketorolac Tromethamine IM Inj 60 MG/2ML (30 MG/ML)|J1885|00409379619|23.00||23.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Ferumoxytol Inj 510 MG/17ML (30 MG/ML) (Elemental Fe)|Q0138|59338077501|1,135.59||1,135.59
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Cosyntropin For Inj 0.25 MG|J0833|00548590000|288.66||288.66
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Dihydroergotamine Mesylate Inj 1 MG/ML|J1110|00574085010|290.45||290.45
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6360005|Dimethyl Sulfoxide Soln 50%|J1212|67457017750|150.34||150.34
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Acetaminophen Soln 160 MG/5ML||00536012297|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Famotidine Tab 20 MG||00172572810|3.75||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Famotidine Tab 20 MG||64679093602|3.75||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Famotidine Tab 20 MG||51079096601|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Famotidine Tab 20 MG||61442012101|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Famotidine Tab 20 MG||51079096620|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Finasteride Tab 5 MG||00093735556|8.20||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Finasteride Tab 5 MG||31722052530|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Finasteride Tab 5 MG||51079032120|6.08||6.08
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Finasteride Tab 5 MG||57237006230|4.00||4.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Fluconazole Tab 200 MG||16571021330|10.88||10.88
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Fluoxetine HCl Cap 20 MG||00904578561|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Acetaminophen Tab 325 MG||00904198261|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Glipizide Tab 5 MG||51079081001|3.75||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Glipizide Tab 5 MG||51079081020|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Glycopyrrolate Tab 1 MG||49884006501|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Glycopyrrolate Tab 1 MG||13107001401|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Glycopyrrolate Tab 1 MG||23155060601|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Acetaminophen Tab 500 MG||15127000741|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Acetaminophen Tab 500 MG||50580045110|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Acetaminophen Tab 500 MG||50580041202|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Hydromorphone HCl Tab 8 MG||00054026525|3.93||3.93
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Ibuprofen Susp 100 MG/5ML||63868075618|6.49||6.49
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Ibuprofen Susp 100 MG/5ML||45802095226|5.97||5.97
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Ibuprofen Susp 100 MG/5ML||15127090004|5.79||5.79
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Ibuprofen Susp 100 MG/5ML||00904557720|20.83||20.83
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Acetaminophen Suppos 120 MG||00472120106|5.62||5.62
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Acetaminophen Suppos 120 MG||51672211502|5.94||5.94
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Levonorgestrel Tab 1.5 MG||51285016288|129.97||129.97
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Isosorbide Mononitrate Tab 20 MG||62175010701|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Pot Phos Monobasic w/Sod Phos Di & Monobas Tab 155-852-130MG||64980010401|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Ketorolac Tromethamine Tab 10 MG||00093031401|13.36||13.36
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Labetalol HCl Tab 100 MG||51079092801|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Labetalol HCl Tab 100 MG||43199003701|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Labetalol HCl Tab 100 MG||51079092820|3.75||3.75,3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Acetaminophen Suppos 325 MG||00713016412|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Lisinopril Tab 5 MG||00172375860|3.75||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Lisinopril Tab 5 MG||00904581161|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Lisinopril Tab 5 MG||43547035210|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Loratadine Tab 10 MG||63868015110|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Loratadine Tab 10 MG||51660052631|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Loratadine Tab 10 MG||51660052660|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Lovastatin Tab 20 MG||68180046801|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Lovastatin Tab 20 MG||68180046807|3.75||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Acetaminophen Suppos 650 MG||45802073000|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Acetaminophen Suppos 650 MG||45802073030|5.25||5.25
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Metformin HCl Tab 500 MG||00904632661|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Metolazone Tab 5 MG||00378617301|3.75||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Metolazone Tab 5 MG||65580064471|5.15||5.15
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Nifedipine Tab ER 24HR 30 MG||00093527201|5.34||5.34
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Nifedipine Tab ER 24HR 30 MG||49884067701|5.41||5.41
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Nitrofurantoin Monohydrate Macrocrystalline Cap 100 MG||16714043901|13.57||13.57
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Bisacodyl Tab Delayed Release 5 MG||00904792761|3.75||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Bisacodyl Suppos 10 MG||00713010906|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Bisacodyl Suppos 10 MG||00713010901|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Bisacodyl Suppos 10 MG||00713010912|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Oxycodone HCl Tab 5 MG||00406055262|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Oxycodone HCl Tab 5 MG||00406055223|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Oxycodone HCl Tab 5 MG||00904644461|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Polysaccharide Iron Complex Cap 150 MG (Iron Equivalent)||60258018501|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Omega-3 Fatty Acids Cap Delayed Release 1000 MG||68094010961|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Pravastatin Sodium Tab 10 MG||00093077110|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Pravastatin Sodium Tab 40 MG||00093720298|14.29||14.29
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Pravastatin Sodium Tab 40 MG||60505017009|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Prochlorperazine Suppos 25 MG|99070|00713013512|4.44||4.44
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Promethazine HCl Suppos 25 MG||00713052612|4.01||4.01
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Probiotic Product - Cap||37000029417|6.03||6.03
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Psyllium Powder 48.57%||00536444454|30.49||30.49
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Psyllium Powder 48.57%||00536444489|41.09||41.09
