Id brand posting

Idaho Department of Health and Welfare
Average Actual Acquisition Cost (AAAC) for Brand Drugs
Posted as of February 11, 2014
Effective
Drug Name
Idaho Department of Health and Welfare
Average Actual Acquisition Cost (AAAC) for Brand Drugs
Posted as of February 11, 2014
Effective
Drug Name
ALEVE COLD & SINUS 220 MG-120 MG TAB ER 12H Idaho Department of Health and Welfare
Average Actual Acquisition Cost (AAAC) for Brand Drugs
Posted as of February 11, 2014
Effective
Drug Name
Idaho Department of Health and Welfare
Average Actual Acquisition Cost (AAAC) for Brand Drugs
Posted as of February 11, 2014
Effective
Drug Name
AXERT 12.5 MG TAB
02/05/2014
32.52499
Idaho Department of Health and Welfare
Average Actual Acquisition Cost (AAAC) for Brand Drugs
Posted as of February 11, 2014
Effective
Drug Name
Idaho Department of Health and Welfare
Average Actual Acquisition Cost (AAAC) for Brand Drugs
Posted as of February 11, 2014
Effective
Drug Name
BIAFINE EMULSION
02/06/2014
CAMRESE 0.15 MG-30 MCG (84)/10 MCG (7) TBDSPK 3MO Idaho Department of Health and Welfare
Average Actual Acquisition Cost (AAAC) for Brand Drugs
Posted as of February 11, 2014
Effective
Drug Name
Idaho Department of Health and Welfare
Average Actual Acquisition Cost (AAAC) for Brand Drugs
Posted as of February 11, 2014
Effective
Drug Name
Idaho Department of Health and Welfare
Average Actual Acquisition Cost (AAAC) for Brand Drugs
Posted as of February 11, 2014
Effective
Drug Name
Idaho Department of Health and Welfare
Average Actual Acquisition Cost (AAAC) for Brand Drugs
Posted as of February 11, 2014
Effective
Drug Name
Idaho Department of Health and Welfare
Average Actual Acquisition Cost (AAAC) for Brand Drugs
Posted as of February 11, 2014
Effective
Drug Name
Idaho Department of Health and Welfare
Average Actual Acquisition Cost (AAAC) for Brand Drugs
Posted as of February 11, 2014
Effective
Drug Name
Idaho Department of Health and Welfare
Average Actual Acquisition Cost (AAAC) for Brand Drugs
Posted as of February 11, 2014
Effective
Drug Name
ESTRASORB 2.5 MG/GRAM (1.74 GRAM) EMUL PACKT Idaho Department of Health and Welfare
Average Actual Acquisition Cost (AAAC) for Brand Drugs
Posted as of February 11, 2014
Effective
Drug Name
Idaho Department of Health and Welfare
Average Actual Acquisition Cost (AAAC) for Brand Drugs
Posted as of February 11, 2014
Effective
Drug Name
Idaho Department of Health and Welfare
Average Actual Acquisition Cost (AAAC) for Brand Drugs
Posted as of February 11, 2014
Effective
Drug Name
Idaho Department of Health and Welfare
Average Actual Acquisition Cost (AAAC) for Brand Drugs
Posted as of February 11, 2014
Effective
Drug Name
INTERMEZZO 1.75 MG TAB SUBLING
02/04/2014
INTERMEZZO 3.5 MG TAB SUBLING
02/04/2014
Idaho Department of Health and Welfare
Average Actual Acquisition Cost (AAAC) for Brand Drugs
Posted as of February 11, 2014
Effective
Drug Name
Idaho Department of Health and Welfare
Average Actual Acquisition Cost (AAAC) for Brand Drugs
Posted as of February 11, 2014
Effective
Drug Name
LANTUS SOLOSTAR 100 UNIT/ML (3 ML) INSULN PEN Idaho Department of Health and Welfare
Average Actual Acquisition Cost (AAAC) for Brand Drugs
Posted as of February 11, 2014
Effective
Drug Name
LOSEASONIQUE 0.10 MG-20 MCG (84)/10 MCG (7) TBDSPK 3MO Idaho Department of Health and Welfare
Average Actual Acquisition Cost (AAAC) for Brand Drugs
Posted as of February 11, 2014
Effective
