Service Area|Px Code|Generic Name|CPT(R)/HCPCS Code|NDC|Unit Price|Override Bill Code|Override Price PEMBINA COUNTY MEDICAL CENTER|2500000|Lidocaine HCl Local Preservative Free (PF) Inj 1%|J3490|63323049257|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|2500000|Lidocaine HCl Local Preservative Free (PF) Inj 1%|J3490|63323049227|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|2500000|Lidocaine HCl Local Preservative Free (PF) Inj 1%|J3490|55150015872|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|2500000|Lidocaine HCl Local Preservative Free (PF) Inj 1%|J3490|55150016205|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|2500000|Famotidine Inj 20 MG/2ML|J3490|00641602201|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|2500000|Famotidine Inj 20 MG/2ML|J3490|00641602225|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360000|Insulin NPH (Human) (Isophane) Inj 100 Unit/ML|J1815|00002831517|300.00||300.00 PEMBINA COUNTY MEDICAL CENTER|6360000|Insulin Regular (Human) Inj 100 Unit/ML|J1815|00002821517|300.00||300.00 PEMBINA COUNTY MEDICAL CENTER|6360000|Methylprednisolone Sod Succ For Inj 1000 MG (Base Equiv)|J2930|00009069801|141.23||141.23 PEMBINA COUNTY MEDICAL CENTER|6360000|Methylprednisolone Sod Succ For Inj 125 MG (Base Equiv)|J2930|00009004722|41.74||41.74 PEMBINA COUNTY MEDICAL CENTER|6360000|Methylprednisolone Sod Succ For Inj 125 MG (Base Equiv)|J2930|00009004725|41.74||41.74 PEMBINA COUNTY MEDICAL CENTER|6360000|Methylprednisolone Sod Succ For Inj 40 MG (Base Equiv)|J2920|00009003928|26.79||26.79 PEMBINA COUNTY MEDICAL CENTER|6360000|Methylprednisolone Sod Succ For Inj 40 MG (Base Equiv)|J2920|00009003930|26.79||26.79 PEMBINA COUNTY MEDICAL CENTER|6360000|Lidocaine HCl Local Preservative Free (PF) Inj 2%|J3490|63323049527|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360000|Lidocaine HCl Local Preservative Free (PF) Inj 2%|J3490|63323049507|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360000|Lidocaine HCl Local Preservative Free (PF) Inj 2%|J3490|55150016505|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360000|Morphine Sulfate IV Soln PF 4 MG/ML|J2270|00641612501|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360000|Morphine Sulfate IV Soln PF 4 MG/ML|J2270|00641612525|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360000|Morphine Sulfate IV Soln PF 10 MG/ML|J2270|00409189301|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360000|Morphine Sulfate IV Soln PF 10 MG/ML|J2270|00641612701|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360000|Morphine Sulfate IV Soln PF 10 MG/ML|J2270|00641612725|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360000|Morphine Sulfate IV Soln PF 10 MG/ML|J2270|00409189303|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360000|Acetylcysteine Inhal Soln 20%|J7608|00409330803|44.98||44.98 PEMBINA COUNTY MEDICAL CENTER|6360000|Neostigmine Methylsulfate IV Soln 10 MG/10 ML (1 MG/ML)|J2710|00641614910|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360000|Neostigmine Methylsulfate IV Soln 10 MG/10 ML (1 MG/ML)|J2710|00548960200|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360000|Ipratropium Bromide Inhal Soln 0.02%|J7644|00487980101|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6360000|Ipratropium Bromide Inhal Soln 0.02%|J7644|76204010001|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6360000|Insulin Aspart Soln Pen-injector 100 Unit/ML|J1815|00169633910|20.00||20.00 PEMBINA COUNTY MEDICAL CENTER|6360000|Insulin Glargine Soln Pen-Injector 100 Unit/ML||00088221905|30.00||30.00 PEMBINA COUNTY MEDICAL CENTER|6360000|Insulin Lispro Soln Pen-injector 100 Unit/ML||00002879959|20.00||20.00 PEMBINA COUNTY MEDICAL CENTER|6360000|Insulin Lispro Soln Pen-injector 100 Unit/ML||00002879901|20.00||20.00 PEMBINA COUNTY MEDICAL CENTER|6360000|Propofol IV Emul 200 MG/20ML (10 MG/ML)|J2704|00409469930|36.00||36.00 PEMBINA COUNTY MEDICAL CENTER|6360000|Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML|J3010|00409909422|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360000|Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML|J3010|00641602701|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360000|Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML|J3010|00641602725|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360000|Atropine Sulfate Soln Prefill Syr 1 MG/10ML (0.1 MG/ML)||00409163010|28.37||28.37 PEMBINA COUNTY MEDICAL CENTER|6360000|Atropine Sulfate Soln Prefill Syr 1 MG/10ML (0.1 MG/ML)||76329333901|45.67||45.67 PEMBINA COUNTY MEDICAL CENTER|6360000|Atropine Sulfate Inj 8 MG/20ML (0.4 MG/ML)||00641600601|116.05||116.05 PEMBINA COUNTY MEDICAL CENTER|6360000|Atropine Sulfate Inj 8 MG/20ML (0.4 MG/ML)||00641600610|116.05||116.05 PEMBINA COUNTY MEDICAL CENTER|6360000|Heparin Sodium (Porcine) Lock Flush IV Soln 100 Unit/ML|J1642|63323054505|6.00||6.00 PEMBINA COUNTY MEDICAL CENTER|6360000|Diazepam Inj 5 MG/ML|J3360|00409127332|89.72||89.72 PEMBINA COUNTY MEDICAL CENTER|6360000|Diazepam Inj 5 MG/ML|J3360|00409321312|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360000|Diazepam Inj 5 MG/ML|J3360|00409127303|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360000|Budesonide Inhalation Susp 0.25 MG/2ML|J7626|00487960101|40.19||40.19 PEMBINA COUNTY MEDICAL CENTER|6360000|Budesonide Inhalation Susp 0.5 MG/2ML|J7626|00487970101|37.59||37.59 PEMBINA COUNTY MEDICAL CENTER|6360000|Cyclophosphamide For Inj 1 GM|J9070|10019093601|66.52||66.52 PEMBINA COUNTY MEDICAL CENTER|6360000|Cyclophosphamide For Inj 500 MG|J9070|10019093501|66.52||66.52 PEMBINA COUNTY MEDICAL CENTER|6360000|Midazolam HCl Inj 2 MG/2ML (Base Equivalent)|J2250|00641605725|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360000|Midazolam HCl Inj 2 MG/2ML (Base Equivalent)|J2250|00641605701|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360000|Lidocaine HCl IV Inj 20 MG/ML|J2001|00409132305|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360000|Lidocaine HCl IV Inj 20 MG/ML|J2001|00409490334|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360000|Lidocaine HCl IV Inj 20 MG/ML|J2001|76329339001|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360000|Methylprednisolone Acetate Inj Susp 80 MG/ML|J1040|00009347501|48.37||48.37 PEMBINA COUNTY MEDICAL CENTER|6360000|Metoclopramide HCl Inj 5 MG/ML (Base Equivalent)|J2765|00409341401|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360000|Metronidazole in NaCl 0.79% IV Soln 500 MG/100ML|J3490|00409781124|42.30||42.30 PEMBINA COUNTY MEDICAL CENTER|6360000|Morphine Sulfate IV Soln 1 MG/ML||00409202902|78.46||78.46 PEMBINA COUNTY MEDICAL CENTER|6360000|Sodium Chloride Inj 0.45%|J3490|00338004304|41.73||41.73 PEMBINA COUNTY MEDICAL CENTER|6360000|Water For Injection|A4216|00409488720|10.00||10.00 PEMBINA COUNTY MEDICAL CENTER|6360000|Water For Injection|A4216|00409488710|10.00||10.00 PEMBINA COUNTY MEDICAL CENTER|6360000|Water For Injection|A4216|00409488750|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360000|Water For Injection|A4216|00409488799|23.32||23.32 PEMBINA COUNTY MEDICAL CENTER|6360000|Water For Injection|A4216|00409488723|10.00||10.00 PEMBINA COUNTY MEDICAL CENTER|6360000|Water For Injection|A4216|00409488725|23.32||23.32 PEMBINA COUNTY MEDICAL CENTER|6360000|Arformoterol Tartrate Soln Nebu 15 MCG/2ML (Base Equiv)|J7605|63402091130|35.08||35.08 PEMBINA COUNTY MEDICAL CENTER|6360000|Triamcinolone Acetonide Inj Susp 40 MG/ML|J3301|00003029305|49.57||49.57 PEMBINA COUNTY MEDICAL CENTER|6360000|Clindamycin Phosphate Inj 600 MG/4ML|J3490|00009077526|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360000|Clindamycin Phosphate Inj 600 MG/4ML|J3490|00009077520|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360000|Ciprofloxacin 400 MG/200ML in D5W|J0744|00409477702|48.61||48.61 PEMBINA COUNTY MEDICAL CENTER|6360000|Ciprofloxacin 400 MG/200ML in D5W|J0744|25021011487|82.99||82.99 PEMBINA COUNTY MEDICAL CENTER|6360000|Ondansetron HCl Inj 4 MG/2ML (2 MG/ML)|J2405|63323037302|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360000|Ondansetron HCl Inj 4 MG/2ML (2 MG/ML)|J2405|00409475503|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360000|Ondansetron HCl Inj 4 MG/2ML (2 MG/ML)|J2405|55150012502|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360000|Ondansetron HCl Inj 4 MG/2ML (2 MG/ML)|J2405|00409475518|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360000|Sumatriptan Succinate Inj 6 MG/0.5ML|J3030|55150017301|52.49||52.49 PEMBINA COUNTY MEDICAL CENTER|6360000|Dextrose 5% in Lactated Ringers|J7121|00338012504|41.73||41.73 PEMBINA COUNTY MEDICAL CENTER|2580001|Nitroglycerin IV Soln 100 MCG/ML in D5W||00338104702|88.94||88.94 PEMBINA COUNTY MEDICAL CENTER|2500005|Tobramycin Ophth Soln 0.3%||61314064305|12.65||12.65 PEMBINA COUNTY MEDICAL CENTER|2500005|Albuterol Sulfate Soln Nebu 0.083% (2.5 MG/3ML)|J7613|00487950101|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|2500005|Saline Nasal Spray 0.65%||00904386575|6.58||6.58 PEMBINA COUNTY MEDICAL CENTER|2500005|Ipratropium-Albuterol Nebu Soln 0.5-2.5(3) MG/3ML|J7620|00487020101|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|2500005|Ipratropium-Albuterol Nebu Soln 0.5-2.5(3) MG/3ML|J7620|76204060001|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|2500006|Indigotindisulfonate Sodium Inj 8 MG/ML||00517037510|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|2500006|Polyethylene Glycol 3350 Oral Packet||00904642281|10.29||10.29 PEMBINA COUNTY MEDICAL CENTER|2500006|Polyethylene Glycol 3350 Oral Packet||00904642286|7.72||7.72 PEMBINA COUNTY MEDICAL CENTER|2500006|Lidocaine Inj 1% w/ Epinephrine-1:100000||00409317803|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|2500006|Lidocaine Inj 1% w/ Epinephrine-1:100000||63323048217|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|2500006|Tamsulosin HCl Cap 0.4 MG||63739056710|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|2500006|Tamsulosin HCl Cap 0.4 MG||68084029911|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|2500006|Tamsulosin HCl Cap 0.4 MG||68084029901|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|2500006|Mupirocin Oint 2%||68462018022|23.91||23.91 PEMBINA COUNTY MEDICAL CENTER|2500006|Mupirocin Oint 2%||00093101042|28.57||28.57 PEMBINA COUNTY MEDICAL CENTER|2500006|Sodium Chloride Flush IV Soln 0.9%|A4216|08881570121|6.00||6.00 PEMBINA COUNTY MEDICAL CENTER|2500006|Sodium Chloride Flush IV Soln 0.9%|A4216|08290306546|6.00||6.00 PEMBINA COUNTY MEDICAL CENTER|2500006|Sodium Chloride Flush IV Soln 0.9%|A4216|08290306547|6.00||6.00 PEMBINA COUNTY MEDICAL CENTER|2500006|Sodium Chloride Flush IV Soln 0.9%|A4216|64253011130|6.00||6.00 PEMBINA COUNTY MEDICAL CENTER|2500006|Mineral Oil Light (Topical)||54162018516|17.75|| PEMBINA COUNTY MEDICAL CENTER|2500006|Bupivacaine Inj 0.5% w/ Epinephrine 1:200000 (PF)||00409904501|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|2500006|Bupivacaine Inj 0.5% w/ Epinephrine 1:200000 (PF)||00409904511|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|2500006|Bupivacaine HCl Preservative Free (PF) Inj 0.25%||63323046431|26.99||26.99 PEMBINA COUNTY MEDICAL CENTER|2500006|Bupivacaine HCl Preservative Free (PF) Inj 0.25%||55150016710|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|2500006|Bupivacaine HCl Preservative Free (PF) Inj 0.5%||55150016910|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|2500006|Meperidine HCl Inj 25 MG/0.5ML (50 MG/ML)||00409120301|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|2500006|Meperidine HCl Inj 25 MG/0.5ML (50 MG/ML)||00409120311|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|2500006|Oseltamivir Phosphate For Susp 6 MG/ML (Base Equiv)||68180067801|479.78||479.78 PEMBINA COUNTY MEDICAL CENTER|2500006|Silver Nitrate-Potassium Nitrate Applicator 75-25%||12870000101|4.32||4.32 PEMBINA COUNTY MEDICAL CENTER|2500006|Gemcitabine HCl Inj 2 GM/52.6ML (38 MG/ML) (Base Equiv)||67457061810|231.27||231.27 PEMBINA COUNTY MEDICAL CENTER|2500006|Racepinephrine HCl Soln Nebu 2.25% (Base Equivalent)||00487590199|5.74||5.74 PEMBINA COUNTY MEDICAL CENTER|2500006|Artificial Tear Ophth Ointment||17478006235|12.16||12.16 PEMBINA COUNTY MEDICAL CENTER|2500006|Ipratropium-Albuterol