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["PSI3574","MQPK0007","$1000 DED-NETWORK P","D001","P","2021-04-13",29054138139,"80777027399","MODERNA COVID-19 VACCINE","Brand","Retail 30","Y","N","SSB","4426436","1760409940","WALMART PHARMACY 10-0724 100724","630 E BROADWAY BLVD","JEFFERSON CITY","TN","37760","Non- Specialty","No",{"v":0.5,"d":"0.50"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-06-04",39495332530,"70377002711","ATORVASTATIN CALCIUM","Generic","Retail 90","Y","N","Generic","4427630","1164525879","CVS PHARMACY #04180 04180","4406 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","Yes",{"v":270,"d":"270.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-06-17",31910555325,"00228285311","GUANFACINE ER","Generic","Retail 30","Y","N","Generic","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","C001","P","2020-11-14",23935715070,"43547041209","QUINAPRIL HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4437516","1457368466","WALGREENS #1634 1634","7810 OAK RIDGE HWY","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","C002","P","2021-01-30",77529190096,"65162083366","DICLOFENAC SODIUM","Generic","Retail 30","N","N","Generic","4400317","1093818783","CVS PHARMACY #06355 06355","4325 ASHEVILLE HIGHWAY E","KNOXVILLE","TN","37914","Non- Specialty","No",{"v":100,"d":"100.00"},30,{"v":8.65,"d":"$8.65"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A002","P","2020-06-25",69827237005,"65862069705","VENLAFAXINE HCL ER","Generic","Retail 30","Y","N","Generic","4443747","1194032730","M.D. PHARMACY","1467 W MORRIS BLVD","MORRISTOWN","TN","37813","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D003","P","2020-08-07",54875382099,"00378180310","LEVOTHYROXINE SODIUM","Generic","Retail 90","Y","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-05-05",18106107112,"00378718705","METFORMIN HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4434394","1265459465","SAMS PHARMACY 10-8256 108256","8435 WALBROOK DR","KNOXVILLE","TN","37923","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C003","P","2020-08-04",53789411979,"00574022801","BENAZEPRIL HYDROCHLORIDE/","Generic","Retail 90","Y","N","Generic","4419962","1154424794","CVS PHARMACY #07226 07226","2114 E ANDREW JOHNSON HWY","MORRISTOWN","TN","37814","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-11-17",97619633647,"00002143480","TRULICITY","Brand","Retail 90","Y","N","SSB","4421917","1467555979","CVS PHARMACY #07727 07727","2931 ALCOA HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":6,"d":"6.00"},84,{"v":25,"d":"$25.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C003","P","2020-08-04",53789411979,"70377000712","ROSUVASTATIN CALCIUM","Generic","Retail 90","Y","N","Generic","4419962","1154424794","CVS PHARMACY #07226 07226","2114 E ANDREW JOHNSON HWY","MORRISTOWN","TN","37814","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-06-22",82618415741,"60505014202","GLIPIZIDE","Generic","Retail 90","Y","N","Generic","4429177","1033124045","WALGREENS #3388 3388","225 NORTH HALL RD","ALCOA","TN","37701","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-11-08",15091233903,"68462072029","DROSPIRENONE/ETHINYL ESTR","Generic","Retail 30","Y","N","Generic","4401410","1346255445","WALGREENS #5483 5483","7523 KINGSTON PIKE","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":28,"d":"28.00"},28,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C001","P","2021-03-22",16469723032,"68462016205","CARVEDILOL","Generic","Retail 90","Y","N","Generic","4422111","1194730192","WALGREENS #4169 4169","4001 CHAPMAN HIGHWAY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A003","P","2021-02-01",32466562627,"68462056830","AMLODIPINE/OLMESARTAN MED","Generic","Retail 30","Y","N","Generic","4437516","1457368466","WALGREENS #1634 1634","7810 OAK RIDGE HWY","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-11-02",73295004008,"00378623301","CITALOPRAM HYDROBROMIDE","Generic","Retail 90","Y","N","Generic","4426486","1649287640","WALGREENS #6967 6967","4423 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","A002","P","2020-11-12",99337797081,"31722052001","HYDRALAZINE HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4429634","1588679591","WALGREENS #3137 3137","1299 OAK RIDGE TURNPIKE","OAK RIDGE","TN","37830","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A001","P","2021-02-02",10140990786,"00781210201","TACROLIMUS","Generic","Retail 30","Y","N","Generic","1564930","1083045140","OPTUM PHARMACY 702, LLC","1050 PATROL RD","JEFFERSONVILLE","IN","47130","Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B099","P","2021-02-16",97342153270,"16714073301","CELECOXIB","Generic","Retail 30","N","N","Generic","4434065","1053338400","FOOD CITY PHARMACY #655 655","7510 ASHEVILLE HWY","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2021-04-27",92555980215,"16729018201","HYDROCHLOROTHIAZIDE","Generic","Retail 90","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","C003","P","2020-10-28",92908560164,"62175027037","OXYBUTYNIN CHLORIDE ER","Generic","Retail 30","Y","N","Generic","4444698","1316215981","BELEW DRUGS WASHINGTON PIKE","5908 WASHINGTON PIKE STE 102","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2021-04-02",90556398969,"50228011505","FLUOXETINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","1570882","1689278145","AMAZON PHARMACY #006","3620 PLAINFIELD ROAD","IDIANAPOLIS","IN","46231","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2021-04-12",72616292483,"63402030230","LATUDA","Brand","Retail 30","N","N","SSB","4429634","1588679591","WALGREENS #3137 3137","1299 OAK RIDGE TURNPIKE","OAK RIDGE","TN","37830","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":20,"d":"$20.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-10-18",82194251363,"65862001205","SERTRALINE HCL","Generic","Retail 30","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C003","P","2021-02-18",58200575720,"65862076990","FENOFIBRATE","Generic","Retail 30","Y","N","Generic","4426486","1649287640","WALGREENS #6967 6967","4423 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","A001","P","2020-07-23",43990051979,"47781030301","NITROFURANTOIN MONOHYDRAT","Generic","Retail 30","Y","N","Generic","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B001","P","2020-10-22",98067322542,"55111018015","TIZANIDINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4434065","1053338400","FOOD CITY PHARMACY #655 655","7510 ASHEVILLE HWY","KNOXVILLE","TN","37924","Non- Specialty","No",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2021-01-30",46227356636,"60505258008","ATORVASTATIN CALCIUM","Generic","Retail 90","Y","N","Generic","4434887","1487670949","TERRYS PHARMACY JACKSBORO","2715 JACKSBORO PIKE","JACKSBORO","TN","37757","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-06-09",60209933745,"68180051701","LISINOPRIL","Generic","Retail 90","Y","N","Generic","4435827","1225062961","KROGER PHARMACY #549 02600549","6702 CLINTON HWY","KNOXVILLE","TN","37912","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C003","P","2020-11-25",30943842892,"29300012810","HYDROCHLOROTHIAZIDE","Generic","Retail 90","Y","N","Generic","4436716","1932206877","OKIE'S PHARMACY II","1050 RUTLEDGE PIKE","BLAINE","TN","37709","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E001","P","2020-07-05",43665811377,"00406012405","HYDROCODONE/ACETAMINOPHEN","Generic","Retail 30","Y","N","Generic","4429177","1033124045","WALGREENS #3388 3388","225 NORTH HALL RD","ALCOA","TN","37701","Non- Specialty","No",{"v":120,"d":"120.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2021-03-04",69254188793,"49884027082","NASCOBAL","Brand","Retail 30","N","N","SSB","1098121","1427160357","PROCARE PHARMACY CARE","2650 SW 145TH AVE","MIRAMAR","FL","33027","Non- Specialty","Yes",{"v":4,"d":"4.00"},28,{"v":40,"d":"$40.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A001","P","2020-12-08",29552129419,"65162064978","OXCARBAZEPINE","Generic","Retail 30","Y","N","Generic","4436261","1033124060","WALGREENS #7407 7407","11305 CHAPMAN HIGHWAY","SEYMOUR","TN","37865","Non- Specialty","Yes",{"v":250,"d":"250.