Service Area|Px Code|Generic Name|CPT(R)/HCPCS Code|NDC|Unit Price|Override Bill Code|Override Price|Medication Quantity|Medication Units
PEMBINA COUNTY MEDICAL CENTER|2500000|Famotidine Inj 20 MG/2ML|J3490|00641602201|22.50||22.50|2|mL
PEMBINA COUNTY MEDICAL CENTER|2500000|Famotidine Inj 20 MG/2ML|J3490|00641602225|22.50||22.50|2|mL
PEMBINA COUNTY MEDICAL CENTER|6360000|Insulin NPH (Human) (Isophane) Inj 100 Unit/ML|J1815|00002831517|300.00||300.00|3|mL
PEMBINA COUNTY MEDICAL CENTER|6360000|Insulin Regular (Human) Inj 100 Unit/ML|J1815|00002821517|300.00||300.00|3|mL
PEMBINA COUNTY MEDICAL CENTER|6360000|Methylprednisolone Sod Succ For Inj 1000 MG (Base Equiv)|J2930|00009069801|141.23||141.23|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360000|Methylprednisolone Sod Succ For Inj 125 MG (Base Equiv)|J2930|00009004722|41.74||41.74|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360000|Methylprednisolone Sod Succ For Inj 125 MG (Base Equiv)|J2930|00009004725|41.74||41.74|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360000|Methylprednisolone Sod Succ For Inj 40 MG (Base Equiv)|J2920|00009003928|28.82||28.82|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360000|Methylprednisolone Sod Succ For Inj 40 MG (Base Equiv)|J2920|00009003930|28.82||28.82|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360000|Morphine Sulfate IV Soln PF 4 MG/ML|J2270|00409189101|22.50||22.50|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360000|Morphine Sulfate IV Soln PF 4 MG/ML|J2270|00409189103|22.50||22.50|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360000|Morphine Sulfate IV Soln PF 10 MG/ML|J2270|00641612701|22.50||22.50|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360000|Morphine Sulfate IV Soln PF 10 MG/ML|J2270|00641612725|22.50||22.50|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360000|Acetylcysteine Inhal Soln 20%|J7608|00409330803|44.98||44.98|30|mL
PEMBINA COUNTY MEDICAL CENTER|6360000|Neostigmine Methylsulfate IV Soln 10 MG/10 ML (1 MG/ML)|J2710|70121147907|22.50||22.50|0.5|mL
PEMBINA COUNTY MEDICAL CENTER|6360000|Neostigmine Methylsulfate IV Soln 10 MG/10 ML (1 MG/ML)|J2710|70121147901|22.50||22.50|0.5|mL
PEMBINA COUNTY MEDICAL CENTER|6360000|Insulin Aspart Soln Pen-injector 100 Unit/ML|J1815|00169633910|30.00||30.00|3|mL
PEMBINA COUNTY MEDICAL CENTER|6360000|Insulin Glargine Soln Pen-Injector 100 Unit/ML|J1815|00088221905|30.00||30.00|3|mL
PEMBINA COUNTY MEDICAL CENTER|6360000|Propofol IV Emul 200 MG/20ML (10 MG/ML)|J2704|00409469930|36.00||36.00|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360000|Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML|J3010|00409909422|22.50||22.50|2|mL
PEMBINA COUNTY MEDICAL CENTER|6360000|Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML|J3010|00641602701|22.50||22.50|2|mL
PEMBINA COUNTY MEDICAL CENTER|6360000|Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML|J3010|00641602725|22.50||22.50|2|mL
PEMBINA COUNTY MEDICAL CENTER|6360000|Atropine Sulfate Soln Prefill Syr 1 MG/10ML (0.1 MG/ML)|J0461|00409163010|28.37||28.37|10|mL
PEMBINA COUNTY MEDICAL CENTER|6360000|Atropine Sulfate Soln Prefill Syr 1 MG/10ML (0.1 MG/ML)|J0461|76329333901|50.08||50.08|10|mL
PEMBINA COUNTY MEDICAL CENTER|6360000|Lidocaine HCl (Cardiac) IV Soln Pref Syr 100 MG/5ML (2%)|J2001|76329339001|22.50||22.50|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360000|Heparin Sodium (Porcine) Lock Flush IV Soln 100 Unit/ML|J1642|64253033333|6.00||6.00|3|mL
PEMBINA COUNTY MEDICAL CENTER|6360000|Heparin Sodium (Porcine) Lock Flush IV Soln 100 Unit/ML|J1642|64253033335|6.00||6.00|5|mL
PEMBINA COUNTY MEDICAL CENTER|6360000|Diazepam Inj 5 MG/ML|J3360|69339013602|22.50||22.50|0.5|mL
PEMBINA COUNTY MEDICAL CENTER|6360000|Diazepam Inj 5 MG/ML|J3360|69339013632|22.50||22.50|0.5|mL
PEMBINA COUNTY MEDICAL CENTER|6360000|Pantoprazole Sodium For IV Soln 40 MG (Base Equiv)|S0164|00008200101|22.50||22.50|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360000|Pantoprazole Sodium For IV Soln 40 MG (Base Equiv)|S0164|00008200110|24.52||24.52|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360000|Pantoprazole Sodium For IV Soln 40 MG (Base Equiv)|S0164|00008200125|22.50||22.50|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360000|Pantoprazole Sodium For IV Soln 40 MG (Base Equiv)|S0164|55150020210|34.13||34.13|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360000|Pantoprazole Sodium For IV Soln 40 MG (Base Equiv)|S0164|55150020200|34.13||34.13|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360000|Midazolam HCl Inj 2 MG/2ML (Base Equivalent)|J2250|00641605725|22.50||22.50|2|mL
PEMBINA COUNTY MEDICAL CENTER|6360000|Midazolam HCl Inj 2 MG/2ML (Base Equivalent)|J2250|00641605701|22.50||22.50|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360000|Methylprednisolone Acetate Inj Susp 80 MG/ML|J1040|00009347501|48.37||48.37|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360000|Metoclopramide HCl Inj 5 MG/ML (Base Equivalent)|J2765|00409341401|22.50||22.50|2|mL
PEMBINA COUNTY MEDICAL CENTER|6360000|Metoclopramide HCl Inj 5 MG/ML (Base Equivalent)|J2765|00409341418|22.50||22.50|2|mL
PEMBINA COUNTY MEDICAL CENTER|6360000|Metronidazole in NaCl 0.79% IV Soln 500 MG/100ML|J3490|00409781124|42.30||42.30|100|mL
PEMBINA COUNTY MEDICAL CENTER|6360000|Morphine Sulfate IV Soln 1 MG/ML||76329191101|92.04||92.04|30|mL
PEMBINA COUNTY MEDICAL CENTER|6360000||J0696|99408090228|211.75||211.75|246|mL
PEMBINA COUNTY MEDICAL CENTER|6360000|Sodium Chloride IV Soln 0.45%|J3490|00338004304|41.73||41.73|1000|mL
PEMBINA COUNTY MEDICAL CENTER|6360000|Triamcinolone Acetonide Inj Susp 40 MG/ML|J3301|00003029305|49.57||49.57|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360000|Clindamycin Phosphate Inj 600 MG/4ML|J3490|67457081500|22.50||22.50|2|mL
PEMBINA COUNTY MEDICAL CENTER|6360000|Clindamycin Phosphate Inj 600 MG/4ML|J3490|67457081504|22.50||22.50|2|mL
PEMBINA COUNTY MEDICAL CENTER|6360000|Ciprofloxacin 400 MG/200ML in D5W|J0744|00409477702|48.61||48.61|200|mL
PEMBINA COUNTY MEDICAL CENTER|6360000|Ondansetron HCl Inj 4 MG/2ML (2 MG/ML)|J2405|36000001225|22.50||22.50|2|mL
PEMBINA COUNTY MEDICAL CENTER|6360000|Ondansetron HCl Inj 4 MG/2ML (2 MG/ML)|J2405|55150012502|22.50||22.50|2|mL
PEMBINA COUNTY MEDICAL CENTER|6360000|Sumatriptan Succinate Inj 6 MG/0.5ML|J3030|55150017301|52.49||52.49|.5|mL
PEMBINA COUNTY MEDICAL CENTER|6360000|Sumatriptan Succinate Inj 6 MG/0.5ML|J3030|00143963801|58.72||58.72|.5|mL
PEMBINA COUNTY MEDICAL CENTER|6360000|Sumatriptan Succinate Inj 6 MG/0.5ML|J3030|00143963805|58.72||58.72|.5|mL
PEMBINA COUNTY MEDICAL CENTER|6360000|Dextrose 5% in Lactated Ringers|J7121|00338012504|41.73||41.73|1000|mL
PEMBINA COUNTY MEDICAL CENTER|2580001|Nitroglycerin IV Soln 100 MCG/ML in D5W||00338104702|84.71||84.71|250|mL
PEMBINA COUNTY MEDICAL CENTER|2500005|Tobramycin Ophth Soln 0.3%||70069013101|32.20||32.20|5|mL
PEMBINA COUNTY MEDICAL CENTER|2500005|Saline Nasal Spray 0.65%||00904386575|6.58||6.58|44|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Tamsulosin HCl Cap 0.4 MG||63739056710|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|2500006|Mupirocin Oint 2%||68462018022|23.91||23.91|22|g
PEMBINA COUNTY MEDICAL CENTER|2500006|Sodium Chloride Flush IV Soln 0.9%|A4216|08881570121|6.00||6.00|10|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Sodium Chloride Flush IV Soln 0.9%|A4216|08290306547|6.00||6.00|10|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Propafenone HCl Tab 300 MG||62559023201|4.99||4.99|1|Each
PEMBINA COUNTY MEDICAL CENTER|2500006|Oseltamivir Phosphate For Susp 6 MG/ML (Base Equiv)||68180067801|479.78||479.78|60|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Silver Nitrate-Potassium Nitrate Applicator 75-25%||12870000101|4.32||4.32|1|Each
PEMBINA COUNTY MEDICAL CENTER|2500006|Ipratropium-Albuterol Inhal Aerosol Soln 20-100 MCG/ACT||00597002402|674.30||674.30|4|g
PEMBINA COUNTY MEDICAL CENTER|2500006|Magnesium Oxide Tab 400 MG (240 MG Elemental Mg)||00904660961|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|2500006|Magnesium Oxide Tab 400 MG (240 MG Elemental Mg)||10006070028|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|2500006|Multiple Vitamin Inj||54643564901|58.33||58.33|10|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Nicardipine HCl IV Soln 2.5 MG/ML||00143968910|113.12||113.12|10|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Nicardipine HCl IV Soln 2.5 MG/ML||00143968901|78.67||78.67|10|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Calcium Chloride Inj 10%||76329330401|49.45||49.45|10|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Scopolamine TD Patch 72HR 1 MG/3DAYS||10019055303|69.29||69.29|1|Each
PEMBINA COUNTY MEDICAL CENTER|2500006|Norepinephrine Bitartrate IV Soln 1 MG/ML (Base Equivalent)||36000016210|41.82||41.82|4|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Norepinephrine Bitartrate IV Soln 1 MG/ML (Base Equivalent)||3600006201|41.82||41.82|4|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Ephedrine Sulfate IV Soln 50 MG/ML||17478041501|22.50||22.50|0.1|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Ephedrine Sulfate IV Soln 50 MG/ML||17478041510|22.50||22.50|0.1|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Ephedrine Sulfate IV Soln 50 MG/ML||00781326995|45.96||45.96|1|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Ephedrine Sulfate IV Soln 50 MG/ML||00781326971|45.96||45.96|1|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Methylene Blue IV Soln 50 MG/10ML (5 MG/ML)||00517037405|460.53||460.53|10|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Methylene Blue IV Soln 50 MG/10ML (5 MG/ML)||00517037401|460.53||460.53|10|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Lidocaine Cream 5%||75834014130|50.29||50.29|30|g
PEMBINA COUNTY MEDICAL CENTER|2500006|Alfentanil HCl IV Soln 1000 MCG/2ML (500 MCG/ML) (Base Eq)||00409226602|22.50|||0.05|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Alfentanil HCl IV Soln 1000 MCG/2ML (500 MCG/ML) (Base Eq)||17478006702|45.79||45.79|2|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Sodium Chloride Preservative Free (PF) Inj 0.9%||00409488810|6.00||6.00|10|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Sodium Chloride Preservative Free (PF) Inj 0.9%||00409488812|6.00||6.00|10|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Sodium Chloride Preservative Free (PF) Inj 0.9%||00409488801|6.00||6.00|10|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Sodium Chloride Preservative Free (PF) Inj 0.9%||00409488802|6.00||6.00|10|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Typhoid VI Polysaccharide Intramuscular Vac Inj 25 MCG/0.5ML|90691|49281079051|141.64||141.64|.5|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Moexipril HCl Tab 15 MG||00093515001|4.52||4.52|1|Each
PEMBINA COUNTY MEDICAL CENTER|2500006|Sevoflurane Inhal Soln||66794001525|22.50||22.50|10|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Melatonin Tab 5 MG||10006073040|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|2500006|Albuterol Sulfate Inhal Aero 108 MCG/ACT (90MCG Base Equiv)||00173068224|80.40||80.40|8|g
PEMBINA COUNTY MEDICAL CENTER|2500006|Sennosides Tab 8.6 MG||00904652261|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|2500006|Trace Min (Cr-Cu-Mn-Zn) Inj 0.01-1-0.5-5 MG/ML||00517720125|22.50||22.50|1|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Benzocaine Dental Soln 20%||00283061011|41.01||41.01|1|Each
PEMBINA COUNTY MEDICAL CENTER|2500006|Benzocaine Dental Soln 20%||02830061043|41.01||41.01|1|Each
PEMBINA COUNTY MEDICAL CENTER|2500006|Etomidate IV Soln 2 MG/ML||00409669501|32.38||32.38|10|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Etomidate IV Soln 2 MG/ML||55150022220|22.50||22.50|5|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Etomidate IV Soln 2 MG/ML||00409669511|22.50||22.50|5|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Multiple Vitamin Tab||00904053061|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|2500006|Lidocaine Anorectal Cream 5%||00496089230|77.78||77.78|30|g
PEMBINA COUNTY MEDICAL CENTER|2500006|Dextrose Inj 10%||00338002304|53.19||53.19|1000|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Dextrose Inj 50%||00409751716|44.24||44.24|50|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Diphenhydramine HCl Cap 25 MG|Q0163|00904530661|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|2500006|Fluticasone-Salmeterol Aer Powder BA 250-50 MCG/DOSE||00173069604|363.13||363.13|14|Each
PEMBINA COUNTY MEDICAL CENTER|2500006|Fluticasone-Salmeterol Aer Powder BA 500-50 MCG/DOSE||00173069704|503.14||503.14|14|Each
