"Procedure"|"Code Type"|"Revenue Code"|"Procedure Description"|"Payer"|"Plan"|"Inpatient Gross Charges"|"Inpatient Expected Reimbursement"|"Inpatient Max Reimbursement"|"Inpatient Minimal Reimbursement"|"Outpatient Gross Charges"|"Outpatient Expected Reimbursement"|"Outpatient Max Reimbursement"|"Outpatient Minimal Reimbursement" 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HEALTHFIRST [2395]|HEALTHFIRST [239500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|6.34||||6.34|5.26|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|6.34||||6.34|5.26|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|6.34||||6.34|5.26|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|6.34||||6.34|3.5|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|||6.34||||6.34|1.9|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|6.34||||6.34|3.49|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|6.34||||6.34|5.26|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|CORESOURCE [1315]|CORESOURCE [131501]|6.34||||6.34|3.5|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HEALTHFIRST [2395]|HEALTHFIRST [239500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|GILSBAR [1425]|GILSBAR [142500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|6.34||||6.34|4.5|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|6.34||||6.34|3.89|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|6.34||||6.34|3.89|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|UMR [2035]|UMR CORE [203505]|6.34||||6.34|3.89|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|6.34||||6.34|3.89|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|GILSBAR [1425]|GILSBAR [142500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|6.34||||6.34|1.9|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|6.34||||6.34|2.85|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|CORESOURCE [1315]|CORESOURCE [131501]|6.34||||6.34|3.5|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|6.34||||6.34|5.07|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|MULTIPLAN [1680]|IHC HS [168011]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|MULTIPLAN [1680]|IHC HS [168011]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|6.34||||6.34|5.26|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|FIRST HEALTH [1375]|BENVEO/UCS [137512]|6.34||||6.34|4.62|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|6.34||||6.34|3.25|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|6.34||||6.34|3.5|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|6.34||||6.34|3.89|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|6.34||||6.34|5.26|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|6.34||||6.34|3.93|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|6.34||||6.34|5.07|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|6.34||||6.34|5.07|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|6.34||||6.34|1.72|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|6.34||||6.34|5.39|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|6.34||||6.34|2.85|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|6.34||||6.34|3.49|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|6.34||||6.34|2.85|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|6.34||||6.34|5.39|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|MEDICA [2910]|MEDICA QUEST [291001]|6.34||||6.34|4.62|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|||6.34||||6.34|1.9|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|TRUSTMARK [2030]|STARMARK [203000]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|6.34||||6.34|2.85|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|||6.34||||6.34|1.9|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|CORESOURCE [1315]|CORESOURCE [131501]|6.34||||6.34|3.5|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|6.34||||6.34|5.07|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|MEDICA [2910]|MEDICA QUEST [291001]|6.34||||6.34|4.62|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|MEDICA [2910]|MEDICA QUEST [291001]|6.34||||6.34|4.62|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|6.34||||6.34|3.49|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|6.34||||6.34|3.25|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|6.34||||6.34|3.93|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|BCBS [1155]|BLUE CROSS ADVANTAGE OF ARKANSAS [115536]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|GHI [2835]|GHI MEDICARE REPLACEMENT [283500]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|BCBS [1155]|BLUE CROSS TRADITIONAL OF OKLAHOMA [115501]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HPSI [1520]|HPSI HEALTHPLAN SERVICE [152000]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|BCBS [1155]|BLUE CROSS PREFERRED OF OKLAHOMA [115500]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|BCBS [1155]|BLUE CROSS ADVANTAGE OF ARKANSAS [115536]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|BCBS [1155]|BLUE CROSS PREFERRED OF OKLAHOMA [115500]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|GENERATIONS MEDICARE ADVANTAGE [1435]|GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|VA CCN OPTUM [3920]|VA CCN OPTUM [392000]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HUMANA MEDICARE REPLACEMENT [1525]|HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|MOLINA MEDICARE REPLACEMENT [1675]|MOLINA MEDICARE ADVANTAGE [167500]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|BCBS [1155]|BLUE CROSS TRADITIONAL OF OKLAHOMA [115501]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|BCBS [1155]|BLUE CROSS PREFERRED OF OKLAHOMA [115500]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|BCBS [1155]|TULSA BLUE [115531]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|DEPARTMENT OF REHABILITATION SERVICES [2355]|DEPARTMENT OF REHABILITATION SERVICES [235500]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|AMERIGROUP MEDICAID [1095]|AMERIGROUP MEDICAID [109500]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|AMERIGROUP MEDICAID [1095]|AMERIGROUP MEDICAID [109500]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|UNITED HEALTHCARE MEDICARE REPLACEMENT [2065]|UHC MEDICARE ADVANTAGE [206511]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HUMANA MEDICARE REPLACEMENT [1525]|HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|MOLINA MEDICARE REPLACEMENT [1675]|MOLINA MEDICARE ADVANTAGE [167500]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HPSI [1520]|HPSI HEALTHPLAN SERVICE [152000]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|BCBS [1155]|BLUE CROSS TRADITIONAL OF OKLAHOMA [115501]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|CHAMPVA [1240]|CHAMP VA [124000]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HOSPICE [3000]|SOLSTICE HEALTHCARE [300004]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|CHAMPVA [1240]|CHAMP VA [124000]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|BCBS [1155]|TULSA BLUE [115531]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|GHI [2835]|GHI MEDICARE REPLACEMENT [283500]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|BCBS [1155]|BLUE CROSS TRADITIONAL OF OKLAHOMA [115501]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|BCBS [1155]|BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|BCBS [1155]|BLUE CROSS PREFERRED OF OKLAHOMA [115500]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|BCBS [1155]|BLUE CROSS TRADITIONAL OF OKLAHOMA [115501]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HEALTHCHOICE [1490]|HEALTHCHOICE [149000]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|AMERIGROUP MEDICARE [1100]|AMERIGROUP MEDICARE [110000]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|BCBS [1155]|BLUE CROSS PREFERRED OF OKLAHOMA [115500]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|AMERIGROUP MEDICARE [1100]|AMERIGROUP MEDICARE [110000]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|COMMUNITY CARE MEDICARE [1125]|COMMUNITY CARE ADVANTAGE MEDICARE [112502]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|BCBS MEDICARE REPLACEMENT [1160]|BLUE CROSS MEDICARE ADVANTAGE OOS [116005]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|WEB TPA [2115]|WEB TPA [211500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|6.34||||6.34|3.93|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|6.34||||6.34|3.25|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|6.34||||6.34|3.93|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|FIRST HEALTH [1375]|BENVEO/UCS [137512]|6.34||||6.34|4.62|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|MEDICA [2910]|MEDICA QUEST [291001]|6.34||||6.34|4.62|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|6.34||||6.34|3.5|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|FIRST HEALTH [1375]|BENVEO/UCS [137512]|6.34||||6.34|4.62|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|6.34||||6.34|3.25|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|GEHA [1415]|GEHA - ASA [141503]|6.34||||6.34|3.89|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|6.34||||6.34|5.26|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|6.34||||6.34|3.93|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HEALTHFIRST [2395]|HEALTHFIRST [239500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|6.34||||6.34|3.93|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|GEHA [1415]|GEHA - ASA [141503]|6.34||||6.34|3.89|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|6.34||||6.34|5.26|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|FMH BENEFIT SERVICES [1390]|FMH [139000]|6.34||||6.34|5.26|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|CIGNA [1260]|CIGNA [126008]|6.34||||6.34|3.25|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|6.34||||6.34|5.26|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|6.34||||6.34|5.07|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|6.34||||6.34|3.5|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|AETNA [1015]|AETNA ACO WILCO [101532]|6.34||||6.34|3.5|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|AETNA [1015]|AETNA ACO WILCO [101532]|6.34||||6.34|3.5|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|6.34||||6.34|2.85|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|6.34||||6.34|1.9|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|6.34||||6.34|3.49|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HEALTHFIRST [2395]|HEALTHFIRST [239500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|6.34||||6.34|1.9|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|TRUSTMARK [2030]|STARMARK [203000]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|6.34||||6.34|5.26|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|6.34||||6.34|2.85|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|6.34||||6.34|5.39|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|GEHA [1415]|GEHA - ASA [141503]|6.34||||6.34|3.89|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|6.34||||6.34|3.5|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|TRUSTMARK [2030]|STARMARK [203000]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|6.34||||6.34|3.49|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|FMH BENEFIT SERVICES [1390]|FMH [139000]|6.34||||6.34|5.26|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|CORESOURCE [1315]|CORESOURCE [131501]|6.34||||6.34|3.5|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|FMH BENEFIT SERVICES [1390]|FMH [139000]|6.34||||6.34|5.26|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|TRUSTMARK [2030]|STARMARK [203000]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|6.34||||6.34|2.85|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|6.34||||6.34|5.26|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|CORESOURCE [1315]|CORESOURCE [131501]|6.34||||6.34|3.5|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|FMH BENEFIT SERVICES [1390]|FMH [139000]|6.34||||6.34|5.26|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|MULTIPLAN [1680]|IHC HS [168011]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|6.34||||6.34|1.72|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|6.34||||6.34|2.85|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|6.34||||6.34|2.85|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|TRUSTMARK [2030]|STARMARK [203000]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|6.34||||6.34|5.39|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|6.34||||6.34|1.72|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|6.34||||6.34|4.62|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|GEHA [1415]|GEHA - ASA [141503]|6.34||||6.34|3.89|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|MULTIPLAN [1680]|IHC HS [168011]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|6.34||||6.34|3.93|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|MEDICA [2910]|MEDICA QUEST [291001]|6.34||||6.34|4.62|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|6.34||||6.34|3.93|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|6.34||||6.34|4.62|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|UNITED HEALTHCARE MEDICARE REPLACEMENT [2065]|UHC MEDICARE ADVANTAGE [206511]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|DEPARTMENT OF REHABILITATION SERVICES [2355]|DEPARTMENT OF REHABILITATION SERVICES [235500]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|DEPARTMENT OF REHABILITATION SERVICES [2355]|DEPARTMENT OF REHABILITATION SERVICES [235500]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|UNITED HEALTHCARE MEDICARE REPLACEMENT [2065]|UHC MEDICARE ADVANTAGE [206511]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|DEPARTMENT OF REHABILITATION SERVICES [2355]|DEPARTMENT OF REHABILITATION SERVICES [235500]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|COMMUNITY CARE MEDICARE [1125]|COMMUNITY CARE ADVANTAGE MEDICARE [112502]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HEALTHCHOICE [1490]|HEALTHCHOICE [149000]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|CHAMPVA [1240]|CHAMP VA [124000]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|BCBS [1155]|TULSA BLUE [115531]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|AMERIGROUP MEDICAID [1095]|AMERIGROUP MEDICAID [109500]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|GENERATIONS MEDICARE ADVANTAGE [1435]|GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|DEPARTMENT OF REHABILITATION SERVICES [2355]|DEPARTMENT OF REHABILITATION SERVICES [235500]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|GENERATIONS MEDICARE ADVANTAGE [1435]|GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HUMANA MEDICARE REPLACEMENT [1525]|HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HOSPICE [3000]|SOLSTICE HEALTHCARE [300004]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HOSPICE [3000]|SOLSTICE HEALTHCARE [300004]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|GENERATIONS HEALTHCARE [1420]|GENERATIONS HEALTHCARE [142000]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|GENERATIONS HEALTHCARE [1420]|GENERATIONS HEALTHCARE [142000]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HEALTHCHOICE [1490]|HEALTHCHOICE [149000]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HEALTHCHOICE [1490]|HEALTHCHOICE [149000]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|GHI [2835]|GHI MEDICARE REPLACEMENT [283500]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|GHI [2835]|GHI MEDICARE REPLACEMENT [283500]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|BCBS [1155]|BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|BCBS [1155]|TULSA BLUE [115531]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|GHI [2835]|GHI MEDICARE REPLACEMENT [283500]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|BCBS [1155]|TULSA BLUE [115531]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|BCBS [1155]|BLUE CROSS ADVANTAGE OF ARKANSAS [115536]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|GENERATIONS HEALTHCARE [1420]|GENERATIONS HEALTHCARE [142000]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|CHAMPVA [1240]|CHAMP VA [124000]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|GENERATIONS MEDICARE ADVANTAGE [1435]|GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|AMERIGROUP MEDICARE [1100]|AMERIGROUP MEDICARE [110000]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|AMERIGROUP MEDICARE [1100]|AMERIGROUP MEDICARE [110000]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|AMERIGROUP MEDICARE [1100]|AMERIGROUP MEDICARE [110000]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|6.34||||6.34|3.5|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|6.34||||6.34|3.89|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HEALTHNET [1495]|HEALTHNET [149500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|6.34||||6.34|5.26|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|6.34||||6.34|4.5|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|6.34||||6.34|4.62|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|6.34||||6.34|5.26|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|6.34||||6.34|5.26|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|GILSBAR [1425]|GILSBAR [142500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|MULTIPLAN [1680]|IHC HS [168011]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|6.34||||6.34|3.5|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|CIGNA [1260]|CIGNA [126008]|6.34||||6.34|3.25|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|6.34||||6.34|4.5|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|6.34||||6.34|3.93|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|6.34||||6.34|3.25|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|FIRST HEALTH [1375]|BENVEO/UCS [137512]|6.34||||6.34|4.62|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|6.34||||6.34|4.5|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|FIRST HEALTH [1375]|BENVEO/UCS [137512]|6.34||||6.34|4.62|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|WEB TPA [2115]|WEB TPA [211500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|||6.34||||6.34|1.9|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|UMR [2035]|UMR CORE [203505]|6.34||||6.34|3.89|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|6.34||||6.34|3.89|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|6.34||||6.34|2.85|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|6.34||||6.34|1.9|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|FMH BENEFIT SERVICES [1390]|FMH [139000]|6.34||||6.34|5.26|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|6.34||||6.34|3.93|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|6.34||||6.34|1.9|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HEALTHNET [1495]|HEALTHNET [149500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HEALTHFIRST [2395]|HEALTHFIRST [239500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|6.34||||6.34|4.62|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|WEB TPA [2115]|WEB TPA [211500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|UMR [2035]|UMR CORE [203505]|6.34||||6.34|3.89|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HEALTHNET [1495]|HEALTHNET [149500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|UMR [2035]|UMR CORE [203505]|6.34||||6.34|3.89|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|UMR [2035]|UMR CORE [203505]|6.34||||6.34|3.89|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|WEB TPA [2115]|WEB TPA [211500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|6.34||||6.34|5.26|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|6.34||||6.34|3.89|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HEALTHNET [1495]|HEALTHNET [149500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|GILSBAR [1425]|GILSBAR [142500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HEALTHNET [1495]|HEALTHNET [149500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|6.34||||6.34|3.89|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|6.34||||6.34|5.39|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|6.34||||6.34|5.26|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|6.34||||6.34|3.5|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|6.34||||6.34|3.5|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|CIGNA [1260]|CIGNA [126008]|6.34||||6.34|3.25|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|6.34||||6.34|5.26|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|AETNA [1015]|AETNA ACO WILCO [101532]|6.34||||6.34|3.5|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|AETNA [1015]|AETNA ACO WILCO [101532]|6.34||||6.34|3.5|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|CIGNA [1260]|CIGNA [126008]|6.34||||6.34|3.25|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|||6.34||||6.34|1.9|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|AETNA [1015]|AETNA ACO WILCO [101532]|6.34||||6.34|3.5|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|6.34||||6.34|5.26|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|6.34||||6.34|1.72|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|6.34||||6.34|3.89|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|UNITED HEALTHCARE MEDICARE REPLACEMENT [2065]|UHC MEDICARE ADVANTAGE [206511]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|AMERIGROUP MEDICAID [1095]|AMERIGROUP MEDICAID [109500]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HOSPICE [3000]|SOLSTICE HEALTHCARE [300004]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|BCBS [1155]|BLUE CROSS ADVANTAGE OF ARKANSAS [115536]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|BCBS MEDICARE REPLACEMENT [1160]|BLUE CROSS MEDICARE ADVANTAGE OOS [116005]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|COMMUNITY CARE MEDICARE [1125]|COMMUNITY CARE ADVANTAGE MEDICARE [112502]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|UNITED HEALTHCARE MEDICARE REPLACEMENT [2065]|UHC MEDICARE ADVANTAGE [206511]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|COMMUNITY CARE MEDICARE [1125]|COMMUNITY CARE ADVANTAGE MEDICARE [112502]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|BCBS MEDICARE REPLACEMENT [1160]|BLUE CROSS MEDICARE ADVANTAGE OOS [116005]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|COMMUNITY CARE MEDICARE [1125]|COMMUNITY CARE ADVANTAGE MEDICARE [112502]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HUMANA MEDICARE REPLACEMENT [1525]|HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|BCBS MEDICARE REPLACEMENT [1160]|BLUE CROSS MEDICARE ADVANTAGE OOS [116005]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HOSPICE [3000]|SOLSTICE HEALTHCARE [300004]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|MOLINA MEDICARE REPLACEMENT [1675]|MOLINA MEDICARE ADVANTAGE [167500]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|GENERATIONS MEDICARE ADVANTAGE [1435]|GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|BCBS MEDICARE REPLACEMENT [1160]|BLUE CROSS MEDICARE ADVANTAGE OOS [116005]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|VA CCN OPTUM [3920]|VA CCN OPTUM [392000]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HPSI [1520]|HPSI HEALTHPLAN SERVICE [152000]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|MOLINA MEDICARE REPLACEMENT [1675]|MOLINA MEDICARE ADVANTAGE [167500]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|AMERIGROUP MEDICAID [1095]|AMERIGROUP MEDICAID [109500]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HUMANA MEDICARE REPLACEMENT [1525]|HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|BCBS [1155]|BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HPSI [1520]|HPSI HEALTHPLAN SERVICE [152000]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|BCBS [1155]|BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|CHAMPVA [1240]|CHAMP VA [124000]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|GENERATIONS HEALTHCARE [1420]|GENERATIONS HEALTHCARE [142000]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|MOLINA MEDICARE REPLACEMENT [1675]|MOLINA MEDICARE ADVANTAGE [167500]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|VA CCN OPTUM [3920]|VA CCN OPTUM [392000]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|BCBS [1155]|BLUE CROSS ADVANTAGE OF ARKANSAS [115536]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HEALTHCHOICE [1490]|HEALTHCHOICE [149000]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|6.34||||6.34|3.89|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|CIGNA [1260]|CIGNA [126008]|6.34||||6.34|3.25|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|GEHA [1415]|GEHA - ASA [141503]|6.34||||6.34|3.89|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|6.34||||6.34|5.26|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|WEB TPA [2115]|WEB TPA [211500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|GILSBAR [1425]|GILSBAR [142500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|6.34||||6.34|1.72|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|6.34||||6.34|5.58|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|6.34||||6.34|4.5|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|6.34||||6.34|3.5|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|6.34||||6.34|5.26|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|6.34||||6.34|4.62|5.58|1.72 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|VA CCN OPTUM [3920]|VA CCN OPTUM [392000]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|HPSI [1520]|HPSI HEALTHPLAN SERVICE [152000]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|VA CCN OPTUM [3920]|VA CCN OPTUM [392000]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|GENERATIONS HEALTHCARE [1420]|GENERATIONS HEALTHCARE [142000]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|6.34||||6.34||| 10011|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FAMOTIDINE 20 MG TABLET|BCBS [1155]|BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509]|6.34||||6.34||| 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|227.84||||227.84|182.27|200.5|61.95 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|227.84||||227.84|200.5|200.5|61.95 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|227.84||||227.84|141.26|200.5|61.95 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|227.84||||227.84|200.5|200.5|61.95 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|||227.84||||227.84|68.35|200.5|61.95 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|227.84||||227.84|125.31|200.5|61.95 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|227.84||||227.84|189.11|200.5|61.95 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|227.84||||227.84|189.11|200.5|61.95 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|227.84||||227.84|139.67|200.5|61.95 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|227.84||||227.84|116.88|200.5|61.95 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|TRUSTMARK [2030]|STARMARK [203000]|227.84||||227.84|200.5|200.5|61.95 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|227.84||||227.84|200.5|200.5|61.95 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|FMH BENEFIT SERVICES [1390]|FMH [139000]|227.84||||227.84|189.11|200.5|61.95 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|227.84||||227.84|200.5|200.5|61.95 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|227.84||||227.84|200.5|200.5|61.95 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|227.84||||227.84|200.5|200.5|61.95 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|227.84||||227.84|200.5|200.5|61.95 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|FIRST HEALTH [1375]|BENVEO/UCS [137512]|227.84||||227.84|166.1|200.5|61.95 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|227.84||||227.84|193.66|200.5|61.95 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|227.84||||227.84|200.5|200.5|61.95 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|227.84||||227.84|68.12|200.5|61.95 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|GILSBAR [1425]|GILSBAR [142500]|227.84||||227.84|200.5|200.5|61.95 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|HEALTHNET [1495]|HEALTHNET [149500]|227.84||||227.84|200.5|200.5|61.95 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|227.84||||227.84|61.95|200.5|61.95 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|227.84||||227.84|102.53|200.5|61.95 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|227.84||||227.84|200.5|200.5|61.95 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|CIGNA [1260]|CIGNA [126008]|227.84||||227.84|116.88|200.5|61.95 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|CORESOURCE [1315]|CORESOURCE [131501]|227.84||||227.84|125.77|200.5|61.95 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|227.84||||227.84|125.77|200.5|61.95 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|227.84||||227.84|200.5|200.5|61.95 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|227.84||||227.84|200.5|200.5|61.95 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|MEDICA [2910]|MEDICA QUEST [291001]|227.84||||227.84|166.1|200.5|61.95 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|MULTIPLAN [1680]|IHC HS [168011]|227.84||||227.84|200.5|200.5|61.95 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|227.84||||227.84|102.53|200.5|61.95 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|227.84||||227.84|200.5|200.5|61.95 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|227.84||||227.84|125.77|200.5|61.95 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|227.84||||227.84|141.26|200.5|61.95 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|227.84||||227.84|200.5|200.5|61.95 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|UMR [2035]|UMR CORE [203505]|227.84||||227.84|139.67|200.5|61.95 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|AETNA [1015]|AETNA ACO WILCO [101532]|227.84||||227.84|125.77|200.5|61.95 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|227.84||||227.84|139.67|200.5|61.95 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|227.84||||227.84|166.1|200.5|61.95 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|227.84||||227.84|200.5|200.5|61.95 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|WEB TPA [2115]|WEB TPA [211500]|227.84||||227.84|200.5|200.5|61.95 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|227.84||||227.84|189.11|200.5|61.95 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|GEHA [1415]|GEHA - ASA [141503]|227.84||||227.84|139.67|200.5|61.95 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|227.84||||227.84|200.5|200.5|61.95 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|227.84||||227.84|161.77|200.5|61.95 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|227.84||||227.84|189.11|200.5|61.95 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|227.84||||227.84|200.5|200.5|61.95 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|227.84||||227.84|200.5|200.5|61.95 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|HEALTHFIRST [2395]|HEALTHFIRST [239500]|227.84||||227.84|200.5|200.5|61.95 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|227.84||||227.84|200.5|200.5|61.95 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|227.84||||227.84|200.5|200.5|61.95 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|227.84||||227.84||| 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|VA CCN OPTUM [3920]|VA CCN OPTUM [392000]|227.84||||227.84||| 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|HOSPICE [3000]|SOLSTICE HEALTHCARE [300004]|227.84||||227.84||| 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|DEPARTMENT OF REHABILITATION SERVICES [2355]|DEPARTMENT OF REHABILITATION SERVICES [235500]|227.84||||227.84||| 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|MOLINA MEDICARE REPLACEMENT [1675]|MOLINA MEDICARE ADVANTAGE [167500]|227.84||||227.84||| 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|GENERATIONS MEDICARE ADVANTAGE [1435]|GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500]|227.84||||227.84||| 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|HEALTHCHOICE [1490]|HEALTHCHOICE [149000]|227.84||||227.84||| 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|227.84||||227.84||| 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|BCBS [1155]|BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509]|227.84||||227.84||| 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|227.84||||227.84||| 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|AMERIGROUP MEDICAID [1095]|AMERIGROUP MEDICAID [109500]|227.84||||227.84||| 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|227.84||||227.84||| 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|UNITED HEALTHCARE MEDICARE REPLACEMENT [2065]|UHC MEDICARE ADVANTAGE [206511]|227.84||||227.84||| 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|CHAMPVA [1240]|CHAMP VA [124000]|227.84||||227.84||| 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|BCBS [1155]|BLUE CROSS PREFERRED OF OKLAHOMA [115500]|227.84||||227.84||| 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|COMMUNITY CARE MEDICARE [1125]|COMMUNITY CARE ADVANTAGE MEDICARE [112502]|227.84||||227.84||| 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|BCBS MEDICARE REPLACEMENT [1160]|BLUE CROSS MEDICARE ADVANTAGE OOS [116005]|227.84||||227.84||| 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|HPSI [1520]|HPSI HEALTHPLAN SERVICE [152000]|227.84||||227.84||| 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|GENERATIONS HEALTHCARE [1420]|GENERATIONS HEALTHCARE [142000]|227.84||||227.84||| 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|BCBS [1155]|BLUE CROSS TRADITIONAL OF OKLAHOMA [115501]|227.84||||227.84||| 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|GHI [2835]|GHI MEDICARE REPLACEMENT [283500]|227.84||||227.84||| 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|HUMANA MEDICARE REPLACEMENT [1525]|HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503]|227.84||||227.84||| 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|227.84||||227.84||| 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|AMERIGROUP MEDICARE [1100]|AMERIGROUP MEDICARE [110000]|227.84||||227.84||| 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|BCBS [1155]|BLUE CROSS ADVANTAGE OF ARKANSAS [115536]|227.84||||227.84||| 10014|ERX|0250 - PHARMACY-GENERAL|FAT EMULSION 20 % INTRAVENOUS|BCBS [1155]|TULSA BLUE [115531]|227.84||||227.84||| 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|158.19||||158.19|139.21|139.21|43.01 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|TRUSTMARK [2030]|STARMARK [203000]|158.19||||158.19|139.21|139.21|43.01 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|158.19||||158.19|98.08|139.21|43.01 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|FIRST HEALTH [1375]|BENVEO/UCS [137512]|158.19||||158.19|115.32|139.21|43.01 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|158.19||||158.19|134.46|139.21|43.01 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|FMH BENEFIT SERVICES [1390]|FMH [139000]|158.19||||158.19|131.3|139.21|43.01 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|GILSBAR [1425]|GILSBAR [142500]|158.19||||158.19|139.21|139.21|43.01 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|158.19||||158.19|126.55|139.21|43.01 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|158.19||||158.19|139.21|139.21|43.01 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|158.19||||158.19|131.3|139.21|43.01 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|158.19||||158.19|81.15|139.21|43.01 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|GEHA [1415]|GEHA - ASA [141503]|158.19||||158.19|96.97|139.21|43.01 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|||158.19||||158.19|47.46|139.21|43.01 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|158.19||||158.19|87|139.21|43.01 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|158.19||||158.19|131.3|139.21|43.01 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|158.19||||158.19|47.3|139.21|43.01 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|158.19||||158.19|139.21|139.21|43.01 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|158.19||||158.19|43.01|139.21|43.01 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|158.19||||158.19|139.21|139.21|43.01 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|MEDICA [2910]|MEDICA QUEST [291001]|158.19||||158.19|115.32|139.21|43.01 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|158.19||||158.19|139.21|139.21|43.01 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|158.19||||158.19|139.21|139.21|43.01 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|158.19||||158.19|139.21|139.21|43.01 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|158.19||||158.19|139.21|139.21|43.01 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|158.19||||158.19|139.21|139.21|43.01 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|MULTIPLAN [1680]|IHC HS [168011]|158.19||||158.19|139.21|139.21|43.01 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|158.19||||158.19|71.18|139.21|43.01 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|158.19||||158.19|139.21|139.21|43.01 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|158.19||||158.19|87.32|139.21|43.01 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|CORESOURCE [1315]|CORESOURCE [131501]|158.19||||158.19|87.32|139.21|43.01 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|158.19||||158.19|139.21|139.21|43.01 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|AETNA [1015]|AETNA ACO WILCO [101532]|158.19||||158.19|87.32|139.21|43.01 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|158.19||||158.19|98.08|139.21|43.01 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|158.19||||158.19|139.21|139.21|43.01 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|158.19||||158.19|131.3|139.21|43.01 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|WEB TPA [2115]|WEB TPA [211500]|158.19||||158.19|139.21|139.21|43.01 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|158.19||||158.19|139.21|139.21|43.01 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|UMR [2035]|UMR CORE [203505]|158.19||||158.19|96.97|139.21|43.01 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|158.19||||158.19|139.21|139.21|43.01 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|158.19||||158.19|139.21|139.21|43.01 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|158.19||||158.19|139.21|139.21|43.01 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|158.19||||158.19|87|139.21|43.01 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|HEALTHFIRST [2395]|HEALTHFIRST [239500]|158.19||||158.19|139.21|139.21|43.01 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|158.19||||158.19|87.32|139.21|43.01 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|158.19||||158.19|131.3|139.21|43.01 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|158.19||||158.19|115.32|139.21|43.01 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|158.19||||158.19|139.21|139.21|43.01 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|158.19||||158.19|71.18|139.21|43.01 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|158.19||||158.19|96.97|139.21|43.01 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|158.19||||158.19|139.21|139.21|43.01 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|158.19||||158.19|139.21|139.21|43.01 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|HEALTHNET [1495]|HEALTHNET [149500]|158.19||||158.19|139.21|139.21|43.01 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|CIGNA [1260]|CIGNA [126008]|158.19||||158.19|81.15|139.21|43.01 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|158.19||||158.19|96.97|139.21|43.01 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|158.19||||158.19||| 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|HOSPICE [3000]|SOLSTICE HEALTHCARE [300004]|158.19||||158.19||| 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|158.19||||158.19||| 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|HEALTHCHOICE [1490]|HEALTHCHOICE [149000]|158.19||||158.19||| 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|AMERIGROUP MEDICAID [1095]|AMERIGROUP MEDICAID [109500]|158.19||||158.19||| 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|158.19||||158.19||| 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|DEPARTMENT OF REHABILITATION SERVICES [2355]|DEPARTMENT OF REHABILITATION SERVICES [235500]|158.19||||158.19||| 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|158.19||||158.19||| 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|BCBS [1155]|BLUE CROSS ADVANTAGE OF ARKANSAS [115536]|158.19||||158.19||| 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|UNITED HEALTHCARE MEDICARE REPLACEMENT [2065]|UHC MEDICARE ADVANTAGE [206511]|158.19||||158.19||| 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|CHAMPVA [1240]|CHAMP VA [124000]|158.19||||158.19||| 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|BCBS MEDICARE REPLACEMENT [1160]|BLUE CROSS MEDICARE ADVANTAGE OOS [116005]|158.19||||158.19||| 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|HUMANA MEDICARE REPLACEMENT [1525]|HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503]|158.19||||158.19||| 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|COMMUNITY CARE MEDICARE [1125]|COMMUNITY CARE ADVANTAGE MEDICARE [112502]|158.19||||158.19||| 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|158.19||||158.19||| 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|GENERATIONS HEALTHCARE [1420]|GENERATIONS HEALTHCARE [142000]|158.19||||158.19||| 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|AMERIGROUP MEDICARE [1100]|AMERIGROUP MEDICARE [110000]|158.19||||158.19||| 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|HPSI [1520]|HPSI HEALTHPLAN SERVICE [152000]|158.19||||158.19||| 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|GHI [2835]|GHI MEDICARE REPLACEMENT [283500]|158.19||||158.19||| 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|BCBS [1155]|TULSA BLUE [115531]|158.19||||158.19||| 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|BCBS [1155]|BLUE CROSS TRADITIONAL OF OKLAHOMA [115501]|158.19||||158.19||| 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|BCBS [1155]|BLUE CROSS PREFERRED OF OKLAHOMA [115500]|158.19||||158.19||| 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|BCBS [1155]|BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509]|158.19||||158.19||| 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|MOLINA MEDICARE REPLACEMENT [1675]|MOLINA MEDICARE ADVANTAGE [167500]|158.19||||158.19||| 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|VA CCN OPTUM [3920]|VA CCN OPTUM [392000]|158.19||||158.19||| 10026|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE|GENERATIONS MEDICARE ADVANTAGE [1435]|GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500]|158.19||||158.19||| 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|158.19||||158.19|131.3|139.21|43.01 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|158.19||||158.19|139.21|139.21|43.01 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|158.19||||158.19|81.15|139.21|43.01 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|158.19||||158.19|126.55|139.21|43.01 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GEHA [1415]|GEHA - ASA [141503]|158.19||||158.19|96.97|139.21|43.01 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|158.19||||158.19|131.3|139.21|43.01 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|||158.19||||158.19|47.46|139.21|43.01 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|158.19||||158.19|98.08|139.21|43.01 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|158.19||||158.19|47.3|139.21|43.01 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FIRST HEALTH [1375]|BENVEO/UCS [137512]|158.19||||158.19|115.32|139.21|43.01 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|158.19||||158.19|139.21|139.21|43.01 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|158.19||||158.19|139.21|139.21|43.01 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|158.19||||158.19|139.21|139.21|43.01 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CIGNA [1260]|CIGNA [126008]|158.19||||158.19|81.15|139.21|43.01 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|TRUSTMARK [2030]|STARMARK [203000]|158.19||||158.19|139.21|139.21|43.01 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|158.19||||158.19|87|139.21|43.01 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FMH BENEFIT SERVICES [1390]|FMH [139000]|158.19||||158.19|131.3|139.21|43.01 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|158.19||||158.19|139.21|139.21|43.01 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|158.19||||158.19|139.21|139.21|43.01 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MEDICA [2910]|MEDICA QUEST [291001]|158.19||||158.19|115.32|139.21|43.01 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|158.19||||158.19|139.21|139.21|43.01 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHNET [1495]|HEALTHNET [149500]|158.19||||158.19|139.21|139.21|43.01 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|158.19||||158.19|96.97|139.21|43.01 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|158.19||||158.19|43.01|139.21|43.01 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|158.19||||158.19|71.18|139.21|43.01 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|158.19||||158.19|131.3|139.21|43.01 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|158.19||||158.19|115.32|139.21|43.01 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|158.19||||158.19|139.21|139.21|43.01 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|158.19||||158.19|139.21|139.21|43.01 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UMR [2035]|UMR CORE [203505]|158.19||||158.19|96.97|139.21|43.01 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|158.19||||158.19|98.08|139.21|43.01 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHFIRST [2395]|HEALTHFIRST [239500]|158.19||||158.19|139.21|139.21|43.01 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|158.19||||158.19|139.21|139.21|43.01 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|158.19||||158.19|139.21|139.21|43.01 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|158.19||||158.19|134.46|139.21|43.01 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|WEB TPA [2115]|WEB TPA [211500]|158.19||||158.19|139.21|139.21|43.01 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|158.19||||158.19|139.21|139.21|43.01 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CORESOURCE [1315]|CORESOURCE [131501]|158.19||||158.19|87.32|139.21|43.01 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|158.19||||158.19|87|139.21|43.01 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|158.19||||158.19|139.21|139.21|43.01 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|158.19||||158.19|87.32|139.21|43.01 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AETNA [1015]|AETNA ACO WILCO [101532]|158.19||||158.19|87.32|139.21|43.01 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|158.19||||158.19|71.18|139.21|43.01 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|158.19||||158.19|96.97|139.21|43.01 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GILSBAR [1425]|GILSBAR [142500]|158.19||||158.19|139.21|139.21|43.01 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|158.19||||158.19|139.21|139.21|43.01 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|158.19||||158.19|139.21|139.21|43.01 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|158.19||||158.19|139.21|139.21|43.01 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|158.19||||158.19|139.21|139.21|43.01 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|158.19||||158.19|87.32|139.21|43.01 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|158.19||||158.19|139.21|139.21|43.01 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MULTIPLAN [1680]|IHC HS [168011]|158.19||||158.19|139.21|139.21|43.01 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|158.19||||158.19|131.3|139.21|43.01 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|158.19||||158.19|139.21|139.21|43.01 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|158.19||||158.19||| 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|158.19||||158.19||| 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCHOICE [1490]|HEALTHCHOICE [149000]|158.19||||158.19||| 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|158.19||||158.19||| 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AMERIGROUP MEDICAID [1095]|AMERIGROUP MEDICAID [109500]|158.19||||158.19||| 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS PREFERRED OF OKLAHOMA [115500]|158.19||||158.19||| 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HOSPICE [3000]|SOLSTICE HEALTHCARE [300004]|158.19||||158.19||| 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MOLINA MEDICARE REPLACEMENT [1675]|MOLINA MEDICARE ADVANTAGE [167500]|158.19||||158.19||| 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GENERATIONS MEDICARE ADVANTAGE [1435]|GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500]|158.19||||158.19||| 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|TULSA BLUE [115531]|158.19||||158.19||| 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS ADVANTAGE OF ARKANSAS [115536]|158.19||||158.19||| 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS MEDICARE REPLACEMENT [1160]|BLUE CROSS MEDICARE ADVANTAGE OOS [116005]|158.19||||158.19||| 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AMERIGROUP MEDICARE [1100]|AMERIGROUP MEDICARE [110000]|158.19||||158.19||| 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HPSI [1520]|HPSI HEALTHPLAN SERVICE [152000]|158.19||||158.19||| 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HUMANA MEDICARE REPLACEMENT [1525]|HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503]|158.19||||158.19||| 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|VA CCN OPTUM [3920]|VA CCN OPTUM [392000]|158.19||||158.19||| 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COMMUNITY CARE MEDICARE [1125]|COMMUNITY CARE ADVANTAGE MEDICARE [112502]|158.19||||158.19||| 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS TRADITIONAL OF OKLAHOMA [115501]|158.19||||158.19||| 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GENERATIONS HEALTHCARE [1420]|GENERATIONS HEALTHCARE [142000]|158.19||||158.19||| 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GHI [2835]|GHI MEDICARE REPLACEMENT [283500]|158.19||||158.19||| 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CHAMPVA [1240]|CHAMP VA [124000]|158.19||||158.19||| 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|158.19||||158.19||| 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|158.19||||158.19||| 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|DEPARTMENT OF REHABILITATION SERVICES [2355]|DEPARTMENT OF REHABILITATION SERVICES [235500]|158.19||||158.19||| 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED HEALTHCARE MEDICARE REPLACEMENT [2065]|UHC MEDICARE ADVANTAGE [206511]|158.19||||158.19||| 10027|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509]|158.19||||158.19||| 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|CORESOURCE [1315]|CORESOURCE [131501]|158.19||||158.19|87.32|139.21|43.01 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|158.19||||158.19|87.32|139.21|43.01 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MULTIPLAN [1680]|IHC HS [168011]|158.19||||158.19|139.21|139.21|43.01 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|158.19||||158.19|71.18|139.21|43.01 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|158.19||||158.19|131.3|139.21|43.01 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|WEB TPA [2115]|WEB TPA [211500]|158.19||||158.19|139.21|139.21|43.01 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|158.19||||158.19|139.21|139.21|43.01 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|158.19||||158.19|139.21|139.21|43.01 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|UMR [2035]|UMR CORE [203505]|158.19||||158.19|96.97|139.21|43.01 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|AETNA [1015]|AETNA ACO WILCO [101532]|158.19||||158.19|87.32|139.21|43.01 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|158.19||||158.19|96.97|139.21|43.01 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|158.19||||158.19|87.32|139.21|43.01 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|158.19||||158.19|131.3|139.21|43.01 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|158.19||||158.19|139.21|139.21|43.01 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHFIRST [2395]|HEALTHFIRST [239500]|158.19||||158.19|139.21|139.21|43.01 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|158.19||||158.19|139.21|139.21|43.01 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|158.19||||158.19|139.21|139.21|43.01 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|158.19||||158.19|98.08|139.21|43.01 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|158.19||||158.19|139.21|139.21|43.01 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|158.19||||158.19|87|139.21|43.01 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|158.19||||158.19|139.21|139.21|43.01 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|158.19||||158.19|71.18|139.21|43.01 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|158.19||||158.19|115.32|139.21|43.01 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|158.19||||158.19|139.21|139.21|43.01 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|TRUSTMARK [2030]|STARMARK [203000]|158.19||||158.19|139.21|139.21|43.01 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHNET [1495]|HEALTHNET [149500]|158.19||||158.19|139.21|139.21|43.01 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|158.19||||158.19|139.21|139.21|43.01 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|158.19||||158.19|139.21|139.21|43.01 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|158.19||||158.19|87|139.21|43.01 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|158.19||||158.19|134.46|139.21|43.01 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|158.19||||158.19|139.21|139.21|43.01 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|158.19||||158.19|81.15|139.21|43.01 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|158.19||||158.19|139.21|139.21|43.01 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|158.19||||158.19|43.01|139.21|43.01 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|158.19||||158.19|139.21|139.21|43.01 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|158.19||||158.19|131.3|139.21|43.01 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GILSBAR [1425]|GILSBAR [142500]|158.19||||158.19|139.21|139.21|43.01 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|158.19||||158.19|139.21|139.21|43.01 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GEHA [1415]|GEHA - ASA [141503]|158.19||||158.19|96.97|139.21|43.01 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|FMH BENEFIT SERVICES [1390]|FMH [139000]|158.19||||158.19|131.3|139.21|43.01 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|158.19||||158.19|131.3|139.21|43.01 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|158.19||||158.19|139.21|139.21|43.01 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|158.19||||158.19|98.08|139.21|43.01 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|158.19||||158.19|47.3|139.21|43.01 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MEDICA [2910]|MEDICA QUEST [291001]|158.19||||158.19|115.32|139.21|43.01 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|158.19||||158.19|139.21|139.21|43.01 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|158.19||||158.19|139.21|139.21|43.01 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|158.19||||158.19|139.21|139.21|43.01 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|CIGNA [1260]|CIGNA [126008]|158.19||||158.19|81.15|139.21|43.01 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|158.19||||158.19|96.97|139.21|43.01 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|158.19||||158.19|139.21|139.21|43.01 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|158.19||||158.19|126.55|139.21|43.01 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|FIRST HEALTH [1375]|BENVEO/UCS [137512]|158.19||||158.19|115.32|139.21|43.01 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|||158.19||||158.19|47.46|139.21|43.01 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|CHAMPVA [1240]|CHAMP VA [124000]|158.19||||158.19||| 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|UNITED HEALTHCARE MEDICARE REPLACEMENT [2065]|UHC MEDICARE ADVANTAGE [206511]|158.19||||158.19||| 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GHI [2835]|GHI MEDICARE REPLACEMENT [283500]|158.19||||158.19||| 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HPSI [1520]|HPSI HEALTHPLAN SERVICE [152000]|158.19||||158.19||| 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GENERATIONS HEALTHCARE [1420]|GENERATIONS HEALTHCARE [142000]|158.19||||158.19||| 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HUMANA MEDICARE REPLACEMENT [1525]|HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503]|158.19||||158.19||| 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BCBS MEDICARE REPLACEMENT [1160]|BLUE CROSS MEDICARE ADVANTAGE OOS [116005]|158.19||||158.19||| 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|158.19||||158.19||| 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|AMERIGROUP MEDICARE [1100]|AMERIGROUP MEDICARE [110000]|158.19||||158.19||| 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|COMMUNITY CARE MEDICARE [1125]|COMMUNITY CARE ADVANTAGE MEDICARE [112502]|158.19||||158.19||| 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BCBS [1155]|BLUE CROSS PREFERRED OF OKLAHOMA [115500]|158.19||||158.19||| 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BCBS [1155]|TULSA BLUE [115531]|158.19||||158.19||| 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BCBS [1155]|BLUE CROSS ADVANTAGE OF ARKANSAS [115536]|158.19||||158.19||| 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHCHOICE [1490]|HEALTHCHOICE [149000]|158.19||||158.19||| 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|AMERIGROUP MEDICAID [1095]|AMERIGROUP MEDICAID [109500]|158.19||||158.19||| 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|158.19||||158.19||| 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|158.19||||158.19||| 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|158.19||||158.19||| 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|158.19||||158.19||| 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GENERATIONS MEDICARE ADVANTAGE [1435]|GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500]|158.19||||158.19||| 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BCBS [1155]|BLUE CROSS TRADITIONAL OF OKLAHOMA [115501]|158.19||||158.19||| 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HOSPICE [3000]|SOLSTICE HEALTHCARE [300004]|158.19||||158.19||| 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BCBS [1155]|BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509]|158.19||||158.19||| 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|VA CCN OPTUM [3920]|VA CCN OPTUM [392000]|158.19||||158.19||| 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|DEPARTMENT OF REHABILITATION SERVICES [2355]|DEPARTMENT OF REHABILITATION SERVICES [235500]|158.19||||158.19||| 10028|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MOLINA MEDICARE REPLACEMENT [1675]|MOLINA MEDICARE ADVANTAGE [167500]|158.19||||158.19||| 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|158.19||||158.19|131.3|139.21|43.01 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|158.19||||158.19|139.21|139.21|43.01 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|158.19||||158.19|81.15|139.21|43.01 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|158.19||||158.19|139.21|139.21|43.01 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GEHA [1415]|GEHA - ASA [141503]|158.19||||158.19|96.97|139.21|43.01 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|||158.19||||158.19|47.46|139.21|43.01 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|158.19||||158.19|98.08|139.21|43.01 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|158.19||||158.19|131.3|139.21|43.01 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FMH BENEFIT SERVICES [1390]|FMH [139000]|158.19||||158.19|131.3|139.21|43.01 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|158.19||||158.19|139.21|139.21|43.01 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MEDICA [2910]|MEDICA QUEST [291001]|158.19||||158.19|115.32|139.21|43.01 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHNET [1495]|HEALTHNET [149500]|158.19||||158.19|139.21|139.21|43.01 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|158.19||||158.19|96.97|139.21|43.01 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|158.19||||158.19|71.18|139.21|43.01 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|158.19||||158.19|115.32|139.21|43.01 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|158.19||||158.19|87.32|139.21|43.01 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|158.19||||158.19|71.18|139.21|43.01 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|158.19||||158.19|87|139.21|43.01 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|158.19||||158.19|139.21|139.21|43.01 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|158.19||||158.19|139.21|139.21|43.01 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|158.19||||158.19|139.21|139.21|43.01 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AETNA [1015]|AETNA ACO WILCO [101532]|158.19||||158.19|87.32|139.21|43.01 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CORESOURCE [1315]|CORESOURCE [131501]|158.19||||158.19|87.32|139.21|43.01 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|158.19||||158.19|139.21|139.21|43.01 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|158.19||||158.19|131.3|139.21|43.01 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|158.19||||158.19|87.32|139.21|43.01 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|158.19||||158.19|131.3|139.21|43.01 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UMR [2035]|UMR CORE [203505]|158.19||||158.19|96.97|139.21|43.01 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|158.19||||158.19|139.21|139.21|43.01 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|WEB TPA [2115]|WEB TPA [211500]|158.19||||158.19|139.21|139.21|43.01 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|158.19||||158.19|139.21|139.21|43.01 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|158.19||||158.19|96.97|139.21|43.01 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHFIRST [2395]|HEALTHFIRST [239500]|158.19||||158.19|139.21|139.21|43.01 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|158.19||||158.19|139.21|139.21|43.01 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|158.19||||158.19|139.21|139.21|43.01 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GILSBAR [1425]|GILSBAR [142500]|158.19||||158.19|139.21|139.21|43.01 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|158.19||||158.19|98.08|139.21|43.01 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MULTIPLAN [1680]|IHC HS [168011]|158.19||||158.19|139.21|139.21|43.01 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|158.19||||158.19|139.21|139.21|43.01 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|158.19||||158.19|139.21|139.21|43.01 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|158.19||||158.19|139.21|139.21|43.01 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|158.19||||158.19|139.21|139.21|43.01 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CIGNA [1260]|CIGNA [126008]|158.19||||158.19|81.15|139.21|43.01 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|158.19||||158.19|43.01|139.21|43.01 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FIRST HEALTH [1375]|BENVEO/UCS [137512]|158.19||||158.19|115.32|139.21|43.01 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|TRUSTMARK [2030]|STARMARK [203000]|158.19||||158.19|139.21|139.21|43.01 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|158.19||||158.19|134.46|139.21|43.01 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|158.19||||158.19|87|139.21|43.01 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|158.19||||158.19|139.21|139.21|43.01 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|158.19||||158.19|139.21|139.21|43.01 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|158.19||||158.19|47.3|139.21|43.01 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|158.19||||158.19|139.21|139.21|43.01 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|158.19||||158.19|126.55|139.21|43.01 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|158.19||||158.19|139.21|139.21|43.01 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|158.19||||158.19||| 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCHOICE [1490]|HEALTHCHOICE [149000]|158.19||||158.19||| 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|158.19||||158.19||| 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|TULSA BLUE [115531]|158.19||||158.19||| 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MOLINA MEDICARE REPLACEMENT [1675]|MOLINA MEDICARE ADVANTAGE [167500]|158.19||||158.19||| 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GENERATIONS MEDICARE ADVANTAGE [1435]|GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500]|158.19||||158.19||| 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS MEDICARE REPLACEMENT [1160]|BLUE CROSS MEDICARE ADVANTAGE OOS [116005]|158.19||||158.19||| 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AMERIGROUP MEDICARE [1100]|AMERIGROUP MEDICARE [110000]|158.19||||158.19||| 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS TRADITIONAL OF OKLAHOMA [115501]|158.19||||158.19||| 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COMMUNITY CARE MEDICARE [1125]|COMMUNITY CARE ADVANTAGE MEDICARE [112502]|158.19||||158.19||| 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GHI [2835]|GHI MEDICARE REPLACEMENT [283500]|158.19||||158.19||| 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HUMANA MEDICARE REPLACEMENT [1525]|HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503]|158.19||||158.19||| 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|DEPARTMENT OF REHABILITATION SERVICES [2355]|DEPARTMENT OF REHABILITATION SERVICES [235500]|158.19||||158.19||| 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GENERATIONS HEALTHCARE [1420]|GENERATIONS HEALTHCARE [142000]|158.19||||158.19||| 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HPSI [1520]|HPSI HEALTHPLAN SERVICE [152000]|158.19||||158.19||| 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED HEALTHCARE MEDICARE REPLACEMENT [2065]|UHC MEDICARE ADVANTAGE [206511]|158.19||||158.19||| 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CHAMPVA [1240]|CHAMP VA [124000]|158.19||||158.19||| 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|158.19||||158.19||| 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|158.19||||158.19||| 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS ADVANTAGE OF ARKANSAS [115536]|158.19||||158.19||| 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS PREFERRED OF OKLAHOMA [115500]|158.19||||158.19||| 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509]|158.19||||158.19||| 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|VA CCN OPTUM [3920]|VA CCN OPTUM [392000]|158.19||||158.19||| 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AMERIGROUP MEDICAID [1095]|AMERIGROUP MEDICAID [109500]|158.19||||158.19||| 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HOSPICE [3000]|SOLSTICE HEALTHCARE [300004]|158.19||||158.19||| 10029|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|158.19||||158.19||| 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|158.19||||158.19|139.21|139.21|43.01 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|UMR [2035]|UMR CORE [203505]|158.19||||158.19|96.97|139.21|43.01 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|AETNA [1015]|AETNA ACO WILCO [101532]|158.19||||158.19|87.32|139.21|43.01 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|158.19||||158.19|87.32|139.21|43.01 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|158.19||||158.19|139.21|139.21|43.01 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|158.19||||158.19|115.32|139.21|43.01 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHFIRST [2395]|HEALTHFIRST [239500]|158.19||||158.19|139.21|139.21|43.01 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|158.19||||158.19|139.21|139.21|43.01 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|158.19||||158.19|87|139.21|43.01 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|158.19||||158.19|71.18|139.21|43.01 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MULTIPLAN [1680]|IHC HS [168011]|158.19||||158.19|139.21|139.21|43.01 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|158.19||||158.19|139.21|139.21|43.01 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|158.19||||158.19|131.3|139.21|43.01 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|158.19||||158.19|139.21|139.21|43.01 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|158.19||||158.19|139.21|139.21|43.01 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|158.19||||158.19|71.18|139.21|43.01 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|CORESOURCE [1315]|CORESOURCE [131501]|158.19||||158.19|87.32|139.21|43.01 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|158.19||||158.19|96.97|139.21|43.01 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|TRUSTMARK [2030]|STARMARK [203000]|158.19||||158.19|139.21|139.21|43.01 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|CIGNA [1260]|CIGNA [126008]|158.19||||158.19|81.15|139.21|43.01 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHNET [1495]|HEALTHNET [149500]|158.19||||158.19|139.21|139.21|43.01 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|158.19||||158.19|139.21|139.21|43.01 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|158.19||||158.19|87|139.21|43.01 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|158.19||||158.19|134.46|139.21|43.01 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|WEB TPA [2115]|WEB TPA [211500]|158.19||||158.19|139.21|139.21|43.01 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|158.19||||158.19|139.21|139.21|43.01 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|158.19||||158.19|87.32|139.21|43.01 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GILSBAR [1425]|GILSBAR [142500]|158.19||||158.19|139.21|139.21|43.01 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|158.19||||158.19|139.21|139.21|43.01 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|158.19||||158.19|139.21|139.21|43.01 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|158.19||||158.19|81.15|139.21|43.01 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|158.19||||158.19|98.08|139.21|43.01 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|158.19||||158.19|139.21|139.21|43.01 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|158.19||||158.19|43.01|139.21|43.01 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|158.19||||158.19|139.21|139.21|43.01 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|158.19||||158.19|131.3|139.21|43.01 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|158.19||||158.19|139.21|139.21|43.01 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GEHA [1415]|GEHA - ASA [141503]|158.19||||158.19|96.97|139.21|43.01 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|FMH BENEFIT SERVICES [1390]|FMH [139000]|158.19||||158.19|131.3|139.21|43.01 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|158.19||||158.19|131.3|139.21|43.01 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|158.19||||158.19|139.21|139.21|43.01 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|158.19||||158.19|139.21|139.21|43.01 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|158.19||||158.19|98.08|139.21|43.01 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|158.19||||158.19|47.3|139.21|43.01 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MEDICA [2910]|MEDICA QUEST [291001]|158.19||||158.19|115.32|139.21|43.01 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|158.19||||158.19|139.21|139.21|43.01 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|158.19||||158.19|96.97|139.21|43.01 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|158.19||||158.19|126.55|139.21|43.01 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|158.19||||158.19|139.21|139.21|43.01 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|||158.19||||158.19|47.46|139.21|43.01 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|158.19||||158.19|139.21|139.21|43.01 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|158.19||||158.19|139.21|139.21|43.01 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|158.19||||158.19|131.3|139.21|43.01 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|FIRST HEALTH [1375]|BENVEO/UCS [137512]|158.19||||158.19|115.32|139.21|43.01 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HPSI [1520]|HPSI HEALTHPLAN SERVICE [152000]|158.19||||158.19||| 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BCBS MEDICARE REPLACEMENT [1160]|BLUE CROSS MEDICARE ADVANTAGE OOS [116005]|158.19||||158.19||| 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|158.19||||158.19||| 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HUMANA MEDICARE REPLACEMENT [1525]|HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503]|158.19||||158.19||| 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BCBS [1155]|BLUE CROSS ADVANTAGE OF ARKANSAS [115536]|158.19||||158.19||| 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BCBS [1155]|BLUE CROSS TRADITIONAL OF OKLAHOMA [115501]|158.19||||158.19||| 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GENERATIONS MEDICARE ADVANTAGE [1435]|GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500]|158.19||||158.19||| 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|VA CCN OPTUM [3920]|VA CCN OPTUM [392000]|158.19||||158.19||| 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BCBS [1155]|BLUE CROSS PREFERRED OF OKLAHOMA [115500]|158.19||||158.19||| 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHCHOICE [1490]|HEALTHCHOICE [149000]|158.19||||158.19||| 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|AMERIGROUP MEDICAID [1095]|AMERIGROUP MEDICAID [109500]|158.19||||158.19||| 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GHI [2835]|GHI MEDICARE REPLACEMENT [283500]|158.19||||158.19||| 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|COMMUNITY CARE MEDICARE [1125]|COMMUNITY CARE ADVANTAGE MEDICARE [112502]|158.19||||158.19||| 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GENERATIONS HEALTHCARE [1420]|GENERATIONS HEALTHCARE [142000]|158.19||||158.19||| 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|AMERIGROUP MEDICARE [1100]|AMERIGROUP MEDICARE [110000]|158.19||||158.19||| 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|CHAMPVA [1240]|CHAMP VA [124000]|158.19||||158.19||| 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|158.19||||158.19||| 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|158.19||||158.19||| 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|158.19||||158.19||| 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|UNITED HEALTHCARE MEDICARE REPLACEMENT [2065]|UHC MEDICARE ADVANTAGE [206511]|158.19||||158.19||| 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|DEPARTMENT OF REHABILITATION SERVICES [2355]|DEPARTMENT OF REHABILITATION SERVICES [235500]|158.19||||158.19||| 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|158.19||||158.19||| 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MOLINA MEDICARE REPLACEMENT [1675]|MOLINA MEDICARE ADVANTAGE [167500]|158.19||||158.19||| 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BCBS [1155]|TULSA BLUE [115531]|158.19||||158.19||| 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HOSPICE [3000]|SOLSTICE HEALTHCARE [300004]|158.19||||158.19||| 10030|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BCBS [1155]|BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509]|158.19||||158.19||| 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|158.19||||158.19|126.55|139.21|43.01 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|158.19||||158.19|98.08|139.21|43.01 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|158.19||||158.19|131.3|139.21|43.01 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GEHA [1415]|GEHA - ASA [141503]|158.19||||158.19|96.97|139.21|43.01 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|158.19||||158.19|139.21|139.21|43.01 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|158.19||||158.19|139.21|139.21|43.01 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|158.19||||158.19|139.21|139.21|43.01 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|158.19||||158.19|134.46|139.21|43.01 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|TRUSTMARK [2030]|STARMARK [203000]|158.19||||158.19|139.21|139.21|43.01 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|158.19||||158.19|139.21|139.21|43.01 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|158.19||||158.19|139.21|139.21|43.01 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHNET [1495]|HEALTHNET [149500]|158.19||||158.19|139.21|139.21|43.01 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|158.19||||158.19|87|139.21|43.01 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|158.19||||158.19|96.97|139.21|43.01 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|158.19||||158.19|81.15|139.21|43.01 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CIGNA [1260]|CIGNA [126008]|158.19||||158.19|81.15|139.21|43.01 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|158.19||||158.19|139.21|139.21|43.01 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|158.19||||158.19|47.3|139.21|43.01 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|158.19||||158.19|71.18|139.21|43.01 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|158.19||||158.19|87.32|139.21|43.01 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|158.19||||158.19|115.32|139.21|43.01 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|158.19||||158.19|139.21|139.21|43.01 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|158.19||||158.19|43.01|139.21|43.01 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|158.19||||158.19|87.32|139.21|43.01 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|158.19||||158.19|139.21|139.21|43.01 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|||158.19||||158.19|47.46|139.21|43.01 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FIRST HEALTH [1375]|BENVEO/UCS [137512]|158.19||||158.19|115.32|139.21|43.01 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|158.19||||158.19|139.21|139.21|43.01 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|158.19||||158.19|71.18|139.21|43.01 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UMR [2035]|UMR CORE [203505]|158.19||||158.19|96.97|139.21|43.01 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHFIRST [2395]|HEALTHFIRST [239500]|158.19||||158.19|139.21|139.21|43.01 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|158.19||||158.19|139.21|139.21|43.01 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|158.19||||158.19|139.21|139.21|43.01 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|158.19||||158.19|131.3|139.21|43.01 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MEDICA [2910]|MEDICA QUEST [291001]|158.19||||158.19|115.32|139.21|43.01 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|158.19||||158.19|139.21|139.21|43.01 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FMH BENEFIT SERVICES [1390]|FMH [139000]|158.19||||158.19|131.3|139.21|43.01 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|WEB TPA [2115]|WEB TPA [211500]|158.19||||158.19|139.21|139.21|43.01 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|158.19||||158.19|139.21|139.21|43.01 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|158.19||||158.19|139.21|139.21|43.01 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|158.19||||158.19|131.3|139.21|43.01 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|158.19||||158.19|131.3|139.21|43.01 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|158.19||||158.19|87|139.21|43.01 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MULTIPLAN [1680]|IHC HS [168011]|158.19||||158.19|139.21|139.21|43.01 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CORESOURCE [1315]|CORESOURCE [131501]|158.19||||158.19|87.32|139.21|43.01 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|158.19||||158.19|139.21|139.21|43.01 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|158.19||||158.19|139.21|139.21|43.01 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AETNA [1015]|AETNA ACO WILCO [101532]|158.19||||158.19|87.32|139.21|43.01 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|158.19||||158.19|96.97|139.21|43.01 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|158.19||||158.19|139.21|139.21|43.01 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|158.19||||158.19|139.21|139.21|43.01 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GILSBAR [1425]|GILSBAR [142500]|158.19||||158.19|139.21|139.21|43.01 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|158.19||||158.19|139.21|139.21|43.01 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|158.19||||158.19|98.08|139.21|43.01 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCHOICE [1490]|HEALTHCHOICE [149000]|158.19||||158.19||| 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HOSPICE [3000]|SOLSTICE HEALTHCARE [300004]|158.19||||158.19||| 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AMERIGROUP MEDICAID [1095]|AMERIGROUP MEDICAID [109500]|158.19||||158.19||| 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MOLINA MEDICARE REPLACEMENT [1675]|MOLINA MEDICARE ADVANTAGE [167500]|158.19||||158.19||| 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|158.19||||158.19||| 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GENERATIONS MEDICARE ADVANTAGE [1435]|GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500]|158.19||||158.19||| 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509]|158.19||||158.19||| 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS PREFERRED OF OKLAHOMA [115500]|158.19||||158.19||| 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|TULSA BLUE [115531]|158.19||||158.19||| 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS MEDICARE REPLACEMENT [1160]|BLUE CROSS MEDICARE ADVANTAGE OOS [116005]|158.19||||158.19||| 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AMERIGROUP MEDICARE [1100]|AMERIGROUP MEDICARE [110000]|158.19||||158.19||| 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|158.19||||158.19||| 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GHI [2835]|GHI MEDICARE REPLACEMENT [283500]|158.19||||158.19||| 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HUMANA MEDICARE REPLACEMENT [1525]|HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503]|158.19||||158.19||| 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|158.19||||158.19||| 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|VA CCN OPTUM [3920]|VA CCN OPTUM [392000]|158.19||||158.19||| 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS ADVANTAGE OF ARKANSAS [115536]|158.19||||158.19||| 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HPSI [1520]|HPSI HEALTHPLAN SERVICE [152000]|158.19||||158.19||| 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED HEALTHCARE MEDICARE REPLACEMENT [2065]|UHC MEDICARE ADVANTAGE [206511]|158.19||||158.19||| 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GENERATIONS HEALTHCARE [1420]|GENERATIONS HEALTHCARE [142000]|158.19||||158.19||| 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|158.19||||158.19||| 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|158.19||||158.19||| 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CHAMPVA [1240]|CHAMP VA [124000]|158.19||||158.19||| 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS TRADITIONAL OF OKLAHOMA [115501]|158.19||||158.19||| 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|DEPARTMENT OF REHABILITATION SERVICES [2355]|DEPARTMENT OF REHABILITATION SERVICES [235500]|158.19||||158.19||| 10031|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L22 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COMMUNITY CARE MEDICARE [1125]|COMMUNITY CARE ADVANTAGE MEDICARE [112502]|158.19||||158.19||| 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|158.19||||158.19|87|139.21|43.01 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|158.19||||158.19|139.21|139.21|43.01 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MULTIPLAN [1680]|IHC HS [168011]|158.19||||158.19|139.21|139.21|43.01 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|158.19||||158.19|87.32|139.21|43.01 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|158.19||||158.19|139.21|139.21|43.01 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|158.19||||158.19|71.18|139.21|43.01 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|158.19||||158.19|71.18|139.21|43.01 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|158.19||||158.19|98.08|139.21|43.01 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|158.19||||158.19|139.21|139.21|43.01 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|158.19||||158.19|139.21|139.21|43.01 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|158.19||||158.19|139.21|139.21|43.01 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CIGNA [1260]|CIGNA [126008]|158.19||||158.19|81.15|139.21|43.01 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHNET [1495]|HEALTHNET [149500]|158.19||||158.19|139.21|139.21|43.01 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FIRST HEALTH [1375]|BENVEO/UCS [137512]|158.19||||158.19|115.32|139.21|43.01 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GEHA [1415]|GEHA - ASA [141503]|158.19||||158.19|96.97|139.21|43.01 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|158.19||||158.19|139.21|139.21|43.01 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|TRUSTMARK [2030]|STARMARK [203000]|158.19||||158.19|139.21|139.21|43.01 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|158.19||||158.19|139.21|139.21|43.01 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|158.19||||158.19|43.01|139.21|43.01 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|158.19||||158.19|139.21|139.21|43.01 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|158.19||||158.19|87|139.21|43.01 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|158.19||||158.19|139.21|139.21|43.01 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CORESOURCE [1315]|CORESOURCE [131501]|158.19||||158.19|87.32|139.21|43.01 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|158.19||||158.19|134.46|139.21|43.01 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|158.19||||158.19|81.15|139.21|43.01 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|158.19||||158.19|131.3|139.21|43.01 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|158.19||||158.19|115.32|139.21|43.01 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MEDICA [2910]|MEDICA QUEST [291001]|158.19||||158.19|115.32|139.21|43.01 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|158.19||||158.19|139.21|139.21|43.01 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|158.19||||158.19|131.3|139.21|43.01 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|158.19||||158.19|96.97|139.21|43.01 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|158.19||||158.19|139.21|139.21|43.01 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|||158.19||||158.19|47.46|139.21|43.01 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|158.19||||158.19|139.21|139.21|43.01 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|158.19||||158.19|98.08|139.21|43.01 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|158.19||||158.19|139.21|139.21|43.01 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|158.19||||158.19|47.3|139.21|43.01 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GILSBAR [1425]|GILSBAR [142500]|158.19||||158.19|139.21|139.21|43.01 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|158.19||||158.19|139.21|139.21|43.01 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|158.19||||158.19|139.21|139.21|43.01 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FMH BENEFIT SERVICES [1390]|FMH [139000]|158.19||||158.19|131.3|139.21|43.01 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|158.19||||158.19|126.55|139.21|43.01 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|158.19||||158.19|139.21|139.21|43.01 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AETNA [1015]|AETNA ACO WILCO [101532]|158.19||||158.19|87.32|139.21|43.01 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|158.19||||158.19|139.21|139.21|43.01 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|158.19||||158.19|96.97|139.21|43.01 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|158.19||||158.19|87.32|139.21|43.01 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|158.19||||158.19|131.3|139.21|43.01 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|158.19||||158.19|139.21|139.21|43.01 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|158.19||||158.19|131.3|139.21|43.01 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|158.19||||158.19|139.21|139.21|43.01 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|WEB TPA [2115]|WEB TPA [211500]|158.19||||158.19|139.21|139.21|43.01 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHFIRST [2395]|HEALTHFIRST [239500]|158.19||||158.19|139.21|139.21|43.01 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UMR [2035]|UMR CORE [203505]|158.19||||158.19|96.97|139.21|43.01 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COMMUNITY CARE MEDICARE [1125]|COMMUNITY CARE ADVANTAGE MEDICARE [112502]|158.19||||158.19||| 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED HEALTHCARE MEDICARE REPLACEMENT [2065]|UHC MEDICARE ADVANTAGE [206511]|158.19||||158.19||| 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|158.19||||158.19||| 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AMERIGROUP MEDICARE [1100]|AMERIGROUP MEDICARE [110000]|158.19||||158.19||| 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS TRADITIONAL OF OKLAHOMA [115501]|158.19||||158.19||| 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS ADVANTAGE OF ARKANSAS [115536]|158.19||||158.19||| 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|TULSA BLUE [115531]|158.19||||158.19||| 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|VA CCN OPTUM [3920]|VA CCN OPTUM [392000]|158.19||||158.19||| 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|DEPARTMENT OF REHABILITATION SERVICES [2355]|DEPARTMENT OF REHABILITATION SERVICES [235500]|158.19||||158.19||| 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HOSPICE [3000]|SOLSTICE HEALTHCARE [300004]|158.19||||158.19||| 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509]|158.19||||158.19||| 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AMERIGROUP MEDICAID [1095]|AMERIGROUP MEDICAID [109500]|158.19||||158.19||| 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS PREFERRED OF OKLAHOMA [115500]|158.19||||158.19||| 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS MEDICARE REPLACEMENT [1160]|BLUE CROSS MEDICARE ADVANTAGE OOS [116005]|158.19||||158.19||| 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|158.19||||158.19||| 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|158.19||||158.19||| 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|158.19||||158.19||| 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GENERATIONS MEDICARE ADVANTAGE [1435]|GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500]|158.19||||158.19||| 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MOLINA MEDICARE REPLACEMENT [1675]|MOLINA MEDICARE ADVANTAGE [167500]|158.19||||158.19||| 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|158.19||||158.19||| 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCHOICE [1490]|HEALTHCHOICE [149000]|158.19||||158.19||| 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GENERATIONS HEALTHCARE [1420]|GENERATIONS HEALTHCARE [142000]|158.19||||158.19||| 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CHAMPVA [1240]|CHAMP VA [124000]|158.19||||158.19||| 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GHI [2835]|GHI MEDICARE REPLACEMENT [283500]|158.19||||158.19||| 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HPSI [1520]|HPSI HEALTHPLAN SERVICE [152000]|158.19||||158.19||| 10032|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L24 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HUMANA MEDICARE REPLACEMENT [1525]|HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503]|158.19||||158.19||| 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|WEB TPA [2115]|WEB TPA [211500]|158.19||||158.19|139.21|139.21|43.01 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|158.19||||158.19|87|139.21|43.01 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|158.19||||158.19|115.32|139.21|43.01 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|158.19||||158.19|126.55|139.21|43.01 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|158.19||||158.19|139.21|139.21|43.01 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|158.19||||158.19|98.08|139.21|43.01 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|||158.19||||158.19|47.46|139.21|43.01 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|158.19||||158.19|139.21|139.21|43.01 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|158.19||||158.19|131.3|139.21|43.01 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|158.19||||158.19|131.3|139.21|43.01 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|158.19||||158.19|139.21|139.21|43.01 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|158.19||||158.19|134.46|139.21|43.01 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|FMH BENEFIT SERVICES [1390]|FMH [139000]|158.19||||158.19|131.3|139.21|43.01 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|158.19||||158.19|139.21|139.21|43.01 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|158.19||||158.19|139.21|139.21|43.01 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|158.19||||158.19|139.21|139.21|43.01 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|158.19||||158.19|96.97|139.21|43.01 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|FIRST HEALTH [1375]|BENVEO/UCS [137512]|158.19||||158.19|115.32|139.21|43.01 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|158.19||||158.19|43.01|139.21|43.01 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|158.19||||158.19|139.21|139.21|43.01 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHNET [1495]|HEALTHNET [149500]|158.19||||158.19|139.21|139.21|43.01 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|CIGNA [1260]|CIGNA [126008]|158.19||||158.19|81.15|139.21|43.01 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|158.19||||158.19|139.21|139.21|43.01 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|158.19||||158.19|47.3|139.21|43.01 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|158.19||||158.19|139.21|139.21|43.01 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GEHA [1415]|GEHA - ASA [141503]|158.19||||158.19|96.97|139.21|43.01 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|158.19||||158.19|139.21|139.21|43.01 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|158.19||||158.19|87|139.21|43.01 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|TRUSTMARK [2030]|STARMARK [203000]|158.19||||158.19|139.21|139.21|43.01 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MEDICA [2910]|MEDICA QUEST [291001]|158.19||||158.19|115.32|139.21|43.01 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GILSBAR [1425]|GILSBAR [142500]|158.19||||158.19|139.21|139.21|43.01 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|CORESOURCE [1315]|CORESOURCE [131501]|158.19||||158.19|87.32|139.21|43.01 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|158.19||||158.19|71.18|139.21|43.01 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|158.19||||158.19|81.15|139.21|43.01 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|158.19||||158.19|71.18|139.21|43.01 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|158.19||||158.19|139.21|139.21|43.01 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MULTIPLAN [1680]|IHC HS [168011]|158.19||||158.19|139.21|139.21|43.01 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|158.19||||158.19|139.21|139.21|43.01 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|158.19||||158.19|87.32|139.21|43.01 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|158.19||||158.19|139.21|139.21|43.01 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|158.19||||158.19|98.08|139.21|43.01 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|158.19||||158.19|139.21|139.21|43.01 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|158.19||||158.19|139.21|139.21|43.01 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|UMR [2035]|UMR CORE [203505]|158.19||||158.19|96.97|139.21|43.01 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHFIRST [2395]|HEALTHFIRST [239500]|158.19||||158.19|139.21|139.21|43.01 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|158.19||||158.19|139.21|139.21|43.01 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|158.19||||158.19|131.3|139.21|43.01 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|158.19||||158.19|139.21|139.21|43.01 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|158.19||||158.19|131.3|139.21|43.01 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|158.19||||158.19|87.32|139.21|43.01 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|158.19||||158.19|139.21|139.21|43.01 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|AETNA [1015]|AETNA ACO WILCO [101532]|158.19||||158.19|87.32|139.21|43.01 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|158.19||||158.19|96.97|139.21|43.01 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|158.19||||158.19|139.21|139.21|43.01 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|158.19||||158.19||| 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|AMERIGROUP MEDICAID [1095]|AMERIGROUP MEDICAID [109500]|158.19||||158.19||| 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHCHOICE [1490]|HEALTHCHOICE [149000]|158.19||||158.19||| 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|DEPARTMENT OF REHABILITATION SERVICES [2355]|DEPARTMENT OF REHABILITATION SERVICES [235500]|158.19||||158.19||| 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HOSPICE [3000]|SOLSTICE HEALTHCARE [300004]|158.19||||158.19||| 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MOLINA MEDICARE REPLACEMENT [1675]|MOLINA MEDICARE ADVANTAGE [167500]|158.19||||158.19||| 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|VA CCN OPTUM [3920]|VA CCN OPTUM [392000]|158.19||||158.19||| 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BCBS [1155]|BLUE CROSS PREFERRED OF OKLAHOMA [115500]|158.19||||158.19||| 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BCBS [1155]|BLUE CROSS TRADITIONAL OF OKLAHOMA [115501]|158.19||||158.19||| 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|158.19||||158.19||| 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|158.19||||158.19||| 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GENERATIONS MEDICARE ADVANTAGE [1435]|GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500]|158.19||||158.19||| 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BCBS [1155]|BLUE CROSS ADVANTAGE OF ARKANSAS [115536]|158.19||||158.19||| 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BCBS [1155]|BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509]|158.19||||158.19||| 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BCBS [1155]|TULSA BLUE [115531]|158.19||||158.19||| 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|158.19||||158.19||| 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|AMERIGROUP MEDICARE [1100]|AMERIGROUP MEDICARE [110000]|158.19||||158.19||| 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|158.19||||158.19||| 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|UNITED HEALTHCARE MEDICARE REPLACEMENT [2065]|UHC MEDICARE ADVANTAGE [206511]|158.19||||158.19||| 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BCBS MEDICARE REPLACEMENT [1160]|BLUE CROSS MEDICARE ADVANTAGE OOS [116005]|158.19||||158.19||| 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|COMMUNITY CARE MEDICARE [1125]|COMMUNITY CARE ADVANTAGE MEDICARE [112502]|158.19||||158.19||| 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HUMANA MEDICARE REPLACEMENT [1525]|HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503]|158.19||||158.19||| 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HPSI [1520]|HPSI HEALTHPLAN SERVICE [152000]|158.19||||158.19||| 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GENERATIONS HEALTHCARE [1420]|GENERATIONS HEALTHCARE [142000]|158.19||||158.19||| 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|CHAMPVA [1240]|CHAMP VA [124000]|158.19||||158.19||| 10033|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L26 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GHI [2835]|GHI MEDICARE REPLACEMENT [283500]|158.19||||158.19||| 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|158.19||||158.19|139.21|139.21|43.01 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|158.19||||158.19|96.97|139.21|43.01 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|AETNA [1015]|AETNA ACO WILCO [101532]|158.19||||158.19|87.32|139.21|43.01 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|158.19||||158.19|131.3|139.21|43.01 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|158.19||||158.19|131.3|139.21|43.01 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|158.19||||158.19|87.32|139.21|43.01 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|WEB TPA [2115]|WEB TPA [211500]|158.19||||158.19|139.21|139.21|43.01 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHFIRST [2395]|HEALTHFIRST [239500]|158.19||||158.19|139.21|139.21|43.01 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|UMR [2035]|UMR CORE [203505]|158.19||||158.19|96.97|139.21|43.01 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|158.19||||158.19|139.21|139.21|43.01 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|158.19||||158.19|87|139.21|43.01 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|158.19||||158.19|98.08|139.21|43.01 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|158.19||||158.19|139.21|139.21|43.01 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|158.19||||158.19|87.32|139.21|43.01 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|158.19||||158.19|139.21|139.21|43.01 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MULTIPLAN [1680]|IHC HS [168011]|158.19||||158.19|139.21|139.21|43.01 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|158.19||||158.19|139.21|139.21|43.01 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|158.19||||158.19|139.21|139.21|43.01 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|158.19||||158.19|139.21|139.21|43.01 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|158.19||||158.19|71.18|139.21|43.01 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|158.19||||158.19|71.18|139.21|43.01 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHNET [1495]|HEALTHNET [149500]|158.19||||158.19|139.21|139.21|43.01 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|FIRST HEALTH [1375]|BENVEO/UCS [137512]|158.19||||158.19|115.32|139.21|43.01 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|CORESOURCE [1315]|CORESOURCE [131501]|158.19||||158.19|87.32|139.21|43.01 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|158.19||||158.19|43.01|139.21|43.01 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|158.19||||158.19|87|139.21|43.01 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|158.19||||158.19|139.21|139.21|43.01 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|158.19||||158.19|115.32|139.21|43.01 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|158.19||||158.19|139.21|139.21|43.01 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|158.19||||158.19|131.3|139.21|43.01 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GILSBAR [1425]|GILSBAR [142500]|158.19||||158.19|139.21|139.21|43.01 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|158.19||||158.19|126.55|139.21|43.01 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|158.19||||158.19|139.21|139.21|43.01 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|158.19||||158.19|139.21|139.21|43.01 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|158.19||||158.19|139.21|139.21|43.01 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|||158.19||||158.19|47.46|139.21|43.01 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|158.19||||158.19|98.08|139.21|43.01 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GEHA [1415]|GEHA - ASA [141503]|158.19||||158.19|96.97|139.21|43.01 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|158.19||||158.19|131.3|139.21|43.01 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|158.19||||158.19|139.21|139.21|43.01 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|158.19||||158.19|81.15|139.21|43.01 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|158.19||||158.19|134.46|139.21|43.01 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|158.19||||158.19|47.3|139.21|43.01 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|FMH BENEFIT SERVICES [1390]|FMH [139000]|158.19||||158.19|131.3|139.21|43.01 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|TRUSTMARK [2030]|STARMARK [203000]|158.19||||158.19|139.21|139.21|43.01 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|158.19||||158.19|139.21|139.21|43.01 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|158.19||||158.19|139.21|139.21|43.01 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|158.19||||158.19|96.97|139.21|43.01 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|158.19||||158.19|139.21|139.21|43.01 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MEDICA [2910]|MEDICA QUEST [291001]|158.19||||158.19|115.32|139.21|43.01 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|CIGNA [1260]|CIGNA [126008]|158.19||||158.19|81.15|139.21|43.01 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|158.19||||158.19|139.21|139.21|43.01 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|158.19||||158.19|139.21|139.21|43.01 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|158.19||||158.19|139.21|139.21|43.01 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HPSI [1520]|HPSI HEALTHPLAN SERVICE [152000]|158.19||||158.19||| 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|COMMUNITY