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C001","P","2021-03-12",78800792685,"42806016005","HYDROXYZINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4407929","1447388707","MACS PHARMACY 1","2419 WASHINGTON PIKE","KNOXVILLE","TN","37917","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":4.12,"d":"$4.12"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-06-26",76166035686,"00126007492","PREVIDENT 5000 BOOSTER PL","Brand","Retail 30","N","N","SSB","4421739","1477568475","WALGREENS #3798 3798","2400 N BROADWAY ST","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":100,"d":"100.00"},24,{"v":14.77,"d":"$14.77"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-05-27",29627150736,"00093720298","PRAVASTATIN SODIUM","Generic","Retail 90","Y","N","Generic","4435649","1477568491","WALGREENS #6993 6993","220 FOOTHILLS MALL DR","MARYVILLE","TN","37801","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-10-05",96203772395,"69097084805","ESCITALOPRAM OXALATE","Generic","Retail 30","Y","N","Generic","4423896","1912914912","WALGREENS #4330 4330","121 N NORTHSHORE DR","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","A003","P","2020-10-05",32891485119,"65862000805","METFORMIN HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4436716","1932206877","OKIE'S PHARMACY II","1050 RUTLEDGE PIKE","BLAINE","TN","37709","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-08-19",11098361056,"00054040113","DESVENLAFAXINE ER","Generic","Retail 30","Y","N","Generic","4437910","1750396784","WALGREENS #9430 9430","132 E BROADWAY BLVD","JEFFERSON CITY","TN","37760","Non- Specialty","Yes",{"v":12,"d":"12.00"},12,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-08-12",98345262552,"69238183701","LEVOTHYROXINE SODIUM","Generic","Retail 90","Y","N","Generic","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D003","P","2021-02-27",78527678771,"65862001501","AMOXICILLIN","Generic","Retail 30","Y","N","Generic","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","No",{"v":20,"d":"20.00"},10,{"v":4.29,"d":"$4.29"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-05-30",38851119664,"70710122600","AMITRIPTYLINE HYDROCHLORI","Generic","Retail 90","Y","N","Generic","4436261","1033124060","WALGREENS #7407 7407","11305 CHAPMAN HIGHWAY","SEYMOUR","TN","37865","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2021-03-08",53700465916,"69097014260","ALBUTEROL SULFATE HFA","Generic","Retail 30","N","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":6.7,"d":"6.70"},17,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2021-01-08",60933044678,"00002143380","TRULICITY","Brand","Retail 30","Y","N","SSB","4428240","1982621173","WALMART PHARMACY 10-2065 102065","8445 WALBROOK DR","KNOXVILLE","TN","37923","Non- Specialty","Yes",{"v":2,"d":"2.00"},28,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B002","P","2020-09-14",24938059238,"69238183801","LEVOTHYROXINE SODIUM","Generic","Retail 30","Y","N","Generic","4430865","1396750303","WALGREENS #3955 3955","10701 KINGSTON PIKE","FARRAGUT","TN","37934","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C001","P","2020-07-09",97334311605,"16729013616","CLONAZEPAM","Generic","Retail 30","Y","N","Generic","4436261","1033124060","WALGREENS #7407 7407","11305 CHAPMAN HIGHWAY","SEYMOUR","TN","37865","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":2,"d":"$2.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","C003","P","2020-11-06",66391833611,"00378632577","VALSARTAN/HYDROCHLOROTHIA","Generic","Retail 90","Y","N","Generic","4437061","1720095730","WALGREENS #7760 7760","11927 KINGSTON PIKE","KNOXVILLE","TN","37934","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B001","P","2020-10-02",27096987848,"50474071079","CIMZIA","Brand","Retail 30","Y","N","SSB","0131754","1154306801","OPTUM PHARMACY 705 LLC","1100 LEE BRANCH LN","BIRMINGHAM","AL","35242","Specialty","Yes",{"v":1,"d":"1.00"},28,{"v":80,"d":"$80.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A003","P","2021-01-16",36679336298,"62756052269","SUMATRIPTAN SUCCINATE","Generic","Retail 30","Y","N","Generic","4416954","1790790897","WALGREENS #6224 6224","5320 CLINTON HIGHWAY","KNOXVILLE","TN","37912","Non- Specialty","No",{"v":3,"d":"3.00"},10,{"v":4.71,"d":"$4.71"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-08-08",49837234326,"59651000305","OMEPRAZOLE DR","Generic","Retail 90","Y","N","Generic","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-09-23",23471753696,"65162019011","NAPROXEN","Generic","Retail 90","Y","N","Generic","4424533","1225055403","WALMART PHARMACY 10-1318 101318","6777 CLINTON HWY","KNOXVILLE","TN","37912","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D001","P","2020-06-29",46437941517,"00093092810","LOVASTATIN","Generic","Retail 90","Y","N","Generic","4426640","1063549863","SEYMOUR ADVALUE PHARMACY","10721 CHAPMAN HWY","SEYMOUR","TN","37865","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-05-27",31910555325,"00781268501","DEXMETHYLPHENIDATE HCL ER","Generic","Retail 30","Y","N","Generic","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E001","P","2021-01-25",65748728544,"62175011843","OMEPRAZOLE","Generic","Retail 90","Y","N","Generic","4437516","1457368466","WALGREENS #1634 1634","7810 OAK RIDGE HWY","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A001","P","2020-05-04",57652408043,"16729000515","SIMVASTATIN","Generic","Retail 30","Y","N","Generic","4440955","1639353733","FOOD CITY PHARMACY #609 609","2946 WINFIELD DUNN PARKWAY","KODAK","TN","37764","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A003","P","2020-08-19",89750777201,"00093753656","ANASTROZOLE","Generic","Retail 30","Y","N","Generic","4426486","1649287640","WALGREENS #6967 6967","4423 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":30,"d":"30.00"},60,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2021-03-30",50297302559,"65862022701","LAMOTRIGINE","Generic","Retail 90","Y","N","Generic","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","C003","P","2020-06-02",61080493576,"65862001905","CEPHALEXIN","Generic","Retail 30","Y","N","Generic","4445777","1942540828","UNIVERSITY PHARMACY","1924 ALCOA HWY STE NP100","KNOXVILLE","TN","37920","Non- Specialty","No",{"v":28,"d":"28.00"},7,{"v":3.97,"d":"$3.97"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-05-20",17701947321,"52268001201","SUPREP BOWEL PREP KIT","Brand","Retail 30","N","N","SSB","4424545","1134146319","WALMART PHARMACY 10-1319 101319","7550 NORRIS FWY","KNOXVILLE","TN","37938","Non- Specialty","No",{"v":354,"d":"354.00"},1,{"v":40,"d":"$40.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D001","P","2020-08-10",52530866595,"31722072690","MONTELUKAST SODIUM","Generic","Retail 30","Y","N","Generic","4423896","1912914912","WALGREENS #4330 4330","121 N NORTHSHORE DR","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B001","P","2020-06-13",27096987848,"52817033010","CYCLOBENZAPRINE HYDROCHLO","Generic","Retail 30","Y","N","Generic","4422111","1194730192","WALGREENS #4169 4169","4001 CHAPMAN HIGHWAY","KNOXVILLE","TN","37920","Non- Specialty","No",{"v":90,"d":"90.00"},30,{"v":4.4,"d":"$4.40"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2020-06-13",37693449284,"00003089421","ELIQUIS","Brand","Retail 90","Y","N","SSB","4434370","1356368559","SAMS PHARMACY 10-6572 106572","2920 KNOXVILLE CENTER DR","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":25,"d":"$25.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-06-06",21272210342,"55111012205","ATORVASTATIN CALCIUM","Generic","Retail 90","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2020-06-08",63821469904,"00093314705","CEPHALEXIN","Generic","Retail 30","Y","N","Generic","4443254","1013236785","WALGREENS #12980 12980","7425 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","No",{"v":4,"d":"4.00"},1,{"v":1.17,"d":"$1.17"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-06-10",97972884792,"00002143480","TRULICITY","Brand","Retail 90","Y","N","SSB","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":6,"d":"6.00"},84,{"v":25,"d":"$25.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","C003","P","2020-08-20",28940714943,"53746051501","SPIRONOLACTONE","Generic","Retail 90","Y","N","Generic","4426486","1649287640","WALGREENS #6967 6967","4423 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-08-18",78937304821,"00574082701","TESTOSTERONE CYPIONATE","Generic","Retail 90","Y","N","Generic","4437516","1457368466","WALGREENS #1634 1634","7810 OAK RIDGE HWY","KNOXVILLE","TN","37931","Non- Specialty","No",{"v":3,"d":"3.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A002","P","2020-11-30",69827237005,"00310621030","FARXIGA","Brand","Retail 30","Y","N","SSB","4443747","1194032730","M.D. PHARMACY","1467 W MORRIS BLVD","MORRISTOWN","TN","37813","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","C003","P","2020-10-28",92908560164,"00088221905","LANTUS SOLOSTAR","Brand","Retail 30","Y","N","SSB","4444698","1316215981","BELEW DRUGS WASHINGTON PIKE","5908 WASHINGTON PIKE STE 102","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-09-12",49837234326,"00378180310","LEVOTHYROXINE SODIUM","Generic","Retail 90","Y","N","Generic","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2021-02-01",41654670738,"00169280015","SAXENDA","Brand","Retail 30","Y","N","SSB","4428682","1497760409","WALGREENS #3209 3209","8950 KINGSTON PIKE","KNOXVILLE","TN","37923","Non- Specialty","Yes",{"v":15,"d":"15.00"},30,{"v":20,"d":"$20.