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Ramipril Cap 2.5 MG||68180058901|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Ranitidine HCl Tab 150 MG||51079087901|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Ranitidine HCl Tab 150 MG||51079087920|3.75||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Sennosides Tab 8.6 MG||00904516561|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Sennosides Tab 8.6 MG||00904652261|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Sertraline HCl Tab 100 MG||59762491003|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Sertraline HCl Tab 50 MG||68084018101|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Sertraline HCl Tab 50 MG||68084018111|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Sertraline HCl Tab 50 MG||60687024201|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Simvastatin Tab 10 MG||51079045401|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Simvastatin Tab 10 MG||51079045420|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Simvastatin Tab 10 MG||68084051101|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Simvastatin Tab 10 MG||68084051111|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Simvastatin Tab 40 MG||00904580261|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Simvastatin Tab 40 MG||16729000615|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Simvastatin Tab 40 MG||68180046409|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Sucralfate Tab 1 GM||51079075320|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Sucralfate Tab 1 GM||00093221001|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Terbutaline Sulfate Tab 2.5 MG||00115261101|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Rivaroxaban Tab 15 MG||50458057830|42.81||42.81
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Timolol Maleate Ophth Soln 0.5%||64980051405|12.19||12.19
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Timolol Maleate Ophth Soln 0.5%||17478028810|14.75||14.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Polymyxin B-Trimethoprim Ophth Soln 10000 Unit/ML-0.1%||17478070311|20.40||20.40
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Polymyxin B-Trimethoprim Ophth Soln 10000 Unit/ML-0.1%||24208031510|10.04||10.04
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Polymyxin B-Trimethoprim Ophth Soln 10000 Unit/ML-0.1%||61314062810|42.30||42.30
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Sulfamethoxazole-Trimethoprim Tab 800-160 MG||53746027201|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Sulfamethoxazole-Trimethoprim Tab 800-160 MG||51079012801|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Sulfamethoxazole-Trimethoprim Tab 800-160 MG||51079012808|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Sulfamethoxazole-Trimethoprim Tab 800-160 MG||53489014601|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Zolpidem Tartrate Tab 5 MG||00093007301|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Zolpidem Tartrate Tab 5 MG||51079072401|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Zolpidem Tartrate Tab 5 MG||51079072420|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Zolpidem Tartrate Tab 5 MG||55111047801|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Lactobacillus Tab||64980012950|8.88||8.88
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Mirabegron Tab ER 24 HR 25 MG||00469260130|47.78||47.78
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Meclizine HCl Tab 12.5 MG||00536101701|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Theophylline Tab ER 12HR 300 MG||62332002531|17.07||17.07
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Theophylline Tab ER 12HR 300 MG||50111045901|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Potassium Chloride Tab ER 10 mEq||66758016013|3.81||3.81
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Potassium Chloride Tab ER 10 mEq||66758016006|3.81||3.81
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Pramoxine-Zinc Acetate Lotion 1-0.1%||12547031180|24.26||24.26
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Diphenhydramine HCl Liquid 12.5 MG/5ML||15127050404|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Diphenhydramine HCl Liquid 12.5 MG/5ML||63868082354|3.75||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Oxycodone HCl Tab ER 12HR Deter 10 MG||59011041010|23.89||23.89
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Oxycodone HCl Tab ER 12HR Deter 20 MG||00093573201|25.26||25.26
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Triamterene & Hydrochlorothiazide Cap 37.5-25 MG||51079093501|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Triamterene & Hydrochlorothiazide Cap 37.5-25 MG||51079093520|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Umeclidinium Br Aero Powd Breath Act 62.5 MCG/INH (Base Eq)||00173087310|39.18||39.18
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Verapamil HCl Tab ER 240 MG||00378141105|3.95||3.95
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Verapamil HCl Tab ER 240 MG||68462026001|3.93||3.93
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Naloxegol Oxalate Tab 25 MG (Base Equivalent)||00310197030|42.72||42.72
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Naproxen Sodium Tab 220 MG||00113949078|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Naproxen Sodium Tab 220 MG||00536109301|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Naproxen Sodium Tab 220 MG||63868046501|3.75||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Verapamil HCl Tab ER 120 MG||68462029201|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Methylprednisolone Tab Therapy Pack 4 MG (21)||59746000103|6.42||6.42
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Cholecalciferol Tab 400 Unit||00904582360|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Carbamazepine Tab 200 MG||00904617261|7.20||7.20
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Carbamazepine Tab 200 MG||51079038520|5.06||5.06
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Fluconazole Tab 150 MG||59762501701|23.64||23.64
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Aspirin Tab Delayed Release 325 MG||00603016921|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Acetaminophen w/ Codeine Tab 300-30 MG||51079016101|3.75||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Acetaminophen w/ Codeine Tab 300-30 MG||00093015001|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Aspirin Tab Delayed Release 81 MG||63868036320|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Aspirin Tab Delayed Release 81 MG||00904770418|0.50||0.50
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Acetaminophen w/ Codeine Soln 120-12 MG/5ML||00121050404|42.34||42.34
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Terazosin HCl Cap 2 MG (Base Equivalent)||59746038406|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Terazosin HCl Cap 2 MG (Base Equivalent)||00093433701|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Verapamil HCl Tab ER 180 MG||68462029301|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Tramadol HCl Tab 50 MG||65162062750|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Tramadol HCl Tab 50 MG||16714011105|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Tramadol HCl Tab 50 MG||16714011106|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Tramadol HCl Tab 50 MG||51079099120|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Multiple Vitamins w/ Minerals Tab||00005445171|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Losartan Potassium Tab 50 MG||13668040930|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Losartan Potassium Tab 50 MG||13668040990|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Sumatriptan Succinate Tab 50 MG||63304009819|4.40||4.40
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Sumatriptan Succinate Tab 50 MG||55111029209|5.44||5.44
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Sumatriptan Succinate Tab 50 MG||63304009811|4.40||4.40