Inhal Aerosol Soln 20-100 MCG/ACT||00597002402|674.30||674.30 PEMBINA COUNTY MEDICAL CENTER|2500006|Magnesium Oxide Tab 400 MG (240 MG Elemental Mg)||00904660961|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|2500006|Multiple Vitamin Inj||54643564901|58.33||58.33 PEMBINA COUNTY MEDICAL CENTER|2500006|Bupivacaine HCl Inj 0.25%||00409158750|10.00||10.00 PEMBINA COUNTY MEDICAL CENTER|2500006|Bupivacaine HCl Inj 0.5%||00409116301|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|2500006|Bupivacaine HCl Inj 0.5%||00409116318|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|2500006|Nicardipine HCl IV Soln 2.5 MG/ML||00143968910|97.72||97.72 PEMBINA COUNTY MEDICAL CENTER|2500006|Nicardipine HCl IV Soln 2.5 MG/ML||00143968901|97.72||97.72 PEMBINA COUNTY MEDICAL CENTER|2500006|White Petrolatum-Mineral Oil Ophth Ointment||00536108691|15.56|| PEMBINA COUNTY MEDICAL CENTER|2500006|Bupivacaine HCl Preservative Free (PF) Inj 0.75%||55150017110|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|2500006|Calcium Chloride Inj 10%||76329330401|44.12||44.12 PEMBINA COUNTY MEDICAL CENTER|2500006|Scopolamine TD Patch 72HR 1 MG/3DAYS||10019055303|69.29||69.29 PEMBINA COUNTY MEDICAL CENTER|2500006|Norepinephrine Bitartrate IV Soln 1 MG/ML||00409337504|74.07||74.07 PEMBINA COUNTY MEDICAL CENTER|2500006|Fluticasone Furoate-Vilanterol Aero Powd BA 200-25 MCG/INH||00173088214|290.93||290.93 PEMBINA COUNTY MEDICAL CENTER|2500006|Ephedrine Sulfate IV Soln 50 MG/ML||17478041501|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|2500006|Ephedrine Sulfate IV Soln 50 MG/ML||17478041510|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|2500006|Methylene Blue IV Soln 50 MG/10ML (5 MG/ML)||00517037405|460.53||460.53 PEMBINA COUNTY MEDICAL CENTER|2500006|Methylene Blue IV Soln 50 MG/10ML (5 MG/ML)||00517037401|460.53||460.53 PEMBINA COUNTY MEDICAL CENTER|2500006|Benzocaine Mouth/Throat Aerosol 20%||00283067902|10.00||10.00 PEMBINA COUNTY MEDICAL CENTER|2500006|Lidocaine 5% in 7.5% Dextrose Intraspinal Soln||00409471201|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|2500006|Gemcitabine HCl Inj 200 MG/2ML (100 MG/ML) (Base Equiv)||16729039130|93.39||93.39 PEMBINA COUNTY MEDICAL CENTER|2500006|Alfentanil HCl IV Soln 1000 MCG/2ML (500 MCG/ML) (Base Eq)||00409226602|22.50|| PEMBINA COUNTY MEDICAL CENTER|2500006|Alfentanil HCl IV Soln 1000 MCG/2ML (500 MCG/ML) (Base Eq)||17478006702|22.97||22.97 PEMBINA COUNTY MEDICAL CENTER|2500006|Typhoid VI Polysaccharide Intramuscular Vac Inj 25 MCG/0.5ML|90691|49281079051|141.64||141.64 PEMBINA COUNTY MEDICAL CENTER|2500006|Moexipril HCl Tab 15 MG||00093515001|4.52||4.52 PEMBINA COUNTY MEDICAL CENTER|2500006|Sevoflurane Inhal Soln||66794001525|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|2500006|Albuterol Sulfate Inhal Aero 108 MCG/ACT (90MCG Base Equiv)||00173068224|75.93||75.93 PEMBINA COUNTY MEDICAL CENTER|2500006|Albuterol Sulfate Inhal Aero 108 MCG/ACT (90MCG Base Equiv)||59310057922|165.99||165.99 PEMBINA COUNTY MEDICAL CENTER|2500006|Sennosides Tab 8.6 MG||00904652261|3.75||3.75 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 PEMBINA COUNTY MEDICAL CENTER|2500006|Etomidate IV Soln 2 MG/ML||55150022220|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|2500006|Multiple Vitamin Tab||00904053061|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|2500006|Cefdinir For Susp 125 MG/5ML||16714039202|14.50||14.50 PEMBINA COUNTY MEDICAL CENTER|2500006|Lidocaine Anorectal Cream 5%||00496089230|77.78||77.78 PEMBINA COUNTY MEDICAL CENTER|2500006|Dextrose Inj 50%||00409490234|45.38||45.38 PEMBINA COUNTY MEDICAL CENTER|2500006|Dextrose Inj 50%||00409751716|44.24||44.24 PEMBINA COUNTY MEDICAL CENTER|2500006|Diphenhydramine HCl Cap 25 MG|Q0163|00904530661|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|2500006|Docusate Sodium Liquid 150 MG/15ML||54162019516|17.81||17.81 PEMBINA COUNTY MEDICAL CENTER|2500006|Pantoprazole Sodium For IV Soln 40 MG (Base Equiv)||00008200101|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|2500006|Pantoprazole Sodium For IV Soln 40 MG (Base Equiv)||00008200125|22.50|C9113|22.50 PEMBINA COUNTY MEDICAL CENTER|2500006|Fluticasone-Salmeterol Aer Powder BA 250-50 MCG/DOSE||00173069604|363.13||363.13 PEMBINA COUNTY MEDICAL CENTER|2500006|Fluticasone-Salmeterol Aer Powder BA 500-50 MCG/DOSE||00173069704|503.14||503.14 PEMBINA COUNTY MEDICAL CENTER|2500006|Sodium Chloride Flush IV Soln 0.9%|A4216|08290306546|6.00||6.00 PEMBINA COUNTY MEDICAL CENTER|2500006|Fluorescein Sodium Ophth Strips 0.6 MG||17478040303|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|2500006|Ephedrine Sulfate Inj 50 MG/ML||17478051500|150.24||150.24 PEMBINA COUNTY MEDICAL CENTER|2500006|Heparin Sodium (Porcine) Lock Flush IV Soln 100 Unit/ML||64253033333|6.00||6.00 PEMBINA COUNTY MEDICAL CENTER|2500006|Heparin Sodium (Porcine) Lock Flush IV Soln 100 Unit/ML||64253033335|6.00||6.00 PEMBINA COUNTY MEDICAL CENTER|2500006|Ropinirole Hydrochloride Tab 3 MG||43547027210|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|2500006|Olmesartan Medoxomil Tab 40 MG||00093761256|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|2500006|Glycopyrrolate Inj 0.2 MG/ML||00143968201|76.15||76.15 PEMBINA COUNTY MEDICAL CENTER|2500006|Glycopyrrolate Inj 0.2 MG/ML||00143968225|76.15||76.15 PEMBINA COUNTY MEDICAL CENTER|2500006|Rosuvastatin Calcium Tab 40 MG||68462026430|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|2500006|Hydrocortisone Oint 2.5%||00168014630|18.74||18.74 PEMBINA COUNTY MEDICAL CENTER|2500006|Aluminum & Magnesium Hydroxides Susp 200-200 MG/5ML||00121176030|13.93||13.93 PEMBINA COUNTY MEDICAL CENTER|2500006|Topiramate Tab 50 MG||69097012303|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|2500006|Nystatin Topical Powder 100000 Unit/GM||00574200815|29.44||29.44 PEMBINA COUNTY MEDICAL CENTER|2500006|Nystatin Topical Powder 100000 Unit/GM||16714076901|20.95||20.95 PEMBINA COUNTY MEDICAL CENTER|2500006|Isoflurane Inhal Soln||10019036040|94.72||94.72 PEMBINA COUNTY MEDICAL CENTER|2500006|Solifenacin Succinate Tab 5 MG||51248015001|47.17||47.17 PEMBINA COUNTY MEDICAL CENTER|2500006|Ketamine HCl Inj 50 MG/ML||00409205310|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|2500006|Lactated Ringer's for Irrigation||00338013727|70.38||70.38 PEMBINA COUNTY MEDICAL CENTER|2500006|Lidocaine HCl Gel 2%||25021067376|22.21||22.21 PEMBINA COUNTY MEDICAL CENTER|2500006|Lidocaine HCl Gel 2%||00591301230|23.38||23.38 PEMBINA COUNTY MEDICAL CENTER|2500006|Lidocaine HCl Gel 2%||17478071130|23.84||23.84 PEMBINA COUNTY MEDICAL CENTER|2500006|Lidocaine HCl Soln 4%||00054350547|19.85||19.85 PEMBINA COUNTY MEDICAL CENTER|2500006|Lidocaine HCl Viscous Soln 2%||50383077515|5.42||5.42 PEMBINA COUNTY MEDICAL CENTER|2500006|Lidocaine HCl Viscous Soln 2%||50383077517|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|2500006|Nitrofurantoin Macrocrystalline Cap 100 MG||47781030801|7.74||7.74 PEMBINA COUNTY MEDICAL CENTER|2500006|Oxymetazoline HCl Nasal Soln 0.05%||00904571135|6.87||6.87 PEMBINA COUNTY MEDICAL CENTER|2500006|Phenylephrine HCl Nasal Soln 1%||69536010015|21.28||21.28 PEMBINA COUNTY MEDICAL CENTER|2500006|Quetiapine Fumarate Tab 50 MG||16714045301|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|2500006|Fluticasone Propionate Nasal Susp 50 MCG/ACT||50383070016|29.28||29.28 PEMBINA COUNTY MEDICAL CENTER|2500006|Silver Sulfadiazine Cream 1%||43598021055|30.81||30.81 PEMBINA COUNTY MEDICAL CENTER|2500006|Sodium Bicarbonate Inj 4.2%||00409553434|50.83||50.83 PEMBINA COUNTY MEDICAL CENTER|2500006|Sodium Bicarbonate Inj 8.4%||00409663734|47.96||47.96 PEMBINA COUNTY MEDICAL CENTER|2500006|Sodium Bicarbonate Inj 8.4%||76329335201|49.11||49.11 PEMBINA COUNTY MEDICAL CENTER|2500006|Sodium Chloride Inj 0.9%||00409488820|6.00||6.00 PEMBINA COUNTY MEDICAL CENTER|2500006|Sodium Chloride Inj 0.9%|J3490|00409488810|6.00||6.00 PEMBINA COUNTY MEDICAL CENTER|2500006|Sodium Chloride Inj 0.9%|J3490|00409488812|6.00||6.00 PEMBINA COUNTY MEDICAL CENTER|2500006|Sodium Chloride Inj 0.9%|J3490|63323018610|6.00||6.00 PEMBINA COUNTY MEDICAL CENTER|2500006|Sodium Chloride Inj 0.9%||63323018620|6.00||6.00 PEMBINA COUNTY MEDICAL CENTER|2500006|Sodium Chloride Inj 3%||00338005403|41.73||41.73 PEMBINA COUNTY MEDICAL CENTER|2500006|Sodium Chloride Soln Nebu 0.9%||00487930103|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|2500006|Sodium Chloride Soln Nebu 3%||00487900360|7.14||7.14 PEMBINA COUNTY MEDICAL CENTER|2500006|Atropine Sulfate Ophth Soln 1%||17478021502|105.65||105.65 PEMBINA COUNTY MEDICAL CENTER|2500006|Guaifenesin Liquid 100 MG/5ML||00121174405|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|2500006|Guaifenesin Liquid 100 MG/5ML||00121174400|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|2500006|Tetracaine HCl Ophth Soln 0.5%||00065074114|23.16||23.16 PEMBINA COUNTY MEDICAL CENTER|2500006|Triazolam Tab 0.125 MG||59762371704|6.23||6.23 PEMBINA COUNTY MEDICAL CENTER|2500006|Budesonide-Formoterol Fumarate Dihyd Aerosol 160-4.5 MCG/ACT||00186037028|397.14||397.14 PEMBINA COUNTY MEDICAL CENTER|2500006|Tuberculin PPD Inj 5 Unit/0.1ML|86580|42023010401|178.62||178.62 PEMBINA COUNTY MEDICAL CENTER|2500006|Tuberculin PPD Inj 5 Unit/0.1ML|86580|49281075221|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|2500006|Bacitracin Oint 500 Unit/GM||00713028031|11.78||11.78 PEMBINA COUNTY MEDICAL CENTER|2500006|Bacitracin Oint 500 Unit/GM||45802006070|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|2500006|Ascorbic Acid Tab 500 MG||00904052361|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|2500006|Psyllium Powder 28.3%||00536444554|24.77||24.77 PEMBINA COUNTY MEDICAL CENTER|2500006|Formoterol Fumarate Soln Nebu 20 MCG/2ML||49502060530|28.16||28.16 PEMBINA COUNTY MEDICAL CENTER|2500006|Oseltamivir Phosphate Cap 45 MG (Base Equiv)||00004080185|52.16||52.16 PEMBINA COUNTY MEDICAL CENTER|2500006|Oseltamivir Phosphate Cap 45 MG (Base Equiv)||47781046913|29.05||29.05 PEMBINA COUNTY MEDICAL CENTER|2500006|Metoprolol Tartrate IV Soln 5 MG/5ML||00409177805|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|2500006|Bumetanide Inj 0.25 MG/ML||00641600801|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|2500006|Bumetanide Inj 0.25 MG/ML||00641600810|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|2500006|Bupivacaine 0.75% in Dextrose Inj 8.25%||00409361301|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|2500006|Butamben-Tetracaine-Benzocaine Aerosol Spray 2-2-14%||10223020103|39.48||39.48 PEMBINA COUNTY MEDICAL CENTER|2500006|Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML)||00781322075|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|2500006|Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML)||00781322095|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|2500006|Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML)||55150022505|35.16||35.16 PEMBINA COUNTY MEDICAL CENTER|2500006|Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML)||70860065105|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|2500006|Diltiazem HCl IV Soln 25 MG/5ML (5 MG/ML)||00641601301|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|2500006|Diltiazem HCl IV Soln 25 MG/5ML (5 MG/ML)||00641601310|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|2500006|Artificial Saliva - Solution||55299060104|53.12||53.12 PEMBINA COUNTY MEDICAL CENTER|2500006|Cimetidine Tab 200 MG||49348024644|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|2500006|Ciprofloxacin HCl Ophth Soln 0.3%||61314065605|21.57||21.57 PEMBINA COUNTY MEDICAL CENTER|2500006|Ciprofloxacin HCl Ophth Soln 0.3%||17478071410|21.57||21.57 PEMBINA COUNTY MEDICAL CENTER|2500006|Dantrolene Sodium For IV Soln 20 MG||27505000367|173.14||173.14 PEMBINA COUNTY MEDICAL CENTER|2500006|Enalaprilat IV Inj 1.25 MG/ML||00143978710|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|2550005|Iopamidol IV Soln 76%|Q9967|00270131652|153.85|| PEMBINA COUNTY MEDICAL CENTER|2550005|Gadodiamide IV Soln 287 MG/ML|A9579|00407069010|597.76||597.76 PEMBINA COUNTY MEDICAL CENTER|2580005|Fat Emulsion IV Soln 20%||00338051902|91.87||91.87 PEMBINA COUNTY MEDICAL CENTER|2580005|Magnesium Sulfate