CARE MEDICARE [1125]|COMMUNITY CARE ADVANTAGE MEDICARE [112502]|158.19||||158.19||| 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|UNITED HEALTHCARE MEDICARE REPLACEMENT [2065]|UHC MEDICARE ADVANTAGE [206511]|158.19||||158.19||| 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|AMERIGROUP MEDICARE [1100]|AMERIGROUP MEDICARE [110000]|158.19||||158.19||| 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GHI [2835]|GHI MEDICARE REPLACEMENT [283500]|158.19||||158.19||| 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BCBS [1155]|BLUE CROSS TRADITIONAL OF OKLAHOMA [115501]|158.19||||158.19||| 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BCBS [1155]|BLUE CROSS PREFERRED OF OKLAHOMA [115500]|158.19||||158.19||| 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GENERATIONS HEALTHCARE [1420]|GENERATIONS HEALTHCARE [142000]|158.19||||158.19||| 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BCBS [1155]|BLUE CROSS ADVANTAGE OF ARKANSAS [115536]|158.19||||158.19||| 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BCBS [1155]|TULSA BLUE [115531]|158.19||||158.19||| 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|VA CCN OPTUM [3920]|VA CCN OPTUM [392000]|158.19||||158.19||| 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GENERATIONS MEDICARE ADVANTAGE [1435]|GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500]|158.19||||158.19||| 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BCBS [1155]|BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509]|158.19||||158.19||| 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|158.19||||158.19||| 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|DEPARTMENT OF REHABILITATION SERVICES [2355]|DEPARTMENT OF REHABILITATION SERVICES [235500]|158.19||||158.19||| 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|AMERIGROUP MEDICAID [1095]|AMERIGROUP MEDICAID [109500]|158.19||||158.19||| 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HUMANA MEDICARE REPLACEMENT [1525]|HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503]|158.19||||158.19||| 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|158.19||||158.19||| 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|158.19||||158.19||| 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BCBS MEDICARE REPLACEMENT [1160]|BLUE CROSS MEDICARE ADVANTAGE OOS [116005]|158.19||||158.19||| 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|158.19||||158.19||| 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|158.19||||158.19||| 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HOSPICE [3000]|SOLSTICE HEALTHCARE [300004]|158.19||||158.19||| 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHCHOICE [1490]|HEALTHCHOICE [149000]|158.19||||158.19||| 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|CHAMPVA [1240]|CHAMP VA [124000]|158.19||||158.19||| 10034|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MOLINA MEDICARE REPLACEMENT [1675]|MOLINA MEDICARE ADVANTAGE [167500]|158.19||||158.19||| 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|FMH BENEFIT SERVICES [1390]|FMH [139000]|158.19||||158.19|131.3|139.21|43.01 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GEHA [1415]|GEHA - ASA [141503]|158.19||||158.19|96.97|139.21|43.01 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|158.19||||158.19|126.55|139.21|43.01 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|158.19||||158.19|139.21|139.21|43.01 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GILSBAR [1425]|GILSBAR [142500]|158.19||||158.19|139.21|139.21|43.01 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|158.19||||158.19|47.3|139.21|43.01 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|158.19||||158.19|98.08|139.21|43.01 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|||158.19||||158.19|47.46|139.21|43.01 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|158.19||||158.19|131.3|139.21|43.01 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|158.19||||158.19|139.21|139.21|43.01 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|158.19||||158.19|131.3|139.21|43.01 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|158.19||||158.19|81.15|139.21|43.01 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|158.19||||158.19|139.21|139.21|43.01 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|158.19||||158.19|87|139.21|43.01 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|158.19||||158.19|134.46|139.21|43.01 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|158.19||||158.19|43.01|139.21|43.01 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|TRUSTMARK [2030]|STARMARK [203000]|158.19||||158.19|139.21|139.21|43.01 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|158.19||||158.19|139.21|139.21|43.01 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|158.19||||158.19|139.21|139.21|43.01 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|158.19||||158.19|139.21|139.21|43.01 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|158.19||||158.19|96.97|139.21|43.01 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|158.19||||158.19|139.21|139.21|43.01 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|FIRST HEALTH [1375]|BENVEO/UCS [137512]|158.19||||158.19|115.32|139.21|43.01 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHNET [1495]|HEALTHNET [149500]|158.19||||158.19|139.21|139.21|43.01 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|CIGNA [1260]|CIGNA [126008]|158.19||||158.19|81.15|139.21|43.01 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|158.19||||158.19|139.21|139.21|43.01 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|158.19||||158.19|139.21|139.21|43.01 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|CORESOURCE [1315]|CORESOURCE [131501]|158.19||||158.19|87.32|139.21|43.01 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|158.19||||158.19|71.18|139.21|43.01 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|158.19||||158.19|139.21|139.21|43.01 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MULTIPLAN [1680]|IHC HS [168011]|158.19||||158.19|139.21|139.21|43.01 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|158.19||||158.19|139.21|139.21|43.01 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|158.19||||158.19|87.32|139.21|43.01 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|158.19||||158.19|139.21|139.21|43.01 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MEDICA [2910]|MEDICA QUEST [291001]|158.19||||158.19|115.32|139.21|43.01 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|158.19||||158.19|87|139.21|43.01 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|158.19||||158.19|98.08|139.21|43.01 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|158.19||||158.19|139.21|139.21|43.01 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|158.19||||158.19|139.21|139.21|43.01 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|UMR [2035]|UMR CORE [203505]|158.19||||158.19|96.97|139.21|43.01 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHFIRST [2395]|HEALTHFIRST [239500]|158.19||||158.19|139.21|139.21|43.01 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|WEB TPA [2115]|WEB TPA [211500]|158.19||||158.19|139.21|139.21|43.01 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|158.19||||158.19|115.32|139.21|43.01 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|158.19||||158.19|139.21|139.21|43.01 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|158.19||||158.19|131.3|139.21|43.01 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|158.19||||158.19|139.21|139.21|43.01 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|158.19||||158.19|139.21|139.21|43.01 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|158.19||||158.19|131.3|139.21|43.01 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|158.19||||158.19|87.32|139.21|43.01 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|158.19||||158.19|139.21|139.21|43.01 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|AETNA [1015]|AETNA ACO WILCO [101532]|158.19||||158.19|87.32|139.21|43.01 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|158.19||||158.19|96.97|139.21|43.01 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|158.19||||158.19|71.18|139.21|43.01 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|158.19||||158.19|139.21|139.21|43.01 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GENERATIONS MEDICARE ADVANTAGE [1435]|GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500]|158.19||||158.19||| 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|158.19||||158.19||| 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|158.19||||158.19||| 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|AMERIGROUP MEDICAID [1095]|AMERIGROUP MEDICAID [109500]|158.19||||158.19||| 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHCHOICE [1490]|HEALTHCHOICE [149000]|158.19||||158.19||| 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|DEPARTMENT OF REHABILITATION SERVICES [2355]|DEPARTMENT OF REHABILITATION SERVICES [235500]|158.19||||158.19||| 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MOLINA MEDICARE REPLACEMENT [1675]|MOLINA MEDICARE ADVANTAGE [167500]|158.19||||158.19||| 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|VA CCN OPTUM [3920]|VA CCN OPTUM [392000]|158.19||||158.19||| 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BCBS [1155]|BLUE CROSS TRADITIONAL OF OKLAHOMA [115501]|158.19||||158.19||| 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BCBS [1155]|BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509]|158.19||||158.19||| 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BCBS [1155]|BLUE CROSS ADVANTAGE OF ARKANSAS [115536]|158.19||||158.19||| 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BCBS [1155]|BLUE CROSS PREFERRED OF OKLAHOMA [115500]|158.19||||158.19||| 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BCBS MEDICARE REPLACEMENT [1160]|BLUE CROSS MEDICARE ADVANTAGE OOS [116005]|158.19||||158.19||| 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|COMMUNITY CARE MEDICARE [1125]|COMMUNITY CARE ADVANTAGE MEDICARE [112502]|158.19||||158.19||| 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HOSPICE [3000]|SOLSTICE HEALTHCARE [300004]|158.19||||158.19||| 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HUMANA MEDICARE REPLACEMENT [1525]|HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503]|158.19||||158.19||| 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HPSI [1520]|HPSI HEALTHPLAN SERVICE [152000]|158.19||||158.19||| 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|158.19||||158.19||| 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|AMERIGROUP MEDICARE [1100]|AMERIGROUP MEDICARE [110000]|158.19||||158.19||| 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|158.19||||158.19||| 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|158.19||||158.19||| 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GENERATIONS HEALTHCARE [1420]|GENERATIONS HEALTHCARE [142000]|158.19||||158.19||| 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BCBS [1155]|TULSA BLUE [115531]|158.19||||158.19||| 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|CHAMPVA [1240]|CHAMP VA [124000]|158.19||||158.19||| 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GHI [2835]|GHI MEDICARE REPLACEMENT [283500]|158.19||||158.19||| 10035|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|UNITED HEALTHCARE MEDICARE REPLACEMENT [2065]|UHC MEDICARE ADVANTAGE [206511]|158.19||||158.19||| 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|158.19||||158.19|139.21|139.21|43.01 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|158.19||||158.19|96.97|139.21|43.01 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|AETNA [1015]|AETNA ACO WILCO [101532]|158.19||||158.19|87.32|139.21|43.01 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|158.19||||158.19|131.3|139.21|43.01 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|158.19||||158.19|131.3|139.21|43.01 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|158.19||||158.19|87.32|139.21|43.01 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|WEB TPA [2115]|WEB TPA [211500]|158.19||||158.19|139.21|139.21|43.01 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHFIRST [2395]|HEALTHFIRST [239500]|158.19||||158.19|139.21|139.21|43.01 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|UMR [2035]|UMR CORE [203505]|158.19||||158.19|96.97|139.21|43.01 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|158.19||||158.19|139.21|139.21|43.01 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|158.19||||158.19|87|139.21|43.01 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|158.19||||158.19|98.08|139.21|43.01 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|158.19||||158.19|139.21|139.21|43.01 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|158.19||||158.19|87.32|139.21|43.01 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|158.19||||158.19|139.21|139.21|43.01 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MULTIPLAN [1680]|IHC HS [168011]|158.19||||158.19|139.21|139.21|43.01 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|158.19||||158.19|139.21|139.21|43.01 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|158.19||||158.19|139.21|139.21|43.01 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|158.19||||158.19|139.21|139.21|43.01 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|158.19||||158.19|71.18|139.21|43.01 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|158.19||||158.19|71.18|139.21|43.01 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHNET [1495]|HEALTHNET [149500]|158.19||||158.19|139.21|139.21|43.01 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|FIRST HEALTH [1375]|BENVEO/UCS [137512]|158.19||||158.19|115.32|139.21|43.01 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|CORESOURCE [1315]|CORESOURCE [131501]|158.19||||158.19|87.32|139.21|43.01 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|TRUSTMARK [2030]|STARMARK [203000]|158.19||||158.19|139.21|139.21|43.01 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|158.19||||158.19|87|139.21|43.01 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|158.19||||158.19|139.21|139.21|43.01 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|158.19||||158.19|115.32|139.21|43.01 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|158.19||||158.19|139.21|139.21|43.01 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|158.19||||158.19|131.3|139.21|43.01 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GILSBAR [1425]|GILSBAR [142500]|158.19||||158.19|139.21|139.21|43.01 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|158.19||||158.19|139.21|139.21|43.01 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|158.19||||158.19|126.55|139.21|43.01 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|158.19||||158.19|139.21|139.21|43.01 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|158.19||||158.19|139.21|139.21|43.01 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|158.19||||158.19|98.08|139.21|43.01 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|||158.19||||158.19|47.46|139.21|43.01 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|158.19||||158.19|47.3|139.21|43.01 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GEHA [1415]|GEHA - ASA [141503]|158.19||||158.19|96.97|139.21|43.01 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|158.19||||158.19|131.3|139.21|43.01 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|158.19||||158.19|139.21|139.21|43.01 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|FMH BENEFIT SERVICES [1390]|FMH [139000]|158.19||||158.19|131.3|139.21|43.01 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|158.19||||158.19|43.01|139.21|43.01 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|158.19||||158.19|134.46|139.21|43.01 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|158.19||||158.19|139.21|139.21|43.01 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|158.19||||158.19|139.21|139.21|43.01 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|158.19||||158.19|81.15|139.21|43.01 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MEDICA [2910]|MEDICA QUEST [291001]|158.19||||158.19|115.32|139.21|43.01 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|158.19||||158.19|139.21|139.21|43.01 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|158.19||||158.19|96.97|139.21|43.01 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|158.19||||158.19|139.21|139.21|43.01 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|CIGNA [1260]|CIGNA [126008]|158.19||||158.19|81.15|139.21|43.01 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|158.19||||158.19|139.21|139.21|43.01 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|158.19||||158.19|139.21|139.21|43.01 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HPSI [1520]|HPSI HEALTHPLAN SERVICE [152000]|158.19||||158.19||| 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HUMANA MEDICARE REPLACEMENT [1525]|HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503]|158.19||||158.19||| 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|COMMUNITY CARE MEDICARE [1125]|COMMUNITY CARE ADVANTAGE MEDICARE [112502]|158.19||||158.19||| 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|UNITED HEALTHCARE MEDICARE REPLACEMENT [2065]|UHC MEDICARE ADVANTAGE [206511]|158.19||||158.19||| 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|AMERIGROUP MEDICARE [1100]|AMERIGROUP MEDICARE [110000]|158.19||||158.19||| 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GHI [2835]|GHI MEDICARE REPLACEMENT [283500]|158.19||||158.19||| 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BCBS [1155]|BLUE CROSS ADVANTAGE OF ARKANSAS [115536]|158.19||||158.19||| 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BCBS [1155]|BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509]|158.19||||158.19||| 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GENERATIONS HEALTHCARE [1420]|GENERATIONS HEALTHCARE [142000]|158.19||||158.19||| 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BCBS [1155]|BLUE CROSS TRADITIONAL OF OKLAHOMA [115501]|158.19||||158.19||| 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BCBS [1155]|BLUE CROSS PREFERRED OF OKLAHOMA [115500]|158.19||||158.19||| 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|VA CCN OPTUM [3920]|VA CCN OPTUM [392000]|158.19||||158.19||| 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BCBS [1155]|TULSA BLUE [115531]|158.19||||158.19||| 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|158.19||||158.19||| 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|DEPARTMENT OF REHABILITATION SERVICES [2355]|DEPARTMENT OF REHABILITATION SERVICES [235500]|158.19||||158.19||| 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|AMERIGROUP MEDICAID [1095]|AMERIGROUP MEDICAID [109500]|158.19||||158.19||| 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|158.19||||158.19||| 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|158.19||||158.19||| 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|158.19||||158.19||| 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BCBS MEDICARE REPLACEMENT [1160]|BLUE CROSS MEDICARE ADVANTAGE OOS [116005]|158.19||||158.19||| 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|158.19||||158.19||| 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HOSPICE [3000]|SOLSTICE HEALTHCARE [300004]|158.19||||158.19||| 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHCHOICE [1490]|HEALTHCHOICE [149000]|158.19||||158.19||| 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|CHAMPVA [1240]|CHAMP VA [124000]|158.19||||158.19||| 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MOLINA MEDICARE REPLACEMENT [1675]|MOLINA MEDICARE ADVANTAGE [167500]|158.19||||158.19||| 10036|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L32 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GENERATIONS MEDICARE ADVANTAGE [1435]|GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500]|158.19||||158.19||| 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|11.25||||11.25|9.34|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|11.25||||11.25|3.36|139.21|3.06 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|158.19||||158.19|126.55|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|11.25||||11.25|9|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|11.25||||11.25|9.9|139.21|3.06 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|158.19||||158.19|139.21|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|GILSBAR [1425]|GILSBAR [142500]|11.25||||11.25|9.9|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|GILSBAR [1425]|GILSBAR [142500]|11.25||||11.25|9.9|139.21|3.06 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GILSBAR [1425]|GILSBAR [142500]|158.19||||158.19|139.21|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|11.25||||11.25|9.9|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|11.25||||11.25|3.36|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|11.25||||11.25|9.9|139.21|3.06 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|158.19||||158.19|47.3|139.21|3.06 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|158.19||||158.19|139.21|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|11.25||||11.25|6.98|139.21|3.06 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|158.19||||158.19|98.08|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|11.25||||11.25|6.98|139.21|3.06 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|||158.19||||158.19|47.46|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|||11.25||||11.25|3.37|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|||11.25||||11.25|3.37|139.21|3.06 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GEHA [1415]|GEHA - ASA [141503]|158.19||||158.19|96.97|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|GEHA [1415]|GEHA - ASA [141503]|11.25||||11.25|6.9|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|GEHA [1415]|GEHA - ASA [141503]|11.25||||11.25|6.9|139.21|3.06 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|158.19||||158.19|131.3|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|11.25||||11.25|9.34|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|11.25||||11.25|9.9|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|11.25||||11.25|9.34|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|11.25||||11.25|9.9|139.21|3.06 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|158.19||||158.19|131.3|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|11.25||||11.25|5.77|139.21|3.06 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|158.19||||158.19|81.15|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|11.25||||11.25|9.9|139.21|3.06 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|158.19||||158.19|139.21|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|11.25||||11.25|9.56|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|11.25||||11.25|9.56|139.21|3.06 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|158.19||||158.19|134.46|139.21|3.06 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FMH BENEFIT SERVICES [1390]|FMH [139000]|158.19||||158.19|131.3|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|11.25||||11.25|6.19|139.21|3.06 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|158.19||||158.19|43.01|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|TRUSTMARK [2030]|STARMARK [203000]|11.25||||11.25|9.9|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|FMH BENEFIT SERVICES [1390]|FMH [139000]|11.25||||11.25|9.34|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|11.25||||11.25|3.06|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|11.25||||11.25|9.9|139.21|3.06 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|158.19||||158.19|139.21|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|11.25||||11.25|9.9|139.21|3.06 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|158.19||||158.19|139.21|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|MEDICA [2910]|MEDICA QUEST [291001]|11.25||||11.25|8.2|139.21|3.06 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|158.19||||158.19|139.21|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|11.25||||11.25|9.9|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|11.25||||11.25|6.9|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|11.25||||11.25|9.9|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|FIRST HEALTH [1375]|BENVEO/UCS [137512]|11.25||||11.25|8.2|139.21|3.06 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|158.19||||158.19|96.97|139.21|3.06 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|158.19||||158.19|139.21|139.21|3.06 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|158.19||||158.19|87|139.21|3.06 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FIRST HEALTH [1375]|BENVEO/UCS [137512]|158.19||||158.19|115.32|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|11.25||||11.25|9.9|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|HEALTHNET [1495]|HEALTHNET [149500]|11.25||||11.25|9.9|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|HEALTHNET [1495]|HEALTHNET [149500]|11.25||||11.25|9.9|139.21|3.06 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CIGNA [1260]|CIGNA [126008]|158.19||||158.19|81.15|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|11.25||||11.25|9.9|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|CIGNA [1260]|CIGNA [126008]|11.25||||11.25|5.77|139.21|3.06 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|158.19||||158.19|139.21|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|FIRST HEALTH [1375]|BENVEO/UCS [137512]|11.25||||11.25|8.2|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|11.25||||11.25|6.9|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|11.25||||11.25|9.9|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|11.25||||11.25|9.9|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|11.25||||11.25|9.9|139.21|3.06 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|158.19||||158.19|139.21|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|11.25||||11.25|6.19|139.21|3.06 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CORESOURCE [1315]|CORESOURCE [131501]|158.19||||158.19|87.32|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|CORESOURCE [1315]|CORESOURCE [131501]|11.25||||11.25|6.21|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|11.25||||11.25|5.06|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|11.25||||11.25|5.06|139.21|3.06 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|158.19||||158.19|71.18|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|11.25||||11.25|5.06|139.21|3.06 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|158.19||||158.19|139.21|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|11.25||||11.25|5.06|139.21|3.06 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|158.19||||158.19|139.21|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|11.25||||11.25|9.9|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|11.25||||11.25|9.9|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|11.25||||11.25|9.9|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|CIGNA [1260]|CIGNA [126008]|11.25||||11.25|5.77|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|11.25||||11.25|9.9|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|CORESOURCE [1315]|CORESOURCE [131501]|11.25||||11.25|6.21|139.21|3.06 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|158.19||||158.19||| 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|158.19||||158.19||| 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|11.25||||11.25||| 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|11.25||||11.25||| 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|11.25||||11.25||| 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|11.25||||11.25||| 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|158.19||||158.19||| 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|AMERIGROUP MEDICAID [1095]|AMERIGROUP MEDICAID [109500]|11.25||||11.25||| 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|HEALTHCHOICE [1490]|HEALTHCHOICE [149000]|11.25||||11.25||| 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HOSPICE [3000]|SOLSTICE HEALTHCARE [300004]|158.19||||158.19||| 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|HOSPICE [3000]|SOLSTICE HEALTHCARE [300004]|11.25||||11.25||| 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|HEALTHCHOICE [1490]|HEALTHCHOICE [149000]|11.25||||11.25||| 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AMERIGROUP MEDICAID [1095]|AMERIGROUP MEDICAID [109500]|158.19||||158.19||| 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|HOSPICE [3000]|SOLSTICE HEALTHCARE [300004]|11.25||||11.25||| 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|AMERIGROUP MEDICAID [1095]|AMERIGROUP MEDICAID [109500]|11.25||||11.25||| 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|DEPARTMENT OF REHABILITATION SERVICES [2355]|DEPARTMENT OF REHABILITATION SERVICES [235500]|11.25||||11.25||| 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|DEPARTMENT OF REHABILITATION SERVICES [2355]|DEPARTMENT OF REHABILITATION SERVICES [235500]|11.25||||11.25||| 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|GENERATIONS MEDICARE ADVANTAGE [1435]|GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500]|11.25||||11.25||| 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MOLINA MEDICARE REPLACEMENT [1675]|MOLINA MEDICARE ADVANTAGE [167500]|158.19||||158.19||| 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GENERATIONS MEDICARE ADVANTAGE [1435]|GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500]|158.19||||158.19||| 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|VA CCN OPTUM [3920]|VA CCN OPTUM [392000]|158.19||||158.19||| 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|MOLINA MEDICARE REPLACEMENT [1675]|MOLINA MEDICARE ADVANTAGE [167500]|11.25||||11.25||| 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|VA CCN OPTUM [3920]|VA CCN OPTUM [392000]|11.25||||11.25||| 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|DEPARTMENT OF REHABILITATION SERVICES [2355]|DEPARTMENT OF REHABILITATION SERVICES [235500]|158.19||||158.19||| 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS ADVANTAGE OF ARKANSAS [115536]|158.19||||158.19||| 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS TRADITIONAL OF OKLAHOMA [115501]|158.19||||158.19||| 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|BCBS [1155]|BLUE CROSS TRADITIONAL OF OKLAHOMA [115501]|11.25||||11.25||| 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|BCBS [1155]|BLUE CROSS ADVANTAGE OF ARKANSAS [115536]|11.25||||11.25||| 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|BCBS [1155]|BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509]|11.25||||11.25||| 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|BCBS [1155]|TULSA BLUE [115531]|11.25||||11.25||| 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|BCBS [1155]|BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509]|11.25||||11.25||| 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|BCBS [1155]|BLUE CROSS PREFERRED OF OKLAHOMA [115500]|11.25||||11.25||| 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|BCBS [1155]|TULSA BLUE [115531]|11.25||||11.25||| 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|11.25||||11.25||| 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509]|158.19||||158.19||| 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|158.19||||158.19||| 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|11.25||||11.25||| 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|TULSA BLUE [115531]|158.19||||158.19||| 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|VA CCN OPTUM [3920]|VA CCN OPTUM [392000]|11.25||||11.25||| 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|MOLINA MEDICARE REPLACEMENT [1675]|MOLINA MEDICARE ADVANTAGE [167500]|11.25||||11.25||| 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AMERIGROUP MEDICARE [1100]|AMERIGROUP MEDICARE [110000]|158.19||||158.19||| 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHNET [1495]|HEALTHNET [149500]|158.19||||158.19|139.21|139.21|3.06 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MULTIPLAN [1680]|IHC HS [168011]|158.19||||158.19|139.21|139.21|3.06 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|158.19||||158.19|115.32|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|MULTIPLAN [1680]|IHC HS [168011]|11.25||||11.25|9.9|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|MULTIPLAN [1680]|IHC HS [168011]|11.25||||11.25|9.9|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|11.25||||11.25|8.2|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|11.25||||11.25|8.2|139.21|3.06 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|158.19||||158.19|139.21|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|11.25||||11.25|6.21|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|11.25||||11.25|6.21|139.21|3.06 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|158.19||||158.19|71.18|139.21|3.06 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|158.19||||158.19|87.32|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|11.25||||11.25|9.9|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|11.25||||11.25|9.9|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|11.25||||11.25|7.99|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|11.25||||11.25|7.99|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|11.25||||11.25|9.9|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|MEDICA [2910]|MEDICA QUEST [291001]|11.25||||11.25|8.2|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|11.25||||11.25|9.9|139.21|3.06 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MEDICA [2910]|MEDICA QUEST [291001]|158.19||||158.19|115.32|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|11.25||||11.25|9.9|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|11.25||||11.25|3.06|139.21|3.06 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|TRUSTMARK [2030]|STARMARK [203000]|158.19||||158.19|139.21|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|FMH BENEFIT SERVICES [1390]|FMH [139000]|11.25||||11.25|9.34|139.21|3.06 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|158.19||||158.19|98.08|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|TRUSTMARK [2030]|STARMARK [203000]|11.25||||11.25|9.9|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|11.25||||11.25|6.98|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|11.25||||11.25|6.98|139.21|3.06 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|158.19||||158.19|139.21|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|11.25||||11.25|9.9|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|11.25||||11.25|9.9|139.21|3.06 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|158.19||||158.19|139.21|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|11.25||||11.25|9.9|139.21|3.06 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|158.19||||158.19|87|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|11.25||||11.25|9.9|139.21|3.06 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UMR [2035]|UMR CORE [203505]|158.19||||158.19|96.97|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|UMR [2035]|UMR CORE [203505]|11.25||||11.25|6.9|139.21|3.06 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|158.19||||158.19|139.21|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|UMR [2035]|UMR CORE [203505]|11.25||||11.25|6.9|139.21|3.06 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHFIRST [2395]|HEALTHFIRST [239500]|158.19||||158.19|139.21|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|HEALTHFIRST [2395]|HEALTHFIRST [239500]|11.25||||11.25|9.9|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|HEALTHFIRST [2395]|HEALTHFIRST [239500]|11.25||||11.25|9.9|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|11.25||||11.25|5.77|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|11.25||||11.25|9.9|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|WEB TPA [2115]|WEB TPA [211500]|11.25||||11.25|9.9|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|WEB TPA [2115]|WEB TPA [211500]|11.25||||11.25|9.9|139.21|3.06 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|WEB TPA [2115]|WEB TPA [211500]|158.19||||158.19|139.21|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|11.25||||11.25|9.34|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|11.25||||11.25|9.9|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|11.25||||11.25|9.9|139.21|3.06 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|158.19||||158.19|131.3|139.21|3.06 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|158.19||||158.19|139.21|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|11.25||||11.25|9.34|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|11.25||||11.25|9.34|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|11.25||||11.25|6.21|139.21|3.06 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|158.19||||158.19|87.32|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|11.25||||11.25|9.9|139.21|3.06 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|158.19||||158.19|139.21|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|11.25||||11.25|6.21|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|AETNA [1015]|AETNA ACO WILCO [101532]|11.25||||11.25|6.21|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|11.25||||11.25|9.9|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|AETNA [1015]|AETNA ACO WILCO [101532]|11.25||||11.25|6.21|139.21|3.06 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AETNA [1015]|AETNA ACO WILCO [101532]|158.19||||158.19|87.32|139.21|3.06 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|158.19||||158.19|131.3|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|11.25||||11.25|9.34|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|11.25||||11.25|6.9|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|11.25||||11.25|6.9|139.21|3.06 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|158.19||||158.19|96.97|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|11.25||||11.25|9.9|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|11.25||||11.25|9.9|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|11.25||||11.25|9.9|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|11.25||||11.25|9|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|11.25||||11.25|9.9|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|11.25||||11.25|9.9|139.21|3.06 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|158.19||||158.19|139.21|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|11.25||||11.25|9.34|139.21|3.06 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|158.19||||158.19|139.21|139.21|3.06 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|BCBS [1155]|BLUE CROSS PREFERRED OF OKLAHOMA [115500]|11.25||||11.25||| 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|AMERIGROUP MEDICARE [1100]|AMERIGROUP MEDICARE [110000]|11.25||||11.25||| 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|GENERATIONS MEDICARE ADVANTAGE [1435]|GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500]|11.25||||11.25||| 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|AMERIGROUP MEDICARE [1100]|AMERIGROUP MEDICARE [110000]|11.25||||11.25||| 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|BCBS [1155]|BLUE CROSS TRADITIONAL OF OKLAHOMA [115501]|11.25||||11.25||| 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS PREFERRED OF OKLAHOMA [115500]|158.19||||158.19||| 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|BCBS [1155]|BLUE CROSS ADVANTAGE OF ARKANSAS [115536]|11.25||||11.25||| 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|158.19||||158.19||| 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|11.25||||11.25||| 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|11.25||||11.25||| 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS MEDICARE REPLACEMENT [1160]|BLUE CROSS MEDICARE ADVANTAGE OOS [116005]|158.19||||158.19||| 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|BCBS MEDICARE REPLACEMENT [1160]|BLUE CROSS MEDICARE ADVANTAGE OOS [116005]|11.25||||11.25||| 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCHOICE [1490]|HEALTHCHOICE [149000]|158.19||||158.19||| 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|COMMUNITY CARE MEDICARE [1125]|COMMUNITY CARE ADVANTAGE MEDICARE [112502]|11.25||||11.25||| 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|COMMUNITY CARE MEDICARE [1125]|COMMUNITY CARE ADVANTAGE MEDICARE [112502]|11.25||||11.25||| 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COMMUNITY CARE MEDICARE [1125]|COMMUNITY CARE ADVANTAGE MEDICARE [112502]|158.19||||158.19||| 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|BCBS MEDICARE REPLACEMENT [1160]|BLUE CROSS MEDICARE ADVANTAGE OOS [116005]|11.25||||11.25||| 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HUMANA MEDICARE REPLACEMENT [1525]|HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503]|158.19||||158.19||| 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|HUMANA MEDICARE REPLACEMENT [1525]|HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503]|11.25||||11.25||| 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED HEALTHCARE MEDICARE REPLACEMENT [2065]|UHC MEDICARE ADVANTAGE [206511]|158.19||||158.19||| 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|HUMANA MEDICARE REPLACEMENT [1525]|HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503]|11.25||||11.25||| 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|HPSI [1520]|HPSI HEALTHPLAN SERVICE [152000]|11.25||||11.25||| 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HPSI [1520]|HPSI HEALTHPLAN SERVICE [152000]|158.19||||158.19||| 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|11.25||||11.25||| 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GENERATIONS HEALTHCARE [1420]|GENERATIONS HEALTHCARE [142000]|158.19||||158.19||| 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|UNITED HEALTHCARE MEDICARE REPLACEMENT [2065]|UHC MEDICARE ADVANTAGE [206511]|11.25||||11.25||| 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|UNITED HEALTHCARE MEDICARE REPLACEMENT [2065]|UHC MEDICARE ADVANTAGE [206511]|11.25||||11.25||| 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|11.25||||11.25||| 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|GENERATIONS HEALTHCARE [1420]|GENERATIONS HEALTHCARE [142000]|11.25||||11.25||| 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|GENERATIONS HEALTHCARE [1420]|GENERATIONS HEALTHCARE [142000]|11.25||||11.25||| 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|CHAMPVA [1240]|CHAMP VA [124000]|11.25||||11.25||| 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|CHAMPVA [1240]|CHAMP VA [124000]|11.25||||11.25||| 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CHAMPVA [1240]|CHAMP VA [124000]|158.19||||158.19||| 10037|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GHI [2835]|GHI MEDICARE REPLACEMENT [283500]|158.19||||158.19||| 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|HPSI [1520]|HPSI HEALTHPLAN SERVICE [152000]|11.25||||11.25||| 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|GHI [2835]|GHI MEDICARE REPLACEMENT [283500]|11.25||||11.25||| 10037|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FINASTERIDE 5 MG TABLET|GHI [2835]|GHI MEDICARE REPLACEMENT [283500]|11.25||||11.25||| 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|158.19||||158.19|139.21|139.21|43.01 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|158.19||||158.19|96.97|139.21|43.01 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AETNA [1015]|AETNA ACO WILCO [101532]|158.19||||158.19|87.32|139.21|43.01 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|158.19||||158.19|131.3|139.21|43.01 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|158.19||||158.19|131.3|139.21|43.01 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|158.19||||158.19|87.32|139.21|43.01 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHFIRST [2395]|HEALTHFIRST [239500]|158.19||||158.19|139.21|139.21|43.01 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UMR [2035]|UMR CORE [203505]|158.19||||158.19|96.97|139.21|43.01 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|158.19||||158.19|139.21|139.21|43.01 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|158.19||||158.19|98.08|139.21|43.01 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|158.19||||158.19|87|139.21|43.01 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|158.19||||158.19|139.21|139.21|43.01 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|158.19||||158.19|139.21|139.21|43.01 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|158.19||||158.19|87.32|139.21|43.01 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|158.19||||158.19|139.21|139.21|43.01 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|158.19||||158.19|115.32|139.21|43.01 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|158.19||||158.19|139.21|139.21|43.01 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|158.19||||158.19|139.21|139.21|43.01 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|158.19||||158.19|139.21|139.21|43.01 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|158.19||||158.19|71.18|139.21|43.01 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|158.19||||158.19|71.18|139.21|43.01 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHNET [1495]|HEALTHNET [149500]|158.19||||158.19|139.21|139.21|43.01 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|158.19||||158.19|139.21|139.21|43.01 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CORESOURCE [1315]|CORESOURCE [131501]|158.19||||158.19|87.32|139.21|43.01 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|TRUSTMARK [2030]|STARMARK [203000]|158.19||||158.19|139.21|139.21|43.01 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|158.19||||158.19|87|139.21|43.01 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|158.19||||158.19|139.21|139.21|43.01 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MULTIPLAN [1680]|IHC HS [168011]|158.19||||158.19|139.21|139.21|43.01 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|158.19||||158.19|139.21|139.21|43.01 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|WEB TPA [2115]|WEB TPA [211500]|158.19||||158.19|139.21|139.21|43.01 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|158.19||||158.19|131.3|139.21|43.01 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GILSBAR [1425]|GILSBAR [142500]|158.19||||158.19|139.21|139.21|43.01 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|158.19||||158.19|126.55|139.21|43.01 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|158.19||||158.19|139.21|139.21|43.01 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|158.19||||158.19|47.3|139.21|43.01 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|158.19||||158.19|98.08|139.21|43.01 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|||158.19||||158.19|47.46|139.21|43.01 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|158.19||||158.19|139.21|139.21|43.01 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GEHA [1415]|GEHA - ASA [141503]|158.19||||158.19|96.97|139.21|43.01 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|158.19||||158.19|131.3|139.21|43.01 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|158.19||||158.19|139.21|139.21|43.01 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FMH BENEFIT SERVICES [1390]|FMH [139000]|158.19||||158.19|131.3|139.21|43.01 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|158.19||||158.19|43.01|139.21|43.01 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|158.19||||158.19|134.46|139.21|43.01 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|158.19||||158.19|139.21|139.21|43.01 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|158.19||||158.19|139.21|139.21|43.01 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|158.19||||158.19|81.15|139.21|43.01 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MEDICA [2910]|MEDICA QUEST [291001]|158.19||||158.19|115.32|139.21|43.01 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|158.19||||158.19|139.21|139.21|43.01 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|158.19||||158.19|96.97|139.21|43.01 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FIRST HEALTH [1375]|BENVEO/UCS [137512]|158.19||||158.19|115.32|139.21|43.01 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CIGNA [1260]|CIGNA [126008]|158.19||||158.19|81.15|139.21|43.01 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|158.19||||158.19|139.21|139.21|43.01 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|158.19||||158.19|139.21|139.21|43.01 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HPSI [1520]|HPSI HEALTHPLAN SERVICE [152000]|158.19||||158.19||| 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HUMANA MEDICARE REPLACEMENT [1525]|HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503]|158.19||||158.19||| 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COMMUNITY CARE MEDICARE [1125]|COMMUNITY CARE ADVANTAGE MEDICARE [112502]|158.19||||158.19||| 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED HEALTHCARE MEDICARE REPLACEMENT [2065]|UHC MEDICARE ADVANTAGE [206511]|158.19||||158.19||| 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AMERIGROUP MEDICARE [1100]|AMERIGROUP MEDICARE [110000]|158.19||||158.19||| 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GHI [2835]|GHI MEDICARE REPLACEMENT [283500]|158.19||||158.19||| 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS TRADITIONAL OF OKLAHOMA [115501]|158.19||||158.19||| 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509]|158.19||||158.19||| 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GENERATIONS HEALTHCARE [1420]|GENERATIONS HEALTHCARE [142000]|158.19||||158.19||| 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|TULSA BLUE [115531]|158.19||||158.19||| 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS ADVANTAGE OF ARKANSAS [115536]|158.19||||158.19||| 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|VA CCN OPTUM [3920]|VA CCN OPTUM [392000]|158.19||||158.19||| 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS PREFERRED OF OKLAHOMA [115500]|158.19||||158.19||| 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|158.19||||158.19||| 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|DEPARTMENT OF REHABILITATION SERVICES [2355]|DEPARTMENT OF REHABILITATION SERVICES [235500]|158.19||||158.19||| 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AMERIGROUP MEDICAID [1095]|AMERIGROUP MEDICAID [109500]|158.19||||158.19||| 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|158.19||||158.19||| 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|158.19||||158.19||| 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|158.19||||158.19||| 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS MEDICARE REPLACEMENT [1160]|BLUE CROSS MEDICARE ADVANTAGE OOS [116005]|158.19||||158.19||| 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|158.19||||158.19||| 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HOSPICE [3000]|SOLSTICE HEALTHCARE [300004]|158.19||||158.19||| 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCHOICE [1490]|HEALTHCHOICE [149000]|158.19||||158.19||| 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CHAMPVA [1240]|CHAMP VA [124000]|158.19||||158.19||| 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MOLINA MEDICARE REPLACEMENT [1675]|MOLINA MEDICARE ADVANTAGE [167500]|158.19||||158.19||| 10038|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GENERATIONS MEDICARE ADVANTAGE [1435]|GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500]|158.19||||158.19||| 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|158.19||||158.19|126.55|139.21|43.01 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GILSBAR [1425]|GILSBAR [142500]|158.19||||158.19|139.21|139.21|43.01 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|158.19||||158.19|47.3|139.21|43.01 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|||158.19||||158.19|47.46|139.21|43.01 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GEHA [1415]|GEHA - ASA [141503]|158.19||||158.19|96.97|139.21|43.01 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|158.19||||158.19|131.3|139.21|43.01 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|158.19||||158.19|139.21|139.21|43.01 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|158.19||||158.19|139.21|139.21|43.01 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|158.19||||158.19|134.46|139.21|43.01 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|158.19||||158.19|43.01|139.21|43.01 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|158.19||||158.19|87|139.21|43.01 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|TRUSTMARK [2030]|STARMARK [203000]|158.19||||158.19|139.21|139.21|43.01 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|158.19||||158.19|139.21|139.21|43.01 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|158.19||||158.19|139.21|139.21|43.01 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|158.19||||158.19|131.3|139.21|43.01 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|158.19||||158.19|139.21|139.21|43.01 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|158.19||||158.19|96.97|139.21|43.01 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FIRST HEALTH [1375]|BENVEO/UCS [137512]|158.19||||158.19|115.32|139.21|43.01 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|158.19||||158.19|139.21|139.21|43.01 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHNET [1495]|HEALTHNET [149500]|158.19||||158.19|139.21|139.21|43.01 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CIGNA [1260]|CIGNA [126008]|158.19||||158.19|81.15|139.21|43.01 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|158.19||||158.19|139.21|139.21|43.01 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|158.19||||158.19|139.21|139.21|43.01 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|158.19||||158.19|139.21|139.21|43.01 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CORESOURCE [1315]|CORESOURCE [131501]|158.19||||158.19|87.32|139.21|43.01 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|158.19||||158.19|71.18|139.21|43.01 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|158.19||||158.19|139.21|139.21|43.01 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|158.19||||158.19|115.32|139.21|43.01 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|158.19||||158.19|139.21|139.21|43.01 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|158.19||||158.19|87.32|139.21|43.01 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|158.19||||158.19|139.21|139.21|43.01 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|158.19||||158.19|81.15|139.21|43.01 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MEDICA [2910]|MEDICA QUEST [291001]|158.19||||158.19|115.32|139.21|43.01 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|158.19||||158.19|87|139.21|43.01 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|158.19||||158.19|98.08|139.21|43.01 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FMH BENEFIT SERVICES [1390]|FMH [139000]|158.19||||158.19|131.3|139.21|43.01 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|158.19||||158.19|139.21|139.21|43.01 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|158.19||||158.19|139.21|139.21|43.01 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UMR [2035]|UMR CORE [203505]|158.19||||158.19|96.97|139.21|43.01 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|158.19||||158.19|98.08|139.21|43.01 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHFIRST [2395]|HEALTHFIRST [239500]|158.19||||158.19|139.21|139.21|43.01 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|WEB TPA [2115]|WEB TPA [211500]|158.19||||158.19|139.21|139.21|43.01 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MULTIPLAN [1680]|IHC HS [168011]|158.19||||158.19|139.21|139.21|43.01 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|158.19||||158.19|139.21|139.21|43.01 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|158.19||||158.19|131.3|139.21|43.01 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|158.19||||158.19|139.21|139.21|43.01 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|158.19||||158.19|139.21|139.21|43.01 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|158.19||||158.19|131.3|139.21|43.01 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|158.19||||158.19|87.32|139.21|43.01 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|158.19||||158.19|139.21|139.21|43.01 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AETNA [1015]|AETNA ACO WILCO [101532]|158.19||||158.19|87.32|139.21|43.01 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|158.19||||158.19|96.97|139.21|43.01 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|158.19||||158.19|71.18|139.21|43.01 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|158.19||||158.19|139.21|139.21|43.01 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|158.19||||158.19||| 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AMERIGROUP MEDICAID [1095]|AMERIGROUP MEDICAID [109500]|158.19||||158.19||| 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HOSPICE [3000]|SOLSTICE HEALTHCARE [300004]|158.19||||158.19||| 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|158.19||||158.19||| 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MOLINA MEDICARE REPLACEMENT [1675]|MOLINA MEDICARE ADVANTAGE [167500]|158.19||||158.19||| 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|158.19||||158.19||| 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS PREFERRED OF OKLAHOMA [115500]|158.19||||158.19||| 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS ADVANTAGE OF ARKANSAS [115536]|158.19||||158.19||| 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|TULSA BLUE [115531]|158.19||||158.19||| 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS TRADITIONAL OF OKLAHOMA [115501]|158.19||||158.19||| 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|VA CCN OPTUM [3920]|VA CCN OPTUM [392000]|158.19||||158.19||| 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GENERATIONS MEDICARE ADVANTAGE [1435]|GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500]|158.19||||158.19||| 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|DEPARTMENT OF REHABILITATION SERVICES [2355]|DEPARTMENT OF REHABILITATION SERVICES [235500]|158.19||||158.19||| 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCHOICE [1490]|HEALTHCHOICE [149000]|158.19||||158.19||| 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS MEDICARE REPLACEMENT [1160]|BLUE CROSS MEDICARE ADVANTAGE OOS [116005]|158.19||||158.19||| 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COMMUNITY CARE MEDICARE [1125]|COMMUNITY CARE ADVANTAGE MEDICARE [112502]|158.19||||158.19||| 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HUMANA MEDICARE REPLACEMENT [1525]|HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503]|158.19||||158.19||| 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HPSI [1520]|HPSI HEALTHPLAN SERVICE [152000]|158.19||||158.19||| 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|158.19||||158.19||| 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AMERIGROUP MEDICARE [1100]|AMERIGROUP MEDICARE [110000]|158.19||||158.19||| 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|158.19||||158.19||| 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GENERATIONS HEALTHCARE [1420]|GENERATIONS HEALTHCARE [142000]|158.19||||158.19||| 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509]|158.19||||158.19||| 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CHAMPVA [1240]|CHAMP VA [124000]|158.19||||158.19||| 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GHI [2835]|GHI MEDICARE REPLACEMENT [283500]|158.19||||158.19||| 10039|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L38 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED HEALTHCARE MEDICARE REPLACEMENT [2065]|UHC MEDICARE ADVANTAGE [206511]|158.19||||158.19||| 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|158.19||||158.19|139.21|139.21|43.01 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|158.19||||158.19|96.97|139.21|43.01 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|AETNA [1015]|AETNA ACO WILCO [101532]|158.19||||158.19|87.32|139.21|43.01 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|158.19||||158.19|131.3|139.21|43.01 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|158.19||||158.19|131.3|139.21|43.01 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|158.19||||158.19|87.32|139.21|43.01 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|WEB TPA [2115]|WEB TPA [211500]|158.19||||158.19|139.21|139.21|43.01 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHFIRST [2395]|HEALTHFIRST [239500]|158.19||||158.19|139.21|139.21|43.01 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|UMR [2035]|UMR CORE [203505]|158.19||||158.19|96.97|139.21|43.01 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|158.19||||158.19|139.21|139.21|43.01 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|158.19||||158.19|87|139.21|43.01 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|158.19||||158.19|98.08|139.21|43.01 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|158.19||||158.19|139.21|139.21|43.01 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|158.19||||158.19|87.32|139.21|43.01 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|158.19||||158.19|139.21|139.21|43.01 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MULTIPLAN [1680]|IHC HS [168011]|158.19||||158.19|139.21|139.21|43.01 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|158.19||||158.19|139.21|139.21|43.01 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|158.19||||158.19|139.21|139.21|43.01 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|158.19||||158.19|139.21|139.21|43.01 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|158.19||||158.19|71.18|139.21|43.01 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|158.19||||158.19|71.18|139.21|43.01 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|158.19||||158.19|139.21|139.21|43.01 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|CIGNA [1260]|CIGNA [126008]|158.19||||158.19|81.15|139.21|43.01 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHNET [1495]|HEALTHNET [149500]|158.19||||158.19|139.21|139.21|43.01 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|158.19||||158.19|139.21|139.21|43.01 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|CORESOURCE [1315]|CORESOURCE [131501]|158.19||||158.19|87.32|139.21|43.01 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|158.19||||158.19|115.32|139.21|43.01 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|158.19||||158.19|139.21|139.21|43.01 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|FIRST HEALTH [1375]|BENVEO/UCS [137512]|158.19||||158.19|115.32|139.21|43.01 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|158.19||||158.19|139.21|139.21|43.01 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|TRUSTMARK [2030]|STARMARK [203000]|158.19||||158.19|139.21|139.21|43.01 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|158.19||||158.19|139.21|139.21|43.01 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|158.19||||158.19|43.01|139.21|43.01 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|158.19||||158.19|134.46|139.21|43.01 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|158.19||||158.19|87|139.21|43.01 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|158.19||||158.19|139.21|139.21|43.01 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|FMH BENEFIT SERVICES [1390]|FMH [139000]|158.19||||158.19|131.3|139.21|43.01 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|158.19||||158.19|139.21|139.21|43.01 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|158.19||||158.19|81.15|139.21|43.01 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|158.19||||158.19|139.21|139.21|43.01 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|158.19||||158.19|139.21|139.21|43.01 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|158.19||||158.19|131.3|139.21|43.01 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|158.19||||158.19|96.97|139.21|43.01 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|158.19||||158.19|131.3|139.21|43.01 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GEHA [1415]|GEHA - ASA [141503]|158.19||||158.19|96.97|139.21|43.01 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MEDICA [2910]|MEDICA QUEST [291001]|158.19||||158.19|115.32|139.21|43.01 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|||158.19||||158.19|47.46|139.21|43.01 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|158.19||||158.19|98.08|139.21|43.01 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|158.19||||158.19|139.21|139.21|43.01 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|158.19||||158.19|47.3|139.21|43.01 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|158.19||||158.19|139.21|139.21|43.01 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GILSBAR [1425]|GILSBAR [142500]|158.19||||158.19|139.21|139.21|43.01 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|158.19||||158.19|139.21|139.21|43.01 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|158.19||||158.19|126.55|139.21|43.01 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HPSI [1520]|HPSI HEALTHPLAN SERVICE [152000]|158.19||||158.19||| 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|COMMUNITY CARE MEDICARE [1125]|COMMUNITY CARE ADVANTAGE MEDICARE [112502]|158.19||||158.19||| 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|UNITED HEALTHCARE MEDICARE REPLACEMENT [2065]|UHC MEDICARE ADVANTAGE [206511]|158.19||||158.19||| 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|AMERIGROUP MEDICARE [1100]|AMERIGROUP MEDICARE [110000]|158.19||||158.19||| 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GHI [2835]|GHI MEDICARE REPLACEMENT [283500]|158.19||||158.19||| 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BCBS [1155]|BLUE CROSS ADVANTAGE OF ARKANSAS [115536]|158.19||||158.19||| 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BCBS [1155]|TULSA BLUE [115531]|158.19||||158.19||| 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GENERATIONS HEALTHCARE [1420]|GENERATIONS HEALTHCARE [142000]|158.19||||158.19||| 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BCBS [1155]|BLUE CROSS TRADITIONAL OF OKLAHOMA [115501]|158.19||||158.19||| 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BCBS [1155]|BLUE CROSS PREFERRED OF OKLAHOMA [115500]|158.19||||158.19||| 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|VA CCN OPTUM [3920]|VA CCN OPTUM [392000]|158.19||||158.19||| 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MOLINA MEDICARE REPLACEMENT [1675]|MOLINA MEDICARE ADVANTAGE [167500]|158.19||||158.19||| 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GENERATIONS MEDICARE ADVANTAGE [1435]|GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500]|158.19||||158.19||| 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BCBS [1155]|BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509]|158.19||||158.19||| 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|158.19||||158.19||| 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HUMANA MEDICARE REPLACEMENT [1525]|HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503]|158.19||||158.19||| 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|158.19||||158.19||| 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|DEPARTMENT OF REHABILITATION SERVICES [2355]|DEPARTMENT OF REHABILITATION SERVICES [235500]|158.19||||158.19||| 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BCBS MEDICARE REPLACEMENT [1160]|BLUE CROSS MEDICARE ADVANTAGE OOS [116005]|158.19||||158.19||| 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHCHOICE [1490]|HEALTHCHOICE [149000]|158.19||||158.19||| 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HOSPICE [3000]|SOLSTICE HEALTHCARE [300004]|158.19||||158.19||| 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|AMERIGROUP MEDICAID [1095]|AMERIGROUP MEDICAID [109500]|158.19||||158.19||| 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|CHAMPVA [1240]|CHAMP VA [124000]|158.19||||158.19||| 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|158.19||||158.19||| 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|158.19||||158.19||| 10040|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L40 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|158.19||||158.19||| 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|158.19||||158.19|126.55|139.21|43.01 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GILSBAR [1425]|GILSBAR [142500]|158.19||||158.19|139.21|139.21|43.01 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|158.19||||158.19|139.21|139.21|43.01 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|||158.19||||158.19|47.46|139.21|43.01 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GEHA [1415]|GEHA - ASA [141503]|158.19||||158.19|96.97|139.21|43.01 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|158.19||||158.19|139.21|139.21|43.01 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|158.19||||158.19|131.3|139.21|43.01 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|158.19||||158.19|139.21|139.21|43.01 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|158.19||||158.19|134.46|139.21|43.01 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|158.19||||158.19|43.01|139.21|43.01 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|158.19||||158.19|87|139.21|43.01 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|TRUSTMARK [2030]|STARMARK [203000]|158.19||||158.19|139.21|139.21|43.01 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|158.19||||158.19|139.21|139.21|43.01 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|158.19||||158.19|139.21|139.21|43.01 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|158.19||||158.19|131.3|139.21|43.01 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|158.19||||158.19|139.21|139.21|43.01 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|158.19||||158.19|96.97|139.21|43.01 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|158.19||||158.19|139.21|139.21|43.01 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FIRST HEALTH [1375]|BENVEO/UCS [137512]|158.19||||158.19|115.32|139.21|43.01 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHNET [1495]|HEALTHNET [149500]|158.19||||158.19|139.21|139.21|43.01 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CIGNA [1260]|CIGNA [126008]|158.19||||158.19|81.15|139.21|43.01 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|158.19||||158.19|139.21|139.21|43.01 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|158.19||||158.19|47.3|139.21|43.01 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|158.19||||158.19|139.21|139.21|43.01 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CORESOURCE [1315]|CORESOURCE [131501]|158.19||||158.19|87.32|139.21|43.01 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|158.19||||158.19|71.18|139.21|43.01 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|158.19||||158.19|139.21|139.21|43.01 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|158.19||||158.19|115.32|139.21|43.01 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|158.19||||158.19|139.21|139.21|43.01 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|158.19||||158.19|87.32|139.21|43.01 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|158.19||||158.19|139.21|139.21|43.01 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|158.19||||158.19|81.15|139.21|43.01 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MEDICA [2910]|MEDICA QUEST [291001]|158.19||||158.19|115.32|139.21|43.01 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|158.19||||158.19|87|139.21|43.01 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|158.19||||158.19|98.08|139.21|43.01 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FMH BENEFIT SERVICES [1390]|FMH [139000]|158.19||||158.19|131.3|139.21|43.01 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|158.19||||158.19|139.21|139.21|43.01 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|158.19||||158.19|139.21|139.21|43.01 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UMR [2035]|UMR CORE [203505]|158.19||||158.19|96.97|139.21|43.01 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|158.19||||158.19|98.08|139.21|43.01 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHFIRST [2395]|HEALTHFIRST [239500]|158.19||||158.19|139.21|139.21|43.01 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|WEB TPA [2115]|WEB TPA [211500]|158.19||||158.19|139.21|139.21|43.01 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MULTIPLAN [1680]|IHC HS [168011]|158.19||||158.19|139.21|139.21|43.01 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|158.19||||158.19|139.21|139.21|43.01 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|158.19||||158.19|131.3|139.21|43.01 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|158.19||||158.19|139.21|139.21|43.01 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|158.19||||158.19|139.21|139.21|43.01 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|158.19||||158.19|131.3|139.21|43.01 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|158.19||||158.19|87.32|139.21|43.01 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|158.19||||158.19|139.21|139.21|43.01 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AETNA [1015]|AETNA ACO WILCO [101532]|158.19||||158.19|87.32|139.21|43.01 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|158.19||||158.19|96.97|139.21|43.01 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|158.19||||158.19|71.18|139.21|43.01 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|158.19||||158.19|139.21|139.21|43.01 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|158.19||||158.19||| 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AMERIGROUP MEDICAID [1095]|AMERIGROUP MEDICAID [109500]|158.19||||158.19||| 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HOSPICE [3000]|SOLSTICE HEALTHCARE [300004]|158.19||||158.19||| 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|158.19||||158.19||| 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MOLINA MEDICARE REPLACEMENT [1675]|MOLINA MEDICARE ADVANTAGE [167500]|158.19||||158.19||| 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|158.19||||158.19||| 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS ADVANTAGE OF ARKANSAS [115536]|158.19||||158.19||| 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS PREFERRED OF OKLAHOMA [115500]|158.19||||158.19||| 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS TRADITIONAL OF OKLAHOMA [115501]|158.19||||158.19||| 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|TULSA BLUE [115531]|158.19||||158.19||| 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|VA CCN OPTUM [3920]|VA CCN OPTUM [392000]|158.19||||158.19||| 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GENERATIONS MEDICARE ADVANTAGE [1435]|GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500]|158.19||||158.19||| 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|DEPARTMENT OF REHABILITATION SERVICES [2355]|DEPARTMENT OF REHABILITATION SERVICES [235500]|158.19||||158.19||| 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCHOICE [1490]|HEALTHCHOICE [149000]|158.19||||158.19||| 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS MEDICARE REPLACEMENT [1160]|BLUE CROSS MEDICARE ADVANTAGE OOS [116005]|158.19||||158.19||| 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COMMUNITY CARE MEDICARE [1125]|COMMUNITY CARE ADVANTAGE MEDICARE [112502]|158.19||||158.19||| 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HUMANA MEDICARE REPLACEMENT [1525]|HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503]|158.19||||158.19||| 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HPSI [1520]|HPSI HEALTHPLAN SERVICE [152000]|158.19||||158.19||| 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|158.19||||158.19||| 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AMERIGROUP MEDICARE [1100]|AMERIGROUP MEDICARE [110000]|158.19||||158.19||| 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|158.19||||158.19||| 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GENERATIONS HEALTHCARE [1420]|GENERATIONS HEALTHCARE [142000]|158.19||||158.19||| 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509]|158.19||||158.19||| 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CHAMPVA [1240]|CHAMP VA [124000]|158.19||||158.19||| 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GHI [2835]|GHI MEDICARE REPLACEMENT [283500]|158.19||||158.19||| 10041|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L45 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED HEALTHCARE MEDICARE REPLACEMENT [2065]|UHC MEDICARE ADVANTAGE [206511]|158.19||||158.19||| 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|158.19||||158.19|139.21|139.21|43.01 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|158.19||||158.19|96.97|139.21|43.01 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|AETNA [1015]|AETNA ACO WILCO [101532]|158.19||||158.19|87.32|139.21|43.01 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|158.19||||158.19|131.3|139.21|43.01 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|158.19||||158.19|131.3|139.21|43.01 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|158.19||||158.19|87.32|139.21|43.01 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|WEB TPA [2115]|WEB TPA [211500]|158.19||||158.19|139.21|139.21|43.01 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHFIRST [2395]|HEALTHFIRST [239500]|158.19||||158.19|139.21|139.21|43.01 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|UMR [2035]|UMR CORE [203505]|158.19||||158.19|96.97|139.21|43.01 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|158.19||||158.19|139.21|139.21|43.01 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|158.19||||158.19|87|139.21|43.01 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|158.19||||158.19|71.18|139.21|43.01 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|158.19||||158.19|115.32|139.21|43.01 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|158.19||||158.19|139.21|139.21|43.01 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|158.19||||158.19|139.21|139.21|43.01 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|158.19||||158.19|71.18|139.21|43.01 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|158.19||||158.19|139.21|139.21|43.01 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|CIGNA [1260]|CIGNA [126008]|158.19||||158.19|81.15|139.21|43.01 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|158.19||||158.19|139.21|139.21|43.01 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHNET [1495]|HEALTHNET [149500]|158.19||||158.19|139.21|139.21|43.01 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|158.19||||158.19|139.21|139.21|43.01 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|FIRST HEALTH [1375]|BENVEO/UCS [137512]|158.19||||158.19|115.32|139.21|43.01 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|158.19||||158.19|96.97|139.21|43.01 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|158.19||||158.19|139.21|139.21|43.01 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|158.19||||158.19|139.21|139.21|43.01 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|158.19||||158.19|87.32|139.21|43.01 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MEDICA [2910]|MEDICA QUEST [291001]|158.19||||158.19|115.32|139.21|43.01 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MULTIPLAN [1680]|IHC HS [168011]|158.19||||158.19|139.21|139.21|43.01 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|158.19||||158.19|139.21|139.21|43.01 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|TRUSTMARK [2030]|STARMARK [203000]|158.19||||158.19|139.21|139.21|43.01 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|158.19||||158.19|43.01|139.21|43.01 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|158.19||||158.19|139.21|139.21|43.01 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|FMH BENEFIT SERVICES [1390]|FMH [139000]|158.19||||158.19|131.3|139.21|43.01 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|158.19||||158.19|134.46|139.21|43.01 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|158.19||||158.19|87|139.21|43.01 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|158.19||||158.19|139.21|139.21|43.01 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|CORESOURCE [1315]|CORESOURCE [131501]|158.19||||158.19|87.32|139.21|43.01 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|158.19||||158.19|98.08|139.21|43.01 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|158.19||||158.19|139.21|139.21|43.01 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|158.19||||158.19|81.15|139.21|43.01 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|158.19||||158.19|139.21|139.21|43.01 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|158.19||||158.19|131.3|139.21|43.01 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|158.19||||158.19|139.21|139.21|43.01 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|158.19||||158.19|131.3|139.21|43.01 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GEHA [1415]|GEHA - ASA [141503]|158.19||||158.19|96.97|139.21|43.01 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|||158.19||||158.19|47.46|139.21|43.01 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|158.19||||158.19|139.21|139.21|43.01 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|158.19||||158.19|139.21|139.21|43.01 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|158.19||||158.19|98.08|139.21|43.01 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|158.19||||158.19|47.3|139.21|43.01 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|158.19||||158.19|139.21|139.21|43.01 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GILSBAR [1425]|GILSBAR [142500]|158.19||||158.19|139.21|139.21|43.01 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|158.19||||158.19|139.21|139.21|43.01 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|158.19||||158.19|126.55|139.21|43.01 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HPSI [1520]|HPSI HEALTHPLAN SERVICE [152000]|158.19||||158.19||| 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HUMANA MEDICARE REPLACEMENT [1525]|HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503]|158.19||||158.19||| 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|COMMUNITY CARE MEDICARE [1125]|COMMUNITY CARE ADVANTAGE MEDICARE [112502]|158.19||||158.19||| 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|UNITED HEALTHCARE MEDICARE REPLACEMENT [2065]|UHC MEDICARE ADVANTAGE [206511]|158.19||||158.19||| 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BCBS [1155]|BLUE CROSS TRADITIONAL OF OKLAHOMA [115501]|158.19||||158.19||| 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BCBS [1155]|BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509]|158.19||||158.19||| 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BCBS [1155]|BLUE CROSS ADVANTAGE OF ARKANSAS [115536]|158.19||||158.19||| 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|VA CCN OPTUM [3920]|VA CCN OPTUM [392000]|158.19||||158.19||| 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BCBS [1155]|BLUE CROSS PREFERRED OF OKLAHOMA [115500]|158.19||||158.19||| 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MOLINA MEDICARE REPLACEMENT [1675]|MOLINA MEDICARE ADVANTAGE [167500]|158.19||||158.19||| 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BCBS [1155]|TULSA BLUE [115531]|158.19||||158.19||| 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GENERATIONS MEDICARE ADVANTAGE [1435]|GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500]|158.19||||158.19||| 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|158.19||||158.19||| 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|AMERIGROUP MEDICARE [1100]|AMERIGROUP MEDICARE [110000]|158.19||||158.19||| 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|DEPARTMENT OF REHABILITATION SERVICES [2355]|DEPARTMENT OF REHABILITATION SERVICES [235500]|158.19||||158.19||| 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|158.19||||158.19||| 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BCBS MEDICARE REPLACEMENT [1160]|BLUE CROSS MEDICARE ADVANTAGE OOS [116005]|158.19||||158.19||| 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHCHOICE [1490]|HEALTHCHOICE [149000]|158.19||||158.19||| 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HOSPICE [3000]|SOLSTICE HEALTHCARE [300004]|158.19||||158.19||| 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|AMERIGROUP MEDICAID [1095]|AMERIGROUP MEDICAID [109500]|158.19||||158.19||| 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|158.19||||158.19||| 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|CHAMPVA [1240]|CHAMP VA [124000]|158.19||||158.19||| 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|158.19||||158.19||| 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GHI [2835]|GHI MEDICARE REPLACEMENT [283500]|158.19||||158.19||| 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|158.19||||158.19||| 10042|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L50 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GENERATIONS HEALTHCARE [1420]|GENERATIONS HEALTHCARE [142000]|158.19||||158.19||| 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|CIGNA [1260]|CIGNA [126008]|158.19||||158.19|81.15|139.21|43.01 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|158.19||||158.19|139.21|139.21|43.01 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|158.19||||158.19|139.21|139.21|43.01 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|CORESOURCE [1315]|CORESOURCE [131501]|158.19||||158.19|87.32|139.21|43.01 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|158.19||||158.19|71.18|139.21|43.01 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|158.19||||158.19|71.18|139.21|43.01 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|158.19||||158.19|139.21|139.21|43.01 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MULTIPLAN [1680]|IHC HS [168011]|158.19||||158.19|139.21|139.21|43.01 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|158.19||||158.19|139.21|139.21|43.01 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|158.19||||158.19|87.32|139.21|43.01 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|158.19||||158.19|139.21|139.21|43.01 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|158.19||||158.19|87|139.21|43.01 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|158.19||||158.19|115.32|139.21|43.01 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|158.19||||158.19|98.08|139.21|43.01 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|158.19||||158.19|139.21|139.21|43.01 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHFIRST [2395]|HEALTHFIRST [239500]|158.19||||158.19|139.21|139.21|43.01 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|158.19||||158.19|131.3|139.21|43.01 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|158.19||||158.19|139.21|139.21|43.01 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|158.19||||158.19|131.3|139.21|43.01 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|158.19||||158.19|87.32|139.21|43.01 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|WEB TPA [2115]|WEB TPA [211500]|158.19||||158.19|139.21|139.21|43.01 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|158.19||||158.19|139.21|139.21|43.01 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|UMR [2035]|UMR CORE [203505]|158.19||||158.19|96.97|139.21|43.01 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|AETNA [1015]|AETNA ACO WILCO [101532]|158.19||||158.19|87.32|139.21|43.01 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|158.19||||158.19|139.21|139.21|43.01 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|158.19||||158.19|96.97|139.21|43.01 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GILSBAR [1425]|GILSBAR [142500]|158.19||||158.19|139.21|139.21|43.01 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|158.19||||158.19|139.21|139.21|43.01 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|158.19||||158.19|139.21|139.21|43.01 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|158.19||||158.19|126.55|139.21|43.01 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|158.19||||158.19|139.21|139.21|43.01 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|158.19||||158.19|47.3|139.21|43.01 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|158.19||||158.19|139.21|139.21|43.01 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|||158.19||||158.19|47.46|139.21|43.01 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|158.19||||158.19|131.3|139.21|43.01 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GEHA [1415]|GEHA - ASA [141503]|158.19||||158.19|96.97|139.21|43.01 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|158.19||||158.19|139.21|139.21|43.01 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|158.19||||158.19|131.3|139.21|43.01 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|158.19||||158.19|139.21|139.21|43.01 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|158.19||||158.19|81.15|139.21|43.01 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|158.19||||158.19|98.08|139.21|43.01 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|158.19||||158.19|87|139.21|43.01 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|158.19||||158.19|134.46|139.21|43.01 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|FMH BENEFIT SERVICES [1390]|FMH [139000]|158.19||||158.19|131.3|139.21|43.01 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|158.19||||158.19|43.01|139.21|43.01 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|TRUSTMARK [2030]|STARMARK [203000]|158.19||||158.19|139.21|139.21|43.01 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|158.19||||158.19|139.21|139.21|43.01 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MEDICA [2910]|MEDICA QUEST [291001]|158.19||||158.19|115.32|139.21|43.01 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|158.19||||158.19|139.21|139.21|43.01 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|FIRST HEALTH [1375]|BENVEO/UCS [137512]|158.19||||158.19|115.32|139.21|43.01 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|158.19||||158.19|139.21|139.21|43.01 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|158.19||||158.19|139.21|139.21|43.01 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|158.19||||158.19|96.97|139.21|43.01 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHNET [1495]|HEALTHNET [149500]|158.19||||158.19|139.21|139.21|43.01 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|VA CCN OPTUM [3920]|VA CCN OPTUM [392000]|158.19||||158.19||| 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BCBS [1155]|BLUE CROSS ADVANTAGE OF ARKANSAS [115536]|158.19||||158.19||| 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BCBS [1155]|BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509]|158.19||||158.19||| 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BCBS [1155]|BLUE CROSS PREFERRED OF OKLAHOMA [115500]|158.19||||158.19||| 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|158.19||||158.19||| 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|AMERIGROUP MEDICARE [1100]|AMERIGROUP MEDICARE [110000]|158.19||||158.19||| 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|UNITED HEALTHCARE MEDICARE REPLACEMENT [2065]|UHC MEDICARE ADVANTAGE [206511]|158.19||||158.19||| 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|158.19||||158.19||| 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BCBS MEDICARE REPLACEMENT [1160]|BLUE CROSS MEDICARE ADVANTAGE OOS [116005]|158.19||||158.19||| 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|COMMUNITY CARE MEDICARE [1125]|COMMUNITY CARE ADVANTAGE MEDICARE [112502]|158.19||||158.19||| 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HUMANA MEDICARE REPLACEMENT [1525]|HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503]|158.19||||158.19||| 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BCBS [1155]|BLUE CROSS TRADITIONAL OF OKLAHOMA [115501]|158.19||||158.19||| 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HPSI [1520]|HPSI HEALTHPLAN SERVICE [152000]|158.19||||158.19||| 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|BCBS [1155]|TULSA BLUE [115531]|158.19||||158.19||| 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|MOLINA MEDICARE REPLACEMENT [1675]|MOLINA MEDICARE ADVANTAGE [167500]|158.19||||158.19||| 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GENERATIONS HEALTHCARE [1420]|GENERATIONS HEALTHCARE [142000]|158.19||||158.19||| 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|CHAMPVA [1240]|CHAMP VA [124000]|158.19||||158.19||| 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GHI [2835]|GHI MEDICARE REPLACEMENT [283500]|158.19||||158.19||| 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|158.19||||158.19||| 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|AMERIGROUP MEDICAID [1095]|AMERIGROUP MEDICAID [109500]|158.19||||158.19||| 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HOSPICE [3000]|SOLSTICE HEALTHCARE [300004]|158.19||||158.19||| 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|158.19||||158.19||| 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|HEALTHCHOICE [1490]|HEALTHCHOICE [149000]|158.19||||158.19||| 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|158.19||||158.19||| 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|DEPARTMENT OF REHABILITATION SERVICES [2355]|DEPARTMENT OF REHABILITATION SERVICES [235500]|158.19||||158.19||| 10044|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE SMALL HEXAGONAL NONSTERILE|GENERATIONS MEDICARE ADVANTAGE [1435]|GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500]|158.19||||158.19||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|19.52||||19.52|11.97|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|19.52||||19.52|11.97|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|19.52||||19.52|11.97|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|AETNA [1015]|AETNA ACO WILCO [101532]|19.52||||19.52|10.78|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|AETNA [1015]|AETNA ACO WILCO [101532]|19.52||||19.52|10.78|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|19.52||||19.52|10.78|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|19.52||||19.52|10.78|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|19.52||||19.52|16.2|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|19.52||||19.52|16.2|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|19.52||||19.52|16.2|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|19.52||||19.52|16.2|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|19.52||||19.52|16.2|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|WEB TPA [2115]|WEB TPA [211500]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|WEB TPA [2115]|WEB TPA [211500]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|WEB TPA [2115]|WEB TPA [211500]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|HEALTHFIRST [2395]|HEALTHFIRST [239500]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|HEALTHFIRST [2395]|HEALTHFIRST [239500]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|HEALTHFIRST [2395]|HEALTHFIRST [239500]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|UMR [2035]|UMR CORE [203505]|19.52||||19.52|11.97|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|UMR [2035]|UMR CORE [203505]|19.52||||19.52|11.97|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|19.52||||19.52|12.1|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|19.52||||19.52|12.1|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|19.52||||19.52|13.86|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|19.52||||19.52|13.86|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|19.52||||19.52|10.78|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|19.52||||19.52|10.78|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|MULTIPLAN [1680]|IHC HS [168011]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|19.52||||19.52|14.23|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|19.52||||19.52|14.23|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|MULTIPLAN [1680]|IHC HS [168011]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|19.52||||19.52|8.78|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|19.52||||19.52|8.78|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|19.52||||19.52|8.78|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|19.52||||19.52|8.78|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|19.52||||19.52|8.78|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|CORESOURCE [1315]|CORESOURCE [131501]|19.52||||19.52|10.78|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|CORESOURCE [1315]|CORESOURCE [131501]|19.52||||19.52|10.78|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|CIGNA [1260]|CIGNA [126008]|19.52||||19.52|10.01|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|CIGNA [1260]|CIGNA [126008]|19.52||||19.52|10.01|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|CIGNA [1260]|CIGNA [126008]|19.52||||19.52|10.01|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|HEALTHNET [1495]|HEALTHNET [149500]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|HEALTHNET [1495]|HEALTHNET [149500]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|HEALTHNET [1495]|HEALTHNET [149500]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|CORESOURCE [1315]|CORESOURCE [131501]|19.52||||19.52|10.78|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|GHI [2835]|GHI MEDICARE REPLACEMENT [283500]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|GHI [2835]|GHI MEDICARE REPLACEMENT [283500]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|CHAMPVA [1240]|CHAMP VA [124000]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|CHAMPVA [1240]|CHAMP VA [124000]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|CHAMPVA [1240]|CHAMP VA [124000]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|GENERATIONS HEALTHCARE [1420]|GENERATIONS HEALTHCARE [142000]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|GENERATIONS HEALTHCARE [1420]|GENERATIONS HEALTHCARE [142000]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|GENERATIONS HEALTHCARE [1420]|GENERATIONS HEALTHCARE [142000]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|HPSI [1520]|HPSI HEALTHPLAN SERVICE [152000]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|HPSI [1520]|HPSI HEALTHPLAN SERVICE [152000]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|HUMANA MEDICARE REPLACEMENT [1525]|HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|HUMANA MEDICARE REPLACEMENT [1525]|HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|COMMUNITY CARE MEDICARE [1125]|COMMUNITY CARE ADVANTAGE MEDICARE [112502]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|COMMUNITY CARE MEDICARE [1125]|COMMUNITY CARE ADVANTAGE MEDICARE [112502]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|COMMUNITY CARE MEDICARE [1125]|COMMUNITY CARE ADVANTAGE MEDICARE [112502]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|BCBS MEDICARE REPLACEMENT [1160]|BLUE CROSS MEDICARE ADVANTAGE OOS [116005]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|BCBS MEDICARE REPLACEMENT [1160]|BLUE CROSS MEDICARE ADVANTAGE OOS [116005]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|UNITED HEALTHCARE MEDICARE REPLACEMENT [2065]|UHC MEDICARE ADVANTAGE [206511]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|UNITED HEALTHCARE MEDICARE REPLACEMENT [2065]|UHC MEDICARE ADVANTAGE [206511]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|AMERIGROUP MEDICARE [1100]|AMERIGROUP MEDICARE [110000]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|AMERIGROUP MEDICARE [1100]|AMERIGROUP MEDICARE [110000]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|AMERIGROUP MEDICARE [1100]|AMERIGROUP MEDICARE [110000]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|BCBS [1155]|BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|BCBS [1155]|BLUE CROSS TRADITIONAL OF OKLAHOMA [115501]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|BCBS [1155]|BLUE CROSS PREFERRED OF OKLAHOMA [115500]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|BCBS [1155]|TULSA BLUE [115531]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|BCBS [1155]|BLUE CROSS ADVANTAGE OF ARKANSAS [115536]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|BCBS [1155]|BLUE CROSS TRADITIONAL OF OKLAHOMA [115501]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|BCBS [1155]|TULSA BLUE [115531]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|BCBS [1155]|BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|BCBS [1155]|BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|BCBS [1155]|BLUE CROSS ADVANTAGE OF ARKANSAS [115536]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|BCBS [1155]|BLUE CROSS ADVANTAGE OF ARKANSAS [115536]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|BCBS [1155]|TULSA BLUE [115531]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|BCBS [1155]|BLUE CROSS TRADITIONAL OF OKLAHOMA [115501]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|VA CCN OPTUM [3920]|VA CCN OPTUM [392000]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|BCBS [1155]|BLUE CROSS PREFERRED OF OKLAHOMA [115500]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|VA CCN OPTUM [3920]|VA CCN OPTUM [392000]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|VA CCN OPTUM [3920]|VA CCN OPTUM [392000]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|MOLINA MEDICARE REPLACEMENT [1675]|MOLINA MEDICARE ADVANTAGE [167500]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|MOLINA MEDICARE REPLACEMENT [1675]|MOLINA MEDICARE ADVANTAGE [167500]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|BCBS [1155]|BLUE CROSS PREFERRED OF OKLAHOMA [115500]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|MOLINA MEDICARE REPLACEMENT [1675]|MOLINA MEDICARE ADVANTAGE [167500]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|GENERATIONS MEDICARE ADVANTAGE [1435]|GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|GENERATIONS MEDICARE ADVANTAGE [1435]|GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|GENERATIONS MEDICARE ADVANTAGE [1435]|GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|FIRST HEALTH [1375]|BENVEO/UCS [137512]|19.52||||19.52|14.23|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|19.52||||19.52|8.78|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|FIRST HEALTH [1375]|BENVEO/UCS [137512]|19.52||||19.52|14.23|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|FIRST HEALTH [1375]|BENVEO/UCS [137512]|19.52||||19.52|14.23|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|19.52||||19.52|11.97|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|19.52||||19.52|11.97|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|19.52||||19.52|11.97|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|MULTIPLAN [1680]|IHC HS [168011]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|19.52||||19.52|14.23|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|19.52||||19.52|10.78|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|MEDICA [2910]|MEDICA QUEST [291001]|19.52||||19.52|14.23|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|MEDICA [2910]|MEDICA QUEST [291001]|19.52||||19.52|14.23|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|MEDICA [2910]|MEDICA QUEST [291001]|19.52||||19.52|14.23|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|19.52||||19.52|5.31|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|19.52||||19.52|5.31|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|19.52||||19.52|5.31|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|FMH BENEFIT SERVICES [1390]|FMH [139000]|19.52||||19.52|16.2|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|FMH BENEFIT SERVICES [1390]|FMH [139000]|19.52||||19.52|16.2|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|19.52||||19.52|13.86|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|FMH BENEFIT SERVICES [1390]|FMH [139000]|19.52||||19.52|16.2|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|TRUSTMARK [2030]|STARMARK [203000]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|TRUSTMARK [2030]|STARMARK [203000]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|TRUSTMARK [2030]|STARMARK [203000]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|19.52||||19.52|16.59|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|19.52||||19.52|16.59|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|19.52||||19.52|16.59|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|19.52||||19.52|10.74|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|19.52||||19.52|12.1|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|19.52||||19.52|10.74|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|19.52||||19.52|10.74|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|UMR [2035]|UMR CORE [203505]|19.52||||19.52|11.97|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|19.52||||19.52|10.01|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|19.52||||19.52|10.01|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|19.52||||19.52|10.01|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|19.52||||19.52|16.2|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|19.52||||19.52|16.2|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|19.52||||19.52|16.2|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|19.52||||19.52|16.2|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|19.52||||19.52|16.2|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|19.52||||19.52|16.2|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|GEHA [1415]|GEHA - ASA [141503]|19.52||||19.52|11.97|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|GEHA [1415]|GEHA - ASA [141503]|19.52||||19.52|11.97|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|19.52||||19.52|16.2|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|GEHA [1415]|GEHA - ASA [141503]|19.52||||19.52|11.97|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|||19.52||||19.52|5.86|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|19.52||||19.52|10.78|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|||19.52||||19.52|5.86|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|||19.52||||19.52|5.86|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|AETNA [1015]|AETNA ACO WILCO [101532]|19.52||||19.52|10.78|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|19.52||||19.52|12.1|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|19.52||||19.52|12.1|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|19.52||||19.52|12.1|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|19.52||||19.52|5.84|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|19.52||||19.52|5.84|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|19.52||||19.52|5.84|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|GILSBAR [1425]|GILSBAR [142500]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|GILSBAR [1425]|GILSBAR [142500]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|GILSBAR [1425]|GILSBAR [142500]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|19.52||||19.52|17.18|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|19.52||||19.52|15.62|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|19.52||||19.52|15.62|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|19.52||||19.52|15.62|17.18|5.31 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|DEPARTMENT OF REHABILITATION SERVICES [2355]|DEPARTMENT OF REHABILITATION SERVICES [235500]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|DEPARTMENT OF REHABILITATION SERVICES [2355]|DEPARTMENT OF REHABILITATION SERVICES [235500]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|DEPARTMENT OF REHABILITATION SERVICES [2355]|DEPARTMENT OF REHABILITATION SERVICES [235500]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|UNITED HEALTHCARE MEDICARE REPLACEMENT [2065]|UHC MEDICARE ADVANTAGE [206511]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|BCBS MEDICARE REPLACEMENT [1160]|BLUE CROSS MEDICARE ADVANTAGE OOS [116005]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|HOSPICE [3000]|SOLSTICE HEALTHCARE [300004]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|HOSPICE [3000]|SOLSTICE HEALTHCARE [300004]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|HOSPICE [3000]|SOLSTICE HEALTHCARE [300004]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|HEALTHCHOICE [1490]|HEALTHCHOICE [149000]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|HEALTHCHOICE [1490]|HEALTHCHOICE [149000]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|HEALTHCHOICE [1490]|HEALTHCHOICE [149000]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|AMERIGROUP MEDICAID [1095]|AMERIGROUP MEDICAID [109500]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|AMERIGROUP MEDICAID [1095]|AMERIGROUP MEDICAID [109500]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|AMERIGROUP MEDICAID [1095]|AMERIGROUP MEDICAID [109500]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|HUMANA MEDICARE REPLACEMENT [1525]|HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|HPSI [1520]|HPSI HEALTHPLAN SERVICE [152000]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|19.52||||19.52||| 10045|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUCONAZOLE 200 MG TABLET|GHI [2835]|GHI MEDICARE REPLACEMENT [283500]|19.52||||19.52||| 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|55.48||||55.48|44.38|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|GILSBAR [1425]|GILSBAR [142500]|55.48||||55.48|48.82|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|55.48||||55.48|48.82|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|55.48||||55.48|16.59|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|55.48||||55.48|34.4|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|GEHA [1415]|GEHA - ASA [141503]|55.48||||55.48|34.01|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|55.48||||55.48|46.05|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|55.48||||55.48|48.82|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|55.48||||55.48|46.05|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|55.48||||55.48|28.46|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|55.48||||55.48|48.82|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|55.48||||55.48|30.51|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|55.48||||55.48|47.16|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|FMH BENEFIT SERVICES [1390]|FMH [139000]|55.48||||55.48|46.05|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|55.48||||55.48|15.09|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|55.48||||55.48|48.82|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|55.48||||55.48|48.82|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|55.48||||55.48|34.01|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|FIRST HEALTH [1375]|BENVEO/UCS [137512]|55.48||||55.48|40.44|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|55.48||||55.48|48.82|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|55.48||||55.48|48.82|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|HEALTHNET [1495]|HEALTHNET [149500]|55.48||||55.48|48.82|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|CIGNA [1260]|CIGNA [126008]|55.48||||55.48|28.46|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|55.48||||55.48|48.82|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|55.48||||55.48|48.82|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|CORESOURCE [1315]|CORESOURCE [131501]|55.48||||55.48|30.62|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|55.48||||55.48|24.97|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|55.48||||55.48|24.97|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|55.48||||55.48|48.82|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|MEDICA [2910]|MEDICA QUEST [291001]|55.48||||55.48|40.44|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|55.48||||55.48|40.44|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|MULTIPLAN [1680]|IHC HS [168011]|55.48||||55.48|48.82|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|55.48||||55.48|30.62|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|TRUSTMARK [2030]|STARMARK [203000]|55.48||||55.48|48.82|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|55.48||||55.48|48.82|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|55.48||||55.48|39.39|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|HEALTHCHOICE [1490]|HEALTHCHOICE [149000]|55.48||||55.48|19.98|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|55.48||||55.48|48.82|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|55.48||||55.48|34.4|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|55.48||||55.48|48.82|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|55.48||||55.48|48.82|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|UMR [2035]|UMR CORE [203505]|55.48||||55.48|34.01|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|HEALTHFIRST [2395]|HEALTHFIRST [239500]|55.48||||55.48|48.82|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|||55.48||||55.48|16.64|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|WEB TPA [2115]|WEB TPA [211500]|55.48||||55.48|48.82|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|HPSI [1520]|HPSI HEALTHPLAN SERVICE [152000]|55.48||||55.48|19.98|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|55.48||||55.48|48.82|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|55.48||||55.48|48.82|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|55.48||||55.48|48.82|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|55.48||||55.48|46.05|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|55.48||||55.48|46.05|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|55.48||||55.48|30.62|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|55.48||||55.48|48.82|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|AETNA [1015]|AETNA ACO WILCO [101532]|55.48||||55.48|30.62|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|55.48||||55.48|34.01|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|55.48||||55.48|48.82|48.82|15.09 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|55.48||||55.48||| 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|55.48||||55.48||| 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|AMERIGROUP MEDICAID [1095]|AMERIGROUP MEDICAID [109500]|55.48||||55.48||| 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|HOSPICE [3000]|SOLSTICE HEALTHCARE [300004]|55.48||||55.48||| 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|DEPARTMENT OF REHABILITATION SERVICES [2355]|DEPARTMENT OF REHABILITATION SERVICES [235500]|55.48||||55.48||| 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|MOLINA MEDICARE REPLACEMENT [1675]|MOLINA MEDICARE ADVANTAGE [167500]|55.48||||55.48||| 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|VA CCN OPTUM [3920]|VA CCN OPTUM [392000]|55.48||||55.48||| 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|BCBS [1155]|BLUE CROSS PREFERRED OF OKLAHOMA [115500]|55.48||||55.48||| 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|BCBS [1155]|BLUE CROSS ADVANTAGE OF ARKANSAS [115536]|55.48||||55.48||| 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|GENERATIONS MEDICARE ADVANTAGE [1435]|GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500]|55.48||||55.48||| 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|BCBS [1155]|TULSA BLUE [115531]|55.48||||55.48||| 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|BCBS [1155]|BLUE CROSS TRADITIONAL OF OKLAHOMA [115501]|55.48||||55.48||| 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|BCBS [1155]|BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509]|55.48||||55.48||| 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|55.48||||55.48||| 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|AMERIGROUP MEDICARE [1100]|AMERIGROUP MEDICARE [110000]|55.48||||55.48||| 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|55.48||||55.48||| 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|UNITED HEALTHCARE MEDICARE REPLACEMENT [2065]|UHC MEDICARE ADVANTAGE [206511]|55.48||||55.48||| 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|BCBS MEDICARE REPLACEMENT [1160]|BLUE CROSS MEDICARE ADVANTAGE OOS [116005]|55.48||||55.48||| 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|COMMUNITY CARE MEDICARE [1125]|COMMUNITY CARE ADVANTAGE MEDICARE [112502]|55.48||||55.48||| 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|55.48||||55.48||| 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|HUMANA MEDICARE REPLACEMENT [1525]|HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503]|55.48||||55.48||| 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|GENERATIONS HEALTHCARE [1420]|GENERATIONS HEALTHCARE [142000]|55.48||||55.48||| 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|CHAMPVA [1240]|CHAMP VA [124000]|55.48||||55.48||| 10049|ERX|0636 - PHARMACY-EXTENSION OF 025X-DRUGS REQUIRING|FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK|GHI [2835]|GHI MEDICARE REPLACEMENT [283500]|55.48||||55.48||| 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|11.25||||11.25|6.9|9.9|3.06 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|11.25||||11.25|9.9|9.9|3.06 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|11.25||||11.25|6.21|9.9|3.06 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|11.25||||11.25|9.34|9.9|3.06 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|11.25||||11.25|9.9|9.9|3.06 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|11.25||||11.25|9.9|9.9|3.06 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|WEB TPA [2115]|WEB TPA [211500]|11.25||||11.25|9.9|9.9|3.06 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|HEALTHFIRST [2395]|HEALTHFIRST [239500]|11.25||||11.25|9.9|9.9|3.06 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|UMR [2035]|UMR CORE [203505]|11.25||||11.25|6.9|9.9|3.06 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|11.25||||11.25|9.9|9.9|3.06 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|11.25||||11.25|6.98|9.9|3.06 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|11.25||||11.25|9.9|9.9|3.06 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|11.25||||11.25|7.99|9.9|3.06 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|11.25||||11.25|9.9|9.9|3.06 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|11.25||||11.25|6.21|9.9|3.06 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|11.25||||11.25|8.2|9.9|3.06 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|MULTIPLAN [1680]|IHC HS [168011]|11.25||||11.25|9.9|9.9|3.06 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|11.25||||11.25|9.9|9.9|3.06 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|11.25||||11.25|5.06|9.9|3.06 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|11.25||||11.25|5.06|9.9|3.06 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|CORESOURCE [1315]|CORESOURCE [131501]|11.25||||11.25|6.21|9.9|3.06 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|11.25||||11.25|9.9|9.9|3.06 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|11.25||||11.25|9.9|9.9|3.06 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|CIGNA [1260]|CIGNA [126008]|11.25||||11.25|5.77|9.9|3.06 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|HEALTHNET [1495]|HEALTHNET [149500]|11.25||||11.25|9.9|9.9|3.06 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|11.25||||11.25|9.9|9.9|3.06 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|11.25||||11.25|9.9|9.9|3.06 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|FIRST HEALTH [1375]|BENVEO/UCS [137512]|11.25||||11.25|8.2|9.9|3.06 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|11.25||||11.25|6.9|9.9|3.06 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|11.25||||11.25|9.9|9.9|3.06 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|MEDICA [2910]|MEDICA QUEST [291001]|11.25||||11.25|8.2|9.9|3.06 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|11.25||||11.25|9.9|9.9|3.06 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|11.25||||11.25|3.06|9.9|3.06 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|11.25||||11.25|9.9|9.9|3.06 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|FMH BENEFIT SERVICES [1390]|FMH [139000]|11.25||||11.25|9.34|9.9|3.06 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|TRUSTMARK [2030]|STARMARK [203000]|11.25||||11.25|9.9|9.9|3.06 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|11.25||||11.25|9.56|9.9|3.06 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|11.25||||11.25|6.19|9.9|3.06 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|11.25||||11.25|9.9|9.9|3.06 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|11.25||||11.25|9.34|9.9|3.06 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|AETNA [1015]|AETNA ACO WILCO [101532]|11.25||||11.25|6.21|9.9|3.06 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|11.25||||11.25|5.77|9.9|3.06 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|11.25||||11.25|9.9|9.9|3.06 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|11.25||||11.25|9.34|9.9|3.06 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|11.25||||11.25|9.34|9.9|3.06 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|11.25||||11.25|9.9|9.9|3.06 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|GEHA [1415]|GEHA - ASA [141503]|11.25||||11.25|6.9|9.9|3.06 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|||11.25||||11.25|3.37|9.9|3.06 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|11.25||||11.25|6.98|9.9|3.06 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|11.25||||11.25|3.36|9.9|3.06 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|11.25||||11.25|9.9|9.9|3.06 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|GILSBAR [1425]|GILSBAR [142500]|11.25||||11.25|9.9|9.9|3.06 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|11.25||||11.25|9.9|9.9|3.06 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|11.25||||11.25|9|9.9|3.06 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|GHI [2835]|GHI MEDICARE REPLACEMENT [283500]|11.25||||11.25||| 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|CHAMPVA [1240]|CHAMP VA [124000]|11.25||||11.25||| 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|GENERATIONS HEALTHCARE [1420]|GENERATIONS HEALTHCARE [142000]|11.25||||11.25||| 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|HPSI [1520]|HPSI HEALTHPLAN SERVICE [152000]|11.25||||11.25||| 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|HUMANA MEDICARE REPLACEMENT [1525]|HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503]|11.25||||11.25||| 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|COMMUNITY CARE MEDICARE [1125]|COMMUNITY CARE ADVANTAGE MEDICARE [112502]|11.25||||11.25||| 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|UNITED HEALTHCARE MEDICARE REPLACEMENT [2065]|UHC MEDICARE ADVANTAGE [206511]|11.25||||11.25||| 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|AMERIGROUP MEDICARE [1100]|AMERIGROUP MEDICARE [110000]|11.25||||11.25||| 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|BCBS [1155]|BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509]|11.25||||11.25||| 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|BCBS [1155]|BLUE CROSS ADVANTAGE OF ARKANSAS [115536]|11.25||||11.25||| 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|BCBS [1155]|TULSA BLUE [115531]|11.25||||11.25||| 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|BCBS [1155]|BLUE CROSS PREFERRED OF OKLAHOMA [115500]|11.25||||11.25||| 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|BCBS [1155]|BLUE CROSS TRADITIONAL OF OKLAHOMA [115501]|11.25||||11.25||| 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|11.25||||11.25||| 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|VA CCN OPTUM [3920]|VA CCN OPTUM [392000]|11.25||||11.25||| 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|MOLINA MEDICARE REPLACEMENT [1675]|MOLINA MEDICARE ADVANTAGE [167500]|11.25||||11.25||| 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|GENERATIONS MEDICARE ADVANTAGE [1435]|GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500]|11.25||||11.25||| 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|11.25||||11.25||| 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|BCBS MEDICARE REPLACEMENT [1160]|BLUE CROSS MEDICARE ADVANTAGE OOS [116005]|11.25||||11.25||| 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|DEPARTMENT OF REHABILITATION SERVICES [2355]|DEPARTMENT OF REHABILITATION SERVICES [235500]|11.25||||11.25||| 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|HOSPICE [3000]|SOLSTICE HEALTHCARE [300004]|11.25||||11.25||| 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|HEALTHCHOICE [1490]|HEALTHCHOICE [149000]|11.25||||11.25||| 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|AMERIGROUP MEDICAID [1095]|AMERIGROUP MEDICAID [109500]|11.25||||11.25||| 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|11.25||||11.25||| 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|11.25||||11.25||| 10054|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUDROCORTISONE 0.1 MG TABLET|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|11.25||||11.25||| 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|191.99||||191.99|153.59|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|191.99||||191.99|168.95|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|191.99||||191.99|168.95|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|GILSBAR [1425]|GILSBAR [142500]|191.99||||191.99|168.95|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|191.99||||191.99|57.41|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|191.99||||191.99|168.95|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|191.99||||191.99|168.95|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|191.99||||191.99|119.03|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|191.99||||191.99|119.03|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|||191.99||||191.99|57.6|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|||191.99||||191.99|57.6|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|GEHA [1415]|GEHA - ASA [141503]|191.99||||191.99|117.69|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|191.99||||191.99|159.35|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|191.99||||191.99|159.35|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|191.99||||191.99|168.95|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|191.99||||191.99|159.35|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|191.99||||191.99|159.35|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|191.99||||191.99|98.49|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|191.99||||191.99|98.49|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|191.99||||191.99|168.95|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|191.99||||191.99|105.59|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|191.99||||191.99|105.59|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|191.99||||191.99|163.19|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|TRUSTMARK [2030]|STARMARK [203000]|191.99||||191.99|168.95|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|TRUSTMARK [2030]|STARMARK [203000]|191.99||||191.99|168.95|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|FMH BENEFIT SERVICES [1390]|FMH [139000]|191.99||||191.99|159.35|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|FMH BENEFIT SERVICES [1390]|FMH [139000]|191.99||||191.99|159.35|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|191.99||||191.99|52.2|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|191.99||||191.99|52.2|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|191.99||||191.99|168.95|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|MEDICA [2910]|MEDICA QUEST [291001]|191.99||||191.99|139.96|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|MEDICA [2910]|MEDICA QUEST [291001]|191.99||||191.99|139.96|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|191.99||||191.99|168.95|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|191.99||||191.99|168.95|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|191.99||||191.99|117.69|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|191.99||||191.99|168.95|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|FIRST HEALTH [1375]|BENVEO/UCS [137512]|191.99||||191.99|139.96|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|191.99||||191.99|168.95|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|FIRST HEALTH [1375]|BENVEO/UCS [137512]|191.99||||191.99|139.96|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|191.99||||191.99|168.95|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|191.99||||191.99|168.95|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|HEALTHNET [1495]|HEALTHNET [149500]|191.99||||191.99|168.95|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|CIGNA [1260]|CIGNA [126008]|191.99||||191.99|98.49|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|CIGNA [1260]|CIGNA [126008]|191.99||||191.99|98.49|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|191.99||||191.99|168.95|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|191.99||||191.99|168.95|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|191.99||||191.99|168.95|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|191.99||||191.99|168.95|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|CORESOURCE [1315]|CORESOURCE [131501]|191.99||||191.99|105.98|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|CORESOURCE [1315]|CORESOURCE [131501]|191.99||||191.99|105.98|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|191.99||||191.99|86.4|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|191.99||||191.99|86.4|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|191.99||||191.99|86.4|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|191.99||||191.99|86.4|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|191.99||||191.99|168.95|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|HEALTHNET [1495]|HEALTHNET [149500]|191.99||||191.99|168.95|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|191.99||||191.99|168.95|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|191.99||||191.99|139.96|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|191.99||||191.99|139.96|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|MULTIPLAN [1680]|IHC HS [168011]|191.99||||191.99|168.95|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|MULTIPLAN [1680]|IHC HS [168011]|191.99||||191.99|168.95|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|191.99||||191.99|105.98|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|191.99||||191.99|117.69|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|191.99||||191.99|105.98|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|191.99||||191.99|168.95|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|191.99||||191.99|168.95|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|191.99||||191.99|136.31|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|191.99||||191.99|168.95|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|191.99||||191.99|136.31|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|191.99||||191.99|168.95|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|191.99||||191.99|168.95|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|191.99||||191.99|163.19|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|191.99||||191.99|119.03|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|191.99||||191.99|168.95|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|191.99||||191.99|119.03|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|191.99||||191.99|168.95|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|191.99||||191.99|168.95|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|191.99||||191.99|168.95|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|191.99||||191.99|168.95|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|UMR [2035]|UMR CORE [203505]|191.99||||191.99|117.69|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|UMR [2035]|UMR CORE [203505]|191.99||||191.99|117.69|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|HEALTHFIRST [2395]|HEALTHFIRST [239500]|191.99||||191.99|168.95|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|191.99||||191.99|168.95|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|HEALTHFIRST [2395]|HEALTHFIRST [239500]|191.99||||191.99|168.95|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|WEB TPA [2115]|WEB TPA [211500]|191.99||||191.99|168.95|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|191.99||||191.99||| 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|191.99||||191.99||| 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|191.99||||191.99||| 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|191.99||||191.99||| 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|191.99||||191.99||| 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|AMERIGROUP MEDICAID [1095]|AMERIGROUP MEDICAID [109500]|191.99||||191.99||| 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|AMERIGROUP MEDICAID [1095]|AMERIGROUP MEDICAID [109500]|191.99||||191.99||| 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|HEALTHCHOICE [1490]|HEALTHCHOICE [149000]|191.99||||191.99||| 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|HEALTHCHOICE [1490]|HEALTHCHOICE [149000]|191.99||||191.99||| 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|HOSPICE [3000]|SOLSTICE HEALTHCARE [300004]|191.99||||191.99||| 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|DEPARTMENT OF REHABILITATION SERVICES [2355]|DEPARTMENT OF REHABILITATION SERVICES [235500]|191.99||||191.99||| 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|GENERATIONS MEDICARE ADVANTAGE [1435]|GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500]|191.99||||191.99||| 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|GENERATIONS MEDICARE ADVANTAGE [1435]|GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500]|191.99||||191.99||| 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|MOLINA MEDICARE REPLACEMENT [1675]|MOLINA MEDICARE ADVANTAGE [167500]|191.99||||191.99||| 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|VA CCN OPTUM [3920]|VA CCN OPTUM [392000]|191.99||||191.99||| 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|VA CCN OPTUM [3920]|VA CCN OPTUM [392000]|191.99||||191.99||| 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|BCBS [1155]|TULSA BLUE [115531]|191.99||||191.99||| 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|BCBS [1155]|TULSA BLUE [115531]|191.99||||191.99||| 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|BCBS [1155]|BLUE CROSS PREFERRED OF OKLAHOMA [115500]|191.99||||191.99||| 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|BCBS [1155]|BLUE CROSS TRADITIONAL OF OKLAHOMA [115501]|191.99||||191.99||| 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|BCBS [1155]|BLUE CROSS TRADITIONAL OF OKLAHOMA [115501]|191.99||||191.99||| 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|BCBS [1155]|BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509]|191.99||||191.99||| 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|BCBS [1155]|BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509]|191.99||||191.99||| 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|BCBS [1155]|BLUE CROSS PREFERRED OF OKLAHOMA [115500]|191.99||||191.99||| 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|BCBS [1155]|BLUE CROSS ADVANTAGE OF ARKANSAS [115536]|191.99||||191.99||| 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|BCBS [1155]|BLUE CROSS ADVANTAGE OF ARKANSAS [115536]|191.99||||191.99||| 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|191.99||||191.99||| 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|MOLINA MEDICARE REPLACEMENT [1675]|MOLINA MEDICARE ADVANTAGE [167500]|191.99||||191.99||| 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|191.99||||191.99||| 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|AMERIGROUP MEDICARE [1100]|AMERIGROUP MEDICARE [110000]|191.99||||191.99||| 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|AMERIGROUP MEDICARE [1100]|AMERIGROUP MEDICARE [110000]|191.99||||191.99||| 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|DEPARTMENT OF REHABILITATION SERVICES [2355]|DEPARTMENT OF REHABILITATION SERVICES [235500]|191.99||||191.99||| 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|191.99||||191.99||| 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|191.99||||191.99||| 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|UNITED HEALTHCARE MEDICARE REPLACEMENT [2065]|UHC MEDICARE ADVANTAGE [206511]|191.99||||191.99||| 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|UNITED HEALTHCARE MEDICARE REPLACEMENT [2065]|UHC MEDICARE ADVANTAGE [206511]|191.99||||191.99||| 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|BCBS MEDICARE REPLACEMENT [1160]|BLUE CROSS MEDICARE ADVANTAGE OOS [116005]|191.99||||191.99||| 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|BCBS MEDICARE REPLACEMENT [1160]|BLUE CROSS MEDICARE ADVANTAGE OOS [116005]|191.99||||191.99||| 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|COMMUNITY CARE MEDICARE [1125]|COMMUNITY CARE ADVANTAGE MEDICARE [112502]|191.99||||191.99||| 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|COMMUNITY CARE MEDICARE [1125]|COMMUNITY CARE ADVANTAGE MEDICARE [112502]|191.99||||191.99||| 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|HOSPICE [3000]|SOLSTICE HEALTHCARE [300004]|191.99||||191.99||| 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|WEB TPA [2115]|WEB TPA [211500]|191.99||||191.99|168.95|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|GEHA [1415]|GEHA - ASA [141503]|191.99||||191.99|117.69|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|191.99||||191.99|168.95|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|191.99||||191.99|168.95|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|191.99||||191.99|168.95|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|191.99||||191.99|168.95|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|191.99||||191.99|159.35|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|191.99||||191.99|159.35|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|191.99||||191.99|159.35|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|191.99||||191.99|159.35|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|191.99||||191.99|105.98|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|191.99||||191.99|57.41|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|GILSBAR [1425]|GILSBAR [142500]|191.99||||191.99|168.95|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|191.99||||191.99|105.98|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|191.99||||191.99|168.95|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|191.99||||191.99|168.95|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|AETNA [1015]|AETNA ACO WILCO [101532]|191.99||||191.99|105.98|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|191.99||||191.99|153.59|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|AETNA [1015]|AETNA ACO WILCO [101532]|191.99||||191.99|105.98|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|191.99||||191.99|117.69|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|191.99||||191.99|117.69|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|191.99||||191.99|168.95|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|191.99||||191.99|168.95|168.95|52.2 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|HUMANA MEDICARE REPLACEMENT [1525]|HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503]|191.99||||191.99||| 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|HUMANA MEDICARE REPLACEMENT [1525]|HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503]|191.99||||191.99||| 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|HPSI [1520]|HPSI HEALTHPLAN SERVICE [152000]|191.99||||191.99||| 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|HPSI [1520]|HPSI HEALTHPLAN SERVICE [152000]|191.99||||191.99||| 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|191.99||||191.99||| 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|GENERATIONS HEALTHCARE [1420]|GENERATIONS HEALTHCARE [142000]|191.99||||191.99||| 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|GENERATIONS HEALTHCARE [1420]|GENERATIONS HEALTHCARE [142000]|191.99||||191.99||| 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|CHAMPVA [1240]|CHAMP VA [124000]|191.99||||191.99||| 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|CHAMPVA [1240]|CHAMP VA [124000]|191.99||||191.99||| 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|GHI [2835]|GHI MEDICARE REPLACEMENT [283500]|191.99||||191.99||| 100611|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|DICLOFENAC 1 % TOPICAL GEL|GHI [2835]|GHI MEDICARE REPLACEMENT [283500]|191.99||||191.99||| 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|124.80||||124.80|109.82|109.82|33.93 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|124.80||||124.80|76.5|109.82|33.93 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|AETNA [1015]|AETNA ACO WILCO [101532]|124.80||||124.80|68.89|109.82|33.93 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|124.80||||124.80|109.82|109.82|33.93 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|124.80||||124.80|68.89|109.82|33.93 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|124.80||||124.80|103.58|109.82|33.93 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|124.80||||124.80|103.58|109.82|33.93 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|124.80||||124.80|109.82|109.82|33.93 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|WEB TPA [2115]|WEB TPA [211500]|124.80||||124.80|109.82|109.82|33.93 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|HEALTHFIRST [2395]|HEALTHFIRST [239500]|124.80||||124.80|109.82|109.82|33.93 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|UMR [2035]|UMR CORE [203505]|124.80||||124.80|76.5|109.82|33.93 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|124.80||||124.80|109.82|109.82|33.93 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|124.80||||124.80|77.38|109.82|33.93 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|124.80||||124.80|88.61|109.82|33.93 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|124.80||||124.80|109.82|109.82|33.93 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|124.80||||124.80|68.89|109.82|33.93 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|124.80||||124.80|109.82|109.82|33.93 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|124.80||||124.80|90.98|109.82|33.93 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|MULTIPLAN [1680]|IHC HS [168011]|124.80||||124.80|109.82|109.82|33.93 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|124.80||||124.80|109.82|109.82|33.93 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|124.80||||124.80|56.16|109.82|33.93 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|124.80||||124.80|56.16|109.82|33.93 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|CORESOURCE [1315]|CORESOURCE [131501]|124.80||||124.80|68.89|109.82|33.93 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|124.80||||124.80|109.82|109.82|33.93 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|124.80||||124.80|109.82|109.82|33.93 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|CIGNA [1260]|CIGNA [126008]|124.80||||124.80|64.02|109.82|33.93 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|HEALTHNET [1495]|HEALTHNET [149500]|124.80||||124.80|109.82|109.82|33.93 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|FIRST HEALTH [1375]|BENVEO/UCS [137512]|124.80||||124.80|90.98|109.82|33.93 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|124.80||||124.80|109.82|109.82|33.93 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|124.80||||124.80|76.5|109.82|33.93 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|124.80||||124.80|109.82|109.82|33.93 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|124.80||||124.80|109.82|109.82|33.93 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|MEDICA [2910]|MEDICA QUEST [291001]|124.80||||124.80|90.98|109.82|33.93 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|124.80||||124.80|109.82|109.82|33.93 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|TRUSTMARK [2030]|STARMARK [203000]|124.80||||124.80|109.82|109.82|33.93 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|124.80||||124.80|109.82|109.82|33.93 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|124.80||||124.80|33.93|109.82|33.93 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|FMH BENEFIT SERVICES [1390]|FMH [139000]|124.80||||124.80|103.58|109.82|33.93 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|124.80||||124.80|106.08|109.82|33.93 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|124.80||||124.80|68.64|109.82|33.93 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|124.80||||124.80|109.82|109.82|33.93 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|124.80||||124.80|109.82|109.82|33.93 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|124.80||||124.80|64.02|109.82|33.93 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|124.80||||124.80|103.58|109.82|33.93 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|124.80||||124.80|109.82|109.82|33.93 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|GEHA [1415]|GEHA - ASA [141503]|124.80||||124.80|76.5|109.82|33.93 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|124.80||||124.80|103.58|109.82|33.93 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|||124.80||||124.80|37.44|109.82|33.93 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|124.80||||124.80|77.38|109.82|33.93 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|124.80||||124.80|109.82|109.82|33.93 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|124.80||||124.80|37.32|109.82|33.93 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|GILSBAR [1425]|GILSBAR [142500]|124.80||||124.80|109.82|109.82|33.93 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|124.80||||124.80|109.82|109.82|33.93 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|124.80||||124.80|99.84|109.82|33.93 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|CHAMPVA [1240]|CHAMP VA [124000]|124.80||||124.80||| 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|HPSI [1520]|HPSI HEALTHPLAN SERVICE [152000]|124.80||||124.80||| 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|HUMANA MEDICARE REPLACEMENT [1525]|HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503]|124.80||||124.80||| 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|COMMUNITY CARE MEDICARE [1125]|COMMUNITY CARE ADVANTAGE MEDICARE [112502]|124.80||||124.80||| 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|UNITED HEALTHCARE MEDICARE REPLACEMENT [2065]|UHC MEDICARE ADVANTAGE [206511]|124.80||||124.80||| 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|AMERIGROUP MEDICARE [1100]|AMERIGROUP MEDICARE [110000]|124.80||||124.80||| 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|BCBS [1155]|BLUE CROSS TRADITIONAL OF OKLAHOMA [115501]|124.80||||124.80||| 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|BCBS [1155]|BLUE CROSS ADVANTAGE OF ARKANSAS [115536]|124.80||||124.80||| 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|BCBS [1155]|BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509]|124.80||||124.80||| 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|BCBS [1155]|BLUE CROSS PREFERRED OF OKLAHOMA [115500]|124.80||||124.80||| 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|BCBS [1155]|TULSA BLUE [115531]|124.80||||124.80||| 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|124.80||||124.80||| 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|VA CCN OPTUM [3920]|VA CCN OPTUM [392000]|124.80||||124.80||| 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|MOLINA MEDICARE REPLACEMENT [1675]|MOLINA MEDICARE ADVANTAGE [167500]|124.80||||124.80||| 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|GENERATIONS MEDICARE ADVANTAGE [1435]|GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500]|124.80||||124.80||| 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|124.80||||124.80||| 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|DEPARTMENT OF REHABILITATION SERVICES [2355]|DEPARTMENT OF REHABILITATION SERVICES [235500]|124.80||||124.80||| 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|BCBS MEDICARE REPLACEMENT [1160]|BLUE CROSS MEDICARE ADVANTAGE OOS [116005]|124.80||||124.80||| 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|HEALTHCHOICE [1490]|HEALTHCHOICE [149000]|124.80||||124.80||| 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|HOSPICE [3000]|SOLSTICE HEALTHCARE [300004]|124.80||||124.80||| 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|AMERIGROUP MEDICAID [1095]|AMERIGROUP MEDICAID [109500]|124.80||||124.80||| 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|GENERATIONS HEALTHCARE [1420]|GENERATIONS HEALTHCARE [142000]|124.80||||124.80||| 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|GHI [2835]|GHI MEDICARE REPLACEMENT [283500]|124.80||||124.80||| 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|124.80||||124.80||| 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|124.80||||124.80||| 100671|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TIP COLONOSCOPE ENDOCUFF VISION ADULT LARGE ID11.2 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP STERILE LATEX FREE DISPOSABLE GREEN|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|124.80||||124.80||| 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|6.34||||6.34|5.07|5.58|1.72 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|GILSBAR [1425]|GILSBAR [142500]|6.34||||6.34|5.58|5.58|1.72 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|6.34||||6.34|1.9|5.58|1.72 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|6.34||||6.34|5.58|5.58|1.72 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|6.34||||6.34|3.93|5.58|1.72 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|6.34||||6.34|5.26|5.58|1.72 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|GEHA [1415]|GEHA - ASA [141503]|6.34||||6.34|3.89|5.58|1.72 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|6.34||||6.34|5.58|5.58|1.72 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|6.34||||6.34|5.26|5.58|1.72 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|6.34||||6.34|3.25|5.58|1.72 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|6.34||||6.34|5.58|5.58|1.72 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|6.34||||6.34|3.49|5.58|1.72 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|6.34||||6.34|5.39|5.58|1.72 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|FMH BENEFIT SERVICES [1390]|FMH [139000]|6.34||||6.34|5.26|5.58|1.72 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|6.34||||6.34|1.72|5.58|1.72 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|6.34||||6.34|5.58|5.58|1.72 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|6.34||||6.34|5.58|5.58|1.72 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|6.34||||6.34|3.89|5.58|1.72 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|FIRST HEALTH [1375]|BENVEO/UCS [137512]|6.34||||6.34|4.62|5.58|1.72 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|6.34||||6.34|5.58|5.58|1.72 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|6.34||||6.34|5.58|5.58|1.72 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|HEALTHNET [1495]|HEALTHNET [149500]|6.34||||6.34|5.58|5.58|1.72 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|CIGNA [1260]|CIGNA [126008]|6.34||||6.34|3.25|5.58|1.72 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|6.34||||6.34|5.58|5.58|1.72 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|6.34||||6.34|5.58|5.58|1.72 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|6.34||||6.34|2.85|5.58|1.72 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|CORESOURCE [1315]|CORESOURCE [131501]|6.34||||6.34|3.5|5.58|1.72 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|6.34||||6.34|2.85|5.58|1.72 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|6.34||||6.34|5.58|5.58|1.72 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|MEDICA [2910]|MEDICA QUEST [291001]|6.34||||6.34|4.62|5.58|1.72 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|MULTIPLAN [1680]|IHC HS [168011]|6.34||||6.34|5.58|5.58|1.72 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|6.34||||6.34|4.62|5.58|1.72 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|6.34||||6.34|3.5|5.58|1.72 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|TRUSTMARK [2030]|STARMARK [203000]|6.34||||6.34|5.58|5.58|1.72 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|6.34||||6.34|5.58|5.58|1.72 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|6.34||||6.34|4.5|5.58|1.72 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|6.34||||6.34|5.58|5.58|1.72 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|6.34||||6.34|3.93|5.58|1.72 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|6.34||||6.34|5.58|5.58|1.72 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|6.34||||6.34|5.58|5.58|1.72 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|UMR [2035]|UMR CORE [203505]|6.34||||6.34|3.89|5.58|1.72 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|HEALTHFIRST [2395]|HEALTHFIRST [239500]|6.34||||6.34|5.58|5.58|1.72 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|||6.34||||6.34|1.9|5.58|1.72 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|WEB TPA [2115]|WEB TPA [211500]|6.34||||6.34|5.58|5.58|1.72 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|6.34||||6.34|5.58|5.58|1.72 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|6.34||||6.34|5.58|5.58|1.72 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|6.34||||6.34|5.58|5.58|1.72 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|6.34||||6.34|5.26|5.58|1.72 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|6.34||||6.34|5.26|5.58|1.72 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|6.34||||6.34|3.5|5.58|1.72 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|6.34||||6.34|5.58|5.58|1.72 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|AETNA [1015]|AETNA ACO WILCO [101532]|6.34||||6.34|3.5|5.58|1.72 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|6.34||||6.34|3.89|5.58|1.72 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|6.34||||6.34|5.58|5.58|1.72 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|6.34||||6.34||| 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|6.34||||6.34||| 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|AMERIGROUP MEDICAID [1095]|AMERIGROUP MEDICAID [109500]|6.34||||6.34||| 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|HOSPICE [3000]|SOLSTICE HEALTHCARE [300004]|6.34||||6.34||| 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|DEPARTMENT OF REHABILITATION SERVICES [2355]|DEPARTMENT OF REHABILITATION SERVICES [235500]|6.34||||6.34||| 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|MOLINA MEDICARE REPLACEMENT [1675]|MOLINA MEDICARE ADVANTAGE [167500]|6.34||||6.34||| 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|VA CCN OPTUM [3920]|VA CCN OPTUM [392000]|6.34||||6.34||| 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|BCBS [1155]|BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509]|6.34||||6.34||| 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|BCBS [1155]|BLUE CROSS TRADITIONAL OF OKLAHOMA [115501]|6.34||||6.34||| 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|GENERATIONS MEDICARE ADVANTAGE [1435]|GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500]|6.34||||6.34||| 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|BCBS [1155]|BLUE CROSS PREFERRED OF OKLAHOMA [115500]|6.34||||6.34||| 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|BCBS [1155]|BLUE CROSS ADVANTAGE OF ARKANSAS [115536]|6.34||||6.34||| 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|BCBS [1155]|TULSA BLUE [115531]|6.34||||6.34||| 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|6.34||||6.34||| 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|AMERIGROUP MEDICARE [1100]|AMERIGROUP MEDICARE [110000]|6.34||||6.34||| 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|6.34||||6.34||| 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|UNITED HEALTHCARE MEDICARE REPLACEMENT [2065]|UHC MEDICARE ADVANTAGE [206511]|6.34||||6.34||| 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|HEALTHCHOICE [1490]|HEALTHCHOICE [149000]|6.34||||6.34||| 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|BCBS MEDICARE REPLACEMENT [1160]|BLUE CROSS MEDICARE ADVANTAGE OOS [116005]|6.34||||6.34||| 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|COMMUNITY CARE MEDICARE [1125]|COMMUNITY CARE ADVANTAGE MEDICARE [112502]|6.34||||6.34||| 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|6.34||||6.34||| 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|HUMANA MEDICARE REPLACEMENT [1525]|HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503]|6.34||||6.34||| 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|HPSI [1520]|HPSI HEALTHPLAN SERVICE [152000]|6.34||||6.34||| 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|GENERATIONS HEALTHCARE [1420]|GENERATIONS HEALTHCARE [142000]|6.34||||6.34||| 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|CHAMPVA [1240]|CHAMP VA [124000]|6.34||||6.34||| 10069|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 10 MG CAPSULE|GHI [2835]|GHI MEDICARE REPLACEMENT [283500]|6.34||||6.34||| 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|6.34||||6.34|3.89|5.58|1.72 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|6.34||||6.34|5.58|5.58|1.72 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|6.34||||6.34|3.5|5.58|1.72 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|6.34||||6.34|5.26|5.58|1.72 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|6.34||||6.34|5.58|5.58|1.72 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|6.34||||6.34|5.58|5.58|1.72 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|WEB TPA [2115]|WEB TPA [211500]|6.34||||6.34|5.58|5.58|1.72 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|HEALTHFIRST [2395]|HEALTHFIRST [239500]|6.34||||6.34|5.58|5.58|1.72 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|UMR [2035]|UMR CORE [203505]|6.34||||6.34|3.89|5.58|1.72 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|6.34||||6.34|5.58|5.58|1.72 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|6.34||||6.34|3.93|5.58|1.72 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|6.34||||6.34|4.5|5.58|1.72 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|6.34||||6.34|5.58|5.58|1.72 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|6.34||||6.34|3.5|5.58|1.72 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|MULTIPLAN [1680]|IHC HS [168011]|6.34||||6.34|5.58|5.58|1.72 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|6.34||||6.34|4.62|5.58|1.72 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|6.34||||6.34|5.58|5.58|1.72 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|6.34||||6.34|2.85|5.58|1.72 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|CORESOURCE [1315]|CORESOURCE [131501]|6.34||||6.34|3.5|5.58|1.72 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|6.34||||6.34|2.85|5.58|1.72 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|6.34||||6.34|5.58|5.58|1.72 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|6.34||||6.34|5.58|5.58|1.72 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|CIGNA [1260]|CIGNA [126008]|6.34||||6.34|3.25|5.58|1.72 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|HEALTHNET [1495]|HEALTHNET [149500]|6.34||||6.34|5.58|5.58|1.72 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|6.34||||6.34|5.58|5.58|1.72 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|6.34||||6.34|5.58|5.58|1.72 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|FIRST HEALTH [1375]|BENVEO/UCS [137512]|6.34||||6.34|4.62|5.58|1.72 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|6.34||||6.34|3.89|5.58|1.72 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|6.34||||6.34|5.58|5.58|1.72 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|6.34||||6.34|5.58|5.58|1.72 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|MEDICA [2910]|MEDICA QUEST [291001]|6.34||||6.34|4.62|5.58|1.72 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|6.34||||6.34|5.58|5.58|1.72 