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Ibuprofen Susp 40 MG/ML||63868007630|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Carvedilol Tab 6.25 MG||68462016301|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Carvedilol Tab 12.5 MG||00093729501|3.75||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Carvedilol Tab 12.5 MG||68462016401|3.75||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Carvedilol Tab 12.5 MG||00904630261|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Azithromycin For Susp 100 MG/5ML||59762311001|24.73||24.73
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Azithromycin For Susp 100 MG/5ML||00093202723|73.36||73.36
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Azithromycin For Susp 200 MG/5ML||59762313001|10.82||10.82
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Azithromycin For Susp 200 MG/5ML||59762314001|8.51||8.51
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Dextromethorphan-Guaifenesin Syrup 10-100 MG/5ML||00031873712|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Chlordiazepoxide HCl Cap 5 MG||00555015802|6.35||6.35
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Glimepiride Tab 2 MG||16729000201|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Glimepiride Tab 2 MG||68084032601|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Glimepiride Tab 2 MG||69452012920|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Paroxetine HCl Tab 10 MG||60505009702|7.75||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Paroxetine HCl Tab 10 MG||68382009706|3.75||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Paroxetine HCl Tab 10 MG||13107015430|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Melatonin Tab 3 MG||00904518252|3.75||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Melatonin Tab 3 MG||00904518261|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Chlordiazepoxide HCl-Clidinium Bromide Cap 5-2.5 MG||68682040910|6.65||6.65
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Clindamycin HCl Cap 150 MG||00904595961|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Clindamycin HCl Cap 150 MG||63304069201|3.75||3.75,3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Mirtazapine Tab 15 MG||51079008601|3.75||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Mirtazapine Tab 15 MG||13107003134|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Clonidine HCl Tab 0.1 MG||00904565661|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Clonidine HCl Tab 0.1 MG||52817018010|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Olanzapine Tab 5 MG||60505311100|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Gabapentin Cap 300 MG||00904563261|3.75||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Gabapentin Cap 300 MG||65862019901|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Gabapentin Cap 100 MG||68084078301|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Gabapentin Cap 100 MG||68084078311|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Risperidone Tab 1 MG||00378351191|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Risperidone Tab 1 MG||00904597561|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Risperidone Tab 1 MG||00904635961|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Latanoprost Ophth Soln 0.005%||24208046325|30.35||30.35
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Donepezil Hydrochloride Tab 10 MG||43547027609|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Donepezil Hydrochloride Tab 10 MG||00904640961|13.53||13.53
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Levofloxacin Tab 500 MG||00093729253|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Levofloxacin Tab 500 MG||33342002208|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Levofloxacin Tab 500 MG||00904635261|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Levofloxacin Tab 500 MG||64376013155|4.02||4.02
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Levofloxacin Tab 500 MG||69097028970|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Atorvastatin Calcium Tab 20 MG (Base Equivalent)||60505257909|4.10||4.10
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Atorvastatin Calcium Tab 20 MG (Base Equivalent)||00904629161|3.92||3.92
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Atorvastatin Calcium Tab 20 MG (Base Equivalent)||68084009801|5.94||5.94
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Atorvastatin Calcium Tab 20 MG (Base Equivalent)||68084009811|5.94||5.94
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Atorvastatin Calcium Tab 20 MG (Base Equivalent)||00071015623|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Zinc Oxide Oint 40%||63868059357|10.73||10.73
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Ketorolac Tromethamine Ophth Soln 0.5%||17478020919|19.06||19.06
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Ketorolac Tromethamine Ophth Soln 0.5%||00023218105|269.47||269.47
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Cyclobenzaprine HCl Tab 10 MG||51079064401|3.75||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Azithromycin Tab 250 MG||59762306001|5.64||5.64
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Azithromycin Tab 250 MG||68180016006|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Azithromycin Tab 250 MG||68180016013|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Azithromycin Tab 250 MG||68180016011|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Citalopram Hydrobromide Tab 20 MG (Base Equiv)||00904608561|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Quetiapine Fumarate Tab 25 MG||00904627761|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Quetiapine Fumarate Tab 25 MG||68180044503|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Quetiapine Fumarate Tab 100 MG||68180044701|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Quetiapine Fumarate Tab 100 MG||16714045401|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Clopidogrel Bisulfate Tab 75 MG (Base Equiv)||51079055701|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Clopidogrel Bisulfate Tab 75 MG (Base Equiv)||65862035790|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Clopidogrel Bisulfate Tab 75 MG (Base Equiv)||00904629461|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Raloxifene HCl Tab 60 MG||00093729056|4.39||4.39
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Cefdinir Cap 300 MG||68180071160|8.49||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Cefdinir Cap 300 MG||65862017760|4.00||4.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Montelukast Sodium Tab 10 MG (Base Equiv)||00603465502|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Montelukast Sodium Tab 10 MG (Base Equiv)||69452010519|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Sulfamethoxazole-Trimethoprim Susp 200-40 MG/5ML||65862049647|12.19|J3490|
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Dorzolamide HCl-Timolol Maleate Ophth Soln 22.3-6.8 MG/ML||61314003002|79.80||79.80
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Dorzolamide HCl-Timolol Maleate Ophth Soln 22.3-6.8 MG/ML||24208048610|5.25||5.25
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Amoxicillin & K Clavulanate Tab 250-125 MG||00781187431|23.30||23.30
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Verapamil HCl Cap ER 24HR 180 MG||00591288201|11.14||11.14
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Diazepam Tab 5 MG||51079028501|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Diazepam Tab 5 MG||51079028520|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Sennosides-Docusate Sodium Tab 8.6-50 MG||57896045501|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Sennosides-Docusate Sodium Tab 8.6-50 MG||00904633961|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Isosorbide Mononitrate Tab ER 24HR 60 MG||62175011937|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Digoxin Tab 125 MCG (0.125 MG)||00115981103|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Digoxin Tab 125 MCG (0.125 MG)||00527132401|4.59||4.59
