facility | tax_id | update_date | version | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
allegiance-behavioral-health-center-of-plainview | 201871394 | 4/1/2023 | 1.0.0 | |||||||||||||||
SERVICE DESCRIPTION | CDM CODE | BILLING CODE | ITEM/SERVICE DESCRIPTION | BILLING REVENUE CODE | GROSS CHARGE | BCBS of Texas (Commercial) | Beacon Health Options | Cigna Behavioral Health (Commercial) | Medicare (Traditional) | Optum (United Healthcare/United Behavioral Health) | TriWest (VCP) | Vantage Health Plan | Wellcare (Harmony Health Plan) | Zellis PPO | De-Identified Minimum Negotiated Rate | De-Identified Maximum Negotiated Rate | DISCOUNTED CASH PRICE | |
Inpatient Psychiatric Services | 110002 | Private Room | 114 | 1208 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 110001 | Semi-Private Room | 124 | 1050 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 23926026 | Wound Care | 239 | 568 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000007 | A/B Otic Drops | 250 | 67 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000018 | Abilify 10mg | 250 | 60 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000019 | Abilify 15 Mg | 250 | 34 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000020 | Abilify 2 Mg | 250 | 36 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000022 | Abilify 20mg Tablet | 250 | 83 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000023 | Abilify 30 Mg | 250 | 88 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000024 | Abilify 5 Mg | 250 | 78 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000031 | Acarbose 50 Mg | 250 | 4 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000032 | Accolate 20 Mg | 250 | 12 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000033 | Accu Check Cmfrt Curv 100 | 250 | 136 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000034 | Accupril 20mg | 250 | 31 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000041 | Acebutolol 400 Mg | 250 | 72 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000042 | Acetaminophen | 250 | 23 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000044 | Acetaminophen 325mg | 250 | 1 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000046 | Acetaminophen 500 | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000054 | Acetazolamide 250 Mg | 250 | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000061 | Acidophillus | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000062 | Aciphex 20 Mg | 250 | 35 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000063 | Acto Plus 15/850mg | 250 | 20 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000065 | Actonel 35 Mg | 250 | 143 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000066 | Actos 15 Mg | 250 | 32 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000067 | Actos 30 Mg | 250 | 48 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000068 | Actos 45mg | 250 | 182 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000069 | Acular Opth Sol'n 5m | 250 | 120 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000073 | Acyclovir 400 Mg | 250 | 10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000079 | Add Fee-Ivp-B | 250 | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000084 | Advair | 250 | 408 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000085 | Advair Discus 250/50 | 250 | 294 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000088 | Advair Diskus Inh | 250 | 819 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000090 | 80053 | Advanced Eye Relief | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000091 | Advil 200mg | 250 | 4 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000094 | Aerobid | 250 | 651 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000095 | Aerochamber | 250 | 225 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000097 | 80156 | Aggremox Cap | 250 | 5 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000099 | Aggrenox ER Caps | 250 | 43 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000100 | 86762 | Akwa Tears | 250 | 22 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000106 | Albuterol .83mg/ML 75 | 250 | 151 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000111 | 89300 | Albuterol 200 Metered 17 Gm | 250 | 62 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000115 | 82003 | Albuterol 90mcg Inh 17gm | 250 | 51 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000124 | Aldactone 25mg | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000128 | 83874 | Alendronate 35mg | 250 | 88 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000129 | 82480 | Alendronate 70 Mg | 250 | 143 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000132 | Aleve | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000136 | 86710 | Align | 250 | 5 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000139 | Allegra 180 Mg | 250 | 26 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000141 | Allegra 600 Mg | 250 | 113 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000143 | Allegra-D | 250 | 14 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000144 | Allopurin0l 100 Mg | 250 | 8 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000145 | Allopurinal 300mg/Shein | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000150 | Alocromil 2% 5ml Eye | 250 | 453 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000154 | Alphagan P O. 15% 5 ML | 250 | 358 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000159 | Alprazolam 0.25mg/Purepac | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000160 | Alprazolam 0.5 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000165 | Altace 2.5 Mg | 250 | 14 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000166 | Altace 5 Mg | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000170 | 83020 | Amantadine 100 Mg Tab | 250 | 10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000174 | Amaryl 2 Mg | 250 | 12 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000175 | Amaryl 4 Mg | 250 | 16 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000176 | Ambien 10mg | 250 | 13 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000178 | Ambien 5mg | 250 | 53 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000179 | Ambien Cr 12.5 Mg | 250 | 48 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000181 | Ambilify 10 Mg | 250 | 40 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000182 | Amblify 15 Mg | 250 | 80 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000200 | Amiodarone HCL 200 Mg | 250 | 27 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000201 | Amitiza 24 Mcg | 250 | 40 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000207 | Amitriptyline 25 Mg | 250 | 7 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000210 | 80076 | Amitriptyline HCL 10x21 | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000214 | Amlodipine (Norvasc) 5mg Tab | 250 | 8 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000216 | Amlodipine Besylate 10 Mg | 250 | 3 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000218 | Amlodipine Besylate 5mg | 250 | 3 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000226 | Amlopidine-Benaz | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000230 | 84402 | Ammonium Lactate 2% 400gm | 250 | 128 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000240 | Amoxicillin 500mg | 250 | 12.45 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000244 | Amoxicillin/Clav K. 875/125 | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000264 | Anafranil 25 Mg | 250 | 16 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000265 | 82435 | Analgestic Creme Rub | 250 | 34 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000266 | Anaspaz Tab | 250 | 13 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000268 | 86870 | Anastrozole 1 Mg | 250 | 50 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000271 | Antacid Susp Plus | 250 | 23 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000274 | Antioxidant Vitamins | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000278 | Anusol Hc Supp | 250 | 27 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000279 | 84132 | Apap 500 Mg X-Str Ca | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000284 | Aplrazolam 0.5 Mg/Greenstone | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000289 | Aquaphor 3.5mg Oint | 250 | 213 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000296 | Aricept 10 Mg Tablet | 250 | 33 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000298 | Aricept 5 Mg Tablet | 250 | 33 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000299 | Arimidex 1 Mg | 250 | 49 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000307 | 82382 | Arthrotec 75 Tablet | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000312 | Asacol 400 Mg | 250 | 22 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000313 | Ascensia Elite #50 | 250 | 218 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000316 | Ascorbic Acid 500 Mg | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000317 | 87207 | Asmanex Twisthaler | 250 | 168 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000320 | Aspercreme 10% | 250 | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000322 | Aspirin 325mg Tab | 250 | 4 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000323 | Aspirin 81mg Chewable Tab | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000325 | Aspirin Ec (Ecotrin) 325mg Tab | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000327 | 80198 | Asprin 81mg | 250 | 4 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000330 | Atacand 16 Mg | 250 | 19 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000331 | 86756 | Atacand 32 Mg | 250 | 19 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000333 | Atarex 25mg | 250 | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000335 | Atenolol (Tenormin) 25mg Tab | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000336 | Atenolol (Tenormin) 50mg Tab | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000337 | Atenolol 100mg | 250 | 11 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000339 | Atenolol 25mg Tab | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000340 | Atenolol 50 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000342 | Ativan 0.25 Mg Tab | 250 | 4.5 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000344 | Ativan 0.5 Mg | 250 | 9 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000346 | Ativan 1mg | 250 | 8 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000347 | Ativan 2 Mg Injectable | 250 | 233 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000348 | Ativan 2mg/ML | 250 | 115 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000363 | Atrovent Inhalation | 250 | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000364 | Atrovent Inhaler | 250 | 380 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000371 | Augmentin 875 Mg Tab | 250 | 41 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000373 | Avalide 150/12.5 Mg | 250 | 21 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000374 | Avandia 2mg | 250 | 21 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000375 | Avandia 4mg | 250 | 78 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000377 | Avapro 150mg | 250 | 39 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000381 | Avelox 400mg | 250 | 118 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000382 | Avodart 0.5 Mg | 250 | 27 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000383 | Awka Tears 1.4%-15ml | 250 | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000395 | 86157 | Azithromycin 250 Mg | 250 | 31 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000397 | Azma Cprt Inhaler | 250 | 434 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000400 | Azo Tabs | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000405 | B-1 | 250 | 23 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000409 | Bacitracin 15 Gm | 250 | 68 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000415 | Baclofen 10 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000421 | Bactrim Ds | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000423 | Bactroban Oint. 2% 22 Gm | 250 | 401 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000429 | Beconase Aq Nasal Spray | 250 | 458 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000434 | Benadryl 25 Mg | 250 | 4 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000436 | Benadryl 50 Mg | 250 | 10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000443 | 82040 | Benazepril Hctz 20/1 | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000445 | Benefiber Sugar Feee | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000447 | Benicar 20mg Tab | 250 | 15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000448 | Benicar 40 Mg | 250 | 51 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000450 | 82164 | Benicar 5 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000457 | Benztrop 1 Mg | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000458 | J0515 | Benztropine (Cogentin) 1mg Tab | 250 | 26 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000461 | Benztropine 0.5 Mg | 250 | 23 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000462 | Benztropine 1 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000474 | Betapace 80 Mg | 250 | 71 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000476 | Bethameth Driprop .5 | 250 | 499 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000482 | 84165 | Bethanechol 50mg | 250 | 95 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000485 | Biaxin 500 Mg | 250 | 113 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000498 | Bisacodyl (Dulcolax) 5mg Tab | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000500 | Bisacodyl 5mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000501 | 85044 | Biscolax | 250 | 11 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000502 | Bismo 20 Mg | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000504 | 80194 | Bisoprolol | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000508 | 84432 | Black Cohosh | 250 | 1 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000510 | Blistex Lip Medex | 250 | 20 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000511 | 85046 | Boniva Tab 150 | 250 | 145 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000512 | Boost | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000515 | Brimonidine 0.2% | 250 | 98 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000516 | 86707 | Brimonidine 0.2% Eye | 250 | 213 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000517 | 86706 | Brimonidine Tartrate 5 ML | 250 | 262 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000526 | 86777 | Budesonide 0.5 Mg | 250 | 192 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000532 | 83002 | Bumetanide 1 Mg | 250 | 7 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000533 | 85032 | Bumetanide 2 Mg | 250 | 8 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000535 | Bumex 1mg | 250 | 89 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000545 | 80190 | Bupropion HCL Xl 300 Mg | 250 | 8 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000547 | Bupropion Sr N200 Mg | 250 | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000548 | Buspar 15 Mg | 250 | 17 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000549 | Buspar 5mg | 250 | 11 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000552 | Buspirone 10 Mg | 250 | 7 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000553 | Buspirone 15 Mg | 250 | 7 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000555 | Buspirone 30 Mg | 250 | 12 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000556 | Buspirone 5 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000562 | 83825 | Butalbital/Apap/Caff | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000568 | 86320 | Bystolic 5 Mg | 250 | 5 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000570 | 82565 | Caduet 5 Mg/42mg | 250 | 12 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000573 | Calan 120 Mg | 250 | 14 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000575 | Calan Sr 180mg | 250 | 12 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000580 | Calcitrate 600 + D | 250 | 13 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000583 | Calcitriol 0.25 Mg | 250 | 15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000588 | Calcium 500mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000590 | Calcium 600+d | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000593 | 82465 | Calcium Antacid 150 Tab | 250 | 22 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000599 | 82340 | Calcium Carbonate 60 | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000612 | Caltrate 600 Mg | 250 | 15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000615 | Caltrol 0.25 Mg | 250 | 39 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000616 | Campral 333 Mg | 250 | 17 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000619 | Capoten 25mg | 250 | 28 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000622 | Captopril 50mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000625 | Captoril 25 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000626 | Carafate 1 Gm Tab | 250 | 33 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000637 | Carbamazepine 100mg | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000638 | Carbamazepine 200mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000654 | Carbidopal/Levodopa 25/250mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000657 | Cardina 2 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000660 | Cardizem CD 120 Mg | 250 | 36 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000661 | Cardizem CD 180mg | 250 | 46 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000662 | Cardizem CD 240 Mg | 250 | 150 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000664 | Cardura 2 Mg | 250 | 14 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000669 | Carisoprodol 350mg Tab | 250 | 10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000677 | 82952 | Carvedilol 12.5 Mg | 250 | 10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000678 | Carvedilol 25mg | 250 | 9 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000679 | Carvedilol 3.125 Mg | 250 | 4.5 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000680 | 86038 | Carvedilol 3.25 Mg | 250 | 8 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000682 | 93225 | Carvedilol 6.25mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000688 | Catapress Tts 0.3 Patch | 250 | 536 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000689 | Cecon Bottle | 250 | 513 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000697 | 86880 | Cefdinar 300 Mg | 250 | 20 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000709 | Ceftin 250mg | 250 | 35 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000714 | 87075 | Ceftriaxone 1 Gm | 250 | 62 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000715 | 82693 | Ceftriaxone 1 Gm Vial | 250 | 101 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000724 | Celebrex 100 Mg | 250 | 20 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000725 | Celebrex 200 Mg | 250 | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000733 | Celexa 20 Mg | 250 | 33 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000735 | Cellcept 250mg | 250 | 88 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000737 | Centrum Silver Tab | 250 | 17 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000738 | Century 50 Plus | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000739 | Century Senior Tabs | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000742 | Cepacol Lozenges | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000746 | Cephalexin 500 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000756 | 82247 | Cetirizine 10 Mg | 250 | 32 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000761 | Chantix .5 Mg | 250 | 17 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000762 | Chantix 1 Mg | 250 | 34 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000765 | 85018 | Chlestyramine Packet | 250 | 12 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000767 | Chloraseptic Spray | 250 | 62 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000772 | 82977 | Chlordiazepoxide 25mg | 250 | 7 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000775 | Chlorex-A Tablets | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000778 | 84481 | Chlorhexidine 0.12% 473 ML | 250 | 64 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000780 | 83018 | Chlorophyll 3mg | 250 | 11 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000785 | Chlorpromazine HCL | 250 | 10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000790 | Chlorthalidone 25 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000794 | Cholestyramine Packs | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000803 | Cilostazol 50 Mg | 250 | 28 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000806 | Ciloxan Opth Drops | 250 | 318 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000807 | 86703 | Cimetidine 800 Mg | 250 | 7 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000810 | Cipro 500mg Tablet | 250 | 80 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000814 | Ciprofloxacin (Cipro) 0.3% Oph | 250 | 131 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000819 | Ciprofloxacin 250 Mg | 250 | 7 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000820 | Ciprofloxacin 500 Mg | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000821 | 81050 | Ciprofloxacin HCL | 250 | 10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000822 | 82668 | Ciprofloxacin Opht S 5 ML | 250 | 89 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000827 | 82671 | Citalopram 10 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000828 | Citalopram 20mg | 250 | 13 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000829 | 82677 | Citalopram 40 Mg | 250 | 14 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000831 | Citracal Plus W/ Mag | 250 | 13 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000834 | Cl0nidine 0.1 Mg | 250 | 2 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000835 | Clarinex 5 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000839 | Claritin | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000842 | Cleocin 150 Mg | 250 | 15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000843 | Climara 0.1 Mg Patch | 250 | 50 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000860 | Clobenzaprine HCL | 250 | 46 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000867 | Clonazepam 1 Mg | 250 | 7 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000875 | Clonidine .2 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000876 | Clonidine 0.1 | 250 | 12 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000878 | Clonidine 0.3mg Tablet | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000880 | Clonidine Tts Patch 0.1 Mg | 250 | 447 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000881 | Clonidine Tts Patch 0.2mg | 250 | 349 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000882 | Clonidine Tts Patch 0.3 Mg | 250 | 185 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000883 | Clonozapam 0.5 Mg | 250 | 20 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000887 | 80185 | Clorazepate 7.5mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000891 | Clotrim Antifungal | 250 | 31 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000903 | Clozaril 25 Mg | 250 | 15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000911 | Coenzyme Q10 50 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000916 | Cogentin 2 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000918 | 87270 | Cogentin1 Mg | 250 | 3 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000919 | Colace 100mg | 250 | 6.81 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000921 | Colace Liquid 10 Cc | 250 | 5 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000923 | Col-Benemid | 250 | 8 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000924 | Colcace Liquid 5ml | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000925 | Colchicine 0.6mg Tab | 250 | 2 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000931 | 87491 | Colestipol HCL 1gm | 250 | 10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000936 | Combigan Eye Drops | 250 | 233 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000938 | Combivent Inhaler 14.7gm | 250 | 430 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000941 | Compazine 10 Mg | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000945 | 84450 | Compound Rx 30gm | 250 | 36 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000946 | Comtan 200 Mg | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000949 | Copaxone 20mg | 250 | 390 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000952 | Cordarone 200mg | 250 | 126 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000959 | Corgard 40mg | 250 | 36 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000960 | Corge 12.5 Mg | 250 | 16 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000961 | Corona Ointment | 250 | 67 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000962 | 84460 | Correc Cr 40mg | 250 | 84 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000967 | Cosopt Eye Drops | 250 | 312 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000972 | Coumadin 2.5 Mg | 250 | 21 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000973 | Coumadin 3.5 Mg | 250 | 14 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000974 | Coumadin 5 Mg | 250 | 20 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000976 | Coumadin 7.5mg | 250 | 14 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000978 | Cozaar 100 Mg | 250 | 17 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000979 | 86304 | Cozaar 25 Mg | 250 | 10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25000980 | Cozaar 50 Mg | 250 | 19 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000984 | Crestor 10 Mg | 250 | 23 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000991 | Cyanocobalamin (Vit B12) 1000m | 250 | 32 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25000997 | Cyclobenzarine HCL | 250 | 7 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001006 | Cyclosporine Opth 0.4% | 250 | 99 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001007 | Cymbalta 20mg | 250 | 31 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001008 | Cymbalta 30mg | 250 | 22 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001009 | Cymbalta 60 Mg | 250 | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001014 | Cytotec 100 Mcg | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001016 | Cytra K 5ml | 250 | 13 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001047 | Darvocet N 100mg | 250 | 22 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001049 | Darvon 65mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001059 | Demadex Non-Frm 20mg | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001062 | Depakene 250 Mg/5ml | 250 | 120 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001079 | Depakote 1000 Mg | 250 | 42 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001081 | Depakote 125 Mg Sprinkles | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001083 | Depakote 250 Mg | 250 | 16 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001084 | 84153 | Depakote 250mg/5ml S 140ml | 250 | 240 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001085 | Depakote 500mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001086 | Depakote 750 Mg | 250 | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001089 | 83615 | Deplin 7.5 Mg Tab | 250 | 13 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001090 | Depo Provera | 250 | 729 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001091 | Depomedrol 80 Mg | 250 | 157 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001093 | 84134 | Desipramine 25 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001107 | Desyrel 100mg | 250 | 92 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001108 | 86063 | Detrol La 2 Mg Tab | 250 | 24 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001109 | Detrol La 4 Mg | 250 | 31 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001117 | Dexamrth 1mg/ML | 250 | 123 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001136 | Diabeta 5 Mg | 250 | 17 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001145 | Diazepam 10 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001152 | 85008 | Diclofenac Sod | 250 | 5 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001158 | Dicyclomine 10 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001159 | Dicyclomine HCL 20 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001163 | Diflucan 150 Mg | 250 | 45 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001171 | Digoxin 0.125mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001173 | Digoxin 0.25mg | 250 | 7 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001174 | 82950 | Digoxin 250mcg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001177 | Dilacor XR 180mg | 250 | 20 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001178 | Dilantin 100mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001184 | Dilantin 50mg | 250 | 13 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001204 | Diltiazem CD 180mg | 250 | 17 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001205 | Diltiazem CD 30 Mg | 250 | 11 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001207 | Diltiazem ER 120 | 250 | 14 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001210 | Diltiazem HCL CD (Cardizem) Ca | 250 | 10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001216 | Diovan 160 Mg | 250 | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001221 | Diovan 80 Mg | 250 | 19 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001222 | Diovan Hct 80/12.5 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001223 | Diovan Hctz 160/12.5 Mg | 250 | 15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001226 | 85025 | Diphedryl Sod | 250 | 1 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001227 | 84234 | Diphenhist 25 Mg | 250 | 5 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001228 | Diphenhist Elixer Rugby | 250 | 36 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001232 | Diphenhydramine 25 (Rug) | 250 | 7 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001233 | Diphenhydramine 50(Rug) | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001235 | 85014 | Diphenoxyl/Atropine | 250 | 2 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001239 | Dipyridamole 25 Mg | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001247 | Ditropan Xl 5mg | 250 | 34 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001255 | 86618 | Divalproex Sod 500 M | 250 | 15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001256 | 86609 | Divalproex Sod Dr 25 | 250 | 10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001257 | 83970 | Divalproex Sod ER 50 | 250 | 14 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001261 | Divan 40mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001271 | Docusate Calcium | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001274 | Docusate Sodium 100mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001277 | Donepezil HCL 10 Mg | 250 | 3 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001280 | Donnatel/Maalox | 250 | 31 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001288 | 83519 | Dorzolamide-Timolol | 250 | 386 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001294 | 82533 | Doxazosin Mesylate | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001298 | 82951 | Doxepin 10 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001299 | Doxepin 100 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001300 | Doxepin 25mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001303 | Doxepin HCL 25mg | 250 | 4 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001309 | Doxycycline 100mg | 250 | 17 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001315 | Q0167 | Dronabinol (Marinol) 2.5mg Cap | 250 | 16.28 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001316 | 87802 | Dronedarone 400 Mg | 250 | 92 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001317 | 85730 | Droperidol 2.5 Mg/ML 20 | 250 | 48 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001320 | Dss 100mg | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001321 | Dss W/Casan | 250 | 10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001322 | Dulcolax | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001332 | Duoneb 2.5 | 250 | 16 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001336 | Duragesic 50 Mcg/Hr 5's | 250 | 152 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001339 | Dyazide | 250 | 10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001343 | Dynacirc Cr 5mg | 250 | 28 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001344 | Dynapen 250mg | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001346 | Dytan 25 Mg | 250 | 11 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001352 | Ees Filmtb 400 Mg | 250 | 8 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001356 | Effexor 37.5 Mg | 250 | 28 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001358 | Effexor XR 150mg | 250 | 21 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001359 | Effexor XR 75 Mg | 250 | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001360 | 89051 | Effient 10 Mg | 250 | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001362 | Elavil 50mg | 250 | 26 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001367 | Elidel 1% 60 Gr Cream | 250 | 235 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001368 | Elidel 1% Cream 30 Gram | 250 | 443 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001371 | Eliquis 5 Mg | 250 | 27 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001373 | Elnorm 6mg | 250 | 73 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001378 | Enablex 7.5 Mg | 250 | 40 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001382 | Enalapril 10mg | 250 | 7 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001384 | Enalapril 20 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001385 | 83718 | Enalapril Maleate | 250 | 8 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001408 | Enteric Coated Aspirin | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001429 | Epogen 20,000 Units | 250 | 1408 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001437 | 87045 | Ergocalciferol 50,000 | 250 | 16 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001440 | Eryped 200mg/5ml | 250 | 14 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001444 | Erythromycin 500 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001453 | Esidrix 25 Mg | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001454 | Eskalith Cr | 250 | 10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001457 | Estazolam 1 Mg | 250 | 10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001465 | Estradiol 2mg Tablet | 250 | 7 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001476 | 86316 | Estropipate 0.625 | 250 | 11 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001477 | Estropipate 0.75mg Tab | 250 | 10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001488 | Etodolac 600 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001495 | E-Vista 60 Mg | 250 | 33 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001496 | 86787 | Evoxac 30 Mg | 250 | 13 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001497 | Exelon 1.5 Mg | 250 | 23 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001498 | Exelon 3mg | 250 | 21 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001499 | Exelon 4.5 Mg | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001500 | 84479 | Exelon 4.6 /24hr P 30 | 250 | 264 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001501 | Exelon 6 Mg | 250 | 24 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001504 | 86317 | Exelon Patch 9.5 Mg | 250 | 37 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001509 | 85048 | Exforge 5 320mg | 250 | 21 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001512 | Eye Stream 30ml | 250 | 150 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001517 | Famotidine 20 Mg | 250 | 8 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001528 | 84439 | Felodipine ER 5mg | 250 | 10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001531 | Femera 25mg | 250 | 122 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001535 | 82085 | Fenofibrate 200 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001545 | Fentanyl 75mcg/Hr Pathc | 250 | 279 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001554 | 84703 | Feosol | 250 | 5 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001555 | 87070 | Fergon | 250 | 4 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001558 | Ferrex 150mg Cap | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001559 | Ferro Sulf 325mg | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001578 | 83498 | Fexofenadine HCL | 250 | 14 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001579 | 87102 | Fiber Laxative 625 | 250 | 1 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001580 | Fiber Powder | 250 | 31 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001581 | Fibercon 500mg | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001582 | 80178 | Fibercon 625 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001586 | 82374 | Finasteride 5mg | 250 | 7 