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gr_whtrn-c2invt <br />Cust. #: 15152 <br />Store #: 5793 <br />atch #: 161 <br />ct. #: 805663 <br />C1 ger: DEUEL VOCATIONAL INSTITUTION <br />Address : 23500 KASSON ROAD <br />P.O. BOX 400 - PHARMACY DEPT <br />TRACY, CA 95376 <br />® CII MANIFEST <br />INVENTORY OF SCHEDULE II PHARMACEUTICALS <br />GUARANTEED RETURNS <br />100 Colin Driv , Holbrook, NY 11741-4306 <br />(DEA#: RD0188311 EPA#: NY0000997692 ) <br />SCHEDULE II PRODUCTS REPORTED TO <br />MANUFACTURERS FOR CREDITING <br />Page: <br />Print Date : Jan 30, 2006 <br />Phone: (209) 835-4141 <br />Wholesaler: MCKESSON-26 <br />Address: 3775 SEAPORT BLVD. <br />1 <br />Contact VINCENT <br />Cust Ref #/Debit#: GRX15-1521615793-C <br />182-W. <br />SACRAMENTO, CA <br />94403 <br />Dea # AV3309831 <br />Service Date: 12/29/05 <br />QUANTITY <br />.. <br />Return <br />Non -Ret <br />Reason <br />VENDOR <br />F I P <br />SIZE <br />STRENGTH <br />DRUG NAME <br />NDCNO <br />Lot. # <br />Amount <br />Amount <br />CODE <br />ETHEX <br />2.958 <br />1.00 <br />20 MG/ML <br />MORPHINE SULFATE <br />5817788603 <br />52230 <br />206.91 <br />02 <br />ETHEX <br />.890 <br />100.00 <br />2 MG <br />HYDROMORPHONE HCL <br />5817729804 <br />49646 <br />37.95 <br />02 <br />HOSPIRA WORLDWIDE <br />2.000 <br />10.00 <br />75MG/ML <br />DEMEROL INJ,USP <br />74117930 <br />107453B <br />17.80 <br />JANSSEN/ORTHO/MCNEIL <br />.800 <br />5.00 <br />100 MCG <br />DURAGESIC PATCH <br />50458003605 <br />0301541 <br />199.22 <br />JANSSEN/ORTHO/MCNEIL <br />2.200 <br />5.00 <br />50 MCG <br />DURAGESIC PATCH <br />50458003405 <br />0208361 <br />270.62 <br />MALLINCKRODT MEDICAL <br />1.000 <br />100.00 <br />100 MG <br />MORPHINE SULFATE <br />406839062 <br />8390HO2404 <br />328.74 <br />06 <br />MALLINCKRODT MEDICAL <br />.550 <br />100.00 <br />15 MG <br />MORPHINE SULFATE <br />406831501 <br />8315EO1693 <br />49.15 <br />06 <br />MALLINCKRODT MEDICAL <br />.220 <br />100.00 <br />30 MG <br />MORPHINE SULFATE <br />406833001 <br />PRESCR. BO <br />37.36 <br />20 <br />TOTAL COST OF RETURI4ABLE PRODUCT: 487.64 <br />8.5s SERVICE FEE -41.45 <br />ESTIMATED CREDIT ISSUED FROM VENDOR 446.19 <br />Total Items: 13 <br />REASON CODE KEY: <br />02 VENDOR ACCEPTS FULL PACKAGES ONLY <br />20 VENDOR DOES NOT ACCEPT PRESCRIPTIONS <br />06 WHSLR RTN. NO CHARGE <br />