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Celecoxib Cap 100 MG||65862090801|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Isosorbide Mononitrate Tab ER 24HR 30 MG||68084059101|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Isosorbide Mononitrate Tab ER 24HR 30 MG||68084059111|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Isosorbide Mononitrate Tab ER 24HR 30 MG||00904644961|3.98||3.98
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Diltiazem HCl Tab 60 MG||00378004501|3.75||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Diltiazem HCl Tab 60 MG||00093031901|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Ciprofloxacin HCl Tab 500 MG (Base Equiv)||51079018220|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Diphenoxylate w/ Atropine Tab 2.5-0.025 MG||00378041501|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Diphenoxylate w/ Atropine Tab 2.5-0.025 MG||59762106101|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Polyethylene Glycol 3350 Oral Packet||11523723401|6.79||6.79
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Polyethylene Glycol 3350 Oral Packet||11523726803|6.79||6.79
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Polyethylene Glycol 3350 Oral Packet||41100080676|7.16||7.16
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Fexofenadine HCl Tab 180 MG||00904621448|4.84||4.84
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Fexofenadine HCl Tab 180 MG||62011006701|6.09||6.09
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Divalproex Sodium Tab Delayed Release 125 MG||00074621213|3.90||3.90
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Docusate Sodium Cap 100 MG||00904224461|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Docusate Sodium Cap 100 MG||00904645561|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Docusate Sodium Cap 100 MG||63868011001|3.75||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Gabapentin Tab 600 MG||16714033002|4.19||4.19
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Pantoprazole Sodium EC Tab 40 MG (Base Equiv)||51079005101|5.97||5.97
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Pantoprazole Sodium EC Tab 40 MG (Base Equiv)||51079005120|5.97||5.97
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Pantoprazole Sodium EC Tab 40 MG (Base Equiv)||13668042990|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Carbidopa & Levodopa Tab ER 50-200 MG||00006391968|7.68||7.68
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Oseltamivir Phosphate Cap 75 MG (Base Equiv)||00004080085|61.42||61.42
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Oseltamivir Phosphate Cap 75 MG (Base Equiv)||47781047013|38.48||38.48
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Levetiracetam Tab 500 MG||00904605261|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Levetiracetam Tab 500 MG||68180011316|3.75||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Charcoal Activated Liq||00574012104|57.90||57.90
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Nitroglycerin TD Patch 24HR 0.4 MG/HR||00378911293|7.64||7.64
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Omeprazole Cap Delayed Release 20 MG||00904568461|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Omeprazole Cap Delayed Release 20 MG||51079000701|3.75||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Omeprazole Cap Delayed Release 20 MG||55111015801|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Ondansetron Orally Disintegrating Tab 4 MG|Q0162|00781523864|5.34||5.34
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Ondansetron Orally Disintegrating Tab 4 MG|Q0162|00781523806|5.32||5.32
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Ondansetron Orally Disintegrating Tab 4 MG|Q0162|65862039010|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Venlafaxine HCl Cap ER 24HR 37.5 MG (Base Equivalent)||68084069801|4.70||4.70
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Venlafaxine HCl Cap ER 24HR 37.5 MG (Base Equivalent)||68084069811|4.70||4.70
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Venlafaxine HCl Cap ER 24HR 150 MG (Base Equivalent)||13668002030|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Venlafaxine HCl Cap ER 24HR 150 MG (Base Equivalent)||68084071301|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Venlafaxine HCl Cap ER 24HR 150 MG (Base Equivalent)||68084071311|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Nicotine TD Patch 24HR 7 MG/24HR||00067512407|11.38||11.38
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Nicotine TD Patch 24HR 7 MG/24HR||00067512409|11.38||11.38
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Nicotine TD Patch 24HR 7 MG/24HR||43598044670|13.24||13.24
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Nicotine TD Patch 24HR 14 MG/24HR||00067512507|14.87||14.87
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Nicotine TD Patch 24HR 14 MG/24HR||43598044770|13.24||13.24
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Nicotine TD Patch 24HR 14 MG/24HR||43598044771|13.24||13.24
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Nicotine TD Patch 24HR 21 MG/24HR||00067512607|11.25||11.25
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Nicotine TD Patch 24HR 21 MG/24HR||43598044870|14.58||14.58
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Nicotine TD Patch 24HR 21 MG/24HR||43598044871|14.58||14.58
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Acetaminophen Disintegrating Tab 80 MG||00904579146|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Fentanyl TD Patch 72HR 25 MCG/HR||00406902576|22.06||22.06
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Fentanyl TD Patch 72HR 25 MCG/HR||60505700600|12.73||12.73
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Fentanyl TD Patch 72HR 25 MCG/HR||60505700602|12.73||12.73
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Fentanyl TD Patch 72HR 25 MCG/HR||47781042447|11.11||11.11
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Fentanyl TD Patch 72HR 75 MCG/HR||00378912398|137.54||137.54
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Fentanyl TD Patch 72HR 75 MCG/HR||00406907576|41.39||41.39
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Fentanyl TD Patch 72HR 75 MCG/HR||47781042747|22.11||22.11
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Fentanyl TD Patch 72HR 75 MCG/HR||47781042711|22.11||22.11
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Fentanyl TD Patch 72HR 100 MCG/HR||00406900076|49.05||49.05
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Polyvinyl Alcohol Ophth Soln 1.4%||00536197072|24.94||24.94
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Polyvinyl Alcohol Ophth Soln 1.4%||00536108494|5.25||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Sodium Polystyrene Sulfonate Oral Susp 15 GM/60ML||46287000601|23.25||23.25
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Rivastigmine Tartrate Cap 1.5 MG (Base Equivalent)||00078032344|19.06||19.06
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Hydrocodone-Acetaminophen Tab 10-325 MG||53746011001|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Hydrocodone-Acetaminophen Tab 10-325 MG||00406012501|3.87||3.87
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Hydrocodone-Acetaminophen Tab 10-325 MG||00406012523|3.87||3.87
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Hydrocodone-Acetaminophen Tab 10-325 MG||10702019101|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Antipyrine-Benzocaine Otic Soln 54-14 MG/ML (5.4-1.4%)||24208056162|23.81||23.81