Drug Name
Idaho Department of Health and Welfare
Average Actual Acquisition Cost (AAAC) for Brand Drugs
Posted as of February 11, 2014
Effective
Drug Name
Idaho Department of Health and Welfare
Average Actual Acquisition Cost (AAAC) for Brand Drugs
Posted as of February 11, 2014
Effective
Drug Name
NEOSPORIN 3.5 MG-400 UNIT-5,000 UNIT/GRAM OINT. (G) NITROQUICK / NITROTAB / NITROSTAT 0.4 MG TAB SL Idaho Department of Health and Welfare
Average Actual Acquisition Cost (AAAC) for Brand Drugs
Posted as of February 11, 2014
Effective
Drug Name
Idaho Department of Health and Welfare
Average Actual Acquisition Cost (AAAC) for Brand Drugs
Posted as of February 11, 2014
Effective
Drug Name
ORTHO TRI-CYCLEN 35/35/35MCG-0.18/.215/.25MG TAB ORTHO-NOVUM 7/7/7 35/35/35MCG-0.5/.75/1MG TAB OXYCONTIN 10 MG TAB SA
02/04/2014
OXYCONTIN 15 MG TABLET
02/04/2014
OXYCONTIN 20 MG TAB SA
02/04/2014
OXYCONTIN 30 MG TABLET
02/04/2014
OXYCONTIN 40 MG TAB SA
02/04/2014
OXYCONTIN 60 MG TABLET
02/04/2014
10.89551
OXYCONTIN 80 MG TAB SA
02/04/2014
14.10582
Idaho Department of Health and Welfare
Average Actual Acquisition Cost (AAAC) for Brand Drugs
Posted as of February 11, 2014
Effective
Drug Name
PERFOROMIST 20 MCG/2 ML VIAL-NEB
02/01/2014
Idaho Department of Health and Welfare
Average Actual Acquisition Cost (AAAC) for Brand Drugs
Posted as of February 11, 2014
Effective
Drug Name
Idaho Department of Health and Welfare
Average Actual Acquisition Cost (AAAC) for Brand Drugs
Posted as of February 11, 2014
Effective
Drug Name
Idaho Department of Health and Welfare
Average Actual Acquisition Cost (AAAC) for Brand Drugs
Posted as of February 11, 2014
Effective
Drug Name
RENOVA 0.02% CRM
02/06/2014
Idaho Department of Health and Welfare
Average Actual Acquisition Cost (AAAC) for Brand Drugs
Posted as of February 11, 2014
Effective
Drug Name
Idaho Department of Health and Welfare
Average Actual Acquisition Cost (AAAC) for Brand Drugs
Posted as of February 11, 2014
Effective
Drug Name
SIMPONI 50 MG/0.5 ML PEN INJEC
02/05/2014
5,315.14701
SIMPONI 50 MG/0.5 ML SYRINGE
02/05/2014
5,298.14906
Idaho Department of Health and Welfare
Average Actual Acquisition Cost (AAAC) for Brand Drugs
Posted as of February 11, 2014
Effective
Drug Name
Idaho Department of Health and Welfare
Average Actual Acquisition Cost (AAAC) for Brand Drugs
Posted as of February 11, 2014
Effective
Drug Name
TEARS NATURALE FORTE 0.1 %-0.3 %-0.2 % DRPS Idaho Department of Health and Welfare
Average Actual Acquisition Cost (AAAC) for Brand Drugs
Posted as of February 11, 2014
Effective
Drug Name
Idaho Department of Health and Welfare
Average Actual Acquisition Cost (AAAC) for Brand Drugs
Posted as of February 11, 2014
Effective
Drug Name
Idaho Department of Health and Welfare
Average Actual Acquisition Cost (AAAC) for Brand Drugs
Posted as of February 11, 2014
Effective
Drug Name
Idaho Department of Health and Welfare
Average Actual Acquisition Cost (AAAC) for Brand Drugs
Posted as of February 11, 2014
Effective
Drug Name
Idaho Department of Health and Welfare
Average Actual Acquisition Cost (AAAC) for Brand Drugs
Posted as of February 11, 2014
Effective
Drug Name
Idaho Department of Health and Welfare
Average Actual Acquisition Cost (AAAC) for Brand Drugs
Posted as of February 11, 2014
Effective
Drug Name
Recent changes in bold font.

Source: http://id.mslc.com/uploadedFiles/ID_AAAC_Brand_Update_20140211.pdf

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