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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 />UDL (Direct) <br />tttxt5rzttt aroyl <br />t: ZIlYttua <br />Credits passed through: 21322 <br />Customer reference number: GRX21322147 <br />Service Date: 08/02/2006 <br />Non -Returnable Report <br />Ont Date: <br />9/20/2006 <br />Phone: <br />(916) 928-0641 <br />Wholesaler: <br />AMERISOURCEBERGEN-008 <br />Address: <br />1325 WEST STRIKER AVENUE <br />L'iifftiob8r s <br />SACRAMENTO, CA 95834 <br />UNITED RESEARCH <br />Drugltame, c Fo a Quaputyr, . ,.Size s, Strength2717,: NflCht ; „'. Dias P.rtg RCo a LoiN"utsitier ,E,xpire;Ilste": <br />ASPIRIN 1.000 1000.00 S GR 00677077 110171.991 01 M033M. 11/04 <br />PHENAZOPYRIDINE 0.900 100.00 100 MG 00677057501 R I 8.46 09 REPACK <br />Total: 2.0001 1 1 1 16.471 1 <br />WATSON PHARMA. INC. <br />Drug Name..xRtra?ate:"'=_ <br />ENEMA <br />`Qt anttty":: <br />Slze.:. , <br />Strength „ <br />,,`? , NI)�NO; ,..< < <br />ciasa <br />k? is ,. <br />RCnde <br />L'iifftiob8r s <br />i Elipirb iSate <br />CARBAMAZEPINE <br />0.400 <br />100.00 <br />200 MG <br />51079038520 <br />R <br />6.06 <br />23 <br />UNSEALED <br />11.40 <br />SPIRONOLACTONE <br />0.700 <br />100.00 <br />25 MG <br />51079010320 <br />R <br />18.76 <br />23 <br />UNSEALED <br />LORAZEPAM <br />0.300 <br />100.00 <br />1 MG <br />51079038620 <br />4 <br />15.31 <br />02 <br />4VO65 <br />LORAZEPAM <br />7 <br />1.800 <br />100.00 <br />2 MG <br />51079038720 <br />4 <br />135.25 <br />02 <br />5V451 <br />CLONAZEPAM <br />0.400 <br />100.00 <br />.5 MG <br />51079088120 <br />4 <br />6.95 <br />02 <br />58290 <br />TRAZODONE HCL <br />0.700 <br />100.00 <br />100MG <br />51079042820 <br />R <br />9.24 <br />02 <br />CIMETIDINE <br />0.140 <br />100.00 <br />400MG <br />51079080820 <br />R <br />2.59 <br />02 <br />5B263 <br />AMIODARONE HCI TABLETS <br />0.600 <br />100.00 <br />200MG <br />51079090620 <br />R <br />42.08 <br />02 <br />58241 <br />ENALAPRIL MALEATE <br />0.700 <br />100.00 <br />5MG <br />51079095120 <br />R <br />9.25 <br />23 <br />UNSEALED <br />CAPTOPRIL <br />0.700 <br />100.00 <br />12.5 MG <br />51079086320 <br />R <br />5.50 <br />23 <br />UNSEALED <br />PROPRANOLOL HCl <br />0.450 <br />100.00 <br />20 MG <br />51079027820 <br />R <br />2.03 <br />02 <br />45871 <br />DIPHENOXYLATE HCL W/ATROPINE <br />0.110 <br />100.00 <br />2.5 MG -0 <br />51079006720 <br />5 <br />4.50 <br />02 <br />4C885 <br />CAPTOPRIL <br />0.440 <br />100.00 <br />25 <br />51079086420 <br />R <br />3.98 <br />02 <br />56264 <br />DIGITEK <br />0.400 <br />100.00 <br />0.125MG <br />51079094520 <br />R <br />7.19 <br />02 <br />5A113 <br />AMITRIPTYLINE HCL <br />0.060 <br />100.00 <br />25 MG <br />51079010720 <br />R <br />0.46 <br />02 <br />4HO88 <br />AMITRIPTYLINE HCL <br />0.030 <br />100.00 <br />25 MG <br />51079010720 <br />R <br />0.23 <br />02 <br />4HO88 <br />AMITRIPTYLINE HCL <br />0.060 <br />100.00 <br />25 MG <br />51079010720 <br />R <br />0.46 <br />02 <br />4HO88 <br />AMITRIPTYLINE HCL <br />0.060 <br />100.00 <br />25 MG <br />51079010720 <br />R <br />0.46 <br />02 <br />4HO88 <br />AMITRIPTYLINE HCL <br />0.060 <br />100.00 <br />25 MG <br />51079010720 <br />R <br />0.46 <br />02 <br />4HO88 <br />AMITRIPTYLINE HCL <br />0.500 <br />100.00 <br />25 MG <br />51079010720 <br />R <br />3.85 <br />23 <br />UNSEALED <br />AMITRIPTYLINE HCL <br />0.030 <br />100.00 <br />25 MG <br />51079010720 <br />R <br />0.23 <br />02 <br />4HO88 <br />AMITRIPTYLINE HCL <br />0.060 <br />100.00 <br />25 MG <br />51079010720 <br />R <br />0.46 <br />02 <br />4HO88 <br />CYCLOBENZAPRINE HCL <br />0.100 <br />100.00 <br />10 MG <br />51079064420 <br />R <br />1.17 <br />02 <br />3K976 <br />CYCLOBENZAPRINE HCL <br />0.080 <br />100.00 <br />10 MG <br />51079064420 <br />R <br />0.94 <br />02 <br />40933 <br />CYCLOBENZAPRINE HCL <br />0.050 <br />100.00 <br />10 MG <br />51079064420 <br />R <br />0.59 <br />02 <br />3K976 <br />HALOPERIDOL <br />1.000 <br />100.00 <br />2 MG <br />51079073520 <br />R <br />16.35 <br />23 <br />UNSEALED <br />BUSPIRONE HCL <br />0.700 <br />100.00 <br />10 MG <br />51079098620 <br />R <br />14.21 <br />02 <br />5A202 <br />Total: <br />45.000 <br />494.71 <br />UNITED RESEARCH <br />Drugltame, c Fo a Quaputyr, . ,.Size s, Strength2717,: NflCht ; „'. Dias P.rtg RCo a LoiN"utsitier ,E,xpire;Ilste": <br />ASPIRIN 1.000 1000.00 S GR 00677077 110171.991 01 M033M. 11/04 <br />PHENAZOPYRIDINE 0.900 100.00 100 MG 00677057501 R I 8.46 09 REPACK <br />Total: 2.0001 1 1 1 16.471 1 <br />WATSON PHARMA. INC. <br />Drug Name..xRtra?ate:"'=_ <br />ENEMA <br />1.000 <br />1.00 <br />00536741551 <br />0.46 <br />01 09/04 <br />TRAZODONE <br />0.018 <br />1000.00 <br />50MG <br />00591560010 R <br />1.03 <br />05 PO4B0062 <br />TRAZODONE <br />0.200 <br />1000.00 <br />50MG <br />00591560010 R <br />11.40 <br />05 LOOSE PILLS <br />Total: <br />3.000 <br />12.89 <br />WEST -WARD <br />Reason Code: <br />01 OUTDATED PAST VENDOR POLICY <br />05 UNDER MINIMUM QUANTITY <br />19 DAMAGED DURING SHIPPING <br />23 MUST BE FULL & SEALED TO BE RETURNABLE <br />02 VENDOR ACCEPTS FULL PACKAGES ONLY <br />06 WHSLR RTN. NO CHARGE <br />20 VENDOR DOES NOT ACCEPT PRESCRIPTIONS <br />04 OUTSIDE VENDOR POLICY <br />09 VENDOR DOES NOT ACCEPT REPACKS <br />21 VENDOR DOES NOT ISSUE CREDIT FOR THIS PRODUCT <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 14 of 16 <br />Ll <br />