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Glycerin Liquid||00395103196|11.90||11.90
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Magnesium Hydroxide Susp 400 MG/5ML||15127083373|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Erythromycin Ophth Oint 5 MG/GM||17478007035|26.66||26.66
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Levofloxacin Tab 750 MG||69097028781|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Alendronate Sodium Tab 70 MG||00093517144|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Alendronate Sodium Tab 70 MG||16714063301|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Alendronate Sodium Tab 70 MG||00115168134|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Diltiazem HCl Coated Beads Cap ER 24HR 120 MG||68084005201|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Diltiazem HCl Coated Beads Cap ER 24HR 120 MG||68084005211|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Diltiazem HCl Coated Beads Cap ER 24HR 120 MG||68682099398|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Diltiazem HCl Coated Beads Cap ER 24HR 120 MG||60687019501|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Diltiazem HCl Coated Beads Cap ER 24HR 120 MG||60687019511|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Diltiazem HCl Coated Beads Cap ER 24HR 180 MG||68084005301|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Diltiazem HCl Coated Beads Cap ER 24HR 180 MG||60687020611|4.04||4.04
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Diltiazem HCl Coated Beads Cap ER 24HR 180 MG||60687020601|4.04||4.04
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Diltiazem HCl Coated Beads Cap ER 24HR 180 MG||00093511798|4.93||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Diltiazem HCl Coated Beads Cap ER 24HR 240 MG||68084005401|5.92||5.92
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Diltiazem HCl Coated Beads Cap ER 24HR 240 MG||68084005411|5.92||5.92
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Diltiazem HCl Coated Beads Cap ER 24HR 240 MG||68682099798|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Diltiazem HCl Coated Beads Cap ER 24HR 240 MG||00093511898|4.18||4.18
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Clotrimazole w/ Betamethasone Cream 1-0.05%||68462029855|31.16||31.16
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Esomeprazole Magnesium Cap Delayed Release 40 MG (Base Eq)||00093645156|25.37||25.37
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Esomeprazole Magnesium Cap Delayed Release 40 MG (Base Eq)||13668015530|18.08||18.08
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Metoprolol Succinate Tab ER 24HR 25 MG (Tartrate Equiv)||62037083001|4.66||4.66
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Metoprolol Succinate Tab ER 24HR 25 MG (Tartrate Equiv)||62037083010|4.82||4.82
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Metoprolol Succinate Tab ER 24HR 25 MG (Tartrate Equiv)||49884082501|3.76||3.76
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Metoprolol Succinate Tab ER 24HR 50 MG (Tartrate Equiv)||62037083101|4.75||4.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Metoprolol Succinate Tab ER 24HR 50 MG (Tartrate Equiv)||62037083110|13.24||13.24
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Metoprolol Succinate Tab ER 24HR 50 MG (Tartrate Equiv)||55111046701|4.76||4.76
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Ferrous Sulfate Tab 325 MG (65 MG Elemental Fe)||00904759160|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Ferrous Sulfate Tab 325 MG (65 MG Elemental Fe)||00904759082|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Allopurinol Tab 100 MG||16729013401|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Allopurinol Tab 100 MG||51079020501|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Allopurinol Tab 100 MG||51079020520|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Omega-3 Fatty Acids Cap 1000 MG||00904404360|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Valsartan Tab 160 MG||00078035934|18.65||18.65
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Valsartan Tab 160 MG||33342006410|4.15||4.15
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Fluocinonide Gel 0.05%||51672127902|5.25||5.25
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Fluocinonide Gel 0.05%||00093026592|57.90||57.90
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Folic Acid Tab 1 MG||65162036110|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Folic Acid Tab 1 MG||65162036111|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Folic Acid Tab 1 MG||51079010501|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Folic Acid Tab 1 MG||51079010520|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Alprazolam Tab 0.25 MG||67253090010|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Alprazolam Tab 0.25 MG||59762371901|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Furosemide Tab 20 MG||00904579661|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Furosemide Tab 20 MG||63304062410|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Furosemide Tab 20 MG||51079007201|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Furosemide Tab 20 MG||51079007220|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Furosemide Tab 40 MG||00904579761|3.75||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Furosemide Tab 40 MG||63304062510|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Voriconazole Tab 200 MG||59762093002|117.49||117.49
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Amoxicillin & K Clavulanate Tab 875-125 MG||00093227534|5.09||5.09
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Escitalopram Oxalate Tab 10 MG (Base Equiv)||16729016901|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Escitalopram Oxalate Tab 10 MG (Base Equiv)||00904642661|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Gemfibrozil Tab 600 MG||68084047311|3.75||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Gemfibrozil Tab 600 MG||69097082103|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Gemfibrozil Tab 600 MG||60687022401|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Gemfibrozil Tab 600 MG||60687022411|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Dutasteride Cap 0.5 MG||51991074933|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Dutasteride Cap 0.5 MG||00115143808|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Dutasteride Cap 0.5 MG||60505387703|3.89||3.89
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Ezetimibe Tab 10 MG||49884022811|34.83||34.83
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Ezetimibe Tab 10 MG||67877049030|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Ezetimibe Tab 10 MG||66582041454|30.53||30.53
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Gentamicin Sulfate Oint 0.1%||21695078515|15.83||15.83
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Hydrocodone-Acetaminophen Tab 5-325 MG||00406036523|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Hydrocodone-Acetaminophen Tab 5-325 MG||00406012323|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Hydrocodone-Acetaminophen Tab 5-325 MG||00406012362|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Neomycin-Polymyxin-HC Otic Soln 1%||24208063110|60.56||60.56
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Glyburide Tab 5 MG||23155005801|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Rosuvastatin Calcium Tab 10 MG||00310075190|27.30||27.30
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Rosuvastatin Calcium Tab 10 MG||16252061630|3.77||3.77