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001588 | Fioricet 1 Tab | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001590 | Fiorinal/Cod #3 | 250 | 8 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001596 | Flagyl 500 Mg | 250 | 45 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001600 | Flax Seed Oil 1000 Mg Softgel | 250 | 13 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001605 | Fleets Phospho-Soda 3oz. | 250 | 31 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001606 | Flexeril 10 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001609 | Flomax 0.4 Mg | 250 | 21 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001610 | Flonase Nasal Spray | 250 | 140 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001613 | Floranex Tab | 250 | 1 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001616 | Florinef 0.1 Mg | 250 | 10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001622 | Flovent 44 Mcg Inhaler | 250 | 515 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001624 | 82010 | Flovent Hfa 100 Mcg | 250 | 230 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001625 | Flu Vaccine | 250 | 83 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001626 | Flu Vaccube .05 ML | 250 | 62 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001638 | 86593 | Fludrocortisone Ace | 250 | 45 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001642 | Fluocinolone .01% 60 | 250 | 263 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001647 | Fluoprazine 2mg | 250 | 14 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001652 | Fluoxetine | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001656 | 84295 | Fluoxetine 20 Mg | 250 | 15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001668 | 82270 | Fluphenazine Dec 25m | 250 | 34 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001670 | Flurazepam | 250 | 12 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001684 | 84080 | Fluticasone 50mcg | 250 | 90 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001685 | Fluticasone Nasal Spray | 250 | 70 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001686 | Fluticasone P Cr 15 | 250 | 90 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001691 | 83090 | Fluvoxamine Laleate | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001693 | 83036 | Fluzone | 250 | 237 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001695 | 82365 | Folamin Tablet | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001699 | Folic Acid 1mg Tab | 250 | 7 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001707 | Foltx Tabs | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001709 | Foradil 12ud Inhaler | 250 | 399 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001710 | 86664 | Foradil Aerolizer 12mcg | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001714 | 86235 | Fortical Nasal Spray | 250 | 120 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001716 | Fosamax 70 Mg | 250 | 221 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001721 | Fosinopril/Hctz | 250 | 12 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001733 | Furosemide 20mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001734 | Furosemide 40 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001737 | Furosemide 80mg | 250 | 8 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001744 | Gabapentin 100 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001747 | Gabapentin 300 Mg | 250 | 8 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001749 | Gabapentin 600 Mg | 250 | 23 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001752 | 84484 | Gabitril 12mg | 250 | 27 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001757 | 85362 | Galantamine Hb 212 M | 250 | 15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001767 | Gaviscon 20-80 Mg | 250 | 16 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001770 | Gemfibrozil 600 Mg | 250 | 8 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001772 | Genasyme 80mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001773 | 81003 | Genebs 500mg | 250 | 23 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001774 | Generlac Soln 10g/15ml | 250 | 219 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001775 | Gentacidin 3mg/ML | 250 | 326 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001783 | Gentamicin Opth Sol 5ml | 250 | 27 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001785 | 86677 | Genteal Drops | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001790 | Geodon 20 Mg | 250 | 36 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001791 | Geodon 20 Mg/Inj | 250 | 654 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001793 | Geodon 40 Mg | 250 | 37 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001796 | Geodon 60 Mg Tab | 250 | 61 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001797 | Geodon 80 Mg | 250 | 44 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001798 | 83605 | Geritol Complete | 250 | 35 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001799 | 86334 | Ginko Biloba 60 Mg | 250 | 1 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001802 | 84244 | Glimepiride 2 Mg | 250 | 7 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001804 | 82310 | Glimepiride 40 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001806 | Glipizide 10 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001810 | Glipizide E-R 5mg | 250 | 10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001814 | 82595 | Glucagon 1 Mg Emer Kit | 250 | 183 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001818 | Glucophage 500 Mg | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001820 | Glucophage XR 500mg | 250 | 15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001823 | Glucosamine Complex 500 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001824 | Glucosamine/Chondroiton | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001829 | Glucotrol 5mg | 250 | 15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001831 | Glucovance 2.5/500 | 250 | 11 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001833 | Glucovance 5/500 Tab | 250 | 23 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001840 | Glyburide 2.5 Mg Tab | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001843 | 80299 | Glyburide 5mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001850 | Glycolax 255 Gram | 250 | 135 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001855 | Glynase 3mg | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001879 | Gualfensin Dm 10cc | 250 | 19 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001883 | Guanfucine 2mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001886 | Gwatuss 100mg/5ml | 250 | 51 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001889 | Haldol 1 Mg | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001890 | Haldol 10 Mg Tab | 250 | 8 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001894 | Haldol 5 Mg | 250 | 42 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001896 | Haldol 5mg/ML | 250 | 113 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001901 | Haldol Liq 2/1 5ml | 250 | 52 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001902 | 80074 | Halls Mentolyptus (60) | 250 | 23 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001906 | Haloperidol 0.5 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001908 | Haloperidol 1 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001911 | Haloperidol 2 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001914 | Haloperidol 5 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001918 | Haloperidol ML 120 | 250 | 68 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001919 | Haloperidol Oral Sol 60 ML | 250 | 68 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001921 | Hcts 1% 30gm | 250 | 135 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001922 | 82438 | Hctz 12.5 Capsule | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001925 | Hemmorrhoidal Cr | 250 | 42 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001927 | 86160 | Hemocyte Plus Cap | 250 | 3 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001928 | Hemorrhoidal Hc Supp | 250 | 10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001930 | Hep Lock 100u/ML 30 ML | 250 | 31 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001943 | Humalog Ins Inj | 250 | 78 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001944 | Humalog Insulin U-100 1oml | 250 | 135 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001946 | 85660 | Humira 40 Mg/0.8 ML | 250 | 1016 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001947 | Humulin 70/30 | 250 | 34 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001950 | Humulin R Insulin U 100 | 250 | 140 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001951 | Hyazzr 50-12.5 Mg | 250 | 19 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001956 | Hydralazine 10 Mg | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001959 | 86803 | Hydralazine 25mg | 250 | 3 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25001960 | Hydralazine 50 Mg | 250 | 4.5 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001961 | Hydralazine 75 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001962 | Hydrea 500 Mg | 250 | 20 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001963 | Hydro Valerate 0.2% | 250 | 251 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001969 | Hydrocholorothiazide 25mg | 250 | 10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001973 | Hydrocodone Apap 7.5/500 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001978 | Hydrocodone/Apap 10/325 Mg | 250 | 7 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001984 | Hydrocodone/Apap 5/500 Wt | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25001990 | 87177 | Hydrocodone-Apap 5/3 | 250 | 3 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002001 | 86645 | Hydrocortisone 5 Mg Tab | 250 | 2 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002010 | Hydrocotisone 1% Cr 1oz | 250 | 24 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002016 | 84403 | Hydroxychloroquine 2 | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002028 | Hydroxyzine HCL 25mg | 250 | 7 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002030 | Hydroxyzine Pam 25mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002031 | Hydroxyzome 50 Mg | 250 | 135 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002035 | Hyoscyamine S/L.125 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002038 | Hypotears Eye Drops | 250 | 73 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002039 | Hytrin | 250 | 224 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002042 | 86318 | I Caps Plus | 250 | 3 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002047 | 84436 | Ibuprofen 100 Mg/5 ML | 250 | 28 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002048 | 81001 | Ibuprofen 200mg Tab | 250 | 21 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002050 | Ibuprofen 400mg Tab | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002052 | Ibuprofen 800 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002058 | Imdur 30 Mg | 250 | 43 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002062 | 80150 | Imipramine HCL 50mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002063 | Immitrex 50 Mg | 250 | 226 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002064 | Immodium 2mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002070 | Inderal 10mg | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002072 | Inderal 40 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002073 | Inderal La 120 Mg | 250 | 10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002084 | Indomothacin 25 Mg | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002087 | Innopran Xl 120 Mg | 250 | 16 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002088 | Inspra 25 Mg | 250 | 28 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002100 | Insulin Humulin R | 250 | 126 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002106 | 87899 | Invega 3 Mg | 250 | 43 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002110 | 81015 | Ipratr-Albuterol 0.5 90 | 250 | 116 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002117 | Ipratropoim 0.02% 05mg/2.5ml | 250 | 239 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002127 | Ismo 20 Mg | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002133 | Isopto Tears | 250 | 175 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002134 | Isordil 10mg | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002136 | 83898 | Isosorbide 10 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002137 | Isosorbide 20mg Oral Tab | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002144 | Isosorbide Mon 30mg | 250 | 10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002153 | IV Nacl | 250 | 204 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002158 | 84585 | Janumet 50-1,000 Mg | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002159 | Januvia 100 Mg | 250 | 60 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002160 | Januvia 25 Mg | 250 | 50 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002161 | 84066 | Januvia 50 Mg | 250 | 45 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002162 | Jevity 1.5 | 250 | 23 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002164 | 89060 | Juven | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002169 | K Dur 20 Mg | 250 | 7 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002177 | Kaolin Pectin 30 ML | 250 | 27 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002190 | Kcl Sol'n 10% 20meq/15ml | 250 | 94 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002191 | 87536 | Keflex 250 Mg | 250 | 3 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002192 | Keflex 500mg | 250 | 12 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002193 | 87190 | Kenalog | 250 | 71 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002194 | Kenalog Cm 80gm Tube | 250 | 431 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002195 | Kenalog Lotion 1% | 250 | 461 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002196 | Keppra 1000 Mg Tab | 250 | 12 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002199 | Keppra 500 Mg | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002204 | 85300 | Ketocanazole Cr 2% | 250 | 53 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002211 | Ketorolac (Toradol) 10mg Tab | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002217 | Klonopin 0.5 Mg | 250 | 24 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002218 | Klonopin 1 Mg | 250 | 27 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002224 | 86663 | Konsyl Powder | 250 | 81 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002225 | Kristalose 10mng Pckt | 250 | 7 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002226 | Kwell Lotion 60ml | 250 | 304 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002235 | Labetalol HCL | 250 | 31 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002237 | Labetalol HCL 200 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002238 | Lacri-Lube 7gm | 250 | 33 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002241 | 82945 | Lactaid Fast Act | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002250 | Lactulose 30 ML Voc | 250 | 146 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002251 | 84550 | Lactulose Sol 473ml | 250 | 72 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002252 | Lamictal 100mg | 250 | 88 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002253 | Lamictal 150mg | 250 | 15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002256 | Lamictal 25mg | 250 | 15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002257 | Lamictal Tablets 100 Mg | 250 | 31 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002265 | 86900 | Lamotrigine 100 Mg | 250 | 16 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002272 | Lanoxin .125 Mg | 250 | 17 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002280 | Lantus Insulin 100 | 250 | 147 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002281 | Lantus Insulin Inj | 250 | 34 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002284 | Latanoprost Drp 0.005% | 250 | 209 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002287 | 87186 | Latuda 40 Mg | 250 | 78 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002288 | Latuda 80 Mg | 250 | 150 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002289 | Laxative Suppository | 250 | 14 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002290 | Lecithin 120 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002293 | Lescol 20 Mg | 250 | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002294 | Lescol Xl 80mg | 250 | 56 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002300 | 87621 | Levaquin 250 Mg | 250 | 31 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002301 | Levaquin 500mg | 250 | 62 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002303 | Levbid ER 0.375mg | 250 | 15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002307 | 86709 | Levemir Vl | 250 | 519 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002316 | 85049 | Levetiracetam 500 Mg | 250 | 14 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002329 | Levothroid .05 Mg | 250 | 8 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002331 | Levothroid 0.1 Mg | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002332 | Levothroid 0.125 | 250 | 10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002333 | Levothroid 100 Mcg | 250 | 4 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002335 | Levothroid 75mg | 250 | 8 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002337 | Levothyroid 25mcg | 250 | 10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002340 | Levothyroxine (Synthroid) 112m | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002346 | 83880 | Levothyroxine 100 Mcg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002347 | 80164 | Levothyroxine 125mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002348 | 87081 | Levothyroxine 150 Mcg | 250 | 5 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002349 | 84154 | Levothyroxine 175mcg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002351 | 80168 | Levothyroxine 25mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002352 | 80170 | Levothyroxine 50 Mcg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002353 | 83655 | Levothyroxine 75mcg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002354 | 87535 | Levothyroxine 88 Mcg | 250 | 5 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002357 | Levothyroxine Sod 150 Mcg | 250 | 15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002365 | Levoxyl 75 Mcg | 250 | 10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002366 | 80061 | Levthyroxine | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002367 | Lexapro 10 Mg | 250 | 19 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002369 | Lexapro 20mg Tablet | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002372 | Lexapro 5mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002379 | Lidex .05% 15 Gu | 250 | 269 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002384 | Lidocaine 1% 20 ML | 250 | 5 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002402 | Lidoderm 5% Patch | 250 | 263 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002404 | Limbrel 500 Mg | 250 | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002408 | J2020 | Linezolid (Zyvox) 600mg Tab | 250 | 453 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002409 | Lioresal 10mg | 250 | 7 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002418 | Lipitor 10 Mg | 250 | 26 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002419 | Lipitor 20 Mg | 250 | 34 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002420 | Lipitor 40mg | 250 | 34 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002421 | Lipitor 80 Mg | 250 | 35 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002424 | 80162 | Lisinopril 10mg Tab | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002425 | 82948 | Lisinopril 2.5 Mg | 250 | 7 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002426 | Lisinopril 20 Mg | 250 | 13 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002429 | Lisinopril 40 Mg | 250 | 14 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002430 | Lisinopril 5mg | 250 | 10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002431 | Lisinopril/Hctz 12.5 | 250 | 12 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002440 | Lithium 300 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002443 | Lithium Carbonate 150 Mg | 250 | 4 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002446 | Lithium Carbonate ER 450 Mg | 250 | 7 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002449 | Lodine 500 Mg | 250 | 51 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002450 | Lodosyn 25 Mg | 250 | 13 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002452 | 83550 | Lofibra | 250 | 20 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002453 | Lomotil 2.5 Mg | 250 | 22 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002454 | 83525 | Lomox Tablet | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002455 | Loniten 2.5mg | 250 | 11 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002459 | 82785 | Loperamide Hci Tab | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002460 | Lopid 600 Mg | 250 | 45 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002462 | Lopressor 25mg | 250 | 13 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002466 | Loratadine 10 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002472 | Lorazepam 0.5 Mg | 250 | 5 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002476 | Lorazepam 2mg/ML Inj 1ml | 250 | 38 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002478 | 84146 | Lorazepam Intensol 2 (30ml) | 250 | 279 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002479 | Lorazepam Tab : 1mg | 250 | 13 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002483 | Lortab 10/500 Mg | 250 | 26 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002493 | Lortab 7.5 Mg | 250 | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002498 | Lortab-5 | 250 | 27 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002506 | 86403 | Lotemax 0.55 Eye | 250 | 83 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002508 | Lotensin 10mg | 250 | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002514 | Lotrel 10/20 Mg Capsule | 250 | 16 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002516 | Lotrel 5/10 Cap | 250 | 51 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002518 | Lotrimin 1% Cr. 30 Gm | 250 | 189 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002520 | Lotycin Oint 1gm | 250 | 35 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002521 | Lovastatin 10 Mg | 250 | 13 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002522 | 80051 | Lovastatin 20mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002527 | 84443 | Lovaza 1 Gm | 250 | 7 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002531 | Lovenox 40mg | 250 | 210 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002540 | Loxitane 25mg | 250 | 13 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002543 | Lozol Tab 2.5mg | 250 | 14 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002545 | 87522 | Lubricant Eye Ointment | 250 | 33 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002546 | Lumigan Eye Drops | 250 | 425 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002549 | Lunesta 1 Mg | 250 | 100 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002550 | Lunesta 2 Mg | 250 | 40 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002551 | Lunesta 3 Mg | 250 | 40 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002552 | 82575 | Lyrica 100 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002555 | Lyrica 25 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002556 | 84681 | Lyrica 300 Mg | 250 | 16 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002560 | Maalox 0 | 250 | 5 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002561 | Maalox 30 Cc | 250 | 5 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002562 | Macrobid 100mg | 250 | 48 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002564 | Macrodantin 50 Mg | 250 | 14 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002568 | Mag Ox 400 | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002576 | Magnesium Citrate | 250 | 33 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002581 | 86225 | Magnesium Oxide 241 | 250 | 4 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002588 | Mandelamne 1 Gm | 250 | 19 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002595 | Mavik 1 Mg | 250 | 12 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002600 | Maxzide 75/50 | 250 | 27 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002602 | Meclizine 12.5 Mg | 250 | 4.14 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002603 | Meclizine 25 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002606 | Medrol Dose Pak | 250 | 132 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002608 | 84133 | Medroxyprogesterone 7 | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002636 | Megace Susp. 5ml | 250 | 28 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002639 | Megestrol Acetate 40 Mg | 250 | 129 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002644 | Melatonin 1 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002646 | Melatonin 3mg Tab | 250 | 13 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002650 | 82550 | Meloxicam 7.5 Mg | 250 | 7 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002660 | Mephyton 5 Mg | 250 | 12 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002674 | Metaformin 500mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002678 | Metamucil Pkt | 250 | 15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002685 | Metformin 1000 Mg | 250 | 10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002687 | Metformin 500 Mg | 250 | 3 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002690 | 87210 | Metformin 850 Mg | 250 | 2 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002691 | 80201 | Metformin HCL 500mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002699 | 86694 | Methadone 5 Mg Tab | 250 | 2 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002700 | 86689 | Methadone HCL 10mg | 250 | 4 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002703 | Methenamine Mandelate 1 Gm | 250 | 12 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002707 | Methocarbamol (Robaxin) 500mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002709 | 85613 | Methocarbamol 750 Mg | 250 | 3 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002713 | 86778 | Methotrexate 2.5mg Tab | 250 | 19 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002714 | Methotrexate 25mg | 250 | 35 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002739 | Metoclopramide 10mg | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002740 | Metoclopramide 5mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002744 | Metolazone 2.5 Mg | 250 | 15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002745 | 84702 | Metolazone 5 Mg | 250 | 16 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002749 | Metoprolol 12.5 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002750 | Metoprolol 25mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002753 | 85610 | Metoprolol Succ | 250 | 5 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002754 | Metoprolol Succ ER 25 Mg | 250 | 5 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002755 | Metoprolol Succ ER 50 Mg | 250 | 7 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002762 | Metoprolol Tartrate Tab : 25mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002764 | Metoprolol Xl 50mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002767 | 82232 | Metronidazole 500mg Tab | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002770 | Mevacor 20 Mg | 250 | 78 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002774 | Miacalcin 200 U Dose | 250 | 226 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002775 | Miacalcin Nasal Spray 3.7 | 250 | 458 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002776 | Miacalin 200u Dose | 250 | 226 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002777 | 86765 | Mi-Acid Gas | 250 | 1 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002779 | Micardis 40 Mg | 250 | 36 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002788 | 84155 | Micro-K 8 Meq Extenca | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002797 | 87205 | Midorine HCL 5 Mg | 250 | 11 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002799 | Migrazone Capsules | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002803 | Milk of Magnesia 30 Cc | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002806 | Mineral Oil 30 Cc | 250 | 27 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002811 | Minocin 100mg | 250 | 28 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002815 | 84999 | Minoxidil 10 Mg | 250 | 4 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002820 | Miralax Packet | 250 | 7 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002821 | Miralex 255 Gm | 250 | 154 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002825 | Mirapex 0.5 Mg | 250 | 19 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002829 | Mirtazapine 15 Mg | 250 | 8 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002830 | Mirtazapine 30 Mg | 250 | 26 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002832 | Mirtazapine 7.5 Mg | 250 | 9 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002837 | 83661 | Moban 25 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002838 | Moban 50 Mg | 250 | 19 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002840 | Mobic 7.5 Mg | 250 | 60 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002845 | 86000 | Moexpril HCL 15mg | 250 | 8 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002849 | Mometasone 0.1% Cream 15 Gr | 250 | 226 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002850 | Monistat 7 Vag Supp | 250 | 100 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002852 | Monopril 20mg | 250 | 28 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002868 | 82106 | Morphine Sulf ER 30 | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002871 | Motrin 120ml | 250 | 53 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002872 | Motrin 600mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002873 | Motrin Susp 5ml | 250 | 10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002877 | Ms Contin 30 Mg | 250 | 19 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002881 | Mucinex 600 Mg | 250 | 17 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002888 | 85379 | Multigen Plus Caplet | 250 | 10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002894 | Multivitamin With Mineral | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002898 | Murine Tears Plus | 250 | 26 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002909 | Mylicon 80 | 250 | 17 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002912 | 84233 | Mysoline 50mg Tab | 250 | 13 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002914 | Nabumetone 500mg Tab | 250 | 12 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002915 | Nabumetone 750 Mg | 250 | 13 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002920 | Nacl 4 Meq/ML 250 ML | 250 | 266 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002922 | 86301 | Nadolol 20 Mg | 250 | 7 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002931 | Namenda 10mg | 250 | 15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002932 | Namenda 5 Mg | 250 | 20 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002940 | Naphcon-A 5ml | 250 | 136 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002946 | Naproxen 250 Mg | 250 | 27 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002948 | Naproxen 500 Mg | 250 | 21 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002952 | 78267 | Naproxen Sod | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002957 | Nasacort Aq | 250 | 424 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002960 | Nasal Solutions | 250 | 62 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002961 | 83010 | Nasalcrom 4% Spray | 250 | 107 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002962 | Nasonex Nasal Spray | 250 | 557 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002965 | 86336 | Nature Tear Drops | 250 | 46 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002967 | Navane 5 Mg | 250 | 36 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002968 | 85651 | Nb Valerian Root | 250 | 2 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002978 | 82044 | Neo/Polymyxin/Hc Ear 10ml | 250 | 64 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25002989 | Neosporin Ung Pk | 250 | 17 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002993 | Nep-Synephrine 1% | 250 | 113 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25002998 | Neurontin 100mg | 250 | 16 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003000 | Neurontin 300 Mg | 250 | 38 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003007 | Nexium 20 Mg | 250 | 41 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003008 | Nexium 40 Mg | 250 | 31 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003009 | 84478 | Niacin 250 Mg | 250 | 4 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003013 | 85007 | Niaspin 1,000 Mg | 250 | 23 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003016 | Nicoderm Patch 21mg | 250 | 150 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003023 | Nicotine Patch 14mg | 250 | 19 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003024 | Nicotine Patch 21 Mg | 250 | 18.75 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003025 | Nicotine Patch 7 Mg | 250 | 12.63 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003027 | Nifediac Cc 60 Mg | 250 | 21 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003029 | Nifedipine 15 Mg | 250 | 22 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003030 | 83721 | Nifedipine 60mg | 250 | 14 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003032 | Nifedipine ER 30 Mg | 250 | 22 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003034 | Nifedipine ER 90 Mg | 250 | 23 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003035 | Niferex 150mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003036 | Nilandon 150 Mg | 250 | 143 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003039 | Nirovam 0.25 Mg | 250 | 17 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003044 | Nitro Dur 0.4mg | 250 | 98 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003046 | Nitro Tab 0.4 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003047 | 86022 | Nitro Transderm 0.2 M | 250 | 194 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003055 | Nitrofurantoin Mono. 100mg | 250 | 16 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003058 | 82150 | Nitrofurantoin-Macro 7 | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003065 | Nitroglycerin Patch T 0.2 | 250 | 12 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003068 | Nitroglycerin ST 6.5 | 250 | 62 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003079 | Nitroquick | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003080 | Nitrostat 0.4mg/25 | 250 | 3 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003081 | 82627 | Nizatidine 150 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003082 | Nolvadex 10 Mg | 250 | 52 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003084 | Norco 10/325 Mg | 250 | 11 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003086 | Norco 5/325 Mg | 250 | 15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003092 | Norpramin 25mg | 250 | 16 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003094 | Nortriptyline 50 Mg | 250 | 4.32 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003097 | Norvasac 5mg | 250 | 14 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003098 | Norvasc 10mg | 250 | 23 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003099 | Norvasc 2.5 Mg | 250 | 19 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003102 | Novolin 70/30 | 250 | 75 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003105 | 85220 | Novolin N 100/U/ML | 250 | 123 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003107 | 83935 | Novolin R 100 Units | 250 | 271 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003114 | Novolog Mix 70/30 | 250 | 368 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003129 | Nuedexta 10/5 Mg | 250 | 46 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003130 | Nuedexta 20/10 | 250 | 56 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003141 | Nystatin Cream 15gm | 250 | 31 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003144 | 86903 | Nystatin Oral Susp 75ml | 250 | 89 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003146 | Nystatin Powder 30 Gms | 250 | 155 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003159 | Occuvite | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003168 | Ogen 1.25 Mg | 250 | 26 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003170 | Olanzapine (Zyprexa) 10mg Inj | 250 | 142 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003171 | Olanzapine (Zyprexa) 5mg Tab | 250 | 48 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003188 | Omacor 1 Gm | 250 | 33 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003189 | Omega 3fa 