IV Soln 4 GM/100ML (40 MG/ML)|J3475|00409672923|63.50||63.50 PEMBINA COUNTY MEDICAL CENTER|2580005|Dopamine Inj 1.6 MG/ML in D5W|J1265|00409780922|76.11||76.11 PEMBINA COUNTY MEDICAL CENTER|2580005|Lidocaine IV Infusion in D5W Inj 4 MG/ML|J2001|00338040903|50.33||50.33 PEMBINA COUNTY MEDICAL CENTER|2580005|Heparin Sodium (Porcine) 50 Unit/ML in Sodium Chloride 0.45%|J1644|00409765103|61.79||61.79 PEMBINA COUNTY MEDICAL CENTER|2580005|Heparin Sodium (Porcine) 50 Unit/ML in Sodium Chloride 0.45%|J1644|00409765113|61.79||61.79 PEMBINA COUNTY MEDICAL CENTER|2580005|Amino Acid Electrolyte w/Cal Infusion 4.25% in D5W||00338111304|166.90||166.90 PEMBINA COUNTY MEDICAL CENTER|2580005|Amino Acid Electrolyte w/Cal Infusion 5% in D15W||00338112304|205.40||205.40 PEMBINA COUNTY MEDICAL CENTER|2580005|Dextrose Inj 5%|J7060|00409792202|40.50||40.50 PEMBINA COUNTY MEDICAL CENTER|2580005|Dextrose Inj 5%|J7060|00338001702|40.30||40.30,40.50 PEMBINA COUNTY MEDICAL CENTER|2580005|Dextrose Inj 5%|J7060|00338001703|41.73||41.73 PEMBINA COUNTY MEDICAL CENTER|2580005|Dextrose Inj 5%|J7070|00338001704|41.73||41.73 PEMBINA COUNTY MEDICAL CENTER|2580005|Dextrose Inj 5%|J7060|00338001718|41.73||41.73 PEMBINA COUNTY MEDICAL CENTER|2580005|Sodium Chloride IV Soln 0.9%|J7040|00409798303|41.75||41.75 PEMBINA COUNTY MEDICAL CENTER|2580005|Sodium Chloride IV Soln 0.9%|J7030|00409798309|41.73||41.73 PEMBINA COUNTY MEDICAL CENTER|2580005|Sodium Chloride IV Soln 0.9%|J7050|00409798302|40.50||40.50 PEMBINA COUNTY MEDICAL CENTER|2580005|Sodium Chloride IV Soln 0.9%|J7050|00409710167|40.58||40.58 PEMBINA COUNTY MEDICAL CENTER|2580005|Sodium Chloride IV Soln 0.9%|J7050|00338004902|40.30||40.30 PEMBINA COUNTY MEDICAL CENTER|2580005|Sodium Chloride IV Soln 0.9%|J7040|00338004903|41.73||41.73 PEMBINA COUNTY MEDICAL CENTER|2580005|Sodium Chloride IV Soln 0.9%|J7030|00338004904|41.73||41.73 PEMBINA COUNTY MEDICAL CENTER|2580005|Sodium Chloride IV Soln 0.9%|J7050|00338004948|40.58||40.58 PEMBINA COUNTY MEDICAL CENTER|2580005|Sodium Chloride IV Soln 0.9%|J7050|00338055311|37.43|J3490|37.43 PEMBINA COUNTY MEDICAL CENTER|2580005|Sodium Chloride IV Soln 0.9%|J7050|00338055318|40.58||40.58 PEMBINA COUNTY MEDICAL CENTER|2580005|Lactated Ringer's Solution|J7120|00409795309|41.73||41.73 PEMBINA COUNTY MEDICAL CENTER|2580005|Lactated Ringer's Solution|J7120|00338011704|41.73||41.73 PEMBINA COUNTY MEDICAL CENTER|2580005|Sodium Chloride IV Soln 0.9%|J7030|00409798309|41.73||41.73 PEMBINA COUNTY MEDICAL CENTER|2580005|Sodium Chloride IV Soln 0.9%|J7040|00338004903|41.73||41.73 PEMBINA COUNTY MEDICAL CENTER|2580005|Sodium Chloride IV Soln 0.9%|J7030|00338004904|41.73||41.73 PEMBINA COUNTY MEDICAL CENTER|2580005|lactated ringer's solution|J7120|00409795309|41.73||41.73 PEMBINA COUNTY MEDICAL CENTER|2580005|lactated ringer's solution|J7120|00338011704|41.73||41.73 PEMBINA COUNTY MEDICAL CENTER|2580005|Dextrose inj 5%|J7070|00338001704|41.73||41.73 PEMBINA COUNTY MEDICAL CENTER|2580005|Sodium Chloride IV Soln 0.9%|J7050|00338630402|44.60||44.60 PEMBINA COUNTY MEDICAL CENTER|2580005|Sodium Chloride IV Soln 0.9%|J7050|00338004902|40.30||40.30 PEMBINA COUNTY MEDICAL CENTER|2580005|Sodium Chloride IV Soln 0.9%|J7040|00338004903|41.73||41.73 PEMBINA COUNTY MEDICAL CENTER|2580005|Sodium Chloride IV Soln 0.9%|J7030|00338004904|41.73||41.73 PEMBINA COUNTY MEDICAL CENTER|2580005|Sodium Chloride IV Soln 0.9%|J7050|00338055318|121.75||121.75 PEMBINA COUNTY MEDICAL CENTER|2580005|Sodium Chloride IV Soln 0.9%|J7050|00338004948|40.58||40.58 PEMBINA COUNTY MEDICAL CENTER|6360005|Filgrastim Inj 300 MCG/ML|J1442|55513053001|811.58||811.58 PEMBINA COUNTY MEDICAL CENTER|6360005|Filgrastim Inj 300 MCG/ML|J1442|55513053010|811.52||811.52 PEMBINA COUNTY MEDICAL CENTER|6360005|Fluconazole in NaCl 0.9% Inj 400 MG/200ML|J1450|36000000310|66.94||66.94 PEMBINA COUNTY MEDICAL CENTER|6360005|Heparin Sodium (Porcine) Inj 10000 Unit/ML|J1644|00409272101|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Heparin Sodium (Porcine) Inj 10000 Unit/ML|J1644|25021040301|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Heparin Sodium (Porcine) Inj 10000 Unit/ML|J1644|00409272130|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Heparin Sodium (Porcine) Inj 5000 Unit/ML|J1644|25021040201|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Oxaliplatin IV Soln 50 MG/10ML|J9263|25021023310|169.64||169.64 PEMBINA COUNTY MEDICAL CENTER|6360005|Oxaliplatin IV Soln 100 MG/20ML|J9263|25021023320|209.43||209.43 PEMBINA COUNTY MEDICAL CENTER|6360005|Labetalol HCl IV Soln 5 MG/ML|J3490|00409233934|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Labetalol HCl IV Soln 5 MG/ML|J3490|00409226720|23.67||23.67 PEMBINA COUNTY MEDICAL CENTER|6360005|Labetalol HCl IV Soln 5 MG/ML|J3490|00143962201|23.67||23.67 PEMBINA COUNTY MEDICAL CENTER|6360005|Leuprolide Acetate For Inj Kit 7.5 MG|J9217|00074364203|3,465.31||3,465.31 PEMBINA COUNTY MEDICAL CENTER|6360005|Lorazepam Inj 2 MG/ML|J2060|00641604401|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Lorazepam Inj 2 MG/ML|J2060|00641604425|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Measles, Mumps & Rubella Virus Vaccines For Inj|90707|00006468100|95.39||95.39 PEMBINA COUNTY MEDICAL CENTER|6360005|Measles, Mumps & Rubella Virus Vaccines For Inj|90707|00006468101|95.39||95.39 PEMBINA COUNTY MEDICAL CENTER|6360005|Pneumococcal 13-Valent Conjugate Vaccine Inj|90670|00005197101|265.55||265.55 PEMBINA COUNTY MEDICAL CENTER|6360005|Pneumococcal 13-Valent Conjugate Vaccine Inj|90670|00005197102|265.55||265.55 PEMBINA COUNTY MEDICAL CENTER|6360005|Denosumab Inj 60 MG/ML|J0897|55513071001|2,931.50||2,931.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Enoxaparin Sodium Inj 30 MG/0.3ML|J1650|00548563100|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Enoxaparin Sodium Inj 40 MG/0.4ML|J1650|00548563200|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Enoxaparin Sodium Inj 60 MG/0.6ML|J1650|00548563300|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Enoxaparin Sodium Inj 80 MG/0.8ML|J1650|00548563400|48.21||48.21 PEMBINA COUNTY MEDICAL CENTER|6360005|Enoxaparin Sodium Inj 100 MG/ML|J1650|00548563500|46.36||46.36 PEMBINA COUNTY MEDICAL CENTER|6360005|Docetaxel For Inj Conc 20 MG/ML|J9171|45963073454|248.25||248.25 PEMBINA COUNTY MEDICAL CENTER|6360005|Fosaprepitant Dimeglumine For IV Infusion 150 MG (Base Eq)|J1453|00006306100|868.23||868.23 PEMBINA COUNTY MEDICAL CENTER|6360005|Denosumab Inj 120 MG/1.7ML|J0897|55513073001|4,963.90||4,963.90 PEMBINA COUNTY MEDICAL CENTER|6360005|Acetaminophen IV Soln 10 MG/ML|J0131|43825010201|171.91||171.91 PEMBINA COUNTY MEDICAL CENTER|6360005|Pneumococcal Vaccine Polyvalent Inj 25 MCG/0.5ML|90732|00006483703|135.97||135.97 PEMBINA COUNTY MEDICAL CENTER|6360005|Pneumococcal Vaccine Polyvalent Inj 25 MCG/0.5ML|90732|00006483701|135.97||135.97 PEMBINA COUNTY MEDICAL CENTER|6360005|Potassium Chloride Inj 20 mEq/100ML|J3480|00409707526|49.18||49.18 PEMBINA COUNTY MEDICAL CENTER|6360005|Potassium Chloride Inj 20 mEq/100ML|J3480|00338070548|54.91|| PEMBINA COUNTY MEDICAL CENTER|6360005|KCl 20 MEQ/L (0.15%) in NaCl 0.9% Inj|J3480|00409711509|41.73||41.73 PEMBINA COUNTY MEDICAL CENTER|6360005|KCl 20 MEQ/L (0.15%) in NaCl 0.9% Inj|J3480|00338069104|41.73||41.73 PEMBINA COUNTY MEDICAL CENTER|6360005|Penicillin G Benzathine Intramuscular Susp 1200000 Unit/2ML|J0561|60793070110|117.38||117.38 PEMBINA COUNTY MEDICAL CENTER|6360005|Penicillin G Benzathine & Procaine Inj Susp 1200000 Unit/2ML|J0558|60793060010|298.40||298.40 PEMBINA COUNTY MEDICAL CENTER|6360005|Penicillin G Benzathine & Procaine Inj Susp 1200000 Unit/2ML|J0558|60793060002|298.40||298.40 PEMBINA COUNTY MEDICAL CENTER|6360005|Panitumumab IV Soln 100 MG/5ML|J9303|55513095401|3,118.97||3,118.97 PEMBINA COUNTY MEDICAL CENTER|6360005|Panitumumab IV Soln 400 MG/20ML|J9303|55513095601|9,424.86||9,424.86 PEMBINA COUNTY MEDICAL CENTER|6360005|Palivizumab IM Soln 50 MG/0.5ML|90378|60574411401|3,892.62||3,892.62 PEMBINA COUNTY MEDICAL CENTER|6360005|Tocilizumab IV Inj 80 MG/4ML|J3262|50242013501|1,034.41||1,034.41 PEMBINA COUNTY MEDICAL CENTER|6360005|Tocilizumab IV Inj 200 MG/10ML|J3262|50242013601|2,584.51||2,584.51 PEMBINA COUNTY MEDICAL CENTER|6360005|Tocilizumab IV Inj 400 MG/20ML|J3262|50242013701|5,033.75||5,033.75 PEMBINA COUNTY MEDICAL CENTER|6360005|Immune Globulin (Human) IV Soln 10 GM/100ML|J1459|44206043710|2,219.60||2,219.60 PEMBINA COUNTY MEDICAL CENTER|6360005|Immune Globulin (Human) IV Soln 20 GM/200ML|J1459|44206043820|4,276.00||4,276.00 PEMBINA COUNTY MEDICAL CENTER|6360005|Fulvestrant Inj 250 MG/5ML|J9395|00310072010|4,940.42||4,940.42 PEMBINA COUNTY MEDICAL CENTER|6360005|Levofloxacin in D5W IV Soln 250 MG/50ML|J1956|36000004624|44.60||44.60 PEMBINA COUNTY MEDICAL CENTER|6360005|Levofloxacin in D5W IV Soln 500 MG/100ML|J1956|00409052823|49.75||49.75 PEMBINA COUNTY MEDICAL CENTER|6360005|Levofloxacin in D5W IV Soln 500 MG/100ML|J1956|00409052825|49.75||49.75 PEMBINA COUNTY MEDICAL CENTER|6360005|Poliovirus Vaccine, IPV Injection|90713|49281086078|24.88||24.88 PEMBINA COUNTY MEDICAL CENTER|6360005|Poliovirus Vaccine, IPV Injection|90713|49281086010|24.88||24.88 PEMBINA COUNTY MEDICAL CENTER|6360005|Ertapenem Sodium For Inj 1 GM (Base Equivalent)|J1335|00006384371|304.79||304.79 PEMBINA COUNTY MEDICAL CENTER|6360005|Rabies Virus Vaccine, HDC Inj|90675|49281025051|837.73||837.73 PEMBINA COUNTY MEDICAL CENTER|6360005|Leuprolide Acetate (6 Month) For Inj Kit 45 MG|J9217|00074347303|15,922.03||15,922.03 PEMBINA COUNTY MEDICAL CENTER|6360005|Sincalide For Inj 5 MCG|J2805|00270055615|536.32||536.32 PEMBINA COUNTY MEDICAL CENTER|6360005|Ibandronate Sodium IV Soln 3 MG/3ML (Base Equivalent)|J1740|60505609700|702.74||702.74 PEMBINA COUNTY MEDICAL CENTER|6360005|Terbutaline Sulfate Inj 1 MG/ML|J3105|70860080101|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Tetanus-Diphtheria Toxoids (Td) Inj 5-2 LFU|90714|49281021515|43.84||43.84,48.95 PEMBINA COUNTY MEDICAL CENTER|6360005|Tetanus-Diphtheria Toxoids (Td) Inj 5-2 LFU|90714|49281021588|43.84||43.84 PEMBINA COUNTY MEDICAL CENTER|6360005|Varicella Virus Vac Live For Subcutaneous Inj 1350 PFU/0.5ML|90716|00006482700|175.49||175.49 PEMBINA COUNTY MEDICAL CENTER|6360005|Varicella Virus Vac Live For Subcutaneous Inj 1350 PFU/0.5ML|90716|00006482701|175.49||175.49 PEMBINA COUNTY MEDICAL CENTER|6360005|Haemophilus B Polysaccharide Conjugate Vaccine For Inj|90648|49281054503|41.55||41.55 PEMBINA COUNTY MEDICAL CENTER|6360005|Carfilzomib For Inj 60 MG|J9047|76075010101|5,214.57||5,214.57 PEMBINA COUNTY MEDICAL CENTER|6360005|Morphine Sulfate IV Soln PF 8 MG/ML|J2270|00641612601|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Morphine Sulfate IV Soln PF 8 MG/ML|J2270|00641612625|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Golimumab IV Soln 50 MG/4ML|J1602|57894035001|3,870.60||3,870.60 PEMBINA COUNTY MEDICAL CENTER|6360005|Ferric Carboxymaltose IV Soln 750 MG/15ML (Fe Equivalent)|J1439|00517065001|2,131.36||2,131.36 PEMBINA COUNTY MEDICAL CENTER|6360005|Rotavirus Vaccine, Live Oral Pentavalent Soln|90680|00006404741|113.45||113.45 PEMBINA COUNTY MEDICAL CENTER|6360005|Rotavirus Vaccine, Live Oral Pentavalent Soln|90680|00006404701|113.45||113.45 PEMBINA COUNTY MEDICAL CENTER|6360005|Bortezomib For Inj 3.5 MG|J9041|63020004901|3,831.05||3,831.05 PEMBINA COUNTY MEDICAL CENTER|6360005|Etoposide Inj 100 MG/5ML (20 MG/ML)|J9181|16729011431|100.61||100.61 PEMBINA COUNTY MEDICAL CENTER|6360005|Hydrocortisone Sodium Succinate PF For Inj 100 MG|J1720|00009001103|46.79||46.79 PEMBINA COUNTY MEDICAL CENTER|6360005|Hydrocortisone Sodium Succinate PF For Inj 100 MG|J1720|00009001104|46.79||46.79 PEMBINA COUNTY MEDICAL CENTER|6360005|Hydrocortisone Sodium Succinate PF For Inj 100 MG|J1720|00009082501|47.91||47.91 PEMBINA COUNTY MEDICAL CENTER|6360005|Hydrocortisone Sodium Succinate PF For Inj 250 MG|J1720|00009001305|79.20||79.20 PEMBINA COUNTY MEDICAL CENTER|6360005|Vedolizumab For IV Solution 300 MG|J3380|64764030020|12,379.62||12,379.62 PEMBINA COUNTY MEDICAL CENTER|6360005|Haemophilus B Polysaccharide Conjugate Vac For Inj 10 MCG|90648|58160081811|14.82||14.82 PEMBINA COUNTY MEDICAL CENTER|6360005|Testosterone