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C003","P","2020-05-01",82569581381,"55111012701","CIPROFLOXACIN HYDROCHLORI","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":20,"d":"20.00"},10,{"v":4.43,"d":"$4.43"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","C001","P","2020-08-24",77873708772,"60505283303","ATOMOXETINE","Generic","Retail 30","Y","N","Generic","4433556","1417974866","FOOD CITY PHARMACY #688 688","7202 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-08-13",11098361056,"68180032002","BUPROPION HYDROCHLORIDE E","Generic","Retail 30","Y","N","Generic","4437910","1750396784","WALGREENS #9430 9430","132 E BROADWAY BLVD","JEFFERSON CITY","TN","37760","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-06-16",73400780921,"62175061743","PANTOPRAZOLE SODIUM","Generic","Retail 90","Y","N","Generic","4448848","1508216029","KROGER PHARMACY #670 02600670","234 E EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C001","P","2020-05-09",55651368140,"16729013616","CLONAZEPAM","Generic","Retail 30","Y","N","Generic","4401410","1346255445","WALGREENS #5483 5483","7523 KINGSTON PIKE","KNOXVILLE","TN","37919","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":2.01,"d":"$2.01"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C003","P","2021-01-24",17701947321,"45963014205","BUPROPION HYDROCHLORIDE E","Generic","Retail 90","Y","N","Generic","4424545","1134146319","WALMART PHARMACY 10-1319 101319","7550 NORRIS FWY","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","B003","P","2021-01-27",78275084999,"68382050010","OMEPRAZOLE","Generic","Retail 30","Y","N","Generic","4424949","1811902810","WALGREENS #5729 5729","9200 MIDDLEBROOK PIKE","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2021-02-18",20514772043,"65862057490","MONTELUKAST SODIUM","Generic","Retail 30","Y","N","Generic","4450273","1376068361","WALGREENS #19623 19623","1255 HIGHWAY 11 WEST","BEAN STATION","TN","37708","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-12-27",14936858227,"55111018015","TIZANIDINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","No",{"v":90,"d":"90.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2020-05-29",20301673845,"00430042014","LO LOESTRIN FE","Brand","Retail 90","Y","N","SSB","4423896","1912914912","WALGREENS #4330 4330","121 N NORTHSHORE DR","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":84,"d":"84.00"},84,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C002","P","2021-03-09",42920612361,"59762500701","MISOPROSTOL","Generic","Retail 30","Y","N","Generic","4438722","1336150986","RIGGS DRUG STORE","604 E EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":1,"d":"1.00"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-09-14",67972188267,"55111046801","METOPROLOL SUCCINATE ER","Generic","Retail 90","Y","N","Generic","4439623","1578586954","FOOD CITY PHARMACY #687 687","2712 LOVES CREEK RD","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-07-13",42733602155,"62175011843","OMEPRAZOLE","Generic","Retail 90","Y","N","Generic","4437516","1457368466","WALGREENS #1634 1634","7810 OAK RIDGE HWY","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2021-01-31",97209460866,"00088222033","LANTUS","Brand","Retail 30","Y","N","SSB","4430803","1356444079","CVS PHARMACY #04457 04457","7341 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":30,"d":"30.00"},75,{"v":25,"d":"$25.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-11-08",14025947610,"69097094312","GABAPENTIN","Generic","Retail 30","Y","N","Generic","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D001","P","2021-03-03",17262732660,"55111012205","ATORVASTATIN CALCIUM","Generic","Retail 90","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-11-19",10993921920,"27241009903","DULOXETINE HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2021-01-26",37526661577,"16714066201","GABAPENTIN","Generic","Retail 30","Y","N","Generic","4438203","1891712378","FOOD CITY PHARMACY #685 685","4805 N BROADWAY","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C002","P","2020-09-21",42920612361,"68382013905","TOPIRAMATE","Generic","Retail 30","Y","N","Generic","4438722","1336150986","RIGGS DRUG STORE","604 E EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-08-12",51958236163,"68180032002","BUPROPION HYDROCHLORIDE E","Generic","Retail 90","Y","N","Generic","4423896","1912914912","WALGREENS #4330 4330","121 N NORTHSHORE DR","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A003","P","2020-06-09",65148902422,"31722077701","ACYCLOVIR","Generic","Retail 30","Y","N","Generic","4434065","1053338400","FOOD CITY PHARMACY #655 655","7510 ASHEVILLE HWY","KNOXVILLE","TN","37924","Non- Specialty","No",{"v":60,"d":"60.00"},20,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-12-02",88412882113,"00093005401","BUSPIRONE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4451871","1578125126","WALGREENS #21264 21264","4935 MILLERTOWN PIKE","KNOXVILLE","TN","37917","Non- Specialty","No",{"v":90,"d":"90.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2021-03-22",27295394459,"59267100001","PFIZER-BIONTECH COVID-19","Brand","Retail 30","Y","N","SSB","4436261","1033124060","WALGREENS #7407 7407","11305 CHAPMAN HIGHWAY","SEYMOUR","TN","37865","Non- Specialty","No",{"v":0.3,"d":"0.30"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","B002","P","2021-03-11",30541573954,"70710122700","AMITRIPTYLINE HYDROCHLORI","Generic","Retail 90","Y","N","Generic","4416954","1790790897","WALGREENS #6224 6224","5320 CLINTON HIGHWAY","KNOXVILLE","TN","37912","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-07-24",74176522278,"60505083305","AZELASTINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4401410","1346255445","WALGREENS #5483 5483","7523 KINGSTON PIKE","KNOXVILLE","TN","37919","Non- Specialty","No",{"v":30,"d":"30.00"},50,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","C001","P","2020-06-01",68285437727,"16714062202","ZOLPIDEM TARTRATE","Generic","Retail 30","Y","N","Generic","4429545","1972520161","WALMART PHARMACY 10-2310 102310","3051 KINZEL WAY","KNOXVILLE","TN","37924","Non- Specialty","No",{"v":21,"d":"21.00"},21,{"v":2.3,"d":"$2.30"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-05-06",35230147298,"60505082901","FLUTICASONE PROPIONATE","Generic","Retail 30","Y","N","Generic","4421739","1477568475","WALGREENS #3798 3798","2400 N BROADWAY ST","KNOXVILLE","TN","37917","Non- Specialty","No",{"v":16,"d":"16.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-05-23",67972188267,"60505083305","AZELASTINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4439623","1578586954","FOOD CITY PHARMACY #687 687","2712 LOVES CREEK RD","KNOXVILLE","TN","37924","Non- Specialty","No",{"v":30,"d":"30.00"},25,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2021-04-10",23124292833,"45802046564","KETOCONAZOLE","Generic","Retail 30","Y","N","Generic","4436261","1033124060","WALGREENS #7407 7407","11305 CHAPMAN HIGHWAY","SEYMOUR","TN","37865","Non- Specialty","No",{"v":120,"d":"120.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A099","P","2020-09-01",47161086067,"13668044201","CELECOXIB","Generic","Retail 90","N","N","Generic","4442721","1659607141","KROGER PHARMACY #698 02600698","5201 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":174,"d":"174.00"},87,{"v":25,"d":"$25.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D001","P","2020-07-06",26743051125,"68180072103","AMLODIPINE BESYLATE","Generic","Retail 30","Y","N","Generic","4421157","1629171335","CVS PHARMACY #06366 06366","2800 BROADWAY ST NE","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D003","P","2021-02-23",15771250683,"00169280015","SAXENDA","Brand","Retail 30","Y","N","SSB","4424862","1043237225","WALMART PHARMACY 10-1320 101320","7420 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":15,"d":"15.00"},30,{"v":20,"d":"$20.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D001","P","2020-12-16",74676005486,"62175061746","PANTOPRAZOLE SODIUM","Generic","Retail 90","Y","N","Generic","4434065","1053338400","FOOD CITY PHARMACY #655 655","7510 ASHEVILLE HWY","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-10-12",82590486870,"70461032003","FLUCELVAX QUADRIVALENT 20","Brand","Retail 30","Y","N","SSB","4430803","1356444079","CVS PHARMACY #04457 04457","7341 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","No",{"v":0.5,"d":"0.50"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-05-06",88553863165,"59417010710","VYVANSE","Brand","Retail 30","Y","N","SSB","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":20,"d":"$20.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D003","P","2021-02-02",77840998949,"13107008405","LORAZEPAM","Generic","Retail 30","Y","N","Generic","4400317","1093818783","CVS PHARMACY #06355 06355","4325 ASHEVILLE HIGHWAY E","KNOXVILLE","TN","37914","Non- Specialty","No",{"v":60,"d":"60.00"},30,{"v":4.62,"d":"$4.62"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","B003","P","2020-11-24",53819406356,"65162019010","NAPROXEN","Generic","Retail 30","Y","N","Generic","2339340","1841309390","RITE AID PHARMACY 04539 04539","1733 SPRING ARBOR ROAD","JACKSON","MI","49203","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-10-19",45867239218,"00173088210","BREO ELLIPTA","Brand","Retail 30","Y","N","SSB","4420953","1013941749","KROGER PHARMACY #506 02600506","2217 N BROADWAY ST","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C001","P","2020-05-26",94131545179,"65862018730","ONDANSETRON HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4436261","1033124060","WALGREENS #7407 7407","11305 CHAPMAN HIGHWAY","SEYMOUR","TN","37865","Non- Specialty","No",{"v":20,"d":"20.00"},3,{"v":2.79,"d":"$2.79"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-08-25",39670780292,"68180071160","CEFDINIR","Generic","Retail 30","Y","N","Generic","4426955","1639184633","WALGREENS #7374 7374","4423 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","No",{"v":14,"d":"14.00"},7,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D001","P","2021-02-25",79229285406,"68462026390","ROSUVASTATIN CALCIUM","Generic","Retail 90","Y","N","Generic","4438722","1336150986","RIGGS DRUG STORE","604 E EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2020-09-18",30014869225,"66689000816","NYSTATIN","Generic","Retail 30","Y","N","Generic","4421739","1477568475","WALGREENS #3798 3798","2400 N BROADWAY ST","KNOXVILLE","TN","37917","Non- Specialty","No",{"v":80,"d":"80.00"},10,{"v":3.8,"d":"$3.80"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D001","P","2021-02-07",57808469881,"00093081101","NORTRIPTYLINE HCL","Generic","Retail 30","Y","N","Generic","4441212","1467638890","WALMART PHARMACY 10-4635 104635","150 TANNER LN","CLINTON","TN","37716","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","E001","P","2021-02-15",83534900945,"00781286810","OMEPRAZOLE","Generic","Retail 90","Y","N","Generic","4440955","1639353733","FOOD CITY PHARMACY #609 609","2946 WINFIELD DUNN PARKWAY","KODAK","TN","37764","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2020-11-05",67106213667,"55111012205","ATORVASTATIN CALCIUM","Generic","Retail 30","Y","N","Generic","4443254","1013236785","WALGREENS #12980 12980","7425 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D001","P","2020-06-29",46437941517,"16714074703","OMEPRAZOLE","Generic","Retail 90","Y","N","Generic","4426640","1063549863","SEYMOUR ADVALUE PHARMACY","10721 CHAPMAN HWY","SEYMOUR","TN","37865","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-12-27",86932120123,"65862024708","LEVETIRACETAM","Generic","Retail 30","Y","N","Generic","4424545","1134146319","WALMART PHARMACY 10-1319 101319","7550 NORRIS FWY","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-12-14",73400780921,"69238131209","PREGABALIN","Generic","Mail","N","N","Generic","1718634","1669498515","OPTUMRX","6800 WEST 115TH STREET","OVERLAND PARK","KS","66211","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B001","P","2020-05-14",10700728719,"65862056090","PANTOPRAZOLE SODIUM","Generic","Retail 90","Y","N","Generic","4446565","1417375403","WALGREENS #15906 15906","1602 E LAMAR ALEXANDER PKWY","MARYVILLE","TN","37804","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2020-06-16",24108299662,"67877025130","TRIAMCINOLONE ACETONIDE","Generic","Retail 30","Y","N","Generic","4400317","1093818783","CVS PHARMACY #06355 06355","4325 ASHEVILLE HIGHWAY E","KNOXVILLE","TN","37914","Non- Specialty","No",{"v":30,"d":"30.00"},10,{"v":2.14,"d":"$2.14"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D099","P","2020-06-10",82273371731,"31722072690","MONTELUKAST SODIUM","Generic","Retail 30","Y","N","Generic","4422111","1194730192","WALGREENS #4169 4169","4001 CHAPMAN HIGHWAY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2021-03-09",70965250758,"00430042014","LO LOESTRIN FE","Brand","Retail 30","Y","N","SSB","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":84,"d":"84.00"},72,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D001","P","2020-08-30",17837912391,"00228202750","ALPRAZOLAM","Generic","Retail 30","Y","N","Generic","4418592","1326141037","CVS PHARMACY #06361 06361","718 WINFIELD DUNN PKWY","SEVIERVILLE","TN","37876","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":1.34,"d":"$1.34"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A003","P","2020-10-23",37999913657,"68382079101","ACYCLOVIR","Generic","Retail 30","Y","N","Generic","4422111","1194730192","WALGREENS #4169 4169","4001 CHAPMAN HIGHWAY","KNOXVILLE","TN","37920","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-05-13",22213946120,"29300011201","LAMOTRIGINE","Generic","Retail 90","Y","N","Generic","4422111","1194730192","WALGREENS #4169 4169","4001 CHAPMAN HIGHWAY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E003","P","2020-08-09",96490190485,"00378003001","CLORAZEPATE DIPOTASSIUM","Generic","Retail 30","Y","N","Generic","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","No",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2020-08-20",36371447505,"52817033200","CYCLOBENZAPRINE HYDROCHLO","Generic","Retail 30","Y","N","Generic","4429177","1033124045","WALGREENS #3388 3388","225 NORTH HALL RD","ALCOA","TN","37701","Non- Specialty","No",{"v":30,"d":"30.00"},10,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A003","P","2020-06-03",43591138855,"62332003031","ROPINIROLE HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4431677","1336173079","KROGER PHARMACY #530 02600530","9161 MIDDLEBROOK PIKE","KNOXVILLE","TN","37923","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","E001","P","2021-02-18",53053072676,"68462010960","TOPIRAMATE","Generic","Retail 90","Y","N","Generic","1041829","1205073830","CVS PHARMACY #07964 07964","2301 MOODY BLVD","FLAGLER BEACH","FL","32136","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-06-12",20443138683,"65862042005","SULFAMETHOXAZOLE/TRIMETHO","Generic","Retail 30","Y","N","Generic","4422111","1194730192","WALGREENS #4169 4169","4001 CHAPMAN HIGHWAY","KNOXVILLE","TN","37920","Non- Specialty","No",{"v":20,"d":"20.00"},10,{"v":2.76,"d":"$2.76"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C003","P","2020-12-16",81196295364,"0","-","Brand","Retail 30","N","Y","SSB","4446945","1063815470","VOLUNTEER PHARMACY","2559 WILLOW POINT WAY","KNOXVILLE","TN","37931","Non- Specialty","No",{"v":240,"d":"240.00"},15,{"v":8.63,"d":"$8.63"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-09-07",53664257611,"53746054201","POTASSIUM CHLORIDE ER","Generic","Retail 90","Y","N","Generic","4427630","1164525879","CVS PHARMACY #04180 04180","4406 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C001","P","2020-08-21",31607886053,"49502010202","EPINEPHRINE","Generic","Retail 30","Y","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","No",{"v":2,"d":"2.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B001","P","2020-07-20",87229351341,"63402030630","LATUDA","Brand","Retail 90","N","N","SSB","4417475","1427151133","CVS PHARMACY #05601 05601","570 HWY 321 N","LENOIR CITY","TN","37771","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":50,"d":"$50.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","C003","P","2020-10-23",39333101478,"16714085302","METOPROLOL SUCCINATE ER","Generic","Retail 30","Y","N","Generic","4426640","1063549863","SEYMOUR ADVALUE PHARMACY","10721 CHAPMAN HWY","SEYMOUR","TN","37865","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C001","P","2020-08-13",45231441941,"68180016013","AZITHROMYCIN","Generic","Retail 30","Y","N","Generic","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","No",{"v":6,"d":"6.00"},5,{"v":4.49,"d":"$4.49"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D001","P","2020-08-10",26931178292,"31722072690","MONTELUKAST SODIUM","Generic","Retail 30","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E003","P","2021-02-08",66493187108,"65862020199","LOSARTAN POTASSIUM","Generic","Retail 90","Y","N","Generic","4426486","1649287640","WALGREENS #6967 6967","4423 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-05-18",69596205915,"00006008061","JANUMET XR","Brand","Retail 30","Y","N","SSB","4430283","1194803601","ANDERSON CROSSING PHARMACY","3318 ANDERSONVILLE HWY","ANDERSONVILLE","TN","37705","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","A001","P","2020-10-09",16024797396,"66869040490","LIVALO","Brand","Retail 90","N","N","SSB","4403806","1588767289","CVS PHARMACY #03723 03723","1287 OAK RIDGE TPK","OAK RIDGE","TN","37830","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":50,"d":"$50.