PEMBINA COUNTY MEDICAL CENTER|2500006|Sodium Chloride Flush IV Soln 0.9%|A4216|08290306546|6.00||6.00|10|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Fluorescein Sodium Ophth Strips 1 MG||17238090011|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|2500006|Lidocaine HCl Viscous Soln 2%||50383077515|5.42||5.42|15|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Lidocaine HCl Viscous Soln 2%||50383077517|3.75||3.75|5|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Lidocaine HCl Viscous Soln 2%||50383077504|17.19||17.19|30|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Ropinirole Hydrochloride Tab 3 MG||43547027210|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|2500006|Glycopyrrolate Inj 0.2 MG/ML||00143968201|76.15||76.15|2|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Glycopyrrolate Inj 0.2 MG/ML||00143968225|76.15||76.15|2|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Glycopyrrolate Inj 0.2 MG/ML||71288040701|45.00||45.00|2|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Glycopyrrolate Inj 0.2 MG/ML||71288040703|45.00||45.00|2|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Rosuvastatin Calcium Tab 40 MG||70377000911|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|2500006|Hydrocortisone Oint 2.5%||00168014630|18.74||18.74|28.35|g
PEMBINA COUNTY MEDICAL CENTER|2500006|Nystatin Topical Powder 100000 Unit/GM||16714076901|20.95||20.95|15|g
PEMBINA COUNTY MEDICAL CENTER|2500006|Isoflurane Inhal Soln||10019036040|94.72||94.72|100|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Ketamine HCl Inj 50 MG/ML||67457000110|22.50||22.50|0.1|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Ketamine HCl Inj 50 MG/ML||67457000100|22.50||22.50|0.1|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Lactated Ringer's for Irrigation||00338013727|70.38||70.38|3000|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Lidocaine HCl Soln 4%||00054350547|119.36||119.36|50|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Oxymetazoline HCl Nasal Soln 0.05%||00904571135|6.87||6.87|15|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Oxymetazoline HCl Nasal Soln 0.05%||00904676130|10.47||10.47|30|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Phenylephrine HCl Nasal Soln 1%||69536010015|21.28||21.28|15|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Quetiapine Fumarate Tab 50 MG||16714045301|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|2500006|Fluticasone Propionate Nasal Susp 50 MCG/ACT||00054327099|31.30||31.30|16|g
PEMBINA COUNTY MEDICAL CENTER|2500006|Silver Sulfadiazine Cream 1%||43598021055|30.81||30.81|50|g
PEMBINA COUNTY MEDICAL CENTER|2500006|Sodium Bicarbonate IV Soln 4.2%||00409553434|50.83||50.83|10|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Sodium Bicarbonate IV Soln 8.4%||00409662502|25.13||25.13|25|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Sodium Bicarbonate IV Soln 8.4%||00409663734|47.96||47.96|50|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Sodium Chloride IV Soln 3%||00338005403|44.60||44.60|500|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Sodium Chloride Soln Nebu 0.9%||00378698601|17.51||17.51|5|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Sodium Chloride Soln Nebu 0.9%||00487930103|3.75||3.75|3|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Sodium Chloride Soln Nebu 0.9%||76204030003|3.75||3.75|3|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Sodium Chloride Soln Nebu 3%||00487900360|7.14||7.14|16|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Atropine Sulfate Ophth Soln 1%||17478021502|144.62||144.62|2|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Guaifenesin Liquid 100 MG/5ML||50383006307|3.90||3.90|5|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Guaifenesin Liquid 100 MG/5ML||50383006305|3.90||3.90|5|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Tetracaine HCl Ophth Soln 0.5%||00065074114|23.16||23.16|4|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Budesonide-Formoterol Fumarate Dihyd Aerosol 80-4.5 MCG/ACT||00186037228|420.90||420.90|6.9|g
PEMBINA COUNTY MEDICAL CENTER|2500006|Budesonide-Formoterol Fumarate Dihyd Aerosol 160-4.5 MCG/ACT||00186037028|420.91||420.91|6|g
PEMBINA COUNTY MEDICAL CENTER|2500006|Tuberculin PPD Inj 5 Unit/0.1ML|86580|42023010401|178.62||178.62|1|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Tuberculin PPD Inj 5 Unit/0.1ML|86580|49281075221|22.50||22.50|.1|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Bacitracin Oint 500 Unit/GM||00713028031|11.78||11.78|28.4|g
PEMBINA COUNTY MEDICAL CENTER|2500006|Bacitracin Oint 500 Unit/GM||45802006070|3.75||3.75|1|g
PEMBINA COUNTY MEDICAL CENTER|2500006|Ascorbic Acid Tab 500 MG||00904052361|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|2500006|Psyllium Powder 28.3%||00536444554|24.77||24.77|369|g
PEMBINA COUNTY MEDICAL CENTER|2500006|Oseltamivir Phosphate Cap 45 MG (Base Equiv)||00004080185|52.16||52.16|1|Each
PEMBINA COUNTY MEDICAL CENTER|2500006|Oseltamivir Phosphate Cap 45 MG (Base Equiv)||47781046913|29.05||29.05|1|Each
PEMBINA COUNTY MEDICAL CENTER|2500006|Oseltamivir Phosphate Cap 45 MG (Base Equiv)||69238126501|35.31||35.31|1|Each
PEMBINA COUNTY MEDICAL CENTER|2500006|Alum & Mag Hydroxide-Simethicone Susp 200-200-20 MG/5ML||00904676414|3.75||3.75|15|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|White Petrolatum-Mineral Oil Ophth Ointment||63736014308|21.22||21.22|3.5|g
PEMBINA COUNTY MEDICAL CENTER|2500006|Metoprolol Tartrate IV Soln 5 MG/5ML||00409177805|22.50||22.50|5|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Metoprolol Tartrate IV Soln 5 MG/5ML||00409177815|22.50||22.50|5|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Bumetanide Inj 0.25 MG/ML||00641600801|22.50||22.50|4|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Bumetanide Inj 0.25 MG/ML||00641600810|22.50||22.50|4|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Bupivacaine 0.75% in Dextrose Inj 8.25%||00409361301|22.50||22.50|2|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML)||70860065105|22.50||22.50|1|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Rocuronium Bromide IV Soln 100 MG/10ML (10 MG/ML)||70860065110|23.73||23.73|10|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Diltiazem HCl IV Soln 25 MG/5ML (5 MG/ML)||00641601301|22.50||22.50|1|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Diltiazem HCl IV Soln 25 MG/5ML (5 MG/ML)||00641601310|22.50||22.50|1|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Diltiazem HCl IV Soln 125 MG/25ML (5 MG/ML)||00641601501|22.50||22.50|1|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Diltiazem HCl IV Soln 125 MG/25ML (5 MG/ML)||00641601510|22.50||22.50|1|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Artificial Saliva - Solution||55299060104|53.12||53.12|120|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Cimetidine Tab 200 MG||49348024644|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|2500006|Ciprofloxacin HCl Ophth Soln 0.3% (Base Equivalent)||61314065605|21.57||21.57|5|mL
PEMBINA COUNTY MEDICAL CENTER|2500006|Dantrolene Sodium For IV Soln 20 MG||27505000367|173.14||173.14|1|Each
PEMBINA COUNTY MEDICAL CENTER|2500006|Enalaprilat IV Inj 1.25 MG/ML||00143978710|23.15||23.15|1|mL
PEMBINA COUNTY MEDICAL CENTER|2550005|Iopamidol IV Soln 76%|Q9967|00270131652|163.13||163.13|50|mL
PEMBINA COUNTY MEDICAL CENTER|2550005|Gadodiamide IV Soln 287 MG/ML|A9579|00407069010|597.76||597.76|20|mL
PEMBINA COUNTY MEDICAL CENTER|2550005|Diatrizoate Meglumine & Sodium Oral Soln 66-10%||00270044540|140.45||140.45|240|mL
PEMBINA COUNTY MEDICAL CENTER|2580005|Magnesium Sulfate IV Soln 4 GM/100ML (40 MG/ML)|J3475|00409672923|63.50||63.50|100|mL
PEMBINA COUNTY MEDICAL CENTER|2580005|Heparin Sod (Porcine) in NaCl IV Soln 25000 Unit/500ML-0.45%|J1644|00409765103|61.79||61.79|500|mL
PEMBINA COUNTY MEDICAL CENTER|2580005|Heparin Sod (Porcine) in NaCl IV Soln 25000 Unit/500ML-0.45%|J1644|00409765113|61.79||61.79|500|mL
PEMBINA COUNTY MEDICAL CENTER|2580005|Fat Emulsion Plant Based IV Emulsion 20%||00338051902|91.87||91.87|250|mL
PEMBINA COUNTY MEDICAL CENTER|2580005|Dopamine Inj 1.6 MG/ML in D5W|J1265|00409780922|76.11||76.11|250|mL
PEMBINA COUNTY MEDICAL CENTER|2580005|Lidocaine IV Infusion in D5W Inj 4 MG/ML|J2001|00338040903|50.33||50.33|500|mL
PEMBINA COUNTY MEDICAL CENTER|2580005|Amino Acid Electrolyte w/Cal Infusion 4.25% in D5W||00338111304|166.90||166.90|2000|mL
PEMBINA COUNTY MEDICAL CENTER|2580005|Amino Acid Electrolyte w/Cal Infusion 5% in D15W||00338112304|205.40||205.40|2000|mL
PEMBINA COUNTY MEDICAL CENTER|2580005|Dextrose Inj 5%|J7060|00409792202|40.50||40.50|250|mL
PEMBINA COUNTY MEDICAL CENTER|2580005|Dextrose Inj 5%|J7060|00338001702|40.30||40.30|250|mL
PEMBINA COUNTY MEDICAL CENTER|2580005|Dextrose Inj 5%|J7060|00338001703|41.73||41.73|500|mL
PEMBINA COUNTY MEDICAL CENTER|2580005|Dextrose Inj 5%|J7070|00338001704|41.73||41.73|1000|mL
PEMBINA COUNTY MEDICAL CENTER|2580005|Dextrose Inj 5%|J7060|00338001718|41.73|J3490|41.73|100|mL
PEMBINA COUNTY MEDICAL CENTER|2580005|Sodium Chloride IV Soln 0.9%|J7040|00409798303|41.75||41.75|500|mL
PEMBINA COUNTY MEDICAL CENTER|2580005|Sodium Chloride IV Soln 0.9%|J7030|00409798309|41.73||41.73|1000|mL
PEMBINA COUNTY MEDICAL CENTER|2580005|Sodium Chloride IV Soln 0.9%|J7050|00409798302|40.50||40.50|250|mL
PEMBINA COUNTY MEDICAL CENTER|2580005|Sodium Chloride IV Soln 0.9%|J7050|00409710167|40.58||40.58|100|mL
PEMBINA COUNTY MEDICAL CENTER|2580005|Sodium Chloride IV Soln 0.9%|J7050|00264780020|40.50||40.50|250|mL
PEMBINA COUNTY MEDICAL CENTER|2580005|Sodium Chloride IV Soln 0.9%|J7050|00338004902|40.30||40.30|250|mL
PEMBINA COUNTY MEDICAL CENTER|2580005|Sodium Chloride IV Soln 0.9%|J7040|00338004903|41.73||41.73|500|mL
PEMBINA COUNTY MEDICAL CENTER|2580005|Sodium Chloride IV Soln 0.9%|J7030|00338004904|41.73||41.73|1000|mL
PEMBINA COUNTY MEDICAL CENTER|2580005|Sodium Chloride IV Soln 0.9%|J7050|00338004948|40.58||40.58|100|mL
PEMBINA COUNTY MEDICAL CENTER|2580005|Sodium Chloride IV Soln 0.9%|J7050|00338055311|37.43|J3490|37.43|50|mL
PEMBINA COUNTY MEDICAL CENTER|2580005|Sodium Chloride IV Soln 0.9%|J7050|00338055318|40.58||40.58|100|mL
PEMBINA COUNTY MEDICAL CENTER|2580005|Sodium Chloride IV Soln 0.9%|J7050|00338954302|40.50||40.50|250|mL
PEMBINA COUNTY MEDICAL CENTER|2580005|Lactated Ringer's Solution|J7120|00409795309|41.73||41.73|1000|mL
PEMBINA COUNTY MEDICAL CENTER|2580005|Lactated Ringer's Solution|J7120|00338011704|41.73||41.73|1000|mL
PEMBINA COUNTY MEDICAL CENTER|2580005|Sodium Chloride IV Soln 0.9%|J7030|00409798309|41.73||41.73|1000|mL
PEMBINA COUNTY MEDICAL CENTER|2580005|Sodium Chloride IV Soln 0.9%|J7040|00338004903|41.73||41.73|500|mL
PEMBINA COUNTY MEDICAL CENTER|2580005|Sodium Chloride IV Soln 0.9%|J7030|00338004904|41.73||41.73|1000|mL
PEMBINA COUNTY MEDICAL CENTER|2580005|lactated ringer's solution|J7120|00409795309|41.73||41.73|1000|mL
PEMBINA COUNTY MEDICAL CENTER|2580005|lactated ringer's solution|J7120|00338011704|41.73||41.73|1000|mL
PEMBINA COUNTY MEDICAL CENTER|2580005|Dextrose inj 5%|J7070|00338001704|41.73||41.73|1000|mL
PEMBINA COUNTY MEDICAL CENTER|2580005|Sodium Chloride IV Soln 0.9%|J7050|00338630402|44.60|J3490|44.60|250|mL
PEMBINA COUNTY MEDICAL CENTER|2580005|Sodium Chloride IV Soln 0.9%|J7050|00338004902|40.30||40.30|250|mL
PEMBINA COUNTY MEDICAL CENTER|2580005|Sodium Chloride IV Soln 0.9%|J7040|00338004903|41.73||41.73|500|mL
PEMBINA COUNTY MEDICAL CENTER|2580005|Sodium Chloride IV Soln 0.9%|J7030|00338004904|41.73||41.73|1000|mL
PEMBINA COUNTY MEDICAL CENTER|2580005|Sodium Chloride IV Soln 0.9%|J7050|00338055318|121.75||121.75|300|mL