1000mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003190 | 80152 | Omega-3 Fish Oil | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003192 | Omeprazole 20mg Caps | 250 | 23 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003194 | Omnicef 300mg | 250 | 27 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003200 | 87425 | Ondansetron HCL 4 Mg | 250 | 86 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003202 | 80202 | One A Day | 250 | 4 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003204 | 84520 | One-A-Day Mens | 250 | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003207 | 89320 | Opana ER 10 Mg | 250 | 17 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003212 | Orabase-B 20% Paste | 250 | 57 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003213 | Orajel | 250 | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003214 | Orap 2 Mg | 250 | 32 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003217 | 86781 | Orphenadrine ER 100 Mg | 250 | 12 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003221 | Os Cal 500d | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003226 | 82436 | Osteo Bi Flex | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003229 | Oxandrin 2 Mg | 250 | 56 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003232 | Oxazepam Cap : 10mg | 250 | 7 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003233 | 82105 | Oxazepam Cap : 15mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003235 | 80101 | Oxcarbazepine 150mg Tab | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003238 | Oxybutynin (Ditropan Xl) 5mg T | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003240 | Oxybutynin 10 Mg | 250 | 15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003243 | Oxybutynin Choloride 5 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003253 | 85240 | Oxycodone HCL 40 Mg | 250 | 23 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003263 | Oxytrol Patch | 250 | 75 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003265 | Oyster Shell Calcium | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003269 | Pain Reliever Tab 325mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003273 | Pancrease Ec Caps | 250 | 15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003284 | Pantroprazol 40 Mg | 250 | 5 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003285 | 80188 | Paoxetine HCL 40mg | 250 | 7 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003290 | Parcopa 25/100 Mg | 250 | 15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003295 | Parlodel 2.5 Mg | 250 | 46 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003300 | Paroxetine HCL 10mg | 250 | 20 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003301 | Paroxetine HCL 20 Mg | 250 | 24 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003302 | Paroxetine HCL 30 Mg | 250 | 26 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003309 | Patanol Opth Soln 0.1% 5ml | 250 | 113 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003310 | Paxil 10 Mg | 250 | 14.37 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003311 | Paxil 20 Mg | 250 | 20 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003313 | Paxil 40 Mg | 250 | 7.5 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003316 | Paxil Cr 12.5 | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003317 | Paxil Cr 25 Mg | 250 | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003318 | Paxil Mcr 37.5 | 250 | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003319 | Pc Tar 6 Oz. Shampoo | 250 | 221 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003324 | Pehnytoin Na Extended 100 Mg | 250 | 7 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003331 | Penicillin Vk 250mg Tab | 250 | 13 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003339 | Pentoxifyllin 400mg Tab | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003340 | Pepcid Complete | 250 | 2 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003354 | Periactin 4 Mg | 250 | 17 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003355 | Peridex 473ml Sol | 250 | 179 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003358 | Perparation-H Ointment | 250 | 31 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003360 | Perphenazine | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003364 | Perphenazine 4 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003372 | Phenazopyridine 200 Mg | 250 | 17 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003373 | Phenazopyridine HCL 100mg | 250 | 11 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003374 | Phenazopyrodome 100m | 250 | 8 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003375 | Phenergan 25mg/1cc | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003382 | Phenergan Supp | 250 | 7 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003384 | Phenobarb 30 Mg | 250 | 27 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003385 | Phenobarbital 15mg Pd | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003403 | Phenytek 300mg | 250 | 14 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003408 | Phenytoin 125mg/5 M237 | 250 | 2 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003413 | Phoslo 667mg Gelcap | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003419 | 87206 | Pindolol 10 Mg | 250 | 5 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003420 | Pindolol Tab : 5mg | 250 | 4.16 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003431 | Plaquenil 200mg | 250 | 44 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003434 | Plavix 75mg | 250 | 36 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003437 | Pletac 50mg | 250 | 23 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003438 | Pletal 100mg | 250 | 15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003442 | Pneumovac 23 Vaccine | 250 | 224 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003446 | 80158 | Polyethylene Glycol 255 | 250 | 48 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003449 | Potass Cl Meq | 250 | 8 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003451 | Potassium 20mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003456 | Potassium Ch 10meq | 250 | 9 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003479 | Potassium Cl 10% Liq 105 ML | 250 | 32 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003488 | 87220 | Pradaxa 150 Mg | 250 | 20 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003501 | Pravachol 10mg | 250 | 22 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003502 | Pravachol 20 Mg | 250 | 31 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003503 | Pravachol 40 Mg | 250 | 41 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003511 | Prazosin 1 Mg | 250 | 12.81 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003515 | Precose 50mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003518 | 83930 | Prednisolone Acetate | 250 | 122 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003520 | Prednisolone Opth 1% 5ml | 250 | 33 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003523 | Prednisone 10 Mg | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003527 | Prednisone 20mg Tab | 250 | 8 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003537 | Prelone 5mg/ML | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003540 | Premarin 0.45 Mg | 250 | 8 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003541 | Premarin 0.625 Mg | 250 | 20 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003542 | Premarin 1.25 Mg | 250 | 13 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003544 | Premarin Vag Cream | 250 | 167 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003546 | Prenatal Vitamin | 250 | 15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003550 | 83001 | Preservision Softgel | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003551 | Prevacid 15mg | 250 | 49 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003552 | Prevacid 30mg | 250 | 31 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003554 | 82330 | Prevastatin Sod | 250 | 10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003559 | Primidone 250 Mg Tablet | 250 | 11 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003561 | Prinivil 2.5 Mg | 250 | 8 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003562 | Prisolec Otc | 250 | 4 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003564 | 80048 | Pristiq 50 Mg | 250 | 10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003566 | 82784 | Proair Hfa 90mcg Inh 8.50 Gm | 250 | 200 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003574 | Procardia Xl 30 Mg 1 Tab | 250 | 31 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003575 | 80196 | Procardia Xl 60 Mg | 250 | 8 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003578 | Q0164 | Prochlorperazine (Compazine) 5 | 250 | 2.2 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003579 | Prochlorperazine Supp 25mg | 250 | 23 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003580 | Procrit 10,000 Units | 250 | 1002 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003581 | Procrit 20,000 U/ML | 250 | 1815 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003582 | Procrit 2000 U/ML 6-1ml | 250 | 90 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003583 | Procrit 3,000 Unites/ML | 250 | 278 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003585 | Procrit Epoetin Alfa 4000 | 250 | 278 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003588 | 86901 | Proctozone-Hc 2.5 Cream | 250 | 137 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003593 | Promethazine 25mg | 250 | 7 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003598 | Promethazine Supp | 250 | 23 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003600 | Promethegan 25 Mg Supp. | 250 | 44 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003607 | Propoxyphene N Apap 100/650 | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003610 | Propranolol 10 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003611 | Propranolol 40 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003622 | Proscar 5 Mg | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003625 | 86920 | Prostate Formula | 250 | 2 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003628 | Protocream Hc 30gm | 250 | 440 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003629 | Protonix 20 Mg | 250 | 35 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003631 | Protonix 40mg Tab | 250 | 26 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003633 | Provera 5 Mg | 250 | 20 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003635 | Provigil 200 Mg | 250 | 53 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003636 | 82491 | Proxy-N/Apap 100 | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003637 | Prozac 10 Mg | 250 | 36 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003638 | Prozac 20 Mg | 250 | 78 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003642 | Prozac Weekly 90 Mg | 250 | 345 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003650 | Pulmicort 0.5 Mg | 250 | 126 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003660 | Pyridoxine 100mg | 250 | 14 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003662 | Qualfenesin Dm 10cc | 250 | 19 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003666 | Questran Pckt 9g | 250 | 24 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003678 | Quinapril 10mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003679 | Quinapril 20mg | 250 | 15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003680 | 83520 | Quinapril 40 Mg | 250 | 10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003684 | Quinidine 200mg | 250 | 16 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003693 | Quintine Sulfate 260m | 250 | 16 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003695 | 82746 | Qvar 80 Mcg Inhaler | 250 | 516 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003705 | 82941 | Ramipril 2.5 Mg | 250 | 12 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003706 | 82507 | Ramipril 5 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003707 | 87116 | Rampipril 10 Mg | 250 | 13 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003709 | Ranexa 500 Mg | 250 | 22 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003715 | Ranitidine Tab : 150mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003718 | Rapamune 1 Mg | 250 | 167 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003720 | Razadyne 12 Mg | 250 | 22 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003723 | Razadyne 8 Mg | 250 | 22 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003724 | Recaltrol 0.25 Mcg | 250 | 39 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003725 | Refresh Eye Drops | 250 | 57 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003729 | Relafen 500 Mg | 250 | 45 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003730 | 82103 | Reliable Gentle Laxative | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003731 | Remeron 15 Mg | 250 | 73 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003732 | Remeron 30 Mg | 250 | 19 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003734 | Remeron 7.5 Mg | 250 | 13 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003735 | Remifemin Tab | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003736 | Reminyl 12mg | 250 | 19 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003744 | Requip .25 Mg | 250 | 100 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003747 | Requip 1mg | 250 | 22 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003755 | 87340 | Restasis 0.05% Eye Emulsion | 250 | 179 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003757 | Restoril 15mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003759 | Restoril 7.5 Mg | 250 | 14.37 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003761 | Rezadyne 4mg | 250 | 17 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003762 | Rhinocort Agua | 250 | 378 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003774 | Risperdal Lig 30 ML | 250 | 932 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003775 | Risperdal 0.25 Mg | 250 | 27 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003776 | Risperdal 0.5mg Tab | 250 | 21 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003778 | Risperdal 1mg | 250 | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003780 | Risperdal 2 Mg | 250 | 42 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003781 | Risperdal 3 Mg | 250 | 54 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003782 | Risperdal 4 Mg | 250 | 71 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003785 | Risperdal Consta 25mg | 250 | 946 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003789 | 85060 | Risperdone 1mg/ML | 250 | 136 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003790 | 82747 | Risperidone .25 Mg | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003791 | 81099 | Risperidone .5 Mg | 250 | 7 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003792 | Risperidone 1 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003796 | 87086 | Risperidone 4 Mg | 250 | 44 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003798 | Ritalan 5 Mg | 250 | 4 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003813 | Robitussin 5ml | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003814 | Robitussin Dm | 250 | 31 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003817 | Rocaltrol 0.25mg | 250 | 19 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003820 | Rocephin 500mg Vial | 250 | 152 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003822 | 36415 | Ropinirol 0.5 Mg | 250 | 13 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003825 | Ropinirole .25mg | 250 | 13 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003827 | Ropinirole HCL | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003834 | Rozerem 8mg | 250 | 75 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003835 | Rythmol 150 Mg Tab | 250 | 16 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003837 | Saline Nasal Spray 1.5 Oz | 250 | 23 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003846 | 84588 | Sanctura XR 60mg | 250 | 24 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003848 | 86886 | Saphris 10 Mg | 250 | 52 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003849 | 86850 | Saphris 5 Mg | 250 | 49 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003851 | 83625 | Sb 12hr Nasal 0.5% | 250 | 162 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003860 | Senna 8.6mg | 250 | 3 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003861 | Senna Gen Tab | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003862 | Senna Plus | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003867 | Sennalax-S Tab | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003868 | Senokot 187mg | 250 | 16 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003871 | Septra Ds | 250 | 43 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003873 | Serevent Disl Inh | 250 | 548 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003874 | 82088 | Seroguel 400 Mg | 250 | 21 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003875 | Seroquel 100 Mg | 250 | 17 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003878 | Seroquel 200mg Tablet | 250 | 36 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003879 | Seroquel 25 Mg | 250 | 11 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003880 | Seroquel 300 Mg | 250 | 56 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003882 | 80069 | Seroquel 50mg | 250 | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003893 | 82553 | Sertraline HCL 100 Mg | 250 | 7 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003894 | 82552 | Sertraline HCL 25 Mg | 250 | 7 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003895 | 80102 | Sertraline Hyc 50 Mg | 250 | 7 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003896 | Serzone 100mg | 250 | 14 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003898 | Sherrous Sulfate Ltq | 250 | 15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003899 | Shopax 100 Mg | 250 | 36 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003914 | Simvastatin 20 Mg | 250 | 10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003915 | 80055 | Simvastatin 40 Mg | 250 | 10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003918 | Sinemet 10/100 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003920 | Sinemet 25/100 | 250 | 27 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003921 | Sinemet 25/250 | 250 | 23 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003923 | Sinemet Cr 50/200 | 250 | 21 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003925 | Singulair 10 Mg | 250 | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003928 | Skelaxin 800mg | 250 | 22 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003929 | Slo-Niacin 250mg | 250 | 15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003930 | Slow Fe 160mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003932 | Slow K-8 Meq | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003933 | 86738 | Slow Mag 64 Mg | 250 | 3 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003934 | 85384 | Smz/Tmp Ds 800/160 Mg | 250 | 4 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003945 | Sodium Bicarnonate 10gr | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003947 | Sodium Chloride | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003974 | Solu Medrol 125 Mg Vial | 250 | 53 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003978 | Sonata 10mg | 250 | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003979 | Sonata 5mg | 250 | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003988 | 80182 | Spiriva 18mcg | 250 | 10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25003990 | Spiriva Handihaler | 250 | 429 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003992 | Spiriva Refill | 250 | 35 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003993 | Spirono/Hctz 2/25 | 250 | 8 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003997 | Spironolactone 25 Mg | 250 | 10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25003998 | Spironolactone 50 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004000 | Sporanox 25mg Inj | 250 | 660 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004005 | Ssystane Eye Drops | 250 | 104 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004006 | 84466 | ST John's Wart | 250 | 4 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25004012 | Starlix 120mg | 250 | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004014 | Starttera 40 Mg | 250 | 135 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004020 | 82670 | Stomahesive Paste 60gm | 250 | 129 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25004021 | Stool Softner | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004022 | Strattera 25 Mg | 250 | 120 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004024 | Stress W/Zinc | 250 | 13 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004029 | Sucralfate 1 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004042 | 82055 | Sulfamethoxazole/Tmp | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25004047 | 86860 | Sulindac Tab : 150mg | 250 | 5 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25004052 | 84144 | Sumatriptan Succ | 250 | 101 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25004056 | 84120 | Super Thera Vite Mt | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25004059 | Sustane Lubricant Eye Drops | 250 | 100 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004061 | 86922 | Symbicort 80 4.5 | 250 | 36 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25004063 | 82390 | Symbyax 6/25mg | 250 | 20 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25004064 | Symmetrel 100mg | 250 | 12 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004066 | Symmetrel 50 Mg/5ml | 250 | 24 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004068 | Synthroid .05 Mg | 250 | 10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004069 | Synthroid .2 Mg | 250 | 8 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004071 | Synthroid 0.075 Mg | 250 | 11 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004072 | Synthroid 0.125mg | 250 | 12 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004075 | Synthroid 0.1mg | 250 | 10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004090 | Tamoxifen 10mg | 250 | 19 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004097 | Tapazole 5mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004098 | Tarka 2/240 | 250 | 50 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004102 | 84300 | Tbc Spray 113.40 ML | 250 | 64 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25004103 | Tears Pure | 250 | 20 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004106 | Tegretol 200mg | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004112 | Tekurna 150 Mg | 250 | 40 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004117 | Temazepam 15 Mg | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004118 | Temazepam 30 Mg | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004123 | Tenex 1 Mg | 250 | 8 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004125 | Tenormin 25mg | 250 | 17 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004126 | Tenormin 50mg | 250 | 27 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004127 | Terazosin | 250 | 11 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004131 | Terazosin 5mg | 250 | 20 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004137 | 80100 | Terbinafine HCL 250 | 250 | 22 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25004143 | Tessalon Perls 100 Mg | 250 | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004149 | 80200 | Tetanus Toxoid Adsor 5ml | 250 | 418 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25004156 | Theo-24 200 Mg | 250 | 28 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004157 | Theo-Dur 300mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004160 | 82570 | Theophylline 300mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25004163 | Thera Tears Nutrition Tabs | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004164 | Theragran M | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004165 | Therapeutic M | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004167 | Theravite Liquid 4oz | 250 | 36 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004168 | Thermotab | 250 | 7 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004170 | 84100 | Thiamin 100 Mg/ML V 2 | 250 | 81 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25004171 | 84081 | Thiamin 100 Mg/ML V8 | 250 | 113 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25004172 | Thiamin 50 Mg | 250 | 21 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004174 | Thiamine (Vit B1) 100mg Tab | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004175 | Thiamine 100 Mg | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004176 | Thiamine 100 Mg/ML Inj | 250 | 64 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004183 | Thiothixene Cap : 5mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004188 | Thyroid 2 Gr | 250 | 7 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004189 | Thyroid 30 Mg | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004190 | Thyroid 60 Mg | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004191 | Thyroid Tab : 1grain | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004199 | 86430 | Tikosyn 250 Mcg | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25004203 | 86325 | Timolol 0.5% Eye Drops | 250 | 4 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25004209 | Timoptic .5% 5ml | 250 | 36 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004213 | Tizanidine 2 Mg | 250 | 12 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004229 | Tofranil 25mg | 250 | 16 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004230 | Tofranil 50mg | 250 | 8 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004236 | Topamax 100 Mg | 250 | 12 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004244 | 85002 | Topiramate 100 Mg | 250 | 26 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25004247 | Toprol Xl | 250 | 12 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004253 | Torsemide 10 Mg | 250 | 10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004254 | Torsemide 20 Mg | 250 | 12 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004264 | Tramadol 50mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004265 | 80184 | Tramadol HCL /Acet | 250 | 5 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25004267 | Tramadol HCL Tab 50 Mg | 250 | 3 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004269 | Tramadol/Apap 37.5/325 Mg | 250 | 8 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004275 | Tranxene 3.75 Mg | 250 | 22 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004277 | Traqzadone HCL | 250 | 49 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004279 | Travatan 0.004% Eye Drops | 250 | 323 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004282 | Trazadone 150 Mg | 250 | 11 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004283 | Trazadone HCL | 250 | 49 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004285 | Trazodone 100 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004287 | Trazodone 20 Mg | 250 | 8 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004289 | Trazodone 25 Mg | 250 | 12.96 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004290 | Trazodone 50 Mg | 250 | 8 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004292 | 86308 | Trental 400mg | 250 | 3 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25004297 | Triamcinolone Cr .1 80gm | 250 | 118 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004300 | 85097 | Triamter/Hctz 37.5 | 250 | 5 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25004301 | Triamterene Hctz 37.5/25 | 250 | 10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004302 | Triamterene Hctz 75/50 | 250 | 10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004305 | Tricor 145mg | 250 | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004309 | Trifluoperazine 2mg | 250 | 7 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004313 | Trihexyphenidyl 5 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004319 | Trileptal 300 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004324 | 86704 | Trilipix 45 Mg | 250 | 11 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25004327 | Trimethobenzamide 200mg | 250 | 12 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004331 | Trimethsulfa 160/800 | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004332 | Trimpex 100 Mg | 250 | 22 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004335 | Triple Antibiiotic Oint 15 Gr | 250 | 31 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004349 | Tums 750 Mg | 250 | 13 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004353 | Tussin Cough 8oz | 250 | 15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004354 | Tussin Dm 8 Oz | 250 | 31 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004358 | Tylenol | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004361 | Tylenol 325 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004363 | Tylenol 650 Mg | 250 | 13 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004364 | 82140 | Tylenol Ex Str 500 Mg (84 Tabs | 250 | 37 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25004367 | Tylenol W/Codine #3 | 250 | 2 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004370 | 87040 | Uloric 40 Mg | 250 | 32 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25004372 | Ultracet 37.5/325 | 250 | 10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004373 | Ultram 50mg | 250 | 27 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004374 | Uniphyl 400mg | 250 | 12 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004375 | Uniretic 15 Mg/25 Mg | 250 | 15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004376 | Univasc 15mg | 250 | 16 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004378 | Urecholine 25mg | 250 | 14 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004386 | Uroxatral 10mg | 250 | 26 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004389 | 82728 | Ursodiol 300 Mg | 250 | 14 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25004413 | Valprotic Acid 250 Mg | 250 | 129 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004421 | 87324 | Valturna 300-320 Mg | 250 | 22 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25004422 | Vanamide Cream 8.5 Gm | 250 | 299 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004433 | Vantin 200 Mg | 250 | 54 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004437 | Vasotec 10mg | 250 | 38 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004438 | Vasotec 5mg | 250 | 36 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004443 | Venlafaxine (Effexor) 75mg Cap | 250 | 14 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004444 | 85302 | Venlafaxine HCL 37.5 Mg | 250 | 15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25004445 | 82947 | Venlafaxine HCL 75mg | 250 | 11 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25004447 | Ventol Ud 0.083% | 250 | 27 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004448 | Ventolin 0.5 ML | 250 | 24 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004449 | Ventolin 17mg Inh | 250 | 252 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004452 | Ventonlin 1gm Inhaler | 250 | 504 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004455 | 82248 | Verapamil 180 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25004467 | Vesicare 5mg | 250 | 96 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004469 | Viactiv Chew Tab | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004473 | Vicon C | 250 | 10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004478 | 86684 | Vigamox Drops | 250 | 192 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25004486 | Visken 5mg | 250 | 12 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004488 | Vistaril 25mg | 250 | 71 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004492 | Vitamin A | 250 | 16 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004499 | Vitamin B-1 | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004502 | Vitamin B-12 1000 Mc | 250 | 13 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004503 | Vitamin B12 1000 Mcg Tablet | 250 | 1 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004504 | Vitamin B12 1000 Mcg/ML | 250 | 56 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004511 | 82607 | Vitamin B6 100 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25004515 | Vitamin C 500 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004516 | Vitamin D 1000 Units-Tablet | 250 | 3 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004517 | Vitamin D 400 U | 250 | 15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004525 | Vitamin E 400 Unit Cap | 250 | 23 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004536 | 86665 | Volaren 1% Gel | 250 | 222 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25004538 | Voltaren 75mg | 250 | 43 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004541 | Vytorin 10/10 Mg | 250 | 13 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004542 | Vytorin 10/20 Mg | 250 | 27 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004554 | 85013 | Warfarin 6 Mg | 250 | 8 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25004555 | Warfarin Sod 1mg | 250 | 11 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004556 | Warfarin Sod 2.5 Mg | 250 | 10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004557 | Warfarin Sod 3 Mg | 250 | 28 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004558 | Warfarin Sod 4mg | 250 | 13 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004559 | Warfarin Sod 5 Mg | 250 | 10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004561 | 85540 | Warfarin Sodium 7.5mg | 250 | 7 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25004562 | Water 45 M | 250 | 43 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004563 | Welchol 625 Mg | 250 | 17 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004564 | Wellbutrin 300 Mg | 250 | 33 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004567 | Wellbutrin Xl 150mg | 250 | 10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004570 | Women's One A Day | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004571 | Xalatan Ophth Solution | 250 | 368 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004573 | Xanax 0.25 Mg | 250 | 22 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004574 | Xanax 0.5 Mg | 250 | 7 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004575 | 87800 | Xarelto 10 Mg | 250 | 11 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25004581 | Xifaxan 550 Mg | 250 | 141 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004583 | Xopenex 1.25 Mg/10.5 ML | 250 | 67 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004586 | Xopenex Inh Sol'n 0.63 Mg | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004588 | Xylocaine 1% 20ml | 250 | 67 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004591 | Z0cor 20mg | 250 | 10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004595 | 84560 | Zaleplon 10 Mg | 250 | 17 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25004596 | Zanaflex 4mg | 250 | 31 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004597 | Zantac 150 Mg | 250 | 26 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004598 | Zaroxalyn 5mg | 250 | 21 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004599 | 87590 | Zaroxolyn 2.5 Mg | 250 | 8 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25004600 | Zegerid 40mg Osus Pw | 250 | 34 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004601 | Zelform 6 Mg | 250 | 37 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004602 | Zelnorm 2 Mg | 250 | 17 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004605 | Zestril 10 Mg | 250 | 27 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004606 | Zestril 20mg | 250 | 32 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004607 | Zestril 5mg | 250 | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004608 | Zetia 10 Mg | 250 | 64 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004610 | Ziac 5 Mg | 250 | 10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004614 | Zinc 50mg | 250 | 15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004616 | 83497 | Zinc Gluconate | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25004620 | 86140 | Zinc Sulfate 220 Mg | 250 | 4 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25004629 | Zithromax 250 Mg | 250 | 36 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004631 | Zocor 10 Mg | 250 | 26 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004633 | Zocor 40mg | 250 | 19 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004634 | Zocor 80 Mg | 250 | 41 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004636 | Zofran 4mg Tab | 250 | 158 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004641 | Zoloft 100 Mg | 250 | 28 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004644 | Zoloft 25 Mg | 250 | 23 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004645 | Zoloft 50mg | 250 | 17 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004649 | Zolpidem 10 Mg | 250 | 22 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004653 | 84075 | Zolpidem Tartrate | 250 | 22 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25004654 | Zonegran 100 Mg | 250 | 14 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004657 | Zonisamide 100mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004660 | Zovirax | 250 | 11 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004664 | 83540 | Zylet 5ml Opth Sol | 250 | 264 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 25004665 | Zyloprim 100mg | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004666 | Zyloprim 300mg | 250 | 10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004669 | Zyprexa 10mg | 250 | 38 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004670 | Zyprexa 10mg/ML (Injec) | 250 | 163 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004671 | Zyprexa 15mg | 250 | 84 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004672 | Zyprexa 2.5 Mg | 250 | 48 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004674 | Zyprexa 5 Mg | 250 | 19 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004676 | Zyprexa 7.5 Mg | 250 | 61 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004677 | Zyprexa Zydis 10 Mg | 250 | 80 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004678 | Zyprexa Zydis 15mg | 250 | 135 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004681 | Zyprexa Zydis 5mg | 250 | 56 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004682 | Zyprexia 10mg | 250 | 60 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004683 | Zyrtec 10mg | 250 | 22 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004684 | Zyrtec 5mg | 250 | 11 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004711 | Norvasc 5 Mg | 250 | 24 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004714 | Aripiprazole 2 Mg | 250 | 89 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004715 | Nbl Balance B 100 Tab | 250 | 2 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004739 | Simbrinza Eye Drops | 250 | 631 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004742 | Breo Ellipta Inh 100/25 | 250 | 406.15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004751 | Kaopectate 30 Cc | 250 | 3.6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004752 | Tolterodine Tart ER 4 Mg | 250 | 25 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004753 | Durezol Opth Emulsn 0.05% | 250 | 728 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004754 | Toujeo Insulin 1 Unit | 250 | 1.2 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004766 | Rivastigmine 4.6 Patch | 250 | 33 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004767 | Rivastigmine 9.5 Patch | 250 | 33 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004768 | Vraylar 3 Mg | 250 | 167 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004802 | Janumet 50/500 Mg | 250 | 25.71 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004833 | Eliquis 2.5 Mg Tab. (Apixaban) | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004841 | Namzaric 14/10 Mg | 250 | 63 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004849 | Breo Ellipta 200/25 Mcg Inh | 250 | 1538 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004892 | Namzaric 28/10 Mg | 250 | 63 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004911 | Entresto 24-26 Mg | 250 | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004921 | Trintellix 10 Mg | 250 | 45.3 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004929 | Albuterol 2.5mg Hhn | 250 | 9 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004930 | Amiodarone HCL 100mg | 250 | 12 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004931 | Arginaid Powder | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004932 | Breo Ellipta 100/25mcg (Puff) | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004933 | Bydueron 2mg (Dose) | 250 | 525 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004934 | Bydueron 2mg (Pen) | 250 | 1992.4 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004935 | Carafate 100mg/1ml | 250 | 24 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004936 | Clotrimazole 1% Per App | 250 | 9 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004937 | Clotrimazole 1% Tube | 250 | 111 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004938 | Coban | 250 | 10.32 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004939 | Debrox Solution 6.5% (Bottle) | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004940 | Debrox Solution 6.5% (Drop) | 250 | 3 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004941 | Descovy 200 25 Mg | 250 | 192 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004942 | Diltiazem ER 300mg | 250 | 15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004943 | Estradiol 0.1% (Treatment) | 250 | 12 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004944 | Estradiol 0.1% Cream (Tube) | 250 | 291.18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004945 | Estroven 1 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004946 | Lamicatal 200 Mg | 250 | 12 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004947 | Lisinopril 15 Mg | 250 | 9 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004948 | Megace 100 ML Bottle | 250 | 51.48 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004949 | Demeclocycline 300 Mg | 250 | 33.2 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004950 | Metoprolol Tartate 150mg | 250 | 7.5 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004951 | Metoprolol Tartate 200mg | 250 | 9 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004952 | Metoprolol 100 Mg | 250 | 9 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004953 | Metronidazole 0.75% (Appl) | 250 | 9 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004954 | Metronidazole 0.75% (Tube) | 250 | 165.7 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004955 | Mylanta 30ml (Bottle) | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004956 | Mylanta 30ml (Dose) | 250 | 3 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004957 | Nebivolol 10mg | 250 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004958 | Pataday 2% (Bottle) | 250 | 594 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004959 | Pataday 2% (Drop) | 250 | 19.8 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004960 | Phenobarbital 64.8 Mg | 250 | 3.75 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004961 | Potassium 10mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004962 | Potassium 40mg | 250 | 9 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004963 | Potassium Cl 10% 20 Meq/15ml | 250 | 11.7 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004964 | Prasugrel HCL 10mg | 250 | 21 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004965 | Primidone 150mg | 250 | 10.5 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004966 | Propranolol 20mg | 250 | 4.5 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004967 | Requip 3mg | 250 | 24 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004968 | Salagen 5mg | 250 | 12 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004969 | Synthroid 0.25 Mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004970 | Tivicay 50 Mg | 250 | 195 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004971 | Toprol 100mg | 250 | 12 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004972 | Torsemide 40mg | 250 | 9 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004973 | Tresiba (Unit) | 250 | 3 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004974 | Vitamin D-3 5000mg | 250 | 3 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004975 | Vitiamin D 600 Mg | 250 | 3 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004976 | Warfarin 40mg | 250 | 12 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004977 | Wellbutrin Sr 200mg | 250 | 9 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004978 | Zocor 20mg | 250 | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004979 | Zocor 5mg | 250 | 12 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004980 | Zoloft 200mg | 250 | 21 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004981 | Zonisamide 75mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004982 | Naproxen 220mg | 250 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004983 | Sinemet 50/200mg | 250 | 15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004986 | Vitrase (Hyaluronidase) | 250 | 540 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004987 | Lice Treatment 1% Cream Rinse | 250 | 1 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004988 | Tandem Plus Capsule | 250 | 6.96 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004989 | Memantin HCL ER 21 Mg | 250 | 18.4 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004990 | Docusate Sodium 240 ML Bottle | 250 | 28.28 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004991 | Vitamin B12-Folic Acid | 250 | 2.8 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004992 | Latuda 10 Mg | 250 | 99.91 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004993 | Multilex | 250 | 1.2 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004995 | Fentanyl Patch 37.5 Mcg | 250 | 202.6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004996 | Olopatadine HCL 0.2% Eye Drops | 250 | 195.8 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004997 | Irbesartan 75 Mg | 250 | 1.6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004998 | Ventolin Hfa 90 Mcg Inhaler | 250 | 13.56 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25004999 | Liothyronine Sod 50 Mcg | 250 | 7.96 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005000 | Lidocaine 1% Vial 50 ML | 250 | 31.64 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005001 | Promethazine Syr 16 Oz | 250 | 26.16 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005002 | Warfarin 3.75 Mg | 250 | 9.28 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005003 | Vraylar 1.5 Mg | 250 | 188.88 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005004 | Ferrous Gluconate 324 Mg | 250 | 1.48 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005005 | Linzess 290 Mcg | 250 | 63 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005006 | Rosuvastatin Calcium 5 Mg | 250 | 2.72 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005007 | Iron 100-Vitamin C | 250 | 3.32 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005009 | Depo Testosterone 200mg/1ml Vi | 250 | 113.96 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005010 | Memantin ER 14 Mg | 250 | 18.4 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005011 | Liquitears 1.4% | 250 | 20 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005013 | Belbuca 75 Mcg | 250 | 24.04 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005014 | Belbuca 300 Mcg | 250 | 37.6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005022 | Belbuca 150 Mcg | 250 | 24.04 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005023 | Viibryd 10 Mg | 250 | 43.16 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005024 | Memantin HCL ER 7 Mg | 250 | 17.84 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005025 | Basaglar 100unit/ML Kwikpen | 250 | 1548.76 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005026 | Pentasa 500 Mg | 250 | 29.32 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005027 | Centratex | 250 | 4.48 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005028 | Amoxapine 100 Mg | 250 | 11.32 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005029 | Amoxapine 50 Mg | 250 | 5.68 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005030 | Disulfiram 250 Mg | 250 | 9.24 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005031 | Paliperidone ER 6 Mg | 250 | 55.56 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005032 | Rexulti 4 Mg | 250 | 184.68 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005033 | Armodafinil 150 Mg | 250 | 8.08 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005034 | Lucemyra 0.18 Mg | 250 | 148.72 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005035 | Citalopram 5 Mg | 250 | 2.44 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005036 | Paliperidone ER 3 Mg | 250 | 58.2 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005037 | Venlafaxine HCL 100 Mg | 250 | 1.6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005038 | Carbamazepine ER 300 Mg | 250 | 8.52 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005039 | Armodafinil 250 Mg | 250 | 6.88 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005040 | Ropinirole 3 Mg | 250 | 3.32 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005041 | Haloperidol Dec 50 Mg/ML | 250 | 172.6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005047 | Acidophilus Capsule | 250 | 15.18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005048 | Nuplazid 34 Mg | 250 | 304.74 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005049 | Bevespi Aeros 9-4.8 Mcg Hfa Ad | 250 | 1108 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005050 | Fetzima ER 20 Mg Capsule | 250 | 14 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005051 | Clorazepate 15mg Tablet | 250 | 8.29 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005052 | Tolterodine Tartrate 1mg Tab | 250 | 5.4 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005053 | Aricept 15mg | 250 | 60 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005054 | Butalbital Acet 50-325 Mg | 250 | 20 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005055 | Precedex 200 W/Saline 100 | 250 | 447.24 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005056 | Precedex 4 Mcg/ML Vl 20x50 ML | 250 | 32 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005057 | Aptiom 800mg Tablet | 250 | 122.61 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005058 | Mirtazapine 22.5 | 250 | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005059 | Vortioxetine 20mg | 250 | 70 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005060 | Remeron 22.5 Mg | 250 | 15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005062 | Famvir 500 Mg | 250 | 75.39 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005063 | Coumadin 2 Mg | 250 | 12.57 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005064 | Albuterol Sul Hfa 108mcg/Act | 250 | 78.63 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005065 | Chlorzoxazone 500 Mg | 250 | 8.67 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005066 | Bactrium Ds 800mg/160 | 250 | 13.05 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005067 | Trulicity 1.5mg/0.5ml | 250 | 645.27 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005068 | Liothyronine Sodium 5mcg | 250 | 3.42 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005069 | Carbidopal/Levodopa 25-100mg | 250 | 12.78 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005070 | Ferrous Gluconate 240mg | 250 | 6.21 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005071 | Prolixin 5mg | 250 | 13.2 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005072 | Namenda 28mg | 250 | 13.68 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005073 | Risperadol Consta 50mg/2mls | 250 | 3209.67 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005074 | Risperadol Consta 25mg/2mls | 250 | 1610.73 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005075 | Austedo 6mg Tab | 250 | 338.84 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005076 | Austedo 9mg Tab | 250 | 381.2 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005077 | Janumet XR 100/1000 | 250 | 79.96 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005078 | Janumet Xr50/1000 | 250 | 39.96 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 25005079 | Capylta 42 | 250 | 227.2 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000002 | Vancocin HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000003 | Symbyax | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000004 | Cymbalta | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000005 | Cymbalta | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000006 | Cymbalta | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000007 | ZyPREXA | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000008 | ZyPREXA | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000009 | ZyPREXA | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000010 | Evista | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000011 | ZyPREXA | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000012 | ZyPREXA | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000013 | ZyPREXA Zydis | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000014 | Effient | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000015 | HumaLOG | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000016 | HumaLOG Mix 75-25 | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000017 | ZyPREXA | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000018 | Glucagon Emergency Kit | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000019 | Capoten | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000020 | Mycolog 15g | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000021 | Hydrea | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000022 | Eliquis | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000023 | Eliquis | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000024 | Prolixin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000025 | Azactam | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000026 | Azactam | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000027 | Reyataz | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000028 | Reyataz | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000029 | Onglyza | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000030 | Onglyza | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000031 | Kombiglyze XR | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000032 | PravachoL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000033 | KlonoPIN | 250 | 6.12 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000034 | KlonoPIN | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000035 | Cellcept | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000036 | Cellcept | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000037 | Cellcept | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000038 | Demadex | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000039 | Tamiflu | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000040 | Bactrim | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000041 | Bumex | 250 | 1.8 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000045 | Fosamax | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000046 | Mephyton | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000047 | Proscar | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000048 | Januvia | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000049 | Singulair | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000050 | Januvia | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000051 | Isentress | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000052 | Maxalt | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000053 | Singulair | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000054 | Januvia | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000055 | Hyzaar | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000056 | Zocor | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000057 | Mevacor | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000058 | Mevacor | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000059 | Zocor | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000060 | Zocor | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000061 | Hyzaar | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000062 | Hyzaar | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000063 | Fosamax | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000064 | Cozaar | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000065 | Cozaar | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000066 | Pepcid | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000067 | Isentress Hd | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000068 | Timoptic | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000069 | Vasotec I.V. | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000070 | PriMAXin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000071 | Pepcid | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000072 | Timoptic-Xe | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000073 | Cosopt | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000074 | Cancidas | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000075 | Cancidas | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000076 | INVanz | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000077 | Pneumovax 23 | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000078 | Arixtra | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000079 | Compazine | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000080 | Coreg Cr | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000081 | Dyazide | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000082 | Coreg | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000083 | Coreg | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000084 | Coreg | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000085 | argatroban | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000086 | Requip Xl | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000087 | Requip | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000088 | Requip | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000089 | Requip | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000090 | Requip | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000091 | Effexor | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000092 | Cordarone I.V. | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000093 | Effexor XR | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000094 | Protonix | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000095 | Protonix | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000096 | Protonix IV | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000097 | Pristiq | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000098 | IsordiL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000099 | IsordiL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000100 | TygaciL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000101 | Mirapex | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000102 | Mirapex | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000103 | Solu-CORTEF | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000104 | Cortef | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000105 | Solu-CORTEF | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000106 | Medrol | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000107 | Xanax | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000108 | SOLU-MedroL | 250 | 3.84 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000109 | Loniten | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000110 | SOLU-MedroL | 250 | 11.66 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000111 | Colestid | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000112 | SOLU-MedroL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000113 | DEPO-MedroL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000114 | Cleocin Phosphate In D5w | 250 | 41.86 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000115 | Cleocin Phosphate In D5w | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000116 | Cleocin Phosphate In D5w | 250 | 51.14 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000117 | Glynase | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000118 | DEPO-MedroL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000119 | Corvert | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000121 | Zyvox | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000122 | Linezolid In Dextrose 5% | 250 | 14.26 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000123 | Detrol La | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000124 | Detrol La | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000125 | Aromasin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000126 | Xalatan | 250 | 538.18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000127 | Stadol | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000128 | Ampicillin Sodium | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000129 | Ampicillin Sodium | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000131 | Acular | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000132 | Lumigan | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000134 | Restasis | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000135 | Alphagan P | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000136 | Lumigan | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000137 | Combigan | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000138 | Alphagan P | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000139 | Sanctura XR | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000140 | Demerol | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000141 | diazePAM | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000142 | PrimaCOR IN 5% DEXTROSE | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000144 | Plaquenil | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000145 | verapamil HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000146 | Ferrlecit | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000147 | Multaq | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000148 | Ambien | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000149 | Lomotil | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000150 | Aldactone | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000151 | Aldactone | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000152 | CeleBREX | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000153 | CeleBREX | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000154 | CeleBREX | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000155 | Inspra | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000156 | FlagyL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000157 | Calan | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000158 | Calan | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000159 | Calan Sr | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000160 | Mycelex | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000161 | Avandia | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000162 | PaxiL CR | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000163 | PaxiL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000164 | PaxiL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000165 | Relafen | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000166 | Augmentin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000167 | Augmentin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000168 | Reglan | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000169 | Reglan | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000170 | Robitussin A-C | 250 | 1 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000171 | Creon | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000172 | Rowasa | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000173 | MS Contin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000174 | MS Contin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000175 | Soma | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000176 | Demadex | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000177 | Zestoretic | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000178 | Claforan | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000179 | TRENtaL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000180 | AmaryL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000181 | AmaryL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000182 | Rythmol | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000183 | Levaquin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000184 | Children's Motrin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000185 | Parafon Forte Dsc | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000186 | Topamax | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000187 | Topamax | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000188 | Levaquin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000189 | Fluor-I-Strip at | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000190 | Premarin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000191 | Premarin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000192 | Premarin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000193 | Unasyn | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000194 | Unasyn | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000195 | Eraxis (Water Diluent) | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000196 | Glucotrol XL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000197 | Glucotrol XL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000198 | Cardura | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000199 | Cardura | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000200 | Cardura | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000201 | Vfend | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000202 | Vfend IV | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000203 | Diflucan IN SALINE | 250 | 375.5 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000204 | Diflucan | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000205 | Geodon | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000206 | Geodon | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000207 | Geodon | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000208 | Geodon | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000209 | Geodon | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000210 | Zoloft | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000211 | Zoloft | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000212 | Marinol | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000213 | Remeron | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000214 | Remeron | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000215 | Remeron | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000216 | Norcuron | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000217 | Albuminar-5 | 250 | 216 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000218 | calcitrioL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000219 | Flecainide Acetate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000220 | predniSONE | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000221 | cilostazoL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000222 | Zidovudine | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000223 | Sodium Polystyrene Sulfonate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000224 | morphine SULFATE | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000225 | lithium carbonate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000226 | lidocaine HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000227 | dexAMETHasone | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000228 | dexAMETHasone | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000229 | Dolophine HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000230 | Dolophine HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000231 | megestroL ACETATE | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000232 | predniSONE | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000233 | predniSONE | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000234 | predniSONE | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000235 | azaTHIOprine | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000236 | Lactulose | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000237 | lithium carbonate | 250 | 0.5 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000239 | predniSONE | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000240 | Coumadin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000241 | Coumadin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000242 | Coumadin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000243 | Coumadin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000244 | Coumadin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000245 | Coumadin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000246 | Coumadin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000247 | Coumadin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000248 | Sustiva | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000249 | Sinemet CR | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000250 | Sinemet CR | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000251 | Sinemet-25/100 | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000252 | Xenaderm | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000253 | Santyl | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000255 | Betoptic S | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000256 | Travatan Z | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000257 | PatanoL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000258 | Pataday | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000259 | Azopt | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000261 | Maxitrol | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000262 | Tobrex | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000263 | Tobradex | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000264 | Tobradex | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000266 | Vigamox | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000267 | Simbrinza | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000268 | Ciprodex | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000269 | Benefiber | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000271 | Transderm-Scop | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000273 | Voltaren | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000274 | Hiprex | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000275 | Flumazenil | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000276 | Sutent | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000277 | Xeljanz | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000278 | Norvasc | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000279 | Norvasc | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000280 | Procardia | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000281 | Procardia XL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000282 | Procardia XL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000283 | Procardia XL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000284 | Zithromax | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000285 | Zithromax | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000286 | Revatio | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000287 | Viagra | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000288 | Viagra | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000289 | VistariL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000290 | VistariL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000291 | Dilantin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000292 | Lipitor | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000293 | Lipitor | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000294 | Lipitor | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000295 | Dilantin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000296 | Nitrostat | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000297 | Neurontin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000298 | Lopid | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000299 | Neurontin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000300 | Lyrica | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000301 | Lyrica | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000302 | Lyrica | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000303 | Lyrica | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000304 | Tucks | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000305 | Dilantin-125 | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000306 | Cerebyx | 250 | 172.66 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000307 | naloxone HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000308 | heparin LOCK FLUSH | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000309 | Phenytoin Sodium | 250 | 1.26 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000310 | Isuprel | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000311 | Levophed Bitartrate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000312 | Depacon | 250 | 76.12 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000313 | Zemplar | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000314 | Norvir | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000315 | thiamine HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000316 | Mavik | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000317 | Dilaudid | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000318 | Dobutamine HCL In Dextrose 5 % | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000319 | Dilaudid | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000320 | Biaxin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000321 | Cardizem LA | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000322 | Niaspan | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000323 | Synthroid | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000324 | Omnicef | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000325 | Omnicef | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000326 | Hytrin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000327 | Potassium Chloride | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000328 | Kaletra | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000329 | Water for Injection,sterile | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000330 | Aminosyn | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000331 | Zemplar | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000332 | Synthroid | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000333 | Synthroid | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000334 | EPINEPHrine | 250 | 19.7 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000335 | Depakene | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000336 | Depakote Sprinkle | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000337 | Tricor | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000338 | Depakote | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000339 | Depakote | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000340 | Depakote | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000341 | Ery-Tab | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000342 | E.e.s. 400 | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000343 | Synthroid | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000344 | Norvir | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000345 | Kaletra | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000346 | Oretic | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000347 | Synthroid | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000348 | Synthroid | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000349 | Synthroid | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000350 | Dextrose In Water | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000351 | Synthroid | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000352 | Heparin Sodium (porcine)/D5W | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000353 | Synthroid | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000355 | Lovenox | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000356 | Lovenox | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000357 | Lovenox | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000358 | Lovenox | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000359 | Lovenox | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000360 | Lozol | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000361 | Nasacort Aq | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000362 | Ddavp | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000363 | Ddavp | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000364 | Lovenox | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000365 | Miacalcin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000367 | SandoSTATIN | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000368 | NeoraL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000369 | Femara | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000370 | Diovan HCT | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000371 | Diovan HCT | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000372 | Exelon | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000373 | Exelon | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000374 | Exelon | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000375 | Exelon | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000376 | TrileptaL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000377 | Starlix | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000378 | Starlix | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000379 | Lescol Xl | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000380 | Diovan | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000381 | Diovan | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000382 | Lotrel | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000383 | Lotrel | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000384 | Diovan HCT | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000385 | Myfortic | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000386 | Lotrel | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000387 | Enablex | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000388 | Diovan | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000389 | Gleevec | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000390 | Ritalin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000391 | Ritalin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000392 | Lopressor | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000393 | Aredia | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000394 | Tekturna | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000395 | Tekturna | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000396 | Exelon | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000397 | Exelon | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000398 | Exelon | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000399 | TEGretoL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000400 | TEGretol XR | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000401 | Gilenya | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000402 | Entresto | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000403 | Rydapt | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000404 | Entresto | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000405 | Lotensin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000406 | Normodyne | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000407 | Normodyne | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000408 | Eulexin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000409 | Diprolene | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000410 | Lotrisone | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000411 | Trilafon | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000412 | Intron A | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000413 | Claritin-D 24 HOUR | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000414 | Imdur | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000415 | Cipro I.V. | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000416 | Cipro | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000417 | Cipro | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000418 | Imdur | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000419 | Nitro-Dur | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000420 | Nitro-Dur | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000421 | Nitro-Dur | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000422 | Nitro-Dur | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000423 | Dulera | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000424 | Dulera | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000427 | K-Lyte-Cl | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000428 | DesyreL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000429 | Avapro | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000430 | Avapro | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000431 | Glucophage XR | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000432 | Glucophage | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000433 | Glucovance | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000434 | Copaxone | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000435 | Ditropan | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000436 | Cardizem CD | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000437 | Cardizem CD | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000438 | Arava | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000439 | Lantus | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000440 | Apidra | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000441 | Theolair-Sr | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000442 | Robaxin-750 | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000443 | traMADoL HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000444 | Naproxen | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000445 | Acetaminophen With Codeine | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000446 | Venlafaxine HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000447 | buPROPion HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000448 | Carbidopa/Levodopa | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000449 | traZODone HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000450 | calcitrioL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000451 | niCARdipine HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000452 | Ketoconazole | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000453 | Lisinopril/Hydrochlorothiazide | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000454 | Lisinopril/Hydrochlorothiazide | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000455 | Gabapentin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000456 | FLUoxetine HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000457 | Sucralfate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000458 | Amoxicillin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000459 | clindamycin HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000460 | cefaDROXiL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000461 | Prazosin HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000462 | levalbuterol HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000463 | Amoxicillin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000464 | cephALEXin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000465 | Bumetanide | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000466 | Citalopram Hydrobromide | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000467 | LORazepam | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000468 | Ampicillin Trihydrate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000469 | busPIRone HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000470 | Glyburide/Metformin HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000471 | FLUoxetine HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000472 | Azithromycin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000473 | metOLazone | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000474 | cilostazoL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000475 | ramipriL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000476 | Mexiletine HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000477 | Mexiletine HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000478 | Acyclovir | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000479 | Lortab | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000480 | Terbutaline Sulfate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000482 | Lactulose | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000484 | Sucralfate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000487 | megestroL ACETATE | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000488 | Vimpat | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000489 | Vimpat | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000490 | Vimpat | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000491 | Vimpat | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000499 | Valium | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000500 | lisinopriL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000501 | Trihexyphenidyl HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000502 | Trihexyphenidyl HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000503 | niCARdipine HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000504 | Phenytoin Sodium | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000506 | ActoneL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000507 | Macrobid | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000509 | Triamcinolone Acetonide | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000510 | Triamcinolone Acetonide | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000511 | Triamcinolone Acetonide | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000512 | Bacitracin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000513 | Betamethasone Valerate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000514 | gentamicin SULFATE | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000516 | Betamethasone Dipropionate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000517 | Fluocinolone Acetonide | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000519 | Neomycin/Polymyxin B/Dexametha | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000520 | Prandin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000524 | NovoLOG Mix 70-30 | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000525 | Levemir | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000526 | NovoLOG Mix 70-30 FlexPen | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000527 | Tetracycline HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000528 | Oxazepam | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000529 | hydroCHLOROthiazide | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000530 | Fluconazole | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000531 | Cortisporin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000532 | Digibind | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000533 | Lanoxin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000534 | Lanoxin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000535 | Lanoxin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000536 | Lanoxin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000537 | Fortaz | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000538 | Fortaz | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000539 | Ceftin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000540 | Zofran | 250 | 26.92 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000541 | Flonase | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000542 | Valtrex | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000543 | Zofran Odt | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000544 | Combivir | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000545 | LaMICtaL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000546 | LaMICtaL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000547 | LaMICtaL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000548 | LaMICtaL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000549 | Ziagen | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000550 | Ventolin Hfa 18g | 250 | 136.84 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000551 | Advair DISKUS | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000552 | Advair DISKUS | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000553 | Advair DISKUS | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000554 | Avodart | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000555 | Flovent HFA | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000556 | LaMICtaL XR | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000557 | Lovaza | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000558 | Votrient | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000559 | Anoro Ellipta | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000560 | Valtrex | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000561 | Zovirax | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000562 | Wellbutrin SR | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000563 | Zovirax | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000566 | Citracal + D | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000569 | chlorproMAZINE HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000570 | Pyridoxine HCL (Vitamin B6) | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000571 | hydrALAZINE HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000572 | hydroCHLOROthiazide | 250 | 0.28 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000573 | methocarbamoL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000574 | Isosorbide Dinitrate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000575 | penicillin V POTASSIUM | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000576 | Cdp | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000577 | haloperidoL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000578 | Loxapine Succinate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000580 | NIFEdipine | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000581 | minoxidiL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000582 | Hyoscyamine Sulfate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000583 | HYDROcodone/acetaminophen | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000584 | megestroL ACETATE | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000589 | methIMAzole | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000590 | Atacand | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000591 | Atacand | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000592 | Xylocaine Viscous | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000593 | Symbicort | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000594 | Symbicort | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000595 | DOPamine HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000596 | Brilinta | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000597 | Brilinta | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000598 | Pulmicort Flexhaler | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000599 | Pulmicort Flexhaler | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000600 | Emla | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000601 | Pulmicort | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000602 | Pulmicort | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000603 | NexIUM | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000605 | Zovirax | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000606 | Mestinon | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000607 | Ancobon | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000608 | Zosyn | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000609 | Zosyn | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000610 | Zosyn | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000611 | hydrOXYzine HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000612 | Sodium Chloride | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000613 | Oxymetazoline HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000614 | Procainamide HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000615 | diphenhydrAMINE HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000616 | Diclofenac Sodium | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000617 | Hibiclens | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000618 | Amlactin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000619 | Klor-Con | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000620 | Prevalite | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000621 | Klor-Con 10 | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000622 | Klor-Con M20 | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000625 | midodrine HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000626 | midodrine HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000628 | Nephrocaps | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000629 | Procalamine | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000630 | Meropenem-0.9% Sodium Chloride | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000631 | mannitoL | 250 | 71.16 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000632 | Dextrose 10 % and 0.45 % Nacl | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000633 | Nitro-Bid 1g | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000634 | Nitro-Bid 30g | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000635 | Prevacid | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000636 | Tenormin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000637 | ZestriL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000638 | Arimidex | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000639 | SEROqueL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000640 | SEROqueL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000641 | SEROqueL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000642 | SEROqueL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000643 | SEROqueL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000644 | SEROquel XR | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000645 | SEROquel XR | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000646 | Diprivan | 250 | 1.86 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000647 | Diprivan | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000648 | Merrem | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000649 | Accolate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000650 | Casodex | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000651 | Crestor | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000652 | Crestor | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000653 | Lokelma | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000654 | Movantik | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000655 | Farxiga | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000656 | Xigduo XR | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000657 | Bydureon Pen | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000658 | Amitriptyline HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000659 | Dextrose 5 % In Water | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000660 | Dextrose 5 % In Water | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000661 | Dextrose 5 % In Water | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000662 | Dextrose 10 % In Water | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000663 | Dextrose 20 % In Water | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000665 | 0.9 % Sodium Chloride | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000667 | 0.9 % Sodium Chloride | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000668 | 0.9 % Sodium Chloride | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000669 | 0.9 % Sodium Chloride | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000670 | Sodium Chloride 3 % | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000671 | Dextrose 5 %-0.2 % Sod Chlorid | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000672 | Norepinephrine Bitartrate/D5w | 250 | 84 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000673 | Dextrose 5 % In Ringer's | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000674 | Ringer's Solution,lactated | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000675 | Lidocaine HCL/Dextrose 5 %/Pf | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000676 | Intralipid | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000677 | Gentamicin In Nacl, Iso-Osm | 250 | 8.78 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000678 | Gentamicin In Nacl, Iso-Osm | 250 | 9.4 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000679 | Gentamicin In Nacl, Iso-Osm | 250 | 8.42 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000680 | Gentamicin In Nacl, Iso-Osm | 250 | 9.16 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000681 | Intralipid | 250 | 83.16 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000682 | 0.9 % Sodium Chloride | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000683 | 0.9 % Sodium Chloride | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000685 | TravasoL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000686 | acetic acid | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000687 | Potassium Chloride/D5-0.45nacl | 250 | 13 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000688 | Potassium Chloride In D5w | 250 | 22.54 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000689 | Potassium Chloride In 0.9%nacl | 250 | 24.22 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000690 | Potassium Chloride 20 mEq / Wa | 250 | 9 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000691 | Potassium Chloride 10 mEq / Wa | 250 | 8.68 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000692 | Dextrose 70 % In Water | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000693 | Potassium Chloride/D5-0.9%nacl | 250 | 21.48 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000694 | Potassium Chloride/D5-0.9%nacl | 250 | 19.88 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000695 | Dopamine HCL In Dextrose 5 % | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000696 | Dopamine HCL In Dextrose 5 % | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000697 | Nitroglycerin In 5 % Dextrose | 250 | 49.64 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000698 | Metronidazole/Sodium Chloride | 250 | 5.5 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000699 | Clinimix | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000700 | Clinimix | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000701 | Clinimix E | 250 | 96.56 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000702 | Clinimix E | 250 | 102.26 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000703 | Clinimix E | 250 | 101.56 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000704 | Clinimix E | 250 | 99.58 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000705 | Cefazolin Sodium/Dextrose,iso | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000706 | Famotidine In Nacl,iso-Osm/Pf | 250 | 12.32 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000707 | 0.9 % Sodium Chloride | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000708 | Dextrose 5 %-0.45 % Sod Chlord | 250 | 0.02 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000709 | Dextrose 10 % In Water | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000710 | Sodium Chloride 0.9 % (Flush) | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000712 | quiNIDine GLUCONATE | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000713 | penicillin G POTASSIUM | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000714 | metoprolol tartrate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000715 | Tamoxifen Citrate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000716 | Indomethacin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000717 | propranolol HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000718 | cloNIDine HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000719 | penicillin V POTASSIUM | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000720 | Furosemide | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000721 | Furosemide | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000722 | Furosemide | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000723 | Bumetanide | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000724 | Acyclovir | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000725 | quinapril HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000726 | Ketoconazole | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000727 | Perphenazine/Amitriptyline HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000728 | haloperidoL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000729 | diazePAM | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000730 | Methyldopa | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000731 | buPROPion HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000732 | Perphenazine/Amitriptyline HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000733 | benazepril HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000734 | Maxzide | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000735 | bisoproloL FUMARATE | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000736 | Perphenazine/Amitriptyline HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000737 | Amiloride/Hydrochlorothiazide | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000738 | Methyldopa | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000739 | Thioridazine HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000740 | Cyclobenzaprine HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000741 | Cyclobenzaprine HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000742 | verapamil HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000743 | ketorolac TROMETHAMINE | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000744 | busPIRone HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000745 | lithium carbonate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000746 | Dicyclomine HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000747 | Nitrofurantoin Macrocrystal | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000748 | Citalopram Hydrobromide | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000749 | Bromocriptine Mesylate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000750 | Terazosin HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000751 | Fluconazole | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000752 | Amitriptyline HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000753 | Amitriptyline HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000754 | Baclofen | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000755 | Baclofen | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000756 | Fenofibrate Nanocrystallized | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000757 | Doxepin HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000758 | Nitrofurantoin Monohyd/M-Cryst | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000759 | ALPRAZolam | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000760 | ALPRAZolam | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000761 | Temazepam | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000762 | Doxepin HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000763 | Venlafaxine HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000764 | Felodipine | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000765 | Prochlorperazine Maleate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000766 | dilTIAZem HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000767 | rOPINIRole HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000768 | buPROPion HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000769 | cephALEXin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000770 | fluPHENAZine HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000771 | dilTIAZem HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000772 | Diclofenac Sodium | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000773 | Albuterol Sulfate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000774 | Albuterol Sulfate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000775 | levalbuterol HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000776 | PARoxetine HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000777 | quiNINE SULFATE | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000778 | Peppermint Oil | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000779 | Mineral Oil | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000780 | HYDROcodone/acetaminophen | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000781 | Pamelor | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000782 | Azithromycin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000783 | ceFAZolin SODIUM | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000784 | dilTIAZem HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000785 | Demerol | 250 | 5.38 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000786 | morphine SULFATE | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000787 | Water for Injection,sterile | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000788 | Atropine Sulfate | 250 | 22.02 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000789 | morphine SULFATE | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000790 | metoprolol tartrate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000791 | amikacin SULFATE | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000792 | Buprenorphine HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000793 | Lidocaine HCL/Pf | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000794 | Dobutamine HCL In Dextrose 5 % | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000795 | Heparin Sodium,porcine | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000796 | Milrinone Lactate/D5w | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000797 | Cenolate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000798 | sodium acetate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000799 | Corlopam | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000800 | Tobramycin Sulfate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000801 | ketorolac TROMETHAMINE | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000802 | Water for Injection,sterile | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000803 | Aminosyn-Rf | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000804 | Aminosyn | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000805 | lidocaine HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000806 | lidocaine HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000807 | vancomycin HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000808 | Fluconazole In Nacl,iso-Osm | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000809 | Fluconazole In Nacl,iso-Osm | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000810 | Ciprofloxacin In 5 % Dextrose | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000811 | 0.9 % Sodium Chloride | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000812 | Dextrose 50 % In Water | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000813 | Furosemide | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000814 | Erythrocin Lactobionate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000815 | vancomycin HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000816 | vancomycin HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000817 | Sodium Bicarbonate | 250 | 26.2 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000818 | Sodium Chloride | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000819 | Amidate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000820 | Potassium Chloride In 0.9%nacl | 250 | 16.46 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000821 | Potassium Chloride/D5-0.45nacl | 250 | 5.62 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000822 | Dextrose 5 % In Water | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000823 | Sodium Chloride 0.45 % | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000824 | Phytonadione (Vit K1) | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000825 | Potassium Chloride-0.45% Nacl | 250 | 6.34 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000826 | Pyridium | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000827 | AsacoL HD | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000828 | Dakin's | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000829 | Dakin's | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000830 | Dakin's | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000831 | Daliresp | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000832 | Teflaro | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000833 | Armour Thyroid | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000834 | Armour Thyroid | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000835 | Teflaro | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000836 | Linzess | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000837 | Linzess | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000838 | Namzaric | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000839 | Levothroid | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000840 | Levothroid | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000841 | Bystolic | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000842 | Lexapro | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000843 | Lexapro | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000844 | Saphris | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000845 | Avycaz | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000846 | Namenda | 250 | 17.78 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000847 | Namenda | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000848 | Namenda XR | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000849 | Temovate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000850 | Temovate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000851 | Testro La | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000852 | Xtandi | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000853 | Prograf | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000855 | Ambisome | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000856 | Mycamine | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000857 | Mycamine | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000858 | Acyclovir | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000859 | nystatin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000860 | Phenazopyridine HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000862 | Sulfatrim | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000863 | nystatin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000866 | K-Phos Original | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000868 | Analpram Hc | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000869 | Recticare | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000871 | Anusol | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000872 | Cyanocobalamin (Vitamin B-12) | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000873 | Atropine Sulfate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000874 | Sodium Bicarbonate | 250 | 0.08 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000875 | Vasopressin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000876 | EPINEPHrine | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000877 | potassium acetate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000878 | sodium acetate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000879 | Potassium Phos,m-Basic-D-Basic | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000880 | Venofer | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000881 | Magnesium Sulfate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000882 | Calcium Chloride | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000883 | Sodium Chloride | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000884 | Sod Phosphate,monobasic-Dibas | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000885 | Calcium Gluconate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000886 | dexAMETHasone SODIUM PHOSPHATE | 250 | 2.08 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000887 | hydrOXYzine HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000888 | Furosemide | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000889 | Furosemide | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000890 | Multitrace-4 | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000891 | Multitrace-4 | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000892 | Acetylcysteine | 250 | 4.98 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000893 | Acetylcysteine | 250 | 7.2 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000894 | Multitrace-5 | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000895 | Foltx | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000896 | rifAMPin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000897 | probenecid | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000898 | Loxapine Succinate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000899 | Loxapine Succinate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000910 | methazolAMIDE | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000914 | morphine SULFATE | 250 | 0.56 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000915 | Isoniazid | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000916 | ethambutoL HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000917 | niMODipine | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000918 | Fludrocortisone Acetate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000921 | Midazolam HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000922 | Colistin (Colistimethate Na) | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000923 | esmolol HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000924 | Nystop | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000925 | Phenadoz | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000926 | Zaroxolyn | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000927 | Doxycycline Monohydrate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000928 | metoprolol tartrate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000929 | Propafenone HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000930 | labetalol HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000931 | busPIRone HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000932 | glipiZIDE | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000933 | Tamoxifen Citrate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000934 | clindamycin HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000935 | Albuterol Sulfate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000936 | Primidone | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000937 | propranolol HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000938 | Trimethoprim | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000939 | Atenolol/Chlorthalidone | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000940 | Aggrenox | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000941 | Combivent Respimat | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000942 | Mobic | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000943 | Catapres-Tts 1 | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000944 | Catapres-Tts 2 | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000945 | Catapres-Tts 3 | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000946 | Flomax | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000947 | Spiriva | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000948 | Spiriva | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000949 | Atrovent Hfa | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000950 | Pradaxa | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000951 | Pradaxa | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000952 | Tradjenta | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000953 | Jardiance | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000954 | Jardiance | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000955 | Stiolto Respimat | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000956 | Mirapex | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000957 | Mirapex | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000958 | PHENobarbitaL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000959 | Promethazine HCL/Codeine | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000960 | Tussiden Dm | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000961 | acetaZOLAMIDE | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000962 | Hydrocortisone | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000963 | PHENobarbitaL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000964 | PHENobarbitaL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000965 | folic acid | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000966 | morphine SULFATE | 250 | 1.48 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000967 | morphine SULFATE | 250 | 1.52 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000968 | diphenhydrAMINE HCL | 250 | 2.82 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000969 | gentamicin SULFATE | 250 | 1.14 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000970 | Promethazine HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000971 | Dipyridamole | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000972 | chlorproMAZINE HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000973 | Oxazepam | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000974 | dilTIAZem HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000975 | Ibuprofen | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000976 | Prenatal Plus | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000977 | Metoclopramide HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000978 | haloperidoL LACTATE | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000979 | hydrALAZINE HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000980 | Sulfamethoxazole/Trimethoprim | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000982 | Anucort-Hc | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000984 | Keflex | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000985 | PROzac | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000986 | PROzac | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000987 | Trifluoperazine HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000988 | Trifluoperazine HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000989 | Cyproheptadine HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000990 | haloperidoL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000991 | Amitriptyline HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000992 | atenoloL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000993 | Promethazine HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000994 | chlordiazePOXIDE HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000995 | Ampicillin Trihydrate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000996 | Temazepam | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000997 | Anectine | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000998 | Oxacillin Sodium | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000999 | Nafcillin Sodium | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001000 | methylPREDNISolone ACETATE | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001001 | cefTRIAXone SODIUM | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001002 | cefTRIAXone SODIUM | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001003 | Cefepime HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001004 | Meropenem | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001005 | Ampicillin Sodium | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001006 | metFORMIN HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001008 | chlorproMAZINE HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001009 | Calcitonin,salmon,synthetic | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001011 | Ty-Pap W/Codeine | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001012 | Ergocalciferol (Vitamin D2) | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001013 | hydrOXYzine HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001014 | Doxycycline Hyclate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001015 | Doxycycline Hyclate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001019 | Nitroglycerin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001020 | cloNIDine HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001021 | Benztropine Mesylate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001022 | sulfaSALAzine | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001023 | Indameth | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001028 | aMILoride HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001029 | propylthiouraciL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001030 | hydrALAZINE HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001031 | hydrALAZINE HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001033 | Amoxicillin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001034 | gentamicin SULFATE | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001035 | Sulfamethoxazole/Trimethoprim | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001037 | carBAMazepine | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001043 | Ibuprofen | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001044 | Ibuprofen | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001046 | Zinc Sulfate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001047 | Terazosin HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001048 | Enalapril Maleate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001049 | Enalapril Maleate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001050 | cloNIDine HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001051 | Cholecalciferol (Vitamin D3) | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001052 | labetalol HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001053 | Indomethacin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001054 | Gabapentin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001055 | pravastatin SODIUM | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001056 | Carbidopa/Levodopa | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001060 | Benzonatate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001062 | Buminate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001063 | Isopto Carpine | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001064 | Isopto Carpine | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001066 | propofoL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001067 | Midazolam HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001068 | Fentanyl Citrate/Pf | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001069 | Nitroprusside Sodium | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001070 | propranolol HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001071 | Meperidine HCL/Pf | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001072 | morphine SULFATE | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001073 | cefOXitin SODIUM | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001074 | Ampyra | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001075 | Cetacaine | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001076 | Orajel 3x Toothache-Gum | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001077 | Vitamin E | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001078 | Magnesium Citrate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001079 | Entereg | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001082 | Blephamide | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001083 | Pred Mild | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001084 | Fml | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001085 | Ocuflox | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001086 | Lantiseptic | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001087 | Silver Nitrate Applicator | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001089 | Bidil | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001090 | Colcrys | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001091 | Bactrim | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001092 | Optiflex-G | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001093 | Minocin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001094 | Atripla | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001095 | Domeboro | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001096 | timoloL MALEATE | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001097 | Lunesta | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001098 | Wellbutrin XL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001100 | Bicitra | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001103 | levoFLOXacin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001104 | Pilocarpine HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001105 | gentamicin SULFATE | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001106 | lidocaine HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001107 | Ciprofloxacin HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001109 | Centrum | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001110 | Abilify | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001111 | Razadyne | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001112 | Mupirocin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001113 | Tobrex | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001114 | Albuterol Sulfate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001115 | Miconazole Nitrate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001116 | Docusate Sodium | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001117 | Miconazole Nitrate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001118 | Roxicodone | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001119 | Chloraseptic | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001120 | InderaL LA | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001121 | InderaL LA | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001122 | Flunisolide | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001123 | Ocuvite With Lutein | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001124 | Brimonidine Tartrate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001125 | dexAMETHasone SODIUM PHOSPHATE | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001126 | Erythromycin Base | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001127 | Erythromycin Base | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001128 | Eryped 200 | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001129 | Edecrin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001130 | Timoptic-Xe | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001131 | Acetylcysteine | 250 | 12 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001132 | Aleve | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001133 | Pro-Stat Sugar Free | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001134 | Arginine | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001135 | Q-Sorb Co Q-10 | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001136 | Vitamin A | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001137 | hydrALAZINE HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001138 | Finasteride | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001139 | Suboxone | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001140 | Truvada | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001141 | Viread | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001142 | Prezista | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001143 | Synthroid | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001145 | Optimoist | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001146 | Aspercreme Max | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001147 | Allegra-D 24 HOUR | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001148 | dexmedeTOMIDine HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001149 | Cometriq | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001150 | Flucytosine | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001151 | Ivermectin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001152 | Zenpep | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001153 | Nexterone | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001154 | Nexterone | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001155 | miSOPROStoL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001156 | Levetiracetam In Nacl (Iso-Os) | 250 | 72 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001157 | Rebif | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001158 | Midazolam HCL In 0.9 % Nacl/Pf | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001159 | Calcium Gluc In Nacl, Iso-Osm | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001160 | Betamethasone Dipropionate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001161 | Selenium Sulfide | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001162 | Triamcinolone Acetonide | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001163 | Alogliptin Benzoate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001164 | Peridex | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001165 | Culturelle | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001166 | Phoslo | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001167 | Phoslyra | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001169 | FluZONE | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001174 | Nitro-Time | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001175 | Perforomist | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001176 | Duoneb | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001177 | Ipratropium Bromide | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001178 | Yupelri | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001179 | Sodium Chloride for Inhalation | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001181 | Epivir | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001182 | Juluca | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001183 | Isosorbide Dinitrate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001184 | Imipramine HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001185 | ALPRAZolam | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001186 | ALPRAZolam | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001187 | clonazePAM | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001188 | Capoten | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001189 | Dapsone | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001190 | Relafen | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001191 | Albuterol | 250 | 69 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001192 | Plavix | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001193 | Toprol XL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001194 | Benicar | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001195 | Altace | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001196 | Depakote ER | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001197 | Cathflo Activase | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001198 | Tarceva | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001199 | Venlafaxine HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001200 | Venlafaxine HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001201 | Cholecalciferol (Vitamin D3) | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001203 | Dorzolamide HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001204 | Albuterol Sulfate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001205 | Betapace | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001206 | Betapace | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001207 | Precose | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001208 | Tussin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001209 | Duragesic | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001210 | Duragesic | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001211 | Duragesic | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001212 | Duragesic | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001213 | Duragesic | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001214 | Levaquin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001215 | Levaquin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001216 | Sporanox | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001217 | RisperDAL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001218 | RisperDAL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001219 | RisperDAL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001220 | RisperDAL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001221 | RisperDAL CONSTA | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001222 | RisperDAL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001223 | RisperDAL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001224 | RisperDAL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001225 | Terazol 7 | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001226 | Invega | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001227 | Invega | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001228 | Invega SUSTENNA | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001229 | Xarelto | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001230 | Xarelto | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001231 | Xarelto | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001232 | Xarelto | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001233 | Ditropan XL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001234 | Levaquin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001235 | Levaquin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001236 | Keppra | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001237 | Keppra | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001238 | Theo-24 | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001239 | Theo-24 | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001240 | Keppra | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001241 | Keppra | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001242 | Keppra | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001244 | Neomycin Sulfate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001245 | cefUROXime axetiL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001246 | Chlorthalidone | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001247 | diphenhydrAMINE HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001248 | Mirtazapine | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001249 | Meclizine HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001250 | metroNIDAZOLE | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001251 | allopurinoL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001252 | Ciprofloxacin HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001253 | lithium carbonate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001254 | propranolol HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001255 | LORazepam | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001257 | Benztropine Mesylate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001258 | Glimepiride | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001259 | Doxepin HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001260 | simvastatin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001261 | amantadine HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001262 | chlorproMAZINE HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001263 | Thioridazine HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001264 | Trifluoperazine HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001265 | Thioridazine HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001267 | Prazosin HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001268 | Loperamide HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001269 | Oxybutynin Chloride | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001270 | haloperidoL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001271 | haloperidoL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001272 | dilTIAZem HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001273 | Losartan Potassium | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001274 | atenoloL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001275 | pravastatin SODIUM | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001276 | Naproxen | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001277 | glipiZIDE | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001278 | verapamil HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001279 | glyBURIDE | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001280 | amiodarone HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001281 | dilTIAZem HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001282 | carvediloL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001283 | lisinopriL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001284 | lisinopriL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001285 | tiZANidine HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001286 | Vesicare | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001287 | Ziac | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001288 | Ziac | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001289 | Zebeta | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001290 | Urecholine | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001291 | Diamox SEQUELS | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001292 | traZODone HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001293 | Nystatin/Triamcin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001294 | nystatin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001297 | Nortriptyline HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001298 | Nortriptyline HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001299 | Nortriptyline HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001300 | Effer-K | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001302 | Ferrex 150 | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001303 | Golytely | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001304 | selegiline HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001305 | Rapaflo | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001306 | Norco | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001307 | Norco | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001308 | Oxytrol | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001309 | Actigall | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001310 | Fioricet | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001311 | Imitrex | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001312 | Nasonex | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001313 | Tussionex | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001314 | Tobi | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001315 | Pentasa | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001316 | Pentasa | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001317 | Fosrenol | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001318 | Cholecalciferol (Vitamin D3) | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001319 | Prednisol | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001320 | Sulfac | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001321 | Zoloft | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001322 | Allegra | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001323 | Lidoderm | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001324 | Toprol XL | 250 | 2.16 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001325 | OLANZapine | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001326 | Buprenorphine HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001327 | Midazolam HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001328 | Fluconazole In Nacl,iso-Osm | 250 | 24 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001329 | folic acid | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001330 | haloperidoL DECANOATE | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001331 | Acyclovir Sodium | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001332 | Aranesp | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001333 | Aranesp | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001334 | Aranesp | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001335 | Aranesp | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001336 | Sensipar | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001337 | Epogen | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001338 | Epogen | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001339 | Epogen | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001340 | Epogen | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001341 | Epogen | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001342 | Neupogen | 250 | 1203.2 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001343 | Epogen | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001344 | Terconazole | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001345 | Abelcet | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001346 | Adipex-P | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001347 | Salagen | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001349 | metoprolol succinate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001350 | Hectorol | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001351 | Renvela | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001352 | Renvela | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001353 | Renvela | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001354 | Bentyl | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001355 | Bentyl | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001356 | Venelex | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001357 | OxyCONTIN | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001358 | OxyCONTIN | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001359 | OxyCONTIN | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001360 | MS Contin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001361 | Abilify | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001362 | Abilify | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001363 | Abilify | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001364 | Abilify | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001365 | Rexulti | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001366 | Qvar | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001367 | Biofreeze-Ilex | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001368 | Revlimid | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001369 | Revlimid | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001370 | RobinuL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001371 | Prezista | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001372 | Prezista | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001373 | Prezcobix | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001374 | Mesalamine | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001375 | donepezil HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001376 | miSOPROStoL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001377 | Juven | 250 | 4.56 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001378 | Auryxia | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001381 | captopriL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001382 | cefTRIAXone SODIUM | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001383 | Cefepime HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001384 | midodrine HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001385 | PaxiL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001386 | Pyrazinamide | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001388 | Posaconazole | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001389 | Guaifenesin/Dextromethorphan | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001390 | Tapazole | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001391 | Cytomel | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001392 | Skelaxin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001393 | Ativan | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001394 | Ofloxacin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001395 | Atropine Sulfate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001396 | Vancomycin/0.9 % Sod Chloride | 250 | 70.52 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001397 | Ephedrine Sulfate/0.9% Nacl/Pf | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001398 | Morphine Sulfate In 0.9 % Nacl | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001399 | Quibron-T | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001400 | Proctocort | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001401 | Cortisporin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001402 | Viroptic | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001403 | Neosporin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001404 | Neosporin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001405 | Altace | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001406 | Altace | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001407 | Silvadene | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001408 | Silvadene | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001409 | Bicillin C-R | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001410 | Corgard | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001411 | Anusol-Hc 30g | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001412 | Albumin Human | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001413 | Albumin Human | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001414 | Letairis | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001415 | Ranexa | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001416 | Complera | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001417 | Harvoni | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001418 | Descovy | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001419 | Biktarvy | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001420 | Veklury | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001421 | Isosorbide Mononitrate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001422 | Glycolax | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001423 | Didanosine | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001424 | Zonisamide | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001425 | Maxzide-25 MG | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001426 | Aricept | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001427 | Aricept | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001428 | Fragmin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001429 | Lusedra | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001430 | Fragmin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001431 | Dermoplast | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001432 | 0.9 % Sodium