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Customer number: 21322 <br />Store number: 16639 <br />Batch number: 151 <br />Account number: 008-030510 <br />Name: DEUEL VOCATIONAL <br />INSTITUTION <br />AKORN <br />ETHEX <br />e ksi'raxe� <br />Credits passed through: 21322 <br />Customer reference number: GRX21322151 <br />Service Date: 12/13/2006 <br />Non -Returnable Report <br />10rent Date: <br />1/9/2007 <br />1hone: <br />(916)928-0641 <br />Wholesaler: <br />AMERISOURCEBERGEN-008 <br />Address: <br />1325 WEST STRIKER AVENUE <br />SACRAMENTO, CA 95834 <br />Mane, .,',, i, s,� 5trengtir C�,WdjLw tdumber 1 ExPlre ?a <br />NITROQUICK 0.250 100.00 0.4MG 58177032418 R 4.56 Ot 11/05 <br />Total: 1 1.0001 4.56 <br />NEPHRON PHARM <br />ALBUTEROL SULFATE <br />ORGANON <br />e ._ „1)rn ,Name.., QuatStity ,. ?Sid§; ,. ... Strength, ...;; NDCtd41,_ CiasB, ,,Pfice s ,i2Cede x Lr>YNttmbar,, ,, ExOre:t7At8< <br />REMERON SOLTAB 1.000 30.00 15MG 000520106301 R 1 69.271 01 1 12/04 <br />Total: 1 ..000169.271 i <br />TEVA PHARM. <br />HALOPERIDOL <br />UDL (Direct) <br />�,NDGND„.�.",. C,fass RrlOa„ (fCnHq , „LutNumber„�„ >FSxplre;pata= <br />TRIAMTERENE AND HYDROCHLOROTHIAZIDE 0.200 100.00 „' :%, <br />37.5/25M 51079093520 R 1 2 02 5107993520 <br />Total: 1 1.0001 1 1 1 1 3.02 <br />Reason Code: <br />01 OUTDATED PAST VENDOR POLICY <br />02 VENDOR ACCEPTS FULL PACKAGES ONLY 06 WHSLR RTN. NO CHARGE <br />7 <br />E” <br />v <br />NY Division: 100 Colin Drive, Holbrook, NY 11741, Phone: 1-800-473-2138; Midwest Division: 100 Teduke Court, St Charles, MO 63301, Phone: 1-800-729-3279 <br />Page 3 of 4 <br />