Enanthate IM Inj in Oil 200 MG/ML|J3121|00591322126|22.50|| PEMBINA COUNTY MEDICAL CENTER|6360005|Human Papillomavirus (HPV) 9-Valent Recomb Vac IM Susp|90651|00006411903|292.96||292.96 PEMBINA COUNTY MEDICAL CENTER|6360005|Human Papillomavirus (HPV) 9-Valent Recomb Vac IM Susp|90651|00006411901|292.96||292.96 PEMBINA COUNTY MEDICAL CENTER|6360005|Nivolumab IV Soln 40 MG/4ML|J9299|00003377211|2,761.86||2,761.86 PEMBINA COUNTY MEDICAL CENTER|6360005|Nivolumab IV Soln 100 MG/10ML|J9299|00003377412|6,045.10||6,045.10 PEMBINA COUNTY MEDICAL CENTER|6360005|Meningococcal Vac B (Recomb OMV Adjuv) Inj Prefilled Syringe|90620|58160097606|216.72||216.72 PEMBINA COUNTY MEDICAL CENTER|6360005|Meningococcal Vac B (Recomb OMV Adjuv) Inj Prefilled Syringe|90620|58160097620|216.72||216.72 PEMBINA COUNTY MEDICAL CENTER|6360005|Meningococcal Vac B (Recomb OMV Adjuv) Inj Prefilled Syringe|90620|58160097602|204.20||204.20 PEMBINA COUNTY MEDICAL CENTER|6360005|Pembrolizumab IV Soln 100 MG/4ML (25 MG/ML)|J9271|00006302602|9,225.80||9,225.80 PEMBINA COUNTY MEDICAL CENTER|6360005|Influenza Virus Vac Split High-Dose PF Susp Pref Syr 0.5ML|90662|49281040365|35.00||35.00 PEMBINA COUNTY MEDICAL CENTER|6360005|Influenza Virus Vac Split High-Dose PF Susp Pref Syr 0.5ML|90662|49281040388|35.00||35.00 PEMBINA COUNTY MEDICAL CENTER|6360005|Influenza Virus Vac Split Quadrivalent Susp Pref Syr 0.25 ML|90685|49281051800|35.00||35.00 PEMBINA COUNTY MEDICAL CENTER|6360005|Influenza Virus Vac Split Quadrivalent Susp Pref Syr 0.25 ML|90685|49281051825|35.00||35.00 PEMBINA COUNTY MEDICAL CENTER|6360005|Influenza Virus Vac Split Quadrivalent Susp Pref Syr 0.5ML|90686|49281041850|35.00||35.00,35.00 PEMBINA COUNTY MEDICAL CENTER|6360005|Influenza Virus Vac Split Quadrivalent Susp Pref Syr 0.5ML|90686|49281041888|35.00||35.00,35.00 PEMBINA COUNTY MEDICAL CENTER|6360005|Calcium Gluconate Inj 10%|J0610|63323036001|29.43||29.43 PEMBINA COUNTY MEDICAL CENTER|6360005|Calcium Gluconate Inj 10%|J0610|63323036019|29.43||29.43 PEMBINA COUNTY MEDICAL CENTER|6360005|Filgrastim-sndz Soln Prefilled Syringe 480 MCG/0.8ML|Q5101|61314031201|1,186.26||1,186.26 PEMBINA COUNTY MEDICAL CENTER|6360005|Filgrastim-sndz Soln Prefilled Syringe 480 MCG/0.8ML|Q5101|61314031210|1,186.26||1,186.26 PEMBINA COUNTY MEDICAL CENTER|6360005|Rituximab IV Soln 100 MG/10ML|J9310|50242005121|2,719.99||2,719.99 PEMBINA COUNTY MEDICAL CENTER|6360005|Rituximab IV Soln 500 MG/50ML|J9310|50242005306|9,233.31||9,233.31 PEMBINA COUNTY MEDICAL CENTER|6360005|Pegfilgrastim Soln Prefilled Syringe 6 MG/0.6ML|J2505|55513019001|10,178.67||10,178.67 PEMBINA COUNTY MEDICAL CENTER|6360005|Pegfilgrastim Soln Prefilled Syringe Kit 6 MG/0.6ML|J2505|55513019201|6,335.15||6,335.15 PEMBINA COUNTY MEDICAL CENTER|6360005|Darbepoetin Alfa Soln Prefilled Syringe 25 MCG/0.42ML|J0882|55513005701|475.24||475.24 PEMBINA COUNTY MEDICAL CENTER|6360005|Darbepoetin Alfa Soln Prefilled Syringe 25 MCG/0.42ML|J0882|55513005704|475.24||475.24 PEMBINA COUNTY MEDICAL CENTER|6360005|Darbepoetin Alfa Soln Prefilled Syringe 40 MCG/0.4ML|J0882|55513002101|448.69||448.69 PEMBINA COUNTY MEDICAL CENTER|6360005|Darbepoetin Alfa Soln Prefilled Syringe 40 MCG/0.4ML|J0882|55513002104|448.69||448.69 PEMBINA COUNTY MEDICAL CENTER|6360005|Darbepoetin Alfa Soln Prefilled Syringe 60 MCG/0.3ML|J0882|55513002301|202.76||202.76 PEMBINA COUNTY MEDICAL CENTER|6360005|Darbepoetin Alfa Soln Prefilled Syringe 60 MCG/0.3ML|J0882|55513002304|672.26||672.26 PEMBINA COUNTY MEDICAL CENTER|6360005|Darbepoetin Alfa Soln Prefilled Syringe 100 MCG/0.5ML|J0882|55513002501|1,119.40||1,119.40 PEMBINA COUNTY MEDICAL CENTER|6360005|Darbepoetin Alfa Soln Prefilled Syringe 100 MCG/0.5ML|J0882|55513002504|1,119.40||1,119.40 PEMBINA COUNTY MEDICAL CENTER|6360005|Darbepoetin Alfa Soln Prefilled Syringe 200 MCG/0.4ML|J0882|55513002801|2,237.25||2,237.25 PEMBINA COUNTY MEDICAL CENTER|6360005|Darbepoetin Alfa Soln Prefilled Syringe 300 MCG/0.6ML|J0882|55513011101|2,013.68||2,013.68 PEMBINA COUNTY MEDICAL CENTER|6360005|Darbepoetin Alfa Soln Prefilled Syringe 500 MCG/ML|J0882|55513003201|4,958.05||4,958.05 PEMBINA COUNTY MEDICAL CENTER|6360005|Mepolizumab For Inj 100 MG|J2182|00173088101|6,540.68||6,540.68 PEMBINA COUNTY MEDICAL CENTER|6360005|Daratumumab IV Soln 100 MG/5ML|J9145|57894050205|1,408.32||1,408.32 PEMBINA COUNTY MEDICAL CENTER|6360005|Daratumumab IV Soln 400 MG/20ML|J9145|57894050220|4,770.08||4,770.08 PEMBINA COUNTY MEDICAL CENTER|6360005|Linezolid IV Soln 600 MG/300ML (2 MG/ML)|J2020|00009514001|213.87||213.87 PEMBINA COUNTY MEDICAL CENTER|6360005|Linezolid IV Soln 600 MG/300ML (2 MG/ML)|J2020|00009514004|158.43||158.43 PEMBINA COUNTY MEDICAL CENTER|6360005|Medroxyprogesterone Acetate IM Susp Prefilled Syr 150 MG/ML|J1050|59762453802|199.69||199.69 PEMBINA COUNTY MEDICAL CENTER|6360005|Naloxone HCl Soln Prefilled Syringe 2 MG/2ML|J2310|76329336901|22.68||22.68 PEMBINA COUNTY MEDICAL CENTER|6360005|Diph, Acellular Pert & Tet Tox Inj 15 LF-23 MCG-5 LF/0.5ML|90700|49281028658|45.42||45.42 PEMBINA COUNTY MEDICAL CENTER|6360005|Diph, Acellular Pert & Tet Tox Inj 15 LF-23 MCG-5 LF/0.5ML|90700|49281028610|45.42||45.42 PEMBINA COUNTY MEDICAL CENTER|6360005|Epinephrine PF Soln Prefilled Syringe 1 MG/10ML (0.1 MG/ML)|J0171|76329331601|27.34||27.34 PEMBINA COUNTY MEDICAL CENTER|6360005|Epinephrine PF Soln Prefilled Syringe 1 MG/10ML (0.1 MG/ML)|J0171|00409492120|25.50||25.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Epinephrine PF Inj 1 MG/ML|J0171|54288010301|45.35||45.35 PEMBINA COUNTY MEDICAL CENTER|6360005|Epinephrine PF Inj 1 MG/ML|J0171|54288010310|45.35||45.35 PEMBINA COUNTY MEDICAL CENTER|6360005|Zoster Vac Recombinant Adjuvanted for IM Inj 50 MCG/0.5ML|90750|58160082311|204.77||204.77 PEMBINA COUNTY MEDICAL CENTER|6360005|Zoster Vac Recombinant Adjuvanted for IM Inj 50 MCG/0.5ML|90750|58160082303|204.77||204.77 PEMBINA COUNTY MEDICAL CENTER|6360005|Zoster Vac Recombinant Adjuvanted for IM Inj 50 MCG/0.5ML|90750|58160082803|204.77||204.77 PEMBINA COUNTY MEDICAL CENTER|6360005|Measles-Mumps-Rubella-Varicella Virus Vaccines For Susp|90710|00006417100|294.70||294.70 PEMBINA COUNTY MEDICAL CENTER|6360005|Measles-Mumps-Rubella-Varicella Virus Vaccines For Susp|90710|00006417101|294.70||294.70 PEMBINA COUNTY MEDICAL CENTER|6360005|Vancomycin HCl For IV Soln 1 GM (Base Equivalent)|J3370|00409653301|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Vancomycin HCl For IV Soln 1 GM (Base Equivalent)|J3370|70860010520|23.11||23.11 PEMBINA COUNTY MEDICAL CENTER|6360005|Vancomycin HCl For IV Soln 1 GM (Base Equivalent)|J3370|51991094117|25.73||25.73 PEMBINA COUNTY MEDICAL CENTER|6360005|Vancomycin HCl For IV Soln 1 GM (Base Equivalent)|J3370|51991094199|25.74||25.74 PEMBINA COUNTY MEDICAL CENTER|6360005|Cefazolin Sodium For Inj 1 GM|J0690|00143992490|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Cefazolin Sodium For Inj 1 GM|J0690|00409080501|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Cefazolin Sodium For Inj 1 GM|J0690|00409080511|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Morphine Sulfate Inj PF 1 MG/ML|J2274|00641601901|55.68||55.68 PEMBINA COUNTY MEDICAL CENTER|6360005|Morphine Sulfate Inj PF 1 MG/ML|J2274|00641601910|55.68||55.68 PEMBINA COUNTY MEDICAL CENTER|6360005|Dextrose 5% w/ Sodium Chloride 0.45%|J7799|00338008504|41.73|S5010|41.73 PEMBINA COUNTY MEDICAL CENTER|6360005|Dextrose 5% w/ Sodium Chloride 0.9%|J7042|00338008904|41.73||41.73 PEMBINA COUNTY MEDICAL CENTER|6360005|Cefepime HCl For Inj 2 GM|J0692|60505614700|35.19||35.19 PEMBINA COUNTY MEDICAL CENTER|6360005|Cefepime HCl For Inj 2 GM|J0692|60505614704|35.19||35.19 PEMBINA COUNTY MEDICAL CENTER|6360005|Gemcitabine HCl For Inj 1 GM|J9201|25021023550|139.27||139.27 PEMBINA COUNTY MEDICAL CENTER|6360005|Piperacillin Sod-Tazobactam Sod For Inj 4.5 GM (4-0.5 GM)|J2543|39822012705|44.68||44.68 PEMBINA COUNTY MEDICAL CENTER|6360005|Piperacillin Sod-Tazobactam Sod For Inj 4.5 GM (4-0.5 GM)|J2543|39822012706|44.68||44.68 PEMBINA COUNTY MEDICAL CENTER|6360005|Piperacillin Sod-Tazobactam Sod For Inj 4.5 GM (4-0.5 GM)|J2543|64679001201|41.58||41.58 PEMBINA COUNTY MEDICAL CENTER|6360005|Piperacillin Sod-Tazobactam Na For Inj 3.375 GM (3-0.375 GM)|J2543|55150012030|22.90||22.90 PEMBINA COUNTY MEDICAL CENTER|6360005|Piperacillin Sod-Tazobactam Na For Inj 3.375 GM (3-0.375 GM)|J2543|67457052200|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Piperacillin Sod-Tazobactam Na For Inj 3.375 GM (3-0.375 GM)|J2543|67457052237|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Piperacillin Sod-Tazobactam Sod For Inj 2.25 GM (2-0.25 GM)|J2543|55150011930|26.19||26.19 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 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 PEMBINA COUNTY MEDICAL CENTER|6360005|Cyanocobalamin Inj 1000 MCG/ML|J3420|70069000501|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Cyanocobalamin Inj 1000 MCG/ML|J3420|70069000510|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Leuprolide Acetate (3 Month) For Inj Kit 22.5 MG|J9217|00074334603|5,000.50||5,000.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Azithromycin IV For Soln 500 MG|J0456|00069040001|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Azithromycin IV For Soln 500 MG|J0456|00069040010|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Leuprolide Acetate (4 Month) For Inj Kit 30 MG|J9217|00074368303|10,615.06||10,615.06 PEMBINA COUNTY MEDICAL CENTER|6360005|BCG Live Intravesical For Susp 50 MG|J9031|00052060202|432.36||432.36 PEMBINA COUNTY MEDICAL CENTER|6360005|Ketorolac Tromethamine Inj 30 MG/ML|J1885|00409379501|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Ketorolac Tromethamine Inj 30 MG/ML|J1885|00409379519|22.50|| PEMBINA COUNTY MEDICAL CENTER|6360005|Dexamethasone Sodium Phosphate Inj 10 MG/ML|J1100|00641036721|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Dexamethasone Sodium Phosphate Inj 10 MG/ML|J1100|00641036725|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Infliximab For IV Inj 100 MG|J1745|57894003001|3,094.74||3,094.74 PEMBINA COUNTY MEDICAL CENTER|6360005|Digoxin Inj 0.25 MG/ML|J1160|00781305995|33.64||33.64 PEMBINA COUNTY MEDICAL CENTER|6360005|Digoxin Inj 0.25 MG/ML|J1160|00641141031|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Digoxin Inj 0.25 MG/ML|J1160|00641141035|30.89||30.89 PEMBINA COUNTY MEDICAL CENTER|6360005|Digoxin Inj 0.25 MG/ML|J1160|00781305972|33.64||33.64 PEMBINA COUNTY MEDICAL CENTER|6360005|Diphenhydramine HCl Inj 50 MG/ML|J1200|67457012410|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Diphenhydramine HCl Inj 50 MG/ML|J1200|00641037621|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Diphenhydramine HCl Inj 50 MG/ML|J1200|00641037625|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Doxorubicin HCl Inj 2 MG/ML|J9000|00703504601|109.82||109.82 PEMBINA COUNTY MEDICAL CENTER|6360005|Hepatitis B Vaccine (Recombinant) Susp 10 MCG/0.5ML|90744|58160082052|22.37||22.37 PEMBINA COUNTY MEDICAL CENTER|6360005|Hepatitis B Vaccine (Recombinant) Susp 10 MCG/0.5ML|90744|58160082043|22.37||22.37 PEMBINA COUNTY MEDICAL CENTER|6360005|Hepatitis B Vaccine (Recombinant) Susp 20 MCG/ML|90746|58160082143|79.12||79.12 PEMBINA COUNTY MEDICAL CENTER|6360005|Hepatitis B Vaccine (Recombinant) Susp 20 MCG/ML|90746|58160082152|79.12||79.12 PEMBINA COUNTY MEDICAL CENTER|6360005|Tenecteplase For IV Soln Kit 50 MG|J3101|50242012001|10,672.98||10,672.98 PEMBINA COUNTY MEDICAL CENTER|6360005|Iron Sucrose Inj 20 MG/ML (Fe Equiv)|J1756|00517234010|152.09||152.09 PEMBINA COUNTY MEDICAL CENTER|6360005|Paclitaxel IV Conc 30 MG/5ML (6 MG/ML)|J9267|70860020005|106.00||106.00 PEMBINA COUNTY MEDICAL CENTER|6360005|Paclitaxel IV Conc 100 MG/16.7ML (6 MG/ML)|J9267|45963061353|125.72||125.72 PEMBINA COUNTY MEDICAL CENTER|6360005|Alteplase For Inj 2 MG|J2997|50242004164|368.12||368.12 PEMBINA COUNTY MEDICAL CENTER|6360005|Furosemide Inj 10 MG/ML|J1940|23155047332|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Furosemide Inj 10 MG/ML|J1940|23155047342|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Gentamicin Sulfate Inj 40 MG/ML|J1580|00409120703|22.50||22.50,22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Diph-Tetanus