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gr_whtrn-st,orlasrDEVOS <br />LTD., DBA GUARANTEED RETURNS <br />jft <br />100 <br />Colin Drive Holbrook, NY 11741-4306 <br />1W Page: 277 <br />Cust. #: 15152 - <br />- �'''arj:jr'-` <br />(DEA#: RD0188311 EPA#: NY0000997692 ) <br />/ <br />Store #: 5793 <br />r res <br />-match #: 157 ,,). <br />(''� 7T�� <br />RETURN 17 0 O1J S <br />yt. #: 805663 <br />Print Date Sep 7, 2005 <br />ir: DEUEL VOCATIONAL INSTITUTION <br />Phone: (209) 635-4141 <br />23500 KASSON ROAD <br />RETURNABLES <br />P.O. BOX 400 - PHARMACY DEPT. <br />Credits passed through: 15152 Wholesaler: MCKESSON-26 <br />TRACY, CA 95376 <br />Cust Ref #/Debit#: GRX15152157 <br />Address: 3775 SEAPORT BLVD. <br />Contact VINCENT <br />Service Date: 08/19/05 <br />182-W. SACRAMENTO, CA 94403 <br />Dea # AV3309831 <br />QUANTITY <br />DEA <br />VENDOR F j P <br />SIZE STRENGTH DRUG NAME <br />NDCNO CLASS PRICE <br />WATSON PHARMA. INC. 1.000 <br />500.00 60MG <br />--------- -- ------------------ <br />DILTIAZEM HCL <br />----------- ----- -------- <br />5254477605 R 36.09 <br />WATSON PHARMA. INC. 1.000 <br />100.00 10 MG <br />CYCLOBENZAPRINE HCL <br />591565801 R 18.74 <br />4YETH/AYERST/LEDERLE .490 <br />100.00 37.5 MG EFFEXOR <br />8078101 R 73.87 <br />NYETH/AYERST/LEDERLE 1.000 <br />100.00 25 MG <br />EFFEXOR <br />8070101 R 146.35 <br />4YETH/AYERST/LEDERLE .200 <br />100.00 25 MG <br />EFFEXOR <br />8070101 R 29.27 <br />TOTAL COST OF RETURNABLE <br />PRODUCT: <br />7595.31 <br />CREDIT ISSUED DIRECT FROM VENDORS: <br />-797.82 <br />MAJOR <br />17.11 <br />UDL <br />15.61 <br />ABBOTT PHARM <br />90.94 <br />AMERICAN PHARM. INC. <br />1.64 <br />BRISTOL/SQUIBB/NOVO <br />28.70 <br />HOSPIRA WORLDWIDE <br />57.20 <br />MYLAN <br />140.63 <br />NOVARTIS PHARM. <br />196.50 <br />WYETH/AYERST/LEDERLE <br />249.49 <br />16.0% SERVICE FEE (8.5 BASE + 7.50 ON SITE) -1215.25 <br />ESTIMATED CREDIT ISSUED FROM WHOLESALER: 5582.24 <br />Total Items: 145 <br />