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Customer number: 21322 <br />Store number: 16639 <br />Batch number: 147 <br />Account number: 008-030510 <br />Name: DEUEL VOCATIONAL <br />INSTITUTION <br />ABBOTT PHARM (Direct) <br />ttttt�azrt tec rt <br />Credits passed through: 21322 <br />Customer reference number: GRX21322147 <br />Service Date: 08/02/2006 <br />Non -Returnable Report <br />Ot Date: <br />DrugNarn _ <br />9/20/2006 <br />Phone: <br />(916)928-0641 <br />Wholesaler: <br />AMER ISOURCEBERGEN-008 <br />Address: <br />1325 WEST STRIKER AVENUE <br />"=LntNurelr ,. <br />SACRAMENTO, CA 95834 <br />ACTAVIS <br />Name <br />=. , <br />Quantity <br />,,,Size <br />;. ., <br />, Q <br />Claa <br />.. <br />RCokle <br />"=LntNurelr ,. <br />Eiryrira3Aat'eF <br />DEPAKOTE ER <br />0.760 <br />100.00 <br />250 MG <br />74382611 <br />R <br />a�Strength.. <br />.73 <br />02 <br />14787 <br />01 <br />DEPAKOTE <br />0.750 <br />100.00 <br />125 MG <br />00074621213 <br />R <br />42.29 <br />02 <br />03777AA22 <br />25.00 <br />DEPAKOTE <br />0.500 <br />100.00 <br />250 MG <br />00074621411 <br />R <br />59.04 <br />02 <br />RB3060 <br />0.87 <br />ERV -TAB <br />0.750 <br />100.00 <br />250 MG <br />00074630413 <br />R <br />15.85 <br />02 <br />RB3050 <br />DEXAMETHASONE SODIUM PHOSPHATE 0.040 <br />Total: <br />4.000 <br />90.00 <br />120MG <br />6258497490 <br />R <br />206.91 <br />09 <br />REPACK <br />00517490125 R <br />ACTAVIS <br />Name <br />=. , <br />Cluantlty'4 <br />Size <br />n <br />'Stren <br />, Q <br />Claes <br />,Pri ,,;,_ <br />ffCode <br />LOt-Nutnbe <br />Sx0he Data I <br />ACETAMINOPHEN W/CODEINE <br />0.970 <br />1.00 <br />120 MG -1 <br />00472141916 <br />5 <br />8.10 <br />02 <br />RB3060 <br />01 <br />ACETAMINOPHEN W/CODEINE <br />1.000 <br />1.00 <br />120 MG -1 <br />00472141916 <br />5 <br />8.35 <br />19 <br />DAMAGED <br />25.00 <br />ACETAMINOPHEN W/CODEINE <br />0.950 <br />1.00 <br />120 MG -1 <br />00472141916 <br />5 <br />7.93 <br />02 <br />RB3060 <br />0.87 <br />ACETAMINOPHEN W/CODEINE <br />0.750 <br />1.00 <br />120 MG -1 <br />00472141916 <br />5 <br />6.26 <br />02 <br />RB3050 <br />DEXAMETHASONE SODIUM PHOSPHATE 0.040 <br />DILTIAZEM CD <br />0.100 <br />90.00 <br />120MG <br />6258497490 <br />R <br />6.97 <br />09 <br />REPACK <br />00517490125 R <br />Total: <br />5.000 <br />25.00 <br />50MG <br />63323022905 <br />R <br />37.61 <br />02 <br />141365 <br />03/06 <br />ALCON <br />AMERICAN PHARM. INC. (Direct) <br />Drug Name .1%-''. <br />Cluantlty'4 <br />'Size �°�'S' <br />'Strength::-- <br />'" NDGNC „�s <br />Claes <br />;<_J'ri „ <br />°RCrds <br />;:'€''Lo`tNumifiar;�-' <br />=ExpireDarte <br />PROTAMINE SULFATE <br />0.040 <br />25.00 <br />50MG <br />63323022905 <br />R <br />0.21 <br />02 <br />141365 <br />01 <br />PROTAMINE SULFATE <br />0.040 <br />25.00 <br />50MG <br />63323022905 <br />R <br />0.21 <br />02 <br />141365 <br />25.00 <br />PROTAMINE SULFATE <br />0.040 <br />25.00 <br />50MG <br />63323022905 <br />R <br />0.21 <br />02 <br />141365 <br />0.87 <br />PROTAMINE SULFATE <br />0.040 <br />25.00 <br />50MG <br />63323022905 <br />R <br />0.21 <br />02 <br />141365 <br />DEXAMETHASONE SODIUM PHOSPHATE 0.040 <br />PROTAMINE