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|6.34||||6.34|1.72|5.58|1.72 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|6.34||||6.34|5.58|5.58|1.72 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|FMH BENEFIT SERVICES [1390]|FMH [139000]|6.34||||6.34|5.26|5.58|1.72 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|TRUSTMARK [2030]|STARMARK [203000]|6.34||||6.34|5.58|5.58|1.72 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|6.34||||6.34|5.39|5.58|1.72 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|6.34||||6.34|3.49|5.58|1.72 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|6.34||||6.34|5.58|5.58|1.72 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|6.34||||6.34|5.26|5.58|1.72 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|AETNA [1015]|AETNA ACO WILCO [101532]|6.34||||6.34|3.5|5.58|1.72 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|6.34||||6.34|3.25|5.58|1.72 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|6.34||||6.34|5.58|5.58|1.72 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|6.34||||6.34|5.26|5.58|1.72 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|GEHA [1415]|GEHA - ASA [141503]|6.34||||6.34|3.89|5.58|1.72 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|6.34||||6.34|5.58|5.58|1.72 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|6.34||||6.34|5.26|5.58|1.72 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|||6.34||||6.34|1.9|5.58|1.72 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|6.34||||6.34|3.93|5.58|1.72 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|6.34||||6.34|1.9|5.58|1.72 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|6.34||||6.34|5.58|5.58|1.72 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|GILSBAR [1425]|GILSBAR [142500]|6.34||||6.34|5.58|5.58|1.72 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|6.34||||6.34|5.58|5.58|1.72 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|6.34||||6.34|5.07|5.58|1.72 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|GHI [2835]|GHI MEDICARE REPLACEMENT [283500]|6.34||||6.34||| 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|CHAMPVA [1240]|CHAMP VA [124000]|6.34||||6.34||| 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|GENERATIONS HEALTHCARE [1420]|GENERATIONS HEALTHCARE [142000]|6.34||||6.34||| 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|HPSI [1520]|HPSI HEALTHPLAN SERVICE [152000]|6.34||||6.34||| 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|HUMANA MEDICARE REPLACEMENT [1525]|HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503]|6.34||||6.34||| 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|COMMUNITY CARE MEDICARE [1125]|COMMUNITY CARE ADVANTAGE MEDICARE [112502]|6.34||||6.34||| 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|BCBS MEDICARE REPLACEMENT [1160]|BLUE CROSS MEDICARE ADVANTAGE OOS [116005]|6.34||||6.34||| 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|UNITED HEALTHCARE MEDICARE REPLACEMENT [2065]|UHC MEDICARE ADVANTAGE [206511]|6.34||||6.34||| 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|AMERIGROUP MEDICARE [1100]|AMERIGROUP MEDICARE [110000]|6.34||||6.34||| 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|BCBS [1155]|TULSA BLUE [115531]|6.34||||6.34||| 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|BCBS [1155]|BLUE CROSS PREFERRED OF OKLAHOMA [115500]|6.34||||6.34||| 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|BCBS [1155]|BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509]|6.34||||6.34||| 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|BCBS [1155]|BLUE CROSS ADVANTAGE OF ARKANSAS [115536]|6.34||||6.34||| 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|BCBS [1155]|BLUE CROSS TRADITIONAL OF OKLAHOMA [115501]|6.34||||6.34||| 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|6.34||||6.34||| 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|VA CCN OPTUM [3920]|VA CCN OPTUM [392000]|6.34||||6.34||| 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|MOLINA MEDICARE REPLACEMENT [1675]|MOLINA MEDICARE ADVANTAGE [167500]|6.34||||6.34||| 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|GENERATIONS MEDICARE ADVANTAGE [1435]|GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500]|6.34||||6.34||| 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|6.34||||6.34||| 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|DEPARTMENT OF REHABILITATION SERVICES [2355]|DEPARTMENT OF REHABILITATION SERVICES [235500]|6.34||||6.34||| 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|HOSPICE [3000]|SOLSTICE HEALTHCARE [300004]|6.34||||6.34||| 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|HEALTHCHOICE [1490]|HEALTHCHOICE [149000]|6.34||||6.34||| 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|AMERIGROUP MEDICAID [1095]|AMERIGROUP MEDICAID [109500]|6.34||||6.34||| 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|6.34||||6.34||| 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|6.34||||6.34||| 10070|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUOXETINE 20 MG CAPSULE|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|6.34||||6.34||| 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|125.13||||125.13|110.11|110.11|34.02 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GILSBAR [1425]|GILSBAR [142500]|125.13||||125.13|110.11|110.11|34.02 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|125.13||||125.13|37.41|110.11|34.02 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|125.13||||125.13|77.58|110.11|34.02 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|||125.13||||125.13|37.54|110.11|34.02 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|125.13||||125.13|103.85|110.11|34.02 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GEHA [1415]|GEHA - ASA [141503]|125.13||||125.13|76.7|110.11|34.02 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|125.13||||125.13|103.85|110.11|34.02 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|125.13||||125.13|110.11|110.11|34.02 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|125.13||||125.13|64.19|110.11|34.02 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|125.13||||125.13|110.11|110.11|34.02 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|125.13||||125.13|68.82|110.11|34.02 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FMH BENEFIT SERVICES [1390]|FMH [139000]|125.13||||125.13|103.85|110.11|34.02 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|125.13||||125.13|34.02|110.11|34.02 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|TRUSTMARK [2030]|STARMARK [203000]|125.13||||125.13|110.11|110.11|34.02 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|125.13||||125.13|110.11|110.11|34.02 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MEDICA [2910]|MEDICA QUEST [291001]|125.13||||125.13|91.22|110.11|34.02 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|125.13||||125.13|76.7|110.11|34.02 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|125.13||||125.13|110.11|110.11|34.02 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|125.13||||125.13|110.11|110.11|34.02 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FIRST HEALTH [1375]|BENVEO/UCS [137512]|125.13||||125.13|91.22|110.11|34.02 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHNET [1495]|HEALTHNET [149500]|125.13||||125.13|110.11|110.11|34.02 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CIGNA [1260]|CIGNA [126008]|125.13||||125.13|64.19|110.11|34.02 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|125.13||||125.13|110.11|110.11|34.02 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|125.13||||125.13|110.11|110.11|34.02 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CORESOURCE [1315]|CORESOURCE [131501]|125.13||||125.13|69.07|110.11|34.02 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|125.13||||125.13|56.31|110.11|34.02 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|125.13||||125.13|56.31|110.11|34.02 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|125.13||||125.13|110.11|110.11|34.02 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|125.13||||125.13|110.11|110.11|34.02 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MULTIPLAN [1680]|IHC HS [168011]|125.13||||125.13|110.11|110.11|34.02 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|125.13||||125.13|91.22|110.11|34.02 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|125.13||||125.13|110.11|110.11|34.02 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|125.13||||125.13|106.36|110.11|34.02 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|125.13||||125.13|69.07|110.11|34.02 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|125.13||||125.13|68.82|110.11|34.02 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|125.13||||125.13|110.11|110.11|34.02 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|125.13||||125.13|77.58|110.11|34.02 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|125.13||||125.13|110.11|110.11|34.02 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|125.13||||125.13|110.11|110.11|34.02 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UMR [2035]|UMR CORE [203505]|125.13||||125.13|76.7|110.11|34.02 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|125.13||||125.13|110.11|110.11|34.02 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHFIRST [2395]|HEALTHFIRST [239500]|125.13||||125.13|110.11|110.11|34.02 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|WEB TPA [2115]|WEB TPA [211500]|125.13||||125.13|110.11|110.11|34.02 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|125.13||||125.13|110.11|110.11|34.02 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|125.13||||125.13|100.1|110.11|34.02 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|125.13||||125.13|110.11|110.11|34.02 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|125.13||||125.13|103.85|110.11|34.02 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|125.13||||125.13|103.85|110.11|34.02 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|125.13||||125.13|69.07|110.11|34.02 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|125.13||||125.13|110.11|110.11|34.02 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AETNA [1015]|AETNA ACO WILCO [101532]|125.13||||125.13|69.07|110.11|34.02 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|125.13||||125.13|76.7|110.11|34.02 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|125.13||||125.13|110.11|110.11|34.02 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|125.13||||125.13||| 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|125.13||||125.13||| 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AMERIGROUP MEDICAID [1095]|AMERIGROUP MEDICAID [109500]|125.13||||125.13||| 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HOSPICE [3000]|SOLSTICE HEALTHCARE [300004]|125.13||||125.13||| 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|DEPARTMENT OF REHABILITATION SERVICES [2355]|DEPARTMENT OF REHABILITATION SERVICES [235500]|125.13||||125.13||| 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GENERATIONS MEDICARE ADVANTAGE [1435]|GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500]|125.13||||125.13||| 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|VA CCN OPTUM [3920]|VA CCN OPTUM [392000]|125.13||||125.13||| 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509]|125.13||||125.13||| 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS TRADITIONAL OF OKLAHOMA [115501]|125.13||||125.13||| 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS PREFERRED OF OKLAHOMA [115500]|125.13||||125.13||| 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MOLINA MEDICARE REPLACEMENT [1675]|MOLINA MEDICARE ADVANTAGE [167500]|125.13||||125.13||| 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS ADVANTAGE OF ARKANSAS [115536]|125.13||||125.13||| 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|TULSA BLUE [115531]|125.13||||125.13||| 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|125.13||||125.13||| 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AMERIGROUP MEDICARE [1100]|AMERIGROUP MEDICARE [110000]|125.13||||125.13||| 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|125.13||||125.13||| 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED HEALTHCARE MEDICARE REPLACEMENT [2065]|UHC MEDICARE ADVANTAGE [206511]|125.13||||125.13||| 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCHOICE [1490]|HEALTHCHOICE [149000]|125.13||||125.13||| 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS MEDICARE REPLACEMENT [1160]|BLUE CROSS MEDICARE ADVANTAGE OOS [116005]|125.13||||125.13||| 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COMMUNITY CARE MEDICARE [1125]|COMMUNITY CARE ADVANTAGE MEDICARE [112502]|125.13||||125.13||| 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HUMANA MEDICARE REPLACEMENT [1525]|HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503]|125.13||||125.13||| 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|125.13||||125.13||| 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HPSI [1520]|HPSI HEALTHPLAN SERVICE [152000]|125.13||||125.13||| 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GENERATIONS HEALTHCARE [1420]|GENERATIONS HEALTHCARE [142000]|125.13||||125.13||| 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GHI [2835]|GHI MEDICARE REPLACEMENT [283500]|125.13||||125.13||| 10081|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CHAMPVA [1240]|CHAMP VA [124000]|125.13||||125.13||| 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|125.13||||125.13|110.11|110.11|34.02 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|125.13||||125.13|76.7|110.11|34.02 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|125.13||||125.13|110.11|110.11|34.02 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|125.13||||125.13|69.07|110.11|34.02 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|125.13||||125.13|103.85|110.11|34.02 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|125.13||||125.13|110.11|110.11|34.02 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|125.13||||125.13|110.11|110.11|34.02 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|WEB TPA [2115]|WEB TPA [211500]|125.13||||125.13|110.11|110.11|34.02 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHFIRST [2395]|HEALTHFIRST [239500]|125.13||||125.13|110.11|110.11|34.02 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UMR [2035]|UMR CORE [203505]|125.13||||125.13|76.7|110.11|34.02 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|125.13||||125.13|110.11|110.11|34.02 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|125.13||||125.13|77.58|110.11|34.02 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|125.13||||125.13|110.11|110.11|34.02 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|125.13||||125.13|68.82|110.11|34.02 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|125.13||||125.13|69.07|110.11|34.02 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|125.13||||125.13|110.11|110.11|34.02 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|125.13||||125.13|91.22|110.11|34.02 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MULTIPLAN [1680]|IHC HS [168011]|125.13||||125.13|110.11|110.11|34.02 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|125.13||||125.13|110.11|110.11|34.02 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|125.13||||125.13|56.31|110.11|34.02 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CORESOURCE [1315]|CORESOURCE [131501]|125.13||||125.13|69.07|110.11|34.02 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|125.13||||125.13|110.11|110.11|34.02 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|125.13||||125.13|56.31|110.11|34.02 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|125.13||||125.13|110.11|110.11|34.02 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CIGNA [1260]|CIGNA [126008]|125.13||||125.13|64.19|110.11|34.02 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHNET [1495]|HEALTHNET [149500]|125.13||||125.13|110.11|110.11|34.02 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FIRST HEALTH [1375]|BENVEO/UCS [137512]|125.13||||125.13|91.22|110.11|34.02 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|125.13||||125.13|110.11|110.11|34.02 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|125.13||||125.13|110.11|110.11|34.02 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|125.13||||125.13|76.7|110.11|34.02 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MEDICA [2910]|MEDICA QUEST [291001]|125.13||||125.13|91.22|110.11|34.02 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|125.13||||125.13|110.11|110.11|34.02 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|125.13||||125.13|110.11|110.11|34.02 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|TRUSTMARK [2030]|STARMARK [203000]|125.13||||125.13|110.11|110.11|34.02 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|125.13||||125.13|110.11|110.11|34.02 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|125.13||||125.13|34.02|110.11|34.02 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|125.13||||125.13|106.36|110.11|34.02 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FMH BENEFIT SERVICES [1390]|FMH [139000]|125.13||||125.13|103.85|110.11|34.02 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|125.13||||125.13|68.82|110.11|34.02 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|125.13||||125.13|110.11|110.11|34.02 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|125.13||||125.13|103.85|110.11|34.02 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AETNA [1015]|AETNA ACO WILCO [101532]|125.13||||125.13|69.07|110.11|34.02 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|125.13||||125.13|64.19|110.11|34.02 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|125.13||||125.13|103.85|110.11|34.02 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|125.13||||125.13|110.11|110.11|34.02 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GEHA [1415]|GEHA - ASA [141503]|125.13||||125.13|76.7|110.11|34.02 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|125.13||||125.13|103.85|110.11|34.02 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|||125.13||||125.13|37.54|110.11|34.02 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|125.13||||125.13|77.58|110.11|34.02 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|125.13||||125.13|37.41|110.11|34.02 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|125.13||||125.13|110.11|110.11|34.02 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GILSBAR [1425]|GILSBAR [142500]|125.13||||125.13|110.11|110.11|34.02 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|125.13||||125.13|110.11|110.11|34.02 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|125.13||||125.13|100.1|110.11|34.02 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GHI [2835]|GHI MEDICARE REPLACEMENT [283500]|125.13||||125.13||| 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GENERATIONS HEALTHCARE [1420]|GENERATIONS HEALTHCARE [142000]|125.13||||125.13||| 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HPSI [1520]|HPSI HEALTHPLAN SERVICE [152000]|125.13||||125.13||| 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HUMANA MEDICARE REPLACEMENT [1525]|HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503]|125.13||||125.13||| 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COMMUNITY CARE MEDICARE [1125]|COMMUNITY CARE ADVANTAGE MEDICARE [112502]|125.13||||125.13||| 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED HEALTHCARE MEDICARE REPLACEMENT [2065]|UHC MEDICARE ADVANTAGE [206511]|125.13||||125.13||| 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AMERIGROUP MEDICARE [1100]|AMERIGROUP MEDICARE [110000]|125.13||||125.13||| 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|125.13||||125.13||| 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS TRADITIONAL OF OKLAHOMA [115501]|125.13||||125.13||| 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS ADVANTAGE OF ARKANSAS [115536]|125.13||||125.13||| 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS PREFERRED OF OKLAHOMA [115500]|125.13||||125.13||| 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|TULSA BLUE [115531]|125.13||||125.13||| 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509]|125.13||||125.13||| 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|VA CCN OPTUM [3920]|VA CCN OPTUM [392000]|125.13||||125.13||| 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GENERATIONS MEDICARE ADVANTAGE [1435]|GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500]|125.13||||125.13||| 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MOLINA MEDICARE REPLACEMENT [1675]|MOLINA MEDICARE ADVANTAGE [167500]|125.13||||125.13||| 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|125.13||||125.13||| 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|DEPARTMENT OF REHABILITATION SERVICES [2355]|DEPARTMENT OF REHABILITATION SERVICES [235500]|125.13||||125.13||| 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS MEDICARE REPLACEMENT [1160]|BLUE CROSS MEDICARE ADVANTAGE OOS [116005]|125.13||||125.13||| 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HOSPICE [3000]|SOLSTICE HEALTHCARE [300004]|125.13||||125.13||| 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCHOICE [1490]|HEALTHCHOICE [149000]|125.13||||125.13||| 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AMERIGROUP MEDICAID [1095]|AMERIGROUP MEDICAID [109500]|125.13||||125.13||| 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CHAMPVA [1240]|CHAMP VA [124000]|125.13||||125.13||| 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|125.13||||125.13||| 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|125.13||||125.13||| 10082|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L18 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|125.13||||125.13||| 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|125.13||||125.13|110.11|110.11|34.02 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GILSBAR [1425]|GILSBAR [142500]|125.13||||125.13|110.11|110.11|34.02 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|125.13||||125.13|110.11|110.11|34.02 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|125.13||||125.13|77.58|110.11|34.02 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|||125.13||||125.13|37.54|110.11|34.02 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|125.13||||125.13|103.85|110.11|34.02 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GEHA [1415]|GEHA - ASA [141503]|125.13||||125.13|76.7|110.11|34.02 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|125.13||||125.13|110.11|110.11|34.02 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|125.13||||125.13|103.85|110.11|34.02 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|125.13||||125.13|64.19|110.11|34.02 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|125.13||||125.13|110.11|110.11|34.02 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|125.13||||125.13|68.82|110.11|34.02 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FMH BENEFIT SERVICES [1390]|FMH [139000]|125.13||||125.13|103.85|110.11|34.02 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|125.13||||125.13|34.02|110.11|34.02 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|TRUSTMARK [2030]|STARMARK [203000]|125.13||||125.13|110.11|110.11|34.02 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|125.13||||125.13|110.11|110.11|34.02 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MEDICA [2910]|MEDICA QUEST [291001]|125.13||||125.13|91.22|110.11|34.02 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|125.13||||125.13|76.7|110.11|34.02 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|125.13||||125.13|110.11|110.11|34.02 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FIRST HEALTH [1375]|BENVEO/UCS [137512]|125.13||||125.13|91.22|110.11|34.02 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|125.13||||125.13|110.11|110.11|34.02 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHNET [1495]|HEALTHNET [149500]|125.13||||125.13|110.11|110.11|34.02 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CIGNA [1260]|CIGNA [126008]|125.13||||125.13|64.19|110.11|34.02 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|125.13||||125.13|110.11|110.11|34.02 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|125.13||||125.13|110.11|110.11|34.02 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CORESOURCE [1315]|CORESOURCE [131501]|125.13||||125.13|69.07|110.11|34.02 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|125.13||||125.13|56.31|110.11|34.02 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|125.13||||125.13|56.31|110.11|34.02 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|125.13||||125.13|110.11|110.11|34.02 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|125.13||||125.13|110.11|110.11|34.02 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MULTIPLAN [1680]|IHC HS [168011]|125.13||||125.13|110.11|110.11|34.02 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|125.13||||125.13|91.22|110.11|34.02 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|125.13||||125.13|110.11|110.11|34.02 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|125.13||||125.13|106.36|110.11|34.02 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|125.13||||125.13|69.07|110.11|34.02 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|125.13||||125.13|68.82|110.11|34.02 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|125.13||||125.13|110.11|110.11|34.02 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|125.13||||125.13|77.58|110.11|34.02 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|125.13||||125.13|110.11|110.11|34.02 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|125.13||||125.13|110.11|110.11|34.02 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UMR [2035]|UMR CORE [203505]|125.13||||125.13|76.7|110.11|34.02 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|125.13||||125.13|37.41|110.11|34.02 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHFIRST [2395]|HEALTHFIRST [239500]|125.13||||125.13|110.11|110.11|34.02 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|WEB TPA [2115]|WEB TPA [211500]|125.13||||125.13|110.11|110.11|34.02 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|125.13||||125.13|110.11|110.11|34.02 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|125.13||||125.13|100.1|110.11|34.02 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|125.13||||125.13|110.11|110.11|34.02 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|125.13||||125.13|103.85|110.11|34.02 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|125.13||||125.13|103.85|110.11|34.02 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|125.13||||125.13|69.07|110.11|34.02 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|125.13||||125.13|110.11|110.11|34.02 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AETNA [1015]|AETNA ACO WILCO [101532]|125.13||||125.13|69.07|110.11|34.02 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|125.13||||125.13|76.7|110.11|34.02 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|125.13||||125.13|110.11|110.11|34.02 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|125.13||||125.13||| 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|125.13||||125.13||| 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AMERIGROUP MEDICAID [1095]|AMERIGROUP MEDICAID [109500]|125.13||||125.13||| 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HOSPICE [3000]|SOLSTICE HEALTHCARE [300004]|125.13||||125.13||| 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|DEPARTMENT OF REHABILITATION SERVICES [2355]|DEPARTMENT OF REHABILITATION SERVICES [235500]|125.13||||125.13||| 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GENERATIONS MEDICARE ADVANTAGE [1435]|GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500]|125.13||||125.13||| 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|VA CCN OPTUM [3920]|VA CCN OPTUM [392000]|125.13||||125.13||| 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS TRADITIONAL OF OKLAHOMA [115501]|125.13||||125.13||| 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS PREFERRED OF OKLAHOMA [115500]|125.13||||125.13||| 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|TULSA BLUE [115531]|125.13||||125.13||| 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS ADVANTAGE OF ARKANSAS [115536]|125.13||||125.13||| 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509]|125.13||||125.13||| 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|125.13||||125.13||| 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MOLINA MEDICARE REPLACEMENT [1675]|MOLINA MEDICARE ADVANTAGE [167500]|125.13||||125.13||| 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AMERIGROUP MEDICARE [1100]|AMERIGROUP MEDICARE [110000]|125.13||||125.13||| 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|125.13||||125.13||| 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED HEALTHCARE MEDICARE REPLACEMENT [2065]|UHC MEDICARE ADVANTAGE [206511]|125.13||||125.13||| 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCHOICE [1490]|HEALTHCHOICE [149000]|125.13||||125.13||| 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS MEDICARE REPLACEMENT [1160]|BLUE CROSS MEDICARE ADVANTAGE OOS [116005]|125.13||||125.13||| 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COMMUNITY CARE MEDICARE [1125]|COMMUNITY CARE ADVANTAGE MEDICARE [112502]|125.13||||125.13||| 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HUMANA MEDICARE REPLACEMENT [1525]|HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503]|125.13||||125.13||| 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|125.13||||125.13||| 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HPSI [1520]|HPSI HEALTHPLAN SERVICE [152000]|125.13||||125.13||| 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GENERATIONS HEALTHCARE [1420]|GENERATIONS HEALTHCARE [142000]|125.13||||125.13||| 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GHI [2835]|GHI MEDICARE REPLACEMENT [283500]|125.13||||125.13||| 10084|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L24 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CHAMPVA [1240]|CHAMP VA [124000]|125.13||||125.13||| 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|9.74||||9.74|8.57|92.4|2.65 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|105.00||||105.00|92.4|92.4|2.65 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|105.00||||105.00|64.37|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|9.74||||9.74|5.97|92.4|2.65 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AETNA [1015]|AETNA ACO WILCO [101532]|105.00||||105.00|57.96|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|9.74||||9.74|8.57|92.4|2.65 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|105.00||||105.00|92.4|92.4|2.65 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|105.00||||105.00|57.96|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|9.74||||9.74|5.38|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|9.74||||9.74|8.08|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|9.74||||9.74|8.08|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|9.74||||9.74|8.57|92.4|2.65 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|105.00||||105.00|87.15|92.4|2.65 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|105.00||||105.00|92.4|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|9.74||||9.74|8.57|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|WEB TPA [2115]|WEB TPA [211500]|9.74||||9.74|8.57|92.4|2.65 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|WEB TPA [2115]|WEB TPA [211500]|105.00||||105.00|92.4|92.4|2.65 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHFIRST [2395]|HEALTHFIRST [239500]|105.00||||105.00|92.4|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|HEALTHFIRST [2395]|HEALTHFIRST [239500]|9.74||||9.74|8.57|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|9.74||||9.74|8.57|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|UMR [2035]|UMR CORE [203505]|9.74||||9.74|5.97|92.4|2.65 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|105.00||||105.00|92.4|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|9.74||||9.74|8.57|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|9.74||||9.74|6.04|92.4|2.65 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|105.00||||105.00|65.1|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|9.74||||9.74|8.57|92.4|2.65 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|105.00||||105.00|92.4|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|9.74||||9.74|6.92|92.4|2.65 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|105.00||||105.00|57.75|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|9.74||||9.74|5.38|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|9.74||||9.74|8.57|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|MULTIPLAN [1680]|IHC HS [168011]|9.74||||9.74|8.57|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|9.74||||9.74|7.1|92.4|2.65 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MULTIPLAN [1680]|IHC HS [168011]|105.00||||105.00|92.4|92.4|2.65 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|105.00||||105.00|76.55|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|9.74||||9.74|8.57|92.4|2.65 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|105.00||||105.00|92.4|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|9.74||||9.74|4.38|92.4|2.65 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|105.00||||105.00|47.25|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|CORESOURCE [1315]|CORESOURCE [131501]|9.74||||9.74|5.38|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|9.74||||9.74|4.38|92.4|2.65 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CORESOURCE [1315]|CORESOURCE [131501]|105.00||||105.00|57.96|92.4|2.65 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|105.00||||105.00|92.4|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|9.74||||9.74|8.57|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|CIGNA [1260]|CIGNA [126008]|9.74||||9.74|5|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|9.74||||9.74|8.57|92.4|2.65 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|105.00||||105.00|92.4|92.4|2.65 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CIGNA [1260]|CIGNA [126008]|105.00||||105.00|53.87|92.4|2.65 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|105.00||||105.00|47.25|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|9.74||||9.74|8.57|92.4|2.65 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHNET [1495]|HEALTHNET [149500]|105.00||||105.00|92.4|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|HEALTHNET [1495]|HEALTHNET [149500]|9.74||||9.74|8.57|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|FIRST HEALTH [1375]|BENVEO/UCS [137512]|9.74||||9.74|7.1|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|9.74||||9.74|8.57|92.4|2.65 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|105.00||||105.00|92.4|92.4|2.65 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FIRST HEALTH [1375]|BENVEO/UCS [137512]|105.00||||105.00|76.55|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|9.74||||9.74|5.97|92.4|2.65 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|105.00||||105.00|92.4|92.4|2.65 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|105.00||||105.00|64.37|92.4|2.65 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|105.00||||105.00|92.4|92.4|2.65 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|105.00||||105.00|57.96|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|9.74||||9.74|8.57|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|MEDICA [2910]|MEDICA QUEST [291001]|9.74||||9.74|7.1|92.4|2.65 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MEDICA [2910]|MEDICA QUEST [291001]|105.00||||105.00|76.55|92.4|2.65 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|105.00||||105.00|92.4|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|9.74||||9.74|2.65|92.4|2.65 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|105.00||||105.00|92.4|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|9.74||||9.74|8.57|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|FMH BENEFIT SERVICES [1390]|FMH [139000]|9.74||||9.74|8.08|92.4|2.65 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|TRUSTMARK [2030]|STARMARK [203000]|105.00||||105.00|92.4|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|TRUSTMARK [2030]|STARMARK [203000]|9.74||||9.74|8.57|92.4|2.65 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|105.00||||105.00|28.55|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|9.74||||9.74|8.28|92.4|2.65 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|105.00||||105.00|89.25|92.4|2.65 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FMH BENEFIT SERVICES [1390]|FMH [139000]|105.00||||105.00|87.15|92.4|2.65 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|105.00||||105.00|92.4|92.4|2.65 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UMR [2035]|UMR CORE [203505]|105.00||||105.00|64.37|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|9.74||||9.74|5.36|92.4|2.65 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|105.00||||105.00|57.75|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|9.74||||9.74|8.57|92.4|2.65 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|105.00||||105.00|92.4|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|9.74||||9.74|5|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|CHAMPVA [1240]|CHAMP VA [124000]|9.74||||9.74||| 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CHAMPVA [1240]|CHAMP VA [124000]|105.00||||105.00||| 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|GENERATIONS HEALTHCARE [1420]|GENERATIONS HEALTHCARE [142000]|9.74||||9.74||| 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GENERATIONS HEALTHCARE [1420]|GENERATIONS HEALTHCARE [142000]|105.00||||105.00||| 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HPSI [1520]|HPSI HEALTHPLAN SERVICE [152000]|105.00||||105.00||| 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|HUMANA MEDICARE REPLACEMENT [1525]|HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503]|9.74||||9.74||| 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HUMANA MEDICARE REPLACEMENT [1525]|HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503]|105.00||||105.00||| 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COMMUNITY CARE MEDICARE [1125]|COMMUNITY CARE ADVANTAGE MEDICARE [112502]|105.00||||105.00||| 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|BCBS MEDICARE REPLACEMENT [1160]|BLUE CROSS MEDICARE ADVANTAGE OOS [116005]|9.74||||9.74||| 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS MEDICARE REPLACEMENT [1160]|BLUE CROSS MEDICARE ADVANTAGE OOS [116005]|105.00||||105.00||| 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|UNITED HEALTHCARE MEDICARE REPLACEMENT [2065]|UHC MEDICARE ADVANTAGE [206511]|9.74||||9.74||| 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|9.74||||9.74||| 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|105.00||||105.00||| 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|AMERIGROUP MEDICARE [1100]|AMERIGROUP MEDICARE [110000]|9.74||||9.74||| 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AMERIGROUP MEDICARE [1100]|AMERIGROUP MEDICARE [110000]|105.00||||105.00||| 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|105.00||||105.00||| 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|BCBS [1155]|BLUE CROSS TRADITIONAL OF OKLAHOMA [115501]|9.74||||9.74||| 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|BCBS [1155]|TULSA BLUE [115531]|9.74||||9.74||| 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|BCBS [1155]|BLUE CROSS ADVANTAGE OF ARKANSAS [115536]|9.74||||9.74||| 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|BCBS [1155]|BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509]|9.74||||9.74||| 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS TRADITIONAL OF OKLAHOMA [115501]|105.00||||105.00||| 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS PREFERRED OF OKLAHOMA [115500]|105.00||||105.00||| 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS ADVANTAGE OF ARKANSAS [115536]|105.00||||105.00||| 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|TULSA BLUE [115531]|105.00||||105.00||| 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509]|105.00||||105.00||| 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|VA CCN OPTUM [3920]|VA CCN OPTUM [392000]|9.74||||9.74||| 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|BCBS [1155]|BLUE CROSS PREFERRED OF OKLAHOMA [115500]|9.74||||9.74||| 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|MOLINA MEDICARE REPLACEMENT [1675]|MOLINA MEDICARE ADVANTAGE [167500]|9.74||||9.74||| 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|VA CCN OPTUM [3920]|VA CCN OPTUM [392000]|105.00||||105.00||| 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|GENERATIONS MEDICARE ADVANTAGE [1435]|GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500]|9.74||||9.74||| 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GENERATIONS MEDICARE ADVANTAGE [1435]|GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500]|105.00||||105.00||| 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MOLINA MEDICARE REPLACEMENT [1675]|MOLINA MEDICARE ADVANTAGE [167500]|105.00||||105.00||| 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|9.74||||9.74||| 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|DEPARTMENT OF REHABILITATION SERVICES [2355]|DEPARTMENT OF REHABILITATION SERVICES [235500]|9.74||||9.74||| 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|DEPARTMENT OF REHABILITATION SERVICES [2355]|DEPARTMENT OF REHABILITATION SERVICES [235500]|105.00||||105.00||| 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED HEALTHCARE MEDICARE REPLACEMENT [2065]|UHC MEDICARE ADVANTAGE [206511]|105.00||||105.00||| 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|COMMUNITY CARE MEDICARE [1125]|COMMUNITY CARE ADVANTAGE MEDICARE [112502]|9.74||||9.74||| 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|HOSPICE [3000]|SOLSTICE HEALTHCARE [300004]|9.74||||9.74||| 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|HEALTHCHOICE [1490]|HEALTHCHOICE [149000]|9.74||||9.74||| 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HOSPICE [3000]|SOLSTICE HEALTHCARE [300004]|105.00||||105.00||| 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCHOICE [1490]|HEALTHCHOICE [149000]|105.00||||105.00||| 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|AMERIGROUP MEDICAID [1095]|AMERIGROUP MEDICAID [109500]|9.74||||9.74||| 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|HPSI [1520]|HPSI HEALTHPLAN SERVICE [152000]|9.74||||9.74||| 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AMERIGROUP MEDICAID [1095]|AMERIGROUP MEDICAID [109500]|105.00||||105.00||| 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|105.00||||105.00|53.87|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|9.74||||9.74|8.08|92.4|2.65 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|105.00||||105.00|92.4|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|9.74||||9.74|8.57|92.4|2.65 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|105.00||||105.00|87.15|92.4|2.65 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|105.00||||105.00|92.4|92.4|2.65 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GEHA [1415]|GEHA - ASA [141503]|105.00||||105.00|64.37|92.4|2.65 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|105.00||||105.00|87.15|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|GEHA [1415]|GEHA - ASA [141503]|9.74||||9.74|5.97|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|9.74||||9.74|8.08|92.4|2.65 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|105.00||||105.00|87.15|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|||9.74||||9.74|2.92|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|AETNA [1015]|AETNA ACO WILCO [101532]|9.74||||9.74|5.38|92.4|2.65 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|||105.00||||105.00|31.5|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|9.74||||9.74|6.04|92.4|2.65 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|105.00||||105.00|65.1|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|9.74||||9.74|2.91|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|9.74||||9.74|8.57|92.4|2.65 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|105.00||||105.00|92.4|92.4|2.65 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|105.00||||105.00|31.4|92.4|2.65 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GILSBAR [1425]|GILSBAR [142500]|105.00||||105.00|92.4|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|GILSBAR [1425]|GILSBAR [142500]|9.74||||9.74|8.57|92.4|2.65 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|105.00||||105.00|92.4|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|9.74||||9.74|8.57|92.4|2.65 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|105.00||||105.00|84|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|9.74||||9.74|7.79|92.4|2.65 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|9.74||||9.74||| 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|105.00||||105.00||| 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|105.00||||105.00||| 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|9.74||||9.74||| 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GHI [2835]|GHI MEDICARE REPLACEMENT [283500]|105.00||||105.00||| 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|9.74||||9.74||| 10085|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|FLUVOXAMINE 50 MG TABLET|GHI [2835]|GHI MEDICARE REPLACEMENT [283500]|9.74||||9.74||| 10085|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L26 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|105.00||||105.00||| 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|125.13||||125.13|110.11|110.11|34.02 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GILSBAR [1425]|GILSBAR [142500]|125.13||||125.13|110.11|110.11|34.02 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|125.13||||125.13|110.11|110.11|34.02 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|125.13||||125.13|77.58|110.11|34.02 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|||125.13||||125.13|37.54|110.11|34.02 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|125.13||||125.13|103.85|110.11|34.02 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GEHA [1415]|GEHA - ASA [141503]|125.13||||125.13|76.7|110.11|34.02 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|125.13||||125.13|103.85|110.11|34.02 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|125.13||||125.13|110.11|110.11|34.02 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|125.13||||125.13|64.19|110.11|34.02 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|125.13||||125.13|110.11|110.11|34.02 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|125.13||||125.13|68.82|110.11|34.02 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FMH BENEFIT SERVICES [1390]|FMH [139000]|125.13||||125.13|103.85|110.11|34.02 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|125.13||||125.13|34.02|110.11|34.02 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|TRUSTMARK [2030]|STARMARK [203000]|125.13||||125.13|110.11|110.11|34.02 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|125.13||||125.13|110.11|110.11|34.02 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|125.13||||125.13|110.11|110.11|34.02 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MEDICA [2910]|MEDICA QUEST [291001]|125.13||||125.13|91.22|110.11|34.02 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|125.13||||125.13|76.7|110.11|34.02 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|125.13||||125.13|110.11|110.11|34.02 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FIRST HEALTH [1375]|BENVEO/UCS [137512]|125.13||||125.13|91.22|110.11|34.02 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|125.13||||125.13|110.11|110.11|34.02 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHNET [1495]|HEALTHNET [149500]|125.13||||125.13|110.11|110.11|34.02 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CIGNA [1260]|CIGNA [126008]|125.13||||125.13|64.19|110.11|34.02 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|125.13||||125.13|110.11|110.11|34.02 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|125.13||||125.13|110.11|110.11|34.02 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CORESOURCE [1315]|CORESOURCE [131501]|125.13||||125.13|69.07|110.11|34.02 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|125.13||||125.13|56.31|110.11|34.02 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|125.13||||125.13|56.31|110.11|34.02 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|125.13||||125.13|110.11|110.11|34.02 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MULTIPLAN [1680]|IHC HS [168011]|125.13||||125.13|110.11|110.11|34.02 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|125.13||||125.13|91.22|110.11|34.02 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|125.13||||125.13|110.11|110.11|34.02 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|125.13||||125.13|106.36|110.11|34.02 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|125.13||||125.13|69.07|110.11|34.02 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|125.13||||125.13|68.82|110.11|34.02 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|125.13||||125.13|110.11|110.11|34.02 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|125.13||||125.13|77.58|110.11|34.02 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|125.13||||125.13|110.11|110.11|34.02 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|125.13||||125.13|110.11|110.11|34.02 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UMR [2035]|UMR CORE [203505]|125.13||||125.13|76.7|110.11|34.02 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|125.13||||125.13|37.41|110.11|34.02 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHFIRST [2395]|HEALTHFIRST [239500]|125.13||||125.13|110.11|110.11|34.02 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|WEB TPA [2115]|WEB TPA [211500]|125.13||||125.13|110.11|110.11|34.02 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|125.13||||125.13|110.11|110.11|34.02 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|125.13||||125.13|100.1|110.11|34.02 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|125.13||||125.13|110.11|110.11|34.02 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|125.13||||125.13|103.85|110.11|34.02 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|125.13||||125.13|103.85|110.11|34.02 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|125.13||||125.13|69.07|110.11|34.02 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|125.13||||125.13|110.11|110.11|34.02 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AETNA [1015]|AETNA ACO WILCO [101532]|125.13||||125.13|69.07|110.11|34.02 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|125.13||||125.13|76.7|110.11|34.02 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|125.13||||125.13|110.11|110.11|34.02 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|125.13||||125.13||| 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|125.13||||125.13||| 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AMERIGROUP MEDICAID [1095]|AMERIGROUP MEDICAID [109500]|125.13||||125.13||| 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HOSPICE [3000]|SOLSTICE HEALTHCARE [300004]|125.13||||125.13||| 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|DEPARTMENT OF REHABILITATION SERVICES [2355]|DEPARTMENT OF REHABILITATION SERVICES [235500]|125.13||||125.13||| 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GENERATIONS MEDICARE ADVANTAGE [1435]|GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500]|125.13||||125.13||| 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|VA CCN OPTUM [3920]|VA CCN OPTUM [392000]|125.13||||125.13||| 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS ADVANTAGE OF ARKANSAS [115536]|125.13||||125.13||| 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS PREFERRED OF OKLAHOMA [115500]|125.13||||125.13||| 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS TRADITIONAL OF OKLAHOMA [115501]|125.13||||125.13||| 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MOLINA MEDICARE REPLACEMENT [1675]|MOLINA MEDICARE ADVANTAGE [167500]|125.13||||125.13||| 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|TULSA BLUE [115531]|125.13||||125.13||| 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509]|125.13||||125.13||| 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|125.13||||125.13||| 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AMERIGROUP MEDICARE [1100]|AMERIGROUP MEDICARE [110000]|125.13||||125.13||| 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|125.13||||125.13||| 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED HEALTHCARE MEDICARE REPLACEMENT [2065]|UHC MEDICARE ADVANTAGE [206511]|125.13||||125.13||| 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCHOICE [1490]|HEALTHCHOICE [149000]|125.13||||125.13||| 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS MEDICARE REPLACEMENT [1160]|BLUE CROSS MEDICARE ADVANTAGE OOS [116005]|125.13||||125.13||| 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COMMUNITY CARE MEDICARE [1125]|COMMUNITY CARE ADVANTAGE MEDICARE [112502]|125.13||||125.13||| 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HUMANA MEDICARE REPLACEMENT [1525]|HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503]|125.13||||125.13||| 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|125.13||||125.13||| 