PEMBINA COUNTY MEDICAL CENTER|2580005|Sodium Chloride IV Soln 0.9%|J7050|00338004948|40.58||40.58|100|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Filgrastim Inj 300 MCG/ML|J1442|55513053001|811.58||811.58|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Filgrastim Inj 300 MCG/ML|J1442|55513053010|811.52||811.52|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Fluconazole in NaCl 0.9% Inj 200 MG/100ML|J1450|70655000210|64.65||64.65|100|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Heparin Sodium (Porcine) Inj 5000 Unit/ML|J1644|25021040201|22.50||22.50|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Heparin Sodium (Porcine) Inj 5000 Unit/ML|J1644|63739095311|22.50||22.50|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Heparin Sodium (Porcine) Inj 5000 Unit/ML|J1644|63739095325|22.50||22.50|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Heparin Sodium (Porcine) Inj 5000 Unit/ML|J1644|67457037412|22.50||22.50|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Heparin Sodium (Porcine) Inj 5000 Unit/ML|J1644|67457037499|22.50||22.50|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Oxaliplatin IV Soln 50 MG/10ML|J9263|25021023310|169.64||169.64|10|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Oxaliplatin IV Soln 100 MG/20ML|J9263|25021023320|209.43||209.43|20|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Labetalol HCl IV Soln 5 MG/ML|J3490|00409233934|22.50||22.50|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Labetalol HCl IV Soln 5 MG/ML|J3490|00409226720|23.67||23.67|20|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Labetalol HCl IV Soln 5 MG/ML|J3490|00143962201|23.67||23.67|20|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Labetalol HCl IV Soln 5 MG/ML|J3490|47781058629|43.90||43.90|20|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Labetalol HCl IV Soln 5 MG/ML|J3490|00143962301|22.50||22.50|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Leuprolide Acetate For Inj Kit 7.5 MG|J9217|00074364203|3,465.31||3,465.31|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Lorazepam Inj 2 MG/ML|J2060|00409677802|22.50||22.50|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Lorazepam Inj 2 MG/ML|J2060|00641604401|22.50||22.50|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Lorazepam Inj 2 MG/ML|J2060|00641604425|22.50||22.50|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Pneumococcal 13-Valent Conjugate Vaccine Inj|90670|00005197101|278.69||278.69|.5|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Pneumococcal 13-Valent Conjugate Vaccine Inj|90670|00005197102|278.69||278.69|.5|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Mitomycin For IV Soln 20 MG|J9280|67457051920|517.10||517.10|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Mitomycin For IV Soln 40 MG|J9280|67457052040|970.19||970.19|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Mitomycin For IV Soln 5 MG|J9280|16729011505|1,263.18||1,263.18|2|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Enoxaparin Sodium Inj 30 MG/0.3ML|J1650|00548563100|22.50||22.50|.3|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Enoxaparin Sodium Inj 40 MG/0.4ML|J1650|00548563200|22.50||22.50|.4|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Enoxaparin Sodium Inj 60 MG/0.6ML|J1650|00548563300|22.50||22.50|.6|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Enoxaparin Sodium Inj 80 MG/0.8ML|J1650|00548563400|48.21||48.21|.8|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Enoxaparin Sodium Inj 100 MG/ML|J1650|00548563500|46.36||46.36|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Docetaxel For Inj Conc 20 MG/ML|J9171|45963073454|248.25||248.25|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Fosaprepitant Dimeglumine For IV Infusion 150 MG (Base Eq)|J1453|00006306100|868.23||868.23|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Denosumab Inj 120 MG/1.7ML|J0897|55513073001|4,963.90||4,963.90|1.7|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Ceftaroline Fosamil for IV Soln 600 MG|J0712|00456060001|491.75||491.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Ceftaroline Fosamil for IV Soln 600 MG|J0712|00456060010|491.75||491.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Acetaminophen IV Soln 10 MG/ML|J0131|43825010201|185.77||185.77|100|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Pneumococcal Vaccine Polyvalent Inj 25 MCG/0.5ML|90732|00006483703|151.16||151.16|.5|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Pneumococcal Vaccine Polyvalent Inj 25 MCG/0.5ML|90732|00006483701|151.16||151.16|.5|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Pneumococcal Vaccine Polyvalent Inj 25 MCG/0.5ML|90732|00006494301|107.93||107.93|.5|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Potassium Chloride Inj 20 mEq/100ML|J3480|00409707526|70.38||70.38|100|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Potassium Chloride Inj 20 mEq/100ML|J3480|00338070548|47.46||47.46|100|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|KCl 20 MEQ/L (0.15%) in NaCl 0.9% Inj|J3480|00409711509|41.73||41.73|1000|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|KCl 20 MEQ/L (0.15%) in NaCl 0.9% Inj|J3480|00338069104|41.73||41.73|1000|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Penicillin G Benzathine Intramuscular Susp 1200000 Unit/2ML|J0561|60793070110|117.38||117.38|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Penicillin G Benzathine & Procaine Inj Susp 1200000 Unit/2ML|J0558|60793060110|326.43||326.43|2|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Penicillin G Benzathine & Procaine Inj Susp 1200000 Unit/2ML|J0558|60793060102|326.43||326.43|2|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Panitumumab IV Soln 100 MG/5ML|J9303|55513095401|3,118.97||3,118.97|5|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Panitumumab IV Soln 400 MG/20ML|J9303|55513095601|9,424.86||9,424.86|20|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Palivizumab IM Soln 50 MG/0.5ML|90378|60574411401|3,892.62||3,892.62|.5|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Tocilizumab IV Inj 80 MG/4ML|J3262|50242013501|1,164.32||1,164.32|4|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Tocilizumab IV Inj 200 MG/10ML|J3262|50242013601|2,584.51||2,584.51|10|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Tocilizumab IV Inj 400 MG/20ML|J3262|50242013701|5,157.17||5,157.17|20|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Immune Globulin (Human) IV Soln 10 GM/100ML|J1459|44206043710|2,219.60||2,219.60|100|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Immune Globulin (Human) IV Soln 20 GM/200ML|J1459|44206043820|4,276.00||4,276.00|200|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Fulvestrant Inj 250 MG/5ML|J9395|00310072010|4,940.42||4,940.42|10|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Levofloxacin in D5W IV Soln 250 MG/50ML|J1956|36000004624|44.60||44.60|50|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Levofloxacin in D5W IV Soln 500 MG/100ML|J1956|00143972101|70.95||70.95|100|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Levofloxacin in D5W IV Soln 500 MG/100ML|J1956|00143972124|70.95||70.95|100|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Levofloxacin in D5W IV Soln 500 MG/100ML|J1956|36000004724|48.61||48.61|100|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Poliovirus Vaccine, IPV Injection|90713|49281086078|24.88||24.88|.5|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Poliovirus Vaccine, IPV Injection|90713|49281086010|24.88||24.88|.5|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Ertapenem Sodium For Inj 1 GM (Base Equivalent)|J1335|60505619600|154.38||154.38|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Ertapenem Sodium For Inj 1 GM (Base Equivalent)|J1335|60505619604|154.38||154.38|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Rabies Virus Vaccine, HDC Inj|90675|49281025051|837.73||837.73|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Leuprolide Acetate (6 Month) For Inj Kit 45 MG|J9217|00074347303|15,922.03||15,922.03|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Sincalide For Inj 5 MCG|J2805|00270055615|536.32||536.32|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Ibandronate Sodium IV Soln 3 MG/3ML (Base Equivalent)|J1740|60505609700|702.74||702.74|3|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Zoledronic Acid IV Soln 4 MG/100ML|J3489|70860021051|76.43||76.43|100|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Terbutaline Sulfate Inj 1 MG/ML|J3105|00143974610|22.50||22.50|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Terbutaline Sulfate Inj 1 MG/ML|J3105|70860080101|22.50||22.50|0.25|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Terbutaline Sulfate Inj 1 MG/ML|J3105|00143974601|22.50||22.50|0.25|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Tetanus-Diphtheria Toxoids (Td) Inj 5-2 LFU|90714|49281021515|45.04||45.04|.5|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Tetanus-Diphtheria Toxoids (Td) Inj 5-2 LFU|90714|49281021588|45.04||45.04|.5|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Gemcitabine HCl Inj 2 GM/52.6ML (38 MG/ML) (Base Equiv)|J9201|67457061810|231.27||231.27|52.6|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Varicella Virus Vac Live For Subcutaneous Inj 1350 PFU/0.5ML|90716|00006482700|185.86||185.86|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Varicella Virus Vac Live For Subcutaneous Inj 1350 PFU/0.5ML|90716|00006482701|185.86||185.86|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Haemophilus B Polysaccharide Conjugate Vaccine For Inj|90648|49281054503|41.55||41.55|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Carfilzomib For Inj 60 MG|J9047|76075010101|5,214.57||5,214.57|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Golimumab IV Soln 50 MG/4ML|J1602|57894035001|4,272.91||4,272.91|4|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Ferric Carboxymaltose IV Soln 750 MG/15ML (Fe Equivalent)|J1439|00517065001|2,131.36||2,131.36|15|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Rotavirus Vaccine, Live Oral Pentavalent Soln|90680|00006404741|113.45||113.45|2|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Rotavirus Vaccine, Live Oral Pentavalent Soln|90680|00006404701|113.45||113.45|2|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Bortezomib For Inj 3.5 MG|J9041|63020004901|3,831.05||3,831.05|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Etoposide Inj 100 MG/5ML (20 MG/ML)|J9181|16729011431|100.61||100.61|5|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Hydrocortisone Sodium Succinate PF For Inj 100 MG|J1720|00009001103|46.79||46.79|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Hydrocortisone Sodium Succinate PF For Inj 250 MG|J1720|00009001305|94.10||94.10|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Vedolizumab For IV Solution 300 MG|J3380|64764030020|13,133.42||13,133.42|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Haemophilus B Polysaccharide Conjugate Vac For Inj 10 MCG|90648|58160081811|16.54||16.54|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Testosterone Enanthate IM Inj in Oil 200 MG/ML|J3121|00591322126|22.50|||0.25|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Phenylephrine HCl IV Soln 10 MG/ML|J2370|00641614201|26.88||26.88|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Phenylephrine HCl IV Soln 10 MG/ML|J2370|00641614225|26.88||26.88|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Human Papillomavirus (HPV) 9-Valent Recomb Vac Susp Pref Syr|90651|00006412102|325.76||325.76|.5|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Human Papillomavirus (HPV) 9-Valent Recomb Vac Susp Pref Syr|90651|00006412101|325.76||325.76|.5|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Human Papillomavirus (HPV) 9-Valent Recomb Vac IM Susp|90651|00006411903|310.37||310.37|.5|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Human Papillomavirus (HPV) 9-Valent Recomb Vac IM Susp|90651|00006411901|310.37||310.37|.5|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Nivolumab IV Soln 40 MG/4ML|J9299|00003377211|2,761.86||2,761.86|4|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Nivolumab IV Soln 100 MG/10ML|J9299|00003377412|6,045.10||6,045.10|10|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Meningococcal Vac B (Recomb OMV Adjuv) Inj Prefilled Syringe|90620|58160097620|219.65||219.65|.5|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Meningococcal Vac B (Recomb OMV Adjuv) Inj Prefilled Syringe|90620|58160097602|219.65||219.65|.5|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Pembrolizumab IV Soln 100 MG/4ML (25 MG/ML)|J9271|00006302602|9,788.11||9,788.11|4|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Influenza Virus Vac Split High-Dose PF Susp Pref Syr 0.5ML|90662|49281040565|35.00||35.00|.5|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Influenza Virus Vac Split High-Dose PF Susp Pref Syr 0.5ML|90662|49281040588|35.00||35.00|.5|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Influenza Virus Vac Split Quadrivalent Susp Pref Syr 0.25 ML|90685|49281051900|35.00||35.00|.25|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Influenza Virus Vac Split Quadrivalent Susp Pref Syr 0.25 ML|90685|49281051925|35.00||35.00|.25|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Influenza Virus Vac Split Quadrivalent Susp Pref Syr 0.5ML|90686|49281041950|35.00||35.00|.5|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Influenza Virus Vac Split Quadrivalent Susp Pref Syr 0.5ML|90686|49281041988|35.00||35.00|.5|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Calcium Gluconate Inj 10%|J0610|63323036001|29.43||29.43|5|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Calcium Gluconate Inj 10%|J0610|63323036019|29.43||29.43|5|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Filgrastim-sndz Soln Prefilled Syringe 480 MCG/0.8ML|Q5101|61314032601|1,188.11||1,188.11|.8|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Filgrastim-sndz Soln Prefilled Syringe 480 MCG/0.8ML|Q5101|61314032610|1,188.11||1,188.11|.8|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Rituximab IV Soln 100 MG/10ML|J9312|50242005121|2,719.99||2,719.99|10|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Rituximab IV Soln 500 MG/50ML|J9312|50242005306|9,233.31||9,233.31|50|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Pegfilgrastim Soln Prefilled Syringe 6 MG/0.6ML|J2505|55513019001|10,178.67||10,178.67|.6|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Pegfilgrastim Soln Prefilled Syringe Kit 6 MG/0.6ML|J2505|55513019201|10,075.81||10,075.81|.6|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Darbepoetin Alfa Soln Prefilled Syringe 25 MCG/0.42ML|J0882|55513005701|475.24||475.24|.42|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Darbepoetin Alfa Soln Prefilled Syringe 25 