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Rosuvastatin Calcium Tab 10 MG||31722088390|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Haloperidol Tab 1 MG||00781139201|3.75||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Potassium Chloride Microencapsulated Crys ER Tab 10 mEq||66758017013|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Potassium Chloride Microencapsulated Crys ER Tab 20 mEq||66758019013|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Potassium Chloride Microencapsulated Crys ER Tab 20 mEq||68462047201|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Bupropion HCl Tab ER 24HR 150 MG||00115681108|4.14||4.14
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Bupropion HCl Tab ER 24HR 150 MG||00781552831|4.21||4.21
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Docusate Sodium Liquid 150 MG/15ML||00121054416|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Docusate Sodium Liquid 150 MG/15ML||00536059085|3.75||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Docusate Sodium Liquid 150 MG/15ML||50383077116|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Memantine HCl Tab 10 MG||27241007106|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Memantine HCl Tab 10 MG||00456321063|8.48||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Hydralazine HCl Tab 25 MG||62584073301|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Hydralazine HCl Tab 25 MG||62584073311|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Hydrochlorothiazide Tab 25 MG||29300012801|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Hydrochlorothiazide Tab 50 MG||00603385721|3.75||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Hydrocortisone Cream 1%||63868020212|11.35||11.35
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Hydrocortisone Cream 1%||00472034356|9.10||9.10
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Hydrocortisone Oint 1%||00168002031|26.35||26.35
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Hydrocortisone Oint 1%||00168018131|6.05||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Hydrocortisone Oint 1%||45802027603|11.87||11.87
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Hydrocortisone Acetate Suppos 25 MG||00713050312|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Metoprolol Tartrate Tab 25 MG||00378001801|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Guaifenesin Tab ER 12HR 600 MG||63824000834|5.98||5.98
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Guaifenesin Tab ER 12HR 600 MG||00363049858|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Hydroxyzine HCl Tab 25 MG||10702001101|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Multiple Vitamins w/ Minerals Tab||00536509008|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Multiple Vitamins w/ Minerals Tab||00005445171|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Tiotropium Bromide Monohydrate Inhal Cap 18 MCG (Base Equiv)||00597007575|182.44||182.44
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Ibuprofen Tab 200 MG||00904791461|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Ibuprofen Tab 200 MG||00904791559|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Ibuprofen Tab 200 MG||15127031201|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Ibuprofen Tab 200 MG||57896094101|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Lactulose (Encephalopathy) Solution 10 GM/15ML||50383079516|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Lactulose (Encephalopathy) Solution 10 GM/15ML||60432003816|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Indomethacin Cap 25 MG||31722054201|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Indomethacin Cap 25 MG||51079019020|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Trospium Chloride Tab 20 MG||60505345406|12.72||12.72
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Duloxetine HCl Enteric Coated Pellets Cap 30 MG (Base Eq)||47335038283|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Duloxetine HCl Enteric Coated Pellets Cap 30 MG (Base Eq)||60505299603|5.53||5.53
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Duloxetine HCl Enteric Coated Pellets Cap 30 MG (Base Eq)||31722058230|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Duloxetine HCl Enteric Coated Pellets Cap 60 MG (Base Eq)||47335038383|4.78||4.78
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Benzocaine-Menthol Lozenge 6-10 MG||78112001106|3.75||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Fentanyl TD Patch 72HR 12 MCG/HR||60505701000|27.15||27.15
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Fentanyl TD Patch 72HR 12 MCG/HR||60505701002|27.15||27.15
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Fentanyl TD Patch 72HR 12 MCG/HR||47781042347|21.69||21.69
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Fentanyl TD Patch 72HR 12 MCG/HR||47781042311|21.69||21.69
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Pregabalin Cap 50 MG||00071101341|33.78||33.78
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Naphazoline-Glycerin Ophth Soln 0.012-0.2%||78112025415|19.06||19.06
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Amitriptyline HCl Tab 25 MG||00781148701|3.75||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Levothyroxine Sodium Tab 25 MCG||51079044420|15.00||15.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Levothyroxine Sodium Tab 25 MCG||00378180077|15.00||15.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Levothyroxine Sodium Tab 50 MCG||51079044020|7.55||7.55
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Levothyroxine Sodium Tab 50 MCG||00074455211|7.50||7.50
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Levothyroxine Sodium Tab 75 MCG||51079044101|8.01||8.01
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Levothyroxine Sodium Tab 75 MCG||51079044120|8.01||8.01
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Levothyroxine Sodium Tab 75 MCG||00527134301|7.50||7.50
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Levothyroxine Sodium Tab 75 MCG||00074518211|7.50||7.50
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Levothyroxine Sodium Tab 100 MCG||51079044220|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Levothyroxine Sodium Tab 100 MCG||00781518492|4.21||4.21
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Levothyroxine Sodium Tab 100 MCG||00074662411|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Lisinopril Tab 20 MG||68180051501|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Lisinopril Tab 20 MG||00904580961|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Lisinopril Tab 20 MG||43547035410|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Lisinopril Tab 20 MG||00904648661|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Amoxicillin (Trihydrate) For Susp 125 MG/5ML||00143988801|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Amoxicillin (Trihydrate) For Susp 125 MG/5ML||00093415080|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Amoxicillin (Trihydrate) For Susp 250 MG/5ML||00781604155|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Amoxicillin (Trihydrate) For Susp 250 MG/5ML||00143988915|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Loperamide HCl Cap 2 MG||51079069001|5.00||5.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Loperamide HCl Cap 2 MG||51079069020|5.00||5.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Loperamide HCl Liq 1 MG/5ML (0.2 MG/ML)||50383061804|15.34||15.34