Chloride | 250 | 2.14 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001433 | protamine SULFATE | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001434 | Diprivan | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001435 | fluPHENAZine DECANOATE | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001436 | Fosphenytoin Sodium | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001437 | Xylocaine | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001438 | Dexamethasone Sodium Phosp/Pf | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001439 | Heparin Sodium (porcine) | 250 | 1.74 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001440 | levothyroxine SODIUM | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001441 | levothyroxine SODIUM | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001442 | Adenosine | 250 | 32 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001443 | Latuda | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001444 | Latuda | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001445 | Latuda | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001446 | Latuda | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001447 | Xopenex Hfa | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001448 | Xopenex | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001449 | Brovana | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001450 | Provigil | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001451 | Percocet | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001452 | Hycodan | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001453 | Percocet | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001455 | predniSONE | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001458 | Fe C Plus | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001459 | Vasotec | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001460 | Vasotec | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001461 | Wellbutrin XL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001462 | Cardizem | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001463 | Cardizem | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001464 | Cardizem CD | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001465 | Cardizem CD | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001466 | Cardizem CD | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001467 | Zovirax | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001468 | Zovirax | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001469 | Nuedexta | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001470 | Amitiza | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001471 | Actos | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001472 | Amitiza | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001473 | Actos | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001474 | Nesina | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001475 | Uloric | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001476 | Phospha 250 Neutral | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001477 | Risanoid Plus | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001478 | Proctozone-Hc | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001479 | Trandate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001480 | Entocort Ec | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001481 | Zyloprim | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001482 | Benicar HCT | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001483 | Benicar HCT | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001484 | Benicar HCT | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001485 | WelChoL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001486 | Firvanq | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001487 | Xifaxan | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001488 | Amoxicillin/Potassium Clav | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001490 | Donnatal | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001491 | Ultracet | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001492 | Elimite | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001493 | Roxicodone | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001494 | Mysoline | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001495 | Zetia | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001496 | M.v.i. 12 | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001497 | Vancocin HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001498 | Dorzolamide HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001499 | Ascor | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001500 | Rheumatrex | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001501 | Ismo | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001502 | Tranxene T-Tab | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001503 | Cogentin | 250 | 280.36 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001504 | Vitrase | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001505 | vancomycin HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001506 | vancomycin HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001507 | Norvasc | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001509 | Cubicin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001510 | Zerbaxa | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001511 | glipiZIDE | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001512 | lovastatin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001513 | Albumin Human | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001514 | Chlordiazepoxide/Clidinium Br | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001515 | Ensure Plus | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001516 | Jevity 1.2 Cal | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001517 | Ensure Enlive | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001518 | Promod | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001519 | Ensure Enlive | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001520 | Glucerna | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001521 | Dipyridamole | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001522 | Dexmedetomidine In 0.9 % Nacl | 250 | 72 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001523 | Dexmedetomidine In 0.9 % Nacl | 250 | 144 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001524 | Aquaphor | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001525 | Eucerin Plus | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001526 | Cholecalciferol (Vitamin D3) | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001527 | Biotin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001528 | Percogesic | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001530 | Prosource No Carb | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001531 | Lidex | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001533 | NovoLOG | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001535 | 0.9 % Sodium Chloride | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001536 | Clinimix E | 250 | 106.68 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001537 | Clinimix E | 250 | 98.88 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001538 | Intralipid | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001539 | 0.9 % Sodium Chloride | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001540 | Dextrose 5 % In Water | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001543 | Ketoconazole | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001544 | Motegrity | 250 | 5 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001545 | Dantrium | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001546 | Divalproex Sodium | 250 | 1.86 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001547 | Pioglitazone HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001548 | dexAMETHasone | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001549 | Magic Mouthwash | 250 | 75 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001550 | MVI | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001551 | Lidocaine HCL/Pf | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001552 | Aplisol | 250 | 5 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001553 | Dextrose 5 % and 0.9 % Nacl | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001554 | Doxycycline Hyclate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001555 | Meperidine HCL/Pf | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001556 | glipiZIDE | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001557 | Hylenex | 250 | 5 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001558 | Myrbetriq | 250 | 5 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001559 | Asenapine Maleate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001560 | Doxycycline Hyclate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001561 | Veltassa | 250 | 5 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001562 | Veltassa | 250 | 5 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001563 | Non-Formulary Medication | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001564 | Calcium Carb 600mg / Vit D3 40 | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001565 | TofraniL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001566 | Lozol | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001567 | LamISIL | 250 | 27.88 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001568 | TrileptaL | 250 | 2.7 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001569 | Estrace | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001570 | hydrOXYzine HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001572 | Advair HFA | 250 | 65.66 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001573 | Myrbetriq | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001576 | Preparation H | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001577 | Calmoseptine | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001578 | Calcium Citrate/Vitamin D3 | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001580 | Metamucil Fiber Singles | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001581 | Nac | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001582 | Mineral Oil | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001583 | Armour Thyroid | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001584 | Fycompa | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001585 | Mupirocin | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001586 | Lactobacillus Acidophilus | 250 | 1.08 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001587 | Calcium Citrate | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001589 | Meperidine HCL/Pf | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001590 | fluPHENAZine HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001591 | Abacavir/Dolutegravir/Lamivudi | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001592 | Crestor | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001593 | Nuplazid | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001594 | OLANZapine | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001595 | Memantine HCL | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001597 | Phenytoin Sodium | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001601 | diphenhydrAMINE HCL - UD | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001602 | Prazosin HCL | 250 | 8.62 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001603 | Famotidine/Pf | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001604 | fluvoxaMINE MALEATE | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001605 | Acetaminophen | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001606 | Clinimix E | 250 | 107.78 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001607 | Sod Phos Di, Mono/K Phos Mono | 250 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000042 | Fibercon | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000044 | Caltrate 600 Plus D3 | 257 | 0.24 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000120 | Cortaid 28g | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000130 | Refresh Lacri-Lube | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000133 | Refresh Celluvisc | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000143 | Nasal Moisturizer | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000238 | Loperamide HCL | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000254 | Naphcon-A | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000260 | Tears Naturale Forte | 257 | 16.78 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000265 | Systane Balance | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000270 | Maalox Advanced | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000272 | Nicotine | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000426 | Colace | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000481 | Ferrous Sulfate | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000483 | Phenol/Sodium Phenolate | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000485 | Potassium Chloride | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000486 | guaiFENesin | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000492 | Adult Glycerin | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000493 | Enema | 257 | 0.02 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000494 | Mineral Oil Enema | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000495 | Tums | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000496 | Debrox | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000497 | Nicoderm Cq | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000498 | Abreva | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000505 | Sarna OriginaL | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000508 | Magox | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000515 | Petrolatum,white | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000518 | Zinc Oxide | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000521 | NovoLIN R | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000522 | RELION NovoLIN N | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000523 | NovoLIN 70-30 | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000564 | Magtrate | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000565 | Citracal-Vitamin D | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000567 | Vitamin E | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000568 | Aspirin | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000579 | Acetaminophen | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000585 | Eye Wash | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000586 | Vitamin E | 257 | 0.18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000587 | Aspirin | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000588 | Senna S | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000604 | Insta-Glucose | 257 | 0.28 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000623 | Ferrous Gluconate | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000624 | bisacodyL | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000627 | Ocean | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000861 | Antifungal Cream 14g | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000864 | Ed A-Hist | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000865 | Rynex Dm | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000867 | S-2 | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000870 | Benadryl Itch Stopping | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000900 | Artificial Tears | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000901 | Calcium Carbonate | 257 | 0.12 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000902 | Cyanocobalamin (Vitamin B-12) | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000903 | Cyanocobalamin (Vitamin B-12) | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000904 | Docusate Calcium | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000905 | Meclizine HCL | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000906 | Pyridoxine HCL (Vitamin B6) | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000907 | Sodium Bicarbonate | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000908 | thiamine HCL | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000909 | Vitabee W-C | 257 | 0.08 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000911 | L. Acidophilus/Pectin, Citrus | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000912 | Nephro-Vite | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000913 | Oysco 500-Vit D3 | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000919 | Preparation H | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000920 | Acetaminophen | 257 | 0.08 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000981 | Acephen | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH000983 | Nicoderm Cq | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001007 | Loratadine | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001010 | Bacitracin | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001016 | Pyridoxine HCL (Vitamin B6) | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001017 | Ascorbic Acid | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001018 | Thera-M | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001024 | Bismatrol | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001025 | Ibu-200 | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001026 | Calcium Carbonate | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001027 | Vitamin A | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001032 | Calamine/Zinc Oxide | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001036 | Selenium | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001038 | Beta-Carotene | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001039 | Liquitears | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001040 | Mi-Acid | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001041 | Pain Reliever Plus | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001042 | Senna | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001045 | Banophen | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001057 | Magnesium Hydroxide | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001058 | Ferosul | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001059 | Aspir-Low | 257 | 0.06 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001061 | bisacodyL | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001065 | Isopto Tears | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001080 | Chlor-Trimeton | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001081 | Baza Protect | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001088 | Calcio Del Mar | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001099 | Neutra-Phos | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001102 | Artificial Tears | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001108 | Ketotifen Fumarate | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001144 | omeprazole | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001170 | Triple Antibiotic | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001171 | Selenium | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001172 | Antifungal 30g | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001173 | Fexofenadine HCL | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001180 | Ecotrin | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001202 | Ascorbic Acid | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001243 | Tylenol Arthritis | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001256 | Acetaminophen | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001266 | cetirizine HCL | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001295 | Hydrocortisone/Aloe Vera | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001296 | Hydrocortisone | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001301 | Melatonin | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001348 | dilTIAZem HCL | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001379 | Mag-Sr | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001380 | Ferrous Fumarate | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001454 | Icar-C | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001456 | Mucinex | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001457 | Delsym | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001508 | Betadine | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001529 | Ergocalciferol (Vitamin D2) | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001534 | Cyanocobalamin | 257 | 0.38 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001541 | Vicks Vaporub | 257 | 5 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001542 | T-Gel | 257 | 5 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001571 | Mag-Al Plus | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001574 | Ed A-Hist Dm | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001575 | Zinc Oxide | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001579 | Arthricream | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001600 | Colloidal Oatmeal | 257 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000019 | 4x4 Alldress Dressing | 270 | 10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000028 | Acticoat Burn Dressing (3 Day) | 270 | 98 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000042 | Adult Wipes | 270 | 22 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000056 | Alcohol Preps | 270 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000058 | Alldress Dressing | 270 | 7 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000059 | Allevyn 4x4 Foam Dressing | 270 | 36 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000060 | Allevyn 4x4 Thin Dressing | 270 | 32 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000061 | Aloe Vesta Protective Ointment | 270 | 41 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000063 | Angio Catheter | 270 | 31 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000071 | Arm Sling | 270 | 17 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000073 | Baby Powder | 270 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000095 | Bandaid | 270 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000128 | Briefs | 270 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000159 | Cath Tray W/O Bag | 270 | 57 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000198 | Comb | 270 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000202 | Connecting Tube | 270 | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000221 | Denture Adhesive | 270 | 15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000224 | Denture Cup | 270 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000225 | Deodorant | 270 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000227 | Dermal Wound Cleaner 1 Bottle | 270 | 53 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000228 | Dermal Wound Cleanser | 270 | 42 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000246 | Dressing Change Charge | 270 | 12 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000257 | Duoderm Dressing | 270 | 12 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000260 | E Cylinders | 270 | 7 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000263 | Efferdent(Denture Cleaner Tab) | 270 | 8 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000264 | Egg Crate/Mattress Pad | 270 | 49 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000269 | Enema Bag With Soap | 270 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000270 | Ensure | 270 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000278 | Extension Set | 270 | 11 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000281 | Feeding Set | 270 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000285 | Fleets Enema | 270 | 20 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000309 | Gauze Kerlix Roll | 270 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000313 | Gauze Sponge (2x2) | 270 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000314 | Gauze Sponge (4x4) | 270 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000326 | Glucerna | 270 | 13 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000329 | Glucose Strip | 270 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000333 | Graduated Container | 270 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000334 | Grav Set W/Rate Flow Reg | 270 | 64 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000335 | Gt Bag | 270 | 21 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000336 | Hair and Body Shampoo | 270 | 22 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000347 | Hair Brush | 270 | 7 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000353 | Heel Protectors | 270 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000358 | Hibiclens | 270 | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000373 | Hose, Care Knee | 270 | 45 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000383 | Hydrogen Peroxide | 270 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000384 | Hypafix Tape (1 Roll) | 270 | 57 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000392 | Introcan 22g 1 In | 270 | 31 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000393 | Introcan 24g 3/4 In | 270 | 31 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000397 | Irrigation Tray W/Syringe | 270 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000406 | IV Start Kit | 270 | 68 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000410 | Kerlix | 270 | 8 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000431 | Kleenex | 270 | 7 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000436 | Lancet | 270 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000437 | Lanciceptic Protective Barrier | 270 | 23 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000441 | Lemon Glycerin Swabs | 270 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000442 | Lice Treatment | 270 | 38 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000444 | Lip Balm | 270 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000446 | Lotion Hand/Body | 270 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000479 | Messengile Douche | 270 | 23 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000481 | Mouthwash | 270 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000484 | Nacl 4 Meq/ML 250ml | 270 | 266 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000486 | Nail File | 270 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000487 | Nail Polish Removwer Pad | 270 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000489 | Nasal Cannula | 270 | 32 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000491 | Nebulizer | 270 | 33 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000506 | No Rinse Shampoo | 270 | 10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000509 | O2 Concentrator | 270 | 19 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000527 | Perineal Cleaner | 270 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000539 | Posie Pads | 270 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000551 | Q-Tips | 270 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000552 | Razors | 270 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000567 | Seabond Denture Adhesive | 270 | 22 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000577 | Shave Cream | 270 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000586 | Skin Prep Pad | 270 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000593 | Slipper Socks | 270 | 8 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000596 | Smart-Site Vital Adapter | 270 | 51 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000597 | Soap Bar | 270 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000600 | Solo Site Wound Gel (1 Tube) | 270 | 77 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000605 | Speci-Hat | 270 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000606 | Specimen Container (Sterile) | 270 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000611 | Splint, Cock-Up Wrist | 270 | 52 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000614 | Staple Remover Kit | 270 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000622 | Sterile Water/Normal Saline | 270 | 7 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000631 | Suture Removal Kit | 270 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000638 | Syringe | 270 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000655 | Syringe With Needle | 270 | 17 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000667 | Tega Derm Transparent Dressing | 270 | 26 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000673 | Telfa Dressing | 270 | 10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000684 | Thick It | 270 | 27 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000690 | Toothbrush | 270 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000691 | Toothette | 270 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000692 | Toothpaste | 270 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000714 | Tubing | 270 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000723 | Ultrasite Valve-Pos Pres | 270 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000725 | Underpads | 270 | 11 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000727 | Urinal | 270 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000737 | Vaseline | 270 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000747 | Vial Adapter | 270 | 51 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000750 | Vista Pump | 270 | 120 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000751 | Vista Pump Set | 270 | 32 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000754 | Wash Basin | 270 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000757 | Water Pitcher | 270 | 8 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000767 | Wound Cleaner | 270 | 43 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000769 | Wound Gel | 270 | 417 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000781 | Emery Board | 270 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000783 | Emesis Basin | 270 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000796 | Periph Insert Cent Cath 4 Fr | 270 | 2713 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000797 | B.d. Neelde | 270 | 4.5 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000798 | Distilled Water | 270 | 11.19 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000799 | Steri Strips | 270 | 10.5 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000800 | Eucerin Repair Cream 4oz | 270 | 45 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000801 | Sling Arm Large | 270 | 28.18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000802 | Splint Wrist Forearm Left | 270 | 28.72 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000808 | Dentips Oral Swabsticks | 270 | 10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000813 | Biotine Drymouth Rinse | 270 | 20 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000814 | Decannulation Plug | 270 | 28 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000815 | Phytoplex N/Rense 8oz Cleanser | 270 | 28 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000816 | Bladder Irrigation Set Cysto | 270 | 20 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000817 | Bladder Irrigation Y-Type Tur | 270 | 100 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000818 | Catheter IV Insyte 20gx1.16 | 270 | 15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000819 | Ear Protector E-Z Wrap | 270 | 6 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000841 | Sacrum Foam Dressing Each | 270 | 16.35 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000842 | Normal Saline 100 Precedex 200 | 270 | 447.24 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000843 | Bougie Endotrach Tube Intro | 270 | 24.8 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 27000877 | Sars Antigen Test #20387 | 270 | 24.32 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000001 | 24 Hour Abp Monitor | 300 | 161 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000002 | 340 Measure Volume | 300 | 14 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000004 | Afb Culture | 300 | 112 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000005 | Afb Sensitivity | 300 | 184 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000006 | Aldosterone Bld | 300 | 401 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000007 | Amitriptyline | 300 | 122 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000008 | ANA Titer & Pattern | 300 | 88 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000010 | Anti Scl 70 | 300 | 184 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000012 | Antigen Type | 300 | 49 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000013 | Aso Titer | 300 | 57 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000016 | Bld Type Abo/Rh | 300 | 88 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000017 | Bld Type Du | 300 | 49 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000019 | Bone Marrow Studies | 300 | 53 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000024 | CBC With Auto Diff | 300 | 118 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000025 | Cell Count Csf | 300 | 42 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000026 | Chlamydia by Probe | 300 | 62 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000027 | Chlamydia Group Ab | 300 | 79 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000028 | Clonazepam/Clozaril | 300 | 549 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000029 | Cmv Igm Ql | 300 | 368 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000033 | Crystal ID Synovial | 300 | 41 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000034 | Directogen Serum | 300 | 345 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000036 | Dsdna Auto Ab's | 300 | 89 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000037 | Drug Screen With Alcohol | 300 | 80 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000039 | Eosinphhil Count | 300 | 35 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000040 | Epstein Barr Ea | 300 | 52 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000041 | Epstein Barr Ebna | 300 | 52 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000042 | Epstein Barr Vca | 300 | 52 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000043 | Era | 300 | 911 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000046 | Febrile Agglut Each | 300 | 62 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000047 | Fecal Fat | 300 | 64 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000048 | Fibren Split Product | 300 | 98 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000049 | Fibrinogen Quan | 300 | 88 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000050 | Flow Cytometry Dna | 300 | 294 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000052 | H Pylori | 300 | 67 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000053 | Handling Fee | 300 | 15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000055 | Hemo Influenza | 300 | 79 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000056 | Hep C Viral Rna/Dna | 300 | 647 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000057 | Hepatitis B Core Ab | 300 | 128 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000058 | Hepatitis B Surf Ab | 300 | 94 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000059 | Hepatitis C, Ab | 300 | 139 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000060 | Hepatitis E, Ab | 300 | 73 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000061 | Hepatitus B Srfce Ag | 300 | 94 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000062 | Herpes Virus Non Spe | 300 | 348 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000063 | Hiv | 300 | 64 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000064 | Hiv Dna by Pcr | 300 | 239 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000065 | Hiv Viral Load | 300 | 286 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000066 | Hiv Western Blot | 300 | 64 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000069 | Holter Monitor 24hr | 300 | 414 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000070 | Hpv Culture | 300 | 115 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000071 | Iep Except Serum | 300 | 139 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000072 | Iep Serum | 300 | 126 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000073 | Kell Ag Titer | 300 | 56 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000076 | Lupus Anticoagulant | 300 | 135 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000078 | Manuel Diff | 300 | 36 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000079 | Metanephrines Urine | 300 | 128 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000080 | Microalbumin Urine | 300 | 60 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000081 | Misc Immun Proc | 300 | 393 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000083 | Ob Screen | 300 | 39 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000084 | Occult Blood | 300 | 39 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000085 | Ova Paras Smears | 300 | 83 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000090 | Pertussis Smears | 300 | 162 