MCG/0.42ML|J0882|55513005704|475.24||475.24|.42|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Darbepoetin Alfa Soln Prefilled Syringe 40 MCG/0.4ML|J0882|55513002101|448.69||448.69|.4|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Darbepoetin Alfa Soln Prefilled Syringe 40 MCG/0.4ML|J0882|55513002104|448.69||448.69|.4|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Darbepoetin Alfa Soln Prefilled Syringe 60 MCG/0.3ML|J0882|55513002301|672.26||672.26|.3|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Darbepoetin Alfa Soln Prefilled Syringe 60 MCG/0.3ML|J0882|55513002304|672.26||672.26|.3|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Darbepoetin Alfa Soln Prefilled Syringe 100 MCG/0.5ML|J0882|55513002501|1,119.40||1,119.40|.5|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Darbepoetin Alfa Soln Prefilled Syringe 100 MCG/0.5ML|J0882|55513002504|1,119.40||1,119.40|.5|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Darbepoetin Alfa Soln Prefilled Syringe 200 MCG/0.4ML|J0882|55513002801|2,237.25||2,237.25|.4|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Darbepoetin Alfa Soln Prefilled Syringe 300 MCG/0.6ML|J0882|55513011101|2,013.68||2,013.68|.6|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Darbepoetin Alfa Soln Prefilled Syringe 500 MCG/ML|J0882|55513003201|4,958.05||4,958.05|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Mepolizumab For Inj 100 MG|J2182|00173088101|6,389.67||6,389.67|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Daratumumab IV Soln 100 MG/5ML|J9145|57894050205|1,460.74||1,460.74|5|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Daratumumab IV Soln 400 MG/20ML|J9145|57894050220|5,018.51||5,018.51|20|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Linezolid IV Soln 600 MG/300ML (2 MG/ML)|J2020|57664068331|102.99||102.99|300|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Linezolid IV Soln 600 MG/300ML (2 MG/ML)|J2020|57664068357|102.99||102.99|300|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Atezolizumab IV Soln 1200 MG/20ML|J9022|50242091701|18,361.89||18,361.89|20|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Medroxyprogesterone Acetate IM Susp Prefilled Syr 150 MG/ML|J1050|00548570100|138.85||138.85|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Naloxone HCl Soln Prefilled Syringe 2 MG/2ML|J2310|76329336901|113.39||113.39|2|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Epinephrine PF Soln Prefilled Syringe 1 MG/10ML (0.1 MG/ML)|J0171|76329331601|27.34||27.34|10|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Epinephrine PF Soln Prefilled Syringe 1 MG/10ML (0.1 MG/ML)|J0171|00409492120|25.50||25.50|10|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Epinephrine PF Inj 1 MG/ML|J0171|54288010301|45.35||45.35|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Epinephrine PF Inj 1 MG/ML|J0171|54288010310|45.35||45.35|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Zoster Vac Recombinant Adjuvanted for IM Inj 50 MCG/0.5ML|90750|58160082311|212.78||212.78|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Zoster Vac Recombinant Adjuvanted for IM Inj 50 MCG/0.5ML|90750|58160082303|212.78||212.78|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Nivolumab IV Soln 240 MG/24ML|J9299|00003373413|13,030.39||13,030.39|24|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Measles-Mumps-Rubella-Varicella Virus Vaccines For Susp|90710|00006417100|322.31||322.31|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Measles-Mumps-Rubella-Varicella Virus Vaccines For Susp|90710|00006417101|322.31||322.31|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Vancomycin HCl For IV Soln 1 GM (Base Equivalent)|J3370|00409653301|22.50||22.50|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Omalizumab Subcutaneous Soln Prefilled Syringe 150 MG/ML|J2357|50242021501|2,933.40||2,933.40|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Cefazolin Sodium For Inj 1 GM|J0690|00143992490|22.50||22.50|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Cefazolin Sodium For Inj 1 GM|J0690|60505614200|22.50||22.50|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Cefazolin Sodium For Inj 1 GM|J0690|60505614205|22.50||22.50|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Denosumab Inj Soln Prefilled Syringe 60 MG/ML|J0897|55513071001|2,931.50||2,931.50|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Vancomycin HCl IV Soln 1000 MG/200ML (Base Equivalent)|J3370|70594004201|103.76||103.76|200|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Vancomycin HCl IV Soln 1000 MG/200ML (Base Equivalent)|J3370|70594004203|103.76||103.76|200|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Vancomycin HCl IV Soln 1500 MG/300ML (Base Equivalent)|J3370|70594004301|139.95||139.95|300|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Vancomycin HCl IV Soln 1500 MG/300ML (Base Equivalent)|J3370|70594004302|139.95||139.95|300|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Measles-Mumps-Rubella Virus Vaccines For Inj Soln|90707|00006468100|111.31||111.31|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Measles-Mumps-Rubella Virus Vaccines For Inj Soln|90707|00006468101|111.31||111.31|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Midazolam HCl Inj PF 5 MG/5ML (Base Equivalent)||00409230505|22.50||22.50|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Morphine Sulfate Inj PF 1 MG/ML|J2274|00641601901|55.68||55.68|10|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Morphine Sulfate Inj PF 1 MG/ML|J2274|00641601910|55.68||55.68|10|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Dextrose 5% w/ Sodium Chloride 0.45%|J7799|00338008504|41.73||41.73|1000|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Dextrose 5% w/ Sodium Chloride 0.9%|J7042|00338008904|41.73||41.73|1000|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Gentamicin in Saline Inj 1.6 MG/ML|J1580|00338050941|45.74||45.74|50|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Cefepime HCl For Inj 1 GM|J0692|60505614600|22.50||22.50|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Cefepime HCl For Inj 1 GM|J0692|60505614604|22.50||22.50|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Cefepime HCl For Inj 2 GM|J0692|60505614700|35.19||35.19|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Cefepime HCl For Inj 2 GM|J0692|60505614704|35.19||35.19|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Piperacillin Sod-Tazobactam Sod For Inj 4.5 GM (4-0.5 GM)|J2543|61990013001|31.32||31.32|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Piperacillin Sod-Tazobactam Sod For Inj 4.5 GM (4-0.5 GM)|J2543|61990013002|31.32||31.32|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Piperacillin Sod-Tazobactam Na For Inj 3.375 GM (3-0.375 GM)|J2543|55150012030|22.90||22.90|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Piperacillin Sod-Tazobactam Na For Inj 3.375 GM (3-0.375 GM)|J2543|67457052200|22.50||22.50|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Piperacillin Sod-Tazobactam Na For Inj 3.375 GM (3-0.375 GM)|J2543|67457052237|22.50||22.50|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Diph, Acellular Pert & Tet Tox Inj 25 LF-58 MCG-10 LF/0.5ML|90700|58160081043|34.31||34.31|.5|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Diph, Acellular Pert & Tet Tox Inj 25 LF-58 MCG-10 LF/0.5ML|90700|58160081052|34.31||34.31|.5|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Cyanocobalamin Inj 1000 MCG/ML|J3420|00143962101|22.50||22.50|0.1|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Cyanocobalamin Inj 1000 MCG/ML|J3420|00143962125|22.50||22.50|0.1|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Cyanocobalamin Inj 1000 MCG/ML|J3420|70069000501|22.50||22.50|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Cyanocobalamin Inj 1000 MCG/ML|J3420|70069000510|22.50||22.50|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Leuprolide Acetate (3 Month) For Inj Kit 22.5 MG|J9217|00074334603|9,249.82||9,249.82|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Azithromycin IV For Soln 500 MG|J0456|00069040001|22.50||22.50|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Azithromycin IV For Soln 500 MG|J0456|00069040010|22.50||22.50|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Azithromycin IV For Soln 500 MG|J0456|70860010010|29.53||29.53|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Azithromycin IV For Soln 500 MG|J0456|70860010041|29.53||29.53|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Leuprolide Acetate (4 Month) For Inj Kit 30 MG|J9217|00074368303|10,615.06||10,615.06|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|BCG Live Intravesical For Susp 50 MG|J9030|00052060202|432.36||432.36|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Ketorolac Tromethamine Inj 30 MG/ML|J1885|00409379501|22.50||22.50|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Ketorolac Tromethamine Inj 30 MG/ML|J1885|00409379519|22.50|||1|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Dexamethasone Sodium Phosphate Inj 10 MG/ML|J1100|00641036721|22.50||22.50|0.6|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Dexamethasone Sodium Phosphate Inj 10 MG/ML|J1100|00641036725|22.50||22.50|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Infliximab For IV Inj 100 MG|J1745|57894003001|3,094.74||3,094.74|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Digoxin Inj 0.25 MG/ML|J1160|00781305995|33.64||33.64|2|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Digoxin Inj 0.25 MG/ML|J1160|00781305972|33.64||33.64|2|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Diphenhydramine HCl Inj 50 MG/ML|J1200|00641037621|22.50||22.50|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Diphenhydramine HCl Inj 50 MG/ML|J1200|00641037625|22.50||22.50|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Doxorubicin HCl Inj 2 MG/ML|J9000|00703504601|109.82||109.82|25|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Hepatitis B Vaccine (Recombinant) Susp 10 MCG/0.5ML|90744|58160082052|22.37||22.37|.5|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Hepatitis B Vaccine (Recombinant) Susp 10 MCG/0.5ML|90744|58160082043|22.37||22.37|.5|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Hepatitis B Vaccine (Recombinant) Susp 20 MCG/ML|90746|58160082143|79.12||79.12|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Hepatitis B Vaccine (Recombinant) Susp 20 MCG/ML|90746|58160082152|79.12||79.12|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Tenecteplase For IV Soln Kit 50 MG|J3101|50242012001|6,980.05||6,980.05|0.6|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Iron Sucrose Inj 20 MG/ML (Fe Equiv)|J1756|00517234010|152.09||152.09|5|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Paclitaxel IV Conc 30 MG/5ML (6 MG/ML)|J9267|70860020005|106.00||106.00|5|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Paclitaxel IV Conc 100 MG/16.7ML (6 MG/ML)|J9267|61703034222|157.03||157.03|16.7|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Alteplase For Inj 2 MG|J2997|50242004164|368.12||368.12|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Furosemide Inj 10 MG/ML|J1940|00409610204|22.50||22.50|4|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Furosemide Inj 10 MG/ML|J1940|23155047332|22.50||22.50|2|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Furosemide Inj 10 MG/ML|J1940|23155047342|22.50||22.50|2|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Furosemide Inj 10 MG/ML|J1940|00409610218|22.50||22.50|2|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Gentamicin Sulfate Inj 10 MG/ML|J1580|63323017302|22.50||22.50|2|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Diph-Tetanus Tox-Acell Pert-Hepatitis B-Polio IPV Vac Inj|90723|58160081152|98.69||98.69|.5|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Diph-Tetanus Tox-Acell Pert-Hepatitis B-Polio IPV Vac Inj|90723|58160081143|98.69||98.69|.5|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Haloperidol Lactate Inj 5 MG/ML|J1630|00143950101|22.50||22.50|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Haloperidol Lactate Inj 5 MG/ML|J1630|00143950125|22.50||22.50|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Daptomycin For IV Soln 500 MG|J0878|67457081350|251.92||251.92|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Hydromorphone HCl Inj 2 MG/ML|J1170|00409336501|22.50||22.50|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Hydromorphone HCl Inj 2 MG/ML|J1170|00409336511|22.50||22.50|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Hydroxyzine HCl IM Soln 50 MG/ML|J3410|00517560125|55.99||55.99|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Pemetrexed Disodium For IV Soln 500 MG (Base Equiv)|J9305|00002762301|6,927.94||6,927.94|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Cetuximab IV Soln 100 MG/50ML (2 MG/ML)|J9055|66733094823|1,407.42||1,407.42|50|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Cyclophosphamide For Inj 1 GM|J9070|10019093601|66.52||66.52|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Cyclophosphamide For Inj 500 