Tox-Acell Pert-Hepatitis B-Polio IPV Vac Inj|90723|58160081152|108.95||108.95 PEMBINA COUNTY MEDICAL CENTER|6360005|Diph-Tetanus Tox-Acell Pert-Hepatitis B-Polio IPV Vac Inj|90723|58160081143|108.95||108.95 PEMBINA COUNTY MEDICAL CENTER|6360005|Zoledronic Acid Inj Conc For IV Infusion 4 MG/5ML|J3489|67457039054|56.10||56.10 PEMBINA COUNTY MEDICAL CENTER|6360005|Haloperidol Lactate Inj 5 MG/ML|J1630|63323047401|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Daptomycin For IV Soln 500 MG|J0878|00703012501|954.01||954.01 PEMBINA COUNTY MEDICAL CENTER|6360005|Hydromorphone HCl Inj 2 MG/ML|J1170|00409336501|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Hydromorphone HCl Inj 2 MG/ML|J1170|00409336511|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Hydroxyzine HCl IM Soln 50 MG/ML|J3410|00517560125|41.36||41.36 PEMBINA COUNTY MEDICAL CENTER|6360005|Cetuximab IV Soln 100 MG/50ML (2 MG/ML)|J9055|66733094823|1,407.42||1,407.42 PEMBINA COUNTY MEDICAL CENTER|6360005|Adenosine IV Soln 6 MG/2ML|J0153|17478054202|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Flumazenil IV Soln 0.5 MG/5ML (0.1 MG/ML)|J3490|00143978410|42.15||42.15 PEMBINA COUNTY MEDICAL CENTER|6360005|Flumazenil IV Soln 0.5 MG/5ML (0.1 MG/ML)|J3490|00143978401|42.15||42.15 PEMBINA COUNTY MEDICAL CENTER|6360005|Tobramycin Sulfate Inj 80 MG/2ML (40 MG/ML) (Base Equiv)|J3260|00703940201|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Tobramycin Sulfate Inj 80 MG/2ML (40 MG/ML) (Base Equiv)|J3260|00703940204|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Ranitidine HCl Inj 50 MG/2ML (25 MG/ML)|J2780|68382042202|53.53||53.53 PEMBINA COUNTY MEDICAL CENTER|6360005|Paclitaxel Protein-Bound Particles For IV Susp 100 MG|J9264|68817013450|3,521.67||3,521.67 PEMBINA COUNTY MEDICAL CENTER|6360005|Meningococcal (A, C, Y, and W-135) Conjugate Vaccine Inj|90734|49281058905|167.29||167.29 PEMBINA COUNTY MEDICAL CENTER|6360005|Meningococcal (A, C, Y, and W-135) Conjugate Vaccine Inj|90734|49281058958|167.29||167.29 PEMBINA COUNTY MEDICAL CENTER|6360005|Tet Tox-Diph-Acell Pertuss Ad Inj 5-2.5-18.5 LF-LF-MCG/0.5ML|90715|58160084252|54.85||54.85 PEMBINA COUNTY MEDICAL CENTER|6360005|Tet Tox-Diph-Acell Pertuss Ad Inj 5-2.5-18.5 LF-LF-MCG/0.5ML|90715|58160084243|54.85||54.85 PEMBINA COUNTY MEDICAL CENTER|6360005|Glucagon HCl (rDNA) Diagnostic For Inj 1 MG (Base Equiv)|J1610|00597026010|276.14||276.14,276.14 PEMBINA COUNTY MEDICAL CENTER|6360005|Phytonadione Inj 1 MG/0.5ML (2 MG/ML)|J3430|00409915701|27.22||27.22 PEMBINA COUNTY MEDICAL CENTER|6360005|Tet Tox-Diph-Acell Pertuss Ad Inj 5-2-15.5 LF-LF-MCG/0.5ML|90715|49281040015|53.05||53.05 PEMBINA COUNTY MEDICAL CENTER|6360005|Tet Tox-Diph-Acell Pertuss Ad Inj 5-2-15.5 LF-LF-MCG/0.5ML|90715|49281040088|53.05||53.05 PEMBINA COUNTY MEDICAL CENTER|6360005|Tet Tox-Diph-Acell Pertuss Ad Inj 5-2-15.5 LF-LF-MCG/0.5ML|90715|49281040020|53.05||53.05 PEMBINA COUNTY MEDICAL CENTER|6360005|Tet Tox-Diph-Acell Pertuss Ad Inj 5-2-15.5 LF-LF-MCG/0.5ML|90715|49281040089|53.05||53.05 PEMBINA COUNTY MEDICAL CENTER|6360005|Palivizumab IM Soln 100 MG/ML|90378|60574411301|6,517.25||6,517.25 PEMBINA COUNTY MEDICAL CENTER|6360005|Ampicillin Sodium For Inj 1 GM|J0290|55150011310|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Ampicillin Sodium For Inj 2 GM|J0290|55150011420|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Mannitol IV Soln 25%|J2150|63323002425|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Meperidine HCl Inj 50 MG/ML|J2175|00409117830|34.37||34.37 PEMBINA COUNTY MEDICAL CENTER|6360005|Meperidine HCl Inj 50 MG/ML|J2175|00409117803|34.37||34.37 PEMBINA COUNTY MEDICAL CENTER|6360005|Naloxone HCl Inj 0.4 MG/ML|J2310|00409178269|58.68||58.68 PEMBINA COUNTY MEDICAL CENTER|6360005|Oxytocin Inj 10 Unit/ML|J2590|42023011625|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Phenylephrine HCl Inj 10 MG/ML|J2370|00641614201|26.88||26.88 PEMBINA COUNTY MEDICAL CENTER|6360005|Phenylephrine HCl Inj 10 MG/ML|J2370|00641614225|26.88||26.88 PEMBINA COUNTY MEDICAL CENTER|6360005|Promethazine HCl Inj 25 MG/ML|J2550|00641092821|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Promethazine HCl Inj 25 MG/ML|J2550|00641092825|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Succinylcholine Chloride Inj 20 MG/ML|J0330|00409662902|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Levetiracetam Inj 500 MG/5ML (100 MG/ML)|J1953|55150017705|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Dobutamine HCl Inj 12.5 MG/ML|J1250|00409234402|31.12||31.12 PEMBINA COUNTY MEDICAL CENTER|6360005|Tetanus Immune Globulin (Human) Inj 250 Unit/ML|J1670|13533063402|620.51||620.51 PEMBINA COUNTY MEDICAL CENTER|6360005|Thiamine HCl Inj 100 MG/ML|J3411|63323001302|53.40||53.40 PEMBINA COUNTY MEDICAL CENTER|6360005|Zoledronic Acid IV Soln 5 MG/100ML|J3489|25021083082|380.50||380.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Vancomycin HCl For IV Soln 500 MG (Base Equivalent)|J3370|00409433201|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Vancomycin HCl For IV Soln 500 MG (Base Equivalent)|J3370|70860010410|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Verapamil HCl IV Soln 2.5 MG/ML|J3490|00409114402|104.28||104.28 PEMBINA COUNTY MEDICAL CENTER|6360005|Vinblastine Sulfate Inj 1 MG/ML|J9360|63323027810|166.03||166.03 PEMBINA COUNTY MEDICAL CENTER|6360005|Phytonadione Inj 10 MG/ML|J3430|00409915801|174.44||174.44 PEMBINA COUNTY MEDICAL CENTER|6360005|Albumin, Human Inj 25%|P9047|68516521602|257.54||257.54 PEMBINA COUNTY MEDICAL CENTER|6360005|Albumin, Human Inj 25%|P9047|68516521604|128.77||128.77 PEMBINA COUNTY MEDICAL CENTER|6360005|Alteplase For Inj 100 MG|J2997|50242008527|15,717.98||15,717.98 PEMBINA COUNTY MEDICAL CENTER|6360005|Ampicillin & Sulbactam Sodium For Inj 1.5 (1-0.5) GM|J0295|67457034815|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Ampicillin & Sulbactam Sodium For Inj 1.5 (1-0.5) GM|J0295|67457034810|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Ampicillin & Sulbactam Sodium For Inj 3 (2-1) GM|J0295|67457034903|24.29||24.29 PEMBINA COUNTY MEDICAL CENTER|6360005|Ampicillin & Sulbactam Sodium For Inj 3 (2-1) GM|J0295|67457034910|24.29||24.29 PEMBINA COUNTY MEDICAL CENTER|6360005|Hepatitis A Vaccine Inj Susp 720 EL Unit/0.5ML|90633|58160082501|82.58|| PEMBINA COUNTY MEDICAL CENTER|6360005|Hepatitis A Vaccine Inj Susp 720 EL Unit/0.5ML|90633|58160082552|47.52||47.52 PEMBINA COUNTY MEDICAL CENTER|6360005|Hepatitis A Vaccine Inj Susp 720 EL Unit/0.5ML|90633|58160082543|47.52||47.52 PEMBINA COUNTY MEDICAL CENTER|6360005|Hepatitis A Vaccine Inj Susp 1440 EL Unit/ML|90632|58160082652|93.32||93.32 PEMBINA COUNTY MEDICAL CENTER|6360005|Irinotecan HCl Inj 100 MG/5ML (20 MG/ML)|J9206|00143970101|182.04||182.04 PEMBINA COUNTY MEDICAL CENTER|6360005|Irinotecan HCl Inj 100 MG/5ML (20 MG/ML)|J9206|63323019355|121.63||121.63 PEMBINA COUNTY MEDICAL CENTER|6360005|Diph-Tetanus Tox Ad-Acell Pert & Polio Virus, IPV Vac Inj|90696|58160081252|69.73||69.73 PEMBINA COUNTY MEDICAL CENTER|6360005|Diph-Tetanus Tox Ad-Acell Pert & Polio Virus, IPV Vac Inj|90696|58160081243|69.73||69.73 PEMBINA COUNTY MEDICAL CENTER|6360005|Amiodarone HCl Inj 150 MG/3ML (50 MG/ML)|J0282|63323061603|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Midazolam HCl Inj 5 MG/5ML (Base Equivalent)|J2250|63323041125|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Midazolam HCl Inj 5 MG/5ML (Base Equivalent)|J2250|00409230505|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Midazolam HCl Inj 5 MG/5ML (Base Equivalent)|J2250|00641605901|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Midazolam HCl Inj 5 MG/5ML (Base Equivalent)|J2250|00641605910|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Midazolam HCl Inj 5 MG/5ML (Base Equivalent)|J2250|63323041118|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Midazolam HCl Inj 10 MG/2ML (Base Equivalent)|J2250|00409230802|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Ceftriaxone Sodium For Inj 1 GM|J0696|00409733201|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Ceftriaxone Sodium For Inj 1 GM|J0696|00409733211|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Ceftriaxone Sodium For Inj 2 GM|J0696|00409733503|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Ceftriaxone Sodium For Inj 250 MG|J0696|00409733701|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Ceftriaxone Sodium For Inj 250 MG|J0696|00409733711|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Ceftriaxone Sodium For Inj 500 MG|J0696|00409733801|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Degarelix Acetate For Inj 80 MG (Base Equiv)|J9155|55566830301|804.08||804.08 PEMBINA COUNTY MEDICAL CENTER|6360005|Degarelix Acetate For Inj 120 MG (Base Equiv)|J9155|55566840301|1,253.66||1,253.66 PEMBINA COUNTY MEDICAL CENTER|6360005|Ketorolac Tromethamine IM Inj 60 MG/2ML (30 MG/ML)|J1885|00409379601|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Ketorolac Tromethamine IM Inj 60 MG/2ML (30 MG/ML)|J1885|00409379619|22.50||22.50 PEMBINA COUNTY MEDICAL CENTER|6360005|Ferumoxytol Inj 510 MG/17ML (30 MG/ML) (Elemental Fe)|Q0138|59338077501|2,119.49||2,119.49 PEMBINA COUNTY MEDICAL CENTER|6370005|Finasteride Tab 5 MG||65862014990|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Fluconazole Tab 100 MG||00904650061|4.33|| PEMBINA COUNTY MEDICAL CENTER|6370005|Fluconazole Tab 100 MG||67405060203|3.99||3.99 PEMBINA COUNTY MEDICAL CENTER|6370005|Fludrocortisone Acetate Tab 0.1 MG||00555099702|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Fluoxetine HCl Cap 20 MG||00904578561|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Fluoxetine HCl Cap 20 MG||00781282201|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Acetaminophen Tab 325 MG||63739044001|0.50||0.50 PEMBINA COUNTY MEDICAL CENTER|6370005|Acetaminophen Tab 325 MG||00904198261|0.50||0.50 PEMBINA COUNTY MEDICAL CENTER|6370005|Glipizide Tab 5 MG||00904663761|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Acetaminophen Tab 500 MG||00904198861|0.50||0.50 PEMBINA COUNTY MEDICAL CENTER|6370005|Acetaminophen Tab 500 MG||00904673061|0.50||0.50 PEMBINA COUNTY MEDICAL CENTER|6370005|Ibuprofen Susp 100 MG/5ML||68094050359|25.50||25.50 PEMBINA COUNTY MEDICAL CENTER|6370005|Ibuprofen Susp 100 MG/5ML||68094050362|25.50||25.50 PEMBINA COUNTY MEDICAL CENTER|6370005|Acetaminophen Suppos 120 MG||00713011812|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Acetaminophen Suppos 120 MG||45802073230|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Labetalol HCl Tab 100 MG||51079092801|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Labetalol HCl Tab 100 MG||51079092820|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Levobunolol HCl Ophth Soln 0.5%||60758006005|22.22||22.22 PEMBINA COUNTY MEDICAL CENTER|6370005|Acetaminophen Suppos 325 MG||00713016412|4.28||4.28 PEMBINA COUNTY MEDICAL CENTER|6370005|Levothyroxine Sodium Tab 88 MCG||00378180777|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Levothyroxine Sodium Tab 112 MCG||00378181177|3.78||3.78 PEMBINA COUNTY MEDICAL CENTER|6370005|Lisinopril Tab 5 MG||00378207301|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Lisinopril Tab 5 MG||00185060501|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Loratadine Tab 10 MG||16714048201|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Loratadine Tab 10 MG||16714048202|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Acetaminophen Suppos 650 MG||00713016506|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Acetaminophen Suppos 650 MG||00713016512|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Acetaminophen Suppos 650 MG||45802073000|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Acetaminophen Suppos 650 MG||45802073030|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Metformin HCl Tab 500 MG||63739064010|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Metolazone Tab 2.5 MG||00378617201|7.47||7.47 PEMBINA COUNTY MEDICAL CENTER|6370005|Bisacodyl Tab Delayed Release 5 MG||00904640761|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Bisacodyl Suppos 10 MG||00713010906|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Bisacodyl Suppos 10 MG||00713010901|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Oxycodone HCl Tab 5 MG||68308050547|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Oxycodone HCl Tab 5 MG||00904644461|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Oxycodone HCl Tab 5 MG||63739036510|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|PEG 3350-KCl-Na Bicarb-NaCl-Na Sulfate For Soln 236 GM||52268010001|24.47||24.47 PEMBINA COUNTY MEDICAL CENTER|6370005|Paroxetine HCl Tab 20 MG||51079077420|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Paroxetine HCl Tab 20 MG||51079077401|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Pravastatin Sodium Tab 10 MG||60505016809|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Pravastatin Sodium Tab 40 MG||60505017009|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Prednisolone Syrup 15 MG/5ML (USP Solution Equivalent)|J7510|00603156756|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Prochlorperazine Suppos 25 MG|99070|00574722612|26.04||26.04,36.43 PEMBINA COUNTY MEDICAL CENTER|6370005|Promethazine HCl Suppos 25 MG||00591299239|27.77||27.77 PEMBINA COUNTY MEDICAL CENTER|6370005|Vilazodone HCl Tab 10 MG||00456111030|32.72||32.72 PEMBINA COUNTY MEDICAL CENTER|6370005|Rivaroxaban Tab 10 MG||50458058030|38.06||38.06 PEMBINA COUNTY MEDICAL CENTER|6370005|Ramipril Cap 2.5 MG||00054010720|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Ramipril Cap 5 MG||00054010820|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Ranitidine HCl Tab 150 MG||60687032201|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Ranitidine HCl Tab 150 MG||60687032211|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Sertraline HCl Tab 50 MG||60687024201|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Sertraline HCl Tab 50 MG||60687024211|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Simvastatin Tab 20 MG||63739057210|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Simvastatin Tab 40 MG||16714068402|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Multiple Vitamin Tab||00904053061|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Sucralfate Tab 1 GM||63739094310|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Timolol Maleate Ophth Soln 0.25%||61314022605|15.39||15.39 PEMBINA COUNTY MEDICAL CENTER|6370005|Timolol Maleate Ophth Soln 0.5%||17478028810|25.35||25.35 PEMBINA COUNTY MEDICAL CENTER|6370005|Sulfamethoxazole-Trimethoprim Tab 800-160 MG||63739022810|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Warfarin Sodium Tab 1 MG||00056016901|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Warfarin Sodium Tab 1 MG||00056016975|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Zolpidem Tartrate Tab 5 MG||51079072401|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Zolpidem Tartrate Tab 5 MG||51079072420|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Morphine Sulfate Oral Soln 100 MG/5ML (20 MG/ML)||00054040444|37.82||37.82 PEMBINA COUNTY MEDICAL CENTER|6370005|Potassium Chloride Tab ER 8 mEq (600 MG)||66758011001|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Venlafaxine HCl Tab 50 MG||00378488301|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Venlafaxine HCl Tab 50 MG||16714065701|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Apixaban Tab 5 MG||00003089421|25.91||25.91 PEMBINA COUNTY MEDICAL CENTER|6370005|Morphine Sulfate Tab ER 15 MG||63304045001|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Oxycodone HCl Tab ER 12HR Deter 10 MG||59011041020|19.30||19.30 PEMBINA COUNTY MEDICAL CENTER|6370005|Oxycodone HCl Tab ER 12HR Deter 20 MG||59011042020|21.84||21.84 PEMBINA COUNTY MEDICAL CENTER|6370005|Phenylephrine-Mineral Oil-Petrolatum Oint 0.25-14-74.9%||00904635602|12.96||12.96 PEMBINA COUNTY MEDICAL CENTER|6370005|Cetirizine HCl Oral Soln 1 MG/ML (5 MG/5ML)||23155029251|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Cetirizine HCl Oral Soln 1 MG/ML (5 MG/5ML)||68094000459|12.27||12.27 PEMBINA COUNTY MEDICAL CENTER|6370005|Cetirizine HCl Oral Soln 1 MG/ML (5 MG/5ML)||68094000462|12.27||12.27 PEMBINA COUNTY MEDICAL CENTER|6370005|Verapamil HCl Tab ER 120 MG||68462029201|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Aspirin Tab Delayed Release 325 MG||00536331301|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Aspirin Tab Delayed Release 325 MG||00904671260|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Acetaminophen w/ Codeine Tab 300-30 MG||00406048462|3.75||3.75,3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Acetaminophen w/ Codeine Tab 300-30 MG||00406048423|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Polyvinyl Alcohol-Povidone (PF) Ophth Soln 1.4-0.6%||00023050650|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Terazosin HCl Cap 1 MG (Base Equivalent)||00781205101|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Terazosin HCl Cap 5 MG (Base Equivalent)||00781205301|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Verapamil HCl Tab ER 180 MG||68462029301|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Tramadol HCl Tab 50 MG||63739067110|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Losartan Potassium Tab 25 MG||65862020190|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Losartan Potassium Tab 50 MG||43547036109|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Ibuprofen Susp 40 MG/ML||00904546335|7.50||7.50 PEMBINA COUNTY MEDICAL CENTER|6370005|Carvedilol Tab 6.25 MG||51079093001|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Carvedilol Tab 6.25 MG||51079093020|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Carvedilol Tab 6.25 MG||00904630161|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Carvedilol Tab 12.5 MG||00904630261|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Azithromycin For Susp 200 MG/5ML||59762314001|45.73||45.73 PEMBINA COUNTY MEDICAL CENTER|6370005|Acetaminophen w/ Codeine Tab 300-60 MG||68084037301|4.94||4.94 PEMBINA COUNTY MEDICAL CENTER|6370005|Acetaminophen w/ Codeine Tab 300-60 MG||68084037311|4.94||4.94 PEMBINA COUNTY MEDICAL CENTER|6370005|Chlordiazepoxide HCl Cap 5 MG||00555015802|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Diphenhydramine-Zinc Acetate Cream 2-0.1%||45802035803|8.12||8.12 PEMBINA COUNTY MEDICAL CENTER|6370005|Glimepiride Tab 2 MG||00093725501|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Glimepiride Tab 4 MG||16729000301|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Chlorthalidone Tab 25 MG||00378022201|5.60||5.60 PEMBINA COUNTY MEDICAL CENTER|6370005|Paroxetine HCl Tab 10 MG||63739088810|6.07||6.07 PEMBINA COUNTY MEDICAL CENTER|6370005|Clindamycin HCl Cap 150 MG||63304069201|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Mirtazapine Tab 15 MG||16714070701|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Mirtazapine Tab 15 MG||00093720656|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Clonidine HCl Tab 0.1 MG||63739006010|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Brimonidine Tartrate Ophth Soln 0.2%||61314014305|26.49||26.49 PEMBINA COUNTY MEDICAL CENTER|6370005|Olanzapine Tab 5 MG||43598016430|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Dexamethasone Conc 1 MG/ML|J8540|00054317644|6.25||6.25 PEMBINA COUNTY MEDICAL CENTER|6370005|Bisoprolol Fumarate Tab 5 MG||00185077130|4.19||4.19 PEMBINA COUNTY MEDICAL CENTER|6370005|Bisoprolol Fumarate Tab 5 MG||29300012613|4.51||4.51 PEMBINA COUNTY MEDICAL CENTER|6370005|Gabapentin Cap 300 MG||68084076201|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Gabapentin Cap 300 MG||68084076211|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Gabapentin Cap 100 MG||00904563161|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Risperidone Tab 1 MG||00904635961|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Bupropion HCl Tab ER 12HR 150 MG||00185041560|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Bupropion HCl Tab ER 12HR 150 MG||00904658561|3.77||3.77 PEMBINA COUNTY MEDICAL CENTER|6370005|Carvedilol Tab 3.125 MG||00904630061|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Latanoprost Ophth Soln 0.005%||59762033302|23.69||23.69 PEMBINA COUNTY MEDICAL CENTER|6370005|Donepezil Hydrochloride Tab 10 MG||43547027609|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Levofloxacin Tab 500 MG||31722072250|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Topiramate Tab 25 MG||68084034201|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Topiramate Tab 25 MG||68084034211|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Topiramate Tab 25 MG||50268075011|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Topiramate Tab 25 MG||50268075015|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Topiramate Tab 100 MG||68084034401|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Topiramate Tab 100 MG||68084034411|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Atorvastatin Calcium Tab 40 MG (Base Equivalent)||60505258009|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Atorvastatin Calcium Tab 20 MG (Base Equivalent)||60505257909|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Atorvastatin Calcium Tab 20 MG (Base Equivalent)||00904629161|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Atorvastatin Calcium Tab 20 MG (Base Equivalent)||50268009411|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Atorvastatin Calcium Tab 20 MG (Base Equivalent)||50268009415|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Diclofenac Sodium Ophth Soln 0.1%||61314001425|28.15||28.15 PEMBINA COUNTY MEDICAL CENTER|6370005|Cyclobenzaprine HCl Tab 10 MG||00904780961|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Meloxicam Tab 15 MG||68382005101|3.75|| PEMBINA COUNTY MEDICAL CENTER|6370005|Charcoal Activated-Sorbitol Liq||00574012074|53.29||53.29 PEMBINA COUNTY MEDICAL CENTER|6370005|Azithromycin Tab 250 MG||50111078710|7.51||7.51 PEMBINA COUNTY MEDICAL CENTER|6370005|Citalopram Hydrobromide Tab 20 MG (Base Equiv)||00904608561|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Pramipexole Dihydrochloride Tab 0.125 MG||33342003110|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Pramipexole Dihydrochloride Tab 1 MG||33342003410|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Pentoxifylline Tab ER 400 MG||60505003306|3.75|| PEMBINA COUNTY MEDICAL CENTER|6370005|Ropinirole Hydrochloride Tab 0.25 MG||43547026810|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Ropinirole Hydrochloride Tab 1 MG||62332003231|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Quetiapine Fumarate Tab 25 MG||16714045201|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Quetiapine Fumarate Tab 100 MG||16729014701|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Clopidogrel Bisulfate Tab 75 MG (Base Equiv)||47335089481|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Montelukast Sodium Tab 10 MG (Base Equiv)||50268057511|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Montelukast Sodium Tab 10 MG (Base Equiv)||50268057515|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Losartan Potassium Tab 100 MG||65862020390|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Dorzolamide HCl-Timolol Maleate Ophth Soln 22.3-6.8 MG/ML||50383023310|40.90||40.90 PEMBINA COUNTY MEDICAL CENTER|6370005|Dexamethasone Elixir 0.5 MG/5ML||60432046608|5.27||5.27 PEMBINA COUNTY MEDICAL CENTER|6370005|Dexamethasone Tab 4 MG|J8540|00054418425|6.33||6.33 PEMBINA COUNTY MEDICAL CENTER|6370005|Diazepam Tab 5 MG||63739007310|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Sennosides-Docusate Sodium Tab 8.6-50 MG||63739043210|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Isosorbide Mononitrate Tab ER 24HR 60 MG||23155017801|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Digoxin Tab 125 MCG (0.125 MG)||16714059001|4.62||4.62 PEMBINA COUNTY MEDICAL CENTER|6370005|Oxybutynin Chloride Tab ER 24HR 5 MG||62175027037|5.78||5.78 PEMBINA COUNTY MEDICAL CENTER|6370005|Isosorbide Mononitrate Tab ER 24HR 30 MG||23155051901|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Neomycin-Bacitracin-Polymyxin Oint||45802014370|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Neomycin-Bacitracin-Polymyxin Oint||45802014303|11.64||11.64 PEMBINA COUNTY MEDICAL