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Page: <br />295 <br />Cust. #: 15152 <br />Store #: 5793 <br />ss�gqyyyyyy��� <br />"" °°`fI'i <br />e1� ,vis" <br />DEVOS LTD., DBA GUARANTEED RETURNS <br />100 Colin Drive <br />#: 147 <br />Holbrook, NY 11741-4306 <br />loch <br />t. #: 805663 <br />(DEA#: <br />RD0188311 EPA#: NY0000997692 ) <br />Print Date <br />: <br />Nov 5, 2004 <br />Phone: <br />(209) 835-4141 <br />CU er: DEUEL VOCATIONAL INSTITUTION <br />Ada --ss 23500 KASSON <br />ROAD <br />P.O. BOX <br />400 - PHARMACY DEPT. <br />Credits <br />passed through: 15152 Wholesaler: MCKESSON-26 <br />TRACY, CA <br />95376 <br />Cust <br />Ref #/Debit#: GRX15152147 <br />Address: 3775 <br />SEAPORT <br />BLVD. <br />Contact ESPERANZA <br />Service <br />Date: 10/19/04 <br />182-W. <br />SACRAMENTO, CA <br />94403 <br />Dea # AV3309831 <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 />FLEET <br />1.000 <br />1.00 <br />N/A <br />FLEET PREP KIT #1 W/PHOSPHO-SODA <br />132021101 <br />04/03 <br />4.00 <br />01 <br />FLEET <br />1.000 <br />1.00 <br />N/A <br />FLEET PREP KIT #3 W/ PHOSPHO-SODA <br />132021201 <br />11/02 <br />5.60 <br />01 <br />G & W <br />.700 <br />50.00 <br />10 MG <br />BISAC-EVAC <br />713010950 <br />08/03 <br />3.80 <br />01 <br />PADDOCK <br />5.000 <br />1.00 <br />15G <br />GLUTOSE 15 <br />574006915 <br />02/02 <br />5.50 <br />01 <br />AMIDE <br />.730 <br />100.00 <br />N/A <br />AMIDRINE <br />5215203902 <br />4 <br />11/03 <br />7.26 <br />01 <br />ABBOTT HOSP <br />1.000 <br />1.00 <br />2% <br />LIDOCAINE HCL <br />74490323 <br />'OAR _ <br />01/04 <br />67.97 <br />01 <br />ABBOTT HOSP <br />.100 <br />10.00 <br />7.5% <br />SODIUM BICARBONATE <br />74491622 <br />R <br />06/04 <br />3.57 <br />01 <br />ABBOTT HOSP <br />.100 <br />10.00 <br />7.5% <br />SODIUM BICARBONATE <br />74491622 <br />R <br />06/04 <br />3.57 <br />01 <br />ABBOTT HOSP <br />.100 <br />10.00 <br />7.5% <br />SODIUM BICARBONATE <br />74491622 <br />R <br />06/04 <br />3.57 <br />01 <br />ABBOTT HOSP <br />.520 <br />25.00 <br />50% <br />DEXTROSE <br />74664802 <br />R <br />04/04 <br />11.83 <br />01 <br />ABBOTT HOSP <br />.120 <br />25.00 <br />100 MG/M <br />PROCAINAMIDE HCL <br />74190201 <br />R <br />03/04 <br />3.09 <br />01 <br />ABBOTT HOSP <br />.100 <br />10.00 <br />250 MG <br />DOBUTAMINE HCL <br />74234401 <br />R <br />03/04 <br />.79 <br />01 <br />ABBOTT HOSP <br />.100 <br />10.00 <br />500 MG/M <br />MAGNESIUM SULFATE <br />74175410 <br />R <br />04/03 <br />2.86 <br />01 <br />ABBOTT HOSP <br />.060 <br />50.00 <br />2% <br />LIDOCAINE HCL <br />74427701 <br />R <br />.47 <br />02 <br />ABBOTT HOSP <br />.160 <br />25.00 <br />25% <br />MANNITOL <br />74403101 <br />R <br />06/04 <br />6.48 <br />01 <br />ABBOTT HOSP <br />.100 <br />10.00 <br />250 MG <br />DOBUTAMINE HCL <br />74234401 <br />R <br />03/04 <br />.79 <br />01 <br />ABBOTT HOSP <br />.100 <br />50.00 <br />50 MG/ML <br />PHENYTOIN SODIUM <br />74131701 <br />R <br />05/04 <br />3.50 <br />01 <br />ABBOTT HOSP <br />.100 <br />50.00 <br />50 MG/ML <br />PHENYTOIN SODIUM <br />74131701 <br />R <br />05/04 <br />3.50 <br />01 <br />ABBOTT HOSP <br />.100 <br />50.00 <br />50 MG/ML <br />PHENYTOIN SODIUM <br />74131701 <br />R <br />05/04 <br />3.50 <br />01 <br />ABBOTT HOSP <br />.100 <br />50.00 <br />50 MG/ML <br />PHENYTOIN SODIUM <br />74131701 <br />R <br />05/04 <br />3.50 <br />01 <br />ABBOTT HOSP <br />.050 <br />100.00 <br />4% <br />LIDOCAINE HCL <br />74428301 <br />R <br />04/04 <br />2.31 <br />01 <br />HOSP <br />.050 <br />100.00 <br />496 <br />LIDOCAINE HCL <br />74428301 <br />R <br />04/04 <br />2.31 <br />01 <br />A HOSP <br />.920 <br />25.00 <br />25% <br />MANNITOL <br />74403101 <br />R <br />37.26 <br />02 <br />ABBOT- "OSP <br />.760 <br />25.00 <br />25% <br />MANNITOL <br />74403101 <br />R <br />06/04 <br />30.78 <br />01 <br />ABBO )SP <br />6.000 <br />10.00 <br />7.5% <br />SODIUM BICARBONATE <br />74491622 <br />R <br />06/04 <br />214.20 <br />01 <br />ABBOT'. iOSP <br />.700 <br />10.00 <br />0.1 MG/M <br />EPINEPHRINE HCL <br />74490118 <br />R <br />19.25 <br />02 <br />ABBOTT HOSP <br />1.500 <br />10.00 <br />500 MG/M <br />MAGNESIUM SULFATE <br />74175410 <br />R <br />42.90 <br />02 <br />ABBOTT HOSP <br />.400 <br />10.00 <br />500MG <br />BRETYLIUM TOSYLATE <br />74169810 <br />R <br />28.64 <br />02 <br />ABBOTT HOSP <br />.920 <br />25.00 <br />50 MG <br />NITROGLYCERIN <br />74410401 <br />R <br />33.12 <br />02 <br />ABBOTT HOSP <br />.840 <br />25.00 <br />40 MG/ML <br />DOPAMINE HCL <br />74910401 <br />R <br />235.21 <br />02 <br />ABBOTT PHARM <br />.960 <br />100.00 <br />125 MG <br />DEPAKOTE <br />74611411 <br />R <br />51.00 <br />02 <br />ALCON <br />1.000 <br />1.00 <br />1% <br />MYDRIACYL <br />998035515 <br />R <br />04/03 <br />33.80 <br />01 <br />ALLERGAN <br />1.000 <br />1.00 <br />0.2%-10% <br />BLEPHAMIDE S.O.P. <br />23031304 <br />R <br />08/03 <br />31.75 <br />01 <br />ALLERGAN <br />1.000 <br />1.00 <br />0.2%-10% <br />BLEPHAMIDE S.O.P. <br />23031304 <br />R <br />08/03 <br />31.75 <br />01 <br />BARR <br />.900 <br />500.00 <br />50 MG <br />HYDROXYZINE PAMOATE <br />555030204 <br />R <br />45.75 <br />02 <br />BARR <br />1.000 <br />100.00 <br />300 MG <br />ISONIAZID <br />555007102 <br />R <br />08/03 <br />5.93 <br />01 <br />BARR <br />.220 <br />100.00 <br />2.5MG <br />METHOTREXATE <br />5128550902 <br />R <br />08/03 <br />86.35 <br />01 <br />BAUSCH LOMB PHARM. <br />1.000 <br />1.00 <br />1% <br />PREDNISOLONE SODIUM PHOSPHATE <br />24208071502 <br />R <br />04/03 <br />11.03 <br />01 <br />BAUSCH LOMB PHARM. <br />1.000 <br />1.00 <br />1% <br />PREDNISOLONE SODIUM PHOSPHATE <br />24208071502 <br />R <br />04/03 <br />11.03 <br />01 <br />BAYER/MILES PHARM. <br />1.000 <br />100.00 <br />60 MG <br />ADALAT CC <br />26885148 <br />R <br />04/03 <br />232.00 <br />01 <br />BRISTOL/SQUIBB/NOVO <br />.750 <br />1.00 <br />10% <br />EURAX <br />72210360 <br />R <br />8.35 <br />21 <br />ENDO LABS <br />.000 <br />10.00 <br />.4 MG <br />NARCAN <br />6348135810 <br />R <br />.00 <br />26 <br />EVANS VACCINES LTD. <br />.100 <br />10.00 <br />15MG <br />FLUVIRIN <br />1965010201 <br />R <br />5.30 <br />06 <br />GENEVA PHARM <br />.800 <br />100.00 <br />100 MG <br />DESIPRAMINE HCL <br />781197501 <br />R <br />72.21 <br />02 <br />GENEVA PHARM <br />.500 <br />100.00 <br />100MG <br />BUPROPION HCL <br />781106401 <br />R <br />36.07 <br />02 <br />GENEVA PHARM <br />.200 <br />100.00 <br />10MG <br />FLUOXETINE <br />781282301 <br />R <br />4.42 <br />02 <br />GENEVA PHARM <br />.001 <br />1000.00 <br />50 MG <br />CHLORPROMAZINE HCL <br />781171710 <br />R <br />.34 <br />02 <br />GENEVA PHARM <br />.400 <br />100.00 <br />5 MG <br />TRIFLUOPERAZINE <br />781103401 <br />R <br />25.24 <br />02 <br />GENZYME <br />1.000 <br />180.00 <br />800MG <br />RENAGEL TABLETS <br />5846800211 <br />R <br />212.99 <br />06 <br />GLAXO WELLCOME <br />1.000 <br />1.00 <br />BECLOVENT <br />173046900 <br />R <br />09/96 <br />20.58 <br />01 <br />ICN <br />.800 <br />500.00 <br />60 MG <br />MESTINON <br />187301040 <br />R <br />03/03 <br />220.85 <br />01 <br />IVAX <br />.770 <br />100.00 <br />5 MG <br />PREDNISONE <br />182020189 <br />R <br />05/03 <br />4.17 <br />01 <br />IVAX <br />.060 <br />100.00 <br />5MG <br />PREDNISONE <br />182020100 <br />R <br />04/97 <br />.42 <br />01 <br />MAJOR <br />1.000 <br />100.00 <br />50,000 I <br />VITAMIN D <br />904029160 <br />R <br />12/02 <br />14.25 <br />01 <br />MAJOR <br />.400 <br />100.00 <br />750 MG <br />POTASSIUM CHLORIDE <br />904229561 <br />R <br />6.80 <br />02 <br />CKRODT, INC. <br />.500 <br />100.00 <br />50MG <br />ANAFRANIL <br />78031705 <br />R <br />08/03 <br />128.60 <br />01 <br />.125 <br />24.00 <br />2 GRAMS <br />LIDOCANE DEXTROSE INJ <br />264959410 <br />R <br />3.19 <br />06 <br />MISC. -NDORS <br />1.000 <br />1000.00 <br />N/A <br />MIXED TABS TO BE DESTROYED <br />184 <br />R <br />.02 <br />21 <br />MONA: 'HARM <br />.900 <br />10.00 <br />600,000 <br />BICILLIN L-A <br />61570014710 <br />R <br />282.83 <br />02 <br />MUTUAL ,HARM. <br />.250 <br />100.00 <br />324 MG <br />QUININE SULFATE <br />5348922101 <br />R <br />15.13 <br />02 <br />MYLAN <br />.500 <br />1000.00 <br />5 MG <br />THIOTHIXENE <br />378300510 <br />R <br />05/03 <br />223.80 <br />01 <br />NOVARTIS PHARM. <br />.500 <br />30.00 <br />2.5 MG <br />PARLODEL <br />78001715 <br />R <br />03/03 <br />37.55 <br />01 <br />ORTHO BIOTECH INC. <br />1.000 <br />6.00 <br />2000 <br />PROCRIT <br />59676030201 <br />R <br />12/01 <br />141.00 <br />01 <br />