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gr_whtrn-storlasr <br />CuSt. #: 15152 <br />Store #: 5793 <br />Batch #: 161 <br />oc t. #: 805663 <br />.Omer: DEUEL VOCATIONAL INSTITUTION <br />.,_._rens 23500 i<ASSON ROAD <br />P.O. BOX 400 - PHARMACY DEPT. <br />TRACY, CA 95376 <br />ContaCt VINCENT <br />Dea # AV3309831 <br />UV1 voto <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#: GRX15152161 <br />Service Date: 12/29/05 <br />Page: 283 <br />Print Date : Jan 19, 2006 <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 />REASOI <br />VENDOR <br />F I P <br />SIZE <br />STRENGTH <br />DRUG NAME <br />NDCNO <br />CLASS EXPIRES <br />PRICE <br />CODE <br />IVAX <br />.250 <br />100.00 <br />10MG <br />FLUOXETINE <br />172436360 <br />R <br />4_ <br />03 <br />02 <br />LILLY <br />5.000 <br />1.00 <br />1MG <br />GLUCAGON EMERGANCY KIT <br />2803101 <br />R <br />367.75 <br />21 <br />LILLY <br />3.000 <br />1.00 <br />1MG <br />GLUCAGON EMERGANCY KIT <br />2803101 <br />R <br />220.65 <br />21 <br />LILLY <br />1.000 <br />7.00 <br />15MG <br />ZYPREXA <br />4415 <br />R <br />.50 <br />21 <br />MAJOR <br />.040 <br />100.00 <br />800 MG -1 <br />SMZ-TMP <br />904272561 <br />R <br />.63 <br />02 <br />MAJOR <br />.040 <br />100.00 <br />10 MG <br />ISOSORBIDE DINITRATE <br />904215161 <br />R <br />.20 <br />02 <br />MAJOR <br />.310 <br />100.00 <br />200 MG <br />CARBAMAZEPINE <br />.904385561 <br />R <br />3.70 <br />02 <br />MERCK iVACCINES) <br />1.000 <br />1.00 <br />0 <br />PNEUMOVAX 23 <br />6473900 <br />R <br />107.77 <br />04 <br />MISC. VENDORS <br />1.000 <br />1000.00 <br />N/A <br />MIXED TABS TO BE DESTROYED <br />184 <br />R <br />.02 <br />21 <br />MISC. VENDORS <br />.900 <br />1000.00 <br />N/A <br />MIXED TABS TO BE DESTROYED <br />184 <br />R <br />.02 <br />21 <br />MONARCH PHARM <br />.500 <br />10.00 <br />600,000 <br />BICILLIN L-A <br />61570014710 <br />R <br />171.27 <br />21 <br />MYLAN <br />.350 <br />1000.00 <br />50 MG <br />DOXEPIN HCL <br />378425010 <br />R <br />86.03 <br />05 <br />MYLAN <br />.400 <br />100.00 <br />180/MG <br />DILTIAZEM HYDROCHLORIDE <br />378528001 <br />R <br />17.68 <br />05 <br />MYLAN <br />.150 <br />100.00 <br />1 MG <br />HALOPERIDOL <br />378025701 <br />R <br />2.17 <br />05 <br />PHARMA-SERVE <br />.670 <br />7.00 <br />250 MG <br />LEVAQUIN <br />52959069007 <br />R <br />29.43 <br />06 <br />PLIVA INC <br />.150 <br />1000.00 <br />5 MG <br />OXYBUTYNIN CHLORIDE <br />50111045603 <br />R <br />14.70 <br />05 <br />QUALITEST <br />.500 <br />1000.00 <br />50 MG <br />AMITRIPTYLINE HCL <br />603221432 <br />R <br />90.30 <br />02 <br />QUALITEST <br />.250 <br />100.00 <br />25 MG <br />AMITRIPTYLINE HCL <br />603221321 <br />R <br />2.71 <br />02 <br />RICHARDS PK4RM <br />.900 <br />100.00 <br />8MG <br />PERPHENAZINE <br />5473855201 <br />R <br />4.19 <br />06 <br />ROCHE/SYNTEX <br />.900 <br />10.00 <br />500 MG <br />ROCEPHIN <br />4196301 <br />R <br />215.07 <br />04 <br />ROCHE/SYNTEX <br />.800 <br />10.00 <br />1 GM <br />ROCEPHIN <br />4196401 <br />R <br />327.11 <br />03 <br />SANDOZ SERVICES INC. <br />.417 <br />60.00 <br />100MG <br />NEFAZODONE HCL <br />185001660 <br />R <br />35.67 <br />02 <br />RING <br />.500 <br />42.00 <br />200 MG <br />REBETOL <br />85132704 <br />R <br />155.21 <br />20 <br />"3ARM <br />.020 <br />100.00 <br />30 MG <br />PREVACID <br />300304613 <br />R <br />8.21 <br />020 ' <br />iiARMACUETICALS <br />.250 <br />100.00 <br />10MG <br />WARFARIN SODIUM <br />5167240351 <br />R <br />16.51 <br />02 <br />TARS PHARMACUETICALS <br />.317 <br />60.00 <br />200MG <br />AMIODARONE HCI <br />5167240254 <br />R <br />25.21 <br />02 <br />TEVA PHARM. <br />.500 <br />100.00 <br />150MG <br />MEXILETINE HCL <br />93873901 <br />R <br />27.14 <br />02 <br />UDL <br />.230 <br />100.00 <br />37.5/25M <br />TRIAMTERENE AND HYDROCHLOROTHIAZIDE <br />5107993520 <br />R <br />3.47 <br />02 <br />UDL <br />.100 <br />100.00 <br />45 MG <br />MIRTAZAPINE <br />51079008820 <br />R <br />9.64 <br />02 <br />UDL <br />.100 <br />100.00 <br />2MG <br />DOXAZOSIN MESYLATE <br />510199:5820 <br />R <br />1.54 <br />02 <br />UDL <br />.200 <br />100.00 <br />180MG <br />VERAPAMIL HCL <br />5107989920 <br />R <br />7.80 <br />02 <br />UDL <br />.100 <br />100.00 <br />10 MG <br />LISINOPRIL <br />51079098220 <br />R <br />2.31 <br />02 <br />UDL <br />.150 <br />100.00 <br />30 MG <br />NIFEDIPINE ER <br />51079094020 <br />R <br />17.70 <br />02 <br />UDL <br />.100 <br />100.00 <br />1 MG <br />PRAZOSIN HCL <br />51079063020 <br />R <br />1.24 <br />02 <br />UDL <br />.080 <br />100.00 <br />500 MG <br />CHLORZOXAZONE <br />51079047620 <br />R <br />1.71 <br />Ol <br />UDL <br />.060 <br />100.00 <br />100 MG <br />SPIRONOLACTONE <br />51079098020 <br />_02/04 <br />R <br />6.38 <br />02 <br />UDL <br />.100 <br />100.00 <br />200MG <br />AMIODARONE HCI TABLETS <br />5107990620 <br />R <br />7.01 <br />02 <br />UDL <br />.350 <br />100.00. <br />10 MG <br />BUSPIRONE HCL <br />51079098620 <br />R <br />7.11 <br />02 <br />UDL <br />.900 <br />100.00 <br />25 MG <br />DIPHENHYDRAMINE HCL <br />51079006540 <br />R <br />2.83 <br />23 <br />UDL <br />.900 <br />100.00 <br />25 MG <br />PROCHLORPERAZINE MALEATE <br />51079016240 <br />R <br />9.63 <br />23 <br />UDL <br />.900 <br />100.00 <br />25 <br />CAPTOPRIL <br />5107986420 <br />R <br />8.15 <br />23 <br />UDL <br />.900 <br />100.00 <br />10 MG <br />LISINOPRIL <br />51079098220 <br />R <br />20.79 <br />23 <br />UDL <br />.900 <br />25.00 <br />0.1 MG <br />CLONIDINE HCL <br />51079029919 <br />R <br />4.28 <br />03 <br />UDL <br />.900 <br />100.00 <br />600 MG <br />IBUPROFENS <br />51079028240 <br />R <br />8.91 <br />21 <br />UDL <br />.120 <br />100.00 <br />500 MG <br />CEPHALEXIN <br />51079060520 <br />R <br />2.77 <br />02 <br />UDL <br />.240 <br />25.00 <br />10 MG <br />NIFEDIPINE <br />51079066419 <br />R <br />1.05 <br />23 <br />VANGARD <br />.900 <br />100.00 <br />500 <br />NAPROXEN <br />615356313 <br />R <br />17.90 <br />23 <br />WEST -WARD <br />.150 <br />1000.00 <br />300 MG <br />ISONIAZID <br />143126110 <br />R <br />8,88 <br />02 <br />WEST -WARD <br />.300 <br />1000.00 <br />300 MG <br />ISONIAZID4 <br />143126110 <br />R <br />14.76 <br />02 <br />XTTRIUM LAB <br />.470 <br />1.00 <br />0.12% <br />CHLORHEXIDINE GLUCONATE <br />116200116 <br />R <br />1.53 <br />20 <br />