CENTER|6370005|Neomycin-Bacitracin-Polymyxin Oint||00713026831|17.20||17.20 PEMBINA COUNTY MEDICAL CENTER|6370005|Diltiazem HCl Tab 60 MG||00378004501|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Diltiazem HCl Tab 60 MG||00093031901|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Polyethylene Glycol 3350 Oral Powder||45802086803|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Diphenhydramine HCl Elixir 12.5 MG/5ML||00121048905|11.26||11.26 PEMBINA COUNTY MEDICAL CENTER|6370005|Diphenhydramine HCl Elixir 12.5 MG/5ML||00121048900|11.26||11.26 PEMBINA COUNTY MEDICAL CENTER|6370005|Ciprofloxacin HCl Tab 500 MG (Base Equiv)||63739055910|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Diphenoxylate w/ Atropine Tab 2.5-0.025 MG||59762106101|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Polyethylene Glycol 3350 Oral Packet||00904642281|10.29||10.29 PEMBINA COUNTY MEDICAL CENTER|6370005|Polyethylene Glycol 3350 Oral Packet||00904642286|7.72||7.72 PEMBINA COUNTY MEDICAL CENTER|6370005|Divalproex Sodium Tab Delayed Release 125 MG||60687021111|7.66||7.66 PEMBINA COUNTY MEDICAL CENTER|6370005|Divalproex Sodium Tab Delayed Release 125 MG||60687021121|7.66||7.66 PEMBINA COUNTY MEDICAL CENTER|6370005|Risperidone Tab 0.25 MG||00904635761|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Divalproex Sodium Tab Delayed Release 250 MG||68084077601|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Divalproex Sodium Tab Delayed Release 250 MG||68084077611|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Risperidone Tab 0.5 MG||00904635861|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Pioglitazone HCl Tab 30 MG (Base Equiv)||33342005507|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Docusate Sodium Cap 100 MG||63739047810|3.75|| PEMBINA COUNTY MEDICAL CENTER|6370005|Gabapentin Tab 600 MG||16714033001|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Doxycycline Hyclate Tab 100 MG||67405055055|3.82||3.82 PEMBINA COUNTY MEDICAL CENTER|6370005|Oseltamivir Phosphate Cap 75 MG (Base Equiv)||47781047013|35.31||35.31 PEMBINA COUNTY MEDICAL CENTER|6370005|Oseltamivir Phosphate Cap 75 MG (Base Equiv)||64380079901|32.57||32.57 PEMBINA COUNTY MEDICAL CENTER|6370005|Levetiracetam Tab 500 MG||00904605261|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Levetiracetam Tab 500 MG||63739041110|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Nitroglycerin TL Soln 0.4 MG/SPRAY (400 MCG/SPRAY)||45802021001|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Nitroglycerin TL Soln 0.4 MG/SPRAY (400 MCG/SPRAY)||99408001101|20.00||20.00 PEMBINA COUNTY MEDICAL CENTER|6370005|Trolamine Salicylate Cream 10%||41167005701|14.31||14.31 PEMBINA COUNTY MEDICAL CENTER|6370005|Omeprazole Cap Delayed Release 20 MG||68084012801|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Omeprazole Cap Delayed Release 20 MG||68084012811|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Ondansetron Orally Disintegrating Tab 4 MG|Q0162|00781523864|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Ondansetron Orally Disintegrating Tab 4 MG|Q0162|00781523806|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Venlafaxine HCl Cap ER 24HR 37.5 MG (Base Equivalent)||68382003406|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Venlafaxine HCl Cap ER 24HR 75 MG (Base Equivalent)||00093738556|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Nicotine TD Patch 24HR 7 MG/24HR||43598044670|12.72||12.72 PEMBINA COUNTY MEDICAL CENTER|6370005|Nicotine TD Patch 24HR 7 MG/24HR||43598044671|12.72||12.72 PEMBINA COUNTY MEDICAL CENTER|6370005|Nicotine TD Patch 24HR 14 MG/24HR||00536589588|9.77||9.77 PEMBINA COUNTY MEDICAL CENTER|6370005|Nicotine TD Patch 24HR 14 MG/24HR||43598044770|12.72||12.72 PEMBINA COUNTY MEDICAL CENTER|6370005|Nicotine TD Patch 24HR 14 MG/24HR||43598044771|12.72||12.72 PEMBINA COUNTY MEDICAL CENTER|6370005|Nicotine TD Patch 24HR 14 MG/24HR||00536589553|9.88||9.88 PEMBINA COUNTY MEDICAL CENTER|6370005|Nicotine TD Patch 24HR 21 MG/24HR||00067512607|11.18||11.18 PEMBINA COUNTY MEDICAL CENTER|6370005|Fentanyl TD Patch 72HR 25 MCG/HR||00406902576|27.81||27.81 PEMBINA COUNTY MEDICAL CENTER|6370005|Fentanyl TD Patch 72HR 50 MCG/HR||00406905076|35.28||35.28 PEMBINA COUNTY MEDICAL CENTER|6370005|Fentanyl TD Patch 72HR 75 MCG/HR||60505700800|22.82||22.82 PEMBINA COUNTY MEDICAL CENTER|6370005|Fentanyl TD Patch 72HR 75 MCG/HR||60505700802|22.82||22.82 PEMBINA COUNTY MEDICAL CENTER|6370005|Fentanyl TD Patch 72HR 75 MCG/HR||47781042747|45.78||45.78 PEMBINA COUNTY MEDICAL CENTER|6370005|Fentanyl TD Patch 72HR 75 MCG/HR||47781042711|45.78||45.78 PEMBINA COUNTY MEDICAL CENTER|6370005|Fentanyl TD Patch 72HR 100 MCG/HR||00406900076|39.55||39.55 PEMBINA COUNTY MEDICAL CENTER|6370005|Fentanyl TD Patch 72HR 100 MCG/HR||60505700900|32.54||32.54 PEMBINA COUNTY MEDICAL CENTER|6370005|Fentanyl TD Patch 72HR 100 MCG/HR||60505700902|39.54||39.54 PEMBINA COUNTY MEDICAL CENTER|6370005|Polyvinyl Alcohol Ophth Soln 1.4%||00536108494|11.85||11.85 PEMBINA COUNTY MEDICAL CENTER|6370005|Sodium Polystyrene Sulfonate Oral Susp 15 GM/60ML||00574200202|34.90||34.90 PEMBINA COUNTY MEDICAL CENTER|6370005|Lidocaine Patch 5%||00603188010|24.72||24.72 PEMBINA COUNTY MEDICAL CENTER|6370005|Lidocaine Patch 5%||00603188016|24.72||24.72 PEMBINA COUNTY MEDICAL CENTER|6370005|Hydrocodone-Acetaminophen Tab 10-325 MG||00406012501|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Nifedipine Tab ER 24HR Osmotic Release 30 MG||62175026037|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Magnesium Hydroxide Susp 400 MG/5ML||66689005301|10.49||10.49 PEMBINA COUNTY MEDICAL CENTER|6370005|Magnesium Hydroxide Susp 400 MG/5ML||66689005399|10.49||10.49 PEMBINA COUNTY MEDICAL CENTER|6370005|Erythromycin Ophth Oint 5 MG/GM||17478007035|42.59||42.59 PEMBINA COUNTY MEDICAL CENTER|6370005|Metformin HCl Tab ER 24HR 500 MG||00904579461|3.75|| PEMBINA COUNTY MEDICAL CENTER|6370005|Diltiazem HCl Coated Beads Cap ER 24HR 120 MG||60687019501|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Diltiazem HCl Coated Beads Cap ER 24HR 120 MG||60687019511|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Diltiazem HCl Coated Beads Cap ER 24HR 180 MG||60687020611|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Diltiazem HCl Coated Beads Cap ER 24HR 180 MG||60687020601|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Clotrimazole w/ Betamethasone Cream 1-0.05%||16714049601|24.19||24.19 PEMBINA COUNTY MEDICAL CENTER|6370005|Metoprolol Succinate Tab ER 24HR 50 MG (Tartrate Equiv)||55111046701|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Ferrous Sulfate Elixir 220 MG/5ML (44 MG/5ML Elemental Fe)||50383077816|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Ferrous Sulfate Tab 325 MG (65 MG Elemental Fe)||57664007001|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Allopurinol Tab 100 MG||16714004110|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Allopurinol Tab 100 MG||00904657161|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Allopurinol Tab 300 MG||62584071301|3.80||3.80 PEMBINA COUNTY MEDICAL CENTER|6370005|Allopurinol Tab 300 MG||62584071311|3.80||3.80 PEMBINA COUNTY MEDICAL CENTER|6370005|Allopurinol Tab 300 MG||16714004210|3.80||3.80 PEMBINA COUNTY MEDICAL CENTER|6370005|Amoxicillin & K Clavulanate For Susp 600-42.9 MG/5ML||16714029402|41.98||41.98 PEMBINA COUNTY MEDICAL CENTER|6370005|Valsartan Tab 80 MG||59746036190|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Valsartan Tab 80 MG||43547036809|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Valsartan Tab 160 MG||60687013901|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Valsartan Tab 160 MG||60687013911|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Fluocinonide Cream 0.05%||51672138601|53.53||53.53 PEMBINA COUNTY MEDICAL CENTER|6370005|Folic Acid Tab 1 MG||63739053710|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Folic Acid Tab 400 MCG||00536384401|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Alprazolam Tab 0.5 MG||63739066910|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Furosemide Tab 20 MG||00054829725|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Furosemide Tab 20 MG||51079007201|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Furosemide Tab 20 MG||51079007220|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Furosemide Tab 40 MG||00054829925|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Amoxicillin & K Clavulanate Tab 875-125 MG||16714047801|5.23||5.23 PEMBINA COUNTY MEDICAL CENTER|6370005|Escitalopram Oxalate Tab 20 MG (Base Equiv)||51079054401|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Escitalopram Oxalate Tab 20 MG (Base Equiv)||51079054420|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Gemfibrozil Tab 600 MG||16714010102|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Dutasteride Cap 0.5 MG||50268028211|5.27||5.27 PEMBINA COUNTY MEDICAL CENTER|6370005|Dutasteride Cap 0.5 MG||50268028213|5.27||5.27 PEMBINA COUNTY MEDICAL CENTER|6370005|Ezetimibe Tab 10 MG||60687028411|38.77||38.77 PEMBINA COUNTY MEDICAL CENTER|6370005|Ezetimibe Tab 10 MG||60687028421|38.77||38.77 PEMBINA COUNTY MEDICAL CENTER|6370005|Ezetimibe Tab 10 MG||69238115403|4.48||4.48 PEMBINA COUNTY MEDICAL CENTER|6370005|Gentamicin Sulfate Ophth Soln 0.3%||60758018805|25.40||25.40 PEMBINA COUNTY MEDICAL CENTER|6370005|Gentian Violet Soln 1%||00395100392|26.23||26.23 PEMBINA COUNTY MEDICAL CENTER|6370005|Hydrocodone-Acetaminophen Tab 5-325 MG||00904656761|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Hydrocodone-Acetaminophen Tab 5-325 MG||63739032610|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Glyburide Tab 5 MG||63739011910|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Rosuvastatin Calcium Tab 10 MG||60505450309|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Haloperidol Tab 1 MG||00781139201|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Potassium Chloride Microencapsulated Crys ER Tab 10 mEq||66758017013|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Potassium Chloride Microencapsulated Crys ER Tab 10 mEq||66758017006|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Potassium Chloride Microencapsulated Crys ER Tab 20 mEq||66758019013|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Potassium Chloride Microencapsulated Crys ER Tab 20 mEq||66758019006|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Bupropion HCl Tab ER 24HR 150 MG||10370010103|5.25||5.25 PEMBINA COUNTY MEDICAL CENTER|6370005|Docusate Sodium Liquid 150 MG/15ML||50383077116|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Memantine HCl Tab 10 MG||60687018411|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Memantine HCl Tab 10 MG||60687018457|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Hydralazine HCl Tab 25 MG||00904644161|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Hydrochlorothiazide Tab 25 MG||63739012810|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Hydrocortisone Cream 1%||45802043803|8.12||8.12 PEMBINA COUNTY MEDICAL CENTER|6370005|Metoprolol Tartrate Tab 25 MG||00904634061|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Metoprolol Tartrate Tab 25 MG||00904634034|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Glipizide Tab ER 24HR 5 MG||59762054101|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Guaifenesin Tab ER 12HR 600 MG||63824000834|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Hydroxyzine HCl Tab 25 MG||16714008210|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Propranolol HCl Cap ER 24HR 60 MG||00228277811|10.03||10.03 PEMBINA COUNTY MEDICAL CENTER|6370005|Propranolol HCl Cap ER 24HR 80 MG||00228277911|9.96||9.96 PEMBINA COUNTY MEDICAL CENTER|6370005|Lactulose Solution 10 GM/15ML||50383077916|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Lactulose Solution 10 GM/15ML||50383077915|4.04||4.04 PEMBINA COUNTY MEDICAL CENTER|6370005|Lactulose Solution 10 GM/15ML||50383077917|4.25||4.25 PEMBINA COUNTY MEDICAL CENTER|6370005|Tiotropium Bromide Monohydrate Inhal Cap 18 MCG (Base Equiv)||00597007575|152.09||152.09 PEMBINA COUNTY MEDICAL CENTER|6370005|Ibuprofen Tab 200 MG||00904791461|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Ibuprofen