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000091 | Phelebotomy Theraputi | 300 | 94 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000093 | Platelet Cnt | 300 | 54 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000094 | Platelet Count Auto | 300 | 72 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000096 | Pra | 300 | 911 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000098 | Protein Electrophore | 300 | 309 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000099 | Protime | 300 | 94 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000101 | Rapid Group A Strep | 300 | 104 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000102 | Rapid Group B Strep | 300 | 104 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000103 | Retic Absolute | 300 | 88 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000104 | Rheumatoid Arthritis Panel | 300 | 397 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000105 | Rocky Mountain Igg | 300 | 56 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000106 | RPR | 300 | 67 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000107 | RPR Titer | 300 | 53 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000108 | RSV | 300 | 218 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000109 | SED Rate | 300 | 53 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000111 | Semen Analysis Compl | 300 | 98 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000112 | Semen Post Vasectomy | 300 | 18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000113 | Sickle Cell Prep | 300 | 24 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000115 | Smear Review by Path | 300 | 38 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000117 | Toxoplasma Ig6 Ab | 300 | 52 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000118 | Urea Breath Collect | 300 | 21 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000119 | Urinalysis | 300 | 81 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000120 | Urinalysis Chem Only | 300 | 42 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000124 | Urine Immun Fixation | 300 | 100 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000125 | Urine Microscopic | 300 | 42 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000126 | Urobilinogen Urn Qua | 300 | 57 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000127 | Varicella | 300 | 147 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000128 | Venipuncture | 300 | 72 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000129 | WBC | 300 | 62 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000131 | West Nile Igm | 300 | 118 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000133 | Wet Mount | 300 | 32 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30000136 | Abbott Covid 19 ID Rapid Test | 300 | 73.23 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100001 | Acetone, Quant | 301 | 41 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100002 | Acetylcholine Recep | 301 | 157 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100005 | Actaminophen | 301 | 150 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100009 | Albumin Serum | 301 | 56 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100011 | Alcohol Urine | 301 | 120 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100012 | Aldolase | 301 | 28 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100013 | Alk Phos Isoenzymes | 301 | 64 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100015 | Alkaline Phosphatas | 301 | 64 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100016 | Alpha-1-Antitrypsiniphe | 301 | 194 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100017 | Alpha-Fetoprotein Amnio | 301 | 89 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100018 | Alpha-Fetoprotein Serum | 301 | 327 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100019 | Amikacin | 301 | 106 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100021 | Ammonia Blood | 301 | 166 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100022 | Amniostat | 301 | 84 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100026 | Amylase Serum | 301 | 88 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100029 | Angiotensin Conv Enzyme | 301 | 28 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100030 | Antidiuretic Hormone | 301 | 143 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100032 | Anti-Histone Abs | 301 | 49 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100036 | B Naturetic Peptide | 301 | 126 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100037 | Barbiturates Confir | 301 | 68 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100039 | Basic Metabolic Panel | 301 | 83 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100040 | Beta 2 Macroglobulin | 301 | 81 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100041 | Beta Hcg Quant Serum | 301 | 163 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100042 | Bilirubin Direct | 301 | 64 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100043 | Bilirubin Total | 301 | 71 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100048 | C Peptide | 301 | 45 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100049 | Calcium Blood | 301 | 69 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100050 | Calcium Ionized | 301 | 41 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100051 | Calcium Urine 24 | 301 | 104 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100052 | Carbamazepine (Tegretol) | 301 | 133 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100053 | Carbon Diox Co2 | 301 | 77 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100058 | Catecholamines Total Urin | 301 | 135 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100059 | CEA | 301 | 198 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100060 | Ceruloplasmin | 301 | 35 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100062 | Chloride Blood | 301 | 64 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100064 | Chloride Spinal Fluid | 301 | 64 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100065 | Chloride Urine | 301 | 62 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100066 | Cholesterol Hdl | 301 | 94 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100067 | Cholesterol Total | 301 | 62 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100068 | Cholinesterase | 301 | 100 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100072 | Comp Metabolic Panel | 301 | 401 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100077 | Cortisol Serum | 301 | 113 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100078 | CPK Isoenzymes | 301 | 124 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100079 | CPK-Mb | 301 | 150 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100080 | Creatine Kinase CPK Total | 301 | 120 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100082 | Creatinine Clearance | 301 | 162 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100083 | Creatinine Serum | 301 | 79 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100084 | Creatinine Urine | 301 | 88 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100086 | Cryoglobulin | 301 | 38 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100088 | Cyclosporine Level | 301 | 89 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100090 | Dhea S Serum | 301 | 186 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100092 | Digoxin Lab | 301 | 206 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100093 | Dimeric Inhibin A | 301 | 112 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100095 | Drug Screen Urine | 301 | 42 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100099 | Electrolyte Panel | 301 | 38 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100102 | Erythropoietin | 301 | 71 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100103 | Estradiol Serum | 301 | 278 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100104 | Estriol Unconjugate | 301 | 79 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100105 | Estrogen Level | 301 | 242 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100108 | Eth0suximide | 301 | 64 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100109 | Ethylene Glycol | 301 | 136 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100112 | Ferritin | 301 | 157 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100114 | Folic Acid Rbc | 301 | 132 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100115 | Folic Acid, Serum | 301 | 132 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100116 | FSH Follicle Stim-Ho | 301 | 122 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100118 | Gastrin Serum | 301 | 163 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100120 | Gentamicin Level | 301 | 149 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100121 | Ggt | 301 | 81 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100122 | Gloucose Body Fluid | 301 | 67 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100124 | Glucose | 301 | 60 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100125 | Glucose 5 Hr | 301 | 253 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100132 | Glucose Tol 2 Hr | 301 | 140 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100134 | Glucose Whole Blood | 301 | 24 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100136 | Glyconhemoglobin A1c | 301 | 94 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100139 | Haptoglobin Quant | 301 | 80 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100140 | Heavy Metal Qt Each | 301 | 57 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100141 | Hemoglobin Electroph | 301 | 94 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100146 | Hep C Pcr,quant | 301 | 285 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100148 | Hepatitus Panel | 301 | 248 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100149 | Hiaa Urine | 301 | 150 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100150 | Homocystine Serum | 301 | 334 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100154 | Hydroxyprogesterone 17-D | 301 | 323 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100156 | Immunoglobulin E | 301 | 130 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100157 | Immunoglobulin Iga Only | 301 | 69 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100163 | Insulin Total | 301 | 120 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100166 | Iron Binding Capacity | 301 | 89 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100167 | Iron Serum | 301 | 95 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100173 | L/S Ratio | 301 | 252 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100175 | Lactic Acid | 301 | 53 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100177 | LDH | 301 | 89 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100179 | LDH Isoenzymes | 301 | 136 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100181 | Ldl Measured | 301 | 36 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100182 | Lead Blood | 301 | 144 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100184 | Lipase | 301 | 79 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100185 | Lipid Profile | 301 | 100 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100186 | Lithium Quan | 301 | 94 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100188 | Liver Profile | 301 | 521 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100191 | Luteinizing Hormone | 301 | 113 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100192 | Magnesium | 301 | 81 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100193 | Mercury | 301 | 56 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100196 | Methylmalonic Acid | 301 | 346 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100200 | Misc Chem/Tox | 301 | 208 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100205 | Myoglobin Urine | 301 | 130 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100208 | Noratriptyline | 301 | 84 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100220 | Osmolality Blood | 301 | 60 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100221 | Osmolality Urine | 301 | 53 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100222 | Osullivan | 301 | 41 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100223 | Parathyroid Hormone | 301 | 162 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100226 | Ph Body Fluid | 301 | 44 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100227 | Phenobarbital | 301 | 128 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100229 | Phenytoin/Dilantin | 301 | 143 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100233 | Phosphorus Serum | 301 | 67 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100237 | Porphyrins Urine 24hr | 301 | 151 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100240 | Potassium Serum | 301 | 77 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100241 | Potassium Urine | 301 | 88 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100242 | Pre Albumin | 301 | 95 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100243 | Preg Test Quan Bhcg | 301 | 122 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100245 | Primidone (Mysoline) | 301 | 166 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100246 | Procainamide | 301 | 136 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100247 | Proclactin | 301 | 149 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100248 | Progesterone | 301 | 163 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100249 | Prostatic Acid Phosphatas | 301 | 106 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100254 | Protein S Antigen | 301 | 472 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100256 | Protein Total | 301 | 60 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100259 | PSA Free | 301 | 72 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100260 | PSA Total | 301 | 95 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100262 | Quinidine Level | 301 | 120 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100264 | Renal Function Panel | 301 | 254 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100265 | Salicylate | 301 | 150 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100267 | Sgot or AST | 301 | 79 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100268 | Sgpt or ALT | 301 | 88 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100271 | Sodium Serum | 301 | 62 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100272 | Sodium Urine | 301 | 69 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100275 | Stone Analysis | 301 | 729 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100277 | Stone Rosk Citrate | 301 | 396 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100279 | T-3 Free | 301 | 113 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100280 | T-3 Resin Uptake | 301 | 895 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100283 | Testosterone Free | 301 | 39 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100284 | Testosterone Total | 301 | 72 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100285 | Theophylline Level | 301 | 124 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100286 | Thiamine Vit B1 | 301 | 226 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100287 | Thyroglobulin Antibody | 301 | 519 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100288 | Thyroxine Free T4 | 301 | 83 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100289 | Thyroxine Total T4 | 301 | 68 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100291 | Tobramycin Test | 301 | 192 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100292 | Topiramate Quant | 301 | 100 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100293 | Transferrin | 301 | 113 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100296 | Triglycerides | 301 | 105 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100297 | Troponin Quantitative | 301 | 104 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100300 | TSH Thyroid Stim Hormone | 301 | 282 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100302 | Urea Nitrogen BUN | 301 | 64 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100305 | Uric Acid Serum | 301 | 81 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100306 | Uric Acid Urine | 301 | 80 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100309 | Valproic Ac (Dapakene) Tot&or | 301 | 172 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100313 | Vitamin B12 | 301 | 151 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100314 | Vitamin B12 Bind Cap | 301 | 243 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100319 | Vitamin D Level | 301 | 1085.44 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100321 | Vma Urine | 301 | 157 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30100325 | Renin | 301 | 218 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30200015 | Antibody Elution | 302 | 104 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30200020 | Antibody ID | 302 | 147 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30200022 | Antibody Influenza Virus B | 302 | 100 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30200026 | Antibody Screen | 302 | 112 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30200034 | Aso Screen | 302 | 88 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30200042 | C Reactive Protein | 302 | 34 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30200044 | Ca 125 | 302 | 161 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30200045 | Ca 15-3 | 302 | 147 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30200046 | Ca 19-9 | 302 | 162 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30200047 | Ca 27-29 | 302 | 132 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30200054 | Clotest/Culture Urine | 302 | 62 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30200055 | Cold Agglutinins Titer | 302 | 69 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30200058 | Complement C3 Antigen | 302 | 89 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30200062 | Crossmatch Ahg/Unit | 302 | 94 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30200063 | Crossmatch is | 302 | 79 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30200065 | Cryptococcal Antigen | 302 | 80 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30200068 | Direct Coombs | 302 | 80 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30200088 | Fta-Abs | 302 | 105 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30200093 | Hepatitis A Antibody Igm | 302 | 114 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30200113 | Lyme Disease Antibody | 302 | 152 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30200115 | Mitochondrial Antibody | 302 | 83 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30200116 | Mono Test | 302 | 81 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30200118 | Mycoplasma Latex Antibody | 302 | 150 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30200119 | Platelet Antibody | 302 | 216 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30200128 | Rotavirus | 302 | 128 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30200131 | Rubella Titer | 302 | 53 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30200137 | Toxoplasma Igm Ab | 302 | 109 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30200140 | Rubeola Titer | 302 | 132 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30500001 | Antithrombin Iii As | 305 | 147 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30500004 | Aptt | 305 | 113 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30500006 | Bleeding Time | 305 | 60 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30500009 | D Dimer | 305 | 52 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30500012 | Factor 8 Level | 305 | 380 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30500015 | Factor V Clotting | 305 | 264 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30500023 | Hematocrit | 305 | 36 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30500024 | Hematocrit Spun | 305 | 28 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30500025 | Hemoglobin | 305 | 36 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30500027 | Hemogram/Platelet Automated | 305 | 80 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30500029 | Leukocyte Alkaline Phos | 305 | 81 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30500036 | Protein C Antigen | 305 | 216 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30500042 | Reticulocyte Count | 305 | 39 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30500121 | Hemoglobin A1c | 305 | 114 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30500056 | Clostridium Diff Tox | 306 | 52 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30500058 | Cult Fungi Other | 306 | 109 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30500059 | Cult Grp B Strep | 306 | 605 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30500060 | Culture Anaerobic | 306 | 136 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30500061 | Culture Blood | 306 | 205 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30500075 | Culture Sputum | 306 | 100 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30500076 | Culture Stool Routine | 306 | 109 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30500082 | Culture Viral | 306 | 256 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30500086 | Gondrrhea by Ona Prose | 306 | 34 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30500087 | Gram Stain | 306 | 62 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30500105 | Koh Prep | 306 | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30500113 | Pinworm Prep | 306 | 52 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 30500116 | Sensitivity Mic | 306 | 106 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 32000001 | 74150 | A/C Joints Bilateral | 320 | 205 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000007 | Abdomen One View | 320 | 263 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 32000011 | 97124 | Ankle Ap & Lat | 320 | 167 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000012 | 71100 | Ankle Complete | 320 | 248 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000033 | 90847 | Cerv Spine Comp I/F | 320 | 52 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000039 | 97150 | Cholecysto Oral Contrast | 320 | 337 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000042 | 72193 | Coccyx | 320 | 221 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000043 | Colon Barium | 320 | 504 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 32000044 | 94761 | Colon Barium W/Air | 320 | 536 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000047 | 97110 | Cystogram S&i | 320 | 471 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000050 | 93970 | Abdomen Complete | 320 | 411 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000053 | 97112 | Elbow Ap & Lat | 320 | 161 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000054 | 72052 | Elbow Complete | 320 | 337 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000055 | 90853 | Elbow Complete I/F | 320 | 337 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000061 | 73030 | Foot Complete | 320 | 239 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000063 | 90801 | Foot Complete I/F | 320 | 239 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000065 | 71010 | Forearm 1 Joint | 320 | 209 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000067 | 90853 | Forearm 2 Views I/F | 320 | 264 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000069 | 73140 | Hand Complete | 320 | 239 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000071 | Hand Complete I/F | 320 | 299 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 32000073 | 73650 | Hand Two Views | 320 | 95 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000075 | G0129 | Hip 2 Views I/F | 320 | 405 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000076 | 73090 | Hip Ini Limited | 320 | 248 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000077 | 73120 | Hip Uni Two Views | 320 | 323 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000083 | 73221 | Esophagus | 320 | 356 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000086 | 74220 | Facial Bones Comp | 320 | 306 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000088 | 73510 | Femur | 320 | 240 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000091 | 90853 | Finger 2 Views Min I/F | 320 | 247 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000092 | 73630 | Fingers | 320 | 198 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000103 | 97140 | Foot Ap & Lat | 320 | 176 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000104 | 74170 | Humerus | 320 | 209 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000117 | 90818 | Knee 2 Views I/F | 320 | 307 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000119 | 73660 | Knee Ap and Lateral | 320 | 172 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000120 | 70100 | Knee Completed | 320 | 247 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000122 | Kub | 320 | 239 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 32000125 | 74000 | Mandible Complete | 320 | 265 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000126 | G0176 | Mandible Copl I/F | 320 | 265 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000127 | 74000 | Mandible Limited | 320 | 209 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000129 | 74020 | Mastoid Complete | 320 | 268 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000137 | 74246 | Nasal Bones Only | 320 | 209 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000146 | 70250 | Os Calcis | 320 | 202 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000147 | G0177 | Os Calcis 2 Views I/F | 320 | 202 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000152 | 70486 | Pelvis 2 Views | 320 | 311 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000153 | 71260 | Pelvis Min 3 Views | 320 | 311 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000157 | Pyelogram Retro | 320 | 1762 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 32000163 | 73620 | Ribs Bilateral | 320 | 369 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000165 | 90832 | Ribs Unilat 2 Views I/F | 320 | 369 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000166 | 73600 | Ribs Unilateral | 320 | 252 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000167 | 71250 | Sacroiliac | 320 | 294 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000169 | 71270 | Sacrum | 320 | 311 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000171 | 72192 | Scapula | 320 | 216 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000177 | 70492 | Shoulder 3 Views | 320 | 335 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000178 | 90834 | Shoulder Compl I/F | 320 | 247 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000180 | 72194 | Shoulder Limited | 320 | 163 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000184 | 74270 | Sinuses Complete | 320 | 358 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000185 | 70540 | Sinuses Limited | 320 | 218 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000188 | 74290 | Skull Complete | 320 | 405 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000189 | 90816 | Skull Complete I/F | 320 | 405 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000190 | 74280 | Skull Limited | 320 | 261 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000194 | 71030 | Spine Cerv 3 Views | 320 | 330 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000197 | 70460 | Spine Cervical Compl | 320 | 443 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000201 | 70470 | Spine Lumb Complete | 320 | 425 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000204 | 70450 | Spine Thoracic 2 Views | 320 | 299 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000208 | 75820 | Sternaclavc Jnts | 320 | 218 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000210 | 74249 | Sternum | 320 | 269 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000215 | 74420 | Tempmndublr Jnts | 320 | 269 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000217 | 73650 | Tibia and Fibula | 320 | 221 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000228 | 93307 | Upper Gi Series | 320 | 609 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000229 | 97150 | Upper Gi Small Bowel | 320 | 593 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000240 | 97532 | Venogram Unilateral | 320 | 3111 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000242 | 90899 | Venous Doppler of The Legs | 320 | 1016 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000245 | 97113 | Wrist Ap & Lat | 320 | 172 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000246 | 73085 | Wrist Complete | 320 | 247 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32000250 | 73560 | Xray Le Toes Min 2 Views | 320 | 184 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32200001 | 74160 | Artho Shoulder | 322 | 647 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32400001 | 90846 | Chest 1 View I/F | 324 | 221 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32400003 | 97535 | Chest Complate 4 Views | 324 | 352 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32400006 | 74430 | Chest One View | 324 | 221 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32400010 | 73100 | Chest Three Views | 324 | 271 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 32400011 | 73070 | Chest Two Views | 324 | 278 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 35000002 | CT Chest W/Con | 350 | 1974 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 35000003 | CT Chest W/O Contrast | 350 | 1798 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 35000004 | CT Chest W/Wo Contrast | 350 | 4460 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 35000006 | CT Facial W/O | 350 | 1693 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 35000011 | CT Neck W/Wo Con | 350 | 4131 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 35000012 | CT Pelvis W/Con | 350 | 2733 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 35000013 | CT Pelvis W/O Con | 350 | 1749 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 35000014 | CT Pelvis W/Wo Con | 350 | 3333 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 35000015 | CT Scan Arm/Shoulder | 350 | 2254 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 35100003 | CT Head W/Contrast | 351 | 2373 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 35100004 | CT Head W/O Contrast | 351 | 2456 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 35100005 | CT Head W/Wo Contrast | 351 | 3380 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 35200005 | CT Abd W/Con | 352 | 2539 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 35200006 | CT Abd W/O Con | 352 | 2356 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 35200007 | CT Abd W/Wo Con | 352 | 4460 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 40000001 | Renal Sonogram | 400 | 1749 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 40000003 | 78806 | Ultrasound Extremity | 400 | 1598.48 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 40200013 | 93971 | U/S Doppler Vendous Extrem Uni | 402 | 1800 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 40200014 | 93970 | U/S Doppler Venous Bil | 402 | 2040 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 41000036 | 73090 | Resp Ther/Nebulizer Tx | 410 | 294 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 41200006 | 73110 | Ventolin Breathing Treatment | 412 | 294 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 41900001 | 73130 | Pulse Oximeter | 419 | 268 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 42000005 | 73020 | Gait Training 15 Min | 420 | 271 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 42000006 | 73010 | Kinetic Excercises | 420 | 92 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 42000012 | 73030 | Therapy Exercises Ea 15 Min | 420 | 88 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 42000019 | 73040 | PT Evaluation | 420 | 98 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 42000037 | 72040 | Therap Group 15 Min | 420 | 113 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 43300001 | 73060 | Therapeutic Grp 15 Min | 433 | 113 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 44200002 | 73550 | Speech Therapy | 442 | 340 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 44400003 | 73562 | Speech Therapy Eval | 444 | 557 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 48300001 | Echo Cardiogram | 483 | 4562 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 61000018 | MRI Shoulder, Upr Ext Joint | 610 | 3007 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 61100004 | MRI Brain Wo Cont | 611 | 3007 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 61200004 | MRI L-Spine W&wo Cont | 612 | 3876 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 61400001 | MRI Add'l Levels | 614 | 835 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 61400002 | MRI Head | 614 | 3007 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001596 | FluZONE QUAD 2022-2023 | 636 | 34.58 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001598 | Phenytoin Sodium | 636 | 0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | PH001599 | Calcium Chloride | 636 | 21 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 73000001 | EKG | 730 | 369 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 90000001 | 90899 | Patient Education Group Sessio | 900 | 390 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 90000002 | 90899 | Educational 60 Mi | 900 | 500 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 90000003 | 90899 | Nursing Assessment | 900 | 500 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 90000004 | Bio Psychosocial Assess 45-60 | 900 | 247 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |
Inpatient Psychiatric Services | 91500006 | 90791 | Psych Eval W/O Medical Exam | 900 | 435 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 90400001 | G0176 | Activity Therapy 45 or More | 904 | 326 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 91300001 | G0177 | Training Education 45 or More | 913 | 326 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 91400001 | 90832 | Individual Psychotherapy 30 Mi | 914 | 326 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 91400002 | 90834 | Individual Psychotherapy 45-50 | 914 | 326 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 91400003 | 90834 | Individual Psychotherapy 60 Mi | 914 | 500 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 91500001 | 90853 | Group Psychotherapy | 915 | 326 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 91500002 | 90853 | Group Psychotherapy 45-50 Mi | 915 | 350 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 91500003 | 90853 | Group Psychotherapy 60 Mi | 915 | 390 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 91500004 | 90853 | Interactive Grp Psy 45 to 50 | 915 | 326 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 91600001 | 90847 | Cojoint (Couple Therapy 60 Mi | 916 | 154 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 91600002 | 90847 | Cojoint (Couple) Therapy | 916 | 392 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 91600003 | 90847 | Cojoint (Couple) Therapy 90 Mi | 916 | 233 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 91600004 | 90846 | Family Psychotherapy W/O PT | 916 | 418 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 91600005 | 90847 | Family Psychotherapy W/PT | 916 | 500 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 94100001 | 73050 | Therapuetic Proc 15 Min Exer | 941 | 136 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Inpatient Psychiatric Services | 94100002 | 73080 | Rec Therapy 15 Min | 941 | 136 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Intensive Outpatient Services | 91400001 | 90832 | Individual Psychotherapy 30 Mi | 914 | 326 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Intensive Outpatient Services | 91400002 | 90834 | Individual Psychotherapy 45-50 | 914 | 326 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Intensive Outpatient Services | 91400003 | 90834 | Individual Psychotherapy 60 Mi | 914 | 500 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Intensive Outpatient Services | 91500001 | 90853 | Group Psychotherapy | 915 | 326 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Intensive Outpatient Services | 91500002 | 90853 | Group Psychotherapy 45-50 Mi | 915 | 350 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Intensive Outpatient Services | 91500003 | 90853 | Group Psychotherapy 60 Mi | 915 | 390 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Intensive Outpatient Services | 91500004 | 90853 | Interactive Grp Psy 45 to 50 | 915 | 326 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Intensive Outpatient Services | 91600001 | 90847 | Cojoint (Couple Therapy 60 Mi | 916 | 154 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Intensive Outpatient Services | 91600002 | 90847 | Cojoint (Couple) Therapy | 916 | 392 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Intensive Outpatient Services | 91600003 | 90847 | Cojoint (Couple) Therapy 90 Mi | 916 | 233 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Intensive Outpatient Services | 91600004 | 90846 | Family Psychotherapy W/O PT | 916 | 418 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Intensive Outpatient Services | 91600005 | 90847 | Family Psychotherapy W/PT | 916 | 500 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |