{"text_format":"3","workbook":"xlsx","n_sheets":1,"sheets":["Sheet1"],"read":"whole","date_system":"1900"}

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["Exhibit A"]
["Rx Utilization"]
["City of Canton"]
["4/1/21 - 3/31/22"]
[]
["GroupNum","CardholderID","MemberID","RxNumber","FillDate","NDC","ProductName","Quantity","DaysSuppy","IngrCost","DispFee","GrossAmt","PlanAmt","MemberAmt","GenericIndc","SpecialtyIndc","CompoundIndc","DAW","FormularyIndc","PharmClassCode","PharmNum","PharmName"]
["21865M","0010099084E              ","MBRP00000440281","000009286297","2021-04-01","68001035703","METOPROLOL SUC TB24 50.000",-30,30,{"v":-16.94,"d":"-$16.94"},{"v":-0.5,"d":"-$0.50"},{"v":-17.44,"d":"-$17.44"},{"v":0,"d":"$0.00"},{"v":-17.44,"d":"-$17.44"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010099084E              ","MBRP00000440281","000009286297","2021-04-01","68001035703","METOPROLOL SUC TB24 50.000",30,30,{"v":16.94,"d":"$16.94"},{"v":0.5,"d":"$0.50"},{"v":17.44,"d":"$17.44"},{"v":12.44,"d":"$12.44"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010099084E              ","MBRP00000440281","000009286297","2021-04-01","68001035703","METOPROLOL SUC TB24 50.000",30,30,{"v":16.94,"d":"$16.94"},{"v":0.5,"d":"$0.50"},{"v":17.44,"d":"$17.44"},{"v":0,"d":"$0.00"},{"v":17.44,"d":"$17.44"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010121132E              ","MBRP00000430814","000000176626","2021-04-01","59267100001","PFIZER-BIONTEC SUSP 30.000",0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":16.94,"d":"$16.94"},{"v":16.94,"d":"$16.94"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3686409","DISCOUNT DRUG MART #89 89"]
["21865M","0010093541E              ","MBRP00000440262","000001236107","2021-04-01","59267100001","PFIZER-BIONTEC SUSP 30.000",0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":16.94,"d":"$16.94"},{"v":16.94,"d":"$16.94"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3666320","WALGREENS #4983 4983"]
["21865M","0010084179E              ","MBRP00000417991","000002774887","2021-04-01","59417010210","VYVANSE CAPS 20.000",30,30,{"v":328.98,"d":"$328.98"},{"v":0.59,"d":"$0.59"},{"v":329.57,"d":"$329.57"},{"v":294.57,"d":"$294.57"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3646619","DISCOUNT DRUG MART 30"]
["21865M","0010006035E              ","MBRP00000430910","000001004621","2021-04-01","64380073606","HYDRALAZINE HY TABS 100.000",90,30,{"v":34.07,"d":"$34.07"},{"v":0.59,"d":"$0.59"},{"v":34.66,"d":"$34.66"},{"v":29.66,"d":"$29.66"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3627873","MEDICINE CENTER OF CANTON"]
["21865M","0010032689E              ","MBRP00000430867","000006539984","2021-04-01","65862001205","SERTRALINE HCL TABS 50.000",30,30,{"v":2.49,"d":"$2.49"},{"v":0.59,"d":"$0.59"},{"v":3.08,"d":"$3.08"},{"v":0,"d":"$0.00"},{"v":3.08,"d":"$3.08"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","AC00110578200","MBRP00000469030","000006728229","2021-04-01","00143983610","PENICILLIN V P TABS 500.000",28,7,{"v":4.89,"d":"$4.89"},{"v":0.59,"d":"$0.59"},{"v":5.48,"d":"$5.48"},{"v":0.48,"d":"$0.48"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3669124","GIANT EAGLE PHARMACY #4034 4034"]
["21865M","AC00110578200","MBRP00000469030","000006728229","2021-04-01","00143983610","PENICILLIN V P TABS 500.000",-28,7,{"v":-4.89,"d":"-$4.89"},{"v":-0.59,"d":"-$0.59"},{"v":-5.48,"d":"-$5.48"},{"v":0,"d":"$0.00"},{"v":-5.48,"d":"-$5.48"},"G","N",0,0,0,"R","3669124","GIANT EAGLE PHARMACY #4034 4034"]
["21865M","AC00110578200","MBRP00000469030","000006728229","2021-04-01","00143983610","PENICILLIN V P TABS 500.000",28,7,{"v":4.89,"d":"$4.89"},{"v":0.59,"d":"$0.59"},{"v":5.48,"d":"$5.48"},{"v":0,"d":"$0.00"},{"v":5.48,"d":"$5.48"},"G","N",0,0,0,"R","3669124","GIANT EAGLE PHARMACY #4034 4034"]
["21865M","0010071551E              ","MBRP00000424922","000001464438","2021-04-01","00378427593","VALACYCLOVIR H TABS 500.000",30,30,{"v":34.55,"d":"$34.55"},{"v":0.59,"d":"$0.59"},{"v":35.14,"d":"$35.14"},{"v":0,"d":"$0.00"},{"v":35.14,"d":"$35.14"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010071551E              ","MBRP00000424922","000001464438","2021-04-01","00378427593","VALACYCLOVIR H TABS 500.000",30,30,{"v":34.55,"d":"$34.55"},{"v":0.59,"d":"$0.59"},{"v":35.14,"d":"$35.14"},{"v":30.14,"d":"$30.14"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010071551E              ","MBRP00000424922","000001464438","2021-04-01","00378427593","VALACYCLOVIR H TABS 500.000",-30,30,{"v":-34.55,"d":"-$34.55"},{"v":-0.59,"d":"-$0.59"},{"v":-35.14,"d":"-$35.14"},{"v":0,"d":"$0.00"},{"v":-35.14,"d":"-$35.14"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","AC00108483700","MBRP00000430898","000000139381","2021-04-01","00456045901","ARMOUR THYROID TABS 60.000",-30,30,{"v":-27.22,"d":"-$27.22"},{"v":-0.59,"d":"-$0.59"},{"v":-27.81,"d":"-$27.81"},{"v":0,"d":"$0.00"},{"v":-27.81,"d":"-$27.81"},"B","N",0,0,1,"R","3688554","COMPOUNDING PHARMACY OF GREEN"]
["21865M","AC00108483700","MBRP00000430898","000000139381","2021-04-01","00456045901","ARMOUR THYROID TABS 60.000",30,30,{"v":27.22,"d":"$27.22"},{"v":0.59,"d":"$0.59"},{"v":27.81,"d":"$27.81"},{"v":7.81,"d":"$7.81"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3688554","COMPOUNDING PHARMACY OF GREEN"]
["21865M","AC00108483700","MBRP00000430898","000000139381","2021-04-01","00456045901","ARMOUR THYROID TABS 60.000",30,30,{"v":27.22,"d":"$27.22"},{"v":0.59,"d":"$0.59"},{"v":27.81,"d":"$27.81"},{"v":0,"d":"$0.00"},{"v":27.81,"d":"$27.81"},"B","N",0,0,1,"R","3688554","COMPOUNDING PHARMACY OF GREEN"]
["21865M","0010121978E              ","MBRP00000417894","000002243501","2021-04-01","00527150237","AMPHETAMINE/DE TABS 0.000",30,30,{"v":19.96,"d":"$19.96"},{"v":0.59,"d":"$0.59"},{"v":20.55,"d":"$20.55"},{"v":0,"d":"$0.00"},{"v":20.55,"d":"$20.55"},"G","N",0,0,0,"R","3665289","GIANT EAGLE PHARMACY #4016 4016"]
["21865M","0010121978E              ","MBRP00000417894","000002243501","2021-04-01","00527150237","AMPHETAMINE/DE TABS 0.000",-30,30,{"v":-19.96,"d":"-$19.96"},{"v":-0.59,"d":"-$0.59"},{"v":-20.55,"d":"-$20.55"},{"v":0,"d":"$0.00"},{"v":-20.55,"d":"-$20.55"},"G","N",0,0,0,"R","3665289","GIANT EAGLE PHARMACY #4016 4016"]
["21865M","0010062960E              ","MBRP00000417965","000001455646","2021-04-01","68180063509","ATORVASTATIN C TABS 10.000",30,30,{"v":2.96,"d":"$2.96"},{"v":0.59,"d":"$0.59"},{"v":3.55,"d":"$3.55"},{"v":0,"d":"$0.00"},{"v":3.55,"d":"$3.55"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010084175E              ","MBRP00000431019","000000878556","2021-04-01","68180063509","ATORVASTATIN C TABS 10.000",90,90,{"v":8.89,"d":"$8.89"},{"v":0,"d":"$0.00"},{"v":8.89,"d":"$8.89"},{"v":0,"d":"$0.00"},{"v":8.89,"d":"$8.89"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010084175E              ","MBRP00000431019","000000878556","2021-04-01","68180063509","ATORVASTATIN C TABS 10.000",-90,90,{"v":-8.89,"d":"-$8.89"},{"v":0,"d":"$0.00"},{"v":-8.89,"d":"-$8.89"},{"v":0,"d":"$0.00"},{"v":-8.89,"d":"-$8.89"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010084175E              ","MBRP00000431019","000000878556","2021-04-01","68180063509","ATORVASTATIN C TABS 10.000",90,90,{"v":8.89,"d":"$8.89"},{"v":0,"d":"$0.00"},{"v":8.89,"d":"$8.89"},{"v":0,"d":"$0.00"},{"v":8.89,"d":"$8.89"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010153045E              ","MBRP00000440288","000001658811","2021-04-01","00555901858","TRI-SPRINTEC TABS 0.000",112,84,{"v":84.55,"d":"$84.55"},{"v":0,"d":"$0.00"},{"v":84.55,"d":"$84.55"},{"v":84.55,"d":"$84.55"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010006035E              ","MBRP00000430910","000001012556","2021-04-01","00093206406","CILOSTAZOL TABS 100.000",60,30,{"v":19.81,"d":"$19.81"},{"v":0.59,"d":"$0.59"},{"v":20.4,"d":"$20.40"},{"v":15.4,"d":"$15.40"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3627873","MEDICINE CENTER OF CANTON"]
["21865M","0010061934E              ","MBRP00000424838","000001304377","2021-04-01","00093317431","ALBUTEROL SULF AERS 108.000",-8.5,16,{"v":-28.52,"d":"-$28.52"},{"v":-0.59,"d":"-$0.59"},{"v":-29.11,"d":"-$29.11"},{"v":0,"d":"$0.00"},{"v":-29.11,"d":"-$29.11"},"G","N",0,0,0,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010061934E              ","MBRP00000424838","000001304377","2021-04-01","00093317431","ALBUTEROL SULF AERS 108.000",8.5,16,{"v":28.52,"d":"$28.52"},{"v":0.59,"d":"$0.59"},{"v":29.11,"d":"$29.11"},{"v":24.11,"d":"$24.11"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010061934E              ","MBRP00000424838","000001304377","2021-04-01","00093317431","ALBUTEROL SULF AERS 108.000",8.5,16,{"v":28.52,"d":"$28.52"},{"v":0.59,"d":"$0.59"},{"v":29.11,"d":"$29.11"},{"v":0,"d":"$0.00"},{"v":29.11,"d":"$29.11"},"G","N",0,0,0,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010153616E              ","MBRP00000429316","000002059088","2021-04-01","00555097302","AMPHETAMINE/DE TABS 0.000",60,30,{"v":39.93,"d":"$39.93"},{"v":0.59,"d":"$0.59"},{"v":40.52,"d":"$40.52"},{"v":0,"d":"$0.00"},{"v":40.52,"d":"$40.52"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010153616E              ","MBRP00000429316","000002059088","2021-04-01","00555097302","AMPHETAMINE/DE TABS 0.000",-60,30,{"v":-39.93,"d":"-$39.93"},{"v":-0.59,"d":"-$0.59"},{"v":-40.52,"d":"-$40.52"},{"v":-35.52,"d":"-$35.52"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010153616E              ","MBRP00000429316","000002059088","2021-04-01","00555097302","AMPHETAMINE/DE TABS 0.000",60,30,{"v":39.93,"d":"$39.93"},{"v":0.59,"d":"$0.59"},{"v":40.52,"d":"$40.52"},{"v":35.52,"d":"$35.52"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010153616E              ","MBRP00000429316","000002059088","2021-04-01","00555097302","AMPHETAMINE/DE TABS 0.000",60,30,{"v":39.93,"d":"$39.93"},{"v":0.59,"d":"$0.59"},{"v":40.52,"d":"$40.52"},{"v":35.52,"d":"$35.52"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010153616E              ","MBRP00000429316","000002059088","2021-04-01","00555097302","AMPHETAMINE/DE TABS 0.000",-60,30,{"v":-39.93,"d":"-$39.93"},{"v":-0.59,"d":"-$0.59"},{"v":-40.52,"d":"-$40.52"},{"v":0,"d":"$0.00"},{"v":-40.52,"d":"-$40.52"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010061934E              ","MBRP00000424838","000001304385","2021-04-01","08373982700","OPTICHAMBER DI DEVI 0.000",1,30,{"v":25.53,"d":"$25.53"},{"v":0.59,"d":"$0.59"},{"v":26.12,"d":"$26.12"},{"v":0,"d":"$0.00"},{"v":26.12,"d":"$26.12"},"B","N",0,0,9,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010131947E              ","MBRP00000440052","000000588002","2021-04-01","08627001601","DEXCOM G6 TRAN MISC 0.000",1,84,{"v":244.93,"d":"$244.93"},{"v":0.5,"d":"$0.50"},{"v":245.43,"d":"$245.43"},{"v":140.43,"d":"$140.43"},{"v":105,"d":"$105.00"},"B","N",0,0,9,"R","3672791","AULTMAN EMPLOYEE PHARMACY"]
["21865M","0010131947E              ","MBRP00000440052","000000588002","2021-04-01","08627001601","DEXCOM G6 TRAN MISC 0.000",-1,84,{"v":-244.93,"d":"-$244.93"},{"v":-0.5,"d":"-$0.50"},{"v":-245.43,"d":"-$245.43"},{"v":-140.43,"d":"-$140.43"},{"v":-105,"d":"-$105.00"},"B","N",0,0,9,"R","3672791","AULTMAN EMPLOYEE PHARMACY"]
["21865M","0010006035E              ","MBRP00000430910","000000775263","2021-04-01","65862035705","CLOPIDOGREL TABS 75.000",30,30,{"v":13.73,"d":"$13.73"},{"v":0.59,"d":"$0.59"},{"v":14.32,"d":"$14.32"},{"v":9.32,"d":"$9.32"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3627873","MEDICINE CENTER OF CANTON"]
["21865M","0010144054E              ","MBRP00000422196","000000800916","2021-04-01","65862093488","AUROVELA 24 FE TABS 0.000",28,28,{"v":62.16,"d":"$62.16"},{"v":0.59,"d":"$0.59"},{"v":62.75,"d":"$62.75"},{"v":62.75,"d":"$62.75"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010112590E              ","MBRP00000429149","000001457686","2021-04-01","43547035610","LISINOPRIL TABS 40.000",-90,90,{"v":-9.1,"d":"-$9.10"},{"v":0,"d":"$0.00"},{"v":-9.1,"d":"-$9.10"},{"v":0,"d":"$0.00"},{"v":-9.1,"d":"-$9.10"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010112590E              ","MBRP00000429149","000001457686","2021-04-01","43547035610","LISINOPRIL TABS 40.000",90,90,{"v":9.1,"d":"$9.10"},{"v":0,"d":"$0.00"},{"v":9.1,"d":"$9.10"},{"v":0,"d":"$0.00"},{"v":9.1,"d":"$9.10"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010006035E              ","MBRP00000430910","000001003332","2021-04-01","50742026101","NIFEDIPINE ER TB24 60.000",30,30,{"v":27.71,"d":"$27.71"},{"v":0.59,"d":"$0.59"},{"v":28.3,"d":"$28.30"},{"v":23.3,"d":"$23.30"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3627873","MEDICINE CENTER OF CANTON"]
["21865M","0010119041E              ","MBRP00000424919","000001502334","2021-04-01","59417010710","VYVANSE CAPS 70.000",-30,30,{"v":-328.98,"d":"-$328.98"},{"v":-0.59,"d":"-$0.59"},{"v":-329.57,"d":"-$329.57"},{"v":0,"d":"$0.00"},{"v":-329.57,"d":"-$329.57"},"B","N",0,0,9,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010119041E              ","MBRP00000424919","000001502593","2021-04-01","59417010710","VYVANSE CAPS 70.000",30,30,{"v":328.98,"d":"$328.98"},{"v":0.59,"d":"$0.59"},{"v":329.57,"d":"$329.57"},{"v":294.57,"d":"$294.57"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010119041E              ","MBRP00000424919","000001502334","2021-04-01","59417010710","VYVANSE CAPS 70.000",30,30,{"v":328.98,"d":"$328.98"},{"v":0.59,"d":"$0.59"},{"v":329.57,"d":"$329.57"},{"v":0,"d":"$0.00"},{"v":329.57,"d":"$329.57"},"B","N",0,0,9,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010152644E              ","MBRP00000429441","000006717984","2021-04-01","68180096703","LEVOTHYROXINE  TABS 75.000",30,36,{"v":13.45,"d":"$13.45"},{"v":0.59,"d":"$0.59"},{"v":14.04,"d":"$14.04"},{"v":0,"d":"$0.00"},{"v":14.04,"d":"$14.04"},"G","N",0,0,0,"R","3674151","GIANT EAGLE PHARMACY #4152 4152"]
["21865M","0010152644E              ","MBRP00000429441","000006717984","2021-04-01","68180096703","LEVOTHYROXINE  TABS 75.000",-30,36,{"v":-13.45,"d":"-$13.45"},{"v":-0.59,"d":"-$0.59"},{"v":-14.04,"d":"-$14.04"},{"v":0,"d":"$0.00"},{"v":-14.04,"d":"-$14.04"},"G","N",0,0,0,"R","3674151","GIANT EAGLE PHARMACY #4152 4152"]
["21865M","0010138840E              ","MBRP00000429062","000002557019","2021-04-01","68382005105","MELOXICAM TABS 15.000",30,30,{"v":1.23,"d":"$1.23"},{"v":0.59,"d":"$0.59"},{"v":1.82,"d":"$1.82"},{"v":0,"d":"$0.00"},{"v":1.82,"d":"$1.82"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010131947E              ","MBRP00000440052","000000583281","2021-04-01","57599000101","FREESTYLE LIBR MISC 0.000",2,28,{"v":107.78,"d":"$107.78"},{"v":0.5,"d":"$0.50"},{"v":108.28,"d":"$108.28"},{"v":0,"d":"$0.00"},{"v":108.28,"d":"$108.28"},"B","N",0,0,1,"R","3672791","AULTMAN EMPLOYEE PHARMACY"]
["21865M","0010131947E              ","MBRP00000440052","000000583281","2021-04-01","57599000101","FREESTYLE LIBR MISC 0.000",-2,28,{"v":-107.78,"d":"-$107.78"},{"v":-0.5,"d":"-$0.50"},{"v":-108.28,"d":"-$108.28"},{"v":0,"d":"$0.00"},{"v":-108.28,"d":"-$108.28"},"B","N",0,0,1,"R","3672791","AULTMAN EMPLOYEE PHARMACY"]
["21865M","0010046085E              ","MBRP00000417860","000001150379","2021-04-01","57599000101","FREESTYLE LIBR MISC 0.000",2,28,{"v":106.92,"d":"$106.92"},{"v":0.59,"d":"$0.59"},{"v":107.51,"d":"$107.51"},{"v":87.51,"d":"$87.51"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010046085E              ","MBRP00000417860","000001150379","2021-04-01","57599000101","FREESTYLE LIBR MISC 0.000",-2,28,{"v":-106.92,"d":"-$106.92"},{"v":-0.59,"d":"-$0.59"},{"v":-107.51,"d":"-$107.51"},{"v":0,"d":"$0.00"},{"v":-107.51,"d":"-$107.51"},"B","N",0,0,1,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010046085E              ","MBRP00000417860","000001150379","2021-04-01","57599000101","FREESTYLE LIBR MISC 0.000",2,28,{"v":106.92,"d":"$106.92"},{"v":0.59,"d":"$0.59"},{"v":107.51,"d":"$107.51"},{"v":0,"d":"$0.00"},{"v":107.51,"d":"$107.51"},"B","N",0,0,1,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010147361E              ","MBRP00000370787","000006418437","2021-04-01","59267100002","PFIZER-BIONTEC SUSP 30.000",0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":16.94,"d":"$16.94"},{"v":16.94,"d":"$16.94"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3676383","GIANT EAGLE PHARMACY #0228 0228"]
["21865M","0010079085E              ","MBRP00000287887","000001325060","2021-04-01","59267100002","PFIZER-BIONTEC SUSP 30.000",0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":16.94,"d":"$16.94"},{"v":16.94,"d":"$16.94"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3657561","CVS PHARMACY #04353 04353"]
["21865M","AC00108520900","MBRP00000429224","000000561432","2021-04-01","62175013643","OMEPRAZOLE CPDR 40.000",30,30,{"v":3.66,"d":"$3.66"},{"v":0.5,"d":"$0.50"},{"v":4.16,"d":"$4.16"},{"v":0,"d":"$0.00"},{"v":4.16,"d":"$4.16"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","0010139984E              ","MBRP00000418029","000000730708","2021-04-01","00603459315","METHYLPREDNISO TBPK 4.000",21,6,{"v":8.57,"d":"$8.57"},{"v":0.59,"d":"$0.59"},{"v":9.16,"d":"$9.16"},{"v":0,"d":"$0.00"},{"v":9.16,"d":"$9.16"},"G","N",0,0,0,"R","3679668","CVS PHARMACY #02385 02385"]
["21865M","0010139984E              ","MBRP00000418029","000000730708","2021-04-01","00603459315","METHYLPREDNISO TBPK 4.000",21,6,{"v":8.57,"d":"$8.57"},{"v":0.59,"d":"$0.59"},{"v":9.16,"d":"$9.16"},{"v":4.16,"d":"$4.16"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3679668","CVS PHARMACY #02385 02385"]
["21865M","0010139984E              ","MBRP00000418029","000000730708","2021-04-01","00603459315","METHYLPREDNISO TBPK 4.000",-21,6,{"v":-8.57,"d":"-$8.57"},{"v":-0.59,"d":"-$0.59"},{"v":-9.16,"d":"-$9.16"},{"v":0,"d":"$0.00"},{"v":-9.16,"d":"-$9.16"},"G","N",0,0,0,"R","3679668","CVS PHARMACY #02385 02385"]
["21865M","0010131947E              ","MBRP00000440052","000000588001","2021-04-01","08627005303","DEXCOM G6 SENS MISC 0.000",-3,30,{"v":-345.47,"d":"-$345.47"},{"v":-0.5,"d":"-$0.50"},{"v":-345.97,"d":"-$345.97"},{"v":0,"d":"$0.00"},{"v":-345.97,"d":"-$345.97"},"B","N",0,0,1,"R","3672791","AULTMAN EMPLOYEE PHARMACY"]
["21865M","0010131947E              ","MBRP00000440052","000000588001","2021-04-01","08627005303","DEXCOM G6 SENS MISC 0.000",9,90,{"v":998.72,"d":"$998.72"},{"v":0,"d":"$0.00"},{"v":998.72,"d":"$998.72"},{"v":25,"d":"$25.00"},{"v":973.72,"d":"$973.72"},"B","N",0,0,1,"R","3672791","AULTMAN EMPLOYEE PHARMACY"]
["21865M","0010131947E              ","MBRP00000440052","000000588001","2021-04-01","08627005303","DEXCOM G6 SENS MISC 0.000",-9,90,{"v":-998.72,"d":"-$998.72"},{"v":0,"d":"$0.00"},{"v":-998.72,"d":"-$998.72"},{"v":-25,"d":"-$25.00"},{"v":-973.72,"d":"-$973.72"},"B","N",0,0,1,"R","3672791","AULTMAN EMPLOYEE PHARMACY"]
["21865M","0010131947E              ","MBRP00000440052","000000588001","2021-04-01","08627005303","DEXCOM G6 SENS MISC 0.000",3,30,{"v":345.47,"d":"$345.47"},{"v":0.5,"d":"$0.50"},{"v":345.97,"d":"$345.97"},{"v":0,"d":"$0.00"},{"v":345.97,"d":"$345.97"},"B","N",0,0,1,"R","3672791","AULTMAN EMPLOYEE PHARMACY"]
["21865M","0010006035E              ","MBRP00000430910","000001010574","2021-04-01","16729022516","SPIRONOLACTONE TABS 25.000",12,28,{"v":1.09,"d":"$1.09"},{"v":0.59,"d":"$0.59"},{"v":1.68,"d":"$1.68"},{"v":0,"d":"$0.00"},{"v":1.68,"d":"$1.68"},"G","N",0,0,0,"R","3627873","MEDICINE CENTER OF CANTON"]
["21865M","0010152644E              ","MBRP00000429441","000006717965","2021-04-01","00002879959","HUMALOG KWIKPE SOPN 100.000",75,107,{"v":2498.18,"d":"$2,498.18"},{"v":0,"d":"$0.00"},{"v":2498.18,"d":"$2,498.18"},{"v":2438.18,"d":"$2,438.18"},{"v":60,"d":"$60.00"},"B","N",0,0,1,"R","3674151","GIANT EAGLE PHARMACY #4152 4152"]
["21865M","0010152036E              ","MBRP00000424802","000000821504","2021-04-01","00074659490","SYNTHROID TABS 88.000",-90,90,{"v":-115.53,"d":"-$115.53"},{"v":0,"d":"$0.00"},{"v":-115.53,"d":"-$115.53"},{"v":0,"d":"$0.00"},{"v":-115.53,"d":"-$115.53"},"B","N",0,1,1,"R","3679606","CVS PHARMACY #02063 02063"]
["21865M","0010152036E              ","MBRP00000424802","000000821504","2021-04-01","00074659490","SYNTHROID TABS 88.000",90,90,{"v":115.53,"d":"$115.53"},{"v":0,"d":"$0.00"},{"v":115.53,"d":"$115.53"},{"v":0,"d":"$0.00"},{"v":115.53,"d":"$115.53"},"B","N",0,1,1,"R","3679606","CVS PHARMACY #02063 02063"]
["21865M","0010061934E              ","MBRP00000424838","000001304378","2021-04-01","00085433301","ASMANEX HFA AERO 100.000",13,60,{"v":187.93,"d":"$187.93"},{"v":0.59,"d":"$0.59"},{"v":188.52,"d":"$188.52"},{"v":0,"d":"$0.00"},{"v":188.52,"d":"$188.52"},"B","N",0,0,1,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010061934E              ","MBRP00000424838","000001304378","2021-04-01","00085433301","ASMANEX HFA AERO 100.000",-13,60,{"v":-187.93,"d":"-$187.93"},{"v":-0.59,"d":"-$0.59"},{"v":-188.52,"d":"-$188.52"},{"v":0,"d":"$0.00"},{"v":-188.52,"d":"-$188.52"},"B","N",0,0,1,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010121978E              ","MBRP00000417894","000002243500","2021-04-01","00115148901","AMPHETAMINE/DE CP24 0.000",-30,30,{"v":-35.02,"d":"-$35.02"},{"v":-0.59,"d":"-$0.59"},{"v":-35.61,"d":"-$35.61"},{"v":0,"d":"$0.00"},{"v":-35.61,"d":"-$35.61"},"G","N",0,0,0,"R","3665289","GIANT EAGLE PHARMACY #4016 4016"]
["21865M","0010121978E              ","MBRP00000417894","000002243500","2021-04-01","00115148901","AMPHETAMINE/DE CP24 0.000",30,30,{"v":35.02,"d":"$35.02"},{"v":0.59,"d":"$0.59"},{"v":35.61,"d":"$35.61"},{"v":0,"d":"$0.00"},{"v":35.61,"d":"$35.61"},"G","N",0,0,0,"R","3665289","GIANT EAGLE PHARMACY #4016 4016"]
["21865M","0010084177E              ","MBRP00000417817","000001236186","2021-04-01","00228285011","GUANFACINE ER TB24 1.000",60,30,{"v":88.06,"d":"$88.06"},{"v":0.59,"d":"$0.59"},{"v":88.65,"d":"$88.65"},{"v":0,"d":"$0.00"},{"v":88.65,"d":"$88.65"},"G","N",0,0,0,"R","3666320","WALGREENS #4983 4983"]
["21865M","0010084177E              ","MBRP00000417817","000001236186","2021-04-01","00228285011","GUANFACINE ER TB24 1.000",-60,30,{"v":-88.06,"d":"-$88.06"},{"v":-0.59,"d":"-$0.59"},{"v":-88.65,"d":"-$88.65"},{"v":0,"d":"$0.00"},{"v":-88.65,"d":"-$88.65"},"G","N",0,0,0,"R","3666320","WALGREENS #4983 4983"]
["21865M","0010062960E              ","MBRP00000417964","000001464504","2021-04-01","00228306011","AMPHETAMINE/DE CP24 0.000",30,30,{"v":35.02,"d":"$35.02"},{"v":0.59,"d":"$0.59"},{"v":35.61,"d":"$35.61"},{"v":0,"d":"$0.00"},{"v":35.61,"d":"$35.61"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010062960E              ","MBRP00000417964","000001464504","2021-04-01","00228306011","AMPHETAMINE/DE CP24 0.000",-30,30,{"v":-35.02,"d":"-$35.02"},{"v":-0.59,"d":"-$0.59"},{"v":-35.61,"d":"-$35.61"},{"v":0,"d":"$0.00"},{"v":-35.61,"d":"-$35.61"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010062960E              ","MBRP00000417964","000001464504","2021-04-01","00228306011","AMPHETAMINE/DE CP24 0.000",30,30,{"v":35.02,"d":"$35.02"},{"v":0.59,"d":"$0.59"},{"v":35.61,"d":"$35.61"},{"v":30.61,"d":"$30.61"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010084188E              ","MBRP00000424742","000002779861","2021-04-01","65862078201","METHENAMINE HI TABS 1.000",30,30,{"v":46.48,"d":"$46.48"},{"v":0.59,"d":"$0.59"},{"v":47.07,"d":"$47.07"},{"v":0,"d":"$0.00"},{"v":47.07,"d":"$47.07"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010084188E              ","MBRP00000424742","000002779861","2021-04-01","65862078201","METHENAMINE HI TABS 1.000",-30,30,{"v":-46.48,"d":"-$46.48"},{"v":-0.59,"d":"-$0.59"},{"v":-47.07,"d":"-$47.07"},{"v":0,"d":"$0.00"},{"v":-47.07,"d":"-$47.07"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010006035E              ","MBRP00000430910","000000783054","2021-04-01","68001035803","METOPROLOL SUC TB24 100.000",30,30,{"v":17.79,"d":"$17.79"},{"v":0.59,"d":"$0.59"},{"v":18.38,"d":"$18.38"},{"v":13.38,"d":"$13.38"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3627873","MEDICINE CENTER OF CANTON"]
["21865M","0010119040E              ","MBRP00000424989","000001050161","2021-04-01","31722072890","MONTELUKAST SO CHEW 5.000",30,30,{"v":7.07,"d":"$7.07"},{"v":0.59,"d":"$0.59"},{"v":7.66,"d":"$7.66"},{"v":2.66,"d":"$2.66"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010119040E              ","MBRP00000424989","000001050161","2021-04-01","31722072890","MONTELUKAST SO CHEW 5.000",-30,30,{"v":-7.07,"d":"-$7.07"},{"v":-0.59,"d":"-$0.59"},{"v":-7.66,"d":"-$7.66"},{"v":0,"d":"$0.00"},{"v":-7.66,"d":"-$7.66"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010119040E              ","MBRP00000424989","000001050161","2021-04-01","31722072890","MONTELUKAST SO CHEW 5.000",30,30,{"v":7.07,"d":"$7.07"},{"v":0.59,"d":"$0.59"},{"v":7.66,"d":"$7.66"},{"v":0,"d":"$0.00"},{"v":7.66,"d":"$7.66"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010134765E              ","MBRP00000422292","000000351711","2021-04-01","00002751001","HUMALOG SOLN 100.000",-10,12,{"v":-269.78,"d":"-$269.78"},{"v":-0.59,"d":"-$0.59"},{"v":-270.37,"d":"-$270.37"},{"v":0,"d":"$0.00"},{"v":-270.37,"d":"-$270.37"},"B","N",0,2,1,"R","3682324","WALGREENS #15467 15467"]
["21865M","0010134765E              ","MBRP00000422292","000000351711","2021-04-01","00002751001","HUMALOG SOLN 100.000",20,24,{"v":539.55,"d":"$539.55"},{"v":0.59,"d":"$0.59"},{"v":540.14,"d":"$540.14"},{"v":0,"d":"$0.00"},{"v":540.14,"d":"$540.14"},"B","N",0,2,1,"R","3682324","WALGREENS #15467 15467"]
["21865M","0010134765E              ","MBRP00000422292","000000351711","2021-04-01","00002751001","HUMALOG SOLN 100.000",-20,24,{"v":-539.55,"d":"-$539.55"},{"v":-0.59,"d":"-$0.59"},{"v":-540.14,"d":"-$540.14"},{"v":0,"d":"$0.00"},{"v":-540.14,"d":"-$540.14"},"B","N",0,2,1,"R","3682324","WALGREENS #15467 15467"]
["21865M","0010134765E              ","MBRP00000422292","000000351711","2021-04-01","00002751001","HUMALOG SOLN 100.000",20,25,{"v":539.55,"d":"$539.55"},{"v":0.59,"d":"$0.59"},{"v":540.14,"d":"$540.14"},{"v":0,"d":"$0.00"},{"v":540.14,"d":"$540.14"},"B","N",0,2,1,"R","3682324","WALGREENS #15467 15467"]
["21865M","0010134765E              ","MBRP00000422292","000000351711","2021-04-01","00002751001","HUMALOG SOLN 100.000",-20,25,{"v":-539.55,"d":"-$539.55"},{"v":-0.59,"d":"-$0.59"},{"v":-540.14,"d":"-$540.14"},{"v":0,"d":"$0.00"},{"v":-540.14,"d":"-$540.14"},"B","N",0,2,1,"R","3682324","WALGREENS #15467 15467"]
["21865M","0010134765E              ","MBRP00000422292","000000351711","2021-04-01","00002751001","HUMALOG SOLN 100.000",10,12,{"v":269.78,"d":"$269.78"},{"v":0.59,"d":"$0.59"},{"v":270.37,"d":"$270.37"},{"v":0,"d":"$0.00"},{"v":270.37,"d":"$270.37"},"B","N",0,2,1,"R","3682324","WALGREENS #15467 15467"]
["21865M","0010061934E              ","MBRP00000424838","000001304379","2021-04-01","60505082901","FLUTICASONE PR SUSP 50.000",16,60,{"v":7.78,"d":"$7.78"},{"v":0.59,"d":"$0.59"},{"v":8.37,"d":"$8.37"},{"v":0,"d":"$0.00"},{"v":8.37,"d":"$8.37"},"G","N",0,0,0,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010151390E              ","MBRP00000440096","000001072434","2021-04-01","80777027399","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":16.94,"d":"$16.94"},{"v":16.94,"d":"$16.94"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3641013","RITE AID PHARMACY 01351"]
["21865M","0010153667E              ","MBRP00000431024","000007312881","2021-04-01","80777027399","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":28.39,"d":"$28.39"},{"v":28.39,"d":"$28.39"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3678313","GIANT EAGLE PHARMACY #4601 4601"]
["21865M","0010124285E              ","MBRP00000422140","000006728344","2021-04-01","80777027399","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":16.94,"d":"$16.94"},{"v":16.94,"d":"$16.94"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3669124","GIANT EAGLE PHARMACY #4034 4034"]
["21865M","AC00110019300","MBRP00000422618","000006249854","2021-04-01","80777027399","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":28.39,"d":"$28.39"},{"v":28.39,"d":"$28.39"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010005958E              ","MBRP00000424915","000001501904","2021-04-01","00781106101","ALPRAZOLAM TABS 0.250",30,30,{"v":0.66,"d":"$0.66"},{"v":0.59,"d":"$0.59"},{"v":1.25,"d":"$1.25"},{"v":0,"d":"$0.00"},{"v":1.25,"d":"$1.25"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010131947E              ","MBRP00000440052","000000588000","2021-04-01","08627009111","DEXCOM G6 RECE DEVI 0.000",1,1,{"v":376.41,"d":"$376.41"},{"v":0.5,"d":"$0.50"},{"v":376.91,"d":"$376.91"},{"v":0,"d":"$0.00"},{"v":376.91,"d":"$376.91"},"B","N",0,0,9,"R","3672791","AULTMAN EMPLOYEE PHARMACY"]
["21865M","0010131947E              ","MBRP00000440052","000000588000","2021-04-01","08627009111","DEXCOM G6 RECE DEVI 0.000",-1,1,{"v":-376.41,"d":"-$376.41"},{"v":-0.5,"d":"-$0.50"},{"v":-376.91,"d":"-$376.91"},{"v":0,"d":"$0.00"},{"v":-376.91,"d":"-$376.91"},"B","N",0,0,9,"R","3672791","AULTMAN EMPLOYEE PHARMACY"]
["21865M","0010032689E              ","MBRP00000430867","000006548028","2021-04-01","67877019710","AMLODIPINE BES TABS 2.500",30,30,{"v":1.02,"d":"$1.02"},{"v":0.59,"d":"$0.59"},{"v":1.61,"d":"$1.61"},{"v":0,"d":"$0.00"},{"v":1.61,"d":"$1.61"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","AC00108520900","MBRP00000429224","000000561430","2021-04-01","67877019905","AMLODIPINE BES TABS 10.000",30,30,{"v":1.35,"d":"$1.35"},{"v":0.5,"d":"$0.50"},{"v":1.85,"d":"$1.85"},{"v":0,"d":"$0.00"},{"v":1.85,"d":"$1.85"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","0010151570E              ","MBRP00000429087","000007511180","2021-04-01","68645055354","LISINOPRIL TABS 20.000",30,30,{"v":1.51,"d":"$1.51"},{"v":0.59,"d":"$0.59"},{"v":2.1,"d":"$2.10"},{"v":0,"d":"$0.00"},{"v":2.1,"d":"$2.10"},"G","N",0,0,0,"R","3668285","WALMART PHARMACY 10-2914 102914"]
["21865M","0010153618E              ","MBRP00000429298","000001035502","2021-04-01","69238110005","DOXYCYCLINE HY CAPS 100.000",-60,30,{"v":-13,"d":"-$13.00"},{"v":-0.59,"d":"-$0.59"},{"v":-13.59,"d":"-$13.59"},{"v":0,"d":"$0.00"},{"v":-13.59,"d":"-$13.59"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010153618E              ","MBRP00000429298","000001035502","2021-04-01","69238110005","DOXYCYCLINE HY CAPS 100.000",60,30,{"v":13,"d":"$13.00"},{"v":0.59,"d":"$0.59"},{"v":13.59,"d":"$13.59"},{"v":8.59,"d":"$8.59"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010153618E              ","MBRP00000429298","000001035502","2021-04-01","69238110005","DOXYCYCLINE HY CAPS 100.000",60,30,{"v":13,"d":"$13.00"},{"v":0.59,"d":"$0.59"},{"v":13.59,"d":"$13.59"},{"v":0,"d":"$0.00"},{"v":13.59,"d":"$13.59"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010006035E              ","MBRP00000430910","000000784367","2021-04-01","29300034905","ALLOPURINOL TABS 100.000",30,30,{"v":4.55,"d":"$4.55"},{"v":0.59,"d":"$0.59"},{"v":5.14,"d":"$5.14"},{"v":0.14,"d":"$0.14"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3627873","MEDICINE CENTER OF CANTON"]
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["21865M","0010123351E              ","MBRP00000440099","000002770019","2021-04-01","45963070911","METOPROLOL SUC TB24 25.000",90,90,{"v":47.02,"d":"$47.02"},{"v":0,"d":"$0.00"},{"v":47.02,"d":"$47.02"},{"v":0,"d":"$0.00"},{"v":47.02,"d":"$47.02"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010134765E              ","MBRP00000422292","000000351711","2021-04-02","00002751001","HUMALOG SOLN 100.000",20,24,{"v":539.55,"d":"$539.55"},{"v":0.59,"d":"$0.59"},{"v":540.14,"d":"$540.14"},{"v":0,"d":"$0.00"},{"v":540.14,"d":"$540.14"},"B","N",0,2,1,"R","3682324","WALGREENS #15467 15467"]
["21865M","0010134765E              ","MBRP00000422292","000000351711","2021-04-02","00002751001","HUMALOG SOLN 100.000",-20,24,{"v":-539.55,"d":"-$539.55"},{"v":-0.59,"d":"-$0.59"},{"v":-540.14,"d":"-$540.14"},{"v":0,"d":"$0.00"},{"v":-540.14,"d":"-$540.14"},"B","N",0,2,1,"R","3682324","WALGREENS #15467 15467"]
["21865M","0010134765E              ","MBRP00000422292","000000351711","2021-04-02","00002751001","HUMALOG SOLN 100.000",20,25,{"v":539.55,"d":"$539.55"},{"v":0.59,"d":"$0.59"},{"v":540.14,"d":"$540.14"},{"v":0,"d":"$0.00"},{"v":540.14,"d":"$540.14"},"B","N",0,2,1,"R","3682324","WALGREENS #15467 15467"]
["21865M","0010134765E              ","MBRP00000422292","000000351711","2021-04-02","00002751001","HUMALOG SOLN 100.000",-20,25,{"v":-539.55,"d":"-$539.55"},{"v":-0.59,"d":"-$0.59"},{"v":-540.14,"d":"-$540.14"},{"v":0,"d":"$0.00"},{"v":-540.14,"d":"-$540.14"},"B","N",0,2,1,"R","3682324","WALGREENS #15467 15467"]
["21865M","0010134765E              ","MBRP00000422292","000000351711","2021-04-02","00002751001","HUMALOG SOLN 100.000",20,25,{"v":539.55,"d":"$539.55"},{"v":0.59,"d":"$0.59"},{"v":540.14,"d":"$540.14"},{"v":520.14,"d":"$520.14"},{"v":20,"d":"$20.00"},"B","N",0,2,1,"R","3682324","WALGREENS #15467 15467"]
["21865M","0010098976E              ","MBRP00000369585","000006250075","2021-04-02","00002751001","HUMALOG SOLN 100.000",30,37,{"v":809.33,"d":"$809.33"},{"v":0.59,"d":"$0.59"},{"v":809.92,"d":"$809.92"},{"v":749.92,"d":"$749.92"},{"v":60,"d":"$60.00"},"B","N",0,0,1,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010153628E              ","MBRP00000429290","000007123271","2021-04-02","52817033200","CYCLOBENZAPRIN TABS 10.000",60,30,{"v":1.75,"d":"$1.75"},{"v":0.59,"d":"$0.59"},{"v":2.34,"d":"$2.34"},{"v":0,"d":"$0.00"},{"v":2.34,"d":"$2.34"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010153628E              ","MBRP00000429290","000007123271","2021-04-02","52817033200","CYCLOBENZAPRIN TABS 10.000",-60,30,{"v":-1.75,"d":"-$1.75"},{"v":-0.59,"d":"-$0.59"},{"v":-2.34,"d":"-$2.34"},{"v":0,"d":"$0.00"},{"v":-2.34,"d":"-$2.34"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010153628E              ","MBRP00000429290","000007123271","2021-04-02","52817033200","CYCLOBENZAPRIN TABS 10.000",60,30,{"v":1.75,"d":"$1.75"},{"v":0.59,"d":"$0.59"},{"v":2.34,"d":"$2.34"},{"v":0,"d":"$0.00"},{"v":2.34,"d":"$2.34"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010127657E              ","MBRP00000417901","000002314300","2021-04-02","55111012205","ATORVASTATIN C TABS 20.000",-30,30,{"v":-2.93,"d":"-$2.93"},{"v":-0.59,"d":"-$0.59"},{"v":-3.52,"d":"-$3.52"},{"v":0,"d":"$0.00"},{"v":-3.52,"d":"-$3.52"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010127657E              ","MBRP00000417901","000002314300","2021-04-02","55111012205","ATORVASTATIN C TABS 20.000",30,30,{"v":2.93,"d":"$2.93"},{"v":0.59,"d":"$0.59"},{"v":3.52,"d":"$3.52"},{"v":0,"d":"$0.00"},{"v":3.52,"d":"$3.52"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010127657E              ","MBRP00000417901","000002314300","2021-04-02","55111012205","ATORVASTATIN C TABS 20.000",30,30,{"v":2.93,"d":"$2.93"},{"v":0.59,"d":"$0.59"},{"v":3.52,"d":"$3.52"},{"v":0,"d":"$0.00"},{"v":3.52,"d":"$3.52"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","AC00107771400","MBRP00000440336","000303345885","2021-04-02","60505082901","FLUTICASONE PR SUSP 50.000",48,90,{"v":23.34,"d":"$23.34"},{"v":0,"d":"$0.00"},{"v":23.34,"d":"$23.34"},{"v":13.34,"d":"$13.34"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","AC00107771400","MBRP00000440336","000303345885","2021-04-02","60505082901","FLUTICASONE PR SUSP 50.000",-48,90,{"v":-23.34,"d":"-$23.34"},{"v":0,"d":"$0.00"},{"v":-23.34,"d":"-$23.34"},{"v":-13.34,"d":"-$13.34"},{"v":-10,"d":"-$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","AC00107771400","MBRP00000440336","000303345885","2021-04-02","60505082901","FLUTICASONE PR SUSP 50.000",48,90,{"v":23.34,"d":"$23.34"},{"v":0,"d":"$0.00"},{"v":23.34,"d":"$23.34"},{"v":13.34,"d":"$13.34"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010127657E              ","MBRP00000417901","000002239126","2021-04-02","60505082901","FLUTICASONE PR SUSP 50.000",16,30,{"v":7.78,"d":"$7.78"},{"v":0.59,"d":"$0.59"},{"v":8.37,"d":"$8.37"},{"v":0,"d":"$0.00"},{"v":8.37,"d":"$8.37"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010127657E              ","MBRP00000417901","000002239126","2021-04-02","60505082901","FLUTICASONE PR SUSP 50.000",16,30,{"v":7.78,"d":"$7.78"},{"v":0.59,"d":"$0.59"},{"v":8.37,"d":"$8.37"},{"v":3.37,"d":"$3.37"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010127657E              ","MBRP00000417901","000002239126","2021-04-02","60505082901","FLUTICASONE PR SUSP 50.000",-16,30,{"v":-7.78,"d":"-$7.78"},{"v":-0.59,"d":"-$0.59"},{"v":-8.37,"d":"-$8.37"},{"v":0,"d":"$0.00"},{"v":-8.37,"d":"-$8.37"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010145537E              ","MBRP00000429117","000001289797","2021-04-02","60505082901","FLUTICASONE PR SUSP 50.000",-16,60,{"v":-7.78,"d":"-$7.78"},{"v":-0.59,"d":"-$0.59"},{"v":-8.37,"d":"-$8.37"},{"v":0,"d":"$0.00"},{"v":-8.37,"d":"-$8.37"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010145537E              ","MBRP00000429117","000001289797","2021-04-02","60505082901","FLUTICASONE PR SUSP 50.000",16,60,{"v":7.78,"d":"$7.78"},{"v":0.59,"d":"$0.59"},{"v":8.37,"d":"$8.37"},{"v":0,"d":"$0.00"},{"v":8.37,"d":"$8.37"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010145537E              ","MBRP00000429117","000001289797","2021-04-02","60505082901","FLUTICASONE PR SUSP 50.000",16,60,{"v":7.78,"d":"$7.78"},{"v":0.59,"d":"$0.59"},{"v":8.37,"d":"$8.37"},{"v":0,"d":"$0.00"},{"v":8.37,"d":"$8.37"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010145537E              ","MBRP00000429117","000001289797","2021-04-02","60505082901","FLUTICASONE PR SUSP 50.000",-16,60,{"v":-7.78,"d":"-$7.78"},{"v":-0.59,"d":"-$0.59"},{"v":-8.37,"d":"-$8.37"},{"v":0,"d":"$0.00"},{"v":-8.37,"d":"-$8.37"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010145537E              ","MBRP00000429117","000001289797","2021-04-02","60505082901","FLUTICASONE PR SUSP 50.000",16,60,{"v":7.78,"d":"$7.78"},{"v":0.59,"d":"$0.59"},{"v":8.37,"d":"$8.37"},{"v":0,"d":"$0.00"},{"v":8.37,"d":"$8.37"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010127657E              ","MBRP00000417901","000002340222","2021-04-02","59746033790","LOSARTAN POTAS TABS 0.000",-30,30,{"v":-15.16,"d":"-$15.16"},{"v":-0.59,"d":"-$0.59"},{"v":-15.75,"d":"-$15.75"},{"v":0,"d":"$0.00"},{"v":-15.75,"d":"-$15.75"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010127657E              ","MBRP00000417901","000002340222","2021-04-02","59746033790","LOSARTAN POTAS TABS 0.000",30,30,{"v":15.16,"d":"$15.16"},{"v":0.59,"d":"$0.59"},{"v":15.75,"d":"$15.75"},{"v":10.75,"d":"$10.75"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010127657E              ","MBRP00000417901","000002340222","2021-04-02","59746033790","LOSARTAN POTAS TABS 0.000",30,30,{"v":15.16,"d":"$15.16"},{"v":0.59,"d":"$0.59"},{"v":15.75,"d":"$15.75"},{"v":0,"d":"$0.00"},{"v":15.75,"d":"$15.75"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010146670E              ","MBRP00000434034","000006767873","2021-04-02","71428000160","FLUOCINONIDE SOLN 0.050",-60,30,{"v":-43.11,"d":"-$43.11"},{"v":-0.59,"d":"-$0.59"},{"v":-43.7,"d":"-$43.70"},{"v":0,"d":"$0.00"},{"v":-43.7,"d":"-$43.70"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010146670E              ","MBRP00000434034","000006767873","2021-04-02","71428000160","FLUOCINONIDE SOLN 0.050",60,30,{"v":43.11,"d":"$43.11"},{"v":0.59,"d":"$0.59"},{"v":43.7,"d":"$43.70"},{"v":0,"d":"$0.00"},{"v":43.7,"d":"$43.70"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010084220E              ","MBRP00000422330","000006780364","2021-04-02","80777027399","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":16.94,"d":"$16.94"},{"v":16.94,"d":"$16.94"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3648980","GIANT EAGLE PHARMACY #4056 4056"]
["21865M","0010076539E              ","MBRP00000429234","000001158625","2021-04-02","13668001001","CITALOPRAM HYD TABS 20.000",90,90,{"v":27.97,"d":"$27.97"},{"v":0,"d":"$0.00"},{"v":27.97,"d":"$27.97"},{"v":12.97,"d":"$12.97"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010076539E              ","MBRP00000429234","000001158625","2021-04-02","13668001001","CITALOPRAM HYD TABS 20.000",-90,90,{"v":-27.97,"d":"-$27.97"},{"v":0,"d":"$0.00"},{"v":-27.97,"d":"-$27.97"},{"v":0,"d":"$0.00"},{"v":-27.97,"d":"-$27.97"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010076539E              ","MBRP00000429234","000001158625","2021-04-02","13668001001","CITALOPRAM HYD TABS 20.000",90,90,{"v":27.97,"d":"$27.97"},{"v":0,"d":"$0.00"},{"v":27.97,"d":"$27.97"},{"v":0,"d":"$0.00"},{"v":27.97,"d":"$27.97"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010122707E              ","MBRP00000429093","000000707582","2021-04-02","16729000201","GLIMEPIRIDE TABS 2.000",30,30,{"v":7.39,"d":"$7.39"},{"v":0.59,"d":"$0.59"},{"v":7.98,"d":"$7.98"},{"v":0,"d":"$0.00"},{"v":7.98,"d":"$7.98"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010122707E              ","MBRP00000429093","000000707582","2021-04-02","16729000201","GLIMEPIRIDE TABS 2.000",30,30,{"v":7.39,"d":"$7.39"},{"v":0.59,"d":"$0.59"},{"v":7.98,"d":"$7.98"},{"v":2.98,"d":"$2.98"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010122707E              ","MBRP00000429093","000000707582","2021-04-02","16729000201","GLIMEPIRIDE TABS 2.000",-30,30,{"v":-7.39,"d":"-$7.39"},{"v":-0.59,"d":"-$0.59"},{"v":-7.98,"d":"-$7.98"},{"v":0,"d":"$0.00"},{"v":-7.98,"d":"-$7.98"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010005945E              ","MBRP00000440212","000001792726","2021-04-02","16729003510","ANASTROZOLE TABS 1.000",30,30,{"v":8.1,"d":"$8.10"},{"v":0.59,"d":"$0.59"},{"v":8.69,"d":"$8.69"},{"v":3.69,"d":"$3.69"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","0010005945E              ","MBRP00000440212","000001792726","2021-04-02","16729003510","ANASTROZOLE TABS 1.000",-30,30,{"v":-8.1,"d":"-$8.10"},{"v":-0.59,"d":"-$0.59"},{"v":-8.69,"d":"-$8.69"},{"v":-3.69,"d":"-$3.69"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","0010152646E              ","MBRP00000442992","000000707015","2021-04-02","69097081307","GABAPENTIN CAPS 100.000",90,30,{"v":6.52,"d":"$6.52"},{"v":0.59,"d":"$0.59"},{"v":7.11,"d":"$7.11"},{"v":0,"d":"$0.00"},{"v":7.11,"d":"$7.11"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010152646E              ","MBRP00000442992","000000707015","2021-04-02","69097081307","GABAPENTIN CAPS 100.000",-90,30,{"v":-6.52,"d":"-$6.52"},{"v":-0.59,"d":"-$0.59"},{"v":-7.11,"d":"-$7.11"},{"v":0,"d":"$0.00"},{"v":-7.11,"d":"-$7.11"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010006051E              ","MBRP00000314615","000007128841","2021-04-02","66993058597","FLUTICASONE PR AEPB 0.000",60,30,{"v":292.67,"d":"$292.67"},{"v":0.59,"d":"$0.59"},{"v":293.26,"d":"$293.26"},{"v":0,"d":"$0.00"},{"v":293.26,"d":"$293.26"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010006051E              ","MBRP00000314615","000007128841","2021-04-02","66993058597","FLUTICASONE PR AEPB 0.000",-60,30,{"v":-292.67,"d":"-$292.67"},{"v":-0.59,"d":"-$0.59"},{"v":-293.26,"d":"-$293.26"},{"v":0,"d":"$0.00"},{"v":-293.26,"d":"-$293.26"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010084238E              ","MBRP00000418039","000001050323","2021-04-02","68382080501","TRAZODONE HYDR TABS 50.000",30,30,{"v":3.14,"d":"$3.14"},{"v":0.59,"d":"$0.59"},{"v":3.73,"d":"$3.73"},{"v":0,"d":"$0.00"},{"v":3.73,"d":"$3.73"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","AC00109149800","MBRP00000446415","000000886600","2021-04-02","68382080501","TRAZODONE HYDR TABS 50.000",30,30,{"v":3.14,"d":"$3.14"},{"v":0.59,"d":"$0.59"},{"v":3.73,"d":"$3.73"},{"v":0,"d":"$0.00"},{"v":3.73,"d":"$3.73"},"G","N",0,0,0,"R","3652004","RITE AID PHARMACY 02404"]
["21865M","0010006021E              ","MBRP00000418020","000006375451","2021-04-02","47781030301","NITROFURANTOIN CAPS 100.000",10,5,{"v":31.21,"d":"$31.21"},{"v":0.59,"d":"$0.59"},{"v":31.8,"d":"$31.80"},{"v":26.8,"d":"$26.80"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3676484","GIANT EAGLE PHARMACY #6529 6529"]
["21865M","0010006021E              ","MBRP00000418020","000006375451","2021-04-02","47781030301","NITROFURANTOIN CAPS 100.000",-10,5,{"v":-31.21,"d":"-$31.21"},{"v":-0.59,"d":"-$0.59"},{"v":-31.8,"d":"-$31.80"},{"v":-26.8,"d":"-$26.80"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3676484","GIANT EAGLE PHARMACY #6529 6529"]
["21865M","0010006021E              ","MBRP00000418020","000006375451","2021-04-02","47781030301","NITROFURANTOIN CAPS 100.000",10,5,{"v":31.21,"d":"$31.21"},{"v":0.59,"d":"$0.59"},{"v":31.8,"d":"$31.80"},{"v":26.8,"d":"$26.80"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3676484","GIANT EAGLE PHARMACY #6529 6529"]
["21865M","0010129036E              ","MBRP00000429011","000001050321","2021-04-02","29300012810","HYDROCHLOROTHI TABS 25.000",90,90,{"v":2.69,"d":"$2.69"},{"v":0,"d":"$0.00"},{"v":2.69,"d":"$2.69"},{"v":0,"d":"$0.00"},{"v":2.69,"d":"$2.69"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010120789E              ","MBRP00000417813","000001166403","2021-04-02","23155005101","NYSTATIN TABS 500000.000",-180,90,{"v":-163.79,"d":"-$163.79"},{"v":0,"d":"$0.00"},{"v":-163.79,"d":"-$163.79"},{"v":0,"d":"$0.00"},{"v":-163.79,"d":"-$163.79"},"G","N",0,0,0,"R","3651886","RITE AID PHARMACY 02393"]
["21865M","0010120789E              ","MBRP00000417813","000001166403","2021-04-02","23155005101","NYSTATIN TABS 500000.000",180,90,{"v":163.79,"d":"$163.79"},{"v":0,"d":"$0.00"},{"v":163.79,"d":"$163.79"},{"v":0,"d":"$0.00"},{"v":163.79,"d":"$163.79"},"G","N",0,0,0,"R","3651886","RITE AID PHARMACY 02393"]
["21865M","AC00109881700","MBRP00000439543","000001324308","2021-04-02","59267100002","PFIZER-BIONTEC SUSP 30.000",0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":16.94,"d":"$16.94"},{"v":16.94,"d":"$16.94"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3657561","CVS PHARMACY #04353 04353"]
["21865M","AC00109881700","MBRP00000439544","000001324314","2021-04-02","59267100002","PFIZER-BIONTEC SUSP 30.000",0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":16.94,"d":"$16.94"},{"v":16.94,"d":"$16.94"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3657561","CVS PHARMACY #04353 04353"]
["21865M","AC00110461300","MBRP00000467129","000001323732","2021-04-02","59267100002","PFIZER-BIONTEC SUSP 30.000",0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":16.94,"d":"$16.94"},{"v":16.94,"d":"$16.94"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3657561","CVS PHARMACY #04353 04353"]
["21865M","0010152646E              ","MBRP00000442992","000000699489","2021-04-02","16714079701","SUMATRIPTAN SU TABS 50.000",12,30,{"v":14.55,"d":"$14.55"},{"v":0.59,"d":"$0.59"},{"v":15.14,"d":"$15.14"},{"v":0,"d":"$0.00"},{"v":15.14,"d":"$15.14"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010153605E              ","MBRP00000430797","000001690525","2021-04-02","29300012601","BISOPROLOL FUM TABS 5.000",15,30,{"v":14.51,"d":"$14.51"},{"v":0.59,"d":"$0.59"},{"v":15.1,"d":"$15.10"},{"v":10.1,"d":"$10.10"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010153605E              ","MBRP00000430797","000001690525","2021-04-02","29300012601","BISOPROLOL FUM TABS 5.000",-15,30,{"v":-14.51,"d":"-$14.51"},{"v":-0.59,"d":"-$0.59"},{"v":-15.1,"d":"-$15.10"},{"v":0,"d":"$0.00"},{"v":-15.1,"d":"-$15.10"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010153605E              ","MBRP00000430797","000001690525","2021-04-02","29300012601","BISOPROLOL FUM TABS 5.000",15,30,{"v":14.51,"d":"$14.51"},{"v":0.59,"d":"$0.59"},{"v":15.1,"d":"$15.10"},{"v":0,"d":"$0.00"},{"v":15.1,"d":"$15.10"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010146670E              ","MBRP00000434034","000006767872","2021-04-02","16110052660","ACZONE GEL  7.500",60,30,{"v":695.35,"d":"$695.35"},{"v":0.59,"d":"$0.59"},{"v":695.94,"d":"$695.94"},{"v":0,"d":"$0.00"},{"v":695.94,"d":"$695.94"},"B","N",0,1,9,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010146670E              ","MBRP00000434034","000006767872","2021-04-02","16110052660","ACZONE GEL  7.500",-60,30,{"v":-695.35,"d":"-$695.35"},{"v":-0.59,"d":"-$0.59"},{"v":-695.94,"d":"-$695.94"},{"v":0,"d":"$0.00"},{"v":-695.94,"d":"-$695.94"},"B","N",0,1,9,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010152646E              ","MBRP00000442992","000000699489","2021-04-02","16714079701","SUMATRIPTAN SU TABS 50.000",-12,30,{"v":-14.55,"d":"-$14.55"},{"v":-0.59,"d":"-$0.59"},{"v":-15.14,"d":"-$15.14"},{"v":0,"d":"$0.00"},{"v":-15.14,"d":"-$15.14"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010152646E              ","MBRP00000442992","000000699489","2021-04-02","16714079701","SUMATRIPTAN SU TABS 50.000",12,30,{"v":14.55,"d":"$14.55"},{"v":0.59,"d":"$0.59"},{"v":15.14,"d":"$15.14"},{"v":10.14,"d":"$10.14"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010006051E              ","MBRP00000314615","000007128879","2021-04-02","00487950125","ALBUTEROL SULF NEBU 0.083",-75,5,{"v":-5.02,"d":"-$5.02"},{"v":-0.59,"d":"-$0.59"},{"v":-5.61,"d":"-$5.61"},{"v":0,"d":"$0.00"},{"v":-5.61,"d":"-$5.61"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010006051E              ","MBRP00000314615","000007128879","2021-04-02","00487950125","ALBUTEROL SULF NEBU 0.083",75,5,{"v":5.02,"d":"$5.02"},{"v":0.59,"d":"$0.59"},{"v":5.61,"d":"$5.61"},{"v":0,"d":"$0.00"},{"v":5.61,"d":"$5.61"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010151570E              ","MBRP00000411581","000007546893","2021-04-02","00555902658","JUNEL FE 1/20 TABS 0.000",28,28,{"v":23.46,"d":"$23.46"},{"v":0.59,"d":"$0.59"},{"v":24.05,"d":"$24.05"},{"v":24.05,"d":"$24.05"},{"v":0,"d":"$0.00"},"G","N",0,1,0,"R","3668285","WALMART PHARMACY 10-2914 102914"]
["21865M","0010139948E              ","MBRP00000374709","000006557576","2021-04-02","00555902658","JUNEL FE 1/20 TABS 0.000",28,28,{"v":23.46,"d":"$23.46"},{"v":0.59,"d":"$0.59"},{"v":24.05,"d":"$24.05"},{"v":24.05,"d":"$24.05"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010052586E              ","MBRP00000398481","000002856956","2021-04-02","00591367101","NABUMETONE TABS 750.000",60,30,{"v":25.09,"d":"$25.09"},{"v":0.59,"d":"$0.59"},{"v":25.68,"d":"$25.68"},{"v":0,"d":"$0.00"},{"v":25.68,"d":"$25.68"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010052586E              ","MBRP00000398481","000002856956","2021-04-02","00591367101","NABUMETONE TABS 750.000",-60,30,{"v":-25.09,"d":"-$25.09"},{"v":-0.59,"d":"-$0.59"},{"v":-25.68,"d":"-$25.68"},{"v":0,"d":"$0.00"},{"v":-25.68,"d":"-$25.68"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010052586E              ","MBRP00000398481","000002856956","2021-04-02","00591367101","NABUMETONE TABS 750.000",60,30,{"v":25.09,"d":"$25.09"},{"v":0.59,"d":"$0.59"},{"v":25.68,"d":"$25.68"},{"v":20.68,"d":"$20.68"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010153628E              ","MBRP00000429290","000007123269","2021-04-02","00597010061","SPIRIVA RESPIM AERS 2.500",4,30,{"v":469.43,"d":"$469.43"},{"v":0.59,"d":"$0.59"},{"v":470.02,"d":"$470.02"},{"v":450.02,"d":"$450.02"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3654034","MARCS 22"]
["21865M","0010153628E              ","MBRP00000429290","000007123269","2021-04-02","00597010061","SPIRIVA RESPIM AERS 2.500",4,30,{"v":469.43,"d":"$469.43"},{"v":0.59,"d":"$0.59"},{"v":470.02,"d":"$470.02"},{"v":450.02,"d":"$450.02"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3654034","MARCS 22"]
["21865M","0010153628E              ","MBRP00000429290","000007123269","2021-04-02","00597010061","SPIRIVA RESPIM AERS 2.500",-4,30,{"v":-469.43,"d":"-$469.43"},{"v":-0.59,"d":"-$0.59"},{"v":-470.02,"d":"-$470.02"},{"v":-450.02,"d":"-$450.02"},{"v":-20,"d":"-$20.00"},"B","N",0,0,1,"R","3654034","MARCS 22"]
["21865M","0010084142E              ","MBRP00000424706","000000923688","2021-04-02","00228306111","AMPHETAMINE/DE CP24 0.000",-30,30,{"v":-35.02,"d":"-$35.02"},{"v":-0.59,"d":"-$0.59"},{"v":-35.61,"d":"-$35.61"},{"v":-30.61,"d":"-$30.61"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3651975","RITE AID PHARMACY 02401"]
["21865M","0010084142E              ","MBRP00000424706","000000923688","2021-04-02","00228306111","AMPHETAMINE/DE CP24 0.000",30,30,{"v":35.02,"d":"$35.02"},{"v":0.59,"d":"$0.59"},{"v":35.61,"d":"$35.61"},{"v":30.61,"d":"$30.61"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651975","RITE AID PHARMACY 02401"]
["21865M","0010084142E              ","MBRP00000424706","000000922948","2021-04-02","00228306111","AMPHETAMINE/DE CP24 0.000",-30,30,{"v":-35.02,"d":"-$35.02"},{"v":-0.59,"d":"-$0.59"},{"v":-35.61,"d":"-$35.61"},{"v":0,"d":"$0.00"},{"v":-35.61,"d":"-$35.61"},"G","N",0,0,0,"R","3651975","RITE AID PHARMACY 02401"]
["21865M","0010084142E              ","MBRP00000424706","000000923688","2021-04-02","00228306111","AMPHETAMINE/DE CP24 0.000",30,30,{"v":35.02,"d":"$35.02"},{"v":0.59,"d":"$0.59"},{"v":35.61,"d":"$35.61"},{"v":30.61,"d":"$30.61"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651975","RITE AID PHARMACY 02401"]
["21865M","0010084142E              ","MBRP00000424706","000000922948","2021-04-02","00228306111","AMPHETAMINE/DE CP24 0.000",30,30,{"v":35.02,"d":"$35.02"},{"v":0.59,"d":"$0.59"},{"v":35.61,"d":"$35.61"},{"v":0,"d":"$0.00"},{"v":35.61,"d":"$35.61"},"G","N",0,0,0,"R","3651975","RITE AID PHARMACY 02401"]
["21865M","0010153672E              ","MBRP00000431033","000000700417","2021-04-02","00378021610","FUROSEMIDE TABS 40.000",-90,90,{"v":-5.43,"d":"-$5.43"},{"v":0,"d":"$0.00"},{"v":-5.43,"d":"-$5.43"},{"v":0,"d":"$0.00"},{"v":-5.43,"d":"-$5.43"},"G","N",0,0,0,"R","3679668","CVS PHARMACY #02385 02385"]
["21865M","0010153672E              ","MBRP00000431033","000000700417","2021-04-02","00378021610","FUROSEMIDE TABS 40.000",90,90,{"v":5.43,"d":"$5.43"},{"v":0,"d":"$0.00"},{"v":5.43,"d":"$5.43"},{"v":0,"d":"$0.00"},{"v":5.43,"d":"$5.43"},"G","N",0,0,0,"R","3679668","CVS PHARMACY #02385 02385"]
["21865M","0010084199E              ","MBRP00000417831","000001484826","2021-04-02","00228306011","AMPHETAMINE/DE CP24 0.000",30,30,{"v":35.02,"d":"$35.02"},{"v":0.59,"d":"$0.59"},{"v":35.61,"d":"$35.61"},{"v":30.61,"d":"$30.61"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3641455","CVS PHARMACY #04359 04359"]
["21865M","0010084199E              ","MBRP00000417831","000001484826","2021-04-02","00228306011","AMPHETAMINE/DE CP24 0.000",-30,30,{"v":-35.02,"d":"-$35.02"},{"v":-0.59,"d":"-$0.59"},{"v":-35.61,"d":"-$35.61"},{"v":-30.61,"d":"-$30.61"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3641455","CVS PHARMACY #04359 04359"]
["21865M","0010061934E              ","MBRP00000424838","000001304378","2021-04-02","00085433301","ASMANEX HFA AERO 100.000",-13,60,{"v":-187.93,"d":"-$187.93"},{"v":-0.59,"d":"-$0.59"},{"v":-188.52,"d":"-$188.52"},{"v":0,"d":"$0.00"},{"v":-188.52,"d":"-$188.52"},"B","N",0,0,1,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010061934E              ","MBRP00000424838","000001304378","2021-04-02","00085433301","ASMANEX HFA AERO 100.000",13,60,{"v":187.93,"d":"$187.93"},{"v":0.59,"d":"$0.59"},{"v":188.52,"d":"$188.52"},{"v":0,"d":"$0.00"},{"v":188.52,"d":"$188.52"},"B","N",0,0,1,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010098976E              ","MBRP00000369585","000006250076","2021-04-02","68462026430","ROSUVASTATIN C TABS 40.000",-90,90,{"v":-23.96,"d":"-$23.96"},{"v":0,"d":"$0.00"},{"v":-23.96,"d":"-$23.96"},{"v":0,"d":"$0.00"},{"v":-23.96,"d":"-$23.96"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010098976E              ","MBRP00000369585","000006250076","2021-04-02","68462026430","ROSUVASTATIN C TABS 40.000",90,90,{"v":23.96,"d":"$23.96"},{"v":0,"d":"$0.00"},{"v":23.96,"d":"$23.96"},{"v":0,"d":"$0.00"},{"v":23.96,"d":"$23.96"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010119782E              ","MBRP00000344450","000000854557","2021-04-02","68462056529","NORGESTIMATE/E TABS 0.000",28,28,{"v":21.14,"d":"$21.14"},{"v":0.59,"d":"$0.59"},{"v":21.73,"d":"$21.73"},{"v":21.73,"d":"$21.73"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010139126E              ","MBRP00000429226","000001050305","2021-04-02","70710111108","TIZANIDINE HCL CAPS 2.000",45,8,{"v":10.3,"d":"$10.30"},{"v":0.59,"d":"$0.59"},{"v":10.89,"d":"$10.89"},{"v":0,"d":"$0.00"},{"v":10.89,"d":"$10.89"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010139126E              ","MBRP00000429226","000001050305","2021-04-02","70710111108","TIZANIDINE HCL CAPS 2.000",-45,8,{"v":-10.3,"d":"-$10.30"},{"v":-0.59,"d":"-$0.59"},{"v":-10.89,"d":"-$10.89"},{"v":0,"d":"$0.00"},{"v":-10.89,"d":"-$10.89"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010139126E              ","MBRP00000429226","000001050305","2021-04-02","70710111108","TIZANIDINE HCL CAPS 2.000",45,7,{"v":10.3,"d":"$10.30"},{"v":0.59,"d":"$0.59"},{"v":10.89,"d":"$10.89"},{"v":5.89,"d":"$5.89"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010143168E              ","MBRP00000440277","000001304604","2021-04-02","65862052790","VENLAFAXINE HC CP24 37.500",30,30,{"v":20.84,"d":"$20.84"},{"v":0.59,"d":"$0.59"},{"v":21.43,"d":"$21.43"},{"v":0,"d":"$0.00"},{"v":21.43,"d":"$21.43"},"G","N",0,0,0,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010143168E              ","MBRP00000440277","000001304604","2021-04-02","65862052790","VENLAFAXINE HC CP24 37.500",-30,30,{"v":-20.84,"d":"-$20.84"},{"v":-0.59,"d":"-$0.59"},{"v":-21.43,"d":"-$21.43"},{"v":0,"d":"$0.00"},{"v":-21.43,"d":"-$21.43"},"G","N",0,0,0,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010143168E              ","MBRP00000440277","000001304604","2021-04-02","65862052790","VENLAFAXINE HC CP24 37.500",30,30,{"v":20.84,"d":"$20.84"},{"v":0.59,"d":"$0.59"},{"v":21.43,"d":"$21.43"},{"v":16.43,"d":"$16.43"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010139575E              ","MBRP00000430857","000002580407","2021-04-02","65162046510","IBUPROFEN TABS 600.000",50,12,{"v":2.25,"d":"$2.25"},{"v":0.59,"d":"$0.59"},{"v":2.84,"d":"$2.84"},{"v":0,"d":"$0.00"},{"v":2.84,"d":"$2.84"},"G","N",0,1,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010084188E              ","MBRP00000424740","000000709736","2021-04-02","68180094311","TESTOSTERONE T SOLN 30.000",-180,30,{"v":-739.1,"d":"-$739.10"},{"v":-0.59,"d":"-$0.59"},{"v":-739.69,"d":"-$739.69"},{"v":0,"d":"$0.00"},{"v":-739.69,"d":"-$739.69"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010084188E              ","MBRP00000424740","000000709736","2021-04-02","68180094311","TESTOSTERONE T SOLN 30.000",-180,30,{"v":-739.1,"d":"-$739.10"},{"v":-0.59,"d":"-$0.59"},{"v":-739.69,"d":"-$739.69"},{"v":0,"d":"$0.00"},{"v":-739.69,"d":"-$739.69"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010084188E              ","MBRP00000424740","000000709736","2021-04-02","68180094311","TESTOSTERONE T SOLN 30.000",180,30,{"v":739.1,"d":"$739.10"},{"v":0.59,"d":"$0.59"},{"v":739.69,"d":"$739.69"},{"v":0,"d":"$0.00"},{"v":739.69,"d":"$739.69"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010084188E              ","MBRP00000424740","000000709736","2021-04-02","68180094311","TESTOSTERONE T SOLN 30.000",180,30,{"v":739.1,"d":"$739.10"},{"v":0.59,"d":"$0.59"},{"v":739.69,"d":"$739.69"},{"v":0,"d":"$0.00"},{"v":739.69,"d":"$739.69"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010153628E              ","MBRP00000429290","000007123272","2021-04-02","68382005101","MELOXICAM TABS 15.000",30,30,{"v":1.23,"d":"$1.23"},{"v":0.59,"d":"$0.59"},{"v":1.82,"d":"$1.82"},{"v":0,"d":"$0.00"},{"v":1.82,"d":"$1.82"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010153628E              ","MBRP00000429290","000007123272","2021-04-02","68382005101","MELOXICAM TABS 15.000",30,30,{"v":1.23,"d":"$1.23"},{"v":0.59,"d":"$0.59"},{"v":1.82,"d":"$1.82"},{"v":0,"d":"$0.00"},{"v":1.82,"d":"$1.82"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010153628E              ","MBRP00000429290","000007123272","2021-04-02","68382005101","MELOXICAM TABS 15.000",-30,30,{"v":-1.23,"d":"-$1.23"},{"v":-0.59,"d":"-$0.59"},{"v":-1.82,"d":"-$1.82"},{"v":0,"d":"$0.00"},{"v":-1.82,"d":"-$1.82"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010045107E              ","MBRP00000340889","000001009315","2021-04-02","68382005101","MELOXICAM TABS 15.000",30,30,{"v":1.23,"d":"$1.23"},{"v":0.59,"d":"$0.59"},{"v":1.82,"d":"$1.82"},{"v":0,"d":"$0.00"},{"v":1.82,"d":"$1.82"},"G","N",0,0,0,"R","3653094","RITE AID PHARMACY 02437"]
["21865M","0010084238E              ","MBRP00000418039","000001050322","2021-04-02","29300024601","BUSPIRONE HYDR TABS 15.000",60,30,{"v":7.9,"d":"$7.90"},{"v":0.59,"d":"$0.59"},{"v":8.49,"d":"$8.49"},{"v":3.49,"d":"$3.49"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
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["21865M","0010084143E              ","MBRP00000424814","000001625738","2021-04-02","65862077685","MILI TABS 0.000",84,84,{"v":73.59,"d":"$73.59"},{"v":0,"d":"$0.00"},{"v":73.59,"d":"$73.59"},{"v":73.59,"d":"$73.59"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3613963","CVS PHARMACY #03422 03422"]
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["21865M","0010132579E              ","MBRP00000417821","000001016609","2021-04-02","64980043910","ATENOLOL TABS 100.000",30,30,{"v":1.9,"d":"$1.90"},{"v":0.59,"d":"$0.59"},{"v":2.49,"d":"$2.49"},{"v":0,"d":"$0.00"},{"v":2.49,"d":"$2.49"},"G","N",0,0,0,"R","3653094","RITE AID PHARMACY 02437"]
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["21865M","0010132579E              ","MBRP00000417821","000001024942","2021-04-02","68180063609","ATORVASTATIN C TABS 20.000",-30,30,{"v":-2.93,"d":"-$2.93"},{"v":-0.59,"d":"-$0.59"},{"v":-3.52,"d":"-$3.52"},{"v":0,"d":"$0.00"},{"v":-3.52,"d":"-$3.52"},"G","N",0,0,0,"R","3653094","RITE AID PHARMACY 02437"]
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["21865M","0010084199E              ","MBRP00000417831","000001484826","2021-04-02","66993059702","AMPHETAMINE/DE CP24 0.000",30,30,{"v":35.02,"d":"$35.02"},{"v":0.59,"d":"$0.59"},{"v":35.61,"d":"$35.61"},{"v":30.61,"d":"$30.61"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3641455","CVS PHARMACY #04359 04359"]
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["21865M","0010052586E              ","MBRP00000398481","000303343442","2021-04-02","65162035109","SILDENAFIL CIT TABS 20.000",270,90,{"v":92.25,"d":"$92.25"},{"v":0,"d":"$0.00"},{"v":92.25,"d":"$92.25"},{"v":0,"d":"$0.00"},{"v":92.25,"d":"$92.25"},"G","Y",0,0,0,"R","1564930","OPTUM PHARMACY 702, LLC"]
["21865M","0010086302E              ","MBRP00000440325","000002058596","2021-04-02","59417010410","VYVANSE CAPS 40.000",-30,30,{"v":-328.98,"d":"-$328.98"},{"v":-0.59,"d":"-$0.59"},{"v":-329.57,"d":"-$329.57"},{"v":-294.57,"d":"-$294.57"},{"v":-35,"d":"-$35.00"},"B","N",0,0,9,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010086302E              ","MBRP00000440325","000002058596","2021-04-02","59417010410","VYVANSE CAPS 40.000",30,30,{"v":328.98,"d":"$328.98"},{"v":0.59,"d":"$0.59"},{"v":329.57,"d":"$329.57"},{"v":0,"d":"$0.00"},{"v":329.57,"d":"$329.57"},"B","N",0,0,9,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010086302E              ","MBRP00000440325","000002058596","2021-04-02","59417010410","VYVANSE CAPS 40.000",-30,30,{"v":-328.98,"d":"-$328.98"},{"v":-0.59,"d":"-$0.59"},{"v":-329.57,"d":"-$329.57"},{"v":0,"d":"$0.00"},{"v":-329.57,"d":"-$329.57"},"B","N",0,0,9,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010086302E              ","MBRP00000440325","000002058596","2021-04-02","59417010410","VYVANSE CAPS 40.000",30,30,{"v":328.98,"d":"$328.98"},{"v":0.59,"d":"$0.59"},{"v":329.57,"d":"$329.57"},{"v":294.57,"d":"$294.57"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010086302E              ","MBRP00000440325","000002058596","2021-04-02","59417010410","VYVANSE CAPS 40.000",30,30,{"v":328.98,"d":"$328.98"},{"v":0.59,"d":"$0.59"},{"v":329.57,"d":"$329.57"},{"v":294.57,"d":"$294.57"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010045107E              ","MBRP00000340889","000000994758","2021-04-02","59746021801","SPIRONOLACTONE TABS 100.000",-30,30,{"v":-25.77,"d":"-$25.77"},{"v":-0.59,"d":"-$0.59"},{"v":-26.36,"d":"-$26.36"},{"v":0,"d":"$0.00"},{"v":-26.36,"d":"-$26.36"},"G","N",0,0,0,"R","3653094","RITE AID PHARMACY 02437"]
["21865M","0010045107E              ","MBRP00000340889","000000994758","2021-04-02","59746021801","SPIRONOLACTONE TABS 100.000",30,30,{"v":25.77,"d":"$25.77"},{"v":0.59,"d":"$0.59"},{"v":26.36,"d":"$26.36"},{"v":21.36,"d":"$21.36"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3653094","RITE AID PHARMACY 02437"]
["21865M","0010045107E              ","MBRP00000340889","000000994758","2021-04-02","59746021801","SPIRONOLACTONE TABS 100.000",30,30,{"v":25.77,"d":"$25.77"},{"v":0.59,"d":"$0.59"},{"v":26.36,"d":"$26.36"},{"v":0,"d":"$0.00"},{"v":26.36,"d":"$26.36"},"G","N",0,0,0,"R","3653094","RITE AID PHARMACY 02437"]
["21865M","0010005995E              ","MBRP00000399041","000303341353","2021-04-02","60505257908","ATORVASTATIN C TABS 20.000",90,90,{"v":8.79,"d":"$8.79"},{"v":0,"d":"$0.00"},{"v":8.79,"d":"$8.79"},{"v":0,"d":"$0.00"},{"v":8.79,"d":"$8.79"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010005995E              ","MBRP00000399041","000303341353","2021-04-02","60505257908","ATORVASTATIN C TABS 20.000",-90,90,{"v":-8.79,"d":"-$8.79"},{"v":0,"d":"$0.00"},{"v":-8.79,"d":"-$8.79"},{"v":0,"d":"$0.00"},{"v":-8.79,"d":"-$8.79"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010005995E              ","MBRP00000399041","000303341347","2021-04-02","60505257908","ATORVASTATIN C TABS 20.000",90,90,{"v":8.79,"d":"$8.79"},{"v":0,"d":"$0.00"},{"v":8.79,"d":"$8.79"},{"v":0,"d":"$0.00"},{"v":8.79,"d":"$8.79"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010084142E              ","MBRP00000424706","000000922947","2021-04-02","00406889201","AMPHETAMINE/DE TABS 0.000",-30,30,{"v":-19.96,"d":"-$19.96"},{"v":-0.59,"d":"-$0.59"},{"v":-20.55,"d":"-$20.55"},{"v":0,"d":"$0.00"},{"v":-20.55,"d":"-$20.55"},"G","N",0,0,0,"R","3651975","RITE AID PHARMACY 02401"]
["21865M","0010084142E              ","MBRP00000424706","000000923690","2021-04-02","00406889201","AMPHETAMINE/DE TABS 0.000",30,30,{"v":19.96,"d":"$19.96"},{"v":0.59,"d":"$0.59"},{"v":20.55,"d":"$20.55"},{"v":15.55,"d":"$15.55"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651975","RITE AID PHARMACY 02401"]
["21865M","0010084142E              ","MBRP00000424706","000000922947","2021-04-02","00406889201","AMPHETAMINE/DE TABS 0.000",30,30,{"v":19.96,"d":"$19.96"},{"v":0.59,"d":"$0.59"},{"v":20.55,"d":"$20.55"},{"v":0,"d":"$0.00"},{"v":20.55,"d":"$20.55"},"G","N",0,0,0,"R","3651975","RITE AID PHARMACY 02401"]
["21865M","0010084142E              ","MBRP00000424706","000000923690","2021-04-02","00406889201","AMPHETAMINE/DE TABS 0.000",-30,30,{"v":-19.96,"d":"-$19.96"},{"v":-0.59,"d":"-$0.59"},{"v":-20.55,"d":"-$20.55"},{"v":-15.55,"d":"-$15.55"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3651975","RITE AID PHARMACY 02401"]
["21865M","0010084142E              ","MBRP00000424706","000000923690","2021-04-02","00406889201","AMPHETAMINE/DE TABS 0.000",30,30,{"v":19.96,"d":"$19.96"},{"v":0.59,"d":"$0.59"},{"v":20.55,"d":"$20.55"},{"v":15.55,"d":"$15.55"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651975","RITE AID PHARMACY 02401"]
["21865M","AC00107771400","MBRP00000440336","000303345886","2021-04-02","68382041205","OMEPRAZOLE CPDR 20.000",90,90,{"v":7.77,"d":"$7.77"},{"v":0,"d":"$0.00"},{"v":7.77,"d":"$7.77"},{"v":0,"d":"$0.00"},{"v":7.77,"d":"$7.77"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","AC00107771400","MBRP00000440336","000303345886","2021-04-02","68382041205","OMEPRAZOLE CPDR 20.000",-90,90,{"v":-7.77,"d":"-$7.77"},{"v":0,"d":"$0.00"},{"v":-7.77,"d":"-$7.77"},{"v":0,"d":"$0.00"},{"v":-7.77,"d":"-$7.77"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","AC00107771400","MBRP00000440336","000303345886","2021-04-02","68382041205","OMEPRAZOLE CPDR 20.000",90,90,{"v":7.77,"d":"$7.77"},{"v":0,"d":"$0.00"},{"v":7.77,"d":"$7.77"},{"v":0,"d":"$0.00"},{"v":7.77,"d":"$7.77"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010084142E              ","MBRP00000424706","000000922947","2021-04-02","00555097202","AMPHETAMINE/DE TABS 0.000",30,30,{"v":19.96,"d":"$19.96"},{"v":0.59,"d":"$0.59"},{"v":20.55,"d":"$20.55"},{"v":0,"d":"$0.00"},{"v":20.55,"d":"$20.55"},"G","N",0,0,0,"R","3651975","RITE AID PHARMACY 02401"]
["21865M","0010084142E              ","MBRP00000424706","000000922947","2021-04-02","00555097202","AMPHETAMINE/DE TABS 0.000",-30,30,{"v":-19.96,"d":"-$19.96"},{"v":-0.59,"d":"-$0.59"},{"v":-20.55,"d":"-$20.55"},{"v":0,"d":"$0.00"},{"v":-20.55,"d":"-$20.55"},"G","N",0,0,0,"R","3651975","RITE AID PHARMACY 02401"]
["21865M","0010084328E              ","MBRP00000418119","000000541649","2021-04-02","00597015337","JARDIANCE TABS 25.000",90,90,{"v":1550.18,"d":"$1,550.18"},{"v":0,"d":"$0.00"},{"v":1550.18,"d":"$1,550.18"},{"v":311.89,"d":"$311.89"},{"v":1238.29,"d":"$1,238.29"},"B","N",0,0,1,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010084328E              ","MBRP00000418119","000000541649","2021-04-02","00597015337","JARDIANCE TABS 25.000",-90,90,{"v":-1550.18,"d":"-$1,550.18"},{"v":0,"d":"$0.00"},{"v":-1550.18,"d":"-$1,550.18"},{"v":-311.89,"d":"-$311.89"},{"v":-1238.29,"d":"-$1,238.29"},"B","N",0,0,1,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010127657E              ","MBRP00000417901","000002314299","2021-04-02","42858045445","FENOFIBRATE TABS 54.000",-30,30,{"v":-15.28,"d":"-$15.28"},{"v":-0.59,"d":"-$0.59"},{"v":-15.87,"d":"-$15.87"},{"v":0,"d":"$0.00"},{"v":-15.87,"d":"-$15.87"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010127657E              ","MBRP00000417901","000002314299","2021-04-02","42858045445","FENOFIBRATE TABS 54.000",30,30,{"v":15.28,"d":"$15.28"},{"v":0.59,"d":"$0.59"},{"v":15.87,"d":"$15.87"},{"v":0,"d":"$0.00"},{"v":15.87,"d":"$15.87"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010127657E              ","MBRP00000417901","000002314299","2021-04-02","42858045445","FENOFIBRATE TABS 54.000",30,30,{"v":15.28,"d":"$15.28"},{"v":0.59,"d":"$0.59"},{"v":15.87,"d":"$15.87"},{"v":10.87,"d":"$10.87"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","AC00107771400","MBRP00000440336","000303345883","2021-04-02","43547028211","ESCITALOPRAM O TABS 20.000",90,90,{"v":20.66,"d":"$20.66"},{"v":0,"d":"$0.00"},{"v":20.66,"d":"$20.66"},{"v":10.66,"d":"$10.66"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010122775E              ","MBRP00000417970","000007115179","2021-04-02","50228043605","NAPROXEN TABS 500.000",-60,30,{"v":-7.72,"d":"-$7.72"},{"v":-0.59,"d":"-$0.59"},{"v":-8.31,"d":"-$8.31"},{"v":0,"d":"$0.00"},{"v":-8.31,"d":"-$8.31"},"G","N",0,0,0,"R","3644211","GIANT EAGLE PHARMACY #4060 4060"]
["21865M","0010122775E              ","MBRP00000417970","000007115179","2021-04-02","50228043605","NAPROXEN TABS 500.000",60,30,{"v":7.72,"d":"$7.72"},{"v":0.59,"d":"$0.59"},{"v":8.31,"d":"$8.31"},{"v":3.31,"d":"$3.31"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3644211","GIANT EAGLE PHARMACY #4060 4060"]
["21865M","0010122775E              ","MBRP00000417970","000007115179","2021-04-02","50228043605","NAPROXEN TABS 500.000",60,30,{"v":7.72,"d":"$7.72"},{"v":0.59,"d":"$0.59"},{"v":8.31,"d":"$8.31"},{"v":0,"d":"$0.00"},{"v":8.31,"d":"$8.31"},"G","N",0,0,0,"R","3644211","GIANT EAGLE PHARMACY #4060 4060"]
["21865M","0010098976E              ","MBRP00000369585","000006248832","2021-04-02","52817032000","BACLOFEN TABS 10.000",270,90,{"v":61.15,"d":"$61.15"},{"v":0,"d":"$0.00"},{"v":61.15,"d":"$61.15"},{"v":46.15,"d":"$46.15"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010143968E              ","MBRP00000440051","000006723996","2021-04-03","67877024210","QUETIAPINE FUM TABS 25.000",30,30,{"v":4.82,"d":"$4.82"},{"v":0.59,"d":"$0.59"},{"v":5.41,"d":"$5.41"},{"v":0.41,"d":"$0.41"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3669124","GIANT EAGLE PHARMACY #4034 4034"]
["21865M","0010136832E              ","MBRP00000429119","000001425367","2021-04-03","65862001330","SERTRALINE HYD TABS 100.000",90,90,{"v":9.4,"d":"$9.40"},{"v":0,"d":"$0.00"},{"v":9.4,"d":"$9.40"},{"v":0,"d":"$0.00"},{"v":9.4,"d":"$9.40"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","AC00110461300","MBRP00000467129","000006702284","2021-04-03","00378729953","DROSPIRENONE/E TABS 0.000",28,28,{"v":55.58,"d":"$55.58"},{"v":0.59,"d":"$0.59"},{"v":56.17,"d":"$56.17"},{"v":56.17,"d":"$56.17"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3674151","GIANT EAGLE PHARMACY #4152 4152"]
["21865M","0010079160E              ","MBRP00000422258","000000884675","2021-04-03","16714041603","LARIN 24 FE TABS 0.000",28,28,{"v":62.16,"d":"$62.16"},{"v":0.59,"d":"$0.59"},{"v":62.75,"d":"$62.75"},{"v":62.75,"d":"$62.75"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3652092","RITE AID PHARMACY 02413"]
["21865M","0010153595E              ","MBRP00000430834","000001167419","2021-04-03","29300014801","QUETIAPINE FUM TABS 50.000",30,30,{"v":7,"d":"$7.00"},{"v":0.59,"d":"$0.59"},{"v":7.59,"d":"$7.59"},{"v":2.59,"d":"$2.59"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010153595E              ","MBRP00000430834","000001167419","2021-04-03","29300014801","QUETIAPINE FUM TABS 50.000",-30,30,{"v":-7,"d":"-$7.00"},{"v":-0.59,"d":"-$0.59"},{"v":-7.59,"d":"-$7.59"},{"v":-2.59,"d":"-$2.59"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010153595E              ","MBRP00000430834","000001167419","2021-04-03","29300014801","QUETIAPINE FUM TABS 50.000",30,30,{"v":7,"d":"$7.00"},{"v":0.59,"d":"$0.59"},{"v":7.59,"d":"$7.59"},{"v":2.59,"d":"$2.59"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010084126E              ","MBRP00000301080","000007237724","2021-04-03","50742061710","METOPROLOL SUC TB24 100.000",90,90,{"v":53.36,"d":"$53.36"},{"v":0,"d":"$0.00"},{"v":53.36,"d":"$53.36"},{"v":38.36,"d":"$38.36"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","0010084126E              ","MBRP00000301080","000007237724","2021-04-03","50742061710","METOPROLOL SUC TB24 100.000",-90,90,{"v":-53.36,"d":"-$53.36"},{"v":0,"d":"$0.00"},{"v":-53.36,"d":"-$53.36"},{"v":-38.36,"d":"-$38.36"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","0010153600E              ","MBRP00000431004","000007296533","2021-04-03","50111056102","TRAZODONE HYDR TABS 100.000",30,30,{"v":5.83,"d":"$5.83"},{"v":0.59,"d":"$0.59"},{"v":6.42,"d":"$6.42"},{"v":1.42,"d":"$1.42"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3666356","GIANT EAGLE PHARMACY #1620 1620"]
["21865M","0010153600E              ","MBRP00000431004","000007296533","2021-04-03","50111056102","TRAZODONE HYDR TABS 100.000",30,30,{"v":5.83,"d":"$5.83"},{"v":0.59,"d":"$0.59"},{"v":6.42,"d":"$6.42"},{"v":1.42,"d":"$1.42"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3666356","GIANT EAGLE PHARMACY #1620 1620"]
["21865M","0010153600E              ","MBRP00000431004","000007296533","2021-04-03","50111056102","TRAZODONE HYDR TABS 100.000",-30,30,{"v":-5.83,"d":"-$5.83"},{"v":-0.59,"d":"-$0.59"},{"v":-6.42,"d":"-$6.42"},{"v":-1.42,"d":"-$1.42"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3666356","GIANT EAGLE PHARMACY #1620 1620"]
["21865M","0010084332E              ","MBRP00000422117","000002495689","2021-04-03","00078069620","ENTRESTO TABS 0.000",60,30,{"v":572.45,"d":"$572.45"},{"v":0.59,"d":"$0.59"},{"v":573.04,"d":"$573.04"},{"v":553.04,"d":"$553.04"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010084332E              ","MBRP00000422117","000002495689","2021-04-03","00078069620","ENTRESTO TABS 0.000",-60,30,{"v":-572.45,"d":"-$572.45"},{"v":-0.59,"d":"-$0.59"},{"v":-573.04,"d":"-$573.04"},{"v":-553.04,"d":"-$553.04"},{"v":-20,"d":"-$20.00"},"B","N",0,0,1,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010084332E              ","MBRP00000422117","000002495689","2021-04-03","00078069620","ENTRESTO TABS 0.000",60,30,{"v":572.45,"d":"$572.45"},{"v":0.59,"d":"$0.59"},{"v":573.04,"d":"$573.04"},{"v":553.04,"d":"$553.04"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010084332E              ","MBRP00000422117","000002495689","2021-04-03","00078069620","ENTRESTO TABS 0.000",-60,30,{"v":-572.45,"d":"-$572.45"},{"v":-0.59,"d":"-$0.59"},{"v":-573.04,"d":"-$573.04"},{"v":-553.04,"d":"-$553.04"},{"v":-20,"d":"-$20.00"},"B","N",0,0,1,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010084332E              ","MBRP00000422117","000002581219","2021-04-03","00078069620","ENTRESTO TABS 0.000",60,30,{"v":572.45,"d":"$572.45"},{"v":0.59,"d":"$0.59"},{"v":573.04,"d":"$573.04"},{"v":553.04,"d":"$553.04"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010153600E              ","MBRP00000431004","000007298125","2021-04-03","65862086001","FAMOTIDINE TABS 40.000",-30,30,{"v":-4.45,"d":"-$4.45"},{"v":-0.59,"d":"-$0.59"},{"v":-5.04,"d":"-$5.04"},{"v":-0.04,"d":"-$0.04"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3666356","GIANT EAGLE PHARMACY #1620 1620"]
["21865M","0010153600E              ","MBRP00000431004","000007298125","2021-04-03","65862086001","FAMOTIDINE TABS 40.000",30,30,{"v":4.45,"d":"$4.45"},{"v":0.59,"d":"$0.59"},{"v":5.04,"d":"$5.04"},{"v":0.04,"d":"$0.04"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3666356","GIANT EAGLE PHARMACY #1620 1620"]
["21865M","0010153600E              ","MBRP00000431004","000007298125","2021-04-03","65862086001","FAMOTIDINE TABS 40.000",30,30,{"v":4.45,"d":"$4.45"},{"v":0.59,"d":"$0.59"},{"v":5.04,"d":"$5.04"},{"v":0.04,"d":"$0.04"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3666356","GIANT EAGLE PHARMACY #1620 1620"]
["21865M","0010080372E              ","MBRP00000417961","000001035117","2021-04-03","67877019805","AMLODIPINE BES TABS 5.000",30,30,{"v":1.05,"d":"$1.05"},{"v":0.59,"d":"$0.59"},{"v":1.64,"d":"$1.64"},{"v":0,"d":"$0.00"},{"v":1.64,"d":"$1.64"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010153595E              ","MBRP00000430834","000001177848","2021-04-03","51672413204","LAMOTRIGINE TABS 150.000",30,30,{"v":3.1,"d":"$3.10"},{"v":0.59,"d":"$0.59"},{"v":3.69,"d":"$3.69"},{"v":0,"d":"$0.00"},{"v":3.69,"d":"$3.69"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010153595E              ","MBRP00000430834","000001177848","2021-04-03","51672413204","LAMOTRIGINE TABS 150.000",-30,30,{"v":-3.1,"d":"-$3.10"},{"v":-0.59,"d":"-$0.59"},{"v":-3.69,"d":"-$3.69"},{"v":0,"d":"$0.00"},{"v":-3.69,"d":"-$3.69"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010153595E              ","MBRP00000430834","000001177848","2021-04-03","51672413204","LAMOTRIGINE TABS 150.000",30,30,{"v":3.1,"d":"$3.10"},{"v":0.59,"d":"$0.59"},{"v":3.69,"d":"$3.69"},{"v":0,"d":"$0.00"},{"v":3.69,"d":"$3.69"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010153617E              ","MBRP00000430971","000000793369","2021-04-03","59746027901","ESCITALOPRAM O TABS 5.000",30,30,{"v":5.36,"d":"$5.36"},{"v":0.59,"d":"$0.59"},{"v":5.95,"d":"$5.95"},{"v":0.95,"d":"$0.95"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010153617E              ","MBRP00000430971","000000793369","2021-04-03","59746027901","ESCITALOPRAM O TABS 5.000",-30,30,{"v":-5.36,"d":"-$5.36"},{"v":-0.59,"d":"-$0.59"},{"v":-5.95,"d":"-$5.95"},{"v":-0.95,"d":"-$0.95"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010122707E              ","MBRP00000429093","000000693796","2021-04-03","68180063609","ATORVASTATIN C TABS 20.000",30,30,{"v":2.93,"d":"$2.93"},{"v":0.59,"d":"$0.59"},{"v":3.52,"d":"$3.52"},{"v":0,"d":"$0.00"},{"v":3.52,"d":"$3.52"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010084150E              ","MBRP00000424864","000009311132","2021-04-03","60505258008","ATORVASTATIN C TABS 40.000",30,30,{"v":11.75,"d":"$11.75"},{"v":0.5,"d":"$0.50"},{"v":12.25,"d":"$12.25"},{"v":7.25,"d":"$7.25"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010153595E              ","MBRP00000430834","000001177847","2021-04-03","16729017001","ESCITALOPRAM O TABS 20.000",30,30,{"v":6.89,"d":"$6.89"},{"v":0.59,"d":"$0.59"},{"v":7.48,"d":"$7.48"},{"v":2.48,"d":"$2.48"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010153595E              ","MBRP00000430834","000001177847","2021-04-03","16729017001","ESCITALOPRAM O TABS 20.000",-30,30,{"v":-6.89,"d":"-$6.89"},{"v":-0.59,"d":"-$0.59"},{"v":-7.48,"d":"-$7.48"},{"v":-2.48,"d":"-$2.48"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010153595E              ","MBRP00000430834","000001177847","2021-04-03","16729017001","ESCITALOPRAM O TABS 20.000",30,30,{"v":6.89,"d":"$6.89"},{"v":0.59,"d":"$0.59"},{"v":7.48,"d":"$7.48"},{"v":2.48,"d":"$2.48"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010061934E              ","MBRP00000424838","000001304378","2021-04-03","00085433301","ASMANEX HFA AERO 100.000",13,60,{"v":187.93,"d":"$187.93"},{"v":0.59,"d":"$0.59"},{"v":188.52,"d":"$188.52"},{"v":128.52,"d":"$128.52"},{"v":60,"d":"$60.00"},"B","N",0,0,1,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010152644E              ","MBRP00000429441","000006717983","2021-04-03","00169255013","TRESIBA FLEXTO SOPN 200.000",36,60,{"v":2396.7,"d":"$2,396.70"},{"v":0.59,"d":"$0.59"},{"v":2397.29,"d":"$2,397.29"},{"v":2337.29,"d":"$2,337.29"},{"v":60,"d":"$60.00"},"B","N",0,0,1,"R","3674151","GIANT EAGLE PHARMACY #4152 4152"]
["21865M","0010137645E              ","MBRP00000417987","000008874037","2021-04-03","00185084201","AMPHETAMINE/DE TABS 0.000",60,30,{"v":39.93,"d":"$39.93"},{"v":0.59,"d":"$0.59"},{"v":40.52,"d":"$40.52"},{"v":35.52,"d":"$35.52"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3673793","CVS PHARMACY #17136 17136"]
["21865M","0010084177E              ","MBRP00000417817","000001236186","2021-04-03","00228285011","GUANFACINE ER TB24 1.000",-60,30,{"v":-88.06,"d":"-$88.06"},{"v":-0.59,"d":"-$0.59"},{"v":-88.65,"d":"-$88.65"},{"v":-83.65,"d":"-$83.65"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3666320","WALGREENS #4983 4983"]
["21865M","0010084177E              ","MBRP00000417817","000001236186","2021-04-03","00228285011","GUANFACINE ER TB24 1.000",60,30,{"v":88.06,"d":"$88.06"},{"v":0.59,"d":"$0.59"},{"v":88.65,"d":"$88.65"},{"v":83.65,"d":"$83.65"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3666320","WALGREENS #4983 4983"]
["21865M","0010084177E              ","MBRP00000417817","000001236186","2021-04-03","00228285011","GUANFACINE ER TB24 1.000",60,30,{"v":88.06,"d":"$88.06"},{"v":0.59,"d":"$0.59"},{"v":88.65,"d":"$88.65"},{"v":83.65,"d":"$83.65"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3666320","WALGREENS #4983 4983"]
["21865M","0010084079E              ","MBRP00000422443","000001381081","2021-04-03","00406831501","MORPHINE SULFA TBCR 15.000",60,30,{"v":20.01,"d":"$20.01"},{"v":0.59,"d":"$0.59"},{"v":20.6,"d":"$20.60"},{"v":15.6,"d":"$15.60"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652662","RITE AID PHARMACY 02456"]
["21865M","0010084079E              ","MBRP00000422443","000001381081","2021-04-03","00406831501","MORPHINE SULFA TBCR 15.000",-60,30,{"v":-20.01,"d":"-$20.01"},{"v":-0.59,"d":"-$0.59"},{"v":-20.6,"d":"-$20.60"},{"v":-15.6,"d":"-$15.60"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3652662","RITE AID PHARMACY 02456"]
["21865M","0010084079E              ","MBRP00000422443","000001381081","2021-04-03","00406831501","MORPHINE SULFA TBCR 15.000",60,30,{"v":20.01,"d":"$20.01"},{"v":0.59,"d":"$0.59"},{"v":20.6,"d":"$20.60"},{"v":15.6,"d":"$15.60"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652662","RITE AID PHARMACY 02456"]
["21865M","0010084332E              ","MBRP00000422117","000002568694","2021-04-03","70748013306","SILDENAFIL CIT TABS 100.000",6,30,{"v":3.92,"d":"$3.92"},{"v":0.59,"d":"$0.59"},{"v":4.51,"d":"$4.51"},{"v":0,"d":"$0.00"},{"v":4.51,"d":"$4.51"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010084267E              ","MBRP00000417864","000006748437","2021-04-03","68462056529","NORGESTIMATE/E TABS 0.000",28,28,{"v":21.14,"d":"$21.14"},{"v":0.59,"d":"$0.59"},{"v":21.73,"d":"$21.73"},{"v":21.73,"d":"$21.73"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010143968E              ","MBRP00000440051","000006723995","2021-04-03","68382003610","VENLAFAXINE HC CP24 150.000",30,30,{"v":24.53,"d":"$24.53"},{"v":0.59,"d":"$0.59"},{"v":25.12,"d":"$25.12"},{"v":20.12,"d":"$20.12"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3669124","GIANT EAGLE PHARMACY #4034 4034"]
["21865M","0010144048E              ","MBRP00000429266","000001496866","2021-04-03","64764072030","TRINTELLIX TABS 5.000",30,30,{"v":415.41,"d":"$415.41"},{"v":0.59,"d":"$0.59"},{"v":416,"d":"$416.00"},{"v":381,"d":"$381.00"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010114615E              ","MBRP00000440322","000006831714","2021-04-03","65862001305","SERTRALINE HYD TABS 100.000",-60,30,{"v":-6.27,"d":"-$6.27"},{"v":-0.59,"d":"-$0.59"},{"v":-6.86,"d":"-$6.86"},{"v":-1.86,"d":"-$1.86"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3669112","GIANT EAGLE PHARMACY #1618 1618"]
["21865M","0010114615E              ","MBRP00000440322","000006831714","2021-04-03","65862001305","SERTRALINE HYD TABS 100.000",60,30,{"v":6.27,"d":"$6.27"},{"v":0.59,"d":"$0.59"},{"v":6.86,"d":"$6.86"},{"v":1.86,"d":"$1.86"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3669112","GIANT EAGLE PHARMACY #1618 1618"]
["21865M","0010114615E              ","MBRP00000440322","000006831714","2021-04-03","65862001305","SERTRALINE HYD TABS 100.000",60,30,{"v":6.27,"d":"$6.27"},{"v":0.59,"d":"$0.59"},{"v":6.86,"d":"$6.86"},{"v":1.86,"d":"$1.86"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3669112","GIANT EAGLE PHARMACY #1618 1618"]
["21865M","0010153600E              ","MBRP00000431004","000007296534","2021-04-03","65862037405","ESCITALOPRAM O TABS 10.000",-30,30,{"v":-4.71,"d":"-$4.71"},{"v":-0.59,"d":"-$0.59"},{"v":-5.3,"d":"-$5.30"},{"v":-0.3,"d":"-$0.30"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3666356","GIANT EAGLE PHARMACY #1620 1620"]
["21865M","0010153600E              ","MBRP00000431004","000007296534","2021-04-03","65862037405","ESCITALOPRAM O TABS 10.000",30,30,{"v":4.71,"d":"$4.71"},{"v":0.59,"d":"$0.59"},{"v":5.3,"d":"$5.30"},{"v":0.3,"d":"$0.30"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3666356","GIANT EAGLE PHARMACY #1620 1620"]
["21865M","0010153600E              ","MBRP00000431004","000007296534","2021-04-03","65862037405","ESCITALOPRAM O TABS 10.000",30,30,{"v":4.71,"d":"$4.71"},{"v":0.59,"d":"$0.59"},{"v":5.3,"d":"$5.30"},{"v":0.3,"d":"$0.30"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3666356","GIANT EAGLE PHARMACY #1620 1620"]
["21865M","0010153601E              ","MBRP00000430974","000001058058","2021-04-03","16729013716","CLONAZEPAM TABS 1.000",16,8,{"v":1.06,"d":"$1.06"},{"v":0.59,"d":"$0.59"},{"v":1.65,"d":"$1.65"},{"v":0,"d":"$0.00"},{"v":1.65,"d":"$1.65"},"G","N",0,0,0,"R","3659488","DISCOUNT DRUG MART 46"]
["21865M","0010153601E              ","MBRP00000430974","000001058058","2021-04-03","16729013716","CLONAZEPAM TABS 1.000",16,8,{"v":1.06,"d":"$1.06"},{"v":0.59,"d":"$0.59"},{"v":1.65,"d":"$1.65"},{"v":0,"d":"$0.00"},{"v":1.65,"d":"$1.65"},"G","N",0,0,0,"R","3659488","DISCOUNT DRUG MART 46"]
["21865M","0010153601E              ","MBRP00000430974","000001058058","2021-04-03","16729013716","CLONAZEPAM TABS 1.000",-16,8,{"v":-1.06,"d":"-$1.06"},{"v":-0.59,"d":"-$0.59"},{"v":-1.65,"d":"-$1.65"},{"v":0,"d":"$0.00"},{"v":-1.65,"d":"-$1.65"},"G","N",0,0,0,"R","3659488","DISCOUNT DRUG MART 46"]
["21865M","0010084337E              ","MBRP00000440307","000001170252","2021-04-03","68382039801","POTASSIUM CHLO TBCR 20.000",60,30,{"v":25.44,"d":"$25.44"},{"v":0.59,"d":"$0.59"},{"v":26.03,"d":"$26.03"},{"v":21.03,"d":"$21.03"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010114653E              ","MBRP00000429113","000006235757","2021-04-03","68382014005","TOPIRAMATE TABS 100.000",180,90,{"v":34.62,"d":"$34.62"},{"v":0,"d":"$0.00"},{"v":34.62,"d":"$34.62"},{"v":19.62,"d":"$19.62"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010153617E              ","MBRP00000430971","000000805768","2021-04-03","69097084705","ESCITALOPRAM O TABS 5.000",30,30,{"v":5.36,"d":"$5.36"},{"v":0.59,"d":"$0.59"},{"v":5.95,"d":"$5.95"},{"v":0.95,"d":"$0.95"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010153617E              ","MBRP00000430971","000000805768","2021-04-03","69097084705","ESCITALOPRAM O TABS 5.000",-30,30,{"v":-5.36,"d":"-$5.36"},{"v":-0.59,"d":"-$0.59"},{"v":-5.95,"d":"-$5.95"},{"v":-0.95,"d":"-$0.95"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010153617E              ","MBRP00000430971","000000805768","2021-04-03","69097084705","ESCITALOPRAM O TABS 5.000",30,30,{"v":5.36,"d":"$5.36"},{"v":0.59,"d":"$0.59"},{"v":5.95,"d":"$5.95"},{"v":0.95,"d":"$0.95"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010120894E              ","MBRP00000429186","000004021018","2021-04-03","69238131209","PREGABALIN CAPS 75.000",90,30,{"v":16.85,"d":"$16.85"},{"v":0.59,"d":"$0.59"},{"v":17.44,"d":"$17.44"},{"v":12.44,"d":"$12.44"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010120789E              ","MBRP00000417813","000001166661","2021-04-03","23155005101","NYSTATIN TABS 500000.000",-180,90,{"v":-163.79,"d":"-$163.79"},{"v":0,"d":"$0.00"},{"v":-163.79,"d":"-$163.79"},{"v":-148.79,"d":"-$148.79"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3651886","RITE AID PHARMACY 02393"]
["21865M","0010120789E              ","MBRP00000417813","000001166661","2021-04-03","23155005101","NYSTATIN TABS 500000.000",180,90,{"v":163.79,"d":"$163.79"},{"v":0,"d":"$0.00"},{"v":163.79,"d":"$163.79"},{"v":148.79,"d":"$148.79"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3651886","RITE AID PHARMACY 02393"]
["21865M","0010120789E              ","MBRP00000417813","000001166661","2021-04-03","23155005101","NYSTATIN TABS 500000.000",180,90,{"v":163.79,"d":"$163.79"},{"v":0,"d":"$0.00"},{"v":163.79,"d":"$163.79"},{"v":148.79,"d":"$148.79"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3651886","RITE AID PHARMACY 02393"]
["21865M","0010147361E              ","MBRP00000294787","000001381258","2021-04-03","31722082730","ARIPIPRAZOLE TABS 10.000",90,90,{"v":86.64,"d":"$86.64"},{"v":0,"d":"$0.00"},{"v":86.64,"d":"$86.64"},{"v":71.64,"d":"$71.64"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3652662","RITE AID PHARMACY 02456"]
["21865M","0010147361E              ","MBRP00000294787","000001381258","2021-04-03","31722082730","ARIPIPRAZOLE TABS 10.000",-90,90,{"v":-86.64,"d":"-$86.64"},{"v":0,"d":"$0.00"},{"v":-86.64,"d":"-$86.64"},{"v":-71.64,"d":"-$71.64"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3652662","RITE AID PHARMACY 02456"]
["21865M","AC00110021200","MBRP00000460279","000007249836","2021-04-03","42806054701","VITAMIN D CAPS 1.250",4,57,{"v":4.1,"d":"$4.10"},{"v":0.59,"d":"$0.59"},{"v":4.69,"d":"$4.69"},{"v":0,"d":"$0.00"},{"v":4.69,"d":"$4.69"},"G","N",0,0,0,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","0010153651E              ","MBRP00000431045","000007257611","2021-04-04","00116200116","CHLORHEXIDINE  SOLN 0.120",-473,15,{"v":-4.05,"d":"-$4.05"},{"v":-0.59,"d":"-$0.59"},{"v":-4.64,"d":"-$4.64"},{"v":0,"d":"$0.00"},{"v":-4.64,"d":"-$4.64"},"G","N",0,0,0,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","0010153651E              ","MBRP00000431045","000007257611","2021-04-04","00116200116","CHLORHEXIDINE  SOLN 0.120",473,15,{"v":4.05,"d":"$4.05"},{"v":0.59,"d":"$0.59"},{"v":4.64,"d":"$4.64"},{"v":0,"d":"$0.00"},{"v":4.64,"d":"$4.64"},"G","N",0,0,0,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","0010153651E              ","MBRP00000431045","000007257611","2021-04-04","00116200116","CHLORHEXIDINE  SOLN 0.120",473,15,{"v":4.05,"d":"$4.05"},{"v":0.59,"d":"$0.59"},{"v":4.64,"d":"$4.64"},{"v":0,"d":"$0.00"},{"v":4.64,"d":"$4.64"},"G","N",0,0,0,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","0010059329E              ","MBRP00000429025","000000710695","2021-04-04","33342006310","VALSARTAN TABS 80.000",90,90,{"v":56.07,"d":"$56.07"},{"v":0,"d":"$0.00"},{"v":56.07,"d":"$56.07"},{"v":41.07,"d":"$41.07"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010129915E              ","MBRP00000424935","000001662735","2021-04-04","45963067711","METOPROLOL SUC TB24 100.000",18,18,{"v":10.67,"d":"$10.67"},{"v":0.59,"d":"$0.59"},{"v":11.26,"d":"$11.26"},{"v":8.62,"d":"$8.62"},{"v":2.64,"d":"$2.64"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010137212E              ","MBRP00000436704","000006316343","2021-04-04","59676058015","JANSSEN COVID- SUSP 0.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0.01,"d":"$0.01"},{"v":0.01,"d":"$0.01"},{"v":0,"d":"$0.00"},{"v":0.01,"d":"$0.01"},"B","N",0,0,9,"R","3660897","BREWSTER FAMILY PHARMACY"]
["21865M","0010148121E              ","MBRP00000368640","000001502020","2021-04-04","13811070710","METHYLPHENIDAT TBCR 27.000",-30,30,{"v":-89.65,"d":"-$89.65"},{"v":-0.59,"d":"-$0.59"},{"v":-90.24,"d":"-$90.24"},{"v":-85.24,"d":"-$85.24"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010148121E              ","MBRP00000368640","000001502020","2021-04-04","13811070710","METHYLPHENIDAT TBCR 27.000",30,30,{"v":89.65,"d":"$89.65"},{"v":0.59,"d":"$0.59"},{"v":90.24,"d":"$90.24"},{"v":85.24,"d":"$85.24"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010148121E              ","MBRP00000368640","000001502020","2021-04-04","13811070710","METHYLPHENIDAT TBCR 27.000",30,30,{"v":89.65,"d":"$89.65"},{"v":0.59,"d":"$0.59"},{"v":90.24,"d":"$90.24"},{"v":85.24,"d":"$85.24"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010059329E              ","MBRP00000429025","000000710695","2021-04-04","00378581377","VALSARTAN TABS 80.000",-90,90,{"v":-56.07,"d":"-$56.07"},{"v":0,"d":"$0.00"},{"v":-56.07,"d":"-$56.07"},{"v":-41.07,"d":"-$41.07"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010059329E              ","MBRP00000429025","000000710695","2021-04-04","00378581377","VALSARTAN TABS 80.000",90,90,{"v":56.07,"d":"$56.07"},{"v":0,"d":"$0.00"},{"v":56.07,"d":"$56.07"},{"v":41.07,"d":"$41.07"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010061932E              ","MBRP00000418049","000000717679","2021-04-04","69097012303","TOPIRAMATE TABS 50.000",180,60,{"v":18.86,"d":"$18.86"},{"v":0.59,"d":"$0.59"},{"v":19.45,"d":"$19.45"},{"v":4.45,"d":"$4.45"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3679668","CVS PHARMACY #02385 02385"]
["21865M","0010061932E              ","MBRP00000418049","000000717679","2021-04-04","69097012303","TOPIRAMATE TABS 50.000",-180,60,{"v":-18.86,"d":"-$18.86"},{"v":-0.59,"d":"-$0.59"},{"v":-19.45,"d":"-$19.45"},{"v":-4.45,"d":"-$4.45"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3679668","CVS PHARMACY #02385 02385"]
["21865M","0010147361E              ","MBRP00000294787","000001359815","2021-04-04","65862069790","VENLAFAXINE HC CP24 150.000",30,30,{"v":24.53,"d":"$24.53"},{"v":0.59,"d":"$0.59"},{"v":25.12,"d":"$25.12"},{"v":20.12,"d":"$20.12"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652662","RITE AID PHARMACY 02456"]
["21865M","0010126520E              ","MBRP00000440102","000001257797","2021-04-04","68382009810","PAROXETINE HYD TABS 20.000",30,30,{"v":3.59,"d":"$3.59"},{"v":0.59,"d":"$0.59"},{"v":4.18,"d":"$4.18"},{"v":0,"d":"$0.00"},{"v":4.18,"d":"$4.18"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010136435E              ","MBRP00000429171","000001464877","2021-04-04","50742024890","DILTIAZEM HYDR CP24 120.000",90,90,{"v":78.68,"d":"$78.68"},{"v":0,"d":"$0.00"},{"v":78.68,"d":"$78.68"},{"v":63.68,"d":"$63.68"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010006057E              ","MBRP00000424868","000001440216","2021-04-04","68462062652","AZELAIC ACID GEL  15.000",50,30,{"v":181.96,"d":"$181.96"},{"v":0.59,"d":"$0.59"},{"v":182.55,"d":"$182.55"},{"v":177.55,"d":"$177.55"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010084145E              ","MBRP00000422284","000303234871","2021-04-04","69238183407","LEVOTHYROXINE  TABS 100.000",90,90,{"v":38.01,"d":"$38.01"},{"v":0,"d":"$0.00"},{"v":38.01,"d":"$38.01"},{"v":28.01,"d":"$28.01"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010006063E              ","MBRP00000424780","000009311895","2021-04-04","80777027310","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0.01,"d":"$0.01"},{"v":0.01,"d":"$0.01"},{"v":0,"d":"$0.00"},{"v":0.01,"d":"$0.01"},"B","N",0,0,9,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010006063E              ","MBRP00000424780","000009311895","2021-04-04","80777027310","MODERNA COVID- SUSP 100.000",-0.5,1,{"v":0,"d":"$0.00"},{"v":-0.01,"d":"-$0.01"},{"v":-0.01,"d":"-$0.01"},{"v":0,"d":"$0.00"},{"v":-0.01,"d":"-$0.01"},"B","N",0,0,9,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010006063E              ","MBRP00000424780","000009311895","2021-04-04","80777027310","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0.01,"d":"$0.01"},{"v":0.01,"d":"$0.01"},{"v":0,"d":"$0.00"},{"v":0.01,"d":"$0.01"},"B","N",0,0,9,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010006063E              ","MBRP00000424780","000009311895","2021-04-04","80777027310","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":16.94,"d":"$16.94"},{"v":16.94,"d":"$16.94"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010006063E              ","MBRP00000424780","000009311895","2021-04-04","80777027310","MODERNA COVID- SUSP 100.000",-0.5,1,{"v":0,"d":"$0.00"},{"v":-0.01,"d":"-$0.01"},{"v":-0.01,"d":"-$0.01"},{"v":0,"d":"$0.00"},{"v":-0.01,"d":"-$0.01"},"B","N",0,0,9,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010005888E              ","MBRP00000417812","000001978439","2021-04-04","80777027310","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":16.94,"d":"$16.94"},{"v":16.94,"d":"$16.94"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3660075","WALGREENS #3279 3279"]
["21865M","0010084283E              ","MBRP00000424809","000000878861","2021-04-04","51224022060","METFORMIN HYDR TABS 1000.000",-60,30,{"v":-3.95,"d":"-$3.95"},{"v":-0.59,"d":"-$0.59"},{"v":-4.54,"d":"-$4.54"},{"v":0,"d":"$0.00"},{"v":-4.54,"d":"-$4.54"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010084283E              ","MBRP00000424809","000000878861","2021-04-04","51224022060","METFORMIN HYDR TABS 1000.000",60,30,{"v":3.95,"d":"$3.95"},{"v":0.59,"d":"$0.59"},{"v":4.54,"d":"$4.54"},{"v":0,"d":"$0.00"},{"v":4.54,"d":"$4.54"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010084283E              ","MBRP00000424809","000000878861","2021-04-04","51224022060","METFORMIN HYDR TABS 1000.000",60,30,{"v":3.95,"d":"$3.95"},{"v":0.59,"d":"$0.59"},{"v":4.54,"d":"$4.54"},{"v":0,"d":"$0.00"},{"v":4.54,"d":"$4.54"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010136435E              ","MBRP00000429171","000001464876","2021-04-04","31722070290","LOSARTAN POTAS TABS 100.000",90,90,{"v":7.65,"d":"$7.65"},{"v":0,"d":"$0.00"},{"v":7.65,"d":"$7.65"},{"v":0,"d":"$0.00"},{"v":7.65,"d":"$7.65"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010136435E              ","MBRP00000429171","000001464876","2021-04-04","31722070290","LOSARTAN POTAS TABS 100.000",-90,90,{"v":-7.65,"d":"-$7.65"},{"v":0,"d":"$0.00"},{"v":-7.65,"d":"-$7.65"},{"v":0,"d":"$0.00"},{"v":-7.65,"d":"-$7.65"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010149522E              ","MBRP00000429110","000006800596","2021-04-04","62175061746","PANTOPRAZOLE S TBEC 40.000",90,90,{"v":9.32,"d":"$9.32"},{"v":0,"d":"$0.00"},{"v":9.32,"d":"$9.32"},{"v":0,"d":"$0.00"},{"v":9.32,"d":"$9.32"},"G","N",0,0,0,"R","3656444","MARCS 27"]
["21865M","0010149522E              ","MBRP00000429110","000006800596","2021-04-04","62175061746","PANTOPRAZOLE S TBEC 40.000",-90,90,{"v":-9.32,"d":"-$9.32"},{"v":0,"d":"$0.00"},{"v":-9.32,"d":"-$9.32"},{"v":0,"d":"$0.00"},{"v":-9.32,"d":"-$9.32"},"G","N",0,0,0,"R","3656444","MARCS 27"]
["21865M","0010084270E              ","MBRP00000422365","000000788176","2021-04-04","65862020299","LOSARTAN POTAS TABS 50.000",30,15,{"v":1.89,"d":"$1.89"},{"v":0.59,"d":"$0.59"},{"v":2.48,"d":"$2.48"},{"v":0,"d":"$0.00"},{"v":2.48,"d":"$2.48"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010144054E              ","MBRP00000422196","000000788999","2021-04-04","00378427577","VALACYCLOVIR H TABS 500.000",30,30,{"v":34.55,"d":"$34.55"},{"v":0.59,"d":"$0.59"},{"v":35.14,"d":"$35.14"},{"v":30.14,"d":"$30.14"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010144054E              ","MBRP00000422196","000000788999","2021-04-04","00378427577","VALACYCLOVIR H TABS 500.000",30,30,{"v":34.55,"d":"$34.55"},{"v":0.59,"d":"$0.59"},{"v":35.14,"d":"$35.14"},{"v":30.14,"d":"$30.14"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010144054E              ","MBRP00000422196","000000788999","2021-04-04","00378427577","VALACYCLOVIR H TABS 500.000",-30,30,{"v":-34.55,"d":"-$34.55"},{"v":-0.59,"d":"-$0.59"},{"v":-35.14,"d":"-$35.14"},{"v":-30.14,"d":"-$30.14"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010084328E              ","MBRP00000418119","000000541649","2021-04-04","00597015337","JARDIANCE TABS 25.000",90,90,{"v":1550.18,"d":"$1,550.18"},{"v":0,"d":"$0.00"},{"v":1550.18,"d":"$1,550.18"},{"v":1490.18,"d":"$1,490.18"},{"v":60,"d":"$60.00"},"B","N",0,0,1,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010084328E              ","MBRP00000418119","000000541649","2021-04-04","00597015337","JARDIANCE TABS 25.000",-90,90,{"v":-1550.18,"d":"-$1,550.18"},{"v":0,"d":"$0.00"},{"v":-1550.18,"d":"-$1,550.18"},{"v":-1490.18,"d":"-$1,490.18"},{"v":-60,"d":"-$60.00"},"B","N",0,0,1,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010084060E              ","MBRP00000422436","000001653549","2021-04-04","00555901858","TRI-SPRINTEC TABS 0.000",28,28,{"v":21.14,"d":"$21.14"},{"v":0.59,"d":"$0.59"},{"v":21.73,"d":"$21.73"},{"v":21.73,"d":"$21.73"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010084126E              ","MBRP00000301080","000007237724","2021-04-04","50742061710","METOPROLOL SUC TB24 100.000",90,90,{"v":53.36,"d":"$53.36"},{"v":0,"d":"$0.00"},{"v":53.36,"d":"$53.36"},{"v":38.36,"d":"$38.36"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","0010092580E              ","MBRP00000424961","000001464962","2021-04-05","72647033104","METHYLPREDNISO TBPK 4.000",21,6,{"v":8.57,"d":"$8.57"},{"v":0.59,"d":"$0.59"},{"v":9.16,"d":"$9.16"},{"v":4.16,"d":"$4.16"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","AC00109765000","MBRP00000417857","000007313260","2021-04-05","67877024910","QUETIAPINE FUM TABS 50.000",30,30,{"v":7,"d":"$7.00"},{"v":0.59,"d":"$0.59"},{"v":7.59,"d":"$7.59"},{"v":2.59,"d":"$2.59"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3678313","GIANT EAGLE PHARMACY #4601 4601"]
["21865M","AC00109765000","MBRP00000417857","000007313260","2021-04-05","67877024910","QUETIAPINE FUM TABS 50.000",30,30,{"v":7,"d":"$7.00"},{"v":0.59,"d":"$0.59"},{"v":7.59,"d":"$7.59"},{"v":2.59,"d":"$2.59"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3678313","GIANT EAGLE PHARMACY #4601 4601"]
["21865M","AC00109765000","MBRP00000417857","000007313260","2021-04-05","67877024910","QUETIAPINE FUM TABS 50.000",-30,30,{"v":-7,"d":"-$7.00"},{"v":-0.59,"d":"-$0.59"},{"v":-7.59,"d":"-$7.59"},{"v":-2.59,"d":"-$2.59"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3678313","GIANT EAGLE PHARMACY #4601 4601"]
["21865M","0010006070E              ","MBRP00000417887","000000570112","2021-04-05","67877019810","AMLODIPINE BES TABS 5.000",-30,30,{"v":-1,"d":"-$1.00"},{"v":-0.5,"d":"-$0.50"},{"v":-1.5,"d":"-$1.50"},{"v":0,"d":"$0.00"},{"v":-1.5,"d":"-$1.50"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","0010006070E              ","MBRP00000417887","000000570112","2021-04-05","67877019810","AMLODIPINE BES TABS 5.000",30,30,{"v":1,"d":"$1.00"},{"v":0.5,"d":"$0.50"},{"v":1.5,"d":"$1.50"},{"v":0,"d":"$0.00"},{"v":1.5,"d":"$1.50"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","0010006070E              ","MBRP00000417887","000000570112","2021-04-05","67877019810","AMLODIPINE BES TABS 5.000",30,30,{"v":1,"d":"$1.00"},{"v":0.5,"d":"$0.50"},{"v":1.5,"d":"$1.50"},{"v":0,"d":"$0.00"},{"v":1.5,"d":"$1.50"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","0010092584E              ","MBRP00000440290","000001290044","2021-04-05","64380071206","BENZONATATE CAPS 100.000",45,7,{"v":6.82,"d":"$6.82"},{"v":0.59,"d":"$0.59"},{"v":7.41,"d":"$7.41"},{"v":2.41,"d":"$2.41"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010092584E              ","MBRP00000440290","000001290044","2021-04-05","64380071206","BENZONATATE CAPS 100.000",45,7,{"v":6.82,"d":"$6.82"},{"v":0.59,"d":"$0.59"},{"v":7.41,"d":"$7.41"},{"v":2.41,"d":"$2.41"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010092584E              ","MBRP00000440290","000001290044","2021-04-05","64380071206","BENZONATATE CAPS 100.000",-45,7,{"v":-6.82,"d":"-$6.82"},{"v":-0.59,"d":"-$0.59"},{"v":-7.41,"d":"-$7.41"},{"v":-2.41,"d":"-$2.41"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010092584E              ","MBRP00000440290","000001290044","2021-04-05","64380071206","BENZONATATE CAPS 100.000",-45,7,{"v":-6.82,"d":"-$6.82"},{"v":-0.59,"d":"-$0.59"},{"v":-7.41,"d":"-$7.41"},{"v":-2.41,"d":"-$2.41"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010153361E              ","MBRP00000440343","000303465487","2021-04-05","60505257908","ATORVASTATIN C TABS 20.000",90,90,{"v":8.79,"d":"$8.79"},{"v":0,"d":"$0.00"},{"v":8.79,"d":"$8.79"},{"v":0,"d":"$0.00"},{"v":8.79,"d":"$8.79"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010153361E              ","MBRP00000440343","000303465487","2021-04-05","60505257908","ATORVASTATIN C TABS 20.000",90,90,{"v":8.79,"d":"$8.79"},{"v":0,"d":"$0.00"},{"v":8.79,"d":"$8.79"},{"v":0,"d":"$0.00"},{"v":8.79,"d":"$8.79"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010153361E              ","MBRP00000440343","000303465487","2021-04-05","60505257908","ATORVASTATIN C TABS 20.000",-90,90,{"v":-8.79,"d":"-$8.79"},{"v":0,"d":"$0.00"},{"v":-8.79,"d":"-$8.79"},{"v":0,"d":"$0.00"},{"v":-8.79,"d":"-$8.79"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010084188E              ","MBRP00000424743","000002857415","2021-04-05","59417010210","VYVANSE CAPS 20.000",-30,30,{"v":-328.98,"d":"-$328.98"},{"v":-0.59,"d":"-$0.59"},{"v":-329.57,"d":"-$329.57"},{"v":-294.57,"d":"-$294.57"},{"v":-35,"d":"-$35.00"},"B","N",0,0,9,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010084188E              ","MBRP00000424743","000002857415","2021-04-05","59417010210","VYVANSE CAPS 20.000",30,30,{"v":328.98,"d":"$328.98"},{"v":0.59,"d":"$0.59"},{"v":329.57,"d":"$329.57"},{"v":294.57,"d":"$294.57"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010146670E              ","MBRP00000434035","000000356529","2021-04-05","59267100001","PFIZER-BIONTEC SUSP 30.000",0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":16.94,"d":"$16.94"},{"v":16.94,"d":"$16.94"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3682324","WALGREENS #15467 15467"]
["21865M","0010006082E              ","MBRP00000417913","000001289832","2021-04-05","00378623201","CITALOPRAM HYD TABS 20.000",90,90,{"v":27.97,"d":"$27.97"},{"v":0,"d":"$0.00"},{"v":27.97,"d":"$27.97"},{"v":12.97,"d":"$12.97"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010135249E              ","MBRP00000429058","000004539920","2021-04-05","00172392680","DIAZEPAM TABS 5.000",2,2,{"v":0.07,"d":"$0.07"},{"v":0.59,"d":"$0.59"},{"v":0.66,"d":"$0.66"},{"v":0,"d":"$0.00"},{"v":0.66,"d":"$0.66"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010135249E              ","MBRP00000429057","000004539919","2021-04-05","00172392680","DIAZEPAM TABS 5.000",2,2,{"v":0.07,"d":"$0.07"},{"v":0.59,"d":"$0.59"},{"v":0.66,"d":"$0.66"},{"v":0,"d":"$0.00"},{"v":0.66,"d":"$0.66"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010135251E              ","MBRP00000440231","000303438682","2021-04-05","00378001805","METOPROLOL TAR TABS 25.000",180,90,{"v":6.41,"d":"$6.41"},{"v":0,"d":"$0.00"},{"v":6.41,"d":"$6.41"},{"v":0,"d":"$0.00"},{"v":6.41,"d":"$6.41"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010153658E              ","MBRP00000431006","000006695894","2021-04-05","00074003828","ORILISSA TABS 150.000",30,30,{"v":1025.44,"d":"$1,025.44"},{"v":0.59,"d":"$0.59"},{"v":1026.03,"d":"$1,026.03"},{"v":991.03,"d":"$991.03"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3659084","MARCS 39"]
["21865M","0010153658E              ","MBRP00000431006","000006695894","2021-04-05","00074003828","ORILISSA TABS 150.000",-30,30,{"v":-1025.44,"d":"-$1,025.44"},{"v":-0.59,"d":"-$0.59"},{"v":-1026.03,"d":"-$1,026.03"},{"v":-991.03,"d":"-$991.03"},{"v":-35,"d":"-$35.00"},"B","N",0,0,9,"R","3659084","MARCS 39"]
["21865M","0010153658E              ","MBRP00000431006","000006695894","2021-04-05","00074003828","ORILISSA TABS 150.000",30,30,{"v":1025.44,"d":"$1,025.44"},{"v":0.59,"d":"$0.59"},{"v":1026.03,"d":"$1,026.03"},{"v":991.03,"d":"$991.03"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3659084","MARCS 39"]
["21865M","0010153658E              ","MBRP00000431006","000006695894","2021-04-05","00074003828","ORILISSA TABS 150.000",-30,30,{"v":-1025.44,"d":"-$1,025.44"},{"v":-0.59,"d":"-$0.59"},{"v":-1026.03,"d":"-$1,026.03"},{"v":-991.03,"d":"-$991.03"},{"v":-35,"d":"-$35.00"},"B","N",0,0,9,"R","3659084","MARCS 39"]
["21865M","0010153658E              ","MBRP00000431006","000006695894","2021-04-05","00074003828","ORILISSA TABS 150.000",-28,28,{"v":-957.08,"d":"-$957.08"},{"v":-0.59,"d":"-$0.59"},{"v":-957.67,"d":"-$957.67"},{"v":-922.67,"d":"-$922.67"},{"v":-35,"d":"-$35.00"},"B","N",0,0,9,"R","3659084","MARCS 39"]
["21865M","0010153658E              ","MBRP00000431006","000006695894","2021-04-05","00074003828","ORILISSA TABS 150.000",28,28,{"v":957.08,"d":"$957.08"},{"v":0.59,"d":"$0.59"},{"v":957.67,"d":"$957.67"},{"v":922.67,"d":"$922.67"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3659084","MARCS 39"]
["21865M","0010153658E              ","MBRP00000431006","000006695894","2021-04-05","00074003828","ORILISSA TABS 150.000",30,30,{"v":1025.44,"d":"$1,025.44"},{"v":0.59,"d":"$0.59"},{"v":1026.03,"d":"$1,026.03"},{"v":991.03,"d":"$991.03"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3659084","MARCS 39"]
["21865M","0010153658E              ","MBRP00000431006","000006695894","2021-04-05","00074003828","ORILISSA TABS 150.000",28,28,{"v":957.08,"d":"$957.08"},{"v":0.59,"d":"$0.59"},{"v":957.67,"d":"$957.67"},{"v":922.67,"d":"$922.67"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3659084","MARCS 39"]
["21865M","0010153658E              ","MBRP00000431006","000006695894","2021-04-05","00074003828","ORILISSA TABS 150.000",-30,30,{"v":-1025.44,"d":"-$1,025.44"},{"v":-0.59,"d":"-$0.59"},{"v":-1026.03,"d":"-$1,026.03"},{"v":-991.03,"d":"-$991.03"},{"v":-35,"d":"-$35.00"},"B","N",0,0,9,"R","3659084","MARCS 39"]
["21865M","0010153658E              ","MBRP00000431006","000006695894","2021-04-05","00074003828","ORILISSA TABS 150.000",-28,28,{"v":-957.08,"d":"-$957.08"},{"v":-0.59,"d":"-$0.59"},{"v":-957.67,"d":"-$957.67"},{"v":-922.67,"d":"-$922.67"},{"v":-35,"d":"-$35.00"},"B","N",0,0,9,"R","3659084","MARCS 39"]
["21865M","0010153658E              ","MBRP00000431006","000006695894","2021-04-05","00074003828","ORILISSA TABS 150.000",28,28,{"v":957.08,"d":"$957.08"},{"v":0.59,"d":"$0.59"},{"v":957.67,"d":"$957.67"},{"v":922.67,"d":"$922.67"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3659084","MARCS 39"]
["21865M","0010153674E              ","MBRP00000430829","000000699440","2021-04-05","68180098103","LISINOPRIL TABS 20.000",90,90,{"v":4.53,"d":"$4.53"},{"v":0,"d":"$0.00"},{"v":4.53,"d":"$4.53"},{"v":0,"d":"$0.00"},{"v":4.53,"d":"$4.53"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010153674E              ","MBRP00000430829","000000699440","2021-04-05","68180098103","LISINOPRIL TABS 20.000",90,90,{"v":4.53,"d":"$4.53"},{"v":0,"d":"$0.00"},{"v":4.53,"d":"$4.53"},{"v":0,"d":"$0.00"},{"v":4.53,"d":"$4.53"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010153674E              ","MBRP00000430829","000000699440","2021-04-05","68180098103","LISINOPRIL TABS 20.000",-90,90,{"v":-4.53,"d":"-$4.53"},{"v":0,"d":"$0.00"},{"v":-4.53,"d":"-$4.53"},{"v":0,"d":"$0.00"},{"v":-4.53,"d":"-$4.53"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010136843E              ","MBRP00000429284","000009311933","2021-04-05","69238183107","LEVOTHYROXINE  TABS 50.000",90,90,{"v":31.25,"d":"$31.25"},{"v":0,"d":"$0.00"},{"v":31.25,"d":"$31.25"},{"v":16.25,"d":"$16.25"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010146979E              ","MBRP00000417837","000001502956","2021-04-05","27808015701","ROSUVASTATIN C TABS 20.000",-90,90,{"v":-22.03,"d":"-$22.03"},{"v":0,"d":"$0.00"},{"v":-22.03,"d":"-$22.03"},{"v":-7.03,"d":"-$7.03"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010146979E              ","MBRP00000417837","000001502956","2021-04-05","27808015701","ROSUVASTATIN C TABS 20.000",90,90,{"v":22.03,"d":"$22.03"},{"v":0,"d":"$0.00"},{"v":22.03,"d":"$22.03"},{"v":7.03,"d":"$7.03"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010146979E              ","MBRP00000417837","000001502956","2021-04-05","27808015701","ROSUVASTATIN C TABS 20.000",90,90,{"v":22.03,"d":"$22.03"},{"v":0,"d":"$0.00"},{"v":22.03,"d":"$22.03"},{"v":7.03,"d":"$7.03"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010084104E              ","MBRP00000309890","000000886257","2021-04-05","16729016801","ESCITALOPRAM O TABS 5.000",-30,30,{"v":-5.36,"d":"-$5.36"},{"v":-0.59,"d":"-$0.59"},{"v":-5.95,"d":"-$5.95"},{"v":-0.95,"d":"-$0.95"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3651850","RITE AID PHARMACY 02390"]
["21865M","0010084104E              ","MBRP00000309890","000000886257","2021-04-05","16729016801","ESCITALOPRAM O TABS 5.000",30,30,{"v":5.36,"d":"$5.36"},{"v":0.59,"d":"$0.59"},{"v":5.95,"d":"$5.95"},{"v":0.95,"d":"$0.95"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651850","RITE AID PHARMACY 02390"]
["21865M","0010084104E              ","MBRP00000309890","000000886257","2021-04-05","16729016801","ESCITALOPRAM O TABS 5.000",30,30,{"v":5.36,"d":"$5.36"},{"v":0.59,"d":"$0.59"},{"v":5.95,"d":"$5.95"},{"v":0.95,"d":"$0.95"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651850","RITE AID PHARMACY 02390"]
["21865M","0010135687E              ","MBRP00000429346","000000678731","2021-04-05","55111029236","SUMATRIPTAN SU TABS 50.000",9,30,{"v":10.91,"d":"$10.91"},{"v":0.59,"d":"$0.59"},{"v":11.5,"d":"$11.50"},{"v":6.5,"d":"$6.50"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010135687E              ","MBRP00000429346","000000678731","2021-04-05","55111029236","SUMATRIPTAN SU TABS 50.000",9,30,{"v":10.91,"d":"$10.91"},{"v":0.59,"d":"$0.59"},{"v":11.5,"d":"$11.50"},{"v":6.5,"d":"$6.50"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010135687E              ","MBRP00000429346","000000678731","2021-04-05","55111029236","SUMATRIPTAN SU TABS 50.000",-9,30,{"v":-10.91,"d":"-$10.91"},{"v":-0.59,"d":"-$0.59"},{"v":-11.5,"d":"-$11.50"},{"v":-6.5,"d":"-$6.50"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010073375E              ","MBRP00000422374","000007551055","2021-04-05","50111078751","AZITHROMYCIN TABS 250.000",6,5,{"v":4.16,"d":"$4.16"},{"v":0.59,"d":"$0.59"},{"v":4.75,"d":"$4.75"},{"v":0,"d":"$0.00"},{"v":4.75,"d":"$4.75"},"G","N",0,0,0,"R","3668285","WALMART PHARMACY 10-2914 102914"]
["21865M","0010005971E              ","MBRP00000417903","000004020818","2021-04-05","45802061001","TESTOSTERONE SOLN 30.000",180,60,{"v":495.9,"d":"$495.90"},{"v":0.59,"d":"$0.59"},{"v":496.49,"d":"$496.49"},{"v":481.49,"d":"$481.49"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010152139E              ","MBRP00000422273","000006838187","2021-04-05","49483060350","IBUPROFEN TABS 600.000",40,10,{"v":1.39,"d":"$1.39"},{"v":0.59,"d":"$0.59"},{"v":1.98,"d":"$1.98"},{"v":0,"d":"$0.00"},{"v":1.98,"d":"$1.98"},"G","N",0,0,0,"R","3669112","GIANT EAGLE PHARMACY #1618 1618"]
["21865M","0010005903E              ","MBRP00000436962","000000821619","2021-04-05","33342015053","IBANDRONATE SO TABS 150.000",1,28,{"v":19.72,"d":"$19.72"},{"v":0,"d":"$0.00"},{"v":19.72,"d":"$19.72"},{"v":14.72,"d":"$14.72"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663336","DISCOUNT DRUG MART 51"]
["21865M","AC00109149800","MBRP00000446415","000000861050","2021-04-05","00378027493","TAMOXIFEN CITR TABS 20.000",-90,90,{"v":-111.16,"d":"-$111.16"},{"v":0,"d":"$0.00"},{"v":-111.16,"d":"-$111.16"},{"v":-96.16,"d":"-$96.16"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3652004","RITE AID PHARMACY 02404"]
["21865M","AC00109149800","MBRP00000446415","000000861050","2021-04-05","00378027493","TAMOXIFEN CITR TABS 20.000",90,90,{"v":111.16,"d":"$111.16"},{"v":0,"d":"$0.00"},{"v":111.16,"d":"$111.16"},{"v":96.16,"d":"$96.16"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3652004","RITE AID PHARMACY 02404"]
["21865M","0010072270E              ","MBRP00000429220","000009282234","2021-04-05","16729016917","ESCITALOPRAM O TABS 10.000",30,30,{"v":4.49,"d":"$4.49"},{"v":0.5,"d":"$0.50"},{"v":4.99,"d":"$4.99"},{"v":0,"d":"$0.00"},{"v":4.99,"d":"$4.99"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","AC00109765000","MBRP00000417857","000007313258","2021-04-05","00378623305","CITALOPRAM HYD TABS 40.000",30,30,{"v":9.79,"d":"$9.79"},{"v":0.59,"d":"$0.59"},{"v":10.38,"d":"$10.38"},{"v":5.38,"d":"$5.38"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3678313","GIANT EAGLE PHARMACY #4601 4601"]
["21865M","AC00109765000","MBRP00000417857","000007313258","2021-04-05","00378623305","CITALOPRAM HYD TABS 40.000",30,30,{"v":9.79,"d":"$9.79"},{"v":0.59,"d":"$0.59"},{"v":10.38,"d":"$10.38"},{"v":5.38,"d":"$5.38"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3678313","GIANT EAGLE PHARMACY #4601 4601"]
["21865M","AC00109765000","MBRP00000417857","000007313258","2021-04-05","00378623305","CITALOPRAM HYD TABS 40.000",-30,30,{"v":-9.79,"d":"-$9.79"},{"v":-0.59,"d":"-$0.59"},{"v":-10.38,"d":"-$10.38"},{"v":-5.38,"d":"-$5.38"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3678313","GIANT EAGLE PHARMACY #4601 4601"]
["21865M","0010069336E              ","MBRP00000429056","000001774603","2021-04-05","13668044201","CELECOXIB CAPS 200.000",30,30,{"v":25.51,"d":"$25.51"},{"v":0.59,"d":"$0.59"},{"v":26.1,"d":"$26.10"},{"v":21.1,"d":"$21.10"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","0010069336E              ","MBRP00000429056","000001774603","2021-04-05","13668044201","CELECOXIB CAPS 200.000",-30,30,{"v":-25.51,"d":"-$25.51"},{"v":-0.59,"d":"-$0.59"},{"v":-26.1,"d":"-$26.10"},{"v":-21.1,"d":"-$21.10"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","0010069336E              ","MBRP00000429056","000001774603","2021-04-05","13668044201","CELECOXIB CAPS 200.000",30,30,{"v":25.51,"d":"$25.51"},{"v":0.59,"d":"$0.59"},{"v":26.1,"d":"$26.10"},{"v":21.1,"d":"$21.10"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","0010123358E              ","MBRP00000430919","000001044981","2021-04-05","16714036004","MONO-LINYAH TABS 0.000",-28,28,{"v":-26.82,"d":"-$26.82"},{"v":-0.59,"d":"-$0.59"},{"v":-27.41,"d":"-$27.41"},{"v":-27.41,"d":"-$27.41"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3658626","RITE AID PHARMACY 03468"]
["21865M","0010123358E              ","MBRP00000430919","000001044981","2021-04-05","16714036004","MONO-LINYAH TABS 0.000",28,28,{"v":26.82,"d":"$26.82"},{"v":0.59,"d":"$0.59"},{"v":27.41,"d":"$27.41"},{"v":27.41,"d":"$27.41"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3658626","RITE AID PHARMACY 03468"]
["21865M","0010132579E              ","MBRP00000417824","000001025204","2021-04-05","16714040504","LARIN FE 1.5/3 TABS 0.000",28,28,{"v":23.68,"d":"$23.68"},{"v":0.59,"d":"$0.59"},{"v":24.27,"d":"$24.27"},{"v":24.27,"d":"$24.27"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3653094","RITE AID PHARMACY 02437"]
["21865M","0010006095E              ","MBRP00000430874","000007128082","2021-04-05","16714085201","METOPROLOL SUC TB24 25.000",90,90,{"v":47.02,"d":"$47.02"},{"v":0,"d":"$0.00"},{"v":47.02,"d":"$47.02"},{"v":32.02,"d":"$32.02"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010135251E              ","MBRP00000440231","000303438683","2021-04-05","69097082312","CITALOPRAM HYD TABS 20.000",135,90,{"v":41.95,"d":"$41.95"},{"v":0,"d":"$0.00"},{"v":41.95,"d":"$41.95"},{"v":31.95,"d":"$31.95"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010084328E              ","MBRP00000418118","000000556135","2021-04-05","65862018730","ONDANSETRON HY TABS 4.000",15,5,{"v":1.94,"d":"$1.94"},{"v":0.59,"d":"$0.59"},{"v":2.53,"d":"$2.53"},{"v":0,"d":"$0.00"},{"v":2.53,"d":"$2.53"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010059905E              ","MBRP00000355648","000000870108","2021-04-05","31722077701","ACYCLOVIR TABS 400.000",60,30,{"v":25.12,"d":"$25.12"},{"v":0.59,"d":"$0.59"},{"v":25.71,"d":"$25.71"},{"v":20.71,"d":"$20.71"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010059905E              ","MBRP00000355648","000000870108","2021-04-05","31722077701","ACYCLOVIR TABS 400.000",-60,30,{"v":-25.12,"d":"-$25.12"},{"v":-0.59,"d":"-$0.59"},{"v":-25.71,"d":"-$25.71"},{"v":-20.71,"d":"-$20.71"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010059905E              ","MBRP00000355648","000000870108","2021-04-05","31722077701","ACYCLOVIR TABS 400.000",60,30,{"v":25.12,"d":"$25.12"},{"v":0.59,"d":"$0.59"},{"v":25.71,"d":"$25.71"},{"v":20.71,"d":"$20.71"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010084172E              ","MBRP00000424720","000001010367","2021-04-05","31722083030","ARIPIPRAZOLE TABS 30.000",-30,30,{"v":-40.76,"d":"-$40.76"},{"v":-0.59,"d":"-$0.59"},{"v":-41.35,"d":"-$41.35"},{"v":-36.35,"d":"-$36.35"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3651949","RITE AID PHARMACY 02398"]
["21865M","0010084172E              ","MBRP00000424720","000001010367","2021-04-05","31722083030","ARIPIPRAZOLE TABS 30.000",30,30,{"v":40.76,"d":"$40.76"},{"v":0.59,"d":"$0.59"},{"v":41.35,"d":"$41.35"},{"v":36.35,"d":"$36.35"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651949","RITE AID PHARMACY 02398"]
["21865M","0010105950E              ","MBRP00000430808","000001730641","2021-04-05","29300011201","LAMOTRIGINE TABS 100.000",180,30,{"v":14.27,"d":"$14.27"},{"v":0.59,"d":"$0.59"},{"v":14.86,"d":"$14.86"},{"v":9.86,"d":"$9.86"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3664097","WALGREENS #3741 3741"]
["21865M","0010105950E              ","MBRP00000430808","000001730641","2021-04-05","29300011201","LAMOTRIGINE TABS 100.000",180,30,{"v":14.27,"d":"$14.27"},{"v":0.59,"d":"$0.59"},{"v":14.86,"d":"$14.86"},{"v":9.86,"d":"$9.86"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3664097","WALGREENS #3741 3741"]
["21865M","0010105950E              ","MBRP00000430808","000001730641","2021-04-05","29300011201","LAMOTRIGINE TABS 100.000",-180,30,{"v":-14.27,"d":"-$14.27"},{"v":-0.59,"d":"-$0.59"},{"v":-14.86,"d":"-$14.86"},{"v":-9.86,"d":"-$9.86"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3664097","WALGREENS #3741 3741"]
["21865M","0010084147E              ","MBRP00000422288","000001502954","2021-04-05","43547035610","LISINOPRIL TABS 40.000",30,30,{"v":3.03,"d":"$3.03"},{"v":0.59,"d":"$0.59"},{"v":3.62,"d":"$3.62"},{"v":0,"d":"$0.00"},{"v":3.62,"d":"$3.62"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010092584E              ","MBRP00000440290","000001290044","2021-04-05","42806071401","BENZONATATE CAPS 100.000",45,7,{"v":6.82,"d":"$6.82"},{"v":0.59,"d":"$0.59"},{"v":7.41,"d":"$7.41"},{"v":2.41,"d":"$2.41"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010153623E              ","MBRP00000431030","000007259211","2021-04-05","45802006435","TRIAMCINOLONE  CREA 0.100",45,30,{"v":2.6,"d":"$2.60"},{"v":0.59,"d":"$0.59"},{"v":3.19,"d":"$3.19"},{"v":0,"d":"$0.00"},{"v":3.19,"d":"$3.19"},"G","N",0,0,0,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","0010153623E              ","MBRP00000431030","000007259211","2021-04-05","45802006435","TRIAMCINOLONE  CREA 0.100",-45,30,{"v":-2.6,"d":"-$2.60"},{"v":-0.59,"d":"-$0.59"},{"v":-3.19,"d":"-$3.19"},{"v":0,"d":"$0.00"},{"v":-3.19,"d":"-$3.19"},"G","N",0,0,0,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","0010153623E              ","MBRP00000431030","000007259211","2021-04-05","45802006435","TRIAMCINOLONE  CREA 0.100",45,30,{"v":2.6,"d":"$2.60"},{"v":0.59,"d":"$0.59"},{"v":3.19,"d":"$3.19"},{"v":0,"d":"$0.00"},{"v":3.19,"d":"$3.19"},"G","N",0,0,0,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","0010098981E              ","MBRP00000429201","000001434223","2021-04-05","51672138603","FLUOCINONIDE CREA 0.050",60,30,{"v":86.89,"d":"$86.89"},{"v":0.59,"d":"$0.59"},{"v":87.48,"d":"$87.48"},{"v":82.48,"d":"$82.48"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","AC00109206800","MBRP00000447295","000000247420","2021-04-05","61442010305","DICLOFENAC SOD TBEC 75.000",60,30,{"v":15.24,"d":"$15.24"},{"v":0.5,"d":"$0.50"},{"v":15.74,"d":"$15.74"},{"v":10.74,"d":"$10.74"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3684619","MEDTIME PHARMACY"]
["21865M","AC00109206800","MBRP00000447295","000000247420","2021-04-05","61442010305","DICLOFENAC SOD TBEC 75.000",-60,30,{"v":-15.24,"d":"-$15.24"},{"v":-0.5,"d":"-$0.50"},{"v":-15.74,"d":"-$15.74"},{"v":-10.74,"d":"-$10.74"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3684619","MEDTIME PHARMACY"]
["21865M","0010153361E              ","MBRP00000440343","000001465025","2021-04-05","59746017506","PREDNISONE TABS 20.000",10,5,{"v":1.73,"d":"$1.73"},{"v":0.59,"d":"$0.59"},{"v":2.32,"d":"$2.32"},{"v":0,"d":"$0.00"},{"v":2.32,"d":"$2.32"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010153361E              ","MBRP00000440343","000001465025","2021-04-05","59746017506","PREDNISONE TABS 20.000",10,5,{"v":1.73,"d":"$1.73"},{"v":0.59,"d":"$0.59"},{"v":2.32,"d":"$2.32"},{"v":0,"d":"$0.00"},{"v":2.32,"d":"$2.32"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010153361E              ","MBRP00000440343","000001465025","2021-04-05","59746017506","PREDNISONE TABS 20.000",-10,5,{"v":-1.73,"d":"-$1.73"},{"v":-0.59,"d":"-$0.59"},{"v":-2.32,"d":"-$2.32"},{"v":0,"d":"$0.00"},{"v":-2.32,"d":"-$2.32"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010084041E              ","MBRP00000422133","000000664187","2021-04-05","68180072003","AMLODIPINE BES TABS 5.000",30,30,{"v":1.05,"d":"$1.05"},{"v":0.59,"d":"$0.59"},{"v":1.64,"d":"$1.64"},{"v":0,"d":"$0.00"},{"v":1.64,"d":"$1.64"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010084041E              ","MBRP00000422133","000000664187","2021-04-05","68180072003","AMLODIPINE BES TABS 5.000",-30,30,{"v":-1.05,"d":"-$1.05"},{"v":-0.59,"d":"-$0.59"},{"v":-1.64,"d":"-$1.64"},{"v":0,"d":"$0.00"},{"v":-1.64,"d":"-$1.64"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010084041E              ","MBRP00000422133","000000664187","2021-04-05","68180072003","AMLODIPINE BES TABS 5.000",30,30,{"v":1.05,"d":"$1.05"},{"v":0.59,"d":"$0.59"},{"v":1.64,"d":"$1.64"},{"v":0,"d":"$0.00"},{"v":1.64,"d":"$1.64"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010143489E              ","MBRP00000290984","000007258933","2021-04-05","59762045001","COLESTIPOL HCL TABS 1.000",90,30,{"v":84.8,"d":"$84.80"},{"v":0.59,"d":"$0.59"},{"v":85.39,"d":"$85.39"},{"v":80.39,"d":"$80.39"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","AC00109581900","MBRP00000464291","000006660423","2021-04-05","59762374401","CLINDAMYCIN PH LOTN 1.000",60,30,{"v":98.36,"d":"$98.36"},{"v":0.59,"d":"$0.59"},{"v":98.95,"d":"$98.95"},{"v":93.95,"d":"$93.95"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3669770","GIANT EAGLE PHARMACY #4030 4030"]
["21865M","0010072270E              ","MBRP00000429220","000009282233","2021-04-05","60505257808","ATORVASTATIN C TABS 10.000",30,30,{"v":2.82,"d":"$2.82"},{"v":0.5,"d":"$0.50"},{"v":3.32,"d":"$3.32"},{"v":0,"d":"$0.00"},{"v":3.32,"d":"$3.32"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010006098E              ","MBRP00000430937","000001058318","2021-04-05","62135098505","DOXYCYCLINE HY CAPS 100.000",14,7,{"v":3.03,"d":"$3.03"},{"v":0.59,"d":"$0.59"},{"v":3.62,"d":"$3.62"},{"v":0,"d":"$0.00"},{"v":3.62,"d":"$3.62"},"G","N",0,0,0,"R","3659488","DISCOUNT DRUG MART 46"]
["21865M","0010006098E              ","MBRP00000430937","000001058318","2021-04-05","62135098505","DOXYCYCLINE HY CAPS 100.000",-14,7,{"v":-3.03,"d":"-$3.03"},{"v":-0.59,"d":"-$0.59"},{"v":-3.62,"d":"-$3.62"},{"v":0,"d":"$0.00"},{"v":-3.62,"d":"-$3.62"},"G","N",0,0,0,"R","3659488","DISCOUNT DRUG MART 46"]
["21865M","0010006098E              ","MBRP00000430937","000001058318","2021-04-05","62135098505","DOXYCYCLINE HY CAPS 100.000",14,7,{"v":3.03,"d":"$3.03"},{"v":0.59,"d":"$0.59"},{"v":3.62,"d":"$3.62"},{"v":0,"d":"$0.00"},{"v":3.62,"d":"$3.62"},"G","N",0,0,0,"R","3659488","DISCOUNT DRUG MART 46"]
["21865M","0010153361E              ","MBRP00000440343","000303465486","2021-04-05","16571040250","CETIRIZINE HYD TABS 10.000",90,90,{"v":11.56,"d":"$11.56"},{"v":0,"d":"$0.00"},{"v":11.56,"d":"$11.56"},{"v":1.56,"d":"$1.56"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010153361E              ","MBRP00000440343","000303465486","2021-04-05","16571040250","CETIRIZINE HYD TABS 10.000",-90,90,{"v":-11.56,"d":"-$11.56"},{"v":0,"d":"$0.00"},{"v":-11.56,"d":"-$11.56"},{"v":-1.56,"d":"-$1.56"},{"v":-10,"d":"-$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","AC00109149800","MBRP00000446415","000000861050","2021-04-05","00591247330","TAMOXIFEN CITR TABS 20.000",90,90,{"v":111.16,"d":"$111.16"},{"v":0,"d":"$0.00"},{"v":111.16,"d":"$111.16"},{"v":96.16,"d":"$96.16"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3652004","RITE AID PHARMACY 02404"]
["21865M","0010153611E              ","MBRP00000430985","000001691014","2021-04-05","00456045701","ARMOUR THYROID TABS 15.000",-45,31,{"v":-31.3,"d":"-$31.30"},{"v":-0.59,"d":"-$0.59"},{"v":-31.89,"d":"-$31.89"},{"v":0,"d":"$0.00"},{"v":-31.89,"d":"-$31.89"},"B","N",0,0,1,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010153611E              ","MBRP00000430985","000001691014","2021-04-05","00456045701","ARMOUR THYROID TABS 15.000",45,31,{"v":31.3,"d":"$31.30"},{"v":0.59,"d":"$0.59"},{"v":31.89,"d":"$31.89"},{"v":0,"d":"$0.00"},{"v":31.89,"d":"$31.89"},"B","N",0,0,1,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010144759E              ","MBRP00000429256","000001502973","2021-04-05","00555088602","ESTRADIOL TABS 1.000",90,90,{"v":21.94,"d":"$21.94"},{"v":0,"d":"$0.00"},{"v":21.94,"d":"$21.94"},{"v":6.94,"d":"$6.94"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010153595E              ","MBRP00000430833","000001178695","2021-04-05","16729017001","ESCITALOPRAM O TABS 20.000",30,30,{"v":6.89,"d":"$6.89"},{"v":0.59,"d":"$0.59"},{"v":7.48,"d":"$7.48"},{"v":2.48,"d":"$2.48"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010153595E              ","MBRP00000430833","000001178695","2021-04-05","16729017001","ESCITALOPRAM O TABS 20.000",-30,30,{"v":-6.89,"d":"-$6.89"},{"v":-0.59,"d":"-$0.59"},{"v":-7.48,"d":"-$7.48"},{"v":-2.48,"d":"-$2.48"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010153595E              ","MBRP00000430833","000001178695","2021-04-05","16729017001","ESCITALOPRAM O TABS 20.000",30,30,{"v":6.89,"d":"$6.89"},{"v":0.59,"d":"$0.59"},{"v":7.48,"d":"$7.48"},{"v":2.48,"d":"$2.48"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010005888E              ","MBRP00000417811","000001207984","2021-04-05","24208083060","NEOMYCIN/POLYM SUSP 0.000",5,14,{"v":16.25,"d":"$16.25"},{"v":0.59,"d":"$0.59"},{"v":16.84,"d":"$16.84"},{"v":11.84,"d":"$11.84"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606122","CVS PHARMACY #03306 03306"]
["21865M","0010005888E              ","MBRP00000417811","000001207984","2021-04-05","24208083060","NEOMYCIN/POLYM SUSP 0.000",-5,14,{"v":-16.25,"d":"-$16.25"},{"v":-0.59,"d":"-$0.59"},{"v":-16.84,"d":"-$16.84"},{"v":-11.84,"d":"-$11.84"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3606122","CVS PHARMACY #03306 03306"]
["21865M","0010005888E              ","MBRP00000417811","000001207984","2021-04-05","24208083060","NEOMYCIN/POLYM SUSP 0.000",5,14,{"v":16.25,"d":"$16.25"},{"v":0.59,"d":"$0.59"},{"v":16.84,"d":"$16.84"},{"v":11.84,"d":"$11.84"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606122","CVS PHARMACY #03306 03306"]
["21865M","0010072270E              ","MBRP00000429220","000009282231","2021-04-05","00173088710","TRELEGY ELLIPT AEPB 0.000",60,30,{"v":595.84,"d":"$595.84"},{"v":0.5,"d":"$0.50"},{"v":596.34,"d":"$596.34"},{"v":576.34,"d":"$576.34"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010129915E              ","MBRP00000424935","000001662533","2021-04-05","68462056830","AMLODIPINE/OLM TABS 0.000",18,18,{"v":45.89,"d":"$45.89"},{"v":0.59,"d":"$0.59"},{"v":46.48,"d":"$46.48"},{"v":43.84,"d":"$43.84"},{"v":2.64,"d":"$2.64"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010084328E              ","MBRP00000418118","000000556135","2021-04-05","68462010530","ONDANSETRON HY TABS 4.000",15,5,{"v":1.94,"d":"$1.94"},{"v":0.59,"d":"$0.59"},{"v":2.53,"d":"$2.53"},{"v":0,"d":"$0.00"},{"v":2.53,"d":"$2.53"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010084328E              ","MBRP00000418118","000000556135","2021-04-05","68462010530","ONDANSETRON HY TABS 4.000",-15,5,{"v":-1.94,"d":"-$1.94"},{"v":-0.59,"d":"-$0.59"},{"v":-2.53,"d":"-$2.53"},{"v":0,"d":"$0.00"},{"v":-2.53,"d":"-$2.53"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010153361E              ","MBRP00000440343","000303465485","2021-04-05","68382013510","LOSARTAN POTAS TABS 25.000",90,90,{"v":4.55,"d":"$4.55"},{"v":0,"d":"$0.00"},{"v":4.55,"d":"$4.55"},{"v":0,"d":"$0.00"},{"v":4.55,"d":"$4.55"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010153361E              ","MBRP00000440343","000303465485","2021-04-05","68382013510","LOSARTAN POTAS TABS 25.000",90,90,{"v":4.55,"d":"$4.55"},{"v":0,"d":"$0.00"},{"v":4.55,"d":"$4.55"},{"v":0,"d":"$0.00"},{"v":4.55,"d":"$4.55"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010125382E              ","MBRP00000422265","000001166888","2021-04-05","68382005101","MELOXICAM TABS 15.000",30,30,{"v":1.23,"d":"$1.23"},{"v":0.59,"d":"$0.59"},{"v":1.82,"d":"$1.82"},{"v":0,"d":"$0.00"},{"v":1.82,"d":"$1.82"},"G","N",0,0,0,"R","3651886","RITE AID PHARMACY 02393"]
["21865M","0010153361E              ","MBRP00000440343","000303465485","2021-04-05","68382013510","LOSARTAN POTAS TABS 25.000",-90,90,{"v":-4.55,"d":"-$4.55"},{"v":0,"d":"$0.00"},{"v":-4.55,"d":"-$4.55"},{"v":0,"d":"$0.00"},{"v":-4.55,"d":"-$4.55"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010084188E              ","MBRP00000424740","000000709736","2021-04-05","68180094311","TESTOSTERONE T SOLN 30.000",180,30,{"v":739.1,"d":"$739.10"},{"v":0.59,"d":"$0.59"},{"v":739.69,"d":"$739.69"},{"v":734.69,"d":"$734.69"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010084188E              ","MBRP00000424740","000000709736","2021-04-05","68180094311","TESTOSTERONE T SOLN 30.000",180,30,{"v":739.1,"d":"$739.10"},{"v":0.59,"d":"$0.59"},{"v":739.69,"d":"$739.69"},{"v":734.69,"d":"$734.69"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010084188E              ","MBRP00000424740","000000709736","2021-04-05","68180094311","TESTOSTERONE T SOLN 30.000",-180,30,{"v":-739.1,"d":"-$739.10"},{"v":-0.59,"d":"-$0.59"},{"v":-739.69,"d":"-$739.69"},{"v":-734.69,"d":"-$734.69"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010005888E              ","MBRP00000417811","000001207983","2021-04-05","68180065208","DOXYCYCLINE MO CAPS 100.000",90,30,{"v":50.8,"d":"$50.80"},{"v":0.59,"d":"$0.59"},{"v":51.39,"d":"$51.39"},{"v":46.39,"d":"$46.39"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606122","CVS PHARMACY #03306 03306"]
["21865M","0010005888E              ","MBRP00000417811","000001207983","2021-04-05","68180065208","DOXYCYCLINE MO CAPS 100.000",-90,30,{"v":-50.8,"d":"-$50.80"},{"v":-0.59,"d":"-$0.59"},{"v":-51.39,"d":"-$51.39"},{"v":-46.39,"d":"-$46.39"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3606122","CVS PHARMACY #03306 03306"]
["21865M","0010005888E              ","MBRP00000417811","000001207983","2021-04-05","68180065208","DOXYCYCLINE MO CAPS 100.000",60,30,{"v":33.87,"d":"$33.87"},{"v":0.59,"d":"$0.59"},{"v":34.46,"d":"$34.46"},{"v":29.46,"d":"$29.46"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606122","CVS PHARMACY #03306 03306"]
["21865M","0010005888E              ","MBRP00000417811","000001207983","2021-04-05","68180065208","DOXYCYCLINE MO CAPS 100.000",-60,30,{"v":-33.87,"d":"-$33.87"},{"v":-0.59,"d":"-$0.59"},{"v":-34.46,"d":"-$34.46"},{"v":-29.46,"d":"-$29.46"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3606122","CVS PHARMACY #03306 03306"]
["21865M","0010005888E              ","MBRP00000417811","000001207983","2021-04-05","68180065208","DOXYCYCLINE MO CAPS 100.000",60,30,{"v":33.87,"d":"$33.87"},{"v":0.59,"d":"$0.59"},{"v":34.46,"d":"$34.46"},{"v":29.46,"d":"$29.46"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606122","CVS PHARMACY #03306 03306"]
["21865M","0010147361E              ","MBRP00000294787","000001359815","2021-04-05","65862069790","VENLAFAXINE HC CP24 150.000",30,30,{"v":24.53,"d":"$24.53"},{"v":0.59,"d":"$0.59"},{"v":25.12,"d":"$25.12"},{"v":20.12,"d":"$20.12"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652662","RITE AID PHARMACY 02456"]
["21865M","AC00110495000","MBRP00000467719","000002563463","2021-04-05","65862049647","SULFAMETHOXAZO SUSP 0.000",93,30,{"v":13.15,"d":"$13.15"},{"v":0.59,"d":"$0.59"},{"v":13.74,"d":"$13.74"},{"v":8.74,"d":"$8.74"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","AC00109765000","MBRP00000417857","000007313259","2021-04-05","67877025010","QUETIAPINE FUM TABS 100.000",30,30,{"v":7.82,"d":"$7.82"},{"v":0.59,"d":"$0.59"},{"v":8.41,"d":"$8.41"},{"v":3.41,"d":"$3.41"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3678313","GIANT EAGLE PHARMACY #4601 4601"]
["21865M","AC00109765000","MBRP00000417857","000007313259","2021-04-05","67877025010","QUETIAPINE FUM TABS 100.000",30,30,{"v":7.82,"d":"$7.82"},{"v":0.59,"d":"$0.59"},{"v":8.41,"d":"$8.41"},{"v":3.41,"d":"$3.41"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3678313","GIANT EAGLE PHARMACY #4601 4601"]
["21865M","AC00109765000","MBRP00000417857","000007313259","2021-04-05","67877025010","QUETIAPINE FUM TABS 100.000",-30,30,{"v":-7.82,"d":"-$7.82"},{"v":-0.59,"d":"-$0.59"},{"v":-8.41,"d":"-$8.41"},{"v":-3.41,"d":"-$3.41"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3678313","GIANT EAGLE PHARMACY #4601 4601"]
["21865M","0010033475E              ","MBRP00000429282","000001305184","2021-04-05","62332025050","DOXYCYCLINE MO CAPS 100.000",2,1,{"v":1.13,"d":"$1.13"},{"v":0.59,"d":"$0.59"},{"v":1.72,"d":"$1.72"},{"v":0,"d":"$0.00"},{"v":1.72,"d":"$1.72"},"G","N",0,0,0,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010033475E              ","MBRP00000429282","000001305184","2021-04-05","62332025050","DOXYCYCLINE MO CAPS 100.000",2,1,{"v":1.13,"d":"$1.13"},{"v":0.59,"d":"$0.59"},{"v":1.72,"d":"$1.72"},{"v":0,"d":"$0.00"},{"v":1.72,"d":"$1.72"},"G","N",0,0,0,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010033475E              ","MBRP00000429282","000001305184","2021-04-05","62332025050","DOXYCYCLINE MO CAPS 100.000",-2,1,{"v":-1.13,"d":"-$1.13"},{"v":-0.59,"d":"-$0.59"},{"v":-1.72,"d":"-$1.72"},{"v":0,"d":"$0.00"},{"v":-1.72,"d":"-$1.72"},"G","N",0,0,0,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010084328E              ","MBRP00000418118","000000556081","2021-04-05","65628020605","FIRVANQ SOLR 50.000",150,10,{"v":133.81,"d":"$133.81"},{"v":0.59,"d":"$0.59"},{"v":134.4,"d":"$134.40"},{"v":114.4,"d":"$114.40"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010084328E              ","MBRP00000418118","000000556081","2021-04-05","65628020605","FIRVANQ SOLR 50.000",-150,10,{"v":-133.81,"d":"-$133.81"},{"v":-0.59,"d":"-$0.59"},{"v":-134.4,"d":"-$134.40"},{"v":-114.4,"d":"-$114.40"},{"v":-20,"d":"-$20.00"},"B","N",0,0,1,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010084328E              ","MBRP00000418118","000009312177","2021-04-05","65628020605","FIRVANQ SOLR 50.000",150,15,{"v":134.89,"d":"$134.89"},{"v":0.5,"d":"$0.50"},{"v":135.39,"d":"$135.39"},{"v":115.39,"d":"$115.39"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010084117E              ","MBRP00000424898","000001050617","2021-04-05","50111078810","AZITHROMYCIN TABS 500.000",2,1,{"v":2.42,"d":"$2.42"},{"v":0.59,"d":"$0.59"},{"v":3.01,"d":"$3.01"},{"v":0,"d":"$0.00"},{"v":3.01,"d":"$3.01"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010072267E              ","MBRP00000430886","000006562389","2021-04-05","50228017805","GABAPENTIN TABS 800.000",90,30,{"v":25.26,"d":"$25.26"},{"v":0.59,"d":"$0.59"},{"v":25.85,"d":"$25.85"},{"v":20.85,"d":"$20.85"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010145537E              ","MBRP00000429277","000001278427","2021-04-05","43598029790","PREGABALIN CAPS 225.000",60,30,{"v":22.3,"d":"$22.30"},{"v":0.59,"d":"$0.59"},{"v":22.89,"d":"$22.89"},{"v":17.89,"d":"$17.89"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010145537E              ","MBRP00000429277","000001278427","2021-04-05","43598029790","PREGABALIN CAPS 225.000",-60,30,{"v":-22.3,"d":"-$22.30"},{"v":-0.59,"d":"-$0.59"},{"v":-22.89,"d":"-$22.89"},{"v":-17.89,"d":"-$17.89"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010145537E              ","MBRP00000429277","000001278427","2021-04-05","43598029790","PREGABALIN CAPS 225.000",60,30,{"v":22.3,"d":"$22.30"},{"v":0.59,"d":"$0.59"},{"v":22.89,"d":"$22.89"},{"v":17.89,"d":"$17.89"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010006070E              ","MBRP00000417887","000000572474","2021-04-05","31722027201","RAMIPRIL CAPS 2.500",-30,30,{"v":-1.87,"d":"-$1.87"},{"v":-0.5,"d":"-$0.50"},{"v":-2.37,"d":"-$2.37"},{"v":0,"d":"$0.00"},{"v":-2.37,"d":"-$2.37"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","0010006070E              ","MBRP00000417887","000000572474","2021-04-05","31722027201","RAMIPRIL CAPS 2.500",30,30,{"v":1.87,"d":"$1.87"},{"v":0.5,"d":"$0.50"},{"v":2.37,"d":"$2.37"},{"v":0,"d":"$0.00"},{"v":2.37,"d":"$2.37"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","0010006070E              ","MBRP00000417887","000000572474","2021-04-05","31722027201","RAMIPRIL CAPS 2.500",30,30,{"v":1.87,"d":"$1.87"},{"v":0.5,"d":"$0.50"},{"v":2.37,"d":"$2.37"},{"v":0,"d":"$0.00"},{"v":2.37,"d":"$2.37"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","0010005903E              ","MBRP00000436962","000000821619","2021-04-05","33342015001","IBANDRONATE SO TABS 150.000",1,28,{"v":19.72,"d":"$19.72"},{"v":0,"d":"$0.00"},{"v":19.72,"d":"$19.72"},{"v":14.72,"d":"$14.72"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663336","DISCOUNT DRUG MART 51"]
["21865M","0010005903E              ","MBRP00000436962","000000821619","2021-04-05","33342015001","IBANDRONATE SO TABS 150.000",-1,28,{"v":-19.72,"d":"-$19.72"},{"v":0,"d":"$0.00"},{"v":-19.72,"d":"-$19.72"},{"v":-14.72,"d":"-$14.72"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3663336","DISCOUNT DRUG MART 51"]
["21865M","0010153361E              ","MBRP00000440343","000001465033","2021-04-05","00143924920","AMOXICILLIN/CL TABS 0.000",20,10,{"v":12.14,"d":"$12.14"},{"v":0.59,"d":"$0.59"},{"v":12.73,"d":"$12.73"},{"v":7.73,"d":"$7.73"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010153361E              ","MBRP00000440343","000001465033","2021-04-05","00143924920","AMOXICILLIN/CL TABS 0.000",-20,10,{"v":-12.14,"d":"-$12.14"},{"v":-0.59,"d":"-$0.59"},{"v":-12.73,"d":"-$12.73"},{"v":-7.73,"d":"-$7.73"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010153361E              ","MBRP00000440343","000001465033","2021-04-05","00143924920","AMOXICILLIN/CL TABS 0.000",20,10,{"v":12.14,"d":"$12.14"},{"v":0.59,"d":"$0.59"},{"v":12.73,"d":"$12.73"},{"v":7.73,"d":"$7.73"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010098981E              ","MBRP00000429201","000001434234","2021-04-05","00168013460","FLUOCINONIDE SOLN 0.050",60,15,{"v":43.11,"d":"$43.11"},{"v":0.59,"d":"$0.59"},{"v":43.7,"d":"$43.70"},{"v":38.7,"d":"$38.70"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010105950E              ","MBRP00000430808","000001730640","2021-04-05","00071036924","DILANTIN CAPS 100.000",120,30,{"v":168.24,"d":"$168.24"},{"v":0.59,"d":"$0.59"},{"v":168.83,"d":"$168.83"},{"v":63.68,"d":"$63.68"},{"v":105.15,"d":"$105.15"},"B","N",0,1,1,"R","3664097","WALGREENS #3741 3741"]
["21865M","0010105950E              ","MBRP00000430808","000001730640","2021-04-05","00071036924","DILANTIN CAPS 100.000",-120,30,{"v":-168.24,"d":"-$168.24"},{"v":-0.59,"d":"-$0.59"},{"v":-168.83,"d":"-$168.83"},{"v":-63.68,"d":"-$63.68"},{"v":-105.15,"d":"-$105.15"},"B","N",0,1,1,"R","3664097","WALGREENS #3741 3741"]
["21865M","0010105950E              ","MBRP00000430808","000001730640","2021-04-05","00071036924","DILANTIN CAPS 100.000",-20,5,{"v":-28.04,"d":"-$28.04"},{"v":-0.59,"d":"-$0.59"},{"v":-28.63,"d":"-$28.63"},{"v":0,"d":"$0.00"},{"v":-28.63,"d":"-$28.63"},"B","N",0,1,1,"R","3664097","WALGREENS #3741 3741"]
["21865M","0010105950E              ","MBRP00000430808","000001730640","2021-04-05","00071036924","DILANTIN CAPS 100.000",120,30,{"v":168.24,"d":"$168.24"},{"v":0.59,"d":"$0.59"},{"v":168.83,"d":"$168.83"},{"v":63.68,"d":"$63.68"},{"v":105.15,"d":"$105.15"},"B","N",0,1,1,"R","3664097","WALGREENS #3741 3741"]
["21865M","0010105950E              ","MBRP00000430808","000001730640","2021-04-05","00071036924","DILANTIN CAPS 100.000",20,5,{"v":28.04,"d":"$28.04"},{"v":0.59,"d":"$0.59"},{"v":28.63,"d":"$28.63"},{"v":0,"d":"$0.00"},{"v":28.63,"d":"$28.63"},"B","N",0,1,1,"R","3664097","WALGREENS #3741 3741"]
["21865M","0010105950E              ","MBRP00000430808","000001730640","2021-04-05","00071036924","DILANTIN CAPS 100.000",120,30,{"v":168.24,"d":"$168.24"},{"v":0.59,"d":"$0.59"},{"v":168.83,"d":"$168.83"},{"v":63.68,"d":"$63.68"},{"v":105.15,"d":"$105.15"},"B","N",0,1,1,"R","3664097","WALGREENS #3741 3741"]
["21865M","0010105950E              ","MBRP00000430808","000001730640","2021-04-05","00071036924","DILANTIN CAPS 100.000",-120,30,{"v":-168.24,"d":"-$168.24"},{"v":-0.59,"d":"-$0.59"},{"v":-168.83,"d":"-$168.83"},{"v":-63.68,"d":"-$63.68"},{"v":-105.15,"d":"-$105.15"},"B","N",0,1,1,"R","3664097","WALGREENS #3741 3741"]
["21865M","0010083494E              ","MBRP00000424854","000006706076","2021-04-05","00228212750","CLONIDINE HYDR TABS 0.100",30,30,{"v":1.31,"d":"$1.31"},{"v":0.59,"d":"$0.59"},{"v":1.9,"d":"$1.90"},{"v":0,"d":"$0.00"},{"v":1.9,"d":"$1.90"},"G","N",0,0,0,"R","3674151","GIANT EAGLE PHARMACY #4152 4152"]
["21865M","0010153610E              ","MBRP00000430843","000001166932","2021-04-05","55111015901","OMEPRAZOLE CPDR 40.000",-30,30,{"v":-3.84,"d":"-$3.84"},{"v":-0.59,"d":"-$0.59"},{"v":-4.43,"d":"-$4.43"},{"v":0,"d":"$0.00"},{"v":-4.43,"d":"-$4.43"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010153610E              ","MBRP00000430843","000001166932","2021-04-05","55111015901","OMEPRAZOLE CPDR 40.000",30,30,{"v":3.84,"d":"$3.84"},{"v":0.59,"d":"$0.59"},{"v":4.43,"d":"$4.43"},{"v":0,"d":"$0.00"},{"v":4.43,"d":"$4.43"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010153610E              ","MBRP00000430843","000001166932","2021-04-05","55111015901","OMEPRAZOLE CPDR 40.000",30,30,{"v":3.84,"d":"$3.84"},{"v":0.59,"d":"$0.59"},{"v":4.43,"d":"$4.43"},{"v":0,"d":"$0.00"},{"v":4.43,"d":"$4.43"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010085209E              ","MBRP00000429140","000001783285","2021-04-05","51224010750","METFORMIN HYDR TB24 750.000",60,30,{"v":18.52,"d":"$18.52"},{"v":0.59,"d":"$0.59"},{"v":19.11,"d":"$19.11"},{"v":14.11,"d":"$14.11"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","0010153610E              ","MBRP00000430843","000002581334","2021-04-05","59746017306","PREDNISONE TABS 10.000",30,30,{"v":4.35,"d":"$4.35"},{"v":0.59,"d":"$0.59"},{"v":4.94,"d":"$4.94"},{"v":0,"d":"$0.00"},{"v":4.94,"d":"$4.94"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010153610E              ","MBRP00000430843","000002581334","2021-04-05","59746017306","PREDNISONE TABS 10.000",-30,30,{"v":-4.35,"d":"-$4.35"},{"v":-0.59,"d":"-$0.59"},{"v":-4.94,"d":"-$4.94"},{"v":0,"d":"$0.00"},{"v":-4.94,"d":"-$4.94"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010153610E              ","MBRP00000430843","000002581334","2021-04-05","59746017306","PREDNISONE TABS 10.000",30,30,{"v":4.35,"d":"$4.35"},{"v":0.59,"d":"$0.59"},{"v":4.94,"d":"$4.94"},{"v":0,"d":"$0.00"},{"v":4.94,"d":"$4.94"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010084121E              ","MBRP00000422263","000006075894","2021-04-05","59676058005","JANSSEN COVID- SUSP 0.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":28.39,"d":"$28.39"},{"v":28.39,"d":"$28.39"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3684962","EQUITAS HEALTH PHARMACY #3 3"]
["21865M","0010006057E              ","MBRP00000424869","000000805894","2021-04-05","59762500801","MISOPROSTOL TABS 200.000",-2,2,{"v":-1.8,"d":"-$1.80"},{"v":-0.59,"d":"-$0.59"},{"v":-2.39,"d":"-$2.39"},{"v":0,"d":"$0.00"},{"v":-2.39,"d":"-$2.39"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010006057E              ","MBRP00000424869","000000805894","2021-04-05","59762500801","MISOPROSTOL TABS 200.000",2,2,{"v":1.8,"d":"$1.80"},{"v":0.59,"d":"$0.59"},{"v":2.39,"d":"$2.39"},{"v":0,"d":"$0.00"},{"v":2.39,"d":"$2.39"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010006057E              ","MBRP00000424869","000000805894","2021-04-05","59762500801","MISOPROSTOL TABS 200.000",-2,2,{"v":-1.8,"d":"-$1.80"},{"v":-0.59,"d":"-$0.59"},{"v":-2.39,"d":"-$2.39"},{"v":0,"d":"$0.00"},{"v":-2.39,"d":"-$2.39"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010006057E              ","MBRP00000424869","000000805894","2021-04-05","59762500801","MISOPROSTOL TABS 200.000",2,2,{"v":1.8,"d":"$1.80"},{"v":0.59,"d":"$0.59"},{"v":2.39,"d":"$2.39"},{"v":0,"d":"$0.00"},{"v":2.39,"d":"$2.39"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010098981E              ","MBRP00000429201","000001434234","2021-04-05","71428000160","FLUOCINONIDE SOLN 0.050",60,15,{"v":43.11,"d":"$43.11"},{"v":0.59,"d":"$0.59"},{"v":43.7,"d":"$43.70"},{"v":38.7,"d":"$38.70"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010098981E              ","MBRP00000429201","000001434234","2021-04-05","71428000160","FLUOCINONIDE SOLN 0.050",-60,15,{"v":-43.11,"d":"-$43.11"},{"v":-0.59,"d":"-$0.59"},{"v":-43.7,"d":"-$43.70"},{"v":-38.7,"d":"-$38.70"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010140122E              ","MBRP00000440310","000001793116","2021-04-05","80777027399","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":28.39,"d":"$28.39"},{"v":28.39,"d":"$28.39"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","0010085209E              ","MBRP00000429140","000001783283","2021-04-05","16729000201","GLIMEPIRIDE TABS 2.000",30,30,{"v":7.39,"d":"$7.39"},{"v":0.59,"d":"$0.59"},{"v":7.98,"d":"$7.98"},{"v":2.98,"d":"$2.98"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","0010005833E              ","MBRP00000430908","000006423266","2021-04-05","16714008501","SPIRONOLACTONE TABS 50.000",30,30,{"v":6.91,"d":"$6.91"},{"v":0.59,"d":"$0.59"},{"v":7.5,"d":"$7.50"},{"v":2.5,"d":"$2.50"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648930","MARCS 14"]
["21865M","0010005833E              ","MBRP00000430908","000006423266","2021-04-05","16714008501","SPIRONOLACTONE TABS 50.000",-30,30,{"v":-6.91,"d":"-$6.91"},{"v":-0.59,"d":"-$0.59"},{"v":-7.5,"d":"-$7.50"},{"v":-2.5,"d":"-$2.50"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3648930","MARCS 14"]
["21865M","0010005833E              ","MBRP00000430908","000006423266","2021-04-05","16714008501","SPIRONOLACTONE TABS 50.000",30,30,{"v":6.91,"d":"$6.91"},{"v":0.59,"d":"$0.59"},{"v":7.5,"d":"$7.50"},{"v":2.5,"d":"$2.50"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648930","MARCS 14"]
["21865M","0010137838E              ","MBRP00000417781","000006802628","2021-04-05","16714045301","QUETIAPINE FUM TABS 50.000",90,30,{"v":21,"d":"$21.00"},{"v":0.59,"d":"$0.59"},{"v":21.59,"d":"$21.59"},{"v":16.59,"d":"$16.59"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3656444","MARCS 27"]
["21865M","0010137838E              ","MBRP00000417781","000006802628","2021-04-05","16714045301","QUETIAPINE FUM TABS 50.000",90,30,{"v":21,"d":"$21.00"},{"v":0.59,"d":"$0.59"},{"v":21.59,"d":"$21.59"},{"v":16.59,"d":"$16.59"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3656444","MARCS 27"]
["21865M","0010137838E              ","MBRP00000417781","000006802628","2021-04-05","16714045301","QUETIAPINE FUM TABS 50.000",-90,30,{"v":-21,"d":"-$21.00"},{"v":-0.59,"d":"-$0.59"},{"v":-21.59,"d":"-$21.59"},{"v":-16.59,"d":"-$16.59"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3656444","MARCS 27"]
["21865M","0010092584E              ","MBRP00000440290","000001290053","2021-04-05","00781808926","AZITHROMYCIN TABS 250.000",6,5,{"v":4.16,"d":"$4.16"},{"v":0.59,"d":"$0.59"},{"v":4.75,"d":"$4.75"},{"v":0,"d":"$0.00"},{"v":4.75,"d":"$4.75"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010092584E              ","MBRP00000440290","000001290053","2021-04-05","00781808926","AZITHROMYCIN TABS 250.000",-6,5,{"v":-4.16,"d":"-$4.16"},{"v":-0.59,"d":"-$0.59"},{"v":-4.75,"d":"-$4.75"},{"v":0,"d":"$0.00"},{"v":-4.75,"d":"-$4.75"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010092584E              ","MBRP00000440290","000001290053","2021-04-05","00781808926","AZITHROMYCIN TABS 250.000",6,5,{"v":4.16,"d":"$4.16"},{"v":0.59,"d":"$0.59"},{"v":4.75,"d":"$4.75"},{"v":0,"d":"$0.00"},{"v":4.75,"d":"$4.75"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010153711E              ","MBRP00000350305","000001793921","2021-04-05","00781518410","LEVOTHYROXINE  TABS 100.000",-90,90,{"v":-41.35,"d":"-$41.35"},{"v":0,"d":"$0.00"},{"v":-41.35,"d":"-$41.35"},{"v":-26.35,"d":"-$26.35"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","0010153711E              ","MBRP00000350305","000001793921","2021-04-05","00781518410","LEVOTHYROXINE  TABS 100.000",90,90,{"v":41.35,"d":"$41.35"},{"v":0,"d":"$0.00"},{"v":41.35,"d":"$41.35"},{"v":26.35,"d":"$26.35"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","0010135251E              ","MBRP00000440231","000303438684","2021-04-05","00781223410","OMEPRAZOLE CPDR 40.000",90,90,{"v":11.53,"d":"$11.53"},{"v":0,"d":"$0.00"},{"v":11.53,"d":"$11.53"},{"v":1.53,"d":"$1.53"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010152646E              ","MBRP00000442992","000000701434","2021-04-05","00430042014","LO LOESTRIN FE TABS 0.000",-84,84,{"v":-438.43,"d":"-$438.43"},{"v":0,"d":"$0.00"},{"v":-438.43,"d":"-$438.43"},{"v":-333.43,"d":"-$333.43"},{"v":-105,"d":"-$105.00"},"B","N",0,0,9,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010152646E              ","MBRP00000442992","000000701434","2021-04-05","00430042014","LO LOESTRIN FE TABS 0.000",84,84,{"v":438.43,"d":"$438.43"},{"v":0,"d":"$0.00"},{"v":438.43,"d":"$438.43"},{"v":333.43,"d":"$333.43"},{"v":105,"d":"$105.00"},"B","N",0,0,9,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010152646E              ","MBRP00000442992","000000701434","2021-04-05","00430042014","LO LOESTRIN FE TABS 0.000",84,84,{"v":438.43,"d":"$438.43"},{"v":0,"d":"$0.00"},{"v":438.43,"d":"$438.43"},{"v":333.43,"d":"$333.43"},{"v":105,"d":"$105.00"},"B","N",0,0,9,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010048450E              ","MBRP00000418553","000001492000","2021-04-05","00469260230","MYRBETRIQ TB24 50.000",30,30,{"v":409.72,"d":"$409.72"},{"v":0.59,"d":"$0.59"},{"v":410.31,"d":"$410.31"},{"v":390.31,"d":"$390.31"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010048450E              ","MBRP00000418553","000001492000","2021-04-05","00469260230","MYRBETRIQ TB24 50.000",-30,30,{"v":-409.72,"d":"-$409.72"},{"v":-0.59,"d":"-$0.59"},{"v":-410.31,"d":"-$410.31"},{"v":-390.31,"d":"-$390.31"},{"v":-20,"d":"-$20.00"},"B","N",0,0,1,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010153711E              ","MBRP00000350305","000001793921","2021-04-05","00527328446","LEVOTHYROXINE  TABS 100.000",90,90,{"v":41.35,"d":"$41.35"},{"v":0,"d":"$0.00"},{"v":41.35,"d":"$41.35"},{"v":26.35,"d":"$26.35"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","0010152646E              ","MBRP00000442992","000000707015","2021-04-05","69097081307","GABAPENTIN CAPS 100.000",-90,30,{"v":-6.52,"d":"-$6.52"},{"v":-0.59,"d":"-$0.59"},{"v":-7.11,"d":"-$7.11"},{"v":-2.11,"d":"-$2.11"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010152646E              ","MBRP00000442992","000000707015","2021-04-05","69097081307","GABAPENTIN CAPS 100.000",90,30,{"v":6.52,"d":"$6.52"},{"v":0.59,"d":"$0.59"},{"v":7.11,"d":"$7.11"},{"v":2.11,"d":"$2.11"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010152646E              ","MBRP00000442992","000000707015","2021-04-05","69097081307","GABAPENTIN CAPS 100.000",90,30,{"v":6.52,"d":"$6.52"},{"v":0.59,"d":"$0.59"},{"v":7.11,"d":"$7.11"},{"v":2.11,"d":"$2.11"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010092580E              ","MBRP00000424961","000001464969","2021-04-05","68462071171","ESTRADIOL TABS 10.000",24,84,{"v":435.63,"d":"$435.63"},{"v":0,"d":"$0.00"},{"v":435.63,"d":"$435.63"},{"v":420.63,"d":"$420.63"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010072270E              ","MBRP00000429220","000009282232","2021-04-05","68382080705","TRAZODONE HYDR TABS 150.000",30,30,{"v":11.86,"d":"$11.86"},{"v":0.5,"d":"$0.50"},{"v":12.36,"d":"$12.36"},{"v":7.36,"d":"$7.36"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010052597E              ","MBRP00000354711","000008098646","2021-04-05","68462013281","NORETHINDRONE  TABS 0.000",21,21,{"v":4.91,"d":"$4.91"},{"v":0.59,"d":"$0.59"},{"v":5.5,"d":"$5.50"},{"v":5.5,"d":"$5.50"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3656470","UNIV OF TOLEDO MAIN CAMPUS OUTPA"]
["21865M","0010072270E              ","MBRP00000429220","000009282244","2021-04-05","66993001968","ALBUTEROL SULF AERS 108.000",18,25,{"v":51.51,"d":"$51.51"},{"v":0.5,"d":"$0.50"},{"v":52.01,"d":"$52.01"},{"v":17.01,"d":"$17.01"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3606297","DAVIES PHARMACY 1"]
["21865M","AC00109689800","MBRP00000455148","000007129060","2021-04-05","68180032009","BUPROPION HYDR TB24 300.000",30,30,{"v":26.79,"d":"$26.79"},{"v":0.59,"d":"$0.59"},{"v":27.38,"d":"$27.38"},{"v":22.38,"d":"$22.38"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010153612E              ","MBRP00000430774","000006695856","2021-04-05","47781030301","NITROFURANTOIN CAPS 100.000",14,7,{"v":43.69,"d":"$43.69"},{"v":0.59,"d":"$0.59"},{"v":44.28,"d":"$44.28"},{"v":39.28,"d":"$39.28"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659084","MARCS 39"]
["21865M","0010153612E              ","MBRP00000430774","000006695856","2021-04-05","47781030301","NITROFURANTOIN CAPS 100.000",-14,7,{"v":-43.69,"d":"-$43.69"},{"v":-0.59,"d":"-$0.59"},{"v":-44.28,"d":"-$44.28"},{"v":-39.28,"d":"-$39.28"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3659084","MARCS 39"]
["21865M","0010153612E              ","MBRP00000430774","000006695856","2021-04-05","47781030301","NITROFURANTOIN CAPS 100.000",14,7,{"v":43.69,"d":"$43.69"},{"v":0.59,"d":"$0.59"},{"v":44.28,"d":"$44.28"},{"v":39.28,"d":"$39.28"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659084","MARCS 39"]
["21865M","0010147361E              ","MBRP00000294787","000001381258","2021-04-05","31722082730","ARIPIPRAZOLE TABS 10.000",90,90,{"v":86.64,"d":"$86.64"},{"v":0,"d":"$0.00"},{"v":86.64,"d":"$86.64"},{"v":71.64,"d":"$71.64"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3652662","RITE AID PHARMACY 02456"]
["21865M","0010139615E              ","MBRP00000440108","000303589138","2021-04-05","43547028111","ESCITALOPRAM O TABS 10.000",90,90,{"v":14.14,"d":"$14.14"},{"v":0,"d":"$0.00"},{"v":14.14,"d":"$14.14"},{"v":4.14,"d":"$4.14"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010073375E              ","MBRP00000422374","000007551056","2021-04-05","24208041005","OFLOXACIN SOLN 0.300",5,15,{"v":16.42,"d":"$16.42"},{"v":0.59,"d":"$0.59"},{"v":17.01,"d":"$17.01"},{"v":12.01,"d":"$12.01"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3668285","WALMART PHARMACY 10-2914 102914"]
["21865M","0010153672E              ","MBRP00000431033","000000731210","2021-04-05","23155000201","HYDRALAZINE HY TABS 25.000",270,90,{"v":20.98,"d":"$20.98"},{"v":0,"d":"$0.00"},{"v":20.98,"d":"$20.98"},{"v":5.98,"d":"$5.98"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3679668","CVS PHARMACY #02385 02385"]
["21865M","0010153672E              ","MBRP00000431033","000000731210","2021-04-05","23155000201","HYDRALAZINE HY TABS 25.000",-270,90,{"v":-20.98,"d":"-$20.98"},{"v":0,"d":"$0.00"},{"v":-20.98,"d":"-$20.98"},{"v":-5.98,"d":"-$5.98"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3679668","CVS PHARMACY #02385 02385"]
["21865M","0010153672E              ","MBRP00000431033","000000731210","2021-04-05","23155000201","HYDRALAZINE HY TABS 25.000",270,90,{"v":20.98,"d":"$20.98"},{"v":0,"d":"$0.00"},{"v":20.98,"d":"$20.98"},{"v":5.98,"d":"$5.98"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3679668","CVS PHARMACY #02385 02385"]
["21865M","0010129915E              ","MBRP00000424935","000001690962","2021-04-05","29300012810","HYDROCHLOROTHI TABS 25.000",18,18,{"v":0.54,"d":"$0.54"},{"v":0.59,"d":"$0.59"},{"v":1.13,"d":"$1.13"},{"v":0,"d":"$0.00"},{"v":1.13,"d":"$1.13"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010112588E              ","MBRP00000440167","000000921650","2021-04-05","29033000301","SUCRALFATE TABS 1.000",56,14,{"v":24.56,"d":"$24.56"},{"v":0.59,"d":"$0.59"},{"v":25.15,"d":"$25.15"},{"v":20.15,"d":"$20.15"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651975","RITE AID PHARMACY 02401"]
["21865M","0010005990E              ","MBRP00000430990","000001656047","2021-04-05","29300012510","MELOXICAM TABS 15.000",30,30,{"v":1.23,"d":"$1.23"},{"v":0.59,"d":"$0.59"},{"v":1.82,"d":"$1.82"},{"v":0,"d":"$0.00"},{"v":1.82,"d":"$1.82"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010005990E              ","MBRP00000430990","000001656047","2021-04-05","29300012510","MELOXICAM TABS 15.000",-30,30,{"v":-1.23,"d":"-$1.23"},{"v":-0.59,"d":"-$0.59"},{"v":-1.82,"d":"-$1.82"},{"v":0,"d":"$0.00"},{"v":-1.82,"d":"-$1.82"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010005990E              ","MBRP00000430990","000001656047","2021-04-05","29300012510","MELOXICAM TABS 15.000",30,30,{"v":1.23,"d":"$1.23"},{"v":0.59,"d":"$0.59"},{"v":1.82,"d":"$1.82"},{"v":0,"d":"$0.00"},{"v":1.82,"d":"$1.82"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","AC00110021200","MBRP00000460279","000008854474","2021-04-06","00193707025","CONTOUR BLOOD  STRP 0.000",-300,90,{"v":-310.86,"d":"-$310.86"},{"v":0,"d":"$0.00"},{"v":-310.86,"d":"-$310.86"},{"v":-250.86,"d":"-$250.86"},{"v":-60,"d":"-$60.00"},"B","N",0,0,1,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","AC00110021200","MBRP00000460279","000008854474","2021-04-06","00193707025","CONTOUR BLOOD  STRP 0.000",300,90,{"v":310.86,"d":"$310.86"},{"v":0,"d":"$0.00"},{"v":310.86,"d":"$310.86"},{"v":250.86,"d":"$250.86"},{"v":60,"d":"$60.00"},"B","N",0,0,1,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","0010151745E              ","MBRP00000454578","000002858086","2021-04-06","00143988701","AMOXICILLIN SUSR 400.000",100,12,{"v":3.32,"d":"$3.32"},{"v":0.59,"d":"$0.59"},{"v":3.91,"d":"$3.91"},{"v":0,"d":"$0.00"},{"v":3.91,"d":"$3.91"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010084332E              ","MBRP00000422117","000002473489","2021-04-06","50458057930","XARELTO TABS 20.000",30,30,{"v":483.67,"d":"$483.67"},{"v":0.59,"d":"$0.59"},{"v":484.26,"d":"$484.26"},{"v":464.26,"d":"$464.26"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010124290E              ","MBRP00000417911","000000826864","2021-04-06","51991074690","DULOXETINE HYD CPEP 20.000",30,30,{"v":14.84,"d":"$14.84"},{"v":0.59,"d":"$0.59"},{"v":15.43,"d":"$15.43"},{"v":10.43,"d":"$10.43"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3679606","CVS PHARMACY #02063 02063"]
["21865M","0010064744E              ","MBRP00000422383","000000566796","2021-04-06","51991070610","ALPRAZOLAM TABS 1.000",120,30,{"v":2.7,"d":"$2.70"},{"v":0.5,"d":"$0.50"},{"v":3.2,"d":"$3.20"},{"v":0,"d":"$0.00"},{"v":3.2,"d":"$3.20"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","0010153560E              ","MBRP00000440308","000002803090","2021-04-06","55111012205","ATORVASTATIN C TABS 20.000",90,90,{"v":8.79,"d":"$8.79"},{"v":0,"d":"$0.00"},{"v":8.79,"d":"$8.79"},{"v":0,"d":"$0.00"},{"v":8.79,"d":"$8.79"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010153560E              ","MBRP00000440308","000002803090","2021-04-06","55111012205","ATORVASTATIN C TABS 20.000",-90,90,{"v":-8.79,"d":"-$8.79"},{"v":0,"d":"$0.00"},{"v":-8.79,"d":"-$8.79"},{"v":0,"d":"$0.00"},{"v":-8.79,"d":"-$8.79"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010006064E              ","MBRP00000422382","000303706906","2021-04-06","55111039905","LANSOPRAZOLE CPDR 30.000",90,90,{"v":51.9,"d":"$51.90"},{"v":0,"d":"$0.00"},{"v":51.9,"d":"$51.90"},{"v":41.9,"d":"$41.90"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010134939E              ","MBRP00000422191","000302615767","2021-04-06","60505082901","FLUTICASONE PR SUSP 50.000",32,90,{"v":15.56,"d":"$15.56"},{"v":0,"d":"$0.00"},{"v":15.56,"d":"$15.56"},{"v":5.56,"d":"$5.56"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","1718634","OPTUMRX"]
["21865M","0010134939E              ","MBRP00000422191","000302615767","2021-04-06","60505082901","FLUTICASONE PR SUSP 50.000",32,90,{"v":15.56,"d":"$15.56"},{"v":0,"d":"$0.00"},{"v":15.56,"d":"$15.56"},{"v":5.56,"d":"$5.56"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","1718634","OPTUMRX"]
["21865M","0010134939E              ","MBRP00000422191","000302615767","2021-04-06","60505082901","FLUTICASONE PR SUSP 50.000",-32,90,{"v":-15.56,"d":"-$15.56"},{"v":0,"d":"$0.00"},{"v":-15.56,"d":"-$15.56"},{"v":-5.56,"d":"-$5.56"},{"v":-10,"d":"-$10.00"},"G","N",0,0,0,"M","1718634","OPTUMRX"]
["21865M","AC00109149800","MBRP00000446417","000000887120","2021-04-06","62756018588","OXCARBAZEPINE TABS 600.000",60,15,{"v":32.97,"d":"$32.97"},{"v":0.59,"d":"$0.59"},{"v":33.56,"d":"$33.56"},{"v":28.56,"d":"$28.56"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652004","RITE AID PHARMACY 02404"]
["21865M","AC00109149800","MBRP00000446417","000000887120","2021-04-06","62756018588","OXCARBAZEPINE TABS 600.000",-60,15,{"v":-32.97,"d":"-$32.97"},{"v":-0.59,"d":"-$0.59"},{"v":-33.56,"d":"-$33.56"},{"v":-28.56,"d":"-$28.56"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3652004","RITE AID PHARMACY 02404"]
["21865M","AC00109149800","MBRP00000446417","000000887120","2021-04-06","62756018588","OXCARBAZEPINE TABS 600.000",60,15,{"v":32.97,"d":"$32.97"},{"v":0.59,"d":"$0.59"},{"v":33.56,"d":"$33.56"},{"v":28.56,"d":"$28.56"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652004","RITE AID PHARMACY 02404"]
["21865M","0010134939E              ","MBRP00000422191","000302590282","2021-04-06","57664050218","TIZANIDINE HCL TABS 2.000",90,90,{"v":13.63,"d":"$13.63"},{"v":0,"d":"$0.00"},{"v":13.63,"d":"$13.63"},{"v":3.63,"d":"$3.63"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","1718634","OPTUMRX"]
["21865M","0010134939E              ","MBRP00000422191","000302590282","2021-04-06","57664050218","TIZANIDINE HCL TABS 2.000",-90,90,{"v":-13.63,"d":"-$13.63"},{"v":0,"d":"$0.00"},{"v":-13.63,"d":"-$13.63"},{"v":-3.63,"d":"-$3.63"},{"v":-10,"d":"-$10.00"},"G","N",0,0,0,"M","1718634","OPTUMRX"]
["21865M","0010134939E              ","MBRP00000422191","000302590282","2021-04-06","57664050218","TIZANIDINE HCL TABS 2.000",90,90,{"v":13.63,"d":"$13.63"},{"v":0,"d":"$0.00"},{"v":13.63,"d":"$13.63"},{"v":3.63,"d":"$3.63"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","1718634","OPTUMRX"]
["21865M","0010139961E              ","MBRP00000417950","000001278592","2021-04-06","65862001305","SERTRALINE HYD TABS 100.000",-30,30,{"v":-3.13,"d":"-$3.13"},{"v":-0.59,"d":"-$0.59"},{"v":-3.72,"d":"-$3.72"},{"v":0,"d":"$0.00"},{"v":-3.72,"d":"-$3.72"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010139961E              ","MBRP00000417950","000001278592","2021-04-06","65862001305","SERTRALINE HYD TABS 100.000",30,30,{"v":3.13,"d":"$3.13"},{"v":0.59,"d":"$0.59"},{"v":3.72,"d":"$3.72"},{"v":0,"d":"$0.00"},{"v":3.72,"d":"$3.72"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010139961E              ","MBRP00000417950","000001278592","2021-04-06","65862001305","SERTRALINE HYD TABS 100.000",30,30,{"v":3.13,"d":"$3.13"},{"v":0.59,"d":"$0.59"},{"v":3.72,"d":"$3.72"},{"v":0,"d":"$0.00"},{"v":3.72,"d":"$3.72"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010076542E              ","MBRP00000422322","000000556283","2021-04-06","00574082701","TESTOSTERONE C SOLN 200.000",4,28,{"v":34.96,"d":"$34.96"},{"v":0.59,"d":"$0.59"},{"v":35.55,"d":"$35.55"},{"v":30.55,"d":"$30.55"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010134939E              ","MBRP00000422191","000302590275","2021-04-06","00781223410","OMEPRAZOLE CPDR 40.000",-90,90,{"v":-11.53,"d":"-$11.53"},{"v":0,"d":"$0.00"},{"v":-11.53,"d":"-$11.53"},{"v":-1.53,"d":"-$1.53"},{"v":-10,"d":"-$10.00"},"G","N",0,0,0,"M","1718634","OPTUMRX"]
["21865M","0010134939E              ","MBRP00000422191","000302590275","2021-04-06","00781223410","OMEPRAZOLE CPDR 40.000",90,90,{"v":11.53,"d":"$11.53"},{"v":0,"d":"$0.00"},{"v":11.53,"d":"$11.53"},{"v":1.53,"d":"$1.53"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","1718634","OPTUMRX"]
["21865M","0010122707E              ","MBRP00000429094","000000710856","2021-04-06","00781107705","ALPRAZOLAM TABS 0.500",90,8,{"v":2.42,"d":"$2.42"},{"v":0.59,"d":"$0.59"},{"v":3.01,"d":"$3.01"},{"v":0,"d":"$0.00"},{"v":3.01,"d":"$3.01"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010092578E              ","MBRP00000424978","000000890895","2021-04-06","00781107705","ALPRAZOLAM TABS 0.500",28,14,{"v":0.75,"d":"$0.75"},{"v":0.59,"d":"$0.59"},{"v":1.34,"d":"$1.34"},{"v":0,"d":"$0.00"},{"v":1.34,"d":"$1.34"},"G","N",0,0,0,"R","3652092","RITE AID PHARMACY 02413"]
["21865M","0010092578E              ","MBRP00000424978","000000890895","2021-04-06","00781106101","ALPRAZOLAM TABS 0.250",28,14,{"v":0.62,"d":"$0.62"},{"v":0.59,"d":"$0.59"},{"v":1.21,"d":"$1.21"},{"v":0,"d":"$0.00"},{"v":1.21,"d":"$1.21"},"G","N",0,0,0,"R","3652092","RITE AID PHARMACY 02413"]
["21865M","0010092578E              ","MBRP00000424978","000000890895","2021-04-06","00781106101","ALPRAZOLAM TABS 0.250",-28,14,{"v":-0.62,"d":"-$0.62"},{"v":-0.59,"d":"-$0.59"},{"v":-1.21,"d":"-$1.21"},{"v":0,"d":"$0.00"},{"v":-1.21,"d":"-$1.21"},"G","N",0,0,0,"R","3652092","RITE AID PHARMACY 02413"]
["21865M","0010134939E              ","MBRP00000422191","000302590275","2021-04-06","00781223410","OMEPRAZOLE CPDR 40.000",90,90,{"v":11.53,"d":"$11.53"},{"v":0,"d":"$0.00"},{"v":11.53,"d":"$11.53"},{"v":1.53,"d":"$1.53"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","1718634","OPTUMRX"]
["21865M","0010134939E              ","MBRP00000422191","000302590276","2021-04-06","13668008105","MONTELUKAST SO TABS 10.000",-90,90,{"v":-34.94,"d":"-$34.94"},{"v":0,"d":"$0.00"},{"v":-34.94,"d":"-$34.94"},{"v":-24.94,"d":"-$24.94"},{"v":-10,"d":"-$10.00"},"G","N",0,0,0,"M","1718634","OPTUMRX"]
["21865M","0010134939E              ","MBRP00000422191","000302590276","2021-04-06","13668008105","MONTELUKAST SO TABS 10.000",90,90,{"v":34.94,"d":"$34.94"},{"v":0,"d":"$0.00"},{"v":34.94,"d":"$34.94"},{"v":24.94,"d":"$24.94"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","1718634","OPTUMRX"]
["21865M","0010134939E              ","MBRP00000422191","000302590276","2021-04-06","13668008105","MONTELUKAST SO TABS 10.000",90,90,{"v":34.94,"d":"$34.94"},{"v":0,"d":"$0.00"},{"v":34.94,"d":"$34.94"},{"v":24.94,"d":"$24.94"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","1718634","OPTUMRX"]
["21865M","0010116868E              ","MBRP00000430955","000001784855","2021-04-06","67877019905","AMLODIPINE BES TABS 10.000",30,30,{"v":1.41,"d":"$1.41"},{"v":0.59,"d":"$0.59"},{"v":2,"d":"$2.00"},{"v":0,"d":"$0.00"},{"v":2,"d":"$2.00"},"G","N",0,0,0,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","0010153653E              ","MBRP00000429323","000002368586","2021-04-06","68180098003","LISINOPRIL TABS 10.000",90,90,{"v":3.65,"d":"$3.65"},{"v":0,"d":"$0.00"},{"v":3.65,"d":"$3.65"},{"v":0,"d":"$0.00"},{"v":3.65,"d":"$3.65"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010153653E              ","MBRP00000429323","000002368586","2021-04-06","68180098003","LISINOPRIL TABS 10.000",-90,90,{"v":-3.65,"d":"-$3.65"},{"v":0,"d":"$0.00"},{"v":-3.65,"d":"-$3.65"},{"v":0,"d":"$0.00"},{"v":-3.65,"d":"-$3.65"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010153653E              ","MBRP00000429323","000002368586","2021-04-06","68180098003","LISINOPRIL TABS 10.000",90,90,{"v":3.65,"d":"$3.65"},{"v":0,"d":"$0.00"},{"v":3.65,"d":"$3.65"},{"v":0,"d":"$0.00"},{"v":3.65,"d":"$3.65"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010092580E              ","MBRP00000424961","000001464969","2021-04-06","68462071171","ESTRADIOL TABS 10.000",24,49,{"v":435.63,"d":"$435.63"},{"v":0.59,"d":"$0.59"},{"v":436.22,"d":"$436.22"},{"v":421.22,"d":"$421.22"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010125947E              ","MBRP00000422211","000001762847","2021-04-06","42806054701","VITAMIN D CAPS 1.250",4,28,{"v":4.1,"d":"$4.10"},{"v":0.59,"d":"$0.59"},{"v":4.69,"d":"$4.69"},{"v":0,"d":"$0.00"},{"v":4.69,"d":"$4.69"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","0010125947E              ","MBRP00000422211","000001762847","2021-04-06","42806054701","VITAMIN D CAPS 1.250",4,28,{"v":4.1,"d":"$4.10"},{"v":0.59,"d":"$0.59"},{"v":4.69,"d":"$4.69"},{"v":0,"d":"$0.00"},{"v":4.69,"d":"$4.69"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","0010125947E              ","MBRP00000422211","000001762847","2021-04-06","42806054701","VITAMIN D CAPS 1.250",-4,28,{"v":-4.1,"d":"-$4.10"},{"v":-0.59,"d":"-$0.59"},{"v":-4.69,"d":"-$4.69"},{"v":0,"d":"$0.00"},{"v":-4.69,"d":"-$4.69"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","0010153611E              ","MBRP00000430985","000001691014","2021-04-06","42192032701","NP THYROID 15 TABS 15.000",-8,5,{"v":-4.98,"d":"-$4.98"},{"v":-0.59,"d":"-$0.59"},{"v":-5.57,"d":"-$5.57"},{"v":-0.57,"d":"-$0.57"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010153611E              ","MBRP00000430985","000001691014","2021-04-06","42192032701","NP THYROID 15 TABS 15.000",-45,31,{"v":-28.03,"d":"-$28.03"},{"v":-0.59,"d":"-$0.59"},{"v":-28.62,"d":"-$28.62"},{"v":-13.62,"d":"-$13.62"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010153611E              ","MBRP00000430985","000001691014","2021-04-06","42192032701","NP THYROID 15 TABS 15.000",8,5,{"v":4.98,"d":"$4.98"},{"v":0.59,"d":"$0.59"},{"v":5.57,"d":"$5.57"},{"v":0.57,"d":"$0.57"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010153611E              ","MBRP00000430985","000001691014","2021-04-06","42192032701","NP THYROID 15 TABS 15.000",45,31,{"v":28.03,"d":"$28.03"},{"v":0.59,"d":"$0.59"},{"v":28.62,"d":"$28.62"},{"v":13.62,"d":"$13.62"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010084199E              ","MBRP00000417834","000000176818","2021-04-06","45802001402","HYDROCORTISONE OINT 2.500",40,15,{"v":5.23,"d":"$5.23"},{"v":0.59,"d":"$0.59"},{"v":5.82,"d":"$5.82"},{"v":0.82,"d":"$0.82"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","5125679","CVS PHARMACY #16059 16059"]
["21865M","0010084199E              ","MBRP00000417834","000000176818","2021-04-06","45802001402","HYDROCORTISONE OINT 2.500",-40,15,{"v":-5.23,"d":"-$5.23"},{"v":-0.59,"d":"-$0.59"},{"v":-5.82,"d":"-$5.82"},{"v":-0.82,"d":"-$0.82"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","5125679","CVS PHARMACY #16059 16059"]
["21865M","0010084199E              ","MBRP00000417834","000000176818","2021-04-06","45802001402","HYDROCORTISONE OINT 2.500",40,15,{"v":5.23,"d":"$5.23"},{"v":0.59,"d":"$0.59"},{"v":5.82,"d":"$5.82"},{"v":0.82,"d":"$0.82"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","5125679","CVS PHARMACY #16059 16059"]
["21865M","0010006064E              ","MBRP00000422382","000303706904","2021-04-06","60505257808","ATORVASTATIN C TABS 10.000",45,90,{"v":4.45,"d":"$4.45"},{"v":0,"d":"$0.00"},{"v":4.45,"d":"$4.45"},{"v":0,"d":"$0.00"},{"v":4.45,"d":"$4.45"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010134939E              ","MBRP00000422191","000302590280","2021-04-06","61442010310","DICLOFENAC SOD TBEC 75.000",180,90,{"v":48.02,"d":"$48.02"},{"v":0,"d":"$0.00"},{"v":48.02,"d":"$48.02"},{"v":38.02,"d":"$38.02"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","1718634","OPTUMRX"]
["21865M","0010134939E              ","MBRP00000422191","000302590280","2021-04-06","61442010310","DICLOFENAC SOD TBEC 75.000",180,90,{"v":48.02,"d":"$48.02"},{"v":0,"d":"$0.00"},{"v":48.02,"d":"$48.02"},{"v":38.02,"d":"$38.02"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","1718634","OPTUMRX"]
["21865M","0010134939E              ","MBRP00000422191","000302590280","2021-04-06","61442010310","DICLOFENAC SOD TBEC 75.000",-180,90,{"v":-48.02,"d":"-$48.02"},{"v":0,"d":"$0.00"},{"v":-48.02,"d":"-$48.02"},{"v":-38.02,"d":"-$38.02"},{"v":-10,"d":"-$10.00"},"G","N",0,0,0,"M","1718634","OPTUMRX"]
["21865M","AC00109206900","MBRP00000447299","000002557514","2021-04-06","59676058015","JANSSEN COVID- SUSP 0.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":28.39,"d":"$28.39"},{"v":28.39,"d":"$28.39"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010152644E              ","MBRP00000429441","000001313888","2021-04-06","59267100002","PFIZER-BIONTEC SUSP 30.000",0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":28.39,"d":"$28.39"},{"v":28.39,"d":"$28.39"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3657561","CVS PHARMACY #04353 04353"]
["21865M","0010153611E              ","MBRP00000430985","000001691014","2021-04-06","00456045701","ARMOUR THYROID TABS 15.000",45,31,{"v":31.3,"d":"$31.30"},{"v":0.59,"d":"$0.59"},{"v":31.89,"d":"$31.89"},{"v":0,"d":"$0.00"},{"v":31.89,"d":"$31.89"},"B","N",0,0,1,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010153611E              ","MBRP00000430985","000001691014","2021-04-06","00456045701","ARMOUR THYROID TABS 15.000",-45,31,{"v":-31.3,"d":"-$31.30"},{"v":-0.59,"d":"-$0.59"},{"v":-31.89,"d":"-$31.89"},{"v":0,"d":"$0.00"},{"v":-31.89,"d":"-$31.89"},"B","N",0,0,1,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010079613E              ","MBRP00000422307","000001501999","2021-04-06","16714040604","LARIN FE 1/20 TABS 0.000",84,84,{"v":67.49,"d":"$67.49"},{"v":0,"d":"$0.00"},{"v":67.49,"d":"$67.49"},{"v":67.49,"d":"$67.49"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010079613E              ","MBRP00000422307","000001501999","2021-04-06","16714040604","LARIN FE 1/20 TABS 0.000",-84,84,{"v":-67.49,"d":"-$67.49"},{"v":0,"d":"$0.00"},{"v":-67.49,"d":"-$67.49"},{"v":-67.49,"d":"-$67.49"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010139961E              ","MBRP00000417950","000001290248","2021-04-06","10370010150","BUPROPION HYDR TB24 150.000",30,30,{"v":25.32,"d":"$25.32"},{"v":0.59,"d":"$0.59"},{"v":25.91,"d":"$25.91"},{"v":20.91,"d":"$20.91"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010005907E              ","MBRP00000422299","000001476961","2021-04-06","69097012303","TOPIRAMATE TABS 50.000",90,30,{"v":7.95,"d":"$7.95"},{"v":0.59,"d":"$0.59"},{"v":8.54,"d":"$8.54"},{"v":3.54,"d":"$3.54"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","AC00110021200","MBRP00000460279","000007259343","2021-04-06","68645058459","METFORMIN HYDR TABS 1000.000",180,90,{"v":10,"d":"$10.00"},{"v":0,"d":"$0.00"},{"v":10,"d":"$10.00"},{"v":0,"d":"$0.00"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","0010006064E              ","MBRP00000422382","000303706900","2021-04-06","70436005902","BUPROPION HYDR TB12 150.000",180,90,{"v":81.32,"d":"$81.32"},{"v":0,"d":"$0.00"},{"v":81.32,"d":"$81.32"},{"v":71.32,"d":"$71.32"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010149666E              ","MBRP00000424776","000001091478","2021-04-06","70700010185","NORETHINDRONE  CHEW 0.000",84,84,{"v":393.31,"d":"$393.31"},{"v":0,"d":"$0.00"},{"v":393.31,"d":"$393.31"},{"v":393.31,"d":"$393.31"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3675127","DISCOUNT DRUG MART 78"]
["21865M","0010115601E              ","MBRP00000315730","000009253246","2021-04-06","65628008005","FIRST-LANSOPRA SUSP 3.000",150,30,{"v":79.2,"d":"$79.20"},{"v":0.5,"d":"$0.50"},{"v":79.7,"d":"$79.70"},{"v":74.7,"d":"$74.70"},{"v":5,"d":"$5.00"},"B","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010132579E              ","MBRP00000417823","000001021641","2021-04-06","65862019430","FLUOXETINE HYD CAPS 40.000",30,30,{"v":7.32,"d":"$7.32"},{"v":0.59,"d":"$0.59"},{"v":7.91,"d":"$7.91"},{"v":2.91,"d":"$2.91"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3653094","RITE AID PHARMACY 02437"]
["21865M","0010132579E              ","MBRP00000417823","000001021641","2021-04-06","65862019430","FLUOXETINE HYD CAPS 40.000",30,30,{"v":7.32,"d":"$7.32"},{"v":0.59,"d":"$0.59"},{"v":7.91,"d":"$7.91"},{"v":2.91,"d":"$2.91"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3653094","RITE AID PHARMACY 02437"]
["21865M","0010132579E              ","MBRP00000417823","000001021641","2021-04-06","65862019430","FLUOXETINE HYD CAPS 40.000",-30,30,{"v":-7.32,"d":"-$7.32"},{"v":-0.59,"d":"-$0.59"},{"v":-7.91,"d":"-$7.91"},{"v":-2.91,"d":"-$2.91"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3653094","RITE AID PHARMACY 02437"]
["21865M","0010084309E              ","MBRP00000422396","000000879113","2021-04-06","62332002231","FLUOXETINE HYD CAPS 10.000",30,30,{"v":1.57,"d":"$1.57"},{"v":0.59,"d":"$0.59"},{"v":2.16,"d":"$2.16"},{"v":0,"d":"$0.00"},{"v":2.16,"d":"$2.16"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010153601E              ","MBRP00000430974","000001058452","2021-04-06","67877032105","IBUPROFEN TABS 800.000",90,30,{"v":6.1,"d":"$6.10"},{"v":0.59,"d":"$0.59"},{"v":6.69,"d":"$6.69"},{"v":1.69,"d":"$1.69"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659488","DISCOUNT DRUG MART 46"]
["21865M","0010153601E              ","MBRP00000430974","000001058452","2021-04-06","67877032105","IBUPROFEN TABS 800.000",-90,30,{"v":-6.1,"d":"-$6.10"},{"v":-0.59,"d":"-$0.59"},{"v":-6.69,"d":"-$6.69"},{"v":-1.69,"d":"-$1.69"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3659488","DISCOUNT DRUG MART 46"]
["21865M","0010153601E              ","MBRP00000430974","000001058452","2021-04-06","67877032105","IBUPROFEN TABS 800.000",90,30,{"v":6.1,"d":"$6.10"},{"v":0.59,"d":"$0.59"},{"v":6.69,"d":"$6.69"},{"v":1.69,"d":"$1.69"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659488","DISCOUNT DRUG MART 46"]
["21865M","0010134939E              ","MBRP00000422191","000302590281","2021-04-06","67877022310","GABAPENTIN CAPS 300.000",-810,90,{"v":-116.35,"d":"-$116.35"},{"v":0,"d":"$0.00"},{"v":-116.35,"d":"-$116.35"},{"v":-106.35,"d":"-$106.35"},{"v":-10,"d":"-$10.00"},"G","N",0,0,0,"M","1718634","OPTUMRX"]
["21865M","0010134939E              ","MBRP00000422191","000302590281","2021-04-06","67877022310","GABAPENTIN CAPS 300.000",810,90,{"v":116.35,"d":"$116.35"},{"v":0,"d":"$0.00"},{"v":116.35,"d":"$116.35"},{"v":106.35,"d":"$106.35"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","1718634","OPTUMRX"]
["21865M","0010134939E              ","MBRP00000422191","000302590281","2021-04-06","67877022310","GABAPENTIN CAPS 300.000",810,90,{"v":116.35,"d":"$116.35"},{"v":0,"d":"$0.00"},{"v":116.35,"d":"$116.35"},{"v":106.35,"d":"$106.35"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","1718634","OPTUMRX"]
["21865M","AC00110031300","MBRP00000460441","000006250498","2021-04-06","67877022305","GABAPENTIN CAPS 300.000",60,32,{"v":8.62,"d":"$8.62"},{"v":0.59,"d":"$0.59"},{"v":9.21,"d":"$9.21"},{"v":0,"d":"$0.00"},{"v":9.21,"d":"$9.21"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010131947E              ","MBRP00000440052","000002540557","2021-04-06","67877056110","METFORMIN HYDR TABS 500.000",90,90,{"v":3.08,"d":"$3.08"},{"v":0,"d":"$0.00"},{"v":3.08,"d":"$3.08"},{"v":0,"d":"$0.00"},{"v":3.08,"d":"$3.08"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010084188E              ","MBRP00000424742","000002779861","2021-04-06","65862078201","METHENAMINE HI TABS 1.000",30,30,{"v":46.48,"d":"$46.48"},{"v":0.59,"d":"$0.59"},{"v":47.07,"d":"$47.07"},{"v":42.07,"d":"$42.07"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010084188E              ","MBRP00000424742","000002779861","2021-04-06","65862078201","METHENAMINE HI TABS 1.000",30,30,{"v":46.48,"d":"$46.48"},{"v":0.59,"d":"$0.59"},{"v":47.07,"d":"$47.07"},{"v":42.07,"d":"$42.07"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010084188E              ","MBRP00000424742","000002779861","2021-04-06","65862078201","METHENAMINE HI TABS 1.000",-30,30,{"v":-46.48,"d":"-$46.48"},{"v":-0.59,"d":"-$0.59"},{"v":-47.07,"d":"-$47.07"},{"v":-42.07,"d":"-$42.07"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","AC00110031300","MBRP00000460441","000006250498","2021-04-06","67877022305","GABAPENTIN CAPS 300.000",-60,32,{"v":-8.62,"d":"-$8.62"},{"v":-0.59,"d":"-$0.59"},{"v":-9.21,"d":"-$9.21"},{"v":0,"d":"$0.00"},{"v":-9.21,"d":"-$9.21"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","AC00110031300","MBRP00000460441","000006250498","2021-04-06","67877022305","GABAPENTIN CAPS 300.000",60,32,{"v":8.62,"d":"$8.62"},{"v":0.59,"d":"$0.59"},{"v":9.21,"d":"$9.21"},{"v":0,"d":"$0.00"},{"v":9.21,"d":"$9.21"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","AC00110031300","MBRP00000460441","000006250498","2021-04-06","67877022305","GABAPENTIN CAPS 300.000",60,30,{"v":8.62,"d":"$8.62"},{"v":0.59,"d":"$0.59"},{"v":9.21,"d":"$9.21"},{"v":4.21,"d":"$4.21"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","AC00110031300","MBRP00000460441","000006250498","2021-04-06","67877022305","GABAPENTIN CAPS 300.000",-60,30,{"v":-8.62,"d":"-$8.62"},{"v":-0.59,"d":"-$0.59"},{"v":-9.21,"d":"-$9.21"},{"v":-4.21,"d":"-$4.21"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010006039E              ","MBRP00000429091","000001326265","2021-04-06","42858010201","OXYCODONE/ACET TABS 0.000",120,30,{"v":8.3,"d":"$8.30"},{"v":0.59,"d":"$0.59"},{"v":8.89,"d":"$8.89"},{"v":3.89,"d":"$3.89"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3657561","CVS PHARMACY #04353 04353"]
["21865M","0010031903E              ","MBRP00000430941","000007262680","2021-04-06","45963014205","BUPROPION HYDR TB24 300.000",90,90,{"v":80.38,"d":"$80.38"},{"v":0,"d":"$0.00"},{"v":80.38,"d":"$80.38"},{"v":65.38,"d":"$65.38"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3673387","WALMART PHARMACY 10-5410 105410"]
["21865M","AC00110021200","MBRP00000460279","000007259331","2021-04-06","50228018005","GABAPENTIN CAPS 300.000",90,30,{"v":12.93,"d":"$12.93"},{"v":0.59,"d":"$0.59"},{"v":13.52,"d":"$13.52"},{"v":8.52,"d":"$8.52"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","0010031903E              ","MBRP00000430941","000007262660","2021-04-06","51293082001","METHIMAZOLE TABS 5.000",90,90,{"v":16.07,"d":"$16.07"},{"v":0,"d":"$0.00"},{"v":16.07,"d":"$16.07"},{"v":1.07,"d":"$1.07"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3673387","WALMART PHARMACY 10-5410 105410"]
["21865M","0010062960E              ","MBRP00000417965","000001465460","2021-04-06","57237001830","DULOXETINE HYD CPEP 30.000",30,30,{"v":15.84,"d":"$15.84"},{"v":0.59,"d":"$0.59"},{"v":16.43,"d":"$16.43"},{"v":11.43,"d":"$11.43"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010031903E              ","MBRP00000430941","000007262677","2021-04-06","00093727156","PIOGLITAZONE H TABS 15.000",90,90,{"v":15.1,"d":"$15.10"},{"v":0,"d":"$0.00"},{"v":15.1,"d":"$15.10"},{"v":0.1,"d":"$0.10"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3673387","WALMART PHARMACY 10-5410 105410"]
["21865M","0010153251E              ","MBRP00000429280","000001236674","2021-04-06","00143988775","AMOXICILLIN SUSR 400.000",-150,10,{"v":-4.98,"d":"-$4.98"},{"v":-0.59,"d":"-$0.59"},{"v":-5.57,"d":"-$5.57"},{"v":-0.57,"d":"-$0.57"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3666320","WALGREENS #4983 4983"]
["21865M","0010153251E              ","MBRP00000429280","000001236674","2021-04-06","00143988775","AMOXICILLIN SUSR 400.000",150,10,{"v":4.98,"d":"$4.98"},{"v":0.59,"d":"$0.59"},{"v":5.57,"d":"$5.57"},{"v":0.57,"d":"$0.57"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3666320","WALGREENS #4983 4983"]
["21865M","0010153251E              ","MBRP00000429280","000001236674","2021-04-06","00143988775","AMOXICILLIN SUSR 400.000",150,10,{"v":4.98,"d":"$4.98"},{"v":0.59,"d":"$0.59"},{"v":5.57,"d":"$5.57"},{"v":0.57,"d":"$0.57"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3666320","WALGREENS #4983 4983"]
["21865M","0010151745E              ","MBRP00000454578","010719272724","2021-04-06","00143988775","AMOXICILLIN SUSR 400.000",150,10,{"v":4.98,"d":"$4.98"},{"v":0.59,"d":"$0.59"},{"v":5.57,"d":"$5.57"},{"v":0.57,"d":"$0.57"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010151745E              ","MBRP00000454578","010719272724","2021-04-06","00143988775","AMOXICILLIN SUSR 400.000",-150,10,{"v":-4.98,"d":"-$4.98"},{"v":-0.59,"d":"-$0.59"},{"v":-5.57,"d":"-$5.57"},{"v":-0.57,"d":"-$0.57"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010064744E              ","MBRP00000422383","000000558902","2021-04-06","00054040113","DESVENLAFAXINE TB24 100.000",60,60,{"v":153.81,"d":"$153.81"},{"v":0.5,"d":"$0.50"},{"v":154.31,"d":"$154.31"},{"v":139.31,"d":"$139.31"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","0010121132E              ","MBRP00000429347","000002041029","2021-04-06","00069050130","XELJANZ XR TB24 11.000",30,30,{"v":4851.6,"d":"$4,851.60"},{"v":0,"d":"$0.00"},{"v":4851.6,"d":"$4,851.60"},{"v":2540.08,"d":"$2,540.08"},{"v":2311.52,"d":"$2,311.52"},"B","Y",0,0,1,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010006021E              ","MBRP00000418018","000005021024","2021-04-06","0",0,30,90,{"v":6.09,"d":"$6.09"},{"v":10,"d":"$10.00"},{"v":16.09,"d":"$16.09"},{"v":0,"d":"$0.00"},{"v":16.09,"d":"$16.09"},"B","N",1,0,9,"R","3643271","MEDICINE CENTER PHARMACY"]
["21865M","0010052586E              ","MBRP00000398481","000002856957","2021-04-06","00406012505","HYDROCODONE/AC TABS 0.000",120,30,{"v":23.61,"d":"$23.61"},{"v":0.59,"d":"$0.59"},{"v":24.2,"d":"$24.20"},{"v":19.2,"d":"$19.20"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0020108078E              ","MBRP00000455178","000007121963","2021-04-06","00555904358","APRI TABS 0.000",28,28,{"v":24.98,"d":"$24.98"},{"v":0.59,"d":"$0.59"},{"v":25.57,"d":"$25.57"},{"v":25.57,"d":"$25.57"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010006064E              ","MBRP00000422382","000303706901","2021-04-06","69097012715","AMLODIPINE BES TABS 5.000",90,90,{"v":3.14,"d":"$3.14"},{"v":0,"d":"$0.00"},{"v":3.14,"d":"$3.14"},{"v":0,"d":"$0.00"},{"v":3.14,"d":"$3.14"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010006064E              ","MBRP00000422382","000303706898","2021-04-06","69097015915","MELOXICAM TABS 15.000",90,90,{"v":3.69,"d":"$3.69"},{"v":0,"d":"$0.00"},{"v":3.69,"d":"$3.69"},{"v":0,"d":"$0.00"},{"v":3.69,"d":"$3.69"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","AC00110031300","MBRP00000460441","000006250468","2021-04-06","69097015915","MELOXICAM TABS 15.000",30,30,{"v":1.23,"d":"$1.23"},{"v":0.59,"d":"$0.59"},{"v":1.82,"d":"$1.82"},{"v":0,"d":"$0.00"},{"v":1.82,"d":"$1.82"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010144049E              ","MBRP00000424721","000001219005","2021-04-06","70710113803","FLUCONAZOLE TABS 100.000",5,5,{"v":5.75,"d":"$5.75"},{"v":0.59,"d":"$0.59"},{"v":6.34,"d":"$6.34"},{"v":1.34,"d":"$1.34"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3665075","CVS PHARMACY #03088 03088"]
["21865M","0010144049E              ","MBRP00000424721","000001219005","2021-04-06","70710113803","FLUCONAZOLE TABS 100.000",-5,5,{"v":-5.75,"d":"-$5.75"},{"v":-0.59,"d":"-$0.59"},{"v":-6.34,"d":"-$6.34"},{"v":-1.34,"d":"-$1.34"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3665075","CVS PHARMACY #03088 03088"]
["21865M","0010144049E              ","MBRP00000424721","000001219005","2021-04-06","70710113803","FLUCONAZOLE TABS 100.000",5,5,{"v":5.75,"d":"$5.75"},{"v":0.59,"d":"$0.59"},{"v":6.34,"d":"$6.34"},{"v":1.34,"d":"$1.34"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3665075","CVS PHARMACY #03088 03088"]
["21865M","0010005907E              ","MBRP00000422298","000303640498","2021-04-06","65862019399","FLUOXETINE HCL CAPS 20.000",90,90,{"v":4.38,"d":"$4.38"},{"v":0,"d":"$0.00"},{"v":4.38,"d":"$4.38"},{"v":0,"d":"$0.00"},{"v":4.38,"d":"$4.38"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010153776E              ","MBRP00000444974","000006541846","2021-04-06","65862037505","ESCITALOPRAM O TABS 20.000",30,30,{"v":6.89,"d":"$6.89"},{"v":0.59,"d":"$0.59"},{"v":7.48,"d":"$7.48"},{"v":2.48,"d":"$2.48"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010134939E              ","MBRP00000422191","000302590278","2021-04-06","50111056003","TRAZODONE HYDR TABS 50.000",45,90,{"v":4.71,"d":"$4.71"},{"v":0,"d":"$0.00"},{"v":4.71,"d":"$4.71"},{"v":0,"d":"$0.00"},{"v":4.71,"d":"$4.71"},"G","N",0,0,0,"M","1718634","OPTUMRX"]
["21865M","0010134939E              ","MBRP00000422191","000302590278","2021-04-06","50111056003","TRAZODONE HYDR TABS 50.000",-45,90,{"v":-4.71,"d":"-$4.71"},{"v":0,"d":"$0.00"},{"v":-4.71,"d":"-$4.71"},{"v":0,"d":"$0.00"},{"v":-4.71,"d":"-$4.71"},"G","N",0,0,0,"M","1718634","OPTUMRX"]
["21865M","0010134939E              ","MBRP00000422191","000302590278","2021-04-06","50111056003","TRAZODONE HYDR TABS 50.000",45,90,{"v":4.71,"d":"$4.71"},{"v":0,"d":"$0.00"},{"v":4.71,"d":"$4.71"},{"v":0,"d":"$0.00"},{"v":4.71,"d":"$4.71"},"G","N",0,0,0,"M","1718634","OPTUMRX"]
["21865M","0010125947E              ","MBRP00000422211","000001818330","2021-04-06","43547035611","LISINOPRIL TABS 40.000",30,30,{"v":3.03,"d":"$3.03"},{"v":0.59,"d":"$0.59"},{"v":3.62,"d":"$3.62"},{"v":0,"d":"$0.00"},{"v":3.62,"d":"$3.62"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","0010125947E              ","MBRP00000422211","000001818330","2021-04-06","43547035611","LISINOPRIL TABS 40.000",-30,30,{"v":-3.03,"d":"-$3.03"},{"v":-0.59,"d":"-$0.59"},{"v":-3.62,"d":"-$3.62"},{"v":0,"d":"$0.00"},{"v":-3.62,"d":"-$3.62"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","0010125947E              ","MBRP00000422211","000001818330","2021-04-06","43547035611","LISINOPRIL TABS 40.000",30,30,{"v":3.03,"d":"$3.03"},{"v":0.59,"d":"$0.59"},{"v":3.62,"d":"$3.62"},{"v":0,"d":"$0.00"},{"v":3.62,"d":"$3.62"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","0010153151E              ","MBRP00000429228","000002554402","2021-04-06","29300016815","TIZANIDINE HCL TABS 2.000",90,15,{"v":13.63,"d":"$13.63"},{"v":0.59,"d":"$0.59"},{"v":14.22,"d":"$14.22"},{"v":9.22,"d":"$9.22"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010076542E              ","MBRP00000422322","000000531452","2021-04-06","62175011843","OMEPRAZOLE CPDR 20.000",30,30,{"v":2.59,"d":"$2.59"},{"v":0.59,"d":"$0.59"},{"v":3.18,"d":"$3.18"},{"v":0,"d":"$0.00"},{"v":3.18,"d":"$3.18"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010134939E              ","MBRP00000422191","000302590284","2021-04-06","57237001760","DULOXETINE HYD CPEP 20.000",90,90,{"v":44.51,"d":"$44.51"},{"v":0,"d":"$0.00"},{"v":44.51,"d":"$44.51"},{"v":34.51,"d":"$34.51"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","1718634","OPTUMRX"]
["21865M","0010134939E              ","MBRP00000422191","000302590284","2021-04-06","57237001760","DULOXETINE HYD CPEP 20.000",-90,90,{"v":-44.51,"d":"-$44.51"},{"v":0,"d":"$0.00"},{"v":-44.51,"d":"-$44.51"},{"v":-34.51,"d":"-$34.51"},{"v":-10,"d":"-$10.00"},"G","N",0,0,0,"M","1718634","OPTUMRX"]
["21865M","0010134939E              ","MBRP00000422191","000302590284","2021-04-06","57237001760","DULOXETINE HYD CPEP 20.000",90,90,{"v":44.51,"d":"$44.51"},{"v":0,"d":"$0.00"},{"v":44.51,"d":"$44.51"},{"v":34.51,"d":"$34.51"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","1718634","OPTUMRX"]
["21865M","AC00109149100","MBRP00000446408","000001503245","2021-04-06","57237002901","AMOXICILLIN TABS 875.000",20,10,{"v":4.4,"d":"$4.40"},{"v":0.59,"d":"$0.59"},{"v":4.99,"d":"$4.99"},{"v":0,"d":"$0.00"},{"v":4.99,"d":"$4.99"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010153601E              ","MBRP00000430974","000001058451","2021-04-06","68382004110","PROMETHAZINE H TABS 25.000",30,8,{"v":2.26,"d":"$2.26"},{"v":0.59,"d":"$0.59"},{"v":2.85,"d":"$2.85"},{"v":0,"d":"$0.00"},{"v":2.85,"d":"$2.85"},"G","N",0,0,0,"R","3659488","DISCOUNT DRUG MART 46"]
["21865M","0010153601E              ","MBRP00000430974","000001058451","2021-04-06","68382004110","PROMETHAZINE H TABS 25.000",-30,8,{"v":-2.26,"d":"-$2.26"},{"v":-0.59,"d":"-$0.59"},{"v":-2.85,"d":"-$2.85"},{"v":0,"d":"$0.00"},{"v":-2.85,"d":"-$2.85"},"G","N",0,0,0,"R","3659488","DISCOUNT DRUG MART 46"]
["21865M","0010153601E              ","MBRP00000430974","000001058451","2021-04-06","68382004110","PROMETHAZINE H TABS 25.000",30,8,{"v":2.26,"d":"$2.26"},{"v":0.59,"d":"$0.59"},{"v":2.85,"d":"$2.85"},{"v":0,"d":"$0.00"},{"v":2.85,"d":"$2.85"},"G","N",0,0,0,"R","3659488","DISCOUNT DRUG MART 46"]
["21865M","0010006064E              ","MBRP00000422382","000303706908","2021-04-06","68382013814","TOPIRAMATE TABS 25.000",180,90,{"v":11.55,"d":"$11.55"},{"v":0,"d":"$0.00"},{"v":11.55,"d":"$11.55"},{"v":1.55,"d":"$1.55"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010113435E              ","MBRP00000422304","000006696087","2021-04-06","68180012202","CEPHALEXIN CAPS 500.000",30,10,{"v":4.55,"d":"$4.55"},{"v":0.59,"d":"$0.59"},{"v":5.14,"d":"$5.14"},{"v":0.14,"d":"$0.14"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659084","MARCS 39"]
["21865M","0010113435E              ","MBRP00000422304","000006696087","2021-04-06","68180012202","CEPHALEXIN CAPS 500.000",-30,10,{"v":-4.55,"d":"-$4.55"},{"v":-0.59,"d":"-$0.59"},{"v":-5.14,"d":"-$5.14"},{"v":-0.14,"d":"-$0.14"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3659084","MARCS 39"]
["21865M","0010113435E              ","MBRP00000422304","000006696087","2021-04-06","68180012202","CEPHALEXIN CAPS 500.000",30,10,{"v":4.55,"d":"$4.55"},{"v":0.59,"d":"$0.59"},{"v":5.14,"d":"$5.14"},{"v":0.14,"d":"$0.14"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659084","MARCS 39"]
["21865M","0010153612E              ","MBRP00000430774","000006696073","2021-04-06","68180012202","CEPHALEXIN CAPS 500.000",14,7,{"v":2.12,"d":"$2.12"},{"v":0.59,"d":"$0.59"},{"v":2.71,"d":"$2.71"},{"v":0,"d":"$0.00"},{"v":2.71,"d":"$2.71"},"G","N",0,0,0,"R","3659084","MARCS 39"]
["21865M","0010153612E              ","MBRP00000430774","000006696073","2021-04-06","68180012202","CEPHALEXIN CAPS 500.000",-14,7,{"v":-2.12,"d":"-$2.12"},{"v":-0.59,"d":"-$0.59"},{"v":-2.71,"d":"-$2.71"},{"v":0,"d":"$0.00"},{"v":-2.71,"d":"-$2.71"},"G","N",0,0,0,"R","3659084","MARCS 39"]
["21865M","0010153612E              ","MBRP00000430774","000006696073","2021-04-06","68180012202","CEPHALEXIN CAPS 500.000",14,7,{"v":2.12,"d":"$2.12"},{"v":0.59,"d":"$0.59"},{"v":2.71,"d":"$2.71"},{"v":0,"d":"$0.00"},{"v":2.71,"d":"$2.71"},"G","N",0,0,0,"R","3659084","MARCS 39"]
["21865M","0010064744E              ","MBRP00000422383","000000568812","2021-04-06","68001035703","METOPROLOL SUC TB24 50.000",30,30,{"v":16.94,"d":"$16.94"},{"v":0.5,"d":"$0.50"},{"v":17.44,"d":"$17.44"},{"v":12.44,"d":"$12.44"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","0010084309E              ","MBRP00000422396","000000879112","2021-04-06","65862019301","FLUOXETINE HCL CAPS 20.000",30,30,{"v":1.46,"d":"$1.46"},{"v":0.59,"d":"$0.59"},{"v":2.05,"d":"$2.05"},{"v":0,"d":"$0.00"},{"v":2.05,"d":"$2.05"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010120894E              ","MBRP00000429186","000004020730","2021-04-06","67877014601","TEMAZEPAM CAPS 15.000",30,30,{"v":3.09,"d":"$3.09"},{"v":0.59,"d":"$0.59"},{"v":3.68,"d":"$3.68"},{"v":0,"d":"$0.00"},{"v":3.68,"d":"$3.68"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010125947E              ","MBRP00000422211","000001818329","2021-04-06","65862069705","VENLAFAXINE HC CP24 150.000",30,30,{"v":24.53,"d":"$24.53"},{"v":0.59,"d":"$0.59"},{"v":25.12,"d":"$25.12"},{"v":20.12,"d":"$20.12"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","0010125947E              ","MBRP00000422211","000001818329","2021-04-06","65862069705","VENLAFAXINE HC CP24 150.000",-30,30,{"v":-24.53,"d":"-$24.53"},{"v":-0.59,"d":"-$0.59"},{"v":-25.12,"d":"-$25.12"},{"v":-20.12,"d":"-$20.12"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","0010125947E              ","MBRP00000422211","000001818329","2021-04-06","65862069705","VENLAFAXINE HC CP24 150.000",30,30,{"v":24.53,"d":"$24.53"},{"v":0.59,"d":"$0.59"},{"v":25.12,"d":"$25.12"},{"v":20.12,"d":"$20.12"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","0010084188E              ","MBRP00000424743","000002858186","2021-04-06","59417010210","VYVANSE CAPS 20.000",-30,30,{"v":-328.98,"d":"-$328.98"},{"v":-0.59,"d":"-$0.59"},{"v":-329.57,"d":"-$329.57"},{"v":-294.57,"d":"-$294.57"},{"v":-35,"d":"-$35.00"},"B","N",0,0,9,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010084188E              ","MBRP00000424743","000002858186","2021-04-06","59417010210","VYVANSE CAPS 20.000",30,30,{"v":328.98,"d":"$328.98"},{"v":0.59,"d":"$0.59"},{"v":329.57,"d":"$329.57"},{"v":294.57,"d":"$294.57"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010084188E              ","MBRP00000424743","000002858186","2021-04-06","59417010210","VYVANSE CAPS 20.000",30,30,{"v":328.98,"d":"$328.98"},{"v":0.59,"d":"$0.59"},{"v":329.57,"d":"$329.57"},{"v":294.57,"d":"$294.57"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010153610E              ","MBRP00000430843","000002581361","2021-04-06","59746017206","PREDNISONE TABS 5.000",30,12,{"v":3.85,"d":"$3.85"},{"v":0.59,"d":"$0.59"},{"v":4.44,"d":"$4.44"},{"v":0,"d":"$0.00"},{"v":4.44,"d":"$4.44"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010153610E              ","MBRP00000430843","000002581361","2021-04-06","59746017206","PREDNISONE TABS 5.000",-30,12,{"v":-3.85,"d":"-$3.85"},{"v":-0.59,"d":"-$0.59"},{"v":-4.44,"d":"-$4.44"},{"v":0,"d":"$0.00"},{"v":-4.44,"d":"-$4.44"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010153610E              ","MBRP00000430843","000002581361","2021-04-06","59746017206","PREDNISONE TABS 5.000",30,12,{"v":3.85,"d":"$3.85"},{"v":0.59,"d":"$0.59"},{"v":4.44,"d":"$4.44"},{"v":0,"d":"$0.00"},{"v":4.44,"d":"$4.44"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","AC00108750700","MBRP00000401601","000000574809","2021-04-06","57664023388","NITROFURANTOIN CAPS 100.000",-28,7,{"v":-69.14,"d":"-$69.14"},{"v":-0.5,"d":"-$0.50"},{"v":-69.64,"d":"-$69.64"},{"v":-64.64,"d":"-$64.64"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","AC00108750700","MBRP00000401601","000000574809","2021-04-06","57664023388","NITROFURANTOIN CAPS 100.000",28,7,{"v":69.14,"d":"$69.14"},{"v":0.5,"d":"$0.50"},{"v":69.64,"d":"$69.64"},{"v":64.64,"d":"$64.64"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","AC00108750700","MBRP00000401601","000000574809","2021-04-06","57664023388","NITROFURANTOIN CAPS 100.000",28,7,{"v":69.14,"d":"$69.14"},{"v":0.5,"d":"$0.50"},{"v":69.64,"d":"$69.64"},{"v":64.64,"d":"$64.64"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","0010134939E              ","MBRP00000422191","000302590277","2021-04-06","62332000131","FAMOTIDINE TABS 20.000",-90,90,{"v":-7.14,"d":"-$7.14"},{"v":0,"d":"$0.00"},{"v":-7.14,"d":"-$7.14"},{"v":0,"d":"$0.00"},{"v":-7.14,"d":"-$7.14"},"G","N",0,0,0,"M","1718634","OPTUMRX"]
["21865M","0010134939E              ","MBRP00000422191","000302590277","2021-04-06","62332000131","FAMOTIDINE TABS 20.000",90,90,{"v":7.14,"d":"$7.14"},{"v":0,"d":"$0.00"},{"v":7.14,"d":"$7.14"},{"v":0,"d":"$0.00"},{"v":7.14,"d":"$7.14"},"G","N",0,0,0,"M","1718634","OPTUMRX"]
["21865M","0010134939E              ","MBRP00000422191","000302590277","2021-04-06","62332000131","FAMOTIDINE TABS 20.000",90,90,{"v":7.14,"d":"$7.14"},{"v":0,"d":"$0.00"},{"v":7.14,"d":"$7.14"},{"v":0,"d":"$0.00"},{"v":7.14,"d":"$7.14"},"G","N",0,0,0,"M","1718634","OPTUMRX"]
["21865M","AC00109149800","MBRP00000446417","000000887153","2021-04-06","62756018488","OXCARBAZEPINE TABS 300.000",60,30,{"v":20.95,"d":"$20.95"},{"v":0.59,"d":"$0.59"},{"v":21.54,"d":"$21.54"},{"v":16.54,"d":"$16.54"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652004","RITE AID PHARMACY 02404"]
["21865M","0010125947E              ","MBRP00000422211","000001818331","2021-04-06","63304073510","ESOMEPRAZOLE M CPDR 40.000",-30,30,{"v":-41.12,"d":"-$41.12"},{"v":-0.59,"d":"-$0.59"},{"v":-41.71,"d":"-$41.71"},{"v":-36.71,"d":"-$36.71"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","0010125947E              ","MBRP00000422211","000001818331","2021-04-06","63304073510","ESOMEPRAZOLE M CPDR 40.000",30,30,{"v":41.12,"d":"$41.12"},{"v":0.59,"d":"$0.59"},{"v":41.71,"d":"$41.71"},{"v":36.71,"d":"$36.71"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","0010125947E              ","MBRP00000422211","000001818331","2021-04-06","63304073510","ESOMEPRAZOLE M CPDR 40.000",30,30,{"v":41.12,"d":"$41.12"},{"v":0.59,"d":"$0.59"},{"v":41.71,"d":"$41.71"},{"v":36.71,"d":"$36.71"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","0010153361E              ","MBRP00000440343","000001465447","2021-04-06","64380071206","BENZONATATE CAPS 100.000",40,10,{"v":6.06,"d":"$6.06"},{"v":0.59,"d":"$0.59"},{"v":6.65,"d":"$6.65"},{"v":1.65,"d":"$1.65"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010153361E              ","MBRP00000440343","000001465447","2021-04-06","64380071206","BENZONATATE CAPS 100.000",-40,10,{"v":-6.06,"d":"-$6.06"},{"v":-0.59,"d":"-$0.59"},{"v":-6.65,"d":"-$6.65"},{"v":-1.65,"d":"-$1.65"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010153151E              ","MBRP00000429228","000002554399","2021-04-06","65162010250","GABAPENTIN CAPS 300.000",90,30,{"v":12.93,"d":"$12.93"},{"v":0.59,"d":"$0.59"},{"v":13.52,"d":"$13.52"},{"v":8.52,"d":"$8.52"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010153657E              ","MBRP00000429294","000002513366","2021-04-06","65862001705","AMOXICILLIN CAPS 500.000",21,7,{"v":2.35,"d":"$2.35"},{"v":0.59,"d":"$0.59"},{"v":2.94,"d":"$2.94"},{"v":0,"d":"$0.00"},{"v":2.94,"d":"$2.94"},"G","N",0,0,0,"R","3660102","WALGREENS #3281 3281"]
["21865M","0010153657E              ","MBRP00000429294","000002513366","2021-04-06","65862001705","AMOXICILLIN CAPS 500.000",-21,7,{"v":-2.35,"d":"-$2.35"},{"v":-0.59,"d":"-$0.59"},{"v":-2.94,"d":"-$2.94"},{"v":0,"d":"$0.00"},{"v":-2.94,"d":"-$2.94"},"G","N",0,0,0,"R","3660102","WALGREENS #3281 3281"]
["21865M","0010153657E              ","MBRP00000429294","000002513366","2021-04-06","65862001705","AMOXICILLIN CAPS 500.000",21,7,{"v":2.35,"d":"$2.35"},{"v":0.59,"d":"$0.59"},{"v":2.94,"d":"$2.94"},{"v":0,"d":"$0.00"},{"v":2.94,"d":"$2.94"},"G","N",0,0,0,"R","3660102","WALGREENS #3281 3281"]
["21865M","0010054511E              ","MBRP00000429077","000001430346","2021-04-06","00378235193","ESOMEPRAZOLE M CPDR 40.000",30,30,{"v":41.12,"d":"$41.12"},{"v":0.59,"d":"$0.59"},{"v":41.71,"d":"$41.71"},{"v":36.71,"d":"$36.71"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","AC00110021200","MBRP00000460279","000008854474","2021-04-06","00193731150","CONTOUR NEXT B STRP 0.000",-100,50,{"v":-108.03,"d":"-$108.03"},{"v":-0.59,"d":"-$0.59"},{"v":-108.62,"d":"-$108.62"},{"v":-48.62,"d":"-$48.62"},{"v":-60,"d":"-$60.00"},"B","N",0,0,1,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","AC00110021200","MBRP00000460279","000008854474","2021-04-06","00193731150","CONTOUR NEXT B STRP 0.000",100,50,{"v":108.03,"d":"$108.03"},{"v":0.59,"d":"$0.59"},{"v":108.62,"d":"$108.62"},{"v":48.62,"d":"$48.62"},{"v":60,"d":"$60.00"},"B","N",0,0,1,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","AC00110021200","MBRP00000460279","000008854474","2021-04-06","00193731150","CONTOUR NEXT B STRP 0.000",100,50,{"v":108.03,"d":"$108.03"},{"v":0.59,"d":"$0.59"},{"v":108.62,"d":"$108.62"},{"v":48.62,"d":"$48.62"},{"v":60,"d":"$60.00"},"B","N",0,0,1,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","0010099084E              ","MBRP00000440281","000009288695","2021-04-06","00093720198","PRAVASTATIN SO TABS 20.000",30,30,{"v":4.49,"d":"$4.49"},{"v":0.5,"d":"$0.50"},{"v":4.99,"d":"$4.99"},{"v":0,"d":"$0.00"},{"v":4.99,"d":"$4.99"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010076542E              ","MBRP00000422322","000000556282","2021-04-06","00406895401","AMPHETAMINE/DE CP24 0.000",30,30,{"v":35.02,"d":"$35.02"},{"v":0.59,"d":"$0.59"},{"v":35.61,"d":"$35.61"},{"v":30.61,"d":"$30.61"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010079613E              ","MBRP00000422307","000001505264","2021-04-06","68180086573","BLISOVI FE 1/2 TABS 0.000",84,84,{"v":67.49,"d":"$67.49"},{"v":0,"d":"$0.00"},{"v":67.49,"d":"$67.49"},{"v":67.49,"d":"$67.49"},{"v":0,"d":"$0.00"},"G","N",0,2,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010135251E              ","MBRP00000440231","000303679039","2021-04-06","68180051902","LISINOPRIL/HYD TABS 0.000",90,90,{"v":30.29,"d":"$30.29"},{"v":0,"d":"$0.00"},{"v":30.29,"d":"$30.29"},{"v":20.29,"d":"$20.29"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","AC09102985100","MBRP00000345661","000001503161","2021-04-06","68462010340","FLUCONAZOLE TABS 150.000",4,7,{"v":10.58,"d":"$10.58"},{"v":0.59,"d":"$0.59"},{"v":11.17,"d":"$11.17"},{"v":6.17,"d":"$6.17"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010098976E              ","MBRP00000369587","000006241299","2021-04-06","68382000105","PAROXETINE HCL TABS 40.000",30,30,{"v":5.06,"d":"$5.06"},{"v":0.59,"d":"$0.59"},{"v":5.65,"d":"$5.65"},{"v":0.65,"d":"$0.65"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010153623E              ","MBRP00000431025","000007259384","2021-04-06","68645051554","AMLODIPINE BES TABS 5.000",30,60,{"v":1.05,"d":"$1.05"},{"v":0.59,"d":"$0.59"},{"v":1.64,"d":"$1.64"},{"v":0,"d":"$0.00"},{"v":1.64,"d":"$1.64"},"G","N",0,0,0,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","0010153623E              ","MBRP00000431025","000007259384","2021-04-06","68645051554","AMLODIPINE BES TABS 5.000",-30,60,{"v":-1.05,"d":"-$1.05"},{"v":-0.59,"d":"-$0.59"},{"v":-1.64,"d":"-$1.64"},{"v":0,"d":"$0.00"},{"v":-1.64,"d":"-$1.64"},"G","N",0,0,0,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","0010153623E              ","MBRP00000431025","000007259384","2021-04-06","68645051554","AMLODIPINE BES TABS 5.000",30,60,{"v":1.05,"d":"$1.05"},{"v":0.59,"d":"$0.59"},{"v":1.64,"d":"$1.64"},{"v":0,"d":"$0.00"},{"v":1.64,"d":"$1.64"},"G","N",0,0,0,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","0010085209E              ","MBRP00000430935","000006554036","2021-04-06","69097012815","AMLODIPINE BES TABS 10.000",30,30,{"v":1.41,"d":"$1.41"},{"v":0.59,"d":"$0.59"},{"v":2,"d":"$2.00"},{"v":0,"d":"$0.00"},{"v":2,"d":"$2.00"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010056036E              ","MBRP00000422437","000000811920","2021-04-06","69097081312","GABAPENTIN CAPS 100.000",150,30,{"v":10.87,"d":"$10.87"},{"v":0.59,"d":"$0.59"},{"v":11.46,"d":"$11.46"},{"v":6.46,"d":"$6.46"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3679606","CVS PHARMACY #02063 02063"]
["21865M","0010139961E              ","MBRP00000417950","000001286642","2021-04-06","16729044315","BUPROPION HYDR TB24 150.000",-30,30,{"v":-25.32,"d":"-$25.32"},{"v":-0.59,"d":"-$0.59"},{"v":-25.91,"d":"-$25.91"},{"v":-20.91,"d":"-$20.91"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010139961E              ","MBRP00000417950","000001286642","2021-04-06","16729044315","BUPROPION HYDR TB24 150.000",30,30,{"v":25.32,"d":"$25.32"},{"v":0.59,"d":"$0.59"},{"v":25.91,"d":"$25.91"},{"v":20.91,"d":"$20.91"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010076542E              ","MBRP00000422322","000000556281","2021-04-06","00555097202","AMPHETAMINE/DE TABS 0.000",30,30,{"v":19.96,"d":"$19.96"},{"v":0.59,"d":"$0.59"},{"v":20.55,"d":"$20.55"},{"v":15.55,"d":"$15.55"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010113435E              ","MBRP00000422304","000006696088","2021-04-06","16714069211","FLUCONAZOLE TABS 150.000",1,1,{"v":2.65,"d":"$2.65"},{"v":0.59,"d":"$0.59"},{"v":3.24,"d":"$3.24"},{"v":0,"d":"$0.00"},{"v":3.24,"d":"$3.24"},"G","N",0,0,0,"R","3659084","MARCS 39"]
["21865M","0010113435E              ","MBRP00000422304","000006696088","2021-04-06","16714069211","FLUCONAZOLE TABS 150.000",1,1,{"v":2.65,"d":"$2.65"},{"v":0.59,"d":"$0.59"},{"v":3.24,"d":"$3.24"},{"v":0,"d":"$0.00"},{"v":3.24,"d":"$3.24"},"G","N",0,0,0,"R","3659084","MARCS 39"]
["21865M","0010113435E              ","MBRP00000422304","000006696088","2021-04-06","16714069211","FLUCONAZOLE TABS 150.000",-1,1,{"v":-2.65,"d":"-$2.65"},{"v":-0.59,"d":"-$0.59"},{"v":-3.24,"d":"-$3.24"},{"v":0,"d":"$0.00"},{"v":-3.24,"d":"-$3.24"},"G","N",0,0,0,"R","3659084","MARCS 39"]
["21865M","0010022886E              ","MBRP00000397708","000001025452","2021-04-06","31722071390","PANTOPRAZOLE S TBEC 40.000",90,90,{"v":9.32,"d":"$9.32"},{"v":0,"d":"$0.00"},{"v":9.32,"d":"$9.32"},{"v":0,"d":"$0.00"},{"v":9.32,"d":"$9.32"},"G","N",0,0,0,"R","3653094","RITE AID PHARMACY 02437"]
["21865M","0010125947E              ","MBRP00000422211","000001818332","2021-04-06","31722071030","SILDENAFIL CIT TABS 50.000",6,30,{"v":3.34,"d":"$3.34"},{"v":0.59,"d":"$0.59"},{"v":3.93,"d":"$3.93"},{"v":0,"d":"$0.00"},{"v":3.93,"d":"$3.93"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","0010125947E              ","MBRP00000422211","000001818332","2021-04-06","31722071030","SILDENAFIL CIT TABS 50.000",-6,30,{"v":-3.34,"d":"-$3.34"},{"v":-0.59,"d":"-$0.59"},{"v":-3.93,"d":"-$3.93"},{"v":0,"d":"$0.00"},{"v":-3.93,"d":"-$3.93"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","0010125947E              ","MBRP00000422211","000001818332","2021-04-06","31722071030","SILDENAFIL CIT TABS 50.000",6,30,{"v":3.34,"d":"$3.34"},{"v":0.59,"d":"$0.59"},{"v":3.93,"d":"$3.93"},{"v":0,"d":"$0.00"},{"v":3.93,"d":"$3.93"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","0010153656E              ","MBRP00000430761","000006786632","2021-04-06","43547035311","LISINOPRIL TABS 10.000",-90,90,{"v":-3.65,"d":"-$3.65"},{"v":0,"d":"$0.00"},{"v":-3.65,"d":"-$3.65"},{"v":0,"d":"$0.00"},{"v":-3.65,"d":"-$3.65"},"G","N",0,0,0,"R","3656444","MARCS 27"]
["21865M","0010153656E              ","MBRP00000430761","000006786632","2021-04-06","43547035311","LISINOPRIL TABS 10.000",90,90,{"v":3.65,"d":"$3.65"},{"v":0,"d":"$0.00"},{"v":3.65,"d":"$3.65"},{"v":0,"d":"$0.00"},{"v":3.65,"d":"$3.65"},"G","N",0,0,0,"R","3656444","MARCS 27"]
["21865M","0010153656E              ","MBRP00000430761","000006786632","2021-04-06","43547035311","LISINOPRIL TABS 10.000",90,90,{"v":3.65,"d":"$3.65"},{"v":0,"d":"$0.00"},{"v":3.65,"d":"$3.65"},{"v":0,"d":"$0.00"},{"v":3.65,"d":"$3.65"},"G","N",0,0,0,"R","3656444","MARCS 27"]
["21865M","0010125947E              ","MBRP00000422211","000001830198","2021-04-06","50228014605","HYDROCHLOROTHI CAPS 12.500",30,30,{"v":2.17,"d":"$2.17"},{"v":0.59,"d":"$0.59"},{"v":2.76,"d":"$2.76"},{"v":0,"d":"$0.00"},{"v":2.76,"d":"$2.76"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","0010125947E              ","MBRP00000422211","000001830198","2021-04-06","50228014605","HYDROCHLOROTHI CAPS 12.500",30,30,{"v":2.17,"d":"$2.17"},{"v":0.59,"d":"$0.59"},{"v":2.76,"d":"$2.76"},{"v":0,"d":"$0.00"},{"v":2.76,"d":"$2.76"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","0010125947E              ","MBRP00000422211","000001830198","2021-04-06","50228014605","HYDROCHLOROTHI CAPS 12.500",-30,30,{"v":-2.17,"d":"-$2.17"},{"v":-0.59,"d":"-$0.59"},{"v":-2.76,"d":"-$2.76"},{"v":0,"d":"$0.00"},{"v":-2.76,"d":"-$2.76"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","0010064744E              ","MBRP00000422383","000000535339","2021-04-06","55513084301","AIMOVIG SOAJ 140.000",1,30,{"v":632.38,"d":"$632.38"},{"v":0.5,"d":"$0.50"},{"v":632.88,"d":"$632.88"},{"v":597.88,"d":"$597.88"},{"v":35,"d":"$35.00"},"B","N",0,1,9,"R","3687615","FULTON DRUGS"]
["21865M","0010146670E              ","MBRP00000434034","000006767871","2021-04-06","51672137706","ADAPALENE GEL  0.300",45,30,{"v":85.6,"d":"$85.60"},{"v":0.59,"d":"$0.59"},{"v":86.19,"d":"$86.19"},{"v":81.19,"d":"$81.19"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010153623E              ","MBRP00000431025","000004478790","2021-04-07","65862067705","ALPRAZOLAM TABS 0.500",30,10,{"v":0.81,"d":"$0.81"},{"v":0.59,"d":"$0.59"},{"v":1.4,"d":"$1.40"},{"v":0,"d":"$0.00"},{"v":1.4,"d":"$1.40"},"G","N",0,0,0,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","0010153623E              ","MBRP00000431025","000004478790","2021-04-07","65862067705","ALPRAZOLAM TABS 0.500",30,10,{"v":0.81,"d":"$0.81"},{"v":0.59,"d":"$0.59"},{"v":1.4,"d":"$1.40"},{"v":0,"d":"$0.00"},{"v":1.4,"d":"$1.40"},"G","N",0,0,0,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","0010153623E              ","MBRP00000431025","000004478790","2021-04-07","65862067705","ALPRAZOLAM TABS 0.500",-30,10,{"v":-0.81,"d":"-$0.81"},{"v":-0.59,"d":"-$0.59"},{"v":-1.4,"d":"-$1.40"},{"v":0,"d":"$0.00"},{"v":-1.4,"d":"-$1.40"},"G","N",0,0,0,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","0010054511E              ","MBRP00000429075","000001503603","2021-04-07","65862039010","ONDANSETRON OD TBDP 4.000",4,2,{"v":1.87,"d":"$1.87"},{"v":0.59,"d":"$0.59"},{"v":2.46,"d":"$2.46"},{"v":0,"d":"$0.00"},{"v":2.46,"d":"$2.46"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010072267E              ","MBRP00000430887","000006529142","2021-04-07","64380093408","LOSARTAN POTAS TABS 50.000",45,90,{"v":2.84,"d":"$2.84"},{"v":0,"d":"$0.00"},{"v":2.84,"d":"$2.84"},{"v":0,"d":"$0.00"},{"v":2.84,"d":"$2.84"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010084067E              ","MBRP00000424888","000001504275","2021-04-07","58160082311","SHINGRIX SUSR 50.000",1,1,{"v":159.11,"d":"$159.11"},{"v":0.59,"d":"$0.59"},{"v":159.7,"d":"$159.70"},{"v":159.7,"d":"$159.70"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010084067E              ","MBRP00000424888","000001504275","2021-04-07","58160082311","SHINGRIX SUSR 50.000",1,1,{"v":159.11,"d":"$159.11"},{"v":0.59,"d":"$0.59"},{"v":159.7,"d":"$159.70"},{"v":159.7,"d":"$159.70"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010084067E              ","MBRP00000424888","000001504275","2021-04-07","58160082311","SHINGRIX SUSR 50.000",-1,1,{"v":-159.11,"d":"-$159.11"},{"v":-0.59,"d":"-$0.59"},{"v":-159.7,"d":"-$159.70"},{"v":-159.7,"d":"-$159.70"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010144759E              ","MBRP00000429256","000001481907","2021-04-07","00143962125","CYANOCOBALAMIN SOLN 1000.000",3,90,{"v":12.24,"d":"$12.24"},{"v":0,"d":"$0.00"},{"v":12.24,"d":"$12.24"},{"v":0,"d":"$0.00"},{"v":12.24,"d":"$12.24"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010032717E              ","MBRP00000417803","000303813754","2021-04-07","00006022154","JANUVIA TABS 25.000",90,90,{"v":1344.4,"d":"$1,344.40"},{"v":0,"d":"$0.00"},{"v":1344.4,"d":"$1,344.40"},{"v":1304.4,"d":"$1,304.40"},{"v":40,"d":"$40.00"},"B","N",0,0,1,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010032717E              ","MBRP00000417803","000303813754","2021-04-07","00006022154","JANUVIA TABS 25.000",-90,90,{"v":-1344.4,"d":"-$1,344.40"},{"v":0,"d":"$0.00"},{"v":-1344.4,"d":"-$1,344.40"},{"v":-1304.4,"d":"-$1,304.40"},{"v":-40,"d":"-$40.00"},"B","N",0,0,1,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010032717E              ","MBRP00000417803","000303813754","2021-04-07","00006022154","JANUVIA TABS 25.000",90,90,{"v":1344.4,"d":"$1,344.40"},{"v":0,"d":"$0.00"},{"v":1344.4,"d":"$1,344.40"},{"v":1304.4,"d":"$1,304.40"},{"v":40,"d":"$40.00"},"B","N",0,0,1,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010032717E              ","MBRP00000417803","000303813754","2021-04-07","00006022154","JANUVIA TABS 25.000",90,90,{"v":1344.4,"d":"$1,344.40"},{"v":0,"d":"$0.00"},{"v":1344.4,"d":"$1,344.40"},{"v":1304.4,"d":"$1,304.40"},{"v":40,"d":"$40.00"},"B","N",0,0,1,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010032717E              ","MBRP00000417803","000303813754","2021-04-07","00006022154","JANUVIA TABS 25.000",-90,90,{"v":-1344.4,"d":"-$1,344.40"},{"v":0,"d":"$0.00"},{"v":-1344.4,"d":"-$1,344.40"},{"v":-1304.4,"d":"-$1,304.40"},{"v":-40,"d":"-$40.00"},"B","N",0,0,1,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010119338E              ","MBRP00000440204","000007115846","2021-04-07","68180096903","LEVOTHYROXINE  TABS 100.000",30,30,{"v":13.8,"d":"$13.80"},{"v":0.59,"d":"$0.59"},{"v":14.39,"d":"$14.39"},{"v":9.39,"d":"$9.39"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3644211","GIANT EAGLE PHARMACY #4060 4060"]
["21865M","0010122982E              ","MBRP00000422137","000002369591","2021-04-07","00555077702","AMPHETAMINE/DE TABS 0.000",60,30,{"v":39.93,"d":"$39.93"},{"v":0.59,"d":"$0.59"},{"v":40.52,"d":"$40.52"},{"v":35.52,"d":"$35.52"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010122982E              ","MBRP00000422137","000002369591","2021-04-07","00555077702","AMPHETAMINE/DE TABS 0.000",-60,30,{"v":-39.93,"d":"-$39.93"},{"v":-0.59,"d":"-$0.59"},{"v":-40.52,"d":"-$40.52"},{"v":-35.52,"d":"-$35.52"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010122982E              ","MBRP00000422137","000002369591","2021-04-07","00555077702","AMPHETAMINE/DE TABS 0.000",60,30,{"v":39.93,"d":"$39.93"},{"v":0.59,"d":"$0.59"},{"v":40.52,"d":"$40.52"},{"v":35.52,"d":"$35.52"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010139929E              ","MBRP00000454580","000000923702","2021-04-07","51991065116","LEVETIRACETAM SOLN 100.000",-120,30,{"v":-7.23,"d":"-$7.23"},{"v":-0.59,"d":"-$0.59"},{"v":-7.82,"d":"-$7.82"},{"v":-2.82,"d":"-$2.82"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3650670","CVS PHARMACY #04802 04802"]
["21865M","0010139929E              ","MBRP00000454580","000000923702","2021-04-07","51991065116","LEVETIRACETAM SOLN 100.000",120,30,{"v":7.23,"d":"$7.23"},{"v":0.59,"d":"$0.59"},{"v":7.82,"d":"$7.82"},{"v":2.82,"d":"$2.82"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3650670","CVS PHARMACY #04802 04802"]
["21865M","AC00109149800","MBRP00000446417","000000870868","2021-04-07","50474050015","NAYZILAM SOLN 5.000",-2,30,{"v":-540.14,"d":"-$540.14"},{"v":-0.59,"d":"-$0.59"},{"v":-540.73,"d":"-$540.73"},{"v":-505.73,"d":"-$505.73"},{"v":-35,"d":"-$35.00"},"B","N",0,0,9,"R","3652004","RITE AID PHARMACY 02404"]
["21865M","AC00109149800","MBRP00000446417","000000870868","2021-04-07","50474050015","NAYZILAM SOLN 5.000",2,30,{"v":540.14,"d":"$540.14"},{"v":0.59,"d":"$0.59"},{"v":540.73,"d":"$540.73"},{"v":505.73,"d":"$505.73"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3652004","RITE AID PHARMACY 02404"]
["21865M","0010006098E              ","MBRP00000430937","000001044031","2021-04-07","16714036004","MONO-LINYAH TABS 0.000",28,28,{"v":26.82,"d":"$26.82"},{"v":0.59,"d":"$0.59"},{"v":27.41,"d":"$27.41"},{"v":27.41,"d":"$27.41"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3659488","DISCOUNT DRUG MART 46"]
["21865M","0010006098E              ","MBRP00000430937","000001044031","2021-04-07","16714036004","MONO-LINYAH TABS 0.000",-28,28,{"v":-26.82,"d":"-$26.82"},{"v":-0.59,"d":"-$0.59"},{"v":-27.41,"d":"-$27.41"},{"v":-27.41,"d":"-$27.41"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3659488","DISCOUNT DRUG MART 46"]
["21865M","0010084117E              ","MBRP00000424898","000001027491","2021-04-07","16714036004","MONO-LINYAH TABS 0.000",28,28,{"v":26.82,"d":"$26.82"},{"v":0.59,"d":"$0.59"},{"v":27.41,"d":"$27.41"},{"v":27.41,"d":"$27.41"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010144759E              ","MBRP00000429256","000001481908","2021-04-07","08290329651","BD INSULIN SYR MISC 0.000",3,90,{"v":0.7,"d":"$0.70"},{"v":0,"d":"$0.00"},{"v":0.7,"d":"$0.70"},{"v":0,"d":"$0.00"},{"v":0.7,"d":"$0.70"},"B","N",0,0,9,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010115601E              ","MBRP00000315730","000009312427","2021-04-07","69528030116","OZOBAX SOLN 5.000",1800,30,{"v":3076.74,"d":"$3,076.74"},{"v":0.5,"d":"$0.50"},{"v":3077.24,"d":"$3,077.24"},{"v":3042.24,"d":"$3,042.24"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010064744E              ","MBRP00000422383","000000570380","2021-04-07","69097074031","DIHYDROERGOTAM SOLN 4.000",1,10,{"v":313.44,"d":"$313.44"},{"v":0.5,"d":"$0.50"},{"v":313.94,"d":"$313.94"},{"v":308.94,"d":"$308.94"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","0010153662E              ","MBRP00000430817","000002557641","2021-04-07","69315011710","FUROSEMIDE TABS 40.000",30,30,{"v":1.81,"d":"$1.81"},{"v":0.59,"d":"$0.59"},{"v":2.4,"d":"$2.40"},{"v":0,"d":"$0.00"},{"v":2.4,"d":"$2.40"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010153662E              ","MBRP00000430817","000002557641","2021-04-07","69315011710","FUROSEMIDE TABS 40.000",-30,30,{"v":-1.81,"d":"-$1.81"},{"v":-0.59,"d":"-$0.59"},{"v":-2.4,"d":"-$2.40"},{"v":0,"d":"$0.00"},{"v":-2.4,"d":"-$2.40"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010153662E              ","MBRP00000430817","000002557641","2021-04-07","69315011710","FUROSEMIDE TABS 40.000",30,30,{"v":1.81,"d":"$1.81"},{"v":0.59,"d":"$0.59"},{"v":2.4,"d":"$2.40"},{"v":0,"d":"$0.00"},{"v":2.4,"d":"$2.40"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010098981E              ","MBRP00000429201","000001465964","2021-04-07","47781035703","BUPRENORPHINE  FILM 0.000",32,21,{"v":161.76,"d":"$161.76"},{"v":0.59,"d":"$0.59"},{"v":162.35,"d":"$162.35"},{"v":157.35,"d":"$157.35"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010098976E              ","MBRP00000369585","000006243255","2021-04-07","50111056003","TRAZODONE HYDR TABS 50.000",30,30,{"v":3.14,"d":"$3.14"},{"v":0.59,"d":"$0.59"},{"v":3.73,"d":"$3.73"},{"v":0,"d":"$0.00"},{"v":3.73,"d":"$3.73"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010153624E              ","MBRP00000430792","000000564932","2021-04-07","57664039753","METFORMIN HYDR TABS 500.000",-120,30,{"v":-3.91,"d":"-$3.91"},{"v":-0.5,"d":"-$0.50"},{"v":-4.41,"d":"-$4.41"},{"v":0,"d":"$0.00"},{"v":-4.41,"d":"-$4.41"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","0010153624E              ","MBRP00000430792","000000564932","2021-04-07","57664039753","METFORMIN HYDR TABS 500.000",120,30,{"v":3.91,"d":"$3.91"},{"v":0.5,"d":"$0.50"},{"v":4.41,"d":"$4.41"},{"v":0,"d":"$0.00"},{"v":4.41,"d":"$4.41"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","0010153624E              ","MBRP00000430792","000000564932","2021-04-07","57664039753","METFORMIN HYDR TABS 500.000",120,30,{"v":3.91,"d":"$3.91"},{"v":0.5,"d":"$0.50"},{"v":4.41,"d":"$4.41"},{"v":0,"d":"$0.00"},{"v":4.41,"d":"$4.41"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","0010084150E              ","MBRP00000424864","000009312818","2021-04-07","52268001201","SUPREP BOWEL P SOLN 0.000",354,1,{"v":104.8,"d":"$104.80"},{"v":0.5,"d":"$0.50"},{"v":105.3,"d":"$105.30"},{"v":70.3,"d":"$70.30"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010006035E              ","MBRP00000430910","000001012875","2021-04-07","55111012601","CIPROFLOXACIN  TABS 250.000",6,3,{"v":1.1,"d":"$1.10"},{"v":0.59,"d":"$0.59"},{"v":1.69,"d":"$1.69"},{"v":0,"d":"$0.00"},{"v":1.69,"d":"$1.69"},"G","N",0,0,0,"R","3627873","MEDICINE CENTER OF CANTON"]
["21865M","0010084319E              ","MBRP00000422186","000000877934","2021-04-07","64380078706","BUSPIRONE HYDR TABS 7.500",60,30,{"v":60.25,"d":"$60.25"},{"v":0.59,"d":"$0.59"},{"v":60.84,"d":"$60.84"},{"v":55.84,"d":"$55.84"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652092","RITE AID PHARMACY 02413"]
["21865M","0010084319E              ","MBRP00000422186","000000877934","2021-04-07","64380078706","BUSPIRONE HYDR TABS 7.500",60,30,{"v":60.25,"d":"$60.25"},{"v":0.59,"d":"$0.59"},{"v":60.84,"d":"$60.84"},{"v":55.84,"d":"$55.84"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652092","RITE AID PHARMACY 02413"]
["21865M","0010084319E              ","MBRP00000422186","000000877934","2021-04-07","64380078706","BUSPIRONE HYDR TABS 7.500",-60,30,{"v":-60.25,"d":"-$60.25"},{"v":-0.59,"d":"-$0.59"},{"v":-60.84,"d":"-$60.84"},{"v":-55.84,"d":"-$55.84"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3652092","RITE AID PHARMACY 02413"]
["21865M","0010052586E              ","MBRP00000398481","000002792965","2021-04-07","68382009601","HYDROXYCHLOROQ TABS 200.000",60,30,{"v":61.9,"d":"$61.90"},{"v":0.59,"d":"$0.59"},{"v":62.49,"d":"$62.49"},{"v":57.49,"d":"$57.49"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010052586E              ","MBRP00000398481","000002792965","2021-04-07","68382009601","HYDROXYCHLOROQ TABS 200.000",-60,30,{"v":-61.9,"d":"-$61.90"},{"v":-0.59,"d":"-$0.59"},{"v":-62.49,"d":"-$62.49"},{"v":-57.49,"d":"-$57.49"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010120429E              ","MBRP00000401503","000001314032","2021-04-07","59267100002","PFIZER-BIONTEC SUSP 30.000",0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":28.39,"d":"$28.39"},{"v":28.39,"d":"$28.39"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3657561","CVS PHARMACY #04353 04353"]
["21865M","0010148093E              ","MBRP00000440083","000006729088","2021-04-07","61442010310","DICLOFENAC SOD TBEC 75.000",60,30,{"v":16.01,"d":"$16.01"},{"v":0.59,"d":"$0.59"},{"v":16.6,"d":"$16.60"},{"v":11.6,"d":"$11.60"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3669124","GIANT EAGLE PHARMACY #4034 4034"]
["21865M","0010049921E              ","MBRP00000440035","000001568716","2021-04-07","17478076610","PROGESTERONE CAPS 100.000",30,30,{"v":51.56,"d":"$51.56"},{"v":0.59,"d":"$0.59"},{"v":52.15,"d":"$52.15"},{"v":47.15,"d":"$47.15"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659832","DISCOUNT DRUG MART 50"]
["21865M","0010049921E              ","MBRP00000440035","000001568717","2021-04-07","23155010210","METFORMIN HYDR TABS 500.000",60,30,{"v":1.65,"d":"$1.65"},{"v":0.59,"d":"$0.59"},{"v":2.24,"d":"$2.24"},{"v":0,"d":"$0.00"},{"v":2.24,"d":"$2.24"},"G","N",0,0,0,"R","3659832","DISCOUNT DRUG MART 50"]
["21865M","0010006093E              ","MBRP00000455141","000006724270","2021-04-07","16729004417","ATORVASTATIN C TABS 10.000",30,30,{"v":2.96,"d":"$2.96"},{"v":0.59,"d":"$0.59"},{"v":3.55,"d":"$3.55"},{"v":0,"d":"$0.00"},{"v":3.55,"d":"$3.55"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010146058E              ","MBRP00000440267","000009303822","2021-04-07","16729017117","AMITRIPTYLINE  TABS 10.000",60,15,{"v":8.27,"d":"$8.27"},{"v":0.5,"d":"$0.50"},{"v":8.77,"d":"$8.77"},{"v":3.77,"d":"$3.77"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010146058E              ","MBRP00000440267","000009303822","2021-04-07","16729017117","AMITRIPTYLINE  TABS 10.000",-60,15,{"v":-8.27,"d":"-$8.27"},{"v":-0.5,"d":"-$0.50"},{"v":-8.77,"d":"-$8.77"},{"v":-3.77,"d":"-$3.77"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010146058E              ","MBRP00000440267","000009303822","2021-04-07","16729017117","AMITRIPTYLINE  TABS 10.000",60,15,{"v":8.27,"d":"$8.27"},{"v":0.5,"d":"$0.50"},{"v":8.77,"d":"$8.77"},{"v":3.77,"d":"$3.77"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010054511E              ","MBRP00000429075","000001503606","2021-04-07","00172392770","DIAZEPAM TABS 10.000",1,1,{"v":0.04,"d":"$0.04"},{"v":0.59,"d":"$0.59"},{"v":0.63,"d":"$0.63"},{"v":0,"d":"$0.00"},{"v":0.63,"d":"$0.63"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010153662E              ","MBRP00000430817","000002557640","2021-04-07","00143124001","DIGOXIN TABS 125.000",-30,30,{"v":-28.49,"d":"-$28.49"},{"v":-0.59,"d":"-$0.59"},{"v":-29.08,"d":"-$29.08"},{"v":-24.08,"d":"-$24.08"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010153662E              ","MBRP00000430817","000002557640","2021-04-07","00143124001","DIGOXIN TABS 125.000",30,30,{"v":28.49,"d":"$28.49"},{"v":0.59,"d":"$0.59"},{"v":29.08,"d":"$29.08"},{"v":24.08,"d":"$24.08"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010153662E              ","MBRP00000430817","000002557640","2021-04-07","00143124001","DIGOXIN TABS 125.000",30,30,{"v":28.49,"d":"$28.49"},{"v":0.59,"d":"$0.59"},{"v":29.08,"d":"$29.08"},{"v":24.08,"d":"$24.08"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010054511E              ","MBRP00000429075","000001503602","2021-04-07","00093310953","AMOXICILLIN CAPS 500.000",15,5,{"v":1.68,"d":"$1.68"},{"v":0.59,"d":"$0.59"},{"v":2.27,"d":"$2.27"},{"v":0,"d":"$0.00"},{"v":2.27,"d":"$2.27"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","AC00109581900","MBRP00000464291","000006660384","2021-04-07","00023869430","AZELEX CREA 20.000",30,30,{"v":456.05,"d":"$456.05"},{"v":0.59,"d":"$0.59"},{"v":456.64,"d":"$456.64"},{"v":421.64,"d":"$421.64"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3669770","GIANT EAGLE PHARMACY #4030 4030"]
["21865M","AC00109581900","MBRP00000464291","000006660384","2021-04-07","00023869430","AZELEX CREA 20.000",-30,30,{"v":-456.05,"d":"-$456.05"},{"v":-0.59,"d":"-$0.59"},{"v":-456.64,"d":"-$456.64"},{"v":-421.64,"d":"-$421.64"},{"v":-35,"d":"-$35.00"},"B","N",0,0,9,"R","3669770","GIANT EAGLE PHARMACY #4030 4030"]
["21865M","0010084041E              ","MBRP00000422133","000000714061","2021-04-07","00378632577","VALSARTAN/HYDR TABS 0.000",-30,30,{"v":-37.91,"d":"-$37.91"},{"v":-0.59,"d":"-$0.59"},{"v":-38.5,"d":"-$38.50"},{"v":-33.5,"d":"-$33.50"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010084041E              ","MBRP00000422133","000000714061","2021-04-07","00378632577","VALSARTAN/HYDR TABS 0.000",30,30,{"v":37.91,"d":"$37.91"},{"v":0.59,"d":"$0.59"},{"v":38.5,"d":"$38.50"},{"v":33.5,"d":"$33.50"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010084041E              ","MBRP00000422133","000000714061","2021-04-07","00378632577","VALSARTAN/HYDR TABS 0.000",30,30,{"v":37.91,"d":"$37.91"},{"v":0.59,"d":"$0.59"},{"v":38.5,"d":"$38.50"},{"v":33.5,"d":"$33.50"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010146058E              ","MBRP00000440267","000009303823","2021-04-07","70436005902","BUPROPION HYDR TB12 150.000",60,30,{"v":25.81,"d":"$25.81"},{"v":0.5,"d":"$0.50"},{"v":26.31,"d":"$26.31"},{"v":21.31,"d":"$21.31"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010122982E              ","MBRP00000422134","000002369593","2021-04-07","68462072029","DROSPIRENONE/E TABS 0.000",28,28,{"v":55.58,"d":"$55.58"},{"v":0.59,"d":"$0.59"},{"v":56.17,"d":"$56.17"},{"v":56.17,"d":"$56.17"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010084339E              ","MBRP00000417898","000002534380","2021-04-07","68001038700","TRIAMTERENE/HY TABS 0.000",30,30,{"v":9.64,"d":"$9.64"},{"v":0.59,"d":"$0.59"},{"v":10.23,"d":"$10.23"},{"v":5.23,"d":"$5.23"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010084339E              ","MBRP00000417898","000002534380","2021-04-07","68001038700","TRIAMTERENE/HY TABS 0.000",-30,30,{"v":-9.64,"d":"-$9.64"},{"v":-0.59,"d":"-$0.59"},{"v":-10.23,"d":"-$10.23"},{"v":-5.23,"d":"-$5.23"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010084339E              ","MBRP00000417898","000002534380","2021-04-07","68001038700","TRIAMTERENE/HY TABS 0.000",30,30,{"v":9.64,"d":"$9.64"},{"v":0.59,"d":"$0.59"},{"v":10.23,"d":"$10.23"},{"v":5.23,"d":"$5.23"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010084251E              ","MBRP00000424782","000002582127","2021-04-07","63304069301","CLINDAMYCIN HC CAPS 300.000",28,7,{"v":12.99,"d":"$12.99"},{"v":0.59,"d":"$0.59"},{"v":13.58,"d":"$13.58"},{"v":8.58,"d":"$8.58"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010084251E              ","MBRP00000424782","000002582127","2021-04-07","63304069301","CLINDAMYCIN HC CAPS 300.000",-28,7,{"v":-12.99,"d":"-$12.99"},{"v":-0.59,"d":"-$0.59"},{"v":-13.58,"d":"-$13.58"},{"v":-8.58,"d":"-$8.58"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010084251E              ","MBRP00000424782","000002582127","2021-04-07","63304069301","CLINDAMYCIN HC CAPS 300.000",28,7,{"v":12.99,"d":"$12.99"},{"v":0.59,"d":"$0.59"},{"v":13.58,"d":"$13.58"},{"v":8.58,"d":"$8.58"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010054511E              ","MBRP00000429075","000001503605","2021-04-07","65162046510","IBUPROFEN TABS 600.000",24,6,{"v":0.83,"d":"$0.83"},{"v":0.59,"d":"$0.59"},{"v":1.42,"d":"$1.42"},{"v":0,"d":"$0.00"},{"v":1.42,"d":"$1.42"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010084251E              ","MBRP00000424782","000002582128","2021-04-07","65162046510","IBUPROFEN TABS 600.000",30,8,{"v":1.04,"d":"$1.04"},{"v":0.59,"d":"$0.59"},{"v":1.63,"d":"$1.63"},{"v":0,"d":"$0.00"},{"v":1.63,"d":"$1.63"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010084251E              ","MBRP00000424782","000002582128","2021-04-07","65162046510","IBUPROFEN TABS 600.000",-30,8,{"v":-1.04,"d":"-$1.04"},{"v":-0.59,"d":"-$0.59"},{"v":-1.63,"d":"-$1.63"},{"v":0,"d":"$0.00"},{"v":-1.63,"d":"-$1.63"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010084251E              ","MBRP00000424782","000002582128","2021-04-07","65162046510","IBUPROFEN TABS 600.000",30,8,{"v":1.04,"d":"$1.04"},{"v":0.59,"d":"$0.59"},{"v":1.63,"d":"$1.63"},{"v":0,"d":"$0.00"},{"v":1.63,"d":"$1.63"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010084339E              ","MBRP00000417898","000002534379","2021-04-07","65862020399","LOSARTAN POTAS TABS 100.000",30,30,{"v":2.55,"d":"$2.55"},{"v":0.59,"d":"$0.59"},{"v":3.14,"d":"$3.14"},{"v":0,"d":"$0.00"},{"v":3.14,"d":"$3.14"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010084339E              ","MBRP00000417898","000002534379","2021-04-07","65862020399","LOSARTAN POTAS TABS 100.000",-30,30,{"v":-2.55,"d":"-$2.55"},{"v":-0.59,"d":"-$0.59"},{"v":-3.14,"d":"-$3.14"},{"v":0,"d":"$0.00"},{"v":-3.14,"d":"-$3.14"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010084339E              ","MBRP00000417898","000002534379","2021-04-07","65862020399","LOSARTAN POTAS TABS 100.000",30,30,{"v":2.55,"d":"$2.55"},{"v":0.59,"d":"$0.59"},{"v":3.14,"d":"$3.14"},{"v":0,"d":"$0.00"},{"v":3.14,"d":"$3.14"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010151688E              ","MBRP00000424925","000000691222","2021-04-07","68180051703","LISINOPRIL TABS 40.000",90,90,{"v":9.1,"d":"$9.10"},{"v":0,"d":"$0.00"},{"v":9.1,"d":"$9.10"},{"v":0,"d":"$0.00"},{"v":9.1,"d":"$9.10"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010151688E              ","MBRP00000424925","000000691222","2021-04-07","68180051703","LISINOPRIL TABS 40.000",-90,90,{"v":-9.1,"d":"-$9.10"},{"v":0,"d":"$0.00"},{"v":-9.1,"d":"-$9.10"},{"v":0,"d":"$0.00"},{"v":-9.1,"d":"-$9.10"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010084328E              ","MBRP00000418118","000000556328","2021-04-07","52015008001","DIFICID TABS 200.000",-20,10,{"v":-4185.82,"d":"-$4,185.82"},{"v":-0.59,"d":"-$0.59"},{"v":-4186.41,"d":"-$4,186.41"},{"v":-4166.41,"d":"-$4,166.41"},{"v":-20,"d":"-$20.00"},"B","N",0,0,1,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010084328E              ","MBRP00000418118","000000556328","2021-04-07","52015008001","DIFICID TABS 200.000",20,10,{"v":4185.82,"d":"$4,185.82"},{"v":0.59,"d":"$0.59"},{"v":4186.41,"d":"$4,186.41"},{"v":4166.41,"d":"$4,166.41"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3677309","WALGREENS #11810 11810"]
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["21865M","0010049921E              ","MBRP00000440035","000001568718","2021-04-07","42192032901","NP THYROID 30 TABS 30.000",30,30,{"v":21,"d":"$21.00"},{"v":0.59,"d":"$0.59"},{"v":21.59,"d":"$21.59"},{"v":16.59,"d":"$16.59"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659832","DISCOUNT DRUG MART 50"]
["21865M","0010153610E              ","MBRP00000430843","000001174112","2021-04-07","31722070190","LOSARTAN POTAS TABS 50.000",30,30,{"v":1.89,"d":"$1.89"},{"v":0.59,"d":"$0.59"},{"v":2.48,"d":"$2.48"},{"v":0,"d":"$0.00"},{"v":2.48,"d":"$2.48"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010153610E              ","MBRP00000430843","000001174112","2021-04-07","31722070190","LOSARTAN POTAS TABS 50.000",30,30,{"v":1.89,"d":"$1.89"},{"v":0.59,"d":"$0.59"},{"v":2.48,"d":"$2.48"},{"v":0,"d":"$0.00"},{"v":2.48,"d":"$2.48"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010153610E              ","MBRP00000430843","000001174112","2021-04-07","31722070190","LOSARTAN POTAS TABS 50.000",-30,30,{"v":-1.89,"d":"-$1.89"},{"v":-0.59,"d":"-$0.59"},{"v":-2.48,"d":"-$2.48"},{"v":0,"d":"$0.00"},{"v":-2.48,"d":"-$2.48"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010054511E              ","MBRP00000429075","000001503604","2021-04-07","00116200116","CHLORHEXIDINE  SOLN 0.120",473,15,{"v":4.05,"d":"$4.05"},{"v":0.59,"d":"$0.59"},{"v":4.64,"d":"$4.64"},{"v":0,"d":"$0.00"},{"v":4.64,"d":"$4.64"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010146042E              ","MBRP00000318029","000000837348","2021-04-07","50742061510","METOPROLOL SUC TB24 25.000",30,30,{"v":12,"d":"$12.00"},{"v":0.59,"d":"$0.59"},{"v":12.59,"d":"$12.59"},{"v":7.59,"d":"$7.59"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3679632","CVS PHARMACY #08248 08248"]
["21865M","0010148093E              ","MBRP00000440083","000006729087","2021-04-07","65862001305","SERTRALINE HYD TABS 100.000",90,90,{"v":9.4,"d":"$9.40"},{"v":0,"d":"$0.00"},{"v":9.4,"d":"$9.40"},{"v":0,"d":"$0.00"},{"v":9.4,"d":"$9.40"},"G","N",0,0,0,"R","3669124","GIANT EAGLE PHARMACY #4034 4034"]
["21865M","0010119786E              ","MBRP00000422237","000001503808","2021-04-07","80777027399","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":16.94,"d":"$16.94"},{"v":16.94,"d":"$16.94"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010136066E              ","MBRP00000424969","000002582098","2021-04-07","80777027399","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":16.94,"d":"$16.94"},{"v":16.94,"d":"$16.94"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","AC00108804300","MBRP00000430859","000000596656","2021-04-07","80777027399","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":28.39,"d":"$28.39"},{"v":28.39,"d":"$28.39"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3648485","RITE AID PHARMACY 03198"]
["21865M","0010141535E              ","MBRP00000429262","000001166727","2021-04-07","69315090405","LORAZEPAM TABS 0.500",60,30,{"v":2.67,"d":"$2.67"},{"v":0.59,"d":"$0.59"},{"v":3.26,"d":"$3.26"},{"v":0,"d":"$0.00"},{"v":3.26,"d":"$3.26"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010049921E              ","MBRP00000440035","000001568716","2021-04-07","69543037410","PROGESTERONE CAPS 100.000",30,30,{"v":51.56,"d":"$51.56"},{"v":0.59,"d":"$0.59"},{"v":52.15,"d":"$52.15"},{"v":47.15,"d":"$47.15"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659832","DISCOUNT DRUG MART 50"]
["21865M","0010049921E              ","MBRP00000440035","000001568716","2021-04-07","69543037410","PROGESTERONE CAPS 100.000",-30,30,{"v":-51.56,"d":"-$51.56"},{"v":-0.59,"d":"-$0.59"},{"v":-52.15,"d":"-$52.15"},{"v":-47.15,"d":"-$47.15"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3659832","DISCOUNT DRUG MART 50"]
["21865M","0010143488E              ","MBRP00000417977","000000731008","2021-04-07","13668000905","CITALOPRAM HYD TABS 10.000",90,90,{"v":20.23,"d":"$20.23"},{"v":0,"d":"$0.00"},{"v":20.23,"d":"$20.23"},{"v":5.23,"d":"$5.23"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010143488E              ","MBRP00000417977","000000731008","2021-04-07","13668000905","CITALOPRAM HYD TABS 10.000",-90,90,{"v":-20.23,"d":"-$20.23"},{"v":0,"d":"$0.00"},{"v":-20.23,"d":"-$20.23"},{"v":-5.23,"d":"-$5.23"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010032717E              ","MBRP00000417803","000303813757","2021-04-07","00781223410","OMEPRAZOLE CPDR 40.000",90,90,{"v":11.53,"d":"$11.53"},{"v":0,"d":"$0.00"},{"v":11.53,"d":"$11.53"},{"v":1.53,"d":"$1.53"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010032717E              ","MBRP00000417803","000303813757","2021-04-07","00781223410","OMEPRAZOLE CPDR 40.000",-90,90,{"v":-11.53,"d":"-$11.53"},{"v":0,"d":"$0.00"},{"v":-11.53,"d":"-$11.53"},{"v":-1.53,"d":"-$1.53"},{"v":-10,"d":"-$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010032717E              ","MBRP00000417803","000303813757","2021-04-07","00781223410","OMEPRAZOLE CPDR 40.000",90,90,{"v":11.53,"d":"$11.53"},{"v":0,"d":"$0.00"},{"v":11.53,"d":"$11.53"},{"v":1.53,"d":"$1.53"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010032717E              ","MBRP00000417803","000303813757","2021-04-07","00781223410","OMEPRAZOLE CPDR 40.000",-90,90,{"v":-11.53,"d":"-$11.53"},{"v":0,"d":"$0.00"},{"v":-11.53,"d":"-$11.53"},{"v":-1.53,"d":"-$1.53"},{"v":-10,"d":"-$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010032717E              ","MBRP00000417803","000303813757","2021-04-07","00781223410","OMEPRAZOLE CPDR 40.000",90,90,{"v":11.53,"d":"$11.53"},{"v":0,"d":"$0.00"},{"v":11.53,"d":"$11.53"},{"v":1.53,"d":"$1.53"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010080372E              ","MBRP00000417960","000001465690","2021-04-07","16714040703","LARIN 1.5/30 TABS 0.000",84,84,{"v":90.86,"d":"$90.86"},{"v":0,"d":"$0.00"},{"v":90.86,"d":"$90.86"},{"v":90.86,"d":"$90.86"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010080372E              ","MBRP00000417960","000001465690","2021-04-07","16714040703","LARIN 1.5/30 TABS 0.000",-84,84,{"v":-90.86,"d":"-$90.86"},{"v":0,"d":"$0.00"},{"v":-90.86,"d":"-$90.86"},{"v":-90.86,"d":"-$90.86"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010113440E              ","MBRP00000422362","000001901423","2021-04-07","16729000515","SIMVASTATIN TABS 20.000",90,90,{"v":9.03,"d":"$9.03"},{"v":0,"d":"$0.00"},{"v":9.03,"d":"$9.03"},{"v":0,"d":"$0.00"},{"v":9.03,"d":"$9.03"},"G","N",0,0,0,"R","3647560","RITE AID PHARMACY 03095"]
["21865M","0010032717E              ","MBRP00000417803","000303813756","2021-04-07","16729013416","ALLOPURINOL TABS 100.000",-90,90,{"v":-13.65,"d":"-$13.65"},{"v":0,"d":"$0.00"},{"v":-13.65,"d":"-$13.65"},{"v":-3.65,"d":"-$3.65"},{"v":-10,"d":"-$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010032717E              ","MBRP00000417803","000303813756","2021-04-07","16729013416","ALLOPURINOL TABS 100.000",90,90,{"v":13.65,"d":"$13.65"},{"v":0,"d":"$0.00"},{"v":13.65,"d":"$13.65"},{"v":3.65,"d":"$3.65"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010032717E              ","MBRP00000417803","000303813756","2021-04-07","16729013416","ALLOPURINOL TABS 100.000",90,90,{"v":13.65,"d":"$13.65"},{"v":0,"d":"$0.00"},{"v":13.65,"d":"$13.65"},{"v":3.65,"d":"$3.65"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010032717E              ","MBRP00000417803","000303813756","2021-04-07","16729013416","ALLOPURINOL TABS 100.000",-90,90,{"v":-13.65,"d":"-$13.65"},{"v":0,"d":"$0.00"},{"v":-13.65,"d":"-$13.65"},{"v":-3.65,"d":"-$3.65"},{"v":-10,"d":"-$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010032717E              ","MBRP00000417803","000303813756","2021-04-07","16729013416","ALLOPURINOL TABS 100.000",90,90,{"v":13.65,"d":"$13.65"},{"v":0,"d":"$0.00"},{"v":13.65,"d":"$13.65"},{"v":3.65,"d":"$3.65"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010084339E              ","MBRP00000417898","000002534378","2021-04-07","68462039710","OMEPRAZOLE CPDR 40.000",-30,30,{"v":-3.84,"d":"-$3.84"},{"v":-0.59,"d":"-$0.59"},{"v":-4.43,"d":"-$4.43"},{"v":0,"d":"$0.00"},{"v":-4.43,"d":"-$4.43"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010084339E              ","MBRP00000417898","000002534378","2021-04-07","68462039710","OMEPRAZOLE CPDR 40.000",30,30,{"v":3.84,"d":"$3.84"},{"v":0.59,"d":"$0.59"},{"v":4.43,"d":"$4.43"},{"v":0,"d":"$0.00"},{"v":4.43,"d":"$4.43"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010084339E              ","MBRP00000417898","000002534378","2021-04-07","68462039710","OMEPRAZOLE CPDR 40.000",30,30,{"v":3.84,"d":"$3.84"},{"v":0.59,"d":"$0.59"},{"v":4.43,"d":"$4.43"},{"v":0,"d":"$0.00"},{"v":4.43,"d":"$4.43"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","AC00108750700","MBRP00000401601","000000570906","2021-04-07","68462039710","OMEPRAZOLE CPDR 40.000",30,30,{"v":3.66,"d":"$3.66"},{"v":0.5,"d":"$0.50"},{"v":4.16,"d":"$4.16"},{"v":0,"d":"$0.00"},{"v":4.16,"d":"$4.16"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","AC00108750700","MBRP00000401601","000000570906","2021-04-07","68462039710","OMEPRAZOLE CPDR 40.000",30,30,{"v":3.66,"d":"$3.66"},{"v":0.5,"d":"$0.50"},{"v":4.16,"d":"$4.16"},{"v":0,"d":"$0.00"},{"v":4.16,"d":"$4.16"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","AC00108750700","MBRP00000401601","000000570906","2021-04-07","68462039710","OMEPRAZOLE CPDR 40.000",-30,30,{"v":-3.66,"d":"-$3.66"},{"v":-0.5,"d":"-$0.50"},{"v":-4.16,"d":"-$4.16"},{"v":0,"d":"$0.00"},{"v":-4.16,"d":"-$4.16"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","0010032717E              ","MBRP00000417803","000303813755","2021-04-07","68180051303","LISINOPRIL TABS 5.000",90,90,{"v":2.83,"d":"$2.83"},{"v":0,"d":"$0.00"},{"v":2.83,"d":"$2.83"},{"v":0,"d":"$0.00"},{"v":2.83,"d":"$2.83"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010032717E              ","MBRP00000417803","000303813755","2021-04-07","68180051303","LISINOPRIL TABS 5.000",90,90,{"v":2.83,"d":"$2.83"},{"v":0,"d":"$0.00"},{"v":2.83,"d":"$2.83"},{"v":0,"d":"$0.00"},{"v":2.83,"d":"$2.83"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010032717E              ","MBRP00000417803","000303813755","2021-04-07","68180051303","LISINOPRIL TABS 5.000",-90,90,{"v":-2.83,"d":"-$2.83"},{"v":0,"d":"$0.00"},{"v":-2.83,"d":"-$2.83"},{"v":0,"d":"$0.00"},{"v":-2.83,"d":"-$2.83"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010032717E              ","MBRP00000417803","000303813755","2021-04-07","68180051303","LISINOPRIL TABS 5.000",-90,90,{"v":-2.83,"d":"-$2.83"},{"v":0,"d":"$0.00"},{"v":-2.83,"d":"-$2.83"},{"v":0,"d":"$0.00"},{"v":-2.83,"d":"-$2.83"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010032717E              ","MBRP00000417803","000303813755","2021-04-07","68180051303","LISINOPRIL TABS 5.000",90,90,{"v":2.83,"d":"$2.83"},{"v":0,"d":"$0.00"},{"v":2.83,"d":"$2.83"},{"v":0,"d":"$0.00"},{"v":2.83,"d":"$2.83"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010153611E              ","MBRP00000430985","000001691014","2021-04-07","42192032701","NP THYROID 15 TABS 15.000",45,28,{"v":28.03,"d":"$28.03"},{"v":0.59,"d":"$0.59"},{"v":28.62,"d":"$28.62"},{"v":23.62,"d":"$23.62"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010153611E              ","MBRP00000430985","000001691014","2021-04-07","42192032701","NP THYROID 15 TABS 15.000",-45,28,{"v":-28.03,"d":"-$28.03"},{"v":-0.59,"d":"-$0.59"},{"v":-28.62,"d":"-$28.62"},{"v":-23.62,"d":"-$23.62"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010153611E              ","MBRP00000430985","000001691014","2021-04-07","42192032701","NP THYROID 15 TABS 15.000",45,28,{"v":29.34,"d":"$29.34"},{"v":0.59,"d":"$0.59"},{"v":29.93,"d":"$29.93"},{"v":24.93,"d":"$24.93"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010084251E              ","MBRP00000424782","000002582124","2021-04-07","31722099601","HYDROCODONE BI TABS 0.000",20,5,{"v":2.37,"d":"$2.37"},{"v":0.59,"d":"$0.59"},{"v":2.96,"d":"$2.96"},{"v":0,"d":"$0.00"},{"v":2.96,"d":"$2.96"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010084251E              ","MBRP00000424782","000002582124","2021-04-07","31722099601","HYDROCODONE BI TABS 0.000",-20,5,{"v":-2.37,"d":"-$2.37"},{"v":-0.59,"d":"-$0.59"},{"v":-2.96,"d":"-$2.96"},{"v":0,"d":"$0.00"},{"v":-2.96,"d":"-$2.96"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010084251E              ","MBRP00000424782","000002582124","2021-04-07","31722099601","HYDROCODONE BI TABS 0.000",20,5,{"v":2.37,"d":"$2.37"},{"v":0.59,"d":"$0.59"},{"v":2.96,"d":"$2.96"},{"v":0,"d":"$0.00"},{"v":2.96,"d":"$2.96"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010006122E              ","MBRP00000440128","000000131975","2021-04-08","00143980305","DOXYCYCLINE HY CAPS 100.000",-20,10,{"v":-4.33,"d":"-$4.33"},{"v":-0.59,"d":"-$0.59"},{"v":-4.92,"d":"-$4.92"},{"v":0,"d":"$0.00"},{"v":-4.92,"d":"-$4.92"},"G","N",0,0,0,"R","3469891","WALGREENS #17971 17971"]
["21865M","0010006122E              ","MBRP00000440128","000000131975","2021-04-08","00143980305","DOXYCYCLINE HY CAPS 100.000",20,10,{"v":4.33,"d":"$4.33"},{"v":0.59,"d":"$0.59"},{"v":4.92,"d":"$4.92"},{"v":0,"d":"$0.00"},{"v":4.92,"d":"$4.92"},"G","N",0,0,0,"R","3469891","WALGREENS #17971 17971"]
["21865M","0010153662E              ","MBRP00000430817","000002549508","2021-04-08","00093171201","WARFARIN SODIU TABS 1.000",30,30,{"v":5.9,"d":"$5.90"},{"v":0.59,"d":"$0.59"},{"v":6.49,"d":"$6.49"},{"v":1.49,"d":"$1.49"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010153662E              ","MBRP00000430817","000002549508","2021-04-08","00093171201","WARFARIN SODIU TABS 1.000",-30,30,{"v":-5.9,"d":"-$5.90"},{"v":-0.59,"d":"-$0.59"},{"v":-6.49,"d":"-$6.49"},{"v":-1.49,"d":"-$1.49"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010153662E              ","MBRP00000430817","000002549508","2021-04-08","00093171201","WARFARIN SODIU TABS 1.000",30,30,{"v":5.9,"d":"$5.90"},{"v":0.59,"d":"$0.59"},{"v":6.49,"d":"$6.49"},{"v":1.49,"d":"$1.49"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010084147E              ","MBRP00000422288","000000734463","2021-04-08","00054018913","BUPRENORPHINE  SUBL 0.000",45,30,{"v":146.38,"d":"$146.38"},{"v":0.59,"d":"$0.59"},{"v":146.97,"d":"$146.97"},{"v":141.97,"d":"$141.97"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010005907E              ","MBRP00000422299","000001459795","2021-04-08","51660093901","CETIRIZINE HYD TABS 10.000",30,30,{"v":3.85,"d":"$3.85"},{"v":0.59,"d":"$0.59"},{"v":4.44,"d":"$4.44"},{"v":0,"d":"$0.00"},{"v":4.44,"d":"$4.44"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010135419E              ","MBRP00000430882","000002268771","2021-04-08","55111012205","ATORVASTATIN C TABS 20.000",30,30,{"v":2.93,"d":"$2.93"},{"v":0.59,"d":"$0.59"},{"v":3.52,"d":"$3.52"},{"v":0,"d":"$0.00"},{"v":3.52,"d":"$3.52"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010153605E              ","MBRP00000430797","000001686306","2021-04-08","56151146001","TRUE METRIX BL STRP 0.000",200,33,{"v":94.28,"d":"$94.28"},{"v":0.59,"d":"$0.59"},{"v":94.87,"d":"$94.87"},{"v":34.87,"d":"$34.87"},{"v":60,"d":"$60.00"},"B","N",0,0,1,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010153605E              ","MBRP00000430797","000001686306","2021-04-08","56151146001","TRUE METRIX BL STRP 0.000",-200,33,{"v":-94.28,"d":"-$94.28"},{"v":-0.59,"d":"-$0.59"},{"v":-94.87,"d":"-$94.87"},{"v":-34.87,"d":"-$34.87"},{"v":-60,"d":"-$60.00"},"B","N",0,0,1,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010153605E              ","MBRP00000430797","000001686306","2021-04-08","56151146001","TRUE METRIX BL STRP 0.000",200,33,{"v":94.28,"d":"$94.28"},{"v":0.59,"d":"$0.59"},{"v":94.87,"d":"$94.87"},{"v":34.87,"d":"$34.87"},{"v":60,"d":"$60.00"},"B","N",0,0,1,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010006021E              ","MBRP00000418018","000001504090","2021-04-08","58657067601","CIPROFLOXACIN  TABS 500.000",14,7,{"v":3.34,"d":"$3.34"},{"v":0.59,"d":"$0.59"},{"v":3.93,"d":"$3.93"},{"v":0,"d":"$0.00"},{"v":3.93,"d":"$3.93"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010132958E              ","MBRP00000440157","000000739310","2021-04-08","59417010610","VYVANSE CAPS 60.000",30,30,{"v":328.98,"d":"$328.98"},{"v":0.59,"d":"$0.59"},{"v":329.57,"d":"$329.57"},{"v":294.57,"d":"$294.57"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010131684E              ","MBRP00000429158","000001047987","2021-04-08","62175082032","ESOMEPRAZOLE M CPDR 20.000",30,15,{"v":31.53,"d":"$31.53"},{"v":0.59,"d":"$0.59"},{"v":32.12,"d":"$32.12"},{"v":27.12,"d":"$27.12"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","AC00108483700","MBRP00000430898","000002858736","2021-04-08","60505082901","FLUTICASONE PR SUSP 50.000",16,30,{"v":7.78,"d":"$7.78"},{"v":0.59,"d":"$0.59"},{"v":8.37,"d":"$8.37"},{"v":3.37,"d":"$3.37"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010116868E              ","MBRP00000430954","000001794038","2021-04-08","80777027399","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":28.39,"d":"$28.39"},{"v":28.39,"d":"$28.39"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","0010105728E              ","MBRP00000417886","000000891246","2021-04-08","80777027399","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":16.94,"d":"$16.94"},{"v":16.94,"d":"$16.94"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3652092","RITE AID PHARMACY 02413"]
["21865M","AC00109689800","MBRP00000455151","000006768754","2021-04-08","80777027399","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":16.94,"d":"$16.94"},{"v":16.94,"d":"$16.94"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010045107E              ","MBRP00000340889","000001025609","2021-04-08","80777027399","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":16.94,"d":"$16.94"},{"v":16.94,"d":"$16.94"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3653094","RITE AID PHARMACY 02437"]
["21865M","0010149520E              ","MBRP00000440046","000001794035","2021-04-08","80777027399","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":28.39,"d":"$28.39"},{"v":28.39,"d":"$28.39"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","0010084270E              ","MBRP00000422367","000006250813","2021-04-08","80777027399","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":28.39,"d":"$28.39"},{"v":28.39,"d":"$28.39"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","AC00109581900","MBRP00000464291","000006660384","2021-04-08","16110086930","AZELEX CREA 20.000",30,30,{"v":469.73,"d":"$469.73"},{"v":0.59,"d":"$0.59"},{"v":470.32,"d":"$470.32"},{"v":435.32,"d":"$435.32"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3669770","GIANT EAGLE PHARMACY #4030 4030"]
["21865M","0010005990E              ","MBRP00000430990","010722247991","2021-04-08","00574082701","TESTOSTERONE C SOLN 200.000",2,28,{"v":17.48,"d":"$17.48"},{"v":0.59,"d":"$0.59"},{"v":18.07,"d":"$18.07"},{"v":13.07,"d":"$13.07"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010005990E              ","MBRP00000430990","010722247991","2021-04-08","00574082701","TESTOSTERONE C SOLN 200.000",-2,28,{"v":-17.48,"d":"-$17.48"},{"v":-0.59,"d":"-$0.59"},{"v":-18.07,"d":"-$18.07"},{"v":-13.07,"d":"-$13.07"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010144373E              ","MBRP00000422242","000001550089","2021-04-08","08290320119","BD PEN NEEDLE/ MISC 0.000",100,25,{"v":48.38,"d":"$48.38"},{"v":0.59,"d":"$0.59"},{"v":48.97,"d":"$48.97"},{"v":13.97,"d":"$13.97"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3609837","CVS PHARMACY #03321 03321"]
["21865M","0010112745E              ","MBRP00000429255","000001691508","2021-04-08","68180098003","LISINOPRIL TABS 10.000",30,30,{"v":1.22,"d":"$1.22"},{"v":0.59,"d":"$0.59"},{"v":1.81,"d":"$1.81"},{"v":0,"d":"$0.00"},{"v":1.81,"d":"$1.81"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010153312E              ","MBRP00000271054","000006567550","2021-04-08","67877061015","TIZANIDINE HYD CAPS 2.000",60,30,{"v":13.73,"d":"$13.73"},{"v":0.59,"d":"$0.59"},{"v":14.32,"d":"$14.32"},{"v":9.32,"d":"$9.32"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","AC00109581900","MBRP00000461095","000006650887","2021-04-08","68180015001","FAMOTIDINE SUSR 40.000",50,30,{"v":50.63,"d":"$50.63"},{"v":0.59,"d":"$0.59"},{"v":51.22,"d":"$51.22"},{"v":46.22,"d":"$46.22"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3669770","GIANT EAGLE PHARMACY #4030 4030"]
["21865M","0010141536E              ","MBRP00000430944","000000837722","2021-04-08","69097094312","GABAPENTIN CAPS 300.000",60,30,{"v":8.62,"d":"$8.62"},{"v":0.59,"d":"$0.59"},{"v":9.21,"d":"$9.21"},{"v":4.21,"d":"$4.21"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3679632","CVS PHARMACY #08248 08248"]
["21865M","0010112745E              ","MBRP00000429255","000001691507","2021-04-08","29300012810","HYDROCHLOROTHI TABS 25.000",90,90,{"v":2.69,"d":"$2.69"},{"v":0,"d":"$0.00"},{"v":2.69,"d":"$2.69"},{"v":0,"d":"$0.00"},{"v":2.69,"d":"$2.69"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010126142E              ","MBRP00000429120","000006565608","2021-04-08","45802006436","TRIAMCINOLONE  CREA 0.100",80,14,{"v":4.62,"d":"$4.62"},{"v":0.59,"d":"$0.59"},{"v":5.21,"d":"$5.21"},{"v":0.21,"d":"$0.21"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010005990E              ","MBRP00000430990","010722243474","2021-04-08","43598081115","CETIRIZINE HYD TABS 10.000",30,30,{"v":0.65,"d":"$0.65"},{"v":0.59,"d":"$0.59"},{"v":1.24,"d":"$1.24"},{"v":0,"d":"$0.00"},{"v":1.24,"d":"$1.24"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010005990E              ","MBRP00000430990","010722243474","2021-04-08","43598081115","CETIRIZINE HYD TABS 10.000",-30,30,{"v":-0.65,"d":"-$0.65"},{"v":-0.59,"d":"-$0.59"},{"v":-1.24,"d":"-$1.24"},{"v":0,"d":"$0.00"},{"v":-1.24,"d":"-$1.24"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010076537E              ","MBRP00000417947","000006340974","2021-04-08","49502010202","EPINEPHRINE SOAJ 0.300",4,90,{"v":525,"d":"$525.00"},{"v":0,"d":"$0.00"},{"v":525,"d":"$525.00"},{"v":510,"d":"$510.00"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3663350","DAVIES DRUG INC"]
["21865M","0010084174E              ","MBRP00000424725","000303968887","2021-04-08","60505257808","ATORVASTATIN C TABS 10.000",-90,90,{"v":-8.89,"d":"-$8.89"},{"v":0,"d":"$0.00"},{"v":-8.89,"d":"-$8.89"},{"v":0,"d":"$0.00"},{"v":-8.89,"d":"-$8.89"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010084174E              ","MBRP00000424725","000303968887","2021-04-08","60505257808","ATORVASTATIN C TABS 10.000",90,90,{"v":8.89,"d":"$8.89"},{"v":0,"d":"$0.00"},{"v":8.89,"d":"$8.89"},{"v":0,"d":"$0.00"},{"v":8.89,"d":"$8.89"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010084174E              ","MBRP00000424725","000303968887","2021-04-08","60505257808","ATORVASTATIN C TABS 10.000",90,90,{"v":8.89,"d":"$8.89"},{"v":0,"d":"$0.00"},{"v":8.89,"d":"$8.89"},{"v":0,"d":"$0.00"},{"v":8.89,"d":"$8.89"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010153670E              ","MBRP00000429287","000000981639","2021-04-08","62175013643","OMEPRAZOLE CPDR 40.000",30,30,{"v":3.66,"d":"$3.66"},{"v":0.5,"d":"$0.50"},{"v":4.16,"d":"$4.16"},{"v":0,"d":"$0.00"},{"v":4.16,"d":"$4.16"},"G","N",0,0,0,"R","3646330","MAKOS PHARMACY"]
["21865M","0010153670E              ","MBRP00000429287","000000981639","2021-04-08","62175013643","OMEPRAZOLE CPDR 40.000",-30,30,{"v":-3.66,"d":"-$3.66"},{"v":-0.5,"d":"-$0.50"},{"v":-4.16,"d":"-$4.16"},{"v":0,"d":"$0.00"},{"v":-4.16,"d":"-$4.16"},"G","N",0,0,0,"R","3646330","MAKOS PHARMACY"]
["21865M","0010153670E              ","MBRP00000429287","000000981639","2021-04-08","62175013643","OMEPRAZOLE CPDR 40.000",30,30,{"v":3.66,"d":"$3.66"},{"v":0.5,"d":"$0.50"},{"v":4.16,"d":"$4.16"},{"v":0,"d":"$0.00"},{"v":4.16,"d":"$4.16"},"G","N",0,0,0,"R","3646330","MAKOS PHARMACY"]
["21865M","0010120429E              ","MBRP00000401502","000001314015","2021-04-08","59267100002","PFIZER-BIONTEC SUSP 30.000",0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":28.39,"d":"$28.39"},{"v":28.39,"d":"$28.39"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3657561","CVS PHARMACY #04353 04353"]
["21865M","0010150014E              ","MBRP00000462144","010722214929","2021-04-08","00713072637","MOMETASONE FUR CREA 0.100",45,20,{"v":28.99,"d":"$28.99"},{"v":0.59,"d":"$0.59"},{"v":29.58,"d":"$29.58"},{"v":24.58,"d":"$24.58"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010150014E              ","MBRP00000462144","010722214929","2021-04-08","00713072637","MOMETASONE FUR CREA 0.100",-45,20,{"v":-28.99,"d":"-$28.99"},{"v":-0.59,"d":"-$0.59"},{"v":-29.58,"d":"-$29.58"},{"v":-24.58,"d":"-$24.58"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010079723E              ","MBRP00000431051","000001681381","2021-04-08","13668000801","ZOLPIDEM TARTR TABS 10.000",-30,30,{"v":-1.39,"d":"-$1.39"},{"v":-0.59,"d":"-$0.59"},{"v":-1.98,"d":"-$1.98"},{"v":0,"d":"$0.00"},{"v":-1.98,"d":"-$1.98"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010079723E              ","MBRP00000431051","000001681381","2021-04-08","13668000801","ZOLPIDEM TARTR TABS 10.000",30,30,{"v":1.39,"d":"$1.39"},{"v":0.59,"d":"$0.59"},{"v":1.98,"d":"$1.98"},{"v":0,"d":"$0.00"},{"v":1.98,"d":"$1.98"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010079723E              ","MBRP00000431051","000001681381","2021-04-08","13668000801","ZOLPIDEM TARTR TABS 10.000",30,30,{"v":1.39,"d":"$1.39"},{"v":0.59,"d":"$0.59"},{"v":1.98,"d":"$1.98"},{"v":0,"d":"$0.00"},{"v":1.98,"d":"$1.98"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010150864E              ","MBRP00000429036","000001504128","2021-04-08","00527058601","DICYCLOMINE HY CAPS 10.000",15,5,{"v":2.99,"d":"$2.99"},{"v":0.59,"d":"$0.59"},{"v":3.58,"d":"$3.58"},{"v":0,"d":"$0.00"},{"v":3.58,"d":"$3.58"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010153662E              ","MBRP00000430817","000002541659","2021-04-08","00378181577","LEVOTHYROXINE  TABS 150.000",30,30,{"v":16.65,"d":"$16.65"},{"v":0.59,"d":"$0.59"},{"v":17.24,"d":"$17.24"},{"v":12.24,"d":"$12.24"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010153662E              ","MBRP00000430817","000002541659","2021-04-08","00378181577","LEVOTHYROXINE  TABS 150.000",-30,30,{"v":-16.65,"d":"-$16.65"},{"v":-0.59,"d":"-$0.59"},{"v":-17.24,"d":"-$17.24"},{"v":-12.24,"d":"-$12.24"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010153662E              ","MBRP00000430817","000002541659","2021-04-08","00378181577","LEVOTHYROXINE  TABS 150.000",30,30,{"v":16.65,"d":"$16.65"},{"v":0.59,"d":"$0.59"},{"v":17.24,"d":"$17.24"},{"v":12.24,"d":"$12.24"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010141183E              ","MBRP00000414790","000001504172","2021-04-08","00093770456","EMTRICITABINE/ TABS 0.000",30,30,{"v":1806.17,"d":"$1,806.17"},{"v":0,"d":"$0.00"},{"v":1806.17,"d":"$1,806.17"},{"v":1801.17,"d":"$1,801.17"},{"v":5,"d":"$5.00"},"G","Y",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010141183E              ","MBRP00000414790","000001504172","2021-04-08","00093770456","EMTRICITABINE/ TABS 0.000",30,30,{"v":1806.17,"d":"$1,806.17"},{"v":0,"d":"$0.00"},{"v":1806.17,"d":"$1,806.17"},{"v":1801.17,"d":"$1,801.17"},{"v":5,"d":"$5.00"},"G","Y",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010141183E              ","MBRP00000414790","000001504172","2021-04-08","00093770456","EMTRICITABINE/ TABS 0.000",-30,30,{"v":-1806.17,"d":"-$1,806.17"},{"v":0,"d":"$0.00"},{"v":-1806.17,"d":"-$1,806.17"},{"v":-1801.17,"d":"-$1,801.17"},{"v":-5,"d":"-$5.00"},"G","Y",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010132579E              ","MBRP00000417820","000001025702","2021-04-08","68462011944","FLUCONAZOLE TABS 150.000",1,5,{"v":2.65,"d":"$2.65"},{"v":0.59,"d":"$0.59"},{"v":3.24,"d":"$3.24"},{"v":0,"d":"$0.00"},{"v":3.24,"d":"$3.24"},"G","N",0,0,0,"R","3653094","RITE AID PHARMACY 02437"]
["21865M","0010132579E              ","MBRP00000417820","000001025702","2021-04-08","68462011944","FLUCONAZOLE TABS 150.000",-1,5,{"v":-2.65,"d":"-$2.65"},{"v":-0.59,"d":"-$0.59"},{"v":-3.24,"d":"-$3.24"},{"v":0,"d":"$0.00"},{"v":-3.24,"d":"-$3.24"},"G","N",0,0,0,"R","3653094","RITE AID PHARMACY 02437"]
["21865M","0010132579E              ","MBRP00000417820","000001025702","2021-04-08","68462011944","FLUCONAZOLE TABS 150.000",1,5,{"v":2.65,"d":"$2.65"},{"v":0.59,"d":"$0.59"},{"v":3.24,"d":"$3.24"},{"v":0,"d":"$0.00"},{"v":3.24,"d":"$3.24"},"G","N",0,0,0,"R","3653094","RITE AID PHARMACY 02437"]
["21865M","0010005990E              ","MBRP00000430990","010722406662","2021-04-08","68382050010","OMEPRAZOLE CPDR 40.000",-30,30,{"v":-3.84,"d":"-$3.84"},{"v":-0.59,"d":"-$0.59"},{"v":-4.43,"d":"-$4.43"},{"v":0,"d":"$0.00"},{"v":-4.43,"d":"-$4.43"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010005990E              ","MBRP00000430990","010722406662","2021-04-08","68382050010","OMEPRAZOLE CPDR 40.000",30,30,{"v":3.84,"d":"$3.84"},{"v":0.59,"d":"$0.59"},{"v":4.43,"d":"$4.43"},{"v":0,"d":"$0.00"},{"v":4.43,"d":"$4.43"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010115244E              ","MBRP00000424885","000000711138","2021-04-08","68382005101","MELOXICAM TABS 15.000",30,30,{"v":1.23,"d":"$1.23"},{"v":0.59,"d":"$0.59"},{"v":1.82,"d":"$1.82"},{"v":0,"d":"$0.00"},{"v":1.82,"d":"$1.82"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010112745E              ","MBRP00000429255","000001691506","2021-04-08","63304071990","DILTIAZEM HYDR CP24 180.000",90,90,{"v":87.03,"d":"$87.03"},{"v":0,"d":"$0.00"},{"v":87.03,"d":"$87.03"},{"v":72.03,"d":"$72.03"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010135419E              ","MBRP00000430882","000002253300","2021-04-08","65862069790","VENLAFAXINE HC CP24 150.000",30,30,{"v":24.53,"d":"$24.53"},{"v":0.59,"d":"$0.59"},{"v":25.12,"d":"$25.12"},{"v":20.12,"d":"$20.12"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010100929E              ","MBRP00000429217","000001556373","2021-04-08","43547028110","ESCITALOPRAM O TABS 10.000",30,30,{"v":4.71,"d":"$4.71"},{"v":0.59,"d":"$0.59"},{"v":5.3,"d":"$5.30"},{"v":0.3,"d":"$0.30"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659832","DISCOUNT DRUG MART 50"]
["21865M","0010005990E              ","MBRP00000430990","010722254011","2021-04-08","45802004064","SELENIUM SULFI LOTN 2.500",-120,15,{"v":-14.26,"d":"-$14.26"},{"v":-0.59,"d":"-$0.59"},{"v":-14.85,"d":"-$14.85"},{"v":-9.85,"d":"-$9.85"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010005990E              ","MBRP00000430990","010722254011","2021-04-08","45802004064","SELENIUM SULFI LOTN 2.500",120,15,{"v":14.26,"d":"$14.26"},{"v":0.59,"d":"$0.59"},{"v":14.85,"d":"$14.85"},{"v":9.85,"d":"$9.85"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010119782E              ","MBRP00000344453","000002557695","2021-04-08","45802012265","LORATADINE-D 1 TB12 0.000",14,7,{"v":10.54,"d":"$10.54"},{"v":0.59,"d":"$0.59"},{"v":11.13,"d":"$11.13"},{"v":6.13,"d":"$6.13"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010119782E              ","MBRP00000344453","000002557695","2021-04-08","45802012265","LORATADINE-D 1 TB12 0.000",14,7,{"v":10.54,"d":"$10.54"},{"v":0.59,"d":"$0.59"},{"v":11.13,"d":"$11.13"},{"v":6.13,"d":"$6.13"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010119782E              ","MBRP00000344453","000002557695","2021-04-08","45802012265","LORATADINE-D 1 TB12 0.000",-14,7,{"v":-10.54,"d":"-$10.54"},{"v":-0.59,"d":"-$0.59"},{"v":-11.13,"d":"-$11.13"},{"v":-6.13,"d":"-$6.13"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010137643E              ","MBRP00000417935","000000833650","2021-04-08","00093317431","ALBUTEROL SULF AERS 108.000",8.5,30,{"v":28.52,"d":"$28.52"},{"v":0.59,"d":"$0.59"},{"v":29.11,"d":"$29.11"},{"v":24.11,"d":"$24.11"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3679632","CVS PHARMACY #08248 08248"]
["21865M","0010137643E              ","MBRP00000417935","000000833650","2021-04-08","00093317431","ALBUTEROL SULF AERS 108.000",-8.5,30,{"v":-28.52,"d":"-$28.52"},{"v":-0.59,"d":"-$0.59"},{"v":-29.11,"d":"-$29.11"},{"v":-24.11,"d":"-$24.11"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3679632","CVS PHARMACY #08248 08248"]
["21865M","0010149584E              ","MBRP00000440249","000000158404","2021-04-08","16714036004","MONO-LINYAH TABS 0.000",28,28,{"v":26.82,"d":"$26.82"},{"v":0.59,"d":"$0.59"},{"v":27.41,"d":"$27.41"},{"v":27.41,"d":"$27.41"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3686409","DISCOUNT DRUG MART #89 89"]
["21865M","0010146680E              ","MBRP00000430914","000002073950","2021-04-08","00406055201","OXYCODONE HYDR TABS 5.000",20,6,{"v":2.52,"d":"$2.52"},{"v":0.5,"d":"$0.50"},{"v":3.02,"d":"$3.02"},{"v":0,"d":"$0.00"},{"v":3.02,"d":"$3.02"},"G","N",0,0,0,"R","3672791","AULTMAN EMPLOYEE PHARMACY"]
["21865M","0010108363E              ","MBRP00000440271","000000902303","2021-04-08","00378427693","VALACYCLOVIR H TABS 1.000",8,2,{"v":14.65,"d":"$14.65"},{"v":0.59,"d":"$0.59"},{"v":15.24,"d":"$15.24"},{"v":10.24,"d":"$10.24"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651975","RITE AID PHARMACY 02401"]
["21865M","0010084328E              ","MBRP00000418119","000000516766","2021-04-08","00378718505","METFORMIN HYDR TABS 500.000",90,90,{"v":3.08,"d":"$3.08"},{"v":0,"d":"$0.00"},{"v":3.08,"d":"$3.08"},{"v":0,"d":"$0.00"},{"v":3.08,"d":"$3.08"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010084174E              ","MBRP00000424725","000303968888","2021-04-08","69097085805","FOSINOPRIL SOD TABS 40.000",-45,90,{"v":-21.2,"d":"-$21.20"},{"v":0,"d":"$0.00"},{"v":-21.2,"d":"-$21.20"},{"v":-11.2,"d":"-$11.20"},{"v":-10,"d":"-$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010084174E              ","MBRP00000424725","000303968888","2021-04-08","69097085805","FOSINOPRIL SOD TABS 40.000",45,90,{"v":21.2,"d":"$21.20"},{"v":0,"d":"$0.00"},{"v":21.2,"d":"$21.20"},{"v":11.2,"d":"$11.20"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010084174E              ","MBRP00000424725","000303968888","2021-04-08","69097085805","FOSINOPRIL SOD TABS 40.000",45,90,{"v":21.2,"d":"$21.20"},{"v":0,"d":"$0.00"},{"v":21.2,"d":"$21.20"},{"v":11.2,"d":"$11.20"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010151645E              ","MBRP00000342810","000002849476","2021-04-08","68462035701","POTASSIUM CHLO CPCR 10.000",90,90,{"v":40.87,"d":"$40.87"},{"v":0,"d":"$0.00"},{"v":40.87,"d":"$40.87"},{"v":25.87,"d":"$25.87"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010132579E              ","MBRP00000417820","000001025716","2021-04-08","65862060012","RIZATRIPTAN BE TABS 10.000",9,30,{"v":10.95,"d":"$10.95"},{"v":0.59,"d":"$0.59"},{"v":11.54,"d":"$11.54"},{"v":6.54,"d":"$6.54"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3653094","RITE AID PHARMACY 02437"]
["21865M","0010132579E              ","MBRP00000417820","000001025716","2021-04-08","65862060012","RIZATRIPTAN BE TABS 10.000",-9,30,{"v":-10.95,"d":"-$10.95"},{"v":-0.59,"d":"-$0.59"},{"v":-11.54,"d":"-$11.54"},{"v":-6.54,"d":"-$6.54"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3653094","RITE AID PHARMACY 02437"]
["21865M","0010132579E              ","MBRP00000417820","000001025716","2021-04-08","65862060012","RIZATRIPTAN BE TABS 10.000",9,30,{"v":10.95,"d":"$10.95"},{"v":0.59,"d":"$0.59"},{"v":11.54,"d":"$11.54"},{"v":6.54,"d":"$6.54"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3653094","RITE AID PHARMACY 02437"]
["21865M","0010153670E              ","MBRP00000429287","000000984022","2021-04-08","49884072703","DOXYCYCLINE MO CAPS 100.000",30,30,{"v":16.13,"d":"$16.13"},{"v":0.5,"d":"$0.50"},{"v":16.63,"d":"$16.63"},{"v":11.63,"d":"$11.63"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3646330","MAKOS PHARMACY"]
["21865M","0010153670E              ","MBRP00000429287","000000984022","2021-04-08","49884072703","DOXYCYCLINE MO CAPS 100.000",30,30,{"v":16.13,"d":"$16.13"},{"v":0.5,"d":"$0.50"},{"v":16.63,"d":"$16.63"},{"v":11.63,"d":"$11.63"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3646330","MAKOS PHARMACY"]
["21865M","0010153670E              ","MBRP00000429287","000000984022","2021-04-08","49884072703","DOXYCYCLINE MO CAPS 100.000",-30,30,{"v":-16.13,"d":"-$16.13"},{"v":-0.5,"d":"-$0.50"},{"v":-16.63,"d":"-$16.63"},{"v":-11.63,"d":"-$11.63"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3646330","MAKOS PHARMACY"]
["21865M","0010084328E              ","MBRP00000418119","000000544125","2021-04-08","43547035611","LISINOPRIL TABS 40.000",90,90,{"v":9.1,"d":"$9.10"},{"v":0,"d":"$0.00"},{"v":9.1,"d":"$9.10"},{"v":0,"d":"$0.00"},{"v":9.1,"d":"$9.10"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010084328E              ","MBRP00000418119","000000544125","2021-04-08","43547035611","LISINOPRIL TABS 40.000",-90,90,{"v":-9.1,"d":"-$9.10"},{"v":0,"d":"$0.00"},{"v":-9.1,"d":"-$9.10"},{"v":0,"d":"$0.00"},{"v":-9.1,"d":"-$9.10"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010084179E              ","MBRP00000417991","000001058741","2021-04-08","42806036201","DOXYCYCLINE HY TABS 20.000",60,30,{"v":24.44,"d":"$24.44"},{"v":0.59,"d":"$0.59"},{"v":25.03,"d":"$25.03"},{"v":20.03,"d":"$20.03"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659488","DISCOUNT DRUG MART 46"]
["21865M","0010006021E              ","MBRP00000418018","000001504089","2021-04-08","29300022701","METRONIDAZOLE TABS 500.000",21,7,{"v":4,"d":"$4.00"},{"v":0.59,"d":"$0.59"},{"v":4.59,"d":"$4.59"},{"v":0,"d":"$0.00"},{"v":4.59,"d":"$4.59"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010005990E              ","MBRP00000430990","010722245900","2021-04-08","31722072690","MONTELUKAST SO TABS 10.000",30,30,{"v":11.65,"d":"$11.65"},{"v":0.59,"d":"$0.59"},{"v":12.24,"d":"$12.24"},{"v":7.24,"d":"$7.24"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010005990E              ","MBRP00000430990","010722245900","2021-04-08","31722072690","MONTELUKAST SO TABS 10.000",-30,30,{"v":-11.65,"d":"-$11.65"},{"v":-0.59,"d":"-$0.59"},{"v":-12.24,"d":"-$12.24"},{"v":-7.24,"d":"-$7.24"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010124284E              ","MBRP00000424894","000001051071","2021-04-08","52536062501","TESTOSTERONE C SOLN 200.000",-2,28,{"v":-17.48,"d":"-$17.48"},{"v":-0.59,"d":"-$0.59"},{"v":-18.07,"d":"-$18.07"},{"v":-13.07,"d":"-$13.07"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010124284E              ","MBRP00000424894","000001051071","2021-04-08","52536062501","TESTOSTERONE C SOLN 200.000",2,28,{"v":17.48,"d":"$17.48"},{"v":0.59,"d":"$0.59"},{"v":18.07,"d":"$18.07"},{"v":13.07,"d":"$13.07"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010124284E              ","MBRP00000424894","000001051071","2021-04-08","52536062501","TESTOSTERONE C SOLN 200.000",2,28,{"v":17.48,"d":"$17.48"},{"v":0.59,"d":"$0.59"},{"v":18.07,"d":"$18.07"},{"v":13.07,"d":"$13.07"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010084174E              ","MBRP00000424725","000303968889","2021-04-08","55111073005","ALLOPURINOL TABS 300.000",-90,90,{"v":-13.66,"d":"-$13.66"},{"v":0,"d":"$0.00"},{"v":-13.66,"d":"-$13.66"},{"v":-3.66,"d":"-$3.66"},{"v":-10,"d":"-$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010084174E              ","MBRP00000424725","000303968889","2021-04-08","55111073005","ALLOPURINOL TABS 300.000",90,90,{"v":13.66,"d":"$13.66"},{"v":0,"d":"$0.00"},{"v":13.66,"d":"$13.66"},{"v":3.66,"d":"$3.66"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010084174E              ","MBRP00000424725","000303968889","2021-04-08","55111073005","ALLOPURINOL TABS 300.000",90,90,{"v":13.66,"d":"$13.66"},{"v":0,"d":"$0.00"},{"v":13.66,"d":"$13.66"},{"v":3.66,"d":"$3.66"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010052586E              ","MBRP00000398481","000002792965","2021-04-08","68382009601","HYDROXYCHLOROQ TABS 200.000",180,90,{"v":185.7,"d":"$185.70"},{"v":0,"d":"$0.00"},{"v":185.7,"d":"$185.70"},{"v":170.7,"d":"$170.70"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010084105E              ","MBRP00000440060","000007119741","2021-04-08","68180096703","LEVOTHYROXINE  TABS 75.000",90,90,{"v":38.72,"d":"$38.72"},{"v":0,"d":"$0.00"},{"v":38.72,"d":"$38.72"},{"v":23.72,"d":"$23.72"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010066404E              ","MBRP00000440070","000302565755","2021-04-08","68382089706","TADALAFIL TABS 5.000",90,90,{"v":91.7,"d":"$91.70"},{"v":0,"d":"$0.00"},{"v":91.7,"d":"$91.70"},{"v":81.7,"d":"$81.70"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010153662E              ","MBRP00000430817","000002557639","2021-04-08","68001015203","CARVEDILOL TABS 25.000",60,30,{"v":2.55,"d":"$2.55"},{"v":0.59,"d":"$0.59"},{"v":3.14,"d":"$3.14"},{"v":0,"d":"$0.00"},{"v":3.14,"d":"$3.14"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010153662E              ","MBRP00000430817","000002557639","2021-04-08","68001015203","CARVEDILOL TABS 25.000",-60,30,{"v":-2.55,"d":"-$2.55"},{"v":-0.59,"d":"-$0.59"},{"v":-3.14,"d":"-$3.14"},{"v":0,"d":"$0.00"},{"v":-3.14,"d":"-$3.14"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010153662E              ","MBRP00000430817","000002557639","2021-04-08","68001015203","CARVEDILOL TABS 25.000",60,30,{"v":2.55,"d":"$2.55"},{"v":0.59,"d":"$0.59"},{"v":3.14,"d":"$3.14"},{"v":0,"d":"$0.00"},{"v":3.14,"d":"$3.14"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010153652E              ","MBRP00000431000","000000177188","2021-04-08","59267100001","PFIZER-BIONTEC SUSP 30.000",0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":16.94,"d":"$16.94"},{"v":16.94,"d":"$16.94"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3686409","DISCOUNT DRUG MART #89 89"]
["21865M","0010052597E              ","MBRP00000354706","000007551643","2021-04-08","61314063006","NEOMYCIN/POLYM SUSP 0.000",5,19,{"v":9.07,"d":"$9.07"},{"v":0.59,"d":"$0.59"},{"v":9.66,"d":"$9.66"},{"v":4.66,"d":"$4.66"},{"v":5,"d":"$5.00"},"G","N",0,1,0,"R","3668285","WALMART PHARMACY 10-2914 102914"]
["21865M","0010153662E              ","MBRP00000430817","000002546682","2021-04-08","60505257908","ATORVASTATIN C TABS 20.000",30,30,{"v":2.93,"d":"$2.93"},{"v":0.59,"d":"$0.59"},{"v":3.52,"d":"$3.52"},{"v":0,"d":"$0.00"},{"v":3.52,"d":"$3.52"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010153662E              ","MBRP00000430817","000002546682","2021-04-08","60505257908","ATORVASTATIN C TABS 20.000",-30,30,{"v":-2.93,"d":"-$2.93"},{"v":-0.59,"d":"-$0.59"},{"v":-3.52,"d":"-$3.52"},{"v":0,"d":"$0.00"},{"v":-3.52,"d":"-$3.52"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010153662E              ","MBRP00000430817","000002546682","2021-04-08","60505257908","ATORVASTATIN C TABS 20.000",30,30,{"v":2.93,"d":"$2.93"},{"v":0.59,"d":"$0.59"},{"v":3.52,"d":"$3.52"},{"v":0,"d":"$0.00"},{"v":3.52,"d":"$3.52"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010137634E              ","MBRP00000417937","000002317285","2021-04-08","65862001205","SERTRALINE HCL TABS 50.000",30,30,{"v":2.49,"d":"$2.49"},{"v":0.59,"d":"$0.59"},{"v":3.08,"d":"$3.08"},{"v":0,"d":"$0.00"},{"v":3.08,"d":"$3.08"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010084174E              ","MBRP00000424725","000303968884","2021-04-08","65862001205","SERTRALINE HCL TABS 50.000",-90,90,{"v":-7.48,"d":"-$7.48"},{"v":0,"d":"$0.00"},{"v":-7.48,"d":"-$7.48"},{"v":0,"d":"$0.00"},{"v":-7.48,"d":"-$7.48"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010084174E              ","MBRP00000424725","000303968884","2021-04-08","65862001205","SERTRALINE HCL TABS 50.000",90,90,{"v":7.48,"d":"$7.48"},{"v":0,"d":"$0.00"},{"v":7.48,"d":"$7.48"},{"v":0,"d":"$0.00"},{"v":7.48,"d":"$7.48"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010084174E              ","MBRP00000424725","000303968884","2021-04-08","65862001205","SERTRALINE HCL TABS 50.000",90,90,{"v":7.48,"d":"$7.48"},{"v":0,"d":"$0.00"},{"v":7.48,"d":"$7.48"},{"v":0,"d":"$0.00"},{"v":7.48,"d":"$7.48"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","AC00108483700","MBRP00000430898","000002826432","2021-04-08","00378623101","CITALOPRAM HYD TABS 10.000",30,30,{"v":6.74,"d":"$6.74"},{"v":0.59,"d":"$0.59"},{"v":7.33,"d":"$7.33"},{"v":2.33,"d":"$2.33"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010084174E              ","MBRP00000424725","000303968886","2021-04-08","69097012815","AMLODIPINE BES TABS 10.000",90,90,{"v":4.24,"d":"$4.24"},{"v":0,"d":"$0.00"},{"v":4.24,"d":"$4.24"},{"v":0,"d":"$0.00"},{"v":4.24,"d":"$4.24"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010084174E              ","MBRP00000424725","000303968886","2021-04-08","69097012815","AMLODIPINE BES TABS 10.000",-90,90,{"v":-4.24,"d":"-$4.24"},{"v":0,"d":"$0.00"},{"v":-4.24,"d":"-$4.24"},{"v":0,"d":"$0.00"},{"v":-4.24,"d":"-$4.24"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010084174E              ","MBRP00000424725","000303968886","2021-04-08","69097012815","AMLODIPINE BES TABS 10.000",90,90,{"v":4.24,"d":"$4.24"},{"v":0,"d":"$0.00"},{"v":4.24,"d":"$4.24"},{"v":0,"d":"$0.00"},{"v":4.24,"d":"$4.24"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010153724E              ","MBRP00000424973","000002359851","2021-04-08","69097014260","ALBUTEROL SULF AERS 108.000",-6.7,25,{"v":-22.48,"d":"-$22.48"},{"v":-0.59,"d":"-$0.59"},{"v":-23.07,"d":"-$23.07"},{"v":-18.07,"d":"-$18.07"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010153724E              ","MBRP00000424973","000002359851","2021-04-08","69097014260","ALBUTEROL SULF AERS 108.000",6.7,25,{"v":22.48,"d":"$22.48"},{"v":0.59,"d":"$0.59"},{"v":23.07,"d":"$23.07"},{"v":18.07,"d":"$18.07"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010006122E              ","MBRP00000440128","000000131976","2021-04-08","69097014260","ALBUTEROL SULF AERS 108.000",-6.7,25,{"v":-22.48,"d":"-$22.48"},{"v":-0.59,"d":"-$0.59"},{"v":-23.07,"d":"-$23.07"},{"v":-18.07,"d":"-$18.07"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3469891","WALGREENS #17971 17971"]
["21865M","0010006122E              ","MBRP00000440128","000000131976","2021-04-08","69097014260","ALBUTEROL SULF AERS 108.000",6.7,25,{"v":22.48,"d":"$22.48"},{"v":0.59,"d":"$0.59"},{"v":23.07,"d":"$23.07"},{"v":18.07,"d":"$18.07"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3469891","WALGREENS #17971 17971"]
["21865M","0010084328E              ","MBRP00000418119","000000541649","2021-04-08","00597015337","JARDIANCE TABS 25.000",90,90,{"v":1550.18,"d":"$1,550.18"},{"v":0,"d":"$0.00"},{"v":1550.18,"d":"$1,550.18"},{"v":1490.18,"d":"$1,490.18"},{"v":60,"d":"$60.00"},"B","N",0,0,1,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010084328E              ","MBRP00000418119","000000541649","2021-04-08","00597015337","JARDIANCE TABS 25.000",-5,5,{"v":-89.79,"d":"-$89.79"},{"v":-0.59,"d":"-$0.59"},{"v":-90.38,"d":"-$90.38"},{"v":-70.38,"d":"-$70.38"},{"v":-20,"d":"-$20.00"},"B","N",0,0,1,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010084328E              ","MBRP00000418119","000000541649","2021-04-08","00597015337","JARDIANCE TABS 25.000",-90,90,{"v":-1550.18,"d":"-$1,550.18"},{"v":0,"d":"$0.00"},{"v":-1550.18,"d":"-$1,550.18"},{"v":-1490.18,"d":"-$1,490.18"},{"v":-60,"d":"-$60.00"},"B","N",0,0,1,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010084328E              ","MBRP00000418119","000000541649","2021-04-08","00597015337","JARDIANCE TABS 25.000",90,90,{"v":1550.18,"d":"$1,550.18"},{"v":0,"d":"$0.00"},{"v":1550.18,"d":"$1,550.18"},{"v":1490.18,"d":"$1,490.18"},{"v":60,"d":"$60.00"},"B","N",0,0,1,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010084328E              ","MBRP00000418119","000000541649","2021-04-08","00597015337","JARDIANCE TABS 25.000",-90,90,{"v":-1550.18,"d":"-$1,550.18"},{"v":0,"d":"$0.00"},{"v":-1550.18,"d":"-$1,550.18"},{"v":-1490.18,"d":"-$1,490.18"},{"v":-60,"d":"-$60.00"},"B","N",0,0,1,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010084328E              ","MBRP00000418119","000000541649","2021-04-08","00597015337","JARDIANCE TABS 25.000",5,5,{"v":89.79,"d":"$89.79"},{"v":0.59,"d":"$0.59"},{"v":90.38,"d":"$90.38"},{"v":70.38,"d":"$70.38"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010120556E              ","MBRP00000429238","000002858855","2021-04-08","00781106110","ALPRAZOLAM TABS 0.250",30,30,{"v":0.66,"d":"$0.66"},{"v":0.59,"d":"$0.59"},{"v":1.25,"d":"$1.25"},{"v":0,"d":"$0.00"},{"v":1.25,"d":"$1.25"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010084104E              ","MBRP00000309890","000000897280","2021-04-08","23155065105","METRONIDAZOLE TABS 250.000",21,7,{"v":4.27,"d":"$4.27"},{"v":0.59,"d":"$0.59"},{"v":4.86,"d":"$4.86"},{"v":0,"d":"$0.00"},{"v":4.86,"d":"$4.86"},"G","N",0,0,0,"R","3651850","RITE AID PHARMACY 02390"]
["21865M","0010084104E              ","MBRP00000309890","000000897280","2021-04-08","23155065105","METRONIDAZOLE TABS 250.000",-21,7,{"v":-4.27,"d":"-$4.27"},{"v":-0.59,"d":"-$0.59"},{"v":-4.86,"d":"-$4.86"},{"v":0,"d":"$0.00"},{"v":-4.86,"d":"-$4.86"},"G","N",0,0,0,"R","3651850","RITE AID PHARMACY 02390"]
["21865M","0010084104E              ","MBRP00000309890","000000897280","2021-04-08","23155065105","METRONIDAZOLE TABS 250.000",21,7,{"v":4.27,"d":"$4.27"},{"v":0.59,"d":"$0.59"},{"v":4.86,"d":"$4.86"},{"v":0,"d":"$0.00"},{"v":4.86,"d":"$4.86"},"G","N",0,0,0,"R","3651850","RITE AID PHARMACY 02390"]
["21865M","AC00109149800","MBRP00000446417","000000870868","2021-04-08","50474050015","NAYZILAM SOLN 5.000",2,30,{"v":540.14,"d":"$540.14"},{"v":0.59,"d":"$0.59"},{"v":540.73,"d":"$540.73"},{"v":505.73,"d":"$505.73"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3652004","RITE AID PHARMACY 02404"]
["21865M","0010141183E              ","MBRP00000414790","000001504171","2021-04-08","49702022813","TIVICAY TABS 50.000",28,28,{"v":1860.33,"d":"$1,860.33"},{"v":0,"d":"$0.00"},{"v":1860.33,"d":"$1,860.33"},{"v":1840.33,"d":"$1,840.33"},{"v":20,"d":"$20.00"},"B","Y",0,0,1,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010141183E              ","MBRP00000414790","000001504171","2021-04-08","49702022813","TIVICAY TABS 50.000",-28,28,{"v":-1860.33,"d":"-$1,860.33"},{"v":0,"d":"$0.00"},{"v":-1860.33,"d":"-$1,860.33"},{"v":-1840.33,"d":"-$1,840.33"},{"v":-20,"d":"-$20.00"},"B","Y",0,0,1,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010121132E              ","MBRP00000430814","000000177164","2021-04-08","43598037201","COLCHICINE TABS 0.600",30,30,{"v":133.52,"d":"$133.52"},{"v":0.59,"d":"$0.59"},{"v":134.11,"d":"$134.11"},{"v":129.11,"d":"$129.11"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3686409","DISCOUNT DRUG MART #89 89"]
["21865M","0010121132E              ","MBRP00000430814","000000177164","2021-04-08","43598037201","COLCHICINE TABS 0.600",-30,30,{"v":-133.52,"d":"-$133.52"},{"v":-0.59,"d":"-$0.59"},{"v":-134.11,"d":"-$134.11"},{"v":-129.11,"d":"-$129.11"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3686409","DISCOUNT DRUG MART #89 89"]
["21865M","0010121132E              ","MBRP00000430814","000000177164","2021-04-08","43598037201","COLCHICINE TABS 0.600",30,30,{"v":133.52,"d":"$133.52"},{"v":0.59,"d":"$0.59"},{"v":134.11,"d":"$134.11"},{"v":129.11,"d":"$129.11"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3686409","DISCOUNT DRUG MART #89 89"]
["21865M","0010119782E              ","MBRP00000344453","000002557694","2021-04-08","42571016142","AMOXICILLIN/CL TABS 0.000",20,10,{"v":5.57,"d":"$5.57"},{"v":0.59,"d":"$0.59"},{"v":6.16,"d":"$6.16"},{"v":1.16,"d":"$1.16"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010119782E              ","MBRP00000344453","000002557694","2021-04-08","42571016142","AMOXICILLIN/CL TABS 0.000",-20,10,{"v":-5.57,"d":"-$5.57"},{"v":-0.59,"d":"-$0.59"},{"v":-6.16,"d":"-$6.16"},{"v":-1.16,"d":"-$1.16"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010119782E              ","MBRP00000344453","000002557694","2021-04-08","42571016142","AMOXICILLIN/CL TABS 0.000",20,10,{"v":5.57,"d":"$5.57"},{"v":0.59,"d":"$0.59"},{"v":6.16,"d":"$6.16"},{"v":1.16,"d":"$1.16"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010114615E              ","MBRP00000440323","000006814939","2021-04-08","33342010215","MONTELUKAST SO TABS 10.000",90,90,{"v":34.94,"d":"$34.94"},{"v":0,"d":"$0.00"},{"v":34.94,"d":"$34.94"},{"v":19.94,"d":"$19.94"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3669112","GIANT EAGLE PHARMACY #1618 1618"]
["21865M","0010084104E              ","MBRP00000309890","000000897281","2021-04-08","39423044048","FLORAJEN DIGES CAPS 0.000",-30,30,{"v":-11.1,"d":"-$11.10"},{"v":-0.59,"d":"-$0.59"},{"v":-11.69,"d":"-$11.69"},{"v":0,"d":"$0.00"},{"v":-11.69,"d":"-$11.69"},"B","N",0,0,1,"R","3651850","RITE AID PHARMACY 02390"]
["21865M","0010084104E              ","MBRP00000309890","000000897281","2021-04-08","39423044048","FLORAJEN DIGES CAPS 0.000",30,30,{"v":11.1,"d":"$11.10"},{"v":0.59,"d":"$0.59"},{"v":11.69,"d":"$11.69"},{"v":0,"d":"$0.00"},{"v":11.69,"d":"$11.69"},"B","N",0,0,1,"R","3651850","RITE AID PHARMACY 02390"]
["21865M","0010114615E              ","MBRP00000440323","000006814939","2021-04-08","33342010215","MONTELUKAST SO TABS 10.000",90,90,{"v":34.94,"d":"$34.94"},{"v":0,"d":"$0.00"},{"v":34.94,"d":"$34.94"},{"v":19.94,"d":"$19.94"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3669112","GIANT EAGLE PHARMACY #1618 1618"]
["21865M","0010114615E              ","MBRP00000440323","000006814939","2021-04-08","33342010215","MONTELUKAST SO TABS 10.000",-90,90,{"v":-34.94,"d":"-$34.94"},{"v":0,"d":"$0.00"},{"v":-34.94,"d":"-$34.94"},{"v":-19.94,"d":"-$19.94"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3669112","GIANT EAGLE PHARMACY #1618 1618"]
["21865M","0010084204E              ","MBRP00000288612","000000572610","2021-04-08","33342010215","MONTELUKAST SO TABS 10.000",90,90,{"v":10,"d":"$10.00"},{"v":0,"d":"$0.00"},{"v":10,"d":"$10.00"},{"v":0,"d":"$0.00"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"R","3672791","AULTMAN EMPLOYEE PHARMACY"]
["21865M","0010137212E              ","MBRP00000440121","000006717095","2021-04-08","55724021121","EUCRISA OINT 2.000",60,30,{"v":659.77,"d":"$659.77"},{"v":0.59,"d":"$0.59"},{"v":660.36,"d":"$660.36"},{"v":625.36,"d":"$625.36"},{"v":35,"d":"$35.00"},"B","N",0,1,9,"R","3674151","GIANT EAGLE PHARMACY #4152 4152"]
["21865M","0010084098E              ","MBRP00000422246","000000567257","2021-04-09","67877019810","AMLODIPINE BES TABS 5.000",30,30,{"v":1,"d":"$1.00"},{"v":0.5,"d":"$0.50"},{"v":1.5,"d":"$1.50"},{"v":0,"d":"$0.00"},{"v":1.5,"d":"$1.50"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","0010144055E              ","MBRP00000429129","000303991223","2021-04-09","65862069705","VENLAFAXINE HC CP24 150.000",90,90,{"v":73.59,"d":"$73.59"},{"v":0,"d":"$0.00"},{"v":73.59,"d":"$73.59"},{"v":63.59,"d":"$63.59"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010144055E              ","MBRP00000429129","000303991223","2021-04-09","65862069705","VENLAFAXINE HC CP24 150.000",90,90,{"v":73.59,"d":"$73.59"},{"v":0,"d":"$0.00"},{"v":73.59,"d":"$73.59"},{"v":63.59,"d":"$63.59"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010144055E              ","MBRP00000429129","000303991223","2021-04-09","65862069705","VENLAFAXINE HC CP24 150.000",-90,90,{"v":-73.59,"d":"-$73.59"},{"v":0,"d":"$0.00"},{"v":-73.59,"d":"-$73.59"},{"v":-63.59,"d":"-$63.59"},{"v":-10,"d":"-$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010121978E              ","MBRP00000417894","000304009299","2021-04-09","65862069705","VENLAFAXINE HC CP24 150.000",90,90,{"v":73.59,"d":"$73.59"},{"v":0,"d":"$0.00"},{"v":73.59,"d":"$73.59"},{"v":63.59,"d":"$63.59"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010121978E              ","MBRP00000417894","000304009299","2021-04-09","65862069705","VENLAFAXINE HC CP24 150.000",-90,90,{"v":-73.59,"d":"-$73.59"},{"v":0,"d":"$0.00"},{"v":-73.59,"d":"-$73.59"},{"v":-63.59,"d":"-$63.59"},{"v":-10,"d":"-$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010121978E              ","MBRP00000417894","000304009299","2021-04-09","65862069705","VENLAFAXINE HC CP24 150.000",90,90,{"v":73.59,"d":"$73.59"},{"v":0,"d":"$0.00"},{"v":73.59,"d":"$73.59"},{"v":63.59,"d":"$63.59"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010128274E              ","MBRP00000417876","000304029275","2021-04-09","65862069705","VENLAFAXINE HC CP24 150.000",90,90,{"v":73.59,"d":"$73.59"},{"v":0,"d":"$0.00"},{"v":73.59,"d":"$73.59"},{"v":63.59,"d":"$63.59"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010128274E              ","MBRP00000417876","000304029275","2021-04-09","65862069705","VENLAFAXINE HC CP24 150.000",90,90,{"v":73.59,"d":"$73.59"},{"v":0,"d":"$0.00"},{"v":73.59,"d":"$73.59"},{"v":63.59,"d":"$63.59"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010128274E              ","MBRP00000417876","000304029275","2021-04-09","65862069705","VENLAFAXINE HC CP24 150.000",-90,90,{"v":-73.59,"d":"-$73.59"},{"v":0,"d":"$0.00"},{"v":-73.59,"d":"-$73.59"},{"v":-63.59,"d":"-$63.59"},{"v":-10,"d":"-$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010059329E              ","MBRP00000429027","000026171605","2021-04-09","59310057922","PROAIR HFA AERS 108.000",8.5,30,{"v":9.23,"d":"$9.23"},{"v":0.59,"d":"$0.59"},{"v":9.82,"d":"$9.82"},{"v":0,"d":"$0.00"},{"v":9.82,"d":"$9.82"},"B","N",0,0,1,"R","3674276","CANTON VA CBOC PHARMACY"]
["21865M","AC00109765000","MBRP00000417857","000001415247","2021-04-09","59267100001","PFIZER-BIONTEC SUSP 30.000",0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":28.39,"d":"$28.39"},{"v":28.39,"d":"$28.39"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3656026","DISCOUNT DRUG MART 40"]
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["21865M","0010056036E              ","MBRP00000422439","000000827728","2021-04-09","10702000710","CYCLOBENZAPRIN TABS 10.000",-60,60,{"v":-1.75,"d":"-$1.75"},{"v":-0.59,"d":"-$0.59"},{"v":-2.34,"d":"-$2.34"},{"v":0,"d":"$0.00"},{"v":-2.34,"d":"-$2.34"},"G","N",0,0,0,"R","3679606","CVS PHARMACY #02063 02063"]
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["21865M","0010128247E              ","MBRP00000440180","000303994970","2021-04-09","00193731221","CONTOUR NEXT B STRP 0.000",600,90,{"v":595.35,"d":"$595.35"},{"v":0,"d":"$0.00"},{"v":595.35,"d":"$595.35"},{"v":555.35,"d":"$555.35"},{"v":40,"d":"$40.00"},"B","N",0,0,1,"M","3155137","OPTUMRX PHARMACY 700, LLC"]
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["21865M","0010005921E              ","MBRP00000422268","000006751622","2021-04-09","00378623305","CITALOPRAM HYD TABS 40.000",90,90,{"v":29.37,"d":"$29.37"},{"v":0,"d":"$0.00"},{"v":29.37,"d":"$29.37"},{"v":14.37,"d":"$14.37"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3665289","GIANT EAGLE PHARMACY #4016 4016"]
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["21865M","0010084094E              ","MBRP00000418015","000002539351","2021-04-09","17478021505","ATROPINE SULFA SOLN 1.000",-10,90,{"v":-91.66,"d":"-$91.66"},{"v":0,"d":"$0.00"},{"v":-91.66,"d":"-$91.66"},{"v":-76.66,"d":"-$76.66"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010135251E              ","MBRP00000440231","000303631082","2021-04-09","69097012715","AMLODIPINE BES TABS 5.000",90,90,{"v":3.14,"d":"$3.14"},{"v":0,"d":"$0.00"},{"v":3.14,"d":"$3.14"},{"v":0,"d":"$0.00"},{"v":3.14,"d":"$3.14"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010153595E              ","MBRP00000430834","000001179778","2021-04-09","70436001104","BUPROPION HYDR TB24 300.000",30,30,{"v":26.79,"d":"$26.79"},{"v":0.59,"d":"$0.59"},{"v":27.38,"d":"$27.38"},{"v":22.38,"d":"$22.38"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010153595E              ","MBRP00000430834","000001179778","2021-04-09","70436001104","BUPROPION HYDR TB24 300.000",30,30,{"v":26.79,"d":"$26.79"},{"v":0.59,"d":"$0.59"},{"v":27.38,"d":"$27.38"},{"v":22.38,"d":"$22.38"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010153595E              ","MBRP00000430834","000001179778","2021-04-09","70436001104","BUPROPION HYDR TB24 300.000",-30,30,{"v":-26.79,"d":"-$26.79"},{"v":-0.59,"d":"-$0.59"},{"v":-27.38,"d":"-$27.38"},{"v":-22.38,"d":"-$22.38"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010137261E              ","MBRP00000440155","000000764526","2021-04-09","65862056090","PANTOPRAZOLE S TBEC 40.000",90,90,{"v":9.32,"d":"$9.32"},{"v":0,"d":"$0.00"},{"v":9.32,"d":"$9.32"},{"v":0,"d":"$0.00"},{"v":9.32,"d":"$9.32"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010137261E              ","MBRP00000440155","000000764526","2021-04-09","65862056090","PANTOPRAZOLE S TBEC 40.000",-90,90,{"v":-9.32,"d":"-$9.32"},{"v":0,"d":"$0.00"},{"v":-9.32,"d":"-$9.32"},{"v":0,"d":"$0.00"},{"v":-9.32,"d":"-$9.32"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010143184E              ","MBRP00000440207","000001157824","2021-04-09","67877019805","AMLODIPINE BES TABS 5.000",90,90,{"v":3.14,"d":"$3.14"},{"v":0,"d":"$0.00"},{"v":3.14,"d":"$3.14"},{"v":0,"d":"$0.00"},{"v":3.14,"d":"$3.14"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010006037E              ","MBRP00000440264","000001173256","2021-04-09","31722077701","ACYCLOVIR TABS 400.000",30,30,{"v":12.56,"d":"$12.56"},{"v":0.59,"d":"$0.59"},{"v":13.15,"d":"$13.15"},{"v":8.15,"d":"$8.15"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010143184E              ","MBRP00000440207","000001157827","2021-04-09","43547028910","BUPROPION HYDR TB12 150.000",90,90,{"v":40.66,"d":"$40.66"},{"v":0,"d":"$0.00"},{"v":40.66,"d":"$40.66"},{"v":25.66,"d":"$25.66"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010143184E              ","MBRP00000440207","000001157827","2021-04-09","43547028910","BUPROPION HYDR TB12 150.000",-90,90,{"v":-40.66,"d":"-$40.66"},{"v":0,"d":"$0.00"},{"v":-40.66,"d":"-$40.66"},{"v":-25.66,"d":"-$25.66"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010153629E              ","MBRP00000429314","000000736244","2021-04-09","52268001201","SUPREP BOWEL P SOLN 0.000",354,1,{"v":103.96,"d":"$103.96"},{"v":0.59,"d":"$0.59"},{"v":104.55,"d":"$104.55"},{"v":69.55,"d":"$69.55"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010153629E              ","MBRP00000429314","000000736244","2021-04-09","52268001201","SUPREP BOWEL P SOLN 0.000",-354,1,{"v":-103.96,"d":"-$103.96"},{"v":-0.59,"d":"-$0.59"},{"v":-104.55,"d":"-$104.55"},{"v":-69.55,"d":"-$69.55"},{"v":-35,"d":"-$35.00"},"B","N",0,0,9,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010153629E              ","MBRP00000429314","000000736244","2021-04-09","52268001201","SUPREP BOWEL P SOLN 0.000",354,1,{"v":103.96,"d":"$103.96"},{"v":0.59,"d":"$0.59"},{"v":104.55,"d":"$104.55"},{"v":69.55,"d":"$69.55"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010135251E              ","MBRP00000329856","000001504309","2021-04-09","55111034001","AMLODIPINE BES CAPS 0.000",30,30,{"v":21.51,"d":"$21.51"},{"v":0.59,"d":"$0.59"},{"v":22.1,"d":"$22.10"},{"v":17.1,"d":"$17.10"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010139578E              ","MBRP00000430918","000001327513","2021-04-09","59267100002","PFIZER-BIONTEC SUSP 30.000",0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":28.39,"d":"$28.39"},{"v":28.39,"d":"$28.39"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3657561","CVS PHARMACY #04353 04353"]
["21865M","AC00109881700","MBRP00000456379","000001315252","2021-04-09","59267100002","PFIZER-BIONTEC SUSP 30.000",0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":28.39,"d":"$28.39"},{"v":28.39,"d":"$28.39"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3657561","CVS PHARMACY #04353 04353"]
["21865M","0010006021E              ","MBRP00000418018","000002557862","2021-04-09","59676058015","JANSSEN COVID- SUSP 0.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":28.39,"d":"$28.39"},{"v":28.39,"d":"$28.39"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010099978E              ","MBRP00000430930","000007116189","2021-04-09","00378021610","FUROSEMIDE TABS 40.000",30,30,{"v":1.81,"d":"$1.81"},{"v":0.59,"d":"$0.59"},{"v":2.4,"d":"$2.40"},{"v":0,"d":"$0.00"},{"v":2.4,"d":"$2.40"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010152646E              ","MBRP00000442992","000000711272","2021-04-09","00228306011","AMPHETAMINE/DE CP24 0.000",-60,30,{"v":-70.04,"d":"-$70.04"},{"v":-0.59,"d":"-$0.59"},{"v":-70.63,"d":"-$70.63"},{"v":-65.63,"d":"-$65.63"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010152646E              ","MBRP00000442992","000000711272","2021-04-09","00228306011","AMPHETAMINE/DE CP24 0.000",60,30,{"v":70.04,"d":"$70.04"},{"v":0.59,"d":"$0.59"},{"v":70.63,"d":"$70.63"},{"v":65.63,"d":"$65.63"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010152646E              ","MBRP00000442992","000000711272","2021-04-09","00228306011","AMPHETAMINE/DE CP24 0.000",60,30,{"v":70.04,"d":"$70.04"},{"v":0.59,"d":"$0.59"},{"v":70.63,"d":"$70.63"},{"v":65.63,"d":"$65.63"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010141535E              ","MBRP00000429262","000001179936","2021-04-09","00406889401","AMPHETAMINE/DE TABS 0.000",60,30,{"v":39.93,"d":"$39.93"},{"v":0.59,"d":"$0.59"},{"v":40.52,"d":"$40.52"},{"v":35.52,"d":"$35.52"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010141535E              ","MBRP00000429262","000001179936","2021-04-09","00406889401","AMPHETAMINE/DE TABS 0.000",-60,30,{"v":-39.93,"d":"-$39.93"},{"v":-0.59,"d":"-$0.59"},{"v":-40.52,"d":"-$40.52"},{"v":-35.52,"d":"-$35.52"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010153151E              ","MBRP00000429228","000002557869","2021-04-09","00406012401","HYDROCODONE/AC TABS 0.000",90,30,{"v":14.48,"d":"$14.48"},{"v":0.59,"d":"$0.59"},{"v":15.07,"d":"$15.07"},{"v":10.07,"d":"$10.07"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010106873E              ","MBRP00000440040","000002370331","2021-04-09","68382050010","OMEPRAZOLE CPDR 40.000",30,30,{"v":3.84,"d":"$3.84"},{"v":0.59,"d":"$0.59"},{"v":4.43,"d":"$4.43"},{"v":0,"d":"$0.00"},{"v":4.43,"d":"$4.43"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010099978E              ","MBRP00000430930","000007119004","2021-04-09","68462016505","CARVEDILOL TABS 25.000",-60,30,{"v":-2.55,"d":"-$2.55"},{"v":-0.59,"d":"-$0.59"},{"v":-3.14,"d":"-$3.14"},{"v":0,"d":"$0.00"},{"v":-3.14,"d":"-$3.14"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010099978E              ","MBRP00000430930","000007119004","2021-04-09","68462016505","CARVEDILOL TABS 25.000",60,30,{"v":2.55,"d":"$2.55"},{"v":0.59,"d":"$0.59"},{"v":3.14,"d":"$3.14"},{"v":0,"d":"$0.00"},{"v":3.14,"d":"$3.14"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010031850E              ","MBRP00000440318","000002040847","2021-04-09","68546017060","AUSTEDO TABS 6.000",180,30,{"v":12534.68,"d":"$12,534.68"},{"v":0,"d":"$0.00"},{"v":12534.68,"d":"$12,534.68"},{"v":11534.68,"d":"$11,534.68"},{"v":1000,"d":"$1,000.00"},"B","Y",0,0,9,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010099978E              ","MBRP00000430930","000007119004","2021-04-09","65862014505","CARVEDILOL TABS 25.000",60,30,{"v":2.55,"d":"$2.55"},{"v":0.59,"d":"$0.59"},{"v":3.14,"d":"$3.14"},{"v":0,"d":"$0.00"},{"v":3.14,"d":"$3.14"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010084328E              ","MBRP00000418119","000000556668","2021-04-09","68180051703","LISINOPRIL TABS 40.000",90,90,{"v":9.1,"d":"$9.10"},{"v":0,"d":"$0.00"},{"v":9.1,"d":"$9.10"},{"v":0,"d":"$0.00"},{"v":9.1,"d":"$9.10"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010031850E              ","MBRP00000440318","000001080138","2021-04-09","51862061201","METHYLPHENIDAT CP24 40.000",30,30,{"v":124.8,"d":"$124.80"},{"v":0.59,"d":"$0.59"},{"v":125.39,"d":"$125.39"},{"v":120.39,"d":"$120.39"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3632886","CVS PHARMACY #04338 04338"]
["21865M","0010031850E              ","MBRP00000440318","000001080138","2021-04-09","51862061201","METHYLPHENIDAT CP24 40.000",-30,30,{"v":-124.8,"d":"-$124.80"},{"v":-0.59,"d":"-$0.59"},{"v":-125.39,"d":"-$125.39"},{"v":-120.39,"d":"-$120.39"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3632886","CVS PHARMACY #04338 04338"]
["21865M","0010031850E              ","MBRP00000440318","000001080138","2021-04-09","51862061201","METHYLPHENIDAT CP24 40.000",30,30,{"v":124.8,"d":"$124.80"},{"v":0.59,"d":"$0.59"},{"v":125.39,"d":"$125.39"},{"v":120.39,"d":"$120.39"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3632886","CVS PHARMACY #04338 04338"]
["21865M","0010147360E              ","MBRP00000440256","000000704815","2021-04-09","00006008061","JANUMET XR TB24 0.000",180,90,{"v":1403.96,"d":"$1,403.96"},{"v":0,"d":"$0.00"},{"v":1403.96,"d":"$1,403.96"},{"v":1343.96,"d":"$1,343.96"},{"v":60,"d":"$60.00"},"B","N",0,0,1,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010006122E              ","MBRP00000440128","000000131975","2021-04-09","00143980305","DOXYCYCLINE HY CAPS 100.000",20,10,{"v":4.33,"d":"$4.33"},{"v":0.59,"d":"$0.59"},{"v":4.92,"d":"$4.92"},{"v":0,"d":"$0.00"},{"v":4.92,"d":"$4.92"},"G","N",0,0,0,"R","3469891","WALGREENS #17971 17971"]
["21865M","0010098976E              ","MBRP00000369586","000006247842","2021-04-09","00378137578","MESALAMINE ER CP24 0.375",120,30,{"v":450.55,"d":"$450.55"},{"v":0.59,"d":"$0.59"},{"v":451.14,"d":"$451.14"},{"v":446.14,"d":"$446.14"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010137261E              ","MBRP00000440155","000000806798","2021-04-09","00378668999","PANTOPRAZOLE S TBEC 40.000",90,90,{"v":9.32,"d":"$9.32"},{"v":0,"d":"$0.00"},{"v":9.32,"d":"$9.32"},{"v":0,"d":"$0.00"},{"v":9.32,"d":"$9.32"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010151688E              ","MBRP00000424925","000000739910","2021-04-09","55111032201","GLIMEPIRIDE TABS 4.000",-30,15,{"v":-8.9,"d":"-$8.90"},{"v":-0.59,"d":"-$0.59"},{"v":-9.49,"d":"-$9.49"},{"v":-4.49,"d":"-$4.49"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010151688E              ","MBRP00000424925","000000739910","2021-04-09","55111032201","GLIMEPIRIDE TABS 4.000",30,15,{"v":8.9,"d":"$8.90"},{"v":0.59,"d":"$0.59"},{"v":9.49,"d":"$9.49"},{"v":4.49,"d":"$4.49"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010153646E              ","MBRP00000429340","000002776506","2021-04-09","60505265301","TRAZODONE HYDR TABS 50.000",60,30,{"v":6.27,"d":"$6.27"},{"v":0.59,"d":"$0.59"},{"v":6.86,"d":"$6.86"},{"v":1.86,"d":"$1.86"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010153646E              ","MBRP00000429340","000002776506","2021-04-09","60505265301","TRAZODONE HYDR TABS 50.000",-60,30,{"v":-6.27,"d":"-$6.27"},{"v":-0.59,"d":"-$0.59"},{"v":-6.86,"d":"-$6.86"},{"v":-1.86,"d":"-$1.86"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010153223E              ","MBRP00000440037","000006756800","2021-04-09","62756014202","METFORMIN HYDR TB24 500.000",180,90,{"v":39.01,"d":"$39.01"},{"v":0,"d":"$0.00"},{"v":39.01,"d":"$39.01"},{"v":24.01,"d":"$24.01"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3669768","GIANT EAGLE PHARMACY #4029 4029"]
["21865M","0010153646E              ","MBRP00000429340","000002776506","2021-04-09","60505265301","TRAZODONE HYDR TABS 50.000",60,30,{"v":6.27,"d":"$6.27"},{"v":0.59,"d":"$0.59"},{"v":6.86,"d":"$6.86"},{"v":1.86,"d":"$1.86"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010005864E              ","MBRP00000396967","000000964041","2021-04-09","80777027399","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":28.39,"d":"$28.39"},{"v":28.39,"d":"$28.39"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3664706","RITE AID PHARMACY 04814"]
["21865M","0010068607E              ","MBRP00000440073","000000879576","2021-04-09","80777027399","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":16.94,"d":"$16.94"},{"v":16.94,"d":"$16.94"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010068607E              ","MBRP00000440073","000000879576","2021-04-09","80777027399","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":16.94,"d":"$16.94"},{"v":16.94,"d":"$16.94"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010068607E              ","MBRP00000440073","000000879576","2021-04-09","80777027399","MODERNA COVID- SUSP 100.000",-0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":-16.94,"d":"-$16.94"},{"v":-16.94,"d":"-$16.94"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010005848E              ","MBRP00000417794","000001000441","2021-04-09","80777027399","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":28.39,"d":"$28.39"},{"v":28.39,"d":"$28.39"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3648005","RITE AID PHARMACY 03143"]
["21865M","0010005848E              ","MBRP00000417795","000001382351","2021-04-09","80777027399","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":28.39,"d":"$28.39"},{"v":28.39,"d":"$28.39"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3652662","RITE AID PHARMACY 02456"]
["21865M","0010153686E              ","MBRP00000301765","000006691677","2021-04-09","80777027399","MODERNA COVID- SUSP 100.000",-0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":-16.94,"d":"-$16.94"},{"v":-16.94,"d":"-$16.94"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3670836","GIANT EAGLE PHARMACY #1605 1605"]
["21865M","0010153686E              ","MBRP00000301765","000006691677","2021-04-09","80777027399","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":16.94,"d":"$16.94"},{"v":16.94,"d":"$16.94"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3670836","GIANT EAGLE PHARMACY #1605 1605"]
["21865M","0010153686E              ","MBRP00000301765","000006691685","2021-04-09","80777027399","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":16.94,"d":"$16.94"},{"v":16.94,"d":"$16.94"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3670836","GIANT EAGLE PHARMACY #1605 1605"]
["21865M","0010098976E              ","MBRP00000369587","000000596915","2021-04-09","80777027399","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":16.94,"d":"$16.94"},{"v":16.94,"d":"$16.94"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3648485","RITE AID PHARMACY 03198"]
["21865M","0010139964E              ","MBRP00000417978","000001025794","2021-04-09","80777027399","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":28.39,"d":"$28.39"},{"v":28.39,"d":"$28.39"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3653094","RITE AID PHARMACY 02437"]
["21865M","0010132958E              ","MBRP00000440157","000000699059","2021-04-09","10370010250","BUPROPION HYDR TB24 300.000",90,90,{"v":80.38,"d":"$80.38"},{"v":0,"d":"$0.00"},{"v":80.38,"d":"$80.38"},{"v":65.38,"d":"$65.38"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","AC00108520900","MBRP00000429224","000000575262","2021-04-09","13668000905","CITALOPRAM HYD TABS 10.000",30,30,{"v":6.42,"d":"$6.42"},{"v":0.5,"d":"$0.50"},{"v":6.92,"d":"$6.92"},{"v":1.92,"d":"$1.92"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","0010084079E              ","MBRP00000422443","000001382458","2021-04-09","10702005601","OXYCODONE HYDR TABS 10.000",120,13,{"v":28.42,"d":"$28.42"},{"v":0.59,"d":"$0.59"},{"v":29.01,"d":"$29.01"},{"v":24.01,"d":"$24.01"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652662","RITE AID PHARMACY 02456"]
["21865M","0010084079E              ","MBRP00000422443","000001382458","2021-04-09","10702005601","OXYCODONE HYDR TABS 10.000",120,13,{"v":28.42,"d":"$28.42"},{"v":0.59,"d":"$0.59"},{"v":29.01,"d":"$29.01"},{"v":24.01,"d":"$24.01"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652662","RITE AID PHARMACY 02456"]
["21865M","0010084079E              ","MBRP00000422443","000001382458","2021-04-09","10702005601","OXYCODONE HYDR TABS 10.000",120,30,{"v":28.42,"d":"$28.42"},{"v":0.59,"d":"$0.59"},{"v":29.01,"d":"$29.01"},{"v":24.01,"d":"$24.01"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652662","RITE AID PHARMACY 02456"]
["21865M","0010084079E              ","MBRP00000422443","000001382458","2021-04-09","10702005601","OXYCODONE HYDR TABS 10.000",-120,13,{"v":-28.42,"d":"-$28.42"},{"v":-0.59,"d":"-$0.59"},{"v":-29.01,"d":"-$29.01"},{"v":-24.01,"d":"-$24.01"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3652662","RITE AID PHARMACY 02456"]
["21865M","0010084079E              ","MBRP00000422443","000001382458","2021-04-09","10702005601","OXYCODONE HYDR TABS 10.000",-120,13,{"v":-28.42,"d":"-$28.42"},{"v":-0.59,"d":"-$0.59"},{"v":-29.01,"d":"-$29.01"},{"v":-24.01,"d":"-$24.01"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3652662","RITE AID PHARMACY 02456"]
["21865M","0010084079E              ","MBRP00000422443","000001382458","2021-04-09","10702005601","OXYCODONE HYDR TABS 10.000",-120,30,{"v":-28.42,"d":"-$28.42"},{"v":-0.59,"d":"-$0.59"},{"v":-29.01,"d":"-$29.01"},{"v":-24.01,"d":"-$24.01"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3652662","RITE AID PHARMACY 02456"]
["21865M","0010084079E              ","MBRP00000422443","000001382458","2021-04-09","10702005601","OXYCODONE HYDR TABS 10.000",120,30,{"v":28.42,"d":"$28.42"},{"v":0.59,"d":"$0.59"},{"v":29.01,"d":"$29.01"},{"v":24.01,"d":"$24.01"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652662","RITE AID PHARMACY 02456"]
["21865M","0010153601E              ","MBRP00000430974","000001058867","2021-04-09","16729013716","CLONAZEPAM TABS 1.000",16,8,{"v":1.06,"d":"$1.06"},{"v":0.59,"d":"$0.59"},{"v":1.65,"d":"$1.65"},{"v":0,"d":"$0.00"},{"v":1.65,"d":"$1.65"},"G","N",0,0,0,"R","3659488","DISCOUNT DRUG MART 46"]
["21865M","0010153601E              ","MBRP00000430974","000001058867","2021-04-09","16729013716","CLONAZEPAM TABS 1.000",-16,8,{"v":-1.06,"d":"-$1.06"},{"v":-0.59,"d":"-$0.59"},{"v":-1.65,"d":"-$1.65"},{"v":0,"d":"$0.00"},{"v":-1.65,"d":"-$1.65"},"G","N",0,0,0,"R","3659488","DISCOUNT DRUG MART 46"]
["21865M","0010153601E              ","MBRP00000430974","000001058867","2021-04-09","16729013716","CLONAZEPAM TABS 1.000",16,8,{"v":1.06,"d":"$1.06"},{"v":0.59,"d":"$0.59"},{"v":1.65,"d":"$1.65"},{"v":0,"d":"$0.00"},{"v":1.65,"d":"$1.65"},"G","N",0,0,0,"R","3659488","DISCOUNT DRUG MART 46"]
["21865M","0010099978E              ","MBRP00000430930","000007116659","2021-04-09","67877019905","AMLODIPINE BES TABS 10.000",30,30,{"v":1.41,"d":"$1.41"},{"v":0.59,"d":"$0.59"},{"v":2,"d":"$2.00"},{"v":0,"d":"$0.00"},{"v":2,"d":"$2.00"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010059329E              ","MBRP00000429027","000026545046","2021-04-09","45802006436","TRIAMCINOLONE  CREA 0.100",80,30,{"v":1.86,"d":"$1.86"},{"v":0.59,"d":"$0.59"},{"v":2.45,"d":"$2.45"},{"v":0,"d":"$0.00"},{"v":2.45,"d":"$2.45"},"G","N",0,0,0,"R","3674276","CANTON VA CBOC PHARMACY"]
["21865M","0010143184E              ","MBRP00000440207","000001157836","2021-04-09","29300012810","HYDROCHLOROTHI TABS 25.000",90,90,{"v":2.69,"d":"$2.69"},{"v":0,"d":"$0.00"},{"v":2.69,"d":"$2.69"},{"v":0,"d":"$0.00"},{"v":2.69,"d":"$2.69"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010153674E              ","MBRP00000430763","000003741494","2021-04-10","00143980305","DOXYCYCLINE HY CAPS 100.000",14,7,{"v":3.03,"d":"$3.03"},{"v":0.59,"d":"$0.59"},{"v":3.62,"d":"$3.62"},{"v":0,"d":"$0.00"},{"v":3.62,"d":"$3.62"},"G","N",0,0,0,"R","2616689","WALGREENS #4671 4671"]
["21865M","0010136843E              ","MBRP00000429284","000009281114","2021-04-10","00115151866","ESTRADIOL CREA 0.100",42.5,148,{"v":236.19,"d":"$236.19"},{"v":0,"d":"$0.00"},{"v":236.19,"d":"$236.19"},{"v":221.19,"d":"$221.19"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010092580E              ","MBRP00000424961","000004379441","2021-04-10","00093321205","CLONAZEPAM TABS 1.000",90,30,{"v":5.66,"d":"$5.66"},{"v":0.5,"d":"$0.50"},{"v":6.16,"d":"$6.16"},{"v":1.16,"d":"$1.16"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010139126E              ","MBRP00000429226","000001046469","2021-04-10","00002143480","TRULICITY SOPN 1.500",2,28,{"v":829.23,"d":"$829.23"},{"v":0.59,"d":"$0.59"},{"v":829.82,"d":"$829.82"},{"v":809.82,"d":"$809.82"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010151688E              ","MBRP00000424925","000000724364","2021-04-10","00002143480","TRULICITY SOPN 1.500",2,28,{"v":829.23,"d":"$829.23"},{"v":0.59,"d":"$0.59"},{"v":829.82,"d":"$829.82"},{"v":809.82,"d":"$809.82"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010151688E              ","MBRP00000424925","000000724364","2021-04-10","00002143480","TRULICITY SOPN 1.500",-2,28,{"v":-829.23,"d":"-$829.23"},{"v":-0.59,"d":"-$0.59"},{"v":-829.82,"d":"-$829.82"},{"v":-809.82,"d":"-$809.82"},{"v":-20,"d":"-$20.00"},"B","N",0,0,1,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","AC00109875600","MBRP00000327209","000000882350","2021-04-10","55111018015","TIZANIDINE HYD TABS 4.000",180,90,{"v":24.74,"d":"$24.74"},{"v":0,"d":"$0.00"},{"v":24.74,"d":"$24.74"},{"v":9.74,"d":"$9.74"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3651975","RITE AID PHARMACY 02401"]
["21865M","0010144373E              ","MBRP00000422242","000001615263","2021-04-10","53885024450","ONETOUCH ULTRA STRP 0.000",250,30,{"v":323.76,"d":"$323.76"},{"v":0.59,"d":"$0.59"},{"v":324.35,"d":"$324.35"},{"v":304.35,"d":"$304.35"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3609837","CVS PHARMACY #03321 03321"]
["21865M","0010006054E              ","MBRP00000418056","000001033294","2021-04-10","62756018588","OXCARBAZEPINE TABS 600.000",60,30,{"v":32.97,"d":"$32.97"},{"v":0.59,"d":"$0.59"},{"v":33.56,"d":"$33.56"},{"v":28.56,"d":"$28.56"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010084186E              ","MBRP00000424736","000009100238","2021-04-10","59676058005","JANSSEN COVID- SUSP 0.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":28.39,"d":"$28.39"},{"v":28.39,"d":"$28.39"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3605675","KLEINS PHARMACY"]
["21865M","0010149595E              ","MBRP00000440223","000000665375","2021-04-10","65162046935","ELURYNG RING 0.000",1,28,{"v":126.4,"d":"$126.40"},{"v":0.59,"d":"$0.59"},{"v":126.99,"d":"$126.99"},{"v":126.99,"d":"$126.99"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010006122E              ","MBRP00000440130","000006364666","2021-04-10","80777027399","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":16.94,"d":"$16.94"},{"v":16.94,"d":"$16.94"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","1001697","PUBLIX PHARMACY #0157 0157"]
["21865M","0010064744E              ","MBRP00000422383","000006803038","2021-04-10","80777027399","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":16.94,"d":"$16.94"},{"v":16.94,"d":"$16.94"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3656444","MARCS 27"]
["21865M","0010006122E              ","MBRP00000440129","000001794538","2021-04-10","80777027399","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":28.39,"d":"$28.39"},{"v":28.39,"d":"$28.39"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","AC00109875600","MBRP00000327209","000000882347","2021-04-10","00781286810","OMEPRAZOLE CPDR 20.000",90,90,{"v":7.77,"d":"$7.77"},{"v":0,"d":"$0.00"},{"v":7.77,"d":"$7.77"},{"v":0,"d":"$0.00"},{"v":7.77,"d":"$7.77"},"G","N",0,0,0,"R","3651975","RITE AID PHARMACY 02401"]
["21865M","0010048465E              ","MBRP00000342841","000002541907","2021-04-10","68180097201","LEVOTHYROXINE  TABS 137.000",30,30,{"v":16.39,"d":"$16.39"},{"v":0.59,"d":"$0.59"},{"v":16.98,"d":"$16.98"},{"v":11.98,"d":"$11.98"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010048465E              ","MBRP00000342841","000002541907","2021-04-10","68180097201","LEVOTHYROXINE  TABS 137.000",-30,30,{"v":-16.39,"d":"-$16.39"},{"v":-0.59,"d":"-$0.59"},{"v":-16.98,"d":"-$16.98"},{"v":-11.98,"d":"-$11.98"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010061934E              ","MBRP00000424836","000001296333","2021-04-10","68462012705","GABAPENTIN TABS 800.000",120,30,{"v":33.68,"d":"$33.68"},{"v":0.59,"d":"$0.59"},{"v":34.27,"d":"$34.27"},{"v":29.27,"d":"$29.27"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010079087E              ","MBRP00000422343","000001051396","2021-04-10","69315030805","CIPROFLOXACIN  SOLN 0.300",5,7,{"v":13.62,"d":"$13.62"},{"v":0.59,"d":"$0.59"},{"v":14.21,"d":"$14.21"},{"v":9.21,"d":"$9.21"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010032689E              ","MBRP00000430867","000006548029","2021-04-10","16729018217","HYDROCHLOROTHI TABS 12.500",30,30,{"v":2.17,"d":"$2.17"},{"v":0.59,"d":"$0.59"},{"v":2.76,"d":"$2.76"},{"v":0,"d":"$0.00"},{"v":2.76,"d":"$2.76"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010005990E              ","MBRP00000430990","000001691655","2021-04-10","43598081115","CETIRIZINE HYD TABS 10.000",30,30,{"v":0.65,"d":"$0.65"},{"v":0.59,"d":"$0.59"},{"v":1.24,"d":"$1.24"},{"v":0,"d":"$0.00"},{"v":1.24,"d":"$1.24"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010005990E              ","MBRP00000430990","000001691655","2021-04-10","43598081115","CETIRIZINE HYD TABS 10.000",30,30,{"v":0.65,"d":"$0.65"},{"v":0.59,"d":"$0.59"},{"v":1.24,"d":"$1.24"},{"v":0,"d":"$0.00"},{"v":1.24,"d":"$1.24"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010005990E              ","MBRP00000430990","000001691655","2021-04-10","43598081115","CETIRIZINE HYD TABS 10.000",-30,30,{"v":-0.65,"d":"-$0.65"},{"v":-0.59,"d":"-$0.59"},{"v":-1.24,"d":"-$1.24"},{"v":0,"d":"$0.00"},{"v":-1.24,"d":"-$1.24"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010114653E              ","MBRP00000415599","000004021096","2021-04-10","50228010901","CARISOPRODOL TABS 350.000",180,90,{"v":18.69,"d":"$18.69"},{"v":0,"d":"$0.00"},{"v":18.69,"d":"$18.69"},{"v":3.69,"d":"$3.69"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010114653E              ","MBRP00000415599","000004021096","2021-04-10","50228010901","CARISOPRODOL TABS 350.000",180,90,{"v":18.69,"d":"$18.69"},{"v":0,"d":"$0.00"},{"v":18.69,"d":"$18.69"},{"v":3.69,"d":"$3.69"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010114653E              ","MBRP00000415599","000004021096","2021-04-10","50228010901","CARISOPRODOL TABS 350.000",-180,90,{"v":-18.69,"d":"-$18.69"},{"v":0,"d":"$0.00"},{"v":-18.69,"d":"-$18.69"},{"v":-3.69,"d":"-$3.69"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010114653E              ","MBRP00000415599","000004021096","2021-04-10","50228010901","CARISOPRODOL TABS 350.000",-180,90,{"v":-18.69,"d":"-$18.69"},{"v":0,"d":"$0.00"},{"v":-18.69,"d":"-$18.69"},{"v":-3.69,"d":"-$3.69"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010139578E              ","MBRP00000430916","000001103138","2021-04-10","59267100002","PFIZER-BIONTEC SUSP 30.000",0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":28.39,"d":"$28.39"},{"v":28.39,"d":"$28.39"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3658626","RITE AID PHARMACY 03468"]
["21865M","0010084977E              ","MBRP00000440149","000009297840","2021-04-10","00591251030","BUDESONIDE ER TB24 9.000",24,28,{"v":1144.55,"d":"$1,144.55"},{"v":0.5,"d":"$0.50"},{"v":1145.05,"d":"$1,145.05"},{"v":1140.05,"d":"$1,140.05"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010153640E              ","MBRP00000430764","000006536547","2021-04-10","16729004417","ATORVASTATIN C TABS 10.000",90,90,{"v":8.89,"d":"$8.89"},{"v":0,"d":"$0.00"},{"v":8.89,"d":"$8.89"},{"v":0,"d":"$0.00"},{"v":8.89,"d":"$8.89"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010153640E              ","MBRP00000430764","000006536547","2021-04-10","16729004417","ATORVASTATIN C TABS 10.000",-90,90,{"v":-8.89,"d":"-$8.89"},{"v":0,"d":"$0.00"},{"v":-8.89,"d":"-$8.89"},{"v":0,"d":"$0.00"},{"v":-8.89,"d":"-$8.89"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010153640E              ","MBRP00000430764","000006536547","2021-04-10","16729004417","ATORVASTATIN C TABS 10.000",90,90,{"v":8.89,"d":"$8.89"},{"v":0,"d":"$0.00"},{"v":8.89,"d":"$8.89"},{"v":0,"d":"$0.00"},{"v":8.89,"d":"$8.89"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010139575E              ","MBRP00000430854","000000882342","2021-04-10","23155010410","METFORMIN HYDR TABS 1000.000",180,90,{"v":7.56,"d":"$7.56"},{"v":0,"d":"$0.00"},{"v":7.56,"d":"$7.56"},{"v":0,"d":"$0.00"},{"v":7.56,"d":"$7.56"},"G","N",0,0,0,"R","3606211","DARTMOUTH PHARMACY"]
["21865M","0010061934E              ","MBRP00000424836","000001300411","2021-04-10","68462010905","TOPIRAMATE TABS 100.000",60,30,{"v":11.54,"d":"$11.54"},{"v":0.59,"d":"$0.59"},{"v":12.13,"d":"$12.13"},{"v":7.13,"d":"$7.13"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010005990E              ","MBRP00000430990","000001691689","2021-04-10","68382050010","OMEPRAZOLE CPDR 40.000",-90,90,{"v":-11.53,"d":"-$11.53"},{"v":0,"d":"$0.00"},{"v":-11.53,"d":"-$11.53"},{"v":0,"d":"$0.00"},{"v":-11.53,"d":"-$11.53"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010005990E              ","MBRP00000430990","000001691689","2021-04-10","68382050010","OMEPRAZOLE CPDR 40.000",90,90,{"v":11.53,"d":"$11.53"},{"v":0,"d":"$0.00"},{"v":11.53,"d":"$11.53"},{"v":0,"d":"$0.00"},{"v":11.53,"d":"$11.53"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010005990E              ","MBRP00000430990","000001691689","2021-04-10","68382050010","OMEPRAZOLE CPDR 40.000",30,30,{"v":3.84,"d":"$3.84"},{"v":0.59,"d":"$0.59"},{"v":4.43,"d":"$4.43"},{"v":0,"d":"$0.00"},{"v":4.43,"d":"$4.43"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010005990E              ","MBRP00000430990","000001691689","2021-04-10","68382050010","OMEPRAZOLE CPDR 40.000",-30,30,{"v":-3.84,"d":"-$3.84"},{"v":-0.59,"d":"-$0.59"},{"v":-4.43,"d":"-$4.43"},{"v":0,"d":"$0.00"},{"v":-4.43,"d":"-$4.43"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010005990E              ","MBRP00000430990","000001691689","2021-04-10","68382050010","OMEPRAZOLE CPDR 40.000",90,90,{"v":11.53,"d":"$11.53"},{"v":0,"d":"$0.00"},{"v":11.53,"d":"$11.53"},{"v":0,"d":"$0.00"},{"v":11.53,"d":"$11.53"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010106873E              ","MBRP00000440043","000002335690","2021-04-10","68682030060","CLINDAMYCIN PH GEL  0.000",60,25,{"v":623.43,"d":"$623.43"},{"v":0.59,"d":"$0.59"},{"v":624.02,"d":"$624.02"},{"v":619.02,"d":"$619.02"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010133416E              ","MBRP00000429223","000006540991","2021-04-10","68382003610","VENLAFAXINE HC CP24 150.000",90,90,{"v":73.59,"d":"$73.59"},{"v":0,"d":"$0.00"},{"v":73.59,"d":"$73.59"},{"v":58.59,"d":"$58.59"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010139575E              ","MBRP00000430854","000000890612","2021-04-10","68001015103","CARVEDILOL TABS 12.500",60,30,{"v":2.3,"d":"$2.30"},{"v":0.5,"d":"$0.50"},{"v":2.8,"d":"$2.80"},{"v":0,"d":"$0.00"},{"v":2.8,"d":"$2.80"},"G","N",0,0,0,"R","3606211","DARTMOUTH PHARMACY"]
["21865M","0010005990E              ","MBRP00000430990","000001691659","2021-04-10","45802004064","SELENIUM SULFI LOTN 2.500",118,15,{"v":14.02,"d":"$14.02"},{"v":0.59,"d":"$0.59"},{"v":14.61,"d":"$14.61"},{"v":9.61,"d":"$9.61"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010005990E              ","MBRP00000430990","000001691659","2021-04-10","45802004064","SELENIUM SULFI LOTN 2.500",-118,15,{"v":-14.02,"d":"-$14.02"},{"v":-0.59,"d":"-$0.59"},{"v":-14.61,"d":"-$14.61"},{"v":-9.61,"d":"-$9.61"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010005990E              ","MBRP00000430990","000001691659","2021-04-10","45802004064","SELENIUM SULFI LOTN 2.500",118,15,{"v":14.02,"d":"$14.02"},{"v":0.59,"d":"$0.59"},{"v":14.61,"d":"$14.61"},{"v":9.61,"d":"$9.61"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010006070E              ","MBRP00000417888","000000544058","2021-04-10","33342005515","PIOGLITAZONE H TABS 30.000",30,30,{"v":6.26,"d":"$6.26"},{"v":0.5,"d":"$0.50"},{"v":6.76,"d":"$6.76"},{"v":1.76,"d":"$1.76"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","0010006070E              ","MBRP00000417888","000000544058","2021-04-10","33342005515","PIOGLITAZONE H TABS 30.000",-30,30,{"v":-6.26,"d":"-$6.26"},{"v":-0.5,"d":"-$0.50"},{"v":-6.76,"d":"-$6.76"},{"v":-1.76,"d":"-$1.76"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","0010006070E              ","MBRP00000417888","000000544058","2021-04-10","33342005515","PIOGLITAZONE H TABS 30.000",30,30,{"v":6.26,"d":"$6.26"},{"v":0.5,"d":"$0.50"},{"v":6.76,"d":"$6.76"},{"v":1.76,"d":"$1.76"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","0010006070E              ","MBRP00000417888","000000544061","2021-04-10","00228278011","PROPRANOLOL HC CP24 120.000",-30,30,{"v":-47.87,"d":"-$47.87"},{"v":-0.5,"d":"-$0.50"},{"v":-48.37,"d":"-$48.37"},{"v":-43.37,"d":"-$43.37"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","0010006070E              ","MBRP00000417888","000000544061","2021-04-10","00228278011","PROPRANOLOL HC CP24 120.000",30,30,{"v":47.87,"d":"$47.87"},{"v":0.5,"d":"$0.50"},{"v":48.37,"d":"$48.37"},{"v":43.37,"d":"$43.37"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","0010006070E              ","MBRP00000417888","000000544061","2021-04-10","00228278011","PROPRANOLOL HC CP24 120.000",30,30,{"v":47.87,"d":"$47.87"},{"v":0.5,"d":"$0.50"},{"v":48.37,"d":"$48.37"},{"v":43.37,"d":"$43.37"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","0010092580E              ","MBRP00000424961","000002208859","2021-04-10","00555097302","AMPHETAMINE/DE TABS 0.000",90,30,{"v":57.04,"d":"$57.04"},{"v":0.5,"d":"$0.50"},{"v":57.54,"d":"$57.54"},{"v":52.54,"d":"$52.54"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010133416E              ","MBRP00000429223","000006563331","2021-04-10","70756081290","OLMESARTAN MED TABS 0.000",30,30,{"v":22.83,"d":"$22.83"},{"v":0.59,"d":"$0.59"},{"v":23.42,"d":"$23.42"},{"v":18.42,"d":"$18.42"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010099084E              ","MBRP00000440280","000009313476","2021-04-10","80777027310","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":16.94,"d":"$16.94"},{"v":16.94,"d":"$16.94"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010092578E              ","MBRP00000424978","000000884920","2021-04-10","67877019805","AMLODIPINE BES TABS 5.000",30,30,{"v":1.05,"d":"$1.05"},{"v":0.59,"d":"$0.59"},{"v":1.64,"d":"$1.64"},{"v":0,"d":"$0.00"},{"v":1.64,"d":"$1.64"},"G","N",0,0,0,"R","3652092","RITE AID PHARMACY 02413"]
["21865M","0010046085E              ","MBRP00000417860","000001164286","2021-04-10","67877019805","AMLODIPINE BES TABS 5.000",90,90,{"v":3.14,"d":"$3.14"},{"v":0,"d":"$0.00"},{"v":3.14,"d":"$3.14"},{"v":0,"d":"$0.00"},{"v":3.14,"d":"$3.14"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010046085E              ","MBRP00000417860","000001164286","2021-04-10","67877019805","AMLODIPINE BES TABS 5.000",-90,90,{"v":-3.14,"d":"-$3.14"},{"v":0,"d":"$0.00"},{"v":-3.14,"d":"-$3.14"},{"v":0,"d":"$0.00"},{"v":-3.14,"d":"-$3.14"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010046085E              ","MBRP00000417860","000001164286","2021-04-10","67877019805","AMLODIPINE BES TABS 5.000",90,90,{"v":3.14,"d":"$3.14"},{"v":0,"d":"$0.00"},{"v":3.14,"d":"$3.14"},{"v":0,"d":"$0.00"},{"v":3.14,"d":"$3.14"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010005990E              ","MBRP00000430990","000001691657","2021-04-10","31722072690","MONTELUKAST SO TABS 10.000",-30,30,{"v":-11.65,"d":"-$11.65"},{"v":-0.59,"d":"-$0.59"},{"v":-12.24,"d":"-$12.24"},{"v":-7.24,"d":"-$7.24"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","AC00109690100","MBRP00000455154","000001233916","2021-04-10","31722072690","MONTELUKAST SO TABS 10.000",-30,30,{"v":-11.65,"d":"-$11.65"},{"v":-0.59,"d":"-$0.59"},{"v":-12.24,"d":"-$12.24"},{"v":-7.24,"d":"-$7.24"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3666320","WALGREENS #4983 4983"]
["21865M","AC00109690100","MBRP00000455154","000001233916","2021-04-10","31722072690","MONTELUKAST SO TABS 10.000",30,30,{"v":11.65,"d":"$11.65"},{"v":0.59,"d":"$0.59"},{"v":12.24,"d":"$12.24"},{"v":7.24,"d":"$7.24"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3666320","WALGREENS #4983 4983"]
["21865M","AC00109690100","MBRP00000455154","000001233916","2021-04-10","31722072690","MONTELUKAST SO TABS 10.000",30,30,{"v":11.65,"d":"$11.65"},{"v":0.59,"d":"$0.59"},{"v":12.24,"d":"$12.24"},{"v":7.24,"d":"$7.24"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3666320","WALGREENS #4983 4983"]
["21865M","0010005990E              ","MBRP00000430990","000001691657","2021-04-10","31722072690","MONTELUKAST SO TABS 10.000",30,30,{"v":11.65,"d":"$11.65"},{"v":0.59,"d":"$0.59"},{"v":12.24,"d":"$12.24"},{"v":7.24,"d":"$7.24"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010005990E              ","MBRP00000430990","000001691657","2021-04-10","31722072690","MONTELUKAST SO TABS 10.000",30,30,{"v":11.65,"d":"$11.65"},{"v":0.59,"d":"$0.59"},{"v":12.24,"d":"$12.24"},{"v":7.24,"d":"$7.24"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010139575E              ","MBRP00000430853","000000881352","2021-04-10","29300011305","LAMOTRIGINE TABS 150.000",60,30,{"v":5.9,"d":"$5.90"},{"v":0.5,"d":"$0.50"},{"v":6.4,"d":"$6.40"},{"v":1.4,"d":"$1.40"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606211","DARTMOUTH PHARMACY"]
["21865M","0010139575E              ","MBRP00000430854","000000890613","2021-04-10","76204020060","ALBUTEROL SULF NEBU 0.083",360,30,{"v":22.97,"d":"$22.97"},{"v":0.5,"d":"$0.50"},{"v":23.47,"d":"$23.47"},{"v":18.47,"d":"$18.47"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606211","DARTMOUTH PHARMACY"]
["21865M","0010084977E              ","MBRP00000440149","000009307577","2021-04-10","69452029020","ACYCLOVIR TABS 400.000",60,30,{"v":23.92,"d":"$23.92"},{"v":0.5,"d":"$0.50"},{"v":24.42,"d":"$24.42"},{"v":19.42,"d":"$19.42"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010139932E              ","MBRP00000424823","000002100364","2021-04-10","65862039010","ONDANSETRON OD TBDP 4.000",20,7,{"v":9.37,"d":"$9.37"},{"v":0.59,"d":"$0.59"},{"v":9.96,"d":"$9.96"},{"v":4.96,"d":"$4.96"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606362","CVS PHARMACY #03360 03360"]
["21865M","0010139932E              ","MBRP00000424823","000002100364","2021-04-10","65862039010","ONDANSETRON OD TBDP 4.000",-20,7,{"v":-9.37,"d":"-$9.37"},{"v":-0.59,"d":"-$0.59"},{"v":-9.96,"d":"-$9.96"},{"v":-4.96,"d":"-$4.96"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3606362","CVS PHARMACY #03360 03360"]
["21865M","0010139932E              ","MBRP00000424823","000002100364","2021-04-10","65862039010","ONDANSETRON OD TBDP 4.000",20,7,{"v":9.37,"d":"$9.37"},{"v":0.59,"d":"$0.59"},{"v":9.96,"d":"$9.96"},{"v":4.96,"d":"$4.96"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606362","CVS PHARMACY #03360 03360"]
["21865M","0010005990E              ","MBRP00000430990","000001691659","2021-04-10","60432052804","SELENIUM SULFI LOTN 2.500",118,15,{"v":14.02,"d":"$14.02"},{"v":0.59,"d":"$0.59"},{"v":14.61,"d":"$14.61"},{"v":9.61,"d":"$9.61"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010005990E              ","MBRP00000430990","000001691659","2021-04-10","60432052804","SELENIUM SULFI LOTN 2.500",-118,15,{"v":-14.02,"d":"-$14.02"},{"v":-0.59,"d":"-$0.59"},{"v":-14.61,"d":"-$14.61"},{"v":-9.61,"d":"-$9.61"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010064748E              ","MBRP00000422300","000001164585","2021-04-10","65862019105","CYCLOBENZAPRIN TABS 10.000",90,30,{"v":2.63,"d":"$2.63"},{"v":0.59,"d":"$0.59"},{"v":3.22,"d":"$3.22"},{"v":0,"d":"$0.00"},{"v":3.22,"d":"$3.22"},"G","N",0,0,0,"R","3651886","RITE AID PHARMACY 02393"]
["21865M","0010006098E              ","MBRP00000430937","000001290745","2021-04-10","00093101042","MUPIROCIN OINT 2.000",22,7,{"v":8.82,"d":"$8.82"},{"v":0.59,"d":"$0.59"},{"v":9.41,"d":"$9.41"},{"v":4.41,"d":"$4.41"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010079087E              ","MBRP00000422342","000001051350","2021-04-10","00228306311","AMPHETAMINE/DE CP24 0.000",30,30,{"v":35.02,"d":"$35.02"},{"v":0.59,"d":"$0.59"},{"v":35.61,"d":"$35.61"},{"v":30.61,"d":"$30.61"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010092580E              ","MBRP00000424961","000009313514","2021-04-10","68462039610","OMEPRAZOLE CPDR 20.000",-30,30,{"v":-2.47,"d":"-$2.47"},{"v":-0.5,"d":"-$0.50"},{"v":-2.97,"d":"-$2.97"},{"v":0,"d":"$0.00"},{"v":-2.97,"d":"-$2.97"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010092580E              ","MBRP00000424961","000009313514","2021-04-10","68462039610","OMEPRAZOLE CPDR 20.000",30,30,{"v":2.47,"d":"$2.47"},{"v":0.5,"d":"$0.50"},{"v":2.97,"d":"$2.97"},{"v":0,"d":"$0.00"},{"v":2.97,"d":"$2.97"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010084328E              ","MBRP00000418119","000000556680","2021-04-10","00597015330","JARDIANCE TABS 25.000",90,90,{"v":1550.18,"d":"$1,550.18"},{"v":0,"d":"$0.00"},{"v":1550.18,"d":"$1,550.18"},{"v":1490.18,"d":"$1,490.18"},{"v":60,"d":"$60.00"},"B","N",0,0,1,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010084328E              ","MBRP00000418119","000000556680","2021-04-10","00597015330","JARDIANCE TABS 25.000",-90,90,{"v":-1550.18,"d":"-$1,550.18"},{"v":0,"d":"$0.00"},{"v":-1550.18,"d":"-$1,550.18"},{"v":-1490.18,"d":"-$1,490.18"},{"v":-60,"d":"-$60.00"},"B","N",0,0,1,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010084328E              ","MBRP00000418119","000000556680","2021-04-10","00597015330","JARDIANCE TABS 25.000",5,5,{"v":89.79,"d":"$89.79"},{"v":0.59,"d":"$0.59"},{"v":90.38,"d":"$90.38"},{"v":70.38,"d":"$70.38"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010084328E              ","MBRP00000418119","000000556680","2021-04-10","00597015330","JARDIANCE TABS 25.000",-5,5,{"v":-89.79,"d":"-$89.79"},{"v":-0.59,"d":"-$0.59"},{"v":-90.38,"d":"-$90.38"},{"v":-70.38,"d":"-$70.38"},{"v":-20,"d":"-$20.00"},"B","N",0,0,1,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010084328E              ","MBRP00000418119","000000556680","2021-04-10","00597015330","JARDIANCE TABS 25.000",90,90,{"v":1550.18,"d":"$1,550.18"},{"v":0,"d":"$0.00"},{"v":1550.18,"d":"$1,550.18"},{"v":1490.18,"d":"$1,490.18"},{"v":60,"d":"$60.00"},"B","N",0,0,1,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010048465E              ","MBRP00000342841","000002544672","2021-04-10","31722071390","PANTOPRAZOLE S TBEC 40.000",30,30,{"v":3.11,"d":"$3.11"},{"v":0.59,"d":"$0.59"},{"v":3.7,"d":"$3.70"},{"v":0,"d":"$0.00"},{"v":3.7,"d":"$3.70"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010092580E              ","MBRP00000424961","000001437563","2021-04-10","55111015430","ONDANSETRON HY TABS 8.000",90,30,{"v":17.81,"d":"$17.81"},{"v":0.59,"d":"$0.59"},{"v":18.4,"d":"$18.40"},{"v":13.4,"d":"$13.40"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","AC00107771400","MBRP00000440336","000303663194","2021-04-11","65862059805","TAMSULOSIN HYD CAPS 0.400",90,90,{"v":17.09,"d":"$17.09"},{"v":0,"d":"$0.00"},{"v":17.09,"d":"$17.09"},{"v":7.09,"d":"$7.09"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010084188E              ","MBRP00000424740","000000692777","2021-04-11","00093301756","TADALAFIL TABS 5.000",30,30,{"v":30.57,"d":"$30.57"},{"v":0.59,"d":"$0.59"},{"v":31.16,"d":"$31.16"},{"v":26.16,"d":"$26.16"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010084188E              ","MBRP00000424740","000000692777","2021-04-11","00093301756","TADALAFIL TABS 5.000",-30,30,{"v":-30.57,"d":"-$30.57"},{"v":-0.59,"d":"-$0.59"},{"v":-31.16,"d":"-$31.16"},{"v":-26.16,"d":"-$26.16"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010084188E              ","MBRP00000424740","000000692777","2021-04-11","00093301756","TADALAFIL TABS 5.000",30,30,{"v":30.57,"d":"$30.57"},{"v":0.59,"d":"$0.59"},{"v":31.16,"d":"$31.16"},{"v":26.16,"d":"$26.16"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010120556E              ","MBRP00000429238","000002826155","2021-04-11","68180098103","LISINOPRIL TABS 20.000",30,30,{"v":1.51,"d":"$1.51"},{"v":0.59,"d":"$0.59"},{"v":2.1,"d":"$2.10"},{"v":0,"d":"$0.00"},{"v":2.1,"d":"$2.10"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010120556E              ","MBRP00000429238","000002826155","2021-04-11","68180098103","LISINOPRIL TABS 20.000",-30,30,{"v":-1.51,"d":"-$1.51"},{"v":-0.59,"d":"-$0.59"},{"v":-2.1,"d":"-$2.10"},{"v":0,"d":"$0.00"},{"v":-2.1,"d":"-$2.10"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010144759E              ","MBRP00000429256","000001504179","2021-04-11","69238131109","PREGABALIN CAPS 50.000",180,90,{"v":25.94,"d":"$25.94"},{"v":0,"d":"$0.00"},{"v":25.94,"d":"$25.94"},{"v":10.94,"d":"$10.94"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010084214E              ","MBRP00000417836","000006696517","2021-04-11","16714068303","SIMVASTATIN TABS 20.000",90,90,{"v":5.89,"d":"$5.89"},{"v":0,"d":"$0.00"},{"v":5.89,"d":"$5.89"},{"v":0,"d":"$0.00"},{"v":5.89,"d":"$5.89"},"G","N",0,0,0,"R","3659084","MARCS 39"]
["21865M","0010084214E              ","MBRP00000417836","000006696517","2021-04-11","16714068303","SIMVASTATIN TABS 20.000",-90,90,{"v":-5.89,"d":"-$5.89"},{"v":0,"d":"$0.00"},{"v":-5.89,"d":"-$5.89"},{"v":0,"d":"$0.00"},{"v":-5.89,"d":"-$5.89"},"G","N",0,0,0,"R","3659084","MARCS 39"]
["21865M","0010084214E              ","MBRP00000417836","000006696517","2021-04-11","16714068303","SIMVASTATIN TABS 20.000",90,90,{"v":5.89,"d":"$5.89"},{"v":0,"d":"$0.00"},{"v":5.89,"d":"$5.89"},{"v":0,"d":"$0.00"},{"v":5.89,"d":"$5.89"},"G","N",0,0,0,"R","3659084","MARCS 39"]
["21865M","0010084283E              ","MBRP00000424809","000000868726","2021-04-11","43547035210","LISINOPRIL TABS 5.000",-90,90,{"v":-2.83,"d":"-$2.83"},{"v":0,"d":"$0.00"},{"v":-2.83,"d":"-$2.83"},{"v":0,"d":"$0.00"},{"v":-2.83,"d":"-$2.83"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010084283E              ","MBRP00000424809","000000868726","2021-04-11","43547035210","LISINOPRIL TABS 5.000",90,90,{"v":2.83,"d":"$2.83"},{"v":0,"d":"$0.00"},{"v":2.83,"d":"$2.83"},{"v":0,"d":"$0.00"},{"v":2.83,"d":"$2.83"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010084283E              ","MBRP00000424809","000000868726","2021-04-11","43547035210","LISINOPRIL TABS 5.000",90,90,{"v":2.83,"d":"$2.83"},{"v":0,"d":"$0.00"},{"v":2.83,"d":"$2.83"},{"v":0,"d":"$0.00"},{"v":2.83,"d":"$2.83"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010084188E              ","MBRP00000424740","000000739288","2021-04-11","00074707090","SYNTHROID TABS 175.000",-30,30,{"v":-40.09,"d":"-$40.09"},{"v":-0.59,"d":"-$0.59"},{"v":-40.68,"d":"-$40.68"},{"v":-20.68,"d":"-$20.68"},{"v":-20,"d":"-$20.00"},"B","N",0,1,1,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010084188E              ","MBRP00000424740","000000739288","2021-04-11","00074707090","SYNTHROID TABS 175.000",30,30,{"v":40.09,"d":"$40.09"},{"v":0.59,"d":"$0.59"},{"v":40.68,"d":"$40.68"},{"v":20.68,"d":"$20.68"},{"v":20,"d":"$20.00"},"B","N",0,1,1,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010084188E              ","MBRP00000424740","000000739288","2021-04-11","00074707090","SYNTHROID TABS 175.000",30,30,{"v":40.09,"d":"$40.09"},{"v":0.59,"d":"$0.59"},{"v":40.68,"d":"$40.68"},{"v":20.68,"d":"$20.68"},{"v":20,"d":"$20.00"},"B","N",0,1,1,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010120556E              ","MBRP00000429238","000002807564","2021-04-11","00574206101","CICLOPIROX GEL  0.770",-100,30,{"v":-54.96,"d":"-$54.96"},{"v":-0.59,"d":"-$0.59"},{"v":-55.55,"d":"-$55.55"},{"v":-50.55,"d":"-$50.55"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010120556E              ","MBRP00000429238","000002807564","2021-04-11","00574206101","CICLOPIROX GEL  0.770",100,30,{"v":54.96,"d":"$54.96"},{"v":0.59,"d":"$0.59"},{"v":55.55,"d":"$55.55"},{"v":50.55,"d":"$50.55"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010084143E              ","MBRP00000424813","000001629814","2021-04-11","70710113908","FLUCONAZOLE TABS 150.000",-2,4,{"v":-5.29,"d":"-$5.29"},{"v":-0.59,"d":"-$0.59"},{"v":-5.88,"d":"-$5.88"},{"v":-0.88,"d":"-$0.88"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3613963","CVS PHARMACY #03422 03422"]
["21865M","0010084143E              ","MBRP00000424813","000001629814","2021-04-11","70710113908","FLUCONAZOLE TABS 150.000",2,4,{"v":5.29,"d":"$5.29"},{"v":0.59,"d":"$0.59"},{"v":5.88,"d":"$5.88"},{"v":0.88,"d":"$0.88"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3613963","CVS PHARMACY #03422 03422"]
["21865M","0010084143E              ","MBRP00000424813","000001629814","2021-04-11","70710113908","FLUCONAZOLE TABS 150.000",2,4,{"v":5.29,"d":"$5.29"},{"v":0.59,"d":"$0.59"},{"v":5.88,"d":"$5.88"},{"v":0.88,"d":"$0.88"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3613963","CVS PHARMACY #03422 03422"]
["21865M","0010064748E              ","MBRP00000422300","000001164743","2021-04-11","69097081507","GABAPENTIN CAPS 400.000",120,30,{"v":26.6,"d":"$26.60"},{"v":0.59,"d":"$0.59"},{"v":27.19,"d":"$27.19"},{"v":22.19,"d":"$22.19"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651886","RITE AID PHARMACY 02393"]
["21865M","0010064748E              ","MBRP00000422300","000001164743","2021-04-11","69097081507","GABAPENTIN CAPS 400.000",-120,30,{"v":-26.6,"d":"-$26.60"},{"v":-0.59,"d":"-$0.59"},{"v":-27.19,"d":"-$27.19"},{"v":-22.19,"d":"-$22.19"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3651886","RITE AID PHARMACY 02393"]
["21865M","0010064748E              ","MBRP00000422300","000001164743","2021-04-11","69097081507","GABAPENTIN CAPS 400.000",120,30,{"v":26.6,"d":"$26.60"},{"v":0.59,"d":"$0.59"},{"v":27.19,"d":"$27.19"},{"v":22.19,"d":"$22.19"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651886","RITE AID PHARMACY 02393"]
["21865M","0010084348E              ","MBRP00000417899","000001180093","2021-04-11","67877019805","AMLODIPINE BES TABS 5.000",90,90,{"v":3.14,"d":"$3.14"},{"v":0,"d":"$0.00"},{"v":3.14,"d":"$3.14"},{"v":0,"d":"$0.00"},{"v":3.14,"d":"$3.14"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010084348E              ","MBRP00000417899","000001180093","2021-04-11","67877019805","AMLODIPINE BES TABS 5.000",90,90,{"v":3.14,"d":"$3.14"},{"v":0,"d":"$0.00"},{"v":3.14,"d":"$3.14"},{"v":0,"d":"$0.00"},{"v":3.14,"d":"$3.14"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010084348E              ","MBRP00000417899","000001180093","2021-04-11","67877019805","AMLODIPINE BES TABS 5.000",-90,90,{"v":-3.14,"d":"-$3.14"},{"v":0,"d":"$0.00"},{"v":-3.14,"d":"-$3.14"},{"v":0,"d":"$0.00"},{"v":-3.14,"d":"-$3.14"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010084150E              ","MBRP00000424864","000009311133","2021-04-11","65862058705","AMLODIPINE BES CAPS 0.000",30,30,{"v":24.38,"d":"$24.38"},{"v":0.5,"d":"$0.50"},{"v":24.88,"d":"$24.88"},{"v":19.88,"d":"$19.88"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010114615E              ","MBRP00000440323","000006815108","2021-04-11","65862086001","FAMOTIDINE TABS 40.000",30,30,{"v":4.45,"d":"$4.45"},{"v":0.59,"d":"$0.59"},{"v":5.04,"d":"$5.04"},{"v":0.04,"d":"$0.04"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3669112","GIANT EAGLE PHARMACY #1618 1618"]
["21865M","0010114615E              ","MBRP00000440323","000006815108","2021-04-11","65862086001","FAMOTIDINE TABS 40.000",-30,30,{"v":-4.45,"d":"-$4.45"},{"v":-0.59,"d":"-$0.59"},{"v":-5.04,"d":"-$5.04"},{"v":-0.04,"d":"-$0.04"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3669112","GIANT EAGLE PHARMACY #1618 1618"]
["21865M","0010114615E              ","MBRP00000440323","000006815108","2021-04-11","65862086001","FAMOTIDINE TABS 40.000",30,30,{"v":4.45,"d":"$4.45"},{"v":0.59,"d":"$0.59"},{"v":5.04,"d":"$5.04"},{"v":0.04,"d":"$0.04"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3669112","GIANT EAGLE PHARMACY #1618 1618"]
["21865M","0010116985E              ","MBRP00000429254","000001445022","2021-04-11","31722070290","LOSARTAN POTAS TABS 100.000",90,90,{"v":7.65,"d":"$7.65"},{"v":0,"d":"$0.00"},{"v":7.65,"d":"$7.65"},{"v":0,"d":"$0.00"},{"v":7.65,"d":"$7.65"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010114615E              ","MBRP00000440323","000006830077","2021-04-11","50111056003","TRAZODONE HYDR TABS 50.000",30,30,{"v":3.14,"d":"$3.14"},{"v":0.59,"d":"$0.59"},{"v":3.73,"d":"$3.73"},{"v":0,"d":"$0.00"},{"v":3.73,"d":"$3.73"},"G","N",0,0,0,"R","3669112","GIANT EAGLE PHARMACY #1618 1618"]
["21865M","0010114615E              ","MBRP00000440323","000006830077","2021-04-11","50111056003","TRAZODONE HYDR TABS 50.000",30,30,{"v":3.14,"d":"$3.14"},{"v":0.59,"d":"$0.59"},{"v":3.73,"d":"$3.73"},{"v":0,"d":"$0.00"},{"v":3.73,"d":"$3.73"},"G","N",0,0,0,"R","3669112","GIANT EAGLE PHARMACY #1618 1618"]
["21865M","0010114615E              ","MBRP00000440323","000006830077","2021-04-11","50111056003","TRAZODONE HYDR TABS 50.000",-30,30,{"v":-3.14,"d":"-$3.14"},{"v":-0.59,"d":"-$0.59"},{"v":-3.73,"d":"-$3.73"},{"v":0,"d":"$0.00"},{"v":-3.73,"d":"-$3.73"},"G","N",0,0,0,"R","3669112","GIANT EAGLE PHARMACY #1618 1618"]
["21865M","0010112586E              ","MBRP00000290556","000000987781","2021-04-11","65162071009","COLCHICINE TABS 0.600",28,14,{"v":124.62,"d":"$124.62"},{"v":0.59,"d":"$0.59"},{"v":125.21,"d":"$125.21"},{"v":120.21,"d":"$120.21"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3653094","RITE AID PHARMACY 02437"]
["21865M","0010135249E              ","MBRP00000429057","000001662268","2021-04-11","59267100002","PFIZER-BIONTEC SUSP 30.000",0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":28.39,"d":"$28.39"},{"v":28.39,"d":"$28.39"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3606184","CVS PHARMACY #03358 03358"]
["21865M","0010114615E              ","MBRP00000440323","000006824325","2021-04-11","00555089902","ESTRADIOL TABS 0.500",15,30,{"v":3.32,"d":"$3.32"},{"v":0.59,"d":"$0.59"},{"v":3.91,"d":"$3.91"},{"v":0,"d":"$0.00"},{"v":3.91,"d":"$3.91"},"G","N",0,0,0,"R","3669112","GIANT EAGLE PHARMACY #1618 1618"]
["21865M","0010114615E              ","MBRP00000440323","000006824325","2021-04-11","00555089902","ESTRADIOL TABS 0.500",-15,30,{"v":-3.32,"d":"-$3.32"},{"v":-0.59,"d":"-$0.59"},{"v":-3.91,"d":"-$3.91"},{"v":0,"d":"$0.00"},{"v":-3.91,"d":"-$3.91"},"G","N",0,0,0,"R","3669112","GIANT EAGLE PHARMACY #1618 1618"]
["21865M","0010114615E              ","MBRP00000440323","000006824325","2021-04-11","00555089902","ESTRADIOL TABS 0.500",15,30,{"v":3.32,"d":"$3.32"},{"v":0.59,"d":"$0.59"},{"v":3.91,"d":"$3.91"},{"v":0,"d":"$0.00"},{"v":3.91,"d":"$3.91"},"G","N",0,0,0,"R","3669112","GIANT EAGLE PHARMACY #1618 1618"]
["21865M","0010141535E              ","MBRP00000429262","000001172666","2021-04-11","00002879959","HUMALOG KWIKPE SOPN 100.000",15,27,{"v":520.9,"d":"$520.90"},{"v":0.59,"d":"$0.59"},{"v":521.49,"d":"$521.49"},{"v":501.49,"d":"$501.49"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010084214E              ","MBRP00000417836","000006688594","2021-04-11","00074659490","SYNTHROID TABS 88.000",38,30,{"v":50.86,"d":"$50.86"},{"v":0.59,"d":"$0.59"},{"v":51.45,"d":"$51.45"},{"v":31.45,"d":"$31.45"},{"v":20,"d":"$20.00"},"B","N",0,2,1,"R","3659084","MARCS 39"]
["21865M","0010084214E              ","MBRP00000417836","000006688594","2021-04-11","00074659490","SYNTHROID TABS 88.000",38,30,{"v":50.86,"d":"$50.86"},{"v":0.59,"d":"$0.59"},{"v":51.45,"d":"$51.45"},{"v":31.45,"d":"$31.45"},{"v":20,"d":"$20.00"},"B","N",0,2,1,"R","3659084","MARCS 39"]
["21865M","0010084214E              ","MBRP00000417836","000006688594","2021-04-11","00074659490","SYNTHROID TABS 88.000",-38,30,{"v":-50.86,"d":"-$50.86"},{"v":-0.59,"d":"-$0.59"},{"v":-51.45,"d":"-$51.45"},{"v":-31.45,"d":"-$31.45"},{"v":-20,"d":"-$20.00"},"B","N",0,2,1,"R","3659084","MARCS 39"]
["21865M","0010135251E              ","MBRP00000329856","000304089103","2021-04-11","69097082112","GEMFIBROZIL TABS 600.000",90,90,{"v":33.07,"d":"$33.07"},{"v":0,"d":"$0.00"},{"v":33.07,"d":"$33.07"},{"v":23.07,"d":"$23.07"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010005845E              ","MBRP00000440146","000000869570","2021-04-11","68462072029","DROSPIRENONE/E TABS 0.000",-84,84,{"v":-166.74,"d":"-$166.74"},{"v":0,"d":"$0.00"},{"v":-166.74,"d":"-$166.74"},{"v":-166.74,"d":"-$166.74"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3652092","RITE AID PHARMACY 02413"]
["21865M","0010005845E              ","MBRP00000440146","000000869570","2021-04-11","68462072029","DROSPIRENONE/E TABS 0.000",84,84,{"v":166.74,"d":"$166.74"},{"v":0,"d":"$0.00"},{"v":166.74,"d":"$166.74"},{"v":166.74,"d":"$166.74"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3652092","RITE AID PHARMACY 02413"]
["21865M","0010099084E              ","MBRP00000440281","000009271376","2021-04-11","73070010011","INSULIN ASPART SOLN 100.000",30,30,{"v":429.71,"d":"$429.71"},{"v":0.5,"d":"$0.50"},{"v":430.21,"d":"$430.21"},{"v":395.21,"d":"$395.21"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010084143E              ","MBRP00000424710","000001377814","2021-04-11","42192032901","NP THYROID 30 TABS 30.000",90,90,{"v":60.42,"d":"$60.42"},{"v":0,"d":"$0.00"},{"v":60.42,"d":"$60.42"},{"v":45.42,"d":"$45.42"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3652662","RITE AID PHARMACY 02456"]
["21865M","0010084143E              ","MBRP00000424710","000001377814","2021-04-11","42192032901","NP THYROID 30 TABS 30.000",90,90,{"v":66.09,"d":"$66.09"},{"v":0,"d":"$0.00"},{"v":66.09,"d":"$66.09"},{"v":51.09,"d":"$51.09"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3652662","RITE AID PHARMACY 02456"]
["21865M","0010084143E              ","MBRP00000424710","000001377814","2021-04-11","42192032901","NP THYROID 30 TABS 30.000",-90,90,{"v":-60.42,"d":"-$60.42"},{"v":0,"d":"$0.00"},{"v":-60.42,"d":"-$60.42"},{"v":-45.42,"d":"-$45.42"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3652662","RITE AID PHARMACY 02456"]
["21865M","0010114615E              ","MBRP00000440323","000006824325","2021-04-11","42806008701","ESTRADIOL TABS 0.500",15,30,{"v":3.32,"d":"$3.32"},{"v":0.59,"d":"$0.59"},{"v":3.91,"d":"$3.91"},{"v":0,"d":"$0.00"},{"v":3.91,"d":"$3.91"},"G","N",0,0,0,"R","3669112","GIANT EAGLE PHARMACY #1618 1618"]
["21865M","0010114615E              ","MBRP00000440323","000006824325","2021-04-11","42806008701","ESTRADIOL TABS 0.500",-15,30,{"v":-3.32,"d":"-$3.32"},{"v":-0.59,"d":"-$0.59"},{"v":-3.91,"d":"-$3.91"},{"v":0,"d":"$0.00"},{"v":-3.91,"d":"-$3.91"},"G","N",0,0,0,"R","3669112","GIANT EAGLE PHARMACY #1618 1618"]
["21865M","0010135251E              ","MBRP00000329856","000304089102","2021-04-11","55111039905","LANSOPRAZOLE CPDR 30.000",90,90,{"v":51.9,"d":"$51.90"},{"v":0,"d":"$0.00"},{"v":51.9,"d":"$51.90"},{"v":41.9,"d":"$41.90"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010084214E              ","MBRP00000417836","000006679616","2021-04-11","59762120601","LIOTHYRONINE S TABS 5.000",-30,30,{"v":-18.94,"d":"-$18.94"},{"v":-0.59,"d":"-$0.59"},{"v":-19.53,"d":"-$19.53"},{"v":-14.53,"d":"-$14.53"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3659084","MARCS 39"]
["21865M","0010153622E              ","MBRP00000429311","000006729739","2021-04-11","57237007530","ONDANSETRON HY TABS 4.000",30,10,{"v":3.88,"d":"$3.88"},{"v":0.59,"d":"$0.59"},{"v":4.47,"d":"$4.47"},{"v":0,"d":"$0.00"},{"v":4.47,"d":"$4.47"},"G","N",0,0,0,"R","3669124","GIANT EAGLE PHARMACY #4034 4034"]
["21865M","0010084214E              ","MBRP00000417836","000006679616","2021-04-11","59762120601","LIOTHYRONINE S TABS 5.000",30,30,{"v":18.94,"d":"$18.94"},{"v":0.59,"d":"$0.59"},{"v":19.53,"d":"$19.53"},{"v":14.53,"d":"$14.53"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659084","MARCS 39"]
["21865M","0010084214E              ","MBRP00000417836","000006679616","2021-04-11","59762120601","LIOTHYRONINE S TABS 5.000",30,30,{"v":18.94,"d":"$18.94"},{"v":0.59,"d":"$0.59"},{"v":19.53,"d":"$19.53"},{"v":14.53,"d":"$14.53"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659084","MARCS 39"]
["21865M","0010116985E              ","MBRP00000429254","000001445023","2021-04-11","00781286810","OMEPRAZOLE CPDR 20.000",90,90,{"v":7.77,"d":"$7.77"},{"v":0,"d":"$0.00"},{"v":7.77,"d":"$7.77"},{"v":0,"d":"$0.00"},{"v":7.77,"d":"$7.77"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010116985E              ","MBRP00000429254","000001445021","2021-04-11","68382009801","PAROXETINE HYD TABS 20.000",-90,90,{"v":-10.76,"d":"-$10.76"},{"v":0,"d":"$0.00"},{"v":-10.76,"d":"-$10.76"},{"v":0,"d":"$0.00"},{"v":-10.76,"d":"-$10.76"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010116985E              ","MBRP00000429254","000001445021","2021-04-11","68382009801","PAROXETINE HYD TABS 20.000",90,90,{"v":10.76,"d":"$10.76"},{"v":0,"d":"$0.00"},{"v":10.76,"d":"$10.76"},{"v":0,"d":"$0.00"},{"v":10.76,"d":"$10.76"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010116985E              ","MBRP00000429254","000001445021","2021-04-11","68382009801","PAROXETINE HYD TABS 20.000",90,90,{"v":10.76,"d":"$10.76"},{"v":0,"d":"$0.00"},{"v":10.76,"d":"$10.76"},{"v":0,"d":"$0.00"},{"v":10.76,"d":"$10.76"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010114653E              ","MBRP00000415599","000004021096","2021-04-11","50228010901","CARISOPRODOL TABS 350.000",180,90,{"v":18.69,"d":"$18.69"},{"v":0,"d":"$0.00"},{"v":18.69,"d":"$18.69"},{"v":3.69,"d":"$3.69"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010114653E              ","MBRP00000415599","000004021096","2021-04-11","50228010901","CARISOPRODOL TABS 350.000",-180,90,{"v":-18.69,"d":"-$18.69"},{"v":0,"d":"$0.00"},{"v":-18.69,"d":"-$18.69"},{"v":-3.69,"d":"-$3.69"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010114653E              ","MBRP00000415599","000004021096","2021-04-11","50228010901","CARISOPRODOL TABS 350.000",180,90,{"v":18.69,"d":"$18.69"},{"v":0,"d":"$0.00"},{"v":18.69,"d":"$18.69"},{"v":3.69,"d":"$3.69"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010005888E              ","MBRP00000417811","000001203436","2021-04-11","49884055402","ZAFIRLUKAST TABS 20.000",180,90,{"v":286.56,"d":"$286.56"},{"v":0,"d":"$0.00"},{"v":286.56,"d":"$286.56"},{"v":271.56,"d":"$271.56"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3606122","CVS PHARMACY #03306 03306"]
["21865M","0010005888E              ","MBRP00000417811","000001203436","2021-04-11","49884055402","ZAFIRLUKAST TABS 20.000",-180,90,{"v":-286.56,"d":"-$286.56"},{"v":0,"d":"$0.00"},{"v":-286.56,"d":"-$286.56"},{"v":-271.56,"d":"-$271.56"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3606122","CVS PHARMACY #03306 03306"]
["21865M","0010134914E              ","MBRP00000417998","000001290811","2021-04-11","24208044605","BESIVANCE SUSP 0.600",5,4,{"v":186.88,"d":"$186.88"},{"v":0.59,"d":"$0.59"},{"v":187.47,"d":"$187.47"},{"v":152.47,"d":"$152.47"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010134914E              ","MBRP00000417998","000001290811","2021-04-11","24208044605","BESIVANCE SUSP 0.600",5,4,{"v":186.88,"d":"$186.88"},{"v":0.59,"d":"$0.59"},{"v":187.47,"d":"$187.47"},{"v":152.47,"d":"$152.47"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010134914E              ","MBRP00000417998","000001290811","2021-04-11","24208044605","BESIVANCE SUSP 0.600",-5,4,{"v":-186.88,"d":"-$186.88"},{"v":-0.59,"d":"-$0.59"},{"v":-187.47,"d":"-$187.47"},{"v":-152.47,"d":"-$152.47"},{"v":-35,"d":"-$35.00"},"B","N",0,0,9,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010084267E              ","MBRP00000417867","000006741534","2021-04-11","23155070401","ENALAPRIL MALE TABS 2.500",90,90,{"v":14.17,"d":"$14.17"},{"v":0,"d":"$0.00"},{"v":14.17,"d":"$14.17"},{"v":0,"d":"$0.00"},{"v":14.17,"d":"$14.17"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010084267E              ","MBRP00000417867","000006741534","2021-04-11","23155070401","ENALAPRIL MALE TABS 2.500",-90,90,{"v":-14.17,"d":"-$14.17"},{"v":0,"d":"$0.00"},{"v":-14.17,"d":"-$14.17"},{"v":0,"d":"$0.00"},{"v":-14.17,"d":"-$14.17"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010084267E              ","MBRP00000417867","000006741534","2021-04-11","23155070401","ENALAPRIL MALE TABS 2.500",90,90,{"v":14.17,"d":"$14.17"},{"v":0,"d":"$0.00"},{"v":14.17,"d":"$14.17"},{"v":0,"d":"$0.00"},{"v":14.17,"d":"$14.17"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010115421E              ","MBRP00000424685","000001290448","2021-04-11","24208078055","NEOMYCIN/BACIT OINT 0.000",-3.5,7,{"v":-46.61,"d":"-$46.61"},{"v":-0.59,"d":"-$0.59"},{"v":-47.2,"d":"-$47.20"},{"v":-42.2,"d":"-$42.20"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010115421E              ","MBRP00000424685","000001290448","2021-04-11","24208078055","NEOMYCIN/BACIT OINT 0.000",3.5,7,{"v":46.61,"d":"$46.61"},{"v":0.59,"d":"$0.59"},{"v":47.2,"d":"$47.20"},{"v":42.2,"d":"$42.20"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010115421E              ","MBRP00000424685","000001290448","2021-04-11","24208078055","NEOMYCIN/BACIT OINT 0.000",3.5,7,{"v":46.61,"d":"$46.61"},{"v":0.59,"d":"$0.59"},{"v":47.2,"d":"$47.20"},{"v":42.2,"d":"$42.20"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010084348E              ","MBRP00000417899","000001180094","2021-04-11","29300012810","HYDROCHLOROTHI TABS 25.000",90,90,{"v":2.69,"d":"$2.69"},{"v":0,"d":"$0.00"},{"v":2.69,"d":"$2.69"},{"v":0,"d":"$0.00"},{"v":2.69,"d":"$2.69"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010084348E              ","MBRP00000417899","000001180094","2021-04-11","29300012810","HYDROCHLOROTHI TABS 25.000",-90,90,{"v":-2.69,"d":"-$2.69"},{"v":0,"d":"$0.00"},{"v":-2.69,"d":"-$2.69"},{"v":0,"d":"$0.00"},{"v":-2.69,"d":"-$2.69"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010084348E              ","MBRP00000417899","000001180094","2021-04-11","29300012810","HYDROCHLOROTHI TABS 25.000",90,90,{"v":2.69,"d":"$2.69"},{"v":0,"d":"$0.00"},{"v":2.69,"d":"$2.69"},{"v":0,"d":"$0.00"},{"v":2.69,"d":"$2.69"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010122707E              ","MBRP00000429094","000000689761","2021-04-11","29300012810","HYDROCHLOROTHI TABS 25.000",90,90,{"v":2.69,"d":"$2.69"},{"v":0,"d":"$0.00"},{"v":2.69,"d":"$2.69"},{"v":0,"d":"$0.00"},{"v":2.69,"d":"$2.69"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","AC00108363000","MBRP00000430784","000001088131","2021-04-11","42858000501","OXYCODONE HYDR TABS 30.000",120,30,{"v":28.95,"d":"$28.95"},{"v":0.59,"d":"$0.59"},{"v":29.54,"d":"$29.54"},{"v":24.54,"d":"$24.54"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3657751","DISCOUNT DRUG MART 42"]
["21865M","AC00108363000","MBRP00000430784","000001088131","2021-04-11","42858000501","OXYCODONE HYDR TABS 30.000",-120,30,{"v":-28.95,"d":"-$28.95"},{"v":-0.59,"d":"-$0.59"},{"v":-29.54,"d":"-$29.54"},{"v":-24.54,"d":"-$24.54"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3657751","DISCOUNT DRUG MART 42"]
["21865M","AC00108363000","MBRP00000430784","000001088131","2021-04-11","42858000501","OXYCODONE HYDR TABS 30.000",120,30,{"v":28.95,"d":"$28.95"},{"v":0.59,"d":"$0.59"},{"v":29.54,"d":"$29.54"},{"v":24.54,"d":"$24.54"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3657751","DISCOUNT DRUG MART 42"]
["21865M","0010135251E              ","MBRP00000329856","000001051508","2021-04-12","00116200116","CHLORHEXIDINE  SOLN 0.120",473,15,{"v":4.05,"d":"$4.05"},{"v":0.59,"d":"$0.59"},{"v":4.64,"d":"$4.64"},{"v":0,"d":"$0.00"},{"v":4.64,"d":"$4.64"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010138840E              ","MBRP00000429064","000002554972","2021-04-12","00378181310","LEVOTHYROXINE  TABS 125.000",30,30,{"v":16.17,"d":"$16.17"},{"v":0.59,"d":"$0.59"},{"v":16.76,"d":"$16.76"},{"v":11.76,"d":"$11.76"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010006070E              ","MBRP00000417887","000000570113","2021-04-12","00186077760","BRILINTA TABS 90.000",60,30,{"v":400.77,"d":"$400.77"},{"v":0.5,"d":"$0.50"},{"v":401.27,"d":"$401.27"},{"v":381.27,"d":"$381.27"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3687615","FULTON DRUGS"]
["21865M","0010006070E              ","MBRP00000417887","000000570113","2021-04-12","00186077760","BRILINTA TABS 90.000",-60,30,{"v":-400.77,"d":"-$400.77"},{"v":-0.5,"d":"-$0.50"},{"v":-401.27,"d":"-$401.27"},{"v":-381.27,"d":"-$381.27"},{"v":-20,"d":"-$20.00"},"B","N",0,0,1,"R","3687615","FULTON DRUGS"]
["21865M","0010006070E              ","MBRP00000417887","000000570113","2021-04-12","00186077760","BRILINTA TABS 90.000",60,30,{"v":400.77,"d":"$400.77"},{"v":0.5,"d":"$0.50"},{"v":401.27,"d":"$401.27"},{"v":381.27,"d":"$381.27"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3687615","FULTON DRUGS"]
["21865M","AC00109875600","MBRP00000327210","000000924137","2021-04-12","55111018015","TIZANIDINE HYD TABS 4.000",30,30,{"v":4.12,"d":"$4.12"},{"v":0.59,"d":"$0.59"},{"v":4.71,"d":"$4.71"},{"v":0,"d":"$0.00"},{"v":4.71,"d":"$4.71"},"G","N",0,0,0,"R","3651975","RITE AID PHARMACY 02401"]
["21865M","0010149310E              ","MBRP00000437322","000304269038","2021-04-12","65162046935","ELURYNG RING 0.000",3,90,{"v":418.1,"d":"$418.10"},{"v":0,"d":"$0.00"},{"v":418.1,"d":"$418.10"},{"v":418.1,"d":"$418.10"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010149310E              ","MBRP00000437322","000304269038","2021-04-12","65162046935","ELURYNG RING 0.000",-3,90,{"v":-418.1,"d":"-$418.10"},{"v":0,"d":"$0.00"},{"v":-418.1,"d":"-$418.10"},{"v":-418.1,"d":"-$418.10"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010073375E              ","MBRP00000422377","000007552036","2021-04-12","65862044830","VALACYCLOVIR H TABS 500.000",30,30,{"v":34.55,"d":"$34.55"},{"v":0.59,"d":"$0.59"},{"v":35.14,"d":"$35.14"},{"v":30.14,"d":"$30.14"},{"v":5,"d":"$5.00"},"G","N",0,1,0,"R","3668285","WALMART PHARMACY 10-2914 102914"]
["21865M","0010153601E              ","MBRP00000430975","000000924337","2021-04-12","80777027399","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":28.39,"d":"$28.39"},{"v":28.39,"d":"$28.39"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3651975","RITE AID PHARMACY 02401"]
["21865M","0010153601E              ","MBRP00000430975","000000924337","2021-04-12","80777027399","MODERNA COVID- SUSP 100.000",-0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":-28.39,"d":"-$28.39"},{"v":-28.39,"d":"-$28.39"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3651975","RITE AID PHARMACY 02401"]
["21865M","0010122770E              ","MBRP00000293150","000000570853","2021-04-12","00555099702","FLUDROCORTISON TABS 0.100",30,60,{"v":16.16,"d":"$16.16"},{"v":0.5,"d":"$0.50"},{"v":16.66,"d":"$16.66"},{"v":1.66,"d":"$1.66"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3672791","AULTMAN EMPLOYEE PHARMACY"]
["21865M","0010043081E              ","MBRP00000424979","000001101485","2021-04-12","00527328246","LEVOTHYROXINE  TABS 75.000",90,90,{"v":40.34,"d":"$40.34"},{"v":0,"d":"$0.00"},{"v":40.34,"d":"$40.34"},{"v":25.34,"d":"$25.34"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3657751","DISCOUNT DRUG MART 42"]
["21865M","0010061932E              ","MBRP00000418049","000000663982","2021-04-12","10370010250","BUPROPION HYDR TB24 300.000",90,90,{"v":80.38,"d":"$80.38"},{"v":0,"d":"$0.00"},{"v":80.38,"d":"$80.38"},{"v":65.38,"d":"$65.38"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3679668","CVS PHARMACY #02385 02385"]
["21865M","0010064744E              ","MBRP00000422384","000000538010","2021-04-12","08290328438","BD INSULIN SYR MISC 0.000",200,33,{"v":65.37,"d":"$65.37"},{"v":0.5,"d":"$0.50"},{"v":65.87,"d":"$65.87"},{"v":0,"d":"$0.00"},{"v":65.87,"d":"$65.87"},"B","N",0,0,9,"R","3687615","FULTON DRUGS"]
["21865M","0010061932E              ","MBRP00000418049","000000663982","2021-04-12","10370010250","BUPROPION HYDR TB24 300.000",-90,90,{"v":-80.38,"d":"-$80.38"},{"v":0,"d":"$0.00"},{"v":-80.38,"d":"-$80.38"},{"v":-65.38,"d":"-$65.38"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3679668","CVS PHARMACY #02385 02385"]
["21865M","0010048452E              ","MBRP00000417945","000000740963","2021-04-12","68180051303","LISINOPRIL TABS 5.000",15,15,{"v":0.47,"d":"$0.47"},{"v":0.59,"d":"$0.59"},{"v":1.06,"d":"$1.06"},{"v":0,"d":"$0.00"},{"v":1.06,"d":"$1.06"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010139970E              ","MBRP00000461093","000002799955","2021-04-12","68180015001","FAMOTIDINE SUSR 40.000",50,30,{"v":50.63,"d":"$50.63"},{"v":0.59,"d":"$0.59"},{"v":51.22,"d":"$51.22"},{"v":46.22,"d":"$46.22"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010139970E              ","MBRP00000461093","000002799955","2021-04-12","68180015001","FAMOTIDINE SUSR 40.000",-50,30,{"v":-50.63,"d":"-$50.63"},{"v":-0.59,"d":"-$0.59"},{"v":-51.22,"d":"-$51.22"},{"v":-46.22,"d":"-$46.22"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010149595E              ","MBRP00000440223","000000729571","2021-04-12","69097015907","MELOXICAM TABS 15.000",30,30,{"v":1.23,"d":"$1.23"},{"v":0.59,"d":"$0.59"},{"v":1.82,"d":"$1.82"},{"v":0,"d":"$0.00"},{"v":1.82,"d":"$1.82"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010146670E              ","MBRP00000434033","000006769369","2021-04-12","42571016242","AMOXICILLIN/CL TABS 0.000",14,7,{"v":8.5,"d":"$8.50"},{"v":0.59,"d":"$0.59"},{"v":9.09,"d":"$9.09"},{"v":4.09,"d":"$4.09"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010146670E              ","MBRP00000434033","000006769369","2021-04-12","42571016242","AMOXICILLIN/CL TABS 0.000",14,7,{"v":8.5,"d":"$8.50"},{"v":0.59,"d":"$0.59"},{"v":9.09,"d":"$9.09"},{"v":4.09,"d":"$4.09"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010146670E              ","MBRP00000434033","000006769369","2021-04-12","42571016242","AMOXICILLIN/CL TABS 0.000",14,7,{"v":8.5,"d":"$8.50"},{"v":0.59,"d":"$0.59"},{"v":9.09,"d":"$9.09"},{"v":4.09,"d":"$4.09"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010146670E              ","MBRP00000434033","000006769369","2021-04-12","42571016242","AMOXICILLIN/CL TABS 0.000",-14,7,{"v":-8.5,"d":"-$8.50"},{"v":-0.59,"d":"-$0.59"},{"v":-9.09,"d":"-$9.09"},{"v":-4.09,"d":"-$4.09"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010146670E              ","MBRP00000434033","000006769369","2021-04-12","42571016242","AMOXICILLIN/CL TABS 0.000",-14,7,{"v":-8.5,"d":"-$8.50"},{"v":-0.59,"d":"-$0.59"},{"v":-9.09,"d":"-$9.09"},{"v":-4.09,"d":"-$4.09"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010153640E              ","MBRP00000430764","000006536640","2021-04-12","23155010405","METFORMIN HYDR TABS 1000.000",-60,30,{"v":-3.3,"d":"-$3.30"},{"v":-0.59,"d":"-$0.59"},{"v":-3.89,"d":"-$3.89"},{"v":0,"d":"$0.00"},{"v":-3.89,"d":"-$3.89"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010153640E              ","MBRP00000430764","000006536640","2021-04-12","23155010405","METFORMIN HYDR TABS 1000.000",60,30,{"v":3.3,"d":"$3.30"},{"v":0.59,"d":"$0.59"},{"v":3.89,"d":"$3.89"},{"v":0,"d":"$0.00"},{"v":3.89,"d":"$3.89"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010153640E              ","MBRP00000430764","000006536640","2021-04-12","23155010405","METFORMIN HYDR TABS 1000.000",60,30,{"v":3.3,"d":"$3.30"},{"v":0.59,"d":"$0.59"},{"v":3.89,"d":"$3.89"},{"v":0,"d":"$0.00"},{"v":3.89,"d":"$3.89"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010084270E              ","MBRP00000422365","000000807132","2021-04-12","16729018201","HYDROCHLOROTHI TABS 12.500",180,90,{"v":13.04,"d":"$13.04"},{"v":0,"d":"$0.00"},{"v":13.04,"d":"$13.04"},{"v":0,"d":"$0.00"},{"v":13.04,"d":"$13.04"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010005888E              ","MBRP00000417811","000001203436","2021-04-12","49884055402","ZAFIRLUKAST TABS 20.000",180,90,{"v":286.56,"d":"$286.56"},{"v":0,"d":"$0.00"},{"v":286.56,"d":"$286.56"},{"v":271.56,"d":"$271.56"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3606122","CVS PHARMACY #03306 03306"]
["21865M","0010005888E              ","MBRP00000417811","000001203436","2021-04-12","49884055402","ZAFIRLUKAST TABS 20.000",-180,90,{"v":-286.56,"d":"-$286.56"},{"v":0,"d":"$0.00"},{"v":-286.56,"d":"-$286.56"},{"v":-271.56,"d":"-$271.56"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3606122","CVS PHARMACY #03306 03306"]
["21865M","0010153034E              ","MBRP00000429096","000002558037","2021-04-12","59676058015","JANSSEN COVID- SUSP 0.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":28.39,"d":"$28.39"},{"v":28.39,"d":"$28.39"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010079085E              ","MBRP00000287886","000000740825","2021-04-12","59267100002","PFIZER-BIONTEC SUSP 30.000",0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":16.94,"d":"$16.94"},{"v":16.94,"d":"$16.94"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010099565E              ","MBRP00000440319","000001180343","2021-04-12","11822333000","RA MAGNESIUM C SOLN 1.745",296,1,{"v":1.96,"d":"$1.96"},{"v":0.59,"d":"$0.59"},{"v":2.55,"d":"$2.55"},{"v":2.55,"d":"$2.55"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010146670E              ","MBRP00000434034","000000855508","2021-04-12","16110052660","ACZONE GEL  7.500",60,30,{"v":695.35,"d":"$695.35"},{"v":0.59,"d":"$0.59"},{"v":695.94,"d":"$695.94"},{"v":660.94,"d":"$660.94"},{"v":35,"d":"$35.00"},"B","N",0,2,9,"R","3678781","FRIENDS PHARMACY"]
["21865M","0010146670E              ","MBRP00000434034","000000855508","2021-04-12","16110052660","ACZONE GEL  7.500",60,30,{"v":695.35,"d":"$695.35"},{"v":0.59,"d":"$0.59"},{"v":695.94,"d":"$695.94"},{"v":660.94,"d":"$660.94"},{"v":35,"d":"$35.00"},"B","N",0,2,9,"R","3678781","FRIENDS PHARMACY"]
["21865M","0010146670E              ","MBRP00000434034","000000855508","2021-04-12","16110052660","ACZONE GEL  7.500",-60,30,{"v":-695.35,"d":"-$695.35"},{"v":-0.59,"d":"-$0.59"},{"v":-695.94,"d":"-$695.94"},{"v":-660.94,"d":"-$660.94"},{"v":-35,"d":"-$35.00"},"B","N",0,2,9,"R","3678781","FRIENDS PHARMACY"]
["21865M","0010073375E              ","MBRP00000422375","000007528723","2021-04-12","17478076710","PROGESTERONE CAPS 200.000",30,30,{"v":98.21,"d":"$98.21"},{"v":0.59,"d":"$0.59"},{"v":98.8,"d":"$98.80"},{"v":93.8,"d":"$93.80"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3668285","WALMART PHARMACY 10-2914 102914"]
["21865M","0010049921E              ","MBRP00000440035","000001569961","2021-04-12","16729022601","SPIRONOLACTONE TABS 50.000",90,30,{"v":20.74,"d":"$20.74"},{"v":0.59,"d":"$0.59"},{"v":21.33,"d":"$21.33"},{"v":16.33,"d":"$16.33"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659832","DISCOUNT DRUG MART 50"]
["21865M","0010006021E              ","MBRP00000418020","000002036091","2021-04-12","00115148901","AMPHETAMINE/DE CP24 0.000",60,30,{"v":70.04,"d":"$70.04"},{"v":0.59,"d":"$0.59"},{"v":70.63,"d":"$70.63"},{"v":65.63,"d":"$65.63"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3676484","GIANT EAGLE PHARMACY #6529 6529"]
["21865M","0010135251E              ","MBRP00000329856","000001051507","2021-04-12","00093310953","AMOXICILLIN CAPS 500.000",30,10,{"v":3.35,"d":"$3.35"},{"v":0.59,"d":"$0.59"},{"v":3.94,"d":"$3.94"},{"v":0,"d":"$0.00"},{"v":3.94,"d":"$3.94"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010031903E              ","MBRP00000430941","000007280836","2021-04-12","00093505898","ATORVASTATIN C TABS 40.000",30,30,{"v":12.34,"d":"$12.34"},{"v":0.59,"d":"$0.59"},{"v":12.93,"d":"$12.93"},{"v":7.93,"d":"$7.93"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3673387","WALMART PHARMACY 10-5410 105410"]
["21865M","0010031903E              ","MBRP00000430941","000007280836","2021-04-12","00093505898","ATORVASTATIN C TABS 40.000",-30,30,{"v":-12.34,"d":"-$12.34"},{"v":-0.59,"d":"-$0.59"},{"v":-12.93,"d":"-$12.93"},{"v":-7.93,"d":"-$7.93"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3673387","WALMART PHARMACY 10-5410 105410"]
["21865M","0010141535E              ","MBRP00000429262","000001179936","2021-04-12","00406889401","AMPHETAMINE/DE TABS 0.000",60,30,{"v":39.93,"d":"$39.93"},{"v":0.59,"d":"$0.59"},{"v":40.52,"d":"$40.52"},{"v":35.52,"d":"$35.52"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010062960E              ","MBRP00000422131","000006424891","2021-04-12","00228277811","PROPRANOLOL HY CP24 60.000",30,30,{"v":39.02,"d":"$39.02"},{"v":0.59,"d":"$0.59"},{"v":39.61,"d":"$39.61"},{"v":34.61,"d":"$34.61"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648930","MARCS 14"]
["21865M","0010084320E              ","MBRP00000417892","000304207719","2021-04-12","68462038790","SOLIFENACIN SU TABS 10.000",-90,90,{"v":-99.32,"d":"-$99.32"},{"v":0,"d":"$0.00"},{"v":-99.32,"d":"-$99.32"},{"v":-89.32,"d":"-$89.32"},{"v":-10,"d":"-$10.00"},"G","N",0,0,0,"M","3155137","OPTUMRX PHARMACY 700, LLC"]
["21865M","0010084320E              ","MBRP00000417892","000304207719","2021-04-12","68462038790","SOLIFENACIN SU TABS 10.000",90,90,{"v":99.32,"d":"$99.32"},{"v":0,"d":"$0.00"},{"v":99.32,"d":"$99.32"},{"v":89.32,"d":"$89.32"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3155137","OPTUMRX PHARMACY 700, LLC"]
["21865M","0010084320E              ","MBRP00000417892","000304207719","2021-04-12","68462038790","SOLIFENACIN SU TABS 10.000",90,90,{"v":99.32,"d":"$99.32"},{"v":0,"d":"$0.00"},{"v":99.32,"d":"$99.32"},{"v":89.32,"d":"$89.32"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3155137","OPTUMRX PHARMACY 700, LLC"]
["21865M","0010086302E              ","MBRP00000440329","000006769227","2021-04-12","68382013905","TOPIRAMATE TABS 50.000",90,90,{"v":9.43,"d":"$9.43"},{"v":0,"d":"$0.00"},{"v":9.43,"d":"$9.43"},{"v":0,"d":"$0.00"},{"v":9.43,"d":"$9.43"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010086302E              ","MBRP00000440329","000006769231","2021-04-12","70436001102","BUPROPION HYDR TB24 300.000",-90,90,{"v":-80.38,"d":"-$80.38"},{"v":0,"d":"$0.00"},{"v":-80.38,"d":"-$80.38"},{"v":-65.38,"d":"-$65.38"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010086302E              ","MBRP00000440329","000006769231","2021-04-12","70436001102","BUPROPION HYDR TB24 300.000",90,90,{"v":80.38,"d":"$80.38"},{"v":0,"d":"$0.00"},{"v":80.38,"d":"$80.38"},{"v":65.38,"d":"$65.38"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010061932E              ","MBRP00000418049","000000663982","2021-04-12","70436001102","BUPROPION HYDR TB24 300.000",90,90,{"v":80.38,"d":"$80.38"},{"v":0,"d":"$0.00"},{"v":80.38,"d":"$80.38"},{"v":65.38,"d":"$65.38"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3679668","CVS PHARMACY #02385 02385"]
["21865M","0010086302E              ","MBRP00000440329","000006769231","2021-04-12","70436001102","BUPROPION HYDR TB24 300.000",90,90,{"v":80.38,"d":"$80.38"},{"v":0,"d":"$0.00"},{"v":80.38,"d":"$80.38"},{"v":65.38,"d":"$65.38"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010153312E              ","MBRP00000271054","000006555631","2021-04-12","67877022305","GABAPENTIN CAPS 300.000",-180,30,{"v":-25.86,"d":"-$25.86"},{"v":-0.59,"d":"-$0.59"},{"v":-26.45,"d":"-$26.45"},{"v":-21.45,"d":"-$21.45"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010153312E              ","MBRP00000271054","000006555631","2021-04-12","67877022305","GABAPENTIN CAPS 300.000",180,30,{"v":25.86,"d":"$25.86"},{"v":0.59,"d":"$0.59"},{"v":26.45,"d":"$26.45"},{"v":21.45,"d":"$21.45"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010098976E              ","MBRP00000369585","000004021261","2021-04-12","65862067799","ALPRAZOLAM TABS 0.500",14,4,{"v":0.38,"d":"$0.38"},{"v":0.59,"d":"$0.59"},{"v":0.97,"d":"$0.97"},{"v":0,"d":"$0.00"},{"v":0.97,"d":"$0.97"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010151792E              ","MBRP00000429023","000002859590","2021-04-12","65862085901","FAMOTIDINE TABS 20.000",90,90,{"v":7.14,"d":"$7.14"},{"v":0,"d":"$0.00"},{"v":7.14,"d":"$7.14"},{"v":0,"d":"$0.00"},{"v":7.14,"d":"$7.14"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010084270E              ","MBRP00000422365","000000807136","2021-04-12","63304072390","BUPROPION HYDR TB24 150.000",90,90,{"v":75.97,"d":"$75.97"},{"v":0,"d":"$0.00"},{"v":75.97,"d":"$75.97"},{"v":60.97,"d":"$60.97"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010080372E              ","MBRP00000417959","000001051553","2021-04-12","65162067684","AZELASTINE HYD SOLN 137.000",30,30,{"v":31.04,"d":"$31.04"},{"v":0.59,"d":"$0.59"},{"v":31.63,"d":"$31.63"},{"v":26.63,"d":"$26.63"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010084320E              ","MBRP00000417892","000304207724","2021-04-12","68180051703","LISINOPRIL TABS 40.000",-90,90,{"v":-9.1,"d":"-$9.10"},{"v":0,"d":"$0.00"},{"v":-9.1,"d":"-$9.10"},{"v":0,"d":"$0.00"},{"v":-9.1,"d":"-$9.10"},"G","N",0,0,0,"M","3155137","OPTUMRX PHARMACY 700, LLC"]
["21865M","0010084320E              ","MBRP00000417892","000304207724","2021-04-12","68180051703","LISINOPRIL TABS 40.000",90,90,{"v":9.1,"d":"$9.10"},{"v":0,"d":"$0.00"},{"v":9.1,"d":"$9.10"},{"v":0,"d":"$0.00"},{"v":9.1,"d":"$9.10"},"G","N",0,0,0,"M","3155137","OPTUMRX PHARMACY 700, LLC"]
["21865M","0010084320E              ","MBRP00000417892","000304207724","2021-04-12","68180051703","LISINOPRIL TABS 40.000",90,90,{"v":9.1,"d":"$9.10"},{"v":0,"d":"$0.00"},{"v":9.1,"d":"$9.10"},{"v":0,"d":"$0.00"},{"v":9.1,"d":"$9.10"},"G","N",0,0,0,"M","3155137","OPTUMRX PHARMACY 700, LLC"]
["21865M","0010079087E              ","MBRP00000422343","000001051500","2021-04-12","68180071160","CEFDINIR CAPS 300.000",20,10,{"v":13.91,"d":"$13.91"},{"v":0.59,"d":"$0.59"},{"v":14.5,"d":"$14.50"},{"v":9.5,"d":"$9.50"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010086302E              ","MBRP00000440329","000006769227","2021-04-12","68382013905","TOPIRAMATE TABS 50.000",-90,90,{"v":-9.43,"d":"-$9.43"},{"v":0,"d":"$0.00"},{"v":-9.43,"d":"-$9.43"},{"v":0,"d":"$0.00"},{"v":-9.43,"d":"-$9.43"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010086302E              ","MBRP00000440329","000006769227","2021-04-12","68382013905","TOPIRAMATE TABS 50.000",90,90,{"v":9.43,"d":"$9.43"},{"v":0,"d":"$0.00"},{"v":9.43,"d":"$9.43"},{"v":0,"d":"$0.00"},{"v":9.43,"d":"$9.43"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010084320E              ","MBRP00000417892","000304207723","2021-04-12","45963067696","METOPROLOL SUC TB24 50.000",-90,90,{"v":-53.36,"d":"-$53.36"},{"v":0,"d":"$0.00"},{"v":-53.36,"d":"-$53.36"},{"v":-43.36,"d":"-$43.36"},{"v":-10,"d":"-$10.00"},"G","N",0,0,0,"M","3155137","OPTUMRX PHARMACY 700, LLC"]
["21865M","0010084320E              ","MBRP00000417892","000304207723","2021-04-12","45963067696","METOPROLOL SUC TB24 50.000",90,90,{"v":53.36,"d":"$53.36"},{"v":0,"d":"$0.00"},{"v":53.36,"d":"$53.36"},{"v":43.36,"d":"$43.36"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3155137","OPTUMRX PHARMACY 700, LLC"]
["21865M","0010084320E              ","MBRP00000417892","000304207723","2021-04-12","45963067696","METOPROLOL SUC TB24 50.000",90,90,{"v":53.36,"d":"$53.36"},{"v":0,"d":"$0.00"},{"v":53.36,"d":"$53.36"},{"v":43.36,"d":"$43.36"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3155137","OPTUMRX PHARMACY 700, LLC"]
["21865M","0010116868E              ","MBRP00000430955","000001795023","2021-04-12","50228018005","GABAPENTIN CAPS 300.000",90,30,{"v":12.93,"d":"$12.93"},{"v":0.59,"d":"$0.59"},{"v":13.52,"d":"$13.52"},{"v":8.52,"d":"$8.52"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","0010116868E              ","MBRP00000430955","010724881974","2021-04-12","50228018005","GABAPENTIN CAPS 300.000",90,30,{"v":12.93,"d":"$12.93"},{"v":0.59,"d":"$0.59"},{"v":13.52,"d":"$13.52"},{"v":8.52,"d":"$8.52"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","0010116868E              ","MBRP00000430955","010724881974","2021-04-12","50228018005","GABAPENTIN CAPS 300.000",-90,30,{"v":-12.93,"d":"-$12.93"},{"v":-0.59,"d":"-$0.59"},{"v":-13.52,"d":"-$13.52"},{"v":-8.52,"d":"-$8.52"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","0010084320E              ","MBRP00000417892","000304207721","2021-04-12","50228014610","HYDROCHLOROTHI CAPS 12.500",90,90,{"v":6.52,"d":"$6.52"},{"v":0,"d":"$0.00"},{"v":6.52,"d":"$6.52"},{"v":0,"d":"$0.00"},{"v":6.52,"d":"$6.52"},"G","N",0,0,0,"M","3155137","OPTUMRX PHARMACY 700, LLC"]
["21865M","0010084320E              ","MBRP00000417892","000304207721","2021-04-12","50228014610","HYDROCHLOROTHI CAPS 12.500",90,90,{"v":6.52,"d":"$6.52"},{"v":0,"d":"$0.00"},{"v":6.52,"d":"$6.52"},{"v":0,"d":"$0.00"},{"v":6.52,"d":"$6.52"},"G","N",0,0,0,"M","3155137","OPTUMRX PHARMACY 700, LLC"]
["21865M","0010084320E              ","MBRP00000417892","000304207721","2021-04-12","50228014610","HYDROCHLOROTHI CAPS 12.500",-90,90,{"v":-6.52,"d":"-$6.52"},{"v":0,"d":"$0.00"},{"v":-6.52,"d":"-$6.52"},{"v":0,"d":"$0.00"},{"v":-6.52,"d":"-$6.52"},"G","N",0,0,0,"M","3155137","OPTUMRX PHARMACY 700, LLC"]
["21865M","0010084150E              ","MBRP00000424864","000004379171","2021-04-12","00143965901","TESTOSTERONE C SOLN 200.000",2,14,{"v":16.65,"d":"$16.65"},{"v":0.5,"d":"$0.50"},{"v":17.15,"d":"$17.15"},{"v":12.15,"d":"$12.15"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010031903E              ","MBRP00000430941","000007262645","2021-04-12","00169413212","OZEMPIC SOPN 2.000",1.5,28,{"v":836.34,"d":"$836.34"},{"v":0.59,"d":"$0.59"},{"v":836.93,"d":"$836.93"},{"v":801.93,"d":"$801.93"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3673387","WALMART PHARMACY 10-5410 105410"]
["21865M","0010120556E              ","MBRP00000429238","000002807564","2021-04-12","00574206101","CICLOPIROX GEL  0.770",100,30,{"v":54.96,"d":"$54.96"},{"v":0.59,"d":"$0.59"},{"v":55.55,"d":"$55.55"},{"v":50.55,"d":"$50.55"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010120556E              ","MBRP00000429238","000002807564","2021-04-12","00574206101","CICLOPIROX GEL  0.770",-100,30,{"v":-54.96,"d":"-$54.96"},{"v":-0.59,"d":"-$0.59"},{"v":-55.55,"d":"-$55.55"},{"v":-50.55,"d":"-$50.55"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010108363E              ","MBRP00000440271","000000902303","2021-04-12","00378427693","VALACYCLOVIR H TABS 1.000",8,2,{"v":14.65,"d":"$14.65"},{"v":0.59,"d":"$0.59"},{"v":15.24,"d":"$15.24"},{"v":10.24,"d":"$10.24"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651975","RITE AID PHARMACY 02401"]
["21865M","0010124279E              ","MBRP00000418014","000006008646","2021-04-12","69452015120","VITAMIN D CAPS 50000.000",4,28,{"v":2.36,"d":"$2.36"},{"v":0.59,"d":"$0.59"},{"v":2.95,"d":"$2.95"},{"v":0,"d":"$0.00"},{"v":2.95,"d":"$2.95"},"G","N",0,0,0,"R","3685267","THE OAK CLINIC PHARMACY 108"]
["21865M","0010124279E              ","MBRP00000418014","000006007451","2021-04-12","70710128500","BACLOFEN TABS 10.000",90,30,{"v":20.38,"d":"$20.38"},{"v":0.59,"d":"$0.59"},{"v":20.97,"d":"$20.97"},{"v":15.97,"d":"$15.97"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3685267","THE OAK CLINIC PHARMACY 108"]
["21865M","0010084071E              ","MBRP00000422235","000304184654","2021-04-12","65862056099","PANTOPRAZOLE S TBEC 40.000",90,90,{"v":9.32,"d":"$9.32"},{"v":0,"d":"$0.00"},{"v":9.32,"d":"$9.32"},{"v":0,"d":"$0.00"},{"v":9.32,"d":"$9.32"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010048450E              ","MBRP00000418553","000001429270","2021-04-12","31722070290","LOSARTAN POTAS TABS 100.000",30,30,{"v":2.55,"d":"$2.55"},{"v":0.59,"d":"$0.59"},{"v":3.14,"d":"$3.14"},{"v":0,"d":"$0.00"},{"v":3.14,"d":"$3.14"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010123107E              ","MBRP00000417889","000001795086","2021-04-12","29300022701","METRONIDAZOLE TABS 500.000",14,7,{"v":2.67,"d":"$2.67"},{"v":0.59,"d":"$0.59"},{"v":3.26,"d":"$3.26"},{"v":0,"d":"$0.00"},{"v":3.26,"d":"$3.26"},"G","N",0,0,0,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","0010123107E              ","MBRP00000417889","000001795086","2021-04-12","29300022701","METRONIDAZOLE TABS 500.000",-14,7,{"v":-2.67,"d":"-$2.67"},{"v":-0.59,"d":"-$0.59"},{"v":-3.26,"d":"-$3.26"},{"v":0,"d":"$0.00"},{"v":-3.26,"d":"-$3.26"},"G","N",0,0,0,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","0010123107E              ","MBRP00000417889","000001795086","2021-04-12","29300022701","METRONIDAZOLE TABS 500.000",14,7,{"v":2.67,"d":"$2.67"},{"v":0.59,"d":"$0.59"},{"v":3.26,"d":"$3.26"},{"v":0,"d":"$0.00"},{"v":3.26,"d":"$3.26"},"G","N",0,0,0,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","0010080372E              ","MBRP00000417959","000001051552","2021-04-12","31722055190","LEVOCETIRIZINE TABS 5.000",30,30,{"v":15.81,"d":"$15.81"},{"v":0.59,"d":"$0.59"},{"v":16.4,"d":"$16.40"},{"v":11.4,"d":"$11.40"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010143184E              ","MBRP00000440207","000001157827","2021-04-12","43547028910","BUPROPION HYDR TB12 150.000",90,90,{"v":40.66,"d":"$40.66"},{"v":0,"d":"$0.00"},{"v":40.66,"d":"$40.66"},{"v":25.66,"d":"$25.66"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010086302E              ","MBRP00000440329","000006769228","2021-04-12","47335032688","NALTREXONE HCL TABS 50.000",90,90,{"v":140.17,"d":"$140.17"},{"v":0,"d":"$0.00"},{"v":140.17,"d":"$140.17"},{"v":125.17,"d":"$125.17"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010086302E              ","MBRP00000440329","000006769228","2021-04-12","47335032688","NALTREXONE HCL TABS 50.000",-90,90,{"v":-140.17,"d":"-$140.17"},{"v":0,"d":"$0.00"},{"v":-140.17,"d":"-$140.17"},{"v":-125.17,"d":"-$125.17"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010099565E              ","MBRP00000440319","000001180342","2021-04-12","52268001201","SUPREP BOWEL P SOLN 0.000",-354,1,{"v":-103.96,"d":"-$103.96"},{"v":-0.59,"d":"-$0.59"},{"v":-104.55,"d":"-$104.55"},{"v":-69.55,"d":"-$69.55"},{"v":-35,"d":"-$35.00"},"B","N",0,0,9,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010099565E              ","MBRP00000440319","000001180342","2021-04-12","52268001201","SUPREP BOWEL P SOLN 0.000",354,1,{"v":103.96,"d":"$103.96"},{"v":0.59,"d":"$0.59"},{"v":104.55,"d":"$104.55"},{"v":69.55,"d":"$69.55"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010084079E              ","MBRP00000422443","000001382683","2021-04-12","63304045101","MORPHINE SULFA TBCR 30.000",60,30,{"v":35.32,"d":"$35.32"},{"v":0.59,"d":"$0.59"},{"v":35.91,"d":"$35.91"},{"v":30.91,"d":"$30.91"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652662","RITE AID PHARMACY 02456"]
["21865M","0010084079E              ","MBRP00000422443","000001382683","2021-04-12","63304045101","MORPHINE SULFA TBCR 30.000",60,30,{"v":35.32,"d":"$35.32"},{"v":0.59,"d":"$0.59"},{"v":35.91,"d":"$35.91"},{"v":30.91,"d":"$30.91"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652662","RITE AID PHARMACY 02456"]
["21865M","0010084079E              ","MBRP00000422443","000001382683","2021-04-12","63304045101","MORPHINE SULFA TBCR 30.000",-60,30,{"v":-35.32,"d":"-$35.32"},{"v":-0.59,"d":"-$0.59"},{"v":-35.91,"d":"-$35.91"},{"v":-30.91,"d":"-$30.91"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3652662","RITE AID PHARMACY 02456"]
["21865M","0010084079E              ","MBRP00000422443","000001382683","2021-04-12","63304045101","MORPHINE SULFA TBCR 30.000",60,30,{"v":35.32,"d":"$35.32"},{"v":0.59,"d":"$0.59"},{"v":35.91,"d":"$35.91"},{"v":30.91,"d":"$30.91"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652662","RITE AID PHARMACY 02456"]
["21865M","0010084079E              ","MBRP00000422443","000001382683","2021-04-12","63304045101","MORPHINE SULFA TBCR 30.000",-60,30,{"v":-35.32,"d":"-$35.32"},{"v":-0.59,"d":"-$0.59"},{"v":-35.91,"d":"-$35.91"},{"v":-30.91,"d":"-$30.91"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3652662","RITE AID PHARMACY 02456"]
["21865M","0010084270E              ","MBRP00000422365","000000807136","2021-04-12","68180031909","BUPROPION HYDR TB24 150.000",90,90,{"v":75.97,"d":"$75.97"},{"v":0,"d":"$0.00"},{"v":75.97,"d":"$75.97"},{"v":60.97,"d":"$60.97"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010084270E              ","MBRP00000422365","000000807136","2021-04-12","68180031909","BUPROPION HYDR TB24 150.000",-90,90,{"v":-75.97,"d":"-$75.97"},{"v":0,"d":"$0.00"},{"v":-75.97,"d":"-$75.97"},{"v":-60.97,"d":"-$60.97"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010131684E              ","MBRP00000429158","000001051525","2021-04-12","68180063709","ATORVASTATIN C TABS 40.000",30,30,{"v":12.34,"d":"$12.34"},{"v":0.59,"d":"$0.59"},{"v":12.93,"d":"$12.93"},{"v":7.93,"d":"$7.93"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010144373E              ","MBRP00000422242","000001650414","2021-04-12","65862050320","AMOXICILLIN/CL TABS 0.000",20,10,{"v":12.14,"d":"$12.14"},{"v":0.59,"d":"$0.59"},{"v":12.73,"d":"$12.73"},{"v":7.73,"d":"$7.73"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3609837","CVS PHARMACY #03321 03321"]
["21865M","0010084150E              ","MBRP00000424864","000009313627","2021-04-12","68001040103","FLUOXETINE HYD CAPS 40.000",30,30,{"v":6.98,"d":"$6.98"},{"v":0.5,"d":"$0.50"},{"v":7.48,"d":"$7.48"},{"v":2.48,"d":"$2.48"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010048450E              ","MBRP00000418553","000001429276","2021-04-12","65862001330","SERTRALINE HYD TABS 100.000",30,30,{"v":3.13,"d":"$3.13"},{"v":0.59,"d":"$0.59"},{"v":3.72,"d":"$3.72"},{"v":0,"d":"$0.00"},{"v":3.72,"d":"$3.72"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010153595E              ","MBRP00000430834","000001180223","2021-04-12","65162046650","IBUPROFEN TABS 800.000",90,22,{"v":6.1,"d":"$6.10"},{"v":0.59,"d":"$0.59"},{"v":6.69,"d":"$6.69"},{"v":1.69,"d":"$1.69"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010153595E              ","MBRP00000430834","000001180223","2021-04-12","65162046650","IBUPROFEN TABS 800.000",-90,22,{"v":-6.1,"d":"-$6.10"},{"v":-0.59,"d":"-$0.59"},{"v":-6.69,"d":"-$6.69"},{"v":-1.69,"d":"-$1.69"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010153595E              ","MBRP00000430834","000001180223","2021-04-12","65162046650","IBUPROFEN TABS 800.000",90,22,{"v":6.1,"d":"$6.10"},{"v":0.59,"d":"$0.59"},{"v":6.69,"d":"$6.69"},{"v":1.69,"d":"$1.69"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010115664E              ","MBRP00000429197","000002371372","2021-04-12","65162010250","GABAPENTIN CAPS 300.000",270,90,{"v":38.78,"d":"$38.78"},{"v":0,"d":"$0.00"},{"v":38.78,"d":"$38.78"},{"v":23.78,"d":"$23.78"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010115664E              ","MBRP00000429197","000002371372","2021-04-12","65162010250","GABAPENTIN CAPS 300.000",-270,90,{"v":-38.78,"d":"-$38.78"},{"v":0,"d":"$0.00"},{"v":-38.78,"d":"-$38.78"},{"v":-23.78,"d":"-$23.78"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010153590E              ","MBRP00000463445","000002351761","2021-04-12","64380080807","IBUPROFEN TABS 600.000",28,7,{"v":0.97,"d":"$0.97"},{"v":0.59,"d":"$0.59"},{"v":1.56,"d":"$1.56"},{"v":0,"d":"$0.00"},{"v":1.56,"d":"$1.56"},"G","N",0,0,0,"R","3661433","WALGREENS #3572 3572"]
["21865M","0010153590E              ","MBRP00000463445","000002351761","2021-04-12","64380080807","IBUPROFEN TABS 600.000",-28,7,{"v":-0.97,"d":"-$0.97"},{"v":-0.59,"d":"-$0.59"},{"v":-1.56,"d":"-$1.56"},{"v":0,"d":"$0.00"},{"v":-1.56,"d":"-$1.56"},"G","N",0,0,0,"R","3661433","WALGREENS #3572 3572"]
["21865M","0010084320E              ","MBRP00000417892","000304207720","2021-04-12","59746032530","VALACYCLOVIR H TABS 1.000",90,90,{"v":164.83,"d":"$164.83"},{"v":0,"d":"$0.00"},{"v":164.83,"d":"$164.83"},{"v":154.83,"d":"$154.83"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3155137","OPTUMRX PHARMACY 700, LLC"]
["21865M","0010084320E              ","MBRP00000417892","000304207720","2021-04-12","59746032530","VALACYCLOVIR H TABS 1.000",-90,90,{"v":-164.83,"d":"-$164.83"},{"v":0,"d":"$0.00"},{"v":-164.83,"d":"-$164.83"},{"v":-154.83,"d":"-$154.83"},{"v":-10,"d":"-$10.00"},"G","N",0,0,0,"M","3155137","OPTUMRX PHARMACY 700, LLC"]
["21865M","0010084320E              ","MBRP00000417892","000304207720","2021-04-12","59746032530","VALACYCLOVIR H TABS 1.000",90,90,{"v":164.83,"d":"$164.83"},{"v":0,"d":"$0.00"},{"v":164.83,"d":"$164.83"},{"v":154.83,"d":"$154.83"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3155137","OPTUMRX PHARMACY 700, LLC"]
["21865M","0010134914E              ","MBRP00000417998","000001290945","2021-04-12","61314063006","NEOMYCIN/POLYM SUSP 0.000",5,4,{"v":24.4,"d":"$24.40"},{"v":0.59,"d":"$0.59"},{"v":24.99,"d":"$24.99"},{"v":19.99,"d":"$19.99"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010153596E              ","MBRP00000431022","000000948437","2021-04-12","59267100001","PFIZER-BIONTEC SUSP 30.000",0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":16.94,"d":"$16.94"},{"v":16.94,"d":"$16.94"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3676446","WALGREENS #11143 11143"]
["21865M","0010084142E              ","MBRP00000424706","000001290943","2021-04-12","59267100001","PFIZER-BIONTEC SUSP 30.000",0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":16.94,"d":"$16.94"},{"v":16.94,"d":"$16.94"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010084142E              ","MBRP00000424705","000001290944","2021-04-12","59267100001","PFIZER-BIONTEC SUSP 30.000",0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":16.94,"d":"$16.94"},{"v":16.94,"d":"$16.94"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010048452E              ","MBRP00000417945","000000740891","2021-04-12","00143122701","DICYCLOMINE HY TABS 20.000",30,8,{"v":7.35,"d":"$7.35"},{"v":0.59,"d":"$0.59"},{"v":7.94,"d":"$7.94"},{"v":2.94,"d":"$2.94"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010107519E              ","MBRP00000429174","000304218843","2021-04-12","00074204202","SKYRIZI PSKT 75.000",1,84,{"v":17886.91,"d":"$17,886.91"},{"v":0,"d":"$0.00"},{"v":17886.91,"d":"$17,886.91"},{"v":17826.91,"d":"$17,826.91"},{"v":60,"d":"$60.00"},"B","Y",0,0,1,"R","4436615","OPTUM PHARMACY 705 LLC"]
["21865M","0010107519E              ","MBRP00000429174","000304218843","2021-04-12","00074204202","SKYRIZI PSKT 75.000",-1,84,{"v":-17886.91,"d":"-$17,886.91"},{"v":0,"d":"$0.00"},{"v":-17886.91,"d":"-$17,886.91"},{"v":-17826.91,"d":"-$17,826.91"},{"v":-60,"d":"-$60.00"},"B","Y",0,0,1,"R","4436615","OPTUM PHARMACY 705 LLC"]
["21865M","0010151421E              ","MBRP00000429066","000000688025","2021-04-12","00074003828","ORILISSA TABS 150.000",28,28,{"v":957.08,"d":"$957.08"},{"v":0.59,"d":"$0.59"},{"v":957.67,"d":"$957.67"},{"v":922.67,"d":"$922.67"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3679668","CVS PHARMACY #02385 02385"]
["21865M","0010061932E              ","MBRP00000418049","000000663986","2021-04-12","00054327099","FLUTICASONE PR SUSP 50.000",48,90,{"v":23.34,"d":"$23.34"},{"v":0,"d":"$0.00"},{"v":23.34,"d":"$23.34"},{"v":8.34,"d":"$8.34"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3679668","CVS PHARMACY #02385 02385"]
["21865M","0010153601E              ","MBRP00000430974","000001059053","2021-04-12","00406012301","HYDROCODONE BI TABS 0.000",40,7,{"v":4.74,"d":"$4.74"},{"v":0.59,"d":"$0.59"},{"v":5.33,"d":"$5.33"},{"v":0.33,"d":"$0.33"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659488","DISCOUNT DRUG MART 46"]
["21865M","0010153601E              ","MBRP00000430974","000001059053","2021-04-12","00406012301","HYDROCODONE BI TABS 0.000",-40,7,{"v":-4.74,"d":"-$4.74"},{"v":-0.59,"d":"-$0.59"},{"v":-5.33,"d":"-$5.33"},{"v":-0.33,"d":"-$0.33"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3659488","DISCOUNT DRUG MART 46"]
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["21865M","0010084270E              ","MBRP00000422365","000000807134","2021-04-12","00378668899","PANTOPRAZOLE S TBEC 20.000",90,90,{"v":7.9,"d":"$7.90"},{"v":0,"d":"$0.00"},{"v":7.9,"d":"$7.90"},{"v":0,"d":"$0.00"},{"v":7.9,"d":"$7.90"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
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["21865M","0010084071E              ","MBRP00000422235","000304184655","2021-04-12","69097042112","CELECOXIB CAPS 200.000",90,90,{"v":76.53,"d":"$76.53"},{"v":0,"d":"$0.00"},{"v":76.53,"d":"$76.53"},{"v":66.53,"d":"$66.53"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010006064E              ","MBRP00000422380","000005022642","2021-04-12","68462039610","OMEPRAZOLE CPDR 20.000",30,15,{"v":2.59,"d":"$2.59"},{"v":0.59,"d":"$0.59"},{"v":3.18,"d":"$3.18"},{"v":0,"d":"$0.00"},{"v":3.18,"d":"$3.18"},"G","N",0,0,0,"R","3643271","MEDICINE CENTER PHARMACY"]
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["21865M","0010084104E              ","MBRP00000309890","000000897281","2021-04-12","39423044048","FLORAJEN DIGES CAPS 0.000",-30,30,{"v":-11.1,"d":"-$11.10"},{"v":-0.59,"d":"-$0.59"},{"v":-11.69,"d":"-$11.69"},{"v":0,"d":"$0.00"},{"v":-11.69,"d":"-$11.69"},"B","N",0,0,1,"R","3651850","RITE AID PHARMACY 02390"]
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["21865M","0010136843E              ","MBRP00000429284","000006769267","2021-04-12","42571016142","AMOXICILLIN/CL TABS 0.000",20,10,{"v":5.57,"d":"$5.57"},{"v":0.59,"d":"$0.59"},{"v":6.16,"d":"$6.16"},{"v":1.16,"d":"$1.16"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010061932E              ","MBRP00000418049","000000663983","2021-04-12","31722070530","VALACYCLOVIR H TABS 1.000",90,90,{"v":164.83,"d":"$164.83"},{"v":0,"d":"$0.00"},{"v":164.83,"d":"$164.83"},{"v":149.83,"d":"$149.83"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3679668","CVS PHARMACY #02385 02385"]
["21865M","0010046098E              ","MBRP00000422352","000000570487","2021-04-12","31722071030","SILDENAFIL CIT TABS 50.000",6,30,{"v":3.18,"d":"$3.18"},{"v":0.5,"d":"$0.50"},{"v":3.68,"d":"$3.68"},{"v":0,"d":"$0.00"},{"v":3.68,"d":"$3.68"},"G","N",0,0,0,"R","3672791","AULTMAN EMPLOYEE PHARMACY"]
["21865M","0010006070E              ","MBRP00000417888","000000575497","2021-04-12","31722071390","PANTOPRAZOLE S TBEC 40.000",-60,60,{"v":-5.92,"d":"-$5.92"},{"v":-0.5,"d":"-$0.50"},{"v":-6.42,"d":"-$6.42"},{"v":0,"d":"$0.00"},{"v":-6.42,"d":"-$6.42"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","0010006070E              ","MBRP00000417888","000000575497","2021-04-12","31722071390","PANTOPRAZOLE S TBEC 40.000",60,60,{"v":5.92,"d":"$5.92"},{"v":0.5,"d":"$0.50"},{"v":6.42,"d":"$6.42"},{"v":0,"d":"$0.00"},{"v":6.42,"d":"$6.42"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","0010006070E              ","MBRP00000417888","000000575497","2021-04-12","31722071390","PANTOPRAZOLE S TBEC 40.000",60,60,{"v":5.92,"d":"$5.92"},{"v":0.5,"d":"$0.50"},{"v":6.42,"d":"$6.42"},{"v":0,"d":"$0.00"},{"v":6.42,"d":"$6.42"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","0010006055E              ","MBRP00000417907","000006743353","2021-04-12","50228017505","BUPROPION HYDR TB12 150.000",90,90,{"v":40.66,"d":"$40.66"},{"v":0,"d":"$0.00"},{"v":40.66,"d":"$40.66"},{"v":25.66,"d":"$25.66"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010084320E              ","MBRP00000417892","000304207722","2021-04-12","43598051090","ESOMEPRAZOLE M CPDR 40.000",90,90,{"v":123.35,"d":"$123.35"},{"v":0,"d":"$0.00"},{"v":123.35,"d":"$123.35"},{"v":113.35,"d":"$113.35"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3155137","OPTUMRX PHARMACY 700, LLC"]
["21865M","0010084320E              ","MBRP00000417892","000304207722","2021-04-12","43598051090","ESOMEPRAZOLE M CPDR 40.000",-90,90,{"v":-123.35,"d":"-$123.35"},{"v":0,"d":"$0.00"},{"v":-123.35,"d":"-$123.35"},{"v":-113.35,"d":"-$113.35"},{"v":-10,"d":"-$10.00"},"G","N",0,0,0,"M","3155137","OPTUMRX PHARMACY 700, LLC"]
["21865M","0010084320E              ","MBRP00000417892","000304207722","2021-04-12","43598051090","ESOMEPRAZOLE M CPDR 40.000",90,90,{"v":123.35,"d":"$123.35"},{"v":0,"d":"$0.00"},{"v":123.35,"d":"$123.35"},{"v":113.35,"d":"$113.35"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3155137","OPTUMRX PHARMACY 700, LLC"]
["21865M","0010084077E              ","MBRP00000440333","000304160320","2021-04-12","43598051090","ESOMEPRAZOLE M CPDR 40.000",180,90,{"v":246.7,"d":"$246.70"},{"v":0,"d":"$0.00"},{"v":246.7,"d":"$246.70"},{"v":236.7,"d":"$236.70"},{"v":10,"d":"$10.00"},"G","N",0,1,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010084077E              ","MBRP00000440333","000304160320","2021-04-12","43598051090","ESOMEPRAZOLE M CPDR 40.000",-180,90,{"v":-246.7,"d":"-$246.70"},{"v":0,"d":"$0.00"},{"v":-246.7,"d":"-$246.70"},{"v":-236.7,"d":"-$236.70"},{"v":-10,"d":"-$10.00"},"G","N",0,1,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010084077E              ","MBRP00000440333","000304160320","2021-04-12","43598051090","ESOMEPRAZOLE M CPDR 40.000",180,90,{"v":246.7,"d":"$246.70"},{"v":0,"d":"$0.00"},{"v":246.7,"d":"$246.70"},{"v":236.7,"d":"$236.70"},{"v":10,"d":"$10.00"},"G","N",0,1,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010064744E              ","MBRP00000422384","000000560012","2021-04-12","53885027210","ONETOUCH VERIO STRP 0.000",900,90,{"v":588.86,"d":"$588.86"},{"v":0,"d":"$0.00"},{"v":588.86,"d":"$588.86"},{"v":528.86,"d":"$528.86"},{"v":60,"d":"$60.00"},"B","N",0,0,1,"R","3687615","FULTON DRUGS"]
["21865M","0010084270E              ","MBRP00000422365","000000807133","2021-04-12","55111012105","ATORVASTATIN C TABS 10.000",90,90,{"v":8.89,"d":"$8.89"},{"v":0,"d":"$0.00"},{"v":8.89,"d":"$8.89"},{"v":0,"d":"$0.00"},{"v":8.89,"d":"$8.89"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010080376E              ","MBRP00000418098","000001051761","2021-04-13","67877021901","CEPHALEXIN CAPS 500.000",40,10,{"v":6.06,"d":"$6.06"},{"v":0.59,"d":"$0.59"},{"v":6.65,"d":"$6.65"},{"v":1.65,"d":"$1.65"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010145537E              ","MBRP00000429117","000000149679","2021-04-13","65862050320","AMOXICILLIN/CL TABS 0.000",-20,10,{"v":-12.14,"d":"-$12.14"},{"v":-0.59,"d":"-$0.59"},{"v":-12.73,"d":"-$12.73"},{"v":-7.73,"d":"-$7.73"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3686043","CVS PHARMACY # 17729 17729"]
["21865M","0010145537E              ","MBRP00000429117","000000149679","2021-04-13","65862050320","AMOXICILLIN/CL TABS 0.000",20,10,{"v":12.14,"d":"$12.14"},{"v":0.59,"d":"$0.59"},{"v":12.73,"d":"$12.73"},{"v":7.73,"d":"$7.73"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3686043","CVS PHARMACY # 17729 17729"]
["21865M","0010145537E              ","MBRP00000429117","000000149679","2021-04-13","65862050320","AMOXICILLIN/CL TABS 0.000",20,10,{"v":12.14,"d":"$12.14"},{"v":0.59,"d":"$0.59"},{"v":12.73,"d":"$12.73"},{"v":7.73,"d":"$7.73"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3686043","CVS PHARMACY # 17729 17729"]
["21865M","0010084271E              ","MBRP00000417869","000000586930","2021-04-13","60505257809","ATORVASTATIN C TABS 10.000",-30,30,{"v":-2.96,"d":"-$2.96"},{"v":-0.59,"d":"-$0.59"},{"v":-3.55,"d":"-$3.55"},{"v":0,"d":"$0.00"},{"v":-3.55,"d":"-$3.55"},"G","N",0,0,0,"R","3648485","RITE AID PHARMACY 03198"]
["21865M","0010084271E              ","MBRP00000417869","000000586930","2021-04-13","60505257809","ATORVASTATIN C TABS 10.000",30,30,{"v":2.96,"d":"$2.96"},{"v":0.59,"d":"$0.59"},{"v":3.55,"d":"$3.55"},{"v":0,"d":"$0.00"},{"v":3.55,"d":"$3.55"},"G","N",0,0,0,"R","3648485","RITE AID PHARMACY 03198"]
["21865M","0010084271E              ","MBRP00000417869","000000586930","2021-04-13","60505257809","ATORVASTATIN C TABS 10.000",30,30,{"v":2.96,"d":"$2.96"},{"v":0.59,"d":"$0.59"},{"v":3.55,"d":"$3.55"},{"v":0,"d":"$0.00"},{"v":3.55,"d":"$3.55"},"G","N",0,0,0,"R","3648485","RITE AID PHARMACY 03198"]
["21865M","0010139961E              ","MBRP00000417950","000001291147","2021-04-13","60505015801","BUPROPION HYDR TABS 75.000",30,30,{"v":17.47,"d":"$17.47"},{"v":0.59,"d":"$0.59"},{"v":18.06,"d":"$18.06"},{"v":13.06,"d":"$13.06"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010139961E              ","MBRP00000417950","000001291147","2021-04-13","60505015801","BUPROPION HYDR TABS 75.000",30,30,{"v":17.47,"d":"$17.47"},{"v":0.59,"d":"$0.59"},{"v":18.06,"d":"$18.06"},{"v":13.06,"d":"$13.06"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010139961E              ","MBRP00000417950","000001291147","2021-04-13","60505015801","BUPROPION HYDR TABS 75.000",-30,30,{"v":-17.47,"d":"-$17.47"},{"v":-0.59,"d":"-$0.59"},{"v":-18.06,"d":"-$18.06"},{"v":-13.06,"d":"-$13.06"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010149153E              ","MBRP00000429319","000002371882","2021-04-13","00002882427","HUMULIN R U-50 SOPN 500.000",24,39,{"v":2255.64,"d":"$2,255.64"},{"v":0.59,"d":"$0.59"},{"v":2256.23,"d":"$2,256.23"},{"v":2196.23,"d":"$2,196.23"},{"v":60,"d":"$60.00"},"B","N",0,0,1,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010149153E              ","MBRP00000429319","000002371882","2021-04-13","00002882427","HUMULIN R U-50 SOPN 500.000",-24,39,{"v":-2255.64,"d":"-$2,255.64"},{"v":-0.59,"d":"-$0.59"},{"v":-2256.23,"d":"-$2,256.23"},{"v":-2196.23,"d":"-$2,196.23"},{"v":-60,"d":"-$60.00"},"B","N",0,0,1,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010107519E              ","MBRP00000429174","000304218843","2021-04-13","00074204202","SKYRIZI PSKT 75.000",-1,84,{"v":-17886.91,"d":"-$17,886.91"},{"v":0,"d":"$0.00"},{"v":-17886.91,"d":"-$17,886.91"},{"v":-17826.91,"d":"-$17,826.91"},{"v":-60,"d":"-$60.00"},"B","Y",0,0,1,"R","4436615","OPTUM PHARMACY 705 LLC"]
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["21865M","0010107519E              ","MBRP00000429174","000304218843","2021-04-13","00074204202","SKYRIZI PSKT 75.000",-1,84,{"v":-17886.91,"d":"-$17,886.91"},{"v":0,"d":"$0.00"},{"v":-17886.91,"d":"-$17,886.91"},{"v":-17826.91,"d":"-$17,826.91"},{"v":-60,"d":"-$60.00"},"B","Y",0,0,1,"R","4436615","OPTUM PHARMACY 705 LLC"]
["21865M","0010107519E              ","MBRP00000429174","000304218843","2021-04-13","00074204202","SKYRIZI PSKT 75.000",-1,84,{"v":-17886.91,"d":"-$17,886.91"},{"v":0,"d":"$0.00"},{"v":-17886.91,"d":"-$17,886.91"},{"v":-17826.91,"d":"-$17,826.91"},{"v":-60,"d":"-$60.00"},"B","Y",0,0,1,"R","4436615","OPTUM PHARMACY 705 LLC"]
["21865M","0010107519E              ","MBRP00000429174","000304218843","2021-04-13","00074204202","SKYRIZI PSKT 75.000",1,84,{"v":17886.91,"d":"$17,886.91"},{"v":0,"d":"$0.00"},{"v":17886.91,"d":"$17,886.91"},{"v":17826.91,"d":"$17,826.91"},{"v":60,"d":"$60.00"},"B","Y",0,0,1,"R","4436615","OPTUM PHARMACY 705 LLC"]
["21865M","0010130459E              ","MBRP00000429156","000002558144","2021-04-13","00143314250","DOXYCYCLINE HY CAPS 100.000",20,10,{"v":4.33,"d":"$4.33"},{"v":0.59,"d":"$0.59"},{"v":4.92,"d":"$4.92"},{"v":0,"d":"$0.00"},{"v":4.92,"d":"$4.92"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010084098E              ","MBRP00000422246","000000575642","2021-04-13","00113041687","GOODSENSE ASPI TABS 325.000",28,14,{"v":0.18,"d":"$0.18"},{"v":0.5,"d":"$0.50"},{"v":0.68,"d":"$0.68"},{"v":0.68,"d":"$0.68"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","0010084196E              ","MBRP00000417829","000007027548","2021-04-13","00093505998","ATORVASTATIN C TABS 20.000",-90,90,{"v":-8.79,"d":"-$8.79"},{"v":0,"d":"$0.00"},{"v":-8.79,"d":"-$8.79"},{"v":0,"d":"$0.00"},{"v":-8.79,"d":"-$8.79"},"G","N",0,0,0,"R","3662865","WALMART PHARMACY 10-2361 102361"]
["21865M","0010084196E              ","MBRP00000417829","000007027548","2021-04-13","00093505998","ATORVASTATIN C TABS 20.000",90,90,{"v":8.79,"d":"$8.79"},{"v":0,"d":"$0.00"},{"v":8.79,"d":"$8.79"},{"v":0,"d":"$0.00"},{"v":8.79,"d":"$8.79"},"G","N",0,0,0,"R","3662865","WALMART PHARMACY 10-2361 102361"]
["21865M","0010084196E              ","MBRP00000417829","000007027548","2021-04-13","00093505998","ATORVASTATIN C TABS 20.000",90,90,{"v":8.79,"d":"$8.79"},{"v":0,"d":"$0.00"},{"v":8.79,"d":"$8.79"},{"v":0,"d":"$0.00"},{"v":8.79,"d":"$8.79"},"G","N",0,0,0,"R","3662865","WALMART PHARMACY 10-2361 102361"]
["21865M","0010084077E              ","MBRP00000440332","000001059195","2021-04-13","00172572860","FAMOTIDINE TABS 20.000",30,15,{"v":2.38,"d":"$2.38"},{"v":0.59,"d":"$0.59"},{"v":2.97,"d":"$2.97"},{"v":0,"d":"$0.00"},{"v":2.97,"d":"$2.97"},"G","N",0,0,0,"R","3659488","DISCOUNT DRUG MART 46"]
["21865M","0010084077E              ","MBRP00000440332","000001059195","2021-04-13","00172572860","FAMOTIDINE TABS 20.000",-30,15,{"v":-2.38,"d":"-$2.38"},{"v":-0.59,"d":"-$0.59"},{"v":-2.97,"d":"-$2.97"},{"v":0,"d":"$0.00"},{"v":-2.97,"d":"-$2.97"},"G","N",0,0,0,"R","3659488","DISCOUNT DRUG MART 46"]
["21865M","0010084077E              ","MBRP00000440332","000001059195","2021-04-13","00172572860","FAMOTIDINE TABS 20.000",30,15,{"v":2.38,"d":"$2.38"},{"v":0.59,"d":"$0.59"},{"v":2.97,"d":"$2.97"},{"v":0,"d":"$0.00"},{"v":2.97,"d":"$2.97"},"G","N",0,0,0,"R","3659488","DISCOUNT DRUG MART 46"]
["21865M","0010085209E              ","MBRP00000429140","000001774665","2021-04-13","68180063509","ATORVASTATIN C TABS 10.000",30,30,{"v":2.96,"d":"$2.96"},{"v":0.59,"d":"$0.59"},{"v":3.55,"d":"$3.55"},{"v":0,"d":"$0.00"},{"v":3.55,"d":"$3.55"},"G","N",0,0,0,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","0010084267E              ","MBRP00000417867","000002034481","2021-04-13","68992301003","ENVARSUS XR TB24 1.000",90,30,{"v":530.64,"d":"$530.64"},{"v":0,"d":"$0.00"},{"v":530.64,"d":"$530.64"},{"v":113.64,"d":"$113.64"},{"v":417,"d":"$417.00"},"B","Y",0,0,1,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010151692E              ","MBRP00000417835","000001925110","2021-04-13","68462039610","OMEPRAZOLE CPDR 20.000",30,30,{"v":2.59,"d":"$2.59"},{"v":0.59,"d":"$0.59"},{"v":3.18,"d":"$3.18"},{"v":0,"d":"$0.00"},{"v":3.18,"d":"$3.18"},"G","N",0,0,0,"R","3665784","WALGREENS #4776 4776"]
["21865M","0010151692E              ","MBRP00000417835","000001925110","2021-04-13","68462039610","OMEPRAZOLE CPDR 20.000",-30,30,{"v":-2.59,"d":"-$2.59"},{"v":-0.59,"d":"-$0.59"},{"v":-3.18,"d":"-$3.18"},{"v":0,"d":"$0.00"},{"v":-3.18,"d":"-$3.18"},"G","N",0,0,0,"R","3665784","WALGREENS #4776 4776"]
["21865M","0010151692E              ","MBRP00000417835","000001925110","2021-04-13","68462039610","OMEPRAZOLE CPDR 20.000",30,30,{"v":2.59,"d":"$2.59"},{"v":0.59,"d":"$0.59"},{"v":3.18,"d":"$3.18"},{"v":0,"d":"$0.00"},{"v":3.18,"d":"$3.18"},"G","N",0,0,0,"R","3665784","WALGREENS #4776 4776"]
["21865M","0010141535E              ","MBRP00000429262","000001167687","2021-04-13","00597014860","JENTADUETO TABS 0.000",60,30,{"v":476.76,"d":"$476.76"},{"v":0.59,"d":"$0.59"},{"v":477.35,"d":"$477.35"},{"v":457.35,"d":"$457.35"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010153605E              ","MBRP00000430797","000001682099","2021-04-13","11917004815","INSULIN SYRING MISC 0.000",-200,33,{"v":-32.72,"d":"-$32.72"},{"v":-0.59,"d":"-$0.59"},{"v":-33.31,"d":"-$33.31"},{"v":0,"d":"$0.00"},{"v":-33.31,"d":"-$33.31"},"B","N",0,0,1,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010153605E              ","MBRP00000430797","000001682099","2021-04-13","11917004815","INSULIN SYRING MISC 0.000",200,33,{"v":32.72,"d":"$32.72"},{"v":0.59,"d":"$0.59"},{"v":33.31,"d":"$33.31"},{"v":0,"d":"$0.00"},{"v":33.31,"d":"$33.31"},"B","N",0,0,1,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010153605E              ","MBRP00000430797","000001682099","2021-04-13","11917004815","INSULIN SYRING MISC 0.000",200,33,{"v":32.72,"d":"$32.72"},{"v":0.59,"d":"$0.59"},{"v":33.31,"d":"$33.31"},{"v":0,"d":"$0.00"},{"v":33.31,"d":"$33.31"},"B","N",0,0,1,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010084332E              ","MBRP00000422117","000002491711","2021-04-13","16714008401","SPIRONOLACTONE TABS 25.000",90,90,{"v":8.16,"d":"$8.16"},{"v":0,"d":"$0.00"},{"v":8.16,"d":"$8.16"},{"v":0,"d":"$0.00"},{"v":8.16,"d":"$8.16"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010084332E              ","MBRP00000422117","000002491711","2021-04-13","16714008401","SPIRONOLACTONE TABS 25.000",-90,90,{"v":-8.16,"d":"-$8.16"},{"v":0,"d":"$0.00"},{"v":-8.16,"d":"-$8.16"},{"v":0,"d":"$0.00"},{"v":-8.16,"d":"-$8.16"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010084104E              ","MBRP00000309890","000000897281","2021-04-13","39423044048","FLORAJEN DIGES CAPS 0.000",-30,30,{"v":-11.1,"d":"-$11.10"},{"v":-0.59,"d":"-$0.59"},{"v":-11.69,"d":"-$11.69"},{"v":0,"d":"$0.00"},{"v":-11.69,"d":"-$11.69"},"B","N",0,0,1,"R","3651850","RITE AID PHARMACY 02390"]
["21865M","0010084104E              ","MBRP00000309890","000000897281","2021-04-13","39423044048","FLORAJEN DIGES CAPS 0.000",30,30,{"v":11.1,"d":"$11.10"},{"v":0.59,"d":"$0.59"},{"v":11.69,"d":"$11.69"},{"v":0,"d":"$0.00"},{"v":11.69,"d":"$11.69"},"B","N",0,0,1,"R","3651850","RITE AID PHARMACY 02390"]
["21865M","0010084104E              ","MBRP00000309890","000000897281","2021-04-13","39423044048","FLORAJEN DIGES CAPS 0.000",30,30,{"v":11.1,"d":"$11.10"},{"v":0.59,"d":"$0.59"},{"v":11.69,"d":"$11.69"},{"v":0,"d":"$0.00"},{"v":11.69,"d":"$11.69"},"B","N",0,0,1,"R","3651850","RITE AID PHARMACY 02390"]
["21865M","0010084104E              ","MBRP00000309890","000000897281","2021-04-13","39423044048","FLORAJEN DIGES CAPS 0.000",-30,30,{"v":-11.1,"d":"-$11.10"},{"v":-0.59,"d":"-$0.59"},{"v":-11.69,"d":"-$11.69"},{"v":0,"d":"$0.00"},{"v":-11.69,"d":"-$11.69"},"B","N",0,0,1,"R","3651850","RITE AID PHARMACY 02390"]
["21865M","0010137643E              ","MBRP00000417935","000000763995","2021-04-13","00173071920","FLOVENT HFA AERO 110.000",-12,30,{"v":-261.09,"d":"-$261.09"},{"v":-0.59,"d":"-$0.59"},{"v":-261.68,"d":"-$261.68"},{"v":-241.68,"d":"-$241.68"},{"v":-20,"d":"-$20.00"},"B","N",0,0,1,"R","3679632","CVS PHARMACY #08248 08248"]
["21865M","0010137643E              ","MBRP00000417935","000000763995","2021-04-13","00173071920","FLOVENT HFA AERO 110.000",12,30,{"v":261.09,"d":"$261.09"},{"v":0.59,"d":"$0.59"},{"v":261.68,"d":"$261.68"},{"v":241.68,"d":"$241.68"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3679632","CVS PHARMACY #08248 08248"]
["21865M","0010150770E              ","MBRP00000312836","000000828715","2021-04-13","00093317431","ALBUTEROL SULF AERS 108.000",8.5,16,{"v":28.52,"d":"$28.52"},{"v":0.59,"d":"$0.59"},{"v":29.11,"d":"$29.11"},{"v":24.11,"d":"$24.11"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3679606","CVS PHARMACY #02063 02063"]
["21865M","0010150770E              ","MBRP00000312836","000000828715","2021-04-13","00093317431","ALBUTEROL SULF AERS 108.000",-8.5,16,{"v":-28.52,"d":"-$28.52"},{"v":-0.59,"d":"-$0.59"},{"v":-29.11,"d":"-$29.11"},{"v":-24.11,"d":"-$24.11"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3679606","CVS PHARMACY #02063 02063"]
["21865M","0010129084E              ","MBRP00000430988","000007350885","2021-04-13","00054981729","PREDNISONE TABS 10.000",40,16,{"v":5.8,"d":"$5.80"},{"v":0.59,"d":"$0.59"},{"v":6.39,"d":"$6.39"},{"v":1.39,"d":"$1.39"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3666356","GIANT EAGLE PHARMACY #1620 1620"]
["21865M","0010129084E              ","MBRP00000430988","000007350885","2021-04-13","00054981729","PREDNISONE TABS 10.000",40,16,{"v":5.8,"d":"$5.80"},{"v":0.59,"d":"$0.59"},{"v":6.39,"d":"$6.39"},{"v":1.39,"d":"$1.39"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3666356","GIANT EAGLE PHARMACY #1620 1620"]
["21865M","0010129084E              ","MBRP00000430988","000007350885","2021-04-13","00054981729","PREDNISONE TABS 10.000",-40,16,{"v":-5.8,"d":"-$5.80"},{"v":-0.59,"d":"-$0.59"},{"v":-6.39,"d":"-$6.39"},{"v":-1.39,"d":"-$1.39"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3666356","GIANT EAGLE PHARMACY #1620 1620"]
["21865M","0010129084E              ","MBRP00000430988","000007350885","2021-04-13","00054981729","PREDNISONE TABS 10.000",40,16,{"v":5.8,"d":"$5.80"},{"v":0.59,"d":"$0.59"},{"v":6.39,"d":"$6.39"},{"v":1.39,"d":"$1.39"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3666356","GIANT EAGLE PHARMACY #1620 1620"]
["21865M","0010129084E              ","MBRP00000430988","000007350885","2021-04-13","00054981729","PREDNISONE TABS 10.000",-40,16,{"v":-5.8,"d":"-$5.80"},{"v":-0.59,"d":"-$0.59"},{"v":-6.39,"d":"-$6.39"},{"v":-1.39,"d":"-$1.39"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3666356","GIANT EAGLE PHARMACY #1620 1620"]
["21865M","0010123358E              ","MBRP00000430919","000001044981","2021-04-13","16714036004","MONO-LINYAH TABS 0.000",28,28,{"v":26.82,"d":"$26.82"},{"v":0.59,"d":"$0.59"},{"v":27.41,"d":"$27.41"},{"v":27.41,"d":"$27.41"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3658626","RITE AID PHARMACY 03468"]
["21865M","0010133459E              ","MBRP00000285221","000001467087","2021-04-13","13668001101","CITALOPRAM HYD TABS 40.000",30,30,{"v":9.79,"d":"$9.79"},{"v":0.59,"d":"$0.59"},{"v":10.38,"d":"$10.38"},{"v":5.38,"d":"$5.38"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010085209E              ","MBRP00000429140","000001787959","2021-04-13","16729013401","ALLOPURINOL TABS 100.000",60,30,{"v":9.1,"d":"$9.10"},{"v":0.59,"d":"$0.59"},{"v":9.69,"d":"$9.69"},{"v":4.69,"d":"$4.69"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","0010130459E              ","MBRP00000429156","000002558143","2021-04-13","68462019005","NAPROXEN TABS 500.000",60,30,{"v":7.72,"d":"$7.72"},{"v":0.59,"d":"$0.59"},{"v":8.31,"d":"$8.31"},{"v":3.31,"d":"$3.31"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010084336E              ","MBRP00000417895","000000581152","2021-04-13","65862086001","FAMOTIDINE TABS 40.000",60,30,{"v":8.9,"d":"$8.90"},{"v":0.59,"d":"$0.59"},{"v":9.49,"d":"$9.49"},{"v":4.49,"d":"$4.49"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648485","RITE AID PHARMACY 03198"]
["21865M","0010084336E              ","MBRP00000417895","000000581152","2021-04-13","65862086001","FAMOTIDINE TABS 40.000",-60,30,{"v":-8.9,"d":"-$8.90"},{"v":-0.59,"d":"-$0.59"},{"v":-9.49,"d":"-$9.49"},{"v":-4.49,"d":"-$4.49"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3648485","RITE AID PHARMACY 03198"]
["21865M","0010084336E              ","MBRP00000417895","000000581152","2021-04-13","65862086001","FAMOTIDINE TABS 40.000",60,30,{"v":8.9,"d":"$8.90"},{"v":0.59,"d":"$0.59"},{"v":9.49,"d":"$9.49"},{"v":4.49,"d":"$4.49"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648485","RITE AID PHARMACY 03198"]
["21865M","0010148853E              ","MBRP00000440188","000000733188","2021-04-13","65862007701","CIPROFLOXACIN  TABS 500.000",20,10,{"v":4.77,"d":"$4.77"},{"v":0.59,"d":"$0.59"},{"v":5.36,"d":"$5.36"},{"v":0.36,"d":"$0.36"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3679668","CVS PHARMACY #02385 02385"]
["21865M","0010084337E              ","MBRP00000440306","000001180667","2021-04-13","67877056105","METFORMIN HYDR TABS 500.000",180,90,{"v":6.16,"d":"$6.16"},{"v":0,"d":"$0.00"},{"v":6.16,"d":"$6.16"},{"v":0,"d":"$0.00"},{"v":6.16,"d":"$6.16"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010150770E              ","MBRP00000312836","000000828717","2021-04-13","45802068028","LEVOCETIRIZINE SOLN 2.500",-150,30,{"v":-76.56,"d":"-$76.56"},{"v":-0.59,"d":"-$0.59"},{"v":-77.15,"d":"-$77.15"},{"v":-72.15,"d":"-$72.15"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3679606","CVS PHARMACY #02063 02063"]
["21865M","0010150770E              ","MBRP00000312836","000000828717","2021-04-13","45802068028","LEVOCETIRIZINE SOLN 2.500",150,30,{"v":76.56,"d":"$76.56"},{"v":0.59,"d":"$0.59"},{"v":77.15,"d":"$77.15"},{"v":72.15,"d":"$72.15"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3679606","CVS PHARMACY #02063 02063"]
["21865M","0010085209E              ","MBRP00000429140","000001783286","2021-04-13","43547035610","LISINOPRIL TABS 40.000",30,30,{"v":3.03,"d":"$3.03"},{"v":0.59,"d":"$0.59"},{"v":3.62,"d":"$3.62"},{"v":0,"d":"$0.00"},{"v":3.62,"d":"$3.62"},"G","N",0,0,0,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","0010085209E              ","MBRP00000429140","000001774665","2021-04-13","42571017290","ATORVASTATIN C TABS 10.000",30,30,{"v":2.96,"d":"$2.96"},{"v":0.59,"d":"$0.59"},{"v":3.55,"d":"$3.55"},{"v":0,"d":"$0.00"},{"v":3.55,"d":"$3.55"},"G","N",0,0,0,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","0010085209E              ","MBRP00000429140","000001774665","2021-04-13","42571017290","ATORVASTATIN C TABS 10.000",-30,30,{"v":-2.96,"d":"-$2.96"},{"v":-0.59,"d":"-$0.59"},{"v":-3.55,"d":"-$3.55"},{"v":0,"d":"$0.00"},{"v":-3.55,"d":"-$3.55"},"G","N",0,0,0,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","0010116983E              ","MBRP00000430894","000000880044","2021-04-13","31722017301","METHYLPHENIDAT TABS 5.000",60,30,{"v":11.73,"d":"$11.73"},{"v":0.59,"d":"$0.59"},{"v":12.32,"d":"$12.32"},{"v":7.32,"d":"$7.32"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010130459E              ","MBRP00000429156","000002558145","2021-04-13","29300016910","TIZANIDINE HYD TABS 4.000",20,20,{"v":2.75,"d":"$2.75"},{"v":0.59,"d":"$0.59"},{"v":3.34,"d":"$3.34"},{"v":0,"d":"$0.00"},{"v":3.34,"d":"$3.34"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010141535E              ","MBRP00000429262","000001135286","2021-04-13","27241009903","DULOXETINE HYD CPEP 60.000",90,90,{"v":50.27,"d":"$50.27"},{"v":0,"d":"$0.00"},{"v":50.27,"d":"$50.27"},{"v":35.27,"d":"$35.27"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010153625E              ","MBRP00000430819","000002584116","2021-04-13","31722072250","LEVOFLOXACIN TABS 500.000",-14,14,{"v":-5.48,"d":"-$5.48"},{"v":-0.59,"d":"-$0.59"},{"v":-6.07,"d":"-$6.07"},{"v":-1.07,"d":"-$1.07"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010153625E              ","MBRP00000430819","000002584116","2021-04-13","31722072250","LEVOFLOXACIN TABS 500.000",14,14,{"v":5.48,"d":"$5.48"},{"v":0.59,"d":"$0.59"},{"v":6.07,"d":"$6.07"},{"v":1.07,"d":"$1.07"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010153625E              ","MBRP00000430819","000002584116","2021-04-13","31722072250","LEVOFLOXACIN TABS 500.000",14,14,{"v":5.48,"d":"$5.48"},{"v":0.59,"d":"$0.59"},{"v":6.07,"d":"$6.07"},{"v":1.07,"d":"$1.07"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010153625E              ","MBRP00000430819","000002584116","2021-04-13","31722072250","LEVOFLOXACIN TABS 500.000",-14,14,{"v":-5.48,"d":"-$5.48"},{"v":-0.59,"d":"-$0.59"},{"v":-6.07,"d":"-$6.07"},{"v":-1.07,"d":"-$1.07"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010153625E              ","MBRP00000430819","000002584116","2021-04-13","31722072250","LEVOFLOXACIN TABS 500.000",14,14,{"v":5.48,"d":"$5.48"},{"v":0.59,"d":"$0.59"},{"v":6.07,"d":"$6.07"},{"v":1.07,"d":"$1.07"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010084271E              ","MBRP00000417869","000000589466","2021-04-13","64380073706","VITAMIN D CAPS 50000.000",4,28,{"v":4.1,"d":"$4.10"},{"v":0.59,"d":"$0.59"},{"v":4.69,"d":"$4.69"},{"v":0,"d":"$0.00"},{"v":4.69,"d":"$4.69"},"G","N",0,0,0,"R","3648485","RITE AID PHARMACY 03198"]
["21865M","0010099565E              ","MBRP00000440319","000001180342","2021-04-13","52268001201","SUPREP BOWEL P SOLN 0.000",354,1,{"v":103.96,"d":"$103.96"},{"v":0.59,"d":"$0.59"},{"v":104.55,"d":"$104.55"},{"v":69.55,"d":"$69.55"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010099565E              ","MBRP00000440319","000001180342","2021-04-13","52268001201","SUPREP BOWEL P SOLN 0.000",-354,1,{"v":-103.96,"d":"-$103.96"},{"v":-0.59,"d":"-$0.59"},{"v":-104.55,"d":"-$104.55"},{"v":-69.55,"d":"-$69.55"},{"v":-35,"d":"-$35.00"},"B","N",0,0,9,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010099565E              ","MBRP00000440319","000001180342","2021-04-13","52268001201","SUPREP BOWEL P SOLN 0.000",354,1,{"v":103.96,"d":"$103.96"},{"v":0.59,"d":"$0.59"},{"v":104.55,"d":"$104.55"},{"v":69.55,"d":"$69.55"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010139955E              ","MBRP00000422207","000008828403","2021-04-13","54838055840","CHILDRENS LORA SOLN 5.000",240,24,{"v":12.7,"d":"$12.70"},{"v":0.59,"d":"$0.59"},{"v":13.29,"d":"$13.29"},{"v":8.29,"d":"$8.29"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3658436","WALMART PHARMACY 10-1927 101927"]
["21865M","0010084271E              ","MBRP00000417869","000000589466","2021-04-13","64380073706","VITAMIN D CAPS 50000.000",4,28,{"v":4.1,"d":"$4.10"},{"v":0.59,"d":"$0.59"},{"v":4.69,"d":"$4.69"},{"v":0,"d":"$0.00"},{"v":4.69,"d":"$4.69"},"G","N",0,0,0,"R","3648485","RITE AID PHARMACY 03198"]
["21865M","0010084271E              ","MBRP00000417869","000000589466","2021-04-13","64380073706","VITAMIN D CAPS 50000.000",-4,28,{"v":-4.1,"d":"-$4.10"},{"v":-0.59,"d":"-$0.59"},{"v":-4.69,"d":"-$4.69"},{"v":0,"d":"$0.00"},{"v":-4.69,"d":"-$4.69"},"G","N",0,0,0,"R","3648485","RITE AID PHARMACY 03198"]
["21865M","0010095975E              ","MBRP00000424963","000008941760","2021-04-13","68180072003","AMLODIPINE BES TABS 5.000",90,90,{"v":3.14,"d":"$3.14"},{"v":0,"d":"$0.00"},{"v":3.14,"d":"$3.14"},{"v":0,"d":"$0.00"},{"v":3.14,"d":"$3.14"},"G","N",0,0,0,"R","3676256","CVS PHARMACY #17411 17411"]
["21865M","0010135249E              ","MBRP00000429058","000001662266","2021-04-13","59267100002","PFIZER-BIONTEC SUSP 30.000",0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":28.39,"d":"$28.39"},{"v":28.39,"d":"$28.39"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3606184","CVS PHARMACY #03358 03358"]
["21865M","0010084332E              ","MBRP00000422117","000002491711","2021-04-13","59746021601","SPIRONOLACTONE TABS 25.000",90,90,{"v":8.16,"d":"$8.16"},{"v":0,"d":"$0.00"},{"v":8.16,"d":"$8.16"},{"v":0,"d":"$0.00"},{"v":8.16,"d":"$8.16"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010114653E              ","MBRP00000415599","000006240932","2021-04-13","16729004417","ATORVASTATIN C TABS 10.000",90,90,{"v":8.89,"d":"$8.89"},{"v":0,"d":"$0.00"},{"v":8.89,"d":"$8.89"},{"v":0,"d":"$0.00"},{"v":8.89,"d":"$8.89"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010093541E              ","MBRP00000440024","000001290978","2021-04-13","17478083005","LOTEPREDNOL ET GEL  0.500",5,30,{"v":178.69,"d":"$178.69"},{"v":0.59,"d":"$0.59"},{"v":179.28,"d":"$179.28"},{"v":174.28,"d":"$174.28"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010139955E              ","MBRP00000422207","000008828404","2021-04-13","17478071710","KETOTIFEN FUMA SOLN 0.025",5,19,{"v":8.65,"d":"$8.65"},{"v":0.59,"d":"$0.59"},{"v":9.24,"d":"$9.24"},{"v":4.24,"d":"$4.24"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3658436","WALMART PHARMACY 10-1927 101927"]
["21865M","0010153599E              ","MBRP00000430840","000006210759","2021-04-13","23155010210","METFORMIN HYDR TABS 500.000",180,90,{"v":4.75,"d":"$4.75"},{"v":0,"d":"$0.00"},{"v":4.75,"d":"$4.75"},{"v":0,"d":"$0.00"},{"v":4.75,"d":"$4.75"},"G","N",0,0,0,"R","3639804","MERCY PROFESSIONAL PHARMACY"]
["21865M","0010153599E              ","MBRP00000430840","000006210759","2021-04-13","23155010210","METFORMIN HYDR TABS 500.000",180,90,{"v":4.75,"d":"$4.75"},{"v":0,"d":"$0.00"},{"v":4.75,"d":"$4.75"},{"v":0,"d":"$0.00"},{"v":4.75,"d":"$4.75"},"G","N",0,0,0,"R","3639804","CLEVELAND CLINIC MERCY PROFESSIO"]
["21865M","0010153599E              ","MBRP00000430840","000006210759","2021-04-13","23155010210","METFORMIN HYDR TABS 500.000",-180,90,{"v":-4.75,"d":"-$4.75"},{"v":0,"d":"$0.00"},{"v":-4.75,"d":"-$4.75"},{"v":0,"d":"$0.00"},{"v":-4.75,"d":"-$4.75"},"G","N",0,0,0,"R","3639804","CLEVELAND CLINIC MERCY PROFESSIO"]
["21865M","AC09102985100","MBRP00000345661","000001446410","2021-04-13","16714040604","LARIN FE 1/20 TABS 0.000",28,28,{"v":23.46,"d":"$23.46"},{"v":0.59,"d":"$0.59"},{"v":24.05,"d":"$24.05"},{"v":24.05,"d":"$24.05"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010132958E              ","MBRP00000440157","000000741939","2021-04-13","00527150437","AMPHETAMINE/DE TABS 0.000",30,30,{"v":19.96,"d":"$19.96"},{"v":0.59,"d":"$0.59"},{"v":20.55,"d":"$20.55"},{"v":15.55,"d":"$15.55"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010031903E              ","MBRP00000430941","000007280836","2021-04-13","00093505898","ATORVASTATIN C TABS 40.000",30,30,{"v":12.34,"d":"$12.34"},{"v":0.59,"d":"$0.59"},{"v":12.93,"d":"$12.93"},{"v":7.93,"d":"$7.93"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3673387","WALMART PHARMACY 10-5410 105410"]
["21865M","0010152041E              ","MBRP00000422311","000000931431","2021-04-13","00185084201","AMPHETAMINE/DE TABS 0.000",30,30,{"v":19.96,"d":"$19.96"},{"v":0.59,"d":"$0.59"},{"v":20.55,"d":"$20.55"},{"v":15.55,"d":"$15.55"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3650670","CVS PHARMACY #04802 04802"]
["21865M","0010143168E              ","MBRP00000440277","000001228257","2021-04-13","00074929690","SYNTHROID TABS 112.000",30,30,{"v":40.13,"d":"$40.13"},{"v":0.59,"d":"$0.59"},{"v":40.72,"d":"$40.72"},{"v":20.72,"d":"$20.72"},{"v":20,"d":"$20.00"},"B","N",0,2,1,"R","3666320","WALGREENS #4983 4983"]
["21865M","0010153151E              ","MBRP00000429228","000002558097","2021-04-13","68462018801","NAPROXEN TABS 250.000",-60,30,{"v":-7.16,"d":"-$7.16"},{"v":-0.59,"d":"-$0.59"},{"v":-7.75,"d":"-$7.75"},{"v":-2.75,"d":"-$2.75"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010153151E              ","MBRP00000429228","000002558097","2021-04-13","68462018801","NAPROXEN TABS 250.000",6,3,{"v":0.72,"d":"$0.72"},{"v":0.59,"d":"$0.59"},{"v":1.31,"d":"$1.31"},{"v":0,"d":"$0.00"},{"v":1.31,"d":"$1.31"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010153151E              ","MBRP00000429228","000002558097","2021-04-13","68462018801","NAPROXEN TABS 250.000",60,30,{"v":7.16,"d":"$7.16"},{"v":0.59,"d":"$0.59"},{"v":7.75,"d":"$7.75"},{"v":2.75,"d":"$2.75"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010153151E              ","MBRP00000429228","000002558097","2021-04-13","68462018801","NAPROXEN TABS 250.000",60,30,{"v":7.16,"d":"$7.16"},{"v":0.59,"d":"$0.59"},{"v":7.75,"d":"$7.75"},{"v":2.75,"d":"$2.75"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010153151E              ","MBRP00000429228","000002558097","2021-04-13","68462018801","NAPROXEN TABS 250.000",-6,3,{"v":-0.72,"d":"-$0.72"},{"v":-0.59,"d":"-$0.59"},{"v":-1.31,"d":"-$1.31"},{"v":0,"d":"$0.00"},{"v":-1.31,"d":"-$1.31"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010080376E              ","MBRP00000418098","000001051763","2021-04-13","65162046510","IBUPROFEN TABS 600.000",28,7,{"v":0.97,"d":"$0.97"},{"v":0.59,"d":"$0.59"},{"v":1.56,"d":"$1.56"},{"v":0,"d":"$0.00"},{"v":1.56,"d":"$1.56"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010062960E              ","MBRP00000422131","000006425025","2021-04-13","50111078810","AZITHROMYCIN TABS 500.000",3,3,{"v":3.63,"d":"$3.63"},{"v":0.59,"d":"$0.59"},{"v":4.22,"d":"$4.22"},{"v":0,"d":"$0.00"},{"v":4.22,"d":"$4.22"},"G","N",0,0,0,"R","3648930","MARCS 14"]
["21865M","0010129084E              ","MBRP00000430988","000007350887","2021-04-13","00173089310","TRELEGY ELLIPT AEPB 0.000",-60,60,{"v":-591.07,"d":"-$591.07"},{"v":-0.59,"d":"-$0.59"},{"v":-591.66,"d":"-$591.66"},{"v":-531.66,"d":"-$531.66"},{"v":-60,"d":"-$60.00"},"B","N",0,0,1,"R","3666356","GIANT EAGLE PHARMACY #1620 1620"]
["21865M","0010129084E              ","MBRP00000430988","000007350887","2021-04-13","00173089310","TRELEGY ELLIPT AEPB 0.000",60,60,{"v":591.07,"d":"$591.07"},{"v":0.59,"d":"$0.59"},{"v":591.66,"d":"$591.66"},{"v":531.66,"d":"$531.66"},{"v":60,"d":"$60.00"},"B","N",0,0,1,"R","3666356","GIANT EAGLE PHARMACY #1620 1620"]
["21865M","0010129084E              ","MBRP00000430988","000007350887","2021-04-13","00173089310","TRELEGY ELLIPT AEPB 0.000",60,30,{"v":591.07,"d":"$591.07"},{"v":0.59,"d":"$0.59"},{"v":591.66,"d":"$591.66"},{"v":571.66,"d":"$571.66"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3666356","GIANT EAGLE PHARMACY #1620 1620"]
["21865M","0010129084E              ","MBRP00000430988","000007350887","2021-04-13","00173089310","TRELEGY ELLIPT AEPB 0.000",-60,30,{"v":-591.07,"d":"-$591.07"},{"v":-0.59,"d":"-$0.59"},{"v":-591.66,"d":"-$591.66"},{"v":-571.66,"d":"-$571.66"},{"v":-20,"d":"-$20.00"},"B","N",0,0,1,"R","3666356","GIANT EAGLE PHARMACY #1620 1620"]
["21865M","0010129084E              ","MBRP00000430988","000007350887","2021-04-13","00173089310","TRELEGY ELLIPT AEPB 0.000",60,30,{"v":591.07,"d":"$591.07"},{"v":0.59,"d":"$0.59"},{"v":591.66,"d":"$591.66"},{"v":571.66,"d":"$571.66"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3666356","GIANT EAGLE PHARMACY #1620 1620"]
["21865M","0010084270E              ","MBRP00000422368","000000807526","2021-04-13","00406012305","HYDROCODONE/AC TABS 0.000",20,7,{"v":2.37,"d":"$2.37"},{"v":0.59,"d":"$0.59"},{"v":2.96,"d":"$2.96"},{"v":0,"d":"$0.00"},{"v":2.96,"d":"$2.96"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010061932E              ","MBRP00000418049","000000721425","2021-04-13","00093747243","RIZATRIPTAN BE TABS 10.000",9,15,{"v":10.95,"d":"$10.95"},{"v":0.59,"d":"$0.59"},{"v":11.54,"d":"$11.54"},{"v":6.54,"d":"$6.54"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3679668","CVS PHARMACY #02385 02385"]
["21865M","0010110145E              ","MBRP00000440025","000303990597","2021-04-13","00003218851","ORENCIA CLICKJ SOAJ 125.000",4,28,{"v":4644.83,"d":"$4,644.83"},{"v":0,"d":"$0.00"},{"v":4644.83,"d":"$4,644.83"},{"v":4624.83,"d":"$4,624.83"},{"v":20,"d":"$20.00"},"B","Y",0,0,1,"R","3338969","OPTUMRX PHARMACY 706, INC."]
["21865M","0010110145E              ","MBRP00000440025","000303990597","2021-04-13","00003218851","ORENCIA CLICKJ SOAJ 125.000",-4,28,{"v":-4644.83,"d":"-$4,644.83"},{"v":0,"d":"$0.00"},{"v":-4644.83,"d":"-$4,644.83"},{"v":-4624.83,"d":"-$4,624.83"},{"v":-20,"d":"-$20.00"},"B","Y",0,0,1,"R","3338969","OPTUMRX PHARMACY 706, INC."]
["21865M","0010143168E              ","MBRP00000440279","000001306818","2021-04-13","52817018000","CLONIDINE HYDR TABS 0.100",30,30,{"v":1.31,"d":"$1.31"},{"v":0.59,"d":"$0.59"},{"v":1.9,"d":"$1.90"},{"v":0,"d":"$0.00"},{"v":1.9,"d":"$1.90"},"G","N",0,0,0,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010143168E              ","MBRP00000440279","000001306818","2021-04-13","52817018000","CLONIDINE HYDR TABS 0.100",-30,30,{"v":-1.31,"d":"-$1.31"},{"v":-0.59,"d":"-$0.59"},{"v":-1.9,"d":"-$1.90"},{"v":0,"d":"$0.00"},{"v":-1.9,"d":"-$1.90"},"G","N",0,0,0,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010143168E              ","MBRP00000440279","000001306818","2021-04-13","52817018000","CLONIDINE HYDR TABS 0.100",30,30,{"v":1.31,"d":"$1.31"},{"v":0.59,"d":"$0.59"},{"v":1.9,"d":"$1.90"},{"v":0,"d":"$0.00"},{"v":1.9,"d":"$1.90"},"G","N",0,0,0,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010141535E              ","MBRP00000429262","000001167686","2021-04-13","65862051430","PIOGLITAZONE H TABS 45.000",30,30,{"v":5.75,"d":"$5.75"},{"v":0.59,"d":"$0.59"},{"v":6.34,"d":"$6.34"},{"v":1.34,"d":"$1.34"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010149310E              ","MBRP00000437322","000304269038","2021-04-13","65162046935","ELURYNG RING 0.000",3,84,{"v":418.1,"d":"$418.10"},{"v":0,"d":"$0.00"},{"v":418.1,"d":"$418.10"},{"v":418.1,"d":"$418.10"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010139615E              ","MBRP00000440109","000006423641","2021-04-13","80777027399","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3648930","MARCS 14"]
["21865M","0010139615E              ","MBRP00000440109","000006423641","2021-04-13","80777027399","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":28.39,"d":"$28.39"},{"v":28.39,"d":"$28.39"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3648930","MARCS 14"]
["21865M","0010139615E              ","MBRP00000440109","000006423641","2021-04-13","80777027399","MODERNA COVID- SUSP 100.000",-0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3648930","MARCS 14"]
["21865M","AC00110170000","MBRP00000462506","000001065510","2021-04-13","80777027399","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":16.94,"d":"$16.94"},{"v":16.94,"d":"$16.94"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3651874","RITE AID PHARMACY 02392"]
["21865M","AC00110170000","MBRP00000462506","000001065510","2021-04-13","80777027399","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":16.94,"d":"$16.94"},{"v":16.94,"d":"$16.94"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3651874","RITE AID PHARMACY 02392"]
["21865M","AC00110170000","MBRP00000462506","000001065510","2021-04-13","80777027399","MODERNA COVID- SUSP 100.000",-0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":-16.94,"d":"-$16.94"},{"v":-16.94,"d":"-$16.94"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3651874","RITE AID PHARMACY 02392"]
["21865M","0010084174E              ","MBRP00000424726","000000077688","2021-04-13","80777027399","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":16.94,"d":"$16.94"},{"v":16.94,"d":"$16.94"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3684316","GENOA HEALTHCARE, LLC 20075"]
["21865M","0010052586E              ","MBRP00000398481","000002860343","2021-04-13","70710115803","LEFLUNOMIDE TABS 20.000",30,30,{"v":97.97,"d":"$97.97"},{"v":0.59,"d":"$0.59"},{"v":98.56,"d":"$98.56"},{"v":93.56,"d":"$93.56"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010052586E              ","MBRP00000398481","000002860343","2021-04-13","70710115803","LEFLUNOMIDE TABS 20.000",-30,30,{"v":-97.97,"d":"-$97.97"},{"v":-0.59,"d":"-$0.59"},{"v":-98.56,"d":"-$98.56"},{"v":-93.56,"d":"-$93.56"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010133459E              ","MBRP00000285221","000001467088","2021-04-13","13668001001","CITALOPRAM HYD TABS 20.000",-30,30,{"v":-9.32,"d":"-$9.32"},{"v":-0.59,"d":"-$0.59"},{"v":-9.91,"d":"-$9.91"},{"v":-4.91,"d":"-$4.91"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010133459E              ","MBRP00000285221","000001467088","2021-04-13","13668001001","CITALOPRAM HYD TABS 20.000",30,30,{"v":9.32,"d":"$9.32"},{"v":0.59,"d":"$0.59"},{"v":9.91,"d":"$9.91"},{"v":4.91,"d":"$4.91"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010133459E              ","MBRP00000285221","000001467089","2021-04-13","13668001001","CITALOPRAM HYD TABS 20.000",-30,30,{"v":-9.32,"d":"-$9.32"},{"v":-0.59,"d":"-$0.59"},{"v":-9.91,"d":"-$9.91"},{"v":-4.91,"d":"-$4.91"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010133459E              ","MBRP00000285221","000001467089","2021-04-13","13668001001","CITALOPRAM HYD TABS 20.000",30,30,{"v":9.32,"d":"$9.32"},{"v":0.59,"d":"$0.59"},{"v":9.91,"d":"$9.91"},{"v":4.91,"d":"$4.91"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010133459E              ","MBRP00000285221","000001467089","2021-04-13","13668001001","CITALOPRAM HYD TABS 20.000",90,90,{"v":27.97,"d":"$27.97"},{"v":0,"d":"$0.00"},{"v":27.97,"d":"$27.97"},{"v":12.97,"d":"$12.97"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010062960E              ","MBRP00000422131","000006425023","2021-04-13","00430042014","LO LOESTRIN FE TABS 0.000",28,28,{"v":152.36,"d":"$152.36"},{"v":0.59,"d":"$0.59"},{"v":152.95,"d":"$152.95"},{"v":117.95,"d":"$117.95"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3648930","MARCS 14"]
["21865M","0010084267E              ","MBRP00000417867","000002037785","2021-04-13","16729009401","MYCOPHENOLATE  CAPS 250.000",240,30,{"v":282.47,"d":"$282.47"},{"v":0,"d":"$0.00"},{"v":282.47,"d":"$282.47"},{"v":277.47,"d":"$277.47"},{"v":5,"d":"$5.00"},"G","Y",0,0,0,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010084267E              ","MBRP00000417867","000002037785","2021-04-13","16729009401","MYCOPHENOLATE  CAPS 250.000",-240,30,{"v":-282.47,"d":"-$282.47"},{"v":0,"d":"$0.00"},{"v":-282.47,"d":"-$282.47"},{"v":-277.47,"d":"-$277.47"},{"v":-5,"d":"-$5.00"},"G","Y",0,0,0,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010084267E              ","MBRP00000417867","000002037785","2021-04-13","16729009401","MYCOPHENOLATE  CAPS 250.000",240,30,{"v":282.47,"d":"$282.47"},{"v":0,"d":"$0.00"},{"v":282.47,"d":"$282.47"},{"v":277.47,"d":"$277.47"},{"v":5,"d":"$5.00"},"G","Y",0,0,0,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010114653E              ","MBRP00000415599","000006240933","2021-04-13","68180098003","LISINOPRIL TABS 10.000",90,90,{"v":3.65,"d":"$3.65"},{"v":0,"d":"$0.00"},{"v":3.65,"d":"$3.65"},{"v":0,"d":"$0.00"},{"v":3.65,"d":"$3.65"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010148853E              ","MBRP00000440188","000000733189","2021-04-13","50111033401","METRONIDAZOLE TABS 500.000",30,10,{"v":5.72,"d":"$5.72"},{"v":0.59,"d":"$0.59"},{"v":6.31,"d":"$6.31"},{"v":1.31,"d":"$1.31"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3679668","CVS PHARMACY #02385 02385"]
["21865M","0010151692E              ","MBRP00000417835","000001934459","2021-04-13","45963067711","METOPROLOL SUC TB24 100.000",-90,90,{"v":-53.36,"d":"-$53.36"},{"v":0,"d":"$0.00"},{"v":-53.36,"d":"-$53.36"},{"v":-38.36,"d":"-$38.36"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3665784","WALGREENS #4776 4776"]
["21865M","0010151692E              ","MBRP00000417835","000001934459","2021-04-13","45963067711","METOPROLOL SUC TB24 100.000",90,90,{"v":53.36,"d":"$53.36"},{"v":0,"d":"$0.00"},{"v":53.36,"d":"$53.36"},{"v":38.36,"d":"$38.36"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3665784","WALGREENS #4776 4776"]
["21865M","0010151692E              ","MBRP00000417835","000001934459","2021-04-13","45963067711","METOPROLOL SUC TB24 100.000",90,90,{"v":53.36,"d":"$53.36"},{"v":0,"d":"$0.00"},{"v":53.36,"d":"$53.36"},{"v":38.36,"d":"$38.36"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3665784","WALGREENS #4776 4776"]
["21865M","0010149153E              ","MBRP00000429318","000002371852","2021-04-13","47335076683","PALIPERIDONE E TB24 6.000",2,1,{"v":30.77,"d":"$30.77"},{"v":0.59,"d":"$0.59"},{"v":31.36,"d":"$31.36"},{"v":26.36,"d":"$26.36"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010141535E              ","MBRP00000429262","000001151681","2021-04-13","43547035410","LISINOPRIL TABS 20.000",90,90,{"v":4.53,"d":"$4.53"},{"v":0,"d":"$0.00"},{"v":4.53,"d":"$4.53"},{"v":0,"d":"$0.00"},{"v":4.53,"d":"$4.53"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010005833E              ","MBRP00000430908","000002045495","2021-04-14","00002144511","TALTZ SOAJ 80.000",1,28,{"v":5878.81,"d":"$5,878.81"},{"v":0,"d":"$0.00"},{"v":5878.81,"d":"$5,878.81"},{"v":5738.81,"d":"$5,738.81"},{"v":140,"d":"$140.00"},"B","Y",0,0,9,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","AC00110019300","MBRP00000422617","000001505494","2021-04-14","00116200116","CHLORHEXIDINE  SOLN 0.120",473,15,{"v":4.05,"d":"$4.05"},{"v":0.59,"d":"$0.59"},{"v":4.64,"d":"$4.64"},{"v":0,"d":"$0.00"},{"v":4.64,"d":"$4.64"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010144447E              ","MBRP00000430850","000000704120","2021-04-14","00115166003","PROPRANOLOL HY TABS 20.000",180,90,{"v":58.85,"d":"$58.85"},{"v":0,"d":"$0.00"},{"v":58.85,"d":"$58.85"},{"v":43.85,"d":"$43.85"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","AC00110019300","MBRP00000422617","000001505487","2021-04-14","00143924920","AMOXICILLIN/CL TABS 0.000",20,10,{"v":12.14,"d":"$12.14"},{"v":0.59,"d":"$0.59"},{"v":12.73,"d":"$12.73"},{"v":7.73,"d":"$7.73"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","AC00109278200","MBRP00000290704","000001278829","2021-04-14","00378668999","PANTOPRAZOLE S TBEC 40.000",30,30,{"v":3.11,"d":"$3.11"},{"v":0.59,"d":"$0.59"},{"v":3.7,"d":"$3.70"},{"v":0,"d":"$0.00"},{"v":3.7,"d":"$3.70"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010139575E              ","MBRP00000430854","000000899172","2021-04-14","51672530200","CICLOPIROX NAI SOLN 8.000",6.6,30,{"v":24.04,"d":"$24.04"},{"v":0.5,"d":"$0.50"},{"v":24.54,"d":"$24.54"},{"v":19.54,"d":"$19.54"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606211","DARTMOUTH PHARMACY"]
["21865M","0010153668E              ","MBRP00000430826","000000674129","2021-04-14","55111015810","OMEPRAZOLE CPDR 20.000",-90,90,{"v":-7.77,"d":"-$7.77"},{"v":0,"d":"$0.00"},{"v":-7.77,"d":"-$7.77"},{"v":0,"d":"$0.00"},{"v":-7.77,"d":"-$7.77"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010153668E              ","MBRP00000430826","000000674129","2021-04-14","55111015810","OMEPRAZOLE CPDR 20.000",90,90,{"v":7.77,"d":"$7.77"},{"v":0,"d":"$0.00"},{"v":7.77,"d":"$7.77"},{"v":0,"d":"$0.00"},{"v":7.77,"d":"$7.77"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010153668E              ","MBRP00000430826","000000674129","2021-04-14","55111015810","OMEPRAZOLE CPDR 20.000",90,90,{"v":7.77,"d":"$7.77"},{"v":0,"d":"$0.00"},{"v":7.77,"d":"$7.77"},{"v":0,"d":"$0.00"},{"v":7.77,"d":"$7.77"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010050682E              ","MBRP00000440151","000001003026","2021-04-14","60505082901","FLUTICASONE PR SUSP 50.000",48,90,{"v":23.34,"d":"$23.34"},{"v":0,"d":"$0.00"},{"v":23.34,"d":"$23.34"},{"v":8.34,"d":"$8.34"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3627873","MEDICINE CENTER OF CANTON"]
["21865M","0010052586E              ","MBRP00000398481","000002860343","2021-04-14","70710115803","LEFLUNOMIDE TABS 20.000",30,30,{"v":97.97,"d":"$97.97"},{"v":0.59,"d":"$0.59"},{"v":98.56,"d":"$98.56"},{"v":93.56,"d":"$93.56"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010005971E              ","MBRP00000454575","000006720232","2021-04-14","80777027399","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":16.94,"d":"$16.94"},{"v":16.94,"d":"$16.94"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3674151","GIANT EAGLE PHARMACY #4152 4152"]
["21865M","0010084332E              ","MBRP00000422117","000002584573","2021-04-14","76385011401","SOTALOL HYDROC TABS 80.000",225,90,{"v":73.03,"d":"$73.03"},{"v":0,"d":"$0.00"},{"v":73.03,"d":"$73.03"},{"v":58.03,"d":"$58.03"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010143689E              ","MBRP00000440305","000006883974","2021-04-14","80777027399","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":28.39,"d":"$28.39"},{"v":28.39,"d":"$28.39"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3670672","SAMS PHARMACY 10-6317 106317"]
["21865M","0010153601E              ","MBRP00000430975","000000924337","2021-04-14","80777027399","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":28.39,"d":"$28.39"},{"v":28.39,"d":"$28.39"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3651975","RITE AID PHARMACY 02401"]
["21865M","0010143689E              ","MBRP00000440304","000006883975","2021-04-14","80777027399","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":28.39,"d":"$28.39"},{"v":28.39,"d":"$28.39"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3670672","SAMS PHARMACY 10-6317 106317"]
["21865M","0010084328E              ","MBRP00000418119","000000544482","2021-04-14","16729000417","SIMVASTATIN TABS 10.000",65,65,{"v":4.31,"d":"$4.31"},{"v":0.59,"d":"$0.59"},{"v":4.9,"d":"$4.90"},{"v":0,"d":"$0.00"},{"v":4.9,"d":"$4.90"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010152622E              ","MBRP00000430913","000006730257","2021-04-14","16729000617","SIMVASTATIN TABS 40.000",-30,30,{"v":-2.96,"d":"-$2.96"},{"v":-0.59,"d":"-$0.59"},{"v":-3.55,"d":"-$3.55"},{"v":0,"d":"$0.00"},{"v":-3.55,"d":"-$3.55"},"G","N",0,0,0,"R","3669124","GIANT EAGLE PHARMACY #4034 4034"]
["21865M","0010152622E              ","MBRP00000430913","000006730257","2021-04-14","16729000617","SIMVASTATIN TABS 40.000",30,30,{"v":2.96,"d":"$2.96"},{"v":0.59,"d":"$0.59"},{"v":3.55,"d":"$3.55"},{"v":0,"d":"$0.00"},{"v":3.55,"d":"$3.55"},"G","N",0,0,0,"R","3669124","GIANT EAGLE PHARMACY #4034 4034"]
["21865M","0010152622E              ","MBRP00000430913","000006730257","2021-04-14","16729000617","SIMVASTATIN TABS 40.000",30,30,{"v":2.96,"d":"$2.96"},{"v":0.59,"d":"$0.59"},{"v":3.55,"d":"$3.55"},{"v":0,"d":"$0.00"},{"v":3.55,"d":"$3.55"},"G","N",0,0,0,"R","3669124","GIANT EAGLE PHARMACY #4034 4034"]
["21865M","0010137931E              ","MBRP00000424941","000001525922","2021-04-14","16714089803","LORATADINE TABS 10.000",30,30,{"v":2.38,"d":"$2.38"},{"v":0.59,"d":"$0.59"},{"v":2.97,"d":"$2.97"},{"v":0,"d":"$0.00"},{"v":2.97,"d":"$2.97"},"G","N",0,0,0,"R","3659832","DISCOUNT DRUG MART 50"]
["21865M","0010084214E              ","MBRP00000417836","000006696530","2021-04-14","16714011302","FLUOXETINE HYD TABS 20.000",45,30,{"v":29.42,"d":"$29.42"},{"v":0.59,"d":"$0.59"},{"v":30.01,"d":"$30.01"},{"v":25.01,"d":"$25.01"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659084","MARCS 39"]
["21865M","0010084214E              ","MBRP00000417836","000006696807","2021-04-14","16714011302","FLUOXETINE HYD TABS 20.000",45,30,{"v":29.42,"d":"$29.42"},{"v":0.59,"d":"$0.59"},{"v":30.01,"d":"$30.01"},{"v":25.01,"d":"$25.01"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659084","MARCS 39"]
["21865M","0010084214E              ","MBRP00000417836","000006696530","2021-04-14","16714011302","FLUOXETINE HYD TABS 20.000",-45,30,{"v":-29.42,"d":"-$29.42"},{"v":-0.59,"d":"-$0.59"},{"v":-30.01,"d":"-$30.01"},{"v":-25.01,"d":"-$25.01"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3659084","MARCS 39"]
["21865M","0010084214E              ","MBRP00000417836","000006696807","2021-04-14","16714011302","FLUOXETINE HYD TABS 20.000",45,30,{"v":29.42,"d":"$29.42"},{"v":0.59,"d":"$0.59"},{"v":30.01,"d":"$30.01"},{"v":25.01,"d":"$25.01"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659084","MARCS 39"]
["21865M","0010084214E              ","MBRP00000417836","000006696807","2021-04-14","16714011302","FLUOXETINE HYD TABS 20.000",-45,30,{"v":-29.42,"d":"-$29.42"},{"v":-0.59,"d":"-$0.59"},{"v":-30.01,"d":"-$30.01"},{"v":-25.01,"d":"-$25.01"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3659084","MARCS 39"]
["21865M","0010153560E              ","MBRP00000440309","000002860664","2021-04-14","00527130101","PRIMIDONE TABS 50.000",90,30,{"v":10.42,"d":"$10.42"},{"v":0.59,"d":"$0.59"},{"v":11.01,"d":"$11.01"},{"v":6.01,"d":"$6.01"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010153560E              ","MBRP00000440309","000002860664","2021-04-14","00527130101","PRIMIDONE TABS 50.000",-90,30,{"v":-10.42,"d":"-$10.42"},{"v":-0.59,"d":"-$0.59"},{"v":-11.01,"d":"-$11.01"},{"v":-6.01,"d":"-$6.01"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010083494E              ","MBRP00000424854","000002051824","2021-04-14","00527458037","METHYLPHENIDAT CPCR 20.000",30,30,{"v":141.68,"d":"$141.68"},{"v":0.59,"d":"$0.59"},{"v":142.27,"d":"$142.27"},{"v":137.27,"d":"$137.27"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3674151","GIANT EAGLE PHARMACY #4152 4152"]
["21865M","0010046098E              ","MBRP00000422353","611700133438","2021-04-14","00603254421","BUTALBITAL/ACE TABS 0.000",28,7,{"v":11.22,"d":"$11.22"},{"v":0.59,"d":"$0.59"},{"v":11.81,"d":"$11.81"},{"v":6.81,"d":"$6.81"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3658284","MEIJER PHARMACY #117 117"]
["21865M","0010070530E              ","MBRP00000430924","000000655534","2021-04-14","11534016503","FOLIC ACID TABS 1.000",30,30,{"v":1.88,"d":"$1.88"},{"v":0.59,"d":"$0.59"},{"v":2.47,"d":"$2.47"},{"v":0,"d":"$0.00"},{"v":2.47,"d":"$2.47"},"G","N",0,0,0,"R","3684722","SUMMA HEALTH BARBERTON CAMPUS RE"]
["21865M","0010134754E              ","MBRP00000429080","000001176087","2021-04-14","68462039429","ALYACEN 1/35 TABS 0.000",28,28,{"v":25.39,"d":"$25.39"},{"v":0.59,"d":"$0.59"},{"v":25.98,"d":"$25.98"},{"v":25.98,"d":"$25.98"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010152139E              ","MBRP00000422273","000000476326","2021-04-14","42806031250","DOXYCYCLINE HY TABS 100.000",-14,7,{"v":-3.47,"d":"-$3.47"},{"v":-0.59,"d":"-$0.59"},{"v":-4.06,"d":"-$4.06"},{"v":0,"d":"$0.00"},{"v":-4.06,"d":"-$4.06"},"G","N",0,0,0,"R","3670153","RITE AID PHARMACY 07712"]
["21865M","0010152139E              ","MBRP00000422273","000000476326","2021-04-14","42806031250","DOXYCYCLINE HY TABS 100.000",14,7,{"v":3.47,"d":"$3.47"},{"v":0.59,"d":"$0.59"},{"v":4.06,"d":"$4.06"},{"v":0,"d":"$0.00"},{"v":4.06,"d":"$4.06"},"G","N",0,0,0,"R","3670153","RITE AID PHARMACY 07712"]
["21865M","0010059330E              ","MBRP00000429121","000000733217","2021-04-14","23155000201","HYDRALAZINE HY TABS 25.000",180,90,{"v":13.99,"d":"$13.99"},{"v":0,"d":"$0.00"},{"v":13.99,"d":"$13.99"},{"v":0,"d":"$0.00"},{"v":13.99,"d":"$13.99"},"G","N",0,0,0,"R","3679668","CVS PHARMACY #02385 02385"]
["21865M","0010149153E              ","MBRP00000429318","000002371852","2021-04-14","47335076683","PALIPERIDONE E TB24 6.000",60,30,{"v":922.96,"d":"$922.96"},{"v":0.59,"d":"$0.59"},{"v":923.55,"d":"$923.55"},{"v":918.55,"d":"$918.55"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010149153E              ","MBRP00000429318","000002371852","2021-04-14","47335076683","PALIPERIDONE E TB24 6.000",-60,30,{"v":-922.96,"d":"-$922.96"},{"v":-0.59,"d":"-$0.59"},{"v":-923.55,"d":"-$923.55"},{"v":-918.55,"d":"-$918.55"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010149153E              ","MBRP00000429318","000002371852","2021-04-14","47335076683","PALIPERIDONE E TB24 6.000",60,30,{"v":922.96,"d":"$922.96"},{"v":0.59,"d":"$0.59"},{"v":923.55,"d":"$923.55"},{"v":918.55,"d":"$918.55"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010068607E              ","MBRP00000440076","000008876291","2021-04-14","45802001402","HYDROCORTISONE OINT 2.500",20,7,{"v":2.61,"d":"$2.61"},{"v":0.59,"d":"$0.59"},{"v":3.2,"d":"$3.20"},{"v":0,"d":"$0.00"},{"v":3.2,"d":"$3.20"},"G","N",0,0,0,"R","3662447","CVS PHARMACY #16247 16247"]
["21865M","0010070530E              ","MBRP00000430924","000000209510","2021-04-14","47781019601","OXYCODONE/ACET TABS 0.000",20,7,{"v":3.13,"d":"$3.13"},{"v":0.59,"d":"$0.59"},{"v":3.72,"d":"$3.72"},{"v":0,"d":"$0.00"},{"v":3.72,"d":"$3.72"},"G","N",0,0,0,"R","3684722","SUMMA HEALTH BARBERTON CAMPUS RE"]
["21865M","0010153672E              ","MBRP00000431032","000001672241","2021-04-14","59267100002","PFIZER-BIONTEC SUSP 30.000",0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":28.39,"d":"$28.39"},{"v":28.39,"d":"$28.39"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3606184","CVS PHARMACY #03358 03358"]
["21865M","0010062987E              ","MBRP00000429104","000006242825","2021-04-14","60505025801","DESMOPRESSIN A TABS 0.200",30,30,{"v":34.45,"d":"$34.45"},{"v":0,"d":"$0.00"},{"v":34.45,"d":"$34.45"},{"v":29.45,"d":"$29.45"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3673503","K C INSTITUTIONAL PHARMACY"]
["21865M","0010062987E              ","MBRP00000429104","000006232679","2021-04-14","00591555501","PROPRANOLOL HY TABS 20.000",62,31,{"v":20.27,"d":"$20.27"},{"v":0.59,"d":"$0.59"},{"v":20.86,"d":"$20.86"},{"v":5.86,"d":"$5.86"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3673503","K C INSTITUTIONAL PHARMACY"]
["21865M","0010070530E              ","MBRP00000430924","000000655532","2021-04-14","00904506860","MI-ACID GAS RE CHEW 80.000",60,15,{"v":1.94,"d":"$1.94"},{"v":0.59,"d":"$0.59"},{"v":2.53,"d":"$2.53"},{"v":0,"d":"$0.00"},{"v":2.53,"d":"$2.53"},"G","N",0,0,0,"R","3684722","SUMMA HEALTH BARBERTON CAMPUS RE"]
["21865M","0010079613E              ","MBRP00000422306","000002584828","2021-04-14","00228306111","AMPHETAMINE/DE CP24 0.000",30,30,{"v":35.02,"d":"$35.02"},{"v":0.59,"d":"$0.59"},{"v":35.61,"d":"$35.61"},{"v":30.61,"d":"$30.61"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010084328E              ","MBRP00000418118","000000557747","2021-04-14","68462010530","ONDANSETRON HY TABS 4.000",90,30,{"v":11.65,"d":"$11.65"},{"v":0.59,"d":"$0.59"},{"v":12.24,"d":"$12.24"},{"v":7.24,"d":"$7.24"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010084328E              ","MBRP00000418118","000000557747","2021-04-14","68462010530","ONDANSETRON HY TABS 4.000",90,30,{"v":11.65,"d":"$11.65"},{"v":0.59,"d":"$0.59"},{"v":12.24,"d":"$12.24"},{"v":7.24,"d":"$7.24"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010084328E              ","MBRP00000418118","000000557747","2021-04-14","68462010530","ONDANSETRON HY TABS 4.000",-90,30,{"v":-11.65,"d":"-$11.65"},{"v":-0.59,"d":"-$0.59"},{"v":-12.24,"d":"-$12.24"},{"v":-7.24,"d":"-$7.24"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010059330E              ","MBRP00000429121","000000733218","2021-04-14","68382024916","ATORVASTATIN C TABS 10.000",90,90,{"v":8.89,"d":"$8.89"},{"v":0,"d":"$0.00"},{"v":8.89,"d":"$8.89"},{"v":0,"d":"$0.00"},{"v":8.89,"d":"$8.89"},"G","N",0,0,0,"R","3679668","CVS PHARMACY #02385 02385"]
["21865M","0010144447E              ","MBRP00000430850","000000704121","2021-04-14","65862085901","FAMOTIDINE TABS 20.000",180,90,{"v":14.29,"d":"$14.29"},{"v":0,"d":"$0.00"},{"v":14.29,"d":"$14.29"},{"v":0,"d":"$0.00"},{"v":14.29,"d":"$14.29"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010062987E              ","MBRP00000429104","000006242179","2021-04-14","68001023900","CLONIDINE HYDR TABS 0.300",31,31,{"v":2.22,"d":"$2.22"},{"v":0.59,"d":"$0.59"},{"v":2.81,"d":"$2.81"},{"v":0,"d":"$0.00"},{"v":2.81,"d":"$2.81"},"G","N",0,0,0,"R","3673503","K C INSTITUTIONAL PHARMACY"]
["21865M","0010062987E              ","MBRP00000429104","000006235710","2021-04-14","47781064310","LEVOTHYROXINE  TABS 50.000",31,31,{"v":12.59,"d":"$12.59"},{"v":0.59,"d":"$0.59"},{"v":13.18,"d":"$13.18"},{"v":0,"d":"$0.00"},{"v":13.18,"d":"$13.18"},"G","N",0,0,0,"R","3673503","K C INSTITUTIONAL PHARMACY"]
["21865M","0010062987E              ","MBRP00000429104","000006242826","2021-04-14","45802065087","LORATADINE TABS 10.000",31,31,{"v":2.46,"d":"$2.46"},{"v":0.59,"d":"$0.59"},{"v":3.05,"d":"$3.05"},{"v":0,"d":"$0.00"},{"v":3.05,"d":"$3.05"},"G","N",0,0,0,"R","3673503","K C INSTITUTIONAL PHARMACY"]
["21865M","0010062987E              ","MBRP00000429104","000006236615","2021-04-14","55111016830","OLANZAPINE TABS 20.000",31,31,{"v":16.08,"d":"$16.08"},{"v":0.59,"d":"$0.59"},{"v":16.67,"d":"$16.67"},{"v":1.67,"d":"$1.67"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3673503","K C INSTITUTIONAL PHARMACY"]
["21865M","0010084079E              ","MBRP00000422443","000001370745","2021-04-14","00169750111","NOVOLOG SOLN 100.000",30,30,{"v":852.52,"d":"$852.52"},{"v":0.59,"d":"$0.59"},{"v":853.11,"d":"$853.11"},{"v":818.11,"d":"$818.11"},{"v":35,"d":"$35.00"},"B","N",0,1,9,"R","3652662","RITE AID PHARMACY 02456"]
["21865M","0010084079E              ","MBRP00000422443","000001370745","2021-04-14","00169750111","NOVOLOG SOLN 100.000",-30,30,{"v":-852.52,"d":"-$852.52"},{"v":-0.59,"d":"-$0.59"},{"v":-853.11,"d":"-$853.11"},{"v":-818.11,"d":"-$818.11"},{"v":-35,"d":"-$35.00"},"B","N",0,1,9,"R","3652662","RITE AID PHARMACY 02456"]
["21865M","0010139575E              ","MBRP00000430854","000000899171","2021-04-14","00574206101","CICLOPIROX GEL  0.770",100,30,{"v":52.34,"d":"$52.34"},{"v":0.5,"d":"$0.50"},{"v":52.84,"d":"$52.84"},{"v":47.84,"d":"$47.84"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606211","DARTMOUTH PHARMACY"]
["21865M","0010084328E              ","MBRP00000418118","000000557748","2021-04-14","00591079501","DICYCLOMINE HY TABS 20.000",90,30,{"v":22.06,"d":"$22.06"},{"v":0.59,"d":"$0.59"},{"v":22.65,"d":"$22.65"},{"v":17.65,"d":"$17.65"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010084328E              ","MBRP00000418118","000000557748","2021-04-14","00591079501","DICYCLOMINE HY TABS 20.000",90,30,{"v":22.06,"d":"$22.06"},{"v":0.59,"d":"$0.59"},{"v":22.65,"d":"$22.65"},{"v":17.65,"d":"$17.65"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010084328E              ","MBRP00000418118","000000557748","2021-04-14","00591079501","DICYCLOMINE HY TABS 20.000",-90,30,{"v":-22.06,"d":"-$22.06"},{"v":-0.59,"d":"-$0.59"},{"v":-22.65,"d":"-$22.65"},{"v":-17.65,"d":"-$17.65"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010122707E              ","MBRP00000429093","000000711884","2021-04-14","00591079501","DICYCLOMINE HY TABS 20.000",270,90,{"v":66.17,"d":"$66.17"},{"v":0,"d":"$0.00"},{"v":66.17,"d":"$66.17"},{"v":51.17,"d":"$51.17"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010119786E              ","MBRP00000422237","000001426233","2021-04-14","70436001004","BUPROPION HYDR TB24 150.000",30,30,{"v":25.32,"d":"$25.32"},{"v":0.59,"d":"$0.59"},{"v":25.91,"d":"$25.91"},{"v":20.91,"d":"$20.91"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010070530E              ","MBRP00000430924","000000655535","2021-04-14","67877032005","IBUPROFEN TABS 600.000",40,10,{"v":1.39,"d":"$1.39"},{"v":0.59,"d":"$0.59"},{"v":1.98,"d":"$1.98"},{"v":0,"d":"$0.00"},{"v":1.98,"d":"$1.98"},"G","N",0,0,0,"R","3684722","SUMMA HEALTH BARBERTON CAMPUS RE"]
["21865M","0010144447E              ","MBRP00000430850","000000704119","2021-04-14","65862020190","LOSARTAN POTAS TABS 25.000",90,90,{"v":4.55,"d":"$4.55"},{"v":0,"d":"$0.00"},{"v":4.55,"d":"$4.55"},{"v":0,"d":"$0.00"},{"v":4.55,"d":"$4.55"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010084328E              ","MBRP00000418118","000000557746","2021-04-14","65862072130","RABEPRAZOLE SO TBEC 20.000",-30,30,{"v":-27.09,"d":"-$27.09"},{"v":-0.59,"d":"-$0.59"},{"v":-27.68,"d":"-$27.68"},{"v":-22.68,"d":"-$22.68"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010084328E              ","MBRP00000418118","000000557746","2021-04-14","65862072130","RABEPRAZOLE SO TBEC 20.000",30,30,{"v":27.09,"d":"$27.09"},{"v":0.59,"d":"$0.59"},{"v":27.68,"d":"$27.68"},{"v":22.68,"d":"$22.68"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010084328E              ","MBRP00000418118","000000557746","2021-04-14","65862072130","RABEPRAZOLE SO TBEC 20.000",30,30,{"v":27.09,"d":"$27.09"},{"v":0.59,"d":"$0.59"},{"v":27.68,"d":"$27.68"},{"v":22.68,"d":"$22.68"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","AC00109762300","MBRP00000434038","000001294967","2021-04-14","31722072690","MONTELUKAST SO TABS 10.000",-30,30,{"v":-11.65,"d":"-$11.65"},{"v":-0.59,"d":"-$0.59"},{"v":-12.24,"d":"-$12.24"},{"v":-7.24,"d":"-$7.24"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3672638","WALGREENS #7865 7865"]
["21865M","AC00109762300","MBRP00000434038","000001294967","2021-04-14","31722072690","MONTELUKAST SO TABS 10.000",30,30,{"v":11.65,"d":"$11.65"},{"v":0.59,"d":"$0.59"},{"v":12.24,"d":"$12.24"},{"v":7.24,"d":"$7.24"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3672638","WALGREENS #7865 7865"]
["21865M","AC00110019300","MBRP00000422617","000001505492","2021-04-14","29300022701","METRONIDAZOLE TABS 500.000",40,10,{"v":7.63,"d":"$7.63"},{"v":0.59,"d":"$0.59"},{"v":8.22,"d":"$8.22"},{"v":3.22,"d":"$3.22"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010083494E              ","MBRP00000424854","000002051825","2021-04-14","57664022888","METHYLPHENIDAT TABS 5.000",60,30,{"v":11.73,"d":"$11.73"},{"v":0.59,"d":"$0.59"},{"v":12.32,"d":"$12.32"},{"v":7.32,"d":"$7.32"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3674151","GIANT EAGLE PHARMACY #4152 4152"]
["21865M","0010084041E              ","MBRP00000422132","000000739845","2021-04-14","68180047201","AMLODIPINE BES CAPS 0.000",90,90,{"v":57.32,"d":"$57.32"},{"v":0,"d":"$0.00"},{"v":57.32,"d":"$57.32"},{"v":42.32,"d":"$42.32"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010084041E              ","MBRP00000422132","000000739845","2021-04-14","68180047201","AMLODIPINE BES CAPS 0.000",-90,90,{"v":-57.32,"d":"-$57.32"},{"v":0,"d":"$0.00"},{"v":-57.32,"d":"-$57.32"},{"v":-42.32,"d":"-$42.32"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010084041E              ","MBRP00000422132","000000739845","2021-04-14","68180047201","AMLODIPINE BES CAPS 0.000",90,90,{"v":57.32,"d":"$57.32"},{"v":0,"d":"$0.00"},{"v":57.32,"d":"$57.32"},{"v":42.32,"d":"$42.32"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010115244E              ","MBRP00000424884","000000712030","2021-04-14","67877019705","AMLODIPINE BES TABS 2.500",30,30,{"v":1.02,"d":"$1.02"},{"v":0.59,"d":"$0.59"},{"v":1.61,"d":"$1.61"},{"v":0,"d":"$0.00"},{"v":1.61,"d":"$1.61"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010115244E              ","MBRP00000424884","000000712030","2021-04-14","67877019705","AMLODIPINE BES TABS 2.500",90,90,{"v":3.06,"d":"$3.06"},{"v":0,"d":"$0.00"},{"v":3.06,"d":"$3.06"},{"v":0,"d":"$0.00"},{"v":3.06,"d":"$3.06"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010115244E              ","MBRP00000424884","000000712030","2021-04-14","67877019705","AMLODIPINE BES TABS 2.500",-30,30,{"v":-1.02,"d":"-$1.02"},{"v":-0.59,"d":"-$0.59"},{"v":-1.61,"d":"-$1.61"},{"v":0,"d":"$0.00"},{"v":-1.61,"d":"-$1.61"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010153667E              ","MBRP00000431052","000009274437","2021-04-14","60505257908","ATORVASTATIN C TABS 20.000",90,90,{"v":8.37,"d":"$8.37"},{"v":0,"d":"$0.00"},{"v":8.37,"d":"$8.37"},{"v":0,"d":"$0.00"},{"v":8.37,"d":"$8.37"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010153667E              ","MBRP00000431052","000009274437","2021-04-14","60505257908","ATORVASTATIN C TABS 20.000",90,90,{"v":8.37,"d":"$8.37"},{"v":0,"d":"$0.00"},{"v":8.37,"d":"$8.37"},{"v":0,"d":"$0.00"},{"v":8.37,"d":"$8.37"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010153667E              ","MBRP00000431052","000009274437","2021-04-14","60505257908","ATORVASTATIN C TABS 20.000",-90,90,{"v":-8.37,"d":"-$8.37"},{"v":0,"d":"$0.00"},{"v":-8.37,"d":"-$8.37"},{"v":0,"d":"$0.00"},{"v":-8.37,"d":"-$8.37"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010153610E              ","MBRP00000430843","000002581361","2021-04-14","59746017206","PREDNISONE TABS 5.000",30,12,{"v":3.85,"d":"$3.85"},{"v":0.59,"d":"$0.59"},{"v":4.44,"d":"$4.44"},{"v":0,"d":"$0.00"},{"v":4.44,"d":"$4.44"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010153610E              ","MBRP00000430843","000002581361","2021-04-14","59746017206","PREDNISONE TABS 5.000",30,12,{"v":3.85,"d":"$3.85"},{"v":0.59,"d":"$0.59"},{"v":4.44,"d":"$4.44"},{"v":0,"d":"$0.00"},{"v":4.44,"d":"$4.44"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010153610E              ","MBRP00000430843","000002581361","2021-04-14","59746017206","PREDNISONE TABS 5.000",-30,12,{"v":-3.85,"d":"-$3.85"},{"v":-0.59,"d":"-$0.59"},{"v":-4.44,"d":"-$4.44"},{"v":0,"d":"$0.00"},{"v":-4.44,"d":"-$4.44"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010139944E              ","MBRP00000362939","000000586789","2021-04-14","65862001205","SERTRALINE HCL TABS 50.000",30,30,{"v":2.37,"d":"$2.37"},{"v":0.5,"d":"$0.50"},{"v":2.87,"d":"$2.87"},{"v":0,"d":"$0.00"},{"v":2.87,"d":"$2.87"},"G","N",0,0,0,"R","3672791","AULTMAN EMPLOYEE PHARMACY"]
["21865M","0010139944E              ","MBRP00000362939","000000588838","2021-04-14","65862001205","SERTRALINE HCL TABS 50.000",90,90,{"v":7.12,"d":"$7.12"},{"v":0,"d":"$0.00"},{"v":7.12,"d":"$7.12"},{"v":0,"d":"$0.00"},{"v":7.12,"d":"$7.12"},"G","N",0,0,0,"R","3672791","AULTMAN EMPLOYEE PHARMACY"]
["21865M","0010139944E              ","MBRP00000362939","000000586789","2021-04-14","65862001205","SERTRALINE HCL TABS 50.000",-30,30,{"v":-2.37,"d":"-$2.37"},{"v":-0.5,"d":"-$0.50"},{"v":-2.87,"d":"-$2.87"},{"v":0,"d":"$0.00"},{"v":-2.87,"d":"-$2.87"},"G","N",0,0,0,"R","3672791","AULTMAN EMPLOYEE PHARMACY"]
["21865M","0010143489E              ","MBRP00000290984","000007219372","2021-04-14","00487020103","IPRATROPIUM BR SOLN 0.000",360,30,{"v":42.63,"d":"$42.63"},{"v":0.59,"d":"$0.59"},{"v":43.22,"d":"$43.22"},{"v":38.22,"d":"$38.22"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","0010084203E              ","MBRP00000424756","000006739946","2021-04-14","68462050033","ZOLMITRIPTAN O TBDP 5.000",9,30,{"v":140.55,"d":"$140.55"},{"v":0.59,"d":"$0.59"},{"v":141.14,"d":"$141.14"},{"v":136.14,"d":"$136.14"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010084203E              ","MBRP00000424756","000006739946","2021-04-14","68462050033","ZOLMITRIPTAN O TBDP 5.000",-9,30,{"v":-140.55,"d":"-$140.55"},{"v":-0.59,"d":"-$0.59"},{"v":-141.14,"d":"-$141.14"},{"v":-136.14,"d":"-$136.14"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010084203E              ","MBRP00000424756","000006739946","2021-04-14","68462050033","ZOLMITRIPTAN O TBDP 5.000",9,30,{"v":140.55,"d":"$140.55"},{"v":0.59,"d":"$0.59"},{"v":141.14,"d":"$141.14"},{"v":136.14,"d":"$136.14"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010084357E              ","MBRP00000422125","000304414763","2021-04-14","69097042112","CELECOXIB CAPS 200.000",90,90,{"v":76.53,"d":"$76.53"},{"v":0,"d":"$0.00"},{"v":76.53,"d":"$76.53"},{"v":66.53,"d":"$66.53"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010054511E              ","MBRP00000429076","000001505361","2021-04-14","16714060102","SERTRALINE HCL CONC 20.000",30,30,{"v":6.87,"d":"$6.87"},{"v":0.59,"d":"$0.59"},{"v":7.46,"d":"$7.46"},{"v":2.46,"d":"$2.46"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
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["21865M","0010153616E              ","MBRP00000429316","000006769745","2021-04-14","21922001705","CLOBETASOL PRO OINT 0.050",60,30,{"v":17.05,"d":"$17.05"},{"v":0.59,"d":"$0.59"},{"v":17.64,"d":"$17.64"},{"v":12.64,"d":"$12.64"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010153616E              ","MBRP00000429316","000006769745","2021-04-14","21922001705","CLOBETASOL PRO OINT 0.050",-60,30,{"v":-17.05,"d":"-$17.05"},{"v":-0.59,"d":"-$0.59"},{"v":-17.64,"d":"-$17.64"},{"v":-12.64,"d":"-$12.64"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010153616E              ","MBRP00000429316","000006769745","2021-04-14","21922001705","CLOBETASOL PRO OINT 0.050",60,30,{"v":17.05,"d":"$17.05"},{"v":0.59,"d":"$0.59"},{"v":17.64,"d":"$17.64"},{"v":12.64,"d":"$12.64"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010153616E              ","MBRP00000429316","000006769745","2021-04-14","21922001705","CLOBETASOL PRO OINT 0.050",-60,30,{"v":-17.05,"d":"-$17.05"},{"v":-0.59,"d":"-$0.59"},{"v":-17.64,"d":"-$17.64"},{"v":-12.64,"d":"-$12.64"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
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["21865M","0010084104E              ","MBRP00000309890","000000897281","2021-04-14","39423044048","FLORAJEN DIGES CAPS 0.000",-30,30,{"v":-11.1,"d":"-$11.10"},{"v":-0.59,"d":"-$0.59"},{"v":-11.69,"d":"-$11.69"},{"v":0,"d":"$0.00"},{"v":-11.69,"d":"-$11.69"},"B","N",0,0,1,"R","3651850","RITE AID PHARMACY 02390"]
["21865M","0010050323E              ","MBRP00000424914","000001237771","2021-04-14","45963067611","METOPROLOL SUC TB24 50.000",90,90,{"v":53.36,"d":"$53.36"},{"v":0,"d":"$0.00"},{"v":53.36,"d":"$53.36"},{"v":38.36,"d":"$38.36"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3666320","WALGREENS #4983 4983"]
["21865M","0010153616E              ","MBRP00000429316","000006769745","2021-04-14","51672125902","CLOBETASOL PRO OINT 0.050",-60,30,{"v":-17.05,"d":"-$17.05"},{"v":-0.59,"d":"-$0.59"},{"v":-17.64,"d":"-$17.64"},{"v":-12.64,"d":"-$12.64"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010153616E              ","MBRP00000429316","000006769745","2021-04-14","51672125902","CLOBETASOL PRO OINT 0.050",60,30,{"v":17.05,"d":"$17.05"},{"v":0.59,"d":"$0.59"},{"v":17.64,"d":"$17.64"},{"v":12.64,"d":"$12.64"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010153616E              ","MBRP00000429316","000006769745","2021-04-14","51672125902","CLOBETASOL PRO OINT 0.050",60,30,{"v":17.05,"d":"$17.05"},{"v":0.59,"d":"$0.59"},{"v":17.64,"d":"$17.64"},{"v":12.64,"d":"$12.64"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010084060E              ","MBRP00000422436","000001692903","2021-04-15","65862042005","SULFAMETHOXAZO TABS 0.000",-10,5,{"v":-1.21,"d":"-$1.21"},{"v":-0.59,"d":"-$0.59"},{"v":-1.8,"d":"-$1.80"},{"v":0,"d":"$0.00"},{"v":-1.8,"d":"-$1.80"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010084060E              ","MBRP00000422436","000001692903","2021-04-15","65862042005","SULFAMETHOXAZO TABS 0.000",10,5,{"v":1.21,"d":"$1.21"},{"v":0.59,"d":"$0.59"},{"v":1.8,"d":"$1.80"},{"v":0,"d":"$0.00"},{"v":1.8,"d":"$1.80"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
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["21865M","0010124275E              ","MBRP00000418088","000002861029","2021-04-15","59267100001","PFIZER-BIONTEC SUSP 30.000",-0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":-16.94,"d":"-$16.94"},{"v":-16.94,"d":"-$16.94"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010126520E              ","MBRP00000440102","000001291558","2021-04-15","59267100001","PFIZER-BIONTEC SUSP 30.000",0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":16.94,"d":"$16.94"},{"v":16.94,"d":"$16.94"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010149141E              ","MBRP00000422324","000304548896","2021-04-15","60505257908","ATORVASTATIN C TABS 20.000",90,90,{"v":8.79,"d":"$8.79"},{"v":0,"d":"$0.00"},{"v":8.79,"d":"$8.79"},{"v":0,"d":"$0.00"},{"v":8.79,"d":"$8.79"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010084179E              ","MBRP00000417990","000001795949","2021-04-15","00093720198","PRAVASTATIN SO TABS 20.000",90,90,{"v":14.15,"d":"$14.15"},{"v":0,"d":"$0.00"},{"v":14.15,"d":"$14.15"},{"v":0,"d":"$0.00"},{"v":14.15,"d":"$14.15"},"G","N",0,0,0,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","0010141535E              ","MBRP00000429262","000001174207","2021-04-15","00054050823","ICOSAPENT ETHY CAPS 1.000",120,30,{"v":308.8,"d":"$308.80"},{"v":0.59,"d":"$0.59"},{"v":309.39,"d":"$309.39"},{"v":304.39,"d":"$304.39"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","AC00108619800","MBRP00000418639","000002373294","2021-04-15","69238183007","LEVOTHYROXINE  TABS 25.000",-90,90,{"v":-30.87,"d":"-$30.87"},{"v":0,"d":"$0.00"},{"v":-30.87,"d":"-$30.87"},{"v":-15.87,"d":"-$15.87"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","AC00108619800","MBRP00000418639","000002373294","2021-04-15","69238183007","LEVOTHYROXINE  TABS 25.000",90,90,{"v":30.87,"d":"$30.87"},{"v":0,"d":"$0.00"},{"v":30.87,"d":"$30.87"},{"v":15.87,"d":"$15.87"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","AC00108619800","MBRP00000418639","000002373294","2021-04-15","69238183007","LEVOTHYROXINE  TABS 25.000",90,90,{"v":30.87,"d":"$30.87"},{"v":0,"d":"$0.00"},{"v":30.87,"d":"$30.87"},{"v":15.87,"d":"$15.87"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010150177E              ","MBRP00000429296","000004095283","2021-04-15","13668000701","ZOLPIDEM TARTR TABS 5.000",-30,30,{"v":-1.02,"d":"-$1.02"},{"v":-0.59,"d":"-$0.59"},{"v":-1.61,"d":"-$1.61"},{"v":0,"d":"$0.00"},{"v":-1.61,"d":"-$1.61"},"G","N",0,0,0,"R","3669124","GIANT EAGLE PHARMACY #4034 4034"]
["21865M","0010150177E              ","MBRP00000429296","000004095283","2021-04-15","13668000701","ZOLPIDEM TARTR TABS 5.000",30,30,{"v":1.02,"d":"$1.02"},{"v":0.59,"d":"$0.59"},{"v":1.61,"d":"$1.61"},{"v":0,"d":"$0.00"},{"v":1.61,"d":"$1.61"},"G","N",0,0,0,"R","3669124","GIANT EAGLE PHARMACY #4034 4034"]
["21865M","0010150177E              ","MBRP00000429296","000004095283","2021-04-15","13668000701","ZOLPIDEM TARTR TABS 5.000",30,30,{"v":1.02,"d":"$1.02"},{"v":0.59,"d":"$0.59"},{"v":1.61,"d":"$1.61"},{"v":0,"d":"$0.00"},{"v":1.61,"d":"$1.61"},"G","N",0,0,0,"R","3669124","GIANT EAGLE PHARMACY #4034 4034"]
["21865M","0010064744E              ","MBRP00000422383","000000572441","2021-04-15","13668000810","ZOLPIDEM TARTR TABS 10.000",30,30,{"v":1.32,"d":"$1.32"},{"v":0.5,"d":"$0.50"},{"v":1.82,"d":"$1.82"},{"v":0,"d":"$0.00"},{"v":1.82,"d":"$1.82"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","0010005971E              ","MBRP00000417903","000006251737","2021-04-15","57237022505","RAMIPRIL CAPS 10.000",30,30,{"v":2.54,"d":"$2.54"},{"v":0.59,"d":"$0.59"},{"v":3.13,"d":"$3.13"},{"v":0,"d":"$0.00"},{"v":3.13,"d":"$3.13"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010120894E              ","MBRP00000429186","000006251592","2021-04-15","55111018010","TIZANIDINE HYD TABS 4.000",45,30,{"v":6.19,"d":"$6.19"},{"v":0.59,"d":"$0.59"},{"v":6.78,"d":"$6.78"},{"v":1.78,"d":"$1.78"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010084104E              ","MBRP00000309890","000000897281","2021-04-15","39423044048","FLORAJEN DIGES CAPS 0.000",-30,30,{"v":-11.1,"d":"-$11.10"},{"v":-0.59,"d":"-$0.59"},{"v":-11.69,"d":"-$11.69"},{"v":0,"d":"$0.00"},{"v":-11.69,"d":"-$11.69"},"B","N",0,0,1,"R","3651850","RITE AID PHARMACY 02390"]
["21865M","0010084104E              ","MBRP00000309890","000000897281","2021-04-15","39423044048","FLORAJEN DIGES CAPS 0.000",30,30,{"v":11.1,"d":"$11.10"},{"v":0.59,"d":"$0.59"},{"v":11.69,"d":"$11.69"},{"v":0,"d":"$0.00"},{"v":11.69,"d":"$11.69"},"B","N",0,0,1,"R","3651850","RITE AID PHARMACY 02390"]
["21865M","0010084104E              ","MBRP00000309890","000000897281","2021-04-15","39423044048","FLORAJEN DIGES CAPS 0.000",-30,30,{"v":-11.1,"d":"-$11.10"},{"v":-0.59,"d":"-$0.59"},{"v":-11.69,"d":"-$11.69"},{"v":0,"d":"$0.00"},{"v":-11.69,"d":"-$11.69"},"B","N",0,0,1,"R","3651850","RITE AID PHARMACY 02390"]
["21865M","0010084104E              ","MBRP00000309890","000000897281","2021-04-15","39423044048","FLORAJEN DIGES CAPS 0.000",30,30,{"v":11.1,"d":"$11.10"},{"v":0.59,"d":"$0.59"},{"v":11.69,"d":"$11.69"},{"v":0,"d":"$0.00"},{"v":11.69,"d":"$11.69"},"B","N",0,0,1,"R","3651850","RITE AID PHARMACY 02390"]
["21865M","0010054511E              ","MBRP00000398212","000001505713","2021-04-15","31722071390","PANTOPRAZOLE S TBEC 40.000",30,30,{"v":3.11,"d":"$3.11"},{"v":0.59,"d":"$0.59"},{"v":3.7,"d":"$3.70"},{"v":0,"d":"$0.00"},{"v":3.7,"d":"$3.70"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010054511E              ","MBRP00000398212","000001505713","2021-04-15","31722071390","PANTOPRAZOLE S TBEC 40.000",30,30,{"v":3.11,"d":"$3.11"},{"v":0.59,"d":"$0.59"},{"v":3.7,"d":"$3.70"},{"v":0,"d":"$0.00"},{"v":3.7,"d":"$3.70"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010054511E              ","MBRP00000398212","000001505713","2021-04-15","31722071390","PANTOPRAZOLE S TBEC 40.000",-30,30,{"v":-3.11,"d":"-$3.11"},{"v":-0.59,"d":"-$0.59"},{"v":-3.7,"d":"-$3.70"},{"v":0,"d":"$0.00"},{"v":-3.7,"d":"-$3.70"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010084079E              ","MBRP00000422443","000001370745","2021-04-15","00169750111","NOVOLOG SOLN 100.000",-30,30,{"v":-852.52,"d":"-$852.52"},{"v":-0.59,"d":"-$0.59"},{"v":-853.11,"d":"-$853.11"},{"v":-818.11,"d":"-$818.11"},{"v":-35,"d":"-$35.00"},"B","N",0,1,9,"R","3652662","RITE AID PHARMACY 02456"]
["21865M","0010084079E              ","MBRP00000422443","000001370745","2021-04-15","00169750111","NOVOLOG SOLN 100.000",40,27,{"v":1136.69,"d":"$1,136.69"},{"v":0.59,"d":"$0.59"},{"v":1137.28,"d":"$1,137.28"},{"v":1102.28,"d":"$1,102.28"},{"v":35,"d":"$35.00"},"B","N",0,1,9,"R","3652662","RITE AID PHARMACY 02456"]
["21865M","0010084079E              ","MBRP00000422443","000001370745","2021-04-15","00169750111","NOVOLOG SOLN 100.000",-40,27,{"v":-1136.69,"d":"-$1,136.69"},{"v":-0.59,"d":"-$0.59"},{"v":-1137.28,"d":"-$1,137.28"},{"v":-1102.28,"d":"-$1,102.28"},{"v":-35,"d":"-$35.00"},"B","N",0,1,9,"R","3652662","RITE AID PHARMACY 02456"]
["21865M","0010084079E              ","MBRP00000422443","000001370745","2021-04-15","00169750111","NOVOLOG SOLN 100.000",30,30,{"v":852.52,"d":"$852.52"},{"v":0.59,"d":"$0.59"},{"v":853.11,"d":"$853.11"},{"v":818.11,"d":"$818.11"},{"v":35,"d":"$35.00"},"B","N",0,1,9,"R","3652662","RITE AID PHARMACY 02456"]
["21865M","0010032074E              ","MBRP00000418062","000007128234","2021-04-15","00185061501","HYDROXYZINE PA CAPS 50.000",60,30,{"v":7.2,"d":"$7.20"},{"v":0.59,"d":"$0.59"},{"v":7.79,"d":"$7.79"},{"v":2.79,"d":"$2.79"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010005971E              ","MBRP00000417903","000006247589","2021-04-15","00093720210","PRAVASTATIN SO TABS 40.000",30,30,{"v":4.91,"d":"$4.91"},{"v":0.59,"d":"$0.59"},{"v":5.5,"d":"$5.50"},{"v":0.5,"d":"$0.50"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010084186E              ","MBRP00000424735","000007114923","2021-04-15","00093317431","ALBUTEROL SULF AERS 108.000",8.5,17,{"v":28.52,"d":"$28.52"},{"v":0.59,"d":"$0.59"},{"v":29.11,"d":"$29.11"},{"v":24.11,"d":"$24.11"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3644211","GIANT EAGLE PHARMACY #4060 4060"]
["21865M","0010084186E              ","MBRP00000424735","000007114923","2021-04-15","00093317431","ALBUTEROL SULF AERS 108.000",8.5,17,{"v":28.52,"d":"$28.52"},{"v":0.59,"d":"$0.59"},{"v":29.11,"d":"$29.11"},{"v":24.11,"d":"$24.11"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3644211","GIANT EAGLE PHARMACY #4060 4060"]
["21865M","0010084186E              ","MBRP00000424735","000007114923","2021-04-15","00093317431","ALBUTEROL SULF AERS 108.000",-8.5,17,{"v":-28.52,"d":"-$28.52"},{"v":-0.59,"d":"-$0.59"},{"v":-29.11,"d":"-$29.11"},{"v":-24.11,"d":"-$24.11"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3644211","GIANT EAGLE PHARMACY #4060 4060"]
["21865M","0010079085E              ","MBRP00000287887","000002861023","2021-04-15","00378808445","TRETINOIN CREA 0.100",45,21,{"v":138.5,"d":"$138.50"},{"v":0.59,"d":"$0.59"},{"v":139.09,"d":"$139.09"},{"v":134.09,"d":"$134.09"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010079085E              ","MBRP00000287887","000002861023","2021-04-15","00378808445","TRETINOIN CREA 0.100",-45,21,{"v":-138.5,"d":"-$138.50"},{"v":-0.59,"d":"-$0.59"},{"v":-139.09,"d":"-$139.09"},{"v":-134.09,"d":"-$134.09"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010079085E              ","MBRP00000287887","000002861019","2021-04-15","13668048450","MINOCYCLINE HY CAPS 100.000",60,30,{"v":57.11,"d":"$57.11"},{"v":0.59,"d":"$0.59"},{"v":57.7,"d":"$57.70"},{"v":52.7,"d":"$52.70"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010100929E              ","MBRP00000429218","000001543546","2021-04-15","23155005519","NARATRIPTAN HC TABS 2.500",9,15,{"v":31.22,"d":"$31.22"},{"v":0.59,"d":"$0.59"},{"v":31.81,"d":"$31.81"},{"v":26.81,"d":"$26.81"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659832","DISCOUNT DRUG MART 50"]
["21865M","0010084199E              ","MBRP00000417833","000007325370","2021-04-15","70436001002","BUPROPION HYDR TB24 150.000",30,30,{"v":25.32,"d":"$25.32"},{"v":0.59,"d":"$0.59"},{"v":25.91,"d":"$25.91"},{"v":20.91,"d":"$20.91"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606540","ACME PHARMACY 4"]
["21865M","0010084199E              ","MBRP00000417833","000007325370","2021-04-15","70436001002","BUPROPION HYDR TB24 150.000",-30,30,{"v":-25.32,"d":"-$25.32"},{"v":-0.59,"d":"-$0.59"},{"v":-25.91,"d":"-$25.91"},{"v":-20.91,"d":"-$20.91"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3606540","ACME PHARMACY 4"]
["21865M","0010153630E              ","MBRP00000430980","000001237988","2021-04-15","69452015120","VITAMIN D CAPS 50000.000",9,90,{"v":5.08,"d":"$5.08"},{"v":0,"d":"$0.00"},{"v":5.08,"d":"$5.08"},{"v":0,"d":"$0.00"},{"v":5.08,"d":"$5.08"},"G","N",0,0,0,"R","3666320","WALGREENS #4983 4983"]
["21865M","0010153630E              ","MBRP00000430980","000001237988","2021-04-15","69452015120","VITAMIN D CAPS 50000.000",9,90,{"v":5.08,"d":"$5.08"},{"v":0,"d":"$0.00"},{"v":5.08,"d":"$5.08"},{"v":0,"d":"$0.00"},{"v":5.08,"d":"$5.08"},"G","N",0,0,0,"R","3666320","WALGREENS #4983 4983"]
["21865M","0010153630E              ","MBRP00000430980","000001237988","2021-04-15","69452015120","VITAMIN D CAPS 50000.000",-9,90,{"v":-5.08,"d":"-$5.08"},{"v":0,"d":"$0.00"},{"v":-5.08,"d":"-$5.08"},{"v":0,"d":"$0.00"},{"v":-5.08,"d":"-$5.08"},"G","N",0,0,0,"R","3666320","WALGREENS #4983 4983"]
["21865M","0010153625E              ","MBRP00000430819","010730185778","2021-04-15","29300022701","METRONIDAZOLE TABS 500.000",14,7,{"v":2.67,"d":"$2.67"},{"v":0.59,"d":"$0.59"},{"v":3.26,"d":"$3.26"},{"v":0,"d":"$0.00"},{"v":3.26,"d":"$3.26"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010153625E              ","MBRP00000430819","000002585266","2021-04-15","29300022701","METRONIDAZOLE TABS 500.000",30,10,{"v":5.72,"d":"$5.72"},{"v":0.59,"d":"$0.59"},{"v":6.31,"d":"$6.31"},{"v":1.31,"d":"$1.31"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010153625E              ","MBRP00000430819","010730185778","2021-04-15","29300022701","METRONIDAZOLE TABS 500.000",-14,7,{"v":-2.67,"d":"-$2.67"},{"v":-0.59,"d":"-$0.59"},{"v":-3.26,"d":"-$3.26"},{"v":0,"d":"$0.00"},{"v":-3.26,"d":"-$3.26"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010153625E              ","MBRP00000430819","000002585266","2021-04-15","29300022701","METRONIDAZOLE TABS 500.000",30,10,{"v":5.72,"d":"$5.72"},{"v":0.59,"d":"$0.59"},{"v":6.31,"d":"$6.31"},{"v":1.31,"d":"$1.31"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010153625E              ","MBRP00000430819","000002585266","2021-04-15","29300022701","METRONIDAZOLE TABS 500.000",-30,10,{"v":-5.72,"d":"-$5.72"},{"v":-0.59,"d":"-$0.59"},{"v":-6.31,"d":"-$6.31"},{"v":-1.31,"d":"-$1.31"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","AC00109762300","MBRP00000434038","000001294967","2021-04-15","31722072690","MONTELUKAST SO TABS 10.000",30,30,{"v":11.65,"d":"$11.65"},{"v":0.59,"d":"$0.59"},{"v":12.24,"d":"$12.24"},{"v":7.24,"d":"$7.24"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010139932E              ","MBRP00000424821","000002101640","2021-04-15","42806016005","HYDROXYZINE HY TABS 25.000",30,10,{"v":3.91,"d":"$3.91"},{"v":0.59,"d":"$0.59"},{"v":4.5,"d":"$4.50"},{"v":0,"d":"$0.00"},{"v":4.5,"d":"$4.50"},"G","N",0,0,0,"R","3606362","CVS PHARMACY #03360 03360"]
["21865M","0010139932E              ","MBRP00000424821","000002101640","2021-04-15","42806016005","HYDROXYZINE HY TABS 25.000",30,10,{"v":3.91,"d":"$3.91"},{"v":0.59,"d":"$0.59"},{"v":4.5,"d":"$4.50"},{"v":0,"d":"$0.00"},{"v":4.5,"d":"$4.50"},"G","N",0,0,0,"R","3606362","CVS PHARMACY #03360 03360"]
["21865M","0010139932E              ","MBRP00000424821","000002101640","2021-04-15","42806016005","HYDROXYZINE HY TABS 25.000",-30,10,{"v":-3.91,"d":"-$3.91"},{"v":-0.59,"d":"-$0.59"},{"v":-4.5,"d":"-$4.50"},{"v":0,"d":"$0.00"},{"v":-4.5,"d":"-$4.50"},"G","N",0,0,0,"R","3606362","CVS PHARMACY #03360 03360"]
["21865M","0010006029E              ","MBRP00000348367","000009314660","2021-04-15","43547040011","CYCLOBENZAPRIN TABS 10.000",63,21,{"v":1.75,"d":"$1.75"},{"v":0.5,"d":"$0.50"},{"v":2.25,"d":"$2.25"},{"v":0,"d":"$0.00"},{"v":2.25,"d":"$2.25"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010124284E              ","MBRP00000424894","000001052042","2021-04-15","68180021509","LOSARTAN POTAS TABS 0.000",-30,30,{"v":-15.16,"d":"-$15.16"},{"v":-0.59,"d":"-$0.59"},{"v":-15.75,"d":"-$15.75"},{"v":-10.75,"d":"-$10.75"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010124284E              ","MBRP00000424894","000001052042","2021-04-15","68180021509","LOSARTAN POTAS TABS 0.000",30,30,{"v":15.16,"d":"$15.16"},{"v":0.59,"d":"$0.59"},{"v":15.75,"d":"$15.75"},{"v":10.75,"d":"$10.75"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010124284E              ","MBRP00000424894","000001052042","2021-04-15","68180021509","LOSARTAN POTAS TABS 0.000",30,30,{"v":15.16,"d":"$15.16"},{"v":0.59,"d":"$0.59"},{"v":15.75,"d":"$15.75"},{"v":10.75,"d":"$10.75"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010084117E              ","MBRP00000424900","000001052117","2021-04-15","67877056105","METFORMIN HYDR TABS 500.000",60,30,{"v":2.05,"d":"$2.05"},{"v":0.59,"d":"$0.59"},{"v":2.64,"d":"$2.64"},{"v":0,"d":"$0.00"},{"v":2.64,"d":"$2.64"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010153528E              ","MBRP00000410900","000000839384","2021-04-15","59762374401","CLINDAMYCIN PH LOTN 1.000",60,30,{"v":80.4,"d":"$80.40"},{"v":0.59,"d":"$0.59"},{"v":80.99,"d":"$80.99"},{"v":75.99,"d":"$75.99"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3679632","CVS PHARMACY #08248 08248"]
["21865M","0010085209E              ","MBRP00000430935","000000743345","2021-04-15","59267100002","PFIZER-BIONTEC SUSP 30.000",0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":16.94,"d":"$16.94"},{"v":16.94,"d":"$16.94"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","AC00110563400","MBRP00000468814","000000742032","2021-04-15","59267100002","PFIZER-BIONTEC SUSP 30.000",0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":16.94,"d":"$16.94"},{"v":16.94,"d":"$16.94"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","AC00107809800","MBRP00000429334","000000742067","2021-04-15","59267100002","PFIZER-BIONTEC SUSP 30.000",0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":16.94,"d":"$16.94"},{"v":16.94,"d":"$16.94"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010084188E              ","MBRP00000424740","000000743887","2021-04-15","00603459315","METHYLPREDNISO TBPK 4.000",21,6,{"v":8.57,"d":"$8.57"},{"v":0.59,"d":"$0.59"},{"v":9.16,"d":"$9.16"},{"v":4.16,"d":"$4.16"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010084188E              ","MBRP00000424740","000000743887","2021-04-15","00603459315","METHYLPREDNISO TBPK 4.000",-21,6,{"v":-8.57,"d":"-$8.57"},{"v":-0.59,"d":"-$0.59"},{"v":-9.16,"d":"-$9.16"},{"v":-4.16,"d":"-$4.16"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010084188E              ","MBRP00000424740","000000743887","2021-04-15","00603459315","METHYLPREDNISO TBPK 4.000",21,6,{"v":8.57,"d":"$8.57"},{"v":0.59,"d":"$0.59"},{"v":9.16,"d":"$9.16"},{"v":4.16,"d":"$4.16"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010054511E              ","MBRP00000398212","000001505714","2021-04-15","16714039102","CEFDINIR CAPS 300.000",14,7,{"v":9.74,"d":"$9.74"},{"v":0.59,"d":"$0.59"},{"v":10.33,"d":"$10.33"},{"v":5.33,"d":"$5.33"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010100929E              ","MBRP00000429218","000001555201","2021-04-15","00591024101","LORAZEPAM TABS 1.000",30,30,{"v":1.7,"d":"$1.70"},{"v":0.59,"d":"$0.59"},{"v":2.29,"d":"$2.29"},{"v":0,"d":"$0.00"},{"v":2.29,"d":"$2.29"},"G","N",0,0,0,"R","3659832","DISCOUNT DRUG MART 50"]
["21865M","0010150177E              ","MBRP00000429296","000006696364","2021-04-15","16729004417","ATORVASTATIN C TABS 10.000",-90,90,{"v":-8.89,"d":"-$8.89"},{"v":0,"d":"$0.00"},{"v":-8.89,"d":"-$8.89"},{"v":0,"d":"$0.00"},{"v":-8.89,"d":"-$8.89"},"G","N",0,0,0,"R","3669124","GIANT EAGLE PHARMACY #4034 4034"]
["21865M","0010150177E              ","MBRP00000429296","000006696364","2021-04-15","16729004417","ATORVASTATIN C TABS 10.000",90,90,{"v":8.89,"d":"$8.89"},{"v":0,"d":"$0.00"},{"v":8.89,"d":"$8.89"},{"v":0,"d":"$0.00"},{"v":8.89,"d":"$8.89"},"G","N",0,0,0,"R","3669124","GIANT EAGLE PHARMACY #4034 4034"]
["21865M","0010150177E              ","MBRP00000429296","000006696364","2021-04-15","16729004417","ATORVASTATIN C TABS 10.000",90,90,{"v":8.89,"d":"$8.89"},{"v":0,"d":"$0.00"},{"v":8.89,"d":"$8.89"},{"v":0,"d":"$0.00"},{"v":8.89,"d":"$8.89"},"G","N",0,0,0,"R","3669124","GIANT EAGLE PHARMACY #4034 4034"]
["21865M","0010006094E              ","MBRP00000429258","000006801269","2021-04-15","16714098801","ROSUVASTATIN C TABS 5.000",30,30,{"v":6.04,"d":"$6.04"},{"v":0.59,"d":"$0.59"},{"v":6.63,"d":"$6.63"},{"v":1.63,"d":"$1.63"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3656444","MARCS 27"]
["21865M","0010152544E              ","MBRP00000437326","000002546131","2021-04-15","00378728353","NORETHINDRONE  TABS 0.000",28,28,{"v":23.46,"d":"$23.46"},{"v":0.59,"d":"$0.59"},{"v":24.05,"d":"$24.05"},{"v":24.05,"d":"$24.05"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010115239E              ","MBRP00000430837","000001047117","2021-04-15","00378728753","LEVONORGESTREL TABS 0.000",28,28,{"v":28.77,"d":"$28.77"},{"v":0.59,"d":"$0.59"},{"v":29.36,"d":"$29.36"},{"v":29.36,"d":"$29.36"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010006094E              ","MBRP00000429258","000006801270","2021-04-15","00003089421","ELIQUIS TABS 5.000",-60,30,{"v":-490.12,"d":"-$490.12"},{"v":-0.59,"d":"-$0.59"},{"v":-490.71,"d":"-$490.71"},{"v":-470.71,"d":"-$470.71"},{"v":-20,"d":"-$20.00"},"B","N",0,0,1,"R","3656444","MARCS 27"]
["21865M","0010006094E              ","MBRP00000429258","000006801270","2021-04-15","00003089421","ELIQUIS TABS 5.000",60,30,{"v":490.12,"d":"$490.12"},{"v":0.59,"d":"$0.59"},{"v":490.71,"d":"$490.71"},{"v":470.71,"d":"$470.71"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3656444","MARCS 27"]
["21865M","0010006094E              ","MBRP00000429258","000006801270","2021-04-15","00003089421","ELIQUIS TABS 5.000",60,30,{"v":490.12,"d":"$490.12"},{"v":0.59,"d":"$0.59"},{"v":490.71,"d":"$490.71"},{"v":470.71,"d":"$470.71"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3656444","MARCS 27"]
["21865M","0010006094E              ","MBRP00000429258","000006801270","2021-04-15","00003089421","ELIQUIS TABS 5.000",60,30,{"v":490.12,"d":"$490.12"},{"v":0.59,"d":"$0.59"},{"v":490.71,"d":"$490.71"},{"v":470.71,"d":"$470.71"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3656444","MARCS 27"]
["21865M","0010006094E              ","MBRP00000429258","000006801270","2021-04-15","00003089421","ELIQUIS TABS 5.000",-60,30,{"v":-490.12,"d":"-$490.12"},{"v":-0.59,"d":"-$0.59"},{"v":-490.71,"d":"-$490.71"},{"v":-470.71,"d":"-$470.71"},{"v":-20,"d":"-$20.00"},"B","N",0,0,1,"R","3656444","MARCS 27"]
["21865M","0010079085E              ","MBRP00000422428","000002861041","2021-04-15","68462018905","NAPROXEN TABS 375.000",30,15,{"v":3.86,"d":"$3.86"},{"v":0.59,"d":"$0.59"},{"v":4.45,"d":"$4.45"},{"v":0,"d":"$0.00"},{"v":4.45,"d":"$4.45"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010045107E              ","MBRP00000340889","000000994763","2021-04-15","68462056529","NORGESTIMATE/E TABS 0.000",28,28,{"v":21.14,"d":"$21.14"},{"v":0.59,"d":"$0.59"},{"v":21.73,"d":"$21.73"},{"v":21.73,"d":"$21.73"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3653094","RITE AID PHARMACY 02437"]
["21865M","AC00109875600","MBRP00000327210","000000913007","2021-04-15","70748013306","SILDENAFIL CIT TABS 100.000",6,30,{"v":3.92,"d":"$3.92"},{"v":0.59,"d":"$0.59"},{"v":4.51,"d":"$4.51"},{"v":0,"d":"$0.00"},{"v":4.51,"d":"$4.51"},"G","N",0,0,0,"R","3651975","RITE AID PHARMACY 02401"]
["21865M","0010151770E              ","MBRP00000429260","000002585068","2021-04-15","68382005101","MELOXICAM TABS 15.000",-30,30,{"v":-1.23,"d":"-$1.23"},{"v":-0.59,"d":"-$0.59"},{"v":-1.82,"d":"-$1.82"},{"v":0,"d":"$0.00"},{"v":-1.82,"d":"-$1.82"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010151770E              ","MBRP00000429260","000002585068","2021-04-15","68382005101","MELOXICAM TABS 15.000",30,30,{"v":1.23,"d":"$1.23"},{"v":0.59,"d":"$0.59"},{"v":1.82,"d":"$1.82"},{"v":0,"d":"$0.00"},{"v":1.82,"d":"$1.82"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010151770E              ","MBRP00000429260","000002585068","2021-04-15","68382005101","MELOXICAM TABS 15.000",30,30,{"v":1.23,"d":"$1.23"},{"v":0.59,"d":"$0.59"},{"v":1.82,"d":"$1.82"},{"v":0,"d":"$0.00"},{"v":1.82,"d":"$1.82"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010151770E              ","MBRP00000429260","000002585068","2021-04-15","68382005101","MELOXICAM TABS 15.000",30,30,{"v":1.23,"d":"$1.23"},{"v":0.59,"d":"$0.59"},{"v":1.82,"d":"$1.82"},{"v":0,"d":"$0.00"},{"v":1.82,"d":"$1.82"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010151770E              ","MBRP00000429260","000002585068","2021-04-15","68382005101","MELOXICAM TABS 15.000",-30,30,{"v":-1.23,"d":"-$1.23"},{"v":-0.59,"d":"-$0.59"},{"v":-1.82,"d":"-$1.82"},{"v":0,"d":"$0.00"},{"v":-1.82,"d":"-$1.82"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010123358E              ","MBRP00000430919","000001104638","2021-04-15","68382005101","MELOXICAM TABS 15.000",30,30,{"v":1.23,"d":"$1.23"},{"v":0.59,"d":"$0.59"},{"v":1.82,"d":"$1.82"},{"v":0,"d":"$0.00"},{"v":1.82,"d":"$1.82"},"G","N",0,0,0,"R","3658626","RITE AID PHARMACY 03468"]
["21865M","0010152139E              ","MBRP00000422273","000006840003","2021-04-15","68180065001","DOXYCYCLINE MO CAPS 50.000",28,7,{"v":31.31,"d":"$31.31"},{"v":0.59,"d":"$0.59"},{"v":31.9,"d":"$31.90"},{"v":26.9,"d":"$26.90"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3669112","GIANT EAGLE PHARMACY #1618 1618"]
["21865M","0010152139E              ","MBRP00000422273","000006840003","2021-04-15","68180065001","DOXYCYCLINE MO CAPS 50.000",-28,7,{"v":-31.31,"d":"-$31.31"},{"v":-0.59,"d":"-$0.59"},{"v":-31.9,"d":"-$31.90"},{"v":-26.9,"d":"-$26.90"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3669112","GIANT EAGLE PHARMACY #1618 1618"]
["21865M","0010152139E              ","MBRP00000422273","000006840003","2021-04-15","68180065001","DOXYCYCLINE MO CAPS 50.000",28,7,{"v":31.31,"d":"$31.31"},{"v":0.59,"d":"$0.59"},{"v":31.9,"d":"$31.90"},{"v":26.9,"d":"$26.90"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3669112","GIANT EAGLE PHARMACY #1618 1618"]
["21865M","0010054511E              ","MBRP00000398212","000001505714","2021-04-15","68180071160","CEFDINIR CAPS 300.000",-14,7,{"v":-9.74,"d":"-$9.74"},{"v":-0.59,"d":"-$0.59"},{"v":-10.33,"d":"-$10.33"},{"v":-5.33,"d":"-$5.33"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010054511E              ","MBRP00000398212","000001505714","2021-04-15","68180071160","CEFDINIR CAPS 300.000",14,7,{"v":9.74,"d":"$9.74"},{"v":0.59,"d":"$0.59"},{"v":10.33,"d":"$10.33"},{"v":5.33,"d":"$5.33"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010139932E              ","MBRP00000424821","000002101639","2021-04-15","50111064701","FLUOXETINE HYD CAPS 10.000",30,30,{"v":1.57,"d":"$1.57"},{"v":0.59,"d":"$0.59"},{"v":2.16,"d":"$2.16"},{"v":0,"d":"$0.00"},{"v":2.16,"d":"$2.16"},"G","N",0,0,0,"R","3606362","CVS PHARMACY #03360 03360"]
["21865M","0010139932E              ","MBRP00000424821","000002101639","2021-04-15","50111064701","FLUOXETINE HYD CAPS 10.000",-30,30,{"v":-1.57,"d":"-$1.57"},{"v":-0.59,"d":"-$0.59"},{"v":-2.16,"d":"-$2.16"},{"v":0,"d":"$0.00"},{"v":-2.16,"d":"-$2.16"},"G","N",0,0,0,"R","3606362","CVS PHARMACY #03360 03360"]
["21865M","0010139932E              ","MBRP00000424821","000002101639","2021-04-15","50111064701","FLUOXETINE HYD CAPS 10.000",30,30,{"v":1.57,"d":"$1.57"},{"v":0.59,"d":"$0.59"},{"v":2.16,"d":"$2.16"},{"v":0,"d":"$0.00"},{"v":2.16,"d":"$2.16"},"G","N",0,0,0,"R","3606362","CVS PHARMACY #03360 03360"]
["21865M","0010139968E              ","MBRP00000418010","000002860809","2021-04-15","51672213108","LORATADINE CHI SYRP 5.000",150,30,{"v":7.94,"d":"$7.94"},{"v":0.59,"d":"$0.59"},{"v":8.53,"d":"$8.53"},{"v":3.53,"d":"$3.53"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010079085E              ","MBRP00000287887","000002861018","2021-04-15","00168020360","CLINDAMYCIN PH LOTN 1.000",60,15,{"v":99,"d":"$99.00"},{"v":0.59,"d":"$0.59"},{"v":99.59,"d":"$99.59"},{"v":94.59,"d":"$94.59"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010153724E              ","MBRP00000424973","000002373660","2021-04-15","00085461001","DULERA AERO 0.000",-13,30,{"v":-305.77,"d":"-$305.77"},{"v":-0.59,"d":"-$0.59"},{"v":-306.36,"d":"-$306.36"},{"v":-271.36,"d":"-$271.36"},{"v":-35,"d":"-$35.00"},"B","N",0,0,9,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010153724E              ","MBRP00000424973","000002373660","2021-04-15","00085461001","DULERA AERO 0.000",13,30,{"v":305.77,"d":"$305.77"},{"v":0.59,"d":"$0.59"},{"v":306.36,"d":"$306.36"},{"v":271.36,"d":"$271.36"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010122707E              ","MBRP00000429093","000000712152","2021-04-15","55111032201","GLIMEPIRIDE TABS 4.000",90,90,{"v":26.7,"d":"$26.70"},{"v":0,"d":"$0.00"},{"v":26.7,"d":"$26.70"},{"v":11.7,"d":"$11.70"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010079085E              ","MBRP00000422428","000002861042","2021-04-15","55111018015","TIZANIDINE HYD TABS 4.000",10,10,{"v":1.37,"d":"$1.37"},{"v":0.59,"d":"$0.59"},{"v":1.96,"d":"$1.96"},{"v":0,"d":"$0.00"},{"v":1.96,"d":"$1.96"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010152067E              ","MBRP00000440206","000002515985","2021-04-15","60505082901","FLUTICASONE PR SUSP 50.000",16,30,{"v":7.78,"d":"$7.78"},{"v":0.59,"d":"$0.59"},{"v":8.37,"d":"$8.37"},{"v":3.37,"d":"$3.37"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3660102","WALGREENS #3281 3281"]
["21865M","0010054511E              ","MBRP00000398212","000001505711","2021-04-15","59746017306","PREDNISONE TABS 10.000",20,8,{"v":2.9,"d":"$2.90"},{"v":0.59,"d":"$0.59"},{"v":3.49,"d":"$3.49"},{"v":0,"d":"$0.00"},{"v":3.49,"d":"$3.49"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010092578E              ","MBRP00000424978","000001181036","2021-04-15","80777027399","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":28.39,"d":"$28.39"},{"v":28.39,"d":"$28.39"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010005907E              ","MBRP00000357052","000001795773","2021-04-15","80777027399","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":28.39,"d":"$28.39"},{"v":28.39,"d":"$28.39"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","0010139126E              ","MBRP00000429226","000001052210","2021-04-15","80777027399","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":28.39,"d":"$28.39"},{"v":28.39,"d":"$28.39"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010139126E              ","MBRP00000429225","000001052208","2021-04-15","80777027399","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":28.39,"d":"$28.39"},{"v":28.39,"d":"$28.39"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010121132E              ","MBRP00000429347","000000177709","2021-04-15","80777027399","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":28.39,"d":"$28.39"},{"v":28.39,"d":"$28.39"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3686409","DISCOUNT DRUG MART #89 89"]
["21865M","0010152139E              ","MBRP00000422273","000006840004","2021-04-15","72578000805","METRONIDAZOLE TABS 500.000",21,7,{"v":4,"d":"$4.00"},{"v":0.59,"d":"$0.59"},{"v":4.59,"d":"$4.59"},{"v":0,"d":"$0.00"},{"v":4.59,"d":"$4.59"},"G","N",0,0,0,"R","3669112","GIANT EAGLE PHARMACY #1618 1618"]
["21865M","0010079723E              ","MBRP00000431051","000001692842","2021-04-15","69315090405","LORAZEPAM TABS 0.500",-60,30,{"v":-2.67,"d":"-$2.67"},{"v":-0.59,"d":"-$0.59"},{"v":-3.26,"d":"-$3.26"},{"v":0,"d":"$0.00"},{"v":-3.26,"d":"-$3.26"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010079723E              ","MBRP00000431051","000001692842","2021-04-15","69315090405","LORAZEPAM TABS 0.500",60,30,{"v":2.67,"d":"$2.67"},{"v":0.59,"d":"$0.59"},{"v":3.26,"d":"$3.26"},{"v":0,"d":"$0.00"},{"v":3.26,"d":"$3.26"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","AC00108363000","MBRP00000430784","000001101981","2021-04-15","13668009390","PRAMIPEXOLE DI TABS 0.500",90,90,{"v":42.72,"d":"$42.72"},{"v":0,"d":"$0.00"},{"v":42.72,"d":"$42.72"},{"v":27.72,"d":"$27.72"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3657751","DISCOUNT DRUG MART 42"]
["21865M","AC00108363000","MBRP00000430784","000001101981","2021-04-15","13668009390","PRAMIPEXOLE DI TABS 0.500",-90,90,{"v":-42.72,"d":"-$42.72"},{"v":0,"d":"$0.00"},{"v":-42.72,"d":"-$42.72"},{"v":-27.72,"d":"-$27.72"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3657751","DISCOUNT DRUG MART 42"]
["21865M","AC00108363000","MBRP00000430784","000001101981","2021-04-15","13668009390","PRAMIPEXOLE DI TABS 0.500",90,90,{"v":42.72,"d":"$42.72"},{"v":0,"d":"$0.00"},{"v":42.72,"d":"$42.72"},{"v":27.72,"d":"$27.72"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3657751","DISCOUNT DRUG MART 42"]
["21865M","0010138841E              ","MBRP00000429111","000000882585","2021-04-15","00781286810","OMEPRAZOLE CPDR 20.000",30,30,{"v":2.59,"d":"$2.59"},{"v":0.59,"d":"$0.59"},{"v":3.18,"d":"$3.18"},{"v":0,"d":"$0.00"},{"v":3.18,"d":"$3.18"},"G","N",0,0,0,"R","3651850","RITE AID PHARMACY 02390"]
["21865M","0010006094E              ","MBRP00000429258","000006791721","2021-04-15","00527328446","LEVOTHYROXINE  TABS 100.000",30,30,{"v":12.96,"d":"$12.96"},{"v":0.59,"d":"$0.59"},{"v":13.55,"d":"$13.55"},{"v":8.55,"d":"$8.55"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3656444","MARCS 27"]
["21865M","0010120894E              ","MBRP00000429186","000006238471","2021-04-15","00456155060","SAVELLA TABS 50.000",60,30,{"v":413.54,"d":"$413.54"},{"v":0.59,"d":"$0.59"},{"v":414.13,"d":"$414.13"},{"v":379.13,"d":"$379.13"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010079723E              ","MBRP00000431051","010729852337","2021-04-15","69315090405","LORAZEPAM TABS 0.500",30,30,{"v":1.33,"d":"$1.33"},{"v":0.59,"d":"$0.59"},{"v":1.92,"d":"$1.92"},{"v":0,"d":"$0.00"},{"v":1.92,"d":"$1.92"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010079723E              ","MBRP00000431051","000001692842","2021-04-15","69315090405","LORAZEPAM TABS 0.500",60,30,{"v":2.67,"d":"$2.67"},{"v":0.59,"d":"$0.59"},{"v":3.26,"d":"$3.26"},{"v":0,"d":"$0.00"},{"v":3.26,"d":"$3.26"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010079723E              ","MBRP00000431051","010729852337","2021-04-15","69315090405","LORAZEPAM TABS 0.500",-30,30,{"v":-1.33,"d":"-$1.33"},{"v":-0.59,"d":"-$0.59"},{"v":-1.92,"d":"-$1.92"},{"v":0,"d":"$0.00"},{"v":-1.92,"d":"-$1.92"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010116082E              ","MBRP00000424994","000001235200","2021-04-15","68180098003","LISINOPRIL TABS 10.000",9,9,{"v":0.36,"d":"$0.36"},{"v":0.59,"d":"$0.59"},{"v":0.95,"d":"$0.95"},{"v":0,"d":"$0.00"},{"v":0.95,"d":"$0.95"},"G","N",0,0,0,"R","3666320","WALGREENS #4983 4983"]
["21865M","0010064744E              ","MBRP00000422383","000000558333","2021-04-15","68382080605","TRAZODONE HYDR TABS 100.000",60,30,{"v":11.11,"d":"$11.11"},{"v":0.5,"d":"$0.50"},{"v":11.61,"d":"$11.61"},{"v":6.61,"d":"$6.61"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","0010054511E              ","MBRP00000398212","000001505715","2021-04-15","66993001968","ALBUTEROL SULF AERS 108.000",18,16,{"v":51.1,"d":"$51.10"},{"v":0.59,"d":"$0.59"},{"v":51.69,"d":"$51.69"},{"v":16.69,"d":"$16.69"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010152067E              ","MBRP00000440206","000002515984","2021-04-15","43598081115","CETIRIZINE HYD TABS 10.000",30,30,{"v":0.16,"d":"$0.16"},{"v":0.59,"d":"$0.59"},{"v":0.75,"d":"$0.75"},{"v":0,"d":"$0.00"},{"v":0.75,"d":"$0.75"},"G","N",0,0,0,"R","3660102","WALGREENS #3281 3281"]
["21865M","0010122599E              ","MBRP00000429179","000009282906","2021-04-16","00074706990","SYNTHROID TABS 150.000",-90,90,{"v":-117.02,"d":"-$117.02"},{"v":0,"d":"$0.00"},{"v":-117.02,"d":"-$117.02"},{"v":-57.02,"d":"-$57.02"},{"v":-60,"d":"-$60.00"},"B","N",0,1,1,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010122599E              ","MBRP00000429179","000009282906","2021-04-16","00074706990","SYNTHROID TABS 150.000",90,90,{"v":117.02,"d":"$117.02"},{"v":0,"d":"$0.00"},{"v":117.02,"d":"$117.02"},{"v":57.02,"d":"$57.02"},{"v":60,"d":"$60.00"},"B","N",0,1,1,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010122599E              ","MBRP00000429179","000009282906","2021-04-16","00074706990","SYNTHROID TABS 150.000",90,90,{"v":117.02,"d":"$117.02"},{"v":0,"d":"$0.00"},{"v":117.02,"d":"$117.02"},{"v":57.02,"d":"$57.02"},{"v":60,"d":"$60.00"},"B","N",0,1,1,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010059330E              ","MBRP00000429121","000000733878","2021-04-16","00378632477","VALSARTAN/HYDR TABS 0.000",90,90,{"v":178.65,"d":"$178.65"},{"v":0,"d":"$0.00"},{"v":178.65,"d":"$178.65"},{"v":163.65,"d":"$163.65"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3679668","CVS PHARMACY #02385 02385"]
["21865M","0010046104E              ","MBRP00000418057","000002788826","2021-04-16","51672126901","BETAMETHASONE  CREA 0.100",15,7,{"v":15.99,"d":"$15.99"},{"v":0.59,"d":"$0.59"},{"v":16.58,"d":"$16.58"},{"v":11.58,"d":"$11.58"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010104186E              ","MBRP00000424988","000001143473","2021-04-16","52817033200","CYCLOBENZAPRIN TABS 10.000",20,10,{"v":0.58,"d":"$0.58"},{"v":0.59,"d":"$0.59"},{"v":1.17,"d":"$1.17"},{"v":0,"d":"$0.00"},{"v":1.17,"d":"$1.17"},"G","N",0,0,0,"R","3669009","DISCOUNT DRUG MART 63"]
["21865M","0010046098E              ","MBRP00000422352","000000589178","2021-04-16","52817033200","CYCLOBENZAPRIN TABS 10.000",30,10,{"v":0.83,"d":"$0.83"},{"v":0.5,"d":"$0.50"},{"v":1.33,"d":"$1.33"},{"v":0,"d":"$0.00"},{"v":1.33,"d":"$1.33"},"G","N",0,0,0,"R","3672791","AULTMAN EMPLOYEE PHARMACY"]
["21865M","0010084267E              ","MBRP00000417866","000006764974","2021-04-16","50383070016","FLUTICASONE PR SUSP 50.000",16,30,{"v":7.78,"d":"$7.78"},{"v":0.59,"d":"$0.59"},{"v":8.37,"d":"$8.37"},{"v":3.37,"d":"$3.37"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010084267E              ","MBRP00000417866","000006764974","2021-04-16","50383070016","FLUTICASONE PR SUSP 50.000",-16,30,{"v":-7.78,"d":"-$7.78"},{"v":-0.59,"d":"-$0.59"},{"v":-8.37,"d":"-$8.37"},{"v":-3.37,"d":"-$3.37"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010084220E              ","MBRP00000422333","000004087265","2021-04-16","59385002260","BELBUCA FILM 150.000",60,30,{"v":359.69,"d":"$359.69"},{"v":0.59,"d":"$0.59"},{"v":360.28,"d":"$360.28"},{"v":325.28,"d":"$325.28"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010099084E              ","MBRP00000440280","000009270544","2021-04-16","60505082901","FLUTICASONE PR SUSP 50.000",16,30,{"v":7.41,"d":"$7.41"},{"v":0.5,"d":"$0.50"},{"v":7.91,"d":"$7.91"},{"v":2.91,"d":"$2.91"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","AC00101845200","MBRP00000340148","000001013568","2021-04-16","65162010110","GABAPENTIN CAPS 100.000",90,30,{"v":6.52,"d":"$6.52"},{"v":0.59,"d":"$0.59"},{"v":7.11,"d":"$7.11"},{"v":2.11,"d":"$2.11"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3627873","MEDICINE CENTER OF CANTON"]
["21865M","0010006098E              ","MBRP00000430937","000001059752","2021-04-16","65862001305","SERTRALINE HYD TABS 100.000",30,30,{"v":3.13,"d":"$3.13"},{"v":0.59,"d":"$0.59"},{"v":3.72,"d":"$3.72"},{"v":0,"d":"$0.00"},{"v":3.72,"d":"$3.72"},"G","N",0,0,0,"R","3659488","DISCOUNT DRUG MART 46"]
["21865M","0010125947E              ","MBRP00000422213","000001839033","2021-04-16","65862001305","SERTRALINE HYD TABS 100.000",30,30,{"v":3.13,"d":"$3.13"},{"v":0.59,"d":"$0.59"},{"v":3.72,"d":"$3.72"},{"v":0,"d":"$0.00"},{"v":3.72,"d":"$3.72"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","0010125947E              ","MBRP00000422213","000001839033","2021-04-16","65862001305","SERTRALINE HYD TABS 100.000",30,30,{"v":3.13,"d":"$3.13"},{"v":0.59,"d":"$0.59"},{"v":3.72,"d":"$3.72"},{"v":0,"d":"$0.00"},{"v":3.72,"d":"$3.72"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","0010125947E              ","MBRP00000422213","000001839033","2021-04-16","65862001305","SERTRALINE HYD TABS 100.000",-30,30,{"v":-3.13,"d":"-$3.13"},{"v":-0.59,"d":"-$0.59"},{"v":-3.72,"d":"-$3.72"},{"v":0,"d":"$0.00"},{"v":-3.72,"d":"-$3.72"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","0010114921E              ","MBRP00000440071","000000810682","2021-04-16","70436001204","DESVENLAFAXINE TB24 50.000",90,90,{"v":251.52,"d":"$251.52"},{"v":0,"d":"$0.00"},{"v":251.52,"d":"$251.52"},{"v":236.52,"d":"$236.52"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3679606","CVS PHARMACY #02063 02063"]
["21865M","0010085209E              ","MBRP00000430935","000006568997","2021-04-16","71930003612","LABETALOL HYDR TABS 200.000",60,30,{"v":31.82,"d":"$31.82"},{"v":0.59,"d":"$0.59"},{"v":32.41,"d":"$32.41"},{"v":27.41,"d":"$27.41"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010135251E              ","MBRP00000329856","000001014719","2021-04-16","80777027399","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":28.39,"d":"$28.39"},{"v":28.39,"d":"$28.39"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3651949","RITE AID PHARMACY 02398"]
["21865M","0010153672E              ","MBRP00000431033","000006884194","2021-04-16","80777027399","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":28.39,"d":"$28.39"},{"v":28.39,"d":"$28.39"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3670672","SAMS PHARMACY 10-6317 106317"]
["21865M","0010051147E              ","MBRP00000398325","000001796218","2021-04-16","80777027399","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":28.39,"d":"$28.39"},{"v":28.39,"d":"$28.39"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","0010119309E              ","MBRP00000424913","000001947288","2021-04-16","80777027399","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":16.94,"d":"$16.94"},{"v":16.94,"d":"$16.94"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3647560","RITE AID PHARMACY 03095"]
["21865M","0010153560E              ","MBRP00000440309","000002860664","2021-04-16","00527130101","PRIMIDONE TABS 50.000",90,30,{"v":10.42,"d":"$10.42"},{"v":0.59,"d":"$0.59"},{"v":11.01,"d":"$11.01"},{"v":6.01,"d":"$6.01"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010115248E              ","MBRP00000417984","000304745955","2021-04-16","00781223410","OMEPRAZOLE CPDR 40.000",90,90,{"v":11.53,"d":"$11.53"},{"v":0,"d":"$0.00"},{"v":11.53,"d":"$11.53"},{"v":1.53,"d":"$1.53"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","1718634","OPTUMRX"]
["21865M","0010006063E              ","MBRP00000424778","000002561829","2021-04-16","00591321730","TESTOSTERONE GEL  50.000",150,30,{"v":305.77,"d":"$305.77"},{"v":0.59,"d":"$0.59"},{"v":306.36,"d":"$306.36"},{"v":301.36,"d":"$301.36"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010006063E              ","MBRP00000424778","000002561829","2021-04-16","00591321730","TESTOSTERONE GEL  50.000",-150,30,{"v":-305.77,"d":"-$305.77"},{"v":-0.59,"d":"-$0.59"},{"v":-306.36,"d":"-$306.36"},{"v":-301.36,"d":"-$301.36"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010006063E              ","MBRP00000424778","000002561829","2021-04-16","00591321730","TESTOSTERONE GEL  50.000",150,30,{"v":305.77,"d":"$305.77"},{"v":0.59,"d":"$0.59"},{"v":306.36,"d":"$306.36"},{"v":301.36,"d":"$301.36"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010153641E              ","MBRP00000430986","000304680852","2021-04-16","13668008105","MONTELUKAST SO TABS 10.000",90,90,{"v":34.94,"d":"$34.94"},{"v":0,"d":"$0.00"},{"v":34.94,"d":"$34.94"},{"v":24.94,"d":"$24.94"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010153641E              ","MBRP00000430986","000304680852","2021-04-16","13668008105","MONTELUKAST SO TABS 10.000",90,90,{"v":34.94,"d":"$34.94"},{"v":0,"d":"$0.00"},{"v":34.94,"d":"$34.94"},{"v":24.94,"d":"$24.94"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010153641E              ","MBRP00000430986","000304680852","2021-04-16","13668008105","MONTELUKAST SO TABS 10.000",-90,90,{"v":-34.94,"d":"-$34.94"},{"v":0,"d":"$0.00"},{"v":-34.94,"d":"-$34.94"},{"v":-24.94,"d":"-$24.94"},{"v":-10,"d":"-$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010050682E              ","MBRP00000440151","000001013579","2021-04-16","67877015901","METFORMIN HYDR TB24 500.000",-90,90,{"v":-19.5,"d":"-$19.50"},{"v":0,"d":"$0.00"},{"v":-19.5,"d":"-$19.50"},{"v":-4.5,"d":"-$4.50"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3627873","MEDICINE CENTER OF CANTON"]
["21865M","0010050682E              ","MBRP00000440151","000001013579","2021-04-16","67877015901","METFORMIN HYDR TB24 500.000",90,90,{"v":19.5,"d":"$19.50"},{"v":0,"d":"$0.00"},{"v":19.5,"d":"$19.50"},{"v":4.5,"d":"$4.50"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3627873","MEDICINE CENTER OF CANTON"]
["21865M","0010153632E              ","MBRP00000430759","000001468243","2021-04-16","67877019905","AMLODIPINE BES TABS 10.000",90,90,{"v":4.24,"d":"$4.24"},{"v":0,"d":"$0.00"},{"v":4.24,"d":"$4.24"},{"v":0,"d":"$0.00"},{"v":4.24,"d":"$4.24"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010153632E              ","MBRP00000430759","000001468243","2021-04-16","67877019905","AMLODIPINE BES TABS 10.000",90,90,{"v":4.24,"d":"$4.24"},{"v":0,"d":"$0.00"},{"v":4.24,"d":"$4.24"},{"v":0,"d":"$0.00"},{"v":4.24,"d":"$4.24"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010153632E              ","MBRP00000430759","000001468243","2021-04-16","67877019905","AMLODIPINE BES TABS 10.000",-90,90,{"v":-4.24,"d":"-$4.24"},{"v":0,"d":"$0.00"},{"v":-4.24,"d":"-$4.24"},{"v":0,"d":"$0.00"},{"v":-4.24,"d":"-$4.24"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010084175E              ","MBRP00000431019","000000880578","2021-04-16","68180098101","LISINOPRIL TABS 20.000",90,90,{"v":4.53,"d":"$4.53"},{"v":0,"d":"$0.00"},{"v":4.53,"d":"$4.53"},{"v":0,"d":"$0.00"},{"v":4.53,"d":"$4.53"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010084175E              ","MBRP00000431019","000000880578","2021-04-16","68180098101","LISINOPRIL TABS 20.000",-90,90,{"v":-4.53,"d":"-$4.53"},{"v":0,"d":"$0.00"},{"v":-4.53,"d":"-$4.53"},{"v":0,"d":"$0.00"},{"v":-4.53,"d":"-$4.53"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010048465E              ","MBRP00000342841","000002541907","2021-04-16","68180097201","LEVOTHYROXINE  TABS 137.000",30,30,{"v":16.39,"d":"$16.39"},{"v":0.59,"d":"$0.59"},{"v":16.98,"d":"$16.98"},{"v":11.98,"d":"$11.98"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010084231E              ","MBRP00000424877","000006770158","2021-04-16","24979003703","METOPROLOL SUC TB24 25.000",60,30,{"v":14.12,"d":"$14.12"},{"v":0.59,"d":"$0.59"},{"v":14.71,"d":"$14.71"},{"v":9.71,"d":"$9.71"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010062987E              ","MBRP00000429104","000006242180","2021-04-16","29300011416","LAMOTRIGINE TABS 200.000",62,31,{"v":6.95,"d":"$6.95"},{"v":0.59,"d":"$0.59"},{"v":7.54,"d":"$7.54"},{"v":0,"d":"$0.00"},{"v":7.54,"d":"$7.54"},"G","N",0,0,0,"R","3673503","K C INSTITUTIONAL PHARMACY"]
["21865M","0010153632E              ","MBRP00000430759","000001468244","2021-04-16","29300012810","HYDROCHLOROTHI TABS 25.000",90,90,{"v":2.69,"d":"$2.69"},{"v":0,"d":"$0.00"},{"v":2.69,"d":"$2.69"},{"v":0,"d":"$0.00"},{"v":2.69,"d":"$2.69"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010153632E              ","MBRP00000430759","000001468244","2021-04-16","29300012810","HYDROCHLOROTHI TABS 25.000",90,90,{"v":2.69,"d":"$2.69"},{"v":0,"d":"$0.00"},{"v":2.69,"d":"$2.69"},{"v":0,"d":"$0.00"},{"v":2.69,"d":"$2.69"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010153632E              ","MBRP00000430759","000001468244","2021-04-16","29300012810","HYDROCHLOROTHI TABS 25.000",-90,90,{"v":-2.69,"d":"-$2.69"},{"v":0,"d":"$0.00"},{"v":-2.69,"d":"-$2.69"},{"v":0,"d":"$0.00"},{"v":-2.69,"d":"-$2.69"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010144444E              ","MBRP00000440228","000006554894","2021-04-16","42806054701","VITAMIN D CAPS 1.250",12,84,{"v":12.31,"d":"$12.31"},{"v":0,"d":"$0.00"},{"v":12.31,"d":"$12.31"},{"v":0,"d":"$0.00"},{"v":12.31,"d":"$12.31"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010105728E              ","MBRP00000417886","000000699954","2021-04-16","43547035410","LISINOPRIL TABS 20.000",90,90,{"v":4.53,"d":"$4.53"},{"v":0,"d":"$0.00"},{"v":4.53,"d":"$4.53"},{"v":0,"d":"$0.00"},{"v":4.53,"d":"$4.53"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010105728E              ","MBRP00000417886","000000699954","2021-04-16","43547035410","LISINOPRIL TABS 20.000",-90,90,{"v":-4.53,"d":"-$4.53"},{"v":0,"d":"$0.00"},{"v":-4.53,"d":"-$4.53"},{"v":0,"d":"$0.00"},{"v":-4.53,"d":"-$4.53"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010105728E              ","MBRP00000417886","000000699954","2021-04-16","43547035410","LISINOPRIL TABS 20.000",90,90,{"v":4.53,"d":"$4.53"},{"v":0,"d":"$0.00"},{"v":4.53,"d":"$4.53"},{"v":0,"d":"$0.00"},{"v":4.53,"d":"$4.53"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010133390E              ","MBRP00000422454","000002264034","2021-04-16","59417010310","VYVANSE CAPS 30.000",30,30,{"v":328.98,"d":"$328.98"},{"v":0.59,"d":"$0.59"},{"v":329.57,"d":"$329.57"},{"v":294.57,"d":"$294.57"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010133390E              ","MBRP00000422454","000002264034","2021-04-16","59417010310","VYVANSE CAPS 30.000",30,30,{"v":328.98,"d":"$328.98"},{"v":0.59,"d":"$0.59"},{"v":329.57,"d":"$329.57"},{"v":294.57,"d":"$294.57"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010133390E              ","MBRP00000422454","000002264034","2021-04-16","59417010310","VYVANSE CAPS 30.000",-30,30,{"v":-328.98,"d":"-$328.98"},{"v":-0.59,"d":"-$0.59"},{"v":-329.57,"d":"-$329.57"},{"v":-294.57,"d":"-$294.57"},{"v":-35,"d":"-$35.00"},"B","N",0,0,9,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010046104E              ","MBRP00000418058","000002817994","2021-04-16","57237007710","ONDANSETRON OD TBDP 4.000",30,10,{"v":14.05,"d":"$14.05"},{"v":0.59,"d":"$0.59"},{"v":14.64,"d":"$14.64"},{"v":9.64,"d":"$9.64"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010064748E              ","MBRP00000422300","000304702617","2021-04-16","60505257808","ATORVASTATIN C TABS 10.000",45,90,{"v":4.45,"d":"$4.45"},{"v":0,"d":"$0.00"},{"v":4.45,"d":"$4.45"},{"v":0,"d":"$0.00"},{"v":4.45,"d":"$4.45"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010104186E              ","MBRP00000424988","000001143441","2021-04-16","60505258008","ATORVASTATIN C TABS 40.000",-90,90,{"v":-37.03,"d":"-$37.03"},{"v":0,"d":"$0.00"},{"v":-37.03,"d":"-$37.03"},{"v":-22.03,"d":"-$22.03"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3669009","DISCOUNT DRUG MART 63"]
["21865M","0010104186E              ","MBRP00000424988","000001143441","2021-04-16","60505258008","ATORVASTATIN C TABS 40.000",90,90,{"v":37.03,"d":"$37.03"},{"v":0,"d":"$0.00"},{"v":37.03,"d":"$37.03"},{"v":22.03,"d":"$22.03"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3669009","DISCOUNT DRUG MART 63"]
["21865M","0010084143E              ","MBRP00000424813","000001607753","2021-04-16","00555902742","JUNEL 1.5/30 TABS 0.000",84,63,{"v":75,"d":"$75.00"},{"v":0.59,"d":"$0.59"},{"v":75.59,"d":"$75.59"},{"v":75.59,"d":"$75.59"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3613963","CVS PHARMACY #03422 03422"]
["21865M","0010134937E              ","MBRP00000418004","000000839926","2021-04-16","10370010150","BUPROPION HYDR TB24 150.000",30,30,{"v":25.32,"d":"$25.32"},{"v":0.59,"d":"$0.59"},{"v":25.91,"d":"$25.91"},{"v":20.91,"d":"$20.91"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3679632","CVS PHARMACY #08248 08248"]
["21865M","0010153605E              ","MBRP00000430797","000001688264","2021-04-16","00002831501","HUMULIN N SUSP 100.000",10,28,{"v":146.04,"d":"$146.04"},{"v":0.59,"d":"$0.59"},{"v":146.63,"d":"$146.63"},{"v":111.63,"d":"$111.63"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010153605E              ","MBRP00000430797","000001688264","2021-04-16","00002831501","HUMULIN N SUSP 100.000",-10,28,{"v":-146.04,"d":"-$146.04"},{"v":-0.59,"d":"-$0.59"},{"v":-146.63,"d":"-$146.63"},{"v":-111.63,"d":"-$111.63"},{"v":-35,"d":"-$35.00"},"B","N",0,0,9,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010134937E              ","MBRP00000418004","000000839923","2021-04-16","00093301956","TADALAFIL TABS 20.000",6,30,{"v":17.8,"d":"$17.80"},{"v":0,"d":"$0.00"},{"v":17.8,"d":"$17.80"},{"v":12.8,"d":"$12.80"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3679632","CVS PHARMACY #08248 08248"]
["21865M","0010134937E              ","MBRP00000418004","000000839923","2021-04-16","00093301956","TADALAFIL TABS 20.000",-6,30,{"v":-17.8,"d":"-$17.80"},{"v":0,"d":"$0.00"},{"v":-17.8,"d":"-$17.80"},{"v":-12.8,"d":"-$12.80"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3679632","CVS PHARMACY #08248 08248"]
["21865M","0010050682E              ","MBRP00000440151","000001013580","2021-04-16","00378306677","FENOFIBRATE TABS 145.000",90,90,{"v":85.18,"d":"$85.18"},{"v":0,"d":"$0.00"},{"v":85.18,"d":"$85.18"},{"v":70.18,"d":"$70.18"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3627873","MEDICINE CENTER OF CANTON"]
["21865M","0010143184E              ","MBRP00000440207","000001181273","2021-04-16","00378868854","CLINDAMYCIN/BE GEL  0.000",50,30,{"v":138.15,"d":"$138.15"},{"v":0.59,"d":"$0.59"},{"v":138.74,"d":"$138.74"},{"v":133.74,"d":"$133.74"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010149153E              ","MBRP00000429318","000002297277","2021-04-16","00228284803","FLUVOXAMINE MA CP24 100.000",180,90,{"v":1438.95,"d":"$1,438.95"},{"v":0,"d":"$0.00"},{"v":1438.95,"d":"$1,438.95"},{"v":1423.95,"d":"$1,423.95"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010149153E              ","MBRP00000429318","000002297277","2021-04-16","00228284803","FLUVOXAMINE MA CP24 100.000",-180,90,{"v":-1438.95,"d":"-$1,438.95"},{"v":0,"d":"$0.00"},{"v":-1438.95,"d":"-$1,438.95"},{"v":-1423.95,"d":"-$1,423.95"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010149153E              ","MBRP00000429318","000002297277","2021-04-16","00228284803","FLUVOXAMINE MA CP24 100.000",10,5,{"v":83.35,"d":"$83.35"},{"v":0.59,"d":"$0.59"},{"v":83.94,"d":"$83.94"},{"v":78.94,"d":"$78.94"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010149153E              ","MBRP00000429318","000002297277","2021-04-16","00228284803","FLUVOXAMINE MA CP24 100.000",-10,5,{"v":-83.35,"d":"-$83.35"},{"v":-0.59,"d":"-$0.59"},{"v":-83.94,"d":"-$83.94"},{"v":-78.94,"d":"-$78.94"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010153653E              ","MBRP00000429323","000002293309","2021-04-16","68382050010","OMEPRAZOLE CPDR 40.000",90,90,{"v":11.53,"d":"$11.53"},{"v":0,"d":"$0.00"},{"v":11.53,"d":"$11.53"},{"v":0,"d":"$0.00"},{"v":11.53,"d":"$11.53"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010153653E              ","MBRP00000429323","000002293309","2021-04-16","68382050010","OMEPRAZOLE CPDR 40.000",-90,90,{"v":-11.53,"d":"-$11.53"},{"v":0,"d":"$0.00"},{"v":-11.53,"d":"-$11.53"},{"v":0,"d":"$0.00"},{"v":-11.53,"d":"-$11.53"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010153653E              ","MBRP00000429323","000002293309","2021-04-16","68382050010","OMEPRAZOLE CPDR 40.000",90,90,{"v":11.53,"d":"$11.53"},{"v":0,"d":"$0.00"},{"v":11.53,"d":"$11.53"},{"v":0,"d":"$0.00"},{"v":11.53,"d":"$11.53"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010134937E              ","MBRP00000418004","000000839927","2021-04-16","69097083512","SERTRALINE HYD TABS 100.000",30,30,{"v":3.13,"d":"$3.13"},{"v":0.59,"d":"$0.59"},{"v":3.72,"d":"$3.72"},{"v":0,"d":"$0.00"},{"v":3.72,"d":"$3.72"},"G","N",0,0,0,"R","3679632","CVS PHARMACY #08248 08248"]
["21865M","0010062987E              ","MBRP00000429104","000006242182","2021-04-16","68180061607","QUETIAPINE FUM TB24 400.000",62,31,{"v":146.11,"d":"$146.11"},{"v":0.59,"d":"$0.59"},{"v":146.7,"d":"$146.70"},{"v":131.7,"d":"$131.70"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3673503","K C INSTITUTIONAL PHARMACY"]
["21865M","0010050682E              ","MBRP00000440151","000001013577","2021-04-16","68180047902","SIMVASTATIN TABS 20.000",90,90,{"v":9.03,"d":"$9.03"},{"v":0,"d":"$0.00"},{"v":9.03,"d":"$9.03"},{"v":0,"d":"$0.00"},{"v":9.03,"d":"$9.03"},"G","N",0,0,0,"R","3627873","MEDICINE CENTER OF CANTON"]
["21865M","0010050682E              ","MBRP00000440151","000001013577","2021-04-16","68180047902","SIMVASTATIN TABS 20.000",-90,90,{"v":-9.03,"d":"-$9.03"},{"v":0,"d":"$0.00"},{"v":-9.03,"d":"-$9.03"},{"v":0,"d":"$0.00"},{"v":-9.03,"d":"-$9.03"},"G","N",0,0,0,"R","3627873","MEDICINE CENTER OF CANTON"]
["21865M","0010086302E              ","MBRP00000440325","000006770198","2021-04-16","67877025010","QUETIAPINE FUM TABS 100.000",-30,30,{"v":-7.82,"d":"-$7.82"},{"v":-0.59,"d":"-$0.59"},{"v":-8.41,"d":"-$8.41"},{"v":-3.41,"d":"-$3.41"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010086302E              ","MBRP00000440325","000006770198","2021-04-16","67877025010","QUETIAPINE FUM TABS 100.000",30,30,{"v":7.82,"d":"$7.82"},{"v":0.59,"d":"$0.59"},{"v":8.41,"d":"$8.41"},{"v":3.41,"d":"$3.41"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010086302E              ","MBRP00000440325","000006770198","2021-04-16","67877025010","QUETIAPINE FUM TABS 100.000",30,30,{"v":7.82,"d":"$7.82"},{"v":0.59,"d":"$0.59"},{"v":8.41,"d":"$8.41"},{"v":3.41,"d":"$3.41"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010153632E              ","MBRP00000430759","000001468254","2021-04-16","65162046510","IBUPROFEN TABS 600.000",90,90,{"v":3.12,"d":"$3.12"},{"v":0,"d":"$0.00"},{"v":3.12,"d":"$3.12"},{"v":0,"d":"$0.00"},{"v":3.12,"d":"$3.12"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010153632E              ","MBRP00000430759","000001468254","2021-04-16","65162046510","IBUPROFEN TABS 600.000",-90,90,{"v":-3.12,"d":"-$3.12"},{"v":0,"d":"$0.00"},{"v":-3.12,"d":"-$3.12"},{"v":0,"d":"$0.00"},{"v":-3.12,"d":"-$3.12"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010153632E              ","MBRP00000430759","000001468254","2021-04-16","65162046510","IBUPROFEN TABS 600.000",90,90,{"v":3.12,"d":"$3.12"},{"v":0,"d":"$0.00"},{"v":3.12,"d":"$3.12"},{"v":0,"d":"$0.00"},{"v":3.12,"d":"$3.12"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010071549E              ","MBRP00000425001","000006694086","2021-04-16","65862019201","FLUOXETINE HYD CAPS 10.000",-30,30,{"v":-1.4,"d":"-$1.40"},{"v":-0.59,"d":"-$0.59"},{"v":-1.99,"d":"-$1.99"},{"v":0,"d":"$0.00"},{"v":-1.99,"d":"-$1.99"},"G","N",0,0,0,"R","3659084","MARCS 39"]
["21865M","0010071549E              ","MBRP00000425001","000006694086","2021-04-16","65862019201","FLUOXETINE HYD CAPS 10.000",30,30,{"v":1.4,"d":"$1.40"},{"v":0.59,"d":"$0.59"},{"v":1.99,"d":"$1.99"},{"v":0,"d":"$0.00"},{"v":1.99,"d":"$1.99"},"G","N",0,0,0,"R","3659084","MARCS 39"]
["21865M","0010115248E              ","MBRP00000417984","000304745953","2021-04-16","42806066405","BUSPIRONE HYDR TABS 15.000",90,90,{"v":11.85,"d":"$11.85"},{"v":0,"d":"$0.00"},{"v":11.85,"d":"$11.85"},{"v":1.85,"d":"$1.85"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","1718634","OPTUMRX"]
["21865M","0010006064E              ","MBRP00000422222","000005011705","2021-04-16","33342010207","MONTELUKAST SO TABS 10.000",-90,90,{"v":-34.94,"d":"-$34.94"},{"v":0,"d":"$0.00"},{"v":-34.94,"d":"-$34.94"},{"v":-19.94,"d":"-$19.94"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3643271","MEDICINE CENTER PHARMACY"]
["21865M","0010006064E              ","MBRP00000422222","000005011705","2021-04-16","33342010207","MONTELUKAST SO TABS 10.000",90,90,{"v":34.94,"d":"$34.94"},{"v":0,"d":"$0.00"},{"v":34.94,"d":"$34.94"},{"v":19.94,"d":"$19.94"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3643271","MEDICINE CENTER PHARMACY"]
["21865M","0010134939E              ","MBRP00000422192","000001523583","2021-04-16","53489011905","DOXYCYCLINE HY CAPS 100.000",-20,10,{"v":-4.33,"d":"-$4.33"},{"v":-0.59,"d":"-$0.59"},{"v":-4.92,"d":"-$4.92"},{"v":0,"d":"$0.00"},{"v":-4.92,"d":"-$4.92"},"G","N",0,0,0,"R","3607895","CVS PHARMACY #03320 03320"]
["21865M","0010134939E              ","MBRP00000422192","000001523583","2021-04-16","53489011905","DOXYCYCLINE HY CAPS 100.000",20,10,{"v":4.33,"d":"$4.33"},{"v":0.59,"d":"$0.59"},{"v":4.92,"d":"$4.92"},{"v":0,"d":"$0.00"},{"v":4.92,"d":"$4.92"},"G","N",0,0,0,"R","3607895","CVS PHARMACY #03320 03320"]
["21865M","0010134939E              ","MBRP00000422192","000001523583","2021-04-16","53489011905","DOXYCYCLINE HY CAPS 100.000",20,10,{"v":4.33,"d":"$4.33"},{"v":0.59,"d":"$0.59"},{"v":4.92,"d":"$4.92"},{"v":0,"d":"$0.00"},{"v":4.92,"d":"$4.92"},"G","N",0,0,0,"R","3607895","CVS PHARMACY #03320 03320"]
["21865M","0010153600E              ","MBRP00000431005","000007293884","2021-04-16","00093317431","ALBUTEROL SULF AERS 108.000",8.5,25,{"v":28.52,"d":"$28.52"},{"v":0.59,"d":"$0.59"},{"v":29.11,"d":"$29.11"},{"v":24.11,"d":"$24.11"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3666356","GIANT EAGLE PHARMACY #1620 1620"]
["21865M","0010153600E              ","MBRP00000431005","000007293884","2021-04-16","00093317431","ALBUTEROL SULF AERS 108.000",-8.5,25,{"v":-28.52,"d":"-$28.52"},{"v":-0.59,"d":"-$0.59"},{"v":-29.11,"d":"-$29.11"},{"v":-24.11,"d":"-$24.11"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3666356","GIANT EAGLE PHARMACY #1620 1620"]
["21865M","0010153600E              ","MBRP00000431005","000007293884","2021-04-16","00093317431","ALBUTEROL SULF AERS 108.000",8.5,25,{"v":28.52,"d":"$28.52"},{"v":0.59,"d":"$0.59"},{"v":29.11,"d":"$29.11"},{"v":24.11,"d":"$24.11"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3666356","GIANT EAGLE PHARMACY #1620 1620"]
["21865M","0010137634E              ","MBRP00000417940","010731460290","2021-04-16","00143988915","AMOXICILLIN SUSR 250.000",150,6,{"v":3.93,"d":"$3.93"},{"v":0.59,"d":"$0.59"},{"v":4.52,"d":"$4.52"},{"v":0,"d":"$0.00"},{"v":4.52,"d":"$4.52"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010137634E              ","MBRP00000417940","000002374137","2021-04-16","00143988915","AMOXICILLIN SUSR 250.000",150,10,{"v":3.93,"d":"$3.93"},{"v":0.59,"d":"$0.59"},{"v":4.52,"d":"$4.52"},{"v":0,"d":"$0.00"},{"v":4.52,"d":"$4.52"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010137634E              ","MBRP00000417940","010731460290","2021-04-16","00143988915","AMOXICILLIN SUSR 250.000",-150,6,{"v":-3.93,"d":"-$3.93"},{"v":-0.59,"d":"-$0.59"},{"v":-4.52,"d":"-$4.52"},{"v":0,"d":"$0.00"},{"v":-4.52,"d":"-$4.52"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010084079E              ","MBRP00000422443","000001370745","2021-04-16","00169750111","NOVOLOG SOLN 100.000",40,27,{"v":1136.69,"d":"$1,136.69"},{"v":0.59,"d":"$0.59"},{"v":1137.28,"d":"$1,137.28"},{"v":1102.28,"d":"$1,102.28"},{"v":35,"d":"$35.00"},"B","N",0,1,9,"R","3652662","RITE AID PHARMACY 02456"]
["21865M","0010084079E              ","MBRP00000422443","000001370745","2021-04-16","00169750111","NOVOLOG SOLN 100.000",-40,27,{"v":-1136.69,"d":"-$1,136.69"},{"v":-0.59,"d":"-$0.59"},{"v":-1137.28,"d":"-$1,137.28"},{"v":-1102.28,"d":"-$1,102.28"},{"v":-35,"d":"-$35.00"},"B","N",0,1,9,"R","3652662","RITE AID PHARMACY 02456"]
["21865M","0010084079E              ","MBRP00000422443","000001370745","2021-04-16","00169750111","NOVOLOG SOLN 100.000",40,27,{"v":1136.69,"d":"$1,136.69"},{"v":0.59,"d":"$0.59"},{"v":1137.28,"d":"$1,137.28"},{"v":1102.28,"d":"$1,102.28"},{"v":35,"d":"$35.00"},"B","N",0,1,9,"R","3652662","RITE AID PHARMACY 02456"]
["21865M","0010079085E              ","MBRP00000287887","000002861023","2021-04-16","00378808445","TRETINOIN CREA 0.100",45,21,{"v":138.5,"d":"$138.50"},{"v":0.59,"d":"$0.59"},{"v":139.09,"d":"$139.09"},{"v":134.09,"d":"$134.09"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010079085E              ","MBRP00000287887","000002861023","2021-04-16","00378808445","TRETINOIN CREA 0.100",-45,21,{"v":-138.5,"d":"-$138.50"},{"v":-0.59,"d":"-$0.59"},{"v":-139.09,"d":"-$139.09"},{"v":-134.09,"d":"-$134.09"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010153560E              ","MBRP00000440308","000002830597","2021-04-16","00378718505","METFORMIN HYDR TABS 500.000",180,90,{"v":6.16,"d":"$6.16"},{"v":0,"d":"$0.00"},{"v":6.16,"d":"$6.16"},{"v":0,"d":"$0.00"},{"v":6.16,"d":"$6.16"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010153151E              ","MBRP00000429230","000002558426","2021-04-16","00536105224","PEG3350 POWD 17.000",238,14,{"v":4.28,"d":"$4.28"},{"v":0.59,"d":"$0.59"},{"v":4.87,"d":"$4.87"},{"v":4.87,"d":"$4.87"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010050682E              ","MBRP00000440151","000001013578","2021-04-16","00591024110","LORAZEPAM TABS 1.000",30,30,{"v":1.7,"d":"$1.70"},{"v":0.59,"d":"$0.59"},{"v":2.29,"d":"$2.29"},{"v":0,"d":"$0.00"},{"v":2.29,"d":"$2.29"},"G","N",0,0,0,"R","3627873","MEDICINE CENTER OF CANTON"]
["21865M","0010151437E              ","MBRP00000429061","000000140821","2021-04-16","00555904358","APRI TABS 0.000",84,84,{"v":59.59,"d":"$59.59"},{"v":0,"d":"$0.00"},{"v":59.59,"d":"$59.59"},{"v":59.59,"d":"$59.59"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3686043","CVS PHARMACY # 17729 17729"]
["21865M","0010122767E              ","MBRP00000286953","000001693072","2021-04-16","00555097302","AMPHETAMINE/DE TABS 0.000",60,30,{"v":39.93,"d":"$39.93"},{"v":0.59,"d":"$0.59"},{"v":40.52,"d":"$40.52"},{"v":35.52,"d":"$35.52"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010153611E              ","MBRP00000430985","000001679530","2021-04-16","69452015120","VITAMIN D CAPS 50000.000",-4,28,{"v":-2.36,"d":"-$2.36"},{"v":-0.59,"d":"-$0.59"},{"v":-2.95,"d":"-$2.95"},{"v":0,"d":"$0.00"},{"v":-2.95,"d":"-$2.95"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010153611E              ","MBRP00000430985","000001679530","2021-04-16","69452015120","VITAMIN D CAPS 50000.000",4,28,{"v":2.36,"d":"$2.36"},{"v":0.59,"d":"$0.59"},{"v":2.95,"d":"$2.95"},{"v":0,"d":"$0.00"},{"v":2.95,"d":"$2.95"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010153611E              ","MBRP00000430985","000001679530","2021-04-16","69452015120","VITAMIN D CAPS 50000.000",4,28,{"v":2.36,"d":"$2.36"},{"v":0.59,"d":"$0.59"},{"v":2.95,"d":"$2.95"},{"v":0,"d":"$0.00"},{"v":2.95,"d":"$2.95"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010153641E              ","MBRP00000430986","000304680851","2021-04-16","68462026190","ROSUVASTATIN C TABS 5.000",90,90,{"v":18.12,"d":"$18.12"},{"v":0,"d":"$0.00"},{"v":18.12,"d":"$18.12"},{"v":8.12,"d":"$8.12"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010153641E              ","MBRP00000430986","000304680851","2021-04-16","68462026190","ROSUVASTATIN C TABS 5.000",90,90,{"v":18.12,"d":"$18.12"},{"v":0,"d":"$0.00"},{"v":18.12,"d":"$18.12"},{"v":8.12,"d":"$8.12"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010153641E              ","MBRP00000430986","000304680851","2021-04-16","68462026190","ROSUVASTATIN C TABS 5.000",-90,90,{"v":-18.12,"d":"-$18.12"},{"v":0,"d":"$0.00"},{"v":-18.12,"d":"-$18.12"},{"v":-8.12,"d":"-$8.12"},{"v":-10,"d":"-$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010092580E              ","MBRP00000424961","000001468268","2021-04-16","65862086001","FAMOTIDINE TABS 40.000",60,30,{"v":8.9,"d":"$8.90"},{"v":0.59,"d":"$0.59"},{"v":9.49,"d":"$9.49"},{"v":4.49,"d":"$4.49"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010115248E              ","MBRP00000417984","000304745954","2021-04-16","65862052890","VENLAFAXINE HY CP24 75.000",90,90,{"v":67.13,"d":"$67.13"},{"v":0,"d":"$0.00"},{"v":67.13,"d":"$67.13"},{"v":57.13,"d":"$57.13"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","1718634","OPTUMRX"]
["21865M","0010153560E              ","MBRP00000440308","000002830596","2021-04-16","65862052890","VENLAFAXINE HY CP24 75.000",90,90,{"v":67.13,"d":"$67.13"},{"v":0,"d":"$0.00"},{"v":67.13,"d":"$67.13"},{"v":52.13,"d":"$52.13"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010131685E              ","MBRP00000424956","000304689154","2021-04-16","67877032005","IBUPROFEN TABS 600.000",270,90,{"v":9.36,"d":"$9.36"},{"v":0,"d":"$0.00"},{"v":9.36,"d":"$9.36"},{"v":0,"d":"$0.00"},{"v":9.36,"d":"$9.36"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010006064E              ","MBRP00000422382","000304745183","2021-04-16","45802075401","TESTOSTERONE GEL  1.620",225,90,{"v":239.49,"d":"$239.49"},{"v":0,"d":"$0.00"},{"v":239.49,"d":"$239.49"},{"v":229.49,"d":"$229.49"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","1718634","OPTUMRX"]
["21865M","0010153632E              ","MBRP00000430759","000001468245","2021-04-16","43547035610","LISINOPRIL TABS 40.000",90,90,{"v":9.1,"d":"$9.10"},{"v":0,"d":"$0.00"},{"v":9.1,"d":"$9.10"},{"v":0,"d":"$0.00"},{"v":9.1,"d":"$9.10"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010153632E              ","MBRP00000430759","000001468245","2021-04-16","43547035610","LISINOPRIL TABS 40.000",90,90,{"v":9.1,"d":"$9.10"},{"v":0,"d":"$0.00"},{"v":9.1,"d":"$9.10"},{"v":0,"d":"$0.00"},{"v":9.1,"d":"$9.10"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010153632E              ","MBRP00000430759","000001468245","2021-04-16","43547035610","LISINOPRIL TABS 40.000",-90,90,{"v":-9.1,"d":"-$9.10"},{"v":0,"d":"$0.00"},{"v":-9.1,"d":"-$9.10"},{"v":0,"d":"$0.00"},{"v":-9.1,"d":"-$9.10"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010152041E              ","MBRP00000422311","000000940707","2021-04-16","65162074510","PROMETHAZINE H TABS 12.500",120,30,{"v":14.01,"d":"$14.01"},{"v":0.59,"d":"$0.59"},{"v":14.6,"d":"$14.60"},{"v":9.6,"d":"$9.60"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3650670","CVS PHARMACY #04802 04802"]
["21865M","0010046098E              ","MBRP00000422352","000000589177","2021-04-16","72647033104","METHYLPREDNISO TBPK 4.000",21,6,{"v":8.16,"d":"$8.16"},{"v":0.5,"d":"$0.50"},{"v":8.66,"d":"$8.66"},{"v":3.66,"d":"$3.66"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3672791","AULTMAN EMPLOYEE PHARMACY"]
["21865M","0010050682E              ","MBRP00000440151","000001013580","2021-04-16","68180038909","FENOFIBRATE TABS 145.000",-90,90,{"v":-85.18,"d":"-$85.18"},{"v":0,"d":"$0.00"},{"v":-85.18,"d":"-$85.18"},{"v":-70.18,"d":"-$70.18"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3627873","MEDICINE CENTER OF CANTON"]
["21865M","0010135249E              ","MBRP00000429058","000006549866","2021-04-17","65862001205","SERTRALINE HCL TABS 50.000",30,30,{"v":2.49,"d":"$2.49"},{"v":0.59,"d":"$0.59"},{"v":3.08,"d":"$3.08"},{"v":0,"d":"$0.00"},{"v":3.08,"d":"$3.08"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010050323E              ","MBRP00000424914","000001238225","2021-04-17","68180046503","SIMVASTATIN TABS 80.000",5,5,{"v":0.95,"d":"$0.95"},{"v":0.59,"d":"$0.59"},{"v":1.54,"d":"$1.54"},{"v":0,"d":"$0.00"},{"v":1.54,"d":"$1.54"},"G","N",0,0,0,"R","3666320","WALGREENS #4983 4983"]
["21865M","0010153779E              ","MBRP00000444990","000000705250","2021-04-17","67877042805","GABAPENTIN TABS 600.000",90,30,{"v":21.86,"d":"$21.86"},{"v":0.59,"d":"$0.59"},{"v":22.45,"d":"$22.45"},{"v":17.45,"d":"$17.45"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010099978E              ","MBRP00000430930","000007129589","2021-04-18","00074929690","SYNTHROID TABS 112.000",90,90,{"v":115.49,"d":"$115.49"},{"v":0,"d":"$0.00"},{"v":115.49,"d":"$115.49"},{"v":55.49,"d":"$55.49"},{"v":60,"d":"$60.00"},"B","N",0,1,1,"R","3654034","MARCS 22"]
["21865M","0010084174E              ","MBRP00000424726","000001174927","2021-04-18","50228018005","GABAPENTIN CAPS 300.000",-60,30,{"v":-8.62,"d":"-$8.62"},{"v":-0.59,"d":"-$0.59"},{"v":-9.21,"d":"-$9.21"},{"v":-4.21,"d":"-$4.21"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010104195E              ","MBRP00000440261","000001724517","2021-04-18","31722070290","LOSARTAN POTAS TABS 100.000",90,90,{"v":7.65,"d":"$7.65"},{"v":0,"d":"$0.00"},{"v":7.65,"d":"$7.65"},{"v":0,"d":"$0.00"},{"v":7.65,"d":"$7.65"},"G","N",0,0,0,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","0010104195E              ","MBRP00000440261","000001724521","2021-04-18","65862001330","SERTRALINE HYD TABS 100.000",90,90,{"v":9.4,"d":"$9.40"},{"v":0,"d":"$0.00"},{"v":9.4,"d":"$9.40"},{"v":0,"d":"$0.00"},{"v":9.4,"d":"$9.40"},"G","N",0,0,0,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","0010116868E              ","MBRP00000430954","000001796898","2021-04-19","00378172193","AMLODIPINE BES TABS 0.000",60,30,{"v":107.46,"d":"$107.46"},{"v":0.59,"d":"$0.59"},{"v":108.05,"d":"$108.05"},{"v":103.05,"d":"$103.05"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","0010081996E              ","MBRP00000424739","000006662242","2021-04-19","31722071390","PANTOPRAZOLE S TBEC 40.000",90,90,{"v":9.32,"d":"$9.32"},{"v":0,"d":"$0.00"},{"v":9.32,"d":"$9.32"},{"v":0,"d":"$0.00"},{"v":9.32,"d":"$9.32"},"G","N",0,0,0,"R","3669770","GIANT EAGLE PHARMACY #4030 4030"]
["21865M","0010046085E              ","MBRP00000417860","000001167233","2021-04-19","00002879759","HUMALOG MIX 75 SUPN 0.000",30,25,{"v":1041.79,"d":"$1,041.79"},{"v":0.59,"d":"$0.59"},{"v":1042.38,"d":"$1,042.38"},{"v":1022.38,"d":"$1,022.38"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010115239E              ","MBRP00000430838","000001052630","2021-04-19","67877056105","METFORMIN HYDR TABS 500.000",-30,30,{"v":-1.03,"d":"-$1.03"},{"v":-0.59,"d":"-$0.59"},{"v":-1.62,"d":"-$1.62"},{"v":0,"d":"$0.00"},{"v":-1.62,"d":"-$1.62"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010146979E              ","MBRP00000417837","000001506710","2021-04-19","00093310953","AMOXICILLIN CAPS 500.000",-21,7,{"v":-2.35,"d":"-$2.35"},{"v":-0.59,"d":"-$0.59"},{"v":-2.94,"d":"-$2.94"},{"v":0,"d":"$0.00"},{"v":-2.94,"d":"-$2.94"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010153625E              ","MBRP00000430820","000002545309","2021-04-19","69238154401","HYDROXYCHLOROQ TABS 200.000",180,90,{"v":185.7,"d":"$185.70"},{"v":0,"d":"$0.00"},{"v":185.7,"d":"$185.70"},{"v":170.7,"d":"$170.70"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010148087E              ","MBRP00000429012","000001425466","2021-04-19","00006057561","JANUMET TABS 0.000",180,90,{"v":1403.96,"d":"$1,403.96"},{"v":0,"d":"$0.00"},{"v":1403.96,"d":"$1,403.96"},{"v":1343.96,"d":"$1,343.96"},{"v":60,"d":"$60.00"},"B","N",0,0,1,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010151783E              ","MBRP00000353214","000000825277","2021-04-19","00115165901","PROPRANOLOL HY TABS 10.000",180,30,{"v":40.05,"d":"$40.05"},{"v":0.59,"d":"$0.59"},{"v":40.64,"d":"$40.64"},{"v":35.64,"d":"$35.64"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3677296","WALGREENS #11748 11748"]
["21865M","0010056235E              ","MBRP00000440210","000304886972","2021-04-19","00430042014","LO LOESTRIN FE TABS 0.000",84,84,{"v":419.83,"d":"$419.83"},{"v":0,"d":"$0.00"},{"v":419.83,"d":"$419.83"},{"v":349.83,"d":"$349.83"},{"v":70,"d":"$70.00"},"B","N",0,0,9,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010153601E              ","MBRP00000430974","000001059916","2021-04-19","16729013716","CLONAZEPAM TABS 1.000",30,15,{"v":1.98,"d":"$1.98"},{"v":0.59,"d":"$0.59"},{"v":2.57,"d":"$2.57"},{"v":0,"d":"$0.00"},{"v":2.57,"d":"$2.57"},"G","N",0,0,0,"R","3659488","DISCOUNT DRUG MART 46"]
["21865M","0010061934E              ","MBRP00000424838","000001308203","2021-04-20","52817018000","CLONIDINE HYDR TABS 0.100",15,30,{"v":0.66,"d":"$0.66"},{"v":0.59,"d":"$0.59"},{"v":1.25,"d":"$1.25"},{"v":0,"d":"$0.00"},{"v":1.25,"d":"$1.25"},"G","N",0,0,0,"R","3672638","WALGREENS #7865 7865"]
["21865M","AC00108483700","MBRP00000430898","000006770707","2021-04-20","80777027399","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":28.39,"d":"$28.39"},{"v":28.39,"d":"$28.39"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010148087E              ","MBRP00000429012","000001469004","2021-04-20","69097081307","GABAPENTIN CAPS 100.000",-90,30,{"v":-6.52,"d":"-$6.52"},{"v":-0.59,"d":"-$0.59"},{"v":-7.11,"d":"-$7.11"},{"v":-2.11,"d":"-$2.11"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010132757E              ","MBRP00000417862","000000790191","2021-04-20","00074929690","SYNTHROID TABS 112.000",30,30,{"v":40.13,"d":"$40.13"},{"v":0.59,"d":"$0.59"},{"v":40.72,"d":"$40.72"},{"v":20.72,"d":"$20.72"},{"v":20,"d":"$20.00"},"B","N",0,2,1,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010114615E              ","MBRP00000440323","000006840695","2021-04-20","67877022305","GABAPENTIN CAPS 300.000",120,30,{"v":17.24,"d":"$17.24"},{"v":0.59,"d":"$0.59"},{"v":17.83,"d":"$17.83"},{"v":12.83,"d":"$12.83"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3669112","GIANT EAGLE PHARMACY #1618 1618"]
["21865M","0010061934E              ","MBRP00000424838","000001308201","2021-04-20","00228424106","CLONIDINE HCL  TB12 0.100",-30,30,{"v":-49.47,"d":"-$49.47"},{"v":-0.59,"d":"-$0.59"},{"v":-50.06,"d":"-$50.06"},{"v":-45.06,"d":"-$45.06"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010084143E              ","MBRP00000424710","000001384331","2021-04-20","29300022701","METRONIDAZOLE TABS 500.000",-14,7,{"v":-2.67,"d":"-$2.67"},{"v":-0.59,"d":"-$0.59"},{"v":-3.26,"d":"-$3.26"},{"v":0,"d":"$0.00"},{"v":-3.26,"d":"-$3.26"},"G","N",0,0,0,"R","3652662","RITE AID PHARMACY 02456"]
["21865M","0010084117E              ","MBRP00000424897","000001052700","2021-04-20","57237002901","AMOXICILLIN TABS 875.000",-20,10,{"v":-4.4,"d":"-$4.40"},{"v":-0.59,"d":"-$0.59"},{"v":-4.99,"d":"-$4.99"},{"v":0,"d":"$0.00"},{"v":-4.99,"d":"-$4.99"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010006021E              ","MBRP00000418021","000001507148","2021-04-20","58160082311","SHINGRIX SUSR 50.000",1,1,{"v":159.11,"d":"$159.11"},{"v":0.59,"d":"$0.59"},{"v":159.7,"d":"$159.70"},{"v":159.7,"d":"$159.70"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010139575E              ","MBRP00000430854","000000899481","2021-04-20","00186037020","SYMBICORT AERO 0.000",-10.2,30,{"v":-367.94,"d":"-$367.94"},{"v":-0.5,"d":"-$0.50"},{"v":-368.44,"d":"-$368.44"},{"v":-348.44,"d":"-$348.44"},{"v":-20,"d":"-$20.00"},"B","N",0,0,1,"R","3606211","DARTMOUTH PHARMACY"]
["21865M","0010132757E              ","MBRP00000417862","000000790190","2021-04-20","51224000760","METFORMIN HYDR TB24 500.000",60,30,{"v":13,"d":"$13.00"},{"v":0.59,"d":"$0.59"},{"v":13.59,"d":"$13.59"},{"v":8.59,"d":"$8.59"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010120429E              ","MBRP00000401503","000305194742","2021-04-21","68382041205","OMEPRAZOLE CPDR 20.000",90,90,{"v":7.77,"d":"$7.77"},{"v":0,"d":"$0.00"},{"v":7.77,"d":"$7.77"},{"v":0,"d":"$0.00"},{"v":7.77,"d":"$7.77"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010153595E              ","MBRP00000430834","000001176062","2021-04-21","50228046601","NABUMETONE TABS 750.000",-60,30,{"v":-25.09,"d":"-$25.09"},{"v":-0.59,"d":"-$0.59"},{"v":-25.68,"d":"-$25.68"},{"v":-20.68,"d":"-$20.68"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","AC00108363000","MBRP00000430784","000001103094","2021-04-21","31722071310","PANTOPRAZOLE S TBEC 40.000",14,14,{"v":1.45,"d":"$1.45"},{"v":0.59,"d":"$0.59"},{"v":2.04,"d":"$2.04"},{"v":0,"d":"$0.00"},{"v":2.04,"d":"$2.04"},"G","N",0,0,0,"R","3657751","DISCOUNT DRUG MART 42"]
["21865M","0010152041E              ","MBRP00000422311","000000940707","2021-04-21","65162074510","PROMETHAZINE H TABS 12.500",120,30,{"v":14.01,"d":"$14.01"},{"v":0.59,"d":"$0.59"},{"v":14.6,"d":"$14.60"},{"v":9.6,"d":"$9.60"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3650670","CVS PHARMACY #04802 04802"]
["21865M","0010031903E              ","MBRP00000430941","000007285009","2021-04-21","00054001925","PREDNISONE TABS 50.000",2,2,{"v":0.66,"d":"$0.66"},{"v":0.59,"d":"$0.59"},{"v":1.25,"d":"$1.25"},{"v":0,"d":"$0.00"},{"v":1.25,"d":"$1.25"},"G","N",0,0,0,"R","3673387","WALMART PHARMACY 10-5410 105410"]
["21865M","AC00108619800","MBRP00000418639","000002376264","2021-04-21","69452020820","CALCITRIOL CAPS 0.500",90,90,{"v":100.62,"d":"$100.62"},{"v":0,"d":"$0.00"},{"v":100.62,"d":"$100.62"},{"v":85.62,"d":"$85.62"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010069336E              ","MBRP00000429056","000001797326","2021-04-21","00406051201","OXYCODONE/ACET TABS 0.000",20,7,{"v":3.13,"d":"$3.13"},{"v":0.59,"d":"$0.59"},{"v":3.72,"d":"$3.72"},{"v":0,"d":"$0.00"},{"v":3.72,"d":"$3.72"},"G","N",0,0,0,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","0010031903E              ","MBRP00000430941","000008853418","2021-04-21","49035092998","EQ ALLERGY REL TABS 25.000",2,1,{"v":0,"d":"$0.00"},{"v":0.07,"d":"$0.07"},{"v":0.07,"d":"$0.07"},{"v":0,"d":"$0.00"},{"v":0.07,"d":"$0.07"},"G","N",0,0,0,"R","3673387","WALMART PHARMACY 10-5410 105410"]
["21865M","0010129043E              ","MBRP00000429183","000001134197","2021-04-22","51660093901","CETIRIZINE HYD TABS 10.000",-30,30,{"v":-3.85,"d":"-$3.85"},{"v":-0.59,"d":"-$0.59"},{"v":-4.44,"d":"-$4.44"},{"v":0,"d":"$0.00"},{"v":-4.44,"d":"-$4.44"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010084283E              ","MBRP00000424809","000000842905","2021-04-22","57599000101","FREESTYLE LIBR MISC 0.000",-2,28,{"v":-106.92,"d":"-$106.92"},{"v":-0.59,"d":"-$0.59"},{"v":-107.51,"d":"-$107.51"},{"v":-87.51,"d":"-$87.51"},{"v":-20,"d":"-$20.00"},"B","N",0,0,1,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010152624E              ","MBRP00000440044","000001469917","2021-04-22","16729017001","ESCITALOPRAM O TABS 20.000",30,30,{"v":6.89,"d":"$6.89"},{"v":0.59,"d":"$0.59"},{"v":7.48,"d":"$7.48"},{"v":2.48,"d":"$2.48"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010005833E              ","MBRP00000430909","000006425329","2021-04-22","65162046510","IBUPROFEN TABS 600.000",90,30,{"v":3.12,"d":"$3.12"},{"v":0.59,"d":"$0.59"},{"v":3.71,"d":"$3.71"},{"v":0,"d":"$0.00"},{"v":3.71,"d":"$3.71"},"G","N",0,0,0,"R","3648930","MARCS 14"]
["21865M","AC00108363000","MBRP00000430784","000001103094","2021-04-22","31722071310","PANTOPRAZOLE S TBEC 40.000",14,14,{"v":1.45,"d":"$1.45"},{"v":0.59,"d":"$0.59"},{"v":2.04,"d":"$2.04"},{"v":0,"d":"$0.00"},{"v":2.04,"d":"$2.04"},"G","N",0,0,0,"R","3657751","DISCOUNT DRUG MART 42"]
["21865M","0010084133E              ","MBRP00000424698","000006516041","2021-04-22","64380078706","BUSPIRONE HYDR TABS 7.500",90,30,{"v":90.37,"d":"$90.37"},{"v":0.59,"d":"$0.59"},{"v":90.96,"d":"$90.96"},{"v":85.96,"d":"$85.96"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3667271","ACME PHARMACY 12"]
["21865M","0010148853E              ","MBRP00000440188","000000735111","2021-04-22","00093356026","PEG-3350,SODIU SOLR 0.000",1,1,{"v":104.53,"d":"$104.53"},{"v":0.59,"d":"$0.59"},{"v":105.12,"d":"$105.12"},{"v":100.12,"d":"$100.12"},{"v":5,"d":"$5.00"},"G","N",0,2,0,"R","3679668","CVS PHARMACY #02385 02385"]
["21865M","0010084283E              ","MBRP00000424809","000000881517","2021-04-23","00378235193","ESOMEPRAZOLE M CPDR 40.000",-30,30,{"v":-41.12,"d":"-$41.12"},{"v":-0.59,"d":"-$0.59"},{"v":-41.71,"d":"-$41.71"},{"v":-36.71,"d":"-$36.71"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","AC00108363000","MBRP00000430784","000001103349","2021-04-23","16729004517","ATORVASTATIN C TABS 20.000",30,30,{"v":2.93,"d":"$2.93"},{"v":0.59,"d":"$0.59"},{"v":3.52,"d":"$3.52"},{"v":0,"d":"$0.00"},{"v":3.52,"d":"$3.52"},"G","N",0,0,0,"R","3657751","DISCOUNT DRUG MART 42"]
["21865M","0010139126E              ","MBRP00000429226","000001041563","2021-04-23","57237010299","METOPROLOL TAR TABS 100.000",270,90,{"v":15.62,"d":"$15.62"},{"v":0,"d":"$0.00"},{"v":15.62,"d":"$15.62"},{"v":0.62,"d":"$0.62"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","AC00109987400","MBRP00000459744","000001132107","2021-04-23","00555901658","SPRINTEC 28 TABS 0.000",28,28,{"v":26.38,"d":"$26.38"},{"v":0.59,"d":"$0.59"},{"v":26.97,"d":"$26.97"},{"v":26.97,"d":"$26.97"},{"v":0,"d":"$0.00"},"G","N",0,2,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010153623E              ","MBRP00000431025","000007251099","2021-04-23","68645055254","LISINOPRIL TABS 10.000",90,90,{"v":3.65,"d":"$3.65"},{"v":0,"d":"$0.00"},{"v":3.65,"d":"$3.65"},{"v":0,"d":"$0.00"},{"v":3.65,"d":"$3.65"},"G","N",0,0,0,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","0010139126E              ","MBRP00000429225","000001040701","2021-04-23","00093354143","ESTRADIOL CREA 0.100",42.5,30,{"v":259.93,"d":"$259.93"},{"v":0.59,"d":"$0.59"},{"v":260.52,"d":"$260.52"},{"v":255.52,"d":"$255.52"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010084203E              ","MBRP00000424758","000006747538","2021-04-24","00169413602","OZEMPIC SOPN 2.000",-3,28,{"v":-836.34,"d":"-$836.34"},{"v":-0.59,"d":"-$0.59"},{"v":-836.93,"d":"-$836.93"},{"v":-801.93,"d":"-$801.93"},{"v":-35,"d":"-$35.00"},"B","N",0,0,9,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010153646E              ","MBRP00000429340","000002833941","2021-04-24","65862001305","SERTRALINE HYD TABS 100.000",-90,90,{"v":-9.4,"d":"-$9.40"},{"v":0,"d":"$0.00"},{"v":-9.4,"d":"-$9.40"},{"v":0,"d":"$0.00"},{"v":-9.4,"d":"-$9.40"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010084203E              ","MBRP00000424756","000008029553","2021-04-24","16571040250","CETIRIZINE HYD TABS 10.000",30,30,{"v":3.85,"d":"$3.85"},{"v":0.59,"d":"$0.59"},{"v":4.44,"d":"$4.44"},{"v":0,"d":"$0.00"},{"v":4.44,"d":"$4.44"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010126579E              ","MBRP00000440106","000006570141","2021-04-24","00093226801","AMOXICILLIN CHEW 250.000",-40,10,{"v":-12.36,"d":"-$12.36"},{"v":-0.59,"d":"-$0.59"},{"v":-12.95,"d":"-$12.95"},{"v":-7.95,"d":"-$7.95"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010084123E              ","MBRP00000417789","000004728781","2021-04-25","65862001205","SERTRALINE HCL TABS 50.000",-30,30,{"v":-2.49,"d":"-$2.49"},{"v":-0.59,"d":"-$0.59"},{"v":-3.08,"d":"-$3.08"},{"v":0,"d":"$0.00"},{"v":-3.08,"d":"-$3.08"},"G","N",0,0,0,"R","3600497","WALGREENS #12830 12830"]
["21865M","0010084104E              ","MBRP00000309890","000000899490","2021-04-25","57237010101","METOPROLOL TAR TABS 50.000",-30,30,{"v":-1.3,"d":"-$1.30"},{"v":-0.59,"d":"-$0.59"},{"v":-1.89,"d":"-$1.89"},{"v":0,"d":"$0.00"},{"v":-1.89,"d":"-$1.89"},"G","N",0,0,0,"R","3651850","RITE AID PHARMACY 02390"]
["21865M","0010134914E              ","MBRP00000417997","000006750887","2021-04-25","33342007410","VALSARTAN/HYDR TABS 0.000",30,30,{"v":35.14,"d":"$35.14"},{"v":0.59,"d":"$0.59"},{"v":35.73,"d":"$35.73"},{"v":30.73,"d":"$30.73"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010135249E              ","MBRP00000429057","000006551796","2021-04-25","57237016199","OMEPRAZOLE CPDR 20.000",30,30,{"v":2.59,"d":"$2.59"},{"v":0.59,"d":"$0.59"},{"v":3.18,"d":"$3.18"},{"v":0,"d":"$0.00"},{"v":3.18,"d":"$3.18"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010149310E              ","MBRP00000437322","000000690207","2021-04-25","65862037401","ESCITALOPRAM O TABS 10.000",-90,90,{"v":-14.14,"d":"-$14.14"},{"v":0,"d":"$0.00"},{"v":-14.14,"d":"-$14.14"},{"v":0,"d":"$0.00"},{"v":-14.14,"d":"-$14.14"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010153616E              ","MBRP00000429316","000006771694","2021-04-26","57237008834","RIZATRIPTAN BE TABS 10.000",-12,30,{"v":-14.6,"d":"-$14.60"},{"v":-0.59,"d":"-$0.59"},{"v":-15.19,"d":"-$15.19"},{"v":-10.19,"d":"-$10.19"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010137838E              ","MBRP00000417781","000006803877","2021-04-26","16714066202","GABAPENTIN CAPS 300.000",120,30,{"v":17.24,"d":"$17.24"},{"v":0.59,"d":"$0.59"},{"v":17.83,"d":"$17.83"},{"v":12.83,"d":"$12.83"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3656444","MARCS 27"]
["21865M","0010084267E              ","MBRP00000417864","000006771536","2021-04-26","47781030301","NITROFURANTOIN CAPS 100.000",20,20,{"v":62.43,"d":"$62.43"},{"v":0.59,"d":"$0.59"},{"v":63.02,"d":"$63.02"},{"v":58.02,"d":"$58.02"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010134796E              ","MBRP00000422348","000008862270","2021-04-26","17478071710","KETOTIFEN FUMA SOLN 0.025",10,30,{"v":19.95,"d":"$19.95"},{"v":0.59,"d":"$0.59"},{"v":20.54,"d":"$20.54"},{"v":15.54,"d":"$15.54"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3673793","CVS PHARMACY #17136 17136"]
["21865M","0010150864E              ","MBRP00000429036","010742253904","2021-04-26","29978012810","CAPRON DMT TABS 0.000",30,10,{"v":9.13,"d":"$9.13"},{"v":0.59,"d":"$0.59"},{"v":9.72,"d":"$9.72"},{"v":0,"d":"$0.00"},{"v":9.72,"d":"$9.72"},"G","N",0,0,9,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010005907E              ","MBRP00000422299","000001508523","2021-04-26","27241009903","DULOXETINE HYD CPEP 60.000",60,30,{"v":33.51,"d":"$33.51"},{"v":0.59,"d":"$0.59"},{"v":34.1,"d":"$34.10"},{"v":29.1,"d":"$29.10"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010084295E              ","MBRP00000422178","000001949513","2021-04-26","59746017506","PREDNISONE TABS 20.000",7,7,{"v":1.21,"d":"$1.21"},{"v":0.59,"d":"$0.59"},{"v":1.8,"d":"$1.80"},{"v":0,"d":"$0.00"},{"v":1.8,"d":"$1.80"},"G","N",0,0,0,"R","3647560","RITE AID PHARMACY 03095"]
["21865M","0010084295E              ","MBRP00000422178","000001949514","2021-04-26","64380071206","BENZONATATE CAPS 100.000",21,7,{"v":3.18,"d":"$3.18"},{"v":0.59,"d":"$0.59"},{"v":3.77,"d":"$3.77"},{"v":0,"d":"$0.00"},{"v":3.77,"d":"$3.77"},"G","N",0,0,0,"R","3647560","RITE AID PHARMACY 03095"]
["21865M","0010084295E              ","MBRP00000422178","000001949511","2021-04-26","62332025118","AZITHROMYCIN TABS 250.000",6,5,{"v":4.16,"d":"$4.16"},{"v":0.59,"d":"$0.59"},{"v":4.75,"d":"$4.75"},{"v":0,"d":"$0.00"},{"v":4.75,"d":"$4.75"},"G","N",0,0,0,"R","3647560","RITE AID PHARMACY 03095"]
["21865M","0010105128E              ","MBRP00000440229","000002044193","2021-04-26","31722065832","DIMETHYL FUMAR CPDR 240.000",-60,30,{"v":-2681.09,"d":"-$2,681.09"},{"v":0,"d":"$0.00"},{"v":-2681.09,"d":"-$2,681.09"},{"v":-2661.09,"d":"-$2,661.09"},{"v":-20,"d":"-$20.00"},"G","Y",0,0,1,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010125555E              ","MBRP00000424805","000001857809","2021-04-27","00093767902","ETONOGESTREL/E RING 0.000",1,28,{"v":151.73,"d":"$151.73"},{"v":0.59,"d":"$0.59"},{"v":152.32,"d":"$152.32"},{"v":152.32,"d":"$152.32"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3972331","RITE AID PHARMACY 03972 03972"]
["21865M","0010115248E              ","MBRP00000417984","000305560491","2021-04-27","16729000517","SIMVASTATIN TABS 20.000",90,90,{"v":9.03,"d":"$9.03"},{"v":0,"d":"$0.00"},{"v":9.03,"d":"$9.03"},{"v":0,"d":"$0.00"},{"v":9.03,"d":"$9.03"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010045107E              ","MBRP00000340889","000001009352","2021-04-27","70436001004","BUPROPION HYDR TB24 150.000",30,30,{"v":25.32,"d":"$25.32"},{"v":0.59,"d":"$0.59"},{"v":25.91,"d":"$25.91"},{"v":20.91,"d":"$20.91"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3653094","RITE AID PHARMACY 02437"]
["21865M","0010006064E              ","MBRP00000422382","000005024307","2021-04-27","59746017310","PREDNISONE TABS 10.000",21,6,{"v":3.05,"d":"$3.05"},{"v":0.59,"d":"$0.59"},{"v":3.64,"d":"$3.64"},{"v":0,"d":"$0.00"},{"v":3.64,"d":"$3.64"},"G","N",0,0,0,"R","3643271","MEDICINE CENTER PHARMACY"]
["21865M","0010084177E              ","MBRP00000417817","000001239696","2021-04-27","69238156401","AMPHETAMINE SU TABS 10.000",-45,30,{"v":-100.95,"d":"-$100.95"},{"v":-0.59,"d":"-$0.59"},{"v":-101.54,"d":"-$101.54"},{"v":-96.54,"d":"-$96.54"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3666320","WALGREENS #4983 4983"]
["21865M","0010143168E              ","MBRP00000440277","000001304604","2021-04-27","65862052790","VENLAFAXINE HC CP24 37.500",90,90,{"v":62.53,"d":"$62.53"},{"v":0,"d":"$0.00"},{"v":62.53,"d":"$62.53"},{"v":47.53,"d":"$47.53"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010134765E              ","MBRP00000422292","000000351711","2021-04-27","00002751001","HUMALOG SOLN 100.000",20,24,{"v":539.55,"d":"$539.55"},{"v":0.59,"d":"$0.59"},{"v":540.14,"d":"$540.14"},{"v":520.14,"d":"$520.14"},{"v":20,"d":"$20.00"},"B","N",0,2,1,"R","3682324","WALGREENS #15467 15467"]
["21865M","0010143489E              ","MBRP00000290984","000007261954","2021-04-27","69238110002","DOXYCYCLINE HY CAPS 100.000",20,10,{"v":4.33,"d":"$4.33"},{"v":0.59,"d":"$0.59"},{"v":4.92,"d":"$4.92"},{"v":0,"d":"$0.00"},{"v":4.92,"d":"$4.92"},"G","N",0,0,0,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","0010084092E              ","MBRP00000422449","000001475471","2021-04-28","00430042014","LO LOESTRIN FE TABS 0.000",-28,28,{"v":-152.36,"d":"-$152.36"},{"v":-0.59,"d":"-$0.59"},{"v":-152.95,"d":"-$152.95"},{"v":-117.95,"d":"-$117.95"},{"v":-35,"d":"-$35.00"},"B","N",0,0,9,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","AC00110043100","MBRP00000460621","000001841819","2021-04-28","29300012510","MELOXICAM TABS 15.000",-30,30,{"v":-1.23,"d":"-$1.23"},{"v":-0.59,"d":"-$0.59"},{"v":-1.82,"d":"-$1.82"},{"v":0,"d":"$0.00"},{"v":-1.82,"d":"-$1.82"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","0010084336E              ","MBRP00000417895","000001183356","2021-04-28","11822029233","RA LAXATIVE TBEC 5.000",4,1,{"v":0.05,"d":"$0.05"},{"v":0.59,"d":"$0.59"},{"v":0.64,"d":"$0.64"},{"v":0.64,"d":"$0.64"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010143490E              ","MBRP00000417917","000007130967","2021-04-28","00168027740","CLINDAMYCIN PH CREA 2.000",-40,7,{"v":-106.65,"d":"-$106.65"},{"v":-0.59,"d":"-$0.59"},{"v":-107.24,"d":"-$107.24"},{"v":-102.24,"d":"-$102.24"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","AC00110043100","MBRP00000460621","000001841816","2021-04-28","70436001102","BUPROPION HYDR TB24 300.000",30,30,{"v":26.79,"d":"$26.79"},{"v":0.59,"d":"$0.59"},{"v":27.38,"d":"$27.38"},{"v":22.38,"d":"$22.38"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","0010084336E              ","MBRP00000417895","000001183355","2021-04-28","65649040001","PLENVU SOLR 0.000",-3,1,{"v":-121.39,"d":"-$121.39"},{"v":-0.59,"d":"-$0.59"},{"v":-121.98,"d":"-$121.98"},{"v":-86.98,"d":"-$86.98"},{"v":-35,"d":"-$35.00"},"B","N",0,0,9,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010084283E              ","MBRP00000424809","000000882015","2021-04-28","51224022060","METFORMIN HYDR TABS 1000.000",60,30,{"v":3.95,"d":"$3.95"},{"v":0.59,"d":"$0.59"},{"v":4.54,"d":"$4.54"},{"v":0,"d":"$0.00"},{"v":4.54,"d":"$4.54"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010084079E              ","MBRP00000422443","000001347932","2021-04-28","70010077001","METHOCARBAMOL TABS 750.000",90,30,{"v":13.75,"d":"$13.75"},{"v":0.59,"d":"$0.59"},{"v":14.34,"d":"$14.34"},{"v":9.34,"d":"$9.34"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652662","RITE AID PHARMACY 02456"]
["21865M","0010084315E              ","MBRP00000348573","000001310222","2021-04-29","59267100001","PFIZER-BIONTEC SUSP 30.000",0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":16.94,"d":"$16.94"},{"v":16.94,"d":"$16.94"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010148087E              ","MBRP00000429012","000002036937","2021-04-29","00074055402","HUMIRA PEN PNKT 40.000",-4,28,{"v":-11745.38,"d":"-$11,745.38"},{"v":0,"d":"$0.00"},{"v":-11745.38,"d":"-$11,745.38"},{"v":-11240.38,"d":"-$11,240.38"},{"v":-505,"d":"-$505.00"},"B","Y",0,0,1,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010137931E              ","MBRP00000424941","000001525923","2021-04-29","69097096912","LISINOPRIL/HYD TABS 0.000",30,30,{"v":6.6,"d":"$6.60"},{"v":0.59,"d":"$0.59"},{"v":7.19,"d":"$7.19"},{"v":2.19,"d":"$2.19"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659832","DISCOUNT DRUG MART 50"]
["21865M","0010084092E              ","MBRP00000422450","000006196135","2021-04-29","00054040113","DESVENLAFAXINE TB24 100.000",-30,30,{"v":-80.75,"d":"-$80.75"},{"v":-0.59,"d":"-$0.59"},{"v":-81.34,"d":"-$81.34"},{"v":-76.34,"d":"-$76.34"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3680611","EQUITAS HEALTH PHARMACY 1"]
["21865M","0010106873E              ","MBRP00000440041","000306005995","2021-04-29","69097012715","AMLODIPINE BES TABS 5.000",90,90,{"v":3.14,"d":"$3.14"},{"v":0,"d":"$0.00"},{"v":3.14,"d":"$3.14"},{"v":0,"d":"$0.00"},{"v":3.14,"d":"$3.14"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010120789E              ","MBRP00000417813","000001171649","2021-04-29","27241009903","DULOXETINE HYD CPEP 60.000",-90,90,{"v":-50.27,"d":"-$50.27"},{"v":0,"d":"$0.00"},{"v":-50.27,"d":"-$50.27"},{"v":-35.27,"d":"-$35.27"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3651886","RITE AID PHARMACY 02393"]
["21865M","0010084150E              ","MBRP00000424864","000009311132","2021-04-29","60505258008","ATORVASTATIN C TABS 40.000",30,30,{"v":11.75,"d":"$11.75"},{"v":0.5,"d":"$0.50"},{"v":12.25,"d":"$12.25"},{"v":7.25,"d":"$7.25"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010144060E              ","MBRP00000422224","000000560462","2021-04-29","00472037915","CLOTRIMAZOLE/B CREA 0.000",-30,14,{"v":-4.43,"d":"-$4.43"},{"v":-0.59,"d":"-$0.59"},{"v":-5.02,"d":"-$5.02"},{"v":-0.02,"d":"-$0.02"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010108448E              ","MBRP00000417797","000006547392","2021-04-29","68180031902","BUPROPION HYDR TB24 150.000",-30,30,{"v":-25.32,"d":"-$25.32"},{"v":-0.59,"d":"-$0.59"},{"v":-25.91,"d":"-$25.91"},{"v":-20.91,"d":"-$20.91"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010122673E              ","MBRP00000429021","000004377847","2021-04-29","65862037401","ESCITALOPRAM O TABS 10.000",90,90,{"v":14.14,"d":"$14.14"},{"v":0,"d":"$0.00"},{"v":14.14,"d":"$14.14"},{"v":0,"d":"$0.00"},{"v":14.14,"d":"$14.14"},"G","N",0,0,0,"R","4558992","WALGREENS #4999 4999"]
["21865M","AC00109306100","MBRP00000448919","010747059903","2021-04-29","68462034690","LEVOCETIRIZINE TABS 5.000",30,30,{"v":15.81,"d":"$15.81"},{"v":0.59,"d":"$0.59"},{"v":16.4,"d":"$16.40"},{"v":11.4,"d":"$11.40"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010083494E              ","MBRP00000424853","000006714592","2021-04-30","51672138803","DAPSONE GEL  7.500",-60,30,{"v":-552.06,"d":"-$552.06"},{"v":-0.59,"d":"-$0.59"},{"v":-552.65,"d":"-$552.65"},{"v":-547.65,"d":"-$547.65"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3674151","GIANT EAGLE PHARMACY #4152 4152"]
["21865M","0010152646E              ","MBRP00000442992","000000833522","2021-04-30","47781030301","NITROFURANTOIN CAPS 100.000",-10,5,{"v":-31.21,"d":"-$31.21"},{"v":-0.59,"d":"-$0.59"},{"v":-31.8,"d":"-$31.80"},{"v":-26.8,"d":"-$26.80"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3679606","CVS PHARMACY #02063 02063"]
["21865M","0010084219E              ","MBRP00000424767","000000927597","2021-04-30","00555089902","ESTRADIOL TABS 0.500",-90,90,{"v":-19.95,"d":"-$19.95"},{"v":0,"d":"$0.00"},{"v":-19.95,"d":"-$19.95"},{"v":-4.95,"d":"-$4.95"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3650670","CVS PHARMACY #04802 04802"]
["21865M","0010084332E              ","MBRP00000422117","000002568694","2021-04-30","70748013306","SILDENAFIL CIT TABS 100.000",6,30,{"v":3.92,"d":"$3.92"},{"v":0.59,"d":"$0.59"},{"v":4.51,"d":"$4.51"},{"v":0,"d":"$0.00"},{"v":4.51,"d":"$4.51"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010006054E              ","MBRP00000418056","000001025383","2021-04-30","69315012701","FOLIC ACID TABS 1.000",60,30,{"v":4.11,"d":"$4.11"},{"v":0.59,"d":"$0.59"},{"v":4.7,"d":"$4.70"},{"v":0,"d":"$0.00"},{"v":4.7,"d":"$4.70"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010139454E              ","MBRP00000424948","000009298421","2021-04-30","00006027754","JANUVIA TABS 100.000",90,90,{"v":1421.84,"d":"$1,421.84"},{"v":0,"d":"$0.00"},{"v":1421.84,"d":"$1,421.84"},{"v":1361.84,"d":"$1,361.84"},{"v":60,"d":"$60.00"},"B","N",0,0,1,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010153674E              ","MBRP00000430828","000001948493","2021-05-01","50111033402","METRONIDAZOLE TABS 500.000",-4,1,{"v":-0.76,"d":"-$0.76"},{"v":-0.59,"d":"-$0.59"},{"v":-1.35,"d":"-$1.35"},{"v":0,"d":"$0.00"},{"v":-1.35,"d":"-$1.35"},"G","N",0,0,0,"R","2632025","WALGREENS #4834 4834"]
["21865M","0010098976E              ","MBRP00000369585","000006248842","2021-05-01","50111056003","TRAZODONE HYDR TABS 50.000",30,30,{"v":3.14,"d":"$3.14"},{"v":0.59,"d":"$0.59"},{"v":3.73,"d":"$3.73"},{"v":0,"d":"$0.00"},{"v":3.73,"d":"$3.73"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010115257E              ","MBRP00000422175","000001574080","2021-05-01","42192060716","BROMPHEN/PSEUD SYRP 0.000",-120,3,{"v":-20.41,"d":"-$20.41"},{"v":-0.59,"d":"-$0.59"},{"v":-21,"d":"-$21.00"},{"v":-16,"d":"-$16.00"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3659832","DISCOUNT DRUG MART 50"]
["21865M","0010153601E              ","MBRP00000430974","000001060936","2021-05-02","16729013716","CLONAZEPAM TABS 1.000",-30,15,{"v":-1.98,"d":"-$1.98"},{"v":-0.59,"d":"-$0.59"},{"v":-2.57,"d":"-$2.57"},{"v":0,"d":"$0.00"},{"v":-2.57,"d":"-$2.57"},"G","N",0,0,0,"R","3659488","DISCOUNT DRUG MART 46"]
["21865M","0010077349E              ","MBRP00000424943","000304098749","2021-05-02","23155066201","CALCITRIOL CAPS 0.250",36,90,{"v":25.57,"d":"$25.57"},{"v":0,"d":"$0.00"},{"v":25.57,"d":"$25.57"},{"v":15.57,"d":"$15.57"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010120789E              ","MBRP00000417813","000001166221","2021-05-02","33342030111","ESZOPICLONE TABS 3.000",30,30,{"v":17.42,"d":"$17.42"},{"v":0.59,"d":"$0.59"},{"v":18.01,"d":"$18.01"},{"v":13.01,"d":"$13.01"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651886","RITE AID PHARMACY 02393"]
["21865M","0010153605E              ","MBRP00000430797","000001695883","2021-05-02","43547035311","LISINOPRIL TABS 10.000",-90,90,{"v":-3.65,"d":"-$3.65"},{"v":0,"d":"$0.00"},{"v":-3.65,"d":"-$3.65"},{"v":0,"d":"$0.00"},{"v":-3.65,"d":"-$3.65"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010098976E              ","MBRP00000369587","000006241299","2021-05-03","68382000105","PAROXETINE HCL TABS 40.000",30,30,{"v":5.06,"d":"$5.06"},{"v":0.59,"d":"$0.59"},{"v":5.65,"d":"$5.65"},{"v":0.65,"d":"$0.65"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010143489E              ","MBRP00000290985","000007244587","2021-05-03","43598050930","ESOMEPRAZOLE M CPDR 20.000",30,30,{"v":31.53,"d":"$31.53"},{"v":0.59,"d":"$0.59"},{"v":32.12,"d":"$32.12"},{"v":27.12,"d":"$27.12"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","0010122770E              ","MBRP00000293148","000001104813","2021-05-03","57237002901","AMOXICILLIN TABS 875.000",20,10,{"v":4.4,"d":"$4.40"},{"v":0.59,"d":"$0.59"},{"v":4.99,"d":"$4.99"},{"v":0,"d":"$0.00"},{"v":4.99,"d":"$4.99"},"G","N",0,0,0,"R","3657751","DISCOUNT DRUG MART 42"]
["21865M","0010153605E              ","MBRP00000430797","000001695843","2021-05-03","29300012601","BISOPROLOL FUM TABS 5.000",15,30,{"v":14.51,"d":"$14.51"},{"v":0.59,"d":"$0.59"},{"v":15.1,"d":"$15.10"},{"v":10.1,"d":"$10.10"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010046686E              ","MBRP00000429167","000001510178","2021-05-03","65862069790","VENLAFAXINE HC CP24 150.000",90,90,{"v":21.68,"d":"$21.68"},{"v":0,"d":"$0.00"},{"v":21.68,"d":"$21.68"},{"v":6.68,"d":"$6.68"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010153628E              ","MBRP00000429290","000007123270","2021-05-03","16714066202","GABAPENTIN CAPS 300.000",-60,30,{"v":-8.62,"d":"-$8.62"},{"v":-0.59,"d":"-$0.59"},{"v":-9.21,"d":"-$9.21"},{"v":-4.21,"d":"-$4.21"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010122754E              ","MBRP00000418027","000002591258","2021-05-03","68382080501","TRAZODONE HYDR TABS 50.000",60,30,{"v":6.27,"d":"$6.27"},{"v":0.59,"d":"$0.59"},{"v":6.86,"d":"$6.86"},{"v":1.86,"d":"$1.86"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010153646E              ","MBRP00000429340","000002866609","2021-05-04","00406012305","HYDROCODONE/AC TABS 0.000",30,5,{"v":3.56,"d":"$3.56"},{"v":0.59,"d":"$0.59"},{"v":4.15,"d":"$4.15"},{"v":0,"d":"$0.00"},{"v":4.15,"d":"$4.15"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","AC00109149800","MBRP00000446415","000000886600","2021-05-04","68382080501","TRAZODONE HYDR TABS 50.000",-30,30,{"v":-3.14,"d":"-$3.14"},{"v":-0.59,"d":"-$0.59"},{"v":-3.73,"d":"-$3.73"},{"v":0,"d":"$0.00"},{"v":-3.73,"d":"-$3.73"},"G","N",0,0,0,"R","3652004","RITE AID PHARMACY 02404"]
["21865M","0010153631E              ","MBRP00000430997","000001785203","2021-05-04","16729018201","HYDROCHLOROTHI TABS 12.500",30,30,{"v":2.17,"d":"$2.17"},{"v":0.59,"d":"$0.59"},{"v":2.76,"d":"$2.76"},{"v":0,"d":"$0.00"},{"v":2.76,"d":"$2.76"},"G","N",0,0,0,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","0010005888E              ","MBRP00000417811","000001207983","2021-05-04","68180065208","DOXYCYCLINE MO CAPS 100.000",60,30,{"v":33.87,"d":"$33.87"},{"v":0.59,"d":"$0.59"},{"v":34.46,"d":"$34.46"},{"v":29.46,"d":"$29.46"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606122","CVS PHARMACY #03306 03306"]
["21865M","0010152623E              ","MBRP00000468380","000000882515","2021-05-04","00168000380","TRIAMCINOLONE  CREA 0.025",80,7,{"v":6.08,"d":"$6.08"},{"v":0.59,"d":"$0.59"},{"v":6.67,"d":"$6.67"},{"v":1.67,"d":"$1.67"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010140122E              ","MBRP00000440310","000002591992","2021-05-04","70710116201","MECLIZINE HYDR TABS 25.000",-90,30,{"v":-10.53,"d":"-$10.53"},{"v":-0.59,"d":"-$0.59"},{"v":-11.12,"d":"-$11.12"},{"v":-6.12,"d":"-$6.12"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010124284E              ","MBRP00000424894","000001051071","2021-05-04","52536062501","TESTOSTERONE C SOLN 200.000",2,28,{"v":17.48,"d":"$17.48"},{"v":0.59,"d":"$0.59"},{"v":18.07,"d":"$18.07"},{"v":13.07,"d":"$13.07"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010112591E              ","MBRP00000440132","000001143202","2021-05-04","00378427593","VALACYCLOVIR H TABS 500.000",6,3,{"v":6.91,"d":"$6.91"},{"v":0.59,"d":"$0.59"},{"v":7.5,"d":"$7.50"},{"v":2.5,"d":"$2.50"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010125947E              ","MBRP00000422211","000001818329","2021-05-05","65862069705","VENLAFAXINE HC CP24 150.000",-30,30,{"v":-7.23,"d":"-$7.23"},{"v":-0.59,"d":"-$0.59"},{"v":-7.82,"d":"-$7.82"},{"v":-2.82,"d":"-$2.82"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","0010126150E              ","MBRP00000430934","000007284745","2021-05-05","65162019011","NAPROXEN TABS 500.000",10,5,{"v":1.29,"d":"$1.29"},{"v":0.59,"d":"$0.59"},{"v":1.88,"d":"$1.88"},{"v":0,"d":"$0.00"},{"v":1.88,"d":"$1.88"},"G","N",0,0,0,"R","3673387","WALMART PHARMACY 10-5410 105410"]
["21865M","0010054511E              ","MBRP00000429077","000001430346","2021-05-05","00378235193","ESOMEPRAZOLE M CPDR 40.000",30,30,{"v":41.12,"d":"$41.12"},{"v":0.59,"d":"$0.59"},{"v":41.71,"d":"$41.71"},{"v":36.71,"d":"$36.71"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010153600E              ","MBRP00000431004","000007296533","2021-05-05","50111056102","TRAZODONE HYDR TABS 100.000",30,30,{"v":5.83,"d":"$5.83"},{"v":0.59,"d":"$0.59"},{"v":6.42,"d":"$6.42"},{"v":1.42,"d":"$1.42"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3666356","GIANT EAGLE PHARMACY #1620 1620"]
["21865M","0010125947E              ","MBRP00000422211","000001818330","2021-05-05","43547035611","LISINOPRIL TABS 40.000",-30,30,{"v":-3.03,"d":"-$3.03"},{"v":-0.59,"d":"-$0.59"},{"v":-3.62,"d":"-$3.62"},{"v":0,"d":"$0.00"},{"v":-3.62,"d":"-$3.62"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","0010046085E              ","MBRP00000417860","000001184798","2021-05-05","50742061701","METOPROLOL SUC TB24 100.000",90,90,{"v":53.36,"d":"$53.36"},{"v":0,"d":"$0.00"},{"v":53.36,"d":"$53.36"},{"v":38.36,"d":"$38.36"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010048465E              ","MBRP00000342842","000002553909","2021-05-05","65862005190","SIMVASTATIN TABS 10.000",30,30,{"v":1.99,"d":"$1.99"},{"v":0.59,"d":"$0.59"},{"v":2.58,"d":"$2.58"},{"v":0,"d":"$0.00"},{"v":2.58,"d":"$2.58"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010083494E              ","MBRP00000424854","000006720062","2021-05-05","00228212750","CLONIDINE HYDR TABS 0.100",30,30,{"v":1.31,"d":"$1.31"},{"v":0.59,"d":"$0.59"},{"v":1.9,"d":"$1.90"},{"v":0,"d":"$0.00"},{"v":1.9,"d":"$1.90"},"G","N",0,0,0,"R","3674151","GIANT EAGLE PHARMACY #4152 4152"]
["21865M","0010153610E              ","MBRP00000430843","000001166932","2021-05-05","55111015901","OMEPRAZOLE CPDR 40.000",30,30,{"v":3.84,"d":"$3.84"},{"v":0.59,"d":"$0.59"},{"v":4.43,"d":"$4.43"},{"v":0,"d":"$0.00"},{"v":4.43,"d":"$4.43"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010153617E              ","MBRP00000430969","000000811633","2021-05-05","57237021330","MONTELUKAST SO CHEW 5.000",-90,90,{"v":-21.21,"d":"-$21.21"},{"v":0,"d":"$0.00"},{"v":-21.21,"d":"-$21.21"},{"v":-6.21,"d":"-$6.21"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010006037E              ","MBRP00000440264","000001054932","2021-05-05","13668033201","TRAZODONE HYDR TABS 150.000",45,30,{"v":18.67,"d":"$18.67"},{"v":0.59,"d":"$0.59"},{"v":19.26,"d":"$19.26"},{"v":14.26,"d":"$14.26"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010064744E              ","MBRP00000422383","000000572681","2021-05-05","43598016630","OLANZAPINE TABS 10.000",30,30,{"v":11.96,"d":"$11.96"},{"v":0.5,"d":"$0.50"},{"v":12.46,"d":"$12.46"},{"v":7.46,"d":"$7.46"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","0010052597E              ","MBRP00000336027","000001105346","2021-05-06","51991096158","POLYETHYLENE G POWD 17.000",238,14,{"v":3.88,"d":"$3.88"},{"v":0.59,"d":"$0.59"},{"v":4.47,"d":"$4.47"},{"v":4.47,"d":"$4.47"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3657751","DISCOUNT DRUG MART 42"]
["21865M","0010006079E              ","MBRP00000424833","000000541182","2021-05-06","68382009801","PAROXETINE HYD TABS 20.000",90,90,{"v":10.25,"d":"$10.25"},{"v":0,"d":"$0.00"},{"v":10.25,"d":"$10.25"},{"v":0,"d":"$0.00"},{"v":10.25,"d":"$10.25"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","0010085209E              ","MBRP00000430935","000000743346","2021-05-06","59267100002","PFIZER-BIONTEC SUSP 30.000",0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":40,"d":"$40.00"},{"v":40,"d":"$40.00"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010150825E              ","MBRP00000424754","000001567827","2021-05-06","57237004105","PENICILLIN V P TABS 500.000",28,7,{"v":4.89,"d":"$4.89"},{"v":0.59,"d":"$0.59"},{"v":5.48,"d":"$5.48"},{"v":0.48,"d":"$0.48"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3671167","WALGREENS #6889 6889"]
["21865M","0010005907E              ","MBRP00000422299","000001508220","2021-05-06","00173085910","BREO ELLIPTA AEPB 0.000",-60,30,{"v":-365.98,"d":"-$365.98"},{"v":-0.59,"d":"-$0.59"},{"v":-366.57,"d":"-$366.57"},{"v":-346.57,"d":"-$346.57"},{"v":-20,"d":"-$20.00"},"B","N",0,0,1,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010127657E              ","MBRP00000417900","000001696749","2021-05-06","65862042005","SULFAMETHOXAZO TABS 0.000",10,5,{"v":1.21,"d":"$1.21"},{"v":0.59,"d":"$0.59"},{"v":1.8,"d":"$1.80"},{"v":0,"d":"$0.00"},{"v":1.8,"d":"$1.80"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010092580E              ","MBRP00000424961","000001473430","2021-05-06","62332048625","CLOBETASOL PRO SOLN 0.050",25,10,{"v":27.52,"d":"$27.52"},{"v":0.59,"d":"$0.59"},{"v":28.11,"d":"$28.11"},{"v":23.11,"d":"$23.11"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010064744E              ","MBRP00000422383","000000779469","2021-05-06","55513084301","AIMOVIG SOAJ 140.000",1,30,{"v":627.32,"d":"$627.32"},{"v":0.59,"d":"$0.59"},{"v":627.91,"d":"$627.91"},{"v":592.91,"d":"$592.91"},{"v":35,"d":"$35.00"},"B","N",0,1,9,"R","3684710","SUMMA HEALTH AKRON RETAIL PHARMA"]
["21865M","0010086302E              ","MBRP00000440329","000006764702","2021-05-07","69097082412","CITALOPRAM HYD TABS 40.000",-30,30,{"v":-9.79,"d":"-$9.79"},{"v":-0.59,"d":"-$0.59"},{"v":-10.38,"d":"-$10.38"},{"v":-5.38,"d":"-$5.38"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010006122E              ","MBRP00000440129","000006773224","2021-05-07","68462026190","ROSUVASTATIN C TABS 5.000",90,90,{"v":18.12,"d":"$18.12"},{"v":0,"d":"$0.00"},{"v":18.12,"d":"$18.12"},{"v":3.12,"d":"$3.12"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010062356E              ","MBRP00000422418","000306668903","2021-05-07","00555088604","ESTRADIOL TABS 1.000",90,90,{"v":21.94,"d":"$21.94"},{"v":0,"d":"$0.00"},{"v":21.94,"d":"$21.94"},{"v":11.94,"d":"$11.94"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010084079E              ","MBRP00000422443","000001387778","2021-05-07","00406831501","MORPHINE SULFA TBCR 15.000",-60,30,{"v":-20.01,"d":"-$20.01"},{"v":-0.59,"d":"-$0.59"},{"v":-20.6,"d":"-$20.60"},{"v":-15.6,"d":"-$15.60"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3652662","RITE AID PHARMACY 02456"]
["21865M","0010084188E              ","MBRP00000424740","000000753572","2021-05-07","68180094311","TESTOSTERONE T SOLN 30.000",180,30,{"v":739.1,"d":"$739.10"},{"v":0.59,"d":"$0.59"},{"v":739.69,"d":"$739.69"},{"v":734.69,"d":"$734.69"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010151688E              ","MBRP00000424925","000000748229","2021-05-07","55111032201","GLIMEPIRIDE TABS 4.000",180,90,{"v":53.41,"d":"$53.41"},{"v":0,"d":"$0.00"},{"v":53.41,"d":"$53.41"},{"v":38.41,"d":"$38.41"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","AC00109581900","MBRP00000461095","000006664816","2021-05-07","68180015001","FAMOTIDINE SUSR 40.000",50,30,{"v":50.63,"d":"$50.63"},{"v":0.59,"d":"$0.59"},{"v":51.22,"d":"$51.22"},{"v":46.22,"d":"$46.22"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3669770","GIANT EAGLE PHARMACY #4030 4030"]
["21865M","0010092584E              ","MBRP00000440290","000001261807","2021-05-08","70954005920","PREDNISONE TABS 10.000",-18,9,{"v":-2.61,"d":"-$2.61"},{"v":-0.59,"d":"-$0.59"},{"v":-3.2,"d":"-$3.20"},{"v":0,"d":"$0.00"},{"v":-3.2,"d":"-$3.20"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010079086E              ","MBRP00000424785","000001228121","2021-05-08","69097012403","TOPIRAMATE TABS 100.000",-270,90,{"v":-51.94,"d":"-$51.94"},{"v":0,"d":"$0.00"},{"v":-51.94,"d":"-$51.94"},{"v":-36.94,"d":"-$36.94"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3665075","CVS PHARMACY #03088 03088"]
["21865M","0010137638E              ","MBRP00000417804","000006723977","2021-05-08","00832040311","FLUOXETINE HYD TABS 20.000",-90,90,{"v":-58.85,"d":"-$58.85"},{"v":0,"d":"$0.00"},{"v":-58.85,"d":"-$58.85"},{"v":-43.85,"d":"-$43.85"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3674151","GIANT EAGLE PHARMACY #4152 4152"]
["21865M","0010151692E              ","MBRP00000417835","000001925110","2021-05-08","68462039610","OMEPRAZOLE CPDR 20.000",30,30,{"v":2.59,"d":"$2.59"},{"v":0.59,"d":"$0.59"},{"v":3.18,"d":"$3.18"},{"v":0,"d":"$0.00"},{"v":3.18,"d":"$3.18"},"G","N",0,0,0,"R","3665784","WALGREENS #4776 4776"]
["21865M","0010141535E              ","MBRP00000429262","000001185537","2021-05-09","13107008305","LORAZEPAM TABS 0.500",60,30,{"v":2.67,"d":"$2.67"},{"v":0.59,"d":"$0.59"},{"v":3.26,"d":"$3.26"},{"v":0,"d":"$0.00"},{"v":3.26,"d":"$3.26"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010153670E              ","MBRP00000429287","000000981639","2021-05-09","62175013643","OMEPRAZOLE CPDR 40.000",-30,30,{"v":-3.66,"d":"-$3.66"},{"v":-0.5,"d":"-$0.50"},{"v":-4.16,"d":"-$4.16"},{"v":0,"d":"$0.00"},{"v":-4.16,"d":"-$4.16"},"G","N",0,0,0,"R","3646330","MAKOS PHARMACY"]
["21865M","0010049921E              ","MBRP00000440035","000001568716","2021-05-09","17478076610","PROGESTERONE CAPS 100.000",30,30,{"v":51.56,"d":"$51.56"},{"v":0.59,"d":"$0.59"},{"v":52.15,"d":"$52.15"},{"v":47.15,"d":"$47.15"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659832","DISCOUNT DRUG MART 50"]
["21865M","0010152644E              ","MBRP00000429442","000006685955","2021-05-09","68382018314","BUSPIRONE HCL TABS 30.000",180,90,{"v":156.38,"d":"$156.38"},{"v":0,"d":"$0.00"},{"v":156.38,"d":"$156.38"},{"v":141.38,"d":"$141.38"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3674151","GIANT EAGLE PHARMACY #4152 4152"]
["21865M","0010152881E              ","MBRP00000444987","000007263575","2021-05-10","00143924920","AMOXICILLIN/CL TABS 0.000",20,10,{"v":12.14,"d":"$12.14"},{"v":0.59,"d":"$0.59"},{"v":12.73,"d":"$12.73"},{"v":7.73,"d":"$7.73"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3672967","WALMART PHARMACY 10-5285 105285"]
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["21865M","0010070017E              ","MBRP00000429016","000007111216","2021-05-10","16714044901","AMITRIPTYLINE  TABS 75.000",90,90,{"v":101.23,"d":"$101.23"},{"v":0,"d":"$0.00"},{"v":101.23,"d":"$101.23"},{"v":86.23,"d":"$86.23"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010056036E              ","MBRP00000422437","000000836081","2021-05-10","00093747143","RIZATRIPTAN BE TABS 5.000",9,30,{"v":15.77,"d":"$15.77"},{"v":0.59,"d":"$0.59"},{"v":16.36,"d":"$16.36"},{"v":11.36,"d":"$11.36"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3679606","CVS PHARMACY #02063 02063"]
["21865M","0010135249E              ","MBRP00000429057","000006572302","2021-05-10","00054981729","PREDNISONE TABS 10.000",21,6,{"v":3.05,"d":"$3.05"},{"v":0.59,"d":"$0.59"},{"v":3.64,"d":"$3.64"},{"v":0,"d":"$0.00"},{"v":3.64,"d":"$3.64"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010139955E              ","MBRP00000422209","000007269185","2021-05-10","68645055654","LISINOPRIL/HYD TABS 0.000",90,90,{"v":21.22,"d":"$21.22"},{"v":0,"d":"$0.00"},{"v":21.22,"d":"$21.22"},{"v":6.22,"d":"$6.22"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3658436","WALMART PHARMACY 10-1927 101927"]
["21865M","0010153672E              ","MBRP00000431033","000000738639","2021-05-10","59746036390","VALSARTAN TABS 320.000",90,90,{"v":129.8,"d":"$129.80"},{"v":0,"d":"$0.00"},{"v":129.8,"d":"$129.80"},{"v":114.8,"d":"$114.80"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3679668","CVS PHARMACY #02385 02385"]
["21865M","0010119780E              ","MBRP00000422281","000001173516","2021-05-10","65162004710","OXYCODONE HYDR TABS 5.000",20,6,{"v":2.64,"d":"$2.64"},{"v":0.59,"d":"$0.59"},{"v":3.23,"d":"$3.23"},{"v":0,"d":"$0.00"},{"v":3.23,"d":"$3.23"},"G","N",0,0,0,"R","3651886","RITE AID PHARMACY 02393"]
["21865M","AC00109993800","MBRP00000459825","000000664209","2021-05-10","69097083412","SERTRALINE HCL TABS 50.000",30,30,{"v":2.49,"d":"$2.49"},{"v":0.59,"d":"$0.59"},{"v":3.08,"d":"$3.08"},{"v":0,"d":"$0.00"},{"v":3.08,"d":"$3.08"},"G","N",0,0,0,"R","3681360","CVS PHARMACY #10209 10209"]
["21865M","0010150770E              ","MBRP00000312835","000000836284","2021-05-11","00093101042","MUPIROCIN OINT 2.000",-22,10,{"v":-8.82,"d":"-$8.82"},{"v":-0.59,"d":"-$0.59"},{"v":-9.41,"d":"-$9.41"},{"v":-4.41,"d":"-$4.41"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3679606","CVS PHARMACY #02063 02063"]
["21865M","0010153605E              ","MBRP00000430797","000001697459","2021-05-11","56151014401","TRUEPLUS LANCE MISC 0.000",200,28,{"v":10.64,"d":"$10.64"},{"v":0.59,"d":"$0.59"},{"v":11.23,"d":"$11.23"},{"v":0,"d":"$0.00"},{"v":11.23,"d":"$11.23"},"B","N",0,0,1,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010062987E              ","MBRP00000429104","000006242181","2021-05-11","29300011101","LAMOTRIGINE TABS 25.000",60,30,{"v":2.91,"d":"$2.91"},{"v":0.59,"d":"$0.59"},{"v":3.5,"d":"$3.50"},{"v":0,"d":"$0.00"},{"v":3.5,"d":"$3.50"},"G","N",0,0,0,"R","3673503","K C INSTITUTIONAL PHARMACY"]
["21865M","0010153595E              ","MBRP00000430833","000001178695","2021-05-11","16729017001","ESCITALOPRAM O TABS 20.000",30,30,{"v":6.89,"d":"$6.89"},{"v":0.59,"d":"$0.59"},{"v":7.48,"d":"$7.48"},{"v":2.48,"d":"$2.48"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010084191E              ","MBRP00000422316","010758283393","2021-05-11","55111064501","OMEPRAZOLE CPDR 40.000",30,30,{"v":3.84,"d":"$3.84"},{"v":0.59,"d":"$0.59"},{"v":4.43,"d":"$4.43"},{"v":0,"d":"$0.00"},{"v":4.43,"d":"$4.43"},"G","N",0,0,0,"R","3651949","RITE AID PHARMACY 02398"]
["21865M","0010141535E              ","MBRP00000429262","000001167686","2021-05-11","65862051430","PIOGLITAZONE H TABS 45.000",30,30,{"v":5.75,"d":"$5.75"},{"v":0.59,"d":"$0.59"},{"v":6.34,"d":"$6.34"},{"v":1.34,"d":"$1.34"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010076542E              ","MBRP00000422322","000000556283","2021-05-11","00574082701","TESTOSTERONE C SOLN 200.000",4,28,{"v":34.96,"d":"$34.96"},{"v":0.59,"d":"$0.59"},{"v":35.55,"d":"$35.55"},{"v":30.55,"d":"$30.55"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010153640E              ","MBRP00000430764","000006536640","2021-05-11","23155010405","METFORMIN HYDR TABS 1000.000",60,30,{"v":3.3,"d":"$3.30"},{"v":0.59,"d":"$0.59"},{"v":3.89,"d":"$3.89"},{"v":0,"d":"$0.00"},{"v":3.89,"d":"$3.89"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010052597E              ","MBRP00000354710","000008850193","2021-05-12","16714079904","CETIRIZINE HYD TABS 10.000",30,30,{"v":3.85,"d":"$3.85"},{"v":0.59,"d":"$0.59"},{"v":4.44,"d":"$4.44"},{"v":0,"d":"$0.00"},{"v":4.44,"d":"$4.44"},"G","N",0,0,0,"R","3668285","WALMART PHARMACY 10-2914 102914"]
["21865M","0010052597E              ","MBRP00000354710","000008850193","2021-05-12","16571040250","CETIRIZINE HYD TABS 10.000",30,30,{"v":3.41,"d":"$3.41"},{"v":0.59,"d":"$0.59"},{"v":4,"d":"$4.00"},{"v":0,"d":"$0.00"},{"v":4,"d":"$4.00"},"G","N",0,0,0,"R","3668285","WALMART PHARMACY 10-2914 102914"]
["21865M","0010084339E              ","MBRP00000417898","000002534380","2021-05-12","68001038700","TRIAMTERENE/HY TABS 0.000",30,30,{"v":9.64,"d":"$9.64"},{"v":0.59,"d":"$0.59"},{"v":10.23,"d":"$10.23"},{"v":5.23,"d":"$5.23"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010137443E              ","MBRP00000417875","000307084688","2021-05-12","69097012715","AMLODIPINE BES TABS 5.000",-90,90,{"v":-3.14,"d":"-$3.14"},{"v":0,"d":"$0.00"},{"v":-3.14,"d":"-$3.14"},{"v":0,"d":"$0.00"},{"v":-3.14,"d":"-$3.14"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010068607E              ","MBRP00000440073","000008877392","2021-05-12","68180012202","CEPHALEXIN CAPS 500.000",40,10,{"v":6.06,"d":"$6.06"},{"v":0.59,"d":"$0.59"},{"v":6.65,"d":"$6.65"},{"v":1.65,"d":"$1.65"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3662447","CVS PHARMACY #16247 16247"]
["21865M","AC00109278200","MBRP00000290703","000001295466","2021-05-12","23155007001","METHIMAZOLE TABS 5.000",-30,30,{"v":-5.36,"d":"-$5.36"},{"v":-0.59,"d":"-$0.59"},{"v":-5.95,"d":"-$5.95"},{"v":-0.95,"d":"-$0.95"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010143490E              ","MBRP00000417917","000007132056","2021-05-12","42806071405","BENZONATATE CAPS 100.000",-12,4,{"v":-1.82,"d":"-$1.82"},{"v":-0.59,"d":"-$0.59"},{"v":-2.41,"d":"-$2.41"},{"v":0,"d":"$0.00"},{"v":-2.41,"d":"-$2.41"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010092578E              ","MBRP00000424978","000000895072","2021-05-13","00093101042","MUPIROCIN OINT 2.000",22,7,{"v":8.82,"d":"$8.82"},{"v":0.59,"d":"$0.59"},{"v":9.41,"d":"$9.41"},{"v":4.41,"d":"$4.41"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652092","RITE AID PHARMACY 02413"]
["21865M","0010153659E              ","MBRP00000431042","000006673199","2021-05-13","00093317431","ALBUTEROL SULF AERS 108.000",-8.5,17,{"v":-28.52,"d":"-$28.52"},{"v":-0.59,"d":"-$0.59"},{"v":-29.11,"d":"-$29.11"},{"v":-24.11,"d":"-$24.11"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3674151","GIANT EAGLE PHARMACY #4152 4152"]
["21865M","0010092580E              ","MBRP00000424962","000001402624","2021-05-13","00378808220","TRETINOIN CREA 0.025",20,15,{"v":13.7,"d":"$13.70"},{"v":0.59,"d":"$0.59"},{"v":14.29,"d":"$14.29"},{"v":9.29,"d":"$9.29"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010046085E              ","MBRP00000417860","000001184844","2021-05-13","00093834401","GLYBURIDE TABS 5.000",360,90,{"v":98.74,"d":"$98.74"},{"v":0,"d":"$0.00"},{"v":98.74,"d":"$98.74"},{"v":83.74,"d":"$83.74"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010134939E              ","MBRP00000422191","000001943747","2021-05-13","70710122501","AMITRIPTYLINE  TABS 10.000",30,30,{"v":4.34,"d":"$4.34"},{"v":0.59,"d":"$0.59"},{"v":4.93,"d":"$4.93"},{"v":0,"d":"$0.00"},{"v":4.93,"d":"$4.93"},"G","N",0,0,0,"R","3665784","WALGREENS #4776 4776"]
["21865M","0010123613E              ","MBRP00000440160","000307267656","2021-05-13","68462043890","OLMESARTAN MED TABS 40.000",90,90,{"v":20.88,"d":"$20.88"},{"v":0,"d":"$0.00"},{"v":20.88,"d":"$20.88"},{"v":10.88,"d":"$10.88"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010119309E              ","MBRP00000424913","000001954599","2021-05-14","80777027399","MODERNA COVID- SUSP 100.000",-0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":-40,"d":"-$40.00"},{"v":-40,"d":"-$40.00"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3647560","RITE AID PHARMACY 03095"]
["21865M","0010084214E              ","MBRP00000417836","000006696807","2021-05-14","16714011302","FLUOXETINE HYD TABS 20.000",-45,30,{"v":-29.42,"d":"-$29.42"},{"v":-0.59,"d":"-$0.59"},{"v":-30.01,"d":"-$30.01"},{"v":-25.01,"d":"-$25.01"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3659084","MARCS 39"]
["21865M","0010084214E              ","MBRP00000417836","000006688594","2021-05-14","00074659490","SYNTHROID TABS 88.000",38,30,{"v":50.86,"d":"$50.86"},{"v":0.59,"d":"$0.59"},{"v":51.45,"d":"$51.45"},{"v":31.45,"d":"$31.45"},{"v":20,"d":"$20.00"},"B","N",0,2,1,"R","3659084","MARCS 39"]
["21865M","0010143489E              ","MBRP00000290984","000305166604","2021-05-14","00310173030","FASENRA SOSY 30.000",1,56,{"v":5461.64,"d":"$5,461.64"},{"v":0,"d":"$0.00"},{"v":5461.64,"d":"$5,461.64"},{"v":5401.64,"d":"$5,401.64"},{"v":60,"d":"$60.00"},"B","Y",0,1,1,"R","1564930","OPTUM PHARMACY 702, LLC"]
["21865M","0010084325E              ","MBRP00000424828","000001491043","2021-05-14","50742061601","METOPROLOL SUC TB24 50.000",90,90,{"v":53.36,"d":"$53.36"},{"v":0,"d":"$0.00"},{"v":53.36,"d":"$53.36"},{"v":38.36,"d":"$38.36"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010125947E              ","MBRP00000422213","000001846414","2021-05-14","65862001205","SERTRALINE HCL TABS 50.000",30,30,{"v":2.49,"d":"$2.49"},{"v":0.59,"d":"$0.59"},{"v":3.08,"d":"$3.08"},{"v":0,"d":"$0.00"},{"v":3.08,"d":"$3.08"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","0010150177E              ","MBRP00000429296","000004095483","2021-05-15","13668000701","ZOLPIDEM TARTR TABS 5.000",-30,30,{"v":-1.02,"d":"-$1.02"},{"v":-0.59,"d":"-$0.59"},{"v":-1.61,"d":"-$1.61"},{"v":0,"d":"$0.00"},{"v":-1.61,"d":"-$1.61"},"G","N",0,0,0,"R","3669124","GIANT EAGLE PHARMACY #4034 4034"]
["21865M","AC00110758900","MBRP00000471693","000002595837","2021-05-15","00536111248","BUDESONIDE NAS SUSP 32.000",-8.43,30,{"v":-22.13,"d":"-$22.13"},{"v":-0.59,"d":"-$0.59"},{"v":-22.72,"d":"-$22.72"},{"v":-17.72,"d":"-$17.72"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010100929E              ","MBRP00000429217","000001556373","2021-05-15","43547028110","ESCITALOPRAM O TABS 10.000",30,30,{"v":4.71,"d":"$4.71"},{"v":0.59,"d":"$0.59"},{"v":5.3,"d":"$5.30"},{"v":0.3,"d":"$0.30"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659832","DISCOUNT DRUG MART 50"]
["21865M","0010115239E              ","MBRP00000429307","000000884265","2021-05-16","63304061650","DOXYCYCLINE MO CAPS 100.000",-14,7,{"v":-7.9,"d":"-$7.90"},{"v":-0.59,"d":"-$0.59"},{"v":-8.49,"d":"-$8.49"},{"v":-3.49,"d":"-$3.49"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010134937E              ","MBRP00000418004","000000839927","2021-05-16","69097083512","SERTRALINE HYD TABS 100.000",-30,30,{"v":-3.13,"d":"-$3.13"},{"v":-0.59,"d":"-$0.59"},{"v":-3.72,"d":"-$3.72"},{"v":0,"d":"$0.00"},{"v":-3.72,"d":"-$3.72"},"G","N",0,0,0,"R","3679632","CVS PHARMACY #08248 08248"]
["21865M","0010084203E              ","MBRP00000424758","000006759794","2021-05-16","72205002405","ATORVASTATIN C TABS 40.000",90,90,{"v":37.03,"d":"$37.03"},{"v":0,"d":"$0.00"},{"v":37.03,"d":"$37.03"},{"v":22.03,"d":"$22.03"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010099084E              ","MBRP00000440281","000009307601","2021-05-16","00527329043","LEVOTHYROXINE  TABS 200.000",28,30,{"v":15.83,"d":"$15.83"},{"v":0.5,"d":"$0.50"},{"v":16.33,"d":"$16.33"},{"v":11.33,"d":"$11.33"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010084271E              ","MBRP00000417869","000000586930","2021-05-17","68180063509","ATORVASTATIN C TABS 10.000",30,30,{"v":2.96,"d":"$2.96"},{"v":0.59,"d":"$0.59"},{"v":3.55,"d":"$3.55"},{"v":0,"d":"$0.00"},{"v":3.55,"d":"$3.55"},"G","N",0,0,0,"R","3648485","RITE AID PHARMACY 03198"]
["21865M","0010084077E              ","MBRP00000440333","000307434999","2021-05-17","13668010410","ISOSORBIDE MON TB24 30.000",-90,90,{"v":-20.74,"d":"-$20.74"},{"v":0,"d":"$0.00"},{"v":-20.74,"d":"-$20.74"},{"v":-10.74,"d":"-$10.74"},{"v":-10,"d":"-$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010106873E              ","MBRP00000440042","010764874927","2021-05-17","00378054101","CIMETIDINE TABS 800.000",-30,30,{"v":-60.59,"d":"-$60.59"},{"v":-0.59,"d":"-$0.59"},{"v":-61.18,"d":"-$61.18"},{"v":-56.18,"d":"-$56.18"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010114615E              ","MBRP00000440323","000006845157","2021-05-17","16729004517","ATORVASTATIN C TABS 20.000",90,90,{"v":8.79,"d":"$8.79"},{"v":0,"d":"$0.00"},{"v":8.79,"d":"$8.79"},{"v":0,"d":"$0.00"},{"v":8.79,"d":"$8.79"},"G","N",0,0,0,"R","3669112","GIANT EAGLE PHARMACY #1618 1618"]
["21865M","0010084977E              ","MBRP00000440149","000009321995","2021-05-17","62135098505","DOXYCYCLINE HY CAPS 100.000",30,30,{"v":6.19,"d":"$6.19"},{"v":0.5,"d":"$0.50"},{"v":6.69,"d":"$6.69"},{"v":1.69,"d":"$1.69"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010106873E              ","MBRP00000440042","000002389303","2021-05-17","00093830501","CIMETIDINE TABS 800.000",30,30,{"v":60.59,"d":"$60.59"},{"v":0.59,"d":"$0.59"},{"v":61.18,"d":"$61.18"},{"v":56.18,"d":"$56.18"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010134754E              ","MBRP00000429082","000001186845","2021-05-17","45802086802","POLYETHYLENE G POWD 17.000",238,10,{"v":4.28,"d":"$4.28"},{"v":0.59,"d":"$0.59"},{"v":4.87,"d":"$4.87"},{"v":4.87,"d":"$4.87"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010006070E              ","MBRP00000417887","000000579433","2021-05-17","00186077760","BRILINTA TABS 90.000",180,90,{"v":1158.59,"d":"$1,158.59"},{"v":0,"d":"$0.00"},{"v":1158.59,"d":"$1,158.59"},{"v":1098.59,"d":"$1,098.59"},{"v":60,"d":"$60.00"},"B","N",0,0,1,"R","3687615","FULTON DRUGS"]
["21865M","0010149310E              ","MBRP00000437323","000006573508","2021-05-17","13668007905","MONTELUKAST SO CHEW 4.000",30,30,{"v":5.23,"d":"$5.23"},{"v":0.59,"d":"$0.59"},{"v":5.82,"d":"$5.82"},{"v":0.82,"d":"$0.82"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010153388E              ","MBRP00000459315","000006381842","2021-05-17","23155072401","LABETALOL HYDR TABS 200.000",60,30,{"v":24.02,"d":"$24.02"},{"v":0.59,"d":"$0.59"},{"v":24.61,"d":"$24.61"},{"v":19.61,"d":"$19.61"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3666166","ACME PHARMACY 6"]
["21865M","0010084104E              ","MBRP00000309890","000000902399","2021-05-18","65862037401","ESCITALOPRAM O TABS 10.000",90,90,{"v":14.14,"d":"$14.14"},{"v":0,"d":"$0.00"},{"v":14.14,"d":"$14.14"},{"v":0,"d":"$0.00"},{"v":14.14,"d":"$14.14"},"G","N",0,0,0,"R","3651850","RITE AID PHARMACY 02390"]
["21865M","0010130414E              ","MBRP00000440235","000006976391","2021-05-18","16714063301","ALENDRONATE SO TABS 70.000",12,84,{"v":7.18,"d":"$7.18"},{"v":0,"d":"$0.00"},{"v":7.18,"d":"$7.18"},{"v":0,"d":"$0.00"},{"v":7.18,"d":"$7.18"},"G","N",0,0,0,"R","3634929","ACME PHARMACY 16"]
["21865M","AC00109690100","MBRP00000455154","000001242628","2021-05-18","29300012510","MELOXICAM TABS 15.000",-30,30,{"v":-1.23,"d":"-$1.23"},{"v":-0.59,"d":"-$0.59"},{"v":-1.82,"d":"-$1.82"},{"v":0,"d":"$0.00"},{"v":-1.82,"d":"-$1.82"},"G","N",0,0,0,"R","3666320","WALGREENS #4983 4983"]
["21865M","0010081110E              ","MBRP00000429212","000000173161","2021-05-18","16729022601","SPIRONOLACTONE TABS 50.000",60,30,{"v":13.83,"d":"$13.83"},{"v":0.59,"d":"$0.59"},{"v":14.42,"d":"$14.42"},{"v":9.42,"d":"$9.42"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3686409","DISCOUNT DRUG MART #89 89"]
["21865M","0010081110E              ","MBRP00000429212","000000175766","2021-05-18","70436001102","BUPROPION HYDR TB24 300.000",30,30,{"v":26.79,"d":"$26.79"},{"v":0.59,"d":"$0.59"},{"v":27.38,"d":"$27.38"},{"v":22.38,"d":"$22.38"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3686409","DISCOUNT DRUG MART #89 89"]
["21865M","0010084348E              ","MBRP00000417899","000001176441","2021-05-18","31722073090","IRBESARTAN TABS 150.000",-30,30,{"v":-7.07,"d":"-$7.07"},{"v":-0.59,"d":"-$0.59"},{"v":-7.66,"d":"-$7.66"},{"v":-2.66,"d":"-$2.66"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010080372E              ","MBRP00000417959","000001051552","2021-05-18","31722055190","LEVOCETIRIZINE TABS 5.000",30,30,{"v":15.81,"d":"$15.81"},{"v":0.59,"d":"$0.59"},{"v":16.4,"d":"$16.40"},{"v":11.4,"d":"$11.40"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010144759E              ","MBRP00000429257","000001492867","2021-05-18","68180021709","LOSARTAN POTAS TABS 0.000",90,90,{"v":63.89,"d":"$63.89"},{"v":0,"d":"$0.00"},{"v":63.89,"d":"$63.89"},{"v":48.89,"d":"$48.89"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010084267E              ","MBRP00000417867","000002034481","2021-05-18","68992301003","ENVARSUS XR TB24 1.000",90,30,{"v":530.64,"d":"$530.64"},{"v":0,"d":"$0.00"},{"v":530.64,"d":"$530.64"},{"v":113.64,"d":"$113.64"},{"v":417,"d":"$417.00"},"B","Y",0,0,1,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010153640E              ","MBRP00000430766","000001056884","2021-05-19","67877021901","CEPHALEXIN CAPS 500.000",-10,5,{"v":-1.52,"d":"-$1.52"},{"v":-0.59,"d":"-$0.59"},{"v":-2.11,"d":"-$2.11"},{"v":0,"d":"$0.00"},{"v":-2.11,"d":"-$2.11"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010050683E              ","MBRP00000422254","000002836022","2021-05-19","00406012301","HYDROCODONE/AC TABS 0.000",4,4,{"v":0.47,"d":"$0.47"},{"v":0.59,"d":"$0.59"},{"v":1.06,"d":"$1.06"},{"v":0,"d":"$0.00"},{"v":1.06,"d":"$1.06"},"G","N",0,0,0,"R","3658676","MARCS 38"]
["21865M","0010122754E              ","MBRP00000418027","000002597601","2021-05-19","13107008305","LORAZEPAM TABS 0.500",60,30,{"v":2.67,"d":"$2.67"},{"v":0.59,"d":"$0.59"},{"v":3.26,"d":"$3.26"},{"v":0,"d":"$0.00"},{"v":3.26,"d":"$3.26"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010107519E              ","MBRP00000429175","000001187620","2021-05-19","17478071310","OFLOXACIN SOLN 0.300",5,7,{"v":13.49,"d":"$13.49"},{"v":0.59,"d":"$0.59"},{"v":14.08,"d":"$14.08"},{"v":9.08,"d":"$9.08"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010107519E              ","MBRP00000429175","000001187620","2021-05-19","50383002505","OFLOXACIN SOLN 0.300",5,7,{"v":16.42,"d":"$16.42"},{"v":0.59,"d":"$0.59"},{"v":17.01,"d":"$17.01"},{"v":12.01,"d":"$12.01"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010006064E              ","MBRP00000422382","000005007938","2021-05-19","68180069906","TRAMADOL HCL E TB24 300.000",30,30,{"v":126.69,"d":"$126.69"},{"v":0.59,"d":"$0.59"},{"v":127.28,"d":"$127.28"},{"v":122.28,"d":"$122.28"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3643271","MEDICINE CENTER PHARMACY"]
["21865M","0010152041E              ","MBRP00000422311","000000931429","2021-05-19","00185085301","AMPHETAMINE/DE TABS 0.000",30,30,{"v":19.96,"d":"$19.96"},{"v":0.59,"d":"$0.59"},{"v":20.55,"d":"$20.55"},{"v":15.55,"d":"$15.55"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3650670","CVS PHARMACY #04802 04802"]
["21865M","0010061934E              ","MBRP00000424838","000001314337","2021-05-19","52817018000","CLONIDINE HYDR TABS 0.100",15,30,{"v":0.66,"d":"$0.66"},{"v":0.59,"d":"$0.59"},{"v":1.25,"d":"$1.25"},{"v":0,"d":"$0.00"},{"v":1.25,"d":"$1.25"},"G","N",0,0,0,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010153654E              ","MBRP00000429295","000007132534","2021-05-19","70069009101","AZELASTINE HYD SOLN 0.050",6,30,{"v":27.3,"d":"$27.30"},{"v":0.59,"d":"$0.59"},{"v":27.89,"d":"$27.89"},{"v":22.89,"d":"$22.89"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010113435E              ","MBRP00000422304","000307930944","2021-05-20","68382014005","TOPIRAMATE TABS 100.000",180,90,{"v":34.62,"d":"$34.62"},{"v":0,"d":"$0.00"},{"v":34.62,"d":"$34.62"},{"v":24.62,"d":"$24.62"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010086302E              ","MBRP00000440329","000002059853","2021-05-20","27808003501","HYDROCODONE/AC TABS 0.000",-12,3,{"v":-1.42,"d":"-$1.42"},{"v":-0.59,"d":"-$0.59"},{"v":-2.01,"d":"-$2.01"},{"v":0,"d":"$0.00"},{"v":-2.01,"d":"-$2.01"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010113435E              ","MBRP00000422304","000307930946","2021-05-20","70436001102","BUPROPION HYDR TB24 300.000",90,90,{"v":80.38,"d":"$80.38"},{"v":0,"d":"$0.00"},{"v":80.38,"d":"$80.38"},{"v":70.38,"d":"$70.38"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010123109E              ","MBRP00000440017","000000751891","2021-05-20","68382025016","ATORVASTATIN C TABS 20.000",-90,90,{"v":-8.79,"d":"-$8.79"},{"v":0,"d":"$0.00"},{"v":-8.79,"d":"-$8.79"},{"v":0,"d":"$0.00"},{"v":-8.79,"d":"-$8.79"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010086302E              ","MBRP00000440329","000006764699","2021-05-20","47335032688","NALTREXONE HCL TABS 50.000",90,90,{"v":140.17,"d":"$140.17"},{"v":0,"d":"$0.00"},{"v":140.17,"d":"$140.17"},{"v":125.17,"d":"$125.17"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010153560E              ","MBRP00000440308","000002870007","2021-05-20","61314039601","CYCLOPENTOLATE SOLN 1.000",2,12,{"v":5.99,"d":"$5.99"},{"v":0.59,"d":"$0.59"},{"v":6.58,"d":"$6.58"},{"v":1.58,"d":"$1.58"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010129043E              ","MBRP00000429182","000001187942","2021-05-20","00406012301","HYDROCODONE/AC TABS 0.000",8,2,{"v":0.95,"d":"$0.95"},{"v":0.59,"d":"$0.59"},{"v":1.54,"d":"$1.54"},{"v":0,"d":"$0.00"},{"v":1.54,"d":"$1.54"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010139929E              ","MBRP00000424819","000001243046","2021-05-21","00093101042","MUPIROCIN OINT 2.000",-22,10,{"v":-8.82,"d":"-$8.82"},{"v":-0.59,"d":"-$0.59"},{"v":-9.41,"d":"-$9.41"},{"v":-4.41,"d":"-$4.41"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3666320","WALGREENS #4983 4983"]
["21865M","0010153622E              ","MBRP00000429311","000006713762","2021-05-21","27241009990","DULOXETINE HYD CPEP 60.000",60,30,{"v":33.51,"d":"$33.51"},{"v":0.59,"d":"$0.59"},{"v":34.1,"d":"$34.10"},{"v":29.1,"d":"$29.10"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3669124","GIANT EAGLE PHARMACY #4034 4034"]
["21865M","0010153595E              ","MBRP00000430834","000001160068","2021-05-21","69097080237","TESTOSTERONE C SOLN 200.000",-10,90,{"v":-76.4,"d":"-$76.40"},{"v":0,"d":"$0.00"},{"v":-76.4,"d":"-$76.40"},{"v":-61.4,"d":"-$61.40"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010084283E              ","MBRP00000424809","000000842905","2021-05-21","57599000101","FREESTYLE LIBR MISC 0.000",-2,28,{"v":-106.92,"d":"-$106.92"},{"v":-0.59,"d":"-$0.59"},{"v":-107.51,"d":"-$107.51"},{"v":-87.51,"d":"-$87.51"},{"v":-20,"d":"-$20.00"},"B","N",0,0,1,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010084283E              ","MBRP00000424809","000000866417","2021-05-21","31722059690","FENOFIBRATE TABS 145.000",-30,30,{"v":-28.39,"d":"-$28.39"},{"v":-0.59,"d":"-$0.59"},{"v":-28.98,"d":"-$28.98"},{"v":-23.98,"d":"-$23.98"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010134796E              ","MBRP00000422351","000008875979","2021-05-21","45802025742","MOMETASONE FUR CREA 0.100",45,14,{"v":28.99,"d":"$28.99"},{"v":0.59,"d":"$0.59"},{"v":29.58,"d":"$29.58"},{"v":24.58,"d":"$24.58"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3673793","CVS PHARMACY #17136 17136"]
["21865M","0010150769E              ","MBRP00000430921","000000170766","2021-05-22","70377000612","ROSUVASTATIN C TABS 5.000",60,60,{"v":12.08,"d":"$12.08"},{"v":0.59,"d":"$0.59"},{"v":12.67,"d":"$12.67"},{"v":0,"d":"$0.00"},{"v":12.67,"d":"$12.67"},"G","N",0,0,0,"R","3686409","DISCOUNT DRUG MART #89 89"]
["21865M","0010125555E              ","MBRP00000424805","000001902668","2021-05-22","65162047810","NITROFURANTOIN CAPS 100.000",-14,7,{"v":-62.4,"d":"-$62.40"},{"v":-0.59,"d":"-$0.59"},{"v":-62.99,"d":"-$62.99"},{"v":-57.99,"d":"-$57.99"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3972331","RITE AID PHARMACY 03972 03972"]
["21865M","0010031903E              ","MBRP00000430941","000007289187","2021-05-22","68382009505","CARVEDILOL TABS 25.000",-60,30,{"v":-2.55,"d":"-$2.55"},{"v":-0.59,"d":"-$0.59"},{"v":-3.14,"d":"-$3.14"},{"v":0,"d":"$0.00"},{"v":-3.14,"d":"-$3.14"},"G","N",0,0,0,"R","3673387","WALMART PHARMACY 10-5410 105410"]
["21865M","0010141535E              ","MBRP00000429262","000001192923","2021-05-22","57599080000","FREESTYLE LIBR MISC 0.000",2,28,{"v":106.92,"d":"$106.92"},{"v":0.59,"d":"$0.59"},{"v":107.51,"d":"$107.51"},{"v":87.51,"d":"$87.51"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010070017E              ","MBRP00000429016","000007107434","2021-05-23","16714066102","GABAPENTIN CAPS 100.000",90,30,{"v":6.52,"d":"$6.52"},{"v":0.59,"d":"$0.59"},{"v":7.11,"d":"$7.11"},{"v":2.11,"d":"$2.11"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010005907E              ","MBRP00000422299","000307970726","2021-05-23","00555904358","APRI TABS 0.000",84,84,{"v":68.82,"d":"$68.82"},{"v":0,"d":"$0.00"},{"v":68.82,"d":"$68.82"},{"v":68.82,"d":"$68.82"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010084320E              ","MBRP00000417892","000308062875","2021-05-23","60505257808","ATORVASTATIN C TABS 10.000",90,90,{"v":8.89,"d":"$8.89"},{"v":0,"d":"$0.00"},{"v":8.89,"d":"$8.89"},{"v":0,"d":"$0.00"},{"v":8.89,"d":"$8.89"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010006098E              ","MBRP00000430937","000001297161","2021-05-23","65862094088","AUROVELA FE 1/ TABS 0.000",28,28,{"v":23.46,"d":"$23.46"},{"v":0.59,"d":"$0.59"},{"v":24.05,"d":"$24.05"},{"v":24.05,"d":"$24.05"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010084199E              ","MBRP00000417831","000007338616","2021-05-23","66993001968","ALBUTEROL SULF AERS 108.000",36,32,{"v":102.2,"d":"$102.20"},{"v":0.59,"d":"$0.59"},{"v":102.79,"d":"$102.79"},{"v":0,"d":"$0.00"},{"v":102.79,"d":"$102.79"},"B","N",0,0,9,"R","3606540","ACME PHARMACY 4"]
["21865M","0010084126E              ","MBRP00000301080","000007262431","2021-05-24","60505265605","TRIAMTERENE/HY TABS 0.000",30,30,{"v":3.41,"d":"$3.41"},{"v":0.59,"d":"$0.59"},{"v":4,"d":"$4.00"},{"v":0,"d":"$0.00"},{"v":4,"d":"$4.00"},"G","N",0,0,0,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","0010153631E              ","MBRP00000430997","000001805659","2021-05-24","16571020110","DICLOFENAC SOD TBEC 75.000",60,30,{"v":16.01,"d":"$16.01"},{"v":0.59,"d":"$0.59"},{"v":16.6,"d":"$16.60"},{"v":11.6,"d":"$11.60"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","0010071549E              ","MBRP00000425000","000004382972","2021-05-24","49884031002","CLONAZEPAM ODT TBDP 2.000",4,2,{"v":5.17,"d":"$5.17"},{"v":0.59,"d":"$0.59"},{"v":5.76,"d":"$5.76"},{"v":0.76,"d":"$0.76"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659084","MARCS 39"]
["21865M","0010084283E              ","MBRP00000424809","000000842905","2021-05-24","57599000101","FREESTYLE LIBR MISC 0.000",2,28,{"v":106.92,"d":"$106.92"},{"v":0.59,"d":"$0.59"},{"v":107.51,"d":"$107.51"},{"v":87.51,"d":"$87.51"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010112591E              ","MBRP00000440132","000000930622","2021-05-24","33342005707","IRBESARTAN/HYD TABS 0.000",15,30,{"v":21.08,"d":"$21.08"},{"v":0.59,"d":"$0.59"},{"v":21.67,"d":"$21.67"},{"v":16.67,"d":"$16.67"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651975","RITE AID PHARMACY 02401"]
["21865M","0010153631E              ","MBRP00000430997","000001805658","2021-05-24","31722070190","LOSARTAN POTAS TABS 50.000",30,30,{"v":1.89,"d":"$1.89"},{"v":0.59,"d":"$0.59"},{"v":2.48,"d":"$2.48"},{"v":0,"d":"$0.00"},{"v":2.48,"d":"$2.48"},"G","N",0,0,0,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","0010093541E              ","MBRP00000440024","000308214660","2021-05-24","16729048516","HYDROXYCHLOROQ TABS 200.000",180,90,{"v":185.7,"d":"$185.70"},{"v":0,"d":"$0.00"},{"v":185.7,"d":"$185.70"},{"v":175.7,"d":"$175.70"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010112041E              ","MBRP00000462967","000001477759","2021-05-24","65862007101","AMOXICILLIN SUSR 400.000",100,10,{"v":3.32,"d":"$3.32"},{"v":0.59,"d":"$0.59"},{"v":3.91,"d":"$3.91"},{"v":0,"d":"$0.00"},{"v":3.91,"d":"$3.91"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010153599E              ","MBRP00000430840","000006212945","2021-05-24","68001033408","LISINOPRIL TABS 10.000",90,90,{"v":3.65,"d":"$3.65"},{"v":0,"d":"$0.00"},{"v":3.65,"d":"$3.65"},{"v":0,"d":"$0.00"},{"v":3.65,"d":"$3.65"},"G","N",0,0,0,"R","3639804","MERCY PROFESSIONAL PHARMACY"]
["21865M","0010084199E              ","MBRP00000417834","000002247204","2021-05-24","00228306311","AMPHETAMINE/DE CP24 0.000",30,30,{"v":35.02,"d":"$35.02"},{"v":0.59,"d":"$0.59"},{"v":35.61,"d":"$35.61"},{"v":30.61,"d":"$30.61"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606540","ACME PHARMACY 4"]
["21865M","0010006021E              ","MBRP00000418018","000001470828","2021-05-24","31722070090","LOSARTAN POTAS TABS 25.000",90,90,{"v":4.55,"d":"$4.55"},{"v":0,"d":"$0.00"},{"v":4.55,"d":"$4.55"},{"v":0,"d":"$0.00"},{"v":4.55,"d":"$4.55"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010084203E              ","MBRP00000424760","000006775462","2021-05-25","68180098103","LISINOPRIL TABS 20.000",-30,30,{"v":-1.51,"d":"-$1.51"},{"v":-0.59,"d":"-$0.59"},{"v":-2.1,"d":"-$2.10"},{"v":0,"d":"$0.00"},{"v":-2.1,"d":"-$2.10"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010084188E              ","MBRP00000424740","000000760102","2021-05-25","13811070810","METHYLPHENIDAT TBCR 36.000",-30,30,{"v":-92.48,"d":"-$92.48"},{"v":-0.59,"d":"-$0.59"},{"v":-93.07,"d":"-$93.07"},{"v":-88.07,"d":"-$88.07"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010084348E              ","MBRP00000417899","000001188707","2021-05-25","68180063609","ATORVASTATIN C TABS 20.000",30,30,{"v":2.93,"d":"$2.93"},{"v":0.59,"d":"$0.59"},{"v":3.52,"d":"$3.52"},{"v":0,"d":"$0.00"},{"v":3.52,"d":"$3.52"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010133390E              ","MBRP00000422454","000002264602","2021-05-25","59417010310","VYVANSE CAPS 30.000",30,30,{"v":328.98,"d":"$328.98"},{"v":0.59,"d":"$0.59"},{"v":329.57,"d":"$329.57"},{"v":294.57,"d":"$294.57"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010006057E              ","MBRP00000424869","010773411975","2021-05-25","00093417773","CEPHALEXIN SUSR 250.000",-200,7,{"v":-34.02,"d":"-$34.02"},{"v":-0.59,"d":"-$0.59"},{"v":-34.61,"d":"-$34.61"},{"v":-29.61,"d":"-$29.61"},{"v":-5,"d":"-$5.00"},"G","N",0,1,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010073375E              ","MBRP00000422375","000007559253","2021-05-25","00093505698","ATORVASTATIN C TABS 10.000",90,90,{"v":8.89,"d":"$8.89"},{"v":0,"d":"$0.00"},{"v":8.89,"d":"$8.89"},{"v":0,"d":"$0.00"},{"v":8.89,"d":"$8.89"},"G","N",0,0,0,"R","3668285","WALMART PHARMACY 10-2914 102914"]
["21865M","0010006057E              ","MBRP00000424869","000000815886","2021-05-25","00781808926","AZITHROMYCIN TABS 250.000",-6,5,{"v":-4.16,"d":"-$4.16"},{"v":-0.59,"d":"-$0.59"},{"v":-4.75,"d":"-$4.75"},{"v":0,"d":"$0.00"},{"v":-4.75,"d":"-$4.75"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010061932E              ","MBRP00000418049","000000721425","2021-05-26","00093747243","RIZATRIPTAN BE TABS 10.000",9,15,{"v":10.95,"d":"$10.95"},{"v":0.59,"d":"$0.59"},{"v":11.54,"d":"$11.54"},{"v":6.54,"d":"$6.54"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3679668","CVS PHARMACY #02385 02385"]
["21865M","0010150770E              ","MBRP00000312834","000000800002","2021-05-26","45802001402","HYDROCORTISONE OINT 2.500",40,30,{"v":5.23,"d":"$5.23"},{"v":0.59,"d":"$0.59"},{"v":5.82,"d":"$5.82"},{"v":0.82,"d":"$0.82"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3679606","CVS PHARMACY #02063 02063"]
["21865M","0010006055E              ","MBRP00000417905","000006762918","2021-05-26","72205000499","ROSUVASTATIN C TABS 20.000",30,30,{"v":7.34,"d":"$7.34"},{"v":0.59,"d":"$0.59"},{"v":7.93,"d":"$7.93"},{"v":2.93,"d":"$2.93"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","AC00109762300","MBRP00000434038","000001315948","2021-05-26","65862050220","AMOXICILLIN/CL TABS 0.000",20,10,{"v":5.57,"d":"$5.57"},{"v":0.59,"d":"$0.59"},{"v":6.16,"d":"$6.16"},{"v":1.16,"d":"$1.16"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010084133E              ","MBRP00000424698","200077430605","2021-05-26","16729020101","BUSPIRONE HYDR TABS 7.500",30,30,{"v":30.12,"d":"$30.12"},{"v":0.59,"d":"$0.59"},{"v":30.71,"d":"$30.71"},{"v":25.71,"d":"$25.71"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","0362309","AMAZON PHARMACY #002 002"]
["21865M","0010153610E              ","MBRP00000430843","000000885645","2021-05-26","57664037708","TRAMADOL HCL TABS 50.000",-21,7,{"v":-0.69,"d":"-$0.69"},{"v":-0.59,"d":"-$0.59"},{"v":-1.28,"d":"-$1.28"},{"v":0,"d":"$0.00"},{"v":-1.28,"d":"-$1.28"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010084123E              ","MBRP00000417789","000004728781","2021-05-26","65862001205","SERTRALINE HCL TABS 50.000",-30,30,{"v":-2.49,"d":"-$2.49"},{"v":-0.59,"d":"-$0.59"},{"v":-3.08,"d":"-$3.08"},{"v":0,"d":"$0.00"},{"v":-3.08,"d":"-$3.08"},"G","N",0,0,0,"R","3600497","WALGREENS #12830 12830"]
["21865M","0010146058E              ","MBRP00000440267","000009324242","2021-05-26","68462039610","OMEPRAZOLE CPDR 20.000",30,30,{"v":2.47,"d":"$2.47"},{"v":0.5,"d":"$0.50"},{"v":2.97,"d":"$2.97"},{"v":0,"d":"$0.00"},{"v":2.97,"d":"$2.97"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010052584E              ","MBRP00000418084","000001020647","2021-05-27","73473030030","CLINDAMYCIN PH GEL  1.000",30,30,{"v":42.17,"d":"$42.17"},{"v":0.59,"d":"$0.59"},{"v":42.76,"d":"$42.76"},{"v":37.76,"d":"$37.76"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651949","RITE AID PHARMACY 02398"]
["21865M","0010084283E              ","MBRP00000424809","000000885644","2021-05-27","17478021515","ATROPINE SULFA SOLN 1.000",15,150,{"v":129.57,"d":"$129.57"},{"v":0,"d":"$0.00"},{"v":129.57,"d":"$129.57"},{"v":114.57,"d":"$114.57"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","AC00108363000","MBRP00000430784","000001103349","2021-05-27","16729004517","ATORVASTATIN C TABS 20.000",30,30,{"v":2.93,"d":"$2.93"},{"v":0.59,"d":"$0.59"},{"v":3.52,"d":"$3.52"},{"v":0,"d":"$0.00"},{"v":3.52,"d":"$3.52"},"G","N",0,0,0,"R","3657751","DISCOUNT DRUG MART 42"]
["21865M","0010153646E              ","MBRP00000429339","000006716859","2021-05-27","00555905058","KARIVA TABS 0.000",28,28,{"v":42.82,"d":"$42.82"},{"v":0.59,"d":"$0.59"},{"v":43.41,"d":"$43.41"},{"v":43.41,"d":"$43.41"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3669124","GIANT EAGLE PHARMACY #4034 4034"]
["21865M","0010005833E              ","MBRP00000430909","000006425328","2021-05-27","59651010569","ELETRIPTAN HYD TABS 40.000",9,30,{"v":126.21,"d":"$126.21"},{"v":0.59,"d":"$0.59"},{"v":126.8,"d":"$126.80"},{"v":121.8,"d":"$121.80"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648930","MARCS 14"]
["21865M","0010084133E              ","MBRP00000424698","000006524352","2021-05-27","16729021715","SERTRALINE HYD TABS 100.000",-30,30,{"v":-3.13,"d":"-$3.13"},{"v":-0.59,"d":"-$0.59"},{"v":-3.72,"d":"-$3.72"},{"v":0,"d":"$0.00"},{"v":-3.72,"d":"-$3.72"},"G","N",0,0,0,"R","3667271","ACME PHARMACY 12"]
["21865M","0010151217E              ","MBRP00000379539","000000592338","2021-05-27","68001036503","METRONIDAZOLE TABS 500.000",14,7,{"v":2.54,"d":"$2.54"},{"v":0.5,"d":"$0.50"},{"v":3.04,"d":"$3.04"},{"v":0,"d":"$0.00"},{"v":3.04,"d":"$3.04"},"G","N",0,0,0,"R","3672791","AULTMAN EMPLOYEE PHARMACY"]
["21865M","0010084228E              ","MBRP00000424874","000006736891","2021-05-27","00169320415","FIASP FLEXTOUC SOPN 0.000",15,30,{"v":548.82,"d":"$548.82"},{"v":0.59,"d":"$0.59"},{"v":549.41,"d":"$549.41"},{"v":514.41,"d":"$514.41"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3669124","GIANT EAGLE PHARMACY #4034 4034"]
["21865M","0010153608E              ","MBRP00000429288","000000580734","2021-05-28","00006008061","JANUMET XR TB24 0.000",60,30,{"v":491.83,"d":"$491.83"},{"v":0.5,"d":"$0.50"},{"v":492.33,"d":"$492.33"},{"v":472.33,"d":"$472.33"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3687615","FULTON DRUGS"]
["21865M","0010005819E              ","MBRP00000429181","000001093204","2021-05-28","16729011917","MONTELUKAST SO TABS 10.000",30,30,{"v":11.65,"d":"$11.65"},{"v":0.59,"d":"$0.59"},{"v":12.24,"d":"$12.24"},{"v":7.24,"d":"$7.24"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3657751","DISCOUNT DRUG MART 42"]
["21865M","0020108078E              ","MBRP00000455178","000007133305","2021-05-28","16714072002","FLUOXETINE HYD CAPS 10.000",53,30,{"v":2.77,"d":"$2.77"},{"v":0.59,"d":"$0.59"},{"v":3.36,"d":"$3.36"},{"v":0,"d":"$0.00"},{"v":3.36,"d":"$3.36"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010046686E              ","MBRP00000429166","000001516817","2021-05-28","00093768432","OLOPATADINE HY SOLN 0.200",2.5,25,{"v":29.75,"d":"$29.75"},{"v":0.59,"d":"$0.59"},{"v":30.34,"d":"$30.34"},{"v":25.34,"d":"$25.34"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010122770E              ","MBRP00000293148","000000716811","2021-05-28","50111078810","AZITHROMYCIN TABS 500.000",3,3,{"v":3.63,"d":"$3.63"},{"v":0.59,"d":"$0.59"},{"v":4.22,"d":"$4.22"},{"v":0,"d":"$0.00"},{"v":4.22,"d":"$4.22"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010153653E              ","MBRP00000429323","000002395156","2021-05-28","00378623201","CITALOPRAM HYD TABS 20.000",30,30,{"v":9.32,"d":"$9.32"},{"v":0.59,"d":"$0.59"},{"v":9.91,"d":"$9.91"},{"v":4.91,"d":"$4.91"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010153624E              ","MBRP00000430793","000000569650","2021-05-29","69238183701","LEVOTHYROXINE  TABS 137.000",-105,90,{"v":-49.08,"d":"-$49.08"},{"v":0,"d":"$0.00"},{"v":-49.08,"d":"-$49.08"},{"v":-34.08,"d":"-$34.08"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","0010046085E              ","MBRP00000417860","000001184845","2021-05-29","00002879759","HUMALOG MIX 75 SUPN 0.000",30,22,{"v":1041.79,"d":"$1,041.79"},{"v":0.59,"d":"$0.59"},{"v":1042.38,"d":"$1,042.38"},{"v":1022.38,"d":"$1,022.38"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010132579E              ","MBRP00000417821","000001024942","2021-05-29","68180063609","ATORVASTATIN C TABS 20.000",30,30,{"v":2.93,"d":"$2.93"},{"v":0.59,"d":"$0.59"},{"v":3.52,"d":"$3.52"},{"v":0,"d":"$0.00"},{"v":3.52,"d":"$3.52"},"G","N",0,0,0,"R","3653094","RITE AID PHARMACY 02437"]
["21865M","0010150864E              ","MBRP00000429100","000001517453","2021-05-29","65862007001","AMOXICILLIN SUSR 200.000",300,10,{"v":14.48,"d":"$14.48"},{"v":0.59,"d":"$0.59"},{"v":15.07,"d":"$15.07"},{"v":10.07,"d":"$10.07"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010093541E              ","MBRP00000440024","000001295449","2021-05-30","55111018015","TIZANIDINE HYD TABS 4.000",30,10,{"v":4.12,"d":"$4.12"},{"v":0.59,"d":"$0.59"},{"v":4.71,"d":"$4.71"},{"v":0,"d":"$0.00"},{"v":4.71,"d":"$4.71"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010115667E              ","MBRP00000429045","000007121001","2021-05-30","00781286810","OMEPRAZOLE CPDR 20.000",30,30,{"v":2.59,"d":"$2.59"},{"v":0.59,"d":"$0.59"},{"v":3.18,"d":"$3.18"},{"v":0,"d":"$0.00"},{"v":3.18,"d":"$3.18"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010153611E              ","MBRP00000430985","000001679530","2021-05-30","69452015120","VITAMIN D CAPS 50000.000",-12,84,{"v":-6.77,"d":"-$6.77"},{"v":0,"d":"$0.00"},{"v":-6.77,"d":"-$6.77"},{"v":0,"d":"$0.00"},{"v":-6.77,"d":"-$6.77"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010084060E              ","MBRP00000422436","000001653549","2021-05-30","00555901858","TRI-SPRINTEC TABS 0.000",28,28,{"v":21.14,"d":"$21.14"},{"v":0.59,"d":"$0.59"},{"v":21.73,"d":"$21.73"},{"v":21.73,"d":"$21.73"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010084148E              ","MBRP00000417807","000306771987","2021-05-31","00310621030","FARXIGA TABS 10.000",90,90,{"v":1441.93,"d":"$1,441.93"},{"v":0,"d":"$0.00"},{"v":1441.93,"d":"$1,441.93"},{"v":1401.93,"d":"$1,401.93"},{"v":40,"d":"$40.00"},"B","N",0,0,1,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010151688E              ","MBRP00000424925","000000724435","2021-05-31","00002143480","TRULICITY SOPN 1.500",-2,28,{"v":-829.23,"d":"-$829.23"},{"v":-0.59,"d":"-$0.59"},{"v":-829.82,"d":"-$829.82"},{"v":-809.82,"d":"-$809.82"},{"v":-20,"d":"-$20.00"},"B","N",0,0,1,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010108448E              ","MBRP00000417797","000006547391","2021-05-31","23155000810","HYDROCHLOROTHI TABS 25.000",15,30,{"v":0.29,"d":"$0.29"},{"v":0.59,"d":"$0.59"},{"v":0.88,"d":"$0.88"},{"v":0,"d":"$0.00"},{"v":0.88,"d":"$0.88"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010114615E              ","MBRP00000440322","000006831714","2021-06-01","65862001305","SERTRALINE HYD TABS 100.000",60,30,{"v":6.27,"d":"$6.27"},{"v":0.59,"d":"$0.59"},{"v":6.86,"d":"$6.86"},{"v":1.86,"d":"$1.86"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3669112","GIANT EAGLE PHARMACY #1618 1618"]
["21865M","0010106791E              ","MBRP00000440213","000009325155","2021-06-01","67877019905","AMLODIPINE BES TABS 10.000",30,30,{"v":1.35,"d":"$1.35"},{"v":0.5,"d":"$0.50"},{"v":1.85,"d":"$1.85"},{"v":0,"d":"$0.00"},{"v":1.85,"d":"$1.85"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010153611E              ","MBRP00000430985","000001700845","2021-06-01","42192032701","NP THYROID 15 TABS 15.000",40,28,{"v":21.5,"d":"$21.50"},{"v":0.59,"d":"$0.59"},{"v":22.09,"d":"$22.09"},{"v":17.09,"d":"$17.09"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010153605E              ","MBRP00000430797","000001695843","2021-06-01","29300012601","BISOPROLOL FUM TABS 5.000",15,30,{"v":14.51,"d":"$14.51"},{"v":0.59,"d":"$0.59"},{"v":15.1,"d":"$15.10"},{"v":10.1,"d":"$10.10"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010073431E              ","MBRP00000424716","000000875642","2021-06-01","65162027210","SULFAMETHOXAZO TABS 0.000",-36,84,{"v":-4.36,"d":"-$4.36"},{"v":0,"d":"$0.00"},{"v":-4.36,"d":"-$4.36"},{"v":0,"d":"$0.00"},{"v":-4.36,"d":"-$4.36"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010153662E              ","MBRP00000430817","005040184378","2021-06-01","00143992801","CIPROFLOXACIN  TABS 500.000",6,3,{"v":1.43,"d":"$1.43"},{"v":0.59,"d":"$0.59"},{"v":2.02,"d":"$2.02"},{"v":0,"d":"$0.00"},{"v":2.02,"d":"$2.02"},"G","N",0,0,0,"R","3618759","CLEVELAND CLINIC EUCLID AVE OUTP"]
["21865M","0010084148E              ","MBRP00000417807","000308746475","2021-06-01","00378027493","TAMOXIFEN CITR TABS 20.000",90,90,{"v":111.16,"d":"$111.16"},{"v":0,"d":"$0.00"},{"v":111.16,"d":"$111.16"},{"v":101.16,"d":"$101.16"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010132579E              ","MBRP00000417821","000001032798","2021-06-01","67877056105","METFORMIN HYDR TABS 500.000",30,30,{"v":1.03,"d":"$1.03"},{"v":0.59,"d":"$0.59"},{"v":1.62,"d":"$1.62"},{"v":0,"d":"$0.00"},{"v":1.62,"d":"$1.62"},"G","N",0,0,0,"R","3653094","RITE AID PHARMACY 02437"]
["21865M","0010124279E              ","MBRP00000418014","000007361157","2021-06-01","59310030240","QVAR REDIHALER AERB 40.000",-10.6,21,{"v":-196.14,"d":"-$196.14"},{"v":-0.59,"d":"-$0.59"},{"v":-196.73,"d":"-$196.73"},{"v":-176.73,"d":"-$176.73"},{"v":-20,"d":"-$20.00"},"B","N",0,0,1,"R","3666356","GIANT EAGLE PHARMACY #1620 1620"]
["21865M","0010081996E              ","MBRP00000424739","000006667578","2021-06-01","72205002405","ATORVASTATIN C TABS 40.000",90,90,{"v":37.03,"d":"$37.03"},{"v":0,"d":"$0.00"},{"v":37.03,"d":"$37.03"},{"v":22.03,"d":"$22.03"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3669770","GIANT EAGLE PHARMACY #4030 4030"]
["21865M","0010056036E              ","MBRP00000422437","000000841381","2021-06-01","69097081312","GABAPENTIN CAPS 100.000",-150,30,{"v":-10.87,"d":"-$10.87"},{"v":-0.59,"d":"-$0.59"},{"v":-11.46,"d":"-$11.46"},{"v":-6.46,"d":"-$6.46"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3679606","CVS PHARMACY #02063 02063"]
["21865M","0010152646E              ","MBRP00000442992","000000707180","2021-06-01","16729017301","AMITRIPTYLINE  TABS 50.000",90,90,{"v":50.17,"d":"$50.17"},{"v":0,"d":"$0.00"},{"v":50.17,"d":"$50.17"},{"v":35.17,"d":"$35.17"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010153640E              ","MBRP00000430764","000006575494","2021-06-01","14539065305","OXYBUTYNIN CHL TABS 5.000",60,30,{"v":13.55,"d":"$13.55"},{"v":0.59,"d":"$0.59"},{"v":14.14,"d":"$14.14"},{"v":9.14,"d":"$9.14"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010062989E              ","MBRP00000430888","000007121910","2021-06-02","59746033890","LOSARTAN POTAS TABS 0.000",90,90,{"v":58.58,"d":"$58.58"},{"v":0,"d":"$0.00"},{"v":58.58,"d":"$58.58"},{"v":43.58,"d":"$43.58"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010084199E              ","MBRP00000417834","000007345500","2021-06-02","16714069211","FLUCONAZOLE TABS 150.000",3,9,{"v":7.94,"d":"$7.94"},{"v":0.59,"d":"$0.59"},{"v":8.53,"d":"$8.53"},{"v":3.53,"d":"$3.53"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606540","ACME PHARMACY 4"]
["21865M","0010150177E              ","MBRP00000429297","000006737607","2021-06-02","65862037505","ESCITALOPRAM O TABS 20.000",90,90,{"v":20.66,"d":"$20.66"},{"v":0,"d":"$0.00"},{"v":20.66,"d":"$20.66"},{"v":5.66,"d":"$5.66"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3669124","GIANT EAGLE PHARMACY #4034 4034"]
["21865M","AC00109762300","MBRP00000434038","000001317193","2021-06-02","57237000511","FLUCONAZOLE TABS 150.000",1,1,{"v":2.65,"d":"$2.65"},{"v":0.59,"d":"$0.59"},{"v":3.24,"d":"$3.24"},{"v":0,"d":"$0.00"},{"v":3.24,"d":"$3.24"},"G","N",0,0,0,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010099084E              ","MBRP00000440281","000009307602","2021-06-02","73070010011","INSULIN ASPART SOLN 100.000",30,30,{"v":429.71,"d":"$429.71"},{"v":0.5,"d":"$0.50"},{"v":430.21,"d":"$430.21"},{"v":395.21,"d":"$395.21"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3606297","DAVIES PHARMACY 1"]
["21865M","AC00109278200","MBRP00000290703","000001298621","2021-06-02","00069047103","CHANTIX STARTI TABS 0.000",53,28,{"v":447.48,"d":"$447.48"},{"v":0.59,"d":"$0.59"},{"v":448.07,"d":"$448.07"},{"v":413.07,"d":"$413.07"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010153601E              ","MBRP00000430974","000001064653","2021-06-02","16729013716","CLONAZEPAM TABS 1.000",30,15,{"v":1.98,"d":"$1.98"},{"v":0.59,"d":"$0.59"},{"v":2.57,"d":"$2.57"},{"v":0,"d":"$0.00"},{"v":2.57,"d":"$2.57"},"G","N",0,0,0,"R","3659488","DISCOUNT DRUG MART 46"]
["21865M","0010084148E              ","MBRP00000417807","000306856529","2021-06-02","68180021609","LOSARTAN POTAS TABS 0.000",90,90,{"v":58.58,"d":"$58.58"},{"v":0,"d":"$0.00"},{"v":58.58,"d":"$58.58"},{"v":48.58,"d":"$48.58"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010153685E              ","MBRP00000430961","000000753216","2021-06-02","42806008301","BUSPIRONE HYDR TABS 7.500",-270,90,{"v":-271.11,"d":"-$271.11"},{"v":0,"d":"$0.00"},{"v":-271.11,"d":"-$271.11"},{"v":-256.11,"d":"-$256.11"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010150177E              ","MBRP00000429297","000006735671","2021-06-03","00002771559","BASAGLAR KWIKP SOPN 100.000",15,30,{"v":320.51,"d":"$320.51"},{"v":0.59,"d":"$0.59"},{"v":321.1,"d":"$321.10"},{"v":286.1,"d":"$286.10"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3669124","GIANT EAGLE PHARMACY #4034 4034"]
["21865M","0010153646E              ","MBRP00000429339","000006726982","2021-06-03","65862001305","SERTRALINE HYD TABS 100.000",-30,30,{"v":-3.13,"d":"-$3.13"},{"v":-0.59,"d":"-$0.59"},{"v":-3.72,"d":"-$3.72"},{"v":0,"d":"$0.00"},{"v":-3.72,"d":"-$3.72"},"G","N",0,0,0,"R","3669124","GIANT EAGLE PHARMACY #4034 4034"]
["21865M","0010084335E              ","MBRP00000422202","000008877114","2021-06-03","69097015907","MELOXICAM TABS 15.000",30,30,{"v":1.23,"d":"$1.23"},{"v":0.59,"d":"$0.59"},{"v":1.82,"d":"$1.82"},{"v":0,"d":"$0.00"},{"v":1.82,"d":"$1.82"},"G","N",0,0,0,"R","3662447","CVS PHARMACY #16247 16247"]
["21865M","0010022889E              ","MBRP00000440082","000001518705","2021-06-03","00054001925","PREDNISONE TABS 50.000",5,5,{"v":1.67,"d":"$1.67"},{"v":0.59,"d":"$0.59"},{"v":2.26,"d":"$2.26"},{"v":0,"d":"$0.00"},{"v":2.26,"d":"$2.26"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010153628E              ","MBRP00000429290","000007123272","2021-06-03","68382005101","MELOXICAM TABS 15.000",30,30,{"v":1.23,"d":"$1.23"},{"v":0.59,"d":"$0.59"},{"v":1.82,"d":"$1.82"},{"v":0,"d":"$0.00"},{"v":1.82,"d":"$1.82"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010114615E              ","MBRP00000440323","000006845167","2021-06-03","65862086001","FAMOTIDINE TABS 40.000",90,90,{"v":13.34,"d":"$13.34"},{"v":0,"d":"$0.00"},{"v":13.34,"d":"$13.34"},{"v":0,"d":"$0.00"},{"v":13.34,"d":"$13.34"},"G","N",0,0,0,"R","3669112","GIANT EAGLE PHARMACY #1618 1618"]
["21865M","0010073375E              ","MBRP00000422374","000008852590","2021-06-03","45802010901","TRIAMCINOLONE  AERO 55.000",16.9,60,{"v":11.79,"d":"$11.79"},{"v":0.59,"d":"$0.59"},{"v":12.38,"d":"$12.38"},{"v":0,"d":"$0.00"},{"v":12.38,"d":"$12.38"},"G","N",0,0,0,"R","3668285","WALMART PHARMACY 10-2914 102914"]
["21865M","0010125083E              ","MBRP00000429009","000309119770","2021-06-03","69097045805","FENOFIBRATE TABS 145.000",90,90,{"v":85.18,"d":"$85.18"},{"v":0,"d":"$0.00"},{"v":85.18,"d":"$85.18"},{"v":75.18,"d":"$75.18"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010153640E              ","MBRP00000430766","000001056670","2021-06-03","00597017560","SYNJARDY TABS 0.000",60,30,{"v":538.71,"d":"$538.71"},{"v":0.59,"d":"$0.59"},{"v":539.3,"d":"$539.30"},{"v":519.3,"d":"$519.30"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010141535E              ","MBRP00000429262","000001189471","2021-06-04","00597014860","JENTADUETO TABS 0.000",60,30,{"v":476.76,"d":"$476.76"},{"v":0.59,"d":"$0.59"},{"v":477.35,"d":"$477.35"},{"v":457.35,"d":"$457.35"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010099978E              ","MBRP00000430930","000007116662","2021-06-04","16729043315","EZETIMIBE TABS 10.000",30,30,{"v":23.81,"d":"$23.81"},{"v":0.59,"d":"$0.59"},{"v":24.4,"d":"$24.40"},{"v":19.4,"d":"$19.40"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","AC00108363000","MBRP00000430783","000001109606","2021-06-04","67877032005","IBUPROFEN TABS 600.000",-21,7,{"v":-0.73,"d":"-$0.73"},{"v":-0.59,"d":"-$0.59"},{"v":-1.32,"d":"-$1.32"},{"v":0,"d":"$0.00"},{"v":-1.32,"d":"-$1.32"},"G","N",0,0,0,"R","3657751","DISCOUNT DRUG MART 42"]
["21865M","0010046085E              ","MBRP00000417860","000001190581","2021-06-04","00597015230","JARDIANCE TABS 10.000",30,30,{"v":538.71,"d":"$538.71"},{"v":0.59,"d":"$0.59"},{"v":539.3,"d":"$539.30"},{"v":519.3,"d":"$519.30"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010153623E              ","MBRP00000431025","000007266349","2021-06-04","65162099508","DOTTI PTTW 0.075",24,85,{"v":235.94,"d":"$235.94"},{"v":0,"d":"$0.00"},{"v":235.94,"d":"$235.94"},{"v":220.94,"d":"$220.94"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","0010049921E              ","MBRP00000440035","000001568718","2021-06-04","42192032901","NP THYROID 30 TABS 30.000",30,30,{"v":21,"d":"$21.00"},{"v":0.59,"d":"$0.59"},{"v":21.59,"d":"$21.59"},{"v":16.59,"d":"$16.59"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659832","DISCOUNT DRUG MART 50"]
["21865M","0010152646E              ","MBRP00000442992","000000717402","2021-06-04","60432026415","FLUTICASONE PR SUSP 50.000",-16,30,{"v":-7.78,"d":"-$7.78"},{"v":-0.59,"d":"-$0.59"},{"v":-8.37,"d":"-$8.37"},{"v":-3.37,"d":"-$3.37"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010153600E              ","MBRP00000431004","000007296534","2021-06-05","65862037405","ESCITALOPRAM O TABS 10.000",30,30,{"v":4.71,"d":"$4.71"},{"v":0.59,"d":"$0.59"},{"v":5.3,"d":"$5.30"},{"v":0.3,"d":"$0.30"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3666356","GIANT EAGLE PHARMACY #1620 1620"]
["21865M","0010084270E              ","MBRP00000422367","000000817840","2021-06-05","65862078430","ESOMEPRAZOLE M CPDR 40.000",90,90,{"v":123.35,"d":"$123.35"},{"v":0,"d":"$0.00"},{"v":123.35,"d":"$123.35"},{"v":108.35,"d":"$108.35"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010153600E              ","MBRP00000431004","000007298125","2021-06-05","65862086001","FAMOTIDINE TABS 40.000",-30,30,{"v":-4.45,"d":"-$4.45"},{"v":-0.59,"d":"-$0.59"},{"v":-5.04,"d":"-$5.04"},{"v":-0.04,"d":"-$0.04"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3666356","GIANT EAGLE PHARMACY #1620 1620"]
["21865M","0010125947E              ","MBRP00000422211","000001818329","2021-06-05","65862069705","VENLAFAXINE HC CP24 150.000",30,30,{"v":7.23,"d":"$7.23"},{"v":0.59,"d":"$0.59"},{"v":7.82,"d":"$7.82"},{"v":2.82,"d":"$2.82"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","0010049921E              ","MBRP00000440035","000001545102","2021-06-06","16714098450","CLINDAMYCIN PH GEL  0.000",50,20,{"v":138.15,"d":"$138.15"},{"v":0.59,"d":"$0.59"},{"v":138.74,"d":"$138.74"},{"v":133.74,"d":"$133.74"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659832","DISCOUNT DRUG MART 50"]
["21865M","0010084335E              ","MBRP00000422202","000008873619","2021-06-06","68180072003","AMLODIPINE BES TABS 5.000",-90,90,{"v":-3.14,"d":"-$3.14"},{"v":0,"d":"$0.00"},{"v":-3.14,"d":"-$3.14"},{"v":0,"d":"$0.00"},{"v":-3.14,"d":"-$3.14"},"G","N",0,0,0,"R","3662447","CVS PHARMACY #16247 16247"]
["21865M","0010153610E              ","MBRP00000430843","000002604178","2021-06-06","59746017306","PREDNISONE TABS 10.000",-30,30,{"v":-4.35,"d":"-$4.35"},{"v":-0.59,"d":"-$0.59"},{"v":-4.94,"d":"-$4.94"},{"v":0,"d":"$0.00"},{"v":-4.94,"d":"-$4.94"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010134765E              ","MBRP00000422392","000000367101","2021-06-07","00378427677","VALACYCLOVIR H TABS 1.000",30,30,{"v":54.94,"d":"$54.94"},{"v":0.59,"d":"$0.59"},{"v":55.53,"d":"$55.53"},{"v":50.53,"d":"$50.53"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3682324","WALGREENS #15467 15467"]
["21865M","0010149310E              ","MBRP00000437322","000000707177","2021-06-07","65862051230","PIOGLITAZONE H TABS 15.000",90,90,{"v":15.1,"d":"$15.10"},{"v":0,"d":"$0.00"},{"v":15.1,"d":"$15.10"},{"v":0.1,"d":"$0.10"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010084142E              ","MBRP00000424706","000001065128","2021-06-07","69097080232","TESTOSTERONE C SOLN 200.000",-2,28,{"v":-17.48,"d":"-$17.48"},{"v":-0.59,"d":"-$0.59"},{"v":-18.07,"d":"-$18.07"},{"v":-13.07,"d":"-$13.07"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3659488","DISCOUNT DRUG MART 46"]
["21865M","0010132958E              ","MBRP00000440157","000000761322","2021-06-07","00527150437","AMPHETAMINE/DE TABS 0.000",-25,25,{"v":-16.64,"d":"-$16.64"},{"v":-0.59,"d":"-$0.59"},{"v":-17.23,"d":"-$17.23"},{"v":-12.23,"d":"-$12.23"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010152646E              ","MBRP00000442992","000000714463","2021-06-07","00228306011","AMPHETAMINE/DE CP24 0.000",60,30,{"v":70.04,"d":"$70.04"},{"v":0.59,"d":"$0.59"},{"v":70.63,"d":"$70.63"},{"v":65.63,"d":"$65.63"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010108014E              ","MBRP00000440199","010784563348","2021-06-07","68180071160","CEFDINIR CAPS 300.000",-20,10,{"v":-13.91,"d":"-$13.91"},{"v":-0.59,"d":"-$0.59"},{"v":-14.5,"d":"-$14.50"},{"v":-9.5,"d":"-$9.50"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010139968E              ","MBRP00000418010","010784613372","2021-06-07","00143988775","AMOXICILLIN SUSR 400.000",-150,12,{"v":-4.98,"d":"-$4.98"},{"v":-0.59,"d":"-$0.59"},{"v":-5.57,"d":"-$5.57"},{"v":-0.57,"d":"-$0.57"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010152041E              ","MBRP00000422310","000000925964","2021-06-07","13668042990","PANTOPRAZOLE S TBEC 40.000",-90,90,{"v":-9.32,"d":"-$9.32"},{"v":0,"d":"$0.00"},{"v":-9.32,"d":"-$9.32"},{"v":0,"d":"$0.00"},{"v":-9.32,"d":"-$9.32"},"G","N",0,0,0,"R","3650670","CVS PHARMACY #04802 04802"]
["21865M","0010144060E              ","MBRP00000422224","000000567194","2021-06-07","16729013401","ALLOPURINOL TABS 100.000",30,30,{"v":4.55,"d":"$4.55"},{"v":0.59,"d":"$0.59"},{"v":5.14,"d":"$5.14"},{"v":0.14,"d":"$0.14"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010153151E              ","MBRP00000429230","000002399617","2021-06-07","59746000103","METHYLPREDNISO TBPK 4.000",21,6,{"v":8.57,"d":"$8.57"},{"v":0.59,"d":"$0.59"},{"v":9.16,"d":"$9.16"},{"v":4.16,"d":"$4.16"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010153644E              ","MBRP00000430982","000001702256","2021-06-07","65862001705","AMOXICILLIN CAPS 500.000",21,7,{"v":2.35,"d":"$2.35"},{"v":0.59,"d":"$0.59"},{"v":2.94,"d":"$2.94"},{"v":0,"d":"$0.00"},{"v":2.94,"d":"$2.94"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010119758E              ","MBRP00000430885","000001492839","2021-06-07","00186037020","SYMBICORT AERO 0.000",10.2,30,{"v":365,"d":"$365.00"},{"v":0.59,"d":"$0.59"},{"v":365.59,"d":"$365.59"},{"v":345.59,"d":"$345.59"},{"v":20,"d":"$20.00"},"B","N",0,9,1,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010129084E              ","MBRP00000430988","000008052131","2021-06-07","00904685272","LORATADINE TABS 10.000",90,90,{"v":3.11,"d":"$3.11"},{"v":0,"d":"$0.00"},{"v":3.11,"d":"$3.11"},{"v":0,"d":"$0.00"},{"v":3.11,"d":"$3.11"},"G","N",0,0,0,"R","3666356","GIANT EAGLE PHARMACY #1620 1620"]
["21865M","0010105128E              ","MBRP00000440229","000002044193","2021-06-07","31722065832","DIMETHYL FUMAR CPDR 240.000",60,30,{"v":2681.09,"d":"$2,681.09"},{"v":0,"d":"$0.00"},{"v":2681.09,"d":"$2,681.09"},{"v":2661.09,"d":"$2,661.09"},{"v":20,"d":"$20.00"},"G","Y",0,0,1,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010032717E              ","MBRP00000417803","000309151319","2021-06-08","68462026310","ROSUVASTATIN C TABS 20.000",-90,90,{"v":-22.03,"d":"-$22.03"},{"v":0,"d":"$0.00"},{"v":-22.03,"d":"-$22.03"},{"v":-12.03,"d":"-$12.03"},{"v":-10,"d":"-$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010076542E              ","MBRP00000422322","000000567735","2021-06-08","00555097202","AMPHETAMINE/DE TABS 0.000",30,30,{"v":19.96,"d":"$19.96"},{"v":0.59,"d":"$0.59"},{"v":20.55,"d":"$20.55"},{"v":15.55,"d":"$15.55"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010153622E              ","MBRP00000429311","000070005244","2021-06-08","0",0,120,30,{"v":0,"d":"$0.00"},{"v":68.4,"d":"$68.40"},{"v":68.4,"d":"$68.40"},{"v":33.4,"d":"$33.40"},{"v":35,"d":"$35.00"},"B","N",1,0,9,"R","3688554","COMPOUNDING PHARMACY OF GREEN"]
["21865M","AC00108535500","MBRP00000429041","000001109995","2021-06-08","16714012401","METHYLPHENIDAT TBCR 18.000",30,30,{"v":87.47,"d":"$87.47"},{"v":0.59,"d":"$0.59"},{"v":88.06,"d":"$88.06"},{"v":83.06,"d":"$83.06"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3657751","DISCOUNT DRUG MART 42"]
["21865M","0010084319E              ","MBRP00000422186","010786114046","2021-06-08","64380078706","BUSPIRONE HYDR TABS 7.500",-60,30,{"v":-60.25,"d":"-$60.25"},{"v":-0.59,"d":"-$0.59"},{"v":-60.84,"d":"-$60.84"},{"v":-55.84,"d":"-$55.84"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3652092","RITE AID PHARMACY 02413"]
["21865M","0010150859E              ","MBRP00000280996","000006772831","2021-06-08","16729004417","ATORVASTATIN C TABS 10.000",25,35,{"v":2.47,"d":"$2.47"},{"v":0.59,"d":"$0.59"},{"v":3.06,"d":"$3.06"},{"v":0,"d":"$0.00"},{"v":3.06,"d":"$3.06"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010084332E              ","MBRP00000422117","000002605085","2021-06-08","50742061501","METOPROLOL SUC TB24 25.000",45,90,{"v":23.51,"d":"$23.51"},{"v":0,"d":"$0.00"},{"v":23.51,"d":"$23.51"},{"v":8.51,"d":"$8.51"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010084319E              ","MBRP00000422186","000000897531","2021-06-08","65862001230","SERTRALINE HCL TABS 50.000",-30,30,{"v":-2.49,"d":"-$2.49"},{"v":-0.59,"d":"-$0.59"},{"v":-3.08,"d":"-$3.08"},{"v":0,"d":"$0.00"},{"v":-3.08,"d":"-$3.08"},"G","N",0,0,0,"R","3652092","RITE AID PHARMACY 02413"]
["21865M","0010134765E              ","MBRP00000422392","000000367340","2021-06-08","00574082701","TESTOSTERONE C SOLN 200.000",6,42,{"v":52.44,"d":"$52.44"},{"v":0.59,"d":"$0.59"},{"v":53.03,"d":"$53.03"},{"v":38.03,"d":"$38.03"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3682324","WALGREENS #15467 15467"]
["21865M","0010153151E              ","MBRP00000429230","000001520340","2021-06-09","60758090810","POLYMYXIN B SU SOLN 0.000",10,20,{"v":10.7,"d":"$10.70"},{"v":0.59,"d":"$0.59"},{"v":11.29,"d":"$11.29"},{"v":6.29,"d":"$6.29"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010122772E              ","MBRP00000429193","010787573878","2021-06-09","50111064801","FLUOXETINE HCL CAPS 20.000",-30,30,{"v":-1.46,"d":"-$1.46"},{"v":-0.59,"d":"-$0.59"},{"v":-2.05,"d":"-$2.05"},{"v":0,"d":"$0.00"},{"v":-2.05,"d":"-$2.05"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","AC00108363000","MBRP00000430784","000001101980","2021-06-09","42858000501","OXYCODONE HYDR TABS 30.000",-120,30,{"v":-28.95,"d":"-$28.95"},{"v":-0.59,"d":"-$0.59"},{"v":-29.54,"d":"-$29.54"},{"v":-24.54,"d":"-$24.54"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3657751","DISCOUNT DRUG MART 42"]
["21865M","0010084186E              ","MBRP00000424736","000001083029","2021-06-09","75854060203","BALCOLTRA TABS 0.000",-84,84,{"v":-635.77,"d":"-$635.77"},{"v":0,"d":"$0.00"},{"v":-635.77,"d":"-$635.77"},{"v":-530.77,"d":"-$530.77"},{"v":-105,"d":"-$105.00"},"B","N",0,0,9,"R","3657751","DISCOUNT DRUG MART 42"]
["21865M","0010088292E              ","MBRP00000422146","000309633644","2021-06-09","64380073706","VITAMIN D CAPS 50000.000",13,90,{"v":13.33,"d":"$13.33"},{"v":0,"d":"$0.00"},{"v":13.33,"d":"$13.33"},{"v":3.33,"d":"$3.33"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010084348E              ","MBRP00000417899","000001191370","2021-06-09","68180063609","ATORVASTATIN C TABS 20.000",30,30,{"v":2.93,"d":"$2.93"},{"v":0.59,"d":"$0.59"},{"v":3.52,"d":"$3.52"},{"v":0,"d":"$0.00"},{"v":3.52,"d":"$3.52"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010153674E              ","MBRP00000430828","000001955809","2021-06-09","50111033402","METRONIDAZOLE TABS 500.000",-14,7,{"v":-2.67,"d":"-$2.67"},{"v":-0.59,"d":"-$0.59"},{"v":-3.26,"d":"-$3.26"},{"v":0,"d":"$0.00"},{"v":-3.26,"d":"-$3.26"},"G","N",0,0,0,"R","2632025","WALGREENS #4834 4834"]
["21865M","AC00109762300","MBRP00000434038","000002878614","2021-06-10","17478071130","LIDOCAINE HCL  GEL  2.000",30,15,{"v":81.72,"d":"$81.72"},{"v":0.59,"d":"$0.59"},{"v":82.31,"d":"$82.31"},{"v":77.31,"d":"$77.31"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010084188E              ","MBRP00000424740","000000739288","2021-06-10","00074707090","SYNTHROID TABS 175.000",30,30,{"v":40.09,"d":"$40.09"},{"v":0.59,"d":"$0.59"},{"v":40.68,"d":"$40.68"},{"v":20.68,"d":"$20.68"},{"v":20,"d":"$20.00"},"B","N",0,1,1,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010076542E              ","MBRP00000422322","000000567723","2021-06-10","60219175303","SILDENAFIL CIT TABS 100.000",6,30,{"v":3.92,"d":"$3.92"},{"v":0.59,"d":"$0.59"},{"v":4.51,"d":"$4.51"},{"v":0,"d":"$0.00"},{"v":4.51,"d":"$4.51"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010115239E              ","MBRP00000430838","000001052630","2021-06-10","67877056105","METFORMIN HYDR TABS 500.000",-30,30,{"v":-1.03,"d":"-$1.03"},{"v":-0.59,"d":"-$0.59"},{"v":-1.62,"d":"-$1.62"},{"v":0,"d":"$0.00"},{"v":-1.62,"d":"-$1.62"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","AC00108804300","MBRP00000430859","010789441374","2021-06-10","68180051703","LISINOPRIL TABS 40.000",-90,90,{"v":-9.1,"d":"-$9.10"},{"v":0,"d":"$0.00"},{"v":-9.1,"d":"-$9.10"},{"v":0,"d":"$0.00"},{"v":-9.1,"d":"-$9.10"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010115610E              ","MBRP00000463348","000007363172","2021-06-10","00713068631","NYSTATIN OINT 100000.000",-30,14,{"v":-7.47,"d":"-$7.47"},{"v":-0.59,"d":"-$0.59"},{"v":-8.06,"d":"-$8.06"},{"v":-3.06,"d":"-$3.06"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3666356","GIANT EAGLE PHARMACY #1620 1620"]
["21865M","0010153592E              ","MBRP00000430847","000001036891","2021-06-10","29300012810","HYDROCHLOROTHI TABS 25.000",90,90,{"v":2.69,"d":"$2.69"},{"v":0,"d":"$0.00"},{"v":2.69,"d":"$2.69"},{"v":0,"d":"$0.00"},{"v":2.69,"d":"$2.69"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","AC00108535500","MBRP00000429038","000001110387","2021-06-11","60432026415","FLUTICASONE PR SUSP 50.000",16,60,{"v":7.78,"d":"$7.78"},{"v":0.59,"d":"$0.59"},{"v":8.37,"d":"$8.37"},{"v":0,"d":"$0.00"},{"v":8.37,"d":"$8.37"},"G","N",0,0,0,"R","3657751","DISCOUNT DRUG MART 42"]
["21865M","0010153722E              ","MBRP00000430904","000007267773","2021-06-11","68645055854","LISINOPRIL/HYD TABS 0.000",30,30,{"v":3.41,"d":"$3.41"},{"v":0.59,"d":"$0.59"},{"v":4,"d":"$4.00"},{"v":0,"d":"$0.00"},{"v":4,"d":"$4.00"},"G","N",0,0,0,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","AC00108535500","MBRP00000429038","000001110388","2021-06-11","16729004517","ATORVASTATIN C TABS 20.000",-90,90,{"v":-8.79,"d":"-$8.79"},{"v":0,"d":"$0.00"},{"v":-8.79,"d":"-$8.79"},{"v":0,"d":"$0.00"},{"v":-8.79,"d":"-$8.79"},"G","N",0,0,0,"R","3657751","DISCOUNT DRUG MART 42"]
["21865M","0010144446E              ","MBRP00000429086","000001482211","2021-06-11","68180096301","ALBUTEROL SULF AERS 108.000",8.5,25,{"v":28.52,"d":"$28.52"},{"v":0.59,"d":"$0.59"},{"v":29.11,"d":"$29.11"},{"v":24.11,"d":"$24.11"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010112590E              ","MBRP00000429149","000309907548","2021-06-11","69238183707","LEVOTHYROXINE  TABS 137.000",90,90,{"v":45.18,"d":"$45.18"},{"v":0,"d":"$0.00"},{"v":45.18,"d":"$45.18"},{"v":35.18,"d":"$35.18"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010137643E              ","MBRP00000417932","000000847985","2021-06-11","53885027210","ONETOUCH VERIO STRP 0.000",200,30,{"v":134.71,"d":"$134.71"},{"v":0.59,"d":"$0.59"},{"v":135.3,"d":"$135.30"},{"v":115.3,"d":"$115.30"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3679632","CVS PHARMACY #08248 08248"]
["21865M","0010031903E              ","MBRP00000430941","000008852769","2021-06-12","49035056314","EQ ASPIRIN ADU TBEC 81.000",90,90,{"v":1.07,"d":"$1.07"},{"v":0,"d":"$0.00"},{"v":1.07,"d":"$1.07"},{"v":1.07,"d":"$1.07"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3673387","WALMART PHARMACY 10-5410 105410"]
["21865M","0010153659E              ","MBRP00000431042","000006727646","2021-06-12","00168034720","TERCONAZOLE CREA 0.800",-20,3,{"v":-40.13,"d":"-$40.13"},{"v":-0.59,"d":"-$0.59"},{"v":-40.72,"d":"-$40.72"},{"v":-35.72,"d":"-$35.72"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3674151","GIANT EAGLE PHARMACY #4152 4152"]
["21865M","0010084142E              ","MBRP00000424706","000001057093","2021-06-12","67877032105","IBUPROFEN TABS 800.000",-60,20,{"v":-4.07,"d":"-$4.07"},{"v":-0.59,"d":"-$0.59"},{"v":-4.66,"d":"-$4.66"},{"v":0,"d":"$0.00"},{"v":-4.66,"d":"-$4.66"},"G","N",0,0,0,"R","3659488","DISCOUNT DRUG MART 46"]
["21865M","0010006094E              ","MBRP00000429258","000006791721","2021-06-13","00527328446","LEVOTHYROXINE  TABS 100.000",30,30,{"v":12.96,"d":"$12.96"},{"v":0.59,"d":"$0.59"},{"v":13.55,"d":"$13.55"},{"v":8.55,"d":"$8.55"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3656444","MARCS 27"]
["21865M","0010031850E              ","MBRP00000440318","000001092514","2021-06-13","51862061201","METHYLPHENIDAT CP24 40.000",30,30,{"v":124.8,"d":"$124.80"},{"v":0.59,"d":"$0.59"},{"v":125.39,"d":"$125.39"},{"v":120.39,"d":"$120.39"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3632886","CVS PHARMACY #04338 04338"]
["21865M","0010136843E              ","MBRP00000429284","000006772963","2021-06-13","57237002901","AMOXICILLIN TABS 875.000",22,11,{"v":4.84,"d":"$4.84"},{"v":0.59,"d":"$0.59"},{"v":5.43,"d":"$5.43"},{"v":0.43,"d":"$0.43"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010086302E              ","MBRP00000440325","000002060142","2021-06-14","59417010410","VYVANSE CAPS 40.000",30,30,{"v":328.98,"d":"$328.98"},{"v":0.59,"d":"$0.59"},{"v":329.57,"d":"$329.57"},{"v":294.57,"d":"$294.57"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010153637E              ","MBRP00000430801","000001192141","2021-06-14","00597015330","JARDIANCE TABS 25.000",30,30,{"v":538.71,"d":"$538.71"},{"v":0.59,"d":"$0.59"},{"v":539.3,"d":"$539.30"},{"v":519.3,"d":"$519.30"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010126150E              ","MBRP00000430934","000007272822","2021-06-14","31722070290","LOSARTAN POTAS TABS 100.000",30,30,{"v":2.55,"d":"$2.55"},{"v":0.59,"d":"$0.59"},{"v":3.14,"d":"$3.14"},{"v":0,"d":"$0.00"},{"v":3.14,"d":"$3.14"},"G","N",0,0,0,"R","3673387","WALMART PHARMACY 10-5410 105410"]
["21865M","0010153659E              ","MBRP00000431042","000006727646","2021-06-14","51672130200","TERCONAZOLE CREA 0.800",20,3,{"v":33.5,"d":"$33.50"},{"v":0.59,"d":"$0.59"},{"v":34.09,"d":"$34.09"},{"v":29.09,"d":"$29.09"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3674151","GIANT EAGLE PHARMACY #4152 4152"]
["21865M","0010005903E              ","MBRP00000436962","000000835919","2021-06-14","68180012202","CEPHALEXIN CAPS 500.000",21,7,{"v":3.18,"d":"$3.18"},{"v":0.59,"d":"$0.59"},{"v":3.77,"d":"$3.77"},{"v":0,"d":"$0.00"},{"v":3.77,"d":"$3.77"},"G","N",0,0,0,"R","3663336","DISCOUNT DRUG MART 51"]
["21865M","0010031850E              ","MBRP00000440318","000002047879","2021-06-14","68546017060","AUSTEDO TABS 6.000",180,30,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},"B","Y",0,0,9,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010122982E              ","MBRP00000422136","000002403039","2021-06-14","00143988701","AMOXICILLIN SUSR 400.000",-100,8,{"v":-3.32,"d":"-$3.32"},{"v":-0.59,"d":"-$0.59"},{"v":-3.91,"d":"-$3.91"},{"v":0,"d":"$0.00"},{"v":-3.91,"d":"-$3.91"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010084343E              ","MBRP00000424789","000002047721","2021-06-14","00378696112","GLATIRAMER ACE SOSY 40.000",-12,28,{"v":-2202.05,"d":"-$2,202.05"},{"v":0,"d":"$0.00"},{"v":-2202.05,"d":"-$2,202.05"},{"v":-2197.05,"d":"-$2,197.05"},{"v":-5,"d":"-$5.00"},"G","Y",0,0,0,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010083494E              ","MBRP00000424857","000309987833","2021-06-14","43547028111","ESCITALOPRAM O TABS 10.000",90,90,{"v":14.14,"d":"$14.14"},{"v":0,"d":"$0.00"},{"v":14.14,"d":"$14.14"},{"v":4.14,"d":"$4.14"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010152402E              ","MBRP00000417800","000001482988","2021-06-15","55111018015","TIZANIDINE HYD TABS 4.000",30,30,{"v":4.12,"d":"$4.12"},{"v":0.59,"d":"$0.59"},{"v":4.71,"d":"$4.71"},{"v":0,"d":"$0.00"},{"v":4.71,"d":"$4.71"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010126150E              ","MBRP00000430934","000310128797","2021-06-15","60505082901","FLUTICASONE PR SUSP 50.000",32,90,{"v":15.56,"d":"$15.56"},{"v":0,"d":"$0.00"},{"v":15.56,"d":"$15.56"},{"v":5.56,"d":"$5.56"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010083494E              ","MBRP00000424854","000002052517","2021-06-15","00527458037","METHYLPHENIDAT CPCR 20.000",30,30,{"v":141.68,"d":"$141.68"},{"v":0.59,"d":"$0.59"},{"v":142.27,"d":"$142.27"},{"v":137.27,"d":"$137.27"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3674151","GIANT EAGLE PHARMACY #4152 4152"]
["21865M","0010137642E              ","MBRP00000418120","000007031608","2021-06-15","24208041005","OFLOXACIN SOLN 0.300",10,20,{"v":32.84,"d":"$32.84"},{"v":0.59,"d":"$0.59"},{"v":33.43,"d":"$33.43"},{"v":28.43,"d":"$28.43"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3662865","WALMART PHARMACY 10-2361 102361"]
["21865M","0010153595E              ","MBRP00000430833","000001192479","2021-06-15","68462053465","TACROLIMUS OINT 0.100",60,30,{"v":302.99,"d":"$302.99"},{"v":0.59,"d":"$0.59"},{"v":303.58,"d":"$303.58"},{"v":298.58,"d":"$298.58"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010121132E              ","MBRP00000429347","000002047026","2021-06-15","00069050130","XELJANZ XR TB24 11.000",30,30,{"v":4851.6,"d":"$4,851.60"},{"v":0,"d":"$0.00"},{"v":4851.6,"d":"$4,851.60"},{"v":4831.6,"d":"$4,831.60"},{"v":20,"d":"$20.00"},"B","Y",0,0,1,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","AC00110874700","MBRP00000473467","000001128377","2021-06-15","65862052890","VENLAFAXINE HY CP24 75.000",30,30,{"v":5.93,"d":"$5.93"},{"v":0.59,"d":"$0.59"},{"v":6.52,"d":"$6.52"},{"v":1.52,"d":"$1.52"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648916","DISCOUNT DRUG MART 32"]
["21865M","0010084121E              ","MBRP00000422263","000006550949","2021-06-15","65862001205","SERTRALINE HCL TABS 50.000",45,30,{"v":3.74,"d":"$3.74"},{"v":0.59,"d":"$0.59"},{"v":4.33,"d":"$4.33"},{"v":0,"d":"$0.00"},{"v":4.33,"d":"$4.33"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010005945E              ","MBRP00000440212","000001809764","2021-06-15","31722070090","LOSARTAN POTAS TABS 25.000",90,90,{"v":4.55,"d":"$4.55"},{"v":0,"d":"$0.00"},{"v":4.55,"d":"$4.55"},{"v":0,"d":"$0.00"},{"v":4.55,"d":"$4.55"},"G","N",0,0,0,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","0010099565E              ","MBRP00000440319","000310171405","2021-06-15","16729000517","SIMVASTATIN TABS 20.000",90,90,{"v":9.03,"d":"$9.03"},{"v":0,"d":"$0.00"},{"v":9.03,"d":"$9.03"},{"v":0,"d":"$0.00"},{"v":9.03,"d":"$9.03"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010093541E              ","MBRP00000440024","000304786598","2021-06-16","68682030210","PYRIDOSTIGMINE TABS 60.000",-300,90,{"v":-144.17,"d":"-$144.17"},{"v":0,"d":"$0.00"},{"v":-144.17,"d":"-$144.17"},{"v":-134.17,"d":"-$134.17"},{"v":-10,"d":"-$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010084079E              ","MBRP00000422443","000001370745","2021-06-16","00169750111","NOVOLOG SOLN 100.000",-40,27,{"v":-1136.69,"d":"-$1,136.69"},{"v":-0.59,"d":"-$0.59"},{"v":-1137.28,"d":"-$1,137.28"},{"v":-1102.28,"d":"-$1,102.28"},{"v":-35,"d":"-$35.00"},"B","N",0,1,9,"R","3652662","RITE AID PHARMACY 02456"]
["21865M","0010153220E              ","MBRP00000424980","000001572792","2021-06-16","31722071310","PANTOPRAZOLE S TBEC 40.000",30,30,{"v":3.11,"d":"$3.11"},{"v":0.59,"d":"$0.59"},{"v":3.7,"d":"$3.70"},{"v":0,"d":"$0.00"},{"v":3.7,"d":"$3.70"},"G","N",0,0,0,"R","3659832","DISCOUNT DRUG MART 50"]
["21865M","AC00109206800","MBRP00000447295","000000262044","2021-06-16","61442010310","DICLOFENAC SOD TBEC 75.000",180,90,{"v":57.16,"d":"$57.16"},{"v":0,"d":"$0.00"},{"v":57.16,"d":"$57.16"},{"v":42.16,"d":"$42.16"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3684619","MEDTIME PHARMACY"]
["21865M","0010084214E              ","MBRP00000417836","000006688594","2021-06-16","00074659490","SYNTHROID TABS 88.000",38,30,{"v":50.86,"d":"$50.86"},{"v":0.59,"d":"$0.59"},{"v":51.45,"d":"$51.45"},{"v":31.45,"d":"$31.45"},{"v":20,"d":"$20.00"},"B","N",0,2,1,"R","3659084","MARCS 39"]
["21865M","0010006056E              ","MBRP00000417930","000001192687","2021-06-16","70010049101","METFORMIN HYDR TB24 500.000",120,60,{"v":26.01,"d":"$26.01"},{"v":0.59,"d":"$0.59"},{"v":26.6,"d":"$26.60"},{"v":11.6,"d":"$11.60"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010134765E              ","MBRP00000422292","000000368898","2021-06-17","00002773701","INSULIN LISPRO SOLN 100.000",20,30,{"v":269.78,"d":"$269.78"},{"v":0.59,"d":"$0.59"},{"v":270.37,"d":"$270.37"},{"v":235.37,"d":"$235.37"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3682324","WALGREENS #15467 15467"]
["21865M","0010134796E              ","MBRP00000422348","000008877117","2021-06-17","45802065078","LORATADINE TABS 10.000",30,30,{"v":2.38,"d":"$2.38"},{"v":0.59,"d":"$0.59"},{"v":2.97,"d":"$2.97"},{"v":0,"d":"$0.00"},{"v":2.97,"d":"$2.97"},"G","N",0,0,0,"R","3673793","CVS PHARMACY #17136 17136"]
["21865M","0010153613E              ","MBRP00000430836","000309008009","2021-06-17","00023114501","BOTOX SOLR 100.000",2,90,{"v":1151.04,"d":"$1,151.04"},{"v":0,"d":"$0.00"},{"v":1151.04,"d":"$1,151.04"},{"v":1091.04,"d":"$1,091.04"},{"v":60,"d":"$60.00"},"B","Y",0,0,1,"R","3155125","OPTUMRX PHARMACY 700, LLC"]
["21865M","0010093541E              ","MBRP00000440024","000310386820","2021-06-17","65862052305","GABAPENTIN TABS 600.000",270,90,{"v":65.57,"d":"$65.57"},{"v":0,"d":"$0.00"},{"v":65.57,"d":"$65.57"},{"v":55.57,"d":"$55.57"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010031850E              ","MBRP00000440318","000001094742","2021-06-17","67877057305","BENZONATATE CAPS 100.000",-30,10,{"v":-4.55,"d":"-$4.55"},{"v":-0.59,"d":"-$0.59"},{"v":-5.14,"d":"-$5.14"},{"v":-0.14,"d":"-$0.14"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3632886","CVS PHARMACY #04338 04338"]
["21865M","0010153656E              ","MBRP00000430761","000006800803","2021-06-17","16714099101","ROSUVASTATIN C TABS 40.000",-90,90,{"v":-23.96,"d":"-$23.96"},{"v":0,"d":"$0.00"},{"v":-23.96,"d":"-$23.96"},{"v":-8.96,"d":"-$8.96"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3656444","MARCS 27"]
["21865M","0010084199E              ","MBRP00000417831","000007339122","2021-06-18","45802006405","TRIAMCINOLONE  CREA 0.100",454,90,{"v":18.31,"d":"$18.31"},{"v":0,"d":"$0.00"},{"v":18.31,"d":"$18.31"},{"v":3.31,"d":"$3.31"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3606540","ACME PHARMACY 4"]
["21865M","0010006056E              ","MBRP00000417930","000001193642","2021-06-18","00006027731","JANUVIA TABS 100.000",30,30,{"v":487.9,"d":"$487.90"},{"v":0.59,"d":"$0.59"},{"v":488.49,"d":"$488.49"},{"v":468.49,"d":"$468.49"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010139575E              ","MBRP00000430854","000000902455","2021-06-18","69452015120","VITAMIN D CAPS 50000.000",-4,28,{"v":-2.02,"d":"-$2.02"},{"v":-0.5,"d":"-$0.50"},{"v":-2.52,"d":"-$2.52"},{"v":0,"d":"$0.00"},{"v":-2.52,"d":"-$2.52"},"G","N",0,0,0,"R","3606211","DARTMOUTH PHARMACY"]
["21865M","0010112590E              ","MBRP00000429150","000000758954","2021-06-18","59267100002","PFIZER-BIONTEC SUSP 30.000",0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":40,"d":"$40.00"},{"v":40,"d":"$40.00"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010133529E              ","MBRP00000424950","000002881043","2021-06-18","70700011985","ESTARYLLA TABS 0.000",28,28,{"v":23.7,"d":"$23.70"},{"v":0.59,"d":"$0.59"},{"v":24.29,"d":"$24.29"},{"v":24.29,"d":"$24.29"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010139575E              ","MBRP00000430854","000000902601","2021-06-18","00591544310","PREDNISONE TABS 20.000",18,9,{"v":3.14,"d":"$3.14"},{"v":0.5,"d":"$0.50"},{"v":3.64,"d":"$3.64"},{"v":0,"d":"$0.00"},{"v":3.64,"d":"$3.64"},"G","N",0,0,0,"R","3606211","DARTMOUTH PHARMACY"]
["21865M","0010121978E              ","MBRP00000417894","000006775924","2021-06-18","21922000909","DICLOFENAC SOD GEL  1.000",200,33,{"v":15.71,"d":"$15.71"},{"v":0.59,"d":"$0.59"},{"v":16.3,"d":"$16.30"},{"v":1.3,"d":"$1.30"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3665289","GIANT EAGLE PHARMACY #4016 4016"]
["21865M","0010006035E              ","MBRP00000430910","000000783054","2021-06-19","24979003903","METOPROLOL SUC TB24 100.000",30,30,{"v":7.68,"d":"$7.68"},{"v":0.59,"d":"$0.59"},{"v":8.27,"d":"$8.27"},{"v":3.27,"d":"$3.27"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3627873","MEDICINE CENTER OF CANTON"]
["21865M","AC00109306100","MBRP00000448917","000000569888","2021-06-19","43598058230","BUPRENORPHINE  FILM 0.000",60,30,{"v":303.3,"d":"$303.30"},{"v":0.59,"d":"$0.59"},{"v":303.89,"d":"$303.89"},{"v":298.89,"d":"$298.89"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010137261E              ","MBRP00000440155","000000809013","2021-06-19","69097084905","ESCITALOPRAM O TABS 20.000",30,30,{"v":6.89,"d":"$6.89"},{"v":0.59,"d":"$0.59"},{"v":7.48,"d":"$7.48"},{"v":2.48,"d":"$2.48"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","AC00109924400","MBRP00000458847","000000946885","2021-06-20","16729017017","ESCITALOPRAM O TABS 20.000",90,90,{"v":20.66,"d":"$20.66"},{"v":0,"d":"$0.00"},{"v":20.66,"d":"$20.66"},{"v":5.66,"d":"$5.66"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3650670","CVS PHARMACY #04802 04802"]
["21865M","AC00108619800","MBRP00000418639","000000769777","2021-06-20","55111032101","GLIMEPIRIDE TABS 2.000",-90,90,{"v":-22.16,"d":"-$22.16"},{"v":0,"d":"$0.00"},{"v":-22.16,"d":"-$22.16"},{"v":-7.16,"d":"-$7.16"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010141535E              ","MBRP00000429262","000001176727","2021-06-20","65862083030","PRASUGREL TABS 10.000",-90,90,{"v":-87.64,"d":"-$87.64"},{"v":0,"d":"$0.00"},{"v":-87.64,"d":"-$87.64"},{"v":-72.64,"d":"-$72.64"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010153675E              ","MBRP00000430798","000000989536","2021-06-21","61314012605","KETOROLAC TROM SOLN 0.500",5,20,{"v":11.38,"d":"$11.38"},{"v":0.59,"d":"$0.59"},{"v":11.97,"d":"$11.97"},{"v":6.97,"d":"$6.97"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663134","RITE AID PHARMACY 04726"]
["21865M","0010116082E              ","MBRP00000424996","000001247117","2021-06-21","11917004958","HYDROCORTISONE CREA 1.000",56.8,14,{"v":4.17,"d":"$4.17"},{"v":0.59,"d":"$0.59"},{"v":4.76,"d":"$4.76"},{"v":0,"d":"$0.00"},{"v":4.76,"d":"$4.76"},"G","N",0,0,0,"R","3666320","WALGREENS #4983 4983"]
["21865M","0010123613E              ","MBRP00000440160","000002045936","2021-06-21","61958210101","ODEFSEY TABS 0.000",30,30,{"v":3076.21,"d":"$3,076.21"},{"v":0,"d":"$0.00"},{"v":3076.21,"d":"$3,076.21"},{"v":3056.21,"d":"$3,056.21"},{"v":20,"d":"$20.00"},"B","Y",0,0,1,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010079613E              ","MBRP00000422306","000002609663","2021-06-21","00228306111","AMPHETAMINE/DE CP24 0.000",30,30,{"v":35.02,"d":"$35.02"},{"v":0.59,"d":"$0.59"},{"v":35.61,"d":"$35.61"},{"v":30.61,"d":"$30.61"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010153779E              ","MBRP00000444990","000000705250","2021-06-21","67877042805","GABAPENTIN TABS 600.000",90,30,{"v":21.86,"d":"$21.86"},{"v":0.59,"d":"$0.59"},{"v":22.45,"d":"$22.45"},{"v":17.45,"d":"$17.45"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010151951E              ","MBRP00000417871","000310810729","2021-06-21","70010006310","METFORMIN HYDR TABS 500.000",-180,90,{"v":-6.16,"d":"-$6.16"},{"v":0,"d":"$0.00"},{"v":-6.16,"d":"-$6.16"},{"v":0,"d":"$0.00"},{"v":-6.16,"d":"-$6.16"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0060044938E              ","MBRP00000396619","000001312473","2021-06-21","65862052890","VENLAFAXINE HY CP24 75.000",30,30,{"v":5.93,"d":"$5.93"},{"v":0.59,"d":"$0.59"},{"v":6.52,"d":"$6.52"},{"v":1.52,"d":"$1.52"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648233","RITE AID PHARMACY 03167"]
["21865M","0010046092E              ","MBRP00000440065","000007135000","2021-06-21","00054327099","FLUTICASONE PR SUSP 50.000",16,30,{"v":7.78,"d":"$7.78"},{"v":0.59,"d":"$0.59"},{"v":8.37,"d":"$8.37"},{"v":3.37,"d":"$3.37"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","AC00109762300","MBRP00000434038","000001320861","2021-06-21","45802086803","POLYETHYLENE G POWD 17.000",510,30,{"v":9.18,"d":"$9.18"},{"v":0.59,"d":"$0.59"},{"v":9.77,"d":"$9.77"},{"v":9.77,"d":"$9.77"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010071551E              ","MBRP00000424922","000001464438","2021-06-22","00378427593","VALACYCLOVIR H TABS 500.000",30,30,{"v":34.55,"d":"$34.55"},{"v":0.59,"d":"$0.59"},{"v":35.14,"d":"$35.14"},{"v":30.14,"d":"$30.14"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010056036E              ","MBRP00000422437","000000848502","2021-06-22","00378041510","DIPHENOXYLATE/ TABS 0.000",45,20,{"v":22.26,"d":"$22.26"},{"v":0.59,"d":"$0.59"},{"v":22.85,"d":"$22.85"},{"v":17.85,"d":"$17.85"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3679606","CVS PHARMACY #02063 02063"]
["21865M","AC00110043100","MBRP00000460621","000001841818","2021-06-22","70436001002","BUPROPION HYDR TB24 150.000",30,30,{"v":25.32,"d":"$25.32"},{"v":0.59,"d":"$0.59"},{"v":25.91,"d":"$25.91"},{"v":20.91,"d":"$20.91"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","0010141535E              ","MBRP00000429262","000001193810","2021-06-22","68180063709","ATORVASTATIN C TABS 40.000",90,90,{"v":37.03,"d":"$37.03"},{"v":0,"d":"$0.00"},{"v":37.03,"d":"$37.03"},{"v":22.03,"d":"$22.03"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010124285E              ","MBRP00000422141","000000935020","2021-06-22","59267100002","PFIZER-BIONTEC SUSP 30.000",-0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":-40,"d":"-$40.00"},{"v":-40,"d":"-$40.00"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3651975","RITE AID PHARMACY 02401"]
["21865M","0010084180E              ","MBRP00000422313","000310831001","2021-06-22","00006008061","JANUMET XR TB24 0.000",180,90,{"v":1344.4,"d":"$1,344.40"},{"v":0,"d":"$0.00"},{"v":1344.4,"d":"$1,344.40"},{"v":1304.4,"d":"$1,304.40"},{"v":40,"d":"$40.00"},"B","N",0,0,1,"M","0556540","OPTUMRX"]
["21865M","0010121105E              ","MBRP00000440105","000002047514","2021-06-22","00002144511","TALTZ SOAJ 80.000",-1,28,{"v":-5878.81,"d":"-$5,878.81"},{"v":0,"d":"$0.00"},{"v":-5878.81,"d":"-$5,878.81"},{"v":-5843.81,"d":"-$5,843.81"},{"v":-35,"d":"-$35.00"},"B","Y",0,0,9,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010122982E              ","MBRP00000422134","000002407210","2021-06-22","00781808926","AZITHROMYCIN TABS 250.000",-6,5,{"v":-4.16,"d":"-$4.16"},{"v":-0.59,"d":"-$0.59"},{"v":-4.75,"d":"-$4.75"},{"v":0,"d":"$0.00"},{"v":-4.75,"d":"-$4.75"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010143689E              ","MBRP00000440303","000008946848","2021-06-23","00186091612","PULMICORT FLEX AEPB 180.000",-1,30,{"v":-252.29,"d":"-$252.29"},{"v":-0.59,"d":"-$0.59"},{"v":-257.04,"d":"-$257.04"},{"v":-222.04,"d":"-$222.04"},{"v":-35,"d":"-$35.00"},"B","N",0,0,9,"R","1466259","CVS PHARMACY #16350 16350"]
["21865M","0010153151E              ","MBRP00000429230","005290017250","2021-06-23","47469000465","MELATONIN TABS 0.000",-30,30,{"v":-1.62,"d":"-$1.62"},{"v":-0.59,"d":"-$0.59"},{"v":-2.21,"d":"-$2.21"},{"v":0,"d":"$0.00"},{"v":-2.21,"d":"-$2.21"},"G","N",0,0,9,"R","3681992","MARYMOUNT HOSPITAL, INC. 29"]
["21865M","0010006039E              ","MBRP00000429090","000001344786","2021-06-23","00093317431","ALBUTEROL SULF AERS 108.000",8.5,30,{"v":28.52,"d":"$28.52"},{"v":0.59,"d":"$0.59"},{"v":29.11,"d":"$29.11"},{"v":24.11,"d":"$24.11"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3657561","CVS PHARMACY #04353 04353"]
["21865M","0010152881E              ","MBRP00000429079","000000233615","2021-06-23","51862004791","AMETHIA TABS 0.000",-91,91,{"v":-195.06,"d":"-$195.06"},{"v":0,"d":"$0.00"},{"v":-195.06,"d":"-$195.06"},{"v":-195.06,"d":"-$195.06"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","0142668","WALGREENS #19797 19797"]
["21865M","0010153653E              ","MBRP00000429323","000002407453","2021-06-23","00378623201","CITALOPRAM HYD TABS 20.000",-90,90,{"v":-27.97,"d":"-$27.97"},{"v":0,"d":"$0.00"},{"v":-27.97,"d":"-$27.97"},{"v":-12.97,"d":"-$12.97"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010031850E              ","MBRP00000440316","000006779423","2021-06-23","50228046601","NABUMETONE TABS 750.000",30,15,{"v":12.54,"d":"$12.54"},{"v":0.59,"d":"$0.59"},{"v":13.13,"d":"$13.13"},{"v":8.13,"d":"$8.13"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010084325E              ","MBRP00000424828","000001501480","2021-06-23","31722071390","PANTOPRAZOLE S TBEC 40.000",-90,90,{"v":-9.32,"d":"-$9.32"},{"v":0,"d":"$0.00"},{"v":-9.32,"d":"-$9.32"},{"v":0,"d":"$0.00"},{"v":-9.32,"d":"-$9.32"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010084336E              ","MBRP00000417896","000001061588","2021-06-24","42806001101","SULINDAC TABS 200.000",30,30,{"v":12.2,"d":"$12.20"},{"v":0.59,"d":"$0.59"},{"v":12.79,"d":"$12.79"},{"v":7.79,"d":"$7.79"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010084199E              ","MBRP00000417834","000007346514","2021-06-24","70436001002","BUPROPION HYDR TB24 150.000",30,30,{"v":25.32,"d":"$25.32"},{"v":0.59,"d":"$0.59"},{"v":25.91,"d":"$25.91"},{"v":20.91,"d":"$20.91"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606540","ACME PHARMACY 4"]
["21865M","0010139126E              ","MBRP00000429225","010803502420","2021-06-24","68180078001","ZOLPIDEM TARTR TBCR 12.500",30,30,{"v":54.65,"d":"$54.65"},{"v":0.59,"d":"$0.59"},{"v":55.24,"d":"$55.24"},{"v":50.24,"d":"$50.24"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010141535E              ","MBRP00000429262","000001163236","2021-06-24","31722059690","FENOFIBRATE TABS 145.000",30,30,{"v":28.39,"d":"$28.39"},{"v":0.59,"d":"$0.59"},{"v":28.98,"d":"$28.98"},{"v":23.98,"d":"$23.98"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","AC00108483700","MBRP00000430897","000002853901","2021-06-24","68180051303","LISINOPRIL TABS 5.000",60,30,{"v":1.88,"d":"$1.88"},{"v":0.59,"d":"$0.59"},{"v":2.47,"d":"$2.47"},{"v":0,"d":"$0.00"},{"v":2.47,"d":"$2.47"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010153675E              ","MBRP00000430798","000000990220","2021-06-25","60758011905","PREDNISOLONE A SUSP 1.000",5,20,{"v":43.21,"d":"$43.21"},{"v":0.59,"d":"$0.59"},{"v":43.8,"d":"$43.80"},{"v":38.8,"d":"$38.80"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663134","RITE AID PHARMACY 04726"]
["21865M","0010124285E              ","MBRP00000422141","000000935020","2021-06-25","59267100002","PFIZER-BIONTEC SUSP 30.000",0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":40,"d":"$40.00"},{"v":40,"d":"$40.00"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3651975","RITE AID PHARMACY 02401"]
["21865M","0010153628E              ","MBRP00000429290","000004876184","2021-06-25","00228202950","ALPRAZOLAM TABS 0.500",30,30,{"v":0.81,"d":"$0.81"},{"v":0.59,"d":"$0.59"},{"v":1.4,"d":"$1.40"},{"v":0,"d":"$0.00"},{"v":1.4,"d":"$1.40"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0020108078E              ","MBRP00000455178","000007133299","2021-06-25","00555904358","APRI TABS 0.000",-28,28,{"v":-24.98,"d":"-$24.98"},{"v":-0.59,"d":"-$0.59"},{"v":-25.57,"d":"-$25.57"},{"v":-25.57,"d":"-$25.57"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010150770E              ","MBRP00000312834","000000832751","2021-06-25","45802068028","LEVOCETIRIZINE SOLN 2.500",-150,60,{"v":-76.56,"d":"-$76.56"},{"v":-0.59,"d":"-$0.59"},{"v":-77.15,"d":"-$77.15"},{"v":-62.15,"d":"-$62.15"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3679606","CVS PHARMACY #02063 02063"]
["21865M","0010084142E              ","MBRP00000424711","000000935577","2021-06-25","59417010410","VYVANSE CAPS 40.000",30,30,{"v":328.98,"d":"$328.98"},{"v":0.59,"d":"$0.59"},{"v":329.57,"d":"$329.57"},{"v":294.57,"d":"$294.57"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3651975","RITE AID PHARMACY 02401"]
["21865M","0010153632E              ","MBRP00000430758","000001465181","2021-06-25","00186037020","SYMBICORT AERO 0.000",-10.2,30,{"v":-365,"d":"-$365.00"},{"v":-0.59,"d":"-$0.59"},{"v":-365.59,"d":"-$365.59"},{"v":-345.59,"d":"-$345.59"},{"v":-20,"d":"-$20.00"},"B","N",0,9,1,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010150177E              ","MBRP00000429296","000006696364","2021-06-26","62175089043","ATORVASTATIN C TABS 10.000",90,90,{"v":8.89,"d":"$8.89"},{"v":0,"d":"$0.00"},{"v":8.89,"d":"$8.89"},{"v":0,"d":"$0.00"},{"v":8.89,"d":"$8.89"},"G","N",0,0,0,"R","3669124","GIANT EAGLE PHARMACY #4034 4034"]
["21865M","0010084123E              ","MBRP00000417790","000000815017","2021-06-26","62175011843","OMEPRAZOLE CPDR 20.000",180,90,{"v":15.54,"d":"$15.54"},{"v":0,"d":"$0.00"},{"v":15.54,"d":"$15.54"},{"v":0.54,"d":"$0.54"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010006098E              ","MBRP00000430937","000001302213","2021-06-26","65862001305","SERTRALINE HYD TABS 100.000",30,30,{"v":3.13,"d":"$3.13"},{"v":0.59,"d":"$0.59"},{"v":3.72,"d":"$3.72"},{"v":0,"d":"$0.00"},{"v":3.72,"d":"$3.72"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010137636E              ","MBRP00000422156","000004479232","2021-06-26","69315090405","LORAZEPAM TABS 0.500",20,30,{"v":0.89,"d":"$0.89"},{"v":0.59,"d":"$0.59"},{"v":1.48,"d":"$1.48"},{"v":0,"d":"$0.00"},{"v":1.48,"d":"$1.48"},"G","N",0,0,0,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","0010134939E              ","MBRP00000422191","000302590282","2021-06-27","57664050218","TIZANIDINE HCL TABS 2.000",90,90,{"v":13.63,"d":"$13.63"},{"v":0,"d":"$0.00"},{"v":13.63,"d":"$13.63"},{"v":3.63,"d":"$3.63"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","5926716","OPTUMRX PHARMACY 704"]
["21865M","0010098976E              ","MBRP00000369585","000002023185","2021-06-27","47781019601","OXYCODONE/ACET TABS 0.000",30,28,{"v":4.69,"d":"$4.69"},{"v":0.59,"d":"$0.59"},{"v":5.28,"d":"$5.28"},{"v":0.28,"d":"$0.28"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010134939E              ","MBRP00000422191","000302590278","2021-06-27","50111056003","TRAZODONE HYDR TABS 50.000",45,90,{"v":4.71,"d":"$4.71"},{"v":0,"d":"$0.00"},{"v":4.71,"d":"$4.71"},{"v":0,"d":"$0.00"},{"v":4.71,"d":"$4.71"},"G","N",0,0,0,"M","5926716","OPTUMRX PHARMACY 704"]
["21865M","0010134939E              ","MBRP00000422191","000302590281","2021-06-27","50228018010","GABAPENTIN CAPS 300.000",-810,90,{"v":-116.35,"d":"-$116.35"},{"v":0,"d":"$0.00"},{"v":-116.35,"d":"-$116.35"},{"v":-106.35,"d":"-$106.35"},{"v":-10,"d":"-$10.00"},"G","N",0,0,0,"M","5926716","OPTUMRX PHARMACY 704"]
["21865M","0010153631E              ","MBRP00000430997","000001805655","2021-06-28","00054050823","ICOSAPENT ETHY CAPS 1.000",120,30,{"v":308.8,"d":"$308.80"},{"v":0.59,"d":"$0.59"},{"v":309.39,"d":"$309.39"},{"v":304.39,"d":"$304.39"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","0010005819E              ","MBRP00000429181","000001065116","2021-06-28","16729000517","SIMVASTATIN TABS 20.000",30,30,{"v":3.01,"d":"$3.01"},{"v":0.59,"d":"$0.59"},{"v":3.6,"d":"$3.60"},{"v":0,"d":"$0.00"},{"v":3.6,"d":"$3.60"},"G","N",0,0,0,"R","3657751","DISCOUNT DRUG MART 42"]
["21865M","0010126579E              ","MBRP00000440078","000006579527","2021-06-28","00832040311","FLUOXETINE HYD TABS 20.000",90,90,{"v":58.85,"d":"$58.85"},{"v":0,"d":"$0.00"},{"v":58.85,"d":"$58.85"},{"v":43.85,"d":"$43.85"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010126579E              ","MBRP00000440078","000006579527","2021-06-28","00832040311","FLUOXETINE HYD TABS 20.000",-90,90,{"v":-58.85,"d":"-$58.85"},{"v":0,"d":"$0.00"},{"v":-58.85,"d":"-$58.85"},{"v":-43.85,"d":"-$43.85"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010153599E              ","MBRP00000430840","000006229451","2021-06-28","67877056105","METFORMIN HYDR TABS 500.000",-180,90,{"v":-6.16,"d":"-$6.16"},{"v":0,"d":"$0.00"},{"v":-6.16,"d":"-$6.16"},{"v":0,"d":"$0.00"},{"v":-6.16,"d":"-$6.16"},"G","N",0,0,0,"R","3639804","MERCY PROFESSIONAL PHARMACY"]
["21865M","0010150177E              ","MBRP00000429297","000006741146","2021-06-28","61314063710","PREDNISOLONE A SUSP 1.000",10,25,{"v":90.47,"d":"$90.47"},{"v":0.59,"d":"$0.59"},{"v":91.06,"d":"$91.06"},{"v":86.06,"d":"$86.06"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3669124","GIANT EAGLE PHARMACY #4034 4034"]
["21865M","0010153662E              ","MBRP00000430817","000002560126","2021-06-28","00143124001","DIGOXIN TABS 125.000",-30,30,{"v":-28.49,"d":"-$28.49"},{"v":-0.59,"d":"-$0.59"},{"v":-29.08,"d":"-$29.08"},{"v":-24.08,"d":"-$24.08"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010084188E              ","MBRP00000424742","000002779861","2021-06-28","65862078201","METHENAMINE HI TABS 1.000",30,30,{"v":46.48,"d":"$46.48"},{"v":0.59,"d":"$0.59"},{"v":47.07,"d":"$47.07"},{"v":42.07,"d":"$42.07"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010153599E              ","MBRP00000430840","000006229454","2021-06-28","00002143380","TRULICITY SOPN 0.750",4,56,{"v":1658.45,"d":"$1,658.45"},{"v":0.59,"d":"$0.59"},{"v":1659.04,"d":"$1,659.04"},{"v":1599.04,"d":"$1,599.04"},{"v":60,"d":"$60.00"},"B","N",0,0,1,"R","3639804","MERCY PROFESSIONAL PHARMACY"]
["21865M","0010137634E              ","MBRP00000417939","000002295108","2021-06-28","60505265301","TRAZODONE HYDR TABS 50.000",30,30,{"v":3.14,"d":"$3.14"},{"v":0.59,"d":"$0.59"},{"v":3.73,"d":"$3.73"},{"v":0,"d":"$0.00"},{"v":3.73,"d":"$3.73"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010106873E              ","MBRP00000440042","010806367766","2021-06-28","00430042014","LO LOESTRIN FE TABS 0.000",-28,28,{"v":-152.36,"d":"-$152.36"},{"v":-0.59,"d":"-$0.59"},{"v":-152.95,"d":"-$152.95"},{"v":-117.95,"d":"-$117.95"},{"v":-35,"d":"-$35.00"},"B","N",0,1,9,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010153779E              ","MBRP00000444990","000000772728","2021-06-28","69097094312","GABAPENTIN CAPS 300.000",90,30,{"v":12.93,"d":"$12.93"},{"v":0.59,"d":"$0.59"},{"v":13.52,"d":"$13.52"},{"v":8.52,"d":"$8.52"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010153611E              ","MBRP00000430985","000001700845","2021-06-28","42192032701","NP THYROID 15 TABS 15.000",40,28,{"v":21.5,"d":"$21.50"},{"v":0.59,"d":"$0.59"},{"v":22.09,"d":"$22.09"},{"v":17.09,"d":"$17.09"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010153610E              ","MBRP00000430843","000000889753","2021-06-29","16714007104","BACLOFEN TABS 10.000",-60,30,{"v":-13.59,"d":"-$13.59"},{"v":-0.59,"d":"-$0.59"},{"v":-14.18,"d":"-$14.18"},{"v":-9.18,"d":"-$9.18"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010084219E              ","MBRP00000424767","000000953381","2021-06-29","10370010150","BUPROPION HYDR TB24 150.000",-90,90,{"v":-75.97,"d":"-$75.97"},{"v":0,"d":"$0.00"},{"v":-75.97,"d":"-$75.97"},{"v":-60.97,"d":"-$60.97"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3650670","CVS PHARMACY #04802 04802"]
["21865M","0010084332E              ","MBRP00000422117","000002581219","2021-06-29","00078069620","ENTRESTO TABS 0.000",60,30,{"v":572.45,"d":"$572.45"},{"v":0.59,"d":"$0.59"},{"v":573.04,"d":"$573.04"},{"v":553.04,"d":"$553.04"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010134008E              ","MBRP00000437330","000001009941","2021-06-29","58160081912","SHINGRIX SUSR 50.000",1,1,{"v":159.11,"d":"$159.11"},{"v":0.59,"d":"$0.59"},{"v":159.7,"d":"$159.70"},{"v":159.7,"d":"$159.70"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3627873","MEDICINE CENTER OF CANTON"]
["21865M","0010052586E              ","MBRP00000398481","000002874885","2021-06-29","65162010250","GABAPENTIN CAPS 300.000",30,30,{"v":4.31,"d":"$4.31"},{"v":0.59,"d":"$0.59"},{"v":4.9,"d":"$4.90"},{"v":0,"d":"$0.00"},{"v":4.9,"d":"$4.90"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010116983E              ","MBRP00000430894","000000889742","2021-06-29","00378581477","VALSARTAN TABS 160.000",30,30,{"v":25.72,"d":"$25.72"},{"v":0.59,"d":"$0.59"},{"v":26.31,"d":"$26.31"},{"v":21.31,"d":"$21.31"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010098976E              ","MBRP00000369585","000006248837","2021-06-29","27808015803","ROSUVASTATIN C TABS 40.000",-90,90,{"v":-23.96,"d":"-$23.96"},{"v":0,"d":"$0.00"},{"v":-23.96,"d":"-$23.96"},{"v":-8.96,"d":"-$8.96"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010153622E              ","MBRP00000429311","000006727282","2021-06-30","00054418125","DEXAMETHASONE TABS 1.000",30,30,{"v":7.3,"d":"$7.30"},{"v":0.59,"d":"$0.59"},{"v":7.89,"d":"$7.89"},{"v":2.89,"d":"$2.89"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3669124","GIANT EAGLE PHARMACY #4034 4034"]
["21865M","0010146190E              ","MBRP00000431016","000006780342","2021-06-30","00054981729","PREDNISONE TABS 10.000",-14,14,{"v":-2.03,"d":"-$2.03"},{"v":-0.59,"d":"-$0.59"},{"v":-2.62,"d":"-$2.62"},{"v":0,"d":"$0.00"},{"v":-2.62,"d":"-$2.62"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010121132E              ","MBRP00000429347","000000173557","2021-06-30","57664076188","HYDROXYCHLOROQ TABS 200.000",30,30,{"v":30.95,"d":"$30.95"},{"v":0.59,"d":"$0.59"},{"v":31.54,"d":"$31.54"},{"v":26.54,"d":"$26.54"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3686409","DISCOUNT DRUG MART #89 89"]
["21865M","0010084175E              ","MBRP00000431020","000001195322","2021-06-30","65162047810","NITROFURANTOIN CAPS 100.000",10,5,{"v":48.4,"d":"$48.40"},{"v":0.59,"d":"$0.59"},{"v":48.99,"d":"$48.99"},{"v":43.99,"d":"$43.99"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010151792E              ","MBRP00000429023","000002885003","2021-06-30","52817033200","CYCLOBENZAPRIN TABS 10.000",15,5,{"v":0.44,"d":"$0.44"},{"v":0.59,"d":"$0.59"},{"v":1.03,"d":"$1.03"},{"v":0,"d":"$0.00"},{"v":1.03,"d":"$1.03"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010129084E              ","MBRP00000430988","000007367037","2021-06-30","24979003703","METOPROLOL SUC TB24 25.000",-30,30,{"v":-7.06,"d":"-$7.06"},{"v":-0.59,"d":"-$0.59"},{"v":-7.65,"d":"-$7.65"},{"v":-2.65,"d":"-$2.65"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3666356","GIANT EAGLE PHARMACY #1620 1620"]
["21865M","0010085209E              ","MBRP00000430935","000006568997","2021-07-01","71930003612","LABETALOL HYDR TABS 200.000",60,30,{"v":31.82,"d":"$31.82"},{"v":0.59,"d":"$0.59"},{"v":32.41,"d":"$32.41"},{"v":27.41,"d":"$27.41"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010153640E              ","MBRP00000430766","000001044030","2021-07-01","68180063809","ATORVASTATIN C TABS 80.000",30,30,{"v":6.1,"d":"$6.10"},{"v":0.59,"d":"$0.59"},{"v":6.69,"d":"$6.69"},{"v":1.69,"d":"$1.69"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010153312E              ","MBRP00000271054","000008853925","2021-07-01","00713028031","BACITRACIN OINT 500.000",28.4,7,{"v":2.84,"d":"$2.84"},{"v":0.59,"d":"$0.59"},{"v":3.43,"d":"$3.43"},{"v":0,"d":"$0.00"},{"v":3.43,"d":"$3.43"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010059329E              ","MBRP00000429028","000000720212","2021-07-01","65162027210","SULFAMETHOXAZO TABS 0.000",14,7,{"v":1.7,"d":"$1.70"},{"v":0.59,"d":"$0.59"},{"v":2.29,"d":"$2.29"},{"v":0,"d":"$0.00"},{"v":2.29,"d":"$2.29"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010150014E              ","MBRP00000430932","010811420446","2021-07-01","00143988775","AMOXICILLIN SUSR 400.000",-150,10,{"v":-4.98,"d":"-$4.98"},{"v":-0.59,"d":"-$0.59"},{"v":-5.57,"d":"-$5.57"},{"v":-0.57,"d":"-$0.57"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010153151E              ","MBRP00000429228","000002564572","2021-07-01","29300016910","TIZANIDINE HYD TABS 4.000",90,30,{"v":12.37,"d":"$12.37"},{"v":0.59,"d":"$0.59"},{"v":12.96,"d":"$12.96"},{"v":7.96,"d":"$7.96"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010006070E              ","MBRP00000417887","000308334658","2021-07-01","72426081803","NEXLIZET TABS 0.000",-90,90,{"v":-946.6,"d":"-$946.60"},{"v":0,"d":"$0.00"},{"v":-946.6,"d":"-$946.60"},{"v":-876.6,"d":"-$876.60"},{"v":-70,"d":"-$70.00"},"B","N",0,0,9,"M","1718634","OPTUMRX"]
["21865M","0010153610E              ","MBRP00000430843","000001195364","2021-07-01","59746017206","PREDNISONE TABS 5.000",30,30,{"v":3.85,"d":"$3.85"},{"v":0.59,"d":"$0.59"},{"v":4.44,"d":"$4.44"},{"v":0,"d":"$0.00"},{"v":4.44,"d":"$4.44"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010093541E              ","MBRP00000440024","000001302074","2021-07-01","00406051205","OXYCODONE/ACET TABS 0.000",90,30,{"v":14.07,"d":"$14.07"},{"v":0.59,"d":"$0.59"},{"v":14.66,"d":"$14.66"},{"v":9.66,"d":"$9.66"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010084320E              ","MBRP00000417892","000304207720","2021-07-02","59746032530","VALACYCLOVIR H TABS 1.000",-90,90,{"v":-164.83,"d":"-$164.83"},{"v":0,"d":"$0.00"},{"v":-164.83,"d":"-$164.83"},{"v":-154.83,"d":"-$154.83"},{"v":-10,"d":"-$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010084320E              ","MBRP00000417892","000304207722","2021-07-02","43598051090","ESOMEPRAZOLE M CPDR 40.000",90,90,{"v":123.35,"d":"$123.35"},{"v":0,"d":"$0.00"},{"v":123.35,"d":"$123.35"},{"v":113.35,"d":"$113.35"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","AC00108363000","MBRP00000430784","000001103349","2021-07-02","16729004517","ATORVASTATIN C TABS 20.000",30,30,{"v":2.93,"d":"$2.93"},{"v":0.59,"d":"$0.59"},{"v":3.52,"d":"$3.52"},{"v":0,"d":"$0.00"},{"v":3.52,"d":"$3.52"},"G","N",0,0,0,"R","3657751","DISCOUNT DRUG MART 42"]
["21865M","0010139955E              ","MBRP00000422208","000007273965","2021-07-02","45802005535","TRIAMCINOLONE  OINT 0.100",-30,15,{"v":-3.21,"d":"-$3.21"},{"v":-0.59,"d":"-$0.59"},{"v":-3.8,"d":"-$3.80"},{"v":0,"d":"$0.00"},{"v":-3.8,"d":"-$3.80"},"G","N",0,0,0,"R","3658436","WALMART PHARMACY 10-1927 101927"]
["21865M","0010084320E              ","MBRP00000417892","000304207719","2021-07-02","68462038790","SOLIFENACIN SU TABS 10.000",-90,90,{"v":-99.32,"d":"-$99.32"},{"v":0,"d":"$0.00"},{"v":-99.32,"d":"-$99.32"},{"v":-89.32,"d":"-$89.32"},{"v":-10,"d":"-$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010135251E              ","MBRP00000329856","000001526204","2021-07-02","59746017306","PREDNISONE TABS 10.000",21,6,{"v":3.05,"d":"$3.05"},{"v":0.59,"d":"$0.59"},{"v":3.64,"d":"$3.64"},{"v":0,"d":"$0.00"},{"v":3.64,"d":"$3.64"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010143168E              ","MBRP00000440241","000001323302","2021-07-03","70954005920","PREDNISONE TABS 10.000",30,12,{"v":4.35,"d":"$4.35"},{"v":0.59,"d":"$0.59"},{"v":4.94,"d":"$4.94"},{"v":0,"d":"$0.00"},{"v":4.94,"d":"$4.94"},"G","N",0,0,0,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010079086E              ","MBRP00000424788","000001208276","2021-07-03","00093301956","TADALAFIL TABS 20.000",6,30,{"v":7.47,"d":"$7.47"},{"v":0,"d":"$0.00"},{"v":7.47,"d":"$7.47"},{"v":2.47,"d":"$2.47"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3665075","CVS PHARMACY #03088 03088"]
["21865M","0010092580E              ","MBRP00000424961","000001487447","2021-07-03","49884030802","CLONAZEPAM ODT TBDP 0.500",-30,30,{"v":-21.99,"d":"-$21.99"},{"v":-0.59,"d":"-$0.59"},{"v":-22.58,"d":"-$22.58"},{"v":-17.58,"d":"-$17.58"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010146979E              ","MBRP00000417837","000001526503","2021-07-03","68180063609","ATORVASTATIN C TABS 20.000",90,90,{"v":8.79,"d":"$8.79"},{"v":0,"d":"$0.00"},{"v":8.79,"d":"$8.79"},{"v":0,"d":"$0.00"},{"v":8.79,"d":"$8.79"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010143968E              ","MBRP00000440051","000006723996","2021-07-03","67877024210","QUETIAPINE FUM TABS 25.000",30,30,{"v":4.82,"d":"$4.82"},{"v":0.59,"d":"$0.59"},{"v":5.41,"d":"$5.41"},{"v":0.41,"d":"$0.41"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3669124","GIANT EAGLE PHARMACY #4034 4034"]
["21865M","0010153605E              ","MBRP00000430797","000001697459","2021-07-03","56151014401","TRUEPLUS LANCE MISC 0.000",-200,28,{"v":-10.64,"d":"-$10.64"},{"v":-0.59,"d":"-$0.59"},{"v":-11.23,"d":"-$11.23"},{"v":0,"d":"$0.00"},{"v":-11.23,"d":"-$11.23"},"B","N",0,0,1,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010085209E              ","MBRP00000429140","000001812657","2021-07-04","68180063509","ATORVASTATIN C TABS 10.000",30,30,{"v":2.96,"d":"$2.96"},{"v":0.59,"d":"$0.59"},{"v":3.55,"d":"$3.55"},{"v":0,"d":"$0.00"},{"v":3.55,"d":"$3.55"},"G","N",0,0,0,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","0010150864E              ","MBRP00000429036","000001526608","2021-07-04","11822317640","RA ACETAMINOPH TABS 325.000",-56,7,{"v":-0.53,"d":"-$0.53"},{"v":-0.59,"d":"-$0.59"},{"v":-1.12,"d":"-$1.12"},{"v":0,"d":"$0.00"},{"v":-1.12,"d":"-$1.12"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010120894E              ","MBRP00000429186","000004021507","2021-07-04","69238131209","PREGABALIN CAPS 75.000",90,30,{"v":16.85,"d":"$16.85"},{"v":0.59,"d":"$0.59"},{"v":17.44,"d":"$17.44"},{"v":12.44,"d":"$12.44"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","AC00109875600","MBRP00000327209","000000925887","2021-07-05","55111018015","TIZANIDINE HYD TABS 4.000",90,30,{"v":12.37,"d":"$12.37"},{"v":0.59,"d":"$0.59"},{"v":12.96,"d":"$12.96"},{"v":7.96,"d":"$7.96"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651975","RITE AID PHARMACY 02401"]
["21865M","0010032070E              ","MBRP00000424848","000001067706","2021-07-05","69238161503","OFLOXACIN SOLN 0.300",5,7,{"v":16.42,"d":"$16.42"},{"v":0.59,"d":"$0.59"},{"v":17.01,"d":"$17.01"},{"v":12.01,"d":"$12.01"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659488","DISCOUNT DRUG MART 46"]
["21865M","0010032070E              ","MBRP00000424848","000001067706","2021-07-05","24208041005","OFLOXACIN SOLN 0.300",5,7,{"v":16.42,"d":"$16.42"},{"v":0.59,"d":"$0.59"},{"v":17.01,"d":"$17.01"},{"v":12.01,"d":"$12.01"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659488","DISCOUNT DRUG MART 46"]
["21865M","0010152624E              ","MBRP00000440044","000001487550","2021-07-05","16714079701","SUMATRIPTAN SU TABS 50.000",-10,30,{"v":-12.13,"d":"-$12.13"},{"v":-0.59,"d":"-$0.59"},{"v":-12.72,"d":"-$12.72"},{"v":-7.72,"d":"-$7.72"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","AC00108520900","MBRP00000429224","000000581183","2021-07-05","67877019910","AMLODIPINE BES TABS 10.000",30,30,{"v":1.66,"d":"$1.66"},{"v":0.5,"d":"$0.50"},{"v":2.16,"d":"$2.16"},{"v":0,"d":"$0.00"},{"v":2.16,"d":"$2.16"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","0010125947E              ","MBRP00000422211","000001818329","2021-07-05","65862069705","VENLAFAXINE HC CP24 150.000",30,30,{"v":7.23,"d":"$7.23"},{"v":0.59,"d":"$0.59"},{"v":7.82,"d":"$7.82"},{"v":2.82,"d":"$2.82"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","0010105128E              ","MBRP00000440229","000310164931","2021-07-05","68462026310","ROSUVASTATIN C TABS 20.000",90,90,{"v":22.03,"d":"$22.03"},{"v":0,"d":"$0.00"},{"v":22.03,"d":"$22.03"},{"v":12.03,"d":"$12.03"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010116985E              ","MBRP00000429251","000001487880","2021-07-06","65862039010","ONDANSETRON OD TBDP 4.000",10,5,{"v":4.68,"d":"$4.68"},{"v":0.59,"d":"$0.59"},{"v":5.27,"d":"$5.27"},{"v":0.27,"d":"$0.27"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010079087E              ","MBRP00000422342","000001062942","2021-07-06","00228306311","AMPHETAMINE/DE CP24 0.000",30,30,{"v":35.02,"d":"$35.02"},{"v":0.59,"d":"$0.59"},{"v":35.61,"d":"$35.61"},{"v":30.61,"d":"$30.61"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010137643E              ","MBRP00000417932","000000860526","2021-07-06","00088502005","LANTUS SOLOSTA SOPN 100.000",15,30,{"v":417.69,"d":"$417.69"},{"v":0.59,"d":"$0.59"},{"v":418.28,"d":"$418.28"},{"v":398.28,"d":"$398.28"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3679632","CVS PHARMACY #08248 08248"]
["21865M","0010153600E              ","MBRP00000431004","000007368051","2021-07-06","65862086001","FAMOTIDINE TABS 40.000",-30,30,{"v":-4.45,"d":"-$4.45"},{"v":-0.59,"d":"-$0.59"},{"v":-5.04,"d":"-$5.04"},{"v":-0.04,"d":"-$0.04"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3666356","GIANT EAGLE PHARMACY #1620 1620"]
["21865M","0010115239E              ","MBRP00000430837","000001062909","2021-07-06","00378728753","LEVONORGESTREL TABS 0.000",28,28,{"v":28.77,"d":"$28.77"},{"v":0.59,"d":"$0.59"},{"v":29.36,"d":"$29.36"},{"v":29.36,"d":"$29.36"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","AC00110019300","MBRP00000422617","010814886154","2021-07-06","68382005101","MELOXICAM TABS 15.000",30,30,{"v":1.23,"d":"$1.23"},{"v":0.59,"d":"$0.59"},{"v":1.82,"d":"$1.82"},{"v":0,"d":"$0.00"},{"v":1.82,"d":"$1.82"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010084092E              ","MBRP00000422450","000006196135","2021-07-06","51991031233","DESVENLAFAXINE TB24 100.000",30,30,{"v":80.75,"d":"$80.75"},{"v":0.59,"d":"$0.59"},{"v":81.34,"d":"$81.34"},{"v":76.34,"d":"$76.34"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3680611","EQUITAS HEALTH PHARMACY 1"]
["21865M","0010153662E              ","MBRP00000430817","000002564970","2021-07-06","65162076410","WARFARIN SODIU TABS 3.000",30,30,{"v":6.34,"d":"$6.34"},{"v":0.59,"d":"$0.59"},{"v":6.93,"d":"$6.93"},{"v":1.93,"d":"$1.93"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010151688E              ","MBRP00000424925","000000724435","2021-07-07","00002143480","TRULICITY SOPN 1.500",2,28,{"v":829.23,"d":"$829.23"},{"v":0.59,"d":"$0.59"},{"v":829.82,"d":"$829.82"},{"v":809.82,"d":"$809.82"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","AC00110043100","MBRP00000460622","000001819659","2021-07-07","62175013643","OMEPRAZOLE CPDR 40.000",90,90,{"v":11.53,"d":"$11.53"},{"v":0,"d":"$0.00"},{"v":11.53,"d":"$11.53"},{"v":0,"d":"$0.00"},{"v":11.53,"d":"$11.53"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","0010086302E              ","MBRP00000440329","000006769231","2021-07-07","70436001102","BUPROPION HYDR TB24 300.000",90,90,{"v":80.38,"d":"$80.38"},{"v":0,"d":"$0.00"},{"v":80.38,"d":"$80.38"},{"v":65.38,"d":"$65.38"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010152402E              ","MBRP00000417800","000001488074","2021-07-07","45802058084","SCOPOLAMINE PT72 1.000",-4,12,{"v":-63.05,"d":"-$63.05"},{"v":-0.59,"d":"-$0.59"},{"v":-63.64,"d":"-$63.64"},{"v":-58.64,"d":"-$58.64"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010120429E              ","MBRP00000401503","000305194741","2021-07-07","59746044890","IRBESARTAN TABS 150.000",90,90,{"v":21.22,"d":"$21.22"},{"v":0,"d":"$0.00"},{"v":21.22,"d":"$21.22"},{"v":11.22,"d":"$11.22"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","AC00108750700","MBRP00000401601","000000584946","2021-07-08","64380080807","IBUPROFEN TABS 600.000",-40,10,{"v":-2.76,"d":"-$2.76"},{"v":-0.5,"d":"-$0.50"},{"v":-3.26,"d":"-$3.26"},{"v":0,"d":"$0.00"},{"v":-3.26,"d":"-$3.26"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","0010129084E              ","MBRP00000430988","000007368632","2021-07-08","23155002405","BUSPIRONE HYDR TABS 10.000",60,30,{"v":4.33,"d":"$4.33"},{"v":0.59,"d":"$0.59"},{"v":4.92,"d":"$4.92"},{"v":0,"d":"$0.00"},{"v":4.92,"d":"$4.92"},"G","N",0,0,0,"R","3666356","GIANT EAGLE PHARMACY #1620 1620"]
["21865M","0010116985E              ","MBRP00000429254","000001488327","2021-07-08","31722070290","LOSARTAN POTAS TABS 100.000",90,90,{"v":7.65,"d":"$7.65"},{"v":0,"d":"$0.00"},{"v":7.65,"d":"$7.65"},{"v":0,"d":"$0.00"},{"v":7.65,"d":"$7.65"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010152646E              ","MBRP00000442992","000000717428","2021-07-08","00228306011","AMPHETAMINE/DE CP24 0.000",90,45,{"v":105.07,"d":"$105.07"},{"v":0.59,"d":"$0.59"},{"v":105.66,"d":"$105.66"},{"v":90.66,"d":"$90.66"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010084325E              ","MBRP00000424828","000001527678","2021-07-08","68382005101","MELOXICAM TABS 15.000",30,30,{"v":1.23,"d":"$1.23"},{"v":0.59,"d":"$0.59"},{"v":1.82,"d":"$1.82"},{"v":0,"d":"$0.00"},{"v":1.82,"d":"$1.82"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010062356E              ","MBRP00000422418","000006248345","2021-07-08","57664050218","TIZANIDINE HCL TABS 2.000",30,30,{"v":4.54,"d":"$4.54"},{"v":0.59,"d":"$0.59"},{"v":5.13,"d":"$5.13"},{"v":0.13,"d":"$0.13"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010084267E              ","MBRP00000417867","000002037785","2021-07-08","16729009401","MYCOPHENOLATE  CAPS 250.000",240,30,{"v":282.47,"d":"$282.47"},{"v":0,"d":"$0.00"},{"v":282.47,"d":"$282.47"},{"v":277.47,"d":"$277.47"},{"v":5,"d":"$5.00"},"G","Y",0,0,0,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","AC00101329100","MBRP00000285825","000001063455","2021-07-09","00172392660","DIAZEPAM TABS 5.000",3,2,{"v":0.1,"d":"$0.10"},{"v":0.59,"d":"$0.59"},{"v":0.69,"d":"$0.69"},{"v":0,"d":"$0.00"},{"v":0.69,"d":"$0.69"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","AC00101329100","MBRP00000285825","000001063457","2021-07-09","00116200116","CHLORHEXIDINE  SOLN 0.120",473,15,{"v":4.05,"d":"$4.05"},{"v":0.59,"d":"$0.59"},{"v":4.64,"d":"$4.64"},{"v":0,"d":"$0.00"},{"v":4.64,"d":"$4.64"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010072270E              ","MBRP00000429220","000009319796","2021-07-09","68001019603","ESCITALOPRAM O TABS 10.000",30,30,{"v":3.79,"d":"$3.79"},{"v":0.5,"d":"$0.50"},{"v":4.29,"d":"$4.29"},{"v":0,"d":"$0.00"},{"v":4.29,"d":"$4.29"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010072270E              ","MBRP00000429220","000009319805","2021-07-09","60505257808","ATORVASTATIN C TABS 10.000",30,30,{"v":1.98,"d":"$1.98"},{"v":0.5,"d":"$0.50"},{"v":2.48,"d":"$2.48"},{"v":0,"d":"$0.00"},{"v":2.48,"d":"$2.48"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010084188E              ","MBRP00000424742","000002874084","2021-07-09","00093768432","OLOPATADINE HY SOLN 0.200",2.5,22,{"v":29.75,"d":"$29.75"},{"v":0.59,"d":"$0.59"},{"v":30.34,"d":"$30.34"},{"v":25.34,"d":"$25.34"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010137212E              ","MBRP00000440121","000002052816","2021-07-09","31722092701","METHYLPHENIDAT CHEW 5.000",30,30,{"v":110.7,"d":"$110.70"},{"v":0.59,"d":"$0.59"},{"v":111.29,"d":"$111.29"},{"v":106.29,"d":"$106.29"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3674151","GIANT EAGLE PHARMACY #4152 4152"]
["21865M","0010084150E              ","MBRP00000424864","000009257297","2021-07-09","70010006510","METFORMIN HYDR TABS 1000.000",120,60,{"v":10.89,"d":"$10.89"},{"v":0.5,"d":"$0.50"},{"v":11.39,"d":"$11.39"},{"v":0,"d":"$0.00"},{"v":11.39,"d":"$11.39"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010054511E              ","MBRP00000398212","000001527820","2021-07-09","65862039010","ONDANSETRON OD TBDP 4.000",20,7,{"v":9.37,"d":"$9.37"},{"v":0.59,"d":"$0.59"},{"v":9.96,"d":"$9.96"},{"v":4.96,"d":"$4.96"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010084150E              ","MBRP00000424864","000009311129","2021-07-09","00597015330","JARDIANCE TABS 25.000",30,30,{"v":543.06,"d":"$543.06"},{"v":0.5,"d":"$0.50"},{"v":543.56,"d":"$543.56"},{"v":523.56,"d":"$523.56"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010120789E              ","MBRP00000417813","000001172762","2021-07-10","11822549870","RA VITAMIN D-3 CAPS 5000.000",30,30,{"v":1.29,"d":"$1.29"},{"v":0.59,"d":"$0.59"},{"v":1.88,"d":"$1.88"},{"v":0,"d":"$0.00"},{"v":1.88,"d":"$1.88"},"G","N",0,0,0,"R","3651886","RITE AID PHARMACY 02393"]
["21865M","0010046085E              ","MBRP00000417860","000001184845","2021-07-10","00002879759","HUMALOG MIX 75 SUPN 0.000",30,22,{"v":1041.79,"d":"$1,041.79"},{"v":0.59,"d":"$0.59"},{"v":1042.38,"d":"$1,042.38"},{"v":1022.38,"d":"$1,022.38"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","AC00108363000","MBRP00000430784","000001104190","2021-07-10","31722071310","PANTOPRAZOLE S TBEC 40.000",47,47,{"v":4.87,"d":"$4.87"},{"v":0.59,"d":"$0.59"},{"v":5.46,"d":"$5.46"},{"v":0,"d":"$0.00"},{"v":5.46,"d":"$5.46"},"G","N",0,0,0,"R","3657751","DISCOUNT DRUG MART 42"]
["21865M","AC00109149800","MBRP00000446418","000000899686","2021-07-10","62332054945","ADAPALENE GEL  0.300",45,30,{"v":85.6,"d":"$85.60"},{"v":0.59,"d":"$0.59"},{"v":86.19,"d":"$86.19"},{"v":81.19,"d":"$81.19"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652004","RITE AID PHARMACY 02404"]
["21865M","0010146190E              ","MBRP00000431016","000006778389","2021-07-10","42571014305","CELECOXIB CAPS 100.000",-60,30,{"v":-35.34,"d":"-$35.34"},{"v":-0.59,"d":"-$0.59"},{"v":-35.93,"d":"-$35.93"},{"v":-30.93,"d":"-$30.93"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010132410E              ","MBRP00000440050","000006777953","2021-07-11","59267100001","PFIZER-BIONTEC SUSP 30.000",0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":40,"d":"$40.00"},{"v":40,"d":"$40.00"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3665289","GIANT EAGLE PHARMACY #4016 4016"]
["21865M","0010006029E              ","MBRP00000348367","000009262187","2021-07-12","00573245142","NEXIUM 24HR TBEC 20.000",120,30,{"v":64.21,"d":"$64.21"},{"v":0.5,"d":"$0.50"},{"v":64.71,"d":"$64.71"},{"v":29.71,"d":"$29.71"},{"v":35,"d":"$35.00"},"B","N",0,1,9,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010046085E              ","MBRP00000417860","000001184845","2021-07-12","00002879759","HUMALOG MIX 75 SUPN 0.000",-30,22,{"v":-1041.79,"d":"-$1,041.79"},{"v":-0.59,"d":"-$0.59"},{"v":-1042.38,"d":"-$1,042.38"},{"v":-1022.38,"d":"-$1,022.38"},{"v":-20,"d":"-$20.00"},"B","N",0,0,1,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010143689E              ","MBRP00000440302","000007136574","2021-07-12","65862052830","VENLAFAXINE HY CP24 75.000",90,90,{"v":17.79,"d":"$17.79"},{"v":0,"d":"$0.00"},{"v":17.79,"d":"$17.79"},{"v":2.79,"d":"$2.79"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010145825E              ","MBRP00000278270","000001026296","2021-07-12","65862060130","MODAFINIL TABS 100.000",-30,30,{"v":-54.48,"d":"-$54.48"},{"v":-0.59,"d":"-$0.59"},{"v":-55.07,"d":"-$55.07"},{"v":-50.07,"d":"-$50.07"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3651949","RITE AID PHARMACY 02398"]
["21865M","0010121132E              ","MBRP00000429347","000000183562","2021-07-12","00069024430","TOVIAZ TB24 8.000",30,30,{"v":352.19,"d":"$352.19"},{"v":0.59,"d":"$0.59"},{"v":352.78,"d":"$352.78"},{"v":317.78,"d":"$317.78"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3686409","DISCOUNT DRUG MART #89 89"]
["21865M","0010033703E              ","MBRP00000429270","000006256449","2021-07-12","67877022305","GABAPENTIN CAPS 300.000",30,30,{"v":4.31,"d":"$4.31"},{"v":0.59,"d":"$0.59"},{"v":4.9,"d":"$4.90"},{"v":0,"d":"$0.00"},{"v":4.9,"d":"$4.90"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010084145E              ","MBRP00000422285","000001026295","2021-07-12","00406051201","OXYCODONE/ACET TABS 0.000",28,4,{"v":4.38,"d":"$4.38"},{"v":0.59,"d":"$0.59"},{"v":4.97,"d":"$4.97"},{"v":0,"d":"$0.00"},{"v":4.97,"d":"$4.97"},"G","N",0,0,0,"R","3651949","RITE AID PHARMACY 02398"]
["21865M","0010148093E              ","MBRP00000440083","000006729087","2021-07-12","65862001305","SERTRALINE HYD TABS 100.000",90,90,{"v":9.4,"d":"$9.40"},{"v":0,"d":"$0.00"},{"v":9.4,"d":"$9.40"},{"v":0,"d":"$0.00"},{"v":9.4,"d":"$9.40"},"G","N",0,0,0,"R","3669124","GIANT EAGLE PHARMACY #4034 4034"]
["21865M","0010115239E              ","MBRP00000430838","000001197028","2021-07-13","10939075333","SM IRON SLOW R TBCR 160.000",60,30,{"v":8.09,"d":"$8.09"},{"v":0.59,"d":"$0.59"},{"v":8.68,"d":"$8.68"},{"v":3.68,"d":"$3.68"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010050682E              ","MBRP00000440151","000001008203","2021-07-13","00591024101","LORAZEPAM TABS 1.000",30,15,{"v":1.7,"d":"$1.70"},{"v":0.59,"d":"$0.59"},{"v":2.29,"d":"$2.29"},{"v":0,"d":"$0.00"},{"v":2.29,"d":"$2.29"},"G","N",0,0,0,"R","3627873","MEDICINE CENTER OF CANTON"]
["21865M","0010112743E              ","MBRP00000440154","000008905950","2021-07-13","00168000615","TRIAMCINOLONE  OINT 0.100",30,30,{"v":3.21,"d":"$3.21"},{"v":0.59,"d":"$0.59"},{"v":3.8,"d":"$3.80"},{"v":0,"d":"$0.00"},{"v":3.8,"d":"$3.80"},"G","N",0,0,0,"R","3662043","CVS PHARMACY #16246 16246"]
["21865M","0010006098E              ","MBRP00000430937","000001304467","2021-07-13","65862094088","AUROVELA FE 1/ TABS 0.000",84,84,{"v":67.49,"d":"$67.49"},{"v":0,"d":"$0.00"},{"v":67.49,"d":"$67.49"},{"v":67.49,"d":"$67.49"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010112743E              ","MBRP00000440154","000008905950","2021-07-13","00168000680","TRIAMCINOLONE  OINT 0.100",80,30,{"v":8.57,"d":"$8.57"},{"v":0.59,"d":"$0.59"},{"v":9.16,"d":"$9.16"},{"v":4.16,"d":"$4.16"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3662043","CVS PHARMACY #16246 16246"]
["21865M","0010084041E              ","MBRP00000422132","000000739845","2021-07-13","68180047201","AMLODIPINE BES CAPS 0.000",90,90,{"v":57.32,"d":"$57.32"},{"v":0,"d":"$0.00"},{"v":57.32,"d":"$57.32"},{"v":42.32,"d":"$42.32"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010052584E              ","MBRP00000418082","000001026578","2021-07-13","65862039010","ONDANSETRON OD TBDP 4.000",12,4,{"v":5.62,"d":"$5.62"},{"v":0.59,"d":"$0.59"},{"v":6.21,"d":"$6.21"},{"v":1.21,"d":"$1.21"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651949","RITE AID PHARMACY 02398"]
["21865M","0010084328E              ","MBRP00000418119","000000556680","2021-07-13","00597015330","JARDIANCE TABS 25.000",90,90,{"v":1550.18,"d":"$1,550.18"},{"v":0,"d":"$0.00"},{"v":1550.18,"d":"$1,550.18"},{"v":1490.18,"d":"$1,490.18"},{"v":60,"d":"$60.00"},"B","N",0,0,1,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010115601E              ","MBRP00000315730","000000574054","2021-07-14","45802086803","POLYETHYLENE G POWD 17.000",-510,30,{"v":-9.18,"d":"-$9.18"},{"v":-0.59,"d":"-$0.59"},{"v":-9.77,"d":"-$9.77"},{"v":-9.77,"d":"-$9.77"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010100929E              ","MBRP00000429218","000001555201","2021-07-14","69315090510","LORAZEPAM TABS 1.000",30,30,{"v":1.7,"d":"$1.70"},{"v":0.59,"d":"$0.59"},{"v":2.29,"d":"$2.29"},{"v":0,"d":"$0.00"},{"v":2.29,"d":"$2.29"},"G","N",0,0,0,"R","3659832","DISCOUNT DRUG MART 50"]
["21865M","0010129084E              ","MBRP00000431038","000007369885","2021-07-14","54838050280","HYDROXYZINE HC SYRP 10.000",90,4,{"v":5.9,"d":"$5.90"},{"v":0.59,"d":"$0.59"},{"v":6.49,"d":"$6.49"},{"v":1.49,"d":"$1.49"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3666356","GIANT EAGLE PHARMACY #1620 1620"]
["21865M","0010046098E              ","MBRP00000422353","611700162161","2021-07-14","51293082001","METHIMAZOLE TABS 5.000",-30,60,{"v":-5.36,"d":"-$5.36"},{"v":-0.59,"d":"-$0.59"},{"v":-5.95,"d":"-$5.95"},{"v":0,"d":"$0.00"},{"v":-5.95,"d":"-$5.95"},"G","N",0,0,0,"R","3658284","MEIJER PHARMACY #117 117"]
["21865M","0010153654E              ","MBRP00000429295","000007136753","2021-07-14","60758011905","PREDNISOLONE A SUSP 1.000",5,25,{"v":43.21,"d":"$43.21"},{"v":0.59,"d":"$0.59"},{"v":43.8,"d":"$43.80"},{"v":38.8,"d":"$38.80"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010120239E              ","MBRP00000440053","000001529210","2021-07-15","59746017306","PREDNISONE TABS 10.000",39,12,{"v":5.66,"d":"$5.66"},{"v":0.59,"d":"$0.59"},{"v":6.25,"d":"$6.25"},{"v":1.25,"d":"$1.25"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010150771E              ","MBRP00000430965","000001197863","2021-07-15","00713063337","METRONIDAZOLE CREA 0.750",45,30,{"v":43.14,"d":"$43.14"},{"v":0.59,"d":"$0.59"},{"v":43.73,"d":"$43.73"},{"v":38.73,"d":"$38.73"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010153592E              ","MBRP00000430846","000000938120","2021-07-15","43547035410","LISINOPRIL TABS 20.000",30,30,{"v":1.51,"d":"$1.51"},{"v":0.59,"d":"$0.59"},{"v":2.1,"d":"$2.10"},{"v":0,"d":"$0.00"},{"v":2.1,"d":"$2.10"},"G","N",0,0,0,"R","3651975","RITE AID PHARMACY 02401"]
["21865M","0010134765E              ","MBRP00000422292","000000373276","2021-07-15","99073070827","FREESTYLE LITE STRP 0.000",-200,45,{"v":-275.44,"d":"-$275.44"},{"v":-0.59,"d":"-$0.59"},{"v":-276.03,"d":"-$276.03"},{"v":-216.03,"d":"-$216.03"},{"v":-60,"d":"-$60.00"},"B","N",0,0,1,"R","3682324","WALGREENS #15467 15467"]
["21865M","0010153610E              ","MBRP00000430843","000001193125","2021-07-15","55111064501","OMEPRAZOLE CPDR 40.000",30,30,{"v":3.84,"d":"$3.84"},{"v":0.59,"d":"$0.59"},{"v":4.43,"d":"$4.43"},{"v":0,"d":"$0.00"},{"v":4.43,"d":"$4.43"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010120789E              ","MBRP00000417813","000001169455","2021-07-15","57237001830","DULOXETINE HYD CPEP 30.000",90,90,{"v":47.53,"d":"$47.53"},{"v":0,"d":"$0.00"},{"v":47.53,"d":"$47.53"},{"v":32.53,"d":"$32.53"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3651886","RITE AID PHARMACY 02393"]
["21865M","0010153613E              ","MBRP00000430835","000312402602","2021-07-15","69315011710","FUROSEMIDE TABS 40.000",180,90,{"v":10.87,"d":"$10.87"},{"v":0,"d":"$0.00"},{"v":10.87,"d":"$10.87"},{"v":0.87,"d":"$0.87"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010153623E              ","MBRP00000431026","000007271835","2021-07-15","68180096301","ALBUTEROL SULF AERS 108.000",8.5,50,{"v":28.52,"d":"$28.52"},{"v":0.59,"d":"$0.59"},{"v":29.11,"d":"$29.11"},{"v":14.11,"d":"$14.11"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","0010153613E              ","MBRP00000430835","000312444790","2021-07-15","68462026310","ROSUVASTATIN C TABS 20.000",90,90,{"v":22.03,"d":"$22.03"},{"v":0,"d":"$0.00"},{"v":22.03,"d":"$22.03"},{"v":12.03,"d":"$12.03"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010048465E              ","MBRP00000342841","000002544672","2021-07-15","31722071390","PANTOPRAZOLE S TBEC 40.000",30,30,{"v":3.11,"d":"$3.11"},{"v":0.59,"d":"$0.59"},{"v":3.7,"d":"$3.70"},{"v":0,"d":"$0.00"},{"v":3.7,"d":"$3.70"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010150177E              ","MBRP00000429296","000004096106","2021-07-16","13668000701","ZOLPIDEM TARTR TABS 5.000",-30,30,{"v":-1.02,"d":"-$1.02"},{"v":-0.59,"d":"-$0.59"},{"v":-1.61,"d":"-$1.61"},{"v":0,"d":"$0.00"},{"v":-1.61,"d":"-$1.61"},"G","N",0,0,0,"R","3669124","GIANT EAGLE PHARMACY #4034 4034"]
["21865M","0010073431E              ","MBRP00000424716","000000870213","2021-07-16","00054455015","METHOTREXATE TABS 2.500",-32,28,{"v":-31.4,"d":"-$31.40"},{"v":-0.59,"d":"-$0.59"},{"v":-31.99,"d":"-$31.99"},{"v":-26.99,"d":"-$26.99"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010108448E              ","MBRP00000417797","000006582272","2021-07-16","52268001201","SUPREP BOWEL P SOLN 0.000",354,1,{"v":103.96,"d":"$103.96"},{"v":0.59,"d":"$0.59"},{"v":104.55,"d":"$104.55"},{"v":69.55,"d":"$69.55"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010072267E              ","MBRP00000430886","000006582230","2021-07-16","52244001006","EDEX KIT  10.000",-2,30,{"v":-843.74,"d":"-$843.74"},{"v":-0.59,"d":"-$0.59"},{"v":-844.33,"d":"-$844.33"},{"v":-809.33,"d":"-$809.33"},{"v":-35,"d":"-$35.00"},"B","N",0,0,9,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010150771E              ","MBRP00000430965","000001197863","2021-07-16","00713063337","METRONIDAZOLE CREA 0.750",-45,30,{"v":-43.14,"d":"-$43.14"},{"v":-0.59,"d":"-$0.59"},{"v":-43.73,"d":"-$43.73"},{"v":-38.73,"d":"-$38.73"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010084188E              ","MBRP00000424743","000000373570","2021-07-17","00143980305","DOXYCYCLINE HY CAPS 100.000",28,14,{"v":6.07,"d":"$6.07"},{"v":0.59,"d":"$0.59"},{"v":6.66,"d":"$6.66"},{"v":1.66,"d":"$1.66"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3682324","WALGREENS #15467 15467"]
["21865M","AC00108619800","MBRP00000418639","000000705504","2021-07-17","50111064801","FLUOXETINE HCL CAPS 20.000",90,90,{"v":4.38,"d":"$4.38"},{"v":0,"d":"$0.00"},{"v":4.38,"d":"$4.38"},{"v":0,"d":"$0.00"},{"v":4.38,"d":"$4.38"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","AC00109306100","MBRP00000448917","000002889961","2021-07-17","12496120803","SUBOXONE FILM 0.000",60,30,{"v":529.14,"d":"$529.14"},{"v":0.59,"d":"$0.59"},{"v":529.73,"d":"$529.73"},{"v":268.89,"d":"$268.89"},{"v":260.84,"d":"$260.84"},"B","N",0,2,9,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010153605E              ","MBRP00000430797","000001682099","2021-07-17","11917004815","INSULIN SYRING MISC 0.000",200,33,{"v":32.72,"d":"$32.72"},{"v":0.59,"d":"$0.59"},{"v":33.31,"d":"$33.31"},{"v":0,"d":"$0.00"},{"v":33.31,"d":"$33.31"},"B","N",0,0,1,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010153598E              ","MBRP00000430770","000006789399","2021-07-18","16714040504","LARIN FE 1.5/3 TABS 0.000",84,63,{"v":71.04,"d":"$71.04"},{"v":0.59,"d":"$0.59"},{"v":71.63,"d":"$71.63"},{"v":71.63,"d":"$71.63"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3656444","MARCS 27"]
["21865M","0010153640E              ","MBRP00000430766","000001064476","2021-07-18","68180071160","CEFDINIR CAPS 300.000",20,10,{"v":13.91,"d":"$13.91"},{"v":0.59,"d":"$0.59"},{"v":14.5,"d":"$14.50"},{"v":9.5,"d":"$9.50"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010006051E              ","MBRP00000314615","000007128696","2021-07-18","66993058597","FLUTICASONE PR AEPB 0.000",60,30,{"v":292.67,"d":"$292.67"},{"v":0.59,"d":"$0.59"},{"v":293.26,"d":"$293.26"},{"v":288.26,"d":"$288.26"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010153252E              ","MBRP00000429264","000002619721","2021-07-19","64380080707","IBUPROFEN TABS 800.000",30,10,{"v":2.03,"d":"$2.03"},{"v":0.59,"d":"$0.59"},{"v":2.62,"d":"$2.62"},{"v":0,"d":"$0.00"},{"v":2.62,"d":"$2.62"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010084175E              ","MBRP00000431019","000000891996","2021-07-19","68180098101","LISINOPRIL TABS 20.000",-90,90,{"v":-4.53,"d":"-$4.53"},{"v":0,"d":"$0.00"},{"v":-4.53,"d":"-$4.53"},{"v":0,"d":"$0.00"},{"v":-4.53,"d":"-$4.53"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010122707E              ","MBRP00000429094","000000689761","2021-07-19","29300012810","HYDROCHLOROTHI TABS 25.000",90,90,{"v":2.69,"d":"$2.69"},{"v":0,"d":"$0.00"},{"v":2.69,"d":"$2.69"},{"v":0,"d":"$0.00"},{"v":2.69,"d":"$2.69"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010123613E              ","MBRP00000440160","000002045936","2021-07-19","61958210101","ODEFSEY TABS 0.000",30,30,{"v":3076.21,"d":"$3,076.21"},{"v":0,"d":"$0.00"},{"v":3076.21,"d":"$3,076.21"},{"v":3056.21,"d":"$3,056.21"},{"v":20,"d":"$20.00"},"B","Y",0,0,1,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010153151E              ","MBRP00000429230","000002566068","2021-07-19","68001000501","METHYLPREDNISO TBPK 4.000",21,6,{"v":8.57,"d":"$8.57"},{"v":0.59,"d":"$0.59"},{"v":9.16,"d":"$9.16"},{"v":4.16,"d":"$4.16"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010005990E              ","MBRP00000430990","000001669011","2021-07-19","16729013516","ALLOPURINOL TABS 300.000",90,90,{"v":13.66,"d":"$13.66"},{"v":0,"d":"$0.00"},{"v":13.66,"d":"$13.66"},{"v":0,"d":"$0.00"},{"v":13.66,"d":"$13.66"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010126150E              ","MBRP00000430934","000007296048","2021-07-19","31722070290","LOSARTAN POTAS TABS 100.000",90,90,{"v":7.65,"d":"$7.65"},{"v":0,"d":"$0.00"},{"v":7.65,"d":"$7.65"},{"v":0,"d":"$0.00"},{"v":7.65,"d":"$7.65"},"G","N",0,0,0,"R","3673387","WALMART PHARMACY 10-5410 105410"]
["21865M","0010153361E              ","MBRP00000440343","000303465487","2021-07-19","60505257908","ATORVASTATIN C TABS 20.000",90,90,{"v":8.79,"d":"$8.79"},{"v":0,"d":"$0.00"},{"v":8.79,"d":"$8.79"},{"v":0,"d":"$0.00"},{"v":8.79,"d":"$8.79"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010005848E              ","MBRP00000417795","000000684212","2021-07-19","00046087221","PREMARIN CREA 0.625",30,30,{"v":396.77,"d":"$396.77"},{"v":0.59,"d":"$0.59"},{"v":397.36,"d":"$397.36"},{"v":377.36,"d":"$377.36"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3681360","CVS PHARMACY #10209 10209"]
["21865M","0010139575E              ","MBRP00000430856","000000904128","2021-07-19","00591398405","CELECOXIB CAPS 200.000",60,30,{"v":28.9,"d":"$28.90"},{"v":0.5,"d":"$0.50"},{"v":29.4,"d":"$29.40"},{"v":24.4,"d":"$24.40"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606211","DARTMOUTH PHARMACY"]
["21865M","0010061934E              ","MBRP00000424838","000001326226","2021-07-20","60793085001","LEVOXYL TABS 25.000",5,5,{"v":1.89,"d":"$1.89"},{"v":0.59,"d":"$0.59"},{"v":2.48,"d":"$2.48"},{"v":0,"d":"$0.00"},{"v":2.48,"d":"$2.48"},"G","N",0,1,0,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010061934E              ","MBRP00000424838","000001326224","2021-07-20","00555097202","AMPHETAMINE/DE TABS 0.000",-30,30,{"v":-19.96,"d":"-$19.96"},{"v":-0.59,"d":"-$0.59"},{"v":-20.55,"d":"-$20.55"},{"v":-15.55,"d":"-$15.55"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010115664E              ","MBRP00000429197","000002420273","2021-07-20","13668010401","ISOSORBIDE MON TB24 30.000",30,30,{"v":6.91,"d":"$6.91"},{"v":0.59,"d":"$0.59"},{"v":7.5,"d":"$7.50"},{"v":2.5,"d":"$2.50"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010153388E              ","MBRP00000424825","000008020117","2021-07-20","51660020421","PSEUDOEPHEDRIN TB12 120.000",14,7,{"v":2.89,"d":"$2.89"},{"v":0.59,"d":"$0.59"},{"v":3.48,"d":"$3.48"},{"v":0,"d":"$0.00"},{"v":3.48,"d":"$3.48"},"G","N",0,0,0,"R","3666166","ACME PHARMACY 6"]
["21865M","0010084079E              ","MBRP00000422443","000001400948","2021-07-20","00406831501","MORPHINE SULFA TBCR 15.000",-60,30,{"v":-20.01,"d":"-$20.01"},{"v":-0.59,"d":"-$0.59"},{"v":-20.6,"d":"-$20.60"},{"v":-15.6,"d":"-$15.60"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3652662","RITE AID PHARMACY 02456"]
["21865M","0010121105E              ","MBRP00000440105","000002047514","2021-07-20","00002144511","TALTZ SOAJ 80.000",-1,28,{"v":-5878.81,"d":"-$5,878.81"},{"v":0,"d":"$0.00"},{"v":-5878.81,"d":"-$5,878.81"},{"v":-5843.81,"d":"-$5,843.81"},{"v":-35,"d":"-$35.00"},"B","Y",0,0,9,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010106873E              ","MBRP00000440042","000002420398","2021-07-20","00430042014","LO LOESTRIN FE TABS 0.000",84,84,{"v":438.43,"d":"$438.43"},{"v":0,"d":"$0.00"},{"v":438.43,"d":"$438.43"},{"v":276.44,"d":"$276.44"},{"v":161.99,"d":"$161.99"},"B","N",0,1,9,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010005765E              ","MBRP00000440159","000001198694","2021-07-21","59746017306","PREDNISONE TABS 10.000",21,6,{"v":3.05,"d":"$3.05"},{"v":0.59,"d":"$0.59"},{"v":3.64,"d":"$3.64"},{"v":0,"d":"$0.00"},{"v":3.64,"d":"$3.64"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","AC00108363000","MBRP00000430787","000002620426","2021-07-21","65862001230","SERTRALINE HCL TABS 50.000",30,30,{"v":2.49,"d":"$2.49"},{"v":0.59,"d":"$0.59"},{"v":3.08,"d":"$3.08"},{"v":0,"d":"$0.00"},{"v":3.08,"d":"$3.08"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","AC00110043100","MBRP00000460621","000001842179","2021-07-21","67877043105","ARIPIPRAZOLE TABS 5.000",-30,30,{"v":-29.62,"d":"-$29.62"},{"v":-0.59,"d":"-$0.59"},{"v":-30.21,"d":"-$30.21"},{"v":-25.21,"d":"-$25.21"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","0010084041E              ","MBRP00000422133","000000714061","2021-07-21","00378632577","VALSARTAN/HYDR TABS 0.000",-30,30,{"v":-37.91,"d":"-$37.91"},{"v":-0.59,"d":"-$0.59"},{"v":-38.5,"d":"-$38.50"},{"v":-33.5,"d":"-$33.50"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","AC00109875600","MBRP00000327210","010830500484","2021-07-21","68382005101","MELOXICAM TABS 15.000",30,30,{"v":1.23,"d":"$1.23"},{"v":0.59,"d":"$0.59"},{"v":1.82,"d":"$1.82"},{"v":0,"d":"$0.00"},{"v":1.82,"d":"$1.82"},"G","N",0,0,0,"R","3651975","RITE AID PHARMACY 02401"]
["21865M","0010099565E              ","MBRP00000440320","000001199574","2021-07-21","29300046805","CLONIDINE HYDR TABS 0.100",4,1,{"v":0.18,"d":"$0.18"},{"v":0.59,"d":"$0.59"},{"v":0.77,"d":"$0.77"},{"v":0,"d":"$0.00"},{"v":0.77,"d":"$0.77"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010032068E              ","MBRP00000397877","000001530694","2021-07-21","62332025118","AZITHROMYCIN TABS 250.000",6,5,{"v":4.16,"d":"$4.16"},{"v":0.59,"d":"$0.59"},{"v":4.75,"d":"$4.75"},{"v":0,"d":"$0.00"},{"v":4.75,"d":"$4.75"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010099565E              ","MBRP00000440320","000001199572","2021-07-21","16714038801","CEFADROXIL CAPS 500.000",-10,5,{"v":-2.94,"d":"-$2.94"},{"v":-0.59,"d":"-$0.59"},{"v":-3.53,"d":"-$3.53"},{"v":0,"d":"$0.00"},{"v":-3.53,"d":"-$3.53"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010112743E              ","MBRP00000440154","000001709705","2021-07-21","45802005536","TRIAMCINOLONE  OINT 0.100",80,25,{"v":8.57,"d":"$8.57"},{"v":0.59,"d":"$0.59"},{"v":9.16,"d":"$9.16"},{"v":4.16,"d":"$4.16"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010153656E              ","MBRP00000430761","010831503875","2021-07-22","43547035110","LISINOPRIL TABS 2.500",30,30,{"v":0.86,"d":"$0.86"},{"v":0.59,"d":"$0.59"},{"v":1.45,"d":"$1.45"},{"v":0,"d":"$0.00"},{"v":1.45,"d":"$1.45"},"G","N",0,0,0,"R","3656444","MARCS 27"]
["21865M","0010006056E              ","MBRP00000417930","000001198896","2021-07-22","56151146004","TRUE METRIX BL STRP 0.000",50,30,{"v":25.53,"d":"$25.53"},{"v":0.59,"d":"$0.59"},{"v":26.12,"d":"$26.12"},{"v":6.12,"d":"$6.12"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010098981E              ","MBRP00000429201","000001471918","2021-07-22","31722070290","LOSARTAN POTAS TABS 100.000",90,90,{"v":7.65,"d":"$7.65"},{"v":0,"d":"$0.00"},{"v":7.65,"d":"$7.65"},{"v":0,"d":"$0.00"},{"v":7.65,"d":"$7.65"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010135687E              ","MBRP00000429346","000000678728","2021-07-22","69097012303","TOPIRAMATE TABS 50.000",90,90,{"v":9.43,"d":"$9.43"},{"v":0,"d":"$0.00"},{"v":9.43,"d":"$9.43"},{"v":0,"d":"$0.00"},{"v":9.43,"d":"$9.43"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010153656E              ","MBRP00000430761","010831505597","2021-07-22","60258017101","MAGNESIUM OXID TABS 400.000",30,30,{"v":1.67,"d":"$1.67"},{"v":0.59,"d":"$0.59"},{"v":2.26,"d":"$2.26"},{"v":0,"d":"$0.00"},{"v":2.26,"d":"$2.26"},"G","N",0,0,0,"R","3656444","MARCS 27"]
["21865M","0010005833E              ","MBRP00000430909","000006428403","2021-07-22","16714044601","AMITRIPTYLINE  TABS 10.000",30,30,{"v":3.4,"d":"$3.40"},{"v":0.59,"d":"$0.59"},{"v":3.99,"d":"$3.99"},{"v":0,"d":"$0.00"},{"v":3.99,"d":"$3.99"},"G","N",0,0,0,"R","3648930","MARCS 14"]
["21865M","0010124284E              ","MBRP00000424894","000001063249","2021-07-23","50228018001","GABAPENTIN CAPS 300.000",180,90,{"v":25.86,"d":"$25.86"},{"v":0,"d":"$0.00"},{"v":25.86,"d":"$25.86"},{"v":10.86,"d":"$10.86"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010022886E              ","MBRP00000397706","000001021367","2021-07-23","63646001004","KETOCONAZOLE SHAM 2.000",120,30,{"v":17.07,"d":"$17.07"},{"v":0.59,"d":"$0.59"},{"v":17.66,"d":"$17.66"},{"v":12.66,"d":"$12.66"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3653094","RITE AID PHARMACY 02437"]
["21865M","0010006039E              ","MBRP00000429091","000007751690","2021-07-23","68645055254","LISINOPRIL TABS 10.000",90,90,{"v":3.65,"d":"$3.65"},{"v":0,"d":"$0.00"},{"v":3.65,"d":"$3.65"},{"v":0,"d":"$0.00"},{"v":3.65,"d":"$3.65"},"G","N",0,0,0,"R","3659969","WALMART PHARMACY 10-2115 102115"]
["21865M","0010133386E              ","MBRP00000440164","000310821203","2021-07-23","69238183207","LEVOTHYROXINE  TABS 75.000",90,90,{"v":37.08,"d":"$37.08"},{"v":0,"d":"$0.00"},{"v":37.08,"d":"$37.08"},{"v":27.08,"d":"$27.08"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010084319E              ","MBRP00000422187","000001173780","2021-07-23","69452015120","VITAMIN D CAPS 50000.000",12,84,{"v":6.77,"d":"$6.77"},{"v":0,"d":"$0.00"},{"v":6.77,"d":"$6.77"},{"v":0,"d":"$0.00"},{"v":6.77,"d":"$6.77"},"G","N",0,0,0,"R","3665114","CVS PHARMACY #03092 03092"]
["21865M","0010139454E              ","MBRP00000424948","000009298421","2021-07-23","00006027754","JANUVIA TABS 100.000",90,90,{"v":1421.84,"d":"$1,421.84"},{"v":0,"d":"$0.00"},{"v":1421.84,"d":"$1,421.84"},{"v":1361.84,"d":"$1,361.84"},{"v":60,"d":"$60.00"},"B","N",0,0,1,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010056036E              ","MBRP00000422437","000000832009","2021-07-23","13668001105","CITALOPRAM HYD TABS 40.000",90,90,{"v":29.37,"d":"$29.37"},{"v":0,"d":"$0.00"},{"v":29.37,"d":"$29.37"},{"v":14.37,"d":"$14.37"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3679606","CVS PHARMACY #02063 02063"]
["21865M","AC00109278200","MBRP00000290704","000001301369","2021-07-24","65862056090","PANTOPRAZOLE S TBEC 40.000",30,30,{"v":3.11,"d":"$3.11"},{"v":0.59,"d":"$0.59"},{"v":3.7,"d":"$3.70"},{"v":0,"d":"$0.00"},{"v":3.7,"d":"$3.70"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010046686E              ","MBRP00000429167","000001531448","2021-07-24","65862069790","VENLAFAXINE HC CP24 150.000",90,90,{"v":21.68,"d":"$21.68"},{"v":0,"d":"$0.00"},{"v":21.68,"d":"$21.68"},{"v":6.68,"d":"$6.68"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010129036E              ","MBRP00000429011","000001050321","2021-07-25","29300012810","HYDROCHLOROTHI TABS 25.000",90,90,{"v":2.69,"d":"$2.69"},{"v":0,"d":"$0.00"},{"v":2.69,"d":"$2.69"},{"v":0,"d":"$0.00"},{"v":2.69,"d":"$2.69"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010006021E              ","MBRP00000418021","000001507148","2021-07-25","58160082311","SHINGRIX SUSR 50.000",1,1,{"v":159.11,"d":"$159.11"},{"v":0.59,"d":"$0.59"},{"v":159.7,"d":"$159.70"},{"v":159.7,"d":"$159.70"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010120556E              ","MBRP00000429238","000002826155","2021-07-25","68180098103","LISINOPRIL TABS 20.000",-30,30,{"v":-1.51,"d":"-$1.51"},{"v":-0.59,"d":"-$0.59"},{"v":-2.1,"d":"-$2.10"},{"v":0,"d":"$0.00"},{"v":-2.1,"d":"-$2.10"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010125947E              ","MBRP00000422213","000001864037","2021-07-26","65862001205","SERTRALINE HCL TABS 50.000",30,30,{"v":2.49,"d":"$2.49"},{"v":0.59,"d":"$0.59"},{"v":3.08,"d":"$3.08"},{"v":0,"d":"$0.00"},{"v":3.08,"d":"$3.08"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","0010153631E              ","MBRP00000430997","000001805836","2021-07-26","69238115403","EZETIMIBE TABS 10.000",-30,30,{"v":-23.81,"d":"-$23.81"},{"v":-0.59,"d":"-$0.59"},{"v":-24.4,"d":"-$24.40"},{"v":-19.4,"d":"-$19.40"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","0010115257E              ","MBRP00000422174","000001589871","2021-07-26","00093317431","ALBUTEROL SULF AERS 108.000",8.5,33,{"v":28.52,"d":"$28.52"},{"v":0.59,"d":"$0.59"},{"v":29.11,"d":"$29.11"},{"v":14.11,"d":"$14.11"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3659832","DISCOUNT DRUG MART 50"]
["21865M","0010144373E              ","MBRP00000422242","000001677929","2021-07-26","59267100002","PFIZER-BIONTEC SUSP 30.000",0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":40,"d":"$40.00"},{"v":40,"d":"$40.00"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3609837","CVS PHARMACY #03321 03321"]
["21865M","0010070334E              ","MBRP00000469015","000000782338","2021-07-26","00378827052","ALBUTEROL SULF NEBU 0.083",150,13,{"v":10.05,"d":"$10.05"},{"v":0.59,"d":"$0.59"},{"v":10.64,"d":"$10.64"},{"v":5.64,"d":"$5.64"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010125947E              ","MBRP00000422213","000001864038","2021-07-26","65862001305","SERTRALINE HYD TABS 100.000",30,30,{"v":3.13,"d":"$3.13"},{"v":0.59,"d":"$0.59"},{"v":3.72,"d":"$3.72"},{"v":0,"d":"$0.00"},{"v":3.72,"d":"$3.72"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","0010070334E              ","MBRP00000469015","000000782335","2021-07-26","66993001968","ALBUTEROL SULF AERS 108.000",18,17,{"v":42.53,"d":"$42.53"},{"v":0.59,"d":"$0.59"},{"v":43.12,"d":"$43.12"},{"v":8.12,"d":"$8.12"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010139615E              ","MBRP00000440109","000000857424","2021-07-26","31722070430","VALACYCLOVIR H TABS 500.000",6,3,{"v":6.91,"d":"$6.91"},{"v":0.59,"d":"$0.59"},{"v":7.5,"d":"$7.50"},{"v":2.5,"d":"$2.50"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3679606","CVS PHARMACY #02063 02063"]
["21865M","0010056235E              ","MBRP00000440210","000009315457","2021-07-27","00430042014","LO LOESTRIN FE TABS 0.000",28,28,{"v":153.59,"d":"$153.59"},{"v":0.5,"d":"$0.50"},{"v":154.09,"d":"$154.09"},{"v":119.09,"d":"$119.09"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010113435E              ","MBRP00000422304","000312767566","2021-07-27","68382014005","TOPIRAMATE TABS 100.000",180,90,{"v":34.62,"d":"$34.62"},{"v":0,"d":"$0.00"},{"v":34.62,"d":"$34.62"},{"v":24.62,"d":"$24.62"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010113435E              ","MBRP00000422304","000312767568","2021-07-27","00832532515","POTASSIUM CHLO TBCR 20.000",90,90,{"v":29.75,"d":"$29.75"},{"v":0,"d":"$0.00"},{"v":29.75,"d":"$29.75"},{"v":19.75,"d":"$19.75"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010113435E              ","MBRP00000422304","000312767571","2021-07-27","68462026110","ROSUVASTATIN C TABS 5.000",90,90,{"v":18.12,"d":"$18.12"},{"v":0,"d":"$0.00"},{"v":18.12,"d":"$18.12"},{"v":8.12,"d":"$8.12"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","AC00110043100","MBRP00000460621","000001864587","2021-07-27","29300024501","BUSPIRONE HYDR TABS 10.000",180,90,{"v":17.8,"d":"$17.80"},{"v":0,"d":"$0.00"},{"v":17.8,"d":"$17.80"},{"v":2.8,"d":"$2.80"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","0010080600E              ","MBRP00000429092","000000686149","2021-07-27","65862020290","LOSARTAN POTAS TABS 50.000",90,90,{"v":5.68,"d":"$5.68"},{"v":0,"d":"$0.00"},{"v":5.68,"d":"$5.68"},{"v":0,"d":"$0.00"},{"v":5.68,"d":"$5.68"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010139575E              ","MBRP00000430857","000000895205","2021-07-27","68180096301","ALBUTEROL SULF AERS 108.000",8.5,16,{"v":37.92,"d":"$37.92"},{"v":0,"d":"$0.00"},{"v":37.92,"d":"$37.92"},{"v":37.92,"d":"$37.92"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3606211","DARTMOUTH PHARMACY"]
["21865M","0010153662E              ","MBRP00000430817","000002566630","2021-07-27","69315011610","FUROSEMIDE TABS 20.000",6,12,{"v":0.36,"d":"$0.36"},{"v":0.59,"d":"$0.59"},{"v":0.95,"d":"$0.95"},{"v":0,"d":"$0.00"},{"v":0.95,"d":"$0.95"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010032717E              ","MBRP00000417802","000314105321","2021-07-27","60505025202","TIZANIDINE HYD TABS 4.000",-90,90,{"v":-12.37,"d":"-$12.37"},{"v":0,"d":"$0.00"},{"v":-12.37,"d":"-$12.37"},{"v":-2.37,"d":"-$2.37"},{"v":-10,"d":"-$10.00"},"G","N",0,0,0,"R","5741372","OPTUMRX PHARMACY 700, LLC"]
["21865M","0010113435E              ","MBRP00000422304","000312767565","2021-07-27","69238183307","LEVOTHYROXINE  TABS 88.000",-90,90,{"v":-37.72,"d":"-$37.72"},{"v":0,"d":"$0.00"},{"v":-37.72,"d":"-$37.72"},{"v":-27.72,"d":"-$27.72"},{"v":-10,"d":"-$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010084199E              ","MBRP00000417834","000007347989","2021-07-27","43547028950","BUPROPION HYDR TB12 150.000",180,90,{"v":81.32,"d":"$81.32"},{"v":0,"d":"$0.00"},{"v":81.32,"d":"$81.32"},{"v":66.32,"d":"$66.32"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3606540","ACME PHARMACY 4"]
["21865M","0010139929E              ","MBRP00000424819","000001251982","2021-07-28","00093101042","MUPIROCIN OINT 2.000",-22,7,{"v":-8.82,"d":"-$8.82"},{"v":-0.59,"d":"-$0.59"},{"v":-9.41,"d":"-$9.41"},{"v":-4.41,"d":"-$4.41"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3666320","WALGREENS #4983 4983"]
["21865M","AC00109765000","MBRP00000417857","000001432775","2021-07-28","51672131200","MUPIROCIN OINT 2.000",22,14,{"v":8.82,"d":"$8.82"},{"v":0.59,"d":"$0.59"},{"v":9.41,"d":"$9.41"},{"v":4.41,"d":"$4.41"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3656026","DISCOUNT DRUG MART 40"]
["21865M","0010153591E              ","MBRP00000431010","000001531871","2021-07-28","00168005760","BETAMETHASONE  LOTN 0.050",60,30,{"v":39.28,"d":"$39.28"},{"v":0.59,"d":"$0.59"},{"v":39.87,"d":"$39.87"},{"v":34.87,"d":"$34.87"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010153653E              ","MBRP00000429323","000002424197","2021-07-28","42806071401","BENZONATATE CAPS 100.000",12,4,{"v":1.82,"d":"$1.82"},{"v":0.59,"d":"$0.59"},{"v":2.41,"d":"$2.41"},{"v":0,"d":"$0.00"},{"v":2.41,"d":"$2.41"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010006061E              ","MBRP00000422269","000001710793","2021-07-28","68180072103","AMLODIPINE BES TABS 10.000",90,90,{"v":4.24,"d":"$4.24"},{"v":0,"d":"$0.00"},{"v":4.24,"d":"$4.24"},{"v":0,"d":"$0.00"},{"v":4.24,"d":"$4.24"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010152646E              ","MBRP00000442992","000000699489","2021-07-28","16714079701","SUMATRIPTAN SU TABS 50.000",-12,30,{"v":-14.55,"d":"-$14.55"},{"v":-0.59,"d":"-$0.59"},{"v":-15.14,"d":"-$15.14"},{"v":-10.14,"d":"-$10.14"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010084337E              ","MBRP00000440306","000001147481","2021-07-28","65862005190","SIMVASTATIN TABS 10.000",90,90,{"v":5.97,"d":"$5.97"},{"v":0,"d":"$0.00"},{"v":5.97,"d":"$5.97"},{"v":0,"d":"$0.00"},{"v":5.97,"d":"$5.97"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010122982E              ","MBRP00000422134","000002316610","2021-07-28","00173089310","TRELEGY ELLIPT AEPB 0.000",-60,30,{"v":-591.07,"d":"-$591.07"},{"v":-0.59,"d":"-$0.59"},{"v":-591.66,"d":"-$591.66"},{"v":-571.66,"d":"-$571.66"},{"v":-20,"d":"-$20.00"},"B","N",0,0,1,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010046085E              ","MBRP00000417860","000001184797","2021-07-28","00781286810","OMEPRAZOLE CPDR 20.000",90,90,{"v":7.77,"d":"$7.77"},{"v":0,"d":"$0.00"},{"v":7.77,"d":"$7.77"},{"v":0,"d":"$0.00"},{"v":7.77,"d":"$7.77"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010153669E              ","MBRP00000429337","000006583970","2021-07-29","57237023305","SULFAMETHOXAZO TABS 0.000",-14,7,{"v":-1.7,"d":"-$1.70"},{"v":-0.59,"d":"-$0.59"},{"v":-2.29,"d":"-$2.29"},{"v":0,"d":"$0.00"},{"v":-2.29,"d":"-$2.29"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010133459E              ","MBRP00000285221","000001493328","2021-07-29","68180096601","LEVOTHYROXINE  TABS 50.000",-90,90,{"v":-35.04,"d":"-$35.04"},{"v":0,"d":"$0.00"},{"v":-35.04,"d":"-$35.04"},{"v":-20.04,"d":"-$20.04"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010153669E              ","MBRP00000429337","000006584029","2021-07-29","16729044316","BUPROPION HYDR TB24 150.000",-30,30,{"v":-25.32,"d":"-$25.32"},{"v":-0.59,"d":"-$0.59"},{"v":-25.91,"d":"-$25.91"},{"v":-20.91,"d":"-$20.91"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010080369E              ","MBRP00000424947","000001065791","2021-07-29","00093500456","OLMESARTAN MED TABS 0.000",90,90,{"v":587.84,"d":"$587.84"},{"v":0,"d":"$0.00"},{"v":587.84,"d":"$587.84"},{"v":572.84,"d":"$572.84"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010084271E              ","MBRP00000417869","000000605397","2021-07-29","68462038537","MOMETASONE FUR SOLN 0.100",-60,28,{"v":-27.07,"d":"-$27.07"},{"v":-0.59,"d":"-$0.59"},{"v":-27.66,"d":"-$27.66"},{"v":-22.66,"d":"-$22.66"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3648485","RITE AID PHARMACY 03198"]
["21865M","0010052584E              ","MBRP00000418082","000001028267","2021-07-29","45802095243","IBUPROFEN SUSP 100.000",150,20,{"v":6.51,"d":"$6.51"},{"v":0.59,"d":"$0.59"},{"v":7.1,"d":"$7.10"},{"v":2.1,"d":"$2.10"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651949","RITE AID PHARMACY 02398"]
["21865M","AC00110087200","MBRP00000461290","000007373044","2021-07-29","65862064169","AZITHROMYCIN TABS 250.000",6,5,{"v":4.16,"d":"$4.16"},{"v":0.59,"d":"$0.59"},{"v":4.75,"d":"$4.75"},{"v":0,"d":"$0.00"},{"v":4.75,"d":"$4.75"},"G","N",0,0,0,"R","3666356","GIANT EAGLE PHARMACY #1620 1620"]
["21865M","0010122770E              ","MBRP00000293151","000000586524","2021-07-29","68382005105","MELOXICAM TABS 15.000",30,30,{"v":1.91,"d":"$1.91"},{"v":0.5,"d":"$0.50"},{"v":2.41,"d":"$2.41"},{"v":0,"d":"$0.00"},{"v":2.41,"d":"$2.41"},"G","N",0,0,0,"R","3672791","AULTMAN EMPLOYEE PHARMACY"]
["21865M","AC00108535500","MBRP00000429038","000001084928","2021-07-29","69097096912","LISINOPRIL/HYD TABS 0.000",180,90,{"v":47.99,"d":"$47.99"},{"v":0,"d":"$0.00"},{"v":47.99,"d":"$47.99"},{"v":32.99,"d":"$32.99"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3657751","DISCOUNT DRUG MART 42"]
["21865M","0010153622E              ","MBRP00000429311","000006713762","2021-07-29","27241009990","DULOXETINE HYD CPEP 60.000",60,30,{"v":33.51,"d":"$33.51"},{"v":0.59,"d":"$0.59"},{"v":34.1,"d":"$34.10"},{"v":29.1,"d":"$29.10"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3669124","GIANT EAGLE PHARMACY #4034 4034"]
["21865M","0010048454E              ","MBRP00000417981","000003166631","2021-07-30","59267100001","PFIZER-BIONTEC SUSP 30.000",0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":40,"d":"$40.00"},{"v":40,"d":"$40.00"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3643132","DISCOUNT DRUG MART 26"]
["21865M","AC00109881700","MBRP00000439543","000002060821","2021-07-30","57664033788","AMPHETAMINE/DE CP24 0.000",30,30,{"v":35.02,"d":"$35.02"},{"v":0.59,"d":"$0.59"},{"v":35.61,"d":"$35.61"},{"v":30.61,"d":"$30.61"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010084145E              ","MBRP00000422285","000003016397","2021-07-30","00781261301","AMOXICILLIN CAPS 500.000",15,5,{"v":1.68,"d":"$1.68"},{"v":0.59,"d":"$0.59"},{"v":2.27,"d":"$2.27"},{"v":0,"d":"$0.00"},{"v":2.27,"d":"$2.27"},"G","N",0,0,0,"R","3656292","MEDICINE CENTER PHARMACY"]
["21865M","0010134939E              ","MBRP00000422191","000314378337","2021-07-30","50111056003","TRAZODONE HYDR TABS 50.000",180,90,{"v":18.82,"d":"$18.82"},{"v":0,"d":"$0.00"},{"v":18.82,"d":"$18.82"},{"v":8.82,"d":"$8.82"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010132579E              ","MBRP00000417821","000001039881","2021-07-30","68180063609","ATORVASTATIN C TABS 20.000",-30,30,{"v":-2.93,"d":"-$2.93"},{"v":-0.59,"d":"-$0.59"},{"v":-3.52,"d":"-$3.52"},{"v":0,"d":"$0.00"},{"v":-3.52,"d":"-$3.52"},"G","N",0,0,0,"R","3653094","RITE AID PHARMACY 02437"]
["21865M","0010144048E              ","MBRP00000429266","000001525905","2021-07-30","51672413001","LAMOTRIGINE TABS 25.000",60,30,{"v":2.91,"d":"$2.91"},{"v":0.59,"d":"$0.59"},{"v":3.5,"d":"$3.50"},{"v":0,"d":"$0.00"},{"v":3.5,"d":"$3.50"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010139923E              ","MBRP00000424766","000001383129","2021-07-31","63304061650","DOXYCYCLINE MO CAPS 100.000",-20,10,{"v":-11.29,"d":"-$11.29"},{"v":-0.59,"d":"-$0.59"},{"v":-11.88,"d":"-$11.88"},{"v":-6.88,"d":"-$6.88"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3646986","RITE AID PHARMACY 03028"]
["21865M","0010084328E              ","MBRP00000418119","000000576929","2021-07-31","16729000617","SIMVASTATIN TABS 40.000",90,90,{"v":8.87,"d":"$8.87"},{"v":0,"d":"$0.00"},{"v":8.87,"d":"$8.87"},{"v":0,"d":"$0.00"},{"v":8.87,"d":"$8.87"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","AC00109765000","MBRP00000417857","000007332329","2021-07-31","65862000705","CITALOPRAM HYD TABS 40.000",30,30,{"v":9.79,"d":"$9.79"},{"v":0.59,"d":"$0.59"},{"v":10.38,"d":"$10.38"},{"v":5.38,"d":"$5.38"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3678313","GIANT EAGLE PHARMACY #4601 4601"]
["21865M","0010139923E              ","MBRP00000424766","000001383133","2021-07-31","68180096301","ALBUTEROL SULF AERS 108.000",8.5,30,{"v":28.52,"d":"$28.52"},{"v":0.59,"d":"$0.59"},{"v":29.11,"d":"$29.11"},{"v":24.11,"d":"$24.11"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3646986","RITE AID PHARMACY 03028"]
["21865M","0010149153E              ","MBRP00000429319","000002424777","2021-07-31","00002882427","HUMULIN R U-50 SOPN 500.000",18,30,{"v":1691.73,"d":"$1,691.73"},{"v":0.59,"d":"$0.59"},{"v":1692.32,"d":"$1,692.32"},{"v":1672.32,"d":"$1,672.32"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010153650E              ","MBRP00000429312","000007268070","2021-08-01","59746033890","LOSARTAN POTAS TABS 0.000",30,30,{"v":19.53,"d":"$19.53"},{"v":0.59,"d":"$0.59"},{"v":20.12,"d":"$20.12"},{"v":15.12,"d":"$15.12"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","0010084188E              ","MBRP00000424740","000000753563","2021-08-01","00093301756","TADALAFIL TABS 5.000",30,30,{"v":30.57,"d":"$30.57"},{"v":0.59,"d":"$0.59"},{"v":31.16,"d":"$31.16"},{"v":26.16,"d":"$26.16"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010137443E              ","MBRP00000417875","000307084687","2021-08-01","50742061710","METOPROLOL SUC TB24 100.000",90,90,{"v":53.36,"d":"$53.36"},{"v":0,"d":"$0.00"},{"v":53.36,"d":"$53.36"},{"v":43.36,"d":"$43.36"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010129915E              ","MBRP00000424935","000001696364","2021-08-01","68180031909","BUPROPION HYDR TB24 150.000",-180,90,{"v":-151.93,"d":"-$151.93"},{"v":0,"d":"$0.00"},{"v":-151.93,"d":"-$151.93"},{"v":-136.93,"d":"-$136.93"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010153625E              ","MBRP00000430820","000306696852","2021-08-01","68462026110","ROSUVASTATIN C TABS 5.000",-90,90,{"v":-18.12,"d":"-$18.12"},{"v":0,"d":"$0.00"},{"v":-18.12,"d":"-$18.12"},{"v":-8.12,"d":"-$8.12"},{"v":-10,"d":"-$10.00"},"G","N",0,0,0,"M","5926716","OPTUMRX PHARMACY 704"]
["21865M","0010153644E              ","MBRP00000430982","000001706027","2021-08-01","68382039801","POTASSIUM CHLO TBCR 20.000",30,30,{"v":12.72,"d":"$12.72"},{"v":0.59,"d":"$0.59"},{"v":13.31,"d":"$13.31"},{"v":8.31,"d":"$8.31"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010153623E              ","MBRP00000431030","000007273799","2021-08-01","43547028111","ESCITALOPRAM O TABS 10.000",30,30,{"v":4.71,"d":"$4.71"},{"v":0.59,"d":"$0.59"},{"v":5.3,"d":"$5.30"},{"v":0.3,"d":"$0.30"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","0010153312E              ","MBRP00000271054","000008854337","2021-08-02","57896022110","ACETAMINOPHEN TABS 500.000",120,30,{"v":1.58,"d":"$1.58"},{"v":0.59,"d":"$0.59"},{"v":2.17,"d":"$2.17"},{"v":0,"d":"$0.00"},{"v":2.17,"d":"$2.17"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010153653E              ","MBRP00000429323","000002426601","2021-08-02","00591544305","PREDNISONE TABS 20.000",-10,8,{"v":-1.73,"d":"-$1.73"},{"v":-0.59,"d":"-$0.59"},{"v":-2.32,"d":"-$2.32"},{"v":0,"d":"$0.00"},{"v":-2.32,"d":"-$2.32"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010084238E              ","MBRP00000418037","000001199346","2021-08-02","59762045001","COLESTIPOL HCL TABS 1.000",180,45,{"v":169.61,"d":"$169.61"},{"v":0.59,"d":"$0.59"},{"v":170.2,"d":"$170.20"},{"v":155.2,"d":"$155.20"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010115244E              ","MBRP00000424884","000000723250","2021-08-02","69097012303","TOPIRAMATE TABS 50.000",60,30,{"v":6.29,"d":"$6.29"},{"v":0.59,"d":"$0.59"},{"v":6.88,"d":"$6.88"},{"v":1.88,"d":"$1.88"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010006070E              ","MBRP00000417887","000000572474","2021-08-02","31722027201","RAMIPRIL CAPS 2.500",30,30,{"v":3.86,"d":"$3.86"},{"v":0.5,"d":"$0.50"},{"v":4.36,"d":"$4.36"},{"v":0,"d":"$0.00"},{"v":4.36,"d":"$4.36"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","0010153670E              ","MBRP00000467747","000314450724","2021-08-02","65862056099","PANTOPRAZOLE S TBEC 40.000",90,90,{"v":9.32,"d":"$9.32"},{"v":0,"d":"$0.00"},{"v":9.32,"d":"$9.32"},{"v":0,"d":"$0.00"},{"v":9.32,"d":"$9.32"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010062989E              ","MBRP00000430888","000006556142","2021-08-02","70700015010","OMEPRAZOLE CPDR 20.000",90,90,{"v":7.77,"d":"$7.77"},{"v":0,"d":"$0.00"},{"v":7.77,"d":"$7.77"},{"v":0,"d":"$0.00"},{"v":7.77,"d":"$7.77"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010149153E              ","MBRP00000429319","000002426418","2021-08-02","00002882427","HUMULIN R U-50 SOPN 500.000",-24,39,{"v":-2255.64,"d":"-$2,255.64"},{"v":-0.59,"d":"-$0.59"},{"v":-2256.23,"d":"-$2,256.23"},{"v":-2196.23,"d":"-$2,196.23"},{"v":-60,"d":"-$60.00"},"B","N",0,0,1,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010088292E              ","MBRP00000422146","000314596376","2021-08-02","69238183607","LEVOTHYROXINE  TABS 125.000",90,90,{"v":44.56,"d":"$44.56"},{"v":0,"d":"$0.00"},{"v":44.56,"d":"$44.56"},{"v":34.56,"d":"$34.56"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010054511E              ","MBRP00000429074","000006262818","2021-08-03","59267100001","PFIZER-BIONTEC SUSP 30.000",0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":40,"d":"$40.00"},{"v":40,"d":"$40.00"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010135249E              ","MBRP00000429057","000006584591","2021-08-03","51672131200","MUPIROCIN OINT 2.000",44,30,{"v":17.63,"d":"$17.63"},{"v":0.59,"d":"$0.59"},{"v":18.22,"d":"$18.22"},{"v":13.22,"d":"$13.22"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010124284E              ","MBRP00000424895","000001066435","2021-08-03","45802005911","NYSTATIN CREA 100000.000",30,7,{"v":10.01,"d":"$10.01"},{"v":0.59,"d":"$0.59"},{"v":10.6,"d":"$10.60"},{"v":5.6,"d":"$5.60"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010079086E              ","MBRP00000424788","000001208276","2021-08-03","00093301956","TADALAFIL TABS 20.000",6,30,{"v":7.47,"d":"$7.47"},{"v":0,"d":"$0.00"},{"v":7.47,"d":"$7.47"},{"v":2.47,"d":"$2.47"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3665075","CVS PHARMACY #03088 03088"]
["21865M","AC00109762300","MBRP00000434038","000001328874","2021-08-03","60505082901","FLUTICASONE PR SUSP 50.000",16,30,{"v":7.78,"d":"$7.78"},{"v":0.59,"d":"$0.59"},{"v":8.37,"d":"$8.37"},{"v":3.37,"d":"$3.37"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010122772E              ","MBRP00000429193","000002878120","2021-08-03","50111064801","FLUOXETINE HCL CAPS 20.000",30,30,{"v":1.46,"d":"$1.46"},{"v":0.59,"d":"$0.59"},{"v":2.05,"d":"$2.05"},{"v":0,"d":"$0.00"},{"v":2.05,"d":"$2.05"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010005785E              ","MBRP00000440299","000001494798","2021-08-04","29033003001","ACETAZOLAMIDE  CP12 500.000",-14,7,{"v":-24.67,"d":"-$24.67"},{"v":-0.59,"d":"-$0.59"},{"v":-25.26,"d":"-$25.26"},{"v":-20.26,"d":"-$20.26"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010022887E              ","MBRP00000422232","000007650039","2021-08-04","00781261305","AMOXICILLIN CAPS 500.000",21,7,{"v":2.35,"d":"$2.35"},{"v":0.59,"d":"$0.59"},{"v":2.94,"d":"$2.94"},{"v":0,"d":"$0.00"},{"v":2.94,"d":"$2.94"},"G","N",0,0,0,"R","3664201","WALMART PHARMACY 10-2541 102541"]
["21865M","0010051988E              ","MBRP00000429160","010844809918","2021-08-04","68382005101","MELOXICAM TABS 15.000",30,30,{"v":1.23,"d":"$1.23"},{"v":0.59,"d":"$0.59"},{"v":1.82,"d":"$1.82"},{"v":0,"d":"$0.00"},{"v":1.82,"d":"$1.82"},"G","N",0,0,0,"R","3668348","MARCS 52"]
["21865M","0010120789E              ","MBRP00000417813","000001183006","2021-08-04","33342030111","ESZOPICLONE TABS 3.000",30,30,{"v":17.42,"d":"$17.42"},{"v":0.59,"d":"$0.59"},{"v":18.01,"d":"$18.01"},{"v":13.01,"d":"$13.01"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651886","RITE AID PHARMACY 02393"]
["21865M","0010084079E              ","MBRP00000422443","000001403544","2021-08-04","50228017701","GABAPENTIN TABS 600.000",-90,90,{"v":-21.86,"d":"-$21.86"},{"v":0,"d":"$0.00"},{"v":-21.86,"d":"-$21.86"},{"v":-6.86,"d":"-$6.86"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3652662","RITE AID PHARMACY 02456"]
["21865M","0010130459E              ","MBRP00000429156","000002567450","2021-08-04","65162010250","GABAPENTIN CAPS 300.000",90,30,{"v":12.93,"d":"$12.93"},{"v":0.59,"d":"$0.59"},{"v":13.52,"d":"$13.52"},{"v":8.52,"d":"$8.52"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010062989E              ","MBRP00000430889","000006584880","2021-08-04","42806040021","METHYLPREDNISO TBPK 4.000",21,6,{"v":8.57,"d":"$8.57"},{"v":0.59,"d":"$0.59"},{"v":9.16,"d":"$9.16"},{"v":4.16,"d":"$4.16"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010137643E              ","MBRP00000417932","000000847985","2021-08-05","53885027150","ONETOUCH VERIO STRP 0.000",200,30,{"v":134.71,"d":"$134.71"},{"v":0.59,"d":"$0.59"},{"v":135.3,"d":"$135.30"},{"v":115.3,"d":"$115.30"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3679632","CVS PHARMACY #08248 08248"]
["21865M","0010132958E              ","MBRP00000440157","000000786279","2021-08-05","00527150437","AMPHETAMINE/DE TABS 0.000",25,30,{"v":16.64,"d":"$16.64"},{"v":0.59,"d":"$0.59"},{"v":17.23,"d":"$17.23"},{"v":12.23,"d":"$12.23"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","AC00110495000","MBRP00000467719","000001201449","2021-08-05","65862049647","SULFAMETHOXAZO SUSP 0.000",-93,30,{"v":-13.15,"d":"-$13.15"},{"v":-0.59,"d":"-$0.59"},{"v":-13.74,"d":"-$13.74"},{"v":-8.74,"d":"-$8.74"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010138840E              ","MBRP00000429062","000001534583","2021-08-05","80777027398","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":40,"d":"$40.00"},{"v":40,"d":"$40.00"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010153253E              ","MBRP00000305791","000000960484","2021-08-05","70954005920","PREDNISONE TABS 10.000",21,6,{"v":3.05,"d":"$3.05"},{"v":0.59,"d":"$0.59"},{"v":3.64,"d":"$3.64"},{"v":0,"d":"$0.00"},{"v":3.64,"d":"$3.64"},"G","N",0,0,0,"R","3650670","CVS PHARMACY #04802 04802"]
["21865M","0010146042E              ","MBRP00000318029","000000842838","2021-08-06","50742061510","METOPROLOL SUC TB24 25.000",90,90,{"v":37.09,"d":"$37.09"},{"v":0,"d":"$0.00"},{"v":37.09,"d":"$37.09"},{"v":22.09,"d":"$22.09"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3679632","CVS PHARMACY #08248 08248"]
["21865M","0010084238E              ","MBRP00000418037","000001199346","2021-08-06","59762045001","COLESTIPOL HCL TABS 1.000",-180,45,{"v":-169.61,"d":"-$169.61"},{"v":-0.59,"d":"-$0.59"},{"v":-170.2,"d":"-$170.20"},{"v":-155.2,"d":"-$155.20"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010153598E              ","MBRP00000430767","000002896613","2021-08-06","65862085901","FAMOTIDINE TABS 20.000",-60,30,{"v":-4.76,"d":"-$4.76"},{"v":-0.59,"d":"-$0.59"},{"v":-5.35,"d":"-$5.35"},{"v":-0.35,"d":"-$0.35"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010005945E              ","MBRP00000440212","000001820757","2021-08-06","68180063609","ATORVASTATIN C TABS 20.000",90,90,{"v":8.79,"d":"$8.79"},{"v":0,"d":"$0.00"},{"v":8.79,"d":"$8.79"},{"v":0,"d":"$0.00"},{"v":8.79,"d":"$8.79"},"G","N",0,0,0,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","0010099978E              ","MBRP00000430930","010848022833","2021-08-06","00002822259","INSULIN LISPRO SOPN 100.000",15,30,{"v":260.45,"d":"$260.45"},{"v":0.59,"d":"$0.59"},{"v":261.04,"d":"$261.04"},{"v":226.04,"d":"$226.04"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3654034","MARCS 22"]
["21865M","AC00109278200","MBRP00000290703","000001307640","2021-08-06","00597015330","JARDIANCE TABS 25.000",30,30,{"v":538.71,"d":"$538.71"},{"v":0.59,"d":"$0.59"},{"v":539.3,"d":"$539.30"},{"v":519.3,"d":"$519.30"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3660253","WALGREENS #3261 3261"]
["21865M","AC00110021200","MBRP00000460279","000007272543","2021-08-07","00527132601","URSODIOL CAPS 300.000",60,30,{"v":161.59,"d":"$161.59"},{"v":0.59,"d":"$0.59"},{"v":162.18,"d":"$162.18"},{"v":153.13,"d":"$153.13"},{"v":9.05,"d":"$9.05"},"G","N",0,0,0,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","0010005888E              ","MBRP00000417810","000001218571","2021-08-07","65862020390","LOSARTAN POTAS TABS 100.000",90,90,{"v":7.65,"d":"$7.65"},{"v":0,"d":"$0.00"},{"v":7.65,"d":"$7.65"},{"v":0,"d":"$0.00"},{"v":7.65,"d":"$7.65"},"G","N",0,0,0,"R","3606122","CVS PHARMACY #03306 03306"]
["21865M","0010084309E              ","MBRP00000422395","000000861173","2021-08-08","13668000901","CITALOPRAM HYD TABS 10.000",90,90,{"v":20.23,"d":"$20.23"},{"v":0,"d":"$0.00"},{"v":20.23,"d":"$20.23"},{"v":5.23,"d":"$5.23"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010153628E              ","MBRP00000429290","000007138590","2021-08-08","65862019105","CYCLOBENZAPRIN TABS 10.000",60,30,{"v":1.75,"d":"$1.75"},{"v":0.59,"d":"$0.59"},{"v":2.34,"d":"$2.34"},{"v":0,"d":"$0.00"},{"v":2.34,"d":"$2.34"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010153640E              ","MBRP00000430766","000001056670","2021-08-09","00597017560","SYNJARDY TABS 0.000",60,30,{"v":538.71,"d":"$538.71"},{"v":0.59,"d":"$0.59"},{"v":539.3,"d":"$539.30"},{"v":519.3,"d":"$519.30"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","AC00109306100","MBRP00000448919","000000810713","2021-08-09","00093317431","ALBUTEROL SULF AERS 108.000",-8.5,25,{"v":-28.52,"d":"-$28.52"},{"v":-0.59,"d":"-$0.59"},{"v":-29.11,"d":"-$29.11"},{"v":-24.11,"d":"-$24.11"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0060044938E              ","MBRP00000396619","000001326442","2021-08-09","65862052890","VENLAFAXINE HY CP24 75.000",30,30,{"v":5.93,"d":"$5.93"},{"v":0.59,"d":"$0.59"},{"v":6.52,"d":"$6.52"},{"v":1.52,"d":"$1.52"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648233","RITE AID PHARMACY 03167"]
["21865M","0010153616E              ","MBRP00000429317","000006785398","2021-08-09","16729004417","ATORVASTATIN C TABS 10.000",90,90,{"v":8.89,"d":"$8.89"},{"v":0,"d":"$0.00"},{"v":8.89,"d":"$8.89"},{"v":0,"d":"$0.00"},{"v":8.89,"d":"$8.89"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010153687E              ","MBRP00000429221","010850235953","2021-08-09","31722088490","ROSUVASTATIN C TABS 20.000",90,90,{"v":22.03,"d":"$22.03"},{"v":0,"d":"$0.00"},{"v":22.03,"d":"$22.03"},{"v":7.03,"d":"$7.03"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010064744E              ","MBRP00000422384","000000560028","2021-08-09","08290328438","BD INSULIN SYR MISC 0.000",-200,33,{"v":-65.37,"d":"-$65.37"},{"v":-0.5,"d":"-$0.50"},{"v":-65.87,"d":"-$65.87"},{"v":0,"d":"$0.00"},{"v":-65.87,"d":"-$65.87"},"B","N",0,0,9,"R","3687615","FULTON DRUGS"]
["21865M","0010153622E              ","MBRP00000429310","000006746931","2021-08-09","68462029855","CLOTRIMAZOLE/B CREA 0.000",90,25,{"v":13.28,"d":"$13.28"},{"v":0.59,"d":"$0.59"},{"v":13.87,"d":"$13.87"},{"v":8.87,"d":"$8.87"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3669124","GIANT EAGLE PHARMACY #4034 4034"]
["21865M","0010153687E              ","MBRP00000429221","000002897511","2021-08-09","45963067711","METOPROLOL SUC TB24 100.000",45,30,{"v":26.68,"d":"$26.68"},{"v":0.59,"d":"$0.59"},{"v":27.27,"d":"$27.27"},{"v":22.27,"d":"$22.27"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010116868E              ","MBRP00000430955","000001821370","2021-08-10","65862059801","TAMSULOSIN HYD CAPS 0.400",30,30,{"v":5.7,"d":"$5.70"},{"v":0.59,"d":"$0.59"},{"v":6.29,"d":"$6.29"},{"v":1.29,"d":"$1.29"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","0010072270E              ","MBRP00000429220","000009319798","2021-08-10","00173088710","TRELEGY ELLIPT AEPB 0.000",60,30,{"v":595.84,"d":"$595.84"},{"v":0.5,"d":"$0.50"},{"v":596.34,"d":"$596.34"},{"v":576.34,"d":"$576.34"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010151645E              ","MBRP00000342810","000309112006","2021-08-10","65862056099","PANTOPRAZOLE S TBEC 40.000",90,90,{"v":9.32,"d":"$9.32"},{"v":0,"d":"$0.00"},{"v":9.32,"d":"$9.32"},{"v":0,"d":"$0.00"},{"v":9.32,"d":"$9.32"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010143490E              ","MBRP00000417917","000001713031","2021-08-10","64380080807","IBUPROFEN TABS 600.000",40,10,{"v":1.39,"d":"$1.39"},{"v":0.59,"d":"$0.59"},{"v":1.98,"d":"$1.98"},{"v":0,"d":"$0.00"},{"v":1.98,"d":"$1.98"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","AC00110043100","MBRP00000460622","000001819687","2021-08-10","16714036603","SETLAKIN TABS 0.000",91,91,{"v":126.15,"d":"$126.15"},{"v":0,"d":"$0.00"},{"v":126.15,"d":"$126.15"},{"v":126.15,"d":"$126.15"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","0010079087E              ","MBRP00000422342","000001067227","2021-08-11","00228306311","AMPHETAMINE/DE CP24 0.000",-30,30,{"v":-35.02,"d":"-$35.02"},{"v":-0.59,"d":"-$0.59"},{"v":-35.61,"d":"-$35.61"},{"v":-30.61,"d":"-$30.61"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010114921E              ","MBRP00000440071","000313317318","2021-08-11","50111056102","TRAZODONE HYDR TABS 100.000",90,90,{"v":17.49,"d":"$17.49"},{"v":0,"d":"$0.00"},{"v":17.49,"d":"$17.49"},{"v":7.49,"d":"$7.49"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010104200E              ","MBRP00000440113","000315448390","2021-08-11","68462043790","OLMESARTAN MED TABS 20.000",90,90,{"v":19.21,"d":"$19.21"},{"v":0,"d":"$0.00"},{"v":19.21,"d":"$19.21"},{"v":9.21,"d":"$9.21"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010134008E              ","MBRP00000437330","000001012902","2021-08-11","62332002890","LOSARTAN POTAS TABS 50.000",-90,90,{"v":-5.68,"d":"-$5.68"},{"v":0,"d":"$0.00"},{"v":-5.68,"d":"-$5.68"},{"v":0,"d":"$0.00"},{"v":-5.68,"d":"-$5.68"},"G","N",0,0,0,"R","3627873","MEDICINE CENTER OF CANTON"]
["21865M","0010151688E              ","MBRP00000424925","000000759271","2021-08-11","23155000810","HYDROCHLOROTHI TABS 25.000",90,90,{"v":1.68,"d":"$1.68"},{"v":0,"d":"$0.00"},{"v":1.68,"d":"$1.68"},{"v":0,"d":"$0.00"},{"v":1.68,"d":"$1.68"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010153610E              ","MBRP00000430843","000001197941","2021-08-12","59746017306","PREDNISONE TABS 10.000",-23,23,{"v":-3.34,"d":"-$3.34"},{"v":-0.59,"d":"-$0.59"},{"v":-3.93,"d":"-$3.93"},{"v":0,"d":"$0.00"},{"v":-3.93,"d":"-$3.93"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010084238E              ","MBRP00000418037","000001199346","2021-08-12","59762045001","COLESTIPOL HCL TABS 1.000",-180,45,{"v":-169.61,"d":"-$169.61"},{"v":-0.59,"d":"-$0.59"},{"v":-170.2,"d":"-$170.20"},{"v":-155.2,"d":"-$155.20"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010006039E              ","MBRP00000429091","000007752130","2021-08-12","68645058459","METFORMIN HYDR TABS 1000.000",180,90,{"v":10,"d":"$10.00"},{"v":0,"d":"$0.00"},{"v":10,"d":"$10.00"},{"v":0,"d":"$0.00"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"R","3659969","WALMART PHARMACY 10-2115 102115"]
["21865M","0010139575E              ","MBRP00000430857","000002628334","2021-08-12","65862052790","VENLAFAXINE HC CP24 37.500",30,30,{"v":5.93,"d":"$5.93"},{"v":0.59,"d":"$0.59"},{"v":6.52,"d":"$6.52"},{"v":1.52,"d":"$1.52"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010150771E              ","MBRP00000430965","000001183863","2021-08-12","70436001104","BUPROPION HYDR TB24 300.000",30,30,{"v":26.79,"d":"$26.79"},{"v":0.59,"d":"$0.59"},{"v":27.38,"d":"$27.38"},{"v":22.38,"d":"$22.38"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010084271E              ","MBRP00000417869","000000600720","2021-08-12","58160082311","SHINGRIX SUSR 50.000",1,1,{"v":159.11,"d":"$159.11"},{"v":0.59,"d":"$0.59"},{"v":159.7,"d":"$159.70"},{"v":159.7,"d":"$159.70"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3648485","RITE AID PHARMACY 03198"]
["21865M","AC00109762300","MBRP00000434038","000001330863","2021-08-12","00713050324","ANUCORT-HC SUPP 25.000",-28,14,{"v":-114.12,"d":"-$114.12"},{"v":-0.59,"d":"-$0.59"},{"v":-114.71,"d":"-$114.71"},{"v":-79.71,"d":"-$79.71"},{"v":-35,"d":"-$35.00"},"G","N",0,0,9,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010084315E              ","MBRP00000348573","000001605353","2021-08-13","59267100001","PFIZER-BIONTEC SUSP 30.000",0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":40,"d":"$40.00"},{"v":40,"d":"$40.00"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3813284","WALGREENS #4495 04495"]
["21865M","0010006063E              ","MBRP00000424779","000002595193","2021-08-13","16714040504","LARIN FE 1.5/3 TABS 0.000",28,28,{"v":23.68,"d":"$23.68"},{"v":0.59,"d":"$0.59"},{"v":24.27,"d":"$24.27"},{"v":24.27,"d":"$24.27"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010062987E              ","MBRP00000429104","000006242182","2021-08-13","16729009712","QUETIAPINE FUM TB24 400.000",60,30,{"v":141.4,"d":"$141.40"},{"v":0.59,"d":"$0.59"},{"v":141.99,"d":"$141.99"},{"v":136.99,"d":"$136.99"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3673503","K C INSTITUTIONAL PHARMACY"]
["21865M","0010150177E              ","MBRP00000429297","000006708985","2021-08-14","00597014090","TRADJENTA TABS 5.000",90,90,{"v":1371.9,"d":"$1,371.90"},{"v":0,"d":"$0.00"},{"v":1371.9,"d":"$1,371.90"},{"v":1311.9,"d":"$1,311.90"},{"v":60,"d":"$60.00"},"B","N",0,0,1,"R","3669124","GIANT EAGLE PHARMACY #4034 4034"]
["21865M","0010084325E              ","MBRP00000424828","000001491041","2021-08-14","43547035410","LISINOPRIL TABS 20.000",90,90,{"v":4.53,"d":"$4.53"},{"v":0,"d":"$0.00"},{"v":4.53,"d":"$4.53"},{"v":0,"d":"$0.00"},{"v":4.53,"d":"$4.53"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010100929E              ","MBRP00000429218","000001587626","2021-08-14","69315090510","LORAZEPAM TABS 1.000",-30,30,{"v":-1.7,"d":"-$1.70"},{"v":-0.59,"d":"-$0.59"},{"v":-2.29,"d":"-$2.29"},{"v":0,"d":"$0.00"},{"v":-2.29,"d":"-$2.29"},"G","N",0,0,0,"R","3659832","DISCOUNT DRUG MART 50"]
["21865M","0010150177E              ","MBRP00000429297","000006743537","2021-08-15","43598051090","ESOMEPRAZOLE M CPDR 40.000",90,90,{"v":123.35,"d":"$123.35"},{"v":0,"d":"$0.00"},{"v":123.35,"d":"$123.35"},{"v":108.35,"d":"$108.35"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3669124","GIANT EAGLE PHARMACY #4034 4034"]
["21865M","0010092578E              ","MBRP00000424978","000002629292","2021-08-15","59417010310","VYVANSE CAPS 30.000",30,30,{"v":328.98,"d":"$328.98"},{"v":0.59,"d":"$0.59"},{"v":329.57,"d":"$329.57"},{"v":294.57,"d":"$294.57"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010006021E              ","MBRP00000418018","000001515048","2021-08-15","70010049101","METFORMIN HYDR TB24 500.000",30,30,{"v":6.5,"d":"$6.50"},{"v":0.59,"d":"$0.59"},{"v":7.09,"d":"$7.09"},{"v":2.09,"d":"$2.09"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010006130E              ","MBRP00000430911","000000905594","2021-08-16","50228014601","HYDROCHLOROTHI CAPS 12.500",30,30,{"v":2.3,"d":"$2.30"},{"v":0.5,"d":"$0.50"},{"v":2.8,"d":"$2.80"},{"v":0,"d":"$0.00"},{"v":2.8,"d":"$2.80"},"G","N",0,0,0,"R","3606211","DARTMOUTH PHARMACY"]
["21865M","0010153662E              ","MBRP00000430817","000002565376","2021-08-16","31722064430","TADALAFIL TABS 5.000",30,30,{"v":30.57,"d":"$30.57"},{"v":0.59,"d":"$0.59"},{"v":31.16,"d":"$31.16"},{"v":26.16,"d":"$26.16"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010100929E              ","MBRP00000429218","000000772239","2021-08-16","72618300002","NURTEC TBDP 75.000",-16,30,{"v":-1753.01,"d":"-$1,753.01"},{"v":-0.59,"d":"-$0.59"},{"v":-1753.6,"d":"-$1,753.60"},{"v":-1718.6,"d":"-$1,718.60"},{"v":-35,"d":"-$35.00"},"B","N",0,0,9,"R","3684710","SUMMA HEALTH AKRON RETAIL PHARMA"]
["21865M","0010153644E              ","MBRP00000430982","000001713864","2021-08-16","33342008845","RIZATRIPTAN BE TABS 10.000",-9,30,{"v":-10.95,"d":"-$10.95"},{"v":-0.59,"d":"-$0.59"},{"v":-11.54,"d":"-$11.54"},{"v":-6.54,"d":"-$6.54"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010006021E              ","MBRP00000418019","000001537043","2021-08-16","00642747001","SLYND TABS 4.000",-84,84,{"v":-548.24,"d":"-$548.24"},{"v":0,"d":"$0.00"},{"v":-548.24,"d":"-$548.24"},{"v":-443.24,"d":"-$443.24"},{"v":-105,"d":"-$105.00"},"B","N",0,0,9,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010084191E              ","MBRP00000422314","000001025346","2021-08-16","16714041603","LARIN 24 FE TABS 0.000",84,84,{"v":186.49,"d":"$186.49"},{"v":0,"d":"$0.00"},{"v":186.49,"d":"$186.49"},{"v":186.49,"d":"$186.49"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3651949","RITE AID PHARMACY 02398"]
["21865M","0010153623E              ","MBRP00000431025","000007272485","2021-08-17","68645051554","AMLODIPINE BES TABS 5.000",30,30,{"v":1.05,"d":"$1.05"},{"v":0.59,"d":"$0.59"},{"v":1.64,"d":"$1.64"},{"v":0,"d":"$0.00"},{"v":1.64,"d":"$1.64"},"G","N",0,0,0,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","0010121132E              ","MBRP00000429347","000002051717","2021-08-17","00069050130","XELJANZ XR TB24 11.000",30,30,{"v":4851.6,"d":"$4,851.60"},{"v":0,"d":"$0.00"},{"v":4851.6,"d":"$4,851.60"},{"v":4831.6,"d":"$4,831.60"},{"v":20,"d":"$20.00"},"B","Y",0,0,1,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010108014E              ","MBRP00000440197","010858372685","2021-08-17","57237002901","AMOXICILLIN TABS 875.000",20,10,{"v":4.4,"d":"$4.40"},{"v":0.59,"d":"$0.59"},{"v":4.99,"d":"$4.99"},{"v":0,"d":"$0.00"},{"v":4.99,"d":"$4.99"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010084203E              ","MBRP00000424758","000006759791","2021-08-17","68180097903","LISINOPRIL TABS 40.000",-90,90,{"v":-9.1,"d":"-$9.10"},{"v":0,"d":"$0.00"},{"v":-9.1,"d":"-$9.10"},{"v":0,"d":"$0.00"},{"v":-9.1,"d":"-$9.10"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010153644E              ","MBRP00000430982","000001709627","2021-08-17","50111091701","TORSEMIDE TABS 20.000",30,30,{"v":4.14,"d":"$4.14"},{"v":0.59,"d":"$0.59"},{"v":4.73,"d":"$4.73"},{"v":0,"d":"$0.00"},{"v":4.73,"d":"$4.73"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010153617E              ","MBRP00000430969","000000830894","2021-08-17","49502010202","EPINEPHRINE SOAJ 0.300",2,30,{"v":306.9,"d":"$306.90"},{"v":0.59,"d":"$0.59"},{"v":307.49,"d":"$307.49"},{"v":302.49,"d":"$302.49"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010134762E              ","MBRP00000417819","000007290086","2021-08-18","68180087773","JENCYCLA TABS 0.350",-84,84,{"v":-24,"d":"-$24.00"},{"v":0,"d":"$0.00"},{"v":-24,"d":"-$24.00"},{"v":-24,"d":"-$24.00"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3673387","WALMART PHARMACY 10-5410 105410"]
["21865M","0010032689E              ","MBRP00000430867","000006586719","2021-08-18","50228012410","CLOPIDOGREL TABS 75.000",90,90,{"v":41.18,"d":"$41.18"},{"v":0,"d":"$0.00"},{"v":41.18,"d":"$41.18"},{"v":26.18,"d":"$26.18"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010084332E              ","MBRP00000422117","000002630509","2021-08-18","00078069620","ENTRESTO TABS 0.000",60,30,{"v":572.45,"d":"$572.45"},{"v":0.59,"d":"$0.59"},{"v":573.04,"d":"$573.04"},{"v":553.04,"d":"$553.04"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010048450E              ","MBRP00000418553","000001537804","2021-08-18","65862001330","SERTRALINE HYD TABS 100.000",90,90,{"v":9.4,"d":"$9.40"},{"v":0,"d":"$0.00"},{"v":9.4,"d":"$9.40"},{"v":0,"d":"$0.00"},{"v":9.4,"d":"$9.40"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","AC00108140500","MBRP00000404627","000000725130","2021-08-19","68180054502","NYSTATIN/TRIAM CREA 0.000",60,30,{"v":63.94,"d":"$63.94"},{"v":0.59,"d":"$0.59"},{"v":64.53,"d":"$64.53"},{"v":59.53,"d":"$59.53"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010005971E              ","MBRP00000417903","000006264538","2021-08-19","57237022505","RAMIPRIL CAPS 10.000",30,30,{"v":2.54,"d":"$2.54"},{"v":0.59,"d":"$0.59"},{"v":3.13,"d":"$3.13"},{"v":0,"d":"$0.00"},{"v":3.13,"d":"$3.13"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","AC00102985100","MBRP00000345661","000001538300","2021-08-19","16714040604","LARIN FE 1/20 TABS 0.000",-28,28,{"v":-23.46,"d":"-$23.46"},{"v":-0.59,"d":"-$0.59"},{"v":-24.05,"d":"-$24.05"},{"v":-24.05,"d":"-$24.05"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010133529E              ","MBRP00000424950","000002881043","2021-08-19","70700011985","ESTARYLLA TABS 0.000",-28,28,{"v":-23.7,"d":"-$23.70"},{"v":-0.59,"d":"-$0.59"},{"v":-24.29,"d":"-$24.29"},{"v":-24.29,"d":"-$24.29"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010005785E              ","MBRP00000440299","010861734835","2021-08-19","50742023301","ACETAZOLAMIDE  CP12 500.000",-60,30,{"v":-105.74,"d":"-$105.74"},{"v":-0.59,"d":"-$0.59"},{"v":-106.33,"d":"-$106.33"},{"v":-101.33,"d":"-$101.33"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010150177E              ","MBRP00000429296","000004096451","2021-08-19","13668000710","ZOLPIDEM TARTR TABS 5.000",-7,7,{"v":-0.24,"d":"-$0.24"},{"v":-0.59,"d":"-$0.59"},{"v":-0.83,"d":"-$0.83"},{"v":0,"d":"$0.00"},{"v":-0.83,"d":"-$0.83"},"G","N",0,0,0,"R","3669124","GIANT EAGLE PHARMACY #4034 4034"]
["21865M","0010150177E              ","MBRP00000429296","000004096451","2021-08-19","13668000710","ZOLPIDEM TARTR TABS 5.000",7,7,{"v":0.24,"d":"$0.24"},{"v":0.59,"d":"$0.59"},{"v":0.83,"d":"$0.83"},{"v":0,"d":"$0.00"},{"v":0.83,"d":"$0.83"},"G","N",0,0,0,"R","3669124","GIANT EAGLE PHARMACY #4034 4034"]
["21865M","0010084270E              ","MBRP00000422367","000000668345","2021-08-20","59762007401","HYDROCORTISONE TABS 10.000",-30,30,{"v":-12.74,"d":"-$12.74"},{"v":-0.59,"d":"-$0.59"},{"v":-13.33,"d":"-$13.33"},{"v":-8.33,"d":"-$8.33"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3675646","WALGREENS #10518 10518"]
["21865M","0010070017E              ","MBRP00000429016","000002869227","2021-08-20","13811070110","HYDROMORPHONE  TB24 8.000",30,30,{"v":226.82,"d":"$226.82"},{"v":0.59,"d":"$0.59"},{"v":227.41,"d":"$227.41"},{"v":222.41,"d":"$222.41"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010098981E              ","MBRP00000429201","000001498658","2021-08-20","47781035703","BUPRENORPHINE  FILM 0.000",-14,7,{"v":-70.77,"d":"-$70.77"},{"v":-0.59,"d":"-$0.59"},{"v":-71.36,"d":"-$71.36"},{"v":-66.36,"d":"-$66.36"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010051988E              ","MBRP00000429160","000000725324","2021-08-20","65162046650","IBUPROFEN TABS 800.000",-60,30,{"v":-4.07,"d":"-$4.07"},{"v":-0.59,"d":"-$0.59"},{"v":-4.66,"d":"-$4.66"},{"v":0,"d":"$0.00"},{"v":-4.66,"d":"-$4.66"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010084126E              ","MBRP00000301080","000004478999","2021-08-21","13107008405","LORAZEPAM TABS 1.000",60,30,{"v":3.4,"d":"$3.40"},{"v":0.59,"d":"$0.59"},{"v":3.99,"d":"$3.99"},{"v":0,"d":"$0.00"},{"v":3.99,"d":"$3.99"},"G","N",0,0,0,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","0010022889E              ","MBRP00000440082","000309453169","2021-08-21","69097012715","AMLODIPINE BES TABS 5.000",90,90,{"v":3.14,"d":"$3.14"},{"v":0,"d":"$0.00"},{"v":3.14,"d":"$3.14"},{"v":0,"d":"$0.00"},{"v":3.14,"d":"$3.14"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010105950E              ","MBRP00000430808","000000828225","2021-08-21","00071036924","DILANTIN CAPS 100.000",28,7,{"v":39.26,"d":"$39.26"},{"v":0.59,"d":"$0.59"},{"v":39.85,"d":"$39.85"},{"v":0,"d":"$0.00"},{"v":39.85,"d":"$39.85"},"B","N",0,1,1,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010006122E              ","MBRP00000440127","000006775253","2021-08-21","65862037405","ESCITALOPRAM O TABS 10.000",90,90,{"v":14.14,"d":"$14.14"},{"v":0,"d":"$0.00"},{"v":14.14,"d":"$14.14"},{"v":0,"d":"$0.00"},{"v":14.14,"d":"$14.14"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010137838E              ","MBRP00000417781","000006803877","2021-08-22","16714066202","GABAPENTIN CAPS 300.000",120,30,{"v":17.24,"d":"$17.24"},{"v":0.59,"d":"$0.59"},{"v":17.83,"d":"$17.83"},{"v":12.83,"d":"$12.83"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3656444","MARCS 27"]
["21865M","0010114615E              ","MBRP00000440323","000004079071","2021-08-22","68462038401","ESZOPICLONE TABS 3.000",30,30,{"v":17.42,"d":"$17.42"},{"v":0.59,"d":"$0.59"},{"v":18.01,"d":"$18.01"},{"v":13.01,"d":"$13.01"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3669112","GIANT EAGLE PHARMACY #1618 1618"]
["21865M","0010123109E              ","MBRP00000440017","000000792611","2021-08-22","59779060027","CVS ASPIRIN LO TBEC 81.000",-90,90,{"v":-3.54,"d":"-$3.54"},{"v":0,"d":"$0.00"},{"v":-3.54,"d":"-$3.54"},{"v":-3.54,"d":"-$3.54"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010077349E              ","MBRP00000424944","000001715243","2021-08-23","65862001705","AMOXICILLIN CAPS 500.000",21,7,{"v":2.35,"d":"$2.35"},{"v":0.59,"d":"$0.59"},{"v":2.94,"d":"$2.94"},{"v":0,"d":"$0.00"},{"v":2.94,"d":"$2.94"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010064744E              ","MBRP00000422385","000000563715","2021-08-23","43547035311","LISINOPRIL TABS 10.000",90,90,{"v":4.15,"d":"$4.15"},{"v":0,"d":"$0.00"},{"v":4.15,"d":"$4.15"},{"v":0,"d":"$0.00"},{"v":4.15,"d":"$4.15"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","AC00109149100","MBRP00000446408","000001539060","2021-08-23","00406117003","NALTREXONE HCL TABS 50.000",30,30,{"v":46.72,"d":"$46.72"},{"v":0.59,"d":"$0.59"},{"v":47.31,"d":"$47.31"},{"v":42.31,"d":"$42.31"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010131947E              ","MBRP00000286482","000006259306","2021-08-23","47335090588","QUETIAPINE FUM TABS 200.000",60,30,{"v":31.86,"d":"$31.86"},{"v":0.59,"d":"$0.59"},{"v":32.45,"d":"$32.45"},{"v":27.45,"d":"$27.45"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010139126E              ","MBRP00000429225","010864284770","2021-08-23","68180078001","ZOLPIDEM TARTR TBCR 12.500",-30,30,{"v":-54.65,"d":"-$54.65"},{"v":-0.59,"d":"-$0.59"},{"v":-55.24,"d":"-$55.24"},{"v":-50.24,"d":"-$50.24"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010124281E              ","MBRP00000417928","000001537573","2021-08-23","43547035310","LISINOPRIL TABS 10.000",90,90,{"v":3.65,"d":"$3.65"},{"v":0,"d":"$0.00"},{"v":3.65,"d":"$3.65"},{"v":0,"d":"$0.00"},{"v":3.65,"d":"$3.65"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010151570E              ","MBRP00000429087","000007572954","2021-08-23","68645055354","LISINOPRIL TABS 20.000",30,30,{"v":1.51,"d":"$1.51"},{"v":0.59,"d":"$0.59"},{"v":2.1,"d":"$2.10"},{"v":0,"d":"$0.00"},{"v":2.1,"d":"$2.10"},"G","N",0,0,0,"R","3668285","WALMART PHARMACY 10-2914 102914"]
["21865M","0010139929E              ","MBRP00000424820","000002863290","2021-08-24","51672403201","WARFARIN SODIU TABS 5.000",15,7,{"v":2.89,"d":"$2.89"},{"v":0.59,"d":"$0.59"},{"v":3.48,"d":"$3.48"},{"v":0,"d":"$0.00"},{"v":3.48,"d":"$3.48"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010120429E              ","MBRP00000401502","000000762927","2021-08-24","47781030301","NITROFURANTOIN CAPS 100.000",14,7,{"v":43.69,"d":"$43.69"},{"v":0.59,"d":"$0.59"},{"v":44.28,"d":"$44.28"},{"v":39.28,"d":"$39.28"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3679668","CVS PHARMACY #02385 02385"]
["21865M","0010084199E              ","MBRP00000417831","000001694688","2021-08-24","00185084201","AMPHETAMINE/DE TABS 0.000",30,30,{"v":19.96,"d":"$19.96"},{"v":0.59,"d":"$0.59"},{"v":20.55,"d":"$20.55"},{"v":15.55,"d":"$15.55"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3609837","CVS PHARMACY #03321 03321"]
["21865M","AC00110874700","MBRP00000473467","000001137597","2021-08-24","65862052890","VENLAFAXINE HY CP24 75.000",30,30,{"v":5.93,"d":"$5.93"},{"v":0.59,"d":"$0.59"},{"v":6.52,"d":"$6.52"},{"v":1.52,"d":"$1.52"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648916","DISCOUNT DRUG MART 32"]
["21865M","0010134796E              ","MBRP00000422347","000000858281","2021-08-24","00456142030","BYSTOLIC TABS 20.000",-90,90,{"v":-446.27,"d":"-$446.27"},{"v":0,"d":"$0.00"},{"v":-446.27,"d":"-$446.27"},{"v":-341.27,"d":"-$341.27"},{"v":-105,"d":"-$105.00"},"B","N",0,0,9,"R","3679632","CVS PHARMACY #08248 08248"]
["21865M","0010139968E              ","MBRP00000418010","000002902693","2021-08-24","68682065220","DIAZEPAM RECTA GEL  10.000",-1,30,{"v":-279.58,"d":"-$279.58"},{"v":-0.59,"d":"-$0.59"},{"v":-280.17,"d":"-$280.17"},{"v":-275.17,"d":"-$275.17"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010084172E              ","MBRP00000424718","000001024814","2021-08-25","65862001330","SERTRALINE HYD TABS 100.000",45,30,{"v":4.7,"d":"$4.70"},{"v":0.59,"d":"$0.59"},{"v":5.29,"d":"$5.29"},{"v":0.29,"d":"$0.29"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651949","RITE AID PHARMACY 02398"]
["21865M","AC00109690100","MBRP00000455154","000001204819","2021-08-25","57664037708","TRAMADOL HCL TABS 50.000",28,7,{"v":0.92,"d":"$0.92"},{"v":0.59,"d":"$0.59"},{"v":1.51,"d":"$1.51"},{"v":0,"d":"$0.00"},{"v":1.51,"d":"$1.51"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010120894E              ","MBRP00000429186","000002023880","2021-08-25","69344021311","OXAYDO TABS 7.500",-25,7,{"v":-326.29,"d":"-$326.29"},{"v":-0.59,"d":"-$0.59"},{"v":-326.88,"d":"-$326.88"},{"v":-291.88,"d":"-$291.88"},{"v":-35,"d":"-$35.00"},"B","N",0,0,9,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010084337E              ","MBRP00000440307","000001199394","2021-08-25","68382039801","POTASSIUM CHLO TBCR 20.000",60,30,{"v":25.44,"d":"$25.44"},{"v":0.59,"d":"$0.59"},{"v":26.03,"d":"$26.03"},{"v":21.03,"d":"$21.03"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010120894E              ","MBRP00000429186","000004022137","2021-08-26","50228035290","PREGABALIN CAPS 75.000",90,30,{"v":16.85,"d":"$16.85"},{"v":0.59,"d":"$0.59"},{"v":17.44,"d":"$17.44"},{"v":12.44,"d":"$12.44"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010153312E              ","MBRP00000271054","000006540053","2021-08-26","16714071302","TAMSULOSIN HYD CAPS 0.400",90,90,{"v":17.09,"d":"$17.09"},{"v":0,"d":"$0.00"},{"v":17.09,"d":"$17.09"},{"v":2.09,"d":"$2.09"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010153659E              ","MBRP00000431042","000006705595","2021-08-26","00555088602","ESTRADIOL TABS 1.000",30,30,{"v":7.31,"d":"$7.31"},{"v":0.59,"d":"$0.59"},{"v":7.9,"d":"$7.90"},{"v":2.9,"d":"$2.90"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3674151","GIANT EAGLE PHARMACY #4152 4152"]
["21865M","0010080372E              ","MBRP00000417961","000001069598","2021-08-26","00172208380","HYDROCHLOROTHI TABS 25.000",30,30,{"v":0.9,"d":"$0.90"},{"v":0.59,"d":"$0.59"},{"v":1.49,"d":"$1.49"},{"v":0,"d":"$0.00"},{"v":1.49,"d":"$1.49"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010084137E              ","MBRP00000440090","000000915751","2021-08-26","65162071009","COLCHICINE TABS 0.600",30,30,{"v":133.52,"d":"$133.52"},{"v":0.59,"d":"$0.59"},{"v":134.11,"d":"$134.11"},{"v":129.11,"d":"$129.11"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651975","RITE AID PHARMACY 02401"]
["21865M","0010126142E              ","MBRP00000429123","000001256522","2021-08-27","59267100001","PFIZER-BIONTEC SUSP 30.000",0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":40,"d":"$40.00"},{"v":40,"d":"$40.00"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3666320","WALGREENS #4983 4983"]
["21865M","AC00108619800","MBRP00000418639","000002342773","2021-08-27","00006011231","JANUVIA TABS 50.000",-5,5,{"v":-81.32,"d":"-$81.32"},{"v":-0.59,"d":"-$0.59"},{"v":-81.91,"d":"-$81.91"},{"v":-61.91,"d":"-$61.91"},{"v":-20,"d":"-$20.00"},"B","N",0,0,1,"R","3673527","WALGREENS #9385 9385"]
["21865M","AC00109762300","MBRP00000434038","000001334115","2021-08-27","00781707787","METRONIDAZOLE  GEL  0.750",70,5,{"v":83.5,"d":"$83.50"},{"v":0.59,"d":"$0.59"},{"v":84.09,"d":"$84.09"},{"v":79.09,"d":"$79.09"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010112588E              ","MBRP00000463642","000000944258","2021-08-27","61314064705","TOBRAMYCIN/DEX SUSP 0.000",5,10,{"v":119.03,"d":"$119.03"},{"v":0.59,"d":"$0.59"},{"v":119.62,"d":"$119.62"},{"v":114.62,"d":"$114.62"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651975","RITE AID PHARMACY 02401"]
["21865M","0010112590E              ","MBRP00000429150","000310138125","2021-08-27","00536123441","ASPIRIN LOW DO TBEC 81.000",90,90,{"v":1.74,"d":"$1.74"},{"v":0,"d":"$0.00"},{"v":1.74,"d":"$1.74"},{"v":1.74,"d":"$1.74"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010005833E              ","MBRP00000430909","000004316062","2021-08-27","00228202950","ALPRAZOLAM TABS 0.500",120,30,{"v":3.22,"d":"$3.22"},{"v":0.59,"d":"$0.59"},{"v":3.81,"d":"$3.81"},{"v":0,"d":"$0.00"},{"v":3.81,"d":"$3.81"},"G","N",0,0,0,"R","3648930","MARCS 14"]
["21865M","0010084104E              ","MBRP00000309888","000000726051","2021-08-27","58160088752","FLUARIX QUADRI SUSY 0.000",0.5,1,{"v":17.69,"d":"$17.69"},{"v":0.59,"d":"$0.59"},{"v":18.28,"d":"$18.28"},{"v":18.28,"d":"$18.28"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010052586E              ","MBRP00000398481","000002894553","2021-08-28","57664076188","HYDROXYCHLOROQ TABS 200.000",60,30,{"v":61.9,"d":"$61.90"},{"v":0.59,"d":"$0.59"},{"v":62.49,"d":"$62.49"},{"v":57.49,"d":"$57.49"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010092580E              ","MBRP00000424961","000001500607","2021-08-28","65862070260","ZIPRASIDONE HC CAPS 20.000",-180,90,{"v":-227.79,"d":"-$227.79"},{"v":0,"d":"$0.00"},{"v":-227.79,"d":"-$227.79"},{"v":-212.79,"d":"-$212.79"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","AC00110170000","MBRP00000462506","000007277045","2021-08-28","68645057390","GLIMEPIRIDE TABS 4.000",-180,90,{"v":-20,"d":"-$20.00"},{"v":0,"d":"$0.00"},{"v":-20,"d":"-$20.00"},{"v":-5,"d":"-$5.00"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","0010099978E              ","MBRP00000430930","000007138528","2021-08-28","00169266015","TRESIBA FLEXTO SOPN 100.000",15,83,{"v":499.32,"d":"$499.32"},{"v":0.59,"d":"$0.59"},{"v":499.91,"d":"$499.91"},{"v":439.91,"d":"$439.91"},{"v":60,"d":"$60.00"},"B","N",0,0,1,"R","3654034","MARCS 22"]
["21865M","0010115664E              ","MBRP00000429197","000002426624","2021-08-29","60219175303","SILDENAFIL CIT TABS 100.000",6,30,{"v":3.92,"d":"$3.92"},{"v":0.59,"d":"$0.59"},{"v":4.51,"d":"$4.51"},{"v":0,"d":"$0.00"},{"v":4.51,"d":"$4.51"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010137638E              ","MBRP00000417804","000006726747","2021-08-30","00002143380","TRULICITY SOPN 0.750",2,28,{"v":829.23,"d":"$829.23"},{"v":0.59,"d":"$0.59"},{"v":829.82,"d":"$829.82"},{"v":809.82,"d":"$809.82"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3674151","GIANT EAGLE PHARMACY #4152 4152"]
["21865M","0010111871E              ","MBRP00000440161","000001500974","2021-08-30","13107008301","LORAZEPAM TABS 0.500",60,30,{"v":2.67,"d":"$2.67"},{"v":0.59,"d":"$0.59"},{"v":3.26,"d":"$3.26"},{"v":0,"d":"$0.00"},{"v":3.26,"d":"$3.26"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010033703E              ","MBRP00000429270","000006265202","2021-08-30","00487950125","ALBUTEROL SULF NEBU 0.083",300,30,{"v":20.1,"d":"$20.10"},{"v":0.59,"d":"$0.59"},{"v":20.69,"d":"$20.69"},{"v":15.69,"d":"$15.69"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010153613E              ","MBRP00000430836","000309008009","2021-08-30","00023114501","BOTOX SOLR 100.000",2,90,{"v":1191.25,"d":"$1,191.25"},{"v":0,"d":"$0.00"},{"v":1191.25,"d":"$1,191.25"},{"v":1131.25,"d":"$1,131.25"},{"v":60,"d":"$60.00"},"B","Y",0,0,1,"R","1564930","OPTUM PHARMACY 702, LLC"]
["21865M","0010129036E              ","MBRP00000429011","000001070131","2021-08-30","50742061501","METOPROLOL SUC TB24 25.000",90,90,{"v":47.02,"d":"$47.02"},{"v":0,"d":"$0.00"},{"v":47.02,"d":"$47.02"},{"v":32.02,"d":"$32.02"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010033703E              ","MBRP00000429270","000006265202","2021-08-30","00378827093","ALBUTEROL SULF NEBU 0.083",-300,30,{"v":-20.1,"d":"-$20.10"},{"v":-0.59,"d":"-$0.59"},{"v":-20.69,"d":"-$20.69"},{"v":-15.69,"d":"-$15.69"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010006035E              ","MBRP00000430910","000001004621","2021-08-30","31722052201","HYDRALAZINE HY TABS 100.000",90,30,{"v":34.07,"d":"$34.07"},{"v":0.59,"d":"$0.59"},{"v":34.66,"d":"$34.66"},{"v":29.66,"d":"$29.66"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3627873","MEDICINE CENTER OF CANTON"]
["21865M","0010152319E              ","MBRP00000440081","000000897281","2021-08-30","68180063609","ATORVASTATIN C TABS 20.000",30,30,{"v":2.93,"d":"$2.93"},{"v":0.59,"d":"$0.59"},{"v":3.52,"d":"$3.52"},{"v":0,"d":"$0.00"},{"v":3.52,"d":"$3.52"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010153631E              ","MBRP00000430997","000001805655","2021-08-30","00054050823","ICOSAPENT ETHY CAPS 1.000",-120,30,{"v":-308.8,"d":"-$308.80"},{"v":-0.59,"d":"-$0.59"},{"v":-309.39,"d":"-$309.39"},{"v":-304.39,"d":"-$304.39"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","AC00109149800","MBRP00000446414","000002442388","2021-08-31","00406051205","OXYCODONE/ACET TABS 0.000",16,5,{"v":2.5,"d":"$2.50"},{"v":0.59,"d":"$0.59"},{"v":3.09,"d":"$3.09"},{"v":0,"d":"$0.00"},{"v":3.09,"d":"$3.09"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010139944E              ","MBRP00000459982","000000582333","2021-08-31","54838055550","ONDANSETRON HC SOLN 4.000",-30,15,{"v":-11.55,"d":"-$11.55"},{"v":-0.59,"d":"-$0.59"},{"v":-12.14,"d":"-$12.14"},{"v":-7.14,"d":"-$7.14"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010153616E              ","MBRP00000429316","000002061268","2021-08-31","00555097302","AMPHETAMINE/DE TABS 0.000",60,30,{"v":39.93,"d":"$39.93"},{"v":0.59,"d":"$0.59"},{"v":40.52,"d":"$40.52"},{"v":35.52,"d":"$35.52"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","AC00109149100","MBRP00000446408","000019072085","2021-08-31","68180031906","BUPROPION HYDR TB24 150.000",-30,30,{"v":-25.32,"d":"-$25.32"},{"v":-0.59,"d":"-$0.59"},{"v":-25.91,"d":"-$25.91"},{"v":-20.91,"d":"-$20.91"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3997294","ALIXARX - PA HUB 4580"]
["21865M","AC00109765000","MBRP00000417857","000007332329","2021-08-31","65862000705","CITALOPRAM HYD TABS 40.000",30,30,{"v":9.79,"d":"$9.79"},{"v":0.59,"d":"$0.59"},{"v":10.38,"d":"$10.38"},{"v":5.38,"d":"$5.38"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3678313","GIANT EAGLE PHARMACY #4601 4601"]
["21865M","AC00109910700","MBRP00000458647","000001826013","2021-08-31","59746017306","PREDNISONE TABS 10.000",-21,6,{"v":-3.05,"d":"-$3.05"},{"v":-0.59,"d":"-$0.59"},{"v":-3.64,"d":"-$3.64"},{"v":0,"d":"$0.00"},{"v":-3.64,"d":"-$3.64"},"G","N",0,0,0,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","0010153640E              ","MBRP00000430766","000006588804","2021-08-31","80777027398","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":40,"d":"$40.00"},{"v":40,"d":"$40.00"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010153606E              ","MBRP00000430976","000008808589","2021-09-01","65862021150","MINOCYCLINE HY CAPS 100.000",42,21,{"v":44.15,"d":"$44.15"},{"v":0.5,"d":"$0.50"},{"v":44.65,"d":"$44.65"},{"v":39.65,"d":"$39.65"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3644691","SCRIPTSHOP PHARMACY"]
["21865M","AC00109149100","MBRP00000446408","000019142268","2021-09-01","14539067505","HYDROXYZINE PA CAPS 50.000",2,1,{"v":0.2,"d":"$0.20"},{"v":0.59,"d":"$0.59"},{"v":0.79,"d":"$0.79"},{"v":0,"d":"$0.00"},{"v":0.79,"d":"$0.79"},"G","N",0,0,0,"R","3997294","ALIXARX - PA HUB 4580"]
["21865M","0010049921E              ","MBRP00000440035","000001587008","2021-09-01","17478076610","PROGESTERONE CAPS 100.000",-30,30,{"v":-40,"d":"-$40.00"},{"v":0,"d":"$0.00"},{"v":-40,"d":"-$40.00"},{"v":-35,"d":"-$35.00"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3659832","DISCOUNT DRUG MART 50"]
["21865M","0010153368E              ","MBRP00000422344","000006788723","2021-09-01","00054981729","PREDNISONE TABS 10.000",30,12,{"v":4.35,"d":"$4.35"},{"v":0.59,"d":"$0.59"},{"v":4.94,"d":"$4.94"},{"v":0,"d":"$0.00"},{"v":4.94,"d":"$4.94"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010076542E              ","MBRP00000422322","000000582286","2021-09-01","62175011843","OMEPRAZOLE CPDR 20.000",-30,30,{"v":-2.59,"d":"-$2.59"},{"v":-0.59,"d":"-$0.59"},{"v":-3.18,"d":"-$3.18"},{"v":0,"d":"$0.00"},{"v":-3.18,"d":"-$3.18"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010006022E              ","MBRP00000418028","000002636046","2021-09-02","65862057490","MONTELUKAST SO TABS 10.000",90,90,{"v":34.94,"d":"$34.94"},{"v":0,"d":"$0.00"},{"v":34.94,"d":"$34.94"},{"v":19.94,"d":"$19.94"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010084180E              ","MBRP00000422313","000002058300","2021-09-02","54092047101","MYDAYIS CP24 0.000",90,90,{"v":868.49,"d":"$868.49"},{"v":0,"d":"$0.00"},{"v":868.49,"d":"$868.49"},{"v":763.49,"d":"$763.49"},{"v":105,"d":"$105.00"},"B","N",0,0,9,"R","3669112","GIANT EAGLE PHARMACY #1618 1618"]
["21865M","0010050682E              ","MBRP00000440152","000001021959","2021-09-02","00781542292","PIOGLITAZONE H TABS 45.000",-90,90,{"v":-17.24,"d":"-$17.24"},{"v":0,"d":"$0.00"},{"v":-17.24,"d":"-$17.24"},{"v":-2.24,"d":"-$2.24"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3627873","MEDICINE CENTER OF CANTON"]
["21865M","0010084180E              ","MBRP00000422313","000006861412","2021-09-02","62175030246","RABEPRAZOLE SO TBEC 20.000",14,14,{"v":12.64,"d":"$12.64"},{"v":0.59,"d":"$0.59"},{"v":13.23,"d":"$13.23"},{"v":8.23,"d":"$8.23"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3669112","GIANT EAGLE PHARMACY #1618 1618"]
["21865M","0010115244E              ","MBRP00000424884","000000726672","2021-09-02","69097012303","TOPIRAMATE TABS 50.000",-180,90,{"v":-18.86,"d":"-$18.86"},{"v":0,"d":"$0.00"},{"v":-18.86,"d":"-$18.86"},{"v":-3.86,"d":"-$3.86"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010139929E              ","MBRP00000424820","000002863290","2021-09-02","51672403201","WARFARIN SODIU TABS 5.000",120,30,{"v":23.08,"d":"$23.08"},{"v":0.59,"d":"$0.59"},{"v":23.67,"d":"$23.67"},{"v":18.67,"d":"$18.67"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010138840E              ","MBRP00000429062","000001541876","2021-09-02","80777027398","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":40,"d":"$40.00"},{"v":40,"d":"$40.00"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010085209E              ","MBRP00000429141","000006589281","2021-09-03","00173068220","VENTOLIN HFA AERS 108.000",18,16,{"v":54.37,"d":"$54.37"},{"v":0.59,"d":"$0.59"},{"v":54.96,"d":"$54.96"},{"v":34.96,"d":"$34.96"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010153528E              ","MBRP00000410900","000001332463","2021-09-03","66993001968","ALBUTEROL SULF AERS 108.000",18,16,{"v":44.4,"d":"$44.40"},{"v":0.59,"d":"$0.59"},{"v":44.99,"d":"$44.99"},{"v":9.99,"d":"$9.99"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010085209E              ","MBRP00000429141","000008854781","2021-09-03","45802097426","CETIRIZINE HCL SOLN 1.000",225,30,{"v":7.26,"d":"$7.26"},{"v":0.59,"d":"$0.59"},{"v":7.85,"d":"$7.85"},{"v":2.85,"d":"$2.85"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010056036E              ","MBRP00000422440","000000791755","2021-09-03","51672137706","ADAPALENE GEL  0.300",45,30,{"v":85.6,"d":"$85.60"},{"v":0.59,"d":"$0.59"},{"v":86.19,"d":"$86.19"},{"v":81.19,"d":"$81.19"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3679606","CVS PHARMACY #02063 02063"]
["21865M","0010120894E              ","MBRP00000429186","000004021321","2021-09-04","67877014605","TEMAZEPAM CAPS 15.000",30,30,{"v":3.09,"d":"$3.09"},{"v":0.59,"d":"$0.59"},{"v":3.68,"d":"$3.68"},{"v":0,"d":"$0.00"},{"v":3.68,"d":"$3.68"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","AC00109838700","MBRP00000458804","000002906389","2021-09-04","00143988701","AMOXICILLIN SUSR 400.000",100,10,{"v":3.32,"d":"$3.32"},{"v":0.59,"d":"$0.59"},{"v":3.91,"d":"$3.91"},{"v":0,"d":"$0.00"},{"v":3.91,"d":"$3.91"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010112591E              ","MBRP00000440115","000000945442","2021-09-05","59267100003","PFIZER-BIONTEC SUSP 30.000",0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":40,"d":"$40.00"},{"v":40,"d":"$40.00"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3651975","RITE AID PHARMACY 02401"]
["21865M","0010153591E              ","MBRP00000431010","000001525553","2021-09-05","68382005101","MELOXICAM TABS 15.000",30,30,{"v":1.23,"d":"$1.23"},{"v":0.59,"d":"$0.59"},{"v":1.82,"d":"$1.82"},{"v":0,"d":"$0.00"},{"v":1.82,"d":"$1.82"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010059905E              ","MBRP00000418066","000000887243","2021-09-06","16714007501","TADALAFIL TABS 5.000",90,90,{"v":91.7,"d":"$91.70"},{"v":0,"d":"$0.00"},{"v":91.7,"d":"$91.70"},{"v":76.7,"d":"$76.70"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010153622E              ","MBRP00000429311","000006712116","2021-09-06","43598072101","HYDROXYCHLOROQ TABS 200.000",60,30,{"v":61.9,"d":"$61.90"},{"v":0.59,"d":"$0.59"},{"v":62.49,"d":"$62.49"},{"v":57.49,"d":"$57.49"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3669124","GIANT EAGLE PHARMACY #4034 4034"]
["21865M","0010052586E              ","MBRP00000398481","000002906852","2021-09-07","60432026415","FLUTICASONE PR SUSP 50.000",48,90,{"v":23.34,"d":"$23.34"},{"v":0,"d":"$0.00"},{"v":23.34,"d":"$23.34"},{"v":8.34,"d":"$8.34"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010064748E              ","MBRP00000422300","000001193154","2021-09-07","31722099601","HYDROCODONE BI TABS 0.000",-120,30,{"v":-14.23,"d":"-$14.23"},{"v":-0.59,"d":"-$0.59"},{"v":-14.82,"d":"-$14.82"},{"v":-9.82,"d":"-$9.82"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3651886","RITE AID PHARMACY 02393"]
["21865M","0010150770E              ","MBRP00000312836","000000870222","2021-09-07","00378827052","ALBUTEROL SULF NEBU 0.083",-75,7,{"v":-5.02,"d":"-$5.02"},{"v":-0.59,"d":"-$0.59"},{"v":-5.61,"d":"-$5.61"},{"v":-0.61,"d":"-$0.61"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3679606","CVS PHARMACY #02063 02063"]
["21865M","0010084335E              ","MBRP00000422202","000008873618","2021-09-07","53746054201","POTASSIUM CHLO CPCR 10.000",90,90,{"v":40.87,"d":"$40.87"},{"v":0,"d":"$0.00"},{"v":40.87,"d":"$40.87"},{"v":25.87,"d":"$25.87"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3662447","CVS PHARMACY #16247 16247"]
["21865M","0010125448E              ","MBRP00000422290","000317806998","2021-09-07","00093317431","ALBUTEROL SULF AERS 108.000",51,90,{"v":171.09,"d":"$171.09"},{"v":0,"d":"$0.00"},{"v":171.09,"d":"$171.09"},{"v":161.09,"d":"$161.09"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","0556540","OPTUMRX"]
["21865M","0010124279E              ","MBRP00000418014","000006008646","2021-09-07","69452015120","VITAMIN D CAPS 50000.000",4,28,{"v":2.36,"d":"$2.36"},{"v":0.59,"d":"$0.59"},{"v":2.95,"d":"$2.95"},{"v":0,"d":"$0.00"},{"v":2.95,"d":"$2.95"},"G","N",0,0,0,"R","3685267","THE OAK CLINIC PHARMACY 108"]
["21865M","0010006037E              ","MBRP00000440264","000001202731","2021-09-07","61442011201","ACYCLOVIR TABS 400.000",30,30,{"v":12.56,"d":"$12.56"},{"v":0.59,"d":"$0.59"},{"v":13.15,"d":"$13.15"},{"v":8.15,"d":"$8.15"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","AC00110043100","MBRP00000460621","000001858412","2021-09-07","43547035311","LISINOPRIL TABS 10.000",30,30,{"v":1.22,"d":"$1.22"},{"v":0.59,"d":"$0.59"},{"v":1.81,"d":"$1.81"},{"v":0,"d":"$0.00"},{"v":1.81,"d":"$1.81"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","0010115244E              ","MBRP00000424883","000000727220","2021-09-08","65862039010","ONDANSETRON OD TBDP 4.000",15,5,{"v":7.02,"d":"$7.02"},{"v":0.59,"d":"$0.59"},{"v":7.61,"d":"$7.61"},{"v":2.61,"d":"$2.61"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010061934E              ","MBRP00000424836","000001330680","2021-09-08","16729013616","CLONAZEPAM TABS 0.500",40,28,{"v":1.79,"d":"$1.79"},{"v":0.59,"d":"$0.59"},{"v":2.38,"d":"$2.38"},{"v":0,"d":"$0.00"},{"v":2.38,"d":"$2.38"},"G","N",0,0,0,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010153595E              ","MBRP00000430834","000001207177","2021-09-08","31722064630","TADALAFIL TABS 20.000",6,30,{"v":7.47,"d":"$7.47"},{"v":0,"d":"$0.00"},{"v":7.47,"d":"$7.47"},{"v":2.47,"d":"$2.47"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010106791E              ","MBRP00000437316","000009345584","2021-09-08","68001025320","FLUCONAZOLE TABS 150.000",2,3,{"v":4.6,"d":"$4.60"},{"v":0.5,"d":"$0.50"},{"v":5.1,"d":"$5.10"},{"v":0.1,"d":"$0.10"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010139932E              ","MBRP00000424824","000001111445","2021-09-08","55111015810","OMEPRAZOLE CPDR 20.000",-30,30,{"v":-2.59,"d":"-$2.59"},{"v":-0.59,"d":"-$0.59"},{"v":-3.18,"d":"-$3.18"},{"v":0,"d":"$0.00"},{"v":-3.18,"d":"-$3.18"},"G","N",0,0,0,"R","3140516","CVS PHARMACY #02354 02354"]
["21865M","0010153600E              ","MBRP00000431004","000004159454","2021-09-08","69315090410","LORAZEPAM TABS 0.500",30,30,{"v":1.33,"d":"$1.33"},{"v":0.59,"d":"$0.59"},{"v":1.92,"d":"$1.92"},{"v":0,"d":"$0.00"},{"v":1.92,"d":"$1.92"},"G","N",0,0,0,"R","3666356","GIANT EAGLE PHARMACY #1620 1620"]
["21865M","0010148087E              ","MBRP00000429012","000001492521","2021-09-09","00006057561","JANUMET TABS 0.000",-180,90,{"v":-1403.96,"d":"-$1,403.96"},{"v":0,"d":"$0.00"},{"v":-1403.96,"d":"-$1,403.96"},{"v":-1343.96,"d":"-$1,343.96"},{"v":-60,"d":"-$60.00"},"B","N",0,0,1,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010084104E              ","MBRP00000309889","000000914914","2021-09-09","16714095501","KETOCONAZOLE CREA 2.000",-30,30,{"v":-25.71,"d":"-$25.71"},{"v":-0.59,"d":"-$0.59"},{"v":-26.3,"d":"-$26.30"},{"v":-21.3,"d":"-$21.30"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3651850","RITE AID PHARMACY 02390"]
["21865M","0010006021E              ","MBRP00000418019","000001543398","2021-09-09","66993001968","ALBUTEROL SULF AERS 108.000",18,25,{"v":51.1,"d":"$51.10"},{"v":0.59,"d":"$0.59"},{"v":51.69,"d":"$51.69"},{"v":16.69,"d":"$16.69"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010115601E              ","MBRP00000315731","000000578663","2021-09-09","00186091706","PULMICORT FLEX AEPB 90.000",1,30,{"v":188.4,"d":"$188.40"},{"v":0.59,"d":"$0.59"},{"v":188.99,"d":"$188.99"},{"v":153.99,"d":"$153.99"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010006054E              ","MBRP00000418056","000001025383","2021-09-09","69315012701","FOLIC ACID TABS 1.000",60,30,{"v":4.11,"d":"$4.11"},{"v":0.59,"d":"$0.59"},{"v":4.7,"d":"$4.70"},{"v":0,"d":"$0.00"},{"v":4.7,"d":"$4.70"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010147361E              ","MBRP00000294787","000318096189","2021-09-09","68180051202","LISINOPRIL TABS 2.500",90,90,{"v":2.58,"d":"$2.58"},{"v":0,"d":"$0.00"},{"v":2.58,"d":"$2.58"},{"v":0,"d":"$0.00"},{"v":2.58,"d":"$2.58"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010152646E              ","MBRP00000442992","000000727427","2021-09-10","00406889101","AMPHETAMINE/DE TABS 0.000",30,30,{"v":15.68,"d":"$15.68"},{"v":0.59,"d":"$0.59"},{"v":16.27,"d":"$16.27"},{"v":11.27,"d":"$11.27"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010051147E              ","MBRP00000398325","000309468604","2021-09-10","00074055402","HUMIRA PEN PNKT 40.000",2,28,{"v":5715.13,"d":"$5,715.13"},{"v":0,"d":"$0.00"},{"v":5715.13,"d":"$5,715.13"},{"v":5695.13,"d":"$5,695.13"},{"v":20,"d":"$20.00"},"B","Y",0,0,1,"R","3338969","OPTUMRX PHARMACY 706, INC."]
["21865M","0060044938E              ","MBRP00000396619","000001336125","2021-09-10","57237002901","AMOXICILLIN TABS 875.000",20,10,{"v":4.4,"d":"$4.40"},{"v":0.59,"d":"$0.59"},{"v":4.99,"d":"$4.99"},{"v":0,"d":"$0.00"},{"v":4.99,"d":"$4.99"},"G","N",0,0,0,"R","3648233","RITE AID PHARMACY 03167"]
["21865M","0010006064E              ","MBRP00000422382","000001074226","2021-09-10","68180069906","TRAMADOL HCL E TB24 300.000",30,30,{"v":126.69,"d":"$126.69"},{"v":0.59,"d":"$0.59"},{"v":127.28,"d":"$127.28"},{"v":122.28,"d":"$122.28"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659488","DISCOUNT DRUG MART 46"]
["21865M","0010062987E              ","MBRP00000429104","000006242179","2021-09-10","68001023900","CLONIDINE HYDR TABS 0.300",31,31,{"v":2.22,"d":"$2.22"},{"v":0.59,"d":"$0.59"},{"v":2.81,"d":"$2.81"},{"v":0,"d":"$0.00"},{"v":2.81,"d":"$2.81"},"G","N",0,0,0,"R","3673503","K C INSTITUTIONAL PHARMACY"]
["21865M","0010084337E              ","MBRP00000440307","000001207690","2021-09-10","80777027398","MODERNA COVID- SUSP 100.000",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":40,"d":"$40.00"},{"v":40,"d":"$40.00"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","AC00109149100","MBRP00000446408","000001537760","2021-09-11","68180096601","LEVOTHYROXINE  TABS 50.000",-30,30,{"v":-12.18,"d":"-$12.18"},{"v":-0.59,"d":"-$0.59"},{"v":-12.77,"d":"-$12.77"},{"v":-7.77,"d":"-$7.77"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010153625E              ","MBRP00000430820","000308003712","2021-09-11","16729048516","HYDROXYCHLOROQ TABS 200.000",90,90,{"v":92.85,"d":"$92.85"},{"v":0,"d":"$0.00"},{"v":92.85,"d":"$92.85"},{"v":82.85,"d":"$82.85"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","5926716","OPTUMRX PHARMACY 704"]
["21865M","0010153669E              ","MBRP00000429338","000006575499","2021-09-11","68462050481","HAILEY 1.5/30 TABS 0.000",84,84,{"v":90.86,"d":"$90.86"},{"v":0,"d":"$0.00"},{"v":90.86,"d":"$90.86"},{"v":90.86,"d":"$90.86"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010083494E              ","MBRP00000424854","000002052790","2021-09-12","00115173701","METHYLPHENIDAT CPCR 20.000",30,30,{"v":137.54,"d":"$137.54"},{"v":0.59,"d":"$0.59"},{"v":138.13,"d":"$138.13"},{"v":133.13,"d":"$133.13"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3674151","GIANT EAGLE PHARMACY #4152 4152"]
["21865M","0010127657E              ","MBRP00000417901","000002399405","2021-09-12","65862046890","LOSARTAN POTAS TABS 0.000",90,90,{"v":45.49,"d":"$45.49"},{"v":0,"d":"$0.00"},{"v":45.49,"d":"$45.49"},{"v":30.49,"d":"$30.49"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010136435E              ","MBRP00000429171","000001461700","2021-09-12","68382053701","POTASSIUM CITR TBCR 1080.000",90,30,{"v":152.72,"d":"$152.72"},{"v":0.59,"d":"$0.59"},{"v":153.31,"d":"$153.31"},{"v":148.31,"d":"$148.31"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010153314E              ","MBRP00000336402","000001247157","2021-09-12","61874011530","VRAYLAR CAPS 1.500",30,30,{"v":1244.98,"d":"$1,244.98"},{"v":0.59,"d":"$0.59"},{"v":1245.57,"d":"$1,245.57"},{"v":1210.57,"d":"$1,210.57"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3660227","CVS PHARMACY 04605"]
["21865M","0010080372E              ","MBRP00000417960","000000886064","2021-09-13","16714040703","LARIN 1.5/30 TABS 0.000",-84,84,{"v":-90.86,"d":"-$90.86"},{"v":0,"d":"$0.00"},{"v":-90.86,"d":"-$90.86"},{"v":-90.86,"d":"-$90.86"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010006094E              ","MBRP00000429258","000006811454","2021-09-13","00003089421","ELIQUIS TABS 5.000",60,30,{"v":490.12,"d":"$490.12"},{"v":0.59,"d":"$0.59"},{"v":490.71,"d":"$490.71"},{"v":470.71,"d":"$470.71"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3656444","MARCS 27"]
["21865M","AC00108520900","MBRP00000429224","000000591626","2021-09-13","16729020101","BUSPIRONE HYDR TABS 7.500",60,30,{"v":48.25,"d":"$48.25"},{"v":0.5,"d":"$0.50"},{"v":48.75,"d":"$48.75"},{"v":43.75,"d":"$43.75"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","0010006039E              ","MBRP00000429090","000001364525","2021-09-13","59676080030","SYMTUZA TABS 0.000",30,30,{"v":4227.07,"d":"$4,227.07"},{"v":0,"d":"$0.00"},{"v":4227.07,"d":"$4,227.07"},{"v":4207.07,"d":"$4,207.07"},{"v":20,"d":"$20.00"},"B","Y",0,0,1,"R","3657561","CVS PHARMACY #04353 04353"]
["21865M","0010151688E              ","MBRP00000424970","000000800189","2021-09-14","78112001748","CHLORASEPTIC M LIQD 0.000",30,5,{"v":3.87,"d":"$3.87"},{"v":0.59,"d":"$0.59"},{"v":4.46,"d":"$4.46"},{"v":0,"d":"$0.00"},{"v":4.46,"d":"$4.46"},"B","N",0,0,9,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010153595E              ","MBRP00000430834","000001208386","2021-09-14","29300014901","QUETIAPINE FUM TABS 100.000",30,30,{"v":7.82,"d":"$7.82"},{"v":0.59,"d":"$0.59"},{"v":8.41,"d":"$8.41"},{"v":3.41,"d":"$3.41"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010100929E              ","MBRP00000429218","000001572462","2021-09-14","23155005519","NARATRIPTAN HC TABS 2.500",9,15,{"v":31.22,"d":"$31.22"},{"v":0.59,"d":"$0.59"},{"v":31.81,"d":"$31.81"},{"v":26.81,"d":"$26.81"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659832","DISCOUNT DRUG MART 50"]
["21865M","0010134939E              ","MBRP00000422192","000001561132","2021-09-14","10631040701","PROCTOSOL HC CREA 2.500",28.35,14,{"v":14.68,"d":"$14.68"},{"v":0.59,"d":"$0.59"},{"v":15.27,"d":"$15.27"},{"v":10.27,"d":"$10.27"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3607895","CVS PHARMACY #03320 03320"]
["21865M","0010084199E              ","MBRP00000417833","000007350373","2021-09-14","16714039102","CEFDINIR CAPS 300.000",14,7,{"v":9.74,"d":"$9.74"},{"v":0.59,"d":"$0.59"},{"v":10.33,"d":"$10.33"},{"v":5.33,"d":"$5.33"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606540","ACME PHARMACY 4"]
["21865M","0010084199E              ","MBRP00000417833","000007350374","2021-09-14","16571066401","METRONIDAZOLE TABS 500.000",21,7,{"v":4,"d":"$4.00"},{"v":0.59,"d":"$0.59"},{"v":4.59,"d":"$4.59"},{"v":0,"d":"$0.00"},{"v":4.59,"d":"$4.59"},"G","N",0,0,0,"R","3606540","ACME PHARMACY 4"]
["21865M","0010119336E              ","MBRP00000424999","000007302944","2021-09-14","43547040211","FUROSEMIDE TABS 40.000",90,90,{"v":5.43,"d":"$5.43"},{"v":0,"d":"$0.00"},{"v":5.43,"d":"$5.43"},{"v":0,"d":"$0.00"},{"v":5.43,"d":"$5.43"},"G","N",0,0,0,"R","3673387","WALMART PHARMACY 10-5410 105410"]
["21865M","0010123613E              ","MBRP00000440160","000002045936","2021-09-15","61958210101","ODEFSEY TABS 0.000",-30,30,{"v":-3076.21,"d":"-$3,076.21"},{"v":0,"d":"$0.00"},{"v":-3076.21,"d":"-$3,076.21"},{"v":-3056.21,"d":"-$3,056.21"},{"v":-20,"d":"-$20.00"},"B","Y",0,0,1,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010099259E              ","MBRP00000440259","000001208834","2021-09-15","67877059201","METOPROLOL SUC TB24 100.000",-30,30,{"v":-17.79,"d":"-$17.79"},{"v":-0.59,"d":"-$0.59"},{"v":-18.38,"d":"-$18.38"},{"v":-13.38,"d":"-$13.38"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010149138E              ","MBRP00000422216","000002402496","2021-09-15","59417010710","VYVANSE CAPS 70.000",30,30,{"v":328.98,"d":"$328.98"},{"v":0.59,"d":"$0.59"},{"v":329.57,"d":"$329.57"},{"v":294.57,"d":"$294.57"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3661433","WALGREENS #3572 3572"]
["21865M","0010131684E              ","MBRP00000429158","000001064440","2021-09-15","68180063709","ATORVASTATIN C TABS 40.000",30,30,{"v":12.34,"d":"$12.34"},{"v":0.59,"d":"$0.59"},{"v":12.93,"d":"$12.93"},{"v":6.2,"d":"$6.20"},{"v":6.73,"d":"$6.73"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010084079E              ","MBRP00000422443","000001347932","2021-09-16","70010077001","METHOCARBAMOL TABS 750.000",90,30,{"v":13.75,"d":"$13.75"},{"v":0.59,"d":"$0.59"},{"v":14.34,"d":"$14.34"},{"v":9.34,"d":"$9.34"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652662","RITE AID PHARMACY 02456"]
["21865M","AC00111250400","MBRP00000440194","000316564885","2021-09-16","68382041205","OMEPRAZOLE CPDR 20.000",90,90,{"v":7.77,"d":"$7.77"},{"v":0,"d":"$0.00"},{"v":7.77,"d":"$7.77"},{"v":0,"d":"$0.00"},{"v":7.77,"d":"$7.77"},"G","N",0,0,0,"M","1718634","OPTUMRX"]
["21865M","0010143184E              ","MBRP00000440207","000001208230","2021-09-16","00172208380","HYDROCHLOROTHI TABS 25.000",90,90,{"v":2.69,"d":"$2.69"},{"v":0,"d":"$0.00"},{"v":2.69,"d":"$2.69"},{"v":0,"d":"$0.00"},{"v":2.69,"d":"$2.69"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010084350E              ","MBRP00000422426","000000907162","2021-09-16","68180096301","ALBUTEROL SULF AERS 108.000",8.5,17,{"v":51.81,"d":"$51.81"},{"v":0.5,"d":"$0.50"},{"v":52.31,"d":"$52.31"},{"v":47.31,"d":"$47.31"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606211","DARTMOUTH PHARMACY"]
["21865M","0010153662E              ","MBRP00000430817","000002565376","2021-09-16","31722064430","TADALAFIL TABS 5.000",30,30,{"v":30.57,"d":"$30.57"},{"v":0.59,"d":"$0.59"},{"v":31.16,"d":"$31.16"},{"v":26.16,"d":"$26.16"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010150177E              ","MBRP00000429296","000006751990","2021-09-16","68180051303","LISINOPRIL TABS 5.000",90,90,{"v":2.83,"d":"$2.83"},{"v":0,"d":"$0.00"},{"v":2.83,"d":"$2.83"},{"v":0,"d":"$0.00"},{"v":2.83,"d":"$2.83"},"G","N",0,0,0,"R","3669124","GIANT EAGLE PHARMACY #4034 4034"]
["21865M","0010064744E              ","MBRP00000422383","000000582718","2021-09-17","57841130101","MOVANTIK TABS 25.000",30,30,{"v":362.34,"d":"$362.34"},{"v":0.5,"d":"$0.50"},{"v":362.84,"d":"$362.84"},{"v":327.84,"d":"$327.84"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3687615","FULTON DRUGS"]
["21865M","0010084079E              ","MBRP00000422443","000001411767","2021-09-17","10702005601","OXYCODONE HYDR TABS 10.000",120,30,{"v":35.53,"d":"$35.53"},{"v":0.59,"d":"$0.59"},{"v":36.12,"d":"$36.12"},{"v":31.12,"d":"$31.12"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652662","RITE AID PHARMACY 02456"]
["21865M","0010084142E              ","MBRP00000424712","000001075163","2021-09-17","62037072601","METHYLPHENIDAT TBCR 36.000",30,30,{"v":105.41,"d":"$105.41"},{"v":0.59,"d":"$0.59"},{"v":106,"d":"$106.00"},{"v":101,"d":"$101.00"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659488","DISCOUNT DRUG MART 46"]
["21865M","0010084142E              ","MBRP00000424712","000001075163","2021-09-17","13811070810","METHYLPHENIDAT TBCR 36.000",30,30,{"v":105.41,"d":"$105.41"},{"v":0.59,"d":"$0.59"},{"v":106,"d":"$106.00"},{"v":101,"d":"$101.00"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659488","DISCOUNT DRUG MART 46"]
["21865M","AC00107801700","MBRP00000424915","000001545854","2021-09-17","67877019805","AMLODIPINE BES TABS 5.000",90,90,{"v":4.71,"d":"$4.71"},{"v":0,"d":"$0.00"},{"v":4.71,"d":"$4.71"},{"v":0,"d":"$0.00"},{"v":4.71,"d":"$4.71"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010135419E              ","MBRP00000430882","000002433982","2021-09-17","65862069730","VENLAFAXINE HC CP24 150.000",30,30,{"v":9.03,"d":"$9.03"},{"v":0.59,"d":"$0.59"},{"v":9.62,"d":"$9.62"},{"v":4.62,"d":"$4.62"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010006039E              ","MBRP00000429090","000001357617","2021-09-17","00597016061","SPIRIVA RESPIM AERS 1.250",4,30,{"v":469.43,"d":"$469.43"},{"v":0.59,"d":"$0.59"},{"v":470.02,"d":"$470.02"},{"v":450.02,"d":"$450.02"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3657561","CVS PHARMACY #04353 04353"]
["21865M","0010084150E              ","MBRP00000424864","000004382336","2021-09-18","00143965901","TESTOSTERONE C SOLN 200.000",2,14,{"v":16.23,"d":"$16.23"},{"v":0.5,"d":"$0.50"},{"v":16.73,"d":"$16.73"},{"v":11.73,"d":"$11.73"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010084105E              ","MBRP00000440061","000312984409","2021-09-19","68462013281","NORETHINDRONE  TABS 0.000",63,84,{"v":64.63,"d":"$64.63"},{"v":0,"d":"$0.00"},{"v":64.63,"d":"$64.63"},{"v":64.63,"d":"$64.63"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"M","0556540","OPTUMRX"]
["21865M","0010084283E              ","MBRP00000424809","000000881517","2021-09-19","00378235193","ESOMEPRAZOLE M CPDR 40.000",30,30,{"v":36.28,"d":"$36.28"},{"v":0.59,"d":"$0.59"},{"v":36.87,"d":"$36.87"},{"v":31.87,"d":"$31.87"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010093541E              ","MBRP00000440024","000001314748","2021-09-20","00406051205","OXYCODONE/ACET TABS 0.000",-90,30,{"v":-17.59,"d":"-$17.59"},{"v":-0.59,"d":"-$0.59"},{"v":-18.18,"d":"-$18.18"},{"v":-13.18,"d":"-$13.18"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010122772E              ","MBRP00000429193","000002911731","2021-09-20","00781185220","AMOXICILLIN/CL TABS 0.000",20,10,{"v":14.14,"d":"$14.14"},{"v":0.59,"d":"$0.59"},{"v":14.73,"d":"$14.73"},{"v":9.73,"d":"$9.73"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","AC00109278200","MBRP00000290703","000001314476","2021-09-20","00169413013","OZEMPIC SOPN 4.000",3,28,{"v":836.34,"d":"$836.34"},{"v":0.59,"d":"$0.59"},{"v":836.93,"d":"$836.93"},{"v":801.93,"d":"$801.93"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010084348E              ","MBRP00000417899","000305726658","2021-09-20","13668018701","SILDENAFIL CIT TABS 50.000",18,90,{"v":12.53,"d":"$12.53"},{"v":0,"d":"$0.00"},{"v":12.53,"d":"$12.53"},{"v":2.53,"d":"$2.53"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010005907E              ","MBRP00000422299","000001461650","2021-09-20","27241009903","DULOXETINE HYD CPEP 60.000",60,30,{"v":41.89,"d":"$41.89"},{"v":0.59,"d":"$0.59"},{"v":42.48,"d":"$42.48"},{"v":37.48,"d":"$37.48"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010153312E              ","MBRP00000271052","000318982447","2021-09-20","00003089421","ELIQUIS TABS 5.000",180,90,{"v":1350.53,"d":"$1,350.53"},{"v":0,"d":"$0.00"},{"v":1350.53,"d":"$1,350.53"},{"v":1310.53,"d":"$1,310.53"},{"v":40,"d":"$40.00"},"B","N",0,0,1,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010135419E              ","MBRP00000430882","000002452693","2021-09-20","55111012205","ATORVASTATIN C TABS 20.000",-30,30,{"v":-4.39,"d":"-$4.39"},{"v":-0.59,"d":"-$0.59"},{"v":-4.98,"d":"-$4.98"},{"v":0,"d":"$0.00"},{"v":-4.98,"d":"-$4.98"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010122772E              ","MBRP00000429193","010895001195","2021-09-20","69097084705","ESCITALOPRAM O TABS 5.000",30,30,{"v":6.69,"d":"$6.69"},{"v":0.59,"d":"$0.59"},{"v":7.28,"d":"$7.28"},{"v":2.28,"d":"$2.28"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010080373E              ","MBRP00000400196","000002912472","2021-09-21","58160088752","FLUARIX QUADRI SUSY 0.000",0.5,1,{"v":17.69,"d":"$17.69"},{"v":0.59,"d":"$0.59"},{"v":18.28,"d":"$18.28"},{"v":18.28,"d":"$18.28"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010079723E              ","MBRP00000431051","000001720633","2021-09-21","69315090405","LORAZEPAM TABS 0.500",60,30,{"v":4,"d":"$4.00"},{"v":0.59,"d":"$0.59"},{"v":4.59,"d":"$4.59"},{"v":0,"d":"$0.00"},{"v":4.59,"d":"$4.59"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","AC00109762300","MBRP00000434038","000001317528","2021-09-21","51672400101","NORTRIPTYLINE  CAPS 10.000",60,30,{"v":10.08,"d":"$10.08"},{"v":0.59,"d":"$0.59"},{"v":10.67,"d":"$10.67"},{"v":5.67,"d":"$5.67"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010153644E              ","MBRP00000430982","000001720671","2021-09-21","00555097402","AMPHETAMINE/DE TABS 0.000",-30,30,{"v":-23.26,"d":"-$23.26"},{"v":-0.59,"d":"-$0.59"},{"v":-23.85,"d":"-$23.85"},{"v":-18.85,"d":"-$18.85"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","AC00110043100","MBRP00000460622","000001878555","2021-09-21","55111015330","ONDANSETRON HY TABS 4.000",-20,7,{"v":-3.24,"d":"-$3.24"},{"v":-0.59,"d":"-$0.59"},{"v":-3.83,"d":"-$3.83"},{"v":0,"d":"$0.00"},{"v":-3.83,"d":"-$3.83"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","0010052597E              ","MBRP00000354706","000007577542","2021-09-21","00074101756","ORIAHNN CPPK 0.000",56,28,{"v":957.08,"d":"$957.08"},{"v":0.59,"d":"$0.59"},{"v":957.67,"d":"$957.67"},{"v":922.67,"d":"$922.67"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3668285","WALMART PHARMACY 10-2914 102914"]
["21865M","0010120429E              ","MBRP00000401503","000305194741","2021-09-22","59746044890","IRBESARTAN TABS 150.000",60,60,{"v":17.69,"d":"$17.69"},{"v":0,"d":"$0.00"},{"v":17.69,"d":"$17.69"},{"v":7.69,"d":"$7.69"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3155137","OPTUMRX PHARMACY 700, LLC"]
["21865M","0010084071E              ","MBRP00000422235","000317815534","2021-09-22","69097042112","CELECOXIB CAPS 200.000",60,60,{"v":51.86,"d":"$51.86"},{"v":0,"d":"$0.00"},{"v":51.86,"d":"$51.86"},{"v":41.86,"d":"$41.86"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010099565E              ","MBRP00000440319","000310171405","2021-09-22","16729000517","SIMVASTATIN TABS 20.000",60,60,{"v":9.03,"d":"$9.03"},{"v":0,"d":"$0.00"},{"v":9.03,"d":"$9.03"},{"v":0,"d":"$0.00"},{"v":9.03,"d":"$9.03"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010153611E              ","MBRP00000430985","000001695025","2021-09-22","69452015120","VITAMIN D CAPS 50000.000",4,28,{"v":2.36,"d":"$2.36"},{"v":0.59,"d":"$0.59"},{"v":2.95,"d":"$2.95"},{"v":0,"d":"$0.00"},{"v":2.95,"d":"$2.95"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010139932E              ","MBRP00000424823","000002139755","2021-09-22","08373982600","OPTICHAMBER DI MISC 0.000",-1,30,{"v":-24.72,"d":"-$24.72"},{"v":-0.59,"d":"-$0.59"},{"v":-25.31,"d":"-$25.31"},{"v":0,"d":"$0.00"},{"v":-25.31,"d":"-$25.31"},"B","N",0,0,9,"R","3606362","CVS PHARMACY #03360 03360"]
["21865M","0010084320E              ","MBRP00000417892","000310608469","2021-09-22","50228014610","HYDROCHLOROTHI CAPS 12.500",60,60,{"v":6.52,"d":"$6.52"},{"v":0,"d":"$0.00"},{"v":6.52,"d":"$6.52"},{"v":0,"d":"$0.00"},{"v":6.52,"d":"$6.52"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010052597E              ","MBRP00000354711","000008117722","2021-09-22","68462013281","NORETHINDRONE  TABS 0.000",21,21,{"v":4.9,"d":"$4.90"},{"v":0.59,"d":"$0.59"},{"v":5.49,"d":"$5.49"},{"v":5.49,"d":"$5.49"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3656470","UNIV OF TOLEDO MAIN CAMPUS OUTPA"]
["21865M","0010138123E              ","MBRP00000440183","000319478289","2021-09-23","55111039905","LANSOPRAZOLE CPDR 30.000",60,60,{"v":32.05,"d":"$32.05"},{"v":0,"d":"$0.00"},{"v":32.05,"d":"$32.05"},{"v":22.05,"d":"$22.05"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010135419E              ","MBRP00000430882","010900646247","2021-09-23","60505279500","IBANDRONATE SO TABS 150.000",3,90,{"v":62.12,"d":"$62.12"},{"v":0,"d":"$0.00"},{"v":62.12,"d":"$62.12"},{"v":47.12,"d":"$47.12"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010084115E              ","MBRP00000417784","000006592018","2021-09-23","00054981729","PREDNISONE TABS 10.000",30,12,{"v":5.44,"d":"$5.44"},{"v":0.59,"d":"$0.59"},{"v":6.03,"d":"$6.03"},{"v":1.03,"d":"$1.03"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010052586E              ","MBRP00000398481","000002913008","2021-09-23","00406012505","HYDROCODONE BI TABS 0.000",120,30,{"v":29.52,"d":"$29.52"},{"v":0.59,"d":"$0.59"},{"v":30.11,"d":"$30.11"},{"v":25.11,"d":"$25.11"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010084238E              ","MBRP00000418037","000312308169","2021-09-23","57894064011","TREMFYA SOPN 100.000",1,56,{"v":11432.18,"d":"$11,432.18"},{"v":0,"d":"$0.00"},{"v":11432.18,"d":"$11,432.18"},{"v":11372.18,"d":"$11,372.18"},{"v":60,"d":"$60.00"},"B","Y",0,0,1,"R","1564930","OPTUM PHARMACY 702, LLC"]
["21865M","0010006064E              ","MBRP00000422381","000003183382","2021-09-23","68180065701","DOXYCYCLINE SUSR 25.000",600,30,{"v":186.35,"d":"$186.35"},{"v":0.59,"d":"$0.59"},{"v":186.94,"d":"$186.94"},{"v":181.94,"d":"$181.94"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3643132","DISCOUNT DRUG MART 26"]
["21865M","0010006056E              ","MBRP00000417930","000001210482","2021-09-24","00006027731","JANUVIA TABS 100.000",-30,30,{"v":-487.9,"d":"-$487.90"},{"v":-0.59,"d":"-$0.59"},{"v":-488.49,"d":"-$488.49"},{"v":-468.49,"d":"-$468.49"},{"v":-20,"d":"-$20.00"},"B","N",0,0,1,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010151692E              ","MBRP00000417835","000001982729","2021-09-24","62175011843","OMEPRAZOLE CPDR 20.000",90,90,{"v":11.65,"d":"$11.65"},{"v":0,"d":"$0.00"},{"v":11.65,"d":"$11.65"},{"v":0,"d":"$0.00"},{"v":11.65,"d":"$11.65"},"G","N",0,0,0,"R","3665784","WALGREENS #4776 4776"]
["21865M","0010120429E              ","MBRP00000401501","000000896778","2021-09-24","00299590645","EPIDUO FORTE GEL  0.000",-45,30,{"v":-598.68,"d":"-$598.68"},{"v":-0.59,"d":"-$0.59"},{"v":-599.27,"d":"-$599.27"},{"v":-564.27,"d":"-$564.27"},{"v":-35,"d":"-$35.00"},"B","N",0,0,9,"R","3678781","FRIENDS PHARMACY"]
["21865M","AC00101329100","MBRP00000285826","000006791918","2021-09-24","43547028111","ESCITALOPRAM O TABS 10.000",90,90,{"v":17.67,"d":"$17.67"},{"v":0,"d":"$0.00"},{"v":17.67,"d":"$17.67"},{"v":2.67,"d":"$2.67"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","AC00110021200","MBRP00000460279","000008854474","2021-09-25","00193731221","CONTOUR NEXT B STRP 0.000",100,50,{"v":108.03,"d":"$108.03"},{"v":0.59,"d":"$0.59"},{"v":108.62,"d":"$108.62"},{"v":48.62,"d":"$48.62"},{"v":60,"d":"$60.00"},"B","N",0,0,1,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","0010006056E              ","MBRP00000417930","000001210482","2021-09-25","00006027731","JANUVIA TABS 100.000",30,30,{"v":487.9,"d":"$487.90"},{"v":0.59,"d":"$0.59"},{"v":488.49,"d":"$488.49"},{"v":468.49,"d":"$468.49"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010005833E              ","MBRP00000430909","000006428402","2021-09-25","65862019105","CYCLOBENZAPRIN TABS 10.000",30,30,{"v":1.31,"d":"$1.31"},{"v":0.59,"d":"$0.59"},{"v":1.9,"d":"$1.90"},{"v":0,"d":"$0.00"},{"v":1.9,"d":"$1.90"},"G","N",0,0,0,"R","3648930","MARCS 14"]
["21865M","0010084199E              ","MBRP00000417831","000001694710","2021-09-26","00185084201","AMPHETAMINE/DE TABS 0.000",30,30,{"v":19.9,"d":"$19.90"},{"v":0.59,"d":"$0.59"},{"v":20.49,"d":"$20.49"},{"v":15.49,"d":"$15.49"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3609837","CVS PHARMACY #03321 03321"]
["21865M","0010084204E              ","MBRP00000288610","000001340883","2021-09-26","33332032101","AFLURIA QUADRI SUSY 0.000",0.5,1,{"v":18.64,"d":"$18.64"},{"v":0.59,"d":"$0.59"},{"v":19.23,"d":"$19.23"},{"v":19.23,"d":"$19.23"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3672638","WALGREENS #7865 7865"]
["21865M","AC00109149100","MBRP00000446408","000019130334","2021-09-26","68382009305","CARVEDILOL TABS 6.250",28,14,{"v":1.44,"d":"$1.44"},{"v":0.59,"d":"$0.59"},{"v":2.03,"d":"$2.03"},{"v":0,"d":"$0.00"},{"v":2.03,"d":"$2.03"},"G","N",0,0,0,"R","3997294","ALIXARX - PA HUB 4580"]
["21865M","0010084142E              ","MBRP00000424711","000001927875","2021-09-27","00430042014","LO LOESTRIN FE TABS 0.000",84,84,{"v":438.43,"d":"$438.43"},{"v":0,"d":"$0.00"},{"v":438.43,"d":"$438.43"},{"v":333.43,"d":"$333.43"},{"v":105,"d":"$105.00"},"B","N",0,0,9,"R","3669908","CVS PHARMACY #02715 02715"]
["21865M","0010150177E              ","MBRP00000429297","000006753589","2021-09-27","00088221905","LANTUS SOLOSTA SOPN 100.000",-15,30,{"v":-417.69,"d":"-$417.69"},{"v":-0.59,"d":"-$0.59"},{"v":-418.28,"d":"-$418.28"},{"v":-398.28,"d":"-$398.28"},{"v":-20,"d":"-$20.00"},"B","N",0,0,1,"R","3669124","GIANT EAGLE PHARMACY #4034 4034"]
["21865M","0010076541E              ","MBRP00000417953","000001507764","2021-09-27","51672127902","FLUOCINONIDE GEL  0.050",30,14,{"v":41.45,"d":"$41.45"},{"v":0.59,"d":"$0.59"},{"v":42.04,"d":"$42.04"},{"v":37.04,"d":"$37.04"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010076541E              ","MBRP00000417953","000001507764","2021-09-27","51672127902","FLUOCINONIDE GEL  0.050",-30,14,{"v":-41.45,"d":"-$41.45"},{"v":-0.59,"d":"-$0.59"},{"v":-42.04,"d":"-$42.04"},{"v":-37.04,"d":"-$37.04"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010139575E              ","MBRP00000430854","000000900363","2021-09-27","57599080000","FREESTYLE LIBR MISC 0.000",2,28,{"v":114.25,"d":"$114.25"},{"v":0.5,"d":"$0.50"},{"v":114.75,"d":"$114.75"},{"v":94.75,"d":"$94.75"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3606211","DARTMOUTH PHARMACY"]
["21865M","0010084228E              ","MBRP00000424874","000006736900","2021-09-28","00169266015","TRESIBA FLEXTO SOPN 100.000",15,44,{"v":499.32,"d":"$499.32"},{"v":0.59,"d":"$0.59"},{"v":499.91,"d":"$499.91"},{"v":439.91,"d":"$439.91"},{"v":60,"d":"$60.00"},"B","N",0,0,1,"R","3669124","GIANT EAGLE PHARMACY #4034 4034"]
["21865M","0010126142E              ","MBRP00000429124","000008854660","2021-09-28","08290328203","BD PEN NEEDLE/ MISC 0.000",100,30,{"v":48.38,"d":"$48.38"},{"v":0.59,"d":"$0.59"},{"v":48.97,"d":"$48.97"},{"v":13.97,"d":"$13.97"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010086302E              ","MBRP00000440325","000006792249","2021-09-28","65862019405","FLUOXETINE HYD CAPS 40.000",90,90,{"v":27.46,"d":"$27.46"},{"v":0,"d":"$0.00"},{"v":27.46,"d":"$27.46"},{"v":12.46,"d":"$12.46"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010115250E              ","MBRP00000376802","000000188414","2021-09-28","55111029298","SUMATRIPTAN SU TABS 50.000",-9,30,{"v":-13.64,"d":"-$13.64"},{"v":-0.59,"d":"-$0.59"},{"v":-14.23,"d":"-$14.23"},{"v":-9.23,"d":"-$9.23"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3686409","DISCOUNT DRUG MART #89 89"]
["21865M","0010084104E              ","MBRP00000309890","000000893340","2021-09-28","68462043318","COLESEVELAM HY TABS 625.000",-120,30,{"v":-297.33,"d":"-$297.33"},{"v":-0.59,"d":"-$0.59"},{"v":-297.92,"d":"-$297.92"},{"v":-292.92,"d":"-$292.92"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3651850","RITE AID PHARMACY 02390"]
["21865M","0010150013E              ","MBRP00000424928","000001507923","2021-09-28","43547034703","PAROXETINE HYD TABS 10.000",90,90,{"v":15.81,"d":"$15.81"},{"v":0,"d":"$0.00"},{"v":15.81,"d":"$15.81"},{"v":0.81,"d":"$0.81"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010005907E              ","MBRP00000357052","000006792565","2021-09-28","58160088752","FLUARIX QUADRI SUSY 0.000",-0.5,1,{"v":-17.69,"d":"-$17.69"},{"v":-0.59,"d":"-$0.59"},{"v":-18.28,"d":"-$18.28"},{"v":-18.28,"d":"-$18.28"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010084328E              ","MBRP00000418118","000000588368","2021-09-29","00378801593","LANSOPRAZOLE CPDR 15.000",5,5,{"v":3.71,"d":"$3.71"},{"v":0.59,"d":"$0.59"},{"v":4.3,"d":"$4.30"},{"v":0,"d":"$0.00"},{"v":4.3,"d":"$4.30"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010150770E              ","MBRP00000457143","000000876356","2021-09-29","00781615752","AMOXICILLIN SUSR 400.000",120,10,{"v":4.98,"d":"$4.98"},{"v":0.59,"d":"$0.59"},{"v":5.57,"d":"$5.57"},{"v":0.57,"d":"$0.57"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3679606","CVS PHARMACY #02063 02063"]
["21865M","0010150770E              ","MBRP00000457143","000000876356","2021-09-29","00781615752","AMOXICILLIN SUSR 400.000",-120,10,{"v":-4.98,"d":"-$4.98"},{"v":-0.59,"d":"-$0.59"},{"v":-5.57,"d":"-$5.57"},{"v":-0.57,"d":"-$0.57"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3679606","CVS PHARMACY #02063 02063"]
["21865M","0010084328E              ","MBRP00000418118","000000588367","2021-09-29","59762045001","COLESTIPOL HCL TABS 1.000",-120,30,{"v":-106.4,"d":"-$106.40"},{"v":-0.59,"d":"-$0.59"},{"v":-106.99,"d":"-$106.99"},{"v":-101.99,"d":"-$101.99"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010046098E              ","MBRP00000422353","611700133437","2021-09-29","43547026910","ROPINIROLE HCL TABS 0.500",30,30,{"v":4.89,"d":"$4.89"},{"v":0.59,"d":"$0.59"},{"v":5.48,"d":"$5.48"},{"v":0.48,"d":"$0.48"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3658284","MEIJER PHARMACY #117 117"]
["21865M","AC00108804300","MBRP00000430859","000000821762","2021-09-29","43547035611","LISINOPRIL TABS 40.000",90,90,{"v":13.65,"d":"$13.65"},{"v":0,"d":"$0.00"},{"v":13.65,"d":"$13.65"},{"v":0,"d":"$0.00"},{"v":13.65,"d":"$13.65"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010064741E              ","MBRP00000440251","000001316392","2021-09-29","59267100001","PFIZER-BIONTEC SUSP 30.000",0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":40,"d":"$40.00"},{"v":40,"d":"$40.00"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010139976E              ","MBRP00000417989","000001261797","2021-09-29","50111033402","METRONIDAZOLE TABS 500.000",14,7,{"v":3.34,"d":"$3.34"},{"v":0.59,"d":"$0.59"},{"v":3.93,"d":"$3.93"},{"v":0,"d":"$0.00"},{"v":3.93,"d":"$3.93"},"G","N",0,0,0,"R","3666320","WALGREENS #4983 4983"]
["21865M","0010115257E              ","MBRP00000359627","000001549454","2021-09-30","67877021901","CEPHALEXIN CAPS 500.000",20,5,{"v":3.79,"d":"$3.79"},{"v":0.59,"d":"$0.59"},{"v":4.38,"d":"$4.38"},{"v":0,"d":"$0.00"},{"v":4.38,"d":"$4.38"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010153631E              ","MBRP00000430997","000001832495","2021-09-30","69238115403","EZETIMIBE TABS 10.000",30,30,{"v":20.84,"d":"$20.84"},{"v":0.59,"d":"$0.59"},{"v":21.43,"d":"$21.43"},{"v":16.43,"d":"$16.43"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","0010084966E              ","MBRP00000430895","010908143696","2021-09-30","50111078710","AZITHROMYCIN TABS 250.000",-6,5,{"v":-5.2,"d":"-$5.20"},{"v":-0.59,"d":"-$0.59"},{"v":-5.79,"d":"-$5.79"},{"v":-0.79,"d":"-$0.79"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010152067E              ","MBRP00000440205","000002266278","2021-09-30","16729048001","METHYLPHENIDAT TABS 20.000",30,30,{"v":11.25,"d":"$11.25"},{"v":0.59,"d":"$0.59"},{"v":11.84,"d":"$11.84"},{"v":6.84,"d":"$6.84"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010052586E              ","MBRP00000398481","000002915485","2021-09-30","68382009601","HYDROXYCHLOROQ TABS 200.000",60,30,{"v":72.11,"d":"$72.11"},{"v":0.59,"d":"$0.59"},{"v":72.7,"d":"$72.70"},{"v":67.7,"d":"$67.70"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010144373E              ","MBRP00000422242","000001685569","2021-09-30","00378181977","LEVOTHYROXINE  TABS 200.000",100,90,{"v":56.59,"d":"$56.59"},{"v":0,"d":"$0.00"},{"v":56.59,"d":"$56.59"},{"v":41.59,"d":"$41.59"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3609837","CVS PHARMACY #03321 03321"]
["21865M","0010138841E              ","MBRP00000429111","000000882585","2021-09-30","00781286810","OMEPRAZOLE CPDR 20.000",30,30,{"v":3.88,"d":"$3.88"},{"v":0.59,"d":"$0.59"},{"v":4.47,"d":"$4.47"},{"v":0,"d":"$0.00"},{"v":4.47,"d":"$4.47"},"G","N",0,0,0,"R","3651850","RITE AID PHARMACY 02390"]
["21865M","0010006054E              ","MBRP00000418056","000001055597","2021-10-01","62756018588","OXCARBAZEPINE TABS 600.000",60,30,{"v":38.42,"d":"$38.42"},{"v":0.59,"d":"$0.59"},{"v":39.01,"d":"$39.01"},{"v":34.01,"d":"$34.01"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010104200E              ","MBRP00000440113","000004383450","2021-10-01","00591024010","LORAZEPAM TABS 0.500",30,30,{"v":2.39,"d":"$2.39"},{"v":0.5,"d":"$0.50"},{"v":2.89,"d":"$2.89"},{"v":0,"d":"$0.00"},{"v":2.89,"d":"$2.89"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010152544E              ","MBRP00000437326","000002546131","2021-10-01","50102022823","TARINA FE 1/20 TABS 0.000",28,28,{"v":28.14,"d":"$28.14"},{"v":0.59,"d":"$0.59"},{"v":28.73,"d":"$28.73"},{"v":28.73,"d":"$28.73"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010146039E              ","MBRP00000424911","000006744941","2021-10-01","59746000103","METHYLPREDNISO TBPK 4.000",-21,6,{"v":-9.99,"d":"-$9.99"},{"v":-0.59,"d":"-$0.59"},{"v":-10.58,"d":"-$10.58"},{"v":-5.58,"d":"-$5.58"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3674151","GIANT EAGLE PHARMACY #4152 4152"]
["21865M","AC00109581900","MBRP00000453376","000008034243","2021-10-01","58602000739","OLOPATADINE HY SOLN 0.200",2.5,25,{"v":8.64,"d":"$8.64"},{"v":0.59,"d":"$0.59"},{"v":9.23,"d":"$9.23"},{"v":4.23,"d":"$4.23"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3669770","GIANT EAGLE PHARMACY #4030 4030"]
["21865M","0010050323E              ","MBRP00000424914","000001262293","2021-10-02","70461032103","FLUCELVAX QUAD SUSY 0.000",-0.5,1,{"v":-25.8,"d":"-$25.80"},{"v":-0.59,"d":"-$0.59"},{"v":-26.39,"d":"-$26.39"},{"v":-26.39,"d":"-$26.39"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3666320","WALGREENS #4983 4983"]
["21865M","0010045107E              ","MBRP00000340889","000001047837","2021-10-02","68462056529","NORGESTIMATE/E TABS 0.000",28,28,{"v":23.15,"d":"$23.15"},{"v":0.59,"d":"$0.59"},{"v":23.74,"d":"$23.74"},{"v":23.74,"d":"$23.74"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3653094","RITE AID PHARMACY 02437"]
["21865M","0010006057E              ","MBRP00000424870","000000862477","2021-10-03","59267100002","PFIZER-BIONTEC SUSP 30.000",0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":40,"d":"$40.00"},{"v":40,"d":"$40.00"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3715476","CVS PHARMACY #06128 06128"]
["21865M","AC00108363000","MBRP00000430784","000001103349","2021-10-03","16729004517","ATORVASTATIN C TABS 20.000",30,30,{"v":4.39,"d":"$4.39"},{"v":0.59,"d":"$0.59"},{"v":4.98,"d":"$4.98"},{"v":0,"d":"$0.00"},{"v":4.98,"d":"$4.98"},"G","N",0,0,0,"R","3657751","DISCOUNT DRUG MART 42"]
["21865M","0010150770E              ","MBRP00000312832","000000877315","2021-10-03","19515081852","FLULAVAL QUADR SUSY 0.000",0.5,1,{"v":17.69,"d":"$17.69"},{"v":0.59,"d":"$0.59"},{"v":38.28,"d":"$38.28"},{"v":38.28,"d":"$38.28"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3679606","CVS PHARMACY #02063 02063"]
["21865M","0010120894E              ","MBRP00000429186","000006263475","2021-10-03","55111018010","TIZANIDINE HYD TABS 4.000",45,30,{"v":7.73,"d":"$7.73"},{"v":0.59,"d":"$0.59"},{"v":8.32,"d":"$8.32"},{"v":3.32,"d":"$3.32"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010153632E              ","MBRP00000430758","000001465181","2021-10-04","00186037020","SYMBICORT AERO 0.000",10.2,30,{"v":365,"d":"$365.00"},{"v":0.59,"d":"$0.59"},{"v":365.59,"d":"$365.59"},{"v":345.59,"d":"$345.59"},{"v":20,"d":"$20.00"},"B","N",0,9,1,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010153595E              ","MBRP00000430834","000001196116","2021-10-04","16729013616","CLONAZEPAM TABS 0.500",-270,90,{"v":-18.12,"d":"-$18.12"},{"v":0,"d":"$0.00"},{"v":-18.12,"d":"-$18.12"},{"v":-3.12,"d":"-$3.12"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010080375E              ","MBRP00000424839","000000729921","2021-10-04","57237002901","AMOXICILLIN TABS 875.000",20,10,{"v":5.5,"d":"$5.50"},{"v":0.59,"d":"$0.59"},{"v":6.09,"d":"$6.09"},{"v":1.09,"d":"$1.09"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010131947E              ","MBRP00000440052","000320386571","2021-10-04","69238183807","LEVOTHYROXINE  TABS 150.000",60,60,{"v":30.58,"d":"$30.58"},{"v":0,"d":"$0.00"},{"v":30.58,"d":"$30.58"},{"v":20.58,"d":"$20.58"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010080375E              ","MBRP00000424832","010910760516","2021-10-04","51991084716","BROMPHEN/PSEUD SYRP 0.000",-120,6,{"v":-21.36,"d":"-$21.36"},{"v":-0.59,"d":"-$0.59"},{"v":-21.95,"d":"-$21.95"},{"v":-16.95,"d":"-$16.95"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010141535E              ","MBRP00000429262","000001189473","2021-10-04","65862051430","PIOGLITAZONE H TABS 45.000",30,30,{"v":7.18,"d":"$7.18"},{"v":0.59,"d":"$0.59"},{"v":7.77,"d":"$7.77"},{"v":2.77,"d":"$2.77"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010122707E              ","MBRP00000429093","000000712152","2021-10-05","55111032201","GLIMEPIRIDE TABS 4.000",90,90,{"v":28.66,"d":"$28.66"},{"v":0,"d":"$0.00"},{"v":28.66,"d":"$28.66"},{"v":13.66,"d":"$13.66"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010084267E              ","MBRP00000417864","000006793559","2021-10-05","57237023305","SULFAMETHOXAZO TABS 0.000",14,7,{"v":2.12,"d":"$2.12"},{"v":0.59,"d":"$0.59"},{"v":2.71,"d":"$2.71"},{"v":0,"d":"$0.00"},{"v":2.71,"d":"$2.71"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010084199E              ","MBRP00000417832","000007342364","2021-10-05","16714098801","ROSUVASTATIN C TABS 5.000",30,30,{"v":7.55,"d":"$7.55"},{"v":0.59,"d":"$0.59"},{"v":8.14,"d":"$8.14"},{"v":3.14,"d":"$3.14"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606540","ACME PHARMACY 4"]
["21865M","0010054511E              ","MBRP00000429077","000001550762","2021-10-05","00172208380","HYDROCHLOROTHI TABS 25.000",90,90,{"v":4.04,"d":"$4.04"},{"v":0,"d":"$0.00"},{"v":4.04,"d":"$4.04"},{"v":0,"d":"$0.00"},{"v":4.04,"d":"$4.04"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010139961E              ","MBRP00000417950","000001317412","2021-10-05","65862001105","SERTRALINE HCL TABS 25.000",-30,30,{"v":-3.76,"d":"-$3.76"},{"v":-0.59,"d":"-$0.59"},{"v":-4.35,"d":"-$4.35"},{"v":0,"d":"$0.00"},{"v":-4.35,"d":"-$4.35"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010139578E              ","MBRP00000430916","000008810819","2021-10-05","43975027810","AMPHETAMINE/DE CP24 0.000",30,30,{"v":26.89,"d":"$26.89"},{"v":0.5,"d":"$0.50"},{"v":27.39,"d":"$27.39"},{"v":22.39,"d":"$22.39"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3644691","SCRIPTSHOP PHARMACY"]
["21865M","0010006035E              ","MBRP00000430910","000001023900","2021-10-06","00378034501","DIAZEPAM TABS 5.000",30,30,{"v":1.53,"d":"$1.53"},{"v":0.59,"d":"$0.59"},{"v":2.12,"d":"$2.12"},{"v":0,"d":"$0.00"},{"v":2.12,"d":"$2.12"},"G","N",0,0,0,"R","3627873","MEDICINE CENTER OF CANTON"]
["21865M","0010084315E              ","MBRP00000422412","000001576431","2021-10-06","69452015120","VITAMIN D CAPS 50000.000",-6,84,{"v":-3.39,"d":"-$3.39"},{"v":0,"d":"$0.00"},{"v":-3.39,"d":"-$3.39"},{"v":0,"d":"$0.00"},{"v":-3.39,"d":"-$3.39"},"G","N",0,0,0,"R","3815062","WALGREENS #6852 06852"]
["21865M","AC00110021200","MBRP00000460279","000007272543","2021-10-06","42806050301","URSODIOL CAPS 300.000",-60,30,{"v":-175.31,"d":"-$175.31"},{"v":-0.59,"d":"-$0.59"},{"v":-175.9,"d":"-$175.90"},{"v":-170.9,"d":"-$170.90"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","0010064748E              ","MBRP00000422300","000001188802","2021-10-06","59762045001","COLESTIPOL HCL TABS 1.000",60,30,{"v":61.21,"d":"$61.21"},{"v":0.59,"d":"$0.59"},{"v":61.8,"d":"$61.80"},{"v":56.8,"d":"$56.80"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651886","RITE AID PHARMACY 02393"]
["21865M","0010062987E              ","MBRP00000429104","000006242826","2021-10-06","45802065087","LORATADINE TABS 10.000",30,30,{"v":3.57,"d":"$3.57"},{"v":0.59,"d":"$0.59"},{"v":4.16,"d":"$4.16"},{"v":0,"d":"$0.00"},{"v":4.16,"d":"$4.16"},"G","N",0,0,0,"R","3673503","K C INSTITUTIONAL PHARMACY"]
["21865M","0010062987E              ","MBRP00000429104","000006247761","2021-10-06","29300011416","LAMOTRIGINE TABS 200.000",60,30,{"v":8.4,"d":"$8.40"},{"v":0.59,"d":"$0.59"},{"v":8.99,"d":"$8.99"},{"v":3.99,"d":"$3.99"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3673503","K C INSTITUTIONAL PHARMACY"]
["21865M","AC00108363000","MBRP00000430785","000001126193","2021-10-07","57237009960","CEFDINIR CAPS 300.000",14,7,{"v":11.34,"d":"$11.34"},{"v":0.59,"d":"$0.59"},{"v":11.93,"d":"$11.93"},{"v":6.93,"d":"$6.93"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3657751","DISCOUNT DRUG MART 42"]
["21865M","AC00108363000","MBRP00000430785","000001126194","2021-10-07","50228013690","LEVOCETIRIZINE TABS 5.000",30,30,{"v":12.52,"d":"$12.52"},{"v":0.59,"d":"$0.59"},{"v":13.11,"d":"$13.11"},{"v":8.11,"d":"$8.11"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3657751","DISCOUNT DRUG MART 42"]
["21865M","0010031850E              ","MBRP00000440318","000002054102","2021-10-07","68546017060","AUSTEDO TABS 6.000",180,30,{"v":12534.68,"d":"$12,534.68"},{"v":0,"d":"$0.00"},{"v":12534.68,"d":"$12,534.68"},{"v":12499.68,"d":"$12,499.68"},{"v":35,"d":"$35.00"},"B","Y",0,0,9,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010084105E              ","MBRP00000440060","000007119741","2021-10-07","68180096703","LEVOTHYROXINE  TABS 75.000",-90,90,{"v":-38.72,"d":"-$38.72"},{"v":0,"d":"$0.00"},{"v":-38.72,"d":"-$38.72"},{"v":-23.72,"d":"-$23.72"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010084328E              ","MBRP00000418119","000000590070","2021-10-07","00597015337","JARDIANCE TABS 25.000",90,90,{"v":1550.18,"d":"$1,550.18"},{"v":0,"d":"$0.00"},{"v":1550.18,"d":"$1,550.18"},{"v":1490.18,"d":"$1,490.18"},{"v":60,"d":"$60.00"},"B","N",0,0,1,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010149595E              ","MBRP00000440223","000000799785","2021-10-08","00054474125","PREDNISONE TABS 1.000",-30,30,{"v":-5.64,"d":"-$5.64"},{"v":-0.59,"d":"-$0.59"},{"v":-6.23,"d":"-$6.23"},{"v":-1.23,"d":"-$1.23"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010032068E              ","MBRP00000397877","000001495384","2021-10-08","68682030930","BUDESONIDE ER TB24 9.000",30,30,{"v":1582.88,"d":"$1,582.88"},{"v":0.59,"d":"$0.59"},{"v":1583.47,"d":"$1,583.47"},{"v":1578.47,"d":"$1,578.47"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010048465E              ","MBRP00000342842","000002583136","2021-10-08","68180047301","AMLODIPINE BES CAPS 0.000",30,30,{"v":29.82,"d":"$29.82"},{"v":0.59,"d":"$0.59"},{"v":30.41,"d":"$30.41"},{"v":25.41,"d":"$25.41"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010144447E              ","MBRP00000430850","000000776753","2021-10-08","00115166003","PROPRANOLOL HY TABS 20.000",180,90,{"v":68.39,"d":"$68.39"},{"v":0,"d":"$0.00"},{"v":68.39,"d":"$68.39"},{"v":53.39,"d":"$53.39"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010064744E              ","MBRP00000422383","000000594357","2021-10-08","00781235201","AMPHETAMINE/DE CP24 0.000",60,30,{"v":56.08,"d":"$56.08"},{"v":0.5,"d":"$0.50"},{"v":56.58,"d":"$56.58"},{"v":51.58,"d":"$51.58"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","AC00109922100","MBRP00000418681","000000842347","2021-10-09","58160088752","FLUARIX QUADRI SUSY 0.000",0.5,1,{"v":17.69,"d":"$17.69"},{"v":0.59,"d":"$0.59"},{"v":18.28,"d":"$18.28"},{"v":18.28,"d":"$18.28"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010135687E              ","MBRP00000429346","000000811192","2021-10-09","59267100002","PFIZER-BIONTEC SUSP 30.000",0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":40,"d":"$40.00"},{"v":40,"d":"$40.00"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010099259E              ","MBRP00000440259","000001211437","2021-10-09","50742061701","METOPROLOL SUC TB24 100.000",90,90,{"v":50.08,"d":"$50.08"},{"v":0,"d":"$0.00"},{"v":50.08,"d":"$50.08"},{"v":35.08,"d":"$35.08"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010153670E              ","MBRP00000467747","000314266724","2021-10-09","23155000401","HYDRALAZINE HY TABS 100.000",-180,60,{"v":-23.07,"d":"-$23.07"},{"v":0,"d":"$0.00"},{"v":-23.07,"d":"-$23.07"},{"v":-13.07,"d":"-$13.07"},{"v":-10,"d":"-$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010152041E              ","MBRP00000422311","000000972345","2021-10-09","50428050854","CVS PURELAX PACK 17.000",-10,30,{"v":-7.86,"d":"-$7.86"},{"v":-0.59,"d":"-$0.59"},{"v":-8.45,"d":"-$8.45"},{"v":-3.45,"d":"-$3.45"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3650670","CVS PHARMACY #04802 04802"]
["21865M","0010120429E              ","MBRP00000401502","000318933640","2021-10-10","68180052002","LISINOPRIL/HYD TABS 0.000",60,60,{"v":24.78,"d":"$24.78"},{"v":0,"d":"$0.00"},{"v":24.78,"d":"$24.78"},{"v":14.78,"d":"$14.78"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010137634E              ","MBRP00000417939","000002463867","2021-10-10","60505265301","TRAZODONE HYDR TABS 50.000",-30,30,{"v":-4.71,"d":"-$4.71"},{"v":-0.59,"d":"-$0.59"},{"v":-5.3,"d":"-$5.30"},{"v":-0.3,"d":"-$0.30"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010119786E              ","MBRP00000422237","000001552435","2021-10-11","16714040703","LARIN 1.5/30 TABS 0.000",84,84,{"v":90.86,"d":"$90.86"},{"v":0,"d":"$0.00"},{"v":90.86,"d":"$90.86"},{"v":90.86,"d":"$90.86"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010005785E              ","MBRP00000440299","000001502856","2021-10-11","29033003001","ACETAZOLAMIDE  CP12 500.000",60,30,{"v":88.91,"d":"$88.91"},{"v":0.59,"d":"$0.59"},{"v":89.5,"d":"$89.50"},{"v":84.5,"d":"$84.50"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010056756E              ","MBRP00000440289","000312626660","2021-10-11","65862020399","LOSARTAN POTAS TABS 100.000",-60,60,{"v":-7.65,"d":"-$7.65"},{"v":0,"d":"$0.00"},{"v":-7.65,"d":"-$7.65"},{"v":0,"d":"$0.00"},{"v":-7.65,"d":"-$7.65"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010153685E              ","MBRP00000430963","000000730669","2021-10-11","13811070610","METHYLPHENIDAT TBCR 18.000",-30,30,{"v":-100.97,"d":"-$100.97"},{"v":-0.59,"d":"-$0.59"},{"v":-101.56,"d":"-$101.56"},{"v":-96.56,"d":"-$96.56"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010145825E              ","MBRP00000476786","010918613878","2021-10-11","50383079516","LACTULOSE SOLN 10.000",473,31,{"v":11.32,"d":"$11.32"},{"v":0.59,"d":"$0.59"},{"v":11.91,"d":"$11.91"},{"v":0,"d":"$0.00"},{"v":11.91,"d":"$11.91"},"G","N",0,0,0,"R","3651949","RITE AID PHARMACY 02398"]
["21865M","0010084357E              ","MBRP00000422125","000304414763","2021-10-11","69097042112","CELECOXIB CAPS 200.000",60,60,{"v":51.86,"d":"$51.86"},{"v":0,"d":"$0.00"},{"v":51.86,"d":"$51.86"},{"v":41.86,"d":"$41.86"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010153670E              ","MBRP00000467747","000314266724","2021-10-11","23155000401","HYDRALAZINE HY TABS 100.000",180,60,{"v":23.07,"d":"$23.07"},{"v":0,"d":"$0.00"},{"v":23.07,"d":"$23.07"},{"v":13.07,"d":"$13.07"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","0556540","OPTUMRX"]
["21865M","0010076542E              ","MBRP00000422322","000000591405","2021-10-12","00406895401","AMPHETAMINE/DE CP24 0.000",30,30,{"v":40.8,"d":"$40.80"},{"v":0.59,"d":"$0.59"},{"v":41.39,"d":"$41.39"},{"v":36.39,"d":"$36.39"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010124279E              ","MBRP00000418014","000002001873","2021-10-12","00555097302","AMPHETAMINE/DE TABS 0.000",60,30,{"v":46.52,"d":"$46.52"},{"v":0.59,"d":"$0.59"},{"v":47.11,"d":"$47.11"},{"v":42.11,"d":"$42.11"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3685267","THE OAK CLINIC PHARMACY 108"]
["21865M","0010106873E              ","MBRP00000440041","000320406397","2021-10-12","60505311108","OLANZAPINE TABS 5.000",60,60,{"v":16.37,"d":"$16.37"},{"v":0,"d":"$0.00"},{"v":16.37,"d":"$16.37"},{"v":6.37,"d":"$6.37"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
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["21865M","0010146979E              ","MBRP00000417837","000001552821","2021-10-12","00713063415","MOMETASONE FUR CREA 0.100",45,30,{"v":36.24,"d":"$36.24"},{"v":0.59,"d":"$0.59"},{"v":36.83,"d":"$36.83"},{"v":31.83,"d":"$31.83"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010150769E              ","MBRP00000430921","000305578110","2021-10-13","62756014202","METFORMIN HYDR TB24 500.000",240,60,{"v":55.37,"d":"$55.37"},{"v":0,"d":"$0.00"},{"v":55.37,"d":"$55.37"},{"v":45.37,"d":"$45.37"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010153660E              ","MBRP00000431040","000002651810","2021-10-13","65862077885","TRI-LO-MILI TABS 0.000",28,1,{"v":22.21,"d":"$22.21"},{"v":0.59,"d":"$0.59"},{"v":22.8,"d":"$22.80"},{"v":22.8,"d":"$22.80"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010006094E              ","MBRP00000429258","000006808286","2021-10-13","16714098801","ROSUVASTATIN C TABS 5.000",30,30,{"v":7.55,"d":"$7.55"},{"v":0.59,"d":"$0.59"},{"v":8.14,"d":"$8.14"},{"v":3.14,"d":"$3.14"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3656444","MARCS 27"]
["21865M","0010115601E              ","MBRP00000315731","000000578663","2021-10-13","00186091706","PULMICORT FLEX AEPB 90.000",1,30,{"v":188.4,"d":"$188.40"},{"v":0.59,"d":"$0.59"},{"v":188.99,"d":"$188.99"},{"v":153.99,"d":"$153.99"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010152644E              ","MBRP00000429442","000006736798","2021-10-13","00185067405","HYDROXYZINE PA CAPS 25.000",120,30,{"v":18.1,"d":"$18.10"},{"v":0.59,"d":"$0.59"},{"v":18.69,"d":"$18.69"},{"v":13.69,"d":"$13.69"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3674151","GIANT EAGLE PHARMACY #4152 4152"]
["21865M","0010006064E              ","MBRP00000422382","000321000462","2021-10-13","69097012715","AMLODIPINE BES TABS 5.000",60,60,{"v":3.14,"d":"$3.14"},{"v":0,"d":"$0.00"},{"v":3.14,"d":"$3.14"},{"v":0,"d":"$0.00"},{"v":3.14,"d":"$3.14"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010084204E              ","MBRP00000288612","000000602690","2021-10-13","68180096301","ALBUTEROL SULF AERS 108.000",8.5,30,{"v":10,"d":"$10.00"},{"v":0,"d":"$0.00"},{"v":10,"d":"$10.00"},{"v":5,"d":"$5.00"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3672791","AULTMAN EMPLOYEE PHARMACY"]
["21865M","0010131593E              ","MBRP00000443310","000006770551","2021-10-13","50111078751","AZITHROMYCIN TABS 250.000",6,5,{"v":5.2,"d":"$5.20"},{"v":0.59,"d":"$0.59"},{"v":5.79,"d":"$5.79"},{"v":0.79,"d":"$0.79"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3660657","MARCS 42"]
["21865M","AC00109278200","MBRP00000290703","000001318976","2021-10-14","00054429931","FUROSEMIDE TABS 40.000",-2,1,{"v":-0.18,"d":"-$0.18"},{"v":-0.59,"d":"-$0.59"},{"v":-0.77,"d":"-$0.77"},{"v":0,"d":"$0.00"},{"v":-0.77,"d":"-$0.77"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010114653E              ","MBRP00000429113","000006255990","2021-10-14","50228046601","NABUMETONE TABS 750.000",60,30,{"v":31.36,"d":"$31.36"},{"v":0.59,"d":"$0.59"},{"v":31.95,"d":"$31.95"},{"v":26.95,"d":"$26.95"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010080376E              ","MBRP00000418098","000001076761","2021-10-14","00006027731","JANUVIA TABS 100.000",90,90,{"v":1403.96,"d":"$1,403.96"},{"v":0,"d":"$0.00"},{"v":1403.96,"d":"$1,403.96"},{"v":1315.39,"d":"$1,315.39"},{"v":88.57,"d":"$88.57"},"B","N",0,0,1,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010153623E              ","MBRP00000431026","000007283006","2021-10-14","68180096301","ALBUTEROL SULF AERS 108.000",8.5,17,{"v":33.22,"d":"$33.22"},{"v":0.59,"d":"$0.59"},{"v":33.81,"d":"$33.81"},{"v":28.81,"d":"$28.81"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","0010099978E              ","MBRP00000430930","000007119004","2021-10-14","65862014505","CARVEDILOL TABS 25.000",60,30,{"v":3.83,"d":"$3.83"},{"v":0.59,"d":"$0.59"},{"v":4.42,"d":"$4.42"},{"v":0,"d":"$0.00"},{"v":4.42,"d":"$4.42"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010124284E              ","MBRP00000424894","000001076848","2021-10-14","11534018701","BUTALBITAL/ACE CAPS 0.000",6,3,{"v":11.24,"d":"$11.24"},{"v":0.59,"d":"$0.59"},{"v":11.83,"d":"$11.83"},{"v":6.83,"d":"$6.83"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010099978E              ","MBRP00000430930","000007116659","2021-10-14","67877019905","AMLODIPINE BES TABS 10.000",-30,30,{"v":-2.12,"d":"-$2.12"},{"v":-0.59,"d":"-$0.59"},{"v":-2.71,"d":"-$2.71"},{"v":0,"d":"$0.00"},{"v":-2.71,"d":"-$2.71"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010151570E              ","MBRP00000411581","000007546893","2021-10-15","00555902658","JUNEL FE 1/20 TABS 0.000",-28,28,{"v":-23.46,"d":"-$23.46"},{"v":-0.59,"d":"-$0.59"},{"v":-24.05,"d":"-$24.05"},{"v":-24.05,"d":"-$24.05"},{"v":0,"d":"$0.00"},"G","N",0,1,0,"R","3668285","WALMART PHARMACY 10-2914 102914"]
["21865M","0010153610E              ","MBRP00000430843","000001193125","2021-10-15","55111064501","OMEPRAZOLE CPDR 40.000",-30,30,{"v":-5.76,"d":"-$5.76"},{"v":-0.59,"d":"-$0.59"},{"v":-6.35,"d":"-$6.35"},{"v":-1.35,"d":"-$1.35"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010084350E              ","MBRP00000422426","000002056957","2021-10-15","00024591401","DUPIXENT SOSY 300.000",4,28,{"v":3229.02,"d":"$3,229.02"},{"v":0,"d":"$0.00"},{"v":3229.02,"d":"$3,229.02"},{"v":3209.02,"d":"$3,209.02"},{"v":20,"d":"$20.00"},"B","Y",0,0,1,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010006057E              ","MBRP00000424868","000001554327","2021-10-15","50383002505","OFLOXACIN SOLN 0.300",5,10,{"v":19.13,"d":"$19.13"},{"v":0.59,"d":"$0.59"},{"v":19.72,"d":"$19.72"},{"v":14.72,"d":"$14.72"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010148087E              ","MBRP00000429012","000002055961","2021-10-15","00074055402","HUMIRA PEN PNKT 40.000",4,28,{"v":11745.38,"d":"$11,745.38"},{"v":0,"d":"$0.00"},{"v":11745.38,"d":"$11,745.38"},{"v":11725.38,"d":"$11,725.38"},{"v":20,"d":"$20.00"},"B","Y",0,0,1,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010153647E              ","MBRP00000431048","000000813799","2021-10-16","70954006020","PREDNISONE TABS 20.000",15,7,{"v":3.15,"d":"$3.15"},{"v":0.59,"d":"$0.59"},{"v":3.74,"d":"$3.74"},{"v":0,"d":"$0.00"},{"v":3.74,"d":"$3.74"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010153151E              ","MBRP00000429230","000002573254","2021-10-16","66689000816","NYSTATIN SUSP 100000.000",140,7,{"v":8.55,"d":"$8.55"},{"v":0.59,"d":"$0.59"},{"v":9.14,"d":"$9.14"},{"v":4.14,"d":"$4.14"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010061934E              ","MBRP00000424836","000001345867","2021-10-16","29300011416","LAMOTRIGINE TABS 200.000",30,30,{"v":4.2,"d":"$4.20"},{"v":0.59,"d":"$0.59"},{"v":4.79,"d":"$4.79"},{"v":0,"d":"$0.00"},{"v":4.79,"d":"$4.79"},"G","N",0,0,0,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010153660E              ","MBRP00000431040","000002653265","2021-10-17","68462011944","FLUCONAZOLE TABS 150.000",1,1,{"v":3.08,"d":"$3.08"},{"v":0.59,"d":"$0.59"},{"v":3.67,"d":"$3.67"},{"v":0,"d":"$0.00"},{"v":3.67,"d":"$3.67"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010147361E              ","MBRP00000294787","000001417518","2021-10-17","62135030901","CIPROFLOXACIN  TABS 500.000",14,7,{"v":4.18,"d":"$4.18"},{"v":0.59,"d":"$0.59"},{"v":4.77,"d":"$4.77"},{"v":0,"d":"$0.00"},{"v":4.77,"d":"$4.77"},"G","N",0,0,0,"R","3652662","RITE AID PHARMACY 02456"]
["21865M","0010105128E              ","MBRP00000440229","000002044193","2021-10-17","31722065832","DIMETHYL FUMAR CPDR 240.000",60,30,{"v":1787.39,"d":"$1,787.39"},{"v":0,"d":"$0.00"},{"v":1787.39,"d":"$1,787.39"},{"v":1767.39,"d":"$1,767.39"},{"v":20,"d":"$20.00"},"G","Y",0,0,1,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010084071E              ","MBRP00000422234","000305996413","2021-10-18","60505257908","ATORVASTATIN C TABS 20.000",90,90,{"v":13.18,"d":"$13.18"},{"v":0,"d":"$0.00"},{"v":13.18,"d":"$13.18"},{"v":3.18,"d":"$3.18"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","5926716","OPTUMRX PHARMACY 704"]
["21865M","0010153590E              ","MBRP00000463445","000001243289","2021-10-18","00054350049","LIDOCAINE VISC SOLN 2.000",100,3,{"v":10.8,"d":"$10.80"},{"v":0.59,"d":"$0.59"},{"v":11.39,"d":"$11.39"},{"v":6.39,"d":"$6.39"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3664415","WALGREENS #4295 4295"]
["21865M","0010114615E              ","MBRP00000440323","000006869421","2021-10-18","00591079410","DICYCLOMINE HY CAPS 10.000",30,7,{"v":7.48,"d":"$7.48"},{"v":0.59,"d":"$0.59"},{"v":8.07,"d":"$8.07"},{"v":3.07,"d":"$3.07"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3669112","GIANT EAGLE PHARMACY #1618 1618"]
["21865M","0010084180E              ","MBRP00000422313","000312251921","2021-10-18","68382009505","CARVEDILOL TABS 25.000",180,90,{"v":11.48,"d":"$11.48"},{"v":0,"d":"$0.00"},{"v":11.48,"d":"$11.48"},{"v":1.48,"d":"$1.48"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010005991E              ","MBRP00000418043","000305149764","2021-10-18","68462026110","ROSUVASTATIN C TABS 5.000",90,90,{"v":22.64,"d":"$22.64"},{"v":0,"d":"$0.00"},{"v":22.64,"d":"$22.64"},{"v":12.64,"d":"$12.64"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010099084E              ","MBRP00000440281","000009351010","2021-10-18","65862007930","TERBINAFINE HC TABS 250.000",30,30,{"v":10.68,"d":"$10.68"},{"v":0.5,"d":"$0.50"},{"v":11.18,"d":"$11.18"},{"v":6.18,"d":"$6.18"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010144759E              ","MBRP00000429257","000001547868","2021-10-19","50228018001","GABAPENTIN CAPS 300.000",-90,30,{"v":-16.16,"d":"-$16.16"},{"v":-0.59,"d":"-$0.59"},{"v":-16.75,"d":"-$16.75"},{"v":-11.75,"d":"-$11.75"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010135251E              ","MBRP00000329856","000321987124","2021-10-19","69315015510","HYDROCHLOROTHI TABS 12.500",90,90,{"v":9.78,"d":"$9.78"},{"v":0,"d":"$0.00"},{"v":9.78,"d":"$9.78"},{"v":0,"d":"$0.00"},{"v":9.78,"d":"$9.78"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010084092E              ","MBRP00000422450","000006214634","2021-10-19","00185067401","HYDROXYZINE PA CAPS 25.000",30,30,{"v":4.52,"d":"$4.52"},{"v":0.59,"d":"$0.59"},{"v":5.11,"d":"$5.11"},{"v":0.11,"d":"$0.11"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3680611","EQUITAS HEALTH PHARMACY 1"]
["21865M","AC00108363000","MBRP00000430784","000001128010","2021-10-19","67877011601","METHADONE HCL TABS 10.000",-30,30,{"v":-3.67,"d":"-$3.67"},{"v":-0.59,"d":"-$0.59"},{"v":-4.26,"d":"-$4.26"},{"v":0,"d":"$0.00"},{"v":-4.26,"d":"-$4.26"},"G","N",0,0,0,"R","3657751","DISCOUNT DRUG MART 42"]
["21865M","0010153644E              ","MBRP00000430982","000001725562","2021-10-19","00555097402","AMPHETAMINE/DE TABS 0.000",30,30,{"v":23.26,"d":"$23.26"},{"v":0.59,"d":"$0.59"},{"v":23.85,"d":"$23.85"},{"v":18.85,"d":"$18.85"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010084132E              ","MBRP00000422150","000002469018","2021-10-19","59267100001","PFIZER-BIONTEC SUSP 30.000",0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":40,"d":"$40.00"},{"v":40,"d":"$40.00"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010104200E              ","MBRP00000440113","000009356515","2021-10-19","68462039610","OMEPRAZOLE CPDR 20.000",60,30,{"v":5.45,"d":"$5.45"},{"v":0.5,"d":"$0.50"},{"v":5.95,"d":"$5.95"},{"v":0.95,"d":"$0.95"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010084267E              ","MBRP00000417866","000008032725","2021-10-20","00904685272","LORATADINE TABS 10.000",30,30,{"v":1.08,"d":"$1.08"},{"v":0.59,"d":"$0.59"},{"v":1.67,"d":"$1.67"},{"v":0,"d":"$0.00"},{"v":1.67,"d":"$1.67"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010064744E              ","MBRP00000422383","000000595499","2021-10-20","00591252001","CHLORZOXAZONE TABS 500.000",120,30,{"v":86.22,"d":"$86.22"},{"v":0.5,"d":"$0.50"},{"v":86.72,"d":"$86.72"},{"v":81.72,"d":"$81.72"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","0010153151E              ","MBRP00000429228","000002573415","2021-10-20","42799080601","IVERMECTIN TABS 3.000",6,1,{"v":24.4,"d":"$24.40"},{"v":0.59,"d":"$0.59"},{"v":24.99,"d":"$24.99"},{"v":19.99,"d":"$19.99"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010005907E              ","MBRP00000422299","000307970727","2021-10-20","57664050218","TIZANIDINE HCL TABS 2.000",90,30,{"v":17.03,"d":"$17.03"},{"v":0,"d":"$0.00"},{"v":17.03,"d":"$17.03"},{"v":7.03,"d":"$7.03"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010153591E              ","MBRP00000431010","000001556272","2021-10-21","50383070016","FLUTICASONE PR SUSP 50.000",16,30,{"v":9.73,"d":"$9.73"},{"v":0.59,"d":"$0.59"},{"v":10.32,"d":"$10.32"},{"v":5.32,"d":"$5.32"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","AC00108483700","MBRP00000430898","000002858736","2021-10-21","60505082901","FLUTICASONE PR SUSP 50.000",-16,30,{"v":-9.73,"d":"-$9.73"},{"v":-0.59,"d":"-$0.59"},{"v":-10.32,"d":"-$10.32"},{"v":-5.32,"d":"-$5.32"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010061934E              ","MBRP00000424836","000001345865","2021-10-21","68462012705","GABAPENTIN TABS 800.000",120,30,{"v":42.1,"d":"$42.10"},{"v":0.59,"d":"$0.59"},{"v":42.69,"d":"$42.69"},{"v":37.69,"d":"$37.69"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010137212E              ","MBRP00000440119","000006748111","2021-10-21","66689000816","NYSTATIN SUSP 100000.000",200,10,{"v":12.22,"d":"$12.22"},{"v":0.59,"d":"$0.59"},{"v":12.81,"d":"$12.81"},{"v":7.81,"d":"$7.81"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3674151","GIANT EAGLE PHARMACY #4152 4152"]
["21865M","0010153622E              ","MBRP00000429310","000006757104","2021-10-21","16729000216","GLIMEPIRIDE TABS 2.000",90,90,{"v":27.7,"d":"$27.70"},{"v":0,"d":"$0.00"},{"v":27.7,"d":"$27.70"},{"v":12.7,"d":"$12.70"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3669124","GIANT EAGLE PHARMACY #4034 4034"]
["21865M","0010052586E              ","MBRP00000398481","000002906853","2021-10-21","59746000204","METHYLPREDNISO TABS 8.000",30,30,{"v":49.36,"d":"$49.36"},{"v":0.59,"d":"$0.59"},{"v":49.95,"d":"$49.95"},{"v":44.95,"d":"$44.95"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","AC00110758900","MBRP00000471693","000002645462","2021-10-21","65862006299","METOPROLOL TAR TABS 25.000",30,30,{"v":1.6,"d":"$1.60"},{"v":0.59,"d":"$0.59"},{"v":2.19,"d":"$2.19"},{"v":0,"d":"$0.00"},{"v":2.19,"d":"$2.19"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010105950E              ","MBRP00000430808","000000845146","2021-10-22","65162010150","GABAPENTIN CAPS 100.000",-60,30,{"v":-5.43,"d":"-$5.43"},{"v":-0.59,"d":"-$0.59"},{"v":-6.02,"d":"-$6.02"},{"v":-1.02,"d":"-$1.02"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010084283E              ","MBRP00000424809","000000881517","2021-10-22","00378235193","ESOMEPRAZOLE M CPDR 40.000",30,30,{"v":36.28,"d":"$36.28"},{"v":0.59,"d":"$0.59"},{"v":36.87,"d":"$36.87"},{"v":31.87,"d":"$31.87"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010099978E              ","MBRP00000430930","010933305886","2021-10-22","68180097009","LEVOTHYROXINE  TABS 112.000",-90,90,{"v":-45.9,"d":"-$45.90"},{"v":0,"d":"$0.00"},{"v":-45.9,"d":"-$45.90"},{"v":-30.9,"d":"-$30.90"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010032718E              ","MBRP00000424840","000001078048","2021-10-22","00054418325","DEXAMETHASONE TABS 2.000",6,3,{"v":2.92,"d":"$2.92"},{"v":0.59,"d":"$0.59"},{"v":3.51,"d":"$3.51"},{"v":0,"d":"$0.00"},{"v":3.51,"d":"$3.51"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010084199E              ","MBRP00000417831","000001716477","2021-10-22","51672126906","BETAMETHASONE  CREA 0.100",45,7,{"v":37.38,"d":"$37.38"},{"v":0.59,"d":"$0.59"},{"v":37.97,"d":"$37.97"},{"v":32.97,"d":"$32.97"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3609837","CVS PHARMACY #03321 03321"]
["21865M","0010032718E              ","MBRP00000424840","010933147038","2021-10-22","68180096301","ALBUTEROL SULF AERS 108.000",8.5,16,{"v":33.22,"d":"$33.22"},{"v":0.59,"d":"$0.59"},{"v":33.81,"d":"$33.81"},{"v":28.81,"d":"$28.81"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010071549E              ","MBRP00000425001","000002374163","2021-10-22","00228305911","AMPHETAMINE/DE CP24 0.000",30,30,{"v":40.8,"d":"$40.80"},{"v":0.59,"d":"$0.59"},{"v":41.39,"d":"$41.39"},{"v":36.39,"d":"$36.39"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659084","MARCS 39"]
["21865M","0010119782E              ","MBRP00000344453","000002571671","2021-10-22","50742011808","CABERGOLINE TABS 0.500",8,29,{"v":95.14,"d":"$95.14"},{"v":0.59,"d":"$0.59"},{"v":95.73,"d":"$95.73"},{"v":90.73,"d":"$90.73"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010105950E              ","MBRP00000430808","000000845349","2021-10-22","00071036924","DILANTIN CAPS 100.000",28,14,{"v":39.26,"d":"$39.26"},{"v":0.59,"d":"$0.59"},{"v":39.85,"d":"$39.85"},{"v":0,"d":"$0.00"},{"v":39.85,"d":"$39.85"},"B","N",0,2,1,"R","3674365","WALGREENS #1337 1337"]
["21865M","AC00108804300","MBRP00000430859","000000821763","2021-10-22","16729018201","HYDROCHLOROTHI TABS 12.500",90,90,{"v":9.78,"d":"$9.78"},{"v":0,"d":"$0.00"},{"v":9.78,"d":"$9.78"},{"v":0,"d":"$0.00"},{"v":9.78,"d":"$9.78"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010144759E              ","MBRP00000429257","000001547868","2021-10-23","50228018001","GABAPENTIN CAPS 300.000",90,30,{"v":16.16,"d":"$16.16"},{"v":0.59,"d":"$0.59"},{"v":16.75,"d":"$16.75"},{"v":11.75,"d":"$11.75"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010151645E              ","MBRP00000342810","000002923924","2021-10-23","42192034001","HYOSCYAMINE SU TABS 0.125",40,10,{"v":20.55,"d":"$20.55"},{"v":0.59,"d":"$0.59"},{"v":21.14,"d":"$21.14"},{"v":16.14,"d":"$16.14"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010139927E              ","MBRP00000424796","000000494692","2021-10-24","59267100001","PFIZER-BIONTEC SUSP 30.000",0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":40,"d":"$40.00"},{"v":40,"d":"$40.00"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3682425","DISCOUNT DRUG MART 83"]
["21865M","0010115664E              ","MBRP00000429197","000002425567","2021-10-24","49483048110","ASPIRIN LOW DO TBEC 81.000",90,90,{"v":0.65,"d":"$0.65"},{"v":0,"d":"$0.00"},{"v":0.65,"d":"$0.65"},{"v":0.65,"d":"$0.65"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010139126E              ","MBRP00000429226","000001046469","2021-10-25","00002143480","TRULICITY SOPN 1.500",2,28,{"v":829.23,"d":"$829.23"},{"v":0.59,"d":"$0.59"},{"v":829.82,"d":"$829.82"},{"v":809.82,"d":"$809.82"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010005765E              ","MBRP00000440159","000007144754","2021-10-25","80777027399","MODERNA COVID- SUSP 100.000",0.25,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3654034","MARCS 22"]
["21865M","0010146207E              ","MBRP00000430892","000006757659","2021-10-25","68180021609","LOSARTAN POTAS TABS 0.000",90,90,{"v":41.18,"d":"$41.18"},{"v":0,"d":"$0.00"},{"v":41.18,"d":"$41.18"},{"v":26.18,"d":"$26.18"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3669124","GIANT EAGLE PHARMACY #4034 4034"]
["21865M","0010129915E              ","MBRP00000424935","000001726316","2021-10-25","68462056830","AMLODIPINE/OLM TABS 0.000",90,90,{"v":139.62,"d":"$139.62"},{"v":0,"d":"$0.00"},{"v":139.62,"d":"$139.62"},{"v":124.62,"d":"$124.62"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010129036E              ","MBRP00000429011","000001078285","2021-10-25","70010006505","METFORMIN HYDR TABS 1000.000",180,90,{"v":17.78,"d":"$17.78"},{"v":0,"d":"$0.00"},{"v":17.78,"d":"$17.78"},{"v":2.78,"d":"$2.78"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010123358E              ","MBRP00000430919","000001128777","2021-10-25","16714036004","MONO-LINYAH TABS 0.000",28,28,{"v":23.03,"d":"$23.03"},{"v":0.59,"d":"$0.59"},{"v":23.62,"d":"$23.62"},{"v":23.62,"d":"$23.62"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3658626","RITE AID PHARMACY 03468"]
["21865M","0010112591E              ","MBRP00000440132","010934132236","2021-10-25","57237001760","DULOXETINE HYD CPEP 20.000",30,15,{"v":16.01,"d":"$16.01"},{"v":0.59,"d":"$0.59"},{"v":16.6,"d":"$16.60"},{"v":11.6,"d":"$11.60"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651975","RITE AID PHARMACY 02401"]
["21865M","0010153151E              ","MBRP00000429230","000002573996","2021-10-25","68001025204","FLUCONAZOLE TABS 100.000",8,7,{"v":10.72,"d":"$10.72"},{"v":0.59,"d":"$0.59"},{"v":11.31,"d":"$11.31"},{"v":6.31,"d":"$6.31"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010005765E              ","MBRP00000440079","000000904592","2021-10-25","00023916360","RESTASIS EMUL 0.050",180,90,{"v":1737.68,"d":"$1,737.68"},{"v":0,"d":"$0.00"},{"v":1737.68,"d":"$1,737.68"},{"v":1585.56,"d":"$1,585.56"},{"v":152.12,"d":"$152.12"},"B","N",0,0,9,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010139748E              ","MBRP00000440274","000001514848","2021-10-25","68180084073","NORGESTIMATE/E TABS 0.000",28,28,{"v":23.03,"d":"$23.03"},{"v":0.59,"d":"$0.59"},{"v":23.62,"d":"$23.62"},{"v":23.62,"d":"$23.62"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010153560E              ","MBRP00000440309","000002925059","2021-10-26","69097014260","ALBUTEROL SULF AERS 108.000",13.4,33,{"v":52.37,"d":"$52.37"},{"v":0.59,"d":"$0.59"},{"v":52.96,"d":"$52.96"},{"v":37.96,"d":"$37.96"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010121132E              ","MBRP00000429347","000002051717","2021-10-26","00069050130","XELJANZ XR TB24 11.000",30,30,{"v":4851.6,"d":"$4,851.60"},{"v":0,"d":"$0.00"},{"v":4851.6,"d":"$4,851.60"},{"v":4831.6,"d":"$4,831.60"},{"v":20,"d":"$20.00"},"B","Y",0,0,1,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010121132E              ","MBRP00000429347","000002051717","2021-10-26","00069050130","XELJANZ XR TB24 11.000",30,30,{"v":4851.6,"d":"$4,851.60"},{"v":0,"d":"$0.00"},{"v":4851.6,"d":"$4,851.60"},{"v":4831.6,"d":"$4,831.60"},{"v":20,"d":"$20.00"},"B","Y",0,0,1,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010064741E              ","MBRP00000440250","000001217003","2021-10-26","49281012165","FLUZONE HIGH-D SUSY 0.000",0.7,1,{"v":56.22,"d":"$56.22"},{"v":0.59,"d":"$0.59"},{"v":76.81,"d":"$76.81"},{"v":76.81,"d":"$76.81"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010084283E              ","MBRP00000424809","000000904775","2021-10-26","57237002901","AMOXICILLIN TABS 875.000",20,10,{"v":5.5,"d":"$5.50"},{"v":0.59,"d":"$0.59"},{"v":6.09,"d":"$6.09"},{"v":1.09,"d":"$1.09"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010134008E              ","MBRP00000437330","000001025183","2021-10-26","63868093510","QC MAGNESIUM C SOLN 1.745",296,1,{"v":1.07,"d":"$1.07"},{"v":0.59,"d":"$0.59"},{"v":1.66,"d":"$1.66"},{"v":1.66,"d":"$1.66"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3627873","MEDICINE CENTER OF CANTON"]
["21865M","0010144373E              ","MBRP00000422242","000001615263","2021-10-26","53885024450","ONETOUCH ULTRA STRP 0.000",250,30,{"v":323.76,"d":"$323.76"},{"v":0.59,"d":"$0.59"},{"v":324.35,"d":"$324.35"},{"v":304.35,"d":"$304.35"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3609837","CVS PHARMACY #03321 03321"]
["21865M","0010006122E              ","MBRP00000440127","000006797103","2021-10-27","61314063136","NEOMYCIN/POLYM OINT 0.000",3.5,10,{"v":31.36,"d":"$31.36"},{"v":0.59,"d":"$0.59"},{"v":31.95,"d":"$31.95"},{"v":26.95,"d":"$26.95"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010046104E              ","MBRP00000418059","000002925441","2021-10-27","45802088830","OMEPRAZOLE TBEC 20.000",90,90,{"v":45.59,"d":"$45.59"},{"v":0,"d":"$0.00"},{"v":45.59,"d":"$45.59"},{"v":30.59,"d":"$30.59"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010146042E              ","MBRP00000318029","000000892010","2021-10-27","55566670001","CLENPIQ SOLN 0.000",320,1,{"v":150.74,"d":"$150.74"},{"v":0.59,"d":"$0.59"},{"v":151.33,"d":"$151.33"},{"v":116.33,"d":"$116.33"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3679632","CVS PHARMACY #08248 08248"]
["21865M","0010153659E              ","MBRP00000431042","000006749161","2021-10-27","68180096301","ALBUTEROL SULF AERS 108.000",8.5,17,{"v":33.22,"d":"$33.22"},{"v":0.59,"d":"$0.59"},{"v":33.81,"d":"$33.81"},{"v":28.81,"d":"$28.81"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3674151","GIANT EAGLE PHARMACY #4152 4152"]
["21865M","0010080372E              ","MBRP00000417961","000001078836","2021-10-27","68180096301","ALBUTEROL SULF AERS 108.000",-8.5,16,{"v":-33.22,"d":"-$33.22"},{"v":-0.59,"d":"-$0.59"},{"v":-33.81,"d":"-$33.81"},{"v":-28.81,"d":"-$28.81"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010052586E              ","MBRP00000398481","000002913009","2021-10-27","50228046601","NABUMETONE TABS 750.000",60,30,{"v":31.36,"d":"$31.36"},{"v":0.59,"d":"$0.59"},{"v":31.95,"d":"$31.95"},{"v":26.95,"d":"$26.95"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010073881E              ","MBRP00000440243","000002574396","2021-10-28","00054418325","DEXAMETHASONE TABS 2.000",75,40,{"v":36.5,"d":"$36.50"},{"v":0.59,"d":"$0.59"},{"v":37.09,"d":"$37.09"},{"v":22.09,"d":"$22.09"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010084238E              ","MBRP00000418037","000001199345","2021-10-28","64764017530","DEXILANT CPDR 60.000",90,90,{"v":871.51,"d":"$871.51"},{"v":0,"d":"$0.00"},{"v":871.51,"d":"$871.51"},{"v":681.01,"d":"$681.01"},{"v":190.5,"d":"$190.50"},"B","N",0,0,9,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010005907E              ","MBRP00000422299","000001534336","2021-10-28","69097012403","TOPIRAMATE TABS 100.000",360,90,{"v":86.56,"d":"$86.56"},{"v":0,"d":"$0.00"},{"v":86.56,"d":"$86.56"},{"v":71.56,"d":"$71.56"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010139944E              ","MBRP00000376606","000000595222","2021-10-28","00406012305","HYDROCODONE BI TABS 0.000",8,3,{"v":1.19,"d":"$1.19"},{"v":0.59,"d":"$0.59"},{"v":1.78,"d":"$1.78"},{"v":0,"d":"$0.00"},{"v":1.78,"d":"$1.78"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010084328E              ","MBRP00000418118","000000595547","2021-10-29","00378801593","LANSOPRAZOLE CPDR 15.000",-5,5,{"v":-3.71,"d":"-$3.71"},{"v":-0.59,"d":"-$0.59"},{"v":-4.3,"d":"-$4.30"},{"v":0,"d":"$0.00"},{"v":-4.3,"d":"-$4.30"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010136419E              ","MBRP00000295316","000000905469","2021-10-29","80777027398","MODERNA COVID- SUSP 100.000",0.25,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":40,"d":"$40.00"},{"v":40,"d":"$40.00"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010151645E              ","MBRP00000342810","010941018609","2021-10-29","00536122308","GAS RELIEF EXT CHEW 125.000",-120,30,{"v":-9.74,"d":"-$9.74"},{"v":-0.59,"d":"-$0.59"},{"v":-10.33,"d":"-$10.33"},{"v":-5.33,"d":"-$5.33"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010132958E              ","MBRP00000440157","000000819256","2021-10-29","00527150437","AMPHETAMINE/DE TABS 0.000",25,30,{"v":19.38,"d":"$19.38"},{"v":0.59,"d":"$0.59"},{"v":19.97,"d":"$19.97"},{"v":14.97,"d":"$14.97"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010146042E              ","MBRP00000318029","000000892669","2021-10-29","64380076921","PEG-3350/NACL/ SOLR 0.000",-4000,1,{"v":-22.24,"d":"-$22.24"},{"v":-0.59,"d":"-$0.59"},{"v":-22.83,"d":"-$22.83"},{"v":-22.83,"d":"-$22.83"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3679632","CVS PHARMACY #08248 08248"]
["21865M","0010006035E              ","MBRP00000430910","000001004621","2021-10-29","31722052201","HYDRALAZINE HY TABS 100.000",90,30,{"v":39.69,"d":"$39.69"},{"v":0.59,"d":"$0.59"},{"v":40.28,"d":"$40.28"},{"v":35.28,"d":"$35.28"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3627873","MEDICINE CENTER OF CANTON"]
["21865M","0010153631E              ","MBRP00000430997","000001832495","2021-10-29","69238115403","EZETIMIBE TABS 10.000",30,30,{"v":20.84,"d":"$20.84"},{"v":0.59,"d":"$0.59"},{"v":21.43,"d":"$21.43"},{"v":16.43,"d":"$16.43"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","0010115421E              ","MBRP00000424686","000001321421","2021-10-29","42806040021","METHYLPREDNISO TBPK 4.000",-21,6,{"v":-9.99,"d":"-$9.99"},{"v":-0.59,"d":"-$0.59"},{"v":-10.58,"d":"-$10.58"},{"v":-5.58,"d":"-$5.58"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010146058E              ","MBRP00000440267","000009332088","2021-10-30","16729017117","AMITRIPTYLINE  TABS 10.000",90,22,{"v":17.3,"d":"$17.30"},{"v":0.5,"d":"$0.50"},{"v":17.8,"d":"$17.80"},{"v":12.8,"d":"$12.80"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010150177E              ","MBRP00000429297","000006758529","2021-10-30","42192060716","BROMPHEN/PSEUD SYRP 0.000",120,3,{"v":21.36,"d":"$21.36"},{"v":0.59,"d":"$0.59"},{"v":21.95,"d":"$21.95"},{"v":16.95,"d":"$16.95"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3669124","GIANT EAGLE PHARMACY #4034 4034"]
["21865M","0010084199E              ","MBRP00000417831","000001694720","2021-10-30","00115149001","AMPHETAMINE/DE CP24 0.000",30,30,{"v":40.8,"d":"$40.80"},{"v":0.59,"d":"$0.59"},{"v":41.39,"d":"$41.39"},{"v":36.39,"d":"$36.39"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3609837","CVS PHARMACY #03321 03321"]
["21865M","0010056235E              ","MBRP00000440210","000009352607","2021-10-31","00430042014","LO LOESTRIN FE TABS 0.000",28,28,{"v":153.59,"d":"$153.59"},{"v":0.5,"d":"$0.50"},{"v":154.09,"d":"$154.09"},{"v":119.09,"d":"$119.09"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010134947E              ","MBRP00000418121","000026735863","2021-10-31","00023921105","COMBIGAN SOLN 0.000",5,25,{"v":111.35,"d":"$111.35"},{"v":0.59,"d":"$0.59"},{"v":111.94,"d":"$111.94"},{"v":76.94,"d":"$76.94"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3674276","CANTON VA CBOC PHARMACY"]
["21865M","0010153605E              ","MBRP00000430797","000001713311","2021-10-31","56151014401","TRUEPLUS LANCE MISC 0.000",-200,28,{"v":-9.4,"d":"-$9.40"},{"v":-0.59,"d":"-$0.59"},{"v":-9.99,"d":"-$9.99"},{"v":0,"d":"$0.00"},{"v":-9.99,"d":"-$9.99"},"B","N",0,0,1,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010084142E              ","MBRP00000424706","000001080042","2021-11-01","62756001540","TESTOSTERONE C SOLN 200.000",3,30,{"v":32.77,"d":"$32.77"},{"v":0.59,"d":"$0.59"},{"v":33.36,"d":"$33.36"},{"v":28.36,"d":"$28.36"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659488","DISCOUNT DRUG MART 46"]
["21865M","AC00109762300","MBRP00000434038","000001350232","2021-11-01","00642747001","SLYND TABS 4.000",-84,84,{"v":-548.24,"d":"-$548.24"},{"v":0,"d":"$0.00"},{"v":-548.24,"d":"-$548.24"},{"v":-443.24,"d":"-$443.24"},{"v":-105,"d":"-$105.00"},"B","N",0,0,9,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010092578E              ","MBRP00000424978","000000910330","2021-11-01","68180078001","ZOLPIDEM TARTR TBCR 12.500",30,30,{"v":42.03,"d":"$42.03"},{"v":0.59,"d":"$0.59"},{"v":42.62,"d":"$42.62"},{"v":37.62,"d":"$37.62"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652092","RITE AID PHARMACY 02413"]
["21865M","0010046085E              ","MBRP00000417860","000001218089","2021-11-01","57599000101","FREESTYLE LIBR MISC 0.000",2,28,{"v":113.33,"d":"$113.33"},{"v":0.59,"d":"$0.59"},{"v":113.92,"d":"$113.92"},{"v":93.92,"d":"$93.92"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010153650E              ","MBRP00000429312","000007268071","2021-11-01","68645051654","AMLODIPINE BES TABS 10.000",30,30,{"v":2.12,"d":"$2.12"},{"v":0.59,"d":"$0.59"},{"v":2.71,"d":"$2.71"},{"v":0,"d":"$0.00"},{"v":2.71,"d":"$2.71"},"G","N",0,0,0,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","0010153595E              ","MBRP00000430834","000001218194","2021-11-01","59746017306","PREDNISONE TABS 10.000",20,10,{"v":3.63,"d":"$3.63"},{"v":0.59,"d":"$0.59"},{"v":4.22,"d":"$4.22"},{"v":0,"d":"$0.00"},{"v":4.22,"d":"$4.22"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0020108078E              ","MBRP00000455178","000007145477","2021-11-02","00527058610","DICYCLOMINE HY CAPS 10.000",-90,22,{"v":-22.43,"d":"-$22.43"},{"v":-0.59,"d":"-$0.59"},{"v":-23.02,"d":"-$23.02"},{"v":-18.02,"d":"-$18.02"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010141535E              ","MBRP00000429262","000001218006","2021-11-02","57599000101","FREESTYLE LIBR MISC 0.000",-2,28,{"v":-113.33,"d":"-$113.33"},{"v":-0.59,"d":"-$0.59"},{"v":-113.92,"d":"-$113.92"},{"v":-93.92,"d":"-$93.92"},{"v":-20,"d":"-$20.00"},"B","N",0,0,1,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010006022E              ","MBRP00000418028","000002659452","2021-11-02","66993058697","FLUTICASONE PR AEPB 0.000",-180,90,{"v":-1161.64,"d":"-$1,161.64"},{"v":0,"d":"$0.00"},{"v":-1161.64,"d":"-$1,161.64"},{"v":-1146.64,"d":"-$1,146.64"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010151645E              ","MBRP00000342810","000002919500","2021-11-02","65862090801","CELECOXIB CAPS 100.000",45,23,{"v":23.48,"d":"$23.48"},{"v":0.59,"d":"$0.59"},{"v":24.07,"d":"$24.07"},{"v":19.07,"d":"$19.07"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010153629E              ","MBRP00000429313","000000782623","2021-11-02","68180098103","LISINOPRIL TABS 20.000",90,90,{"v":6.79,"d":"$6.79"},{"v":0,"d":"$0.00"},{"v":6.79,"d":"$6.79"},{"v":0,"d":"$0.00"},{"v":6.79,"d":"$6.79"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0020108078E              ","MBRP00000455178","000008861893","2021-11-02","45802086803","POLYETHYLENE G POWD 17.000",510,30,{"v":11.48,"d":"$11.48"},{"v":0.59,"d":"$0.59"},{"v":12.07,"d":"$12.07"},{"v":12.07,"d":"$12.07"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010153784E              ","MBRP00000341091","000001609982","2021-11-03","69543042610","NAPROXEN TBEC 500.000",30,15,{"v":25.82,"d":"$25.82"},{"v":0.59,"d":"$0.59"},{"v":26.41,"d":"$26.41"},{"v":21.41,"d":"$21.41"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659832","DISCOUNT DRUG MART 50"]
["21865M","0010141535E              ","MBRP00000429262","000001218016","2021-11-03","00597014860","JENTADUETO TABS 0.000",60,30,{"v":476.76,"d":"$476.76"},{"v":0.59,"d":"$0.59"},{"v":477.35,"d":"$477.35"},{"v":457.35,"d":"$457.35"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","AC00110006400","MBRP00000460040","000001353439","2021-11-03","16714039201","CEFDINIR SUSR 125.000",60,5,{"v":15.59,"d":"$15.59"},{"v":0.59,"d":"$0.59"},{"v":16.18,"d":"$16.18"},{"v":11.18,"d":"$11.18"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648233","RITE AID PHARMACY 03167"]
["21865M","AC00110861500","MBRP00000473258","000006872649","2021-11-03","59762501002","CLINDAMYCIN HC CAPS 300.000",28,7,{"v":15.13,"d":"$15.13"},{"v":0.59,"d":"$0.59"},{"v":15.72,"d":"$15.72"},{"v":10.72,"d":"$10.72"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3669112","GIANT EAGLE PHARMACY #1618 1618"]
["21865M","0010112590E              ","MBRP00000429150","000317869906","2021-11-03","43598071910","CHLORTHALIDONE TABS 25.000",90,90,{"v":54.48,"d":"$54.48"},{"v":0,"d":"$0.00"},{"v":54.48,"d":"$54.48"},{"v":44.48,"d":"$44.48"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010084328E              ","MBRP00000418118","000000596587","2021-11-03","68462062030","COLESEVELAM HY PACK 3.750",90,90,{"v":1462.23,"d":"$1,462.23"},{"v":0,"d":"$0.00"},{"v":1462.23,"d":"$1,462.23"},{"v":1447.23,"d":"$1,447.23"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010005907E              ","MBRP00000357052","000001080313","2021-11-04","80777027398","MODERNA COVID- SUSP 100.000",0.25,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":40,"d":"$40.00"},{"v":40,"d":"$40.00"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010153618E              ","MBRP00000429301","010947520752","2021-11-04","69238110005","DOXYCYCLINE HY CAPS 100.000",20,10,{"v":5.42,"d":"$5.42"},{"v":0.59,"d":"$0.59"},{"v":6.01,"d":"$6.01"},{"v":1.01,"d":"$1.01"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010120894E              ","MBRP00000429186","000002024176","2021-11-04","69344021311","OXAYDO TABS 7.500",105,30,{"v":1370.39,"d":"$1,370.39"},{"v":0.59,"d":"$0.59"},{"v":1370.98,"d":"$1,370.98"},{"v":1335.98,"d":"$1,335.98"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","AC00110087800","MBRP00000367855","000001080251","2021-11-04","50111078810","AZITHROMYCIN TABS 500.000",2,1,{"v":2.82,"d":"$2.82"},{"v":0.59,"d":"$0.59"},{"v":3.41,"d":"$3.41"},{"v":0,"d":"$0.00"},{"v":3.41,"d":"$3.41"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010005990E              ","MBRP00000430990","000001728468","2021-11-04","65862050320","AMOXICILLIN/CL TABS 0.000",14,7,{"v":9.9,"d":"$9.90"},{"v":0.59,"d":"$0.59"},{"v":10.49,"d":"$10.49"},{"v":5.49,"d":"$5.49"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010153151E              ","MBRP00000429230","000002574934","2021-11-04","68001025204","FLUCONAZOLE TABS 100.000",8,7,{"v":10.72,"d":"$10.72"},{"v":0.59,"d":"$0.59"},{"v":11.31,"d":"$11.31"},{"v":6.31,"d":"$6.31"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010139578E              ","MBRP00000430916","000008812869","2021-11-04","43975027810","AMPHETAMINE/DE CP24 0.000",30,30,{"v":24.2,"d":"$24.20"},{"v":0.5,"d":"$0.50"},{"v":24.7,"d":"$24.70"},{"v":19.7,"d":"$19.70"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3644691","SCRIPTSHOP PHARMACY"]
["21865M","0010153594E              ","MBRP00000429327","000000906834","2021-11-05","00023921105","COMBIGAN SOLN 0.000",-10,50,{"v":-381.85,"d":"-$381.85"},{"v":-0.59,"d":"-$0.59"},{"v":-382.44,"d":"-$382.44"},{"v":-277.44,"d":"-$277.44"},{"v":-105,"d":"-$105.00"},"B","N",0,0,9,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010144048E              ","MBRP00000429266","000001559917","2021-11-05","64764073030","TRINTELLIX TABS 10.000",30,30,{"v":415.41,"d":"$415.41"},{"v":0.59,"d":"$0.59"},{"v":416,"d":"$416.00"},{"v":381,"d":"$381.00"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010005991E              ","MBRP00000418043","000003021728","2021-11-05","13668000801","ZOLPIDEM TARTR TABS 10.000",30,30,{"v":2.08,"d":"$2.08"},{"v":0.59,"d":"$0.59"},{"v":2.67,"d":"$2.67"},{"v":0,"d":"$0.00"},{"v":2.67,"d":"$2.67"},"G","N",0,0,0,"R","3656292","MEDICINE CENTER PHARMACY"]
["21865M","0010153293E              ","MBRP00000375739","000000906371","2021-11-05","43386002606","FLUOCINONIDE SOLN 0.050",60,30,{"v":50.22,"d":"$50.22"},{"v":0.59,"d":"$0.59"},{"v":50.81,"d":"$50.81"},{"v":45.81,"d":"$45.81"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010153314E              ","MBRP00000336402","000001247157","2021-11-06","61874011530","VRAYLAR CAPS 1.500",30,30,{"v":1244.98,"d":"$1,244.98"},{"v":0.59,"d":"$0.59"},{"v":1245.57,"d":"$1,245.57"},{"v":1210.57,"d":"$1,210.57"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3660227","CVS PHARMACY 04605"]
["21865M","0010134932E              ","MBRP00000424842","000000848476","2021-11-06","00143988775","AMOXICILLIN SUSR 400.000",225,10,{"v":9.35,"d":"$9.35"},{"v":0.59,"d":"$0.59"},{"v":9.94,"d":"$9.94"},{"v":4.94,"d":"$4.94"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010006079E              ","MBRP00000424833","000000590043","2021-11-06","70010006310","METFORMIN HYDR TABS 500.000",180,90,{"v":8.81,"d":"$8.81"},{"v":0,"d":"$0.00"},{"v":8.81,"d":"$8.81"},{"v":0,"d":"$0.00"},{"v":8.81,"d":"$8.81"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","0010112590E              ","MBRP00000429149","000309830317","2021-11-06","16729000517","SIMVASTATIN TABS 20.000",90,90,{"v":13.55,"d":"$13.55"},{"v":0,"d":"$0.00"},{"v":13.55,"d":"$13.55"},{"v":3.55,"d":"$3.55"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010153623E              ","MBRP00000431025","000007286131","2021-11-07","17478076710","PROGESTERONE CAPS 200.000",90,90,{"v":219.69,"d":"$219.69"},{"v":0,"d":"$0.00"},{"v":219.69,"d":"$219.69"},{"v":204.69,"d":"$204.69"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","0010084180E              ","MBRP00000422313","000310532988","2021-11-07","13668008105","MONTELUKAST SO TABS 10.000",90,90,{"v":43.68,"d":"$43.68"},{"v":0,"d":"$0.00"},{"v":43.68,"d":"$43.68"},{"v":33.68,"d":"$33.68"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010153643E              ","MBRP00000430791","000007145895","2021-11-08","00173068220","VENTOLIN HFA AERS 108.000",18,15,{"v":54.37,"d":"$54.37"},{"v":0.59,"d":"$0.59"},{"v":54.96,"d":"$54.96"},{"v":34.96,"d":"$34.96"},{"v":20,"d":"$20.00"},"B","N",0,2,1,"R","3654034","MARCS 22"]
["21865M","0010146058E              ","MBRP00000440266","000009361104","2021-11-08","45802016000","DICLOFENAC SOD GEL  1.000",100,30,{"v":14.81,"d":"$14.81"},{"v":0.5,"d":"$0.50"},{"v":15.31,"d":"$15.31"},{"v":10.31,"d":"$10.31"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010115244E              ","MBRP00000424883","000000734237","2021-11-08","00228305911","AMPHETAMINE/DE CP24 0.000",30,30,{"v":40.8,"d":"$40.80"},{"v":0.59,"d":"$0.59"},{"v":41.39,"d":"$41.39"},{"v":36.39,"d":"$36.39"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010153608E              ","MBRP00000429288","000000589735","2021-11-08","33342005410","PIOGLITAZONE H TABS 15.000",90,90,{"v":20.24,"d":"$20.24"},{"v":0,"d":"$0.00"},{"v":20.24,"d":"$20.24"},{"v":5.24,"d":"$5.24"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","0010134757E              ","MBRP00000424693","000007360849","2021-11-08","00143992801","CIPROFLOXACIN  TABS 500.000",20,10,{"v":5.97,"d":"$5.97"},{"v":0.59,"d":"$0.59"},{"v":6.56,"d":"$6.56"},{"v":1.56,"d":"$1.56"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3678313","GIANT EAGLE PHARMACY #4601 4601"]
["21865M","0010048454E              ","MBRP00000417980","000001892056","2021-11-08","57237002901","AMOXICILLIN TABS 875.000",22,11,{"v":6.05,"d":"$6.05"},{"v":0.59,"d":"$0.59"},{"v":6.64,"d":"$6.64"},{"v":1.64,"d":"$1.64"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","AC00110043100","MBRP00000460622","000001819687","2021-11-08","16714036603","SETLAKIN TABS 0.000",91,91,{"v":59.59,"d":"$59.59"},{"v":0,"d":"$0.00"},{"v":59.59,"d":"$59.59"},{"v":59.59,"d":"$59.59"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","0010048458E              ","MBRP00000418085","000001081012","2021-11-09","62332025118","AZITHROMYCIN TABS 250.000",6,5,{"v":5.2,"d":"$5.20"},{"v":0.59,"d":"$0.59"},{"v":5.79,"d":"$5.79"},{"v":0.79,"d":"$0.79"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010122770E              ","MBRP00000293147","000006430772","2021-11-09","43547035110","LISINOPRIL TABS 2.500",30,30,{"v":1.29,"d":"$1.29"},{"v":0.59,"d":"$0.59"},{"v":1.88,"d":"$1.88"},{"v":0,"d":"$0.00"},{"v":1.88,"d":"$1.88"},"G","N",0,0,0,"R","3648930","MARCS 14"]
["21865M","0010006035E              ","MBRP00000430910","000001025789","2021-11-09","10631001030","KAPSPARGO SPRI CS24 100.000",-30,30,{"v":-56.57,"d":"-$56.57"},{"v":-0.59,"d":"-$0.59"},{"v":-57.16,"d":"-$57.16"},{"v":-22.16,"d":"-$22.16"},{"v":-35,"d":"-$35.00"},"B","N",0,0,9,"R","3627873","MEDICINE CENTER OF CANTON"]
["21865M","0010139575E              ","MBRP00000430854","000000909924","2021-11-09","65162062711","TRAMADOL HCL TABS 50.000",12,3,{"v":0.5,"d":"$0.50"},{"v":0.5,"d":"$0.50"},{"v":1,"d":"$1.00"},{"v":0,"d":"$0.00"},{"v":1,"d":"$1.00"},"G","N",0,0,0,"R","3606211","DARTMOUTH PHARMACY"]
["21865M","0010006021E              ","MBRP00000418018","000002575287","2021-11-09","59676058015","JANSSEN COVID- SUSP 0.500",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":40,"d":"$40.00"},{"v":40,"d":"$40.00"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010005838E              ","MBRP00000429162","000000823421","2021-11-09","65862085901","FAMOTIDINE TABS 20.000",14,14,{"v":1.67,"d":"$1.67"},{"v":0.59,"d":"$0.59"},{"v":2.26,"d":"$2.26"},{"v":0,"d":"$0.00"},{"v":2.26,"d":"$2.26"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010084238E              ","MBRP00000418037","000001219810","2021-11-09","65162083366","DICLOFENAC SOD GEL  1.000",100,20,{"v":9.82,"d":"$9.82"},{"v":0.59,"d":"$0.59"},{"v":10.41,"d":"$10.41"},{"v":5.41,"d":"$5.41"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010005888E              ","MBRP00000417811","000001241555","2021-11-09","49884055402","ZAFIRLUKAST TABS 20.000",-180,90,{"v":-289.38,"d":"-$289.38"},{"v":0,"d":"$0.00"},{"v":-289.38,"d":"-$289.38"},{"v":-274.38,"d":"-$274.38"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3606122","CVS PHARMACY #03306 03306"]
["21865M","AC00110170000","MBRP00000462506","000001107053","2021-11-10","80777027398","MODERNA COVID- SUSP 100.000",0.25,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":40,"d":"$40.00"},{"v":40,"d":"$40.00"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3651874","RITE AID PHARMACY 02392"]
["21865M","0010153601E              ","MBRP00000430974","000001081370","2021-11-10","28595057004","SPINOSAD SUSP 0.900",-120,30,{"v":-259.67,"d":"-$259.67"},{"v":-0.59,"d":"-$0.59"},{"v":-260.26,"d":"-$260.26"},{"v":-255.26,"d":"-$255.26"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3659488","DISCOUNT DRUG MART 46"]
["21865M","0010143968E              ","MBRP00000440051","000006750628","2021-11-10","68382003610","VENLAFAXINE HC CP24 150.000",-30,30,{"v":-9.03,"d":"-$9.03"},{"v":-0.59,"d":"-$0.59"},{"v":-9.62,"d":"-$9.62"},{"v":-4.62,"d":"-$4.62"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3669124","GIANT EAGLE PHARMACY #4034 4034"]
["21865M","0010153610E              ","MBRP00000430843","000001219880","2021-11-10","45737020316","BIO-DTUSS DMX LIQD 0.000",200,5,{"v":7.27,"d":"$7.27"},{"v":0.59,"d":"$0.59"},{"v":7.86,"d":"$7.86"},{"v":0,"d":"$0.00"},{"v":7.86,"d":"$7.86"},"G","N",0,0,9,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010139126E              ","MBRP00000429225","010953892532","2021-11-10","64380073706","VITAMIN D CAPS 50000.000",4,28,{"v":4.76,"d":"$4.76"},{"v":0.59,"d":"$0.59"},{"v":5.35,"d":"$5.35"},{"v":0.35,"d":"$0.35"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","AC00109689800","MBRP00000455151","000007146251","2021-11-10","65162046650","IBUPROFEN TABS 800.000",30,10,{"v":2.54,"d":"$2.54"},{"v":0.59,"d":"$0.59"},{"v":3.13,"d":"$3.13"},{"v":0,"d":"$0.00"},{"v":3.13,"d":"$3.13"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010129036E              ","MBRP00000429011","000001081246","2021-11-10","17478071310","OFLOXACIN SOLN 0.300",5,25,{"v":15.72,"d":"$15.72"},{"v":0.59,"d":"$0.59"},{"v":16.31,"d":"$16.31"},{"v":11.31,"d":"$11.31"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010150177E              ","MBRP00000429297","000006760271","2021-11-10","33342002208","LEVOFLOXACIN TABS 500.000",10,10,{"v":4.89,"d":"$4.89"},{"v":0.59,"d":"$0.59"},{"v":5.48,"d":"$5.48"},{"v":0.48,"d":"$0.48"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3669124","GIANT EAGLE PHARMACY #4034 4034"]
["21865M","0010080373E              ","MBRP00000424861","000000709193","2021-11-11","68462039610","OMEPRAZOLE CPDR 20.000",90,90,{"v":11.65,"d":"$11.65"},{"v":0,"d":"$0.00"},{"v":11.65,"d":"$11.65"},{"v":0,"d":"$0.00"},{"v":11.65,"d":"$11.65"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010032068E              ","MBRP00000397877","000001495384","2021-11-11","68682030930","BUDESONIDE ER TB24 9.000",-30,30,{"v":-1582.88,"d":"-$1,582.88"},{"v":-0.59,"d":"-$0.59"},{"v":-1583.47,"d":"-$1,583.47"},{"v":-1578.47,"d":"-$1,578.47"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","AC00107801700","MBRP00000424915","000001562539","2021-11-11","68180096301","ALBUTEROL SULF AERS 108.000",8.5,25,{"v":33.22,"d":"$33.22"},{"v":0.59,"d":"$0.59"},{"v":33.81,"d":"$33.81"},{"v":28.81,"d":"$28.81"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010150770E              ","MBRP00000312835","000009362047","2021-11-11","68180072305","CEFDINIR SUSR 250.000",100,10,{"v":50.42,"d":"$50.42"},{"v":0.5,"d":"$0.50"},{"v":50.92,"d":"$50.92"},{"v":45.92,"d":"$45.92"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010119786E              ","MBRP00000422431","000001561619","2021-11-11","69097080232","TESTOSTERONE C SOLN 200.000",7,28,{"v":76.47,"d":"$76.47"},{"v":0.59,"d":"$0.59"},{"v":77.06,"d":"$77.06"},{"v":72.06,"d":"$72.06"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010119786E              ","MBRP00000422431","000001561619","2021-11-11","69097080232","TESTOSTERONE C SOLN 200.000",7,84,{"v":76.47,"d":"$76.47"},{"v":0,"d":"$0.00"},{"v":76.47,"d":"$76.47"},{"v":61.47,"d":"$61.47"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","AC00109278200","MBRP00000290703","010956908094","2021-11-12","55111032201","GLIMEPIRIDE TABS 4.000",-180,90,{"v":-57.31,"d":"-$57.31"},{"v":0,"d":"$0.00"},{"v":-57.31,"d":"-$57.31"},{"v":-42.31,"d":"-$42.31"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010093541E              ","MBRP00000440024","000006013049","2021-11-12","00781315401","FERUMOXYTOL SOLN 510.000",17,7,{"v":889.13,"d":"$889.13"},{"v":0.59,"d":"$0.59"},{"v":889.72,"d":"$889.72"},{"v":884.72,"d":"$884.72"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3685510","THE LIBERTY PHARMACY"]
["21865M","0010131593E              ","MBRP00000444040","000000930819","2021-11-12","68382024916","ATORVASTATIN C TABS 10.000",90,90,{"v":13.34,"d":"$13.34"},{"v":0,"d":"$0.00"},{"v":13.34,"d":"$13.34"},{"v":0,"d":"$0.00"},{"v":13.34,"d":"$13.34"},"G","N",0,0,0,"R","3650670","CVS PHARMACY #04802 04802"]
["21865M","0010108448E              ","MBRP00000417797","000006599804","2021-11-12","00456120130","LINZESS CAPS 145.000",30,30,{"v":458.89,"d":"$458.89"},{"v":0.59,"d":"$0.59"},{"v":459.48,"d":"$459.48"},{"v":439.48,"d":"$439.48"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010139968E              ","MBRP00000418010","000002930024","2021-11-12","31722057447","LEVETIRACETAM SOLN 100.000",-540,90,{"v":-40.66,"d":"-$40.66"},{"v":0,"d":"$0.00"},{"v":-40.66,"d":"-$40.66"},{"v":-25.66,"d":"-$25.66"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010153625E              ","MBRP00000430820","000319904314","2021-11-12","69238183607","LEVOTHYROXINE  TABS 125.000",90,90,{"v":44.56,"d":"$44.56"},{"v":0,"d":"$0.00"},{"v":44.56,"d":"$44.56"},{"v":34.56,"d":"$34.56"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","AC00109278200","MBRP00000290703","000001324044","2021-11-12","23155007001","METHIMAZOLE TABS 5.000",-45,30,{"v":-10.04,"d":"-$10.04"},{"v":-0.59,"d":"-$0.59"},{"v":-10.63,"d":"-$10.63"},{"v":-5.63,"d":"-$5.63"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010081996E              ","MBRP00000424739","000006687620","2021-11-13","00642747001","SLYND TABS 4.000",28,28,{"v":190.52,"d":"$190.52"},{"v":0.59,"d":"$0.59"},{"v":191.11,"d":"$191.11"},{"v":156.11,"d":"$156.11"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3669770","GIANT EAGLE PHARMACY #4030 4030"]
["21865M","0010032689E              ","MBRP00000306331","000006551959","2021-11-13","16729032015","OLMESARTAN MED TABS 5.000",30,30,{"v":6.65,"d":"$6.65"},{"v":0.59,"d":"$0.59"},{"v":7.24,"d":"$7.24"},{"v":2.24,"d":"$2.24"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","AC00108535500","MBRP00000429041","000001132230","2021-11-13","10147068501","METHYLPHENIDAT TBCR 18.000",30,30,{"v":100.97,"d":"$100.97"},{"v":0.59,"d":"$0.59"},{"v":101.56,"d":"$101.56"},{"v":96.56,"d":"$96.56"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3657751","DISCOUNT DRUG MART 42"]
["21865M","0010046085E              ","MBRP00000417860","000001184844","2021-11-13","00093834401","GLYBURIDE TABS 5.000",360,90,{"v":115.03,"d":"$115.03"},{"v":0,"d":"$0.00"},{"v":115.03,"d":"$115.03"},{"v":100.03,"d":"$100.03"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010084279E              ","MBRP00000479021","000001213081","2021-11-14","50383070016","FLUTICASONE PR SUSP 50.000",16,30,{"v":9.73,"d":"$9.73"},{"v":0.59,"d":"$0.59"},{"v":10.32,"d":"$10.32"},{"v":5.32,"d":"$5.32"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010084133E              ","MBRP00000424698","006012084760","2021-11-14","68462039710","OMEPRAZOLE CPDR 40.000",30,30,{"v":5.76,"d":"$5.76"},{"v":0.59,"d":"$0.59"},{"v":6.35,"d":"$6.35"},{"v":1.35,"d":"$1.35"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","1570882","AMAZON PHARMACY #006 006"]
["21865M","0010106791E              ","MBRP00000437316","000009308207","2021-11-14","65862093488","AUROVELA 24 FE TABS 0.000",28,28,{"v":30.66,"d":"$30.66"},{"v":0.5,"d":"$0.50"},{"v":31.16,"d":"$31.16"},{"v":31.16,"d":"$31.16"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010153634E              ","MBRP00000430760","000002632170","2021-11-15","65862044930","VALACYCLOVIR H TABS 1.000",8,2,{"v":17.36,"d":"$17.36"},{"v":0.59,"d":"$0.59"},{"v":17.95,"d":"$17.95"},{"v":12.95,"d":"$12.95"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010129915E              ","MBRP00000424935","000001715632","2021-11-15","66869020490","LIVALO TABS 2.000",-90,90,{"v":-903.56,"d":"-$903.56"},{"v":0,"d":"$0.00"},{"v":-903.56,"d":"-$903.56"},{"v":-798.56,"d":"-$798.56"},{"v":-105,"d":"-$105.00"},"B","N",0,0,9,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010134757E              ","MBRP00000424690","000007341905","2021-11-15","68180051202","LISINOPRIL TABS 2.500",180,90,{"v":7.74,"d":"$7.74"},{"v":0,"d":"$0.00"},{"v":7.74,"d":"$7.74"},{"v":0,"d":"$0.00"},{"v":7.74,"d":"$7.74"},"G","N",0,0,0,"R","3678313","GIANT EAGLE PHARMACY #4601 4601"]
["21865M","0010134757E              ","MBRP00000424692","000007362825","2021-11-15","51672131200","MUPIROCIN OINT 2.000",22,7,{"v":11.02,"d":"$11.02"},{"v":0.59,"d":"$0.59"},{"v":11.61,"d":"$11.61"},{"v":6.61,"d":"$6.61"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3678313","GIANT EAGLE PHARMACY #4601 4601"]
["21865M","0010084270E              ","MBRP00000422367","010957766717","2021-11-15","65862070901","RALOXIFENE HYD TABS 60.000",90,90,{"v":177.79,"d":"$177.79"},{"v":0,"d":"$0.00"},{"v":177.79,"d":"$177.79"},{"v":162.79,"d":"$162.79"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010149138E              ","MBRP00000422216","000002424781","2021-11-15","59417010710","VYVANSE CAPS 70.000",30,30,{"v":328.98,"d":"$328.98"},{"v":0.59,"d":"$0.59"},{"v":329.57,"d":"$329.57"},{"v":294.57,"d":"$294.57"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3661433","WALGREENS #3572 3572"]
["21865M","0010006064E              ","MBRP00000422222","000007253463","2021-11-15","59676058015","JANSSEN COVID- SUSP 0.500",0.5,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":40,"d":"$40.00"},{"v":40,"d":"$40.00"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","1087697","PUBLIX PHARMACY #0500 0500"]
["21865M","0010084320E              ","MBRP00000417892","000304207719","2021-11-15","68462038790","SOLIFENACIN SU TABS 10.000",90,90,{"v":100.36,"d":"$100.36"},{"v":0,"d":"$0.00"},{"v":100.36,"d":"$100.36"},{"v":90.36,"d":"$90.36"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010084320E              ","MBRP00000417892","000310608469","2021-11-15","50228014610","HYDROCHLOROTHI CAPS 12.500",90,90,{"v":9.78,"d":"$9.78"},{"v":0,"d":"$0.00"},{"v":9.78,"d":"$9.78"},{"v":0,"d":"$0.00"},{"v":9.78,"d":"$9.78"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010006056E              ","MBRP00000417930","000001213015","2021-11-15","70748013206","SILDENAFIL CIT TABS 50.000",6,30,{"v":4.18,"d":"$4.18"},{"v":0.59,"d":"$0.59"},{"v":4.77,"d":"$4.77"},{"v":0,"d":"$0.00"},{"v":4.77,"d":"$4.77"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010141535E              ","MBRP00000429262","000001221140","2021-11-15","68180063809","ATORVASTATIN C TABS 80.000",30,30,{"v":7.62,"d":"$7.62"},{"v":0.59,"d":"$0.59"},{"v":8.21,"d":"$8.21"},{"v":3.21,"d":"$3.21"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010084188E              ","MBRP00000424740","000000823358","2021-11-16","00093301856","TADALAFIL TABS 10.000",6,30,{"v":16.06,"d":"$16.06"},{"v":0.59,"d":"$0.59"},{"v":16.65,"d":"$16.65"},{"v":11.65,"d":"$11.65"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","AC00107809800","MBRP00000468814","000007126913","2021-11-16","63304082805","ATORVASTATIN C TABS 20.000",90,90,{"v":13.18,"d":"$13.18"},{"v":0,"d":"$0.00"},{"v":13.18,"d":"$13.18"},{"v":0,"d":"$0.00"},{"v":13.18,"d":"$13.18"},"G","N",0,0,0,"R","3644211","GIANT EAGLE PHARMACY #4060 4060"]
["21865M","0010153670E              ","MBRP00000467747","000001022379","2021-11-16","00591544210","PREDNISONE TABS 10.000",5,5,{"v":0.82,"d":"$0.82"},{"v":0.5,"d":"$0.50"},{"v":1.32,"d":"$1.32"},{"v":0,"d":"$0.00"},{"v":1.32,"d":"$1.32"},"G","N",0,0,0,"R","3646330","MAKOS PHARMACY"]
["21865M","0010153045E              ","MBRP00000440288","000001730783","2021-11-16","45802065087","LORATADINE TABS 10.000",90,90,{"v":6.79,"d":"$6.79"},{"v":0,"d":"$0.00"},{"v":6.79,"d":"$6.79"},{"v":0,"d":"$0.00"},{"v":6.79,"d":"$6.79"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","AC00108619800","MBRP00000418637","000002485199","2021-11-16","65862056090","PANTOPRAZOLE S TBEC 40.000",-90,90,{"v":-13.98,"d":"-$13.98"},{"v":0,"d":"$0.00"},{"v":-13.98,"d":"-$13.98"},{"v":0,"d":"$0.00"},{"v":-13.98,"d":"-$13.98"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010151645E              ","MBRP00000342810","010960740110","2021-11-16","68382009601","HYDROXYCHLOROQ TABS 200.000",-60,30,{"v":-72.11,"d":"-$72.11"},{"v":-0.59,"d":"-$0.59"},{"v":-72.7,"d":"-$72.70"},{"v":-67.7,"d":"-$67.70"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010148087E              ","MBRP00000429012","000002055961","2021-11-16","00074055402","HUMIRA PEN PNKT 40.000",4,28,{"v":11745.38,"d":"$11,745.38"},{"v":0,"d":"$0.00"},{"v":11745.38,"d":"$11,745.38"},{"v":11725.38,"d":"$11,725.38"},{"v":20,"d":"$20.00"},"B","Y",0,0,1,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010076542E              ","MBRP00000422322","000000599697","2021-11-16","00555097202","AMPHETAMINE/DE TABS 0.000",30,30,{"v":19.9,"d":"$19.90"},{"v":0.59,"d":"$0.59"},{"v":20.49,"d":"$20.49"},{"v":15.49,"d":"$15.49"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010153626E              ","MBRP00000429321","000006274754","2021-11-17","04351098510","AEROCHAMBER MV MISC 0.000",-1,1,{"v":-5.73,"d":"-$5.73"},{"v":-0.59,"d":"-$0.59"},{"v":-6.32,"d":"-$6.32"},{"v":0,"d":"$0.00"},{"v":-6.32,"d":"-$6.32"},"B","N",0,0,9,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010146190E              ","MBRP00000431016","000006800458","2021-11-17","00054981729","PREDNISONE TABS 10.000",32,12,{"v":5.8,"d":"$5.80"},{"v":0.59,"d":"$0.59"},{"v":6.39,"d":"$6.39"},{"v":1.39,"d":"$1.39"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010062989E              ","MBRP00000430888","000007146830","2021-11-17","70010006510","METFORMIN HYDR TABS 1000.000",180,90,{"v":5.89,"d":"$5.89"},{"v":0,"d":"$0.00"},{"v":5.89,"d":"$5.89"},{"v":0,"d":"$0.00"},{"v":5.89,"d":"$5.89"},"G","N",0,0,0,"R","3654034","MARCS 22"]
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["21865M","0010129039E              ","MBRP00000429107","000002665272","2021-11-17","00143924920","AMOXICILLIN/CL TABS 0.000",14,7,{"v":9.9,"d":"$9.90"},{"v":0.59,"d":"$0.59"},{"v":10.49,"d":"$10.49"},{"v":5.49,"d":"$5.49"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010146190E              ","MBRP00000431016","000006780352","2021-11-17","70512003030","LIDOCAINE/PRIL CREA 0.000",30,30,{"v":15.21,"d":"$15.21"},{"v":0.59,"d":"$0.59"},{"v":15.8,"d":"$15.80"},{"v":10.8,"d":"$10.80"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010150177E              ","MBRP00000429296","000006761343","2021-11-17","68462031417","NYSTATIN/TRIAM CREA 0.000",15,3,{"v":16.17,"d":"$16.17"},{"v":0.59,"d":"$0.59"},{"v":16.76,"d":"$16.76"},{"v":11.76,"d":"$11.76"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3669124","GIANT EAGLE PHARMACY #4034 4034"]
["21865M","0010149310E              ","MBRP00000437322","000304269038","2021-11-18","65162046935","ELURYNG RING 0.000",3,84,{"v":418.1,"d":"$418.10"},{"v":0,"d":"$0.00"},{"v":418.1,"d":"$418.10"},{"v":418.1,"d":"$418.10"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"M","0556540","OPTUMRX, INC."]
["21865M","0010121978E              ","MBRP00000417894","000006791340","2021-11-18","68462039710","OMEPRAZOLE CPDR 40.000",30,30,{"v":5.76,"d":"$5.76"},{"v":0.59,"d":"$0.59"},{"v":6.35,"d":"$6.35"},{"v":1.35,"d":"$1.35"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3665289","GIANT EAGLE PHARMACY #4016 4016"]
["21865M","0010146190E              ","MBRP00000431016","000006800684","2021-11-18","42806054701","VITAMIN D CAPS 1.250",12,84,{"v":14.29,"d":"$14.29"},{"v":0,"d":"$0.00"},{"v":14.29,"d":"$14.29"},{"v":0,"d":"$0.00"},{"v":14.29,"d":"$14.29"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
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["21865M","AC00111092500","MBRP00000433410","000002682313","2021-11-18","00555902542","JUNEL 1/20 TABS 0.000",63,63,{"v":58,"d":"$58.00"},{"v":0.59,"d":"$0.59"},{"v":58.59,"d":"$58.59"},{"v":58.59,"d":"$58.59"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3644817","CVS PHARMACY #04800 04800"]
["21865M","0010141183E              ","MBRP00000422359","010963423573","2021-11-18","76204020025","ALBUTEROL SULF NEBU 0.083",-75,7,{"v":-6.28,"d":"-$6.28"},{"v":-0.59,"d":"-$0.59"},{"v":-6.87,"d":"-$6.87"},{"v":-1.87,"d":"-$1.87"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","AC00103124700","MBRP00000453372","000000735678","2021-11-18","59762312001","AZITHROMYCIN SUSR 200.000",15,5,{"v":11.1,"d":"$11.10"},{"v":0.59,"d":"$0.59"},{"v":11.69,"d":"$11.69"},{"v":6.69,"d":"$6.69"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010108014E              ","MBRP00000440197","000001206150","2021-11-18","68180084073","NORGESTIMATE/E TABS 0.000",84,84,{"v":69.1,"d":"$69.10"},{"v":0,"d":"$0.00"},{"v":69.1,"d":"$69.10"},{"v":69.1,"d":"$69.10"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010120894E              ","MBRP00000429186","000006274892","2021-11-18","55111018010","TIZANIDINE HYD TABS 4.000",45,45,{"v":7.73,"d":"$7.73"},{"v":0.59,"d":"$0.59"},{"v":8.32,"d":"$8.32"},{"v":0,"d":"$0.00"},{"v":8.32,"d":"$8.32"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010137634E              ","MBRP00000417937","000002487406","2021-11-19","70700011885","VIENVA TABS 0.000",-56,56,{"v":-39.21,"d":"-$39.21"},{"v":-0.59,"d":"-$0.59"},{"v":-39.8,"d":"-$39.80"},{"v":-39.8,"d":"-$39.80"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010079087E              ","MBRP00000422341","000001082833","2021-11-19","11822880300","RA VITAMIN C TABS 500.000",28,14,{"v":1.17,"d":"$1.17"},{"v":0.59,"d":"$0.59"},{"v":1.76,"d":"$1.76"},{"v":0,"d":"$0.00"},{"v":1.76,"d":"$1.76"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010085209E              ","MBRP00000430935","000006600942","2021-11-19","70377006112","LABETALOL HYDR TABS 200.000",60,30,{"v":39.05,"d":"$39.05"},{"v":0.59,"d":"$0.59"},{"v":39.64,"d":"$39.64"},{"v":34.64,"d":"$34.64"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010153624E              ","MBRP00000430793","000000598652","2021-11-19","00527328846","LEVOTHYROXINE  TABS 150.000",105,90,{"v":29.36,"d":"$29.36"},{"v":0,"d":"$0.00"},{"v":29.36,"d":"$29.36"},{"v":14.36,"d":"$14.36"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","0010134008E              ","MBRP00000437330","000001026937","2021-11-19","80777027398","MODERNA COVID- SUSP 100.000",0.25,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":40,"d":"$40.00"},{"v":40,"d":"$40.00"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3627873","MEDICINE CENTER OF CANTON"]
["21865M","0010064744E              ","MBRP00000422383","000000578682","2021-11-19","43598016630","OLANZAPINE TABS 10.000",30,30,{"v":10.74,"d":"$10.74"},{"v":0.5,"d":"$0.50"},{"v":11.24,"d":"$11.24"},{"v":6.24,"d":"$6.24"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","0010006054E              ","MBRP00000418056","000001073081","2021-11-20","16714008501","SPIRONOLACTONE TABS 50.000",-60,30,{"v":-17.29,"d":"-$17.29"},{"v":-0.59,"d":"-$0.59"},{"v":-17.88,"d":"-$17.88"},{"v":-12.88,"d":"-$12.88"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010092580E              ","MBRP00000424961","000001516451","2021-11-20","00378425405","LAMOTRIGINE TABS 200.000",-180,90,{"v":-25.21,"d":"-$25.21"},{"v":0,"d":"$0.00"},{"v":-25.21,"d":"-$25.21"},{"v":-10.21,"d":"-$10.21"},{"v":-15,"d":"-$15.00"},"G","N",0,1,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010153627E              ","MBRP00000430780","000000396523","2021-11-20","65862050320","AMOXICILLIN/CL TABS 0.000",20,10,{"v":14.14,"d":"$14.14"},{"v":0.59,"d":"$0.59"},{"v":14.73,"d":"$14.73"},{"v":9.73,"d":"$9.73"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3682324","WALGREENS #15467 15467"]
["21865M","0010153627E              ","MBRP00000430780","000000396523","2021-11-20","00781185220","AMOXICILLIN/CL TABS 0.000",20,10,{"v":14.14,"d":"$14.14"},{"v":0.59,"d":"$0.59"},{"v":14.73,"d":"$14.73"},{"v":9.73,"d":"$9.73"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3682324","WALGREENS #15467 15467"]
["21865M","AC00109762300","MBRP00000434038","000001355901","2021-11-21","00781185220","AMOXICILLIN/CL TABS 0.000",20,10,{"v":14.14,"d":"$14.14"},{"v":0.59,"d":"$0.59"},{"v":14.73,"d":"$14.73"},{"v":9.73,"d":"$9.73"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010151645E              ","MBRP00000342810","000002883591","2021-11-21","68382032001","POTASSIUM CHLO TBCR 10.000",90,90,{"v":40.87,"d":"$40.87"},{"v":0,"d":"$0.00"},{"v":40.87,"d":"$40.87"},{"v":25.87,"d":"$25.87"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010153613E              ","MBRP00000430835","000312402602","2021-11-21","43547040211","FUROSEMIDE TABS 40.000",180,90,{"v":16.3,"d":"$16.30"},{"v":0,"d":"$0.00"},{"v":16.3,"d":"$16.30"},{"v":6.3,"d":"$6.30"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3155137","OPTUMRX PHARMACY 700, LLC"]
["21865M","0010119041E              ","MBRP00000424919","000001515182","2021-11-22","68180097203","LEVOTHYROXINE  TABS 137.000",30,30,{"v":16.4,"d":"$16.40"},{"v":0.59,"d":"$0.59"},{"v":16.99,"d":"$16.99"},{"v":11.99,"d":"$11.99"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","AC00109582900","MBRP00000453391","000002419327","2021-11-22","61874010060","VIBERZI TABS 100.000",-10,5,{"v":-226.41,"d":"-$226.41"},{"v":-0.59,"d":"-$0.59"},{"v":-227,"d":"-$227.00"},{"v":-192,"d":"-$192.00"},{"v":-35,"d":"-$35.00"},"B","N",0,0,9,"R","3661433","WALGREENS #3572 3572"]
["21865M","0010122707E              ","MBRP00000429093","000000736067","2021-11-22","65862035790","CLOPIDOGREL TABS 75.000",90,90,{"v":42.91,"d":"$42.91"},{"v":0,"d":"$0.00"},{"v":42.91,"d":"$42.91"},{"v":27.91,"d":"$27.91"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010084332E              ","MBRP00000422117","000002667643","2021-11-22","00078069620","ENTRESTO TABS 0.000",60,30,{"v":572.45,"d":"$572.45"},{"v":0.59,"d":"$0.59"},{"v":573.04,"d":"$573.04"},{"v":553.04,"d":"$553.04"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010084279E              ","MBRP00000479021","000001222658","2021-11-22","16714043901","NITROFURANTOIN CAPS 100.000",14,7,{"v":31.36,"d":"$31.36"},{"v":0.59,"d":"$0.59"},{"v":31.95,"d":"$31.95"},{"v":26.95,"d":"$26.95"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010084270E              ","MBRP00000422367","000000832680","2021-11-22","66869010490","LIVALO TABS 1.000",-90,90,{"v":-903.56,"d":"-$903.56"},{"v":0,"d":"$0.00"},{"v":-903.56,"d":"-$903.56"},{"v":-798.56,"d":"-$798.56"},{"v":-105,"d":"-$105.00"},"B","N",0,0,9,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010079160E              ","MBRP00000422257","000000915574","2021-11-22","52268001201","SUPREP BOWEL P SOLN 0.000",-354,1,{"v":-103.96,"d":"-$103.96"},{"v":-0.59,"d":"-$0.59"},{"v":-104.55,"d":"-$104.55"},{"v":-69.55,"d":"-$69.55"},{"v":-35,"d":"-$35.00"},"B","N",0,0,9,"R","3652092","RITE AID PHARMACY 02413"]
["21865M","0010139748E              ","MBRP00000440274","000001514848","2021-11-22","68180084073","NORGESTIMATE/E TABS 0.000",28,28,{"v":23.03,"d":"$23.03"},{"v":0.59,"d":"$0.59"},{"v":23.62,"d":"$23.62"},{"v":23.62,"d":"$23.62"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010115257E              ","MBRP00000422174","000001183894","2021-11-22","51224002218","AZITHROMYCIN TABS 250.000",6,5,{"v":5.2,"d":"$5.20"},{"v":0.59,"d":"$0.59"},{"v":5.79,"d":"$5.79"},{"v":0.79,"d":"$0.79"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3669009","DISCOUNT DRUG MART 63"]
["21865M","0010084105E              ","MBRP00000440063","000007122345","2021-11-23","63304082905","ATORVASTATIN C TABS 40.000",-90,90,{"v":-38.6,"d":"-$38.60"},{"v":0,"d":"$0.00"},{"v":-38.6,"d":"-$38.60"},{"v":-23.6,"d":"-$23.60"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010005945E              ","MBRP00000440212","000000611662","2021-11-23","42799092201","BISOPROLOL FUM TABS 0.000",90,90,{"v":136.02,"d":"$136.02"},{"v":0,"d":"$0.00"},{"v":136.02,"d":"$136.02"},{"v":121.02,"d":"$121.02"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3648485","RITE AID PHARMACY 03198"]
["21865M","0010061934E              ","MBRP00000424838","000001356492","2021-11-23","13668033005","TRAZODONE HYDR TABS 50.000",90,90,{"v":14.12,"d":"$14.12"},{"v":0,"d":"$0.00"},{"v":14.12,"d":"$14.12"},{"v":0,"d":"$0.00"},{"v":14.12,"d":"$14.12"},"G","N",0,0,0,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010149143E              ","MBRP00000424769","000320509522","2021-11-23","70700012185","TRI-ESTARYLLA TABS 0.000",84,84,{"v":69.44,"d":"$69.44"},{"v":0,"d":"$0.00"},{"v":69.44,"d":"$69.44"},{"v":69.44,"d":"$69.44"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010122599E              ","MBRP00000429179","000009364732","2021-11-23","68382005105","MELOXICAM TABS 15.000",90,90,{"v":4.97,"d":"$4.97"},{"v":0,"d":"$0.00"},{"v":4.97,"d":"$4.97"},{"v":0,"d":"$0.00"},{"v":4.97,"d":"$4.97"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010084177E              ","MBRP00000417817","000001271239","2021-11-23","69238156401","AMPHETAMINE SU TABS 10.000",45,30,{"v":104.7,"d":"$104.70"},{"v":0.59,"d":"$0.59"},{"v":105.29,"d":"$105.29"},{"v":100.29,"d":"$100.29"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3666320","WALGREENS #4983 4983"]
["21865M","0010130090E              ","MBRP00000440331","000000982661","2021-11-23","51862032001","LIOTHYRONINE S TABS 5.000",180,90,{"v":130.66,"d":"$130.66"},{"v":0,"d":"$0.00"},{"v":130.66,"d":"$130.66"},{"v":115.66,"d":"$115.66"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3650670","CVS PHARMACY #04802 04802"]
["21865M","0010079723E              ","MBRP00000431051","000001731832","2021-11-23","69315090405","LORAZEPAM TABS 0.500",60,30,{"v":4,"d":"$4.00"},{"v":0.59,"d":"$0.59"},{"v":4.59,"d":"$4.59"},{"v":0,"d":"$0.00"},{"v":4.59,"d":"$4.59"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010005990E              ","MBRP00000430990","010968298860","2021-11-23","43598081115","CETIRIZINE HYD TABS 10.000",30,30,{"v":0.65,"d":"$0.65"},{"v":0.59,"d":"$0.59"},{"v":1.24,"d":"$1.24"},{"v":0,"d":"$0.00"},{"v":1.24,"d":"$1.24"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010153674E              ","MBRP00000430828","000001989599","2021-11-24","00378427677","VALACYCLOVIR H TABS 1.000",30,30,{"v":65.11,"d":"$65.11"},{"v":0.59,"d":"$0.59"},{"v":65.7,"d":"$65.70"},{"v":60.7,"d":"$60.70"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","2632025","WALGREENS #4834 4834"]
["21865M","0010006022E              ","MBRP00000418028","000002636046","2021-11-24","29300022019","MONTELUKAST SO TABS 10.000",90,90,{"v":43.68,"d":"$43.68"},{"v":0,"d":"$0.00"},{"v":43.68,"d":"$43.68"},{"v":28.68,"d":"$28.68"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010152624E              ","MBRP00000440044","000001469917","2021-11-24","16729017001","ESCITALOPRAM O TABS 20.000",90,90,{"v":25.82,"d":"$25.82"},{"v":0,"d":"$0.00"},{"v":25.82,"d":"$25.82"},{"v":10.82,"d":"$10.82"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010129043E              ","MBRP00000429182","000000909375","2021-11-24","68382005101","MELOXICAM TABS 15.000",30,30,{"v":1.84,"d":"$1.84"},{"v":0.59,"d":"$0.59"},{"v":2.43,"d":"$2.43"},{"v":0,"d":"$0.00"},{"v":2.43,"d":"$2.43"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010006022E              ","MBRP00000418028","000002636046","2021-11-24","65862057490","MONTELUKAST SO TABS 10.000",90,90,{"v":43.68,"d":"$43.68"},{"v":0,"d":"$0.00"},{"v":43.68,"d":"$43.68"},{"v":28.68,"d":"$28.68"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010141535E              ","MBRP00000429262","010970420804","2021-11-24","43598026704","ICOSAPENT ETHY CAPS 1.000",120,30,{"v":308.8,"d":"$308.80"},{"v":0.59,"d":"$0.59"},{"v":309.39,"d":"$309.39"},{"v":304.39,"d":"$304.39"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010122754E              ","MBRP00000418027","000002639420","2021-11-25","13811070910","METHYLPHENIDAT TBCR 54.000",30,30,{"v":115.63,"d":"$115.63"},{"v":0.59,"d":"$0.59"},{"v":116.22,"d":"$116.22"},{"v":111.22,"d":"$111.22"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010084105E              ","MBRP00000440060","000006898274","2021-11-26","80777027399","MODERNA COVID- SUSP 100.000",0.25,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":40,"d":"$40.00"},{"v":40,"d":"$40.00"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3670672","SAMS PHARMACY 10-6317 106317"]
["21865M","0010121132E              ","MBRP00000429347","000002058816","2021-11-26","00069050130","XELJANZ XR TB24 11.000",30,30,{"v":4851.6,"d":"$4,851.60"},{"v":0,"d":"$0.00"},{"v":4851.6,"d":"$4,851.60"},{"v":4831.6,"d":"$4,831.60"},{"v":20,"d":"$20.00"},"B","Y",0,0,1,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010122982E              ","MBRP00000422137","000002412914","2021-11-26","65862014836","SUMATRIPTAN SU TABS 100.000",9,30,{"v":9.39,"d":"$9.39"},{"v":0.59,"d":"$0.59"},{"v":9.98,"d":"$9.98"},{"v":4.98,"d":"$4.98"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010153281E              ","MBRP00000283293","000006754357","2021-11-26","59267105501","PFIZER-BIONTEC SUSP 10.000",0.2,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":40,"d":"$40.00"},{"v":40,"d":"$40.00"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3674151","GIANT EAGLE PHARMACY #4152 4152"]
["21865M","0010143184E              ","MBRP00000440208","000001223383","2021-11-27","70461032103","FLUCELVAX QUAD SUSY 0.000",0.5,1,{"v":25.8,"d":"$25.80"},{"v":0.59,"d":"$0.59"},{"v":46.39,"d":"$46.39"},{"v":46.39,"d":"$46.39"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010134939E              ","MBRP00000422191","000320903125","2021-11-27","61442010310","DICLOFENAC SOD TBEC 75.000",180,90,{"v":60.02,"d":"$60.02"},{"v":0,"d":"$0.00"},{"v":60.02,"d":"$60.02"},{"v":50.02,"d":"$50.02"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","5926716","OPTUM PHARMACY 704, INC."]
["21865M","AC00108363000","MBRP00000430784","000001099575","2021-11-27","43547035550","LISINOPRIL TABS 30.000",90,90,{"v":9.99,"d":"$9.99"},{"v":0,"d":"$0.00"},{"v":9.99,"d":"$9.99"},{"v":0,"d":"$0.00"},{"v":9.99,"d":"$9.99"},"G","N",0,0,0,"R","3657751","DISCOUNT DRUG MART 42"]
["21865M","0010153724E              ","MBRP00000424973","000319540310","2021-11-27","00085461001","DULERA AERO 0.000",-39,90,{"v":-842.55,"d":"-$842.55"},{"v":0,"d":"$0.00"},{"v":-842.55,"d":"-$842.55"},{"v":-772.55,"d":"-$772.55"},{"v":-70,"d":"-$70.00"},"B","N",0,0,9,"M","5926716","OPTUM PHARMACY 704, INC."]
["21865M","0010153724E              ","MBRP00000424973","000319540310","2021-11-27","00085461001","DULERA AERO 0.000",39,90,{"v":842.55,"d":"$842.55"},{"v":0,"d":"$0.00"},{"v":842.55,"d":"$842.55"},{"v":772.55,"d":"$772.55"},{"v":70,"d":"$70.00"},"B","N",0,0,9,"M","5926716","OPTUM PHARMACY 704, INC."]
["21865M","AC00108363000","MBRP00000430784","000001111591","2021-11-27","67877019905","AMLODIPINE BES TABS 10.000",-90,90,{"v":-6.36,"d":"-$6.36"},{"v":0,"d":"$0.00"},{"v":-6.36,"d":"-$6.36"},{"v":0,"d":"$0.00"},{"v":-6.36,"d":"-$6.36"},"G","N",0,0,0,"R","3657751","DISCOUNT DRUG MART 42"]
["21865M","0010150859E              ","MBRP00000280996","000006801462","2021-11-28","65862020199","LOSARTAN POTAS TABS 25.000",60,30,{"v":4.56,"d":"$4.56"},{"v":0.59,"d":"$0.59"},{"v":5.15,"d":"$5.15"},{"v":0.15,"d":"$0.15"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010080372E              ","MBRP00000417959","000001051552","2021-11-28","33342020010","LEVOCETIRIZINE TABS 5.000",30,30,{"v":12.52,"d":"$12.52"},{"v":0.59,"d":"$0.59"},{"v":13.11,"d":"$13.11"},{"v":8.11,"d":"$8.11"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010052586E              ","MBRP00000398481","000002915485","2021-11-28","68382009601","HYDROXYCHLOROQ TABS 200.000",60,30,{"v":72.11,"d":"$72.11"},{"v":0.59,"d":"$0.59"},{"v":72.7,"d":"$72.70"},{"v":67.7,"d":"$67.70"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010005971E              ","MBRP00000454575","000001134613","2021-11-29","16714095001","AMPHETAMINE/DE TABS 0.000",-30,30,{"v":-19.9,"d":"-$19.90"},{"v":-0.59,"d":"-$0.59"},{"v":-20.49,"d":"-$20.49"},{"v":-15.49,"d":"-$15.49"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3657751","DISCOUNT DRUG MART 42"]
["21865M","AC00110861500","MBRP00000473261","000006876645","2021-11-29","51672128402","TRIAMCINOLONE  OINT 0.100",-30,15,{"v":-4.02,"d":"-$4.02"},{"v":-0.59,"d":"-$0.59"},{"v":-4.61,"d":"-$4.61"},{"v":0,"d":"$0.00"},{"v":-4.61,"d":"-$4.61"},"G","N",0,0,0,"R","3669112","GIANT EAGLE PHARMACY #1618 1618"]
["21865M","0010031903E              ","MBRP00000430941","000007305573","2021-11-29","00169413212","OZEMPIC SOPN 2.000",1.5,28,{"v":836.34,"d":"$836.34"},{"v":0.59,"d":"$0.59"},{"v":836.93,"d":"$836.93"},{"v":801.93,"d":"$801.93"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3673387","WALMART PHARMACY 10-5410 105410"]
["21865M","0010126146E              ","MBRP00000429210","000006103316","2021-11-29","16714085401","METOPROLOL SUC TB24 100.000",90,90,{"v":50.08,"d":"$50.08"},{"v":0,"d":"$0.00"},{"v":50.08,"d":"$50.08"},{"v":35.08,"d":"$35.08"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3682437","ACME PHARMACY 21"]
["21865M","0010051988E              ","MBRP00000429160","000000736736","2021-11-29","59746017506","PREDNISONE TABS 20.000",18,9,{"v":3.89,"d":"$3.89"},{"v":0.59,"d":"$0.59"},{"v":4.48,"d":"$4.48"},{"v":0,"d":"$0.00"},{"v":4.48,"d":"$4.48"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010149520E              ","MBRP00000440046","000000736273","2021-11-29","00003089421","ELIQUIS TABS 5.000",-180,90,{"v":-1410.36,"d":"-$1,410.36"},{"v":0,"d":"$0.00"},{"v":-1410.36,"d":"-$1,410.36"},{"v":-1350.36,"d":"-$1,350.36"},{"v":-60,"d":"-$60.00"},"B","N",0,0,1,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010149520E              ","MBRP00000440046","000000736273","2021-11-29","00003089421","ELIQUIS TABS 5.000",-60,30,{"v":-490.12,"d":"-$490.12"},{"v":-0.59,"d":"-$0.59"},{"v":-490.71,"d":"-$490.71"},{"v":-470.71,"d":"-$470.71"},{"v":-20,"d":"-$20.00"},"B","N",0,0,1,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010006035E              ","MBRP00000430910","000001020355","2021-11-29","50742062201","NIFEDIPINE ER TB24 90.000",30,30,{"v":64.71,"d":"$64.71"},{"v":0.59,"d":"$0.59"},{"v":65.3,"d":"$65.30"},{"v":60.3,"d":"$60.30"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3627873","MEDICINE CENTER OF CANTON"]
["21865M","0010153640E              ","MBRP00000430766","000001073988","2021-11-29","70010049101","METFORMIN HYDR TB24 500.000",120,30,{"v":27.69,"d":"$27.69"},{"v":0.59,"d":"$0.59"},{"v":28.28,"d":"$28.28"},{"v":23.28,"d":"$23.28"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010084231E              ","MBRP00000424877","000006802231","2021-11-30","00093227534","AMOXICILLIN/CL TABS 0.000",10,5,{"v":7.07,"d":"$7.07"},{"v":0.59,"d":"$0.59"},{"v":7.66,"d":"$7.66"},{"v":2.66,"d":"$2.66"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010116868E              ","MBRP00000430954","000001845801","2021-11-30","59746017306","PREDNISONE TABS 10.000",21,6,{"v":3.81,"d":"$3.81"},{"v":0.59,"d":"$0.59"},{"v":4.4,"d":"$4.40"},{"v":0,"d":"$0.00"},{"v":4.4,"d":"$4.40"},"G","N",0,0,0,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","0010112591E              ","MBRP00000440115","000000958750","2021-11-30","68180035109","SERTRALINE HCL TABS 25.000",30,30,{"v":3.76,"d":"$3.76"},{"v":0.59,"d":"$0.59"},{"v":4.35,"d":"$4.35"},{"v":0,"d":"$0.00"},{"v":4.35,"d":"$4.35"},"G","N",0,0,0,"R","3651975","RITE AID PHARMACY 02401"]
["21865M","0010061934E              ","MBRP00000424836","000001350312","2021-11-30","00093083205","CLONAZEPAM TABS 0.500",-40,20,{"v":-2.68,"d":"-$2.68"},{"v":-0.59,"d":"-$0.59"},{"v":-3.27,"d":"-$3.27"},{"v":0,"d":"$0.00"},{"v":-3.27,"d":"-$3.27"},"G","N",0,0,0,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010107519E              ","MBRP00000429174","000325689153","2021-11-30","00074105001","SKYRIZI SOSY 150.000",1,84,{"v":17558.21,"d":"$17,558.21"},{"v":0,"d":"$0.00"},{"v":17558.21,"d":"$17,558.21"},{"v":17498.21,"d":"$17,498.21"},{"v":60,"d":"$60.00"},"B","N",0,0,1,"R","1564930","OPTUM PHARMACY 702, LLC"]
["21865M","AC00110874700","MBRP00000473467","000001147587","2021-11-30","65862052890","VENLAFAXINE HY CP24 75.000",30,30,{"v":7.41,"d":"$7.41"},{"v":0.59,"d":"$0.59"},{"v":8,"d":"$8.00"},{"v":3,"d":"$3.00"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648916","DISCOUNT DRUG MART 32"]
["21865M","0010006051E              ","MBRP00000314615","000007147935","2021-11-30","59746017506","PREDNISONE TABS 20.000",10,5,{"v":2.16,"d":"$2.16"},{"v":0.59,"d":"$0.59"},{"v":2.75,"d":"$2.75"},{"v":0,"d":"$0.00"},{"v":2.75,"d":"$2.75"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010153607E              ","MBRP00000430993","000001327161","2021-11-30","59267100001","PFIZER-BIONTEC SUSP 30.000",0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":40,"d":"$40.00"},{"v":40,"d":"$40.00"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010131685E              ","MBRP00000424955","000309249520","2021-12-01","65862059805","TAMSULOSIN HYD CAPS 0.400",90,90,{"v":21.36,"d":"$21.36"},{"v":0,"d":"$0.00"},{"v":21.36,"d":"$21.36"},{"v":11.36,"d":"$11.36"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010151645E              ","MBRP00000342810","000002938273","2021-12-01","11917018506","ENEMA READY-TO ENEM 0.000",133,1,{"v":1.28,"d":"$1.28"},{"v":0.59,"d":"$0.59"},{"v":1.87,"d":"$1.87"},{"v":0,"d":"$0.00"},{"v":1.87,"d":"$1.87"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010120894E              ","MBRP00000429186","000004022622","2021-12-01","67877014605","TEMAZEPAM CAPS 15.000",30,30,{"v":4.64,"d":"$4.64"},{"v":0.59,"d":"$0.59"},{"v":5.23,"d":"$5.23"},{"v":0.23,"d":"$0.23"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010131685E              ","MBRP00000424955","000318207249","2021-12-01","60505258008","ATORVASTATIN C TABS 40.000",90,90,{"v":38.6,"d":"$38.60"},{"v":0,"d":"$0.00"},{"v":38.6,"d":"$38.60"},{"v":28.6,"d":"$28.60"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010084270E              ","MBRP00000422366","000001532433","2021-12-01","58160088752","FLUARIX QUADRI SUSY 0.000",-0.5,1,{"v":-17.69,"d":"-$17.69"},{"v":-0.59,"d":"-$0.59"},{"v":-38.28,"d":"-$38.28"},{"v":-38.28,"d":"-$38.28"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3651242","RITE AID PHARMACY 02318"]
["21865M","0010153662E              ","MBRP00000430817","000002567157","2021-12-01","68180097301","LEVOTHYROXINE  TABS 150.000",30,30,{"v":16.65,"d":"$16.65"},{"v":0.59,"d":"$0.59"},{"v":17.24,"d":"$17.24"},{"v":12.24,"d":"$12.24"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010132958E              ","MBRP00000440157","000000832902","2021-12-02","59417010610","VYVANSE CAPS 60.000",30,30,{"v":328.98,"d":"$328.98"},{"v":0.59,"d":"$0.59"},{"v":329.57,"d":"$329.57"},{"v":294.57,"d":"$294.57"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010139948E              ","MBRP00000422408","000004542585","2021-12-02","00574082701","TESTOSTERONE C SOLN 200.000",-10,35,{"v":-109.25,"d":"-$109.25"},{"v":-0.59,"d":"-$0.59"},{"v":-109.84,"d":"-$109.84"},{"v":-94.84,"d":"-$94.84"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010120894E              ","MBRP00000429186","000004022150","2021-12-02","69238131209","PREGABALIN CAPS 75.000",90,30,{"v":21.07,"d":"$21.07"},{"v":0.59,"d":"$0.59"},{"v":21.66,"d":"$21.66"},{"v":16.66,"d":"$16.66"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010153685E              ","MBRP00000430963","010978508691","2021-12-02","00228306011","AMPHETAMINE/DE CP24 0.000",30,30,{"v":40.8,"d":"$40.80"},{"v":0.59,"d":"$0.59"},{"v":41.39,"d":"$41.39"},{"v":36.39,"d":"$36.39"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010084335E              ","MBRP00000422202","000008887984","2021-12-02","53746054201","POTASSIUM CHLO CPCR 10.000",90,90,{"v":51.09,"d":"$51.09"},{"v":0,"d":"$0.00"},{"v":51.09,"d":"$51.09"},{"v":36.09,"d":"$36.09"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3662447","CVS PHARMACY #16247 16247"]
["21865M","0010136435E              ","MBRP00000429171","000001461700","2021-12-02","62559029101","POTASSIUM CITR TBCR 1080.000",90,30,{"v":139.1,"d":"$139.10"},{"v":0.59,"d":"$0.59"},{"v":139.69,"d":"$139.69"},{"v":134.69,"d":"$134.69"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010084180E              ","MBRP00000422313","000002059503","2021-12-02","54092047101","MYDAYIS CP24 0.000",30,30,{"v":301.82,"d":"$301.82"},{"v":0.59,"d":"$0.59"},{"v":302.41,"d":"$302.41"},{"v":267.41,"d":"$267.41"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3669112","GIANT EAGLE PHARMACY #1618 1618"]
["21865M","0010099084E              ","MBRP00000440280","000009309507","2021-12-03","65862020299","LOSARTAN POTAS TABS 50.000",90,90,{"v":11.32,"d":"$11.32"},{"v":0,"d":"$0.00"},{"v":11.32,"d":"$11.32"},{"v":0,"d":"$0.00"},{"v":11.32,"d":"$11.32"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010122678E              ","MBRP00000429078","000000733917","2021-12-03","00555901858","TRI-SPRINTEC TABS 0.000",84,84,{"v":69.44,"d":"$69.44"},{"v":0,"d":"$0.00"},{"v":69.44,"d":"$69.44"},{"v":69.44,"d":"$69.44"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3674416","WALGREENS #09346 09346"]
["21865M","0010093541E              ","MBRP00000440262","000006563184","2021-12-03","24208091055","ERYTHROMYCIN OINT 5.000",-3.5,10,{"v":-15.55,"d":"-$15.55"},{"v":-0.59,"d":"-$0.59"},{"v":-16.14,"d":"-$16.14"},{"v":-11.14,"d":"-$11.14"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3642825","GIANT EAGLE PHARMACY #4036 4036"]
["21865M","0010022887E              ","MBRP00000422233","000312506525","2021-12-03","43598074390","EZETIMIBE/SIMV TABS 0.000",90,90,{"v":374.06,"d":"$374.06"},{"v":0,"d":"$0.00"},{"v":374.06,"d":"$374.06"},{"v":364.06,"d":"$364.06"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","5926716","OPTUM PHARMACY 704, INC."]
["21865M","0010084174E              ","MBRP00000424726","000001211056","2021-12-03","50228018001","GABAPENTIN CAPS 300.000",90,30,{"v":16.16,"d":"$16.16"},{"v":0.59,"d":"$0.59"},{"v":16.75,"d":"$16.75"},{"v":11.75,"d":"$11.75"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010139944E              ","MBRP00000362939","000000596412","2021-12-03","00781324664","ENOXAPARIN SOD SOLN 40.000",5.6,14,{"v":48.5,"d":"$48.50"},{"v":0.5,"d":"$0.50"},{"v":49,"d":"$49.00"},{"v":44,"d":"$44.00"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3672791","AULTMAN EMPLOYEE PHARMACY"]
["21865M","0010139575E              ","MBRP00000430856","000326033656","2021-12-03","49401008835","BENLYSTA SOAJ 200.000",4,28,{"v":3814.23,"d":"$3,814.23"},{"v":0,"d":"$0.00"},{"v":3814.23,"d":"$3,814.23"},{"v":3794.23,"d":"$3,794.23"},{"v":20,"d":"$20.00"},"B","Y",0,0,1,"R","1723370","OPTUMRX, INC."]
["21865M","0010151792E              ","MBRP00000456402","000000604012","2021-12-04","57237007710","ONDANSETRON OD TBDP 4.000",5,3,{"v":2.73,"d":"$2.73"},{"v":0.59,"d":"$0.59"},{"v":3.32,"d":"$3.32"},{"v":0,"d":"$0.00"},{"v":3.32,"d":"$3.32"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010133386E              ","MBRP00000440165","000006603115","2021-12-04","11527075043","SODIUM FLUORID PSTE 1.100",100,30,{"v":12.93,"d":"$12.93"},{"v":0.59,"d":"$0.59"},{"v":13.52,"d":"$13.52"},{"v":8.52,"d":"$8.52"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010077349E              ","MBRP00000424944","000007289297","2021-12-04","00168000215","TRIAMCINOLONE  CREA 0.500",-60,30,{"v":-10,"d":"-$10.00"},{"v":-0.59,"d":"-$0.59"},{"v":-10.59,"d":"-$10.59"},{"v":-5.59,"d":"-$5.59"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","0010125947E              ","MBRP00000422211","000001860448","2021-12-04","65862069705","VENLAFAXINE HC CP24 150.000",30,30,{"v":9.03,"d":"$9.03"},{"v":0.59,"d":"$0.59"},{"v":9.62,"d":"$9.62"},{"v":4.62,"d":"$4.62"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","0010052584E              ","MBRP00000418084","000307002923","2021-12-05","69097015915","MELOXICAM TABS 15.000",90,90,{"v":5.53,"d":"$5.53"},{"v":0,"d":"$0.00"},{"v":5.53,"d":"$5.53"},{"v":0,"d":"$0.00"},{"v":5.53,"d":"$5.53"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010150770E              ","MBRP00000312835","000000870784","2021-12-05","00115165903","PROPRANOLOL HY TABS 10.000",90,30,{"v":25.03,"d":"$25.03"},{"v":0.59,"d":"$0.59"},{"v":25.62,"d":"$25.62"},{"v":20.62,"d":"$20.62"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3679606","CVS PHARMACY #02063 02063"]
["21865M","0010005838E              ","MBRP00000429162","000000834276","2021-12-06","55111015810","OMEPRAZOLE CPDR 20.000",90,90,{"v":11.65,"d":"$11.65"},{"v":0,"d":"$0.00"},{"v":11.65,"d":"$11.65"},{"v":0,"d":"$0.00"},{"v":11.65,"d":"$11.65"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010056756E              ","MBRP00000440289","000000959663","2021-12-06","68462059089","FLUOCINOLONE A OIL  0.010",-118.28,7,{"v":-47.39,"d":"-$47.39"},{"v":-0.59,"d":"-$0.59"},{"v":-47.98,"d":"-$47.98"},{"v":-42.98,"d":"-$42.98"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3651975","RITE AID PHARMACY 02401"]
["21865M","0010126142E              ","MBRP00000429124","000006591400","2021-12-06","00310621030","FARXIGA TABS 10.000",30,30,{"v":523.29,"d":"$523.29"},{"v":0.59,"d":"$0.59"},{"v":523.88,"d":"$523.88"},{"v":503.88,"d":"$503.88"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010153631E              ","MBRP00000430997","000001832493","2021-12-06","31722070190","LOSARTAN POTAS TABS 50.000",30,30,{"v":2.84,"d":"$2.84"},{"v":0.59,"d":"$0.59"},{"v":3.43,"d":"$3.43"},{"v":0,"d":"$0.00"},{"v":3.43,"d":"$3.43"},"G","N",0,0,0,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","0010153151E              ","MBRP00000429228","000002577716","2021-12-06","00527133850","DOXYCYCLINE MO TABS 100.000",14,7,{"v":9.25,"d":"$9.25"},{"v":0.59,"d":"$0.59"},{"v":9.84,"d":"$9.84"},{"v":4.84,"d":"$4.84"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010153641E              ","MBRP00000430986","010982302898","2021-12-06","69097084507","CYCLOBENZAPRIN TABS 5.000",30,10,{"v":1.98,"d":"$1.98"},{"v":0.59,"d":"$0.59"},{"v":2.57,"d":"$2.57"},{"v":0,"d":"$0.00"},{"v":2.57,"d":"$2.57"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","AC00109875600","MBRP00000327209","000000959516","2021-12-06","65862039010","ONDANSETRON OD TBDP 4.000",30,15,{"v":16.37,"d":"$16.37"},{"v":0.59,"d":"$0.59"},{"v":16.96,"d":"$16.96"},{"v":11.96,"d":"$11.96"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651975","RITE AID PHARMACY 02401"]
["21865M","0010152036E              ","MBRP00000424803","000000893774","2021-12-06","69097014260","ALBUTEROL SULF AERS 108.000",6.7,17,{"v":26.19,"d":"$26.19"},{"v":0.59,"d":"$0.59"},{"v":26.78,"d":"$26.78"},{"v":21.78,"d":"$21.78"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3679606","CVS PHARMACY #02063 02063"]
["21865M","0010106788E              ","MBRP00000429018","000002940675","2021-12-07","59267100001","PFIZER-BIONTEC SUSP 30.000",0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":40,"d":"$40.00"},{"v":40,"d":"$40.00"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010143689E              ","MBRP00000440305","000007148529","2021-12-07","42806040021","METHYLPREDNISO TBPK 4.000",21,6,{"v":9.99,"d":"$9.99"},{"v":0.59,"d":"$0.59"},{"v":10.58,"d":"$10.58"},{"v":5.58,"d":"$5.58"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010005833E              ","MBRP00000430907","000001762556","2021-12-07","49281042150","FLUZONE QUADRI SUSY 0.000",0.5,1,{"v":18.38,"d":"$18.38"},{"v":0.59,"d":"$0.59"},{"v":38.97,"d":"$38.97"},{"v":38.97,"d":"$38.97"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3615676","CVS PHARMACY #03484 03484"]
["21865M","0010122982E              ","MBRP00000422136","000002497826","2021-12-07","00093417774","CEPHALEXIN SUSR 250.000",200,11,{"v":38.65,"d":"$38.65"},{"v":0.59,"d":"$0.59"},{"v":39.24,"d":"$39.24"},{"v":34.24,"d":"$34.24"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010123107E              ","MBRP00000417889","000000614522","2021-12-07","80777027398","MODERNA COVID- SUSP 100.000",0.25,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":40,"d":"$40.00"},{"v":40,"d":"$40.00"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3648485","RITE AID PHARMACY 03198"]
["21865M","0010152644E              ","MBRP00000429442","000006731705","2021-12-07","68462039710","OMEPRAZOLE CPDR 40.000",90,90,{"v":17.29,"d":"$17.29"},{"v":0,"d":"$0.00"},{"v":17.29,"d":"$17.29"},{"v":2.29,"d":"$2.29"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3674151","GIANT EAGLE PHARMACY #4152 4152"]
["21865M","0010116868E              ","MBRP00000430954","000001847505","2021-12-08","57896044101","BISACODYL EC TBEC 5.000",4,4,{"v":0.05,"d":"$0.05"},{"v":0.59,"d":"$0.59"},{"v":0.64,"d":"$0.64"},{"v":0.64,"d":"$0.64"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","0010049921E              ","MBRP00000440035","000001606707","2021-12-08","16729022601","SPIRONOLACTONE TABS 50.000",60,30,{"v":17.29,"d":"$17.29"},{"v":0.59,"d":"$0.59"},{"v":17.88,"d":"$17.88"},{"v":12.88,"d":"$12.88"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659832","DISCOUNT DRUG MART 50"]
["21865M","0010126146E              ","MBRP00000429209","000006094491","2021-12-08","33342005707","IRBESARTAN/HYD TABS 0.000",30,30,{"v":26.61,"d":"$26.61"},{"v":0.59,"d":"$0.59"},{"v":27.2,"d":"$27.20"},{"v":22.2,"d":"$22.20"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3682437","ACME PHARMACY 21"]
["21865M","0010153610E              ","MBRP00000430843","000001225084","2021-12-08","45737020316","BIO-DTUSS DMX LIQD 0.000",-200,5,{"v":-7.27,"d":"-$7.27"},{"v":-0.59,"d":"-$0.59"},{"v":-7.86,"d":"-$7.86"},{"v":0,"d":"$0.00"},{"v":-7.86,"d":"-$7.86"},"G","N",0,0,9,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010120556E              ","MBRP00000429238","000002826155","2021-12-08","68180098103","LISINOPRIL TABS 20.000",-30,30,{"v":-2.26,"d":"-$2.26"},{"v":-0.59,"d":"-$0.59"},{"v":-2.85,"d":"-$2.85"},{"v":0,"d":"$0.00"},{"v":-2.85,"d":"-$2.85"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010126146E              ","MBRP00000429209","000006100428","2021-12-08","16714098901","ROSUVASTATIN C TABS 10.000",30,30,{"v":7.29,"d":"$7.29"},{"v":0.59,"d":"$0.59"},{"v":7.88,"d":"$7.88"},{"v":2.88,"d":"$2.88"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3682437","ACME PHARMACY 21"]
["21865M","0010153605E              ","MBRP00000430797","000001682099","2021-12-09","11917004815","INSULIN SYRING MISC 0.000",200,33,{"v":32.72,"d":"$32.72"},{"v":0.59,"d":"$0.59"},{"v":33.31,"d":"$33.31"},{"v":0,"d":"$0.00"},{"v":33.31,"d":"$33.31"},"B","N",0,0,1,"R","3663184","WALGREENS #4044 4044"]
["21865M","AC00110043100","MBRP00000460622","000326025602","2021-12-09","00074105001","SKYRIZI SOSY 150.000",-1,84,{"v":-17558.21,"d":"-$17,558.21"},{"v":0,"d":"$0.00"},{"v":-17558.21,"d":"-$17,558.21"},{"v":-17498.21,"d":"-$17,498.21"},{"v":-60,"d":"-$60.00"},"B","N",0,0,1,"R","1564930","OPTUM PHARMACY 702, LLC"]
["21865M","0010123109E              ","MBRP00000440017","000000757314","2021-12-09","00378459610","METOPROLOL SUC TB24 50.000",90,90,{"v":34.23,"d":"$34.23"},{"v":0,"d":"$0.00"},{"v":34.23,"d":"$34.23"},{"v":19.23,"d":"$19.23"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010062960E              ","MBRP00000417965","000001526952","2021-12-09","00591354360","BUPROPION HYDR TB12 150.000",30,30,{"v":40.86,"d":"$40.86"},{"v":0.59,"d":"$0.59"},{"v":41.45,"d":"$41.45"},{"v":41.45,"d":"$41.45"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010124285E              ","MBRP00000422140","000006878954","2021-12-09","00002143480","TRULICITY SOPN 1.500",6,84,{"v":2386.16,"d":"$2,386.16"},{"v":0,"d":"$0.00"},{"v":2386.16,"d":"$2,386.16"},{"v":2326.16,"d":"$2,326.16"},{"v":60,"d":"$60.00"},"B","N",0,0,1,"R","3669112","GIANT EAGLE PHARMACY #1618 1618"]
["21865M","0010062987E              ","MBRP00000429104","000006244970","2021-12-09","69292053201","PROPRANOLOL HY TABS 20.000",62,31,{"v":12.33,"d":"$12.33"},{"v":0.59,"d":"$0.59"},{"v":12.92,"d":"$12.92"},{"v":0,"d":"$0.00"},{"v":12.92,"d":"$12.92"},"G","N",0,0,0,"R","3673503","K C INSTITUTIONAL PHARMACY"]
["21865M","0010052584E              ","MBRP00000418080","000001027706","2021-12-10","51660093901","CETIRIZINE HYD TABS 10.000",-30,30,{"v":-5.78,"d":"-$5.78"},{"v":-0.59,"d":"-$0.59"},{"v":-6.37,"d":"-$6.37"},{"v":-1.37,"d":"-$1.37"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3651949","RITE AID PHARMACY 02398"]
["21865M","0010006039E              ","MBRP00000429090","000001389090","2021-12-10","59651000305","OMEPRAZOLE DR CPDR 40.000",90,90,{"v":17.29,"d":"$17.29"},{"v":0,"d":"$0.00"},{"v":17.29,"d":"$17.29"},{"v":2.29,"d":"$2.29"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3657561","CVS PHARMACY #04353 04353"]
["21865M","0010115667E              ","MBRP00000429045","000007134324","2021-12-10","47335067081","DILTIAZEM HCL  CP24 180.000",90,90,{"v":88.41,"d":"$88.41"},{"v":0,"d":"$0.00"},{"v":88.41,"d":"$88.41"},{"v":73.41,"d":"$73.41"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010085209E              ","MBRP00000429140","000001848001","2021-12-10","43547035610","LISINOPRIL TABS 40.000",30,30,{"v":4.55,"d":"$4.55"},{"v":0.59,"d":"$0.59"},{"v":5.14,"d":"$5.14"},{"v":0.14,"d":"$0.14"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","0010116106E              ","MBRP00000440344","000006756142","2021-12-10","65649030302","XIFAXAN TABS 550.000",42,14,{"v":1895.65,"d":"$1,895.65"},{"v":0.59,"d":"$0.59"},{"v":1896.24,"d":"$1,896.24"},{"v":1861.24,"d":"$1,861.24"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3674151","GIANT EAGLE PHARMACY #4152 4152"]
["21865M","0010084238E              ","MBRP00000418037","000002048683","2021-12-10","57894064011","TREMFYA SOPN 100.000",1,56,{"v":11890.61,"d":"$11,890.61"},{"v":0,"d":"$0.00"},{"v":11890.61,"d":"$11,890.61"},{"v":11830.61,"d":"$11,830.61"},{"v":60,"d":"$60.00"},"B","Y",0,0,1,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010084267E              ","MBRP00000417867","000002049218","2021-12-10","68992301003","ENVARSUS XR TB24 1.000",90,30,{"v":543.92,"d":"$543.92"},{"v":0,"d":"$0.00"},{"v":543.92,"d":"$543.92"},{"v":523.92,"d":"$523.92"},{"v":20,"d":"$20.00"},"B","Y",0,0,1,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010106791E              ","MBRP00000437316","000009308207","2021-12-11","65862093488","AUROVELA 24 FE TABS 0.000",28,28,{"v":7.52,"d":"$7.52"},{"v":0.5,"d":"$0.50"},{"v":8.02,"d":"$8.02"},{"v":8.02,"d":"$8.02"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010134932E              ","MBRP00000424842","000000856579","2021-12-11","61314062810","POLYMYXIN B SU SOLN 0.000",-10,25,{"v":-13.03,"d":"-$13.03"},{"v":-0.59,"d":"-$0.59"},{"v":-13.62,"d":"-$13.62"},{"v":-8.62,"d":"-$8.62"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","AC00108207600","MBRP00000434015","000007124186","2021-12-11","68382013805","TOPIRAMATE TABS 25.000",30,30,{"v":2.89,"d":"$2.89"},{"v":0.59,"d":"$0.59"},{"v":3.48,"d":"$3.48"},{"v":0,"d":"$0.00"},{"v":3.48,"d":"$3.48"},"G","N",0,0,0,"R","3644211","GIANT EAGLE PHARMACY #4060 4060"]
["21865M","0010151688E              ","MBRP00000424925","000000822835","2021-12-12","00088221905","LANTUS SOLOSTA SOPN 100.000",-15,30,{"v":-417.69,"d":"-$417.69"},{"v":-0.59,"d":"-$0.59"},{"v":-418.28,"d":"-$418.28"},{"v":-398.28,"d":"-$398.28"},{"v":-20,"d":"-$20.00"},"B","N",0,0,1,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010153614E              ","MBRP00000431001","000000960608","2021-12-12","65162027210","SULFAMETHOXAZO TABS 0.000",10,5,{"v":1.51,"d":"$1.51"},{"v":0.59,"d":"$0.59"},{"v":2.1,"d":"$2.10"},{"v":0,"d":"$0.00"},{"v":2.1,"d":"$2.10"},"G","N",0,0,0,"R","3651975","RITE AID PHARMACY 02401"]
["21865M","0010145537E              ","MBRP00000429118","000001329461","2021-12-12","00185012201","NITROFURANTOIN CAPS 100.000",60,30,{"v":134.41,"d":"$134.41"},{"v":0.59,"d":"$0.59"},{"v":135,"d":"$135.00"},{"v":130,"d":"$130.00"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010151688E              ","MBRP00000424925","000000759265","2021-12-12","68180072103","AMLODIPINE BES TABS 10.000",90,90,{"v":6.36,"d":"$6.36"},{"v":0,"d":"$0.00"},{"v":6.36,"d":"$6.36"},{"v":0,"d":"$0.00"},{"v":6.36,"d":"$6.36"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010153594E              ","MBRP00000429327","000000896330","2021-12-12","42571025101","CLINDAMYCIN HY CAPS 150.000",30,10,{"v":5.83,"d":"$5.83"},{"v":0.59,"d":"$0.59"},{"v":6.42,"d":"$6.42"},{"v":1.42,"d":"$1.42"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010153687E              ","MBRP00000429221","000002922442","2021-12-13","43547035411","LISINOPRIL TABS 20.000",-30,30,{"v":-2.26,"d":"-$2.26"},{"v":-0.59,"d":"-$0.59"},{"v":-2.85,"d":"-$2.85"},{"v":0,"d":"$0.00"},{"v":-2.85,"d":"-$2.85"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010100929E              ","MBRP00000429218","000000772239","2021-12-13","72618300002","NURTEC TBDP 75.000",16,30,{"v":1753.01,"d":"$1,753.01"},{"v":0.59,"d":"$0.59"},{"v":1753.6,"d":"$1,753.60"},{"v":1718.6,"d":"$1,718.60"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3684710","SUMMA HEALTH AKRON RETAIL PHARMA"]
["21865M","0010153610E              ","MBRP00000430843","000001225084","2021-12-13","45737020316","BIO-DTUSS DMX LIQD 0.000",-200,5,{"v":-7.27,"d":"-$7.27"},{"v":-0.59,"d":"-$0.59"},{"v":-7.86,"d":"-$7.86"},{"v":0,"d":"$0.00"},{"v":-7.86,"d":"-$7.86"},"G","N",0,0,9,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","AC00111190000","MBRP00000478251","000000911787","2021-12-13","00406889401","AMPHETAMINE/DE TABS 0.000",-30,3,{"v":-23.26,"d":"-$23.26"},{"v":-0.59,"d":"-$0.59"},{"v":-23.85,"d":"-$23.85"},{"v":-18.85,"d":"-$18.85"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010006122E              ","MBRP00000440128","000006804098","2021-12-13","45802046564","KETOCONAZOLE SHAM 2.000",120,30,{"v":21.34,"d":"$21.34"},{"v":0.59,"d":"$0.59"},{"v":21.93,"d":"$21.93"},{"v":16.93,"d":"$16.93"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010006098E              ","MBRP00000430940","000001329705","2021-12-13","00116200116","CHLORHEXIDINE  SOLN 0.120",473,16,{"v":5.07,"d":"$5.07"},{"v":0.59,"d":"$0.59"},{"v":5.66,"d":"$5.66"},{"v":0.66,"d":"$0.66"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010033475E              ","MBRP00000429282","000001361881","2021-12-13","00781808926","AZITHROMYCIN TABS 250.000",6,5,{"v":5.2,"d":"$5.20"},{"v":0.59,"d":"$0.59"},{"v":5.79,"d":"$5.79"},{"v":0.79,"d":"$0.79"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010084092E              ","MBRP00000422449","000001568426","2021-12-14","00430042014","LO LOESTRIN FE TABS 0.000",28,28,{"v":152.36,"d":"$152.36"},{"v":0.59,"d":"$0.59"},{"v":152.95,"d":"$152.95"},{"v":117.95,"d":"$117.95"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010123613E              ","MBRP00000440160","000002045936","2021-12-14","61958210101","ODEFSEY TABS 0.000",-30,30,{"v":-3076.21,"d":"-$3,076.21"},{"v":0,"d":"$0.00"},{"v":-3076.21,"d":"-$3,076.21"},{"v":-3056.21,"d":"-$3,056.21"},{"v":-20,"d":"-$20.00"},"B","Y",0,0,1,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010150770E              ","MBRP00000312835","000009369534","2021-12-14","68180072305","CEFDINIR SUSR 250.000",100,10,{"v":48.77,"d":"$48.77"},{"v":0.5,"d":"$0.50"},{"v":49.27,"d":"$49.27"},{"v":44.27,"d":"$44.27"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010132958E              ","MBRP00000440158","000000838416","2021-12-14","00591045301","GUANFACINE HYD TABS 2.000",90,90,{"v":65.28,"d":"$65.28"},{"v":0,"d":"$0.00"},{"v":65.28,"d":"$65.28"},{"v":50.28,"d":"$50.28"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010134916E              ","MBRP00000422153","000000867826","2021-12-14","64380071207","BENZONATATE CAPS 100.000",30,5,{"v":5.68,"d":"$5.68"},{"v":0.59,"d":"$0.59"},{"v":6.27,"d":"$6.27"},{"v":1.27,"d":"$1.27"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3678200","CVS PHARMACY #04572 04572"]
["21865M","0010153610E              ","MBRP00000430843","000001226733","2021-12-14","64380071206","BENZONATATE CAPS 100.000",21,7,{"v":3.98,"d":"$3.98"},{"v":0.59,"d":"$0.59"},{"v":4.57,"d":"$4.57"},{"v":0,"d":"$0.00"},{"v":4.57,"d":"$4.57"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010149595E              ","MBRP00000461473","000002943648","2021-12-14","00143988901","AMOXICILLIN SUSR 250.000",100,10,{"v":3.28,"d":"$3.28"},{"v":0.59,"d":"$0.59"},{"v":3.87,"d":"$3.87"},{"v":0,"d":"$0.00"},{"v":3.87,"d":"$3.87"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010121132E              ","MBRP00000430814","000000194613","2021-12-15","59267100001","PFIZER-BIONTEC SUSP 30.000",-0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":-40,"d":"-$40.00"},{"v":-40,"d":"-$40.00"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3686409","DISCOUNT DRUG MART #89 89"]
["21865M","0010153654E              ","MBRP00000429295","000007149263","2021-12-15","52565004260","NYSTATIN/TRIAM OINT 0.000",60,10,{"v":24.32,"d":"$24.32"},{"v":0.59,"d":"$0.59"},{"v":24.91,"d":"$24.91"},{"v":19.91,"d":"$19.91"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010125947E              ","MBRP00000422211","000001860450","2021-12-15","43547035611","LISINOPRIL TABS 40.000",-30,30,{"v":-4.55,"d":"-$4.55"},{"v":-0.59,"d":"-$0.59"},{"v":-5.14,"d":"-$5.14"},{"v":-0.14,"d":"-$0.14"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","AC00109762300","MBRP00000434038","000001303859","2021-12-15","62756052269","SUMATRIPTAN SU TABS 100.000",-9,30,{"v":-9.39,"d":"-$9.39"},{"v":-0.59,"d":"-$0.59"},{"v":-9.98,"d":"-$9.98"},{"v":-4.98,"d":"-$4.98"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010125947E              ","MBRP00000422211","000001860451","2021-12-15","63304073590","ESOMEPRAZOLE M CPDR 40.000",30,30,{"v":36.28,"d":"$36.28"},{"v":0.59,"d":"$0.59"},{"v":36.87,"d":"$36.87"},{"v":31.87,"d":"$31.87"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","0010052584E              ","MBRP00000418082","010994448457","2021-12-15","51991084704","BROMPHEN/PSEUD SYRP 0.000",120,6,{"v":21.36,"d":"$21.36"},{"v":0.59,"d":"$0.59"},{"v":21.95,"d":"$21.95"},{"v":16.95,"d":"$16.95"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651949","RITE AID PHARMACY 02398"]
["21865M","0010153637E              ","MBRP00000430802","000001848982","2021-12-15","00430042014","LO LOESTRIN FE TABS 0.000",-28,28,{"v":-152.36,"d":"-$152.36"},{"v":-0.59,"d":"-$0.59"},{"v":-152.95,"d":"-$152.95"},{"v":-117.95,"d":"-$117.95"},{"v":-35,"d":"-$35.00"},"B","N",0,0,9,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","AC00109689800","MBRP00000455151","000000912337","2021-12-16","80777027399","MODERNA COVID- SUSP 100.000",0.25,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":40,"d":"$40.00"},{"v":40,"d":"$40.00"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010150770E              ","MBRP00000312835","000000876316","2021-12-16","10006073038","MAGNESIUM OXID TABS 400.000",15,30,{"v":0.73,"d":"$0.73"},{"v":0.59,"d":"$0.59"},{"v":1.32,"d":"$1.32"},{"v":0,"d":"$0.00"},{"v":1.32,"d":"$1.32"},"G","N",0,0,0,"R","3679606","CVS PHARMACY #02063 02063"]
["21865M","0010134937E              ","MBRP00000418004","000000827691","2021-12-16","10370010150","BUPROPION HYDR TB24 150.000",30,30,{"v":15.56,"d":"$15.56"},{"v":0.59,"d":"$0.59"},{"v":16.15,"d":"$16.15"},{"v":11.15,"d":"$11.15"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010126146E              ","MBRP00000429209","000006104462","2021-12-16","65862046830","LOSARTAN POTAS TABS 0.000",30,30,{"v":12.16,"d":"$12.16"},{"v":0.59,"d":"$0.59"},{"v":12.75,"d":"$12.75"},{"v":7.75,"d":"$7.75"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3682437","ACME PHARMACY 21"]
["21865M","0010125947E              ","MBRP00000422211","000001860450","2021-12-16","43547035611","LISINOPRIL TABS 40.000",30,30,{"v":4.55,"d":"$4.55"},{"v":0.59,"d":"$0.59"},{"v":5.14,"d":"$5.14"},{"v":0.14,"d":"$0.14"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","0010114921E              ","MBRP00000322174","000000896637","2021-12-16","52268001201","SUPREP BOWEL P SOLN 0.000",354,1,{"v":103.96,"d":"$103.96"},{"v":0.59,"d":"$0.59"},{"v":104.55,"d":"$104.55"},{"v":69.55,"d":"$69.55"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3679606","CVS PHARMACY #02063 02063"]
["21865M","0010153632E              ","MBRP00000430758","000001465181","2021-12-16","00186037020","SYMBICORT AERO 0.000",10.2,30,{"v":365,"d":"$365.00"},{"v":0.59,"d":"$0.59"},{"v":365.59,"d":"$365.59"},{"v":345.59,"d":"$345.59"},{"v":20,"d":"$20.00"},"B","N",0,9,1,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","AC00109924400","MBRP00000458847","000000946885","2021-12-16","16729017017","ESCITALOPRAM O TABS 20.000",90,90,{"v":25.82,"d":"$25.82"},{"v":0,"d":"$0.00"},{"v":25.82,"d":"$25.82"},{"v":10.82,"d":"$10.82"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3650670","CVS PHARMACY #04802 04802"]
["21865M","AC00107809800","MBRP00000468814","000000858410","2021-12-17","68180035202","SERTRALINE HCL TABS 50.000",-90,90,{"v":-11.21,"d":"-$11.21"},{"v":0,"d":"$0.00"},{"v":-11.21,"d":"-$11.21"},{"v":0,"d":"$0.00"},{"v":-11.21,"d":"-$11.21"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010141535E              ","MBRP00000429262","000001218543","2021-12-17","57599080000","FREESTYLE LIBR MISC 0.000",-2,28,{"v":-113.33,"d":"-$113.33"},{"v":-0.59,"d":"-$0.59"},{"v":-113.92,"d":"-$113.92"},{"v":-93.92,"d":"-$93.92"},{"v":-20,"d":"-$20.00"},"B","N",0,0,1,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010153634E              ","MBRP00000430760","000002676996","2021-12-17","70710112307","DOXYCYCLINE MO TABS 100.000",20,10,{"v":13.22,"d":"$13.22"},{"v":0.59,"d":"$0.59"},{"v":13.81,"d":"$13.81"},{"v":8.81,"d":"$8.81"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010127657E              ","MBRP00000417901","000002503699","2021-12-17","65862046890","LOSARTAN POTAS TABS 0.000",-90,90,{"v":-36.48,"d":"-$36.48"},{"v":0,"d":"$0.00"},{"v":-36.48,"d":"-$36.48"},{"v":-21.48,"d":"-$21.48"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010006057E              ","MBRP00000424868","000001557305","2021-12-17","67877059001","METOPROLOL SUC TB24 25.000",30,30,{"v":12.67,"d":"$12.67"},{"v":0.59,"d":"$0.59"},{"v":13.26,"d":"$13.26"},{"v":8.26,"d":"$8.26"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010084123E              ","MBRP00000417789","000001841246","2021-12-17","80777027315","MODERNA COVID- SUSP 100.000",-0.25,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":-40,"d":"-$40.00"},{"v":-40,"d":"-$40.00"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3646140","WALGREENS #07877 7877"]
["21865M","0010122707E              ","MBRP00000429094","000000739061","2021-12-17","58657067601","CIPROFLOXACIN  TABS 500.000",-10,5,{"v":-2.98,"d":"-$2.98"},{"v":-0.59,"d":"-$0.59"},{"v":-3.57,"d":"-$3.57"},{"v":0,"d":"$0.00"},{"v":-3.57,"d":"-$3.57"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010111333E              ","MBRP00000429178","000001574059","2021-12-18","80777027399","MODERNA COVID- SUSP 100.000",0.25,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":40,"d":"$40.00"},{"v":40,"d":"$40.00"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010131947E              ","MBRP00000286482","000006270037","2021-12-18","16714061305","SERTRALINE HYD TABS 100.000",30,30,{"v":4.7,"d":"$4.70"},{"v":0.59,"d":"$0.59"},{"v":5.29,"d":"$5.29"},{"v":0.29,"d":"$0.29"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010098976E              ","MBRP00000369587","000001573980","2021-12-18","70461032103","FLUCELVAX QUAD SUSY 0.000",0.5,1,{"v":25.8,"d":"$25.80"},{"v":0.59,"d":"$0.59"},{"v":46.39,"d":"$46.39"},{"v":46.39,"d":"$46.39"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0060044938E              ","MBRP00000396619","000002467844","2021-12-18","65862020299","LOSARTAN POTAS TABS 50.000",30,30,{"v":2.84,"d":"$2.84"},{"v":0.59,"d":"$0.59"},{"v":3.43,"d":"$3.43"},{"v":0,"d":"$0.00"},{"v":3.43,"d":"$3.43"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010115257E              ","MBRP00000422174","000325331902","2021-12-19","00046110611","PREMPRO TABS 0.000",-56,56,{"v":-384.16,"d":"-$384.16"},{"v":0,"d":"$0.00"},{"v":-384.16,"d":"-$384.16"},{"v":-344.16,"d":"-$344.16"},{"v":-40,"d":"-$40.00"},"B","N",0,0,1,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010051147E              ","MBRP00000398325","000000838065","2021-12-19","69452015120","VITAMIN D CAPS 50000.000",12,84,{"v":6.77,"d":"$6.77"},{"v":0,"d":"$0.00"},{"v":6.77,"d":"$6.77"},{"v":0,"d":"$0.00"},{"v":6.77,"d":"$6.77"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","AC00109294900","MBRP00000469028","000007593698","2021-12-20","00143988701","AMOXICILLIN SUSR 400.000",100,10,{"v":4.15,"d":"$4.15"},{"v":0.59,"d":"$0.59"},{"v":4.74,"d":"$4.74"},{"v":0,"d":"$0.00"},{"v":4.74,"d":"$4.74"},"G","N",0,0,0,"R","3668285","WALMART PHARMACY 10-2914 102914"]
["21865M","0010098976E              ","MBRP00000369587","000006278410","2021-12-20","68382014005","TOPIRAMATE TABS 100.000",30,30,{"v":7.21,"d":"$7.21"},{"v":0.59,"d":"$0.59"},{"v":7.8,"d":"$7.80"},{"v":2.8,"d":"$2.80"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010084092E              ","MBRP00000422450","000000010821","2021-12-20","70436001304","DESVENLAFAXINE TB24 100.000",14,14,{"v":44.32,"d":"$44.32"},{"v":0.59,"d":"$0.59"},{"v":44.91,"d":"$44.91"},{"v":39.91,"d":"$39.91"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3687754","GENOA HEALTHCARE, LLC 20305"]
["21865M","0010145537E              ","MBRP00000429118","000001330995","2021-12-20","68382050010","OMEPRAZOLE CPDR 40.000",90,90,{"v":17.29,"d":"$17.29"},{"v":0,"d":"$0.00"},{"v":17.29,"d":"$17.29"},{"v":2.29,"d":"$2.29"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010150769E              ","MBRP00000430921","000315052636","2021-12-20","69315011710","FUROSEMIDE TABS 40.000",90,90,{"v":8.15,"d":"$8.15"},{"v":0,"d":"$0.00"},{"v":8.15,"d":"$8.15"},{"v":0,"d":"$0.00"},{"v":8.15,"d":"$8.15"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010098976E              ","MBRP00000369587","000006278426","2021-12-20","47335032688","NALTREXONE HCL TABS 50.000",30,30,{"v":54.43,"d":"$54.43"},{"v":0.59,"d":"$0.59"},{"v":55.02,"d":"$55.02"},{"v":50.02,"d":"$50.02"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010079087E              ","MBRP00000422342","000001087943","2021-12-20","00228306311","AMPHETAMINE/DE CP24 0.000",30,30,{"v":40.8,"d":"$40.80"},{"v":0.59,"d":"$0.59"},{"v":41.39,"d":"$41.39"},{"v":36.39,"d":"$36.39"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010105128E              ","MBRP00000440229","000002044193","2021-12-20","31722065832","DIMETHYL FUMAR CPDR 240.000",-60,30,{"v":-1787.39,"d":"-$1,787.39"},{"v":0,"d":"$0.00"},{"v":-1787.39,"d":"-$1,787.39"},{"v":-1753.09,"d":"-$1,753.09"},{"v":-34.3,"d":"-$34.30"},"G","Y",0,0,1,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010135419E              ","MBRP00000430882","000002433982","2021-12-21","65862069730","VENLAFAXINE HC CP24 150.000",-30,30,{"v":-9.03,"d":"-$9.03"},{"v":-0.59,"d":"-$0.59"},{"v":-9.62,"d":"-$9.62"},{"v":-4.62,"d":"-$4.62"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","AC00108207600","MBRP00000434014","000002151967","2021-12-21","00121077204","HYDROCODONE BI SOLN 0.000",400,7,{"v":21.01,"d":"$21.01"},{"v":0.59,"d":"$0.59"},{"v":21.6,"d":"$21.60"},{"v":16.6,"d":"$16.60"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3644211","GIANT EAGLE PHARMACY #4060 4060"]
["21865M","0010151307E              ","MBRP00000429263","000001737489","2021-12-21","00093314705","CEPHALEXIN CAPS 500.000",20,5,{"v":3.79,"d":"$3.79"},{"v":0.59,"d":"$0.59"},{"v":4.38,"d":"$4.38"},{"v":0,"d":"$0.00"},{"v":4.38,"d":"$4.38"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010052586E              ","MBRP00000398481","000002945910","2021-12-21","10572030201","PEG-3350/NACL/ SOLR 0.000",4000,1,{"v":18.5,"d":"$18.50"},{"v":0.59,"d":"$0.59"},{"v":19.09,"d":"$19.09"},{"v":19.09,"d":"$19.09"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","AC00111190000","MBRP00000482714","000000913014","2021-12-21","13811070710","METHYLPHENIDAT TBCR 27.000",-14,14,{"v":-48.84,"d":"-$48.84"},{"v":-0.59,"d":"-$0.59"},{"v":-49.43,"d":"-$49.43"},{"v":-44.43,"d":"-$44.43"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010045107E              ","MBRP00000340886","000001059681","2021-12-21","68382005101","MELOXICAM TABS 15.000",30,30,{"v":1.84,"d":"$1.84"},{"v":0.59,"d":"$0.59"},{"v":2.43,"d":"$2.43"},{"v":0,"d":"$0.00"},{"v":2.43,"d":"$2.43"},"G","N",0,0,0,"R","3653094","RITE AID PHARMACY 02437"]
["21865M","0010153630E              ","MBRP00000430980","000001276137","2021-12-21","57237002801","AMOXICILLIN TABS 500.000",22,7,{"v":5.07,"d":"$5.07"},{"v":0.59,"d":"$0.59"},{"v":5.66,"d":"$5.66"},{"v":0.66,"d":"$0.66"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3666320","WALGREENS #4983 4983"]
["21865M","0010005765E              ","MBRP00000440079","000000878457","2021-12-21","29300041001","ATENOLOL TABS 25.000",30,30,{"v":4.96,"d":"$4.96"},{"v":0.59,"d":"$0.59"},{"v":5.55,"d":"$5.55"},{"v":0.55,"d":"$0.55"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010084098E              ","MBRP00000422247","000006080166","2021-12-22","16714045201","QUETIAPINE FUM TABS 25.000",14,10,{"v":2.81,"d":"$2.81"},{"v":0.59,"d":"$0.59"},{"v":3.4,"d":"$3.40"},{"v":0,"d":"$0.00"},{"v":3.4,"d":"$3.40"},"G","N",0,0,0,"R","5123574","AURORA PHARMACY #1012 1012"]
["21865M","0010153644E              ","MBRP00000430982","000001737680","2021-12-22","50111091701","TORSEMIDE TABS 20.000",-30,30,{"v":-5.17,"d":"-$5.17"},{"v":-0.59,"d":"-$0.59"},{"v":-5.76,"d":"-$5.76"},{"v":-0.76,"d":"-$0.76"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010072267E              ","MBRP00000430886","000006605918","2021-12-22","50228017805","GABAPENTIN TABS 800.000",270,90,{"v":94.72,"d":"$94.72"},{"v":0,"d":"$0.00"},{"v":94.72,"d":"$94.72"},{"v":79.72,"d":"$79.72"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010132410E              ","MBRP00000440048","000006759095","2021-12-22","70700012185","TRI-ESTARYLLA TABS 0.000",28,28,{"v":19.79,"d":"$19.79"},{"v":0.59,"d":"$0.59"},{"v":20.38,"d":"$20.38"},{"v":20.38,"d":"$20.38"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3665289","GIANT EAGLE PHARMACY #4016 4016"]
["21865M","AC00108363000","MBRP00000430784","000001138669","2021-12-22","31722071310","PANTOPRAZOLE S TBEC 40.000",68,68,{"v":10.56,"d":"$10.56"},{"v":0.59,"d":"$0.59"},{"v":11.15,"d":"$11.15"},{"v":0,"d":"$0.00"},{"v":11.15,"d":"$11.15"},"G","N",0,0,0,"R","3657751","DISCOUNT DRUG MART 42"]
["21865M","0010092580E              ","MBRP00000424961","000001522395","2021-12-22","65649030302","XIFAXAN TABS 550.000",-42,14,{"v":-1895.65,"d":"-$1,895.65"},{"v":-0.59,"d":"-$0.59"},{"v":-1896.24,"d":"-$1,896.24"},{"v":-1861.24,"d":"-$1,861.24"},{"v":-35,"d":"-$35.00"},"B","N",0,0,9,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010005907E              ","MBRP00000422297","000001575145","2021-12-22","67877021901","CEPHALEXIN CAPS 500.000",20,5,{"v":3.79,"d":"$3.79"},{"v":0.59,"d":"$0.59"},{"v":4.38,"d":"$4.38"},{"v":0,"d":"$0.00"},{"v":4.38,"d":"$4.38"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010084142E              ","MBRP00000424711","000001086617","2021-12-22","51224002218","AZITHROMYCIN TABS 250.000",6,5,{"v":5.2,"d":"$5.20"},{"v":0.59,"d":"$0.59"},{"v":5.79,"d":"$5.79"},{"v":0.79,"d":"$0.79"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659488","DISCOUNT DRUG MART 46"]
["21865M","0010061934E              ","MBRP00000424838","000001364797","2021-12-23","00555097202","AMPHETAMINE/DE TABS 0.000",30,30,{"v":19.9,"d":"$19.90"},{"v":0.59,"d":"$0.59"},{"v":20.49,"d":"$20.49"},{"v":15.49,"d":"$15.49"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010150074E              ","MBRP00000474038","000000130141","2021-12-23","49281042150","FLUZONE QUADRI SUSY 0.000",-0.5,1,{"v":-18.38,"d":"-$18.38"},{"v":-0.59,"d":"-$0.59"},{"v":-38.97,"d":"-$38.97"},{"v":-38.97,"d":"-$38.97"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3661306","CVS PHARMACY #16379 16379"]
["21865M","0010129915E              ","MBRP00000424935","000001737915","2021-12-23","68180031909","BUPROPION HYDR TB24 150.000",50,25,{"v":25.93,"d":"$25.93"},{"v":0.59,"d":"$0.59"},{"v":26.52,"d":"$26.52"},{"v":21.52,"d":"$21.52"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010130459E              ","MBRP00000429156","000002579561","2021-12-23","16571066110","MECLIZINE HYDR TABS 25.000",30,10,{"v":4.39,"d":"$4.39"},{"v":0.59,"d":"$0.59"},{"v":4.98,"d":"$4.98"},{"v":0,"d":"$0.00"},{"v":4.98,"d":"$4.98"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010150074E              ","MBRP00000474038","000000130142","2021-12-23","80777027399","MODERNA COVID- SUSP 100.000",-0.25,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":-40,"d":"-$40.00"},{"v":-40,"d":"-$40.00"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3661306","CVS PHARMACY #16379 16379"]
["21865M","0010139615E              ","MBRP00000440112","000007144345","2021-12-23","42571016242","AMOXICILLIN/CL TABS 0.000",14,7,{"v":9.9,"d":"$9.90"},{"v":0.59,"d":"$0.59"},{"v":10.49,"d":"$10.49"},{"v":5.49,"d":"$5.49"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3644211","GIANT EAGLE PHARMACY #4060 4060"]
["21865M","AC00108535500","MBRP00000429041","000001138958","2021-12-24","62037073401","METHYLPHENIDAT TBCR 27.000",-30,30,{"v":-104.65,"d":"-$104.65"},{"v":-0.59,"d":"-$0.59"},{"v":-105.24,"d":"-$105.24"},{"v":-100.24,"d":"-$100.24"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3657751","DISCOUNT DRUG MART 42"]
["21865M","0010031903E              ","MBRP00000430941","000007315598","2021-12-24","00169413013","OZEMPIC SOPN 4.000",3,28,{"v":836.34,"d":"$836.34"},{"v":0.59,"d":"$0.59"},{"v":836.93,"d":"$836.93"},{"v":801.93,"d":"$801.93"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3673387","WALMART PHARMACY 10-5410 105410"]
["21865M","0010080369E              ","MBRP00000424947","000001065813","2021-12-24","65862016999","ATENOLOL TABS 50.000",-180,90,{"v":-15.96,"d":"-$15.96"},{"v":0,"d":"$0.00"},{"v":-15.96,"d":"-$15.96"},{"v":-0.96,"d":"-$0.96"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010052586E              ","MBRP00000398481","000002915485","2021-12-25","68382009601","HYDROXYCHLOROQ TABS 200.000",10,5,{"v":12.02,"d":"$12.02"},{"v":0.59,"d":"$0.59"},{"v":12.61,"d":"$12.61"},{"v":7.61,"d":"$7.61"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010084079E              ","MBRP00000422443","000001431792","2021-12-26","68382004101","PROMETHAZINE H TABS 25.000",30,30,{"v":2.82,"d":"$2.82"},{"v":0.59,"d":"$0.59"},{"v":3.41,"d":"$3.41"},{"v":0,"d":"$0.00"},{"v":3.41,"d":"$3.41"},"G","N",0,0,0,"R","3652662","RITE AID PHARMACY 02456"]
["21865M","0010143968E              ","MBRP00000440051","000006761556","2021-12-26","65862020399","LOSARTAN POTAS TABS 100.000",30,30,{"v":3.83,"d":"$3.83"},{"v":0.59,"d":"$0.59"},{"v":4.42,"d":"$4.42"},{"v":0,"d":"$0.00"},{"v":4.42,"d":"$4.42"},"G","N",0,0,0,"R","3669124","GIANT EAGLE PHARMACY #4034 4034"]
["21865M","0010059329E              ","MBRP00000429025","000000729516","2021-12-26","31722015290","VALSARTAN TABS 80.000",90,90,{"v":50.09,"d":"$50.09"},{"v":0,"d":"$0.00"},{"v":50.09,"d":"$50.09"},{"v":35.09,"d":"$35.09"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010061932E              ","MBRP00000418049","000000742399","2021-12-26","55513084301","AIMOVIG SOAJ 140.000",1,30,{"v":627.32,"d":"$627.32"},{"v":0.59,"d":"$0.59"},{"v":627.91,"d":"$627.91"},{"v":592.91,"d":"$592.91"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3679668","CVS PHARMACY #02385 02385"]
["21865M","0010150770E              ","MBRP00000312836","000000899177","2021-12-27","00121092716","PROMETHAZINE H SYRP 6.250",240,14,{"v":11.72,"d":"$11.72"},{"v":0.59,"d":"$0.59"},{"v":12.31,"d":"$12.31"},{"v":7.31,"d":"$7.31"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3679606","CVS PHARMACY #02063 02063"]
["21865M","0010143488E              ","MBRP00000417977","000000731006","2021-12-27","00555032302","HYDROXYZINE PA CAPS 25.000",45,15,{"v":6.79,"d":"$6.79"},{"v":0.59,"d":"$0.59"},{"v":7.38,"d":"$7.38"},{"v":2.38,"d":"$2.38"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010073375E              ","MBRP00000422376","000007594861","2021-12-27","42806040021","METHYLPREDNISO TBPK 4.000",21,6,{"v":9.99,"d":"$9.99"},{"v":0.59,"d":"$0.59"},{"v":10.58,"d":"$10.58"},{"v":5.58,"d":"$5.58"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3668285","WALMART PHARMACY 10-2914 102914"]
["21865M","0010150013E              ","MBRP00000424928","000001507922","2021-12-27","68180063709","ATORVASTATIN C TABS 40.000",30,30,{"v":12.87,"d":"$12.87"},{"v":0.59,"d":"$0.59"},{"v":13.46,"d":"$13.46"},{"v":8.46,"d":"$8.46"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010122673E              ","MBRP00000429019","000002948068","2021-12-27","65862017760","CEFDINIR CAPS 300.000",20,10,{"v":16.2,"d":"$16.20"},{"v":0.59,"d":"$0.59"},{"v":16.79,"d":"$16.79"},{"v":11.79,"d":"$11.79"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010005907E              ","MBRP00000422299","000307970727","2021-12-27","57664050218","TIZANIDINE HCL TABS 2.000",90,30,{"v":17.03,"d":"$17.03"},{"v":0,"d":"$0.00"},{"v":17.03,"d":"$17.03"},{"v":7.03,"d":"$7.03"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010086302E              ","MBRP00000440329","000006792838","2021-12-27","68180097103","LEVOTHYROXINE  TABS 125.000",90,90,{"v":46.53,"d":"$46.53"},{"v":0,"d":"$0.00"},{"v":46.53,"d":"$46.53"},{"v":31.53,"d":"$31.53"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010115659E              ","MBRP00000440018","000000615957","2021-12-28","80777027399","MODERNA COVID- SUSP 100.000",-0.25,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":-40,"d":"-$40.00"},{"v":-40,"d":"-$40.00"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3648485","RITE AID PHARMACY 03198"]
["21865M","0010133390E              ","MBRP00000422454","000002267522","2021-12-28","59417010310","VYVANSE CAPS 30.000",30,30,{"v":328.98,"d":"$328.98"},{"v":0.59,"d":"$0.59"},{"v":329.57,"d":"$329.57"},{"v":294.57,"d":"$294.57"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010113438E              ","MBRP00000422355","000001284880","2021-12-28","16571040250","CETIRIZINE HYD TABS 10.000",30,30,{"v":5.78,"d":"$5.78"},{"v":0.59,"d":"$0.59"},{"v":6.37,"d":"$6.37"},{"v":1.37,"d":"$1.37"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3660227","CVS PHARMACY 04605"]
["21865M","0010086302E              ","MBRP00000440329","000004090225","2021-12-28","65862067799","ALPRAZOLAM TABS 0.500",30,10,{"v":1.21,"d":"$1.21"},{"v":0.59,"d":"$0.59"},{"v":1.8,"d":"$1.80"},{"v":0,"d":"$0.00"},{"v":1.8,"d":"$1.80"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010099084E              ","MBRP00000440280","000009371608","2021-12-28","68180095002","DESOXIMETASONE CREA 0.250",60,30,{"v":38.27,"d":"$38.27"},{"v":0.5,"d":"$0.50"},{"v":38.77,"d":"$38.77"},{"v":33.77,"d":"$33.77"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","AC00108207600","MBRP00000434015","000007144643","2021-12-28","00185005501","METOLAZONE TABS 5.000",90,90,{"v":166.42,"d":"$166.42"},{"v":0,"d":"$0.00"},{"v":166.42,"d":"$166.42"},{"v":151.42,"d":"$151.42"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3644211","GIANT EAGLE PHARMACY #4060 4060"]
["21865M","AC00109875600","MBRP00000327210","000000958552","2021-12-28","69097012203","TOPIRAMATE TABS 25.000",30,30,{"v":2.89,"d":"$2.89"},{"v":0.59,"d":"$0.59"},{"v":3.48,"d":"$3.48"},{"v":0,"d":"$0.00"},{"v":3.48,"d":"$3.48"},"G","N",0,0,0,"R","3651975","RITE AID PHARMACY 02401"]
["21865M","0010125947E              ","MBRP00000422213","000001905980","2021-12-29","65862001205","SERTRALINE HCL TABS 50.000",90,90,{"v":11.21,"d":"$11.21"},{"v":0,"d":"$0.00"},{"v":11.21,"d":"$11.21"},{"v":0,"d":"$0.00"},{"v":11.21,"d":"$11.21"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","0010153665E              ","MBRP00000431011","000002571666","2021-12-29","68462039610","OMEPRAZOLE CPDR 20.000",90,90,{"v":11.65,"d":"$11.65"},{"v":0,"d":"$0.00"},{"v":11.65,"d":"$11.65"},{"v":0,"d":"$0.00"},{"v":11.65,"d":"$11.65"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010062989E              ","MBRP00000430888","000007150444","2021-12-29","65862042001","SULFAMETHOXAZO TABS 0.000",14,7,{"v":1.39,"d":"$1.39"},{"v":0.59,"d":"$0.59"},{"v":1.98,"d":"$1.98"},{"v":0,"d":"$0.00"},{"v":1.98,"d":"$1.98"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010006098E              ","MBRP00000430940","000001332649","2021-12-29","65628007010","FIRST-OMEPRAZO SUSP 2.000",600,30,{"v":225.88,"d":"$225.88"},{"v":0.59,"d":"$0.59"},{"v":226.47,"d":"$226.47"},{"v":221.47,"d":"$221.47"},{"v":5,"d":"$5.00"},"B","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","AC00108207600","MBRP00000434012","000007123824","2021-12-29","70436005902","BUPROPION HYDR TB12 150.000",180,90,{"v":101.64,"d":"$101.64"},{"v":0,"d":"$0.00"},{"v":101.64,"d":"$101.64"},{"v":86.64,"d":"$86.64"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3644211","GIANT EAGLE PHARMACY #4060 4060"]
["21865M","0010006098E              ","MBRP00000430940","000001332648","2021-12-29","65162006205","SUCRALFATE SUSP 1.000",420,10,{"v":194.53,"d":"$194.53"},{"v":0.59,"d":"$0.59"},{"v":195.12,"d":"$195.12"},{"v":190.12,"d":"$190.12"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010120894E              ","MBRP00000429186","000004022150","2021-12-30","50228035290","PREGABALIN CAPS 75.000",-90,30,{"v":-21.07,"d":"-$21.07"},{"v":-0.59,"d":"-$0.59"},{"v":-21.66,"d":"-$21.66"},{"v":-16.66,"d":"-$16.66"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010071549E              ","MBRP00000425001","000002375714","2021-12-30","16714094801","AMPHETAMINE/DE TABS 0.000",30,30,{"v":15.44,"d":"$15.44"},{"v":0.59,"d":"$0.59"},{"v":16.03,"d":"$16.03"},{"v":11.03,"d":"$11.03"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659084","MARCS 39"]
["21865M","0010061934E              ","MBRP00000424836","000001366343","2021-12-30","00093083205","CLONAZEPAM TABS 0.500",40,20,{"v":2.68,"d":"$2.68"},{"v":0.59,"d":"$0.59"},{"v":3.27,"d":"$3.27"},{"v":0,"d":"$0.00"},{"v":3.27,"d":"$3.27"},"G","N",0,0,0,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010112586E              ","MBRP00000290553","000008805880","2021-12-30","13668001101","CITALOPRAM HYD TABS 40.000",30,30,{"v":2.99,"d":"$2.99"},{"v":0.5,"d":"$0.50"},{"v":3.49,"d":"$3.49"},{"v":0,"d":"$0.00"},{"v":3.49,"d":"$3.49"},"G","N",0,0,0,"R","3644691","SCRIPTSHOP PHARMACY"]
["21865M","0010084077E              ","MBRP00000440333","000324736039","2021-12-30","60505257908","ATORVASTATIN C TABS 20.000",90,90,{"v":13.18,"d":"$13.18"},{"v":0,"d":"$0.00"},{"v":13.18,"d":"$13.18"},{"v":3.18,"d":"$3.18"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010149310E              ","MBRP00000437322","000000729463","2021-12-30","00456120330","LINZESS CAPS 72.000",-90,90,{"v":-1320.5,"d":"-$1,320.50"},{"v":0,"d":"$0.00"},{"v":-1320.5,"d":"-$1,320.50"},{"v":-1260.5,"d":"-$1,260.50"},{"v":-60,"d":"-$60.00"},"B","N",0,0,1,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010143490E              ","MBRP00000417917","000007150516","2021-12-30","50111078751","AZITHROMYCIN TABS 250.000",6,5,{"v":5.2,"d":"$5.20"},{"v":0.59,"d":"$0.59"},{"v":5.79,"d":"$5.79"},{"v":0.79,"d":"$0.79"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010137634E              ","MBRP00000417937","000002511916","2021-12-31","62175011843","OMEPRAZOLE CPDR 20.000",30,30,{"v":3.88,"d":"$3.88"},{"v":0.59,"d":"$0.59"},{"v":4.47,"d":"$4.47"},{"v":0,"d":"$0.00"},{"v":4.47,"d":"$4.47"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010119786E              ","MBRP00000422431","000001561604","2021-12-31","70748013306","SILDENAFIL CIT TABS 100.000",3,15,{"v":2.45,"d":"$2.45"},{"v":0.59,"d":"$0.59"},{"v":3.04,"d":"$3.04"},{"v":0,"d":"$0.00"},{"v":3.04,"d":"$3.04"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010139944E              ","MBRP00000362939","000000596412","2021-12-31","00781324664","ENOXAPARIN SOD SOLN 40.000",5.6,14,{"v":48.5,"d":"$48.50"},{"v":0.5,"d":"$0.50"},{"v":49,"d":"$49.00"},{"v":44,"d":"$44.00"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3672791","AULTMAN EMPLOYEE PHARMACY"]
["21865M","0010068607E              ","MBRP00000440073","000008879863","2022-01-01","68180049301","CLOMIPRAMINE H CAPS 50.000",180,90,{"v":304.56,"d":"$304.56"},{"v":0,"d":"$0.00"},{"v":304.56,"d":"$304.56"},{"v":289.56,"d":"$289.56"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3662447","CVS PHARMACY #16247 16247"]
["21865M","0010005864E              ","MBRP00000396967","000323891216","2022-01-01","57237001899","DULOXETINE HYD CPEP 30.000",90,90,{"v":43.22,"d":"$43.22"},{"v":0,"d":"$0.00"},{"v":43.22,"d":"$43.22"},{"v":33.22,"d":"$33.22"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010084199E              ","MBRP00000417831","000001725964","2022-01-02","59779033001","CVS ALLERGY EY SOLN 0.025",10,30,{"v":7.87,"d":"$7.87"},{"v":0.59,"d":"$0.59"},{"v":8.46,"d":"$8.46"},{"v":3.46,"d":"$3.46"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3609837","CVS PHARMACY #03321 03321"]
["21865M","0010132410E              ","MBRP00000440048","000007271746","2022-01-02","68462056529","NORGESTIMATE/E TABS 0.000",28,28,{"v":23.15,"d":"$23.15"},{"v":0.59,"d":"$0.59"},{"v":23.74,"d":"$23.74"},{"v":23.74,"d":"$23.74"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3662776","GIANT EAGLE PHARMACY #4096 4096"]
["21865M","AC00108052600","MBRP00000429529","000001328890","2022-01-03","00115166001","PROPRANOLOL HY TABS 20.000",15,15,{"v":5.71,"d":"$5.71"},{"v":0.59,"d":"$0.59"},{"v":6.3,"d":"$6.30"},{"v":1.3,"d":"$1.30"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","AC00109838700","MBRP00000457502","000002950160","2022-01-03","68462086665","CLINDAMYCIN PH GEL  1.000",60,25,{"v":40.91,"d":"$40.91"},{"v":0.59,"d":"$0.59"},{"v":41.5,"d":"$41.50"},{"v":36.5,"d":"$36.50"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010137645E              ","MBRP00000417987","000008891461","2022-01-03","00185084201","AMPHETAMINE/DE TABS 0.000",60,30,{"v":29.85,"d":"$29.85"},{"v":0.59,"d":"$0.59"},{"v":30.44,"d":"$30.44"},{"v":25.44,"d":"$25.44"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3673793","CVS PHARMACY #17136 17136"]
["21865M","0010093541E              ","MBRP00000440262","000006569257","2022-01-03","68382003610","VENLAFAXINE HC CP24 150.000",30,30,{"v":11.29,"d":"$11.29"},{"v":0.59,"d":"$0.59"},{"v":11.88,"d":"$11.88"},{"v":6.88,"d":"$6.88"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3642825","GIANT EAGLE PHARMACY #4036 4036"]
["21865M","0010052586E              ","MBRP00000398481","000002937806","2022-01-03","59746000314","METHYLPREDNISO TABS 16.000",30,30,{"v":64.81,"d":"$64.81"},{"v":0.59,"d":"$0.59"},{"v":65.4,"d":"$65.40"},{"v":60.4,"d":"$60.40"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010148087E              ","MBRP00000429012","000002055961","2022-01-03","00074055402","HUMIRA PEN PNKT 40.000",-4,28,{"v":-11745.38,"d":"-$11,745.38"},{"v":0,"d":"$0.00"},{"v":-11745.38,"d":"-$11,745.38"},{"v":-11725.38,"d":"-$11,725.38"},{"v":-20,"d":"-$20.00"},"B","Y",0,0,1,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010084199E              ","MBRP00000417833","000007358151","2022-01-04","60505084505","OLOPATADINE HC SOLN 0.600",30.5,30,{"v":163.7,"d":"$163.70"},{"v":0.59,"d":"$0.59"},{"v":164.29,"d":"$164.29"},{"v":159.29,"d":"$159.29"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606540","ACME PHARMACY 4"]
["21865M","AC00110170000","MBRP00000462506","000007293400","2022-01-04","51224002250","AZITHROMYCIN TABS 250.000",-6,3,{"v":-4.34,"d":"-$4.34"},{"v":-0.59,"d":"-$0.59"},{"v":-4.93,"d":"-$4.93"},{"v":0,"d":"$0.00"},{"v":-4.93,"d":"-$4.93"},"G","N",0,0,0,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","0010084325E              ","MBRP00000424828","000001578735","2022-01-04","00093506101","HYDROXYZINE HY TABS 25.000",60,30,{"v":12.22,"d":"$12.22"},{"v":0.59,"d":"$0.59"},{"v":12.81,"d":"$12.81"},{"v":7.81,"d":"$7.81"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010119784E              ","MBRP00000424792","005100086612","2022-01-04","59746017310","PREDNISONE TABS 10.000",5,1,{"v":0.68,"d":"$0.68"},{"v":0.59,"d":"$0.59"},{"v":1.27,"d":"$1.27"},{"v":0,"d":"$0.00"},{"v":1.27,"d":"$1.27"},"G","N",0,0,0,"R","3666281","CLEVELAND CLINIC FOUNDATION OUTP"]
["21865M","0010151688E              ","MBRP00000424925","000000822839","2022-01-04","00002879959","HUMALOG KWIKPE SOPN 100.000",-15,30,{"v":-529.55,"d":"-$529.55"},{"v":-0.59,"d":"-$0.59"},{"v":-530.14,"d":"-$530.14"},{"v":-510.14,"d":"-$510.14"},{"v":-20,"d":"-$20.00"},"B","N",0,0,1,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010084328E              ","MBRP00000418119","000000589980","2022-01-04","68180097903","LISINOPRIL TABS 40.000",90,90,{"v":17.06,"d":"$17.06"},{"v":0,"d":"$0.00"},{"v":17.06,"d":"$17.06"},{"v":2.06,"d":"$2.06"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010005952E              ","MBRP00000482717","000006638299","2022-01-04","65862047030","LOSARTAN POTAS TABS 0.000",30,30,{"v":17.23,"d":"$17.23"},{"v":0.59,"d":"$0.59"},{"v":17.82,"d":"$17.82"},{"v":12.82,"d":"$12.82"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3668348","MARCS 52"]
["21865M","0010084328E              ","MBRP00000418119","000000589979","2022-01-04","16729000417","SIMVASTATIN TABS 10.000",90,90,{"v":13.44,"d":"$13.44"},{"v":0,"d":"$0.00"},{"v":13.44,"d":"$13.44"},{"v":0,"d":"$0.00"},{"v":13.44,"d":"$13.44"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010052597E              ","MBRP00000354711","000007293667","2022-01-05","51862086806","MICROGESTIN 1/ TABS 0.000",21,21,{"v":13.56,"d":"$13.56"},{"v":0.59,"d":"$0.59"},{"v":14.15,"d":"$14.15"},{"v":14.15,"d":"$14.15"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","0010152544E              ","MBRP00000437326","000002580502","2022-01-05","45802096696","ERYTHROMYCIN GEL  2.000",120,7,{"v":135.81,"d":"$135.81"},{"v":0.59,"d":"$0.59"},{"v":136.4,"d":"$136.40"},{"v":131.4,"d":"$131.40"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010085209E              ","MBRP00000429140","000001847999","2022-01-05","31722058901","METOPROLOL SUC TB24 25.000",30,30,{"v":12.67,"d":"$12.67"},{"v":0.59,"d":"$0.59"},{"v":13.26,"d":"$13.26"},{"v":8.26,"d":"$8.26"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","0010120789E              ","MBRP00000417813","000001199475","2022-01-05","33342030111","ESZOPICLONE TABS 3.000",30,30,{"v":27.22,"d":"$27.22"},{"v":0.59,"d":"$0.59"},{"v":27.81,"d":"$27.81"},{"v":22.81,"d":"$22.81"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651886","RITE AID PHARMACY 02393"]
["21865M","0010005907E              ","MBRP00000422299","000001566662","2022-01-05","27241009903","DULOXETINE HYD CPEP 60.000",-30,15,{"v":-18.46,"d":"-$18.46"},{"v":-0.59,"d":"-$0.59"},{"v":-19.05,"d":"-$19.05"},{"v":-14.05,"d":"-$14.05"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010135249E              ","MBRP00000429057","000006580550","2022-01-05","70700015010","OMEPRAZOLE CPDR 20.000",30,30,{"v":5.83,"d":"$5.83"},{"v":0.59,"d":"$0.59"},{"v":6.42,"d":"$6.42"},{"v":1.42,"d":"$1.42"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010073375E              ","MBRP00000422375","000000406318","2022-01-06","59267100001","PFIZER-BIONTEC SUSP 30.000",0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":40,"d":"$40.00"},{"v":40,"d":"$40.00"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3682324","WALGREENS #15467 15467"]
["21865M","0010124279E              ","MBRP00000418014","000002001988","2022-01-06","00555097302","AMPHETAMINE/DE TABS 0.000",60,30,{"v":38.84,"d":"$38.84"},{"v":0.59,"d":"$0.59"},{"v":39.43,"d":"$39.43"},{"v":34.43,"d":"$34.43"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3685267","THE OAK CLINIC PHARMACY 108"]
["21865M","0010136832E              ","MBRP00000429119","000001534365","2022-01-06","68180035306","SERTRALINE HYD TABS 100.000",90,90,{"v":17.63,"d":"$17.63"},{"v":0,"d":"$0.00"},{"v":17.63,"d":"$17.63"},{"v":2.63,"d":"$2.63"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","AC00107771400","MBRP00000440336","000000848496","2022-01-06","68180071160","CEFDINIR CAPS 300.000",20,10,{"v":13.53,"d":"$13.53"},{"v":0.59,"d":"$0.59"},{"v":14.12,"d":"$14.12"},{"v":9.12,"d":"$9.12"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010071551E              ","MBRP00000424922","000001534396","2022-01-06","65862007930","TERBINAFINE HC TABS 250.000",14,14,{"v":4.94,"d":"$4.94"},{"v":0.59,"d":"$0.59"},{"v":5.53,"d":"$5.53"},{"v":0.53,"d":"$0.53"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010137261E              ","MBRP00000440155","000000848917","2022-01-06","27241009803","DULOXETINE HCL CPEP 30.000",30,30,{"v":14.41,"d":"$14.41"},{"v":0.59,"d":"$0.59"},{"v":15,"d":"$15.00"},{"v":10,"d":"$10.00"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010153662E              ","MBRP00000430817","000002580700","2022-01-07","65162076410","WARFARIN SODIU TABS 3.000",90,90,{"v":17.83,"d":"$17.83"},{"v":0,"d":"$0.00"},{"v":17.83,"d":"$17.83"},{"v":2.83,"d":"$2.83"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010062987E              ","MBRP00000429104","000006247761","2022-01-07","29300011416","LAMOTRIGINE TABS 200.000",56,28,{"v":9.8,"d":"$9.80"},{"v":0.59,"d":"$0.59"},{"v":10.39,"d":"$10.39"},{"v":5.39,"d":"$5.39"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3673503","K C INSTITUTIONAL PHARMACY"]
["21865M","0010084188E              ","MBRP00000424740","000000823361","2022-01-07","68180094311","TESTOSTERONE T SOLN 30.000",180,30,{"v":739.1,"d":"$739.10"},{"v":0.59,"d":"$0.59"},{"v":739.69,"d":"$739.69"},{"v":734.69,"d":"$734.69"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010122982E              ","MBRP00000422137","000002412914","2022-01-07","65862014836","SUMATRIPTAN SU TABS 100.000",9,30,{"v":7.04,"d":"$7.04"},{"v":0.59,"d":"$0.59"},{"v":7.63,"d":"$7.63"},{"v":2.63,"d":"$2.63"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010136066E              ","MBRP00000480517","000002684812","2022-01-07","00378104901","DOXEPIN HCL CAPS 10.000",-30,30,{"v":-12.64,"d":"-$12.64"},{"v":-0.59,"d":"-$0.59"},{"v":-13.23,"d":"-$13.23"},{"v":-8.23,"d":"-$8.23"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010084267E              ","MBRP00000417867","000002049218","2022-01-07","68992301003","ENVARSUS XR TB24 1.000",-90,30,{"v":-562.95,"d":"-$562.95"},{"v":0,"d":"$0.00"},{"v":-562.95,"d":"-$562.95"},{"v":-542.95,"d":"-$542.95"},{"v":-20,"d":"-$20.00"},"B","Y",0,0,1,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010124275E              ","MBRP00000418089","000002952615","2022-01-08","59267100001","PFIZER-BIONTEC SUSP 30.000",0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":40,"d":"$40.00"},{"v":40,"d":"$40.00"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010139575E              ","MBRP00000430856","000000904125","2022-01-08","69452015120","VITAMIN D CAPS 50000.000",12,84,{"v":6.04,"d":"$6.04"},{"v":0.5,"d":"$0.50"},{"v":6.54,"d":"$6.54"},{"v":0,"d":"$0.00"},{"v":6.54,"d":"$6.54"},"G","N",0,0,0,"R","3606211","DARTMOUTH PHARMACY"]
["21865M","0010052584E              ","MBRP00000418080","000001053132","2022-01-09","51660093901","CETIRIZINE HYD TABS 10.000",-30,30,{"v":-7.22,"d":"-$7.22"},{"v":-0.59,"d":"-$0.59"},{"v":-7.81,"d":"-$7.81"},{"v":-2.81,"d":"-$2.81"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3651949","RITE AID PHARMACY 02398"]
["21865M","0010064748E              ","MBRP00000422300","000001217075","2022-01-09","31722099601","HYDROCODONE BI TABS 0.000",120,30,{"v":13.34,"d":"$13.34"},{"v":0.59,"d":"$0.59"},{"v":13.93,"d":"$13.93"},{"v":8.93,"d":"$8.93"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651886","RITE AID PHARMACY 02393"]
["21865M","0010064748E              ","MBRP00000422300","000001217077","2022-01-09","69097081507","GABAPENTIN CAPS 400.000",120,30,{"v":40.21,"d":"$40.21"},{"v":0.59,"d":"$0.59"},{"v":40.8,"d":"$40.80"},{"v":35.8,"d":"$35.80"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651886","RITE AID PHARMACY 02393"]
["21865M","0010084142E              ","MBRP00000424706","000001080045","2022-01-09","00406889201","AMPHETAMINE/DE TABS 0.000",30,30,{"v":14.93,"d":"$14.93"},{"v":0.59,"d":"$0.59"},{"v":15.52,"d":"$15.52"},{"v":10.52,"d":"$10.52"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659488","DISCOUNT DRUG MART 46"]
["21865M","0010139984E              ","MBRP00000464459","000008890321","2022-01-10","00093416173","AMOXICILLIN SUSR 400.000",-100,10,{"v":-3.12,"d":"-$3.12"},{"v":-0.59,"d":"-$0.59"},{"v":-3.71,"d":"-$3.71"},{"v":0,"d":"$0.00"},{"v":-3.71,"d":"-$3.71"},"G","N",0,0,0,"R","3662447","CVS PHARMACY #16247 16247"]
["21865M","0010006063E              ","MBRP00000424778","011021416107","2022-01-10","50111078710","AZITHROMYCIN TABS 250.000",-6,3,{"v":-4.34,"d":"-$4.34"},{"v":-0.59,"d":"-$0.59"},{"v":-4.93,"d":"-$4.93"},{"v":0,"d":"$0.00"},{"v":-4.93,"d":"-$4.93"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010006122E              ","MBRP00000440129","000006808425","2022-01-10","00054981729","PREDNISONE TABS 10.000",30,12,{"v":4.08,"d":"$4.08"},{"v":0.59,"d":"$0.59"},{"v":4.67,"d":"$4.67"},{"v":0,"d":"$0.00"},{"v":4.67,"d":"$4.67"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010122775E              ","MBRP00000417970","000000923360","2022-01-10","69489012230","XIMINO CP24 90.000",-30,30,{"v":-760.69,"d":"-$760.69"},{"v":-0.59,"d":"-$0.59"},{"v":-761.28,"d":"-$761.28"},{"v":-726.28,"d":"-$726.28"},{"v":-35,"d":"-$35.00"},"B","N",0,0,9,"R","3678781","FRIENDS PHARMACY"]
["21865M","0010120556E              ","MBRP00000429238","000002952575","2022-01-10","65862001105","SERTRALINE HCL TABS 25.000",90,90,{"v":16.9,"d":"$16.90"},{"v":0,"d":"$0.00"},{"v":16.9,"d":"$16.90"},{"v":1.9,"d":"$1.90"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","AC00110027000","MBRP00000460365","000000964884","2022-01-10","00054012422","LOSARTAN POTAS TABS 50.000",-30,30,{"v":-4.26,"d":"-$4.26"},{"v":-0.59,"d":"-$0.59"},{"v":-4.85,"d":"-$4.85"},{"v":0,"d":"$0.00"},{"v":-4.85,"d":"-$4.85"},"G","N",0,0,0,"R","3651975","RITE AID PHARMACY 02401"]
["21865M","0010149522E              ","MBRP00000429110","000006819542","2022-01-10","00096070760","DRYSOL SOLN 20.000",60,30,{"v":10.34,"d":"$10.34"},{"v":0.59,"d":"$0.59"},{"v":10.93,"d":"$10.93"},{"v":0,"d":"$0.00"},{"v":10.93,"d":"$10.93"},"B","N",0,0,9,"R","3656444","MARCS 27"]
["21865M","AC00110027000","MBRP00000460365","000000964886","2022-01-10","59746017306","PREDNISONE TABS 10.000",-30,12,{"v":-4.08,"d":"-$4.08"},{"v":-0.59,"d":"-$0.59"},{"v":-4.67,"d":"-$4.67"},{"v":0,"d":"$0.00"},{"v":-4.67,"d":"-$4.67"},"G","N",0,0,0,"R","3651975","RITE AID PHARMACY 02401"]
["21865M","0010132410E              ","MBRP00000440048","000007272770","2022-01-11","50383070016","FLUTICASONE PR SUSP 50.000",16,60,{"v":12.16,"d":"$12.16"},{"v":0.59,"d":"$0.59"},{"v":12.75,"d":"$12.75"},{"v":0,"d":"$0.00"},{"v":12.75,"d":"$12.75"},"G","N",0,0,0,"R","3662776","GIANT EAGLE PHARMACY #4096 4096"]
["21865M","0010153779E              ","MBRP00000444990","000000834802","2022-01-11","69097094312","GABAPENTIN CAPS 300.000",90,30,{"v":18.8,"d":"$18.80"},{"v":0.59,"d":"$0.59"},{"v":19.39,"d":"$19.39"},{"v":14.39,"d":"$14.39"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010084175E              ","MBRP00000431019","000000915635","2022-01-11","43547035410","LISINOPRIL TABS 20.000",90,90,{"v":10.19,"d":"$10.19"},{"v":0,"d":"$0.00"},{"v":10.19,"d":"$10.19"},{"v":0,"d":"$0.00"},{"v":10.19,"d":"$10.19"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010084199E              ","MBRP00000417833","000007358150","2022-01-11","00781729685","ALBUTEROL SULF AERS 108.000",6.7,16,{"v":21.87,"d":"$21.87"},{"v":0.59,"d":"$0.59"},{"v":22.46,"d":"$22.46"},{"v":17.46,"d":"$17.46"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606540","ACME PHARMACY 4"]
["21865M","0010122678E              ","MBRP00000429078","000007151546","2022-01-11","16714036004","MONO-LINYAH TABS 0.000",56,46,{"v":46.07,"d":"$46.07"},{"v":0.59,"d":"$0.59"},{"v":46.66,"d":"$46.66"},{"v":46.66,"d":"$46.66"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","AC00109306100","MBRP00000448917","000000613002","2022-01-11","43598058230","BUPRENORPHINE  FILM 0.000",60,30,{"v":302.55,"d":"$302.55"},{"v":0.59,"d":"$0.59"},{"v":303.14,"d":"$303.14"},{"v":298.14,"d":"$298.14"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","AC00108231700","MBRP00000422899","000000915742","2022-01-11","00172392670","DIAZEPAM TABS 5.000",2,2,{"v":0.05,"d":"$0.05"},{"v":0.59,"d":"$0.59"},{"v":0.64,"d":"$0.64"},{"v":0,"d":"$0.00"},{"v":0.64,"d":"$0.64"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010084314E              ","MBRP00000412551","000006580915","2022-01-12","72511075001","REPATHA SOSY 140.000",2,28,{"v":475.8,"d":"$475.80"},{"v":0.59,"d":"$0.59"},{"v":476.39,"d":"$476.39"},{"v":441.39,"d":"$441.39"},{"v":35,"d":"$35.00"},"B","Y",0,0,9,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010150014E              ","MBRP00000430933","000001741826","2022-01-12","42806040021","METHYLPREDNISO TBPK 4.000",21,6,{"v":8.34,"d":"$8.34"},{"v":0.59,"d":"$0.59"},{"v":8.93,"d":"$8.93"},{"v":3.93,"d":"$3.93"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010079085E              ","MBRP00000287887","000002900371","2022-01-12","13668048450","MINOCYCLINE HY CAPS 100.000",60,30,{"v":77.51,"d":"$77.51"},{"v":0.59,"d":"$0.59"},{"v":78.1,"d":"$78.10"},{"v":73.1,"d":"$73.10"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010115257E              ","MBRP00000422174","000001194157","2022-01-12","16714001401","AMOXICILLIN/CL TABS 0.000",14,7,{"v":8.27,"d":"$8.27"},{"v":0.59,"d":"$0.59"},{"v":8.86,"d":"$8.86"},{"v":3.86,"d":"$3.86"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3669009","DISCOUNT DRUG MART 63"]
["21865M","0010032715E              ","MBRP00000424865","000000907531","2022-01-12","68462043730","OLMESARTAN MED TABS 20.000",30,30,{"v":5.45,"d":"$5.45"},{"v":0.5,"d":"$0.50"},{"v":5.95,"d":"$5.95"},{"v":0.95,"d":"$0.95"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606211","DARTMOUTH PHARMACY"]
["21865M","0010124284E              ","MBRP00000424894","000001069318","2022-01-13","69097080232","TESTOSTERONE C SOLN 200.000",2,28,{"v":18.24,"d":"$18.24"},{"v":0.59,"d":"$0.59"},{"v":18.83,"d":"$18.83"},{"v":13.83,"d":"$13.83"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010123351E              ","MBRP00000440099","000002885961","2022-01-13","45963070911","METOPROLOL SUC TB24 25.000",90,90,{"v":38,"d":"$38.00"},{"v":0,"d":"$0.00"},{"v":38,"d":"$38.00"},{"v":23,"d":"$23.00"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010005785E              ","MBRP00000440299","000001536307","2022-01-13","50383023310","DORZOLAMIDE HC SOLN 0.000",10,50,{"v":46.01,"d":"$46.01"},{"v":0.59,"d":"$0.59"},{"v":46.6,"d":"$46.60"},{"v":31.6,"d":"$31.60"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010116106E              ","MBRP00000440344","000006761993","2022-01-13","62175030246","RABEPRAZOLE SO TBEC 20.000",30,30,{"v":36.73,"d":"$36.73"},{"v":0.59,"d":"$0.59"},{"v":37.32,"d":"$37.32"},{"v":32.32,"d":"$32.32"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3674151","GIANT EAGLE PHARMACY #4152 4152"]
["21865M","0010085209E              ","MBRP00000429140","000002954681","2022-01-13","59267100001","PFIZER-BIONTEC SUSP 30.000",0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":40,"d":"$40.00"},{"v":40,"d":"$40.00"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010084267E              ","MBRP00000417867","000002049218","2022-01-13","68992301003","ENVARSUS XR TB24 1.000",-90,30,{"v":-562.95,"d":"-$562.95"},{"v":0,"d":"$0.00"},{"v":-562.95,"d":"-$562.95"},{"v":-542.95,"d":"-$542.95"},{"v":-20,"d":"-$20.00"},"B","Y",0,0,1,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010084314E              ","MBRP00000412551","000006566178","2022-01-14","33342010215","MONTELUKAST SO TABS 10.000",30,30,{"v":14.69,"d":"$14.69"},{"v":0.59,"d":"$0.59"},{"v":15.28,"d":"$15.28"},{"v":10.28,"d":"$10.28"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010100929E              ","MBRP00000429218","000001624646","2022-01-14","69315090510","LORAZEPAM TABS 1.000",30,30,{"v":1.28,"d":"$1.28"},{"v":0.59,"d":"$0.59"},{"v":1.87,"d":"$1.87"},{"v":0,"d":"$0.00"},{"v":1.87,"d":"$1.87"},"G","N",0,0,0,"R","3659832","DISCOUNT DRUG MART 50"]
["21865M","0010115257E              ","MBRP00000422174","000001624431","2022-01-14","65862018730","ONDANSETRON HY TABS 4.000",20,10,{"v":2.43,"d":"$2.43"},{"v":0.59,"d":"$0.59"},{"v":3.02,"d":"$3.02"},{"v":0,"d":"$0.00"},{"v":3.02,"d":"$3.02"},"G","N",0,0,0,"R","3659832","DISCOUNT DRUG MART 50"]
["21865M","AC00109922100","MBRP00000418681","000000864774","2022-01-14","00168038360","METRONIDAZOLE LOTN 0.750",59,15,{"v":162.4,"d":"$162.40"},{"v":0.59,"d":"$0.59"},{"v":162.99,"d":"$162.99"},{"v":157.99,"d":"$157.99"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010153608E              ","MBRP00000429288","000000604335","2022-01-14","00002143380","TRULICITY SOPN 0.750",1,28,{"v":438.85,"d":"$438.85"},{"v":0.5,"d":"$0.50"},{"v":439.35,"d":"$439.35"},{"v":419.35,"d":"$419.35"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3687615","FULTON DRUGS"]
["21865M","0010115659E              ","MBRP00000440018","000007139648","2022-01-15","00093354143","ESTRADIOL CREA 0.100",42.5,30,{"v":95.93,"d":"$95.93"},{"v":0.59,"d":"$0.59"},{"v":96.52,"d":"$96.52"},{"v":91.52,"d":"$91.52"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010153592E              ","MBRP00000430847","000000196999","2022-01-15","80777027399","MODERNA COVID- SUSP 100.000",0.25,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":40,"d":"$40.00"},{"v":40,"d":"$40.00"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3686409","DISCOUNT DRUG MART #89 89"]
["21865M","0010114615E              ","MBRP00000440323","000008036491","2022-01-15","00536105224","PEG3350 POWD 17.000",238,1,{"v":4.02,"d":"$4.02"},{"v":0.59,"d":"$0.59"},{"v":4.61,"d":"$4.61"},{"v":4.61,"d":"$4.61"},{"v":0,"d":"$0.00"},"G","N",0,0,9,"R","3669112","GIANT EAGLE PHARMACY #1618 1618"]
["21865M","0010134937E              ","MBRP00000418004","000000827692","2022-01-15","65862057490","MONTELUKAST SO TABS 10.000",30,30,{"v":14.69,"d":"$14.69"},{"v":0.59,"d":"$0.59"},{"v":15.28,"d":"$15.28"},{"v":10.28,"d":"$10.28"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010150899E              ","MBRP00000429069","000000852605","2022-01-16","69452015120","VITAMIN D CAPS 50000.000",16,90,{"v":9.27,"d":"$9.27"},{"v":0,"d":"$0.00"},{"v":9.27,"d":"$9.27"},{"v":0,"d":"$0.00"},{"v":9.27,"d":"$9.27"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010084115E              ","MBRP00000417784","000006605129","2022-01-16","57237004290","VALACYCLOVIR H TABS 500.000",30,30,{"v":41.26,"d":"$41.26"},{"v":0.59,"d":"$0.59"},{"v":41.85,"d":"$41.85"},{"v":36.85,"d":"$36.85"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","AC00108347500","MBRP00000422147","000007284805","2022-01-16","65862044830","VALACYCLOVIR H TABS 500.000",-30,30,{"v":-40.43,"d":"-$40.43"},{"v":-0.59,"d":"-$0.59"},{"v":-41.02,"d":"-$41.02"},{"v":-36.02,"d":"-$36.02"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3658436","WALMART PHARMACY 10-1927 101927"]
["21865M","0010150899E              ","MBRP00000429069","000000757690","2022-01-16","16729018317","HYDROCHLOROTHI TABS 25.000",-90,90,{"v":-4.46,"d":"-$4.46"},{"v":0,"d":"$0.00"},{"v":-4.46,"d":"-$4.46"},{"v":0,"d":"$0.00"},{"v":-4.46,"d":"-$4.46"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010139575E              ","MBRP00000430856","000000908859","2022-01-17","45802016000","DICLOFENAC SOD GEL  1.000",100,25,{"v":18.39,"d":"$18.39"},{"v":0.5,"d":"$0.50"},{"v":18.89,"d":"$18.89"},{"v":13.89,"d":"$13.89"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606211","DARTMOUTH PHARMACY"]
["21865M","0010153652E              ","MBRP00000431000","000001175428","2022-01-17","00172208380","HYDROCHLOROTHI TABS 25.000",45,30,{"v":2.23,"d":"$2.23"},{"v":0.59,"d":"$0.59"},{"v":2.82,"d":"$2.82"},{"v":0,"d":"$0.00"},{"v":2.82,"d":"$2.82"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010145537E              ","MBRP00000429116","000001119370","2022-01-17","16729016917","ESCITALOPRAM O TABS 10.000",30,30,{"v":7.36,"d":"$7.36"},{"v":0.59,"d":"$0.59"},{"v":7.95,"d":"$7.95"},{"v":2.95,"d":"$2.95"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3600637","CVS PHARMACY #06147 06147"]
["21865M","0010135419E              ","MBRP00000430882","000002521909","2022-01-17","65162010350","GABAPENTIN CAPS 400.000",16,5,{"v":5.36,"d":"$5.36"},{"v":0.59,"d":"$0.59"},{"v":5.95,"d":"$5.95"},{"v":0.95,"d":"$0.95"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","AC00108052600","MBRP00000429529","011030801524","2022-01-17","23155007001","METHIMAZOLE TABS 5.000",30,60,{"v":5.4,"d":"$5.40"},{"v":0.59,"d":"$0.59"},{"v":5.99,"d":"$5.99"},{"v":0,"d":"$0.00"},{"v":5.99,"d":"$5.99"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010153610E              ","MBRP00000430843","000000739547","2022-01-18","76204020025","ALBUTEROL SULF NEBU 0.083",-375,31,{"v":-23.55,"d":"-$23.55"},{"v":-0.59,"d":"-$0.59"},{"v":-24.14,"d":"-$24.14"},{"v":-9.14,"d":"-$9.14"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010153314E              ","MBRP00000336402","000001288686","2022-01-18","16729016917","ESCITALOPRAM O TABS 10.000",90,90,{"v":22.09,"d":"$22.09"},{"v":0,"d":"$0.00"},{"v":22.09,"d":"$22.09"},{"v":7.09,"d":"$7.09"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3660227","CVS PHARMACY 04605"]
["21865M","AC00103901300","MBRP00000352762","000000922270","2022-01-18","00228306011","AMPHETAMINE/DE CP24 0.000",30,30,{"v":34.07,"d":"$34.07"},{"v":0.59,"d":"$0.59"},{"v":34.66,"d":"$34.66"},{"v":29.66,"d":"$29.66"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652092","RITE AID PHARMACY 02413"]
["21865M","0010005765E              ","MBRP00000440159","000001233344","2022-01-18","00406051201","OXYCODONE/ACET TABS 0.000",28,7,{"v":4.1,"d":"$4.10"},{"v":0.59,"d":"$0.59"},{"v":4.69,"d":"$4.69"},{"v":0,"d":"$0.00"},{"v":4.69,"d":"$4.69"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010084977E              ","MBRP00000440149","000009371439","2022-01-18","00591040810","LISINOPRIL TABS 20.000",30,30,{"v":2.85,"d":"$2.85"},{"v":0.5,"d":"$0.50"},{"v":3.35,"d":"$3.35"},{"v":0,"d":"$0.00"},{"v":3.35,"d":"$3.35"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010105950E              ","MBRP00000430808","000000851155","2022-01-19","00071036924","DILANTIN CAPS 100.000",180,90,{"v":248.23,"d":"$248.23"},{"v":0,"d":"$0.00"},{"v":248.23,"d":"$248.23"},{"v":0,"d":"$0.00"},{"v":248.23,"d":"$248.23"},"B","N",0,2,1,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010043081E              ","MBRP00000424979","000001142648","2022-01-19","00781261305","AMOXICILLIN CAPS 500.000",40,10,{"v":4.19,"d":"$4.19"},{"v":0.59,"d":"$0.59"},{"v":4.78,"d":"$4.78"},{"v":0,"d":"$0.00"},{"v":4.78,"d":"$4.78"},"G","N",0,0,0,"R","3657751","DISCOUNT DRUG MART 42"]
["21865M","0010153628E              ","MBRP00000429290","000007149569","2022-01-19","68382005101","MELOXICAM TABS 15.000",30,30,{"v":2.76,"d":"$2.76"},{"v":0.59,"d":"$0.59"},{"v":3.35,"d":"$3.35"},{"v":0,"d":"$0.00"},{"v":3.35,"d":"$3.35"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010153598E              ","MBRP00000430770","000006814800","2022-01-19","16714040504","LARIN FE 1.5/3 TABS 0.000",84,63,{"v":72.22,"d":"$72.22"},{"v":0.59,"d":"$0.59"},{"v":72.81,"d":"$72.81"},{"v":72.81,"d":"$72.81"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3656444","MARCS 27"]
["21865M","0060044938E              ","MBRP00000396619","000002523252","2022-01-19","65862020299","LOSARTAN POTAS TABS 50.000",90,90,{"v":12.77,"d":"$12.77"},{"v":0,"d":"$0.00"},{"v":12.77,"d":"$12.77"},{"v":0,"d":"$0.00"},{"v":12.77,"d":"$12.77"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010144054E              ","MBRP00000422196","000000792514","2022-01-19","00378427577","VALACYCLOVIR H TABS 500.000",-40,20,{"v":-55.02,"d":"-$55.02"},{"v":-0.59,"d":"-$0.59"},{"v":-55.61,"d":"-$55.61"},{"v":-50.61,"d":"-$50.61"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010105128E              ","MBRP00000440229","000002044193","2022-01-20","31722065832","DIMETHYL FUMAR CPDR 240.000",60,30,{"v":1787.39,"d":"$1,787.39"},{"v":0,"d":"$0.00"},{"v":1787.39,"d":"$1,787.39"},{"v":1767.39,"d":"$1,767.39"},{"v":20,"d":"$20.00"},"G","Y",0,0,1,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010046085E              ","MBRP00000417860","000001208920","2022-01-20","00002879759","HUMALOG MIX 75 SUPN 0.000",-30,25,{"v":-1059.1,"d":"-$1,059.10"},{"v":-0.59,"d":"-$0.59"},{"v":-1059.69,"d":"-$1,059.69"},{"v":-1039.69,"d":"-$1,039.69"},{"v":-20,"d":"-$20.00"},"B","N",0,0,1,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010084199E              ","MBRP00000417832","000007342364","2022-01-20","16714098801","ROSUVASTATIN C TABS 5.000",30,30,{"v":9.44,"d":"$9.44"},{"v":0.59,"d":"$0.59"},{"v":10.03,"d":"$10.03"},{"v":5.03,"d":"$5.03"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606540","ACME PHARMACY 4"]
["21865M","0010046104E              ","MBRP00000418057","000002923530","2022-01-20","68382050010","OMEPRAZOLE CPDR 40.000",90,90,{"v":21.62,"d":"$21.62"},{"v":0,"d":"$0.00"},{"v":21.62,"d":"$21.62"},{"v":6.62,"d":"$6.62"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010121132E              ","MBRP00000429347","000000183571","2022-01-20","65862047030","LOSARTAN POTAS TABS 0.000",30,30,{"v":17.23,"d":"$17.23"},{"v":0.59,"d":"$0.59"},{"v":17.82,"d":"$17.82"},{"v":12.82,"d":"$12.82"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3686409","DISCOUNT DRUG MART #89 89"]
["21865M","0010100093E              ","MBRP00000429049","000006733966","2022-01-20","16714061305","SERTRALINE HYD TABS 100.000",90,90,{"v":17.63,"d":"$17.63"},{"v":0,"d":"$0.00"},{"v":17.63,"d":"$17.63"},{"v":2.63,"d":"$2.63"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3670836","GIANT EAGLE PHARMACY #1605 1605"]
["21865M","0010126147E              ","MBRP00000429032","000001371747","2022-01-21","00186077760","BRILINTA TABS 90.000",-60,30,{"v":-424.63,"d":"-$424.63"},{"v":-0.59,"d":"-$0.59"},{"v":-425.22,"d":"-$425.22"},{"v":-405.22,"d":"-$405.22"},{"v":-20,"d":"-$20.00"},"B","N",0,0,1,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010048452E              ","MBRP00000417945","000000815359","2022-01-21","68180051303","LISINOPRIL TABS 5.000",30,30,{"v":2.12,"d":"$2.12"},{"v":0.59,"d":"$0.59"},{"v":2.71,"d":"$2.71"},{"v":0,"d":"$0.00"},{"v":2.71,"d":"$2.71"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010084309E              ","MBRP00000422396","000000916703","2022-01-21","00316014001","ALA SCALP LOTN 2.000",29.6,20,{"v":458.12,"d":"$458.12"},{"v":0.59,"d":"$0.59"},{"v":458.71,"d":"$458.71"},{"v":423.71,"d":"$423.71"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010084357E              ","MBRP00000422125","000000913710","2022-01-21","00093314705","CEPHALEXIN CAPS 500.000",-30,10,{"v":-5.42,"d":"-$5.42"},{"v":-0.5,"d":"-$0.50"},{"v":-5.92,"d":"-$5.92"},{"v":-0.92,"d":"-$0.92"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3606211","DARTMOUTH PHARMACY"]
["21865M","0010153600E              ","MBRP00000431005","000007410757","2022-01-21","57237000805","MIRTAZAPINE TABS 15.000",90,90,{"v":24.54,"d":"$24.54"},{"v":0,"d":"$0.00"},{"v":24.54,"d":"$24.54"},{"v":9.54,"d":"$9.54"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3666356","GIANT EAGLE PHARMACY #1620 1620"]
["21865M","0010153667E              ","MBRP00000431052","000317893896","2022-01-21","00074929619","SYNTHROID TABS 112.000",90,90,{"v":116.09,"d":"$116.09"},{"v":0,"d":"$0.00"},{"v":116.09,"d":"$116.09"},{"v":76.09,"d":"$76.09"},{"v":40,"d":"$40.00"},"B","N",0,2,1,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010153613E              ","MBRP00000430835","000330277306","2022-01-22","50742061710","METOPROLOL SUC TB24 100.000",-90,90,{"v":-50.08,"d":"-$50.08"},{"v":0,"d":"$0.00"},{"v":-50.08,"d":"-$50.08"},{"v":-40.08,"d":"-$40.08"},{"v":-10,"d":"-$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010153605E              ","MBRP00000430797","000001743511","2022-01-22","00002831501","HUMULIN N SUSP 100.000",-20,62,{"v":-296.92,"d":"-$296.92"},{"v":-0.59,"d":"-$0.59"},{"v":-297.51,"d":"-$297.51"},{"v":-237.51,"d":"-$237.51"},{"v":-60,"d":"-$60.00"},"B","N",0,0,1,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010084320E              ","MBRP00000417892","000330989307","2022-01-22","68180097903","LISINOPRIL TABS 40.000",90,90,{"v":17.06,"d":"$17.06"},{"v":0,"d":"$0.00"},{"v":17.06,"d":"$17.06"},{"v":7.06,"d":"$7.06"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010153644E              ","MBRP00000430982","000001743503","2022-01-22","50111091701","TORSEMIDE TABS 20.000",90,90,{"v":19.39,"d":"$19.39"},{"v":0,"d":"$0.00"},{"v":19.39,"d":"$19.39"},{"v":4.39,"d":"$4.39"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010131593E              ","MBRP00000444040","000000930243","2022-01-23","68382024916","ATORVASTATIN C TABS 10.000",90,90,{"v":16.67,"d":"$16.67"},{"v":0,"d":"$0.00"},{"v":16.67,"d":"$16.67"},{"v":1.67,"d":"$1.67"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3650670","CVS PHARMACY #04802 04802"]
["21865M","0010116868E              ","MBRP00000430955","000001821317","2022-01-23","68462039610","OMEPRAZOLE CPDR 20.000",30,30,{"v":5.83,"d":"$5.83"},{"v":0.59,"d":"$0.59"},{"v":6.42,"d":"$6.42"},{"v":1.42,"d":"$1.42"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","0010153252E              ","MBRP00000429264","000002690737","2022-01-24","65162063609","PANTOPRAZOLE S TBEC 20.000",90,90,{"v":17.78,"d":"$17.78"},{"v":0,"d":"$0.00"},{"v":17.78,"d":"$17.78"},{"v":2.78,"d":"$2.78"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010031903E              ","MBRP00000430941","000007319848","2022-01-24","23155007001","METHIMAZOLE TABS 5.000",90,90,{"v":25.1,"d":"$25.10"},{"v":0,"d":"$0.00"},{"v":25.1,"d":"$25.10"},{"v":10.1,"d":"$10.10"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3673387","WALMART PHARMACY 10-5410 105410"]
["21865M","0010098976E              ","MBRP00000369587","000006282061","2022-01-24","00406117001","NALTREXONE HCL TABS 50.000",90,90,{"v":136.36,"d":"$136.36"},{"v":0,"d":"$0.00"},{"v":136.36,"d":"$136.36"},{"v":121.36,"d":"$121.36"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","AC00107809800","MBRP00000468814","000000866633","2022-01-24","68180031909","BUPROPION HYDR TB24 150.000",-23,23,{"v":-11.93,"d":"-$11.93"},{"v":-0.59,"d":"-$0.59"},{"v":-12.52,"d":"-$12.52"},{"v":-9.14,"d":"-$9.14"},{"v":-3.38,"d":"-$3.38"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010153605E              ","MBRP00000430797","000001743511","2022-01-24","00002831501","HUMULIN N SUSP 100.000",10,31,{"v":148.46,"d":"$148.46"},{"v":0.59,"d":"$0.59"},{"v":149.05,"d":"$149.05"},{"v":89.05,"d":"$89.05"},{"v":60,"d":"$60.00"},"B","N",0,0,1,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010098976E              ","MBRP00000369587","000006282060","2022-01-24","70436005902","BUPROPION HYDR TB12 150.000",180,90,{"v":84.49,"d":"$84.49"},{"v":0,"d":"$0.00"},{"v":84.49,"d":"$84.49"},{"v":69.49,"d":"$69.49"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010121105E              ","MBRP00000440105","000002058831","2022-01-24","00002144511","TALTZ SOAJ 80.000",1,28,{"v":6172.44,"d":"$6,172.44"},{"v":0,"d":"$0.00"},{"v":6172.44,"d":"$6,172.44"},{"v":6137.44,"d":"$6,137.44"},{"v":35,"d":"$35.00"},"B","Y",0,0,9,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010046686E              ","MBRP00000429167","000001584495","2022-01-24","29300039705","AMLODIPINE BES TABS 5.000",90,90,{"v":7.06,"d":"$7.06"},{"v":0,"d":"$0.00"},{"v":7.06,"d":"$7.06"},{"v":0,"d":"$0.00"},{"v":7.06,"d":"$7.06"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010068607E              ","MBRP00000440076","000000615925","2022-01-25","59267102501","PFIZER-BIONTEC SUSP 30.000",0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":40,"d":"$40.00"},{"v":40,"d":"$40.00"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010144023E              ","MBRP00000440066","000006764629","2022-01-25","00555902658","JUNEL FE 1/20 TABS 0.000",28,28,{"v":23.85,"d":"$23.85"},{"v":0.59,"d":"$0.59"},{"v":24.44,"d":"$24.44"},{"v":24.44,"d":"$24.44"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010073431E              ","MBRP00000424716","000000918071","2022-01-25","00054455015","METHOTREXATE TABS 2.500",32,28,{"v":30.76,"d":"$30.76"},{"v":0.59,"d":"$0.59"},{"v":31.35,"d":"$31.35"},{"v":26.35,"d":"$26.35"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010151645E              ","MBRP00000342813","000002896109","2022-01-25","00555904358","APRI TABS 0.000",84,84,{"v":60.44,"d":"$60.44"},{"v":0,"d":"$0.00"},{"v":60.44,"d":"$60.44"},{"v":60.44,"d":"$60.44"},{"v":0,"d":"$0.00"},"G","N",0,1,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010153657E              ","MBRP00000429294","000002596453","2022-01-25","57237000511","FLUCONAZOLE TABS 150.000",3,6,{"v":7.72,"d":"$7.72"},{"v":0.59,"d":"$0.59"},{"v":8.31,"d":"$8.31"},{"v":3.31,"d":"$3.31"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3660102","WALGREENS #3281 3281"]
["21865M","0010068607E              ","MBRP00000440076","000000615925","2022-01-25","59267100001","PFIZER-BIONTEC SUSP 30.000",0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":40,"d":"$40.00"},{"v":40,"d":"$40.00"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010098981E              ","MBRP00000429201","000331518153","2022-01-26","57894064011","TREMFYA SOPN 100.000",-1,56,{"v":-12106.9,"d":"-$12,106.90"},{"v":0,"d":"$0.00"},{"v":-12106.9,"d":"-$12,106.90"},{"v":-12046.9,"d":"-$12,046.90"},{"v":-60,"d":"-$60.00"},"B","Y",0,0,1,"R","1564930","OPTUM PHARMACY 702, LLC"]
["21865M","0010150013E              ","MBRP00000424928","000001531519","2022-01-26","00054050823","ICOSAPENT ETHY CAPS 1.000",120,30,{"v":309.61,"d":"$309.61"},{"v":0.59,"d":"$0.59"},{"v":310.2,"d":"$310.20"},{"v":305.2,"d":"$305.20"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","AC00111580900","MBRP00000484397","000001143550","2022-01-26","31722071310","PANTOPRAZOLE S TBEC 40.000",30,30,{"v":5.82,"d":"$5.82"},{"v":0.59,"d":"$0.59"},{"v":6.41,"d":"$6.41"},{"v":1.41,"d":"$1.41"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3657751","DISCOUNT DRUG MART 42"]
["21865M","0010150177E              ","MBRP00000429297","000006771690","2022-01-26","00088222033","LANTUS SOLN 100.000",-50,90,{"v":-1369.59,"d":"-$1,369.59"},{"v":0,"d":"$0.00"},{"v":-1369.59,"d":"-$1,369.59"},{"v":-1309.59,"d":"-$1,309.59"},{"v":-60,"d":"-$60.00"},"B","N",0,0,1,"R","3669124","GIANT EAGLE PHARMACY #4034 4034"]
["21865M","0010122772E              ","MBRP00000429193","000002911726","2022-01-26","60505082901","FLUTICASONE PR SUSP 50.000",16,30,{"v":12.16,"d":"$12.16"},{"v":0.59,"d":"$0.59"},{"v":12.75,"d":"$12.75"},{"v":7.75,"d":"$7.75"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010126150E              ","MBRP00000430934","000331800130","2022-01-27","60505082901","FLUTICASONE PR SUSP 50.000",32,90,{"v":24.31,"d":"$24.31"},{"v":0,"d":"$0.00"},{"v":24.31,"d":"$24.31"},{"v":14.31,"d":"$14.31"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010084143E              ","MBRP00000424813","000008629985","2022-01-27","70700016406","LEVONORGESTREL TABS 1.500",1,30,{"v":19.28,"d":"$19.28"},{"v":0.59,"d":"$0.59"},{"v":19.87,"d":"$19.87"},{"v":19.87,"d":"$19.87"},{"v":0,"d":"$0.00"},"G","N",0,0,9,"R","5654517","THE PILL CLUB"]
["21865M","0010062989E              ","MBRP00000430888","000007152893","2022-01-27","45802015065","ALOGLIPTIN TABS 25.000",30,30,{"v":194.69,"d":"$194.69"},{"v":0.59,"d":"$0.59"},{"v":195.28,"d":"$195.28"},{"v":160.28,"d":"$160.28"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3654034","MARCS 22"]
["21865M","AC00108535500","MBRP00000429041","000001143809","2022-01-27","10147068801","METHYLPHENIDAT TBCR 27.000",-30,30,{"v":-119.65,"d":"-$119.65"},{"v":-0.59,"d":"-$0.59"},{"v":-120.24,"d":"-$120.24"},{"v":-115.24,"d":"-$115.24"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3657751","DISCOUNT DRUG MART 42"]
["21865M","0010149584E              ","MBRP00000440249","000001107763","2022-01-27","16714036004","MONO-LINYAH TABS 0.000",28,28,{"v":23.03,"d":"$23.03"},{"v":0.59,"d":"$0.59"},{"v":23.62,"d":"$23.62"},{"v":23.62,"d":"$23.62"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3657751","DISCOUNT DRUG MART 42"]
["21865M","0010142787E              ","MBRP00000430953","000324273775","2022-01-27","65862019399","FLUOXETINE HCL CAPS 20.000",90,90,{"v":9.87,"d":"$9.87"},{"v":0,"d":"$0.00"},{"v":9.87,"d":"$9.87"},{"v":0,"d":"$0.00"},{"v":9.87,"d":"$9.87"},"G","N",0,0,0,"M","5926716","OPTUM PHARMACY 704, INC."]
["21865M","AC00109306100","MBRP00000448917","000000861115","2022-01-27","68180031909","BUPROPION HYDR TB24 150.000",30,30,{"v":15.56,"d":"$15.56"},{"v":0.59,"d":"$0.59"},{"v":16.15,"d":"$16.15"},{"v":11.15,"d":"$11.15"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010153628E              ","MBRP00000429290","000007149570","2022-01-27","31722070110","LOSARTAN POTAS TABS 50.000",30,30,{"v":4.26,"d":"$4.26"},{"v":0.59,"d":"$0.59"},{"v":4.85,"d":"$4.85"},{"v":0,"d":"$0.00"},{"v":4.85,"d":"$4.85"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010149153E              ","MBRP00000429319","000002528552","2022-01-28","33342006510","VALSARTAN TABS 320.000",90,90,{"v":176.16,"d":"$176.16"},{"v":0,"d":"$0.00"},{"v":176.16,"d":"$176.16"},{"v":161.16,"d":"$161.16"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010006051E              ","MBRP00000314615","000007152973","2022-01-28","59746017506","PREDNISONE TABS 20.000",19,10,{"v":3.08,"d":"$3.08"},{"v":0.59,"d":"$0.59"},{"v":3.67,"d":"$3.67"},{"v":0,"d":"$0.00"},{"v":3.67,"d":"$3.67"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010114615E              ","MBRP00000440323","000006886953","2022-01-28","00168008016","HYDROCORTISONE CREA 2.500",454,30,{"v":59.95,"d":"$59.95"},{"v":0.59,"d":"$0.59"},{"v":60.54,"d":"$60.54"},{"v":55.54,"d":"$55.54"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3669112","GIANT EAGLE PHARMACY #1618 1618"]
["21865M","0010006051E              ","MBRP00000314615","000007152972","2022-01-28","66993058697","FLUTICASONE PR AEPB 0.000",60,30,{"v":400.71,"d":"$400.71"},{"v":0.59,"d":"$0.59"},{"v":401.3,"d":"$401.30"},{"v":396.3,"d":"$396.30"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010005785E              ","MBRP00000440298","000001465610","2022-01-28","68180096601","LEVOTHYROXINE  TABS 50.000",90,90,{"v":35.94,"d":"$35.94"},{"v":0,"d":"$0.00"},{"v":35.94,"d":"$35.94"},{"v":20.94,"d":"$20.94"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010062356E              ","MBRP00000422419","000001585945","2022-01-29","59267100002","PFIZER-BIONTEC SUSP 30.000",0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":40,"d":"$40.00"},{"v":40,"d":"$40.00"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010122982E              ","MBRP00000422134","000002369593","2022-01-29","68462072029","DROSPIRENONE/E TABS 0.000",28,28,{"v":27.25,"d":"$27.25"},{"v":0.59,"d":"$0.59"},{"v":27.84,"d":"$27.84"},{"v":27.84,"d":"$27.84"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010121132E              ","MBRP00000429347","000000185807","2022-01-29","68382009601","HYDROXYCHLOROQ TABS 200.000",-30,30,{"v":-36.55,"d":"-$36.55"},{"v":-0.59,"d":"-$0.59"},{"v":-37.14,"d":"-$37.14"},{"v":-32.14,"d":"-$32.14"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3686409","DISCOUNT DRUG MART #89 89"]
["21865M","0010032717E              ","MBRP00000417803","000331228083","2022-01-30","00006022154","JANUVIA TABS 25.000",90,90,{"v":1410.97,"d":"$1,410.97"},{"v":0,"d":"$0.00"},{"v":1410.97,"d":"$1,410.97"},{"v":1370.97,"d":"$1,370.97"},{"v":40,"d":"$40.00"},"B","N",0,0,1,"M","5926716","OPTUM PHARMACY 704, INC."]
["21865M","AC00109582900","MBRP00000453391","000002419327","2022-01-30","61874010060","VIBERZI TABS 100.000",60,30,{"v":1450.09,"d":"$1,450.09"},{"v":0.59,"d":"$0.59"},{"v":1450.68,"d":"$1,450.68"},{"v":1415.68,"d":"$1,415.68"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3661433","WALGREENS #3572 3572"]
["21865M","AC00110021200","MBRP00000460279","000007289626","2022-01-30","68645058259","METFORMIN HYDR TABS 500.000",60,30,{"v":3.41,"d":"$3.41"},{"v":0.59,"d":"$0.59"},{"v":4,"d":"$4.00"},{"v":0,"d":"$0.00"},{"v":4,"d":"$4.00"},"G","N",0,0,0,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","0010105950E              ","MBRP00000430808","000000851155","2022-01-31","00071036924","DILANTIN CAPS 100.000",180,90,{"v":248.23,"d":"$248.23"},{"v":0,"d":"$0.00"},{"v":248.23,"d":"$248.23"},{"v":0,"d":"$0.00"},{"v":248.23,"d":"$248.23"},"B","N",0,2,1,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010062356E              ","MBRP00000422419","000006279795","2022-01-31","43547028111","ESCITALOPRAM O TABS 10.000",30,30,{"v":7.36,"d":"$7.36"},{"v":0.59,"d":"$0.59"},{"v":7.95,"d":"$7.95"},{"v":2.95,"d":"$2.95"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010150899E              ","MBRP00000429069","000000857886","2022-01-31","68462010530","ONDANSETRON HY TABS 4.000",30,30,{"v":3.64,"d":"$3.64"},{"v":0.59,"d":"$0.59"},{"v":4.23,"d":"$4.23"},{"v":0,"d":"$0.00"},{"v":4.23,"d":"$4.23"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010143489E              ","MBRP00000290984","000322595115","2022-01-31","00310173030","FASENRA SOSY 30.000",1,56,{"v":5637.69,"d":"$5,637.69"},{"v":0,"d":"$0.00"},{"v":5637.69,"d":"$5,637.69"},{"v":5577.69,"d":"$5,577.69"},{"v":60,"d":"$60.00"},"B","Y",0,1,1,"R","1564930","OPTUM PHARMACY 702, LLC"]
["21865M","0010153595E              ","MBRP00000430834","000001212621","2022-01-31","31722064630","TADALAFIL TABS 20.000",6,30,{"v":10.97,"d":"$10.97"},{"v":0.59,"d":"$0.59"},{"v":11.56,"d":"$11.56"},{"v":6.56,"d":"$6.56"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010141535E              ","MBRP00000429259","000001338005","2022-01-31","68462013279","NORETHINDRONE  TABS 0.000",21,21,{"v":23.85,"d":"$23.85"},{"v":0.59,"d":"$0.59"},{"v":24.44,"d":"$24.44"},{"v":24.44,"d":"$24.44"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010031903E              ","MBRP00000430941","000007309181","2022-01-31","31722071390","PANTOPRAZOLE S TBEC 40.000",90,90,{"v":17.47,"d":"$17.47"},{"v":0,"d":"$0.00"},{"v":17.47,"d":"$17.47"},{"v":2.47,"d":"$2.47"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3673387","WALMART PHARMACY 10-5410 105410"]
["21865M","0010048454E              ","MBRP00000299238","000001850931","2022-02-01","00054032756","FLUTICASONE PR AEPB 0.000",60,30,{"v":293.35,"d":"$293.35"},{"v":0.59,"d":"$0.59"},{"v":293.94,"d":"$293.94"},{"v":288.94,"d":"$288.94"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","0010052586E              ","MBRP00000398481","000002958362","2022-02-01","00310620530","FARXIGA TABS 5.000",30,30,{"v":547.96,"d":"$547.96"},{"v":0.59,"d":"$0.59"},{"v":548.55,"d":"$548.55"},{"v":528.55,"d":"$528.55"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010137638E              ","MBRP00000417804","000008040598","2022-02-01","86227012155","SURE COMFORT P MISC 0.000",-100,50,{"v":-45.72,"d":"-$45.72"},{"v":-0.59,"d":"-$0.59"},{"v":-46.31,"d":"-$46.31"},{"v":0,"d":"$0.00"},{"v":-46.31,"d":"-$46.31"},"B","N",0,0,1,"R","3674151","GIANT EAGLE PHARMACY #4152 4152"]
["21865M","0010132579E              ","MBRP00000417821","000001052661","2022-02-01","64980043910","ATENOLOL TABS 100.000",30,30,{"v":4.26,"d":"$4.26"},{"v":0.59,"d":"$0.59"},{"v":4.85,"d":"$4.85"},{"v":0,"d":"$0.00"},{"v":4.85,"d":"$4.85"},"G","N",0,0,0,"R","3653094","RITE AID PHARMACY 02437"]
["21865M","0010151307E              ","MBRP00000429263","000001745282","2022-02-01","00713022580","TRIAMCINOLONE  CREA 0.100",-80,25,{"v":-4.34,"d":"-$4.34"},{"v":-0.59,"d":"-$0.59"},{"v":-4.93,"d":"-$4.93"},{"v":0,"d":"$0.00"},{"v":-4.93,"d":"-$4.93"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010084270E              ","MBRP00000422367","000000868348","2022-02-01","65862069790","VENLAFAXINE HC CP24 150.000",90,90,{"v":33.88,"d":"$33.88"},{"v":0,"d":"$0.00"},{"v":33.88,"d":"$33.88"},{"v":18.88,"d":"$18.88"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010153667E              ","MBRP00000431052","000009379861","2022-02-01","59746017210","PREDNISONE TABS 5.000",18,9,{"v":4.05,"d":"$4.05"},{"v":0.5,"d":"$0.50"},{"v":4.55,"d":"$4.55"},{"v":0,"d":"$0.00"},{"v":4.55,"d":"$4.55"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010084132E              ","MBRP00000422150","000002530014","2022-02-01","69238161503","OFLOXACIN SOLN 0.300",-5,7,{"v":-15.95,"d":"-$15.95"},{"v":-0.59,"d":"-$0.59"},{"v":-16.54,"d":"-$16.54"},{"v":-11.54,"d":"-$11.54"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010153610E              ","MBRP00000430843","000001224558","2022-02-02","62332006230","LEFLUNOMIDE TABS 20.000",30,30,{"v":33.96,"d":"$33.96"},{"v":0.59,"d":"$0.59"},{"v":34.55,"d":"$34.55"},{"v":29.55,"d":"$29.55"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010099565E              ","MBRP00000440319","000316369782","2022-02-02","42543040801","POTASSIUM CITR TBCR 15.000",200,90,{"v":329.82,"d":"$329.82"},{"v":0,"d":"$0.00"},{"v":329.82,"d":"$329.82"},{"v":319.82,"d":"$319.82"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010137645E              ","MBRP00000417987","000008894090","2022-02-02","00185084201","AMPHETAMINE/DE TABS 0.000",60,30,{"v":29.85,"d":"$29.85"},{"v":0.59,"d":"$0.59"},{"v":30.44,"d":"$30.44"},{"v":25.44,"d":"$25.44"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3673793","CVS PHARMACY #17136 17136"]
["21865M","0010121132E              ","MBRP00000430814","000000198227","2022-02-02","00054981729","PREDNISONE TABS 10.000",32,6,{"v":4.35,"d":"$4.35"},{"v":0.59,"d":"$0.59"},{"v":4.94,"d":"$4.94"},{"v":0,"d":"$0.00"},{"v":4.94,"d":"$4.94"},"G","N",0,0,0,"R","3686409","DISCOUNT DRUG MART #89 89"]
["21865M","0010056756E              ","MBRP00000440289","000000968356","2022-02-02","59746017506","PREDNISONE TABS 20.000",30,15,{"v":4.86,"d":"$4.86"},{"v":0.59,"d":"$0.59"},{"v":5.45,"d":"$5.45"},{"v":0.45,"d":"$0.45"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651975","RITE AID PHARMACY 02401"]
["21865M","0010137212E              ","MBRP00000440118","000305340891","2022-02-02","43547028211","ESCITALOPRAM O TABS 20.000",90,90,{"v":32.28,"d":"$32.28"},{"v":0,"d":"$0.00"},{"v":32.28,"d":"$32.28"},{"v":22.28,"d":"$22.28"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010132579E              ","MBRP00000417821","000001062058","2022-02-03","17478071310","OFLOXACIN SOLN 0.300",5,10,{"v":11.79,"d":"$11.79"},{"v":0.59,"d":"$0.59"},{"v":12.38,"d":"$12.38"},{"v":7.38,"d":"$7.38"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3653094","RITE AID PHARMACY 02437"]
["21865M","0010153642E              ","MBRP00000424708","000001056186","2022-02-03","59267102504","PFIZER-BIONTEC SUSP 30.000",0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":40,"d":"$40.00"},{"v":40,"d":"$40.00"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3651949","RITE AID PHARMACY 02398"]
["21865M","0010112591E              ","MBRP00000440132","000000962748","2022-02-03","65862044830","VALACYCLOVIR H TABS 500.000",6,3,{"v":8.25,"d":"$8.25"},{"v":0.59,"d":"$0.59"},{"v":8.84,"d":"$8.84"},{"v":3.84,"d":"$3.84"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651975","RITE AID PHARMACY 02401"]
["21865M","0010153622E              ","MBRP00000429311","000006720587","2022-02-04","62559051001","INDAPAMIDE TABS 1.250",90,90,{"v":41.25,"d":"$41.25"},{"v":0,"d":"$0.00"},{"v":41.25,"d":"$41.25"},{"v":26.25,"d":"$26.25"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3669124","GIANT EAGLE PHARMACY #4034 4034"]
["21865M","0010093541E              ","MBRP00000440024","000322541163","2022-02-04","68180098003","LISINOPRIL TABS 10.000",90,90,{"v":8.21,"d":"$8.21"},{"v":0,"d":"$0.00"},{"v":8.21,"d":"$8.21"},{"v":0,"d":"$0.00"},{"v":8.21,"d":"$8.21"},"G","N",0,0,0,"M","1718634","OPTUMRX, INC."]
["21865M","0010144048E              ","MBRP00000429266","000001587005","2022-02-04","64764072030","TRINTELLIX TABS 5.000",90,90,{"v":1287.12,"d":"$1,287.12"},{"v":0,"d":"$0.00"},{"v":1287.12,"d":"$1,287.12"},{"v":1182.12,"d":"$1,182.12"},{"v":105,"d":"$105.00"},"B","N",0,0,9,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010093541E              ","MBRP00000440024","000313423425","2022-02-04","69097082312","CITALOPRAM HYD TABS 20.000",90,90,{"v":30.03,"d":"$30.03"},{"v":0,"d":"$0.00"},{"v":30.03,"d":"$30.03"},{"v":20.03,"d":"$20.03"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","1718634","OPTUMRX, INC."]
["21865M","AC00110043100","MBRP00000460621","000001885756","2022-02-04","65862020299","LOSARTAN POTAS TABS 50.000",30,30,{"v":4.26,"d":"$4.26"},{"v":0.59,"d":"$0.59"},{"v":4.85,"d":"$4.85"},{"v":0,"d":"$0.00"},{"v":4.85,"d":"$4.85"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","0010153672E              ","MBRP00000431033","000000762111","2022-02-05","69238199107","DIGOXIN TABS 0.125",90,90,{"v":56.59,"d":"$56.59"},{"v":0,"d":"$0.00"},{"v":56.59,"d":"$56.59"},{"v":41.59,"d":"$41.59"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3679668","CVS PHARMACY #02385 02385"]
["21865M","0010006021E              ","MBRP00000418018","000001562590","2022-02-05","70010049101","METFORMIN HYDR TB24 500.000",90,90,{"v":20.76,"d":"$20.76"},{"v":0,"d":"$0.00"},{"v":20.76,"d":"$20.76"},{"v":5.76,"d":"$5.76"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","AC00109306100","MBRP00000448919","000000810640","2022-02-06","70069000701","OLOPATADINE HC SOLN 0.100",5,30,{"v":26,"d":"$26.00"},{"v":0.59,"d":"$0.59"},{"v":26.59,"d":"$26.59"},{"v":21.59,"d":"$21.59"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010150771E              ","MBRP00000430965","000001229786","2022-02-06","70436001104","BUPROPION HYDR TB24 300.000",30,30,{"v":17.13,"d":"$17.13"},{"v":0.59,"d":"$0.59"},{"v":17.72,"d":"$17.72"},{"v":12.72,"d":"$12.72"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010120429E              ","MBRP00000401502","000000776806","2022-02-06","68180052001","LISINOPRIL/HYD TABS 0.000",30,30,{"v":12.39,"d":"$12.39"},{"v":0.59,"d":"$0.59"},{"v":12.98,"d":"$12.98"},{"v":7.98,"d":"$7.98"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3679668","CVS PHARMACY #02385 02385"]
["21865M","0010150475E              ","MBRP00000431089","000000596013","2022-02-07","68462039610","OMEPRAZOLE CPDR 20.000",90,90,{"v":9.04,"d":"$9.04"},{"v":0,"d":"$0.00"},{"v":9.04,"d":"$9.04"},{"v":0,"d":"$0.00"},{"v":9.04,"d":"$9.04"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","0010084337E              ","MBRP00000440307","000001859603","2022-02-07","82607066026","FLOWFLEX COVID KIT  0.000",8,8,{"v":79.92,"d":"$79.92"},{"v":0.5,"d":"$0.50"},{"v":80.42,"d":"$80.42"},{"v":80.42,"d":"$80.42"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","AC00107771400","MBRP00000440336","000319016152","2022-02-07","31722013190","DUTASTERIDE CAPS 0.500",90,90,{"v":81.8,"d":"$81.80"},{"v":0,"d":"$0.00"},{"v":81.8,"d":"$81.80"},{"v":71.8,"d":"$71.80"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","5926716","OPTUM PHARMACY 704, INC."]
["21865M","0010061934E              ","MBRP00000424838","000001375240","2022-02-07","00406895201","AMPHETAMINE/DE CP24 0.000",30,30,{"v":34.07,"d":"$34.07"},{"v":0.59,"d":"$0.59"},{"v":34.66,"d":"$34.66"},{"v":29.66,"d":"$29.66"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010084142E              ","MBRP00000424706","000001091885","2022-02-07","57237004390","VALACYCLOVIR H TABS 1.000",-30,30,{"v":-74.61,"d":"-$74.61"},{"v":-0.59,"d":"-$0.59"},{"v":-75.2,"d":"-$75.20"},{"v":-70.2,"d":"-$70.20"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3659488","DISCOUNT DRUG MART 46"]
["21865M","0010144048E              ","MBRP00000482241","000001587723","2022-02-07","66993001968","ALBUTEROL SULF AERS 108.000",-18,17,{"v":-51.95,"d":"-$51.95"},{"v":-0.59,"d":"-$0.59"},{"v":-52.54,"d":"-$52.54"},{"v":-17.54,"d":"-$17.54"},{"v":-35,"d":"-$35.00"},"B","N",0,0,9,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010129036E              ","MBRP00000429011","000001081683","2022-02-07","31722058901","METOPROLOL SUC TB24 25.000",90,90,{"v":38,"d":"$38.00"},{"v":0,"d":"$0.00"},{"v":38,"d":"$38.00"},{"v":23,"d":"$23.00"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010141535E              ","MBRP00000429262","000001220272","2022-02-08","13107008301","LORAZEPAM TABS 0.500",60,30,{"v":2,"d":"$2.00"},{"v":0.59,"d":"$0.59"},{"v":2.59,"d":"$2.59"},{"v":0,"d":"$0.00"},{"v":2.59,"d":"$2.59"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010084270E              ","MBRP00000422367","000000869564","2022-02-08","11527075043","SODIUM FLUORID PSTE 1.100",-100,24,{"v":-13.15,"d":"-$13.15"},{"v":-0.59,"d":"-$0.59"},{"v":-13.74,"d":"-$13.74"},{"v":-8.74,"d":"-$8.74"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010092580E              ","MBRP00000424961","000001542569","2022-02-08","82607066026","FLOWFLEX COVID KIT  0.000",-1,1,{"v":-9.99,"d":"-$9.99"},{"v":-0.5,"d":"-$0.50"},{"v":-10.49,"d":"-$10.49"},{"v":-10.49,"d":"-$10.49"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010153637E              ","MBRP00000430802","000001859851","2022-02-08","82607066026","FLOWFLEX COVID KIT  0.000",4,4,{"v":39.96,"d":"$39.96"},{"v":0.5,"d":"$0.50"},{"v":40.46,"d":"$40.46"},{"v":40.46,"d":"$40.46"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","0010130459E              ","MBRP00000429154","000002583096","2022-02-08","68001036500","METRONIDAZOLE TABS 500.000",14,7,{"v":2.5,"d":"$2.50"},{"v":0.59,"d":"$0.59"},{"v":3.09,"d":"$3.09"},{"v":0,"d":"$0.00"},{"v":3.09,"d":"$3.09"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010143490E              ","MBRP00000417916","000006793725","2022-02-08","69097012815","AMLODIPINE BES TABS 10.000",30,30,{"v":3.18,"d":"$3.18"},{"v":0.59,"d":"$0.59"},{"v":3.77,"d":"$3.77"},{"v":0,"d":"$0.00"},{"v":3.77,"d":"$3.77"},"G","N",0,0,0,"R","3665289","GIANT EAGLE PHARMACY #4016 4016"]
["21865M","AC00110578200","MBRP00000469029","000007310975","2022-02-09","65162019011","NAPROXEN TABS 500.000",60,30,{"v":7.24,"d":"$7.24"},{"v":0.59,"d":"$0.59"},{"v":7.83,"d":"$7.83"},{"v":2.83,"d":"$2.83"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3673387","WALMART PHARMACY 10-5410 105410"]
["21865M","0010139575E              ","MBRP00000430856","000000912891","2022-02-09","68462019255","MOMETASONE FUR CREA 0.100",45,10,{"v":19.15,"d":"$19.15"},{"v":0.5,"d":"$0.50"},{"v":19.65,"d":"$19.65"},{"v":14.65,"d":"$14.65"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606211","DARTMOUTH PHARMACY"]
["21865M","AC00110048400","MBRP00000460718","000001238898","2022-02-09","82607066026","FLOWFLEX COVID KIT  0.000",-1,1,{"v":-9.99,"d":"-$9.99"},{"v":-0.5,"d":"-$0.50"},{"v":-10.49,"d":"-$10.49"},{"v":-10.49,"d":"-$10.49"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3651646","RITE AID PHARMACY 02357"]
["21865M","0010141535E              ","MBRP00000429262","000001218799","2022-02-09","00088221905","LANTUS SOLOSTA SOPN 100.000",12,14,{"v":339.71,"d":"$339.71"},{"v":0.59,"d":"$0.59"},{"v":340.3,"d":"$340.30"},{"v":320.3,"d":"$320.30"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","AC00109875600","MBRP00000327209","000000969157","2022-02-09","55111018015","TIZANIDINE HYD TABS 4.000",90,30,{"v":19.33,"d":"$19.33"},{"v":0.59,"d":"$0.59"},{"v":19.92,"d":"$19.92"},{"v":14.92,"d":"$14.92"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651975","RITE AID PHARMACY 02401"]
["21865M","0010005907E              ","MBRP00000422297","000001095447","2022-02-10","00406051201","OXYCODONE/ACET TABS 0.000",42,7,{"v":6.16,"d":"$6.16"},{"v":0.59,"d":"$0.59"},{"v":6.75,"d":"$6.75"},{"v":1.75,"d":"$1.75"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","AC00107801700","MBRP00000424915","000001588589","2022-02-10","00781106101","ALPRAZOLAM TABS 0.250",30,30,{"v":0.5,"d":"$0.50"},{"v":0.59,"d":"$0.59"},{"v":1.09,"d":"$1.09"},{"v":0,"d":"$0.00"},{"v":1.09,"d":"$1.09"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","AC00111580900","MBRP00000484397","000001145667","2022-02-10","00228202796","ALPRAZOLAM TABS 0.250",-30,15,{"v":-0.5,"d":"-$0.50"},{"v":-0.59,"d":"-$0.59"},{"v":-1.09,"d":"-$1.09"},{"v":0,"d":"$0.00"},{"v":-1.09,"d":"-$1.09"},"G","N",0,0,0,"R","3657751","DISCOUNT DRUG MART 42"]
["21865M","0010133416E              ","MBRP00000429223","000006612881","2022-02-10","68382003610","VENLAFAXINE HC CP24 150.000",14,14,{"v":5.27,"d":"$5.27"},{"v":0.59,"d":"$0.59"},{"v":5.86,"d":"$5.86"},{"v":0.86,"d":"$0.86"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010119786E              ","MBRP00000422431","000001588979","2022-02-10","82607066026","FLOWFLEX COVID KIT  0.000",8,30,{"v":79.92,"d":"$79.92"},{"v":0.5,"d":"$0.50"},{"v":80.42,"d":"$80.42"},{"v":80.42,"d":"$80.42"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010129915E              ","MBRP00000424935","000001746464","2022-02-10","68382005105","MELOXICAM TABS 15.000",-90,90,{"v":-8.29,"d":"-$8.29"},{"v":0,"d":"$0.00"},{"v":-8.29,"d":"-$8.29"},{"v":0,"d":"$0.00"},{"v":-8.29,"d":"-$8.29"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010062989E              ","MBRP00000430888","000006612818","2022-02-10","70700015010","OMEPRAZOLE CPDR 20.000",90,90,{"v":17.48,"d":"$17.48"},{"v":0,"d":"$0.00"},{"v":17.48,"d":"$17.48"},{"v":2.48,"d":"$2.48"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010152646E              ","MBRP00000442992","000000743837","2022-02-10","16729017301","AMITRIPTYLINE  TABS 50.000",90,90,{"v":72.12,"d":"$72.12"},{"v":0,"d":"$0.00"},{"v":72.12,"d":"$72.12"},{"v":57.12,"d":"$57.12"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010141535E              ","MBRP00000429262","000001218543","2022-02-11","57599080000","FREESTYLE LIBR MISC 0.000",-2,28,{"v":-115.22,"d":"-$115.22"},{"v":-0.59,"d":"-$0.59"},{"v":-115.81,"d":"-$115.81"},{"v":-95.81,"d":"-$95.81"},{"v":-20,"d":"-$20.00"},"B","N",0,0,1,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010153220E              ","MBRP00000424980","000001238091","2022-02-11","82607066026","FLOWFLEX COVID KIT  0.000",-4,4,{"v":-39.96,"d":"-$39.96"},{"v":-0.5,"d":"-$0.50"},{"v":-40.46,"d":"-$40.46"},{"v":-40.46,"d":"-$40.46"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010092580E              ","MBRP00000424962","000001543986","2022-02-11","59267102504","PFIZER-BIONTEC SUSP 30.000",0.3,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":40,"d":"$40.00"},{"v":40,"d":"$40.00"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010153662E              ","MBRP00000430817","000002583279","2022-02-11","69097068205","PREGABALIN CAPS 150.000",60,30,{"v":24.3,"d":"$24.30"},{"v":0.59,"d":"$0.59"},{"v":24.89,"d":"$24.89"},{"v":19.89,"d":"$19.89"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010122678E              ","MBRP00000429078","000002455180","2022-02-11","65862001501","AMOXICILLIN TABS 875.000",20,10,{"v":4.13,"d":"$4.13"},{"v":0.59,"d":"$0.59"},{"v":4.72,"d":"$4.72"},{"v":0,"d":"$0.00"},{"v":4.72,"d":"$4.72"},"G","N",0,0,0,"R","3661433","WALGREENS #3572 3572"]
["21865M","0010084092E              ","MBRP00000422449","000001568426","2022-02-12","00430042014","LO LOESTRIN FE TABS 0.000",28,28,{"v":162.64,"d":"$162.64"},{"v":0.59,"d":"$0.59"},{"v":163.23,"d":"$163.23"},{"v":128.23,"d":"$128.23"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010032689E              ","MBRP00000430867","000006586720","2022-02-12","65862020399","LOSARTAN POTAS TABS 100.000",90,90,{"v":17.22,"d":"$17.22"},{"v":0,"d":"$0.00"},{"v":17.22,"d":"$17.22"},{"v":2.22,"d":"$2.22"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","AC00110027000","MBRP00000460365","000000919809","2022-02-12","82607066026","FLOWFLEX COVID KIT  0.000",4,15,{"v":39.96,"d":"$39.96"},{"v":0.5,"d":"$0.50"},{"v":40.46,"d":"$40.46"},{"v":40.46,"d":"$40.46"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010122770E              ","MBRP00000293151","000000608334","2022-02-12","68382005105","MELOXICAM TABS 15.000",30,30,{"v":2.43,"d":"$2.43"},{"v":0.5,"d":"$0.50"},{"v":2.93,"d":"$2.93"},{"v":0,"d":"$0.00"},{"v":2.93,"d":"$2.93"},"G","N",0,0,0,"R","3672791","AULTMAN EMPLOYEE PHARMACY"]
["21865M","0010100929E              ","MBRP00000429218","000001624647","2022-02-13","23155005519","NARATRIPTAN HC TABS 2.500",9,15,{"v":30.37,"d":"$30.37"},{"v":0.59,"d":"$0.59"},{"v":30.96,"d":"$30.96"},{"v":25.96,"d":"$25.96"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659832","DISCOUNT DRUG MART 50"]
["21865M","AC00109149100","MBRP00000446408","000001537788","2022-02-13","68382009201","CARVEDILOL TABS 3.125",-90,30,{"v":-8.17,"d":"-$8.17"},{"v":-0.59,"d":"-$0.59"},{"v":-8.76,"d":"-$8.76"},{"v":-3.76,"d":"-$3.76"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","AC00109149100","MBRP00000446408","000001548563","2022-02-13","68180096601","LEVOTHYROXINE  TABS 50.000",30,30,{"v":12.38,"d":"$12.38"},{"v":0.59,"d":"$0.59"},{"v":12.97,"d":"$12.97"},{"v":7.97,"d":"$7.97"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010032074E              ","MBRP00000418062","000007154090","2022-02-14","16714066202","GABAPENTIN CAPS 300.000",180,30,{"v":40.4,"d":"$40.40"},{"v":0.59,"d":"$0.59"},{"v":40.99,"d":"$40.99"},{"v":35.99,"d":"$35.99"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010114653E              ","MBRP00000429113","000006284112","2022-02-14","68382014005","TOPIRAMATE TABS 100.000",-180,90,{"v":-54.1,"d":"-$54.10"},{"v":0,"d":"$0.00"},{"v":-54.1,"d":"-$54.10"},{"v":-39.1,"d":"-$39.10"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010031850E              ","MBRP00000440318","000002054102","2022-02-14","68546017060","AUSTEDO TABS 6.000",-180,30,{"v":-13524.89,"d":"-$13,524.89"},{"v":0,"d":"$0.00"},{"v":-13524.89,"d":"-$13,524.89"},{"v":-13489.89,"d":"-$13,489.89"},{"v":-35,"d":"-$35.00"},"B","Y",0,0,9,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","AC00109800200","MBRP00000456839","000001096155","2022-02-14","68462011944","FLUCONAZOLE TABS 150.000",3,7,{"v":7.72,"d":"$7.72"},{"v":0.59,"d":"$0.59"},{"v":8.31,"d":"$8.31"},{"v":3.31,"d":"$3.31"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010115252E              ","MBRP00000418117","000000889489","2022-02-14","13668042990","PANTOPRAZOLE S TBEC 40.000",-90,90,{"v":-17.47,"d":"-$17.47"},{"v":0,"d":"$0.00"},{"v":-17.47,"d":"-$17.47"},{"v":-2.47,"d":"-$2.47"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3679606","CVS PHARMACY #02063 02063"]
["21865M","0010112591E              ","MBRP00000440132","000000966276","2022-02-14","70436001004","BUPROPION HYDR TB24 150.000",30,30,{"v":15.56,"d":"$15.56"},{"v":0.59,"d":"$0.59"},{"v":16.15,"d":"$16.15"},{"v":11.15,"d":"$11.15"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651975","RITE AID PHARMACY 02401"]
["21865M","0010104186E              ","MBRP00000424988","000001143441","2022-02-14","72205002405","ATORVASTATIN C TABS 40.000",30,30,{"v":11.96,"d":"$11.96"},{"v":0.59,"d":"$0.59"},{"v":12.55,"d":"$12.55"},{"v":7.55,"d":"$7.55"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3669009","DISCOUNT DRUG MART 63"]
["21865M","0010152544E              ","MBRP00000437326","000001505348","2022-02-14","00378623201","CITALOPRAM HYD TABS 20.000",30,30,{"v":10.01,"d":"$10.01"},{"v":0.59,"d":"$0.59"},{"v":10.6,"d":"$10.60"},{"v":5.6,"d":"$5.60"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3673096","WALGREENS #1234 1234"]
["21865M","0010139959E              ","MBRP00000417931","000001261854","2022-02-15","70700015010","OMEPRAZOLE CPDR 20.000",30,30,{"v":5.83,"d":"$5.83"},{"v":0.59,"d":"$0.59"},{"v":6.42,"d":"$6.42"},{"v":1.42,"d":"$1.42"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3666320","WALGREENS #4983 4983"]
["21865M","0010006064E              ","MBRP00000422381","000005057151","2022-02-15","68180065701","DOXYCYCLINE SUSR 25.000",600,30,{"v":189.45,"d":"$189.45"},{"v":0.59,"d":"$0.59"},{"v":190.04,"d":"$190.04"},{"v":185.04,"d":"$185.04"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3643271","MEDICINE CENTER PHARMACY"]
["21865M","0010092580E              ","MBRP00000424962","000001511869","2022-02-15","00378808220","TRETINOIN CREA 0.025",20,30,{"v":14.3,"d":"$14.30"},{"v":0.59,"d":"$0.59"},{"v":14.89,"d":"$14.89"},{"v":9.89,"d":"$9.89"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010149138E              ","MBRP00000422216","000002456495","2022-02-15","59417010710","VYVANSE CAPS 70.000",30,30,{"v":351.17,"d":"$351.17"},{"v":0.59,"d":"$0.59"},{"v":351.76,"d":"$351.76"},{"v":316.76,"d":"$316.76"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3661433","WALGREENS #3572 3572"]
["21865M","AC00108052600","MBRP00000429529","000001340237","2022-02-15","00115166001","PROPRANOLOL HY TABS 20.000",-15,15,{"v":-5.71,"d":"-$5.71"},{"v":-0.59,"d":"-$0.59"},{"v":-6.3,"d":"-$6.30"},{"v":-1.3,"d":"-$1.30"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010084214E              ","MBRP00000417836","000006721753","2022-02-15","16714011302","FLUOXETINE HYD TABS 20.000",-45,30,{"v":-34.24,"d":"-$34.24"},{"v":-0.59,"d":"-$0.59"},{"v":-34.83,"d":"-$34.83"},{"v":-29.83,"d":"-$29.83"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3659084","MARCS 39"]
["21865M","0010052597E              ","MBRP00000354711","000007293667","2022-02-16","51862086806","MICROGESTIN 1/ TABS 0.000",-21,21,{"v":-13.56,"d":"-$13.56"},{"v":-0.59,"d":"-$0.59"},{"v":-14.15,"d":"-$14.15"},{"v":-14.15,"d":"-$14.15"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","0010137212E              ","MBRP00000440121","000002055656","2022-02-16","43598043801","METHYLPHENIDAT TBCR 18.000",-30,30,{"v":-87.72,"d":"-$87.72"},{"v":-0.59,"d":"-$0.59"},{"v":-88.31,"d":"-$88.31"},{"v":-83.31,"d":"-$83.31"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3674151","GIANT EAGLE PHARMACY #4152 4152"]
["21865M","0010115666E              ","MBRP00000401673","000001545787","2022-02-16","68382005101","MELOXICAM TABS 15.000",30,30,{"v":2.76,"d":"$2.76"},{"v":0.59,"d":"$0.59"},{"v":3.35,"d":"$3.35"},{"v":0,"d":"$0.00"},{"v":3.35,"d":"$3.35"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010052597E              ","MBRP00000354711","000008131932","2022-02-16","16714040803","LARIN 1/20 TABS 0.000",21,21,{"v":4.87,"d":"$4.87"},{"v":0.59,"d":"$0.59"},{"v":5.46,"d":"$5.46"},{"v":5.46,"d":"$5.46"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3656470","UNIV OF TOLEDO MAIN CAMPUS OUTPA"]
["21865M","0010151645E              ","MBRP00000342810","011068441445","2022-02-16","68382009601","HYDROXYCHLOROQ TABS 200.000",60,30,{"v":73.1,"d":"$73.10"},{"v":0.59,"d":"$0.59"},{"v":73.69,"d":"$73.69"},{"v":68.69,"d":"$68.69"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010141535E              ","MBRP00000429262","011068293072","2022-02-16","66733082259","INSULIN LISPRO SOPN 100.000",15,30,{"v":158.86,"d":"$158.86"},{"v":0.59,"d":"$0.59"},{"v":159.45,"d":"$159.45"},{"v":124.45,"d":"$124.45"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010151688E              ","MBRP00000424925","000000822834","2022-02-16","57599080000","FREESTYLE LIBR MISC 0.000",6,90,{"v":278.99,"d":"$278.99"},{"v":0,"d":"$0.00"},{"v":278.99,"d":"$278.99"},{"v":218.99,"d":"$218.99"},{"v":60,"d":"$60.00"},"B","N",0,0,1,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010119786E              ","MBRP00000422431","000001591019","2022-02-17","13811070810","METHYLPHENIDAT TBCR 36.000",30,30,{"v":92.14,"d":"$92.14"},{"v":0.59,"d":"$0.59"},{"v":92.73,"d":"$92.73"},{"v":87.73,"d":"$87.73"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010134754E              ","MBRP00000429080","000001211805","2022-02-17","00555901058","NORTREL 1/35 TABS 0.000",28,28,{"v":24.54,"d":"$24.54"},{"v":0.59,"d":"$0.59"},{"v":25.13,"d":"$25.13"},{"v":25.13,"d":"$25.13"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010129915E              ","MBRP00000424935","011069290120","2022-02-17","55111018015","TIZANIDINE HYD TABS 4.000",-90,90,{"v":-19.33,"d":"-$19.33"},{"v":0,"d":"$0.00"},{"v":-19.33,"d":"-$19.33"},{"v":-4.33,"d":"-$4.33"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010005983E              ","MBRP00000430880","000007154469","2022-02-17","80777027399","MODERNA COVID- SUSP 100.000",0.25,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":40,"d":"$40.00"},{"v":40,"d":"$40.00"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3654034","MARCS 22"]
["21865M","0010064744E              ","MBRP00000422383","000000596955","2022-02-18","68382080605","TRAZODONE HYDR TABS 100.000",60,30,{"v":13.55,"d":"$13.55"},{"v":0.5,"d":"$0.50"},{"v":14.05,"d":"$14.05"},{"v":9.05,"d":"$9.05"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","0010153631E              ","MBRP00000430997","000001841611","2022-02-18","16729018201","HYDROCHLOROTHI TABS 12.500",60,30,{"v":9.78,"d":"$9.78"},{"v":0.59,"d":"$0.59"},{"v":10.37,"d":"$10.37"},{"v":5.37,"d":"$5.37"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","0010153045E              ","MBRP00000440288","000001730783","2022-02-18","45802065087","LORATADINE TABS 10.000",90,90,{"v":6.79,"d":"$6.79"},{"v":0,"d":"$0.00"},{"v":6.79,"d":"$6.79"},{"v":0,"d":"$0.00"},{"v":6.79,"d":"$6.79"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010031903E              ","MBRP00000430941","000007315598","2022-02-18","00169413013","OZEMPIC SOPN 4.000",3,28,{"v":890.63,"d":"$890.63"},{"v":0.59,"d":"$0.59"},{"v":891.22,"d":"$891.22"},{"v":871.22,"d":"$871.22"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3673387","WALMART PHARMACY 10-5410 105410"]
["21865M","0010084325E              ","MBRP00000424828","000001591629","2022-02-18","82607066026","FLOWFLEX COVID KIT  0.000",-1,1,{"v":-9.99,"d":"-$9.99"},{"v":-0.5,"d":"-$0.50"},{"v":-10.49,"d":"-$10.49"},{"v":-10.49,"d":"-$10.49"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010079087E              ","MBRP00000422342","000001096622","2022-02-18","00228306311","AMPHETAMINE/DE CP24 0.000",30,30,{"v":34.07,"d":"$34.07"},{"v":0.59,"d":"$0.59"},{"v":34.66,"d":"$34.66"},{"v":29.66,"d":"$29.66"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010127657E              ","MBRP00000417900","000002539491","2022-02-19","61314063006","NEOMYCIN/POLYM SUSP 0.000",-5,12,{"v":-23.34,"d":"-$23.34"},{"v":-0.59,"d":"-$0.59"},{"v":-23.93,"d":"-$23.93"},{"v":-18.93,"d":"-$18.93"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010130459E              ","MBRP00000429156","000002579562","2022-02-19","00378181910","LEVOTHYROXINE  TABS 200.000",-90,90,{"v":-58.5,"d":"-$58.50"},{"v":0,"d":"$0.00"},{"v":-58.5,"d":"-$58.50"},{"v":-43.5,"d":"-$43.50"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010123613E              ","MBRP00000440160","000001086103","2022-02-19","61958210101","ODEFSEY TABS 0.000",30,30,{"v":3391.73,"d":"$3,391.73"},{"v":0,"d":"$0.00"},{"v":3391.73,"d":"$3,391.73"},{"v":3371.73,"d":"$3,371.73"},{"v":20,"d":"$20.00"},"B","Y",0,0,1,"R","3659488","DISCOUNT DRUG MART 46"]
["21865M","AC00111392100","MBRP00000481414","000002674720","2022-02-20","66993001968","ALBUTEROL SULF AERS 108.000",18,30,{"v":51.95,"d":"$51.95"},{"v":0.59,"d":"$0.59"},{"v":52.54,"d":"$52.54"},{"v":17.54,"d":"$17.54"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010125555E              ","MBRP00000424805","000001962689","2022-02-20","82607066026","FLOWFLEX COVID KIT  0.000",8,8,{"v":79.92,"d":"$79.92"},{"v":0.5,"d":"$0.50"},{"v":80.42,"d":"$80.42"},{"v":80.42,"d":"$80.42"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3972331","RITE AID PHARMACY 03972 03972"]
["21865M","0010005819E              ","MBRP00000429181","000001147029","2022-02-21","62332023930","VARDENAFIL HYD TABS 20.000",6,30,{"v":218.9,"d":"$218.90"},{"v":0.59,"d":"$0.59"},{"v":219.49,"d":"$219.49"},{"v":214.49,"d":"$214.49"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3657751","DISCOUNT DRUG MART 42"]
["21865M","AC00111490800","MBRP00000482917","000006181313","2022-02-21","00169633910","NOVOLOG FLEXPE SOPN 100.000",-45,90,{"v":-1619.5,"d":"-$1,619.50"},{"v":0,"d":"$0.00"},{"v":-1619.5,"d":"-$1,619.50"},{"v":-1514.5,"d":"-$1,514.50"},{"v":-105,"d":"-$105.00"},"B","N",0,0,9,"R","3662207","CHILDREN'S HOSP MED CTR OF AKRON"]
["21865M","0010141183E              ","MBRP00000459413","000001592016","2022-02-21","00121075908","PREDNISOLONE S SOLN 15.000",30,5,{"v":3.58,"d":"$3.58"},{"v":0.59,"d":"$0.59"},{"v":4.17,"d":"$4.17"},{"v":0,"d":"$0.00"},{"v":4.17,"d":"$4.17"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010049921E              ","MBRP00000440034","000001631488","2022-02-21","67877019805","AMLODIPINE BES TABS 5.000",30,30,{"v":2.35,"d":"$2.35"},{"v":0.59,"d":"$0.59"},{"v":2.94,"d":"$2.94"},{"v":0,"d":"$0.00"},{"v":2.94,"d":"$2.94"},"G","N",0,0,0,"R","3659832","DISCOUNT DRUG MART 50"]
["21865M","AC00111190000","MBRP00000478251","000000920857","2022-02-21","00406889401","AMPHETAMINE/DE TABS 0.000",30,30,{"v":19.42,"d":"$19.42"},{"v":0.59,"d":"$0.59"},{"v":20.01,"d":"$20.01"},{"v":15.01,"d":"$15.01"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010133416E              ","MBRP00000429223","000006614164","2022-02-21","68382003610","VENLAFAXINE HC CP24 150.000",30,30,{"v":11.29,"d":"$11.29"},{"v":0.59,"d":"$0.59"},{"v":11.88,"d":"$11.88"},{"v":6.88,"d":"$6.88"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010153660E              ","MBRP00000431040","000002700625","2022-02-21","00173068220","VENTOLIN HFA AERS 108.000",18,25,{"v":56.93,"d":"$56.93"},{"v":0.59,"d":"$0.59"},{"v":57.52,"d":"$57.52"},{"v":37.52,"d":"$37.52"},{"v":20,"d":"$20.00"},"B","N",0,9,1,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010139126E              ","MBRP00000429226","000001096838","2022-02-21","24208063562","NEOMYCIN/POLYM SUSP 0.000",-10,16,{"v":-81.58,"d":"-$81.58"},{"v":-0.59,"d":"-$0.59"},{"v":-82.17,"d":"-$82.17"},{"v":-77.17,"d":"-$77.17"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010125947E              ","MBRP00000422213","000001921038","2022-02-22","00254101196","SUCRALFATE SUSP 1.000",28,7,{"v":12.64,"d":"$12.64"},{"v":0.59,"d":"$0.59"},{"v":13.23,"d":"$13.23"},{"v":8.23,"d":"$8.23"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","AC00108363000","MBRP00000430784","000001099575","2022-02-22","43547035510","LISINOPRIL TABS 30.000",-90,90,{"v":-9.99,"d":"-$9.99"},{"v":0,"d":"$0.00"},{"v":-9.99,"d":"-$9.99"},{"v":0,"d":"$0.00"},{"v":-9.99,"d":"-$9.99"},"G","N",0,0,0,"R","3657751","DISCOUNT DRUG MART 42"]
["21865M","AC00110021200","MBRP00000460279","000007299189","2022-02-22","00597015230","JARDIANCE TABS 10.000",-30,30,{"v":-569.57,"d":"-$569.57"},{"v":-0.59,"d":"-$0.59"},{"v":-570.16,"d":"-$570.16"},{"v":-550.16,"d":"-$550.16"},{"v":-20,"d":"-$20.00"},"B","N",0,0,1,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","0010153662E              ","MBRP00000430817","000002576027","2022-02-22","68001015103","CARVEDILOL TABS 12.500",-60,30,{"v":-5.44,"d":"-$5.44"},{"v":-0.59,"d":"-$0.59"},{"v":-6.03,"d":"-$6.03"},{"v":-1.03,"d":"-$1.03"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010049921E              ","MBRP00000440033","000334485849","2022-02-22","57237001999","DULOXETINE HYD CPEP 60.000",90,90,{"v":55.37,"d":"$55.37"},{"v":0,"d":"$0.00"},{"v":55.37,"d":"$55.37"},{"v":45.37,"d":"$45.37"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010153674E              ","MBRP00000430828","000003998606","2022-02-22","68382005105","MELOXICAM TABS 15.000",-30,30,{"v":-2.76,"d":"-$2.76"},{"v":-0.59,"d":"-$0.59"},{"v":-3.35,"d":"-$3.35"},{"v":0,"d":"$0.00"},{"v":-3.35,"d":"-$3.35"},"G","N",0,0,0,"R","2600181","WALGREENS #6254 6254"]
["21865M","0010084066E              ","MBRP00000422226","000001082167","2022-02-22","00527328143","LEVOTHYROXINE  TABS 50.000",110,90,{"v":45.75,"d":"$45.75"},{"v":0,"d":"$0.00"},{"v":45.75,"d":"$45.75"},{"v":30.75,"d":"$30.75"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3659488","DISCOUNT DRUG MART 46"]
["21865M","0010052586E              ","MBRP00000398481","000313948668","2022-02-23","65162035109","SILDENAFIL CIT TABS 20.000",270,90,{"v":92.25,"d":"$92.25"},{"v":0,"d":"$0.00"},{"v":92.25,"d":"$92.25"},{"v":77.25,"d":"$77.25"},{"v":15,"d":"$15.00"},"G","Y",0,0,0,"R","1564930","OPTUM PHARMACY 702, LLC"]
["21865M","0010048454E              ","MBRP00000417980","000001921484","2022-02-23","00378312501","DOXEPIN HYDROC CAPS 25.000",30,30,{"v":15.46,"d":"$15.46"},{"v":0.59,"d":"$0.59"},{"v":16.05,"d":"$16.05"},{"v":11.05,"d":"$11.05"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","0010153776E              ","MBRP00000444974","000001703645","2022-02-23","62756052269","SUMATRIPTAN SU TABS 100.000",6,10,{"v":4.69,"d":"$4.69"},{"v":0.59,"d":"$0.59"},{"v":5.28,"d":"$5.28"},{"v":0.28,"d":"$0.28"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010143489E              ","MBRP00000290984","000007299222","2022-02-23","17478007035","ERYTHROMYCIN OINT 5.000",3.5,7,{"v":12.67,"d":"$12.67"},{"v":0.59,"d":"$0.59"},{"v":13.26,"d":"$13.26"},{"v":8.26,"d":"$8.26"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","0010005765E              ","MBRP00000440079","000000921123","2022-02-23","00074455290","SYNTHROID TABS 50.000",-90,90,{"v":-124.34,"d":"-$124.34"},{"v":0,"d":"$0.00"},{"v":-124.34,"d":"-$124.34"},{"v":-64.34,"d":"-$64.34"},{"v":-60,"d":"-$60.00"},"B","N",0,2,1,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010115601E              ","MBRP00000315731","000000615238","2022-02-23","57237021330","MONTELUKAST SO CHEW 5.000",30,30,{"v":11.04,"d":"$11.04"},{"v":0.59,"d":"$0.59"},{"v":11.63,"d":"$11.63"},{"v":6.63,"d":"$6.63"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010032689E              ","MBRP00000430867","000006614858","2022-02-24","57237007530","ONDANSETRON HY TABS 4.000",-9,3,{"v":-1.09,"d":"-$1.09"},{"v":-0.59,"d":"-$0.59"},{"v":-1.68,"d":"-$1.68"},{"v":0,"d":"$0.00"},{"v":-1.68,"d":"-$1.68"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010084337E              ","MBRP00000440307","000001233523","2022-02-24","59762045001","COLESTIPOL HCL TABS 1.000",-120,30,{"v":-122.64,"d":"-$122.64"},{"v":-0.59,"d":"-$0.59"},{"v":-123.23,"d":"-$123.23"},{"v":-118.23,"d":"-$118.23"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010084180E              ","MBRP00000422313","000006891191","2022-02-24","65862047099","LOSARTAN POTAS TABS 0.000",90,90,{"v":51.69,"d":"$51.69"},{"v":0,"d":"$0.00"},{"v":51.69,"d":"$51.69"},{"v":36.69,"d":"$36.69"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3669112","GIANT EAGLE PHARMACY #1618 1618"]
["21865M","0010084180E              ","MBRP00000422313","000334748433","2022-02-24","16729000316","GLIMEPIRIDE TABS 4.000",90,90,{"v":29.13,"d":"$29.13"},{"v":0,"d":"$0.00"},{"v":29.13,"d":"$29.13"},{"v":19.13,"d":"$19.13"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3155137","OPTUM PHARMACY 700, LLC"]
["21865M","0010005981E              ","MBRP00000417973","000001000712","2022-02-24","42806016005","HYDROXYZINE HY TABS 25.000",-90,90,{"v":-18.33,"d":"-$18.33"},{"v":0,"d":"$0.00"},{"v":-18.33,"d":"-$18.33"},{"v":-3.33,"d":"-$3.33"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3650670","CVS PHARMACY #04802 04802"]
["21865M","0010084199E              ","MBRP00000417831","000001725964","2022-02-24","59779033001","CVS ALLERGY EY SOLN 0.025",10,30,{"v":7.87,"d":"$7.87"},{"v":0.59,"d":"$0.59"},{"v":8.46,"d":"$8.46"},{"v":3.46,"d":"$3.46"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3609837","CVS PHARMACY #03321 03321"]
["21865M","0010153361E              ","MBRP00000440342","000006432445","2022-02-25","58160082311","SHINGRIX SUSR 50.000",1,1,{"v":171.29,"d":"$171.29"},{"v":0.59,"d":"$0.59"},{"v":171.88,"d":"$171.88"},{"v":171.88,"d":"$171.88"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3648930","MARCS 14"]
["21865M","0010137645E              ","MBRP00000473374","000008895902","2022-02-25","00143985375","AMOXICILLIN/CL SUSR 0.000",-70,10,{"v":-8.75,"d":"-$8.75"},{"v":-0.59,"d":"-$0.59"},{"v":-9.34,"d":"-$9.34"},{"v":-4.34,"d":"-$4.34"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3673793","CVS PHARMACY #17136 17136"]
["21865M","0010051147E              ","MBRP00000398325","000000816371","2022-02-25","47335053981","NIACIN ER TBCR 500.000",90,90,{"v":179.04,"d":"$179.04"},{"v":0,"d":"$0.00"},{"v":179.04,"d":"$179.04"},{"v":164.04,"d":"$164.04"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010113435E              ","MBRP00000422304","000312767567","2022-02-25","65862056099","PANTOPRAZOLE S TBEC 40.000",90,90,{"v":17.47,"d":"$17.47"},{"v":0,"d":"$0.00"},{"v":17.47,"d":"$17.47"},{"v":7.47,"d":"$7.47"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","5926716","OPTUM PHARMACY 704, INC."]
["21865M","0010005971E              ","MBRP00000454575","000001141178","2022-02-25","16729004417","ATORVASTATIN C TABS 10.000",30,30,{"v":5.56,"d":"$5.56"},{"v":0.59,"d":"$0.59"},{"v":6.15,"d":"$6.15"},{"v":1.15,"d":"$1.15"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3657751","DISCOUNT DRUG MART 42"]
["21865M","AC00110504600","MBRP00000449291","011079180977","2022-02-25","00169183411","NOVOLIN N SUSP 100.000",10,30,{"v":137.48,"d":"$137.48"},{"v":0.59,"d":"$0.59"},{"v":138.07,"d":"$138.07"},{"v":118.07,"d":"$118.07"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3651886","RITE AID PHARMACY 02393"]
["21865M","0010113435E              ","MBRP00000422304","000312767564","2022-02-25","70436001102","BUPROPION HYDR TB24 300.000",90,90,{"v":51.38,"d":"$51.38"},{"v":0,"d":"$0.00"},{"v":51.38,"d":"$51.38"},{"v":41.38,"d":"$41.38"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","5926716","OPTUM PHARMACY 704, INC."]
["21865M","0010084977E              ","MBRP00000440149","000009385119","2022-02-25","00143980305","DOXYCYCLINE HY CAPS 100.000",30,30,{"v":9.4,"d":"$9.40"},{"v":0.5,"d":"$0.50"},{"v":9.9,"d":"$9.90"},{"v":4.9,"d":"$4.90"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010148087E              ","MBRP00000429012","000001503533","2022-02-26","00006057561","JANUMET TABS 0.000",180,90,{"v":1511.02,"d":"$1,511.02"},{"v":0,"d":"$0.00"},{"v":1511.02,"d":"$1,511.02"},{"v":1451.02,"d":"$1,451.02"},{"v":60,"d":"$60.00"},"B","N",0,0,1,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010071549E              ","MBRP00000425001","000002375920","2022-02-26","16714094801","AMPHETAMINE/DE TABS 0.000",-30,30,{"v":-11.58,"d":"-$11.58"},{"v":-0.59,"d":"-$0.59"},{"v":-12.17,"d":"-$12.17"},{"v":-7.17,"d":"-$7.17"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3659084","MARCS 39"]
["21865M","0010084079E              ","MBRP00000422443","000007415042","2022-02-26","00169750111","NOVOLOG SOLN 100.000",40,27,{"v":1155.58,"d":"$1,155.58"},{"v":0.59,"d":"$0.59"},{"v":1156.17,"d":"$1,156.17"},{"v":1121.17,"d":"$1,121.17"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3666356","GIANT EAGLE PHARMACY #1620 1620"]
["21865M","0010099084E              ","MBRP00000440280","000009371608","2022-02-26","68180095002","DESOXIMETASONE CREA 0.250",60,30,{"v":26.84,"d":"$26.84"},{"v":0.5,"d":"$0.50"},{"v":27.34,"d":"$27.34"},{"v":22.34,"d":"$22.34"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010134757E              ","MBRP00000424690","000007385250","2022-02-27","00555060702","MEGESTROL ACET TABS 40.000",20,10,{"v":7.27,"d":"$7.27"},{"v":0.59,"d":"$0.59"},{"v":7.86,"d":"$7.86"},{"v":2.86,"d":"$2.86"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3678313","GIANT EAGLE PHARMACY #4601 4601"]
["21865M","0010150177E              ","MBRP00000429297","000006737607","2022-02-27","43547028211","ESCITALOPRAM O TABS 20.000",-90,90,{"v":-32.28,"d":"-$32.28"},{"v":0,"d":"$0.00"},{"v":-32.28,"d":"-$32.28"},{"v":-17.28,"d":"-$17.28"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3669124","GIANT EAGLE PHARMACY #4034 4034"]
["21865M","0010083494E              ","MBRP00000424853","000006737786","2022-02-27","68462030147","ADAPALENE/BENZ GEL  0.000",45,30,{"v":60.09,"d":"$60.09"},{"v":0.59,"d":"$0.59"},{"v":60.68,"d":"$60.68"},{"v":55.68,"d":"$55.68"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3674151","GIANT EAGLE PHARMACY #4152 4152"]
["21865M","0010148087E              ","MBRP00000429012","000001503533","2022-02-28","00006057561","JANUMET TABS 0.000",180,90,{"v":1511.02,"d":"$1,511.02"},{"v":0,"d":"$0.00"},{"v":1511.02,"d":"$1,511.02"},{"v":1451.02,"d":"$1,451.02"},{"v":60,"d":"$60.00"},"B","N",0,0,1,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010141535E              ","MBRP00000429262","000001223174","2022-02-28","60505403301","ICOSAPENT ETHY CAPS 1.000",120,30,{"v":309.66,"d":"$309.66"},{"v":0.59,"d":"$0.59"},{"v":310.25,"d":"$310.25"},{"v":305.25,"d":"$305.25"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","AC00108140500","MBRP00000424688","000000503250","2022-02-28","69238110005","DOXYCYCLINE HY CAPS 100.000",60,30,{"v":12.18,"d":"$12.18"},{"v":0.59,"d":"$0.59"},{"v":12.77,"d":"$12.77"},{"v":7.77,"d":"$7.77"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3670153","RITE AID PHARMACY 07712"]
["21865M","0010100929E              ","MBRP00000429218","000001633086","2022-02-28","63304073590","ESOMEPRAZOLE M CPDR 40.000",90,90,{"v":53.37,"d":"$53.37"},{"v":0,"d":"$0.00"},{"v":53.37,"d":"$53.37"},{"v":38.37,"d":"$38.37"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3659832","DISCOUNT DRUG MART 50"]
["21865M","AC00108363000","MBRP00000430783","000001148117","2022-02-28","27241000306","RISPERIDONE TABS 0.500",60,30,{"v":8.82,"d":"$8.82"},{"v":0.59,"d":"$0.59"},{"v":9.41,"d":"$9.41"},{"v":4.41,"d":"$4.41"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3657751","DISCOUNT DRUG MART 42"]
["21865M","0010088292E              ","MBRP00000422146","000335107469","2022-02-28","64380073706","VITAMIN D CAPS 50000.000",13,90,{"v":16.02,"d":"$16.02"},{"v":0,"d":"$0.00"},{"v":16.02,"d":"$16.02"},{"v":6.02,"d":"$6.02"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010150088E              ","MBRP00000480227","000001817581","2022-02-28","65862021860","CEFDINIR SUSR 125.000",60,10,{"v":13.02,"d":"$13.02"},{"v":0.59,"d":"$0.59"},{"v":13.61,"d":"$13.61"},{"v":8.61,"d":"$8.61"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3664097","WALGREENS #3741 3741"]
["21865M","0010006054E              ","MBRP00000418056","000001075680","2022-02-28","11534016501","FOLIC ACID TABS 1.000",60,30,{"v":5.51,"d":"$5.51"},{"v":0.59,"d":"$0.59"},{"v":6.1,"d":"$6.10"},{"v":1.1,"d":"$1.10"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010139575E              ","MBRP00000430857","000002703283","2022-03-01","62332025118","AZITHROMYCIN TABS 250.000",6,5,{"v":3.8,"d":"$3.80"},{"v":0.59,"d":"$0.59"},{"v":4.39,"d":"$4.39"},{"v":0,"d":"$0.00"},{"v":4.39,"d":"$4.39"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0020108078E              ","MBRP00000317260","000007155378","2022-03-01","16714099001","ROSUVASTATIN C TABS 20.000",30,30,{"v":13.25,"d":"$13.25"},{"v":0.59,"d":"$0.59"},{"v":13.84,"d":"$13.84"},{"v":8.84,"d":"$8.84"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010139615E              ","MBRP00000440108","000000913778","2022-03-01","16729016917","ESCITALOPRAM O TABS 10.000",90,90,{"v":27.61,"d":"$27.61"},{"v":0,"d":"$0.00"},{"v":27.61,"d":"$27.61"},{"v":12.61,"d":"$12.61"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3679606","CVS PHARMACY #02063 02063"]
["21865M","0010056036E              ","MBRP00000422440","000000900150","2022-03-01","23155022701","ACYCLOVIR TABS 400.000",180,90,{"v":76.25,"d":"$76.25"},{"v":0,"d":"$0.00"},{"v":76.25,"d":"$76.25"},{"v":61.25,"d":"$61.25"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3679606","CVS PHARMACY #02063 02063"]
["21865M","0010120789E              ","MBRP00000417813","000000407795","2022-03-01","51991070510","ALPRAZOLAM TABS 0.500",-90,90,{"v":-1.99,"d":"-$1.99"},{"v":0,"d":"$0.00"},{"v":-1.99,"d":"-$1.99"},{"v":0,"d":"$0.00"},{"v":-1.99,"d":"-$1.99"},"G","N",0,0,0,"R","3632850","HERITAGE SQUARE PHARMACY"]
["21865M","0010152244E              ","MBRP00000417878","000001027834","2022-03-01","29300012810","HYDROCHLOROTHI TABS 25.000",30,30,{"v":1.54,"d":"$1.54"},{"v":0.59,"d":"$0.59"},{"v":2.13,"d":"$2.13"},{"v":0,"d":"$0.00"},{"v":2.13,"d":"$2.13"},"G","N",0,0,0,"R","3656862","CVS PHARMACY #04393 04393"]
["21865M","0010153624E              ","MBRP00000430793","000000607877","2022-03-02","00378004001","CLORAZEPATE DI TABS 7.500",90,90,{"v":179.17,"d":"$179.17"},{"v":0,"d":"$0.00"},{"v":179.17,"d":"$179.17"},{"v":164.17,"d":"$164.17"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","0010031903E              ","MBRP00000430941","000007312121","2022-03-02","68645058459","METFORMIN HYDR TABS 1000.000",180,90,{"v":10,"d":"$10.00"},{"v":0,"d":"$0.00"},{"v":10,"d":"$10.00"},{"v":0,"d":"$0.00"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"R","3673387","WALMART PHARMACY 10-5410 105410"]
["21865M","0010150771E              ","MBRP00000430965","000001241672","2022-03-02","65162046510","IBUPROFEN TABS 600.000",20,5,{"v":0.78,"d":"$0.78"},{"v":0.59,"d":"$0.59"},{"v":1.37,"d":"$1.37"},{"v":0,"d":"$0.00"},{"v":1.37,"d":"$1.37"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010114615E              ","MBRP00000440323","000006892099","2022-03-02","67877021905","CEPHALEXIN CAPS 500.000",-14,7,{"v":-1.74,"d":"-$1.74"},{"v":-0.59,"d":"-$0.59"},{"v":-2.33,"d":"-$2.33"},{"v":0,"d":"$0.00"},{"v":-2.33,"d":"-$2.33"},"G","N",0,0,0,"R","3669112","GIANT EAGLE PHARMACY #1618 1618"]
["21865M","0010085209E              ","MBRP00000429141","000006615632","2022-03-02","00093226801","AMOXICILLIN CHEW 250.000",-30,10,{"v":-8.98,"d":"-$8.98"},{"v":-0.59,"d":"-$0.59"},{"v":-9.57,"d":"-$9.57"},{"v":-4.57,"d":"-$4.57"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010084238E              ","MBRP00000418037","000002048683","2022-03-03","57894064011","TREMFYA SOPN 100.000",-1,56,{"v":-12532.71,"d":"-$12,532.71"},{"v":0,"d":"$0.00"},{"v":-12532.71,"d":"-$12,532.71"},{"v":-12472.71,"d":"-$12,472.71"},{"v":-60,"d":"-$60.00"},"B","Y",0,0,1,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010084070E              ","MBRP00000417785","000007151517","2022-03-03","51672131200","MUPIROCIN OINT 2.000",22,10,{"v":7.23,"d":"$7.23"},{"v":0.59,"d":"$0.59"},{"v":7.82,"d":"$7.82"},{"v":2.82,"d":"$2.82"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3644211","GIANT EAGLE PHARMACY #4060 4060"]
["21865M","0010152319E              ","MBRP00000440081","000000897281","2022-03-03","68180063609","ATORVASTATIN C TABS 20.000",30,30,{"v":6.87,"d":"$6.87"},{"v":0.59,"d":"$0.59"},{"v":7.46,"d":"$7.46"},{"v":2.46,"d":"$2.46"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010148087E              ","MBRP00000429012","000001550669","2022-03-03","00597015230","JARDIANCE TABS 10.000",90,90,{"v":1653.26,"d":"$1,653.26"},{"v":0,"d":"$0.00"},{"v":1653.26,"d":"$1,653.26"},{"v":1593.26,"d":"$1,593.26"},{"v":60,"d":"$60.00"},"B","N",0,0,1,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010119784E              ","MBRP00000424792","000002066710","2022-03-03","50242013801","ACTEMRA SOSY 162.000",-1.8,28,{"v":-2143.46,"d":"-$2,143.46"},{"v":0,"d":"$0.00"},{"v":-2143.46,"d":"-$2,143.46"},{"v":-2108.46,"d":"-$2,108.46"},{"v":-35,"d":"-$35.00"},"B","Y",0,0,9,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010084070E              ","MBRP00000417785","000007151516","2022-03-03","00143980305","DOXYCYCLINE HY CAPS 100.000",20,10,{"v":3.55,"d":"$3.55"},{"v":0.59,"d":"$0.59"},{"v":4.14,"d":"$4.14"},{"v":0,"d":"$0.00"},{"v":4.14,"d":"$4.14"},"G","N",0,0,0,"R","3644211","GIANT EAGLE PHARMACY #4060 4060"]
["21865M","0010116983E              ","MBRP00000430894","000000922193","2022-03-04","65862015901","ZOLPIDEM TARTR TABS 5.000",30,30,{"v":3.43,"d":"$3.43"},{"v":0.59,"d":"$0.59"},{"v":4.02,"d":"$4.02"},{"v":0,"d":"$0.00"},{"v":4.02,"d":"$4.02"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010153560E              ","MBRP00000440308","000002971005","2022-03-04","60505082901","FLUTICASONE PR SUSP 50.000",-16,30,{"v":-15.2,"d":"-$15.20"},{"v":-0.59,"d":"-$0.59"},{"v":-15.79,"d":"-$15.79"},{"v":-10.79,"d":"-$10.79"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010148087E              ","MBRP00000429012","000001550669","2022-03-04","00597015230","JARDIANCE TABS 10.000",90,90,{"v":1653.26,"d":"$1,653.26"},{"v":0,"d":"$0.00"},{"v":1653.26,"d":"$1,653.26"},{"v":1593.26,"d":"$1,593.26"},{"v":60,"d":"$60.00"},"B","N",0,0,1,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","AC00109875600","MBRP00000327210","000000971906","2022-03-04","51759020210","AJOVY SOAJ 225.000",-1.5,28,{"v":-663.94,"d":"-$663.94"},{"v":-0.59,"d":"-$0.59"},{"v":-664.53,"d":"-$664.53"},{"v":-629.53,"d":"-$629.53"},{"v":-35,"d":"-$35.00"},"B","N",0,0,9,"R","3651975","RITE AID PHARMACY 02401"]
["21865M","0010005838E              ","MBRP00000429163","000000804855","2022-03-04","68180072003","AMLODIPINE BES TABS 5.000",90,90,{"v":10.59,"d":"$10.59"},{"v":0,"d":"$0.00"},{"v":10.59,"d":"$10.59"},{"v":0,"d":"$0.00"},{"v":10.59,"d":"$10.59"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010148087E              ","MBRP00000429012","000002055961","2022-03-04","00074055402","HUMIRA PEN PNKT 40.000",-4,28,{"v":-12614.55,"d":"-$12,614.55"},{"v":0,"d":"$0.00"},{"v":-12614.55,"d":"-$12,614.55"},{"v":-12594.55,"d":"-$12,594.55"},{"v":-20,"d":"-$20.00"},"B","Y",0,0,1,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010126142E              ","MBRP00000429124","000006615903","2022-03-04","69097012815","AMLODIPINE BES TABS 10.000",90,90,{"v":14.32,"d":"$14.32"},{"v":0,"d":"$0.00"},{"v":14.32,"d":"$14.32"},{"v":0,"d":"$0.00"},{"v":14.32,"d":"$14.32"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010084143E              ","MBRP00000424710","000001385763","2022-03-05","45802013970","METRONIDAZOLE  GEL  0.750",70,30,{"v":88.62,"d":"$88.62"},{"v":0.59,"d":"$0.59"},{"v":89.21,"d":"$89.21"},{"v":84.21,"d":"$84.21"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652662","RITE AID PHARMACY 02456"]
["21865M","0010084270E              ","MBRP00000422367","000000874579","2022-03-05","65862078430","ESOMEPRAZOLE M CPDR 40.000",90,90,{"v":53.37,"d":"$53.37"},{"v":0,"d":"$0.00"},{"v":53.37,"d":"$53.37"},{"v":38.37,"d":"$38.37"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010084143E              ","MBRP00000424707","000001441468","2022-03-05","31722058901","METOPROLOL SUC TB24 25.000",90,90,{"v":38,"d":"$38.00"},{"v":0,"d":"$0.00"},{"v":38,"d":"$38.00"},{"v":23,"d":"$23.00"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3652662","RITE AID PHARMACY 02456"]
["21865M","0010151951E              ","MBRP00000417871","000001086825","2022-03-06","51991052601","TERBINAFINE HC TABS 250.000",30,30,{"v":13.23,"d":"$13.23"},{"v":0.59,"d":"$0.59"},{"v":13.82,"d":"$13.82"},{"v":8.82,"d":"$8.82"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659488","DISCOUNT DRUG MART 46"]
["21865M","0010084115E              ","MBRP00000417784","000006580114","2022-03-06","68180096903","LEVOTHYROXINE  TABS 100.000",30,30,{"v":14.02,"d":"$14.02"},{"v":0.59,"d":"$0.59"},{"v":14.61,"d":"$14.61"},{"v":9.61,"d":"$9.61"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010049921E              ","MBRP00000440033","000333595041","2022-03-07","50228018010","GABAPENTIN CAPS 300.000",180,90,{"v":50.5,"d":"$50.50"},{"v":0,"d":"$0.00"},{"v":50.5,"d":"$50.50"},{"v":40.5,"d":"$40.50"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010134754E              ","MBRP00000429080","000001232222","2022-03-07","70710112307","DOXYCYCLINE MO TABS 100.000",30,30,{"v":15.19,"d":"$15.19"},{"v":0.59,"d":"$0.59"},{"v":15.78,"d":"$15.78"},{"v":10.78,"d":"$10.78"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","AC00109875600","MBRP00000327210","000000971906","2022-03-07","51759020210","AJOVY SOAJ 225.000",1.5,28,{"v":663.94,"d":"$663.94"},{"v":0.59,"d":"$0.59"},{"v":664.53,"d":"$664.53"},{"v":629.53,"d":"$629.53"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3651975","RITE AID PHARMACY 02401"]
["21865M","0010084270E              ","MBRP00000422367","000000869564","2022-03-07","11527075043","SODIUM FLUORID PSTE 1.100",100,24,{"v":13.15,"d":"$13.15"},{"v":0.59,"d":"$0.59"},{"v":13.74,"d":"$13.74"},{"v":8.74,"d":"$8.74"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010123109E              ","MBRP00000440017","000000870830","2022-03-07","68382024916","ATORVASTATIN C TABS 10.000",90,90,{"v":20.84,"d":"$20.84"},{"v":0,"d":"$0.00"},{"v":20.84,"d":"$20.84"},{"v":5.84,"d":"$5.84"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010150014E              ","MBRP00000430932","000001750797","2022-03-07","65862053401","AMOXICILLIN/CL SUSR 0.000",200,10,{"v":27.65,"d":"$27.65"},{"v":0.59,"d":"$0.59"},{"v":28.24,"d":"$28.24"},{"v":23.24,"d":"$23.24"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010084092E              ","MBRP00000422450","000006222762","2022-03-07","23155002401","BUSPIRONE HYDR TABS 10.000",180,30,{"v":11.76,"d":"$11.76"},{"v":0.59,"d":"$0.59"},{"v":12.35,"d":"$12.35"},{"v":7.35,"d":"$7.35"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3680611","EQUITAS HEALTH PHARMACY 1"]
["21865M","0010144373E              ","MBRP00000422242","000001727992","2022-03-08","53885024450","ONETOUCH ULTRA STRP 0.000",250,30,{"v":329.14,"d":"$329.14"},{"v":0.59,"d":"$0.59"},{"v":329.73,"d":"$329.73"},{"v":309.73,"d":"$309.73"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3609837","CVS PHARMACY #03321 03321"]
["21865M","0010104186E              ","MBRP00000424988","000001143442","2022-03-08","00536123441","ASPIRIN LOW DO TBEC 81.000",-90,90,{"v":-1.38,"d":"-$1.38"},{"v":0,"d":"$0.00"},{"v":-1.38,"d":"-$1.38"},{"v":-1.38,"d":"-$1.38"},{"v":0,"d":"$0.00"},"G","N",0,0,9,"R","3669009","DISCOUNT DRUG MART 63"]
["21865M","0010052584E              ","MBRP00000418082","000001060404","2022-03-08","65162067684","AZELASTINE HYD SOLN 137.000",30,30,{"v":35.18,"d":"$35.18"},{"v":0.59,"d":"$0.59"},{"v":35.77,"d":"$35.77"},{"v":30.77,"d":"$30.77"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651949","RITE AID PHARMACY 02398"]
["21865M","0010062987E              ","MBRP00000429104","000006247010","2022-03-08","16729044817","LEVOTHYROXINE  TABS 50.000",30,30,{"v":12.59,"d":"$12.59"},{"v":0.59,"d":"$0.59"},{"v":13.18,"d":"$13.18"},{"v":8.18,"d":"$8.18"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3673503","K C INSTITUTIONAL PHARMACY"]
["21865M","0010084251E              ","MBRP00000424782","000002706264","2022-03-08","31722064630","TADALAFIL TABS 20.000",-5,25,{"v":-9.14,"d":"-$9.14"},{"v":-0.59,"d":"-$0.59"},{"v":-9.73,"d":"-$9.73"},{"v":-4.73,"d":"-$4.73"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010005881E              ","MBRP00000429247","000000871275","2022-03-08","69097083412","SERTRALINE HCL TABS 50.000",30,30,{"v":7.01,"d":"$7.01"},{"v":0.59,"d":"$0.59"},{"v":7.6,"d":"$7.60"},{"v":2.6,"d":"$2.60"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010143489E              ","MBRP00000290985","000007289785","2022-03-08","43598050930","ESOMEPRAZOLE M CPDR 20.000",-30,30,{"v":-15.92,"d":"-$15.92"},{"v":-0.59,"d":"-$0.59"},{"v":-16.51,"d":"-$16.51"},{"v":-11.51,"d":"-$11.51"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","0010005845E              ","MBRP00000440147","000000928127","2022-03-09","00093101042","MUPIROCIN OINT 2.000",22,14,{"v":7.23,"d":"$7.23"},{"v":0.59,"d":"$0.59"},{"v":7.82,"d":"$7.82"},{"v":2.82,"d":"$2.82"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652092","RITE AID PHARMACY 02413"]
["21865M","0010006021E              ","MBRP00000418018","000001596313","2022-03-09","00456120130","LINZESS CAPS 145.000",90,90,{"v":1421.86,"d":"$1,421.86"},{"v":0,"d":"$0.00"},{"v":1421.86,"d":"$1,421.86"},{"v":1361.86,"d":"$1,361.86"},{"v":60,"d":"$60.00"},"B","N",0,0,1,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010056036E              ","MBRP00000422440","000000905164","2022-03-09","00299593545","AKLIEF CREA 0.005",45,30,{"v":608.62,"d":"$608.62"},{"v":0.59,"d":"$0.59"},{"v":609.21,"d":"$609.21"},{"v":574.21,"d":"$574.21"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3679606","CVS PHARMACY #02063 02063"]
["21865M","0010085209E              ","MBRP00000429140","000001854506","2022-03-09","51224010750","METFORMIN HYDR TB24 750.000",60,30,{"v":15.19,"d":"$15.19"},{"v":0.59,"d":"$0.59"},{"v":15.78,"d":"$15.78"},{"v":10.78,"d":"$10.78"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","0010022887E              ","MBRP00000422232","000007687576","2022-03-09","68645059354","LISINOPRIL TABS 40.000",-90,90,{"v":-21.33,"d":"-$21.33"},{"v":0,"d":"$0.00"},{"v":-21.33,"d":"-$21.33"},{"v":-6.33,"d":"-$6.33"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3664201","WALMART PHARMACY 10-2541 102541"]
["21865M","AC00108207600","MBRP00000434014","000007152146","2022-03-10","00781808926","AZITHROMYCIN TABS 250.000",6,5,{"v":3.8,"d":"$3.80"},{"v":0.59,"d":"$0.59"},{"v":4.39,"d":"$4.39"},{"v":0,"d":"$0.00"},{"v":4.39,"d":"$4.39"},"G","N",0,0,0,"R","3644211","GIANT EAGLE PHARMACY #4060 4060"]
["21865M","0010153662E              ","MBRP00000430817","000002585655","2022-03-10","69097068205","PREGABALIN CAPS 150.000",90,30,{"v":39.25,"d":"$39.25"},{"v":0.59,"d":"$0.59"},{"v":39.84,"d":"$39.84"},{"v":34.84,"d":"$34.84"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","AC00109149800","MBRP00000446417","000002521624","2022-03-10","55111053405","DIVALPROEX SOD TB24 500.000",60,30,{"v":82.75,"d":"$82.75"},{"v":0.59,"d":"$0.59"},{"v":83.34,"d":"$83.34"},{"v":78.34,"d":"$78.34"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010152644E              ","MBRP00000429442","000006770419","2022-03-10","31722059001","METOPROLOL SUC TB24 50.000",90,90,{"v":34.23,"d":"$34.23"},{"v":0,"d":"$0.00"},{"v":34.23,"d":"$34.23"},{"v":19.23,"d":"$19.23"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3674151","GIANT EAGLE PHARMACY #4152 4152"]
["21865M","0010129084E              ","MBRP00000418014","000006010094","2022-03-10","64380073706","VITAMIN D CAPS 50000.000",-4,28,{"v":-4.88,"d":"-$4.88"},{"v":-0.59,"d":"-$0.59"},{"v":-5.47,"d":"-$5.47"},{"v":-0.47,"d":"-$0.47"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3685267","THE OAK CLINIC PHARMACY 108"]
["21865M","0010124284E              ","MBRP00000424894","000001099262","2022-03-11","65862039010","ONDANSETRON OD TBDP 4.000",15,5,{"v":6.27,"d":"$6.27"},{"v":0.59,"d":"$0.59"},{"v":6.86,"d":"$6.86"},{"v":1.86,"d":"$1.86"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010099084E              ","MBRP00000440281","000009350481","2022-03-11","00378013710","ALLOPURINOL TABS 100.000",-60,60,{"v":-12.7,"d":"-$12.70"},{"v":-0.5,"d":"-$0.50"},{"v":-13.2,"d":"-$13.20"},{"v":0,"d":"$0.00"},{"v":-13.2,"d":"-$13.20"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010086302E              ","MBRP00000440329","000006816643","2022-03-11","00406117001","NALTREXONE HCL TABS 50.000",90,90,{"v":158.85,"d":"$158.85"},{"v":0,"d":"$0.00"},{"v":158.85,"d":"$158.85"},{"v":143.85,"d":"$143.85"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010072267E              ","MBRP00000430886","000006582232","2022-03-11","16714071302","TAMSULOSIN HYD CAPS 0.400",30,30,{"v":11.12,"d":"$11.12"},{"v":0.59,"d":"$0.59"},{"v":11.71,"d":"$11.71"},{"v":6.71,"d":"$6.71"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010137634E              ","MBRP00000417937","000002550264","2022-03-11","00116200116","CHLORHEXIDINE  SOLN 0.120",-473,7,{"v":-3.33,"d":"-$3.33"},{"v":-0.59,"d":"-$0.59"},{"v":-3.92,"d":"-$3.92"},{"v":0,"d":"$0.00"},{"v":-3.92,"d":"-$3.92"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","AC00111392100","MBRP00000481414","000002707434","2022-03-11","00002773701","INSULIN LISPRO SOLN 100.000",20,57,{"v":164.55,"d":"$164.55"},{"v":0.59,"d":"$0.59"},{"v":165.14,"d":"$165.14"},{"v":60.14,"d":"$60.14"},{"v":105,"d":"$105.00"},"B","N",0,0,9,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010137634E              ","MBRP00000417937","000002550263","2022-03-11","57237002801","AMOXICILLIN TABS 500.000",15,5,{"v":2.27,"d":"$2.27"},{"v":0.59,"d":"$0.59"},{"v":2.86,"d":"$2.86"},{"v":0,"d":"$0.00"},{"v":2.86,"d":"$2.86"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010006122E              ","MBRP00000440128","000000171037","2022-03-11","69097084705","ESCITALOPRAM O TABS 5.000",90,90,{"v":28.41,"d":"$28.41"},{"v":0,"d":"$0.00"},{"v":28.41,"d":"$28.41"},{"v":13.41,"d":"$13.41"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3469891","WALGREENS #17971 17971"]
["21865M","0010107519E              ","MBRP00000429175","000001223033","2022-03-12","00172208380","HYDROCHLOROTHI TABS 25.000",30,30,{"v":1.54,"d":"$1.54"},{"v":0.59,"d":"$0.59"},{"v":2.13,"d":"$2.13"},{"v":0,"d":"$0.00"},{"v":2.13,"d":"$2.13"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010081110E              ","MBRP00000429212","000002870809","2022-03-12","43547028210","ESCITALOPRAM O TABS 20.000",30,30,{"v":12.36,"d":"$12.36"},{"v":0.59,"d":"$0.59"},{"v":12.95,"d":"$12.95"},{"v":7.95,"d":"$7.95"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3646619","DISCOUNT DRUG MART 30"]
["21865M","0010033703E              ","MBRP00000429270","000006281433","2022-03-13","00378827093","ALBUTEROL SULF NEBU 0.083",360,20,{"v":19.78,"d":"$19.78"},{"v":0.59,"d":"$0.59"},{"v":20.37,"d":"$20.37"},{"v":15.37,"d":"$15.37"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010122707E              ","MBRP00000429094","000000713005","2022-03-13","65862019430","FLUOXETINE HYD CAPS 40.000",90,90,{"v":42.91,"d":"$42.91"},{"v":0,"d":"$0.00"},{"v":42.91,"d":"$42.91"},{"v":27.91,"d":"$27.91"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010141183E              ","MBRP00000414790","000001598144","2022-03-14","00228202910","ALPRAZOLAM TABS 0.500",30,30,{"v":0.45,"d":"$0.45"},{"v":0.59,"d":"$0.59"},{"v":1.04,"d":"$1.04"},{"v":0,"d":"$0.00"},{"v":1.04,"d":"$1.04"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010106873E              ","MBRP00000440041","000336547816","2022-03-14","51991070510","ALPRAZOLAM TABS 0.500",90,30,{"v":1.36,"d":"$1.36"},{"v":0,"d":"$0.00"},{"v":1.36,"d":"$1.36"},{"v":0,"d":"$0.00"},{"v":1.36,"d":"$1.36"},"G","N",0,0,0,"M","0556540","OPTUMRX, INC."]
["21865M","0010084137E              ","MBRP00000440091","000000973541","2022-03-14","29300039705","AMLODIPINE BES TABS 5.000",90,90,{"v":10.59,"d":"$10.59"},{"v":0,"d":"$0.00"},{"v":10.59,"d":"$10.59"},{"v":0,"d":"$0.00"},{"v":10.59,"d":"$10.59"},"G","N",0,0,0,"R","3651975","RITE AID PHARMACY 02401"]
["21865M","0010084314E              ","MBRP00000412551","000006611674","2022-03-14","68180096603","LEVOTHYROXINE  TABS 50.000",90,90,{"v":35.94,"d":"$35.94"},{"v":0,"d":"$0.00"},{"v":35.94,"d":"$35.94"},{"v":20.94,"d":"$20.94"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010084357E              ","MBRP00000422125","000000916280","2022-03-14","70010006310","METFORMIN HYDR TABS 500.000",60,30,{"v":3.99,"d":"$3.99"},{"v":0.5,"d":"$0.50"},{"v":4.49,"d":"$4.49"},{"v":0,"d":"$0.00"},{"v":4.49,"d":"$4.49"},"G","N",0,0,0,"R","3606211","DARTMOUTH PHARMACY"]
["21865M","0010006054E              ","MBRP00000418056","000001082304","2022-03-14","51672413101","LAMOTRIGINE TABS 100.000",60,30,{"v":9.29,"d":"$9.29"},{"v":0.59,"d":"$0.59"},{"v":9.88,"d":"$9.88"},{"v":4.88,"d":"$4.88"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010123358E              ","MBRP00000430919","000001171076","2022-03-14","68180084073","NORGESTIMATE/E TABS 0.000",28,28,{"v":20.54,"d":"$20.54"},{"v":0.59,"d":"$0.59"},{"v":21.13,"d":"$21.13"},{"v":21.13,"d":"$21.13"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3658626","RITE AID PHARMACY 03468"]
["21865M","0010150771E              ","MBRP00000430965","000001243949","2022-03-15","73473030370","METRONIDAZOLE  GEL  0.750",70,5,{"v":88.62,"d":"$88.62"},{"v":0.59,"d":"$0.59"},{"v":89.21,"d":"$89.21"},{"v":84.21,"d":"$84.21"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010084190E              ","MBRP00000345733","000000855152","2022-03-15","43547035311","LISINOPRIL TABS 10.000",90,90,{"v":9.99,"d":"$9.99"},{"v":0,"d":"$0.00"},{"v":9.99,"d":"$9.99"},{"v":0,"d":"$0.00"},{"v":9.99,"d":"$9.99"},"G","N",0,0,0,"R","3663336","DISCOUNT DRUG MART 51"]
["21865M","0010153674E              ","MBRP00000430829","000000874068","2022-03-15","57599080000","FREESTYLE LIBR MISC 0.000",1,30,{"v":61.06,"d":"$61.06"},{"v":0.59,"d":"$0.59"},{"v":61.65,"d":"$61.65"},{"v":41.65,"d":"$41.65"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010080376E              ","MBRP00000418095","000002743980","2022-03-15","00781543920","CEFPODOXIME PR TABS 200.000",6,3,{"v":32.93,"d":"$32.93"},{"v":0.59,"d":"$0.59"},{"v":33.52,"d":"$33.52"},{"v":28.52,"d":"$28.52"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","1003994","WALGREENS #16546 16546"]
["21865M","0010127657E              ","MBRP00000417901","000002503699","2022-03-15","68180021509","LOSARTAN POTAS TABS 0.000",-90,90,{"v":-57,"d":"-$57.00"},{"v":0,"d":"$0.00"},{"v":-57,"d":"-$57.00"},{"v":-42,"d":"-$42.00"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010084071E              ","MBRP00000422234","000000418236","2022-03-15","68462010530","ONDANSETRON HY TABS 4.000",10,4,{"v":1.06,"d":"$1.06"},{"v":0.59,"d":"$0.59"},{"v":1.65,"d":"$1.65"},{"v":0,"d":"$0.00"},{"v":1.65,"d":"$1.65"},"G","N",0,0,0,"R","3682324","WALGREENS #15467 15467"]
["21865M","0010070334E              ","MBRP00000469015","000000874043","2022-03-15","51672213108","LORATADINE CHI SYRP 5.000",150,30,{"v":5.21,"d":"$5.21"},{"v":0.59,"d":"$0.59"},{"v":5.8,"d":"$5.80"},{"v":0.8,"d":"$0.80"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","AC00110027000","MBRP00000460365","000000923671","2022-03-15","72647033101","METHYLPREDNISO TABS 4.000",21,6,{"v":11.09,"d":"$11.09"},{"v":0.59,"d":"$0.59"},{"v":11.68,"d":"$11.68"},{"v":6.68,"d":"$6.68"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","AC00110504600","MBRP00000449291","000001217141","2022-03-16","56151146001","TRUE METRIX BL STRP 0.000",100,25,{"v":51.76,"d":"$51.76"},{"v":0.59,"d":"$0.59"},{"v":52.35,"d":"$52.35"},{"v":17.35,"d":"$17.35"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3651886","RITE AID PHARMACY 02393"]
["21865M","0010153610E              ","MBRP00000430843","000001244298","2022-03-16","65162083366","DICLOFENAC SOD GEL  1.000",100,30,{"v":6.44,"d":"$6.44"},{"v":0.59,"d":"$0.59"},{"v":7.03,"d":"$7.03"},{"v":2.03,"d":"$2.03"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010084977E              ","MBRP00000440149","000009372537","2022-03-16","00591251030","BUDESONIDE ER TB24 9.000",30,30,{"v":1363.69,"d":"$1,363.69"},{"v":0.5,"d":"$0.50"},{"v":1364.19,"d":"$1,364.19"},{"v":1359.19,"d":"$1,359.19"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010084150E              ","MBRP00000424864","000009311130","2022-03-16","70010006510","METFORMIN HYDR TABS 1000.000",60,30,{"v":5.73,"d":"$5.73"},{"v":0.5,"d":"$0.50"},{"v":6.23,"d":"$6.23"},{"v":1.23,"d":"$1.23"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010046104E              ","MBRP00000418059","000002956999","2022-03-16","70700015010","OMEPRAZOLE CPDR 20.000",30,30,{"v":7.28,"d":"$7.28"},{"v":0.59,"d":"$0.59"},{"v":7.87,"d":"$7.87"},{"v":2.87,"d":"$2.87"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","AC00109910700","MBRP00000458647","000000917775","2022-03-17","00093226301","AMOXICILLIN TABS 500.000",20,10,{"v":3.03,"d":"$3.03"},{"v":0.59,"d":"$0.59"},{"v":3.62,"d":"$3.62"},{"v":0,"d":"$0.00"},{"v":3.62,"d":"$3.62"},"G","N",0,0,0,"R","3679606","CVS PHARMACY #02063 02063"]
["21865M","0010121978E              ","MBRP00000417894","000337017115","2022-03-17","16729009016","FINASTERIDE TABS 5.000",45,90,{"v":12.62,"d":"$12.62"},{"v":0,"d":"$0.00"},{"v":12.62,"d":"$12.62"},{"v":2.62,"d":"$2.62"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","AC00110461300","MBRP00000467129","000006745313","2022-03-17","00378729985","DROSPIRENONE/E TABS 0.000",28,28,{"v":27.25,"d":"$27.25"},{"v":0.59,"d":"$0.59"},{"v":27.84,"d":"$27.84"},{"v":27.84,"d":"$27.84"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3674151","GIANT EAGLE PHARMACY #4152 4152"]
["21865M","0010084092E              ","MBRP00000422450","000006222764","2022-03-17","68180031906","BUPROPION HYDR TB24 150.000",30,30,{"v":15.56,"d":"$15.56"},{"v":0.59,"d":"$0.59"},{"v":16.15,"d":"$16.15"},{"v":11.15,"d":"$11.15"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3680611","EQUITAS HEALTH PHARMACY 1"]
["21865M","0010153220E              ","MBRP00000424980","000001244615","2022-03-17","00406889401","AMPHETAMINE/DE TABS 0.000",60,30,{"v":35.64,"d":"$35.64"},{"v":0.59,"d":"$0.59"},{"v":36.23,"d":"$36.23"},{"v":31.23,"d":"$31.23"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010046104E              ","MBRP00000418059","000002975144","2022-03-17","45802065087","LORATADINE TABS 10.000",30,30,{"v":3,"d":"$3.00"},{"v":0.59,"d":"$0.59"},{"v":3.59,"d":"$3.59"},{"v":0,"d":"$0.00"},{"v":3.59,"d":"$3.59"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010084092E              ","MBRP00000422450","000006222762","2022-03-17","23155002401","BUSPIRONE HYDR TABS 10.000",-180,30,{"v":-11.76,"d":"-$11.76"},{"v":-0.59,"d":"-$0.59"},{"v":-12.35,"d":"-$12.35"},{"v":-7.35,"d":"-$7.35"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3680611","EQUITAS HEALTH PHARMACY 1"]
["21865M","0010050682E              ","MBRP00000440151","000001028045","2022-03-18","60505082901","FLUTICASONE PR SUSP 50.000",-16,30,{"v":-15.2,"d":"-$15.20"},{"v":-0.59,"d":"-$0.59"},{"v":-15.79,"d":"-$15.79"},{"v":-10.79,"d":"-$10.79"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3627873","MEDICINE CENTER OF CANTON"]
["21865M","0010064744E              ","MBRP00000422383","000000596955","2022-03-18","68382080605","TRAZODONE HYDR TABS 100.000",60,30,{"v":11.03,"d":"$11.03"},{"v":0.5,"d":"$0.50"},{"v":11.53,"d":"$11.53"},{"v":6.53,"d":"$6.53"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","0010031850E              ","MBRP00000440318","000002054102","2022-03-18","68546017060","AUSTEDO TABS 6.000",180,30,{"v":13524.89,"d":"$13,524.89"},{"v":0,"d":"$0.00"},{"v":13524.89,"d":"$13,524.89"},{"v":13489.89,"d":"$13,489.89"},{"v":35,"d":"$35.00"},"B","Y",0,0,9,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","AC00110504600","MBRP00000449291","000001229239","2022-03-18","00169183311","NOVOLIN R SOLN 100.000",-10,90,{"v":-133.02,"d":"-$133.02"},{"v":0,"d":"$0.00"},{"v":-133.02,"d":"-$133.02"},{"v":-73.02,"d":"-$73.02"},{"v":-60,"d":"-$60.00"},"B","N",0,0,1,"R","3651886","RITE AID PHARMACY 02393"]
["21865M","0010099084E              ","MBRP00000440280","000009389440","2022-03-18","52268001201","SUPREP BOWEL P SOLN 0.000",354,1,{"v":107.95,"d":"$107.95"},{"v":0.5,"d":"$0.50"},{"v":108.45,"d":"$108.45"},{"v":73.45,"d":"$73.45"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010079613E              ","MBRP00000422307","000001599539","2022-03-18","59746017506","PREDNISONE TABS 20.000",-15,5,{"v":-2.13,"d":"-$2.13"},{"v":-0.59,"d":"-$0.59"},{"v":-2.72,"d":"-$2.72"},{"v":0,"d":"$0.00"},{"v":-2.72,"d":"-$2.72"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010115244E              ","MBRP00000424883","000000748783","2022-03-18","50111078710","AZITHROMYCIN TABS 250.000",6,5,{"v":3.8,"d":"$3.80"},{"v":0.59,"d":"$0.59"},{"v":4.39,"d":"$4.39"},{"v":0,"d":"$0.00"},{"v":4.39,"d":"$4.39"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010080376E              ","MBRP00000418098","000001067139","2022-03-19","00093077198","PRAVASTATIN SO TABS 10.000",90,90,{"v":27.63,"d":"$27.63"},{"v":0,"d":"$0.00"},{"v":27.63,"d":"$27.63"},{"v":12.63,"d":"$12.63"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010083494E              ","MBRP00000424854","000002055034","2022-03-19","57664022888","METHYLPHENIDAT TABS 5.000",-60,30,{"v":-9.62,"d":"-$9.62"},{"v":-0.59,"d":"-$0.59"},{"v":-10.21,"d":"-$10.21"},{"v":-5.21,"d":"-$5.21"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3674151","GIANT EAGLE PHARMACY #4152 4152"]
["21865M","0010126579E              ","MBRP00000440106","000006575008","2022-03-20","50383070016","FLUTICASONE PR SUSP 50.000",16,30,{"v":15.2,"d":"$15.20"},{"v":0.59,"d":"$0.59"},{"v":15.79,"d":"$15.79"},{"v":10.79,"d":"$10.79"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","AC00108363000","MBRP00000430787","000002710710","2022-03-20","65862018730","ONDANSETRON HY TABS 4.000",12,4,{"v":1.27,"d":"$1.27"},{"v":0.59,"d":"$0.59"},{"v":1.86,"d":"$1.86"},{"v":0,"d":"$0.00"},{"v":1.86,"d":"$1.86"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010099084E              ","MBRP00000440281","000009350481","2022-03-21","00378013710","ALLOPURINOL TABS 100.000",60,60,{"v":12.7,"d":"$12.70"},{"v":0.5,"d":"$0.50"},{"v":13.2,"d":"$13.20"},{"v":0,"d":"$0.00"},{"v":13.2,"d":"$13.20"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010006039E              ","MBRP00000429090","000001344786","2022-03-21","00093317431","ALBUTEROL SULF AERS 108.000",8.5,30,{"v":32.32,"d":"$32.32"},{"v":0.59,"d":"$0.59"},{"v":32.91,"d":"$32.91"},{"v":27.91,"d":"$27.91"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3657561","CVS PHARMACY #04353 04353"]
["21865M","0010153640E              ","MBRP00000430766","000001073989","2022-03-21","00006027731","JANUVIA TABS 100.000",-30,30,{"v":-520.57,"d":"-$520.57"},{"v":-0.59,"d":"-$0.59"},{"v":-521.16,"d":"-$521.16"},{"v":-501.16,"d":"-$501.16"},{"v":-20,"d":"-$20.00"},"B","N",0,0,1,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","AC00108877100","MBRP00000429186","000002025957","2022-03-21","69344021311","OXAYDO TABS 7.500",120,30,{"v":1749.81,"d":"$1,749.81"},{"v":0.59,"d":"$0.59"},{"v":1750.4,"d":"$1,750.40"},{"v":1715.4,"d":"$1,715.40"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010005990E              ","MBRP00000430990","000001691659","2022-03-21","45802004064","SELENIUM SULFI LOTN 2.500",-118,15,{"v":-11.64,"d":"-$11.64"},{"v":-0.59,"d":"-$0.59"},{"v":-12.23,"d":"-$12.23"},{"v":-7.23,"d":"-$7.23"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010148121E              ","MBRP00000368640","000001600154","2022-03-21","70010000601","DEXMETHYLPHENI CP24 15.000",30,30,{"v":55.48,"d":"$55.48"},{"v":0.59,"d":"$0.59"},{"v":56.07,"d":"$56.07"},{"v":51.07,"d":"$51.07"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010072270E              ","MBRP00000429220","000009362673","2022-03-21","66993001968","ALBUTEROL SULF AERS 108.000",18,25,{"v":51.51,"d":"$51.51"},{"v":0.5,"d":"$0.50"},{"v":52.01,"d":"$52.01"},{"v":17.01,"d":"$17.01"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010084188E              ","MBRP00000424740","000000876920","2022-03-22","00093005805","TRAMADOL HCL TABS 50.000",24,6,{"v":0.67,"d":"$0.67"},{"v":0.59,"d":"$0.59"},{"v":1.26,"d":"$1.26"},{"v":0,"d":"$0.00"},{"v":1.26,"d":"$1.26"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010079086E              ","MBRP00000424788","000001329981","2022-03-22","68382025016","ATORVASTATIN C TABS 20.000",-90,90,{"v":-20.6,"d":"-$20.60"},{"v":0,"d":"$0.00"},{"v":-20.6,"d":"-$20.60"},{"v":-5.6,"d":"-$5.60"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3665075","CVS PHARMACY #03088 03088"]
["21865M","0010081110E              ","MBRP00000429211","000000177553","2022-03-22","00193731221","CONTOUR NEXT B STRP 0.000",100,30,{"v":109.82,"d":"$109.82"},{"v":0.59,"d":"$0.59"},{"v":110.41,"d":"$110.41"},{"v":90.41,"d":"$90.41"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3686409","DISCOUNT DRUG MART #89 89"]
["21865M","AC00108171600","MBRP00000422436","000001753296","2022-03-22","68180096301","ALBUTEROL SULF AERS 108.000",8.5,33,{"v":32.32,"d":"$32.32"},{"v":0.59,"d":"$0.59"},{"v":32.91,"d":"$32.91"},{"v":17.91,"d":"$17.91"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010112767E              ","MBRP00000291990","000001868719","2022-03-22","73473030030","CLINDAMYCIN PH GEL  1.000",60,7,{"v":37.53,"d":"$37.53"},{"v":0.59,"d":"$0.59"},{"v":38.12,"d":"$38.12"},{"v":33.12,"d":"$33.12"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","0010153711E              ","MBRP00000350305","000001924560","2022-03-22","65862001205","SERTRALINE HCL TABS 50.000",30,30,{"v":7.01,"d":"$7.01"},{"v":0.59,"d":"$0.59"},{"v":7.6,"d":"$7.60"},{"v":2.6,"d":"$2.60"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","0010137838E              ","MBRP00000417781","000006812286","2022-03-22","51991081701","PROPRANOLOL HY CP24 60.000",90,90,{"v":149.13,"d":"$149.13"},{"v":0,"d":"$0.00"},{"v":149.13,"d":"$149.13"},{"v":134.13,"d":"$134.13"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3656444","MARCS 27"]
["21865M","0010046085E              ","MBRP00000417860","000001184791","2022-03-23","00172208380","HYDROCHLOROTHI TABS 25.000",90,90,{"v":4.61,"d":"$4.61"},{"v":0,"d":"$0.00"},{"v":4.61,"d":"$4.61"},{"v":0,"d":"$0.00"},{"v":4.61,"d":"$4.61"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010084079E              ","MBRP00000422443","000001835165","2022-03-23","62332034130","CANDESARTAN CI TABS 4.000",45,90,{"v":107.93,"d":"$107.93"},{"v":0,"d":"$0.00"},{"v":107.93,"d":"$107.93"},{"v":92.93,"d":"$92.93"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3648079","RITE AID PHARMACY 03151"]
["21865M","AC00110021200","MBRP00000460279","000007299189","2022-03-23","00597015230","JARDIANCE TABS 10.000",30,30,{"v":569.57,"d":"$569.57"},{"v":0.59,"d":"$0.59"},{"v":570.16,"d":"$570.16"},{"v":550.16,"d":"$550.16"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","AC00108520900","MBRP00000429224","000000611157","2022-03-23","00093100301","BUSPIRONE HCL TABS 15.000",60,30,{"v":10.04,"d":"$10.04"},{"v":0.5,"d":"$0.50"},{"v":10.54,"d":"$10.54"},{"v":5.54,"d":"$5.54"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","0010131947E              ","MBRP00000286482","000006279130","2022-03-23","16714061305","SERTRALINE HYD TABS 100.000",30,30,{"v":7.35,"d":"$7.35"},{"v":0.59,"d":"$0.59"},{"v":7.94,"d":"$7.94"},{"v":2.94,"d":"$2.94"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010005833E              ","MBRP00000430909","000006434485","2022-03-24","16714044601","AMITRIPTYLINE  TABS 10.000",90,30,{"v":9.4,"d":"$9.40"},{"v":0.59,"d":"$0.59"},{"v":9.99,"d":"$9.99"},{"v":4.99,"d":"$4.99"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648930","MARCS 14"]
["21865M","0010022887E              ","MBRP00000422232","000008859900","2022-03-24","45802065078","LORATADINE TABS 10.000",30,30,{"v":5.78,"d":"$5.78"},{"v":0.59,"d":"$0.59"},{"v":6.37,"d":"$6.37"},{"v":1.37,"d":"$1.37"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3664201","WALMART PHARMACY 10-2541 102541"]
["21865M","0010134937E              ","MBRP00000418004","000000854647","2022-03-24","10370010150","BUPROPION HYDR TB24 150.000",-30,30,{"v":-15.56,"d":"-$15.56"},{"v":-0.59,"d":"-$0.59"},{"v":-16.15,"d":"-$16.15"},{"v":-11.15,"d":"-$11.15"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010151645E              ","MBRP00000342810","000002886974","2022-03-24","45802046564","KETOCONAZOLE SHAM 2.000",120,15,{"v":23.59,"d":"$23.59"},{"v":0.59,"d":"$0.59"},{"v":24.18,"d":"$24.18"},{"v":19.18,"d":"$19.18"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010084336E              ","MBRP00000417895","000000619726","2022-03-24","65862086001","FAMOTIDINE TABS 40.000",60,30,{"v":17.37,"d":"$17.37"},{"v":0.59,"d":"$0.59"},{"v":17.96,"d":"$17.96"},{"v":12.96,"d":"$12.96"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648485","RITE AID PHARMACY 03198"]
["21865M","0010124284E              ","MBRP00000424894","000001101018","2022-03-24","62332025118","AZITHROMYCIN TABS 250.000",6,5,{"v":3.8,"d":"$3.80"},{"v":0.59,"d":"$0.59"},{"v":4.39,"d":"$4.39"},{"v":0,"d":"$0.00"},{"v":4.39,"d":"$4.39"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010084094E              ","MBRP00000417919","000001601301","2022-03-25","62332025118","AZITHROMYCIN TABS 250.000",6,5,{"v":3.8,"d":"$3.80"},{"v":0.59,"d":"$0.59"},{"v":4.39,"d":"$4.39"},{"v":0,"d":"$0.00"},{"v":4.39,"d":"$4.39"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","AC00111392100","MBRP00000481414","000002712837","2022-03-25","57599080000","FREESTYLE LIBR MISC 0.000",2,28,{"v":122.12,"d":"$122.12"},{"v":0.59,"d":"$0.59"},{"v":122.71,"d":"$122.71"},{"v":102.71,"d":"$102.71"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","AC00110874700","MBRP00000473467","000001162981","2022-03-25","43547028210","ESCITALOPRAM O TABS 20.000",-90,90,{"v":-37.09,"d":"-$37.09"},{"v":0,"d":"$0.00"},{"v":-37.09,"d":"-$37.09"},{"v":-22.09,"d":"-$22.09"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3648916","DISCOUNT DRUG MART 32"]
["21865M","0010153643E              ","MBRP00000430791","000007157276","2022-03-25","59746017506","PREDNISONE TABS 20.000",18,9,{"v":2.55,"d":"$2.55"},{"v":0.59,"d":"$0.59"},{"v":3.14,"d":"$3.14"},{"v":0,"d":"$0.00"},{"v":3.14,"d":"$3.14"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010114615E              ","MBRP00000440323","000004080696","2022-03-25","68462038401","ESZOPICLONE TABS 3.000",30,30,{"v":27.81,"d":"$27.81"},{"v":0.59,"d":"$0.59"},{"v":28.4,"d":"$28.40"},{"v":23.4,"d":"$23.40"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3669112","GIANT EAGLE PHARMACY #1618 1618"]
["21865M","0010139748E              ","MBRP00000440274","000001556831","2022-03-25","65162046510","IBUPROFEN TABS 600.000",24,6,{"v":0.94,"d":"$0.94"},{"v":0.59,"d":"$0.59"},{"v":1.53,"d":"$1.53"},{"v":0,"d":"$0.00"},{"v":1.53,"d":"$1.53"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010153631E              ","MBRP00000430997","000001246098","2022-03-25","80777027399","MODERNA COVID- SUSP 100.000",0.25,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":40,"d":"$40.00"},{"v":40,"d":"$40.00"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010152244E              ","MBRP00000417878","000001028485","2022-03-25","29300012810","HYDROCHLOROTHI TABS 25.000",-90,90,{"v":-4.61,"d":"-$4.61"},{"v":0,"d":"$0.00"},{"v":-4.61,"d":"-$4.61"},{"v":0,"d":"$0.00"},{"v":-4.61,"d":"-$4.61"},"G","N",0,0,0,"R","3656862","CVS PHARMACY #04393 04393"]
["21865M","0010149153E              ","MBRP00000429319","000002424783","2022-03-26","08290320119","BD PEN NEEDLE/ MISC 0.000",-100,33,{"v":-52.13,"d":"-$52.13"},{"v":-0.59,"d":"-$0.59"},{"v":-52.72,"d":"-$52.72"},{"v":0,"d":"$0.00"},{"v":-52.72,"d":"-$52.72"},"B","N",0,0,9,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010153662E              ","MBRP00000430817","000002567157","2022-03-26","00527328843","LEVOTHYROXINE  TABS 150.000",30,30,{"v":16.82,"d":"$16.82"},{"v":0.59,"d":"$0.59"},{"v":17.41,"d":"$17.41"},{"v":12.41,"d":"$12.41"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010084079E              ","MBRP00000422443","000001448429","2022-03-26","65862019301","FLUOXETINE HCL CAPS 20.000",-270,90,{"v":-44.4,"d":"-$44.40"},{"v":0,"d":"$0.00"},{"v":-44.4,"d":"-$44.40"},{"v":-29.4,"d":"-$29.40"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3652662","RITE AID PHARMACY 02456"]
["21865M","0010071549E              ","MBRP00000425001","000002375922","2022-03-27","57664033788","AMPHETAMINE/DE CP24 0.000",-30,30,{"v":-31.26,"d":"-$31.26"},{"v":-0.59,"d":"-$0.59"},{"v":-31.85,"d":"-$31.85"},{"v":-26.85,"d":"-$26.85"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3659084","MARCS 39"]
["21865M","0010099978E              ","MBRP00000430930","000007150787","2022-03-27","29300039805","AMLODIPINE BES TABS 10.000",-30,30,{"v":-4.77,"d":"-$4.77"},{"v":-0.59,"d":"-$0.59"},{"v":-5.36,"d":"-$5.36"},{"v":-0.36,"d":"-$0.36"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010153628E              ","MBRP00000429290","000007149571","2022-03-27","00597010061","SPIRIVA RESPIM AERS 2.500",4,30,{"v":496.32,"d":"$496.32"},{"v":0.59,"d":"$0.59"},{"v":496.91,"d":"$496.91"},{"v":476.91,"d":"$476.91"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3654034","MARCS 22"]
["21865M","0010071549E              ","MBRP00000425001","000002375922","2022-03-27","00228305911","AMPHETAMINE/DE CP24 0.000",30,30,{"v":31.26,"d":"$31.26"},{"v":0.59,"d":"$0.59"},{"v":31.85,"d":"$31.85"},{"v":26.85,"d":"$26.85"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659084","MARCS 39"]
["21865M","0010071549E              ","MBRP00000425001","000002375922","2022-03-27","00228305911","AMPHETAMINE/DE CP24 0.000",30,30,{"v":31.26,"d":"$31.26"},{"v":0.59,"d":"$0.59"},{"v":31.85,"d":"$31.85"},{"v":26.85,"d":"$26.85"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659084","MARCS 39"]
["21865M","0010071549E              ","MBRP00000425001","000002375922","2022-03-27","00228305911","AMPHETAMINE/DE CP24 0.000",-30,30,{"v":-31.26,"d":"-$31.26"},{"v":-0.59,"d":"-$0.59"},{"v":-31.85,"d":"-$31.85"},{"v":-26.85,"d":"-$26.85"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3659084","MARCS 39"]
["21865M","AC00109149100","MBRP00000446408","000001594645","2022-03-27","69238106901","POTASSIUM CHLO TBCR 20.000",30,30,{"v":15.4,"d":"$15.40"},{"v":0.59,"d":"$0.59"},{"v":15.99,"d":"$15.99"},{"v":10.99,"d":"$10.99"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010153628E              ","MBRP00000429290","000007149569","2022-03-27","68382005101","MELOXICAM TABS 15.000",30,30,{"v":3.4,"d":"$3.40"},{"v":0.59,"d":"$0.59"},{"v":3.99,"d":"$3.99"},{"v":0,"d":"$0.00"},{"v":3.99,"d":"$3.99"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010153628E              ","MBRP00000429290","000007149569","2022-03-27","68382005101","MELOXICAM TABS 15.000",-30,30,{"v":-3.4,"d":"-$3.40"},{"v":-0.59,"d":"-$0.59"},{"v":-3.99,"d":"-$3.99"},{"v":0,"d":"$0.00"},{"v":-3.99,"d":"-$3.99"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010080372E              ","MBRP00000417961","000001101220","2022-03-27","68180071160","CEFDINIR CAPS 300.000",20,10,{"v":12.41,"d":"$12.41"},{"v":0.59,"d":"$0.59"},{"v":13,"d":"$13.00"},{"v":8,"d":"$8.00"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010119040E              ","MBRP00000424989","000001095617","2022-03-27","31722072890","MONTELUKAST SO CHEW 5.000",30,30,{"v":13.81,"d":"$13.81"},{"v":0.59,"d":"$0.59"},{"v":14.4,"d":"$14.40"},{"v":9.4,"d":"$9.40"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010139126E              ","MBRP00000429226","000001098021","2022-03-27","00054429731","FUROSEMIDE TABS 20.000",45,90,{"v":8.07,"d":"$8.07"},{"v":0,"d":"$0.00"},{"v":8.07,"d":"$8.07"},{"v":0,"d":"$0.00"},{"v":8.07,"d":"$8.07"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010139126E              ","MBRP00000429226","000001098021","2022-03-27","00054429731","FUROSEMIDE TABS 20.000",-45,90,{"v":-8.07,"d":"-$8.07"},{"v":0,"d":"$0.00"},{"v":-8.07,"d":"-$8.07"},{"v":0,"d":"$0.00"},{"v":-8.07,"d":"-$8.07"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010139126E              ","MBRP00000429226","000001098021","2022-03-27","00054429731","FUROSEMIDE TABS 20.000",45,30,{"v":8.07,"d":"$8.07"},{"v":0.59,"d":"$0.59"},{"v":8.66,"d":"$8.66"},{"v":3.66,"d":"$3.66"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010139126E              ","MBRP00000429226","000001098021","2022-03-27","00054429731","FUROSEMIDE TABS 20.000",-45,30,{"v":-8.07,"d":"-$8.07"},{"v":-0.59,"d":"-$0.59"},{"v":-8.66,"d":"-$8.66"},{"v":-3.66,"d":"-$3.66"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010080372E              ","MBRP00000417961","000001093891","2022-03-27","13668001001","CITALOPRAM HYD TABS 20.000",30,30,{"v":10.01,"d":"$10.01"},{"v":0.59,"d":"$0.59"},{"v":10.6,"d":"$10.60"},{"v":5.6,"d":"$5.60"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010071549E              ","MBRP00000425001","000002375921","2022-03-27","16714094801","AMPHETAMINE/DE TABS 0.000",30,30,{"v":10.13,"d":"$10.13"},{"v":0.59,"d":"$0.59"},{"v":10.72,"d":"$10.72"},{"v":5.72,"d":"$5.72"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659084","MARCS 39"]
["21865M","0010071549E              ","MBRP00000425001","000002375921","2022-03-27","16714094801","AMPHETAMINE/DE TABS 0.000",-30,30,{"v":-10.13,"d":"-$10.13"},{"v":-0.59,"d":"-$0.59"},{"v":-10.72,"d":"-$10.72"},{"v":-5.72,"d":"-$5.72"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3659084","MARCS 39"]
["21865M","0010071549E              ","MBRP00000425001","000002375921","2022-03-27","16714094801","AMPHETAMINE/DE TABS 0.000",30,30,{"v":10.13,"d":"$10.13"},{"v":0.59,"d":"$0.59"},{"v":10.72,"d":"$10.72"},{"v":5.72,"d":"$5.72"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659084","MARCS 39"]
["21865M","0010153628E              ","MBRP00000429290","000007149569","2022-03-27","69097015907","MELOXICAM TABS 15.000",30,30,{"v":3.4,"d":"$3.40"},{"v":0.59,"d":"$0.59"},{"v":3.99,"d":"$3.99"},{"v":0,"d":"$0.00"},{"v":3.99,"d":"$3.99"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010099978E              ","MBRP00000430930","000007150787","2022-03-27","67877019905","AMLODIPINE BES TABS 10.000",30,30,{"v":4.77,"d":"$4.77"},{"v":0.59,"d":"$0.59"},{"v":5.36,"d":"$5.36"},{"v":0.36,"d":"$0.36"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010086302E              ","MBRP00000440329","000006792838","2022-03-27","68180097103","LEVOTHYROXINE  TABS 125.000",90,90,{"v":47.72,"d":"$47.72"},{"v":0,"d":"$0.00"},{"v":47.72,"d":"$47.72"},{"v":32.72,"d":"$32.72"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010080372E              ","MBRP00000417961","000001092986","2022-03-27","29300039705","AMLODIPINE BES TABS 5.000",30,30,{"v":3.53,"d":"$3.53"},{"v":0.59,"d":"$0.59"},{"v":4.12,"d":"$4.12"},{"v":0,"d":"$0.00"},{"v":4.12,"d":"$4.12"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010084325E              ","MBRP00000424828","000001578739","2022-03-27","43547035410","LISINOPRIL TABS 20.000",90,90,{"v":15.28,"d":"$15.28"},{"v":0,"d":"$0.00"},{"v":15.28,"d":"$15.28"},{"v":0.28,"d":"$0.28"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010116868E              ","MBRP00000430955","000001863654","2022-03-28","00054429731","FUROSEMIDE TABS 20.000",30,30,{"v":5.38,"d":"$5.38"},{"v":0.59,"d":"$0.59"},{"v":5.97,"d":"$5.97"},{"v":0.97,"d":"$0.97"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","AC00108363000","MBRP00000430784","000001116491","2022-03-28","00054021125","PROTRIPTYLINE  TABS 10.000",60,30,{"v":135.04,"d":"$135.04"},{"v":0.59,"d":"$0.59"},{"v":135.63,"d":"$135.63"},{"v":130.63,"d":"$130.63"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3657751","DISCOUNT DRUG MART 42"]
["21865M","0010122707E              ","MBRP00000429093","000000749733","2022-03-28","00002143380","TRULICITY SOPN 0.750",-2,28,{"v":-885.14,"d":"-$885.14"},{"v":-0.59,"d":"-$0.59"},{"v":-885.73,"d":"-$885.73"},{"v":-865.73,"d":"-$865.73"},{"v":-20,"d":"-$20.00"},"B","N",0,0,1,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010122707E              ","MBRP00000429093","000000749733","2022-03-28","00002143380","TRULICITY SOPN 0.750",2,28,{"v":885.14,"d":"$885.14"},{"v":0.59,"d":"$0.59"},{"v":885.73,"d":"$885.73"},{"v":865.73,"d":"$865.73"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010122707E              ","MBRP00000429093","000000749733","2022-03-28","00002143380","TRULICITY SOPN 0.750",-2,28,{"v":-885.14,"d":"-$885.14"},{"v":-0.59,"d":"-$0.59"},{"v":-885.73,"d":"-$885.73"},{"v":-865.73,"d":"-$865.73"},{"v":-20,"d":"-$20.00"},"B","N",0,0,1,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010122707E              ","MBRP00000429093","000000749733","2022-03-28","00002143380","TRULICITY SOPN 0.750",2,28,{"v":885.14,"d":"$885.14"},{"v":0.59,"d":"$0.59"},{"v":885.73,"d":"$885.73"},{"v":865.73,"d":"$865.73"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010084319E              ","MBRP00000422187","000000929926","2022-03-28","00116200116","CHLORHEXIDINE  SOLN 0.120",473,15,{"v":3.33,"d":"$3.33"},{"v":0.59,"d":"$0.59"},{"v":3.92,"d":"$3.92"},{"v":0,"d":"$0.00"},{"v":3.92,"d":"$3.92"},"G","N",0,0,0,"R","3652092","RITE AID PHARMACY 02413"]
["21865M","0010136066E              ","MBRP00000480517","000002713231","2022-03-28","00172392660","DIAZEPAM TABS 5.000",3,2,{"v":0.06,"d":"$0.06"},{"v":0.59,"d":"$0.59"},{"v":0.65,"d":"$0.65"},{"v":0,"d":"$0.00"},{"v":0.65,"d":"$0.65"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010136066E              ","MBRP00000480517","000002713231","2022-03-28","00172392660","DIAZEPAM TABS 5.000",3,2,{"v":0.06,"d":"$0.06"},{"v":0.59,"d":"$0.59"},{"v":0.65,"d":"$0.65"},{"v":0,"d":"$0.00"},{"v":0.65,"d":"$0.65"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010136066E              ","MBRP00000480517","000002713231","2022-03-28","00172392660","DIAZEPAM TABS 5.000",-3,2,{"v":-0.06,"d":"-$0.06"},{"v":-0.59,"d":"-$0.59"},{"v":-0.65,"d":"-$0.65"},{"v":0,"d":"$0.00"},{"v":-0.65,"d":"-$0.65"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010006053E              ","MBRP00000424887","011114068879","2022-03-28","00378668977","PANTOPRAZOLE S TBEC 40.000",30,30,{"v":7.28,"d":"$7.28"},{"v":0.59,"d":"$0.59"},{"v":7.87,"d":"$7.87"},{"v":2.87,"d":"$2.87"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010006053E              ","MBRP00000424887","011114068879","2022-03-28","00378668977","PANTOPRAZOLE S TBEC 40.000",-30,30,{"v":-7.28,"d":"-$7.28"},{"v":-0.59,"d":"-$0.59"},{"v":-7.87,"d":"-$7.87"},{"v":-2.87,"d":"-$2.87"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010084319E              ","MBRP00000422187","000000929928","2022-03-28","57237002801","AMOXICILLIN TABS 500.000",30,10,{"v":4.54,"d":"$4.54"},{"v":0.59,"d":"$0.59"},{"v":5.13,"d":"$5.13"},{"v":0.13,"d":"$0.13"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652092","RITE AID PHARMACY 02413"]
["21865M","0010139575E              ","MBRP00000430856","000000910790","2022-03-28","51293084610","FOLIC ACID TABS 1.000",30,30,{"v":1.64,"d":"$1.64"},{"v":0.5,"d":"$0.50"},{"v":2.14,"d":"$2.14"},{"v":0,"d":"$0.00"},{"v":2.14,"d":"$2.14"},"G","N",0,0,0,"R","3606211","DARTMOUTH PHARMACY"]
["21865M","0010153623E              ","MBRP00000431025","000007299920","2022-03-28","50742061510","METOPROLOL SUC TB24 25.000",-30,30,{"v":-8.41,"d":"-$8.41"},{"v":-0.59,"d":"-$0.59"},{"v":-9,"d":"-$9.00"},{"v":-4,"d":"-$4.00"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","0010153623E              ","MBRP00000431025","000007299920","2022-03-28","50742061510","METOPROLOL SUC TB24 25.000",30,30,{"v":8.41,"d":"$8.41"},{"v":0.59,"d":"$0.59"},{"v":9,"d":"$9.00"},{"v":4,"d":"$4.00"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","0010083494E              ","MBRP00000424854","000006759839","2022-03-28","52817018000","CLONIDINE HYDR TABS 0.100",30,30,{"v":3.69,"d":"$3.69"},{"v":0.59,"d":"$0.59"},{"v":4.28,"d":"$4.28"},{"v":0,"d":"$0.00"},{"v":4.28,"d":"$4.28"},"G","N",0,0,0,"R","3674151","GIANT EAGLE PHARMACY #4152 4152"]
["21865M","0010105950E              ","MBRP00000430808","000000878920","2022-03-28","52817032010","BACLOFEN TABS 10.000",30,15,{"v":5.57,"d":"$5.57"},{"v":0.59,"d":"$0.59"},{"v":6.16,"d":"$6.16"},{"v":1.16,"d":"$1.16"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010105950E              ","MBRP00000430808","000000878920","2022-03-28","52817032010","BACLOFEN TABS 10.000",30,15,{"v":5.57,"d":"$5.57"},{"v":0.59,"d":"$0.59"},{"v":6.16,"d":"$6.16"},{"v":1.16,"d":"$1.16"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010105950E              ","MBRP00000430808","000000878920","2022-03-28","52817032010","BACLOFEN TABS 10.000",-30,15,{"v":-5.57,"d":"-$5.57"},{"v":-0.59,"d":"-$0.59"},{"v":-6.16,"d":"-$6.16"},{"v":-1.16,"d":"-$1.16"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010153656E              ","MBRP00000430761","000006818739","2022-03-28","57237010099","METOPROLOL TAR TABS 25.000",60,30,{"v":3.4,"d":"$3.40"},{"v":0.59,"d":"$0.59"},{"v":3.99,"d":"$3.99"},{"v":0,"d":"$0.00"},{"v":3.99,"d":"$3.99"},"G","N",0,0,0,"R","3656444","MARCS 27"]
["21865M","0010115601E              ","MBRP00000315731","000000615238","2022-03-28","57237021330","MONTELUKAST SO CHEW 5.000",30,30,{"v":13.81,"d":"$13.81"},{"v":0.59,"d":"$0.59"},{"v":14.4,"d":"$14.40"},{"v":9.4,"d":"$9.40"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010115601E              ","MBRP00000315731","000000615238","2022-03-28","57237021330","MONTELUKAST SO CHEW 5.000",-30,30,{"v":-13.81,"d":"-$13.81"},{"v":-0.59,"d":"-$0.59"},{"v":-14.4,"d":"-$14.40"},{"v":-9.4,"d":"-$9.40"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010084977E              ","MBRP00000440149","000009391637","2022-03-28","61314014410","BRIMONIDINE TA SOLN 0.150",10,50,{"v":268.29,"d":"$268.29"},{"v":0.5,"d":"$0.50"},{"v":268.79,"d":"$268.79"},{"v":253.79,"d":"$253.79"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010006053E              ","MBRP00000424887","011114072081","2022-03-28","60505082901","FLUTICASONE PR SUSP 50.000",-16,30,{"v":-15.2,"d":"-$15.20"},{"v":-0.59,"d":"-$0.59"},{"v":-15.79,"d":"-$15.79"},{"v":-10.79,"d":"-$10.79"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010006053E              ","MBRP00000424887","011114072081","2022-03-28","60505082901","FLUTICASONE PR SUSP 50.000",16,30,{"v":15.2,"d":"$15.20"},{"v":0.59,"d":"$0.59"},{"v":15.79,"d":"$15.79"},{"v":10.79,"d":"$10.79"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010084094E              ","MBRP00000417919","000001601300","2022-03-28","65862044830","VALACYCLOVIR H TABS 500.000",6,3,{"v":8.25,"d":"$8.25"},{"v":0.59,"d":"$0.59"},{"v":8.84,"d":"$8.84"},{"v":3.84,"d":"$3.84"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010084309E              ","MBRP00000422395","000000903827","2022-03-28","16714063301","ALENDRONATE SO TABS 70.000",12,84,{"v":20.2,"d":"$20.20"},{"v":0,"d":"$0.00"},{"v":20.2,"d":"$20.20"},{"v":5.2,"d":"$5.20"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010084325E              ","MBRP00000424828","000001578734","2022-03-28","13668001001","CITALOPRAM HYD TABS 20.000",90,90,{"v":30.03,"d":"$30.03"},{"v":0,"d":"$0.00"},{"v":30.03,"d":"$30.03"},{"v":15.03,"d":"$15.03"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010076542E              ","MBRP00000422322","000000599698","2022-03-28","00574082701","TESTOSTERONE C SOLN 200.000",4,56,{"v":45.61,"d":"$45.61"},{"v":0.59,"d":"$0.59"},{"v":46.2,"d":"$46.20"},{"v":31.2,"d":"$31.20"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010076542E              ","MBRP00000422322","000000627520","2022-03-28","00781235201","AMPHETAMINE/DE CP24 0.000",30,30,{"v":31.26,"d":"$31.26"},{"v":0.59,"d":"$0.59"},{"v":31.85,"d":"$31.85"},{"v":26.85,"d":"$26.85"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010076542E              ","MBRP00000422322","000000627520","2022-03-28","00781235201","AMPHETAMINE/DE CP24 0.000",-30,30,{"v":-31.26,"d":"-$31.26"},{"v":-0.59,"d":"-$0.59"},{"v":-31.85,"d":"-$31.85"},{"v":-26.85,"d":"-$26.85"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010048465E              ","MBRP00000342841","000002608896","2022-03-28","68180097201","LEVOTHYROXINE  TABS 137.000",30,30,{"v":16.52,"d":"$16.52"},{"v":0.59,"d":"$0.59"},{"v":17.11,"d":"$17.11"},{"v":12.11,"d":"$12.11"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010084337E              ","MBRP00000440307","000001244227","2022-03-28","68382039801","POTASSIUM CHLO TBCR 20.000",60,30,{"v":30.16,"d":"$30.16"},{"v":0.59,"d":"$0.59"},{"v":30.75,"d":"$30.75"},{"v":25.75,"d":"$25.75"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","AC00109149200","MBRP00000381002","000000925113","2022-03-28","68180035206","SERTRALINE HCL TABS 50.000",30,30,{"v":7.01,"d":"$7.01"},{"v":0.59,"d":"$0.59"},{"v":7.6,"d":"$7.60"},{"v":2.6,"d":"$2.60"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010054511E              ","MBRP00000429076","000001549471","2022-03-28","68180035109","SERTRALINE HCL TABS 25.000",30,30,{"v":7.04,"d":"$7.04"},{"v":0.59,"d":"$0.59"},{"v":7.63,"d":"$7.63"},{"v":2.63,"d":"$2.63"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010115244E              ","MBRP00000424883","000000749854","2022-03-28","66993001968","ALBUTEROL SULF AERS 108.000",18,17,{"v":51.95,"d":"$51.95"},{"v":0.59,"d":"$0.59"},{"v":52.54,"d":"$52.54"},{"v":17.54,"d":"$17.54"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010084208E              ","MBRP00000424761","000001083268","2022-03-28","65862077885","TRI-LO-MILI TABS 0.000",28,28,{"v":22.21,"d":"$22.21"},{"v":0.59,"d":"$0.59"},{"v":22.8,"d":"$22.80"},{"v":22.8,"d":"$22.80"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010153623E              ","MBRP00000431025","000007299976","2022-03-28","68645055354","LISINOPRIL TABS 20.000",-30,30,{"v":-3.41,"d":"-$3.41"},{"v":-0.59,"d":"-$0.59"},{"v":-4,"d":"-$4.00"},{"v":0,"d":"$0.00"},{"v":-4,"d":"-$4.00"},"G","N",0,0,0,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","0010153623E              ","MBRP00000431025","000007299976","2022-03-28","68645055354","LISINOPRIL TABS 20.000",30,30,{"v":3.41,"d":"$3.41"},{"v":0.59,"d":"$0.59"},{"v":4,"d":"$4.00"},{"v":0,"d":"$0.00"},{"v":4,"d":"$4.00"},"G","N",0,0,0,"R","3672967","WALMART PHARMACY 10-5285 105285"]
["21865M","0010153611E              ","MBRP00000430985","000001753605","2022-03-28","42192032701","NP THYROID 15 TABS 15.000",40,25,{"v":21.5,"d":"$21.50"},{"v":0.59,"d":"$0.59"},{"v":22.09,"d":"$22.09"},{"v":17.09,"d":"$17.09"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010084319E              ","MBRP00000422187","000000929924","2022-03-28","31722099601","HYDROCODONE BI TABS 0.000",4,1,{"v":0.39,"d":"$0.39"},{"v":0.59,"d":"$0.59"},{"v":0.98,"d":"$0.98"},{"v":0,"d":"$0.00"},{"v":0.98,"d":"$0.98"},"G","N",0,0,0,"R","3652092","RITE AID PHARMACY 02413"]
["21865M","0010153686E              ","MBRP00000301765","000001601686","2022-03-28","31722099601","HYDROCODONE BI TABS 0.000",14,4,{"v":1.36,"d":"$1.36"},{"v":0.59,"d":"$0.59"},{"v":1.95,"d":"$1.95"},{"v":0,"d":"$0.00"},{"v":1.95,"d":"$1.95"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010084094E              ","MBRP00000417919","000001601300","2022-03-28","31722070430","VALACYCLOVIR H TABS 500.000",6,3,{"v":8.25,"d":"$8.25"},{"v":0.59,"d":"$0.59"},{"v":8.84,"d":"$8.84"},{"v":3.84,"d":"$3.84"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010084094E              ","MBRP00000417919","000001601300","2022-03-28","31722070430","VALACYCLOVIR H TABS 500.000",-6,3,{"v":-8.25,"d":"-$8.25"},{"v":-0.59,"d":"-$0.59"},{"v":-8.84,"d":"-$8.84"},{"v":-3.84,"d":"-$3.84"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","AC00109875600","MBRP00000327210","000000958391","2022-03-28","29300039705","AMLODIPINE BES TABS 5.000",90,90,{"v":10.59,"d":"$10.59"},{"v":0,"d":"$0.00"},{"v":10.59,"d":"$10.59"},{"v":0,"d":"$0.00"},{"v":10.59,"d":"$10.59"},"G","N",0,0,0,"R","3651975","RITE AID PHARMACY 02401"]
["21865M","0010032074E              ","MBRP00000418062","000007157426","2022-03-28","29300039705","AMLODIPINE BES TABS 5.000",30,30,{"v":3.53,"d":"$3.53"},{"v":0.59,"d":"$0.59"},{"v":4.12,"d":"$4.12"},{"v":0,"d":"$0.00"},{"v":4.12,"d":"$4.12"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010032074E              ","MBRP00000418062","000007157426","2022-03-28","29300039705","AMLODIPINE BES TABS 5.000",-30,30,{"v":-3.53,"d":"-$3.53"},{"v":-0.59,"d":"-$0.59"},{"v":-4.12,"d":"-$4.12"},{"v":0,"d":"$0.00"},{"v":-4.12,"d":"-$4.12"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010152244E              ","MBRP00000417878","000001028485","2022-03-28","29300012810","HYDROCHLOROTHI TABS 25.000",-90,90,{"v":-4.61,"d":"-$4.61"},{"v":0,"d":"$0.00"},{"v":-4.61,"d":"-$4.61"},{"v":0,"d":"$0.00"},{"v":-4.61,"d":"-$4.61"},"G","N",0,0,0,"R","3656862","CVS PHARMACY #04393 04393"]
["21865M","0010152244E              ","MBRP00000417878","000001028485","2022-03-28","29300012810","HYDROCHLOROTHI TABS 25.000",90,90,{"v":4.61,"d":"$4.61"},{"v":0,"d":"$0.00"},{"v":4.61,"d":"$4.61"},{"v":0,"d":"$0.00"},{"v":4.61,"d":"$4.61"},"G","N",0,0,0,"R","3656862","CVS PHARMACY #04393 04393"]
["21865M","0010062987E              ","MBRP00000429104","000006254245","2022-03-28","29300011416","LAMOTRIGINE TABS 200.000",120,60,{"v":26.26,"d":"$26.26"},{"v":0.59,"d":"$0.59"},{"v":26.85,"d":"$26.85"},{"v":11.85,"d":"$11.85"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3673503","K C INSTITUTIONAL PHARMACY"]
["21865M","0010062987E              ","MBRP00000429104","000006254245","2022-03-28","29300011416","LAMOTRIGINE TABS 200.000",60,30,{"v":13.13,"d":"$13.13"},{"v":0.59,"d":"$0.59"},{"v":13.72,"d":"$13.72"},{"v":8.72,"d":"$8.72"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3673503","K C INSTITUTIONAL PHARMACY"]
["21865M","0010062987E              ","MBRP00000429104","000006254245","2022-03-28","29300011416","LAMOTRIGINE TABS 200.000",-120,60,{"v":-26.26,"d":"-$26.26"},{"v":-0.59,"d":"-$0.59"},{"v":-26.85,"d":"-$26.85"},{"v":-11.85,"d":"-$11.85"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3673503","K C INSTITUTIONAL PHARMACY"]
["21865M","0010006053E              ","MBRP00000424887","011114070591","2022-03-28","29300012410","MELOXICAM TABS 7.500",-30,30,{"v":-3.31,"d":"-$3.31"},{"v":-0.59,"d":"-$0.59"},{"v":-3.9,"d":"-$3.90"},{"v":0,"d":"$0.00"},{"v":-3.9,"d":"-$3.90"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010006053E              ","MBRP00000424887","011114070591","2022-03-28","29300012410","MELOXICAM TABS 7.500",30,30,{"v":3.31,"d":"$3.31"},{"v":0.59,"d":"$0.59"},{"v":3.9,"d":"$3.90"},{"v":0,"d":"$0.00"},{"v":3.9,"d":"$3.90"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010084320E              ","MBRP00000417892","000319813791","2022-03-28","60505257808","ATORVASTATIN C TABS 10.000",90,90,{"v":20.84,"d":"$20.84"},{"v":0,"d":"$0.00"},{"v":20.84,"d":"$20.84"},{"v":10.84,"d":"$10.84"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010152623E              ","MBRP00000468380","000000924436","2022-03-28","11534018050","POLYETHYLENE G POWD 17.000",-510,30,{"v":-7.53,"d":"-$7.53"},{"v":-0.59,"d":"-$0.59"},{"v":-8.12,"d":"-$8.12"},{"v":-8.12,"d":"-$8.12"},{"v":0,"d":"$0.00"},"G","N",0,0,9,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010152623E              ","MBRP00000468380","000000924436","2022-03-28","11534018050","POLYETHYLENE G POWD 17.000",510,30,{"v":7.53,"d":"$7.53"},{"v":0.59,"d":"$0.59"},{"v":8.12,"d":"$8.12"},{"v":8.12,"d":"$8.12"},{"v":0,"d":"$0.00"},"G","N",0,0,9,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010006053E              ","MBRP00000424887","011114066748","2022-03-28","16729021101","DOXAZOSIN MESY TABS 1.000",-90,90,{"v":-24.48,"d":"-$24.48"},{"v":0,"d":"$0.00"},{"v":-24.48,"d":"-$24.48"},{"v":-9.48,"d":"-$9.48"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010006053E              ","MBRP00000424887","011114066748","2022-03-28","16729021101","DOXAZOSIN MESY TABS 1.000",90,90,{"v":24.48,"d":"$24.48"},{"v":0,"d":"$0.00"},{"v":24.48,"d":"$24.48"},{"v":9.48,"d":"$9.48"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010115250E              ","MBRP00000422145","000000201847","2022-03-28","00228305911","AMPHETAMINE/DE CP24 0.000",30,30,{"v":31.26,"d":"$31.26"},{"v":0.59,"d":"$0.59"},{"v":31.85,"d":"$31.85"},{"v":26.85,"d":"$26.85"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3686409","DISCOUNT DRUG MART #89 89"]
["21865M","0010115244E              ","MBRP00000424883","000000749755","2022-03-28","00228305911","AMPHETAMINE/DE CP24 0.000",30,30,{"v":31.26,"d":"$31.26"},{"v":0.59,"d":"$0.59"},{"v":31.85,"d":"$31.85"},{"v":26.85,"d":"$26.85"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010115244E              ","MBRP00000424882","000000749759","2022-03-28","00228305911","AMPHETAMINE/DE CP24 0.000",30,30,{"v":31.26,"d":"$31.26"},{"v":0.59,"d":"$0.59"},{"v":31.85,"d":"$31.85"},{"v":26.85,"d":"$26.85"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010084337E              ","MBRP00000440307","000001246217","2022-03-28","00115521116","COLESTIPOL HCL TABS 1.000",120,30,{"v":122.31,"d":"$122.31"},{"v":0.59,"d":"$0.59"},{"v":122.9,"d":"$122.90"},{"v":117.9,"d":"$117.90"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010119040E              ","MBRP00000424990","011115247936","2022-03-28","00093310953","AMOXICILLIN CAPS 500.000",-21,7,{"v":-1.93,"d":"-$1.93"},{"v":-0.59,"d":"-$0.59"},{"v":-2.52,"d":"-$2.52"},{"v":0,"d":"$0.00"},{"v":-2.52,"d":"-$2.52"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010119040E              ","MBRP00000424990","011115247936","2022-03-28","00093310953","AMOXICILLIN CAPS 500.000",21,7,{"v":1.93,"d":"$1.93"},{"v":0.59,"d":"$0.59"},{"v":2.52,"d":"$2.52"},{"v":0,"d":"$0.00"},{"v":2.52,"d":"$2.52"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010119040E              ","MBRP00000424990","000001101367","2022-03-28","00093310953","AMOXICILLIN CAPS 500.000",12,3,{"v":1.1,"d":"$1.10"},{"v":0.59,"d":"$0.59"},{"v":1.69,"d":"$1.69"},{"v":0,"d":"$0.00"},{"v":1.69,"d":"$1.69"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","AC00110043100","MBRP00000460621","000001929624","2022-03-28","00143211250","DOXYCYCLINE HY TABS 100.000",14,7,{"v":2.84,"d":"$2.84"},{"v":0.59,"d":"$0.59"},{"v":3.43,"d":"$3.43"},{"v":0,"d":"$0.00"},{"v":3.43,"d":"$3.43"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","AC00110043100","MBRP00000460621","000001929624","2022-03-28","00143211250","DOXYCYCLINE HY TABS 100.000",-14,7,{"v":-2.84,"d":"-$2.84"},{"v":-0.59,"d":"-$0.59"},{"v":-3.43,"d":"-$3.43"},{"v":0,"d":"$0.00"},{"v":-3.43,"d":"-$3.43"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","0010084325E              ","MBRP00000424827","000001601683","2022-03-28","00078091112","XIIDRA SOLN 5.000",60,30,{"v":632.74,"d":"$632.74"},{"v":0.59,"d":"$0.59"},{"v":633.33,"d":"$633.33"},{"v":598.33,"d":"$598.33"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","AC00111392100","MBRP00000481414","000002712841","2022-03-28","00088221905","LANTUS SOLOSTA SOPN 100.000",15,31,{"v":424.63,"d":"$424.63"},{"v":0.59,"d":"$0.59"},{"v":425.22,"d":"$425.22"},{"v":365.22,"d":"$365.22"},{"v":60,"d":"$60.00"},"B","N",0,0,1,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","AC00111392100","MBRP00000481414","000002712841","2022-03-28","00088221905","LANTUS SOLOSTA SOPN 100.000",-15,31,{"v":-424.63,"d":"-$424.63"},{"v":-0.59,"d":"-$0.59"},{"v":-425.22,"d":"-$425.22"},{"v":-365.22,"d":"-$365.22"},{"v":-60,"d":"-$60.00"},"B","N",0,0,1,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010084177E              ","MBRP00000417817","000001289911","2022-03-28","69238156401","AMPHETAMINE SU TABS 10.000",45,30,{"v":96.83,"d":"$96.83"},{"v":0.59,"d":"$0.59"},{"v":97.42,"d":"$97.42"},{"v":92.42,"d":"$92.42"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3666320","WALGREENS #4983 4983"]
["21865M","AC00108877100","MBRP00000429186","000002025957","2022-03-28","69344021311","OXAYDO TABS 7.500",120,30,{"v":1749.81,"d":"$1,749.81"},{"v":0.59,"d":"$0.59"},{"v":1750.4,"d":"$1,750.40"},{"v":1715.4,"d":"$1,715.40"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010119040E              ","MBRP00000424990","000001101366","2022-03-28","70010016201","LORATADINE TABS 10.000",30,30,{"v":5.78,"d":"$5.78"},{"v":0.59,"d":"$0.59"},{"v":6.37,"d":"$6.37"},{"v":1.37,"d":"$1.37"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010119040E              ","MBRP00000424990","011115165024","2022-03-28","70010016201","LORATADINE TABS 10.000",30,30,{"v":5.78,"d":"$5.78"},{"v":0.59,"d":"$0.59"},{"v":6.37,"d":"$6.37"},{"v":1.37,"d":"$1.37"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010119040E              ","MBRP00000424990","011115165024","2022-03-28","70010016201","LORATADINE TABS 10.000",-30,30,{"v":-5.78,"d":"-$5.78"},{"v":-0.59,"d":"-$0.59"},{"v":-6.37,"d":"-$6.37"},{"v":-1.37,"d":"-$1.37"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010116868E              ","MBRP00000430955","000001863645","2022-03-28","70010014801","POTASSIUM CHLO CPCR 10.000",30,30,{"v":23.11,"d":"$23.11"},{"v":0.59,"d":"$0.59"},{"v":23.7,"d":"$23.70"},{"v":18.7,"d":"$18.70"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","0010150899E              ","MBRP00000429069","000000857886","2022-03-28","68462010530","ONDANSETRON HY TABS 4.000",30,30,{"v":3.19,"d":"$3.19"},{"v":0.59,"d":"$0.59"},{"v":3.78,"d":"$3.78"},{"v":0,"d":"$0.00"},{"v":3.78,"d":"$3.78"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010064744E              ","MBRP00000422384","000000580305","2022-03-28","68382013905","TOPIRAMATE TABS 50.000",45,30,{"v":6.87,"d":"$6.87"},{"v":0.5,"d":"$0.50"},{"v":7.37,"d":"$7.37"},{"v":2.37,"d":"$2.37"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","0010137643E              ","MBRP00000417932","000000921398","2022-03-28","68180071160","CEFDINIR CAPS 300.000",20,10,{"v":12.41,"d":"$12.41"},{"v":0.59,"d":"$0.59"},{"v":13,"d":"$13.00"},{"v":8,"d":"$8.00"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3679632","CVS PHARMACY #08248 08248"]
["21865M","0010139575E              ","MBRP00000430856","000000915132","2022-03-28","62332014231","CELECOXIB CAPS 200.000",60,30,{"v":31.78,"d":"$31.78"},{"v":0.5,"d":"$0.50"},{"v":32.28,"d":"$32.28"},{"v":27.28,"d":"$27.28"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606211","DARTMOUTH PHARMACY"]
["21865M","0010084188E              ","MBRP00000424742","000002893141","2022-03-28","65862078201","METHENAMINE HI TABS 1.000",30,30,{"v":39.34,"d":"$39.34"},{"v":0.59,"d":"$0.59"},{"v":39.93,"d":"$39.93"},{"v":34.93,"d":"$34.93"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","AC00110564900","MBRP00000468834","000000752801","2022-03-28","42806015905","HYDROXYZINE HY TABS 10.000",60,20,{"v":2.91,"d":"$2.91"},{"v":0.59,"d":"$0.59"},{"v":3.5,"d":"$3.50"},{"v":0,"d":"$0.00"},{"v":3.5,"d":"$3.50"},"G","N",0,0,0,"R","3681360","CVS PHARMACY #10209 10209"]
["21865M","AC00110564900","MBRP00000468834","000000752801","2022-03-28","42806015905","HYDROXYZINE HY TABS 10.000",-60,20,{"v":-2.91,"d":"-$2.91"},{"v":-0.59,"d":"-$0.59"},{"v":-3.5,"d":"-$3.50"},{"v":0,"d":"$0.00"},{"v":-3.5,"d":"-$3.50"},"G","N",0,0,0,"R","3681360","CVS PHARMACY #10209 10209"]
["21865M","0010006053E              ","MBRP00000424887","011114069782","2022-03-28","00093317431","ALBUTEROL SULF AERS 108.000",-8.5,25,{"v":-32.32,"d":"-$32.32"},{"v":-0.59,"d":"-$0.59"},{"v":-32.91,"d":"-$32.91"},{"v":-27.91,"d":"-$27.91"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010006053E              ","MBRP00000424887","011114069782","2022-03-28","00093317431","ALBUTEROL SULF AERS 108.000",8.5,25,{"v":32.32,"d":"$32.32"},{"v":0.59,"d":"$0.59"},{"v":32.91,"d":"$32.91"},{"v":27.91,"d":"$27.91"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","AC00103124700","MBRP00000453372","000000749820","2022-03-28","00121075908","PREDNISOLONE S SOLN 15.000",-50,5,{"v":-5.47,"d":"-$5.47"},{"v":-0.59,"d":"-$0.59"},{"v":-6.06,"d":"-$6.06"},{"v":-1.06,"d":"-$1.06"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","AC00103124700","MBRP00000453372","000000749820","2022-03-28","00121075908","PREDNISOLONE S SOLN 15.000",50,5,{"v":5.47,"d":"$5.47"},{"v":0.59,"d":"$0.59"},{"v":6.06,"d":"$6.06"},{"v":1.06,"d":"$1.06"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","AC00103124700","MBRP00000453372","000000749753","2022-03-28","00121075908","PREDNISOLONE S SOLN 15.000",50,5,{"v":5.47,"d":"$5.47"},{"v":0.59,"d":"$0.59"},{"v":6.06,"d":"$6.06"},{"v":1.06,"d":"$1.06"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","AC00103124700","MBRP00000453372","000000749753","2022-03-28","00121075908","PREDNISOLONE S SOLN 15.000",-50,5,{"v":-5.47,"d":"-$5.47"},{"v":-0.59,"d":"-$0.59"},{"v":-6.06,"d":"-$6.06"},{"v":-1.06,"d":"-$1.06"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","AC00103124700","MBRP00000453372","000000749753","2022-03-28","00121075908","PREDNISOLONE S SOLN 15.000",50,5,{"v":5.47,"d":"$5.47"},{"v":0.59,"d":"$0.59"},{"v":6.06,"d":"$6.06"},{"v":1.06,"d":"$1.06"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","AC00103124700","MBRP00000453372","000000749753","2022-03-28","00121075908","PREDNISOLONE S SOLN 15.000",-50,5,{"v":-5.47,"d":"-$5.47"},{"v":-0.59,"d":"-$0.59"},{"v":-6.06,"d":"-$6.06"},{"v":-1.06,"d":"-$1.06"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","AC00103124700","MBRP00000453372","000000751589","2022-03-28","00121075908","PREDNISOLONE S SOLN 15.000",50,5,{"v":5.47,"d":"$5.47"},{"v":0.59,"d":"$0.59"},{"v":6.06,"d":"$6.06"},{"v":1.06,"d":"$1.06"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010084977E              ","MBRP00000440149","000009391634","2022-03-28","00023320503","LUMIGAN SOLN 0.010",2.5,25,{"v":225.74,"d":"$225.74"},{"v":0.5,"d":"$0.50"},{"v":226.24,"d":"$226.24"},{"v":191.24,"d":"$191.24"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010005945E              ","MBRP00000440212","000000619601","2022-03-28","00006027731","JANUVIA TABS 100.000",30,30,{"v":520.57,"d":"$520.57"},{"v":0.59,"d":"$0.59"},{"v":521.16,"d":"$521.16"},{"v":501.16,"d":"$501.16"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3648485","RITE AID PHARMACY 03198"]
["21865M","0010084350E              ","MBRP00000422426","000002056957","2022-03-28","00024591401","DUPIXENT SOSY 300.000",4,28,{"v":3358.19,"d":"$3,358.19"},{"v":0,"d":"$0.00"},{"v":3358.19,"d":"$3,358.19"},{"v":3338.19,"d":"$3,338.19"},{"v":20,"d":"$20.00"},"B","Y",0,0,1,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010052586E              ","MBRP00000398481","000002958362","2022-03-28","00310620530","FARXIGA TABS 5.000",30,30,{"v":547.96,"d":"$547.96"},{"v":0.59,"d":"$0.59"},{"v":548.55,"d":"$548.55"},{"v":528.55,"d":"$528.55"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010084079E              ","MBRP00000422443","000007415042","2022-03-28","00169750111","NOVOLOG SOLN 100.000",20,13,{"v":577.79,"d":"$577.79"},{"v":0.59,"d":"$0.59"},{"v":578.38,"d":"$578.38"},{"v":543.38,"d":"$543.38"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3666356","GIANT EAGLE PHARMACY #1620 1620"]
["21865M","0010139575E              ","MBRP00000430856","000000913396","2022-03-28","69452015120","VITAMIN D CAPS 50000.000",12,84,{"v":6.04,"d":"$6.04"},{"v":0.5,"d":"$0.50"},{"v":6.54,"d":"$6.54"},{"v":0,"d":"$0.00"},{"v":6.54,"d":"$6.54"},"G","N",0,0,0,"R","3606211","DARTMOUTH PHARMACY"]
["21865M","0010153595E              ","MBRP00000430834","000001246345","2022-03-28","70436001104","BUPROPION HYDR TB24 300.000",30,30,{"v":17.13,"d":"$17.13"},{"v":0.59,"d":"$0.59"},{"v":17.72,"d":"$17.72"},{"v":12.72,"d":"$12.72"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010153779E              ","MBRP00000444990","000000750931","2022-03-28","69452015120","VITAMIN D CAPS 50000.000",4,27,{"v":2.4,"d":"$2.40"},{"v":0.59,"d":"$0.59"},{"v":2.99,"d":"$2.99"},{"v":0,"d":"$0.00"},{"v":2.99,"d":"$2.99"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010106791E              ","MBRP00000437316","000009391783","2022-03-28","65862093488","AUROVELA 24 FE TABS 0.000",28,28,{"v":11.75,"d":"$11.75"},{"v":0.5,"d":"$0.50"},{"v":12.25,"d":"$12.25"},{"v":12.25,"d":"$12.25"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010032074E              ","MBRP00000418062","000007157426","2022-03-28","67877019805","AMLODIPINE BES TABS 5.000",30,30,{"v":3.53,"d":"$3.53"},{"v":0.59,"d":"$0.59"},{"v":4.12,"d":"$4.12"},{"v":0,"d":"$0.00"},{"v":4.12,"d":"$4.12"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010032074E              ","MBRP00000418062","011114876331","2022-03-28","67877019805","AMLODIPINE BES TABS 5.000",90,90,{"v":10.59,"d":"$10.59"},{"v":0,"d":"$0.00"},{"v":10.59,"d":"$10.59"},{"v":0,"d":"$0.00"},{"v":10.59,"d":"$10.59"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010032074E              ","MBRP00000418062","011114876331","2022-03-28","67877019805","AMLODIPINE BES TABS 5.000",-90,90,{"v":-10.59,"d":"-$10.59"},{"v":0,"d":"$0.00"},{"v":-10.59,"d":"-$10.59"},{"v":0,"d":"$0.00"},{"v":-10.59,"d":"-$10.59"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010153595E              ","MBRP00000430834","000001246343","2022-03-28","31722064630","TADALAFIL TABS 20.000",6,30,{"v":10.97,"d":"$10.97"},{"v":0.59,"d":"$0.59"},{"v":11.56,"d":"$11.56"},{"v":6.56,"d":"$6.56"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010062987E              ","MBRP00000429104","000006254244","2022-03-28","29300011101","LAMOTRIGINE TABS 25.000",60,30,{"v":8.19,"d":"$8.19"},{"v":0.59,"d":"$0.59"},{"v":8.78,"d":"$8.78"},{"v":3.78,"d":"$3.78"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3673503","K C INSTITUTIONAL PHARMACY"]
["21865M","0010139575E              ","MBRP00000430856","000000913994","2022-03-28","42192033901","HYOSCYAMINE SU SUBL 0.125",90,22,{"v":18.33,"d":"$18.33"},{"v":0.5,"d":"$0.50"},{"v":18.83,"d":"$18.83"},{"v":13.83,"d":"$13.83"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606211","DARTMOUTH PHARMACY"]
["21865M","0010076542E              ","MBRP00000422322","000000627520","2022-03-28","42858072001","AMPHETAMINE/DE CP24 0.000",30,30,{"v":17.97,"d":"$17.97"},{"v":0.59,"d":"$0.59"},{"v":18.56,"d":"$18.56"},{"v":13.56,"d":"$13.56"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010005945E              ","MBRP00000440212","000000614946","2022-03-28","51991000590","EXEMESTANE TABS 25.000",30,30,{"v":165.45,"d":"$165.45"},{"v":0.59,"d":"$0.59"},{"v":166.04,"d":"$166.04"},{"v":161.04,"d":"$161.04"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648485","RITE AID PHARMACY 03198"]
["21865M","0010115244E              ","MBRP00000424883","000000749849","2022-03-28","59746017506","PREDNISONE TABS 20.000",9,6,{"v":1.28,"d":"$1.28"},{"v":0.59,"d":"$0.59"},{"v":1.87,"d":"$1.87"},{"v":0,"d":"$0.00"},{"v":1.87,"d":"$1.87"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010064744E              ","MBRP00000422384","000000608169","2022-03-28","55111029298","SUMATRIPTAN SU TABS 50.000",9,15,{"v":10.11,"d":"$10.11"},{"v":0.5,"d":"$0.50"},{"v":10.61,"d":"$10.61"},{"v":5.61,"d":"$5.61"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","0010084319E              ","MBRP00000422187","000000929925","2022-03-28","65162074510","PROMETHAZINE H TABS 12.500",12,3,{"v":1.15,"d":"$1.15"},{"v":0.59,"d":"$0.59"},{"v":1.74,"d":"$1.74"},{"v":0,"d":"$0.00"},{"v":1.74,"d":"$1.74"},"G","N",0,0,0,"R","3652092","RITE AID PHARMACY 02413"]
["21865M","0010084319E              ","MBRP00000422187","000000929925","2022-03-28","65162074510","PROMETHAZINE H TABS 12.500",12,3,{"v":1.15,"d":"$1.15"},{"v":0.59,"d":"$0.59"},{"v":1.74,"d":"$1.74"},{"v":0,"d":"$0.00"},{"v":1.74,"d":"$1.74"},"G","N",0,0,0,"R","3652092","RITE AID PHARMACY 02413"]
["21865M","0010084319E              ","MBRP00000422187","000000929925","2022-03-28","65162074510","PROMETHAZINE H TABS 12.500",-12,3,{"v":-1.15,"d":"-$1.15"},{"v":-0.59,"d":"-$0.59"},{"v":-1.74,"d":"-$1.74"},{"v":0,"d":"$0.00"},{"v":-1.74,"d":"-$1.74"},"G","N",0,0,0,"R","3652092","RITE AID PHARMACY 02413"]
["21865M","0010116868E              ","MBRP00000430955","000001863644","2022-03-28","68180063609","ATORVASTATIN C TABS 20.000",30,30,{"v":6.87,"d":"$6.87"},{"v":0.59,"d":"$0.59"},{"v":7.46,"d":"$7.46"},{"v":2.46,"d":"$2.46"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","0010139575E              ","MBRP00000430856","000000916611","2022-03-28","68001039708","FAMOTIDINE TABS 20.000",30,30,{"v":3.29,"d":"$3.29"},{"v":0.5,"d":"$0.50"},{"v":3.79,"d":"$3.79"},{"v":0,"d":"$0.00"},{"v":3.79,"d":"$3.79"},"G","N",0,0,0,"R","3606211","DARTMOUTH PHARMACY"]
["21865M","0010064744E              ","MBRP00000422384","000000608170","2022-03-28","68001016208","PROMETHAZINE H TABS 25.000",15,15,{"v":1.36,"d":"$1.36"},{"v":0.5,"d":"$0.50"},{"v":1.86,"d":"$1.86"},{"v":0,"d":"$0.00"},{"v":1.86,"d":"$1.86"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","0010134932E              ","MBRP00000424844","000000878786","2022-03-28","68382005105","MELOXICAM TABS 15.000",30,30,{"v":4.15,"d":"$4.15"},{"v":0.59,"d":"$0.59"},{"v":4.74,"d":"$4.74"},{"v":0,"d":"$0.00"},{"v":4.74,"d":"$4.74"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010052586E              ","MBRP00000398481","000002915485","2022-03-28","68382009601","HYDROXYCHLOROQ TABS 200.000",60,30,{"v":73.1,"d":"$73.10"},{"v":0.59,"d":"$0.59"},{"v":73.69,"d":"$73.69"},{"v":68.69,"d":"$68.69"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010084319E              ","MBRP00000422187","000000929927","2022-03-28","72647033104","METHYLPREDNISO TBPK 4.000",21,6,{"v":7.65,"d":"$7.65"},{"v":0.59,"d":"$0.59"},{"v":8.24,"d":"$8.24"},{"v":3.24,"d":"$3.24"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652092","RITE AID PHARMACY 02413"]
["21865M","0010144055E              ","MBRP00000429129","000329143344","2022-03-28","65862069705","VENLAFAXINE HC CP24 150.000",90,90,{"v":42.35,"d":"$42.35"},{"v":0,"d":"$0.00"},{"v":42.35,"d":"$42.35"},{"v":32.35,"d":"$32.35"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010006053E              ","MBRP00000424887","011114065724","2022-03-28","68180035202","SERTRALINE HCL TABS 50.000",-30,30,{"v":-7.01,"d":"-$7.01"},{"v":-0.59,"d":"-$0.59"},{"v":-7.6,"d":"-$7.60"},{"v":-2.6,"d":"-$2.60"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010006053E              ","MBRP00000424887","011114065724","2022-03-28","68180035202","SERTRALINE HCL TABS 50.000",30,30,{"v":7.01,"d":"$7.01"},{"v":0.59,"d":"$0.59"},{"v":7.6,"d":"$7.60"},{"v":2.6,"d":"$2.60"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010150899E              ","MBRP00000429069","000000868610","2022-03-28","65862019105","CYCLOBENZAPRIN TABS 10.000",60,30,{"v":0.99,"d":"$0.99"},{"v":0.59,"d":"$0.59"},{"v":1.58,"d":"$1.58"},{"v":0,"d":"$0.00"},{"v":1.58,"d":"$1.58"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010150899E              ","MBRP00000429069","000000868610","2022-03-28","65862019105","CYCLOBENZAPRIN TABS 10.000",60,30,{"v":0.99,"d":"$0.99"},{"v":0.59,"d":"$0.59"},{"v":1.58,"d":"$1.58"},{"v":0,"d":"$0.00"},{"v":1.58,"d":"$1.58"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010150899E              ","MBRP00000429069","000000868610","2022-03-28","65862019105","CYCLOBENZAPRIN TABS 10.000",-60,30,{"v":-0.99,"d":"-$0.99"},{"v":-0.59,"d":"-$0.59"},{"v":-1.58,"d":"-$1.58"},{"v":0,"d":"$0.00"},{"v":-1.58,"d":"-$1.58"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010153656E              ","MBRP00000430761","000006818739","2022-03-28","65862006299","METOPROLOL TAR TABS 25.000",-60,30,{"v":-3.4,"d":"-$3.40"},{"v":-0.59,"d":"-$0.59"},{"v":-3.99,"d":"-$3.99"},{"v":0,"d":"$0.00"},{"v":-3.99,"d":"-$3.99"},"G","N",0,0,0,"R","3656444","MARCS 27"]
["21865M","0010153656E              ","MBRP00000430761","000006818739","2022-03-28","65862006299","METOPROLOL TAR TABS 25.000",60,30,{"v":3.4,"d":"$3.40"},{"v":0.59,"d":"$0.59"},{"v":3.99,"d":"$3.99"},{"v":0,"d":"$0.00"},{"v":3.99,"d":"$3.99"},"G","N",0,0,0,"R","3656444","MARCS 27"]
["21865M","0010149310E              ","MBRP00000437322","000000729463","2022-03-28","00456120330","LINZESS CAPS 72.000",90,90,{"v":1421.86,"d":"$1,421.86"},{"v":0,"d":"$0.00"},{"v":1421.86,"d":"$1,421.86"},{"v":1361.86,"d":"$1,361.86"},{"v":60,"d":"$60.00"},"B","N",0,0,1,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010115244E              ","MBRP00000424886","000000749756","2022-03-28","00228306311","AMPHETAMINE/DE CP24 0.000",30,30,{"v":31.26,"d":"$31.26"},{"v":0.59,"d":"$0.59"},{"v":31.85,"d":"$31.85"},{"v":26.85,"d":"$26.85"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010146190E              ","MBRP00000431016","000002065495","2022-03-28","00074055402","HUMIRA PEN PNKT 40.000",2,28,{"v":6307.28,"d":"$6,307.28"},{"v":0,"d":"$0.00"},{"v":6307.28,"d":"$6,307.28"},{"v":6287.28,"d":"$6,287.28"},{"v":20,"d":"$20.00"},"B","Y",0,0,1,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010144060E              ","MBRP00000422224","000000627386","2022-03-28","69097014260","ALBUTEROL SULF AERS 108.000",6.7,16,{"v":25.47,"d":"$25.47"},{"v":0.59,"d":"$0.59"},{"v":26.06,"d":"$26.06"},{"v":21.06,"d":"$21.06"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010139575E              ","MBRP00000430856","000000915133","2022-03-28","68382009605","HYDROXYCHLOROQ TABS 200.000",60,30,{"v":52.7,"d":"$52.70"},{"v":0.5,"d":"$0.50"},{"v":53.2,"d":"$53.20"},{"v":48.2,"d":"$48.20"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606211","DARTMOUTH PHARMACY"]
["21865M","0010116868E              ","MBRP00000430955","000001863643","2022-03-28","68462039610","OMEPRAZOLE CPDR 20.000",30,30,{"v":7.28,"d":"$7.28"},{"v":0.59,"d":"$0.59"},{"v":7.87,"d":"$7.87"},{"v":2.87,"d":"$2.87"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659185","RITE AID PHARMACY 03700"]
["21865M","0010079613E              ","MBRP00000422307","000001549224","2022-03-28","68180086573","BLISOVI FE 1/2 TABS 0.000",84,84,{"v":48.25,"d":"$48.25"},{"v":0,"d":"$0.00"},{"v":48.25,"d":"$48.25"},{"v":48.25,"d":"$48.25"},{"v":0,"d":"$0.00"},"G","N",0,1,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010006070E              ","MBRP00000417888","000000580952","2022-03-28","27808015601","ROSUVASTATIN C TABS 10.000",90,90,{"v":18.02,"d":"$18.02"},{"v":0,"d":"$0.00"},{"v":18.02,"d":"$18.02"},{"v":3.02,"d":"$3.02"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","0010153595E              ","MBRP00000430834","000001246344","2022-03-28","29300014901","QUETIAPINE FUM TABS 100.000",30,30,{"v":6.41,"d":"$6.41"},{"v":0.59,"d":"$0.59"},{"v":7,"d":"$7.00"},{"v":2,"d":"$2.00"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010084191E              ","MBRP00000422314","000001059046","2022-03-28","16714041603","LARIN 24 FE TABS 0.000",28,28,{"v":41.62,"d":"$41.62"},{"v":0.59,"d":"$0.59"},{"v":42.21,"d":"$42.21"},{"v":42.21,"d":"$42.21"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3651949","RITE AID PHARMACY 02398"]
["21865M","0010006070E              ","MBRP00000417888","000000600351","2022-03-28","13668001005","CITALOPRAM HYD TABS 20.000",90,90,{"v":10.11,"d":"$10.11"},{"v":0,"d":"$0.00"},{"v":10.11,"d":"$10.11"},{"v":0,"d":"$0.00"},{"v":10.11,"d":"$10.11"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","AC00110043100","MBRP00000460621","000001929626","2022-03-28","00781185220","AMOXICILLIN/CL TABS 0.000",14,7,{"v":7.58,"d":"$7.58"},{"v":0.59,"d":"$0.59"},{"v":8.17,"d":"$8.17"},{"v":3.17,"d":"$3.17"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663805","DISCOUNT DRUG MART 52"]
["21865M","0010076542E              ","MBRP00000422322","000000627521","2022-03-28","00555097202","AMPHETAMINE/DE TABS 0.000",30,30,{"v":13.06,"d":"$13.06"},{"v":0.59,"d":"$0.59"},{"v":13.65,"d":"$13.65"},{"v":8.65,"d":"$8.65"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010152623E              ","MBRP00000468380","000000924436","2022-03-28","45802086803","POLYETHYLENE G POWD 17.000",-510,30,{"v":-7.53,"d":"-$7.53"},{"v":-0.59,"d":"-$0.59"},{"v":-8.12,"d":"-$8.12"},{"v":-8.12,"d":"-$8.12"},{"v":0,"d":"$0.00"},"G","N",0,0,9,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010152623E              ","MBRP00000468380","000000924436","2022-03-28","45802086803","POLYETHYLENE G POWD 17.000",510,30,{"v":7.53,"d":"$7.53"},{"v":0.59,"d":"$0.59"},{"v":8.12,"d":"$8.12"},{"v":8.12,"d":"$8.12"},{"v":0,"d":"$0.00"},"G","N",0,0,9,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010048465E              ","MBRP00000342841","000002679509","2022-03-28","31722071390","PANTOPRAZOLE S TBEC 40.000",30,30,{"v":7.28,"d":"$7.28"},{"v":0.59,"d":"$0.59"},{"v":7.87,"d":"$7.87"},{"v":2.87,"d":"$2.87"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010006070E              ","MBRP00000417888","000000580950","2022-03-28","33342005510","PIOGLITAZONE H TABS 30.000",90,90,{"v":19.67,"d":"$19.67"},{"v":0,"d":"$0.00"},{"v":19.67,"d":"$19.67"},{"v":4.67,"d":"$4.67"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","AC00111392100","MBRP00000481414","000002712837","2022-03-28","57599080000","FREESTYLE LIBR MISC 0.000",2,28,{"v":122.12,"d":"$122.12"},{"v":0.59,"d":"$0.59"},{"v":122.71,"d":"$122.71"},{"v":102.71,"d":"$102.71"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010139927E              ","MBRP00000424796","000000534715","2022-03-28","51224002218","AZITHROMYCIN TABS 250.000",6,5,{"v":3.8,"d":"$3.80"},{"v":0.59,"d":"$0.59"},{"v":4.39,"d":"$4.39"},{"v":0,"d":"$0.00"},{"v":4.39,"d":"$4.39"},"G","N",0,0,0,"R","3682425","DISCOUNT DRUG MART 83"]
["21865M","0010137634E              ","MBRP00000417937","000002544839","2022-03-29","70700015010","OMEPRAZOLE CPDR 20.000",30,30,{"v":7.28,"d":"$7.28"},{"v":0.59,"d":"$0.59"},{"v":7.87,"d":"$7.87"},{"v":2.87,"d":"$2.87"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010153611E              ","MBRP00000430995","000001754234","2022-03-29","65862042005","SULFAMETHOXAZO TABS 0.000",10,5,{"v":0.99,"d":"$0.99"},{"v":0.59,"d":"$0.59"},{"v":1.58,"d":"$1.58"},{"v":0,"d":"$0.00"},{"v":1.58,"d":"$1.58"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","AC00109149800","MBRP00000446418","000002559316","2022-03-29","65862014736","SUMATRIPTAN SU TABS 50.000",-12,30,{"v":-17.05,"d":"-$17.05"},{"v":-0.59,"d":"-$0.59"},{"v":-17.64,"d":"-$17.64"},{"v":-12.64,"d":"-$12.64"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","AC00109149800","MBRP00000446418","000002559316","2022-03-29","65862014736","SUMATRIPTAN SU TABS 50.000",12,30,{"v":17.05,"d":"$17.05"},{"v":0.59,"d":"$0.59"},{"v":17.64,"d":"$17.64"},{"v":12.64,"d":"$12.64"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010005995E              ","MBRP00000399041","000336322859","2022-03-29","60505257908","ATORVASTATIN C TABS 20.000",90,90,{"v":20.6,"d":"$20.60"},{"v":0,"d":"$0.00"},{"v":20.6,"d":"$20.60"},{"v":10.6,"d":"$10.60"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010084199E              ","MBRP00000417831","000001725964","2022-03-29","59779033001","CVS ALLERGY EY SOLN 0.025",10,30,{"v":7.87,"d":"$7.87"},{"v":0.59,"d":"$0.59"},{"v":8.46,"d":"$8.46"},{"v":3.46,"d":"$3.46"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3609837","CVS PHARMACY #03321 03321"]
["21865M","0010084199E              ","MBRP00000417831","000001725964","2022-03-29","59779033001","CVS ALLERGY EY SOLN 0.025",-10,30,{"v":-7.87,"d":"-$7.87"},{"v":-0.59,"d":"-$0.59"},{"v":-8.46,"d":"-$8.46"},{"v":-3.46,"d":"-$3.46"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3609837","CVS PHARMACY #03321 03321"]
["21865M","0010122770E              ","MBRP00000293151","000004091068","2022-03-29","62756001740","TESTOSTERONE C SOLN 100.000",10,28,{"v":49.17,"d":"$49.17"},{"v":0.59,"d":"$0.59"},{"v":49.76,"d":"$49.76"},{"v":44.76,"d":"$44.76"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010122770E              ","MBRP00000293151","000004091068","2022-03-29","62756001740","TESTOSTERONE C SOLN 100.000",-10,28,{"v":-49.17,"d":"-$49.17"},{"v":-0.59,"d":"-$0.59"},{"v":-49.76,"d":"-$49.76"},{"v":-44.76,"d":"-$44.76"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010122770E              ","MBRP00000293151","000004091068","2022-03-29","62756001740","TESTOSTERONE C SOLN 100.000",10,28,{"v":49.17,"d":"$49.17"},{"v":0.59,"d":"$0.59"},{"v":49.76,"d":"$49.76"},{"v":44.76,"d":"$44.76"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010006062E              ","MBRP00000422329","000001101511","2022-03-29","62332008090","VALSARTAN/HYDR TABS 0.000",90,90,{"v":113.05,"d":"$113.05"},{"v":0,"d":"$0.00"},{"v":113.05,"d":"$113.05"},{"v":98.05,"d":"$98.05"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","AC00109875600","MBRP00000327210","000000975633","2022-03-29","58160082311","SHINGRIX SUSR 50.000",1,1,{"v":171.29,"d":"$171.29"},{"v":0.59,"d":"$0.59"},{"v":191.88,"d":"$191.88"},{"v":191.88,"d":"$191.88"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3651975","RITE AID PHARMACY 02401"]
["21865M","AC00109875600","MBRP00000327210","000000975633","2022-03-29","58160082311","SHINGRIX SUSR 50.000",1,1,{"v":171.29,"d":"$171.29"},{"v":0.59,"d":"$0.59"},{"v":191.88,"d":"$191.88"},{"v":191.88,"d":"$191.88"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3651975","RITE AID PHARMACY 02401"]
["21865M","AC00109875600","MBRP00000327210","000000975633","2022-03-29","58160082311","SHINGRIX SUSR 50.000",-1,1,{"v":-171.29,"d":"-$171.29"},{"v":-0.59,"d":"-$0.59"},{"v":-191.88,"d":"-$191.88"},{"v":-191.88,"d":"-$191.88"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3651975","RITE AID PHARMACY 02401"]
["21865M","0010153665E              ","MBRP00000431011","000002571666","2022-03-29","68462039610","OMEPRAZOLE CPDR 20.000",90,90,{"v":21.85,"d":"$21.85"},{"v":0,"d":"$0.00"},{"v":21.85,"d":"$21.85"},{"v":6.85,"d":"$6.85"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010119784E              ","MBRP00000422453","000001373112","2022-03-29","69097083412","SERTRALINE HCL TABS 50.000",90,90,{"v":21.02,"d":"$21.02"},{"v":0,"d":"$0.00"},{"v":21.02,"d":"$21.02"},{"v":6.02,"d":"$6.02"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3658880","CVS PHARMACY #04057 04057"]
["21865M","0010119784E              ","MBRP00000422453","000001373112","2022-03-29","69097083412","SERTRALINE HCL TABS 50.000",-90,90,{"v":-21.02,"d":"-$21.02"},{"v":0,"d":"$0.00"},{"v":-21.02,"d":"-$21.02"},{"v":-6.02,"d":"-$6.02"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3658880","CVS PHARMACY #04057 04057"]
["21865M","0010153779E              ","MBRP00000444990","000000879114","2022-03-29","13668009690","PANTOPRAZOLE S TBEC 20.000",90,90,{"v":22.22,"d":"$22.22"},{"v":0,"d":"$0.00"},{"v":22.22,"d":"$22.22"},{"v":7.22,"d":"$7.22"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010105128E              ","MBRP00000440229","000002066635","2022-03-29","31722065832","DIMETHYL FUMAR CPDR 240.000",60,30,{"v":1787.39,"d":"$1,787.39"},{"v":0,"d":"$0.00"},{"v":1787.39,"d":"$1,787.39"},{"v":1767.39,"d":"$1,767.39"},{"v":20,"d":"$20.00"},"G","Y",0,0,1,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010022886E              ","MBRP00000397708","000001060643","2022-03-29","31722071390","PANTOPRAZOLE S TBEC 40.000",90,90,{"v":21.84,"d":"$21.84"},{"v":0,"d":"$0.00"},{"v":21.84,"d":"$21.84"},{"v":6.84,"d":"$6.84"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3653094","RITE AID PHARMACY 02437"]
["21865M","AC00108363000","MBRP00000430784","000001152280","2022-03-29","43547035411","LISINOPRIL TABS 20.000",124,62,{"v":13.2,"d":"$13.20"},{"v":0.59,"d":"$0.59"},{"v":13.79,"d":"$13.79"},{"v":0,"d":"$0.00"},{"v":13.79,"d":"$13.79"},"G","N",0,0,0,"R","3657751","DISCOUNT DRUG MART 42"]
["21865M","0010052586E              ","MBRP00000398481","000002906407","2022-03-29","50228046601","NABUMETONE TABS 750.000",60,30,{"v":42.56,"d":"$42.56"},{"v":0.59,"d":"$0.59"},{"v":43.15,"d":"$43.15"},{"v":38.15,"d":"$38.15"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010084175E              ","MBRP00000431020","000001209076","2022-03-29","00172208380","HYDROCHLOROTHI TABS 25.000",90,90,{"v":4.61,"d":"$4.61"},{"v":0,"d":"$0.00"},{"v":4.61,"d":"$4.61"},{"v":0,"d":"$0.00"},{"v":4.61,"d":"$4.61"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010116985E              ","MBRP00000429254","000001531328","2022-03-29","00172208380","HYDROCHLOROTHI TABS 25.000",90,90,{"v":4.61,"d":"$4.61"},{"v":0,"d":"$0.00"},{"v":4.61,"d":"$4.61"},{"v":0,"d":"$0.00"},{"v":4.61,"d":"$4.61"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010006063E              ","MBRP00000424779","000000924301","2022-03-29","16714040504","LARIN FE 1.5/3 TABS 0.000",28,28,{"v":16.92,"d":"$16.92"},{"v":0.59,"d":"$0.59"},{"v":17.51,"d":"$17.51"},{"v":17.51,"d":"$17.51"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010006063E              ","MBRP00000424779","000000924301","2022-03-29","16714040504","LARIN FE 1.5/3 TABS 0.000",-28,28,{"v":-16.92,"d":"-$16.92"},{"v":-0.59,"d":"-$0.59"},{"v":-17.51,"d":"-$17.51"},{"v":-17.51,"d":"-$17.51"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010032074E              ","MBRP00000418062","000008862896","2022-03-29","80681009900","FOLIC ACID TABS 400.000",-30,30,{"v":-0.4,"d":"-$0.40"},{"v":-0.59,"d":"-$0.59"},{"v":-0.99,"d":"-$0.99"},{"v":-0.99,"d":"-$0.99"},{"v":0,"d":"$0.00"},"G","N",0,0,9,"R","3654034","MARCS 22"]
["21865M","0010032074E              ","MBRP00000418062","000008862896","2022-03-29","80681009900","FOLIC ACID TABS 400.000",30,30,{"v":0.4,"d":"$0.40"},{"v":0.59,"d":"$0.59"},{"v":0.99,"d":"$0.99"},{"v":0.99,"d":"$0.99"},{"v":0,"d":"$0.00"},"G","N",0,0,9,"R","3654034","MARCS 22"]
["21865M","0010032074E              ","MBRP00000418062","000008862896","2022-03-29","80681009900","FOLIC ACID TABS 400.000",30,30,{"v":0.4,"d":"$0.40"},{"v":0.59,"d":"$0.59"},{"v":0.99,"d":"$0.99"},{"v":0.99,"d":"$0.99"},{"v":0,"d":"$0.00"},"G","N",0,0,9,"R","3654034","MARCS 22"]
["21865M","0010119041E              ","MBRP00000424919","000000201950","2022-03-29","67877014605","TEMAZEPAM CAPS 15.000",30,30,{"v":8.69,"d":"$8.69"},{"v":0.59,"d":"$0.59"},{"v":9.28,"d":"$9.28"},{"v":4.28,"d":"$4.28"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3686409","DISCOUNT DRUG MART #89 89"]
["21865M","0010084319E              ","MBRP00000422187","000000885737","2022-03-29","65862077685","MILI TABS 0.000",28,28,{"v":20.54,"d":"$20.54"},{"v":0.59,"d":"$0.59"},{"v":21.13,"d":"$21.13"},{"v":21.13,"d":"$21.13"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3679606","CVS PHARMACY #02063 02063"]
["21865M","0010134939E              ","MBRP00000422191","000331011736","2022-03-29","50111056003","TRAZODONE HYDR TABS 50.000",180,90,{"v":44.12,"d":"$44.12"},{"v":0,"d":"$0.00"},{"v":44.12,"d":"$44.12"},{"v":34.12,"d":"$34.12"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010062987E              ","MBRP00000429104","000006254318","2022-03-29","29300014005","DIVALPROEX SOD TBEC 500.000",65,33,{"v":15,"d":"$15.00"},{"v":0.59,"d":"$0.59"},{"v":15.59,"d":"$15.59"},{"v":0.59,"d":"$0.59"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3673503","K C INSTITUTIONAL PHARMACY"]
["21865M","0010126142E              ","MBRP00000429124","000006609590","2022-03-29","27241021701","CHLORTHALIDONE TABS 50.000",90,90,{"v":72.18,"d":"$72.18"},{"v":0,"d":"$0.00"},{"v":72.18,"d":"$72.18"},{"v":57.18,"d":"$57.18"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010084175E              ","MBRP00000431020","000001209077","2022-03-29","31722070290","LOSARTAN POTAS TABS 100.000",90,90,{"v":21.53,"d":"$21.53"},{"v":0,"d":"$0.00"},{"v":21.53,"d":"$21.53"},{"v":6.53,"d":"$6.53"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010088292E              ","MBRP00000422146","000335107469","2022-03-29","64380073706","VITAMIN D CAPS 50000.000",13,90,{"v":15.87,"d":"$15.87"},{"v":0,"d":"$0.00"},{"v":15.87,"d":"$15.87"},{"v":5.87,"d":"$5.87"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010119041E              ","MBRP00000424919","000001602016","2022-03-29","59417010710","VYVANSE CAPS 70.000",30,30,{"v":351.17,"d":"$351.17"},{"v":0.59,"d":"$0.59"},{"v":351.76,"d":"$351.76"},{"v":316.76,"d":"$316.76"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010141535E              ","MBRP00000429262","000001193810","2022-03-29","68180063709","ATORVASTATIN C TABS 40.000",-90,90,{"v":-35.89,"d":"-$35.89"},{"v":0,"d":"$0.00"},{"v":-35.89,"d":"-$35.89"},{"v":-20.89,"d":"-$20.89"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010141535E              ","MBRP00000429262","000001193810","2022-03-29","68180063709","ATORVASTATIN C TABS 40.000",90,90,{"v":35.89,"d":"$35.89"},{"v":0,"d":"$0.00"},{"v":35.89,"d":"$35.89"},{"v":20.89,"d":"$20.89"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010141535E              ","MBRP00000429262","000001218011","2022-03-29","08489831510","DROPLET PEN NE MISC 0.000",100,25,{"v":42.48,"d":"$42.48"},{"v":0.59,"d":"$0.59"},{"v":43.07,"d":"$43.07"},{"v":23.07,"d":"$23.07"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010141535E              ","MBRP00000429262","000001218011","2022-03-29","08489831510","DROPLET PEN NE MISC 0.000",-100,25,{"v":-42.48,"d":"-$42.48"},{"v":-0.59,"d":"-$0.59"},{"v":-43.07,"d":"-$43.07"},{"v":-23.07,"d":"-$23.07"},{"v":-20,"d":"-$20.00"},"B","N",0,0,1,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010061930E              ","MBRP00000422275","000000946848","2022-03-29","00597002402","COMBIVENT RESP AERS 0.000",4,30,{"v":460.51,"d":"$460.51"},{"v":0.59,"d":"$0.59"},{"v":461.1,"d":"$461.10"},{"v":441.1,"d":"$441.10"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3652004","RITE AID PHARMACY 02404"]
["21865M","0010061930E              ","MBRP00000422275","000000946848","2022-03-29","00597002402","COMBIVENT RESP AERS 0.000",-4,30,{"v":-460.51,"d":"-$460.51"},{"v":-0.59,"d":"-$0.59"},{"v":-461.1,"d":"-$461.10"},{"v":-441.1,"d":"-$441.10"},{"v":-20,"d":"-$20.00"},"B","N",0,0,1,"R","3652004","RITE AID PHARMACY 02404"]
["21865M","0010050683E              ","MBRP00000422254","000337674820","2022-03-29","00591292754","LEVALBUTEROL T AERO 45.000",60,90,{"v":221.6,"d":"$221.60"},{"v":0,"d":"$0.00"},{"v":221.6,"d":"$221.60"},{"v":151.6,"d":"$151.60"},{"v":70,"d":"$70.00"},"B","N",0,0,9,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010056036E              ","MBRP00000422440","000000900188","2022-03-29","00555902658","JUNEL FE 1/20 TABS 0.000",84,84,{"v":48.25,"d":"$48.25"},{"v":0,"d":"$0.00"},{"v":48.25,"d":"$48.25"},{"v":48.25,"d":"$48.25"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3679606","CVS PHARMACY #02063 02063"]
["21865M","0010119041E              ","MBRP00000424919","000000201950","2022-03-29","00406996101","TEMAZEPAM CAPS 15.000",-30,30,{"v":-8.69,"d":"-$8.69"},{"v":-0.59,"d":"-$0.59"},{"v":-9.28,"d":"-$9.28"},{"v":-4.28,"d":"-$4.28"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3686409","DISCOUNT DRUG MART #89 89"]
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["21865M","0010005981E              ","MBRP00000417973","000338114133","2022-03-29","00023114501","BOTOX SOLR 100.000",2,30,{"v":1196.93,"d":"$1,196.93"},{"v":0,"d":"$0.00"},{"v":1196.93,"d":"$1,196.93"},{"v":1176.93,"d":"$1,176.93"},{"v":20,"d":"$20.00"},"B","Y",0,0,1,"R","3338969","OPTUMRX PHARMACY 706, INC."]
["21865M","0010005981E              ","MBRP00000417973","000338114133","2022-03-29","00023114501","BOTOX SOLR 100.000",-2,30,{"v":-1196.93,"d":"-$1,196.93"},{"v":0,"d":"$0.00"},{"v":-1196.93,"d":"-$1,196.93"},{"v":-1176.93,"d":"-$1,176.93"},{"v":-20,"d":"-$20.00"},"B","Y",0,0,1,"R","3338969","OPTUMRX PHARMACY 706, INC."]
["21865M","0010153685E              ","MBRP00000430963","000000750136","2022-03-29","00228306011","AMPHETAMINE/DE CP24 0.000",30,30,{"v":31.26,"d":"$31.26"},{"v":0.59,"d":"$0.59"},{"v":31.85,"d":"$31.85"},{"v":26.85,"d":"$26.85"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010153685E              ","MBRP00000430963","000000749985","2022-03-29","00228306011","AMPHETAMINE/DE CP24 0.000",-30,30,{"v":-31.26,"d":"-$31.26"},{"v":-0.59,"d":"-$0.59"},{"v":-31.85,"d":"-$31.85"},{"v":-26.85,"d":"-$26.85"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010153685E              ","MBRP00000430963","011116834910","2022-03-29","00228306011","AMPHETAMINE/DE CP24 0.000",30,30,{"v":31.26,"d":"$31.26"},{"v":0.59,"d":"$0.59"},{"v":31.85,"d":"$31.85"},{"v":26.85,"d":"$26.85"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010153685E              ","MBRP00000430963","011116834910","2022-03-29","00228306011","AMPHETAMINE/DE CP24 0.000",-30,30,{"v":-31.26,"d":"-$31.26"},{"v":-0.59,"d":"-$0.59"},{"v":-31.85,"d":"-$31.85"},{"v":-26.85,"d":"-$26.85"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010153685E              ","MBRP00000430963","000000749985","2022-03-29","00228306011","AMPHETAMINE/DE CP24 0.000",30,30,{"v":31.26,"d":"$31.26"},{"v":0.59,"d":"$0.59"},{"v":31.85,"d":"$31.85"},{"v":26.85,"d":"$26.85"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010084350E              ","MBRP00000287785","000000916997","2022-03-29","70010000701","DEXMETHYLPHENI CP24 20.000",30,30,{"v":122.69,"d":"$122.69"},{"v":0.5,"d":"$0.50"},{"v":123.19,"d":"$123.19"},{"v":118.19,"d":"$118.19"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606211","DARTMOUTH PHARMACY"]
["21865M","0010135419E              ","MBRP00000430882","000002507820","2022-03-29","65862069790","VENLAFAXINE HC CP24 150.000",30,30,{"v":14.12,"d":"$14.12"},{"v":0.59,"d":"$0.59"},{"v":14.71,"d":"$14.71"},{"v":9.71,"d":"$9.71"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010150177E              ","MBRP00000429297","000004098498","2022-03-29","65862067799","ALPRAZOLAM TABS 0.500",90,30,{"v":1.36,"d":"$1.36"},{"v":0.59,"d":"$0.59"},{"v":1.95,"d":"$1.95"},{"v":0,"d":"$0.00"},{"v":1.95,"d":"$1.95"},"G","N",0,0,0,"R","3669124","GIANT EAGLE PHARMACY #4034 4034"]
["21865M","0010061934E              ","MBRP00000424836","000001386577","2022-03-29","67877024201","QUETIAPINE FUM TABS 25.000",60,30,{"v":16.57,"d":"$16.57"},{"v":0.59,"d":"$0.59"},{"v":17.16,"d":"$17.16"},{"v":12.16,"d":"$12.16"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010061934E              ","MBRP00000424836","000001386577","2022-03-29","67877024201","QUETIAPINE FUM TABS 25.000",-60,30,{"v":-16.57,"d":"-$16.57"},{"v":-0.59,"d":"-$0.59"},{"v":-17.16,"d":"-$17.16"},{"v":-12.16,"d":"-$12.16"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010153685E              ","MBRP00000430963","000000750135","2022-03-29","65862019430","FLUOXETINE HYD CAPS 40.000",90,90,{"v":42.91,"d":"$42.91"},{"v":0,"d":"$0.00"},{"v":42.91,"d":"$42.91"},{"v":27.91,"d":"$27.91"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010153685E              ","MBRP00000430963","000000749983","2022-03-29","65862019430","FLUOXETINE HYD CAPS 40.000",-90,90,{"v":-42.91,"d":"-$42.91"},{"v":0,"d":"$0.00"},{"v":-42.91,"d":"-$42.91"},{"v":-27.91,"d":"-$27.91"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010153685E              ","MBRP00000430963","011116836046","2022-03-29","65862019430","FLUOXETINE HYD CAPS 40.000",-30,30,{"v":-14.3,"d":"-$14.30"},{"v":-0.59,"d":"-$0.59"},{"v":-14.89,"d":"-$14.89"},{"v":-9.89,"d":"-$9.89"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010153685E              ","MBRP00000430963","000000749983","2022-03-29","65862019430","FLUOXETINE HYD CAPS 40.000",90,90,{"v":42.91,"d":"$42.91"},{"v":0,"d":"$0.00"},{"v":42.91,"d":"$42.91"},{"v":27.91,"d":"$27.91"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010153685E              ","MBRP00000430963","011116836046","2022-03-29","65862019430","FLUOXETINE HYD CAPS 40.000",30,30,{"v":14.3,"d":"$14.30"},{"v":0.59,"d":"$0.59"},{"v":14.89,"d":"$14.89"},{"v":9.89,"d":"$9.89"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010115257E              ","MBRP00000422174","000326121539","2022-03-29","50111056103","TRAZODONE HYDR TABS 100.000",60,60,{"v":22.78,"d":"$22.78"},{"v":0,"d":"$0.00"},{"v":22.78,"d":"$22.78"},{"v":12.78,"d":"$12.78"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3155137","OPTUM PHARMACY 700, LLC"]
["21865M","0010022887E              ","MBRP00000422232","000337271979","2022-03-29","57237001999","DULOXETINE HYD CPEP 60.000",90,90,{"v":55.37,"d":"$55.37"},{"v":0,"d":"$0.00"},{"v":55.37,"d":"$55.37"},{"v":45.37,"d":"$45.37"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","5926716","OPTUM PHARMACY 704, INC."]
["21865M","0010122707E              ","MBRP00000429093","000000749733","2022-03-29","00002143380","TRULICITY SOPN 0.750",2,28,{"v":885.14,"d":"$885.14"},{"v":0.59,"d":"$0.59"},{"v":885.73,"d":"$885.73"},{"v":865.73,"d":"$865.73"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010122707E              ","MBRP00000429093","000000749733","2022-03-29","00002143380","TRULICITY SOPN 0.750",-2,28,{"v":-885.14,"d":"-$885.14"},{"v":-0.59,"d":"-$0.59"},{"v":-885.73,"d":"-$885.73"},{"v":-865.73,"d":"-$865.73"},{"v":-20,"d":"-$20.00"},"B","N",0,0,1,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","AC00107771400","MBRP00000440336","000000803382","2022-03-29","57237001401","TAMSULOSIN HYD CAPS 0.400",90,90,{"v":33.37,"d":"$33.37"},{"v":0,"d":"$0.00"},{"v":33.37,"d":"$33.37"},{"v":18.37,"d":"$18.37"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010135419E              ","MBRP00000430882","000002452693","2022-03-29","55111012205","ATORVASTATIN C TABS 20.000",90,90,{"v":20.6,"d":"$20.60"},{"v":0,"d":"$0.00"},{"v":20.6,"d":"$20.60"},{"v":5.6,"d":"$5.60"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010061934E              ","MBRP00000424836","000001386576","2022-03-29","64764075030","TRINTELLIX TABS 20.000",30,30,{"v":443.43,"d":"$443.43"},{"v":0.59,"d":"$0.59"},{"v":444.02,"d":"$444.02"},{"v":409.02,"d":"$409.02"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010005995E              ","MBRP00000399041","000336322858","2022-03-29","65862001305","SERTRALINE HYD TABS 100.000",90,90,{"v":22.04,"d":"$22.04"},{"v":0,"d":"$0.00"},{"v":22.04,"d":"$22.04"},{"v":12.04,"d":"$12.04"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010084094E              ","MBRP00000418015","000001602309","2022-03-29","00713063415","MOMETASONE FUR CREA 0.100",60,20,{"v":37.01,"d":"$37.01"},{"v":0.59,"d":"$0.59"},{"v":37.6,"d":"$37.60"},{"v":32.6,"d":"$32.60"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010149153E              ","MBRP00000429319","000002424783","2022-03-29","08290320119","BD PEN NEEDLE/ MISC 0.000",100,33,{"v":52.13,"d":"$52.13"},{"v":0.59,"d":"$0.59"},{"v":52.72,"d":"$52.72"},{"v":0,"d":"$0.00"},{"v":52.72,"d":"$52.72"},"B","N",0,0,9,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010149153E              ","MBRP00000429319","000002424783","2022-03-29","08290320119","BD PEN NEEDLE/ MISC 0.000",-100,33,{"v":-52.13,"d":"-$52.13"},{"v":-0.59,"d":"-$0.59"},{"v":-52.72,"d":"-$52.72"},{"v":0,"d":"$0.00"},{"v":-52.72,"d":"-$52.72"},"B","N",0,0,9,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010153643E              ","MBRP00000430791","000007157275","2022-03-29","00781808926","AZITHROMYCIN TABS 250.000",6,5,{"v":3.8,"d":"$3.80"},{"v":0.59,"d":"$0.59"},{"v":4.39,"d":"$4.39"},{"v":0,"d":"$0.00"},{"v":4.39,"d":"$4.39"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010153612E              ","MBRP00000430775","000006734609","2022-03-29","16714068203","SIMVASTATIN TABS 10.000",90,90,{"v":5.89,"d":"$5.89"},{"v":0,"d":"$0.00"},{"v":5.89,"d":"$5.89"},{"v":0,"d":"$0.00"},{"v":5.89,"d":"$5.89"},"G","N",0,0,0,"R","3659084","MARCS 39"]
["21865M","0010085209E              ","MBRP00000429140","000006616908","2022-03-29","16714085203","METOPROLOL SUC TB24 25.000",30,30,{"v":12.67,"d":"$12.67"},{"v":0.59,"d":"$0.59"},{"v":13.26,"d":"$13.26"},{"v":8.26,"d":"$8.26"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010112591E              ","MBRP00000440132","011115881907","2022-03-29","31722071630","ATOMOXETINE HY CAPS 25.000",30,30,{"v":96.26,"d":"$96.26"},{"v":0.59,"d":"$0.59"},{"v":96.85,"d":"$96.85"},{"v":91.85,"d":"$91.85"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651975","RITE AID PHARMACY 02401"]
["21865M","0010112591E              ","MBRP00000440132","000000975537","2022-03-29","31722071630","ATOMOXETINE HY CAPS 25.000",30,30,{"v":96.26,"d":"$96.26"},{"v":0.59,"d":"$0.59"},{"v":96.85,"d":"$96.85"},{"v":91.85,"d":"$91.85"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651975","RITE AID PHARMACY 02401"]
["21865M","0010112591E              ","MBRP00000440132","011115881907","2022-03-29","31722071630","ATOMOXETINE HY CAPS 25.000",-30,30,{"v":-96.26,"d":"-$96.26"},{"v":-0.59,"d":"-$0.59"},{"v":-96.85,"d":"-$96.85"},{"v":-91.85,"d":"-$91.85"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3651975","RITE AID PHARMACY 02401"]
["21865M","0010132958E              ","MBRP00000440158","000000845207","2022-03-29","29300045901","GUANFACINE HYD TABS 2.000",-90,90,{"v":-68.13,"d":"-$68.13"},{"v":0,"d":"$0.00"},{"v":-68.13,"d":"-$68.13"},{"v":-53.13,"d":"-$53.13"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010132958E              ","MBRP00000440158","000000845207","2022-03-29","29300045901","GUANFACINE HYD TABS 2.000",90,90,{"v":68.13,"d":"$68.13"},{"v":0,"d":"$0.00"},{"v":68.13,"d":"$68.13"},{"v":53.13,"d":"$53.13"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010153610E              ","MBRP00000430843","000001244301","2022-03-29","31722099601","HYDROCODONE BI TABS 0.000",90,30,{"v":8.75,"d":"$8.75"},{"v":0.59,"d":"$0.59"},{"v":9.34,"d":"$9.34"},{"v":4.34,"d":"$4.34"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010088292E              ","MBRP00000422146","000335107472","2022-03-29","43547028111","ESCITALOPRAM O TABS 10.000",90,90,{"v":27.61,"d":"$27.61"},{"v":0,"d":"$0.00"},{"v":27.61,"d":"$27.61"},{"v":17.61,"d":"$17.61"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","AC00110027000","MBRP00000460365","000000925184","2022-03-29","50228018001","GABAPENTIN CAPS 300.000",60,10,{"v":16.83,"d":"$16.83"},{"v":0.59,"d":"$0.59"},{"v":17.42,"d":"$17.42"},{"v":12.42,"d":"$12.42"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","0010122707E              ","MBRP00000429093","000000749733","2022-03-30","00002143380","TRULICITY SOPN 0.750",2,28,{"v":885.14,"d":"$885.14"},{"v":0.59,"d":"$0.59"},{"v":885.73,"d":"$885.73"},{"v":865.73,"d":"$865.73"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010005833E              ","MBRP00000430908","000002056967","2022-03-30","00002144511","TALTZ SOAJ 80.000",1,28,{"v":6172.44,"d":"$6,172.44"},{"v":0,"d":"$0.00"},{"v":6172.44,"d":"$6,172.44"},{"v":6137.44,"d":"$6,137.44"},{"v":35,"d":"$35.00"},"B","Y",0,0,9,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010005833E              ","MBRP00000430908","000002056967","2022-03-30","00002144511","TALTZ SOAJ 80.000",1,28,{"v":6172.44,"d":"$6,172.44"},{"v":0,"d":"$0.00"},{"v":6172.44,"d":"$6,172.44"},{"v":6137.44,"d":"$6,137.44"},{"v":35,"d":"$35.00"},"B","Y",0,0,9,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010005833E              ","MBRP00000430908","000002056967","2022-03-30","00002144511","TALTZ SOAJ 80.000",-1,28,{"v":-6172.44,"d":"-$6,172.44"},{"v":0,"d":"$0.00"},{"v":-6172.44,"d":"-$6,172.44"},{"v":-6137.44,"d":"-$6,137.44"},{"v":-35,"d":"-$35.00"},"B","Y",0,0,9,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010005833E              ","MBRP00000430908","000002056967","2022-03-30","00002144511","TALTZ SOAJ 80.000",-1,28,{"v":-6172.44,"d":"-$6,172.44"},{"v":0,"d":"$0.00"},{"v":-6172.44,"d":"-$6,172.44"},{"v":-6137.44,"d":"-$6,137.44"},{"v":-35,"d":"-$35.00"},"B","Y",0,0,9,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010005833E              ","MBRP00000430908","000002056967","2022-03-30","00002144511","TALTZ SOAJ 80.000",1,28,{"v":6172.44,"d":"$6,172.44"},{"v":0,"d":"$0.00"},{"v":6172.44,"d":"$6,172.44"},{"v":6137.44,"d":"$6,137.44"},{"v":35,"d":"$35.00"},"B","Y",0,0,9,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","AC00110019300","MBRP00000422619","000306737956","2022-03-30","00378728153","LEVONORGESTREL TABS 0.000",91,91,{"v":59.59,"d":"$59.59"},{"v":0,"d":"$0.00"},{"v":59.59,"d":"$59.59"},{"v":59.59,"d":"$59.59"},{"v":0,"d":"$0.00"},"G","N",0,1,0,"M","5926716","OPTUM PHARMACY 704, INC."]
["21865M","0010059329E              ","MBRP00000429026","000000750087","2022-03-30","50383070016","FLUTICASONE PR SUSP 50.000",16,30,{"v":15.2,"d":"$15.20"},{"v":0.59,"d":"$0.59"},{"v":15.79,"d":"$15.79"},{"v":10.79,"d":"$10.79"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010059329E              ","MBRP00000429028","000000750037","2022-03-30","50383070016","FLUTICASONE PR SUSP 50.000",16,30,{"v":15.2,"d":"$15.20"},{"v":0.59,"d":"$0.59"},{"v":15.79,"d":"$15.79"},{"v":10.79,"d":"$10.79"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010149310E              ","MBRP00000437322","000000750057","2022-03-30","65862037401","ESCITALOPRAM O TABS 10.000",90,90,{"v":27.61,"d":"$27.61"},{"v":0,"d":"$0.00"},{"v":27.61,"d":"$27.61"},{"v":12.61,"d":"$12.61"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010116983E              ","MBRP00000430894","000000925499","2022-03-30","65862015901","ZOLPIDEM TARTR TABS 5.000",30,30,{"v":3.43,"d":"$3.43"},{"v":0.59,"d":"$0.59"},{"v":4.02,"d":"$4.02"},{"v":0,"d":"$0.00"},{"v":4.02,"d":"$4.02"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
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["21865M","0010070017E              ","MBRP00000429016","000007143007","2022-03-30","62756014202","METFORMIN HYDR TB24 500.000",180,90,{"v":5.89,"d":"$5.89"},{"v":0,"d":"$0.00"},{"v":5.89,"d":"$5.89"},{"v":0,"d":"$0.00"},{"v":5.89,"d":"$5.89"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010141535E              ","MBRP00000429262","000001246865","2022-03-30","57599080300","FREESTYLE LIBR DEVI 0.000",-1,30,{"v":-69.89,"d":"-$69.89"},{"v":-0.59,"d":"-$0.59"},{"v":-70.48,"d":"-$70.48"},{"v":-50.48,"d":"-$50.48"},{"v":-20,"d":"-$20.00"},"B","N",0,0,1,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010141535E              ","MBRP00000429262","000001246865","2022-03-30","57599080300","FREESTYLE LIBR DEVI 0.000",1,30,{"v":69.89,"d":"$69.89"},{"v":0.59,"d":"$0.59"},{"v":70.48,"d":"$70.48"},{"v":50.48,"d":"$50.48"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","AC00111392100","MBRP00000481414","000002714675","2022-03-30","57599080300","FREESTYLE LIBR DEVI 0.000",1,14,{"v":69.89,"d":"$69.89"},{"v":0.59,"d":"$0.59"},{"v":70.48,"d":"$70.48"},{"v":50.48,"d":"$50.48"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","AC00111392100","MBRP00000481414","000002714675","2022-03-30","57599080300","FREESTYLE LIBR DEVI 0.000",1,30,{"v":69.89,"d":"$69.89"},{"v":0.59,"d":"$0.59"},{"v":70.48,"d":"$70.48"},{"v":50.48,"d":"$50.48"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","AC00111392100","MBRP00000481414","000002714675","2022-03-30","57599080300","FREESTYLE LIBR DEVI 0.000",-1,14,{"v":-69.89,"d":"-$69.89"},{"v":-0.59,"d":"-$0.59"},{"v":-70.48,"d":"-$70.48"},{"v":-50.48,"d":"-$50.48"},{"v":-20,"d":"-$20.00"},"B","N",0,0,1,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","AC00111392100","MBRP00000481414","000002714675","2022-03-30","57599080300","FREESTYLE LIBR DEVI 0.000",-1,30,{"v":-69.89,"d":"-$69.89"},{"v":-0.59,"d":"-$0.59"},{"v":-70.48,"d":"-$70.48"},{"v":-50.48,"d":"-$50.48"},{"v":-20,"d":"-$20.00"},"B","N",0,0,1,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010132958E              ","MBRP00000440157","000000879582","2022-03-30","59417010610","VYVANSE CAPS 60.000",30,30,{"v":351.17,"d":"$351.17"},{"v":0.59,"d":"$0.59"},{"v":351.76,"d":"$351.76"},{"v":316.76,"d":"$316.76"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010064741E              ","MBRP00000440250","000001246863","2022-03-30","80777027399","MODERNA COVID- SUSP 100.000",0.25,1,{"v":0,"d":"$0.00"},{"v":0,"d":"$0.00"},{"v":40,"d":"$40.00"},{"v":40,"d":"$40.00"},{"v":0,"d":"$0.00"},"B","N",0,0,9,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","AC00109689800","MBRP00000455151","000007157599","2022-03-30","70436001204","DESVENLAFAXINE TB24 50.000",30,30,{"v":103.03,"d":"$103.03"},{"v":0.59,"d":"$0.59"},{"v":103.62,"d":"$103.62"},{"v":98.62,"d":"$98.62"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010006037E              ","MBRP00000440264","000001186487","2022-03-30","13668033201","TRAZODONE HYDR TABS 150.000",30,30,{"v":14.59,"d":"$14.59"},{"v":0.59,"d":"$0.59"},{"v":15.18,"d":"$15.18"},{"v":10.18,"d":"$10.18"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010153652E              ","MBRP00000431000","000001206329","2022-03-30","00527136701","PROBENECID TABS 500.000",30,30,{"v":19.12,"d":"$19.12"},{"v":0.59,"d":"$0.59"},{"v":19.71,"d":"$19.71"},{"v":14.71,"d":"$14.71"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010070017E              ","MBRP00000429016","000007143009","2022-03-30","67877019905","AMLODIPINE BES TABS 10.000",90,90,{"v":14.32,"d":"$14.32"},{"v":0,"d":"$0.00"},{"v":14.32,"d":"$14.32"},{"v":0,"d":"$0.00"},{"v":14.32,"d":"$14.32"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010130753E              ","MBRP00000440178","000330411414","2022-03-30","68180098003","LISINOPRIL TABS 10.000",90,90,{"v":12.31,"d":"$12.31"},{"v":0,"d":"$0.00"},{"v":12.31,"d":"$12.31"},{"v":2.31,"d":"$2.31"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010146058E              ","MBRP00000440266","000009361104","2022-03-30","45802016000","DICLOFENAC SOD GEL  1.000",100,30,{"v":12.43,"d":"$12.43"},{"v":0.5,"d":"$0.50"},{"v":12.93,"d":"$12.93"},{"v":7.93,"d":"$7.93"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010119338E              ","MBRP00000440201","000316169799","2022-03-30","45802022111","FLUTICASONE PR OINT 0.005",90,90,{"v":77.35,"d":"$77.35"},{"v":0,"d":"$0.00"},{"v":77.35,"d":"$77.35"},{"v":67.35,"d":"$67.35"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","1718634","OPTUMRX, INC."]
["21865M","AC00101329100","MBRP00000285826","000006794616","2022-03-30","43547028111","ESCITALOPRAM O TABS 10.000",90,90,{"v":27.61,"d":"$27.61"},{"v":0,"d":"$0.00"},{"v":27.61,"d":"$27.61"},{"v":12.61,"d":"$12.61"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010070017E              ","MBRP00000429016","000007143012","2022-03-30","23155050101","HYDROXYZINE HY TABS 25.000",180,90,{"v":45.84,"d":"$45.84"},{"v":0,"d":"$0.00"},{"v":45.84,"d":"$45.84"},{"v":30.84,"d":"$30.84"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010130753E              ","MBRP00000440178","000330411480","2022-03-30","16729037016","TADALAFIL TABS 5.000",90,90,{"v":49.22,"d":"$49.22"},{"v":0,"d":"$0.00"},{"v":49.22,"d":"$49.22"},{"v":39.22,"d":"$39.22"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010106791E              ","MBRP00000440214","000009392502","2022-03-30","00527237032","AZITHROMYCIN TABS 250.000",6,5,{"v":3.81,"d":"$3.81"},{"v":0.5,"d":"$0.50"},{"v":4.31,"d":"$4.31"},{"v":0,"d":"$0.00"},{"v":4.31,"d":"$4.31"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010132958E              ","MBRP00000440157","000000879583","2022-03-30","00527150437","AMPHETAMINE/DE TABS 0.000",25,30,{"v":14.85,"d":"$14.85"},{"v":0.59,"d":"$0.59"},{"v":15.44,"d":"$15.44"},{"v":10.44,"d":"$10.44"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010141535E              ","MBRP00000429262","000001218011","2022-03-30","08489831510","DROPLET PEN NE MISC 0.000",100,25,{"v":42.48,"d":"$42.48"},{"v":0.59,"d":"$0.59"},{"v":43.07,"d":"$43.07"},{"v":23.07,"d":"$23.07"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010084231E              ","MBRP00000424878","000006813497","2022-03-30","16714036504","ELINEST TABS 0.000",28,28,{"v":24.98,"d":"$24.98"},{"v":0.59,"d":"$0.59"},{"v":25.57,"d":"$25.57"},{"v":25.57,"d":"$25.57"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010151645E              ","MBRP00000342810","011118029452","2022-03-30","68462010530","ONDANSETRON HY TABS 4.000",30,10,{"v":3.19,"d":"$3.19"},{"v":0.59,"d":"$0.59"},{"v":3.78,"d":"$3.78"},{"v":0,"d":"$0.00"},{"v":3.78,"d":"$3.78"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010151645E              ","MBRP00000342810","000002979516","2022-03-30","68462010530","ONDANSETRON HY TABS 4.000",45,15,{"v":4.78,"d":"$4.78"},{"v":0.59,"d":"$0.59"},{"v":5.37,"d":"$5.37"},{"v":0.37,"d":"$0.37"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010151645E              ","MBRP00000342810","011118029452","2022-03-30","68462010530","ONDANSETRON HY TABS 4.000",-30,10,{"v":-3.19,"d":"-$3.19"},{"v":-0.59,"d":"-$0.59"},{"v":-3.78,"d":"-$3.78"},{"v":0,"d":"$0.00"},{"v":-3.78,"d":"-$3.78"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010139454E              ","MBRP00000424948","000009340257","2022-03-30","68462039501","OMEPRAZOLE CPDR 10.000",90,90,{"v":19.22,"d":"$19.22"},{"v":0,"d":"$0.00"},{"v":19.22,"d":"$19.22"},{"v":4.22,"d":"$4.22"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010084199E              ","MBRP00000417834","000007362451","2022-03-30","70436005902","BUPROPION HYDR TB12 150.000",180,90,{"v":84.49,"d":"$84.49"},{"v":0,"d":"$0.00"},{"v":84.49,"d":"$84.49"},{"v":69.49,"d":"$69.49"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3606540","ACME PHARMACY 4"]
["21865M","0010084337E              ","MBRP00000440307","000001193669","2022-03-30","70748013306","SILDENAFIL CIT TABS 100.000",6,30,{"v":4.59,"d":"$4.59"},{"v":0.59,"d":"$0.59"},{"v":5.18,"d":"$5.18"},{"v":0.18,"d":"$0.18"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010140122E              ","MBRP00000440310","000002645747","2022-03-30","65862035790","CLOPIDOGREL TABS 75.000",90,90,{"v":50.41,"d":"$50.41"},{"v":0,"d":"$0.00"},{"v":50.41,"d":"$50.41"},{"v":35.41,"d":"$35.41"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010146058E              ","MBRP00000440266","000009392310","2022-03-30","64679010205","BUPROPION HYDR TB24 150.000",30,30,{"v":4.79,"d":"$4.79"},{"v":0.5,"d":"$0.50"},{"v":5.29,"d":"$5.29"},{"v":0.29,"d":"$0.29"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","AC00108052600","MBRP00000429530","000001346128","2022-03-30","68180013601","ESCITALOPRAM O TABS 20.000",90,90,{"v":37.09,"d":"$37.09"},{"v":0,"d":"$0.00"},{"v":37.09,"d":"$37.09"},{"v":22.09,"d":"$22.09"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","AC00108052600","MBRP00000429530","000001346128","2022-03-30","68180013601","ESCITALOPRAM O TABS 20.000",90,90,{"v":37.09,"d":"$37.09"},{"v":0,"d":"$0.00"},{"v":37.09,"d":"$37.09"},{"v":22.09,"d":"$22.09"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","AC00108052600","MBRP00000429530","000001346128","2022-03-30","68180013601","ESCITALOPRAM O TABS 20.000",-90,90,{"v":-37.09,"d":"-$37.09"},{"v":0,"d":"$0.00"},{"v":-37.09,"d":"-$37.09"},{"v":-22.09,"d":"-$22.09"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","AC00108052600","MBRP00000429530","000001346128","2022-03-30","68180013601","ESCITALOPRAM O TABS 20.000",-90,90,{"v":-37.09,"d":"-$37.09"},{"v":0,"d":"$0.00"},{"v":-37.09,"d":"-$37.09"},{"v":-22.09,"d":"-$22.09"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010139575E              ","MBRP00000430854","000000914816","2022-03-30","68001015103","CARVEDILOL TABS 12.500",60,30,{"v":5.21,"d":"$5.21"},{"v":0.5,"d":"$0.50"},{"v":5.71,"d":"$5.71"},{"v":0.71,"d":"$0.71"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606211","DARTMOUTH PHARMACY"]
["21865M","0010088292E              ","MBRP00000422146","000006619671","2022-03-30","55566670001","CLENPIQ SOLN 0.000",320,1,{"v":159.38,"d":"$159.38"},{"v":0.59,"d":"$0.59"},{"v":159.97,"d":"$159.97"},{"v":124.97,"d":"$124.97"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","AC00110504600","MBRP00000449291","000001217140","2022-03-30","56151014701","TRUEPLUS LANCE MISC 0.000",100,25,{"v":5.41,"d":"$5.41"},{"v":0.59,"d":"$0.59"},{"v":6,"d":"$6.00"},{"v":0,"d":"$0.00"},{"v":6,"d":"$6.00"},"B","N",0,0,1,"R","3651886","RITE AID PHARMACY 02393"]
["21865M","AC00110504600","MBRP00000449291","000001217140","2022-03-30","56151014701","TRUEPLUS LANCE MISC 0.000",-100,25,{"v":-5.41,"d":"-$5.41"},{"v":-0.59,"d":"-$0.59"},{"v":-6,"d":"-$6.00"},{"v":0,"d":"$0.00"},{"v":-6,"d":"-$6.00"},"B","N",0,0,1,"R","3651886","RITE AID PHARMACY 02393"]
["21865M","0010146058E              ","MBRP00000440266","000009392312","2022-03-30","50111056103","TRAZODONE HYDR TABS 100.000",30,30,{"v":5.52,"d":"$5.52"},{"v":0.5,"d":"$0.50"},{"v":6.02,"d":"$6.02"},{"v":1.02,"d":"$1.02"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010119784E              ","MBRP00000424792","000002066710","2022-03-30","50242013801","ACTEMRA SOSY 162.000",1.8,28,{"v":2143.46,"d":"$2,143.46"},{"v":0,"d":"$0.00"},{"v":2143.46,"d":"$2,143.46"},{"v":2108.46,"d":"$2,108.46"},{"v":35,"d":"$35.00"},"B","Y",0,0,9,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010119784E              ","MBRP00000424792","000002066710","2022-03-30","50242013801","ACTEMRA SOSY 162.000",1.8,28,{"v":2143.46,"d":"$2,143.46"},{"v":0,"d":"$0.00"},{"v":2143.46,"d":"$2,143.46"},{"v":2108.46,"d":"$2,108.46"},{"v":35,"d":"$35.00"},"B","Y",0,0,9,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010119784E              ","MBRP00000424792","000002066710","2022-03-30","50242013801","ACTEMRA SOSY 162.000",1.8,28,{"v":2143.46,"d":"$2,143.46"},{"v":0,"d":"$0.00"},{"v":2143.46,"d":"$2,143.46"},{"v":2108.46,"d":"$2,108.46"},{"v":35,"d":"$35.00"},"B","Y",0,0,9,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010119784E              ","MBRP00000424792","000002066710","2022-03-30","50242013801","ACTEMRA SOSY 162.000",-1.8,28,{"v":-2143.46,"d":"-$2,143.46"},{"v":0,"d":"$0.00"},{"v":-2143.46,"d":"-$2,143.46"},{"v":-2108.46,"d":"-$2,108.46"},{"v":-35,"d":"-$35.00"},"B","Y",0,0,9,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010119784E              ","MBRP00000424792","000002066710","2022-03-30","50242013801","ACTEMRA SOSY 162.000",-1.8,28,{"v":-2143.46,"d":"-$2,143.46"},{"v":0,"d":"$0.00"},{"v":-2143.46,"d":"-$2,143.46"},{"v":-2108.46,"d":"-$2,108.46"},{"v":-35,"d":"-$35.00"},"B","Y",0,0,9,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010153627E              ","MBRP00000430780","000002952638","2022-03-30","50742017601","ISOSORBIDE MON TB24 60.000",90,90,{"v":44.28,"d":"$44.28"},{"v":0,"d":"$0.00"},{"v":44.28,"d":"$44.28"},{"v":29.28,"d":"$29.28"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010070017E              ","MBRP00000429016","000007143008","2022-03-30","45963067696","METOPROLOL SUC TB24 50.000",90,90,{"v":34.23,"d":"$34.23"},{"v":0,"d":"$0.00"},{"v":34.23,"d":"$34.23"},{"v":19.23,"d":"$19.23"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010125382E              ","MBRP00000290255","000000678731","2022-03-30","45802046564","KETOCONAZOLE SHAM 2.000",120,30,{"v":20.84,"d":"$20.84"},{"v":0.5,"d":"$0.50"},{"v":21.34,"d":"$21.34"},{"v":16.34,"d":"$16.34"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3632850","HERITAGE SQUARE PHARMACY"]
["21865M","0010115257E              ","MBRP00000422174","000001636577","2022-03-30","45802012246","LORATADINE-D 1 TB12 0.000",90,45,{"v":91.88,"d":"$91.88"},{"v":0.59,"d":"$0.59"},{"v":92.47,"d":"$92.47"},{"v":77.47,"d":"$77.47"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3659832","DISCOUNT DRUG MART 50"]
["21865M","AC00101329100","MBRP00000285826","000006802762","2022-03-30","31722064330","TADALAFIL TABS 2.500",30,30,{"v":14.3,"d":"$14.30"},{"v":0.59,"d":"$0.59"},{"v":14.89,"d":"$14.89"},{"v":9.89,"d":"$9.89"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","AC00109580100","MBRP00000453334","000007347006","2022-03-30","00093321930","KETOCONAZOLE CREA 2.000",60,30,{"v":45.89,"d":"$45.89"},{"v":0.59,"d":"$0.59"},{"v":46.48,"d":"$46.48"},{"v":41.48,"d":"$41.48"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3678313","GIANT EAGLE PHARMACY #4601 4601"]
["21865M","0010052597E              ","MBRP00000354711","000008135754","2022-03-30","16714040803","LARIN 1/20 TABS 0.000",21,21,{"v":4.87,"d":"$4.87"},{"v":0.59,"d":"$0.59"},{"v":5.46,"d":"$5.46"},{"v":5.46,"d":"$5.46"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3656470","UNIV OF TOLEDO MAIN CAMPUS OUTPA"]
["21865M","0010033703E              ","MBRP00000429270","000006281433","2022-03-30","00378827093","ALBUTEROL SULF NEBU 0.083",360,20,{"v":19.78,"d":"$19.78"},{"v":0.59,"d":"$0.59"},{"v":20.37,"d":"$20.37"},{"v":15.37,"d":"$15.37"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010139575E              ","MBRP00000430854","000000909553","2022-03-30","16729013516","ALLOPURINOL TABS 300.000",30,30,{"v":10.57,"d":"$10.57"},{"v":0.5,"d":"$0.50"},{"v":11.07,"d":"$11.07"},{"v":6.07,"d":"$6.07"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606211","DARTMOUTH PHARMACY"]
["21865M","0010084124E              ","MBRP00000424694","000006799874","2022-03-30","70700012185","TRI-ESTARYLLA TABS 0.000",28,28,{"v":19.79,"d":"$19.79"},{"v":0.59,"d":"$0.59"},{"v":20.38,"d":"$20.38"},{"v":20.38,"d":"$20.38"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010115601E              ","MBRP00000315730","000000572541","2022-03-30","69528030116","OZOBAX SOLN 5.000",1800,30,{"v":3102.84,"d":"$3,102.84"},{"v":0.59,"d":"$0.59"},{"v":3103.43,"d":"$3,103.43"},{"v":3068.43,"d":"$3,068.43"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010115601E              ","MBRP00000315730","000000572541","2022-03-30","69528030116","OZOBAX SOLN 5.000",-1800,30,{"v":-3102.84,"d":"-$3,102.84"},{"v":-0.59,"d":"-$0.59"},{"v":-3103.43,"d":"-$3,103.43"},{"v":-3068.43,"d":"-$3,068.43"},{"v":-35,"d":"-$35.00"},"B","N",0,0,9,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010115601E              ","MBRP00000315730","000000572541","2022-03-30","69528030116","OZOBAX SOLN 5.000",300,5,{"v":517.14,"d":"$517.14"},{"v":0.59,"d":"$0.59"},{"v":517.73,"d":"$517.73"},{"v":482.73,"d":"$482.73"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010115601E              ","MBRP00000315730","000000572541","2022-03-30","69528030116","OZOBAX SOLN 5.000",-300,5,{"v":-517.14,"d":"-$517.14"},{"v":-0.59,"d":"-$0.59"},{"v":-517.73,"d":"-$517.73"},{"v":-482.73,"d":"-$482.73"},{"v":-35,"d":"-$35.00"},"B","N",0,0,9,"R","3677309","WALGREENS #11810 11810"]
["21865M","AC00109762300","MBRP00000434038","000001304316","2022-03-30","69452015120","VITAMIN D CAPS 50000.000",5,34,{"v":3,"d":"$3.00"},{"v":0.59,"d":"$0.59"},{"v":3.59,"d":"$3.59"},{"v":0,"d":"$0.00"},{"v":3.59,"d":"$3.59"},"G","N",0,0,0,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010153595E              ","MBRP00000430834","000001212623","2022-03-30","69097080237","TESTOSTERONE C SOLN 200.000",10,93,{"v":78.35,"d":"$78.35"},{"v":0,"d":"$0.00"},{"v":78.35,"d":"$78.35"},{"v":63.35,"d":"$63.35"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010151645E              ","MBRP00000342810","000002979516","2022-03-30","65862018730","ONDANSETRON HY TABS 4.000",45,15,{"v":4.78,"d":"$4.78"},{"v":0.59,"d":"$0.59"},{"v":5.37,"d":"$5.37"},{"v":0.37,"d":"$0.37"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010151645E              ","MBRP00000342810","000002979516","2022-03-30","65862018730","ONDANSETRON HY TABS 4.000",-45,15,{"v":-4.78,"d":"-$4.78"},{"v":-0.59,"d":"-$0.59"},{"v":-5.37,"d":"-$5.37"},{"v":-0.37,"d":"-$0.37"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","AC00108382300","MBRP00000477675","000319637829","2022-03-30","66658023101","SYNAGIS SOLN 100.000",1,30,{"v":2958.31,"d":"$2,958.31"},{"v":0,"d":"$0.00"},{"v":2958.31,"d":"$2,958.31"},{"v":2938.31,"d":"$2,938.31"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","1564930","OPTUM PHARMACY 702, LLC"]
["21865M","AC00108382300","MBRP00000477675","000319637829","2022-03-30","66658023101","SYNAGIS SOLN 100.000",-1,30,{"v":-2958.31,"d":"-$2,958.31"},{"v":0,"d":"$0.00"},{"v":-2958.31,"d":"-$2,958.31"},{"v":-2938.31,"d":"-$2,938.31"},{"v":-20,"d":"-$20.00"},"B","N",0,0,1,"R","1564930","OPTUM PHARMACY 702, LLC"]
["21865M","0010146058E              ","MBRP00000440266","000009392308","2022-03-30","67877019910","AMLODIPINE BES TABS 10.000",30,30,{"v":1.93,"d":"$1.93"},{"v":0.5,"d":"$0.50"},{"v":2.43,"d":"$2.43"},{"v":0,"d":"$0.00"},{"v":2.43,"d":"$2.43"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010146058E              ","MBRP00000440266","000009392307","2022-03-30","31722070210","LOSARTAN POTAS TABS 100.000",30,30,{"v":8.94,"d":"$8.94"},{"v":0.5,"d":"$0.50"},{"v":9.44,"d":"$9.44"},{"v":4.44,"d":"$4.44"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010084066E              ","MBRP00000422379","000001097271","2022-03-30","31722094901","OXYCODONE/ACET TABS 0.000",9,3,{"v":1.15,"d":"$1.15"},{"v":0.59,"d":"$0.59"},{"v":1.74,"d":"$1.74"},{"v":0,"d":"$0.00"},{"v":1.74,"d":"$1.74"},"G","N",0,0,0,"R","3659488","DISCOUNT DRUG MART 46"]
["21865M","0010084199E              ","MBRP00000417834","000002248395","2022-03-30","42858072001","AMPHETAMINE/DE CP24 0.000",30,30,{"v":17.97,"d":"$17.97"},{"v":0.59,"d":"$0.59"},{"v":18.56,"d":"$18.56"},{"v":13.56,"d":"$13.56"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3606540","ACME PHARMACY 4"]
["21865M","0010114615E              ","MBRP00000440323","000006896492","2022-03-30","50111056003","TRAZODONE HYDR TABS 50.000",-30,30,{"v":-7.35,"d":"-$7.35"},{"v":-0.59,"d":"-$0.59"},{"v":-7.94,"d":"-$7.94"},{"v":-2.94,"d":"-$2.94"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3669112","GIANT EAGLE PHARMACY #1618 1618"]
["21865M","0010114615E              ","MBRP00000440323","000006896492","2022-03-30","50111056003","TRAZODONE HYDR TABS 50.000",30,30,{"v":7.35,"d":"$7.35"},{"v":0.59,"d":"$0.59"},{"v":7.94,"d":"$7.94"},{"v":2.94,"d":"$2.94"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3669112","GIANT EAGLE PHARMACY #1618 1618"]
["21865M","0010088292E              ","MBRP00000422146","000008857313","2022-03-30","49483000310","BISACODYL EC TBEC 5.000",4,1,{"v":0.03,"d":"$0.03"},{"v":0.59,"d":"$0.59"},{"v":0.62,"d":"$0.62"},{"v":0.62,"d":"$0.62"},{"v":0,"d":"$0.00"},"G","N",0,0,9,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010144386E              ","MBRP00000418017","000027879054","2022-03-30","57237004290","VALACYCLOVIR H TABS 500.000",90,90,{"v":61.85,"d":"$61.85"},{"v":0,"d":"$0.00"},{"v":61.85,"d":"$61.85"},{"v":46.85,"d":"$46.85"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3674276","CANTON VA CBOC PHARMACY"]
["21865M","0010006037E              ","MBRP00000440264","000001226355","2022-03-30","61442011201","ACYCLOVIR TABS 400.000",30,30,{"v":12.71,"d":"$12.71"},{"v":0.59,"d":"$0.59"},{"v":13.3,"d":"$13.30"},{"v":8.3,"d":"$8.30"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010153314E              ","MBRP00000336401","000001306247","2022-03-30","64380078706","BUSPIRONE HYDR TABS 7.500",60,30,{"v":67.24,"d":"$67.24"},{"v":0.59,"d":"$0.59"},{"v":67.83,"d":"$67.83"},{"v":62.83,"d":"$62.83"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3660227","CVS PHARMACY #04605 04605"]
["21865M","0010144049E              ","MBRP00000424750","000001313275","2022-03-30","65162019050","NAPROXEN TABS 500.000",60,30,{"v":6.34,"d":"$6.34"},{"v":0.59,"d":"$0.59"},{"v":6.93,"d":"$6.93"},{"v":1.93,"d":"$1.93"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3665075","CVS PHARMACY #03088 03088"]
["21865M","0010140122E              ","MBRP00000440310","000002645744","2022-03-30","68180063709","ATORVASTATIN C TABS 40.000",90,90,{"v":35.89,"d":"$35.89"},{"v":0,"d":"$0.00"},{"v":35.89,"d":"$35.89"},{"v":20.89,"d":"$20.89"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","AC00109306100","MBRP00000448917","000000874288","2022-03-30","68180031909","BUPROPION HYDR TB24 150.000",30,30,{"v":15.56,"d":"$15.56"},{"v":0.59,"d":"$0.59"},{"v":16.15,"d":"$16.15"},{"v":11.15,"d":"$11.15"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3674365","WALGREENS #1337 1337"]
["21865M","0010084190E              ","MBRP00000422160","000004305002","2022-03-30","68180031909","BUPROPION HYDR TB24 150.000",90,90,{"v":46.67,"d":"$46.67"},{"v":0,"d":"$0.00"},{"v":46.82,"d":"$46.82"},{"v":31.82,"d":"$31.82"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","1402546","WALGREENS #00232 232"]
["21865M","0010084190E              ","MBRP00000422160","000004305002","2022-03-30","68180031909","BUPROPION HYDR TB24 150.000",-90,90,{"v":-46.67,"d":"-$46.67"},{"v":0,"d":"$0.00"},{"v":-46.82,"d":"-$46.82"},{"v":-31.82,"d":"-$31.82"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","1402546","WALGREENS #00232 232"]
["21865M","AC00110019300","MBRP00000422619","000306730998","2022-03-30","68382066205","SPIRONOLACTONE TABS 100.000",45,90,{"v":46.74,"d":"$46.74"},{"v":0,"d":"$0.00"},{"v":46.74,"d":"$46.74"},{"v":36.74,"d":"$36.74"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","5926716","OPTUM PHARMACY 704, INC."]
["21865M","AC00108877100","MBRP00000429187","000006280382","2022-03-30","68180096301","ALBUTEROL SULF AERS 108.000",8.5,25,{"v":32.32,"d":"$32.32"},{"v":0.59,"d":"$0.59"},{"v":32.91,"d":"$32.91"},{"v":27.91,"d":"$27.91"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010150770E              ","MBRP00000312835","000000901087","2022-03-30","69238207707","PROPRANOLOL HY TABS 10.000",90,30,{"v":23.47,"d":"$23.47"},{"v":0.59,"d":"$0.59"},{"v":24.06,"d":"$24.06"},{"v":19.06,"d":"$19.06"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3679606","CVS PHARMACY #02063 02063"]
["21865M","0010151645E              ","MBRP00000342810","011118029252","2022-03-30","65862042005","SULFAMETHOXAZO TABS 0.000",14,7,{"v":1.39,"d":"$1.39"},{"v":0.59,"d":"$0.59"},{"v":1.98,"d":"$1.98"},{"v":0,"d":"$0.00"},{"v":1.98,"d":"$1.98"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010151645E              ","MBRP00000342810","000002979508","2022-03-30","65862042005","SULFAMETHOXAZO TABS 0.000",20,10,{"v":1.99,"d":"$1.99"},{"v":0.59,"d":"$0.59"},{"v":2.58,"d":"$2.58"},{"v":0,"d":"$0.00"},{"v":2.58,"d":"$2.58"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010151645E              ","MBRP00000342810","011118029252","2022-03-30","65862042005","SULFAMETHOXAZO TABS 0.000",-14,7,{"v":-1.39,"d":"-$1.39"},{"v":-0.59,"d":"-$0.59"},{"v":-1.98,"d":"-$1.98"},{"v":0,"d":"$0.00"},{"v":-1.98,"d":"-$1.98"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010153314E              ","MBRP00000336401","000001306248","2022-03-30","65862092585","INCASSIA TABS 0.350",-28,28,{"v":-16.47,"d":"-$16.47"},{"v":-0.59,"d":"-$0.59"},{"v":-17.06,"d":"-$17.06"},{"v":-17.06,"d":"-$17.06"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3660227","CVS PHARMACY #04605 04605"]
["21865M","0010153314E              ","MBRP00000336401","000001306248","2022-03-30","65862092585","INCASSIA TABS 0.350",28,28,{"v":16.47,"d":"$16.47"},{"v":0.59,"d":"$0.59"},{"v":17.06,"d":"$17.06"},{"v":17.06,"d":"$17.06"},{"v":0,"d":"$0.00"},"G","N",0,0,0,"R","3660227","CVS PHARMACY #04605 04605"]
["21865M","0010151418E              ","MBRP00000424972","000000925336","2022-03-30","62332004390","IRBESARTAN TABS 300.000",90,90,{"v":93.52,"d":"$93.52"},{"v":0,"d":"$0.00"},{"v":93.52,"d":"$93.52"},{"v":78.52,"d":"$78.52"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3647281","RITE AID PHARMACY 03061"]
["21865M","AC00107865700","MBRP00000424872","000001602726","2022-03-30","62332025118","AZITHROMYCIN TABS 250.000",6,5,{"v":3.8,"d":"$3.80"},{"v":0.59,"d":"$0.59"},{"v":4.39,"d":"$4.39"},{"v":0,"d":"$0.00"},{"v":4.39,"d":"$4.39"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010070017E              ","MBRP00000429016","000007143013","2022-03-30","60505257908","ATORVASTATIN C TABS 20.000",90,90,{"v":20.6,"d":"$20.60"},{"v":0,"d":"$0.00"},{"v":20.6,"d":"$20.60"},{"v":5.6,"d":"$5.60"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010140122E              ","MBRP00000440310","000002645789","2022-03-30","65862006299","METOPROLOL TAR TABS 25.000",45,90,{"v":4.51,"d":"$4.51"},{"v":0,"d":"$0.00"},{"v":4.51,"d":"$4.51"},{"v":0,"d":"$0.00"},{"v":4.51,"d":"$4.51"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010051147E              ","MBRP00000398325","000324914530","2022-03-30","00074055402","HUMIRA PEN PNKT 40.000",2,28,{"v":6167.29,"d":"$6,167.29"},{"v":0,"d":"$0.00"},{"v":6167.29,"d":"$6,167.29"},{"v":6147.29,"d":"$6,147.29"},{"v":20,"d":"$20.00"},"B","Y",0,0,1,"R","3338969","OPTUMRX PHARMACY 706, INC."]
["21865M","0010153667E              ","MBRP00000431052","000336087660","2022-03-30","00074929619","SYNTHROID TABS 112.000",90,90,{"v":116.09,"d":"$116.09"},{"v":0,"d":"$0.00"},{"v":116.09,"d":"$116.09"},{"v":76.09,"d":"$76.09"},{"v":40,"d":"$40.00"},"B","N",0,1,1,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010153667E              ","MBRP00000431052","000336087660","2022-03-30","00074929619","SYNTHROID TABS 112.000",-90,90,{"v":-116.09,"d":"-$116.09"},{"v":0,"d":"$0.00"},{"v":-116.09,"d":"-$116.09"},{"v":-76.09,"d":"-$76.09"},{"v":-40,"d":"-$40.00"},"B","N",0,1,1,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","AC00109762300","MBRP00000434038","000001368759","2022-03-30","00228277911","PROPRANOLOL HY CP24 80.000",90,90,{"v":174.48,"d":"$174.48"},{"v":0,"d":"$0.00"},{"v":174.48,"d":"$174.48"},{"v":159.48,"d":"$159.48"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3672638","WALGREENS #7865 7865"]
["21865M","AC00111453700","MBRP00000482396","000001557795","2022-03-30","00115164501","NITROFURANTOIN CAPS 100.000",14,7,{"v":20.81,"d":"$20.81"},{"v":0.59,"d":"$0.59"},{"v":21.4,"d":"$21.40"},{"v":16.4,"d":"$16.40"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652054","RITE AID PHARMACY 02409"]
["21865M","0010143490E              ","MBRP00000417916","000006804996","2022-03-30","69097012815","AMLODIPINE BES TABS 10.000",90,90,{"v":14.32,"d":"$14.32"},{"v":0,"d":"$0.00"},{"v":14.32,"d":"$14.32"},{"v":0,"d":"$0.00"},{"v":14.32,"d":"$14.32"},"G","N",0,0,0,"R","3665289","GIANT EAGLE PHARMACY #4016 4016"]
["21865M","0010070017E              ","MBRP00000429016","000007143006","2022-03-30","68180051902","LISINOPRIL/HYD TABS 0.000",90,90,{"v":9.99,"d":"$9.99"},{"v":0,"d":"$0.00"},{"v":9.99,"d":"$9.99"},{"v":0,"d":"$0.00"},{"v":9.99,"d":"$9.99"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010120429E              ","MBRP00000401502","000000824752","2022-03-30","68382003416","VENLAFAXINE HC CP24 37.500",30,30,{"v":11.58,"d":"$11.58"},{"v":0.59,"d":"$0.59"},{"v":12.17,"d":"$12.17"},{"v":7.17,"d":"$7.17"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3679668","CVS PHARMACY #02385 02385"]
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["21865M","0010153674E              ","MBRP00000430829","000000879766","2022-03-30","57599080000","FREESTYLE LIBR MISC 0.000",2,30,{"v":122.12,"d":"$122.12"},{"v":0.59,"d":"$0.59"},{"v":122.71,"d":"$122.71"},{"v":102.71,"d":"$102.71"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010141535E              ","MBRP00000429262","000001246864","2022-03-30","57599080000","FREESTYLE LIBR MISC 0.000",-2,28,{"v":-122.12,"d":"-$122.12"},{"v":-0.59,"d":"-$0.59"},{"v":-122.71,"d":"-$122.71"},{"v":-102.71,"d":"-$102.71"},{"v":-20,"d":"-$20.00"},"B","N",0,0,1,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010141535E              ","MBRP00000429262","000001246864","2022-03-30","57599080000","FREESTYLE LIBR MISC 0.000",2,28,{"v":122.12,"d":"$122.12"},{"v":0.59,"d":"$0.59"},{"v":122.71,"d":"$122.71"},{"v":102.71,"d":"$102.71"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3651836","RITE AID PHARMACY 02388"]
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["21865M","0010137634E              ","MBRP00000417938","000002560826","2022-03-31","65862070755","AMOXICILLIN SUSR 250.000",150,10,{"v":3.23,"d":"$3.23"},{"v":0.59,"d":"$0.59"},{"v":3.82,"d":"$3.82"},{"v":0,"d":"$0.00"},{"v":3.82,"d":"$3.82"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010005981E              ","MBRP00000417973","000330132710","2022-03-31","65862052899","VENLAFAXINE HY CP24 75.000",90,90,{"v":34.75,"d":"$34.75"},{"v":0,"d":"$0.00"},{"v":34.75,"d":"$34.75"},{"v":24.75,"d":"$24.75"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","5926716","OPTUM PHARMACY 704, INC."]
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["21865M","0010141535E              ","MBRP00000429262","000001246864","2022-03-31","57599080000","FREESTYLE LIBR MISC 0.000",2,28,{"v":122.12,"d":"$122.12"},{"v":0.59,"d":"$0.59"},{"v":122.71,"d":"$122.71"},{"v":102.71,"d":"$102.71"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010006051E              ","MBRP00000314615","000007157706","2022-03-31","00093873901","MEXILETINE HCL CAPS 150.000",-90,30,{"v":-88.2,"d":"-$88.20"},{"v":-0.59,"d":"-$0.59"},{"v":-88.79,"d":"-$88.79"},{"v":-83.79,"d":"-$83.79"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010006051E              ","MBRP00000314615","000007157706","2022-03-31","00093873901","MEXILETINE HCL CAPS 150.000",90,30,{"v":88.2,"d":"$88.20"},{"v":0.59,"d":"$0.59"},{"v":88.79,"d":"$88.79"},{"v":83.79,"d":"$83.79"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010006051E              ","MBRP00000314615","000007157706","2022-03-31","00093873901","MEXILETINE HCL CAPS 150.000",90,30,{"v":88.2,"d":"$88.20"},{"v":0.59,"d":"$0.59"},{"v":88.79,"d":"$88.79"},{"v":83.79,"d":"$83.79"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010059329E              ","MBRP00000429028","000000736223","2022-03-31","00093101042","MUPIROCIN OINT 2.000",22,7,{"v":7.23,"d":"$7.23"},{"v":0.59,"d":"$0.59"},{"v":7.82,"d":"$7.82"},{"v":2.82,"d":"$2.82"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010153627E              ","MBRP00000430780","000002979732","2022-03-31","00378001805","METOPROLOL TAR TABS 25.000",180,90,{"v":18.02,"d":"$18.02"},{"v":0,"d":"$0.00"},{"v":18.02,"d":"$18.02"},{"v":3.02,"d":"$3.02"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010084203E              ","MBRP00000424760","000006819455","2022-03-31","68180098103","LISINOPRIL TABS 20.000",90,90,{"v":15.28,"d":"$15.28"},{"v":0,"d":"$0.00"},{"v":15.28,"d":"$15.28"},{"v":0.28,"d":"$0.28"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010122754E              ","MBRP00000418027","000002704604","2022-03-31","68180063509","ATORVASTATIN C TABS 10.000",30,30,{"v":6.95,"d":"$6.95"},{"v":0.59,"d":"$0.59"},{"v":7.54,"d":"$7.54"},{"v":2.54,"d":"$2.54"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010084328E              ","MBRP00000418118","000000628246","2022-03-31","69097014260","ALBUTEROL SULF AERS 108.000",6.7,25,{"v":25.47,"d":"$25.47"},{"v":0.59,"d":"$0.59"},{"v":26.06,"d":"$26.06"},{"v":21.06,"d":"$21.06"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010084335E              ","MBRP00000422202","000008894075","2022-03-31","69097086807","NADOLOL TABS 40.000",90,90,{"v":72.9,"d":"$72.90"},{"v":0,"d":"$0.00"},{"v":72.9,"d":"$72.90"},{"v":57.9,"d":"$57.90"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3662447","CVS PHARMACY #16247 16247"]
["21865M","AC00108619800","MBRP00000418637","000002545638","2022-03-31","69238183007","LEVOTHYROXINE  TABS 25.000",30,30,{"v":10.91,"d":"$10.91"},{"v":0.59,"d":"$0.59"},{"v":11.5,"d":"$11.50"},{"v":6.5,"d":"$6.50"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010144759E              ","MBRP00000429257","000001602785","2022-03-31","27808015601","ROSUVASTATIN C TABS 10.000",30,30,{"v":11.39,"d":"$11.39"},{"v":0.59,"d":"$0.59"},{"v":11.98,"d":"$11.98"},{"v":6.98,"d":"$6.98"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010084328E              ","MBRP00000418119","000000628296","2022-03-31","00597015330","JARDIANCE TABS 25.000",90,90,{"v":1653.26,"d":"$1,653.26"},{"v":0,"d":"$0.00"},{"v":1653.26,"d":"$1,653.26"},{"v":1593.26,"d":"$1,593.26"},{"v":60,"d":"$60.00"},"B","N",0,0,1,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010084328E              ","MBRP00000418119","000000590070","2022-03-31","00597015337","JARDIANCE TABS 25.000",90,90,{"v":1653.26,"d":"$1,653.26"},{"v":0,"d":"$0.00"},{"v":1653.26,"d":"$1,653.26"},{"v":1593.26,"d":"$1,593.26"},{"v":60,"d":"$60.00"},"B","N",0,0,1,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010084328E              ","MBRP00000418119","000000590070","2022-03-31","00597015337","JARDIANCE TABS 25.000",-90,90,{"v":-1653.26,"d":"-$1,653.26"},{"v":0,"d":"$0.00"},{"v":-1653.26,"d":"-$1,653.26"},{"v":-1593.26,"d":"-$1,593.26"},{"v":-60,"d":"-$60.00"},"B","N",0,0,1,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010151440E              ","MBRP00000440114","000002713773","2022-03-31","51672138409","ADAPALENE/BENZ GEL  0.000",45,30,{"v":439.88,"d":"$439.88"},{"v":0.59,"d":"$0.59"},{"v":440.47,"d":"$440.47"},{"v":435.47,"d":"$435.47"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010084180E              ","MBRP00000422313","000002061165","2022-03-31","54092047101","MYDAYIS CP24 0.000",90,90,{"v":935.15,"d":"$935.15"},{"v":0,"d":"$0.00"},{"v":935.15,"d":"$935.15"},{"v":830.15,"d":"$830.15"},{"v":105,"d":"$105.00"},"B","N",0,0,9,"R","3669112","GIANT EAGLE PHARMACY #1618 1618"]
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["21865M","0010134939E              ","MBRP00000422191","000331011735","2022-03-31","50228018010","GABAPENTIN CAPS 300.000",810,90,{"v":227.25,"d":"$227.25"},{"v":0,"d":"$0.00"},{"v":227.25,"d":"$227.25"},{"v":217.25,"d":"$217.25"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010137634E              ","MBRP00000417938","000002560826","2022-03-31","00143988915","AMOXICILLIN SUSR 250.000",150,10,{"v":3.23,"d":"$3.23"},{"v":0.59,"d":"$0.59"},{"v":3.82,"d":"$3.82"},{"v":0,"d":"$0.00"},{"v":3.82,"d":"$3.82"},"G","N",0,0,0,"R","3673527","WALGREENS #9385 9385"]
["21865M","0010084188E              ","MBRP00000424743","000002979834","2022-03-31","00093314705","CEPHALEXIN CAPS 500.000",40,10,{"v":4.97,"d":"$4.97"},{"v":0.59,"d":"$0.59"},{"v":5.56,"d":"$5.56"},{"v":0.56,"d":"$0.56"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010151645E              ","MBRP00000342810","000002980036","2022-03-31","00093314705","CEPHALEXIN CAPS 500.000",40,10,{"v":4.97,"d":"$4.97"},{"v":0.59,"d":"$0.59"},{"v":5.56,"d":"$5.56"},{"v":0.56,"d":"$0.56"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3663172","WALGREENS #4101 4101"]
["21865M","0010084328E              ","MBRP00000418119","000000589981","2022-03-31","00378718505","METFORMIN HYDR TABS 500.000",90,90,{"v":8.66,"d":"$8.66"},{"v":0,"d":"$0.00"},{"v":8.66,"d":"$8.66"},{"v":0,"d":"$0.00"},{"v":8.66,"d":"$8.66"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010134939E              ","MBRP00000422191","000338454578","2022-03-31","68462019005","NAPROXEN TABS 500.000",180,90,{"v":19.01,"d":"$19.01"},{"v":0,"d":"$0.00"},{"v":19.01,"d":"$19.01"},{"v":9.01,"d":"$9.01"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010115601E              ","MBRP00000315730","000000572541","2022-03-31","69528030116","OZOBAX SOLN 5.000",1800,30,{"v":3102.84,"d":"$3,102.84"},{"v":0.59,"d":"$0.59"},{"v":3103.43,"d":"$3,103.43"},{"v":3068.43,"d":"$3,068.43"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010005981E              ","MBRP00000417973","000004081751","2022-03-31","72606000801","PREGABALIN CAPS 150.000",60,30,{"v":26.17,"d":"$26.17"},{"v":0.59,"d":"$0.59"},{"v":26.76,"d":"$26.76"},{"v":21.76,"d":"$21.76"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3669112","GIANT EAGLE PHARMACY #1618 1618"]
["21865M","AC00111580800","MBRP00000484398","000006243624","2022-03-31","65862016899","ATENOLOL TABS 25.000",90,90,{"v":23.23,"d":"$23.23"},{"v":0,"d":"$0.00"},{"v":23.23,"d":"$23.23"},{"v":8.23,"d":"$8.23"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3639804","CLEVELAND CLINIC MERCY PROFESSIO"]
["21865M","0010005981E              ","MBRP00000417973","000327466781","2022-03-31","65862014836","SUMATRIPTAN SU TABS 100.000",27,90,{"v":26.4,"d":"$26.40"},{"v":0,"d":"$0.00"},{"v":26.4,"d":"$26.40"},{"v":16.4,"d":"$16.40"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","5926716","OPTUM PHARMACY 704, INC."]
["21865M","0010084328E              ","MBRP00000418118","000000628260","2022-03-31","65862044990","VALACYCLOVIR H TABS 1.000",90,90,{"v":228.63,"d":"$228.63"},{"v":0,"d":"$0.00"},{"v":228.63,"d":"$228.63"},{"v":213.63,"d":"$213.63"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010084328E              ","MBRP00000418118","000000628260","2022-03-31","65862044990","VALACYCLOVIR H TABS 1.000",90,90,{"v":228.63,"d":"$228.63"},{"v":0,"d":"$0.00"},{"v":228.63,"d":"$228.63"},{"v":213.63,"d":"$213.63"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010084328E              ","MBRP00000418118","000000628260","2022-03-31","65862044990","VALACYCLOVIR H TABS 1.000",-90,90,{"v":-228.63,"d":"-$228.63"},{"v":0,"d":"$0.00"},{"v":-228.63,"d":"-$228.63"},{"v":-213.63,"d":"-$213.63"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010084328E              ","MBRP00000418118","000000628260","2022-03-31","65862044990","VALACYCLOVIR H TABS 1.000",-90,90,{"v":-228.63,"d":"-$228.63"},{"v":0,"d":"$0.00"},{"v":-228.63,"d":"-$228.63"},{"v":-213.63,"d":"-$213.63"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010006051E              ","MBRP00000314615","000007157705","2022-03-31","65862073205","AMIODARONE HYD TABS 200.000",90,90,{"v":15.32,"d":"$15.32"},{"v":0,"d":"$0.00"},{"v":15.32,"d":"$15.32"},{"v":0.32,"d":"$0.32"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","AC00108750700","MBRP00000401601","000000598780","2022-03-31","65862056090","PANTOPRAZOLE S TBEC 40.000",60,30,{"v":14.89,"d":"$14.89"},{"v":0.5,"d":"$0.50"},{"v":15.39,"d":"$15.39"},{"v":10.39,"d":"$10.39"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3687615","FULTON DRUGS"]
["21865M","0010084328E              ","MBRP00000418119","000000611334","2022-03-31","43547035611","LISINOPRIL TABS 40.000",90,90,{"v":21.33,"d":"$21.33"},{"v":0,"d":"$0.00"},{"v":21.33,"d":"$21.33"},{"v":6.33,"d":"$6.33"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010084328E              ","MBRP00000418119","000000611334","2022-03-31","43547035611","LISINOPRIL TABS 40.000",-90,90,{"v":-21.33,"d":"-$21.33"},{"v":0,"d":"$0.00"},{"v":-21.33,"d":"-$21.33"},{"v":-6.33,"d":"-$6.33"},{"v":-15,"d":"-$15.00"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010006051E              ","MBRP00000314615","000007157699","2022-03-31","45963070996","METOPROLOL SUC TB24 25.000",15,30,{"v":6.33,"d":"$6.33"},{"v":0.59,"d":"$0.59"},{"v":6.92,"d":"$6.92"},{"v":1.92,"d":"$1.92"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010084203E              ","MBRP00000424760","000002064295","2022-03-31","31722095001","OXYCODONE/ACET TABS 0.000",30,4,{"v":5.64,"d":"$5.64"},{"v":0.59,"d":"$0.59"},{"v":6.23,"d":"$6.23"},{"v":1.23,"d":"$1.23"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","0010153628E              ","MBRP00000429290","000007157646","2022-03-31","31722072250","LEVOFLOXACIN TABS 500.000",10,10,{"v":3.21,"d":"$3.21"},{"v":0.59,"d":"$0.59"},{"v":3.8,"d":"$3.80"},{"v":0,"d":"$0.00"},{"v":3.8,"d":"$3.80"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010092578E              ","MBRP00000424978","000000930338","2022-03-31","68180078001","ZOLPIDEM TARTR TBCR 12.500",30,30,{"v":32.2,"d":"$32.20"},{"v":0.59,"d":"$0.59"},{"v":32.79,"d":"$32.79"},{"v":27.79,"d":"$27.79"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652092","RITE AID PHARMACY 02413"]
["21865M","0010121132E              ","MBRP00000429347","000000185807","2022-03-31","68382009601","HYDROXYCHLOROQ TABS 200.000",30,30,{"v":36.55,"d":"$36.55"},{"v":0.59,"d":"$0.59"},{"v":37.14,"d":"$37.14"},{"v":32.14,"d":"$32.14"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3686409","DISCOUNT DRUG MART #89 89"]
["21865M","0010006064E              ","MBRP00000422382","000001096556","2022-03-31","68180069906","TRAMADOL HCL E TB24 300.000",30,30,{"v":119.19,"d":"$119.19"},{"v":0.59,"d":"$0.59"},{"v":119.78,"d":"$119.78"},{"v":114.78,"d":"$114.78"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3659488","DISCOUNT DRUG MART 46"]
["21865M","0010006051E              ","MBRP00000314615","000007157704","2022-03-31","60505258008","ATORVASTATIN C TABS 40.000",30,30,{"v":11.96,"d":"$11.96"},{"v":0.59,"d":"$0.59"},{"v":12.55,"d":"$12.55"},{"v":7.55,"d":"$7.55"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010079723E              ","MBRP00000431051","000001754886","2022-03-31","00591024001","LORAZEPAM TABS 0.500",60,30,{"v":1.5,"d":"$1.50"},{"v":0.59,"d":"$0.59"},{"v":2.09,"d":"$2.09"},{"v":0,"d":"$0.00"},{"v":2.09,"d":"$2.09"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010046085E              ","MBRP00000417860","000001214989","2022-03-31","00597015230","JARDIANCE TABS 10.000",30,30,{"v":569.57,"d":"$569.57"},{"v":0.59,"d":"$0.59"},{"v":570.16,"d":"$570.16"},{"v":550.16,"d":"$550.16"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010046085E              ","MBRP00000417860","000001214989","2022-03-31","00597015230","JARDIANCE TABS 10.000",-30,30,{"v":-569.57,"d":"-$569.57"},{"v":-0.59,"d":"-$0.59"},{"v":-570.16,"d":"-$570.16"},{"v":-550.16,"d":"-$550.16"},{"v":-20,"d":"-$20.00"},"B","N",0,0,1,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010121132E              ","MBRP00000429347","000000198284","2022-03-31","29300018901","BISOPROLOL FUM TABS 0.000",30,30,{"v":45.34,"d":"$45.34"},{"v":0.59,"d":"$0.59"},{"v":45.93,"d":"$45.93"},{"v":40.93,"d":"$40.93"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3686409","DISCOUNT DRUG MART #89 89"]
["21865M","AC00108347500","MBRP00000422207","000008828404","2022-03-31","17478071710","KETOTIFEN FUMA SOLN 0.025",5,19,{"v":8.65,"d":"$8.65"},{"v":0.59,"d":"$0.59"},{"v":9.24,"d":"$9.24"},{"v":4.24,"d":"$4.24"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3658436","WALMART PHARMACY 10-1927 101927"]
["21865M","0010153601E              ","MBRP00000430975","000000810818","2022-03-31","00003089421","ELIQUIS TABS 5.000",60,30,{"v":528.16,"d":"$528.16"},{"v":0.59,"d":"$0.59"},{"v":528.75,"d":"$528.75"},{"v":508.75,"d":"$508.75"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3679668","CVS PHARMACY #02385 02385"]
["21865M","0010006063E              ","MBRP00000424778","000002715053","2022-03-31","00093310953","AMOXICILLIN CAPS 500.000",4,1,{"v":0.37,"d":"$0.37"},{"v":0.59,"d":"$0.59"},{"v":0.96,"d":"$0.96"},{"v":0,"d":"$0.00"},{"v":0.96,"d":"$0.96"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010006063E              ","MBRP00000424778","000002715053","2022-03-31","00093310953","AMOXICILLIN CAPS 500.000",-4,1,{"v":-0.37,"d":"-$0.37"},{"v":-0.59,"d":"-$0.59"},{"v":-0.96,"d":"-$0.96"},{"v":0,"d":"$0.00"},{"v":-0.96,"d":"-$0.96"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010006063E              ","MBRP00000424778","000002715053","2022-03-31","00093310953","AMOXICILLIN CAPS 500.000",4,1,{"v":0.37,"d":"$0.37"},{"v":0.59,"d":"$0.59"},{"v":0.96,"d":"$0.96"},{"v":0,"d":"$0.00"},{"v":0.96,"d":"$0.96"},"G","N",0,0,0,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010121132E              ","MBRP00000429347","000000198282","2022-03-31","00069024430","TOVIAZ TB24 8.000",30,30,{"v":375.95,"d":"$375.95"},{"v":0.59,"d":"$0.59"},{"v":376.54,"d":"$376.54"},{"v":341.54,"d":"$341.54"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3686409","DISCOUNT DRUG MART #89 89"]
["21865M","0010152041E              ","MBRP00000422311","000000999417","2022-03-31","00185085301","AMPHETAMINE/DE TABS 0.000",30,30,{"v":17.82,"d":"$17.82"},{"v":0.59,"d":"$0.59"},{"v":18.41,"d":"$18.41"},{"v":13.41,"d":"$13.41"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3650670","CVS PHARMACY #04802 04802"]
["21865M","AC00111490800","MBRP00000482918","000000911517","2022-03-31","00186037220","SYMBICORT AERO 0.000",10.2,30,{"v":331.13,"d":"$331.13"},{"v":0.59,"d":"$0.59"},{"v":331.72,"d":"$331.72"},{"v":311.72,"d":"$311.72"},{"v":20,"d":"$20.00"},"B","N",0,9,1,"R","3679632","CVS PHARMACY #08248 08248"]
["21865M","AC00111490800","MBRP00000482918","000000911517","2022-03-31","00186037220","SYMBICORT AERO 0.000",-10.2,30,{"v":-331.13,"d":"-$331.13"},{"v":-0.59,"d":"-$0.59"},{"v":-331.72,"d":"-$331.72"},{"v":-311.72,"d":"-$311.72"},{"v":-20,"d":"-$20.00"},"B","N",0,9,1,"R","3679632","CVS PHARMACY #08248 08248"]
["21865M","0010133386E              ","MBRP00000440163","000006619841","2022-03-31","75854060203","BALCOLTRA TABS 0.000",28,28,{"v":244.61,"d":"$244.61"},{"v":0.59,"d":"$0.59"},{"v":245.2,"d":"$245.20"},{"v":210.2,"d":"$210.20"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010114615E              ","MBRP00000440321","000337585395","2022-03-31","68462026110","ROSUVASTATIN C TABS 5.000",90,90,{"v":34.45,"d":"$34.45"},{"v":0,"d":"$0.00"},{"v":34.45,"d":"$34.45"},{"v":24.45,"d":"$24.45"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","5926716","OPTUM PHARMACY 704, INC."]
["21865M","0010061934E              ","MBRP00000424836","000001380301","2022-03-31","68462010905","TOPIRAMATE TABS 100.000",60,30,{"v":22.54,"d":"$22.54"},{"v":0.59,"d":"$0.59"},{"v":23.13,"d":"$23.13"},{"v":18.13,"d":"$18.13"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3672638","WALGREENS #7865 7865"]
["21865M","0010115244E              ","MBRP00000424884","011119399015","2022-03-31","69097012403","TOPIRAMATE TABS 100.000",60,30,{"v":22.54,"d":"$22.54"},{"v":0.59,"d":"$0.59"},{"v":23.13,"d":"$23.13"},{"v":18.13,"d":"$18.13"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010115244E              ","MBRP00000424884","000000750185","2022-03-31","69097012403","TOPIRAMATE TABS 100.000",90,90,{"v":33.81,"d":"$33.81"},{"v":0,"d":"$0.00"},{"v":33.81,"d":"$33.81"},{"v":18.81,"d":"$18.81"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010115244E              ","MBRP00000424884","011119399015","2022-03-31","69097012403","TOPIRAMATE TABS 100.000",-60,30,{"v":-22.54,"d":"-$22.54"},{"v":-0.59,"d":"-$0.59"},{"v":-23.13,"d":"-$23.13"},{"v":-18.13,"d":"-$18.13"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3652117","RITE AID PHARMACY 02415"]
["21865M","0010153628E              ","MBRP00000429290","000007157650","2022-03-31","67877022305","GABAPENTIN CAPS 300.000",60,30,{"v":16.83,"d":"$16.83"},{"v":0.59,"d":"$0.59"},{"v":17.42,"d":"$17.42"},{"v":12.42,"d":"$12.42"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010115601E              ","MBRP00000315730","000000615236","2022-03-31","65628008005","FIRST-LANSOPRA SUSP 3.000",150,30,{"v":94.85,"d":"$94.85"},{"v":0.59,"d":"$0.59"},{"v":95.44,"d":"$95.44"},{"v":90.44,"d":"$90.44"},{"v":5,"d":"$5.00"},"B","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010006063E              ","MBRP00000424780","000009358576","2022-03-31","68382000301","AZATHIOPRINE TABS 50.000",180,90,{"v":81.67,"d":"$81.67"},{"v":0,"d":"$0.00"},{"v":81.67,"d":"$81.67"},{"v":66.67,"d":"$66.67"},{"v":15,"d":"$15.00"},"G","Y",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010084328E              ","MBRP00000418119","000000628290","2022-03-31","68180097903","LISINOPRIL TABS 40.000",90,90,{"v":21.33,"d":"$21.33"},{"v":0,"d":"$0.00"},{"v":21.33,"d":"$21.33"},{"v":6.33,"d":"$6.33"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010080372E              ","MBRP00000417959","000001051552","2022-03-31","33342020010","LEVOCETIRIZINE TABS 5.000",30,30,{"v":12.52,"d":"$12.52"},{"v":0.59,"d":"$0.59"},{"v":13.11,"d":"$13.11"},{"v":8.11,"d":"$8.11"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010153779E              ","MBRP00000444990","000000856580","2022-03-31","43598072101","HYDROXYCHLOROQ TABS 200.000",45,30,{"v":54.83,"d":"$54.83"},{"v":0.59,"d":"$0.59"},{"v":55.42,"d":"$55.42"},{"v":50.42,"d":"$50.42"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3682160","CVS PHARMACY #10372 10372"]
["21865M","0010134939E              ","MBRP00000422191","000338454579","2022-03-31","43598051010","ESOMEPRAZOLE M CPDR 40.000",30,30,{"v":17.79,"d":"$17.79"},{"v":0,"d":"$0.00"},{"v":17.79,"d":"$17.79"},{"v":7.79,"d":"$7.79"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010134939E              ","MBRP00000422191","000338454582","2022-03-31","50111056103","TRAZODONE HYDR TABS 100.000",90,90,{"v":34.16,"d":"$34.16"},{"v":0,"d":"$0.00"},{"v":34.16,"d":"$34.16"},{"v":24.16,"d":"$24.16"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","AC00110504600","MBRP00000449291","000001217140","2022-03-31","56151014701","TRUEPLUS LANCE MISC 0.000",100,25,{"v":5.41,"d":"$5.41"},{"v":0.59,"d":"$0.59"},{"v":6,"d":"$6.00"},{"v":0,"d":"$0.00"},{"v":6,"d":"$6.00"},"B","N",0,0,1,"R","3651886","RITE AID PHARMACY 02393"]
["21865M","AC00110504600","MBRP00000449291","000001217140","2022-03-31","56151014701","TRUEPLUS LANCE MISC 0.000",-100,25,{"v":-5.41,"d":"-$5.41"},{"v":-0.59,"d":"-$0.59"},{"v":-6,"d":"-$6.00"},{"v":0,"d":"$0.00"},{"v":-6,"d":"-$6.00"},"B","N",0,0,1,"R","3651886","RITE AID PHARMACY 02393"]
["21865M","0010072267E              ","MBRP00000430886","000006582230","2022-03-31","52244001006","EDEX KIT  10.000",2,14,{"v":909.23,"d":"$909.23"},{"v":0.59,"d":"$0.59"},{"v":909.82,"d":"$909.82"},{"v":874.82,"d":"$874.82"},{"v":35,"d":"$35.00"},"B","N",0,0,9,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]
["21865M","0010137212E              ","MBRP00000440118","000006773351","2022-03-31","00378932032","WIXELA INHUB AEPB 0.000",60,30,{"v":284.61,"d":"$284.61"},{"v":0.59,"d":"$0.59"},{"v":285.2,"d":"$285.20"},{"v":280.2,"d":"$280.20"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3674151","GIANT EAGLE PHARMACY #4152 4152"]
["21865M","0010084328E              ","MBRP00000418118","000000628260","2022-03-31","00378427677","VALACYCLOVIR H TABS 1.000",90,90,{"v":228.63,"d":"$228.63"},{"v":0,"d":"$0.00"},{"v":228.63,"d":"$228.63"},{"v":213.63,"d":"$213.63"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3677309","WALGREENS #11810 11810"]
["21865M","0010121105E              ","MBRP00000440105","000002068927","2022-03-31","00002144511","TALTZ SOAJ 80.000",1,28,{"v":6172.44,"d":"$6,172.44"},{"v":0,"d":"$0.00"},{"v":6172.44,"d":"$6,172.44"},{"v":6137.44,"d":"$6,137.44"},{"v":35,"d":"$35.00"},"B","Y",0,0,9,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010121105E              ","MBRP00000440105","000002068927","2022-03-31","00002144511","TALTZ SOAJ 80.000",-1,28,{"v":-6172.44,"d":"-$6,172.44"},{"v":0,"d":"$0.00"},{"v":-6172.44,"d":"-$6,172.44"},{"v":-6137.44,"d":"-$6,137.44"},{"v":-35,"d":"-$35.00"},"B","Y",0,0,9,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010121105E              ","MBRP00000440105","000002068927","2022-03-31","00002144511","TALTZ SOAJ 80.000",-1,28,{"v":-6172.44,"d":"-$6,172.44"},{"v":0,"d":"$0.00"},{"v":-6172.44,"d":"-$6,172.44"},{"v":-6137.44,"d":"-$6,137.44"},{"v":-35,"d":"-$35.00"},"B","Y",0,0,9,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010121105E              ","MBRP00000440105","000002068927","2022-03-31","00002144511","TALTZ SOAJ 80.000",1,28,{"v":6172.44,"d":"$6,172.44"},{"v":0,"d":"$0.00"},{"v":6172.44,"d":"$6,172.44"},{"v":6137.44,"d":"$6,137.44"},{"v":35,"d":"$35.00"},"B","Y",0,0,9,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010121105E              ","MBRP00000440105","000002068927","2022-03-31","00002144511","TALTZ SOAJ 80.000",1,28,{"v":6172.44,"d":"$6,172.44"},{"v":0,"d":"$0.00"},{"v":6172.44,"d":"$6,172.44"},{"v":6137.44,"d":"$6,137.44"},{"v":35,"d":"$35.00"},"B","Y",0,0,9,"R","3685902","DISCOUNT DRUG MART 805"]
["21865M","0010137212E              ","MBRP00000440118","000006773485","2022-03-31","00054074287","ALBUTEROL SULF AERS 108.000",6.7,17,{"v":25.47,"d":"$25.47"},{"v":0.59,"d":"$0.59"},{"v":26.06,"d":"$26.06"},{"v":21.06,"d":"$21.06"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3674151","GIANT EAGLE PHARMACY #4152 4152"]
["21865M","0010137212E              ","MBRP00000440118","000006773485","2022-03-31","00054074287","ALBUTEROL SULF AERS 108.000",-6.7,17,{"v":-25.47,"d":"-$25.47"},{"v":-0.59,"d":"-$0.59"},{"v":-26.06,"d":"-$26.06"},{"v":-21.06,"d":"-$21.06"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3674151","GIANT EAGLE PHARMACY #4152 4152"]
["21865M","AC00108052600","MBRP00000429529","011119515589","2022-03-31","00115166001","PROPRANOLOL HY TABS 20.000",60,30,{"v":23.04,"d":"$23.04"},{"v":0.59,"d":"$0.59"},{"v":23.63,"d":"$23.63"},{"v":18.63,"d":"$18.63"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","AC00108052600","MBRP00000429529","011119515589","2022-03-31","00115166001","PROPRANOLOL HY TABS 20.000",-60,30,{"v":-23.04,"d":"-$23.04"},{"v":-0.59,"d":"-$0.59"},{"v":-23.63,"d":"-$23.63"},{"v":-18.63,"d":"-$18.63"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3660253","WALGREENS #3261 3261"]
["21865M","0010146190E              ","MBRP00000431016","000006812510","2022-03-31","00168035730","LIDOCAINE/PRIL CREA 0.000",30,30,{"v":9.98,"d":"$9.98"},{"v":0.59,"d":"$0.59"},{"v":10.57,"d":"$10.57"},{"v":5.57,"d":"$5.57"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3667714","GIANT EAGLE PHARMACY #6378 6378"]
["21865M","AC00111058600","MBRP00000476515","000007610518","2022-03-31","00143924920","AMOXICILLIN/CL TABS 0.000",20,10,{"v":10.83,"d":"$10.83"},{"v":0.59,"d":"$0.59"},{"v":11.42,"d":"$11.42"},{"v":6.42,"d":"$6.42"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3668285","WALMART PHARMACY 10-2914 102914"]
["21865M","0010153662E              ","MBRP00000430817","000002580387","2022-03-31","00093171201","WARFARIN SODIU TABS 1.000",30,30,{"v":4.84,"d":"$4.84"},{"v":0.59,"d":"$0.59"},{"v":5.43,"d":"$5.43"},{"v":0.43,"d":"$0.43"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3650492","MEDICINE CENTER PHARMACY"]
["21865M","0010006051E              ","MBRP00000314615","000007157707","2022-03-31","00078065920","ENTRESTO TABS 0.000",-30,30,{"v":-311.34,"d":"-$311.34"},{"v":-0.59,"d":"-$0.59"},{"v":-311.93,"d":"-$311.93"},{"v":-291.93,"d":"-$291.93"},{"v":-20,"d":"-$20.00"},"B","N",0,0,1,"R","3654034","MARCS 22"]
["21865M","0010006051E              ","MBRP00000314615","000007157707","2022-03-31","00078065920","ENTRESTO TABS 0.000",30,30,{"v":311.34,"d":"$311.34"},{"v":0.59,"d":"$0.59"},{"v":311.93,"d":"$311.93"},{"v":291.93,"d":"$291.93"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3654034","MARCS 22"]
["21865M","0010006051E              ","MBRP00000314615","000007157707","2022-03-31","00078065920","ENTRESTO TABS 0.000",30,30,{"v":311.34,"d":"$311.34"},{"v":0.59,"d":"$0.59"},{"v":311.93,"d":"$311.93"},{"v":291.93,"d":"$291.93"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3654034","MARCS 22"]
["21865M","0010006051E              ","MBRP00000314615","000007157707","2022-03-31","00078065920","ENTRESTO TABS 0.000",30,30,{"v":311.34,"d":"$311.34"},{"v":0.59,"d":"$0.59"},{"v":311.93,"d":"$311.93"},{"v":291.93,"d":"$291.93"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3654034","MARCS 22"]
["21865M","0010006051E              ","MBRP00000314615","000007157707","2022-03-31","00078065920","ENTRESTO TABS 0.000",-30,30,{"v":-311.34,"d":"-$311.34"},{"v":-0.59,"d":"-$0.59"},{"v":-311.93,"d":"-$311.93"},{"v":-291.93,"d":"-$291.93"},{"v":-20,"d":"-$20.00"},"B","N",0,0,1,"R","3654034","MARCS 22"]
["21865M","0010079723E              ","MBRP00000431051","000001754886","2022-03-31","00093342505","LORAZEPAM TABS 0.500",-60,30,{"v":-1.5,"d":"-$1.50"},{"v":-0.59,"d":"-$0.59"},{"v":-2.09,"d":"-$2.09"},{"v":0,"d":"$0.00"},{"v":-2.09,"d":"-$2.09"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010079723E              ","MBRP00000431051","011120113911","2022-03-31","00093342505","LORAZEPAM TABS 0.500",30,30,{"v":0.75,"d":"$0.75"},{"v":0.59,"d":"$0.59"},{"v":1.34,"d":"$1.34"},{"v":0,"d":"$0.00"},{"v":1.34,"d":"$1.34"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010079723E              ","MBRP00000431051","000001754886","2022-03-31","00093342505","LORAZEPAM TABS 0.500",60,30,{"v":1.5,"d":"$1.50"},{"v":0.59,"d":"$0.59"},{"v":2.09,"d":"$2.09"},{"v":0,"d":"$0.00"},{"v":2.09,"d":"$2.09"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010079723E              ","MBRP00000431051","011120113911","2022-03-31","00093342505","LORAZEPAM TABS 0.500",-30,30,{"v":-0.75,"d":"-$0.75"},{"v":-0.59,"d":"-$0.59"},{"v":-1.34,"d":"-$1.34"},{"v":0,"d":"$0.00"},{"v":-1.34,"d":"-$1.34"},"G","N",0,0,0,"R","3663184","WALGREENS #4044 4044"]
["21865M","0010137212E              ","MBRP00000440118","000006773300","2022-03-31","50383070016","FLUTICASONE PR SUSP 50.000",16,30,{"v":15.2,"d":"$15.20"},{"v":0.59,"d":"$0.59"},{"v":15.79,"d":"$15.79"},{"v":10.79,"d":"$10.79"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3674151","GIANT EAGLE PHARMACY #4152 4152"]
["21865M","0010148255E              ","MBRP00000424770","000000762510","2022-03-31","55111015810","OMEPRAZOLE CPDR 20.000",90,90,{"v":21.85,"d":"$21.85"},{"v":0,"d":"$0.00"},{"v":21.85,"d":"$21.85"},{"v":6.85,"d":"$6.85"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3681360","CVS PHARMACY #10209 10209"]
["21865M","0010153628E              ","MBRP00000429290","000007157647","2022-03-31","59746017306","PREDNISONE TABS 10.000",10,10,{"v":1.19,"d":"$1.19"},{"v":0.59,"d":"$0.59"},{"v":1.78,"d":"$1.78"},{"v":0,"d":"$0.00"},{"v":1.78,"d":"$1.78"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","AC00111392100","MBRP00000481414","000002714675","2022-03-31","57599080300","FREESTYLE LIBR DEVI 0.000",1,30,{"v":69.89,"d":"$69.89"},{"v":0.59,"d":"$0.59"},{"v":70.48,"d":"$70.48"},{"v":50.48,"d":"$50.48"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3651848","RITE AID PHARMACY 02389"]
["21865M","0010141535E              ","MBRP00000429262","000001246865","2022-03-31","57599080300","FREESTYLE LIBR DEVI 0.000",1,30,{"v":69.89,"d":"$69.89"},{"v":0.59,"d":"$0.59"},{"v":70.48,"d":"$70.48"},{"v":50.48,"d":"$50.48"},{"v":20,"d":"$20.00"},"B","N",0,0,1,"R","3651836","RITE AID PHARMACY 02388"]
["21865M","0010062356E              ","MBRP00000422418","000006288879","2022-03-31","57664050218","TIZANIDINE HCL TABS 2.000",30,30,{"v":8.27,"d":"$8.27"},{"v":0.59,"d":"$0.59"},{"v":8.86,"d":"$8.86"},{"v":3.86,"d":"$3.86"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3680635","GIANT EAGLE PHARMACY #1611 1611"]
["21865M","0010134939E              ","MBRP00000422191","000338454576","2022-03-31","60505082901","FLUTICASONE PR SUSP 50.000",16,90,{"v":15.2,"d":"$15.20"},{"v":0,"d":"$0.00"},{"v":15.2,"d":"$15.20"},{"v":5.2,"d":"$5.20"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010134939E              ","MBRP00000422191","000338454576","2022-03-31","60505082901","FLUTICASONE PR SUSP 50.000",-16,90,{"v":-15.2,"d":"-$15.20"},{"v":0,"d":"$0.00"},{"v":-15.2,"d":"-$15.20"},{"v":-5.2,"d":"-$5.20"},{"v":-10,"d":"-$10.00"},"G","N",0,0,0,"M","3472660","OPTUM PHARMACY 701, LLC"]
["21865M","0010084094E              ","MBRP00000417919","000001601300","2022-03-31","65862044830","VALACYCLOVIR H TABS 500.000",-6,3,{"v":-8.25,"d":"-$8.25"},{"v":-0.59,"d":"-$0.59"},{"v":-8.84,"d":"-$8.84"},{"v":-3.84,"d":"-$3.84"},{"v":-5,"d":"-$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010084094E              ","MBRP00000417919","000001601300","2022-03-31","65862044830","VALACYCLOVIR H TABS 500.000",6,3,{"v":8.25,"d":"$8.25"},{"v":0.59,"d":"$0.59"},{"v":8.84,"d":"$8.84"},{"v":3.84,"d":"$3.84"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010121132E              ","MBRP00000429347","000000198283","2022-03-31","65862047030","LOSARTAN POTAS TABS 0.000",30,30,{"v":21.54,"d":"$21.54"},{"v":0.59,"d":"$0.59"},{"v":22.13,"d":"$22.13"},{"v":17.13,"d":"$17.13"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3686409","DISCOUNT DRUG MART #89 89"]
["21865M","0010153640E              ","MBRP00000430766","000001073988","2022-03-31","70010049101","METFORMIN HYDR TB24 500.000",120,30,{"v":27.69,"d":"$27.69"},{"v":0.59,"d":"$0.59"},{"v":28.28,"d":"$28.28"},{"v":23.28,"d":"$23.28"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3648435","RITE AID PHARMACY 03192"]
["21865M","0010006063E              ","MBRP00000424780","000009365946","2022-03-31","71930002890","PYRIDOSTIGMINE TABS 60.000",360,90,{"v":155.37,"d":"$155.37"},{"v":0,"d":"$0.00"},{"v":155.37,"d":"$155.37"},{"v":140.37,"d":"$140.37"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3606297","DAVIES PHARMACY 1"]
["21865M","0010106873E              ","MBRP00000440042","000006716397","2022-03-31","00430042014","LO LOESTRIN FE TABS 0.000",84,84,{"v":472.08,"d":"$472.08"},{"v":0,"d":"$0.00"},{"v":472.08,"d":"$472.08"},{"v":367.08,"d":"$367.08"},{"v":105,"d":"$105.00"},"B","N",0,0,9,"R","3670836","GIANT EAGLE PHARMACY #1605 1605"]
["21865M","0010005981E              ","MBRP00000417973","000327466776","2022-03-31","00781286810","OMEPRAZOLE CPDR 20.000",90,90,{"v":21.85,"d":"$21.85"},{"v":0,"d":"$0.00"},{"v":21.85,"d":"$21.85"},{"v":11.85,"d":"$11.85"},{"v":10,"d":"$10.00"},"G","N",0,0,0,"M","5926716","OPTUM PHARMACY 704, INC."]
["21865M","0010153723E              ","MBRP00000297536","000000616511","2022-03-31","68001045600","ESCITALOPRAM O TABS 20.000",7,7,{"v":1.4,"d":"$1.40"},{"v":0.5,"d":"$0.50"},{"v":1.9,"d":"$1.90"},{"v":0,"d":"$0.00"},{"v":1.9,"d":"$1.90"},"G","N",0,0,0,"R","3672791","AULTMAN EMPLOYEE PHARMACY"]
["21865M","0010151802E              ","MBRP00000429065","000002778134","2022-03-31","16729018201","HYDROCHLOROTHI TABS 12.500",90,90,{"v":18.34,"d":"$18.34"},{"v":0,"d":"$0.00"},{"v":18.34,"d":"$18.34"},{"v":3.34,"d":"$3.34"},{"v":15,"d":"$15.00"},"G","N",0,0,0,"R","3644817","CVS PHARMACY #04800 04800"]
["21865M","0010153628E              ","MBRP00000429290","000004877832","2022-03-31","27808006502","PROMETHAZINE/C SOLN 0.000",140,7,{"v":5.44,"d":"$5.44"},{"v":0.59,"d":"$0.59"},{"v":6.03,"d":"$6.03"},{"v":1.03,"d":"$1.03"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3654034","MARCS 22"]
["21865M","0010121132E              ","MBRP00000429347","000000198281","2022-03-31","42806054701","VITAMIN D CAPS 1.250",4,28,{"v":4.88,"d":"$4.88"},{"v":0.59,"d":"$0.59"},{"v":5.47,"d":"$5.47"},{"v":0.47,"d":"$0.47"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3686409","DISCOUNT DRUG MART #89 89"]
["21865M","0010084094E              ","MBRP00000417919","000001601300","2022-03-31","31722070430","VALACYCLOVIR H TABS 500.000",6,3,{"v":8.25,"d":"$8.25"},{"v":0.59,"d":"$0.59"},{"v":8.84,"d":"$8.84"},{"v":3.84,"d":"$3.84"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3652042","RITE AID PHARMACY 02408"]
["21865M","0010153312E              ","MBRP00000271052","000006619759","2022-03-31","42571016242","AMOXICILLIN/CL TABS 0.000",14,7,{"v":7.58,"d":"$7.58"},{"v":0.59,"d":"$0.59"},{"v":8.17,"d":"$8.17"},{"v":3.17,"d":"$3.17"},{"v":5,"d":"$5.00"},"G","N",0,0,0,"R","3656141","GIANT EAGLE PHARMACY #4387 4387"]