MG|J9070|10019093501|66.52||66.52|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Adenosine IV Soln 6 MG/2ML|J0153|17478054202|22.50||22.50|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Flumazenil IV Soln 0.5 MG/5ML (0.1 MG/ML)|J3490|00143978410|42.15||42.15|5|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Flumazenil IV Soln 0.5 MG/5ML (0.1 MG/ML)|J3490|00143978401|42.15||42.15|5|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Tobramycin Sulfate Inj 80 MG/2ML (40 MG/ML) (Base Equiv)|J3260|00409357801|22.50||22.50|2|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Ranitidine HCl Inj 50 MG/2ML (25 MG/ML)|J2780|68382042202|53.53||53.53|2|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Paclitaxel Protein-Bound Particles For IV Susp 100 MG|J9264|68817013450|3,521.67||3,521.67|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Meningococcal (A, C, Y, and W-135) Conjugate Vaccine Inj|90734|49281058905|170.42||170.42|.5|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Meningococcal (A, C, Y, and W-135) Conjugate Vaccine Inj|90734|49281058958|170.42||170.42|.5|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Tet Tox-Diph-Acell Pertuss Ad Inj 5-2.5-18.5 LF-LF-MCG/0.5ML|90715|58160084252|52.06||52.06|.5|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Tet Tox-Diph-Acell Pertuss Ad Inj 5-2.5-18.5 LF-LF-MCG/0.5ML|90715|58160084243|52.06||52.06|.5|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Glucagon HCl (rDNA) Diagnostic For Inj 1 MG (Base Equiv)|J1610|00597026010|276.14||276.14|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Phytonadione Inj 1 MG/0.5ML (2 MG/ML)|J3430|00409915750 |22.50||22.50|.5|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Phytonadione Inj 1 MG/0.5ML (2 MG/ML)|J3430|00409915731|22.50||22.50|.5|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Tet Tox-Diph-Acell Pertuss Ad Inj 5-2-15.5 LF-LF-MCG/0.5ML|90715|49281040020|54.50||54.50|.5|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Tet Tox-Diph-Acell Pertuss Ad Inj 5-2-15.5 LF-LF-MCG/0.5ML|90715|49281040089|54.50||54.50|.5|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Palivizumab IM Soln 100 MG/ML|90378|60574411301|6,517.25||6,517.25|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Ampicillin Sodium For Inj 1 GM|J0290|55150011310|22.50||22.50|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Ampicillin Sodium For Inj 2 GM|J0290|55150011420|22.50||22.50|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Mannitol IV Soln 25%|J2150|63323002425|22.50||22.50|50|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Oxytocin Inj 10 Unit/ML|J2590|42023011625|22.50||22.50|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Promethazine HCl Inj 25 MG/ML|J2550|00641092821|22.50||22.50|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Promethazine HCl Inj 25 MG/ML|J2550|00641092825|22.50||22.50|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Succinylcholine Chloride Inj 20 MG/ML|J0330|70710137701|22.50||22.50|0.25|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Succinylcholine Chloride Inj 20 MG/ML|J0330|70710137702|22.50||22.50|0.25|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Levetiracetam Inj 500 MG/5ML (100 MG/ML)|J1953|67457079000|22.50||22.50|5|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Levetiracetam Inj 500 MG/5ML (100 MG/ML)|J1953|67457079005|22.50||22.50|5|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Dobutamine HCl Inj 12.5 MG/ML|J1250|00409234402|31.12||31.12|20|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Tetanus Immune Globulin (Human) Inj 250 Unit/ML|J1670|13533063402|620.51||620.51|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Thiamine HCl Inj 100 MG/ML|J3411|63323001302|58.43||58.43|2|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Zoledronic Acid IV Soln 5 MG/100ML|J3489|67457061910|236.61||236.61|100|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Zoledronic Acid IV Soln 5 MG/100ML|J3489|67457079410|244.82||244.82|100|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Clindamycin Phosphate Inj 300 MG/2ML|S0077|00009087026|22.50||22.50|2|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Clindamycin Phosphate Inj 300 MG/2ML|S0077|00009087021|22.50||22.50|2|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Verapamil HCl IV Soln 2.5 MG/ML|J3490|42571031397|46.12||46.12|2|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Vinblastine Sulfate Inj 1 MG/ML|J9360|63323027810|166.03||166.03|10|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Phytonadione Inj 10 MG/ML|J3430|43598040511|30.12||30.12|0.2|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Phytonadione Inj 10 MG/ML|J3430|43598040516|30.12||30.12|0.2|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Albumin, Human Inj 25%|P9046|68516521602|257.54||257.54|100|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Albumin, Human Inj 25%|P9046|68516521604|128.77||128.77|50|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Alteplase For Inj 100 MG|J2997|50242008527|15,717.98||15,717.98|90|mg
PEMBINA COUNTY MEDICAL CENTER|6360005|Ampicillin & Sulbactam Sodium For Inj 1.5 (1-0.5) GM|J0295|55150011620|22.50||22.50|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Ampicillin & Sulbactam Sodium For Inj 3 (2-1) GM|J0295|55150011720|22.50||22.50|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Hepatitis A Vaccine Inj Susp 720 EL Unit/0.5ML|90633|58160082552|43.27||43.27|.5|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Hepatitis A Vaccine Inj Susp 720 EL Unit/0.5ML|90633|58160082543|43.27||43.27|.5|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Hepatitis A Vaccine Inj Susp 1440 EL Unit/ML|90632|58160082652|93.32||93.32|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Irinotecan HCl Inj 100 MG/5ML (20 MG/ML)|J9206|63323019355|121.63||121.63|5|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Diph-Tetanus Tox Ad-Acell Pert & Polio Virus, IPV Vac Inj|90696|58160081252|67.82||67.82|.5|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Diph-Tetanus Tox Ad-Acell Pert & Polio Virus, IPV Vac Inj|90696|58160081243|67.82||67.82|.5|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Amiodarone HCl Inj 150 MG/3ML (50 MG/ML)|J0282|00143987501|22.50||22.50|3|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Amiodarone HCl Inj 150 MG/3ML (50 MG/ML)|J0282|00143987525|22.50||22.50|3|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Amiodarone HCl Inj 150 MG/3ML (50 MG/ML)|J0282|63323061603|22.50||22.50|3|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Midazolam HCl Inj 5 MG/5ML (Base Equivalent)|J2250|63323041125|22.50||22.50|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Midazolam HCl Inj 5 MG/5ML (Base Equivalent)|J2250|63323041118|22.50||22.50|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Ceftazidime For Inj 2 GM|J0713|44567023610|49.68||49.68|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Ceftriaxone Sodium For Inj 1 GM|J0696|00409733201|22.50||22.50|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Ceftriaxone Sodium For Inj 1 GM|J0696|00409733211|22.50||22.50|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Ceftriaxone Sodium For Inj 2 GM|J0696|00409733503|22.50||22.50|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Ceftriaxone Sodium For Inj 2 GM|J0696|00409733513|22.50||22.50|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Ceftriaxone Sodium For Inj 250 MG|J0696|00409733701|22.50||22.50|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Ceftriaxone Sodium For Inj 250 MG|J0696|00409733711|22.50||22.50|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Ceftriaxone Sodium For Inj 500 MG|J0696|00409733801|22.50||22.50|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Ceftriaxone Sodium For Inj 500 MG|J0696|00409733811|22.50||22.50|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Degarelix Acetate For Inj 80 MG (Base Equiv)|J9155|55566830301|804.08||804.08|1|Each
PEMBINA COUNTY MEDICAL CENTER|6360005|Ketorolac Tromethamine IM Inj 60 MG/2ML (30 MG/ML)|J1885|00409379601|22.50||22.50|2|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Ketorolac Tromethamine IM Inj 60 MG/2ML (30 MG/ML)|J1885|00409379619|22.50||22.50|1|mL
PEMBINA COUNTY MEDICAL CENTER|6360005|Ferumoxytol Inj 510 MG/17ML (30 MG/ML) (Elemental Fe)|Q0138|59338077501|2,443.71||2,443.71|17|mL
PEMBINA COUNTY MEDICAL CENTER|6370005|Finasteride Tab 5 MG||65862014990|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Finasteride Tab 5 MG||00904683006|5.38||5.38|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Fludrocortisone Acetate Tab 0.1 MG||68084028801|5.70||5.70|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Fludrocortisone Acetate Tab 0.1 MG||68084028811|5.70||5.70|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Fluoxetine HCl Cap 20 MG||00904578561|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Acetaminophen Tab 325 MG||00904677361|0.50||0.50|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Glipizide Tab 5 MG||00904663761|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Glycopyrrolate Tab 1 MG||13107001401|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Acetaminophen Tab 500 MG||00904673061|0.50||0.50|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Ibuprofen Susp 100 MG/5ML||68094050359|25.50||25.50|30|mL
PEMBINA COUNTY MEDICAL CENTER|6370005|Ibuprofen Susp 100 MG/5ML||68094050362|25.50||25.50|30|mL
PEMBINA COUNTY MEDICAL CENTER|6370005|Acetaminophen Suppos 120 MG||00713011812|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Acetaminophen Suppos 120 MG||45802073230|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Labetalol HCl Tab 100 MG||10135064101|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Levobunolol HCl Ophth Soln 0.5%||60758006005|20.94||20.94|5|mL
PEMBINA COUNTY MEDICAL CENTER|6370005|Acetaminophen Suppos 325 MG||00713016412|4.28||4.28|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Acetaminophen Suppos 325 MG||51672211602|5.43||5.43|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Levothyroxine Sodium Tab 88 MCG||00378180777|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Levothyroxine Sodium Tab 112 MCG||00378181177|3.78||3.78|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Lisinopril Tab 5 MG||00904679761|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Loratadine Tab 10 MG||16714048202|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Loratadine Tab 10 MG||49348081845|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Acetaminophen Suppos 650 MG||00713016506|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Acetaminophen Suppos 650 MG||00713016512|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Acetaminophen Suppos 650 MG||45802073000|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Acetaminophen Suppos 650 MG||45802073030|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Metformin HCl Tab 500 MG||63739064010|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Metformin HCl Tab 500 MG||00904668961|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Metolazone Tab 2.5 MG||00378617201|7.47||7.47|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Midodrine HCl Tab 5 MG||00245021211|5.50||5.50|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Nifedipine Tab ER 24HR 30 MG||50742062001|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Bisacodyl Tab Delayed Release 5 MG||00904640761|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Bisacodyl Suppos 10 MG||00574705012|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Oxycodone HCl Tab 5 MG||42858000110|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|PEG 3350-KCl-Na Bicarb-NaCl-Na Sulfate For Soln 236 GM||52268010001|24.47||24.47|4000|mL
PEMBINA COUNTY MEDICAL CENTER|6370005|Paroxetine HCl Tab 20 MG||63739096310|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Pravastatin Sodium Tab 10 MG||60505016809|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Pravastatin Sodium Tab 40 MG||60505017009|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Prednisolone Syrup 15 MG/5ML (USP Solution Equivalent)|J7510|00603156756|3.75||3.75|5|mL
PEMBINA COUNTY MEDICAL CENTER|6370005|Prednisolone Syrup 15 MG/5ML (USP Solution Equivalent)|J7510|50383004224|3.87||3.87|5|mL
PEMBINA COUNTY MEDICAL CENTER|6370005|Prochlorperazine Suppos 25 MG|99070|00574722612|26.04||26.04|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Promethazine HCl Suppos 25 MG||00591299239|27.77||27.77|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Vilazodone HCl Tab 10 MG||00456111030|35.68||35.68|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Rivaroxaban Tab 10 MG||50458058030|43.70||43.70|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Ramipril Cap 2.5 MG||65862047501|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Ranitidine HCl Tab 150 MG||60687032201|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Ranitidine HCl Tab 150 MG||60687032211|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Sertraline HCl Tab 50 MG||60687024201|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Sertraline HCl Tab 50 MG||60687024211|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Simvastatin Tab 20 MG||51079045501|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Simvastatin Tab 20 MG||51079045520|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Simvastatin Tab 40 MG||16714068402|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Multiple Vitamin Tab||00904053061|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Sucralfate Tab 1 GM||63739094310|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Timolol Maleate Ophth Soln 0.25%||64980051305|15.34||15.34|5|mL