Tab 600 MG||63739068410|3.75|| PEMBINA COUNTY MEDICAL CENTER|6370005|Duloxetine HCl Enteric Coated Pellets Cap 30 MG (Base Eq)||57237001890|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Cefdinir For Susp 250 MG/5ML||16714039301|9.50||9.50 PEMBINA COUNTY MEDICAL CENTER|6370005|Fenofibrate Tab 145 MG||45802013275|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Isosorbide Dinitrate Tab 10 MG||00781155601|4.50||4.50 PEMBINA COUNTY MEDICAL CENTER|6370005|Isosorbide Dinitrate Tab 10 MG||49884002101|4.67||4.67 PEMBINA COUNTY MEDICAL CENTER|6370005|Glycerin Suppos 2 GM||00132007912|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Fentanyl TD Patch 72HR 12 MCG/HR||47781042347|19.12||19.12 PEMBINA COUNTY MEDICAL CENTER|6370005|Fentanyl TD Patch 72HR 12 MCG/HR||47781042311|19.12||19.12 PEMBINA COUNTY MEDICAL CENTER|6370005|Pregabalin Cap 25 MG||00071101268|27.46||27.46 PEMBINA COUNTY MEDICAL CENTER|6370005|Pregabalin Cap 50 MG||00071101368|29.52||29.52 PEMBINA COUNTY MEDICAL CENTER|6370005|Amitriptyline HCl Tab 10 MG||51079013101|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Amitriptyline HCl Tab 10 MG||51079013120|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Amitriptyline HCl Tab 25 MG||51079010701|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Amitriptyline HCl Tab 25 MG||51079010720|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Amitriptyline HCl Tab 50 MG||16729017301|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Levothyroxine Sodium Tab 25 MCG||00781518092|15.00||15.00 PEMBINA COUNTY MEDICAL CENTER|6370005|Levothyroxine Sodium Tab 50 MCG||00378180377|7.50||7.50 PEMBINA COUNTY MEDICAL CENTER|6370005|Levothyroxine Sodium Tab 100 MCG||00781518492|3.77||3.77 PEMBINA COUNTY MEDICAL CENTER|6370005|Amoxicillin (Trihydrate) Cap 500 MG||16714029902|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Amoxicillin (Trihydrate) Cap 500 MG||00093310953|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Lisinopril Tab 20 MG||63739035010|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Amoxicillin (Trihydrate) For Susp 250 MG/5ML||00093415580|17.02||17.02 PEMBINA COUNTY MEDICAL CENTER|6370005|Loperamide HCl Tab 2 MG||49348052934|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Lorazepam Conc 2 MG/ML||50383070530|75.12||75.12 PEMBINA COUNTY MEDICAL CENTER|6370005|Lorazepam Conc 2 MG/ML||00054353244|90.08||90.08 PEMBINA COUNTY MEDICAL CENTER|6370005|Lorazepam Tab 0.5 MG||63739049910|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Lorazepam Tab 1 MG||63739050010|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Lorazepam Tab 1 MG||69315090501|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Magnesium Citrate Soln||00904630477|11.73||11.73 PEMBINA COUNTY MEDICAL CENTER|6370005|Meclizine HCl Chew Tab 25 MG||00536101801|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Methadone HCl Tab 10 MG||63739000610|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Methadone HCl Tab 5 MG||00054457025|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Methocarbamol Tab 750 MG||31722053401|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Metoclopramide HCl Tab 10 MG (Base Equivalent)||63739029310|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Metoprolol Tartrate Tab 50 MG||51079080101|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Metoprolol Tartrate Tab 50 MG||51079080120|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Metronidazole Tab 250 MG||50111033301|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Miconazole Nitrate Vaginal Cream 2%||51672203506|27.29||27.29 PEMBINA COUNTY MEDICAL CENTER|6370005|Mineral Oil||54162019016|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Nitroglycerin Oint 2%||00281032630|7.50||7.50 PEMBINA COUNTY MEDICAL CENTER|6370005|Nystatin Cream 100000 Unit/GM||45802005935|25.17||25.17 PEMBINA COUNTY MEDICAL CENTER|6370005|Nystatin Oint 100000 Unit/GM||45802004835|31.98||31.98 PEMBINA COUNTY MEDICAL CENTER|6370005|Nystatin Susp 100000 Unit/ML||50383058766|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Oxybutynin Chloride Tab 5 MG||00832003800|3.75|| PEMBINA COUNTY MEDICAL CENTER|6370005|Oxybutynin Chloride Tab 5 MG||50111045601|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Oxycodone w/ Acetaminophen Tab 5-325 MG||00406051201|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Oxycodone w/ Acetaminophen Tab 5-325 MG||13107004401|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Phenazopyridine HCl Tab 100 MG||10135062001|4.74||4.74 PEMBINA COUNTY MEDICAL CENTER|6370005|Phenobarbital Tab 32.4 MG||00904657561|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Phenytoin Susp 125 MG/5ML||60432013108|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Phenytoin Sodium Extended Cap 100 MG||68084037601|4.23||4.23 PEMBINA COUNTY MEDICAL CENTER|6370005|Phenytoin Sodium Extended Cap 100 MG||68084037611|4.23||4.23 PEMBINA COUNTY MEDICAL CENTER|6370005|Pindolol Tab 5 MG||57664065588|6.01||6.01 PEMBINA COUNTY MEDICAL CENTER|6370005|Potassium Bicarbonate Effer Tab 25 mEq||66758014034|5.94||5.94 PEMBINA COUNTY MEDICAL CENTER|6370005|Prednisone Tab 1 MG|J7512|00054873925|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Prednisone Tab 10 MG|J7512|60687013401|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Prednisone Tab 10 MG|J7512|60687013411|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Prednisone Tab 5 MG|J7512|63739051810|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Promethazine HCl Syrup 6.25 MG/5ML|Q0169|50383080116|3.75|| PEMBINA COUNTY MEDICAL CENTER|6370005|Promethazine w/ Codeine Syrup 6.25-10 MG/5ML||00603158554|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Ascorbic Acid Tab 500 MG||00904052361|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Propranolol HCl Tab 10 MG||00378018201|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Propranolol HCl Tab 10 MG||00904655061|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Propranolol HCl Tab 80 MG||23155011401|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Propranolol HCl Tab 80 MG||00603548621|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Aspirin Chew Tab 81 MG||00904628889|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Aspirin Chew Tab 81 MG||00904404073|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Aspirin Chew Tab 81 MG||00904679489|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Aspirin Chew Tab 81 MG||12843013105|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Aspirin Tab Delayed Release 81 MG||49348098053|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Atenolol Tab 25 MG||68382002201|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Atenolol Tab 50 MG||51079068401|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Atenolol Tab 50 MG||51079068420|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Simethicone Chew Tab 80 MG||63739022510|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Sodium Chloride Tab 1 GM||00223176001|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Spironolactone Tab 25 MG||63739054410|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Sulfasalazine Tab 500 MG||00591079601|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Sulfasalazine Tab 500 MG||59762500001|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Calcium Carbonate-Vitamin D Tab 600 MG-400 Unit||00904323352|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Hydrochlorothiazide Tab 12.5 MG||16729018201|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Sitagliptin Phosphate Tab 50 MG (Base Equiv)||00006011231|55.43||55.43 PEMBINA COUNTY MEDICAL CENTER|6370005|Trazodone HCl Tab 50 MG||00904655461|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Triamcinolone Acetonide Cream 0.1%||00168000415|18.20||18.20 PEMBINA COUNTY MEDICAL CENTER|6370005|Triamcinolone Acetonide Cream 0.1%||67877025115|17.94||17.94 PEMBINA COUNTY MEDICAL CENTER|6370005|Triamterene & Hydrochlorothiazide Tab 37.5-25 MG||60505265601|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Glucose Gel 40%||00574006915|38.11||38.11 PEMBINA COUNTY MEDICAL CENTER|6370005|Glucose Gel 40%||00574006930|39.15||39.15 PEMBINA COUNTY MEDICAL CENTER|6370005|Verapamil HCl Tab 80 MG||00904292061|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Baclofen Tab 10 MG||16714007104|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Warfarin Sodium Tab 2 MG||00056017001|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Warfarin Sodium Tab 2 MG||00056017075|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Warfarin Sodium Tab 2.5 MG||00056017601|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Warfarin Sodium Tab 2.5 MG||00056017675|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Warfarin Sodium Tab 5 MG||00056017201|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Warfarin Sodium Tab 5 MG||00056017275|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Oxycodone HCl Tab 10 MG||00904659061|3.82||3.82 PEMBINA COUNTY MEDICAL CENTER|6370005|Oseltamivir Phosphate Cap 30 MG (Base Equiv)||00004080285|55.18||55.18 PEMBINA COUNTY MEDICAL CENTER|6370005|Zinc Oxide Oint 20%||00168006231|13.49||13.49 PEMBINA COUNTY MEDICAL CENTER|6370005|Nebivolol HCl Tab 5 MG (Base Equivalent)||00456140530|25.98||25.98 PEMBINA COUNTY MEDICAL CENTER|6370005|Acetaminophen Susp 160 MG/5ML||68094058759|12.75||12.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Acetaminophen Susp 160 MG/5ML||68094058762|12.75||12.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Acyclovir Cap 200 MG||00904578961|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Magnesium Oxide Tab 400 MG (241.3 MG Elemental Mg)||63739035410|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Amiodarone HCl Tab 200 MG||00245014701|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Amlodipine Besylate Tab 5 MG (Base Equivalent)||00378520977|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Amlodipine Besylate Tab 5 MG (Base Equivalent)||00904637061|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Benazepril HCl Tab 20 MG||43547033710|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Benazepril HCl Tab 5 MG||43547033510|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Bumetanide Tab 1 MG||42799012001|4.34||4.34 PEMBINA COUNTY MEDICAL CENTER|6370005|Buspirone HCl Tab 5 MG||51079098501|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Buspirone HCl Tab 5 MG||51079098520|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Calcitriol Cap 0.25 MCG||23155011803|3.92||3.92 PEMBINA COUNTY MEDICAL CENTER|6370005|Calcium Carbonate (Antacid) Chew Tab 500 MG||00904641292|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Carbidopa & Levodopa Tab 25-100 MG||00904623761|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Carbidopa & Levodopa Tab 25-250 MG||00378113301|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Cephalexin Cap 250 MG||65862001801|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Cephalexin Cap 250 MG||67877022001|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Cetirizine HCl Tab 10 MG||00904585261|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Febuxostat Tab 40 MG||64764091830|41.34||41.34 PEMBINA COUNTY MEDICAL CENTER|6370005|Clonazepam Tab 0.5 MG||63739026310|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Clonazepam Tab 0.5 MG||16714075201|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Clonazepam Tab 1 MG||51079088201|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Clonazepam Tab 1 MG||51079088220|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Diatrizoate Meglumine & Sodium Oral Soln 66-10%||00270044540|140.45||140.45 PEMBINA COUNTY MEDICAL CENTER|6370005|Benzonatate Cap 100 MG||65162053610|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Doxazosin Mesylate Tab 4 MG||68084086225|5.65||5.65 PEMBINA COUNTY MEDICAL CENTER|6370005|Doxazosin Mesylate Tab 4 MG||68084086295|5.65||5.65 PEMBINA COUNTY MEDICAL CENTER|6370005|Enalapril Maleate Tab 20 MG||51672404001|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Enalapril Maleate Tab 5 MG||16714044301|3.75||3.75 PEMBINA COUNTY MEDICAL CENTER|6370005|Benztropine Mesylate Tab 1 MG||00603243821|3.75||3.75