SULFATE <br />0.040 <br />25.00 <br />50MG <br />63323022905 <br />R <br />0.21 <br />02 <br />141365 <br />00517490125 R <br />PROTAMINE SULFATE <br />0.040 <br />25.00 <br />50MG <br />63323022905 <br />R <br />0.21 <br />02 <br />141365 <br />03/06 <br />PROTAMINE SULFATE <br />0.040 <br />25.00 <br />50MG <br />63323022905 <br />R <br />0.21 <br />02 <br />141365 <br />4 MG/ML <br />PROTAMINE SULFATE <br />0.040 <br />25.00 <br />50MG <br />63323022905 <br />R <br />0.21 <br />02 <br />141365 <br />01 3159 <br />PROTAMINE SULFATE <br />0.040 <br />25.00 <br />50MG <br />63323022905 <br />R <br />0.21 <br />02 <br />141365 <br />25.00 <br />PROTAMINE SULFATE <br />0.040 <br />25.00 <br />50MG <br />63323022905 <br />R <br />0.21 <br />02 <br />141365 <br />0.87 <br />PROTAMINE SULFATE <br />0.040 <br />25.00 <br />50MG <br />63323022905 <br />R <br />0.21 <br />02 <br />141365 <br />DEXAMETHASONE SODIUM PHOSPHATE 0.040 <br />PROTAMINE SULFATE <br />0.040 <br />25.00 <br />50MG <br />63323022905 <br />R <br />0.21 <br />02 <br />141365 <br />00517490125 R <br />PROTAMINE SULFATE <br />0.040 <br />25.00 <br />50MG <br />63323022905 <br />R <br />0.21 <br />02 <br />141365 <br />03/06 <br />PROTAMINE SULFATE <br />0.040 <br />25.00 <br />50MG <br />63323022905 <br />R <br />0.21 <br />02 <br />141365 <br />4 MG/ML <br />PROTAMINE SULFATE <br />0.040 <br />25.00 <br />50MG <br />63323022905 <br />R <br />0.21 <br />02 <br />141365 <br />PROTAMINE SULFATE <br />0.040 <br />25.00 <br />50MG <br />63323022905 <br />R <br />0.21 <br />02 <br />141365 <br />PROTAMINE SULFATE <br />0.040 <br />25.00 <br />50MG <br />63323022905 <br />R <br />0.21 <br />02 <br />141365 <br />PROTAMINE SULFATE <br />0.040 <br />25.00 <br />50MG <br />63323022905 <br />R <br />0.21 <br />02 <br />141365 <br />PROTAMINE SULFATE <br />0.040 <br />25.00 <br />50MG <br />63323022905 <br />R <br />0.21 <br />02 <br />141365 <br />PROTAMINE SULFATE <br />0.040 <br />25.00 <br />50MG <br />63323022905 <br />R <br />0.21 <br />02 <br />141365 <br />PROTAMINE SULFATE <br />0.040 <br />25.00 <br />50MG <br />63323022905 <br />R <br />0.21 <br />02 <br />141365 <br />PROTAMINE SULFATE <br />0.040 <br />25.00 <br />50MG <br />63323022905 <br />R <br />0.21 <br />02 <br />141365 <br />PROTAMINE SULFATE <br />0.040 <br />25.00 <br />50MG <br />63323022905 <br />R <br />0.21 <br />02 <br />141365 <br />PROTAMINE SULFATE <br />0.040 <br />25.00 <br />50MG <br />63323022905 <br />R <br />0.21 <br />02 <br />141365 <br />PROTAMINE SULFATE <br />0.040 <br />25.00 <br />50MG <br />63323022905 <br />R <br />0.21 <br />02 <br />141365 <br />ATROPINE SULFATE <br />0.400 <br />25.00 <br />1MG/ML <br />63323024601 <br />R <br />0.63 <br />01 <br />03/06 <br />CYANOCOBALAMIN <br />0.200 <br />25.00 <br />1000MCG <br />63323004401 <br />R <br />0.29 <br />01 <br />01/06 <br />HEPARIN SODIUM <br />0.200 <br />25.00 <br />1ML <br />63323054201 <br />R <br />0.27 <br />01 <br />342513 <br />03/06 <br />FLUPHENAZINE DECANOATE <br />0.040 <br />25.00 <br />25MG <br />63323027205 <br />R <br />2.22 <br />02 <br />140752 <br />FLUPHENAZINE DECANOATE <br />0.040 <br />25.00 <br />25MG <br />63323027205 <br />R <br />2.22 <br />02 <br />140752 <br />FLUPHENAZINE DECANOATE <br />0.040 <br />25.00 <br />25MG <br />63323027205 <br />R <br />2.22 <br />01 <br />01/06 <br />FLUPHENAZINE DECANOATE <br />0.040 <br />25.00 <br />25MG <br />63323027205 <br />R <br />2.22 <br />02 <br />140752 <br />FLUPHENAZINE DECANOATE <br />0.040 <br />25.00 <br />25MG <br />63323027205 <br />R <br />2.22 <br />02 <br />140752 <br />Total: <br />33.000 <br />17.54 <br />AMERICAN REGENT LABS (Direct) <br />Drug Name ,., .