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Loperamide HCl Tab 2 MG||63868033824|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Lorazepam Tab 0.5 MG||51079041701|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Lorazepam Tab 0.5 MG||00904600761|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Lorazepam Tab 0.5 MG||51079041720|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Lorazepam Tab 1 MG||51079038601|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Lorazepam Tab 1 MG||00904598161|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Lorazepam Tab 1 MG||00591024101|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Lorazepam Tab 1 MG||69315090501|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Lorazepam Tab 1 MG||51079038620|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Magnesium Citrate Soln||63868093510|5.05||5.05
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Magnesium Citrate Soln||63868093510|5.05||5.05
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Magnesium Citrate Soln||15127000166|6.77||6.77
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Methadone HCl Tab 10 MG||00406577101|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Methocarbamol Tab 500 MG||76385012301|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Metoclopramide HCl Tab 10 MG (Base Equivalent)||51079088801|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Metoclopramide HCl Tab 10 MG (Base Equivalent)||51079088820|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Metoprolol Tartrate Tab 50 MG||62584026601|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Metoprolol Tartrate Tab 50 MG||62584026611|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Metoprolol Tartrate Tab 50 MG||00378003201|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Metronidazole Tab 500 MG||29300022701|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Miconazole Nitrate Cream 2%||00472073556|13.01||13.01
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Mineral Oil Enema||00132030140|11.66||11.66
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Morphine Sulfate Oral Soln 10 MG/5ML||00054023763|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Morphine Sulfate Oral Soln 10 MG/5ML||00054023741|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Morphine Sulfate Tab 15 MG||00054023524|5.97||5.97
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Morphine Sulfate Tab 15 MG||00054023525|6.61||6.61
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Nitroglycerin SL Tab 0.4 MG||00071041813|5.25||5.25
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Nitroglycerin Oint 2%||00281032630|33.51||33.51
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Nystatin Cream 100000 Unit/GM||00603781878|53.92||53.92
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Nystatin Cream 100000 Unit/GM||45802005911|27.64||27.64
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Nystatin Susp 100000 Unit/ML||00121478505|18.75||18.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Nystatin Susp 100000 Unit/ML||00121481040|7.42||7.42
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Nystatin Susp 100000 Unit/ML||00121481005|7.42||7.42
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Nystatin Susp 100000 Unit/ML||60432053760|81.22||81.22
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Oxybutynin Chloride Tab 5 MG||50111045601|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Oxycodone w/ Acetaminophen Tab 5-325 MG||00406051201|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Oxycodone w/ Acetaminophen Tab 5-325 MG||00406051262|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Oxycodone w/ Acetaminophen Tab 5-325 MG||00406051223|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Oxycodone w/ Acetaminophen Tab 5-325 MG||57664015588|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Penicillin V Potassium For Soln 250 MG/5ML||00093412773|18.48||18.48
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Penicillin V Potassium Tab 250 MG||65862017501|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Emollient - Ointment||72140003147|46.50||46.50
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Phenytoin Susp 125 MG/5ML||51672406901|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Phenytoin Sodium Extended Cap 100 MG||51672411101|3.75||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Potassium Chloride Powder Packet 20 mEq||76439034330|6.84||6.84
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Potassium Chloride Powder Packet 20 mEq||69543037901|29.94||29.94
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Potassium Chloride Powder Packet 20 mEq||69543037930|29.94||29.94
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Prednisone Oral Soln 5 MG/5ML|J7512|00054372250|22.46||22.46
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Prednisone Tab 1 MG|J7512|59746017106|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Prednisone Tab 1 MG|J7512|00054873925|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Prednisone Tab 10 MG|J7512|00054001720|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Prednisone Tab 10 MG|J7512|59746017306|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Prednisone Tab 20 MG|J7512|00054001820|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Prednisone Tab 5 MG|J7512|00054872425|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Prochlorperazine Maleate Tab 5 MG (Base Equivalent)|Q0164|51079054101|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Prochlorperazine Maleate Tab 5 MG (Base Equivalent)|Q0164|51079054120|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Promethazine w/ Codeine Syrup 6.25-10 MG/5ML||00603158554|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Propranolol HCl Tab 40 MG||00115166101|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Propranolol HCl Tab 40 MG||50111046901|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Aspirin Chew Tab 81 MG||00603002436|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Aspirin Chew Tab 81 MG||00904628889|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Aspirin Chew Tab 81 MG||63868024036|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Aspirin Chew Tab 81 MG||63868002939|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Aspirin Chew Tab 81 MG||63868024136|3.75||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Aspirin Tab 325 MG||63868035210|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Aspirin Tab Delayed Release 81 MG||00904770418|0.50||0.50
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Aspirin Tab Delayed Release 81 MG||00904671318|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Aspirin Suppos 300 MG||00574703412|8.40||8.40
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Potassium & Sodium Phosphates Powder Pack 280-160-250 MG||60258000601|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Atenolol Tab 50 MG||51079068420|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Sodium Chloride Tab 1 GM||00223176001|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Spironolactone Tab 25 MG||00228280311|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Spironolactone Tab 25 MG||00904595161|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|B-Complex w/ C & E + Zn Tab||00904272752|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Sulfamethoxazole-Trimethoprim Tab 400-80 MG||53489014501|3.75||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Glycerin Suppos 1.2 GM||00713010213|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Glycerin Suppos 1.2 GM||00713010226|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Calcium Carbonate-Vitamin D Tab 600 MG-400 Unit||00904323352|3.75||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Cholecalciferol Tab 1000 Unit||00904582489|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Temazepam Cap 15 MG||00228207610|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Temazepam Cap 15 MG||51079041801|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Guaifenesin-Codeine Soln 100-10 MG/5ML||00121077504|13.82||13.82