PEMBINA COUNTY MEDICAL CENTER|6370005|Timolol Maleate Ophth Soln 0.5%||64980051405|21.28||21.28|5|mL
PEMBINA COUNTY MEDICAL CENTER|6370005|Sulfamethoxazole-Trimethoprim Tab 800-160 MG||00904272561|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Warfarin Sodium Tab 1 MG||00056016901|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Warfarin Sodium Tab 1 MG||00056016975|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Zolpidem Tartrate Tab 5 MG||16714062101|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Travoprost Ophth Soln 0.004% (Benzalkonium Free) (BAK Free)||00065026025|475.44||475.44|2.5|mL
PEMBINA COUNTY MEDICAL CENTER|6370005|Mirabegron Tab ER 24 HR 25 MG||00469260130|49.76||49.76|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Morphine Sulfate Oral Soln 100 MG/5ML (20 MG/ML)||00406800315|24.37||24.37|15|mL
PEMBINA COUNTY MEDICAL CENTER|6370005|Potassium Chloride Tab ER 8 mEq (600 MG)||66758011013|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Venlafaxine HCl Tab 50 MG (Base Equivalent)||16714065701|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Apixaban Tab 5 MG||00003089421|22.44||22.44|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Morphine Sulfate Tab ER 15 MG||00406831501|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Oxycodone HCl Tab ER 12HR Deter 10 MG||59011041020|20.99||20.99|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Oxycodone HCl Tab ER 12HR Deter 20 MG||59011042020|23.76||23.76|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Phenylephrine-Mineral Oil-Petrolatum Oint 0.25-14-74.9%||45802018816|18.18||18.18|57|g
PEMBINA COUNTY MEDICAL CENTER|6370005|Cetirizine HCl Oral Soln 1 MG/ML (5 MG/5ML)||68094000459|12.27||12.27|5|mL
PEMBINA COUNTY MEDICAL CENTER|6370005|Cetirizine HCl Oral Soln 1 MG/ML (5 MG/5ML)||68094000462|12.27||12.27|5|mL
PEMBINA COUNTY MEDICAL CENTER|6370005|Empagliflozin Tab 10 MG||00597015237|57.19||57.19|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Umeclidinium Br Aero Powd Breath Act 62.5 MCG/INH (Base Eq)||00173087306|22.51||22.51|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Verapamil HCl Tab ER 120 MG||68462029201|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Fluticasone Furoate-Vilanterol Aero Powd BA 200-25 MCG/INH||00173088214|290.93||290.93|28|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Ticagrelor Tab 60 MG||00186077660|24.90||24.90|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Fluconazole Tab 150 MG||16714069211|10.58||10.58|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Aspirin Tab Delayed Release 325 MG||00904671260|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Lamotrigine Tab 25 MG||63739067010|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Acetaminophen w/ Codeine Tab 300-30 MG||00406048462|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Acetaminophen w/ Codeine Tab 300-30 MG||00406048423|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Polyvinyl Alcohol-Povidone (PF) Ophth Soln 1.4-0.6%||00023050601|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Terazosin HCl Cap 1 MG (Base Equivalent)||59746038306|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Terazosin HCl Cap 5 MG (Base Equivalent)||51079093801|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Terazosin HCl Cap 5 MG (Base Equivalent)||51079093820|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Insulin Lispro Soln Pen-injector 100 Unit/ML (1 Unit Dial)||00002879959|20.00||20.00|3|mL
PEMBINA COUNTY MEDICAL CENTER|6370005|Insulin Lispro Soln Pen-injector 100 Unit/ML (1 Unit Dial)||00002879901|20.00||20.00|3|mL
PEMBINA COUNTY MEDICAL CENTER|6370005|Verapamil HCl Tab ER 180 MG||75834015801|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Tramadol HCl Tab 50 MG||00378415101|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Losartan Potassium Tab 25 MG||65862020190|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Losartan Potassium Tab 50 MG||65862020290|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Losartan Potassium Tab 50 MG||31722070190|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Famotidine Tab 10 MG||00904552952|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Ibuprofen Susp 40 MG/ML||00904546335|7.50||7.50|2|mL
PEMBINA COUNTY MEDICAL CENTER|6370005|Carvedilol Tab 6.25 MG||51079093001|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Carvedilol Tab 6.25 MG||51079093020|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Carvedilol Tab 6.25 MG||00904630161|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Carvedilol Tab 12.5 MG||00904630261|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Azithromycin For Susp 200 MG/5ML||59762314001|45.73||45.73|30|mL
PEMBINA COUNTY MEDICAL CENTER|6370005|Acetaminophen w/ Codeine Tab 300-60 MG||68084037301|4.94||4.94|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Acetaminophen w/ Codeine Tab 300-60 MG||68084037311|4.94||4.94|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Chlordiazepoxide HCl Cap 5 MG||00555015802|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Diphenhydramine-Zinc Acetate Cream 2-0.1%||45802035803|8.12||8.12|28|g
PEMBINA COUNTY MEDICAL CENTER|6370005|Glimepiride Tab 2 MG||69543012410|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Glimepiride Tab 4 MG||16729000301|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Chlorthalidone Tab 25 MG||16714080001|4.76||4.76|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Paroxetine HCl Tab 10 MG||63739088810|4.95||4.95|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Clindamycin HCl Cap 150 MG||63739005910|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Mirtazapine Tab 15 MG||16714070701|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Clonidine HCl Tab 0.1 MG||63739006010|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Brimonidine Tartrate Ophth Soln 0.2%||70069023101|23.42||23.42|5|mL
PEMBINA COUNTY MEDICAL CENTER|6370005|Olanzapine Tab 5 MG||43598016430|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Bisoprolol Fumarate Tab 5 MG||29300012613|4.51||4.51|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Torsemide Tab 10 MG||50111091601|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Gabapentin Cap 300 MG||63739023610|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Gabapentin Cap 100 MG||63739059110|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Risperidone Tab 1 MG||00904635961|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Bupropion HCl Tab ER 12HR 150 MG||00591354160|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Carvedilol Tab 3.125 MG||00904630061|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Latanoprost Ophth Soln 0.005%||59762033302|34.58||34.58|2.5|mL
PEMBINA COUNTY MEDICAL CENTER|6370005|Donepezil Hydrochloride Tab 10 MG||43547027609|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Levofloxacin Tab 500 MG||31722072250|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Topiramate Tab 25 MG||68084034201|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Topiramate Tab 25 MG||68084034211|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Topiramate Tab 100 MG||68084034401|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Topiramate Tab 100 MG||68084034411|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Atorvastatin Calcium Tab 40 MG (Base Equivalent)||00904629261|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Atorvastatin Calcium Tab 40 MG (Base Equivalent)||50268009511|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Atorvastatin Calcium Tab 40 MG (Base Equivalent)||50268009515|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Atorvastatin Calcium Tab 20 MG (Base Equivalent)||00904629161|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Atorvastatin Calcium Tab 20 MG (Base Equivalent)||50268009411|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Atorvastatin Calcium Tab 20 MG (Base Equivalent)||50268009415|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Diclofenac Sodium Ophth Soln 0.1%||61314001425|17.57||17.57|2.5|mL
PEMBINA COUNTY MEDICAL CENTER|6370005|Cyclobenzaprine HCl Tab 10 MG||63739053110|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Meloxicam Tab 15 MG||68382005101|3.75|||0.5|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Charcoal Activated-Sorbitol Liq||00574012074|53.29||53.29|120|mL
PEMBINA COUNTY MEDICAL CENTER|6370005|Azithromycin Tab 250 MG||50111078710|7.51||7.51|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Citalopram Hydrobromide Tab 20 MG (Base Equiv)||00904608561|4.42||4.42|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Pramipexole Dihydrochloride Tab 0.125 MG||68462033090|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Pramipexole Dihydrochloride Tab 0.125 MG||33342003110|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Pramipexole Dihydrochloride Tab 1 MG||68462033390|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Pramipexole Dihydrochloride Tab 1 MG||33342003410|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Pentoxifylline Tab ER 400 MG||00904544861|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Ropinirole Hydrochloride Tab 0.25 MG||43547026810|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Ropinirole Hydrochloride Tab 1 MG||62332003231|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Quetiapine Fumarate Tab 25 MG||16714045201|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Quetiapine Fumarate Tab 100 MG||16729014701|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Clopidogrel Bisulfate Tab 75 MG (Base Equiv)||65862035790|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Montelukast Sodium Tab 10 MG (Base Equiv)||65862057490|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Losartan Potassium Tab 100 MG||31722070290|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Dorzolamide HCl-Timolol Maleate Ophth Soln 22.3-6.8 MG/ML||50383023310|40.90||40.90|10|mL
PEMBINA COUNTY MEDICAL CENTER|6370005|Dexamethasone Tab 4 MG|J8540|00054418425|6.33||6.33|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Diazepam Tab 5 MG||00172392660|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Sennosides-Docusate Sodium Tab 8.6-50 MG||63739043210|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Isosorbide Mononitrate Tab ER 24HR 60 MG||23155017801|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Metformin HCl Tab 1000 MG||60687016201|3.75||3.75|0.5|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Metformin HCl Tab 1000 MG||60687016211|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Digoxin Tab 125 MCG (0.125 MG)||16714059001|4.62||4.62|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Oxybutynin Chloride Tab ER 24HR 5 MG||62175027037|5.78||5.78|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Celecoxib Cap 200 MG||16714073301|4.84||4.84|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Isosorbide Mononitrate Tab ER 24HR 30 MG||23155051901|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Neomycin-Bacitracin-Polymyxin Oint||45802014370|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Neomycin-Bacitracin-Polymyxin Oint||45802014303|11.64||11.64|28|g
PEMBINA COUNTY MEDICAL CENTER|6370005|Diltiazem HCl Tab 60 MG||00093031901|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Polyethylene Glycol 3350 Oral Powder||45802086803|3.75||3.75|17|g
PEMBINA COUNTY MEDICAL CENTER|6370005|Diphenhydramine HCl Elixir 12.5 MG/5ML||00121048905|12.87||12.87|5|mL
PEMBINA COUNTY MEDICAL CENTER|6370005|Diphenhydramine HCl Elixir 12.5 MG/5ML||00121048900|12.87||12.87|5|mL