- ' l Quantity`' <br />Size - <br />Strength <br />;'NDCNR . ' 41aiss <br />" . Prize <br />� RCode ,� ,LotNumber ':r- <br />Expire Date: <br />DEXAMETHASONE SODIUM PHOSPHATE 0.040 <br />25.00 <br />4 MG/ML <br />00517490125 R <br />0.87 <br />01 3159 <br />03/06 <br />DEXAMETHASONE SODIUM PHOSPHATE 1.000 <br />25.00 <br />4 MG/ML <br />00517490125 R <br />21.75 <br />01 <br />03/06 <br />DEXAMETHASONE SODIUM PHOSPHATE 0.040 <br />25.00 <br />4 MG/ML <br />00517490125 R <br />0.87 <br />01 3159 <br />03/06 <br />DEXAMETHASONE SODIUM PHOSPHATE 0.040 <br />25.00 <br />4 MG/ML <br />00517490125 R <br />0.87 <br />01 3042 <br />01/06 <br />DEXAMETHASONE SODIUM PHOSPHATE 0.040 <br />25.00 <br />4 MG/ML <br />00517490125 R <br />0.87 <br />01 3159 <br />03/06 <br />DEXAMETHASONE SODIUM PHOSPHATE 0.040 <br />25.00 <br />4 MG/ML <br />00517490125 R <br />0.87 <br />01 3159 <br />03/06 <br />DEXAMETHASONE SODIUM PHOSPHATE 0.040 <br />25.00 <br />4 MG/ML <br />00517490125 R <br />0.87 <br />01 3159 <br />03/06 <br />DEXAMETHASONE SODIUM PHOSPHATE 2.000 <br />25.00 <br />4 MG/ML <br />00517490125 R <br />43.50 <br />01 <br />04/06 <br />DEXAMETHASONE SODIUM PHOSPHATE 0.040 <br />25.00 <br />4 MG/ML <br />00517490125 R <br />0.87 <br />01 3159 <br />03/06 <br />DEXAMETHASONE SODIUM PHOSPHATE 0.040 <br />25.00 <br />4 MG/ML <br />00517490125 R <br />0.87 <br />01 3159 <br />03/06 <br />DEXAMETHASONE SODIUM PHOSPHATE 0.040 <br />25.00 <br />4 MG/ML <br />00517490125 R <br />0.87 <br />01 3159 <br />03/06 <br />DEXAMETHASONE SODIUM PHOSPHATE 0.040 <br />25.00 <br />4 MG/ML <br />00517490125 R <br />0.87 <br />01 3159 <br />03/06 <br />DEXAMETHASONE SODIUM PHOSPHATE 0.040 <br />25.00 <br />4 MG/ML <br />00517490125 R <br />0.87 <br />01 3159 <br />03/06 <br />DEXAMETHASONE SODIUM PHOSPHATE 0.960 <br />25.00 <br />4 MG/ML <br />00517490125 R <br />20.88 <br />01 <br />03/06 <br />DEXAMETHASONE SODIUM PHOSPHATE 0.040 <br />25.00 <br />4 MG/ML <br />00517490125 R <br />0.87 <br />01 3159 <br />03/06 <br />DEXAMETHASONE SODIUM PHOSPHATE 0.040 <br />25.00 <br />4 MG/ML <br />00517490125 R <br />0.87 <br />01 3159 <br />03/06 <br />DEXAMETHASONE SODIUM PHOSPHATE 0.040 <br />25.00 <br />4 MG/ML <br />00517490125 R <br />0.87 <br />01 2159 <br />03/06 <br />DEXAMETHASONE SODIUM PHOSPHATE 0.040 <br />25.00 <br />4 MG/ML <br />00517490125 R <br />0.87 <br />01 3159 <br />03/06 <br />DEXAMETHASONE SODIUM PHOSPHATE 0.040 <br />25.00 <br />4 MG/ML <br />00517490125 R <br />0.87 <br />01 3159 <br />03/06 <br />DEXAMETHASONE SODIUM PHOSPHATE 0.040 <br />25.00 <br />4 MG/ML <br />00517490125 R <br />0.87 <br />01 3159 <br />03/06 <br />DEXAMETHASONE SODIUM PHOSPHATE 1.000 <br />25.00 <br />4 MG/ML <br />00517490125 R <br />21.75 <br />01 3292 <br />04/06 <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 8 of 16 <br />