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gr_whtrn-storlasr <br />QUANTITY <br />Cust. #: <br />15152 <br />Store #: <br />5793 <br />f <br />-,Lch #: <br />157 <br />t. #: <br />805663 <br />F I P <br />--'r: <br />4i <br />DEUEL VOCATIONAL INSTITUTION <br />DRUG NAME <br />Adc j <br />23500 KASSON ROAD <br />EXPIRES <br />PRICE <br />P.O. BOX 400 - PHARMACY DEPT. <br />CODE <br />CAN -AM <br />TRACY, CA 95376 <br />-------- <br />10.00 <br />Contact <br />VINCENT <br />-------- - - - <br />DEX 4 GLUCOSE TABLETS <br />Dea # <br />AV3309831 <br />02/02 <br />DEVOS LTD., DBA GUARANTEED RETURNS <br />100 Colin Drive Holbrook, NY 11741-4306 <br />(DEA#: RD0188311 EPA#: NY0000997692 ) <br />NON-RETURNABLES MANIFEST <br />Credits passed through: 15152 <br />Cust Ref #/Debit#: GRX15152157 <br />Service Date: 08/19/05 <br />Page: 241 <br />Print Date : Sep 7, 2005 <br />Phone: (209) 835-4141 <br />Wholesaler: MCKESSON-26 <br />Address: 3775 SEAPORT BLVD. <br />182-W. SACRAMENTO, CA 94403 <br />QUANTITY <br />DEA <br />REASON <br />VENDOR <br />F I P <br />SIZE <br />STRENGTH <br />DRUG NAME <br />NDCNO <br />CLASS <br />EXPIRES <br />PRICE <br />CODE <br />CAN -AM <br />--- <br />1.000 <br />-------- <br />10.00 <br />N/A <br />-------- - - - <br />DEX 4 GLUCOSE TABLETS <br />5756506312 <br />02/02 <br />1.00 <br />01 <br />CONSUMER HLTH PFIZER <br />2.250 <br />36.00 <br />88ML <br />KAOPECTATE -NOT FOR RETAIL <br />9521399 <br />49.50 <br />21 <br />FOUGERA <br />1.000 <br />1.00 <br />0 <br />BACITRACIN -NEO -POLY (TOPICAL) <br />168001231 <br />11/03 <br />2.94 <br />01 <br />HUMCO LAB <br />.500 <br />1.00 <br />CHARCOAL <br />395052798 <br />5.54 <br />02 <br />NOVO-NORDISK <br />1.000 <br />1.00 <br />100 U/ML <br />NOVOLIN N <br />169183411 <br />25.62 <br />04 <br />PADDOCK <br />.160 <br />100.00 <br />300 MG <br />FERROUS GLUCONATE <br />574050801 <br />.71 <br />02 <br />PADDOCK <br />.500 <br />1.00 <br />25 GM <br />ACTIDOSE-AQUA <br />574012104 <br />5.60 <br />02 <br />QUALITEST <br />1.000 <br />1.00 <br />133 ML <br />DISPOSABLE ENEMA COMPLETE, READY -TO <br />603075291 <br />.42 <br />23 <br />SANOFI/WINTHROP <br />.500 <br />1.00 <br />17% <br />ZEPHIRAN CHLORIDE <br />8024253402 <br />10.06 <br />02 <br />SWAN <br />1.000 <br />1.00 <br />N/A <br />CITROMA <br />869260508 <br />.85 <br />06 <br />SWAN <br />.750 <br />1.00 <br />N/A <br />CITROMA <br />869260508 <br />.64 <br />06 <br />SWEEN CORP. <br />.950 <br />1.00 <br />4 OZ <br />ISAGEL <br />1170102504 <br />44.79 <br />06 <br />UNITED RESEARCH <br />.500 <br />1000.00 <br />5 GR <br />ASPIRIN <br />677077110 <br />4.00 <br />02 <br />UNITED RESEARCH <br />.900 <br />100.00 <br />220 MG <br />ZINC SULFATE <br />677062201 <br />04/03 <br />2.29 <br />01 <br />VALUE HEALTH <br />1.000 <br />1.00 <br />0 <br />GLYCERIN <br />4934883934 <br />1.85 <br />06 <br />4AI PHARMA <br />.100. <br />1000.00 <br />2.5 MG <br />BRETHINE <br />28007210 <br />R <br />39.51 <br />05 <br />9BBOTT PHARM <br />.111 <br />90.00 <br />54 MG <br />TRICOR <br />74400990 <br />R <br />9.37 <br />02 <br />4BBOTT PHARM <br />.602 <br />500.00 <br />250 MG <br />ERY -TAB <br />74630453 <br />R <br />60.41 <br />02 <br />4BBOTT PHARM <br />.200 <br />100.00 <br />150 MG <br />RYTHMOL <br />44502202 <br />R <br />31.44 <br />02 <br />4BBOTT PHARM <br />.500 <br />100.00 <br />500 MG <br />ERY -TAB <br />74632113 <br />R <br />17.83 <br />02 <br />%BBOTT PHARM <br />.500 <br />100.00 <br />125 MG <br />DEPAKOTE <br />74621213 <br />R <br />27.64 <br />02 <br />41")TT PHARM <br />.200 <br />100.00 <br />0.025 MG <br />SYNTHROID <br />48102003 <br />R <br />5.23 <br />09 <br />CAN PHARM. INC. <br />.040 <br />25.00 <br />25MG <br />FLUPHENAZINE DECANOATE <br />6332327205 <br />R <br />2.22. <br />02 <br />CORP <br />.333 <br />30.00 <br />100 MG <br />CYCLOSPORINE <br />60505013400 <br />R <br />46.69 <br />02 <br />HARM. <br />2.000 <br />1.00 <br />60 MG <br />AZMACORT <br />75006037 <br />R <br />04/03 <br />154.30 <br />01 <br />%VENT. 'HARM. <br />1.000 <br />1..00 <br />60 MG <br />AZMACORT - <br />75006037 <br />R <br />06/03 - <br />77.15 <br />01 <br />1VENTIS PHARM. <br />1.000 <br />1.00 <br />60 MG,. <br />AZMACORT ., ,. <br />75006037 <br />R <br />04/03 <br />77.15 <br />01., <br />aVENTIS/PASTEUR <br />1.000 <br />1.00. <br />0 <br />DIPHTHERIA TETANUS TOXOIDS <br />49281027510 <br />R <br />04/02 <br />121.25 <br />01 <br />aXCAN SCANDIPHARM <br />.533 <br />30.00 <br />500MG <br />CANASA <br />5891450056 <br />R <br />69.28 <br />02 <br />3ARR <br />.900 <br />500.00 <br />25 MG <br />HYDROXYZINE PAMOATE <br />555032304 <br />R <br />33.46 <br />02 <br />3ARR <br />.200 <br />100.00 <br />0.1 MG <br />FLUDROCORTISONE ACETATE <br />555099702 <br />R <br />10.98 <br />02 <br />3AUSCH LOMB PHARM. <br />1.000 <br />1.00 <br />0 <br />DIPIVEFRIN HCL <br />24208054005 <br />R <br />06/04 <br />2.90 <br />01 <br />3AUSCH LOMB PHARM. <br />1.000 <br />1.00 <br />10% <br />SULFACETAMIDE SODIUM W/PREDNISOLONE <br />2420831705 <br />R <br />06/04 <br />12.03 <br />01 <br />3EDFORD LABS. <br />1.000 <br />1.00 <br />25MG/ML <br />FLUPHENAZINE INJ <br />5539046505 <br />R <br />02/01 <br />20.00 <br />01 <br />)SM <br />1.000 <br />180.00 <br />200 MG <br />RIBASPHERE <br />6643510118 <br />R <br />703.80 <br />06 <br />)SM <br />.556 <br />180.00 <br />200 MG <br />RIBASPHERE <br />6643510118 <br />R <br />391.31 <br />06 <br />,'NDO LABS <br />.100 <br />100.00 <br />100MG <br />CARBIDOPA AND LEVODOPA <br />60951060368 <br />R <br />2.70 <br />05 <br />,ON LABS <br />.500 <br />180.00 <br />125MG <br />FLUTAMIDE <br />185112518 <br />R <br />188.30 <br />02 <br />3THEX <br />.010 <br />100.00 <br />0.4 MG <br />NITROQUICK <br />5817732404 <br />R <br />.06 <br />02 <br />'OREST PHARM. <br />.050 <br />100.00 <br />0.025 MG <br />LEVOTHROID <br />456132001 <br />R <br />.55 <br />05 <br />'OUGERA <br />1.000 <br />1.00 <br />0.1% <br />TRIAMCINOLONE ACETONIDE <br />168000615 <br />R <br />11/03 <br />1.00 <br />01 <br />3ENEVA PHARM <br />.920 <br />1000.00 <br />50 MG <br />THIORIDAZINE HCL <br />781163410 <br />R <br />280.97 <br />02 <br />3ENEVA PHARM <br />.500 <br />100.00 <br />100MG <br />AMANTADINE HCL <br />6226921124 <br />R <br />22.95 <br />02 <br />3ENEVA PHARM <br />.400 <br />100.00 <br />10 MG <br />FLUPHENAZINE HCL <br />781143901 <br />R <br />12/03 <br />11.34 <br />01 <br />:ENEVA PHARM <br />.010 <br />100.00 <br />10MG <br />FLUOXETINE <br />781282301 <br />R <br />.22 <br />02 <br />3ENEVA PHARM <br />.500 <br />100.00 <br />10 MG <br />HALOPERIDOL <br />781139701 <br />R <br />02/04 <br />52.40 <br />01 <br />;ENEVA PHARM <br />.500 <br />1000.00 <br />50 MG <br />TRAZODONE HCL <br />781180710 <br />R <br />11/03 <br />41.15 <br />01 <br />:ENEVA PHARM <br />.500 <br />100.00 <br />10 MG <br />HALOPERIDOL <br />781139701 <br />R <br />52.40 <br />02 <br />;LAXO WELLCOME <br />.333 <br />30.00 <br />1 0M <br />PAXIL <br />29321013 <br />R <br />03/04 <br />24.45 <br />01 <br />;LAXO WELLCOME <br />.167 <br />60.00 <br />100MG <br />WELLBUTRIN SR <br />173094755 <br />R <br />16.90 <br />05 <br />,LAXO WELLCOME <br />1.000 <br />1.00 <br />BECONASE <br />173033602 <br />R <br />02/03 <br />45.68 <br />01 <br />;LAXO WELLCOME <br />1.000 <br />1.00 <br />7 <br />VENTOLIN <br />173046300 <br />R <br />04/02 <br />14.72 <br />01 <br />;LAXO WELLCOME <br />1.000 <br />1.00 <br />220MCG <br />FLOVENT <br />173049500 <br />R <br />04/04 <br />118.82 <br />0i <br />;LOBAL PHARM. <br />.500 <br />100.00 <br />5MG <br />TERBUTALINE <br />115262201 <br />R <br />23.56 <br />02 <br />(ILLESTAD PHARMACEUT <br />1.000 <br />100.00 <br />DIALYVITE <br />1054201010 <br />R <br />9.00 <br />06 <br />1'-vIRA WORLDWIDE <br />.083 <br />24.00 <br />0.4% <br />LIDOCAINE/DEXTROSE <br />74793124 <br />R <br />04/05 <br />17.47 <br />0i <br />WORLDWIDE <br />.180 <br />100.00 <br />100 U/ML <br />HEPARIN LOCK FLUSH <br />74115270 <br />R <br />2.25 <br />02 <br />� ',ORLDWIDE <br />j& <br />.600 <br />10.00 <br />50 MG <br />PHENYTOIN SODIUM INJECTION, USP <br />74184402 <br />R <br />04/05 <br />7.26 <br />Cl <br />iOSPI; P.LDWIDE <br />2.000 <br />10.00 <br />50 MG <br />PHENYTOIN SODIUM INJECTION, USP <br />74184402 <br />R <br />04/05 <br />24.20 <br />0i <br />IOSPIR- .,DRLDW,DE <br />.020 <br />50.00 <br />1% <br />LIDOCAINE HCL <br />74427602 <br />R <br />.35 <br />02 <br />IOSPIPA WORLDWIDE <br />.020 <br />50.00 <br />400 MG <br />DOPAMINE HCL <br />74910420 <br />R <br />.61 <br />02 <br />IOSPIRA WORLDWIDE <br />.500 <br />10.00 <br />500 MG/M <br />MAGNESIUM SULFATE <br />74175410 <br />R <br />14.30 <br />02 <br />[OSP7RA WORLDWIDE <br />.240 <br />50.00 <br />400 MG <br />DOPAMINE HCL <br />74910420 <br />R <br />7.32 <br />C2 <br />