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HPSI [1520]|HPSI HEALTHPLAN SERVICE [152000]|125.13||||125.13||| 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GENERATIONS HEALTHCARE [1420]|GENERATIONS HEALTHCARE [142000]|125.13||||125.13||| 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GHI [2835]|GHI MEDICARE REPLACEMENT [283500]|125.13||||125.13||| 10086|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L28 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CHAMPVA [1240]|CHAMP VA [124000]|125.13||||125.13||| 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|105.00||||105.00|92.4|92.4|28.55 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|105.00||||105.00|64.37|92.4|28.55 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|105.00||||105.00|92.4|92.4|28.55 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|105.00||||105.00|57.96|92.4|28.55 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|105.00||||105.00|87.15|92.4|28.55 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|105.00||||105.00|92.4|92.4|28.55 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|105.00||||105.00|92.4|92.4|28.55 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|WEB TPA [2115]|WEB TPA [211500]|105.00||||105.00|92.4|92.4|28.55 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHFIRST [2395]|HEALTHFIRST [239500]|105.00||||105.00|92.4|92.4|28.55 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UMR [2035]|UMR CORE [203505]|105.00||||105.00|64.37|92.4|28.55 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|105.00||||105.00|92.4|92.4|28.55 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|105.00||||105.00|65.1|92.4|28.55 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|105.00||||105.00|92.4|92.4|28.55 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|105.00||||105.00|57.75|92.4|28.55 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|105.00||||105.00|57.96|92.4|28.55 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|105.00||||105.00|92.4|92.4|28.55 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MULTIPLAN [1680]|IHC HS [168011]|105.00||||105.00|92.4|92.4|28.55 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|105.00||||105.00|76.55|92.4|28.55 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|105.00||||105.00|92.4|92.4|28.55 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|105.00||||105.00|47.25|92.4|28.55 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CORESOURCE [1315]|CORESOURCE [131501]|105.00||||105.00|57.96|92.4|28.55 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|105.00||||105.00|92.4|92.4|28.55 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|105.00||||105.00|47.25|92.4|28.55 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|105.00||||105.00|92.4|92.4|28.55 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CIGNA [1260]|CIGNA [126008]|105.00||||105.00|53.87|92.4|28.55 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHNET [1495]|HEALTHNET [149500]|105.00||||105.00|92.4|92.4|28.55 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|105.00||||105.00|92.4|92.4|28.55 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FIRST HEALTH [1375]|BENVEO/UCS [137512]|105.00||||105.00|76.55|92.4|28.55 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|105.00||||105.00|92.4|92.4|28.55 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|105.00||||105.00|64.37|92.4|28.55 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MEDICA [2910]|MEDICA QUEST [291001]|105.00||||105.00|76.55|92.4|28.55 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|105.00||||105.00|92.4|92.4|28.55 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|105.00||||105.00|92.4|92.4|28.55 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|TRUSTMARK [2030]|STARMARK [203000]|105.00||||105.00|92.4|92.4|28.55 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|105.00||||105.00|92.4|92.4|28.55 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|105.00||||105.00|28.55|92.4|28.55 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|105.00||||105.00|89.25|92.4|28.55 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FMH BENEFIT SERVICES [1390]|FMH [139000]|105.00||||105.00|87.15|92.4|28.55 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|105.00||||105.00|57.75|92.4|28.55 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|105.00||||105.00|92.4|92.4|28.55 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|105.00||||105.00|87.15|92.4|28.55 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AETNA [1015]|AETNA ACO WILCO [101532]|105.00||||105.00|57.96|92.4|28.55 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|105.00||||105.00|53.87|92.4|28.55 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|105.00||||105.00|87.15|92.4|28.55 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|105.00||||105.00|92.4|92.4|28.55 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GEHA [1415]|GEHA - ASA [141503]|105.00||||105.00|64.37|92.4|28.55 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|105.00||||105.00|87.15|92.4|28.55 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|||105.00||||105.00|31.5|92.4|28.55 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|105.00||||105.00|65.1|92.4|28.55 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|105.00||||105.00|92.4|92.4|28.55 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|105.00||||105.00|31.4|92.4|28.55 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GILSBAR [1425]|GILSBAR [142500]|105.00||||105.00|92.4|92.4|28.55 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|105.00||||105.00|92.4|92.4|28.55 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|105.00||||105.00|84|92.4|28.55 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GHI [2835]|GHI MEDICARE REPLACEMENT [283500]|105.00||||105.00||| 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GENERATIONS HEALTHCARE [1420]|GENERATIONS HEALTHCARE [142000]|105.00||||105.00||| 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HPSI [1520]|HPSI HEALTHPLAN SERVICE [152000]|105.00||||105.00||| 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HUMANA MEDICARE REPLACEMENT [1525]|HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503]|105.00||||105.00||| 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COMMUNITY CARE MEDICARE [1125]|COMMUNITY CARE ADVANTAGE MEDICARE [112502]|105.00||||105.00||| 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED HEALTHCARE MEDICARE REPLACEMENT [2065]|UHC MEDICARE ADVANTAGE [206511]|105.00||||105.00||| 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AMERIGROUP MEDICARE [1100]|AMERIGROUP MEDICARE [110000]|105.00||||105.00||| 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|105.00||||105.00||| 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509]|105.00||||105.00||| 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS TRADITIONAL OF OKLAHOMA [115501]|105.00||||105.00||| 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS ADVANTAGE OF ARKANSAS [115536]|105.00||||105.00||| 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS PREFERRED OF OKLAHOMA [115500]|105.00||||105.00||| 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|TULSA BLUE [115531]|105.00||||105.00||| 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|VA CCN OPTUM [3920]|VA CCN OPTUM [392000]|105.00||||105.00||| 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GENERATIONS MEDICARE ADVANTAGE [1435]|GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500]|105.00||||105.00||| 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MOLINA MEDICARE REPLACEMENT [1675]|MOLINA MEDICARE ADVANTAGE [167500]|105.00||||105.00||| 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|105.00||||105.00||| 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|DEPARTMENT OF REHABILITATION SERVICES [2355]|DEPARTMENT OF REHABILITATION SERVICES [235500]|105.00||||105.00||| 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS MEDICARE REPLACEMENT [1160]|BLUE CROSS MEDICARE ADVANTAGE OOS [116005]|105.00||||105.00||| 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HOSPICE [3000]|SOLSTICE HEALTHCARE [300004]|105.00||||105.00||| 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCHOICE [1490]|HEALTHCHOICE [149000]|105.00||||105.00||| 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AMERIGROUP MEDICAID [1095]|AMERIGROUP MEDICAID [109500]|105.00||||105.00||| 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CHAMPVA [1240]|CHAMP VA [124000]|105.00||||105.00||| 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|105.00||||105.00||| 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|105.00||||105.00||| 10087|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L32 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|105.00||||105.00||| 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|105.00||||105.00|92.4|92.4|28.55 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GILSBAR [1425]|GILSBAR [142500]|105.00||||105.00|92.4|92.4|28.55 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|105.00||||105.00|92.4|92.4|28.55 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|105.00||||105.00|65.1|92.4|28.55 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|||105.00||||105.00|31.5|92.4|28.55 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|105.00||||105.00|87.15|92.4|28.55 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GEHA [1415]|GEHA - ASA [141503]|105.00||||105.00|64.37|92.4|28.55 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|105.00||||105.00|87.15|92.4|28.55 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|105.00||||105.00|92.4|92.4|28.55 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|105.00||||105.00|53.87|92.4|28.55 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|105.00||||105.00|92.4|92.4|28.55 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|105.00||||105.00|57.75|92.4|28.55 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FMH BENEFIT SERVICES [1390]|FMH [139000]|105.00||||105.00|87.15|92.4|28.55 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|105.00||||105.00|28.55|92.4|28.55 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|TRUSTMARK [2030]|STARMARK [203000]|105.00||||105.00|92.4|92.4|28.55 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|105.00||||105.00|92.4|92.4|28.55 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MEDICA [2910]|MEDICA QUEST [291001]|105.00||||105.00|76.55|92.4|28.55 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|105.00||||105.00|64.37|92.4|28.55 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|105.00||||105.00|92.4|92.4|28.55 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|105.00||||105.00|92.4|92.4|28.55 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FIRST HEALTH [1375]|BENVEO/UCS [137512]|105.00||||105.00|76.55|92.4|28.55 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHNET [1495]|HEALTHNET [149500]|105.00||||105.00|92.4|92.4|28.55 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CIGNA [1260]|CIGNA [126008]|105.00||||105.00|53.87|92.4|28.55 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|105.00||||105.00|92.4|92.4|28.55 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|105.00||||105.00|92.4|92.4|28.55 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CORESOURCE [1315]|CORESOURCE [131501]|105.00||||105.00|57.96|92.4|28.55 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|105.00||||105.00|47.25|92.4|28.55 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|105.00||||105.00|47.25|92.4|28.55 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|105.00||||105.00|92.4|92.4|28.55 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|105.00||||105.00|92.4|92.4|28.55 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|105.00||||105.00|76.55|92.4|28.55 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MULTIPLAN [1680]|IHC HS [168011]|105.00||||105.00|92.4|92.4|28.55 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|105.00||||105.00|92.4|92.4|28.55 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|105.00||||105.00|89.25|92.4|28.55 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|105.00||||105.00|57.96|92.4|28.55 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|105.00||||105.00|57.75|92.4|28.55 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|105.00||||105.00|92.4|92.4|28.55 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|105.00||||105.00|65.1|92.4|28.55 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|105.00||||105.00|92.4|92.4|28.55 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|105.00||||105.00|92.4|92.4|28.55 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UMR [2035]|UMR CORE [203505]|105.00||||105.00|64.37|92.4|28.55 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|105.00||||105.00|31.4|92.4|28.55 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHFIRST [2395]|HEALTHFIRST [239500]|105.00||||105.00|92.4|92.4|28.55 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|WEB TPA [2115]|WEB TPA [211500]|105.00||||105.00|92.4|92.4|28.55 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|105.00||||105.00|92.4|92.4|28.55 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|105.00||||105.00|84|92.4|28.55 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|105.00||||105.00|92.4|92.4|28.55 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|105.00||||105.00|87.15|92.4|28.55 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|105.00||||105.00|87.15|92.4|28.55 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|105.00||||105.00|57.96|92.4|28.55 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|105.00||||105.00|92.4|92.4|28.55 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AETNA [1015]|AETNA ACO WILCO [101532]|105.00||||105.00|57.96|92.4|28.55 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|105.00||||105.00|64.37|92.4|28.55 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|105.00||||105.00|92.4|92.4|28.55 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|105.00||||105.00||| 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|105.00||||105.00||| 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AMERIGROUP MEDICAID [1095]|AMERIGROUP MEDICAID [109500]|105.00||||105.00||| 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HOSPICE [3000]|SOLSTICE HEALTHCARE [300004]|105.00||||105.00||| 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|DEPARTMENT OF REHABILITATION SERVICES [2355]|DEPARTMENT OF REHABILITATION SERVICES [235500]|105.00||||105.00||| 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GENERATIONS MEDICARE ADVANTAGE [1435]|GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500]|105.00||||105.00||| 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|VA CCN OPTUM [3920]|VA CCN OPTUM [392000]|105.00||||105.00||| 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509]|105.00||||105.00||| 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS ADVANTAGE OF ARKANSAS [115536]|105.00||||105.00||| 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS PREFERRED OF OKLAHOMA [115500]|105.00||||105.00||| 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MOLINA MEDICARE REPLACEMENT [1675]|MOLINA MEDICARE ADVANTAGE [167500]|105.00||||105.00||| 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS TRADITIONAL OF OKLAHOMA [115501]|105.00||||105.00||| 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|TULSA BLUE [115531]|105.00||||105.00||| 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|105.00||||105.00||| 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AMERIGROUP MEDICARE [1100]|AMERIGROUP MEDICARE [110000]|105.00||||105.00||| 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|105.00||||105.00||| 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED HEALTHCARE MEDICARE REPLACEMENT [2065]|UHC MEDICARE ADVANTAGE [206511]|105.00||||105.00||| 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCHOICE [1490]|HEALTHCHOICE [149000]|105.00||||105.00||| 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS MEDICARE REPLACEMENT [1160]|BLUE CROSS MEDICARE ADVANTAGE OOS [116005]|105.00||||105.00||| 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COMMUNITY CARE MEDICARE [1125]|COMMUNITY CARE ADVANTAGE MEDICARE [112502]|105.00||||105.00||| 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HUMANA MEDICARE REPLACEMENT [1525]|HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503]|105.00||||105.00||| 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|105.00||||105.00||| 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HPSI [1520]|HPSI HEALTHPLAN SERVICE [152000]|105.00||||105.00||| 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GENERATIONS HEALTHCARE [1420]|GENERATIONS HEALTHCARE [142000]|105.00||||105.00||| 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GHI [2835]|GHI MEDICARE REPLACEMENT [283500]|105.00||||105.00||| 10088|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L34 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CHAMPVA [1240]|CHAMP VA [124000]|105.00||||105.00||| 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|105.00||||105.00|92.4|92.4|28.55 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|105.00||||105.00|64.37|92.4|28.55 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|105.00||||105.00|92.4|92.4|28.55 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|105.00||||105.00|57.96|92.4|28.55 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|105.00||||105.00|87.15|92.4|28.55 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|105.00||||105.00|87.15|92.4|28.55 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|105.00||||105.00|92.4|92.4|28.55 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|105.00||||105.00|92.4|92.4|28.55 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|WEB TPA [2115]|WEB TPA [211500]|105.00||||105.00|92.4|92.4|28.55 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHFIRST [2395]|HEALTHFIRST [239500]|105.00||||105.00|92.4|92.4|28.55 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UMR [2035]|UMR CORE [203505]|105.00||||105.00|64.37|92.4|28.55 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|105.00||||105.00|92.4|92.4|28.55 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|105.00||||105.00|65.1|92.4|28.55 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|105.00||||105.00|92.4|92.4|28.55 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|105.00||||105.00|57.75|92.4|28.55 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|105.00||||105.00|57.96|92.4|28.55 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|105.00||||105.00|92.4|92.4|28.55 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MULTIPLAN [1680]|IHC HS [168011]|105.00||||105.00|92.4|92.4|28.55 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|105.00||||105.00|76.55|92.4|28.55 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|105.00||||105.00|92.4|92.4|28.55 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|105.00||||105.00|47.25|92.4|28.55 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CORESOURCE [1315]|CORESOURCE [131501]|105.00||||105.00|57.96|92.4|28.55 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|105.00||||105.00|92.4|92.4|28.55 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|105.00||||105.00|47.25|92.4|28.55 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|105.00||||105.00|92.4|92.4|28.55 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CIGNA [1260]|CIGNA [126008]|105.00||||105.00|53.87|92.4|28.55 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHNET [1495]|HEALTHNET [149500]|105.00||||105.00|92.4|92.4|28.55 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FIRST HEALTH [1375]|BENVEO/UCS [137512]|105.00||||105.00|76.55|92.4|28.55 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|105.00||||105.00|92.4|92.4|28.55 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|105.00||||105.00|92.4|92.4|28.55 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|105.00||||105.00|64.37|92.4|28.55 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|105.00||||105.00|92.4|92.4|28.55 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MEDICA [2910]|MEDICA QUEST [291001]|105.00||||105.00|76.55|92.4|28.55 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|105.00||||105.00|92.4|92.4|28.55 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|105.00||||105.00|92.4|92.4|28.55 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|TRUSTMARK [2030]|STARMARK [203000]|105.00||||105.00|92.4|92.4|28.55 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|105.00||||105.00|28.55|92.4|28.55 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|105.00||||105.00|89.25|92.4|28.55 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FMH BENEFIT SERVICES [1390]|FMH [139000]|105.00||||105.00|87.15|92.4|28.55 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|105.00||||105.00|57.75|92.4|28.55 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|105.00||||105.00|92.4|92.4|28.55 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AETNA [1015]|AETNA ACO WILCO [101532]|105.00||||105.00|57.96|92.4|28.55 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|105.00||||105.00|53.87|92.4|28.55 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|105.00||||105.00|87.15|92.4|28.55 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|105.00||||105.00|92.4|92.4|28.55 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GEHA [1415]|GEHA - ASA [141503]|105.00||||105.00|64.37|92.4|28.55 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|105.00||||105.00|87.15|92.4|28.55 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|||105.00||||105.00|31.5|92.4|28.55 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|105.00||||105.00|65.1|92.4|28.55 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|105.00||||105.00|92.4|92.4|28.55 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|105.00||||105.00|31.4|92.4|28.55 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GILSBAR [1425]|GILSBAR [142500]|105.00||||105.00|92.4|92.4|28.55 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|105.00||||105.00|92.4|92.4|28.55 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|105.00||||105.00|84|92.4|28.55 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GHI [2835]|GHI MEDICARE REPLACEMENT [283500]|105.00||||105.00||| 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GENERATIONS HEALTHCARE [1420]|GENERATIONS HEALTHCARE [142000]|105.00||||105.00||| 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HPSI [1520]|HPSI HEALTHPLAN SERVICE [152000]|105.00||||105.00||| 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HUMANA MEDICARE REPLACEMENT [1525]|HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503]|105.00||||105.00||| 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COMMUNITY CARE MEDICARE [1125]|COMMUNITY CARE ADVANTAGE MEDICARE [112502]|105.00||||105.00||| 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED HEALTHCARE MEDICARE REPLACEMENT [2065]|UHC MEDICARE ADVANTAGE [206511]|105.00||||105.00||| 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AMERIGROUP MEDICARE [1100]|AMERIGROUP MEDICARE [110000]|105.00||||105.00||| 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|105.00||||105.00||| 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS TRADITIONAL OF OKLAHOMA [115501]|105.00||||105.00||| 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|TULSA BLUE [115531]|105.00||||105.00||| 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509]|105.00||||105.00||| 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS PREFERRED OF OKLAHOMA [115500]|105.00||||105.00||| 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS ADVANTAGE OF ARKANSAS [115536]|105.00||||105.00||| 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|VA CCN OPTUM [3920]|VA CCN OPTUM [392000]|105.00||||105.00||| 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GENERATIONS MEDICARE ADVANTAGE [1435]|GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500]|105.00||||105.00||| 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MOLINA MEDICARE REPLACEMENT [1675]|MOLINA MEDICARE ADVANTAGE [167500]|105.00||||105.00||| 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|105.00||||105.00||| 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS MEDICARE REPLACEMENT [1160]|BLUE CROSS MEDICARE ADVANTAGE OOS [116005]|105.00||||105.00||| 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|DEPARTMENT OF REHABILITATION SERVICES [2355]|DEPARTMENT OF REHABILITATION SERVICES [235500]|105.00||||105.00||| 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HOSPICE [3000]|SOLSTICE HEALTHCARE [300004]|105.00||||105.00||| 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCHOICE [1490]|HEALTHCHOICE [149000]|105.00||||105.00||| 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AMERIGROUP MEDICAID [1095]|AMERIGROUP MEDICAID [109500]|105.00||||105.00||| 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CHAMPVA [1240]|CHAMP VA [124000]|105.00||||105.00||| 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|105.00||||105.00||| 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|105.00||||105.00||| 10089|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L36 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|105.00||||105.00||| 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|125.13||||125.13|110.11|110.11|34.02 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GILSBAR [1425]|GILSBAR [142500]|125.13||||125.13|110.11|110.11|34.02 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|125.13||||125.13|37.41|110.11|34.02 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|125.13||||125.13|77.58|110.11|34.02 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|||125.13||||125.13|37.54|110.11|34.02 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|125.13||||125.13|103.85|110.11|34.02 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GEHA [1415]|GEHA - ASA [141503]|125.13||||125.13|76.7|110.11|34.02 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|125.13||||125.13|110.11|110.11|34.02 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|125.13||||125.13|103.85|110.11|34.02 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|125.13||||125.13|64.19|110.11|34.02 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|125.13||||125.13|110.11|110.11|34.02 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|125.13||||125.13|68.82|110.11|34.02 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FMH BENEFIT SERVICES [1390]|FMH [139000]|125.13||||125.13|103.85|110.11|34.02 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|125.13||||125.13|34.02|110.11|34.02 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|TRUSTMARK [2030]|STARMARK [203000]|125.13||||125.13|110.11|110.11|34.02 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|125.13||||125.13|110.11|110.11|34.02 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MEDICA [2910]|MEDICA QUEST [291001]|125.13||||125.13|91.22|110.11|34.02 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|125.13||||125.13|76.7|110.11|34.02 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|125.13||||125.13|110.11|110.11|34.02 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|125.13||||125.13|110.11|110.11|34.02 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FIRST HEALTH [1375]|BENVEO/UCS [137512]|125.13||||125.13|91.22|110.11|34.02 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHNET [1495]|HEALTHNET [149500]|125.13||||125.13|110.11|110.11|34.02 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CIGNA [1260]|CIGNA [126008]|125.13||||125.13|64.19|110.11|34.02 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|125.13||||125.13|110.11|110.11|34.02 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|125.13||||125.13|110.11|110.11|34.02 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CORESOURCE [1315]|CORESOURCE [131501]|125.13||||125.13|69.07|110.11|34.02 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|125.13||||125.13|56.31|110.11|34.02 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|125.13||||125.13|56.31|110.11|34.02 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|125.13||||125.13|110.11|110.11|34.02 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|125.13||||125.13|110.11|110.11|34.02 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MULTIPLAN [1680]|IHC HS [168011]|125.13||||125.13|110.11|110.11|34.02 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|125.13||||125.13|91.22|110.11|34.02 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|125.13||||125.13|110.11|110.11|34.02 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|125.13||||125.13|106.36|110.11|34.02 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|125.13||||125.13|69.07|110.11|34.02 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|125.13||||125.13|68.82|110.11|34.02 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|125.13||||125.13|110.11|110.11|34.02 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|125.13||||125.13|77.58|110.11|34.02 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|125.13||||125.13|110.11|110.11|34.02 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|125.13||||125.13|110.11|110.11|34.02 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UMR [2035]|UMR CORE [203505]|125.13||||125.13|76.7|110.11|34.02 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|125.13||||125.13|110.11|110.11|34.02 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHFIRST [2395]|HEALTHFIRST [239500]|125.13||||125.13|110.11|110.11|34.02 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|WEB TPA [2115]|WEB TPA [211500]|125.13||||125.13|110.11|110.11|34.02 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|125.13||||125.13|110.11|110.11|34.02 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|125.13||||125.13|100.1|110.11|34.02 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|125.13||||125.13|110.11|110.11|34.02 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|125.13||||125.13|103.85|110.11|34.02 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|125.13||||125.13|103.85|110.11|34.02 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|125.13||||125.13|69.07|110.11|34.02 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|125.13||||125.13|110.11|110.11|34.02 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AETNA [1015]|AETNA ACO WILCO [101532]|125.13||||125.13|69.07|110.11|34.02 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|125.13||||125.13|76.7|110.11|34.02 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|125.13||||125.13|110.11|110.11|34.02 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|125.13||||125.13||| 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|125.13||||125.13||| 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AMERIGROUP MEDICAID [1095]|AMERIGROUP MEDICAID [109500]|125.13||||125.13||| 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HOSPICE [3000]|SOLSTICE HEALTHCARE [300004]|125.13||||125.13||| 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|DEPARTMENT OF REHABILITATION SERVICES [2355]|DEPARTMENT OF REHABILITATION SERVICES [235500]|125.13||||125.13||| 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GENERATIONS MEDICARE ADVANTAGE [1435]|GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500]|125.13||||125.13||| 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|VA CCN OPTUM [3920]|VA CCN OPTUM [392000]|125.13||||125.13||| 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|TULSA BLUE [115531]|125.13||||125.13||| 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS TRADITIONAL OF OKLAHOMA [115501]|125.13||||125.13||| 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS ADVANTAGE OF ARKANSAS [115536]|125.13||||125.13||| 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MOLINA MEDICARE REPLACEMENT [1675]|MOLINA MEDICARE ADVANTAGE [167500]|125.13||||125.13||| 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509]|125.13||||125.13||| 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS PREFERRED OF OKLAHOMA [115500]|125.13||||125.13||| 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|125.13||||125.13||| 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AMERIGROUP MEDICARE [1100]|AMERIGROUP MEDICARE [110000]|125.13||||125.13||| 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|125.13||||125.13||| 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED HEALTHCARE MEDICARE REPLACEMENT [2065]|UHC MEDICARE ADVANTAGE [206511]|125.13||||125.13||| 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCHOICE [1490]|HEALTHCHOICE [149000]|125.13||||125.13||| 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS MEDICARE REPLACEMENT [1160]|BLUE CROSS MEDICARE ADVANTAGE OOS [116005]|125.13||||125.13||| 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COMMUNITY CARE MEDICARE [1125]|COMMUNITY CARE ADVANTAGE MEDICARE [112502]|125.13||||125.13||| 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HUMANA MEDICARE REPLACEMENT [1525]|HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503]|125.13||||125.13||| 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|125.13||||125.13||| 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HPSI [1520]|HPSI HEALTHPLAN SERVICE [152000]|125.13||||125.13||| 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GENERATIONS HEALTHCARE [1420]|GENERATIONS HEALTHCARE [142000]|125.13||||125.13||| 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GHI [2835]|GHI MEDICARE REPLACEMENT [283500]|125.13||||125.13||| 10090|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CHAMPVA [1240]|CHAMP VA [124000]|125.13||||125.13||| 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|105.00||||105.00|92.4|92.4|28.55 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|105.00||||105.00|64.37|92.4|28.55 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|105.00||||105.00|92.4|92.4|28.55 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|105.00||||105.00|57.96|92.4|28.55 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|105.00||||105.00|87.15|92.4|28.55 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|105.00||||105.00|92.4|92.4|28.55 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|105.00||||105.00|92.4|92.4|28.55 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|WEB TPA [2115]|WEB TPA [211500]|105.00||||105.00|92.4|92.4|28.55 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHFIRST [2395]|HEALTHFIRST [239500]|105.00||||105.00|92.4|92.4|28.55 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UMR [2035]|UMR CORE [203505]|105.00||||105.00|64.37|92.4|28.55 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|105.00||||105.00|92.4|92.4|28.55 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|105.00||||105.00|65.1|92.4|28.55 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|105.00||||105.00|92.4|92.4|28.55 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|105.00||||105.00|57.75|92.4|28.55 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|105.00||||105.00|57.96|92.4|28.55 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|105.00||||105.00|92.4|92.4|28.55 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MULTIPLAN [1680]|IHC HS [168011]|105.00||||105.00|92.4|92.4|28.55 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|105.00||||105.00|76.55|92.4|28.55 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|105.00||||105.00|92.4|92.4|28.55 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|105.00||||105.00|47.25|92.4|28.55 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CORESOURCE [1315]|CORESOURCE [131501]|105.00||||105.00|57.96|92.4|28.55 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|105.00||||105.00|92.4|92.4|28.55 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|105.00||||105.00|47.25|92.4|28.55 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|105.00||||105.00|92.4|92.4|28.55 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CIGNA [1260]|CIGNA [126008]|105.00||||105.00|53.87|92.4|28.55 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHNET [1495]|HEALTHNET [149500]|105.00||||105.00|92.4|92.4|28.55 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|105.00||||105.00|92.4|92.4|28.55 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FIRST HEALTH [1375]|BENVEO/UCS [137512]|105.00||||105.00|76.55|92.4|28.55 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|105.00||||105.00|92.4|92.4|28.55 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|105.00||||105.00|64.37|92.4|28.55 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MEDICA [2910]|MEDICA QUEST [291001]|105.00||||105.00|76.55|92.4|28.55 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|105.00||||105.00|92.4|92.4|28.55 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|105.00||||105.00|92.4|92.4|28.55 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|TRUSTMARK [2030]|STARMARK [203000]|105.00||||105.00|92.4|92.4|28.55 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|105.00||||105.00|92.4|92.4|28.55 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|105.00||||105.00|28.55|92.4|28.55 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|105.00||||105.00|89.25|92.4|28.55 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FMH BENEFIT SERVICES [1390]|FMH [139000]|105.00||||105.00|87.15|92.4|28.55 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|105.00||||105.00|57.75|92.4|28.55 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|105.00||||105.00|92.4|92.4|28.55 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|105.00||||105.00|87.15|92.4|28.55 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AETNA [1015]|AETNA ACO WILCO [101532]|105.00||||105.00|57.96|92.4|28.55 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|105.00||||105.00|53.87|92.4|28.55 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|105.00||||105.00|87.15|92.4|28.55 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|105.00||||105.00|92.4|92.4|28.55 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GEHA [1415]|GEHA - ASA [141503]|105.00||||105.00|64.37|92.4|28.55 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|105.00||||105.00|87.15|92.4|28.55 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|||105.00||||105.00|31.5|92.4|28.55 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|105.00||||105.00|65.1|92.4|28.55 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|105.00||||105.00|92.4|92.4|28.55 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|105.00||||105.00|31.4|92.4|28.55 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GILSBAR [1425]|GILSBAR [142500]|105.00||||105.00|92.4|92.4|28.55 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|105.00||||105.00|92.4|92.4|28.55 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|105.00||||105.00|84|92.4|28.55 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GHI [2835]|GHI MEDICARE REPLACEMENT [283500]|105.00||||105.00||| 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GENERATIONS HEALTHCARE [1420]|GENERATIONS HEALTHCARE [142000]|105.00||||105.00||| 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HPSI [1520]|HPSI HEALTHPLAN SERVICE [152000]|105.00||||105.00||| 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HUMANA MEDICARE REPLACEMENT [1525]|HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503]|105.00||||105.00||| 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COMMUNITY CARE MEDICARE [1125]|COMMUNITY CARE ADVANTAGE MEDICARE [112502]|105.00||||105.00||| 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED HEALTHCARE MEDICARE REPLACEMENT [2065]|UHC MEDICARE ADVANTAGE [206511]|105.00||||105.00||| 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AMERIGROUP MEDICARE [1100]|AMERIGROUP MEDICARE [110000]|105.00||||105.00||| 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|105.00||||105.00||| 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS TRADITIONAL OF OKLAHOMA [115501]|105.00||||105.00||| 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|TULSA BLUE [115531]|105.00||||105.00||| 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509]|105.00||||105.00||| 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS PREFERRED OF OKLAHOMA [115500]|105.00||||105.00||| 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS ADVANTAGE OF ARKANSAS [115536]|105.00||||105.00||| 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|VA CCN OPTUM [3920]|VA CCN OPTUM [392000]|105.00||||105.00||| 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GENERATIONS MEDICARE ADVANTAGE [1435]|GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500]|105.00||||105.00||| 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MOLINA MEDICARE REPLACEMENT [1675]|MOLINA MEDICARE ADVANTAGE [167500]|105.00||||105.00||| 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|105.00||||105.00||| 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|DEPARTMENT OF REHABILITATION SERVICES [2355]|DEPARTMENT OF REHABILITATION SERVICES [235500]|105.00||||105.00||| 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS MEDICARE REPLACEMENT [1160]|BLUE CROSS MEDICARE ADVANTAGE OOS [116005]|105.00||||105.00||| 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HOSPICE [3000]|SOLSTICE HEALTHCARE [300004]|105.00||||105.00||| 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCHOICE [1490]|HEALTHCHOICE [149000]|105.00||||105.00||| 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AMERIGROUP MEDICAID [1095]|AMERIGROUP MEDICAID [109500]|105.00||||105.00||| 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CHAMPVA [1240]|CHAMP VA [124000]|105.00||||105.00||| 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|105.00||||105.00||| 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|105.00||||105.00||| 10091|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L20 MM L6 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|105.00||||105.00||| 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|105.00||||105.00|92.4|92.4|28.55 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GILSBAR [1425]|GILSBAR [142500]|105.00||||105.00|92.4|92.4|28.55 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|105.00||||105.00|92.4|92.4|28.55 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|105.00||||105.00|65.1|92.4|28.55 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|||105.00||||105.00|31.5|92.4|28.55 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|105.00||||105.00|87.15|92.4|28.55 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GEHA [1415]|GEHA - ASA [141503]|105.00||||105.00|64.37|92.4|28.55 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|105.00||||105.00|87.15|92.4|28.55 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|105.00||||105.00|92.4|92.4|28.55 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|105.00||||105.00|53.87|92.4|28.55 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|105.00||||105.00|92.4|92.4|28.55 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|105.00||||105.00|57.75|92.4|28.55 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FMH BENEFIT SERVICES [1390]|FMH [139000]|105.00||||105.00|87.15|92.4|28.55 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|105.00||||105.00|28.55|92.4|28.55 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|TRUSTMARK [2030]|STARMARK [203000]|105.00||||105.00|92.4|92.4|28.55 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|105.00||||105.00|92.4|92.4|28.55 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MEDICA [2910]|MEDICA QUEST [291001]|105.00||||105.00|76.55|92.4|28.55 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|105.00||||105.00|64.37|92.4|28.55 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|105.00||||105.00|92.4|92.4|28.55 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|105.00||||105.00|92.4|92.4|28.55 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|FIRST HEALTH [1375]|BENVEO/UCS [137512]|105.00||||105.00|76.55|92.4|28.55 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHNET [1495]|HEALTHNET [149500]|105.00||||105.00|92.4|92.4|28.55 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CIGNA [1260]|CIGNA [126008]|105.00||||105.00|53.87|92.4|28.55 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|105.00||||105.00|92.4|92.4|28.55 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|105.00||||105.00|92.4|92.4|28.55 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CORESOURCE [1315]|CORESOURCE [131501]|105.00||||105.00|57.96|92.4|28.55 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|105.00||||105.00|47.25|92.4|28.55 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|105.00||||105.00|47.25|92.4|28.55 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|105.00||||105.00|92.4|92.4|28.55 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|105.00||||105.00|92.4|92.4|28.55 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MULTIPLAN [1680]|IHC HS [168011]|105.00||||105.00|92.4|92.4|28.55 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|105.00||||105.00|76.55|92.4|28.55 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|105.00||||105.00|92.4|92.4|28.55 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|105.00||||105.00|89.25|92.4|28.55 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|105.00||||105.00|57.96|92.4|28.55 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|105.00||||105.00|57.75|92.4|28.55 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|105.00||||105.00|92.4|92.4|28.55 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|105.00||||105.00|65.1|92.4|28.55 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|105.00||||105.00|92.4|92.4|28.55 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|105.00||||105.00|92.4|92.4|28.55 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UMR [2035]|UMR CORE [203505]|105.00||||105.00|64.37|92.4|28.55 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|105.00||||105.00|31.4|92.4|28.55 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHFIRST [2395]|HEALTHFIRST [239500]|105.00||||105.00|92.4|92.4|28.55 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|WEB TPA [2115]|WEB TPA [211500]|105.00||||105.00|92.4|92.4|28.55 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|105.00||||105.00|92.4|92.4|28.55 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|105.00||||105.00|84|92.4|28.55 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|105.00||||105.00|92.4|92.4|28.55 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|105.00||||105.00|87.15|92.4|28.55 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|105.00||||105.00|87.15|92.4|28.55 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|105.00||||105.00|57.96|92.4|28.55 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|105.00||||105.00|92.4|92.4|28.55 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AETNA [1015]|AETNA ACO WILCO [101532]|105.00||||105.00|57.96|92.4|28.55 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|105.00||||105.00|64.37|92.4|28.55 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|105.00||||105.00|92.4|92.4|28.55 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|105.00||||105.00||| 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|105.00||||105.00||| 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AMERIGROUP MEDICAID [1095]|AMERIGROUP MEDICAID [109500]|105.00||||105.00||| 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HOSPICE [3000]|SOLSTICE HEALTHCARE [300004]|105.00||||105.00||| 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|DEPARTMENT OF REHABILITATION SERVICES [2355]|DEPARTMENT OF REHABILITATION SERVICES [235500]|105.00||||105.00||| 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GENERATIONS MEDICARE ADVANTAGE [1435]|GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500]|105.00||||105.00||| 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|VA CCN OPTUM [3920]|VA CCN OPTUM [392000]|105.00||||105.00||| 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS TRADITIONAL OF OKLAHOMA [115501]|105.00||||105.00||| 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|TULSA BLUE [115531]|105.00||||105.00||| 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509]|105.00||||105.00||| 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MOLINA MEDICARE REPLACEMENT [1675]|MOLINA MEDICARE ADVANTAGE [167500]|105.00||||105.00||| 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS ADVANTAGE OF ARKANSAS [115536]|105.00||||105.00||| 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS [1155]|BLUE CROSS PREFERRED OF OKLAHOMA [115500]|105.00||||105.00||| 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|105.00||||105.00||| 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|AMERIGROUP MEDICARE [1100]|AMERIGROUP MEDICARE [110000]|105.00||||105.00||| 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|105.00||||105.00||| 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|UNITED HEALTHCARE MEDICARE REPLACEMENT [2065]|UHC MEDICARE ADVANTAGE [206511]|105.00||||105.00||| 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HEALTHCHOICE [1490]|HEALTHCHOICE [149000]|105.00||||105.00||| 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|BCBS MEDICARE REPLACEMENT [1160]|BLUE CROSS MEDICARE ADVANTAGE OOS [116005]|105.00||||105.00||| 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|COMMUNITY CARE MEDICARE [1125]|COMMUNITY CARE ADVANTAGE MEDICARE [112502]|105.00||||105.00||| 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HUMANA MEDICARE REPLACEMENT [1525]|HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503]|105.00||||105.00||| 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|105.00||||105.00||| 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|HPSI [1520]|HPSI HEALTHPLAN SERVICE [152000]|105.00||||105.00||| 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GENERATIONS HEALTHCARE [1420]|GENERATIONS HEALTHCARE [142000]|105.00||||105.00||| 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|GHI [2835]|GHI MEDICARE REPLACEMENT [283500]|105.00||||105.00||| 10092|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|SCREW BONE STAINLESS STEEL 2.5 MM PARTIAL THREAD L30 MM L10 MM OD3.5 MM ODSEC6 MM SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET|CHAMPVA [1240]|CHAMP VA [124000]|105.00||||105.00||| 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|6.34||||6.34|5.58|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|6.34||||6.34|3.89|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|AETNA [1015]|AETNA ACO WILCO [101532]|6.34||||6.34|3.5|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|AETNA [1015]|AETNA ACO WILCO [101532]|6.34||||6.34|3.5|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|6.34||||6.34|5.58|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|6.34||||6.34|5.58|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|6.34||||6.34|3.5|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|6.34||||6.34|3.5|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|6.34||||6.34|5.26|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|6.34||||6.34|5.26|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|6.34||||6.34|5.26|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|6.34||||6.34|5.58|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|6.34||||6.34|5.58|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|6.34||||6.34|5.58|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|WEB TPA [2115]|WEB TPA [211500]|6.34||||6.34|5.58|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|WEB TPA [2115]|WEB TPA [211500]|6.34||||6.34|5.58|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|HEALTHFIRST [2395]|HEALTHFIRST [239500]|6.34||||6.34|5.58|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|HEALTHFIRST [2395]|HEALTHFIRST [239500]|6.34||||6.34|5.58|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|6.34||||6.34|5.58|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|UMR [2035]|UMR CORE [203505]|6.34||||6.34|3.89|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|UMR [2035]|UMR CORE [203505]|6.34||||6.34|3.89|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|6.34||||6.34|5.58|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|6.34||||6.34|3.93|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|6.34||||6.34|3.93|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|6.34||||6.34|5.58|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|6.34||||6.34|5.58|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|6.34||||6.34|4.5|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|6.34||||6.34|4.5|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|6.34||||6.34|3.5|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|6.34||||6.34|5.58|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|6.34||||6.34|5.58|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|MULTIPLAN [1680]|IHC HS [168011]|6.34||||6.34|5.58|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|6.34||||6.34|4.62|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|6.34||||6.34|4.62|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|6.34||||6.34|5.58|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|6.34||||6.34|5.58|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|6.34||||6.34|2.85|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|CORESOURCE [1315]|CORESOURCE [131501]|6.34||||6.34|3.5|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|6.34||||6.34|2.85|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|6.34||||6.34|2.85|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|6.34||||6.34|5.58|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|6.34||||6.34|5.58|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|CIGNA [1260]|CIGNA [126008]|6.34||||6.34|3.25|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|CIGNA [1260]|CIGNA [126008]|6.34||||6.34|3.25|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|6.34||||6.34|5.58|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|6.34||||6.34|5.58|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|6.34||||6.34|5.58|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|6.34||||6.34|5.58|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|HEALTHNET [1495]|HEALTHNET [149500]|6.34||||6.34|5.58|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|CORESOURCE [1315]|CORESOURCE [131501]|6.34||||6.34|3.5|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|6.34||||6.34|2.85|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|HEALTHNET [1495]|HEALTHNET [149500]|6.34||||6.34|5.58|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|FIRST HEALTH [1375]|BENVEO/UCS [137512]|6.34||||6.34|4.62|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|6.34||||6.34|5.58|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|FIRST HEALTH [1375]|BENVEO/UCS [137512]|6.34||||6.34|4.62|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|6.34||||6.34|5.58|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|6.34||||6.34|3.89|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|6.34||||6.34|3.89|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|MULTIPLAN [1680]|IHC HS [168011]|6.34||||6.34|5.58|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|6.34||||6.34|3.5|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|6.34||||6.34|5.58|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|6.34||||6.34|5.58|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|MEDICA [2910]|MEDICA QUEST [291001]|6.34||||6.34|4.62|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|MEDICA [2910]|MEDICA QUEST [291001]|6.34||||6.34|4.62|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|6.34||||6.34|1.72|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|6.34||||6.34|1.72|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|6.34||||6.34|5.58|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|6.34||||6.34|5.58|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|FMH BENEFIT SERVICES [1390]|FMH [139000]|6.34||||6.34|5.26|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|FMH BENEFIT SERVICES [1390]|FMH [139000]|6.34||||6.34|5.26|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|TRUSTMARK [2030]|STARMARK [203000]|6.34||||6.34|5.58|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|TRUSTMARK [2030]|STARMARK [203000]|6.34||||6.34|5.58|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|6.34||||6.34|5.39|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|6.34||||6.34|5.39|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|6.34||||6.34|5.58|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|6.34||||6.34|5.58|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|6.34||||6.34|3.49|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|6.34||||6.34|3.49|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|6.34||||6.34|5.58|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|6.34||||6.34|5.58|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|6.34||||6.34|3.25|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|GHI [2835]|GHI MEDICARE REPLACEMENT [283500]|6.34||||6.34||| 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|GHI [2835]|GHI MEDICARE REPLACEMENT [283500]|6.34||||6.34||| 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|CHAMPVA [1240]|CHAMP VA [124000]|6.34||||6.34||| 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|GENERATIONS HEALTHCARE [1420]|GENERATIONS HEALTHCARE [142000]|6.34||||6.34||| 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|GENERATIONS HEALTHCARE [1420]|GENERATIONS HEALTHCARE [142000]|6.34||||6.34||| 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|HPSI [1520]|HPSI HEALTHPLAN SERVICE [152000]|6.34||||6.34||| 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|HUMANA MEDICARE REPLACEMENT [1525]|HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503]|6.34||||6.34||| 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|HUMANA MEDICARE REPLACEMENT [1525]|HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503]|6.34||||6.34||| 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|COMMUNITY CARE MEDICARE [1125]|COMMUNITY CARE ADVANTAGE MEDICARE [112502]|6.34||||6.34||| 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|BCBS MEDICARE REPLACEMENT [1160]|BLUE CROSS MEDICARE ADVANTAGE OOS [116005]|6.34||||6.34||| 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|BCBS MEDICARE REPLACEMENT [1160]|BLUE CROSS MEDICARE ADVANTAGE OOS [116005]|6.34||||6.34||| 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|UNITED HEALTHCARE MEDICARE REPLACEMENT [2065]|UHC MEDICARE ADVANTAGE [206511]|6.34||||6.34||| 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|6.34||||6.34||| 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|6.34||||6.34||| 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|AMERIGROUP MEDICARE [1100]|AMERIGROUP MEDICARE [110000]|6.34||||6.34||| 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|AMERIGROUP MEDICARE [1100]|AMERIGROUP MEDICARE [110000]|6.34||||6.34||| 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|6.34||||6.34||| 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|6.34||||6.34||| 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|BCBS [1155]|BLUE CROSS TRADITIONAL OF OKLAHOMA [115501]|6.34||||6.34||| 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|BCBS [1155]|BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509]|6.34||||6.34||| 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|BCBS [1155]|BLUE CROSS PREFERRED OF OKLAHOMA [115500]|6.34||||6.34||| 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|BCBS [1155]|BLUE CROSS TRADITIONAL OF OKLAHOMA [115501]|6.34||||6.34||| 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|BCBS [1155]|TULSA BLUE [115531]|6.34||||6.34||| 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|BCBS [1155]|BLUE CROSS ADVANTAGE OF ARKANSAS [115536]|6.34||||6.34||| 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|BCBS [1155]|TULSA BLUE [115531]|6.34||||6.34||| 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|BCBS [1155]|BLUE CROSS PREFERRED OF OKLAHOMA [115500]|6.34||||6.34||| 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|BCBS [1155]|BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509]|6.34||||6.34||| 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|VA CCN OPTUM [3920]|VA CCN OPTUM [392000]|6.34||||6.34||| 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|BCBS [1155]|BLUE CROSS ADVANTAGE OF ARKANSAS [115536]|6.34||||6.34||| 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|VA CCN OPTUM [3920]|VA CCN OPTUM [392000]|6.34||||6.34||| 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|MOLINA MEDICARE REPLACEMENT [1675]|MOLINA MEDICARE ADVANTAGE [167500]|6.34||||6.34||| 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|MOLINA MEDICARE REPLACEMENT [1675]|MOLINA MEDICARE ADVANTAGE [167500]|6.34||||6.34||| 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|GENERATIONS MEDICARE ADVANTAGE [1435]|GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500]|6.34||||6.34||| 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|GENERATIONS MEDICARE ADVANTAGE [1435]|GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500]|6.34||||6.34||| 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|DEPARTMENT OF REHABILITATION SERVICES [2355]|DEPARTMENT OF REHABILITATION SERVICES [235500]|6.34||||6.34||| 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|DEPARTMENT OF REHABILITATION SERVICES [2355]|DEPARTMENT OF REHABILITATION SERVICES [235500]|6.34||||6.34||| 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|UNITED HEALTHCARE MEDICARE REPLACEMENT [2065]|UHC MEDICARE ADVANTAGE [206511]|6.34||||6.34||| 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|COMMUNITY CARE MEDICARE [1125]|COMMUNITY CARE ADVANTAGE MEDICARE [112502]|6.34||||6.34||| 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|HOSPICE [3000]|SOLSTICE HEALTHCARE [300004]|6.34||||6.34||| 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|HOSPICE [3000]|SOLSTICE HEALTHCARE [300004]|6.34||||6.34||| 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|HEALTHCHOICE [1490]|HEALTHCHOICE [149000]|6.34||||6.34||| 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|HEALTHCHOICE [1490]|HEALTHCHOICE [149000]|6.34||||6.34||| 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|AMERIGROUP MEDICAID [1095]|AMERIGROUP MEDICAID [109500]|6.34||||6.34||| 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|HPSI [1520]|HPSI HEALTHPLAN SERVICE [152000]|6.34||||6.34||| 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|AMERIGROUP MEDICAID [1095]|AMERIGROUP MEDICAID [109500]|6.34||||6.34||| 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|6.34||||6.34|3.25|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|6.34||||6.34|5.26|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|6.34||||6.34|5.58|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|6.34||||6.34|5.26|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|6.34||||6.34|5.58|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|6.34||||6.34|5.58|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|GEHA [1415]|GEHA - ASA [141503]|6.34||||6.34|3.89|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|6.34||||6.34|5.26|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|GEHA [1415]|GEHA - ASA [141503]|6.34||||6.34|3.89|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|6.34||||6.34|5.26|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|6.34||||6.34|5.26|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|||6.34||||6.34|1.9|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|||6.34||||6.34|1.9|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|6.34||||6.34|3.89|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|6.34||||6.34|3.93|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|6.34||||6.34|5.58|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|6.34||||6.34|3.93|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|6.34||||6.34|5.58|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|6.34||||6.34|1.9|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|6.34||||6.34|5.58|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|6.34||||6.34|1.9|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|GILSBAR [1425]|GILSBAR [142500]|6.34||||6.34|5.58|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|GILSBAR [1425]|GILSBAR [142500]|6.34||||6.34|5.58|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|6.34||||6.34|5.58|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|6.34||||6.34|5.58|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|6.34||||6.34|5.07|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|6.34||||6.34|5.07|5.58|1.72 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|6.34||||6.34||| 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|6.34||||6.34||| 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|6.34||||6.34||| 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|CHAMPVA [1240]|CHAMP VA [124000]|6.34||||6.34||| 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|6.34||||6.34||| 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|6.34||||6.34||| 101|ERX|0637 - PHARMACY-EXTENSION OF 025X-SELF-ADMINISTRAB|ACETAMINOPHEN 325 MG TABLET|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|6.34||||6.34||| 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|3693.50||||3693.50|3250.28|3250.28|1004.26 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|CORESOURCE [1315]|CORESOURCE [131501]|3693.50||||3693.50|2038.81|3250.28|1004.26 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|3693.50||||3693.50|1662.08|3250.28|1004.26 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|3693.50||||3693.50|1662.08|3250.28|1004.26 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|3693.50||||3693.50|3250.28|3250.28|1004.26 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|MULTIPLAN [1680]|IHC HS [168011]|3693.50||||3693.50|3250.28|3250.28|1004.26 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|3693.50||||3693.50|2692.56|3250.28|1004.26 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|3693.50||||3693.50|3250.28|3250.28|1004.26 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|3693.50||||3693.50|2031.43|3250.28|1004.26 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|3693.50||||3693.50|3250.28|3250.28|1004.26 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|3693.50||||3693.50|2038.81|3250.28|1004.26 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|3693.50||||3693.50|2289.97|3250.28|1004.26 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|3693.50||||3693.50|3250.28|3250.28|1004.26 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|3693.50||||3693.50|3250.28|3250.28|1004.26 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|UMR [2035]|UMR CORE [203505]|3693.50||||3693.50|2264.12|3250.28|1004.26 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|HEALTHFIRST [2395]|HEALTHFIRST [239500]|3693.50||||3693.50|3250.28|3250.28|1004.26 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|WEB TPA [2115]|WEB TPA [211500]|3693.50||||3693.50|3250.28|3250.28|1004.26 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|3693.50||||3693.50|3250.28|3250.28|1004.26 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|3693.50||||3693.50|3250.28|3250.28|1004.26 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|3693.50||||3693.50|3065.61|3250.28|1004.26 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|3693.50||||3693.50|3065.61|3250.28|1004.26 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|3693.50||||3693.50|2038.81|3250.28|1004.26 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|3693.50||||3693.50|3250.28|3250.28|1004.26 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|AETNA [1015]|AETNA ACO WILCO [101532]|3693.50||||3693.50|2038.81|3250.28|1004.26 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|3693.50||||3693.50|2264.12|3250.28|1004.26 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|3693.50||||3693.50|3250.28|3250.28|1004.26 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|CIGNA [1260]|CIGNA [126008]|3693.50||||3693.50|1894.77|3250.28|1004.26 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|MEDICA [2910]|MEDICA QUEST [291001]|3693.50||||3693.50|2692.56|3250.28|1004.26 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|3693.50||||3693.50|3250.28|3250.28|1004.26 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|GILSBAR [1425]|GILSBAR [142500]|3693.50||||3693.50|3250.28|3250.28|1004.26 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|3693.50||||3693.50|1004.26|3250.28|1004.26 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|3693.50||||3693.50|1104.36|3250.28|1004.26 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|FMH BENEFIT SERVICES [1390]|FMH [139000]|3693.50||||3693.50|3065.61|3250.28|1004.26 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|FIRST HEALTH [1375]|BENVEO/UCS [137512]|3693.50||||3693.50|2692.56|3250.28|1004.26 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|3693.50||||3693.50|3065.61|3250.28|1004.26 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|3693.50||||3693.50|2031.43|3250.28|1004.26 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|3693.50||||3693.50|2289.97|3250.28|1004.26 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|3693.50||||3693.50|3250.28|3250.28|1004.26 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|GEHA [1415]|GEHA - ASA [141503]|3693.50||||3693.50|2264.12|3250.28|1004.26 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|3693.50||||3693.50|3250.28|3250.28|1004.26 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|3693.50||||3693.50|2264.12|3250.28|1004.26 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|3693.50||||3693.50|3250.28|3250.28|1004.26 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|3693.50||||3693.50|2954.8|3250.28|1004.26 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|||3693.50||||3693.50|1108.05|3250.28|1004.26 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|3693.50||||3693.50|3250.28|3250.28|1004.26 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|3693.50||||3693.50|3139.48|3250.28|1004.26 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|3693.50||||3693.50|3250.28|3250.28|1004.26 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|3693.50||||3693.50|1894.77|3250.28|1004.26 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|TRUSTMARK [2030]|STARMARK [203000]|3693.50||||3693.50|3250.28|3250.28|1004.26 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|3693.50||||3693.50|3250.28|3250.28|1004.26 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|3693.50||||3693.50|3250.28|3250.28|1004.26 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|HEALTHNET [1495]|HEALTHNET [149500]|3693.50||||3693.50|3250.28|3250.28|1004.26 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|3693.50||||3693.50|3065.61|3250.28|1004.26 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|3693.50||||3693.50|3250.28|3250.28|1004.26 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|BCBS [1155]|BLUE CROSS TRADITIONAL OF OKLAHOMA [115501]|3693.50||||3693.50||| 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|3693.50||||3693.50||| 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|3693.50||||3693.50||| 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|UNITED HEALTHCARE MEDICARE REPLACEMENT [2065]|UHC MEDICARE ADVANTAGE [206511]|3693.50||||3693.50||| 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|BCBS MEDICARE REPLACEMENT [1160]|BLUE CROSS MEDICARE ADVANTAGE OOS [116005]|3693.50||||3693.50||| 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|COMMUNITY CARE MEDICARE [1125]|COMMUNITY CARE ADVANTAGE MEDICARE [112502]|3693.50||||3693.50||| 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|HUMANA MEDICARE REPLACEMENT [1525]|HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503]|3693.50||||3693.50||| 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|AMERIGROUP MEDICARE [1100]|AMERIGROUP MEDICARE [110000]|3693.50||||3693.50||| 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|HPSI [1520]|HPSI HEALTHPLAN SERVICE [152000]|3693.50||||3693.50||| 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|BCBS [1155]|BLUE CROSS ADVANTAGE OF ARKANSAS [115536]|3693.50||||3693.50||| 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|GENERATIONS HEALTHCARE [1420]|GENERATIONS HEALTHCARE [142000]|3693.50||||3693.50||| 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|GHI [2835]|GHI MEDICARE REPLACEMENT [283500]|3693.50||||3693.50||| 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|CHAMPVA [1240]|CHAMP VA [124000]|3693.50||||3693.50||| 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|AMERIGROUP MEDICAID [1095]|AMERIGROUP MEDICAID [109500]|3693.50||||3693.50||| 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|HOSPICE [3000]|SOLSTICE HEALTHCARE [300004]|3693.50||||3693.50||| 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|GENERATIONS MEDICARE ADVANTAGE [1435]|GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500]|3693.50||||3693.50||| 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|BCBS [1155]|TULSA BLUE [115531]|3693.50||||3693.50||| 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|MOLINA MEDICARE REPLACEMENT [1675]|MOLINA MEDICARE ADVANTAGE [167500]|3693.50||||3693.50||| 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|3693.50||||3693.50||| 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|BCBS [1155]|BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509]|3693.50||||3693.50||| 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|DEPARTMENT OF REHABILITATION SERVICES [2355]|DEPARTMENT OF REHABILITATION SERVICES [235500]|3693.50||||3693.50||| 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|3693.50||||3693.50||| 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|HEALTHCHOICE [1490]|HEALTHCHOICE [149000]|3693.50||||3693.50||| 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|3693.50||||3693.50||| 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|BCBS [1155]|BLUE CROSS PREFERRED OF OKLAHOMA [115500]|3693.50||||3693.50||| 101000|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 3 UNIVERSAL KNEE|VA CCN OPTUM [3920]|VA CCN OPTUM [392000]|3693.50||||3693.50||| 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|3693.50||||3693.50|3250.28|3250.28|1004.26 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|3693.50||||3693.50|1662.08|3250.28|1004.26 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|3693.50||||3693.50|1894.77|3250.28|1004.26 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|3693.50||||3693.50|3250.28|3250.28|1004.26 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|3693.50||||3693.50|3250.28|3250.28|1004.26 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|3693.50||||3693.50|2692.56|3250.28|1004.26 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|3693.50||||3693.50|3065.61|3250.28|1004.26 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|3693.50||||3693.50|2038.81|3250.28|1004.26 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|3693.50||||3693.50|3065.61|3250.28|1004.26 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|3693.50||||3693.50|2031.43|3250.28|1004.26 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|MULTIPLAN [1680]|IHC HS [168011]|3693.50||||3693.50|3250.28|3250.28|1004.26 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|3693.50||||3693.50|2289.97|3250.28|1004.26 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|3693.50||||3693.50|3250.28|3250.28|1004.26 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|FIRST HEALTH [1375]|BENVEO/UCS [137512]|3693.50||||3693.50|2692.56|3250.28|1004.26 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|WEB TPA [2115]|WEB TPA [211500]|3693.50||||3693.50|3250.28|3250.28|1004.26 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|UMR [2035]|UMR CORE [203505]|3693.50||||3693.50|2264.12|3250.28|1004.26 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|AETNA [1015]|AETNA ACO WILCO [101532]|3693.50||||3693.50|2038.81|3250.28|1004.26 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|3693.50||||3693.50|2289.97|3250.28|1004.26 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|3693.50||||3693.50|1004.26|3250.28|1004.26 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|CIGNA [1260]|CIGNA [126008]|3693.50||||3693.50|1894.77|3250.28|1004.26 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|3693.50||||3693.50|3250.28|3250.28|1004.26 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|3693.50||||3693.50|2954.8|3250.28|1004.26 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|3693.50||||3693.50|3250.28|3250.28|1004.26 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|MEDICA [2910]|MEDICA QUEST [291001]|3693.50||||3693.50|2692.56|3250.28|1004.26 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|3693.50||||3693.50|3139.48|3250.28|1004.26 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|3693.50||||3693.50|3250.28|3250.28|1004.26 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|TRUSTMARK [2030]|STARMARK [203000]|3693.50||||3693.50|3250.28|3250.28|1004.26 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|||3693.50||||3693.50|1108.05|3250.28|1004.26 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|3693.50||||3693.50|3250.28|3250.28|1004.26 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|3693.50||||3693.50|3065.61|3250.28|1004.26 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|3693.50||||3693.50|1662.08|3250.28|1004.26 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|3693.50||||3693.50|2038.81|3250.28|1004.26 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|3693.50||||3693.50|3250.28|3250.28|1004.26 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|3693.50||||3693.50|3250.28|3250.28|1004.26 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|CORESOURCE [1315]|CORESOURCE [131501]|3693.50||||3693.50|2038.81|3250.28|1004.26 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|GEHA [1415]|GEHA - ASA [141503]|3693.50||||3693.50|2264.12|3250.28|1004.26 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|3693.50||||3693.50|3250.28|3250.28|1004.26 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|HEALTHNET [1495]|HEALTHNET [149500]|3693.50||||3693.50|3250.28|3250.28|1004.26 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|3693.50||||3693.50|3250.28|3250.28|1004.26 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|3693.50||||3693.50|3250.28|3250.28|1004.26 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|FMH BENEFIT SERVICES [1390]|FMH [139000]|3693.50||||3693.50|3065.61|3250.28|1004.26 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|GILSBAR [1425]|GILSBAR [142500]|3693.50||||3693.50|3250.28|3250.28|1004.26 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|3693.50||||3693.50|3250.28|3250.28|1004.26 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|3693.50||||3693.50|1104.36|3250.28|1004.26 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|3693.50||||3693.50|3250.28|3250.28|1004.26 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|HEALTHFIRST [2395]|HEALTHFIRST [239500]|3693.50||||3693.50|3250.28|3250.28|1004.26 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|3693.50||||3693.50|3250.28|3250.28|1004.26 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|3693.50||||3693.50|3250.28|3250.28|1004.26 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|3693.50||||3693.50|3250.28|3250.28|1004.26 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|3693.50||||3693.50|2264.12|3250.28|1004.26 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|3693.50||||3693.50|3065.61|3250.28|1004.26 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|3693.50||||3693.50|3250.28|3250.28|1004.26 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|3693.50||||3693.50|2264.12|3250.28|1004.26 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|3693.50||||3693.50|2031.43|3250.28|1004.26 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|BCBS MEDICARE REPLACEMENT [1160]|BLUE CROSS MEDICARE ADVANTAGE OOS [116005]|3693.50||||3693.50||| 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|HOSPICE [3000]|SOLSTICE HEALTHCARE [300004]|3693.50||||3693.50||| 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|HEALTHCHOICE [1490]|HEALTHCHOICE [149000]|3693.50||||3693.50||| 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|BCBS [1155]|BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509]|3693.50||||3693.50||| 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|GENERATIONS HEALTHCARE [1420]|GENERATIONS HEALTHCARE [142000]|3693.50||||3693.50||| 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|CHAMPVA [1240]|CHAMP VA [124000]|3693.50||||3693.50||| 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|AMERIGROUP MEDICARE [1100]|AMERIGROUP MEDICARE [110000]|3693.50||||3693.50||| 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|VA CCN OPTUM [3920]|VA CCN OPTUM [392000]|3693.50||||3693.50||| 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|MOLINA MEDICARE REPLACEMENT [1675]|MOLINA MEDICARE ADVANTAGE [167500]|3693.50||||3693.50||| 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|BCBS [1155]|BLUE CROSS ADVANTAGE OF ARKANSAS [115536]|3693.50||||3693.50||| 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|COMMUNITY CARE MEDICARE [1125]|COMMUNITY CARE ADVANTAGE MEDICARE [112502]|3693.50||||3693.50||| 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|AMERIGROUP MEDICAID [1095]|AMERIGROUP MEDICAID [109500]|3693.50||||3693.50||| 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|BCBS [1155]|BLUE CROSS PREFERRED OF OKLAHOMA [115500]|3693.50||||3693.50||| 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|HPSI [1520]|HPSI HEALTHPLAN SERVICE [152000]|3693.50||||3693.50||| 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|3693.50||||3693.50||| 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|BCBS [1155]|TULSA BLUE [115531]|3693.50||||3693.50||| 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|3693.50||||3693.50||| 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|DEPARTMENT OF REHABILITATION SERVICES [2355]|DEPARTMENT OF REHABILITATION SERVICES [235500]|3693.50||||3693.50||| 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|3693.50||||3693.50||| 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|GHI [2835]|GHI MEDICARE REPLACEMENT [283500]|3693.50||||3693.50||| 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|3693.50||||3693.50||| 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|UNITED HEALTHCARE MEDICARE REPLACEMENT [2065]|UHC MEDICARE ADVANTAGE [206511]|3693.50||||3693.50||| 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|GENERATIONS MEDICARE ADVANTAGE [1435]|GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500]|3693.50||||3693.50||| 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|3693.50||||3693.50||| 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|HUMANA MEDICARE REPLACEMENT [1525]|HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503]|3693.50||||3693.50||| 101001|SUP|0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-OTHER|BASEPLATE TIBIAL TRIATHLON COCR 4 UNIVERSAL KNEE|BCBS [1155]|BLUE CROSS TRADITIONAL OF OKLAHOMA [115501]|3693.50||||3693.50||| 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|6.88||||6.88|6.05|6.05|1.87 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|6.88||||6.88|6.05|6.05|1.87 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|GEHA [1415]|GEHA - ASA [141503]|6.88||||6.88|4.21|6.05|1.87 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|6.88||||6.88|6.05|6.05|1.87 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|6.88||||6.88|4.21|6.05|1.87 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|||6.88||||6.88|2.07|6.05|1.87 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|6.88||||6.88|3.78|6.05|1.87 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|6.88||||6.88|6.05|6.05|1.87 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|MEDICA [2910]|MEDICA QUEST [291001]|6.88||||6.88|5.01|6.05|1.87 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|6.88||||6.88|5.71|6.05|1.87 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|6.88||||6.88|3.53|6.05|1.87 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|6.88||||6.88|6.05|6.05|1.87 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|6.88||||6.88|4.26|6.05|1.87 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|HEALTHNET [1495]|HEALTHNET [149500]|6.88||||6.88|6.05|6.05|1.87 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|6.88||||6.88|2.06|6.05|1.87 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|6.88||||6.88|6.05|6.05|1.87 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|6.88||||6.88|5.5|6.05|1.87 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|FIRST HEALTH [1375]|BENVEO/UCS [137512]|6.88||||6.88|5.01|6.05|1.87 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|FMH BENEFIT SERVICES [1390]|FMH [139000]|6.88||||6.88|5.71|6.05|1.87 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|6.88||||6.88|6.05|6.05|1.87 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|6.88||||6.88|6.05|6.05|1.87 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|6.88||||6.88|3.09|6.05|1.87 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|6.88||||6.88|6.05|6.05|1.87 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|6.88||||6.88|6.05|6.05|1.87 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|6.88||||6.88|5.71|6.05|1.87 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|6.88||||6.88|4.21|6.05|1.87 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|6.88||||6.88|6.05|6.05|1.87 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|6.88||||6.88|5.84|6.05|1.87 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|6.88||||6.88|6.05|6.05|1.87 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|6.88||||6.88|6.05|6.05|1.87 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|6.88||||6.88|3.8|6.05|1.87 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|CORESOURCE [1315]|CORESOURCE [131501]|6.88||||6.88|3.8|6.05|1.87 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|6.88||||6.88|3.8|6.05|1.87 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|MULTIPLAN [1680]|IHC HS [168011]|6.88||||6.88|6.05|6.05|1.87 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|6.88||||6.88|5.71|6.05|1.87 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|6.88||||6.88|6.05|6.05|1.87 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|WEB TPA [2115]|WEB TPA [211500]|6.88||||6.88|6.05|6.05|1.87 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|6.88||||6.88|6.05|6.05|1.87 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|6.88||||6.88|5.01|6.05|1.87 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|AETNA [1015]|AETNA ACO WILCO [101532]|6.88||||6.88|3.8|6.05|1.87 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|6.88||||6.88|6.05|6.05|1.87 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|6.88||||6.88|4.26|6.05|1.87 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|6.88||||6.88|6.05|6.05|1.87 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|6.88||||6.88|4.88|6.05|1.87 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|6.88||||6.88|3.09|6.05|1.87 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|6.88||||6.88|6.05|6.05|1.87 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|6.88||||6.88|6.05|6.05|1.87 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|HEALTHFIRST [2395]|HEALTHFIRST [239500]|6.88||||6.88|6.05|6.05|1.87 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|6.88||||6.88|5.71|6.05|1.87 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|TRUSTMARK [2030]|STARMARK [203000]|6.88||||6.88|6.05|6.05|1.87 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|CIGNA [1260]|CIGNA [126008]|6.88||||6.88|3.53|6.05|1.87 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|GILSBAR [1425]|GILSBAR [142500]|6.88||||6.88|6.05|6.05|1.87 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|UMR [2035]|UMR CORE [203505]|6.88||||6.88|4.21|6.05|1.87 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|6.88||||6.88|1.87|6.05|1.87 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|AMERIGROUP MEDICARE [1100]|AMERIGROUP MEDICARE [110000]|6.88||||6.88||| 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|HEALTHCHOICE [1490]|HEALTHCHOICE [149000]|6.88||||6.88||| 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|GENERATIONS HEALTHCARE [1420]|GENERATIONS HEALTHCARE [142000]|6.88||||6.88||| 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|GENERATIONS MEDICARE ADVANTAGE [1435]|GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500]|6.88||||6.88||| 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|HUMANA MEDICARE REPLACEMENT [1525]|HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503]|6.88||||6.88||| 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|MOLINA MEDICARE REPLACEMENT [1675]|MOLINA MEDICARE ADVANTAGE [167500]|6.88||||6.88||| 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|6.88||||6.88||| 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|6.88||||6.88||| 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|CHAMPVA [1240]|CHAMP VA [124000]|6.88||||6.88||| 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|BCBS [1155]|BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509]|6.88||||6.88||| 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|GHI [2835]|GHI MEDICARE REPLACEMENT [283500]|6.88||||6.88||| 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|VA CCN OPTUM [3920]|VA CCN OPTUM [392000]|6.88||||6.88||| 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|BCBS [1155]|BLUE CROSS PREFERRED OF OKLAHOMA [115500]|6.88||||6.88||| 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|BCBS [1155]|TULSA BLUE [115531]|6.88||||6.88||| 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|6.88||||6.88||| 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|6.88||||6.88||| 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|BCBS [1155]|BLUE CROSS ADVANTAGE OF ARKANSAS [115536]|6.88||||6.88||| 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|BCBS MEDICARE REPLACEMENT [1160]|BLUE CROSS MEDICARE ADVANTAGE OOS [116005]|6.88||||6.88||| 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|BCBS [1155]|BLUE CROSS TRADITIONAL OF OKLAHOMA [115501]|6.88||||6.88||| 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|COMMUNITY CARE MEDICARE [1125]|COMMUNITY CARE ADVANTAGE MEDICARE [112502]|6.88||||6.88||| 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|6.88||||6.88||| 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|AMERIGROUP MEDICAID [1095]|AMERIGROUP MEDICAID [109500]|6.88||||6.88||| 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|UNITED HEALTHCARE MEDICARE REPLACEMENT [2065]|UHC MEDICARE ADVANTAGE [206511]|6.88||||6.88||| 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|DEPARTMENT OF REHABILITATION SERVICES [2355]|DEPARTMENT OF REHABILITATION SERVICES [235500]|6.88||||6.88||| 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|HOSPICE [3000]|SOLSTICE HEALTHCARE [300004]|6.88||||6.88||| 101140|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL SOURCEMARK STANDARD ID7.0 MM NASAL ORAL CYLINDRICAL CUFF MURPHY EYE FULL LENGTH XRAY OPAQUE STRIP PILOT BALLOON STERILE LATEX FREE DISPOSABLE|HPSI [1520]|HPSI HEALTHPLAN SERVICE [152000]|6.88||||6.88||| 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|TRUSTMARK [2030]|STARMARK [203000]|6.88||||6.88|6.05|6.05|1.87 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|6.88||||6.88|6.05|6.05|1.87 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|6.88||||6.88|3.09|6.05|1.87 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|6.88||||6.88|6.05|6.05|1.87 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|HEALTHNET [1495]|HEALTHNET [149500]|6.88||||6.88|6.05|6.05|1.87 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|6.88||||6.88|6.05|6.05|1.87 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|6.88||||6.88|2.06|6.05|1.87 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|6.88||||6.88|6.05|6.05|1.87 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|||6.88||||6.88|2.07|6.05|1.87 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|6.88||||6.88|6.05|6.05|1.87 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|6.88||||6.88|4.26|6.05|1.87 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|6.88||||6.88|6.05|6.05|1.87 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|6.88||||6.88|3.78|6.05|1.87 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|GEHA [1415]|GEHA - ASA [141503]|6.88||||6.88|4.21|6.05|1.87 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|FMH BENEFIT SERVICES [1390]|FMH [139000]|6.88||||6.88|5.71|6.05|1.87 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|6.88||||6.88|6.05|6.05|1.87 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|6.88||||6.88|6.05|6.05|1.87 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|6.88||||6.88|4.21|6.05|1.87 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|6.88||||6.88|6.05|6.05|1.87 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|MULTIPLAN [1680]|IHC HS [168011]|6.88||||6.88|6.05|6.05|1.87 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|6.88||||6.88|1.87|6.05|1.87 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|6.88||||6.88|5.84|6.05|1.87 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|FIRST HEALTH [1375]|BENVEO/UCS [137512]|6.88||||6.88|5.01|6.05|1.87 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|6.88||||6.88|6.05|6.05|1.87 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|6.88||||6.88|6.05|6.05|1.87 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|CORESOURCE [1315]|CORESOURCE [131501]|6.88||||6.88|3.8|6.05|1.87 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|MEDICA [2910]|MEDICA QUEST [291001]|6.88||||6.88|5.01|6.05|1.87 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|6.88||||6.88|5.5|6.05|1.87 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|6.88||||6.88|3.8|6.05|1.87 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|6.88||||6.88|3.09|6.05|1.87 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|6.88||||6.88|5.71|6.05|1.87 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|AETNA [1015]|AETNA ACO WILCO [101532]|6.88||||6.88|3.8|6.05|1.87 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|CIGNA [1260]|CIGNA [126008]|6.88||||6.88|3.53|6.05|1.87 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|6.88||||6.88|5.01|6.05|1.87 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|6.88||||6.88|6.05|6.05|1.87 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|6.88||||6.88|4.26|6.05|1.87 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|6.88||||6.88|3.8|6.05|1.87 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|6.88||||6.88|5.71|6.05|1.87 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|6.88||||6.88|3.53|6.05|1.87 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|6.88||||6.88|4.21|6.05|1.87 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|GILSBAR [1425]|GILSBAR [142500]|6.88||||6.88|6.05|6.05|1.87 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|6.88||||6.88|6.05|6.05|1.87 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|6.88||||6.88|6.05|6.05|1.87 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|6.88||||6.88|6.05|6.05|1.87 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|6.88||||6.88|4.88|6.05|1.87 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|6.88||||6.88|5.71|6.05|1.87 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|6.88||||6.88|6.05|6.05|1.87 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|6.88||||6.88|6.05|6.05|1.87 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|UMR [2035]|UMR CORE [203505]|6.88||||6.88|4.21|6.05|1.87 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|WEB TPA [2115]|WEB TPA [211500]|6.88||||6.88|6.05|6.05|1.87 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|HEALTHFIRST [2395]|HEALTHFIRST [239500]|6.88||||6.88|6.05|6.05|1.87 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|6.88||||6.88|6.05|6.05|1.87 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|6.88||||6.88|6.05|6.05|1.87 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|6.88||||6.88|5.71|6.05|1.87 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|BCBS [1155]|BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509]|6.88||||6.88||| 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|BCBS [1155]|BLUE CROSS TRADITIONAL OF OKLAHOMA [115501]|6.88||||6.88||| 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|VA CCN OPTUM [3920]|VA CCN OPTUM [392000]|6.88||||6.88||| 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|AMERIGROUP MEDICAID [1095]|AMERIGROUP MEDICAID [109500]|6.88||||6.88||| 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|GENERATIONS MEDICARE ADVANTAGE [1435]|GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500]|6.88||||6.88||| 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|6.88||||6.88||| 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|6.88||||6.88||| 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|UNITED HEALTHCARE MEDICARE REPLACEMENT [2065]|UHC MEDICARE ADVANTAGE [206511]|6.88||||6.88||| 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|6.88||||6.88||| 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|HOSPICE [3000]|SOLSTICE HEALTHCARE [300004]|6.88||||6.88||| 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|HEALTHCHOICE [1490]|HEALTHCHOICE [149000]|6.88||||6.88||| 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|BCBS [1155]|BLUE CROSS PREFERRED OF OKLAHOMA [115500]|6.88||||6.88||| 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|MOLINA MEDICARE REPLACEMENT [1675]|MOLINA MEDICARE ADVANTAGE [167500]|6.88||||6.88||| 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|6.88||||6.88||| 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|BCBS [1155]|BLUE CROSS ADVANTAGE OF ARKANSAS [115536]|6.88||||6.88||| 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|6.88||||6.88||| 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|BCBS [1155]|TULSA BLUE [115531]|6.88||||6.88||| 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|DEPARTMENT OF REHABILITATION SERVICES [2355]|DEPARTMENT OF REHABILITATION SERVICES [235500]|6.88||||6.88||| 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|COMMUNITY CARE MEDICARE [1125]|COMMUNITY CARE ADVANTAGE MEDICARE [112502]|6.88||||6.88||| 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|CHAMPVA [1240]|CHAMP VA [124000]|6.88||||6.88||| 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|HPSI [1520]|HPSI HEALTHPLAN SERVICE [152000]|6.88||||6.88||| 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|GENERATIONS HEALTHCARE [1420]|GENERATIONS HEALTHCARE [142000]|6.88||||6.88||| 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|BCBS MEDICARE REPLACEMENT [1160]|BLUE CROSS MEDICARE ADVANTAGE OOS [116005]|6.88||||6.88||| 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|GHI [2835]|GHI MEDICARE REPLACEMENT [283500]|6.88||||6.88||| 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|HUMANA MEDICARE REPLACEMENT [1525]|HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503]|6.88||||6.88||| 101141|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|TUBE ENDOTRACHEAL ID7.5 MM NASAL ORAL CUFF MURPHY STERILE LATEX FREE DISPOSABLE|AMERIGROUP MEDICARE [1100]|AMERIGROUP MEDICARE [110000]|6.88||||6.88||| 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|HUMANA COMMERCIAL [2140]|HUMANA CHOICECARE [214003]|60.42||||60.42|48.34|53.17|16.43 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|GEHA [1415]|GEHA - ASA [141503]|60.42||||60.42|37.04|53.17|16.43 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|HEALTHCOST SOLUTIONS [2415]|HEALTHCOST SOLUTIONS [241501]|60.42||||60.42|53.17|53.17|16.43 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|HEALTHPARTNERS [1500]|HEALTHPARTNERS [150000]|60.42||||60.42|31|53.17|16.43 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|GLOBAL HEALTH [1430]|GLOBAL HEALTH COMMERCIAL [143000]|60.42||||60.42|37.46|53.17|16.43 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|HEALTHCARE HIGHWAYS [2210]|HEALTHCARE HIGHWAYS HEALTH PLAN [221009]|60.42||||60.42|18.07|53.17|16.43 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|HEALTHCARE HIGHWAYS [2210]|HEALTH PLANS INC [221008]|60.42||||60.42|53.17|53.17|16.43 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|GILSBAR [1425]|GILSBAR [142500]|60.42||||60.42|53.17|53.17|16.43 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|NATIONAL ASSOCIATION OF LETTER CARRIERS [1695]|NALC [169500]|60.42||||60.42|53.17|53.17|16.43 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|PLANNED ADMINISTRATORS INC [2360]|PLANNED ADMINISTRATORS INC [236000]|60.42||||60.42|53.17|53.17|16.43 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|PHCS [1780]|LIFESTYLE HEALTH PLANS [178013]|60.42||||60.42|50.15|53.17|16.43 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|||60.42||||60.42|18.12|53.17|16.43 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|MERITAIN AETNA [3685]|MERITAIN AETNA ARDENT EMPLOYEE [368502]|60.42||||60.42|33.35|53.17|16.43 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|ALLIED BENEFIT SYSTEMS INC [1030]|ALLIED BENEFIT SYSTEMS [103000]|60.42||||60.42|53.17|53.17|16.43 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|TRUSTMARK [2030]|STARMARK [203000]|60.42||||60.42|53.17|53.17|16.43 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|FMH BENEFIT SERVICES [1390]|FMH [139000]|60.42||||60.42|50.15|53.17|16.43 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|HEALTHSMART [1505]|HEALTHSMART BENEFIT SOLUTIONS [150503]|60.42||||60.42|51.36|53.17|16.43 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|DEPARTMENT OF CORRECTIONS [1340]|PARKSIDE [134007]|60.42||||60.42|33.23|53.17|16.43 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|GROUP RESOURCES [1455]|GROUP RESOURCES [145004]|60.42||||60.42|50.15|53.17|16.43 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|UMR - ARDENT EMPLOYEE [2036]|UMR - ARDENT EMPLOYEE [203601]|60.42||||60.42|16.43|53.17|16.43 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|MUTUAL OF OMAHA [1685]|MUTUAL OF OMAHA [168500]|60.42||||60.42|53.17|53.17|16.43 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|FIRST HEALTH [1375]|TALL TREE ADMINISTRATORS [137508]|60.42||||60.42|53.17|53.17|16.43 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|CORESOURCE [1315]|CORESOURCE [131501]|60.42||||60.42|33.35|53.17|16.43 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|ALLIED NATIONAL GLOBAL CARE [1035]|ALLIED NATIONAL [103500]|60.42||||60.42|53.17|53.17|16.43 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|MAYO CLINIC HEALTH SOLUTIONS [2280]|MAYO CLINIC HEALTH SOLUTIONS [228000]|60.42||||60.42|53.17|53.17|16.43 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|MEDICA [2910]|MEDICA QUEST [291001]|60.42||||60.42|44.05|53.17|16.43 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|UNITED HEALTHCARE [2060]|UNITED HEALTHCARE CHARTER [206031]|60.42||||60.42|37.04|53.17|16.43 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|KEMPTON GROUP ADMINISTRATORS [2905]|ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503]|60.42||||60.42|27.19|53.17|16.43 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|OSMA HEALTH NETWORK [2345]|OSMA HEALTH [234500]|60.42||||60.42|27.19|53.17|16.43 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|HEALTHNET [1495]|HEALTHNET [149500]|60.42||||60.42|53.17|53.17|16.43 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|ADMINISTRATIVE CONCEPTS [1005]|ADMINISTRATIVE CONCEPTS [100502]|60.42||||60.42|53.17|53.17|16.43 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|AETNA [1015]|AETNA ACO WILCO [101532]|60.42||||60.42|33.35|53.17|16.43 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|CIGNA [1260]|CIGNA [126008]|60.42||||60.42|31|53.17|16.43 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|HEALTHFIRST [2395]|HEALTHFIRST [239500]|60.42||||60.42|53.17|53.17|16.43 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|UMR [2035]|UMR CORE [203505]|60.42||||60.42|37.04|53.17|16.43 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890]|BEACON HEALTH OPTIONS [289000]|60.42||||60.42|37.46|53.17|16.43 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|MERITAIN HEALTH [1655]|MERITAIN HEALTH [165500]|60.42||||60.42|53.17|53.17|16.43 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|PAN AMERICAN LIFE INSURANCE CO [1770]|PAN AMERICAN LIFE [177000]|60.42||||60.42|53.17|53.17|16.43 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|PHCS [1780]|GROUP HEALTH COOPERATIVE SCW [178012]|60.42||||60.42|53.17|53.17|16.43 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|UNIVERSAL FIDELITY [2085]|UNIVERSAL FIDELITY LIFE [208500]|60.42||||60.42|53.17|53.17|16.43 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|HOMETOWN HEALTH [2155]|HOMETOWN HEALTH [215500]|60.42||||60.42|53.17|53.17|16.43 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|MULTIPLAN [1680]|PROVIDENCE HEALTH PLAN [168004]|60.42||||60.42|44.05|53.17|16.43 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|MULTIPLAN [1680]|IHC HS [168011]|60.42||||60.42|53.17|53.17|16.43 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|NEW ERA LIFE INSURANCE COMPANY [1705]|PHILADELPHIA AMERICAN LIFE [170501]|60.42||||60.42|53.17|53.17|16.43 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|FIRST HEALTH [1375]|BENVEO/UCS [137512]|60.42||||60.42|44.05|53.17|16.43 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|UNITED COMMERCIAL [2055]|UNITED COMMERCIAL TRAVELERS [205500]|60.42||||60.42|37.04|53.17|16.43 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|COMMUNITY CARE [1290]|COMMUNITY CARE MEDICARE SUPPLEMENT [129003]|60.42||||60.42|50.15|53.17|16.43 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|HEALTHCARE SOLUTIONS [1485]|HEALTHCARE SOLUTIONS GROUP [148500]|60.42||||60.42|42.9|53.17|16.43 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|WEB TPA [2115]|WEB TPA [211500]|60.42||||60.42|53.17|53.17|16.43 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|PBA [1775]|PROFESSIONAL BENEFIT ADMIN [177500]|60.42||||60.42|53.17|53.17|16.43 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|HEALTHSCOPE BENEFITS [2290]|HEALTHSCOPE BENEFITS [229000]|60.42||||60.42|53.17|53.17|16.43 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445]|EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]|60.42||||60.42|50.15|53.17|16.43 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|COVENTRY HEALTHCARE [1320]|COVENTRY [132001]|60.42||||60.42|33.35|53.17|16.43 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|RESOURCE ONE ADMINISTRATORS [2815]|RESOURCE ONE ADMINISTRATORS [281500]|60.42||||60.42|53.17|53.17|16.43 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|MANAGED MEDICARE [1600]|MANAGED MEDICARE OTHER [160000]|60.42||||60.42||| 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|AETNA MEDICARE REPLACEMENT [1020]|AETNA MEDICARE REPLACEMENT [102002]|60.42||||60.42||| 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|CIGNA MEDICARE REPLACEMENT [1265]|CIGNA MEDICARE REPLACEMENT [126500]|60.42||||60.42||| 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|OKLAHOMA PROJECT WOMAN [2145]|OKLAHOMA PROJECT WOMAN [214500]|60.42||||60.42||| 101162|SUP|0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERI|NEEDLE NERVE STIMULATOR STIMUPLEX ULTRA 360 30 D BEVEL L4 IN OD20 GA INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE|LIFE SENIOR SERVICES [2425]|LIFE SENIOR SERVICES [242501]|60.42||||60.42||| 101162|SUP|0272 - MED