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","B002","P","2021-01-11",30541573954,"65862069790","VENLAFAXINE HCL ER","Generic","Retail 90","Y","N","Generic","4416954","1790790897","WALGREENS #6224 6224","5320 CLINTON HIGHWAY","KNOXVILLE","TN","37912","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2021-01-27",47182649691,"00574022701","BENAZEPRIL HYDROCHLORIDE/","Generic","Mail","Y","N","Generic","3472660","1356967749","OPTUM PHARMACY 701, LLC","4015 SHOPTON ROAD","CHARLOTTE","NC","28217","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2020-10-21",16333749852,"57237007710","ONDANSETRON ODT","Generic","Retail 30","Y","N","Generic","4436071","1124033154","WALGREENS #7320 7320","7320 CLINTON HWY","POWELL","TN","37849","Non- Specialty","No",{"v":30,"d":"30.00"},7,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2021-03-22",98418129508,"59267100001","PFIZER-BIONTECH COVID-19","Brand","Retail 30","Y","N","SSB","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":0.3,"d":"0.30"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2021-04-06",80905186611,"24208046325","LATANOPROST","Generic","Retail 30","Y","N","Generic","4435497","1316971054","KROGER PHARMACY #683 02600683","507 FOOTHILLS PLZ","MARYVILLE","TN","37801","Non- Specialty","Yes",{"v":2.5,"d":"2.50"},25,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2020-08-12",32810846070,"00378811745","DOXEPIN HYDROCHLORIDE","Generic","Retail 30","N","N","Generic","4446945","1063815470","VOLUNTEER PHARMACY","2559 WILLOW POINT WAY","KNOXVILLE","TN","37931","Non- Specialty","No",{"v":180,"d":"180.00"},20,{"v":10,"d":"$10.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A001","P","2021-02-16",55850630167,"65862042001","SULFAMETHOXAZOLE/TRIMETHO","Generic","Retail 30","Y","N","Generic","4434370","1356368559","SAMS PHARMACY 10-6572 106572","2920 KNOXVILLE CENTER DR","KNOXVILLE","TN","37924","Non- Specialty","No",{"v":10,"d":"10.00"},5,{"v":1.83,"d":"$1.83"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-10-09",19980826014,"59417010510","VYVANSE","Brand","Retail 30","Y","N","SSB","4416954","1790790897","WALGREENS #6224 6224","5320 CLINTON HIGHWAY","KNOXVILLE","TN","37912","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":20,"d":"$20.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","B003","P","2020-06-10",29117017331,"59746000103","METHYLPREDNISOLONE DOSE P","Generic","Retail 30","Y","N","Generic","4436071","1124033154","WALGREENS #7320 7320","7320 CLINTON HWY","POWELL","TN","37849","Non- Specialty","No",{"v":21,"d":"21.00"},6,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2021-03-03",62360433272,"00074055402","HUMIRA PEN","Brand","Retail 30","Y","N","SSB","1564930","1083045140","OPTUM PHARMACY 702, LLC","1050 PATROL RD","JEFFERSONVILLE","IN","47130","Specialty","Yes",{"v":4,"d":"4.00"},28,{"v":505,"d":"$505.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2020-12-17",65210878385,"13668013701","ESCITALOPRAM OXALATE","Generic","Retail 90","Y","N","Generic","4418566","1417050121","CVS PHARMACY #05671 05671","103 FOOTHILLS MALL RD","MARYVILLE","TN","37801","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2021-03-10",41255635935,"29300011101","LAMOTRIGINE","Generic","Retail 30","Y","N","Generic","4422111","1194730192","WALGREENS #4169 4169","4001 CHAPMAN HIGHWAY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":120,"d":"120.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C001","P","2020-05-12",97334311605,"65862052830","VENLAFAXINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4436261","1033124060","WALGREENS #7407 7407","11305 CHAPMAN HIGHWAY","SEYMOUR","TN","37865","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2021-02-11",64667813827,"43386035801","HYDROCODONE/ACETAMINOPHEN","Generic","Retail 30","Y","N","Generic","4427630","1164525879","CVS PHARMACY #04180 04180","4406 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","No",{"v":180,"d":"180.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E003","P","2021-03-30",85857488916,"69097084615","CYCLOBENZAPRINE HYDROCHLO","Generic","Retail 30","Y","N","Generic","4442721","1659607141","KROGER PHARMACY #698 02600698","5201 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":1.67,"d":"$1.67"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2021-02-18",68892609076,"68180032002","BUPROPION HYDROCHLORIDE E","Generic","Retail 30","Y","N","Generic","4424949","1811902810","WALGREENS #5729 5729","9200 MIDDLEBROOK PIKE","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2020-09-05",45306325403,"50383070016","FLUTICASONE PROPIONATE","Generic","Retail 30","Y","N","Generic","4436716","1932206877","OKIE'S PHARMACY II","1050 RUTLEDGE PIKE","BLAINE","TN","37709","Non- Specialty","No",{"v":16,"d":"16.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A001","P","2020-10-25",17730816979,"00185021101","BENAZEPRIL HCL/HYDROCHLOR","Generic","Retail 90","Y","N","Generic","4443254","1013236785","WALGREENS #12980 12980","7425 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B001","P","2020-08-19",10700728719,"10572030201","PEG-3350/NACL/NA BICARBON","Generic","Retail 30","Y","N","Generic","4446565","1417375403","WALGREENS #15906 15906","1602 E LAMAR ALEXANDER PKWY","MARYVILLE","TN","37804","Non- Specialty","No",{"v":4000,"d":"4000.00"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E003","P","2021-04-06",13384285437,"69097083302","SERTRALINE HCL","Generic","Retail 90","Y","N","Generic","4430207","1578588299","KROGER PHARMACY #525 02600525","9501 S NORTHSHORE DR","KNOXVILLE","TN","37922","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2021-01-28",86023386457,"14539067401","HYDROXYZINE PAMOATE","Generic","Retail 90","Y","N","Generic","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","No",{"v":180,"d":"180.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","C003","P","2020-12-29",20190500805,"50458057930","XARELTO","Brand","Retail 90","Y","N","SSB","4427630","1164525879","CVS PHARMACY #04180 04180","4406 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":25,"d":"$25.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2021-02-14",97972884792,"72578003601","METFORMIN HYDROCHLORIDE E","Generic","Retail 90","Y","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","A003","P","2020-06-26",60374971502,"00023586230","TAYTULLA","Brand","Retail 90","Y","N","SSB","4436071","1124033154","WALGREENS #7320 7320","7320 CLINTON HWY","POWELL","TN","37849","Non- Specialty","Yes",{"v":84,"d":"84.00"},84,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C001","P","2020-12-09",20276281808,"57237000299","HYDROCHLOROTHIAZIDE","Generic","Retail 30","Y","N","Generic","4441705","1538319298","KROGER PHARMACY #686 02600686","189 BROOKLAWN ST","FARRAGUT","TN","37934","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","C002","P","2020-08-26",20190500805,"51991081403","AZELASTINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4427630","1164525879","CVS PHARMACY #04180 04180","4406 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","No",{"v":30,"d":"30.00"},50,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B002","P","2020-07-29",56991923165,"23155050105","HYDROXYZINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","No",{"v":40,"d":"40.00"},10,{"v":4.83,"d":"$4.83"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2021-01-19",66919780794,"65862001205","SERTRALINE HCL","Generic","Retail 30","Y","N","Generic","4435598","1568477586","WALGREENS #6788 6788","1959 W ANDREW JOHNSON HWY","MORRISTOWN","TN","37814","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D003","P","2020-09-21",29280642353,"00185032501","BENAZEPRIL HCL/HYDROCHLOR","Generic","Retail 30","Y","N","Generic","4429634","1588679591","WALGREENS #3137 3137","1299 OAK RIDGE TURNPIKE","OAK RIDGE","TN","37830","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-07-10",99510970911,"57237007710","ONDANSETRON ODT","Generic","Retail 30","Y","N","Generic","4430207","1578588299","KROGER PHARMACY #525 02600525","9501 S NORTHSHORE DR","KNOXVILLE","TN","37922","Non- Specialty","No",{"v":20,"d":"20.00"},5,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C001","P","2020-09-16",33886142872,"16729018201","HYDROCHLOROTHIAZIDE","Generic","Retail 90","Y","N","Generic","4426486","1649287640","WALGREENS #6967 6967","4423 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2021-01-22",53965141952,"00378623301","CITALOPRAM HYDROBROMIDE","Generic","Retail 30","Y","N","Generic","4429177","1033124045","WALGREENS #3388 3388","225 NORTH HALL RD","ALCOA","TN","37701","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A001","P","2020-06-30",29552129419,"65162064978","OXCARBAZEPINE","Generic","Retail 30","Y","N","Generic","4431019","1518991256","KROGER PHARMACY #581 02600581","10721 CHAPMAN HWY","SEYMOUR","TN","37865","Non- Specialty","Yes",{"v":250,"d":"250.00"},35,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D003","P","2020-06-15",99350639290,"70377002913","ATORVASTATIN CALCIUM","Generic","Retail 90","Y","N","Generic","4448848","1508216029","KROGER PHARMACY #670 02600670","234 E EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-06-23",23137951188,"68682010110","PENTOXIFYLLINE ER","Generic","Retail 90","Y","N","Generic","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","E001","P","2021-04-20",55973406370,"62175013643","OMEPRAZOLE","Generic","Retail 30","Y","N","Generic","4434065","1053338400","FOOD CITY PHARMACY #655 655","7510 ASHEVILLE HWY","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A003","P","2020-09-16",73473621070,"69680011225","CYANOCOBALAMIN","Generic","Retail 90","N","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","No",{"v":3,"d":"3.00"},90,{"v":8.76,"d":"$8.76"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2021-03-11",23409109826,"00310621030","FARXIGA","Brand","Retail 30","Y","N","SSB","4436716","1932206877","OKIE'S PHARMACY II","1050 RUTLEDGE PIKE","BLAINE","TN","37709","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A001","P","2020-11-13",58725931027,"57237001401","TAMSULOSIN HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4418566","1417050121","CVS PHARMACY #05671 05671","103 FOOTHILLS MALL RD","MARYVILLE","TN","37801","Non- Specialty","Yes",{"v":7,"d":"7.00"},7,{"v":2.35,"d":"$2.35"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-09-07",80103542065,"55111015810","OMEPRAZOLE","Generic","Retail 90","Y","N","Generic","4403781","1679676373","CVS PHARMACY #03721 03721","4864 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D099","P","2020-06-29",66300971516,"69238183407","LEVOTHYROXINE SODIUM","Generic","Retail 30","Y","N","Generic","4443254","1013236785","WALGREENS #12980 12980","7425 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","C001","P","2021-04-26",20013258681,"43547028111","ESCITALOPRAM OXALATE","Generic","Retail 30","Y","N","Generic","4452001","1053876896","BELIEVERX 1","9627 COUNTRYSIDE CENTER LN","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2021-03-23",71948899561,"68180098003","LISINOPRIL","Generic","Retail 90","Y","N","Generic","4430891","1790719433","KROGER PHARMACY #558 02600558","4414 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2020-09-30",16847707796,"00781286810","OMEPRAZOLE","Generic","Retail 90","Y","N","Generic","4441539","1902062722","FOOD CITY PHARMACY #680 680","4344 MAYNARDVILLE","MAYNARDVILLE","TN","37807","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C003","P","2021-01-29",81196295364,"00002143480","TRULICITY","Brand","Retail 30","Y","N","SSB","4443254","1013236785","WALGREENS #12980 12980","7425 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":2,"d":"2.00"},28,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-12-08",59349576741,"71376020303","JORNAY PM","Brand","Retail 30","N","N","SSB","4430865","1396750303","WALGREENS #3955 3955","10701 KINGSTON PIKE","FARRAGUT","TN","37934","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":40,"d":"$40.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E003","P","2020-12-14",58121399749,"00173072020","FLOVENT HFA","Brand","Retail 90","Y","N","SSB","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":36,"d":"36.00"},90,{"v":25,"d":"$25.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2021-01-12",24514430946,"59417010710","VYVANSE","Brand","Retail 30","Y","N","SSB","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":20,"d":"$20.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-05-26",66515868524,"65862023060","LAMOTRIGINE","Generic","Retail 90","Y","N","Generic","4432237","1528165024","CVS PHARMACY #07698 07698","9435 S NORTHSHORE DR","KNOXVILLE","TN","37922","Non- Specialty","Yes",{"v":225,"d":"225.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B002","P","2021-01-19",79739945810,"68968051408","COMBIPATCH","Brand","Retail 30","Y","N","SSB","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":8,"d":"8.00"},27,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A099","P","2021-04-14",52456669836,"66887000410","TESTOPEL","Brand","Retail 90","N","N","SSB","3974157","1972560688","ALLIANCERX WALGREENS PRIME #16287 16287","130 ENTERPRISE DR","PITTSBURGH","PA","15275","Non- Specialty","No",{"v":15,"d":"15.00"},90,{"v":100,"d":"$100.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-08-31",60311459363,"00008084181","PROTONIX","Brand","Retail 30","Y","N","SSB","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2021-03-14",11885618433,"00054327099","FLUTICASONE PROPIONATE","Generic","Retail 30","N","N","Generic","4421133","1295838704","CVS PHARMACY #06363 06363","6005 KINGSTON PIKE","KNOXVILLE","TN","37919","Non- Specialty","No",{"v":16,"d":"16.00"},30,{"v":6.3,"d":"$6.30"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E002","P","2021-01-11",55486360641,"00054040113","DESVENLAFAXINE ER","Generic","Retail 30","Y","N","Generic","4422111","1194730192","WALGREENS #4169 4169","4001 CHAPMAN HIGHWAY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C003","P","2021-04-03",39829700344,"59267100001","PFIZER-BIONTECH COVID-19","Brand","Retail 30","Y","N","SSB","4450083","1073038121","WALGREENS #18021 18021","2710 MAYNARDVILLE HIGHWAY","MAYNARDVILLE","TN","37807","Non- Specialty","No",{"v":0.3,"d":"0.30"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2020-08-08",91968049265,"69097094312","GABAPENTIN","Generic","Retail 30","Y","N","Generic","4434611","1306868054","CVS PHARMACY #16034 16034","8040 RAY MEARS BLVD","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":180,"d":"180.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-10-13",92226664690,"00378623305","CITALOPRAM HYDROBROMIDE","Generic","Retail 30","Y","N","Generic","4430283","1194803601","ANDERSON CROSSING PHARMACY","3318 ANDERSONVILLE HWY","ANDERSONVILLE","TN","37705","Non- Specialty","Yes",{"v":56,"d":"56.00"},56,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D099","P","2020-12-20",73209428782,"29300018801","BISOPROLOL FUMARATE/HYDRO","Generic","Retail 30","Y","N","Generic","4430891","1790719433","KROGER PHARMACY #558 02600558","4414 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2020-10-27",59898124599,"59762444002","METHYLPREDNISOLONE DOSE P","Generic","Retail 30","Y","N","Generic","4430207","1578588299","KROGER PHARMACY #525 02600525","9501 S NORTHSHORE DR","KNOXVILLE","TN","37922","Non- Specialty","No",{"v":21,"d":"21.00"},6,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2021-03-23",56037456094,"69097015815","MELOXICAM","Generic","Mail","Y","N","Generic","5926716","1154893600","OPTUMRX PHARMACY 704","5627 UNIVERSITY HEIGHTS BOULEVARD","SAN ANTONIO","TX","78249","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":6.3,"d":"$6.30"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D003","P","2020-10-21",46080009139,"51672128202","TRIAMCINOLONE ACETONIDE","Generic","Retail 30","Y","N","Generic","4424949","1811902810","WALGREENS #5729 5729","9200 MIDDLEBROOK PIKE","KNOXVILLE","TN","37931","Non- Specialty","No",{"v":30,"d":"30.00"},15,{"v":2.07,"d":"$2.07"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2020-09-10",60117456230,"44206045404","HIZENTRA","Brand","Retail 30","Y","N","SSB","1719472","1366603854","OPTUM INFUSION SERVICES 305, LLC","15529 COLLEGE BLVD","LENEXA","KS","66219","Specialty","No",{"v":180,"d":"180.00"},28,{"v":80,"d":"$80.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2021-01-28",14435600669,"00378623301","CITALOPRAM HYDROBROMIDE","Generic","Retail 30","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D003","P","2021-04-21",11156218686,"65862057490","MONTELUKAST SODIUM","Generic","Retail 90","Y","N","Generic","4400317","1093818783","CVS PHARMACY #06355 06355","4325 ASHEVILLE HIGHWAY E","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2021-01-24",68883450041,"68180035302","SERTRALINE HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4421133","1295838704","CVS PHARMACY #06363 06363","6005 KINGSTON PIKE","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2020-11-12",61824532992,"00093101042","MUPIROCIN","Generic","Retail 30","Y","N","Generic","4418376","1699878306","CVS PHARMACY #06359 06359","111 S. HALL ROAD","ALCOA","TN","37701","Non- Specialty","No",{"v":22,"d":"22.00"},14,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A003","P","2020-10-26",52621155840,"00024586903","TOUJEO SOLOSTAR","Brand","Retail 30","Y","N","SSB","4422111","1194730192","WALGREENS #4169 4169","4001 CHAPMAN HIGHWAY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":6,"d":"6.00"},47,{"v":25,"d":"$25.