PEMBINA COUNTY MEDICAL CENTER|6370005|Ciprofloxacin HCl Tab 500 MG (Base Equiv)||63739055910|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Diphenoxylate w/ Atropine Tab 2.5-0.025 MG||59762106101|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Polyethylene Glycol 3350 Oral Packet||51079030601|9.68||9.68|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Polyethylene Glycol 3350 Oral Packet||51079030630|9.68||9.68|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Polyethylene Glycol 3350 Oral Packet||00904642286|7.72||7.72|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Divalproex Sodium Tab Delayed Release 125 MG||60687021111|7.66||7.66|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Divalproex Sodium Tab Delayed Release 125 MG||60687021121|7.66||7.66|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Risperidone Tab 0.25 MG||00904635761|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Divalproex Sodium Tab Delayed Release 250 MG||68084077601|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Divalproex Sodium Tab Delayed Release 250 MG||68084077611|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Risperidone Tab 0.5 MG||50268069511|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Risperidone Tab 0.5 MG||50268069515|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Pioglitazone HCl Tab 15 MG (Base Equiv)||33342005407|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Pioglitazone HCl Tab 30 MG (Base Equiv)||33342005507|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Pioglitazone HCl Tab 30 MG (Base Equiv)||33342005510|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Docusate Sodium Cap 100 MG||00904645561|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Gabapentin Tab 600 MG||16714033001|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Doxycycline Hyclate Tab 100 MG||42806031250|6.30||6.30|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Oseltamivir Phosphate Cap 75 MG (Base Equiv)||64380079901|32.57||32.57|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Oseltamivir Phosphate Cap 75 MG (Base Equiv)||16714081901|32.78||32.78|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Levetiracetam Tab 500 MG||68084087001|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Levetiracetam Tab 500 MG||68084087011|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Nitroglycerin TL Soln 0.4 MG/SPRAY (400 MCG/SPRAY)||45802021001|3.75||3.75|0.0004|g
PEMBINA COUNTY MEDICAL CENTER|6370005|Trolamine Salicylate Cream 10%||41167005701|14.31||14.31|35.4|g
PEMBINA COUNTY MEDICAL CENTER|6370005|Omeprazole Cap Delayed Release 20 MG||68084012801|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Omeprazole Cap Delayed Release 20 MG||68084012811|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Ondansetron Orally Disintegrating Tab 4 MG||65862039010|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Venlafaxine HCl Cap ER 24HR 37.5 MG (Base Equivalent)||65862052730|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Venlafaxine HCl Cap ER 24HR 37.5 MG (Base Equivalent)||68382003406|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Venlafaxine HCl Cap ER 24HR 75 MG (Base Equivalent)||00093738556|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Venlafaxine HCl Cap ER 24HR 75 MG (Base Equivalent)||68382003506|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Nicotine TD Patch 24HR 7 MG/24HR||00536589453|9.96||9.96|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Nicotine TD Patch 24HR 7 MG/24HR||60505706410|9.96||9.96|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Nicotine TD Patch 24HR 14 MG/24HR||00536589588|9.77||9.77|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Nicotine TD Patch 24HR 14 MG/24HR||00536589553|9.88||9.88|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Nicotine TD Patch 24HR 21 MG/24HR||00067512607|11.18||11.18|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Fentanyl TD Patch 72HR 25 MCG/HR||47781042447|11.18||11.18|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Fentanyl TD Patch 72HR 25 MCG/HR||47781042411|11.18||11.18|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Fentanyl TD Patch 72HR 50 MCG/HR||00406905076|35.28||35.28|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Fentanyl TD Patch 72HR 50 MCG/HR||47781042647|17.38||17.38|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Fentanyl TD Patch 72HR 50 MCG/HR||47781042611|17.36||17.36|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Fentanyl TD Patch 72HR 75 MCG/HR||60505700800|22.82||22.82|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Fentanyl TD Patch 72HR 75 MCG/HR||60505700802|22.82||22.82|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Fentanyl TD Patch 72HR 100 MCG/HR||47781042847|46.48||46.48|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Fentanyl TD Patch 72HR 100 MCG/HR||47781042811|46.48||46.48|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Polyvinyl Alcohol Ophth Soln 1.4%||00536108494|11.85||11.85|15|mL
PEMBINA COUNTY MEDICAL CENTER|6370005|Sodium Polystyrene Sulfonate Oral Susp 15 GM/60ML||00574200202|34.90||34.90|60|mL
PEMBINA COUNTY MEDICAL CENTER|6370005|Lidocaine Patch 5%||00591352511|16.45||16.45|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Lidocaine Patch 5%||00591352530|16.45||16.45|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Hydrocodone-Acetaminophen Tab 10-325 MG||00406012501|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Magnesium Hydroxide Susp 400 MG/5ML||66689005301|10.49||10.49|30|mL
PEMBINA COUNTY MEDICAL CENTER|6370005|Magnesium Hydroxide Susp 400 MG/5ML||66689005399|10.49||10.49|30|mL
PEMBINA COUNTY MEDICAL CENTER|6370005|Erythromycin Ophth Oint 5 MG/GM||00574402435|50.98||50.98|3.5|g
PEMBINA COUNTY MEDICAL CENTER|6370005|Erythromycin Ophth Oint 5 MG/GM||00574402439|50.98||50.98|3.5|g
PEMBINA COUNTY MEDICAL CENTER|6370005|Erythromycin Ophth Oint 5 MG/GM||17478007035|42.59||42.59|3.5|g
PEMBINA COUNTY MEDICAL CENTER|6370005|Metformin HCl Tab ER 24HR 500 MG||62756014201|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Diltiazem HCl Coated Beads Cap ER 24HR 120 MG||60687019501|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Diltiazem HCl Coated Beads Cap ER 24HR 120 MG||60687019511|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Diltiazem HCl Coated Beads Cap ER 24HR 180 MG||60687020611|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Diltiazem HCl Coated Beads Cap ER 24HR 180 MG||60687020601|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Clotrimazole w/ Betamethasone Cream 1-0.05%||16714049601|24.19||24.19|15|g
PEMBINA COUNTY MEDICAL CENTER|6370005|Metoprolol Succinate Tab ER 24HR 50 MG (Tartrate Equiv)||55111046701|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Metoprolol Succinate Tab ER 24HR 50 MG (Tartrate Equiv)||16714085301|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Ferrous Sulfate Elixir 220 MG/5ML (44 MG/5ML Elemental Fe)||50383077816|3.75||3.75|5|mL
PEMBINA COUNTY MEDICAL CENTER|6370005|Ferrous Sulfate Tab 325 MG (65 MG Elemental Fe)||00904759161|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Allopurinol Tab 100 MG||00904657161|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Allopurinol Tab 100 MG||63739041010|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Allopurinol Tab 300 MG||16714004210|3.80||3.80|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Amoxicillin & K Clavulanate For Susp 600-42.9 MG/5ML||16714029402|41.98||41.98|125|mL
PEMBINA COUNTY MEDICAL CENTER|6370005|Valsartan Tab 80 MG||59746036190|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Valsartan Tab 80 MG||43547036809|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Valsartan Tab 160 MG||33342006410|3.94||3.94|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Fluocinonide Cream 0.05%||51672138601|53.53||53.53|15|g
PEMBINA COUNTY MEDICAL CENTER|6370005|Folic Acid Tab 1 MG||11534016501|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Folic Acid Tab 400 MCG||00536384401|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Folic Acid Tab 400 MCG||50268034611|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Folic Acid Tab 400 MCG||50268034615|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Alprazolam Tab 0.5 MG||00904585961|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Olmesartan Medoxomil Tab 40 MG||00093761256|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Olmesartan Medoxomil Tab 40 MG||68462043830|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Furosemide Tab 20 MG||00054829725|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Furosemide Tab 40 MG||00054829925|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Escitalopram Oxalate Tab 10 MG (Base Equiv)||00904642661|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Escitalopram Oxalate Tab 20 MG (Base Equiv)||51079054401|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Escitalopram Oxalate Tab 20 MG (Base Equiv)||51079054420|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Escitalopram Oxalate Tab 20 MG (Base Equiv)||00904642761|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Gemfibrozil Tab 600 MG||60687022401|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Gemfibrozil Tab 600 MG||60687022411|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Dutasteride Cap 0.5 MG||50268028211|5.27||5.27|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Dutasteride Cap 0.5 MG||50268028213|5.27||5.27|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Ezetimibe Tab 10 MG||68382077306|4.06||4.06|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Gentamicin Sulfate Ophth Soln 0.3%||60758018805|25.40||25.40|5|mL
PEMBINA COUNTY MEDICAL CENTER|6370005|Gentian Violet Soln 1%||00395100392|26.23||26.23|59|mL
PEMBINA COUNTY MEDICAL CENTER|6370005|Hydrocodone-Acetaminophen Tab 5-325 MG||00406012301|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Glyburide Tab 5 MG||63739011910|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Rosuvastatin Calcium Tab 10 MG||70377000712|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Polyethylene Glycol-Propylene Glycol Ophth Soln 0.4-0.3%||00065042915|35.28||35.28|15|mL
PEMBINA COUNTY MEDICAL CENTER|6370005|Potassium Chloride Microencapsulated Crys ER Tab 10 mEq||66758017013|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Potassium Chloride Microencapsulated Crys ER Tab 10 mEq||66758017006|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Potassium Chloride Microencapsulated Crys ER Tab 10 mEq||00245531701|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Potassium Chloride Microencapsulated Crys ER Tab 10 mEq||00245531789|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Potassium Chloride Microencapsulated Crys ER Tab 20 mEq||63739044710|4.48||4.48|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Potassium Chloride Microencapsulated Crys ER Tab 20 mEq||66758019013|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Potassium Chloride Microencapsulated Crys ER Tab 20 mEq||66758019006|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Potassium Chloride Microencapsulated Crys ER Tab 20 mEq||00245531901|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Potassium Chloride Microencapsulated Crys ER Tab 20 mEq||00245531989|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Levetiracetam Oral Soln 100 MG/ML||16714035801|88.28||88.28|473|mL
PEMBINA COUNTY MEDICAL CENTER|6370005|Bupropion HCl Tab ER 24HR 150 MG||43598065530|3.88||3.88|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Memantine HCl Tab 10 MG||00832111360|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Hydralazine HCl Tab 25 MG||63739012610|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Hydrochlorothiazide Tab 25 MG||63739012810|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Hydrocortisone Cream 1%||45802043803|8.12||8.12|28|g
PEMBINA COUNTY MEDICAL CENTER|6370005|Metoprolol Tartrate Tab 25 MG||51079025520|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Metoprolol Tartrate Tab 25 MG||51079025501|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Metoprolol Tartrate Tab 25 MG||00904634061|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Metoprolol Tartrate Tab 25 MG||00904634034|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Glipizide Tab ER 24HR 5 MG||59762054101|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Glipizide Tab ER 24HR 5 MG||00591084401|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Guaifenesin Tab ER 12HR 600 MG||63824000834|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Hydroxyzine HCl Tab 25 MG||16714008210|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Propranolol HCl Cap ER 24HR 60 MG||00228277811|10.03||10.03|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Propranolol HCl Cap ER 24HR 60 MG||62559053001|4.78||4.78|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Propranolol HCl Cap ER 24HR 80 MG||00228277911|9.96||9.96|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Lactulose Solution 10 GM/15ML||50383077915|4.25||4.25|15|mL
PEMBINA COUNTY MEDICAL CENTER|6370005|Lactulose Solution 10 GM/15ML||50383077917|4.25||4.25|15|mL
PEMBINA COUNTY MEDICAL CENTER|6370005|Tiotropium Bromide Monohydrate Inhal Cap 18 MCG (Base Equiv)||00597007575|164.14||164.14|5|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Ibuprofen Tab 200 MG||00904791461|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Ibuprofen Tab 600 MG||00904585461|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Ibuprofen Tab 600 MG||63739068410|3.75|||1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Duloxetine HCl Enteric Coated Pellets Cap 30 MG (Base Eq)||57237001890|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Duloxetine HCl Enteric Coated Pellets Cap 60 MG (Base Eq)||57237001990|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Cefdinir For Susp 250 MG/5ML||16714039301|9.50||9.50|2.5|mL