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Trazodone HCl Tab 50 MG||50111043301|3.75||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Triamcinolone Acetonide Cream 0.1%||51672128202|7.71||7.71
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Glucose Gel 40%||00574007030|33.56||33.56
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Glucose Gel 40%||00574006930|17.84||17.84
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Thiamine HCl Tab 100 MG||00904054460|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Cyanocobalamin Tab 500 MCG||00536355101|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Cyanocobalamin Tab 500 MCG||40985022309|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Vitamin E Cap 400 Unit||52569013445|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Warfarin Sodium Tab 2 MG||00056017001|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Warfarin Sodium Tab 2 MG||00056017075|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Warfarin Sodium Tab 2.5 MG||00056017601|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Warfarin Sodium Tab 2.5 MG||00056017675|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Warfarin Sodium Tab 5 MG||00056017201|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Warfarin Sodium Tab 5 MG||00056017275|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|White Petrolatum Ointment||00168005321|6.38||6.38
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Oseltamivir Phosphate Cap 30 MG (Base Equiv)||00004080285|56.38||56.38
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Oseltamivir Phosphate Cap 30 MG (Base Equiv)||47781046813|35.43||35.43
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Zinc Oxide Oint 20%||00168006202|50.37||50.37
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Nebivolol HCl Tab 5 MG (Base Equivalent)||00456140530|16.79||16.79
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Acetaminophen Susp 160 MG/5ML||63868083560|7.36||7.36
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Acetaminophen Susp 160 MG/5ML||81483201095|5.09||5.09
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Acetaminophen Susp 160 MG/5ML||63868083660|4.61||4.61
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Acetaminophen Susp 160 MG/5ML||50580057902|32.33||32.33
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Acetaminophen Susp 160 MG/5ML||00045012304|4.42||4.42
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Acetaminophen Susp 160 MG/5ML||63868017526|3.75||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Acyclovir Tab 400 MG||00904579061|4.14||4.14
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Amiodarone HCl Tab 200 MG||68382022714|3.75||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Amiodarone HCl Tab 200 MG||00904655661|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Amiodarone HCl Tab 200 MG||00093913306|4.07||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Amlodipine Besylate Tab 2.5 MG (Base Equivalent)||59762152001|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Amlodipine Besylate Tab 2.5 MG (Base Equivalent)||68382012105|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Amlodipine Besylate Tab 2.5 MG (Base Equivalent)||00603210802|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Amlodipine Besylate Tab 2.5 MG (Base Equivalent)||67877019790|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Amlodipine Besylate Tab 5 MG (Base Equivalent)||68382012205|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Amlodipine Besylate Tab 5 MG (Base Equivalent)||42806005609|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Amlodipine Besylate Tab 5 MG (Base Equivalent)||00904637061|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Amoxicillin & K Clavulanate For Susp 250-62.5 MG/5ML||60432006547|14.31||14.31
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Amoxicillin & K Clavulanate For Susp 250-62.5 MG/5ML||60432006575|14.31||14.31
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Phenazopyridine HCl Tab 97.5 MG||63868010112|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Benazepril HCl Tab 5 MG||43547033510|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Prednisolone Sod Phosph Oral Soln 6.7 MG/5ML (5 MG/5ML Base)||50383004004|9.60||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Prednisolone Sod Phosph Oral Soln 6.7 MG/5ML (5 MG/5ML Base)||65580025101|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Bumetanide Tab 1 MG||00185012901|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Bumetanide Tab 1 MG||00093423301|3.78||3.78
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Bumetanide Tab 1 MG||42799012001|4.22||4.22
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Calcitriol Cap 0.25 MCG||64380072304|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Calcium Carbonate (Antacid) Chew Tab 750 MG||63868012722|3.75||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Calcium Carbonate (Antacid) Chew Tab 750 MG||00536104922|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Calcium Carbonate (Antacid) Chew Tab 750 MG||00904769591|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Captopril Tab 12.5 MG||00143117101|4.81||4.81
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Carbidopa & Levodopa Tab 25-100 MG||00228253910|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Carbidopa & Levodopa Tab 25-100 MG||00904623761|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Carbidopa & Levodopa Tab 25-250 MG||00378113301|6.44||6.44
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Cholecalciferol Tab 2000 Unit||00761016840|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Cephalexin Cap 250 MG||68180012101|3.75||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Cephalexin Cap 250 MG||00143989801|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Cephalexin Cap 250 MG||76439010110|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Cephalexin Cap 250 MG||69543010110|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Cephalexin For Susp 125 MG/5ML||68180012302|97.05||97.05
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Cephalexin For Susp 250 MG/5ML||68180012402|118.00||118.00
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Cephalexin For Susp 250 MG/5ML||42043014358|4.66||
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Cetirizine HCl Tab 10 MG||51079059701|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Calcium Citrate-Vitamin D Tab 200 MG-250 Unit (Elemental Ca)||16500053502|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Benzonatate Cap 100 MG||65162053610|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Acetaminophen Chew Tab 80 MG||00904525646|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Doxycycline Monohydrate Cap 100 MG||49884072703|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Enalapril Maleate Tab 20 MG||64679092603|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Enalapril Maleate Tab 20 MG||16714044502|6.08||6.08
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Enalapril Maleate Tab 20 MG||68682071301|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Enalapril Maleate Tab 20 MG||00093002901|4.34||4.34
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Enalapril Maleate Tab 5 MG||00904550261|3.75||3.75
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Enalapril Maleate Tab 5 MG||64679092402|4.56||4.56
CAVALIER COUNTY MEMORIAL HOSPITAL AND CLINICS|6370005|Enalapril Maleate Tab 5 MG||64679092403|3.75||3.75