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2021-03-08",10469324189,"31722070190","LOSARTAN POTASSIUM","Generic","Retail 90","Y","N","Generic","4448800","1922454529","INGLES PHARMACY 071","404 HIGHWAY 321 N","LENOIR CITY","TN","37771","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B002","P","2020-05-18",87949061423,"68382050010","OMEPRAZOLE","Generic","Retail 90","Y","N","Generic","4437516","1457368466","WALGREENS #1634 1634","7810 OAK RIDGE HWY","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2021-01-13",32787678887,"00378345823","AZELASTINE HYDROCHLORIDE/","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":23,"d":"23.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2020-06-12",83751178514,"00487020160","IPRATROPIUM BROMIDE/ALBUT","Generic","Retail 90","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":1080,"d":"1080.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","B001","P","2020-06-10",75017875211,"00591544210","PREDNISONE","Generic","Retail 30","Y","N","Generic","4422111","1194730192","WALGREENS #4169 4169","4001 CHAPMAN HIGHWAY","KNOXVILLE","TN","37920","Non- Specialty","No",{"v":7,"d":"7.00"},7,{"v":1.91,"d":"$1.91"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-06-18",53664257611,"43386035801","HYDROCODONE/ACETAMINOPHEN","Generic","Retail 30","Y","N","Generic","4427630","1164525879","CVS PHARMACY #04180 04180","4406 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","No",{"v":90,"d":"90.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B001","P","2020-12-14",42320665668,"72511076002","REPATHA SURECLICK","Brand","Mail","Y","N","SSB","1718634","1669498515","OPTUMRX","6800 WEST 115TH STREET","OVERLAND PARK","KS","66211","Non- Specialty","Yes",{"v":2,"d":"2.00"},28,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D003","P","2021-01-22",66273025802,"00002143380","TRULICITY","Brand","Mail","Y","N","SSB","1718634","1669498515","OPTUMRX","6800 WEST 115TH STREET","OVERLAND PARK","KS","66211","Non- Specialty","Yes",{"v":6,"d":"6.00"},84,{"v":20,"d":"$20.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","E001","P","2021-02-22",55973406370,"65862069790","VENLAFAXINE HCL ER","Generic","Retail 30","Y","N","Generic","4434065","1053338400","FOOD CITY PHARMACY #655 655","7510 ASHEVILLE HWY","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-09-26",52007191322,"59417010310","VYVANSE","Brand","Retail 30","Y","N","SSB","4436716","1932206877","OKIE'S PHARMACY II","1050 RUTLEDGE PIKE","BLAINE","TN","37709","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":20,"d":"$20.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","B003","P","2020-11-12",78275084999,"29300013701","CLONIDINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4424949","1811902810","WALGREENS #5729 5729","9200 MIDDLEBROOK PIKE","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A003","P","2020-06-13",31314385692,"52268001201","SUPREP BOWEL PREP KIT","Brand","Retail 30","N","N","SSB","4426640","1063549863","SEYMOUR ADVALUE PHARMACY","10721 CHAPMAN HWY","SEYMOUR","TN","37865","Non- Specialty","No",{"v":354,"d":"354.00"},1,{"v":40,"d":"$40.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C003","P","2021-02-16",53789411979,"70377000712","ROSUVASTATIN CALCIUM","Generic","Retail 90","Y","N","Generic","4419962","1154424794","CVS PHARMACY #07226 07226","2114 E ANDREW JOHNSON HWY","MORRISTOWN","TN","37814","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2020-09-03",60933044678,"68645054559","METFORMIN HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4428240","1982621173","WALMART PHARMACY 10-2065 102065","8445 WALBROOK DR","KNOXVILLE","TN","37923","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2020-06-22",94957107747,"23155050001","HYDROXYZINE HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4439510","1669587861","WALGREENS #7779 7779","110 N MARKET ST","CHATTANOOGA","TN","37405","Non- Specialty","No",{"v":90,"d":"90.00"},90,{"v":5.88,"d":"$5.88"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-09-28",19493874241,"69097015807","MELOXICAM","Generic","Retail 30","Y","N","Generic","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":2.52,"d":"$2.52"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C001","P","2021-04-03",63494653115,"68180095603","CLOBETASOL PROPIONATE","Generic","Retail 30","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":45,"d":"45.00"},20,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2021-02-02",34583523592,"00093031401","KETOROLAC TROMETHAMINE","Generic","Retail 30","Y","N","Generic","4434039","1770505422","CVS PHARMACY #16598 16598","800 WATKINS RD","MARYVILLE","TN","37801","Non- Specialty","No",{"v":20,"d":"20.00"},5,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B001","P","2020-12-20",37227552373,"23155019101","BUPROPION HCL","Generic","Retail 30","Y","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A099","P","2020-09-17",22934134548,"57237000511","FLUCONAZOLE","Generic","Retail 30","Y","N","Generic","4443254","1013236785","WALGREENS #12980 12980","7425 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","No",{"v":1,"d":"1.00"},1,{"v":3.67,"d":"$3.67"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-12-23",99879740078,"00143312601","DICYCLOMINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4430803","1356444079","CVS PHARMACY #04457 04457","7341 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","No",{"v":90,"d":"90.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2020-12-13",93124056050,"16729000515","SIMVASTATIN","Generic","Retail 90","Y","N","Generic","4440955","1639353733","FOOD CITY PHARMACY #609 609","2946 WINFIELD DUNN PARKWAY","KODAK","TN","37764","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C002","P","2020-05-11",80159878110,"42806040560","METFORMIN HYDROCHLORIDE E","Generic","Retail 30","Y","N","Generic","4411548","1831108471","EAST TENNESSEE DISCOUNT DRUG","524 ANDREW JOHNSON HWY","STRAWBERRY PLAINS","TN","37871","Non- Specialty","Yes",{"v":120,"d":"120.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C003","P","2020-10-29",45925584205,"65649030302","XIFAXAN","Brand","Retail 30","Y","N","SSB","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-11-30",68565898369,"65862022801","LAMOTRIGINE","Generic","Retail 30","Y","N","Generic","4403907","1750484457","CVS PHARMACY #03743 03743","110 MAJESTIC GROVE RD","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":21,"d":"21.00"},21,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-09-18",23050702281,"69097094312","GABAPENTIN","Generic","Retail 30","Y","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":90,"d":"90.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2021-04-18",23995045839,"59267100001","PFIZER-BIONTECH COVID-19","Brand","Retail 30","Y","N","SSB","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":0.3,"d":"0.30"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2020-12-30",32431154409,"61874013030","VRAYLAR","Brand","Retail 30","N","N","SSB","4434370","1356368559","SAMS PHARMACY 10-6572 106572","2920 KNOXVILLE CENTER DR","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-12-21",30732762164,"00054004641","IPRATROPIUM BROMIDE","Generic","Retail 30","Y","N","Generic","4422111","1194730192","WALGREENS #4169 4169","4001 CHAPMAN HIGHWAY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":15,"d":"15.00"},13,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D003","P","2020-07-10",59776340264,"50111033402","METRONIDAZOLE","Generic","Retail 30","Y","N","Generic","4429634","1588679591","WALGREENS #3137 3137","1299 OAK RIDGE TURNPIKE","OAK RIDGE","TN","37830","Non- Specialty","No",{"v":14,"d":"14.00"},7,{"v":2.68,"d":"$2.68"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2021-04-17",35242390906,"00378427677","VALACYCLOVIR HCL","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":12,"d":"12.00"},6,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2021-04-27",44874831831,"33342004710","IRBESARTAN","Generic","Retail 90","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B001","P","2020-08-20",60725983014,"64764017530","DEXILANT","Brand","Retail 30","Y","N","SSB","4436071","1124033154","WALGREENS #7320 7320","7320 CLINTON HWY","POWELL","TN","37849","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2021-03-05",38851119664,"60505082901","FLUTICASONE PROPIONATE","Generic","Retail 30","N","N","Generic","4436261","1033124060","WALGREENS #7407 7407","11305 CHAPMAN