PEMBINA COUNTY MEDICAL CENTER|6370005|Fenofibrate Tab 145 MG||45802013275|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Solifenacin Succinate Tab 5 MG||51248015001|47.17||47.17|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Solifenacin Succinate Tab 5 MG||50228042730|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Isosorbide Dinitrate Tab 10 MG||00781155601|4.50||4.50|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Glycerin Suppos 2 GM||00132007912|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Fentanyl TD Patch 72HR 12 MCG/HR||47781042347|19.12||19.12|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Fentanyl TD Patch 72HR 12 MCG/HR||47781042311|19.12||19.12|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Fentanyl TD Patch 72HR 12 MCG/HR||60505708002|19.14||19.14|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Lidocaine Oint 5%||67877047380|62.38||62.38|50|g
PEMBINA COUNTY MEDICAL CENTER|6370005|Pregabalin Cap 25 MG||62332011990|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Pregabalin Cap 50 MG||00071101368|29.52||29.52|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Pregabalin Cap 50 MG||62332012090|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Amitriptyline HCl Tab 10 MG||51079013101|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Amitriptyline HCl Tab 10 MG||51079013120|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Amitriptyline HCl Tab 25 MG||51079010701|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Amitriptyline HCl Tab 25 MG||51079010720|3.75||3.75|0.4|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Levothyroxine Sodium Tab 25 MCG||00781518092|15.00||15.00|4|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Levothyroxine Sodium Tab 50 MCG||00378180377|7.50||7.50|2|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Levothyroxine Sodium Tab 100 MCG||00781518492|3.77||3.77|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Amoxicillin (Trihydrate) Cap 500 MG||16714029902|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Amoxicillin (Trihydrate) Cap 500 MG||00093310953|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Lisinopril Tab 20 MG||63739035010|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Amoxicillin (Trihydrate) For Susp 250 MG/5ML||00093415580|17.02||17.02|150|mL
PEMBINA COUNTY MEDICAL CENTER|6370005|Loperamide HCl Tab 2 MG||49348052934|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Lorazepam Conc 2 MG/ML||00121077001|33.31||33.31|30|mL
PEMBINA COUNTY MEDICAL CENTER|6370005|Lorazepam Tab 0.5 MG||00591024001|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Lorazepam Tab 1 MG||00591024101|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Magnesium Citrate Soln||00904630477|11.73||11.73|296|mL
PEMBINA COUNTY MEDICAL CENTER|6370005|Magnesium Citrate Soln||00904678744|10.03||10.03|296|mL
PEMBINA COUNTY MEDICAL CENTER|6370005|Magnesium Citrate Soln||70677005301|8.33||8.33|296|mL
PEMBINA COUNTY MEDICAL CENTER|6370005|Meclizine HCl Chew Tab 25 MG||00536101801|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Methocarbamol Tab 750 MG||31722053401|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Metoclopramide HCl Tab 10 MG (Base Equivalent)||00093220301|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Metoprolol Tartrate Tab 50 MG||65862006301|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Metoprolol Tartrate Tab 50 MG||51079080101|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Metoprolol Tartrate Tab 50 MG||51079080120|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Metronidazole Tab 250 MG||29300022601|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Metronidazole Tab 500 MG||62332001731|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Mineral Oil||54162019016|3.75||3.75|15|mL
PEMBINA COUNTY MEDICAL CENTER|6370005|Nitrofurantoin Macrocrystalline Cap 100 MG||47781030801|7.74||7.74|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Nitroglycerin Oint 2%||00281032630|7.50||7.50|1|g
PEMBINA COUNTY MEDICAL CENTER|6370005|Nystatin Cream 100000 Unit/GM||45802005935|25.17||25.17|15|g
PEMBINA COUNTY MEDICAL CENTER|6370005|Nystatin Oint 100000 Unit/GM||45802004835|31.98||31.98|15|g
PEMBINA COUNTY MEDICAL CENTER|6370005|Nystatin Susp 100000 Unit/ML||66689003701|6.91||6.91|5|mL
PEMBINA COUNTY MEDICAL CENTER|6370005|Nystatin Susp 100000 Unit/ML||66689003750|6.91||6.91|5|mL
PEMBINA COUNTY MEDICAL CENTER|6370005|Oxybutynin Chloride Tab 5 MG||00832003800|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Oxycodone w/ Acetaminophen Tab 5-325 MG||42858010201|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Phenazopyridine HCl Tab 100 MG||10135062001|4.74||4.74|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Phenobarbital Tab 32.4 MG||00904657561|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Phenytoin Sodium Extended Cap 100 MG||68084037601|4.23||4.23|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Phenytoin Sodium Extended Cap 100 MG||68084037611|4.23||4.23|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Pindolol Tab 5 MG||57664065588|6.01||6.01|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Potassium Bicarbonate Effer Tab 25 mEq||66758014034|5.94||5.94|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Prednisone Tab 1 MG|J7512|00054873925|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Prednisone Tab 10 MG|J7512|00054001720|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Prednisone Tab 10 MG|J7512|60687013401|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Prednisone Tab 10 MG|J7512|60687013411|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Prednisone Tab 5 MG|J7512|00054872425|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Promethazine w/ Codeine Syrup 6.25-10 MG/5ML||60432060616|3.75||3.75|5|mL
PEMBINA COUNTY MEDICAL CENTER|6370005|Ascorbic Acid Tab 500 MG||00904052361|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Propranolol HCl Tab 10 MG||00378018201|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Propranolol HCl Tab 10 MG||00904655061|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Propranolol HCl Tab 80 MG||00603548621|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Aspirin Chew Tab 81 MG||00904628889|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Aspirin Chew Tab 81 MG||00904404073|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Aspirin Chew Tab 81 MG||00904679489|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Aspirin Chew Tab 81 MG||12843013105|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Aspirin Tab Delayed Release 81 MG||49348098053|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Atenolol Tab 25 MG||00781107801|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Atenolol Tab 50 MG||51079068401|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Atenolol Tab 50 MG||51079068420|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Simethicone Chew Tab 80 MG||63739022510|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Sodium Bicarbonate Tab 650 MG||64980029410|4.48||4.48|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Sodium Chloride Tab 1 GM||00223176001|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Sodium Chloride Tab 1 GM||69367022001|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Spironolactone Tab 25 MG||63739054410|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Spironolactone Tab 25 MG||51079010301|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Spironolactone Tab 25 MG||51079010320|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Sulfasalazine Tab 500 MG||59762500001|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Calcium Carbonate-Vitamin D Tab 600 MG-400 Unit||00904323306|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Hydrochlorothiazide Tab 12.5 MG||16729018201|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Temazepam Cap 15 MG||63739087710|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Sitagliptin Phosphate Tab 50 MG (Base Equiv)||00006011231|55.43||55.43|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Trazodone HCl Tab 50 MG||00904655461|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Trazodone HCl Tab 50 MG||00904686861|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Triamcinolone Acetonide Cream 0.1%||45802006435|17.59||17.59|15|g
PEMBINA COUNTY MEDICAL CENTER|6370005|Triamterene & Hydrochlorothiazide Tab 37.5-25 MG||60505265601|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Glucose Gel 40%||00574006915|38.11||38.11|45|g
PEMBINA COUNTY MEDICAL CENTER|6370005|Glucose Gel 40%||00574006930|39.15||39.15|45|g
PEMBINA COUNTY MEDICAL CENTER|6370005|Verapamil HCl Tab 80 MG||00904292061|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Baclofen Tab 10 MG||16714007104|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Thiamine HCl Tab 100 MG||51645090599|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Cyanocobalamin Tab 1000 MCG||50268085515|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Cyanocobalamin Tab 1000 MCG||50268085511|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Warfarin Sodium Tab 2 MG||00056017001|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Warfarin Sodium Tab 2 MG||00056017075|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Warfarin Sodium Tab 2.5 MG||00056017601|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Warfarin Sodium Tab 2.5 MG||00056017675|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Warfarin Sodium Tab 5 MG||00056017201|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Warfarin Sodium Tab 5 MG||00056017275|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Oxycodone HCl Tab 10 MG||63739017710|4.34||4.34|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Oxycodone HCl Tab 10 MG||68084096801|4.08||4.08|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Oxycodone HCl Tab 10 MG||68084096811|4.08||4.08|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Oseltamivir Phosphate Cap 30 MG (Base Equiv)||00004080285|55.18||55.18|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Zinc Oxide Oint 20%||00168006231|13.49||13.49|29|g
PEMBINA COUNTY MEDICAL CENTER|6370005|Nebivolol HCl Tab 5 MG (Base Equivalent)||00456140530|28.29||28.29|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Acetaminophen Susp 160 MG/5ML||68094058759|12.75||12.75|15|mL
PEMBINA COUNTY MEDICAL CENTER|6370005|Acetaminophen Susp 160 MG/5ML||68094058762|12.75||12.75|15|mL
PEMBINA COUNTY MEDICAL CENTER|6370005|Acyclovir Cap 200 MG||00904578961|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Amiodarone HCl Tab 200 MG||00245014701|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Amiodarone HCl Tab 200 MG||00245014789|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Amlodipine Besylate Tab 5 MG (Base Equivalent)||00904637061|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Benazepril HCl Tab 20 MG||43547033710|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Benazepril HCl Tab 5 MG||43547033510|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Bumetanide Tab 1 MG||42799012001|4.34||4.34|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Bumetanide Tab 1 MG||16714083201|3.85||3.85|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Buspirone HCl Tab 5 MG||00093005301|5.97|||1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Calcitriol Cap 0.25 MCG||69452020713|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Calcium Carbonate (Antacid) Chew Tab 500 MG||00904641292|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Carbidopa & Levodopa Tab 25-100 MG||00904623761|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Carbidopa & Levodopa Tab 25-250 MG||00904623861|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Cefprozil For Susp 250 MG/5ML||16714039703|38.51||38.51|100|mL
PEMBINA COUNTY MEDICAL CENTER|6370005|Cephalexin Cap 250 MG||67877022001|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Cetirizine HCl Tab 10 MG||00904671761|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Febuxostat Tab 40 MG||64764091830|41.34||41.34|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Febuxostat Tab 40 MG||00378392593|26.96||26.96|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Clonazepam Tab 0.5 MG||63739026310|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Clonazepam Tab 1 MG||51079088201|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Clonazepam Tab 1 MG||51079088220|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Benzonatate Cap 100 MG||69452014320|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Doxazosin Mesylate Tab 4 MG||68084086225|5.65||5.65|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Doxazosin Mesylate Tab 4 MG||68084086295|5.65||5.65|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Enalapril Maleate Tab 10 MG||16714044401|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Enalapril Maleate Tab 20 MG||16714044501|4.16||4.16|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Enalapril Maleate Tab 5 MG||16714044301|3.75||3.75|1|Each
PEMBINA COUNTY MEDICAL CENTER|6370005|Benztropine Mesylate Tab 1 MG||00603243821|3.75||3.75|1|Each