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gr_whtrn-storlasr <br />Cust. #: <br />15152 <br />ore #: <br />5793 <br />ch #: <br />149 <br />t. #: <br />805663 <br />REASON <br />VENDOR <br />NNYN NI"CRI <br />efurns°.. _ <br />Customer: DEUEL VOCATIONAL INSTITUTION <br />Address 23500 KASSON ROAD <br />P.O. BOX 400 - PHARMACY DEPT. <br />TRACY, CA 95376 <br />Contact ESPERANZA <br />Dea # AV3309831 <br />0, <br />NON-RETURNABLES MANIOST <br />Page: <br />DEVOS LTD., DBA GUARANTEED RETURNS <br />100 Colin Drive <br />Holbrook, NY 11741-4306 <br />(DEA#: RD0188311 EPA#: NY0000997692 ) Print Date : Jan 5, 2005 <br />Phone: (209) 835-4141 <br />Credits passed through: 15152 Wholesaler: MCKESSON-26 <br />Cust Ref #/Debit#: GRX15152149 Address: 3775 SEAPORT BLVD. <br />Service Date: 12/16/04 182-W. SACRAMENTO, CA 94403 <br />226 <br />QUANTITY <br />DEA <br />REASON <br />VENDOR <br />F 1 P <br />SIZE <br />STRENGTH <br />DRUG NAME <br />NDCNO <br />CLASS <br />EXPIRES <br />PRICE <br />CODE <br />ABBOTT PHARM <br />5.000 <br />6.00 <br />REHYDRALYTE <br />70074401620 <br />12/03 <br />86.97 <br />01 <br />QUALITEST <br />.667 <br />150.00 <br />0 <br />CALCIUM ANTACID <br />603009526 <br />.96 <br />02 <br />UCB PHARMA/WHITBY <br />.040 <br />100.00 <br />5/500 <br />LORTAS <br />5047490201 <br />3 <br />2.71 <br />11 <br />ABBOTT HOSP <br />.100 <br />10.00 <br />5 MG/ML <br />DIAZEPAM <br />74321001 <br />4 <br />5.20 <br />02 <br />ALLSCRIPS <br />130 <br />100.00 <br />60 MG <br />PHENOBARBITAL <br />54569093900 <br />4 <br />.66 <br />20 <br />LILLY <br />.200 <br />100.00 <br />65 MG <br />DARVON <br />2080333 <br />4 <br />11.36 <br />20 <br />TEVA PHARM. <br />.090 <br />100.00 <br />1 MG <br />CLONAZEPAM <br />93083301 <br />4 <br />6.16 <br />20 <br />TEVA PHARM. <br />.440 <br />100.00 <br />0.5 MG <br />CLONAZEPAM <br />93083201 <br />4 <br />26.37 <br />20 <br />UDL <br />.190 <br />100.00 <br />2 MG <br />LORAZEPAM <br />51079038720 <br />4 <br />14.28 <br />02 <br />UDL <br />.200 <br />100.00 <br />2 MG <br />LORAZEPAM <br />51079038720 <br />4 <br />15.03 <br />02 <br />UDL <br />.140 <br />100.00 <br />2MG <br />CLONAZEPAM <br />5107988320 <br />4 <br />3.75 <br />02 <br />UDL <br />.200 <br />100.00 <br />1MG <br />CLONAZEPAM <br />5107988220 <br />4 <br />4.38 <br />02 <br />UDL <br />.520 <br />100.00 <br />1MG <br />CLONAZEPAM <br />5107988220 <br />4 <br />11.38 <br />02 <br />UDL <br />.310 <br />100.00 <br />0.5 MG <br />LORAZEPAM <br />51079041720 <br />4 <br />14.95 <br />02 <br />WATSON PHARMA. INC. <br />.110 <br />100.00 <br />100 MG <br />PHENOBARBITAL <br />591580201 <br />4 <br />.20 <br />20 <br />WYETH/AYERST/LEDERLE <br />.270 <br />100.00 <br />2 MG <br />ATIVAN <br />8006502 <br />4 <br />36.87 <br />20 <br />ABBOTT HOSP <br />.200 <br />10.00 <br />500 MG/M <br />MAGNESIUM SULFATE <br />74175410 <br />R <br />5.72 <br />02 <br />ABBOTT HOSP <br />.200 <br />10.00 <br />500MG <br />BRETYLIUM TOSYLATE <br />74169810 <br />R <br />08/04 <br />14.32 <br />01 <br />ABBOTT HOSP <br />.100 <br />10.00 <br />1 GM <br />VANCOMYCIN HCL <br />74653301 <br />R <br />07/04 <br />4.B5 <br />01 <br />ABBOTT HOSP <br />I00 <br />10.00 <br />500MG <br />BRETYLIUM TOSYLATE <br />74169810 <br />R <br />08/04 <br />7.16 <br />01 <br />TT HOSP <br />.080 <br />25.00 <br />40 MG/ML <br />DOPAMINE HCL <br />74910401 <br />R <br />22.40 <br />02 <br />T HOSP <br />.020 <br />50.00 <br />1* <br />LIDOCAINE HCL <br />74427602 <br />R <br />.35 <br />02 <br />r HOSP <br />.100 <br />10.00 <br />1 GM <br />VANCOMYCIN HCL <br />74653301 <br />R <br />07/04 <br />4.85 <br />01 <br />ASIMITT HOSP <br />.020 <br />100.00 <br />100 U/ML <br />HEPARIN LOCK FLUSH <br />74115270 <br />R <br />08/04 <br />.25 <br />01 <br />ABBOTT HOSP <br />100 <br />10.00 <br />500MG <br />BRETYLIUM TOSYLATE <br />74169810 <br />R <br />08/04 <br />7.16 <br />01 <br />AVENTIS/PASTEUR <br />1.000 <br />1.00 <br />5ML <br />TUBERCULIN PURIFIED PROTEIN DERIVAT <br />1179375222 <br />R <br />08/98 <br />87.51 <br />01 <br />AVENTIS/PASTEUR <br />1.000 <br />1.00 <br />5ML <br />TUBERCULIN PURIFIED PROTEIN DERIVAT <br />1179375222 <br />R <br />06/98 <br />87.51 <br />01 <br />AVENTIS/PASTEUR <br />1.000 <br />1.00 <br />5ML <br />TUBERCULIN PURIFIED PROTEIN DERIVAT <br />1179375222 <br />R <br />06/98 <br />87.51 <br />01 <br />BRAINTREE <br />.350 <br />200.00 <br />667 MG <br />PHOSLO <br />52268020001 <br />R <br />10.37 <br />02 <br />CENTOCOR <br />1.000 <br />1.00 <br />0 <br />REMICADE <br />5789403001 <br />R <br />532.01 <br />28 <br />EON LABS <br />1.000 <br />100.00 <br />10 MG <br />DESIPRAMINE HCL <br />185002901 <br />R <br />02/00 <br />39.78 <br />01 <br />FOREST PHARM. <br />.200 <br />100.00 <br />0.1 MG <br />LEVOTHROID <br />456032363 <br />R <br />2.76 <br />05 <br />GENEVA PHARM <br />.200 <br />100.00 <br />150MG <br />RANITIDINE <br />781188313 <br />R <br />4.03 <br />02 <br />GENEVA PHARM <br />.417 <br />12.00 <br />5 MG/ML <br />METOPROLOL TARTRATE <br />78/307075 <br />R <br />16.10 <br />02 <br />GENEVA PHARM <br />.500 <br />100.00 <br />2 MG <br />PERPHENAZINE <br />781104601 <br />R <br />20.65 <br />02 <br />GLAXO WELLCOME <br />.200 <br />100.00 <br />.25MG <br />LANOXIN <br />173024956 <br />R <br />5.53 <br />05 <br />IVAX <br />.060 <br />100.00 <br />20 MG <br />BACLOFEN <br />172409760 <br />R <br />3.38 <br />02 <br />IVAX <br />.950 <br />1000.00 <br />10 MG <br />BACLOFEN <br />172409680 <br />R <br />270.28 <br />02 <br />JANSSEN/ORTHO/MCNEIL <br />3.000 <br />1.00 <br />37.5MG <br />RISPERDAL CONSTA <br />5045830711 <br />R <br />450.00 <br />28 <br />MERCK & CO. INC. <br />4.000 <br />1.00 <br />10 MCG/M <br />RECOMBIVAX-HB <br />6477500 <br />R <br />04/97 <br />238.80 <br />01 <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 />MONARCH PHARM <br />.500 <br />10.00 <br />1MG <br />ADRENALIN CHLORIDE <br />6157041881 <br />R <br />10.43 <br />02 <br />MONARCH PHARM <br />.300 <br />10.00 <br />1MG <br />ADRENALIN CHLORIDE <br />6157041881 <br />R <br />6.26 <br />02 <br />MYLAN <br />.200 <br />100.00 <br />2 MG <br />THIOTHIXENE <br />378200201 <br />R <br />6.08 <br />05 <br />MYLAN <br />.450 <br />100.00 <br />25 MG <br />CLOMIPRAMINE HYDROCHLORIDE CAP <br />378302501 <br />R <br />37.28 <br />05 <br />PAR PHARM <br />.980 <br />100.00 <br />20MG <br />FLUOXETINE <br />4988473501 <br />R <br />274.46 <br />02 <br />PARKEDALE PHARM. <br />1.000 <br />1.00 <br />STU/.IML <br />TUBERCULIN,PPD <br />6402945252 <br />R <br />76.50 <br />06 <br />RICHARDS PHARM <br />4.000 <br />100.00 <br />4MG <br />PERPHENAZINE <br />5473855101 <br />R <br />42.76 <br />06 <br />SOLVAY PHARM <br />450 <br />100.00 <br />100 <br />LUVOX <br />32421001 <br />R <br />121.50 <br />21 <br />TEVA PHARM. <br />.100 <br />100.00 <br />200MG <br />KETOCONAZOLE <br />93090001 <br />R <br />25.12 <br />02 <br />UDL <br />.500 <br />100.00 <br />500 MG <br />CEPHALEXIN <br />51079060520 <br />R <br />11.56 <br />02 <br />UDL <br />.700 <br />100.00 <br />25 MG <br />INDOMETHACIN <br />51079019020 <br />R <br />5.36 <br />02 <br />2781.84 <br />Total <br />Items: <br />64 <br />N CODE KEY: <br />-J1 OUTDATED PAST <br />VENDOR POLICY <br />02 VENDOR ACCEPTS FULL PACKAGES ONLY <br />11 NOT EL;GIBLE <br />FOR CREDIT <br />20 VENDOR DOES NOT ACCEPT PRESCRIPTIONS <br />28 NOT ELIGIBLE <br />FOR CREDIT <br />05 UNDER MINIMUM QUANTITY <br />21 VENDOR DOES NOT ISSUE CREDIT <br />FOR THIS PRODUCT <br />06 WHSLR RTN. NO CHARGE <br />