HIGHWAY","SEYMOUR","TN","37865","Non- Specialty","No",{"v":16,"d":"16.00"},30,{"v":6.3,"d":"$6.30"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","B003","P","2020-06-19",35921822930,"65862052830","VENLAFAXINE HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4438722","1336150986","RIGGS DRUG STORE","604 E EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B002","P","2020-09-10",20967306244,"53436008430","VELTASSA","Brand","Retail 30","N","N","SSB","3974157","1972560688","ALLIANCERX WALGREENS PRIME #16287 16287","130 ENTERPRISE DR","PITTSBURGH","PA","15275","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E003","P","2020-07-28",58121399749,"68382050010","OMEPRAZOLE","Generic","Retail 30","Y","N","Generic","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C003","P","2021-03-30",49626774039,"68462016405","CARVEDILOL","Generic","Retail 90","Y","N","Generic","4426486","1649287640","WALGREENS #6967 6967","4423 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D003","P","2021-03-30",80708916230,"57664047758","METOPROLOL TARTRATE","Generic","Retail 90","Y","N","Generic","4426486","1649287640","WALGREENS #6967 6967","4423 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-07-14",36885404025,"00469260130","MYRBETRIQ","Brand","Retail 30","Y","N","SSB","4424038","1124198205","VAUGHN PHARMACY","2141 EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":20,"d":"$20.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A003","P","2020-09-13",41698470553,"33332032001","AFLURIA QUADRIVALENT 2020","Brand","Retail 30","Y","N","SSB","4436261","1033124060","WALGREENS #7407 7407","11305 CHAPMAN HIGHWAY","SEYMOUR","TN","37865","Non- Specialty","No",{"v":0.5,"d":"0.50"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D003","P","2020-09-17",68972372713,"65862020299","LOSARTAN POTASSIUM","Generic","Retail 90","Y","N","Generic","4422111","1194730192","WALGREENS #4169 4169","4001 CHAPMAN HIGHWAY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C002","P","2020-05-14",69512506305,"51991029301","OXCARBAZEPINE","Generic","Retail 30","Y","N","Generic","4430803","1356444079","CVS PHARMACY #04457 04457","7341 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D001","P","2020-06-23",99307292265,"00054001025","FLECAINIDE ACETATE","Generic","Retail 90","Y","N","Generic","4434039","1770505422","CVS PHARMACY #16598 16598","800 WATKINS RD","MARYVILLE","TN","37801","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D003","P","2020-09-26",99350639290,"70377002913","ATORVASTATIN CALCIUM","Generic","Retail 90","Y","N","Generic","4448848","1508216029","KROGER PHARMACY #670 02600670","234 E EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2021-03-25",37764363437,"00713052612","PROMETHEGAN","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":30,"d":"30.00"},7,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-11-13",60885284146,"65862042005","SULFAMETHOXAZOLE/TRIMETHO","Generic","Retail 30","Y","N","Generic","4443254","1013236785","WALGREENS #12980 12980","7425 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","No",{"v":4,"d":"4.00"},2,{"v":1.08,"d":"$1.08"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-07-31",18016242861,"49884027082","NASCOBAL","Brand","Retail 30","N","N","SSB","5716317","1962839498","PUBLIX PHARMACY #3212 3212","7616 SOUTHLAND BLVD STE 112","ORLANDO","FL","32809","Non- Specialty","Yes",{"v":4,"d":"4.00"},28,{"v":40,"d":"$40.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C002","P","2021-02-05",69512506305,"62856027630","FYCOMPA","Brand","Retail 30","N","N","SSB","4430803","1356444079","CVS PHARMACY #04457 04457","7341 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":40,"d":"$40.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","B001","P","2020-11-17",16824813756,"65162011550","HYDROCODONE/ACETAMINOPHEN","Generic","Retail 30","Y","N","Generic","4427111","1265520084","VILLAGE PHARMACY 1122","4206 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","No",{"v":90,"d":"90.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-05-01",18806062829,"70710114003","FLUCONAZOLE","Generic","Retail 30","Y","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","No",{"v":2,"d":"2.00"},1,{"v":4.12,"d":"$4.12"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-12-23",98981802535,"27241009803","DULOXETINE HCL","Generic","Retail 30","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2021-02-08",26227173442,"47781030301","NITROFURANTOIN MONOHYDRAT","Generic","Retail 30","Y","N","Generic","4432237","1528165024","CVS PHARMACY #07698 07698","9435 S NORTHSHORE DR","KNOXVILLE","TN","37922","Non- Specialty","No",{"v":10,"d":"10.00"},5,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C001","P","2020-09-25",20276281808,"68382013201","TAMSULOSIN HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4441705","1538319298","KROGER PHARMACY #686 02600686","189 BROOKLAWN ST","FARRAGUT","TN","37934","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-05-06",34679812087,"00074055402","HUMIRA PEN","Brand","Retail 30","Y","N","SSB","4539079","1457408536","OPTUMRX PHARMACY 704, INC","5627 UNIVERSITY HEIGHTS BOULEVARD","SAN ANTONIO","TX","78249","Specialty","Yes",{"v":4,"d":"4.00"},28,{"v":80,"d":"$80.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A001","P","2020-06-04",23333923701,"59417010710","VYVANSE","Brand","Retail 30","Y","N","SSB","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":20,"d":"$20.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-10-13",35242390906,"31722072690","MONTELUKAST SODIUM","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-06-17",34389079921,"51672403903","ENALAPRIL MALEATE","Generic","Retail 90","Y","N","Generic","4421739","1477568475","WALGREENS #3798 3798","2400 N BROADWAY ST","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","C003","P","2020-11-12",33537169730,"23155019101","BUPROPION HCL","Generic","Retail 90","Y","N","Generic","4427630","1164525879","CVS PHARMACY #04180 04180","4406 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A003","P","2020-07-13",36679336298,"00115174801","METAXALONE","Generic","Retail 30","N","N","Generic","4416954","1790790897","WALGREENS #6224 6224","5320 CLINTON HIGHWAY","KNOXVILLE","TN","37912","Non- Specialty","No",{"v":30,"d":"30.00"},10,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","E001","P","2020-12-17",53053072676,"00172572960","FAMOTIDINE","Generic","Retail 90","Y","N","Generic","1041829","1205073830","CVS PHARMACY #07964 07964","2301 MOODY BLVD","FLAGLER BEACH","FL","32136","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","B002","P","2021-01-15",47583712155,"68682037190","DILTIAZEM HYDROCHLORIDE E","Generic","Mail","Y","N","Generic","1718634","1669498515","OPTUMRX","6800 WEST 115TH STREET","OVERLAND PARK","KS","66211","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E002","P","2020-09-19",66493187108,"50458014030","INVOKANA","Brand","Retail 90","Y","N","SSB","4426486","1649287640","WALGREENS #6967 6967","4423 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2021-02-28",98418129508,"69315090405","LORAZEPAM","Generic","Retail 30","Y","N","Generic","4426955","1639184633","WALGREENS #7374 7374","4423 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":2.24,"d":"$2.24"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2021-03-15",54514992509,"00527133701","BACLOFEN","Generic","Retail 90","Y","N","Generic","4401410","1346255445","WALGREENS #5483 5483","7523 KINGSTON PIKE","KNOXVILLE","TN","37919","Non- Specialty","No",{"v":360,"d":"360.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C003","P","2020-12-02",61731808902,"00006027731","JANUVIA","Brand","Retail 90","Y","N","SSB","4421739","1477568475","WALGREENS #3798 3798","2400 N BROADWAY ST","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-06-22",30732762164,"65862056090","PANTOPRAZOLE SODIUM","Generic","Retail 90","Y","N","Generic","4422111","1194730192","WALGREENS #4169 4169","4001 CHAPMAN HIGHWAY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A002","P","2020-09-15",69827237005,"13668000805","ZOLPIDEM TARTRATE","Generic","Retail 30","Y","N","Generic","4443747","1194032730","M.D. PHARMACY","1467 W MORRIS BLVD","MORRISTOWN","TN","37813","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":3.07,"d":"$3.07"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2021-02-06",67935643712,"29300012810","HYDROCHLOROTHIAZIDE","Generic","Retail 90","Y","N","Generic","4429634","1588679591","WALGREENS #3137 3137","1299 OAK RIDGE TURNPIKE","OAK RIDGE","TN","37830","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-09-09",54596563285,"43547028910","BUPROPION HYDROCHLORIDE E","Generic","Retail 30","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":60,"d":"60.00"},33,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2020-12-02",32801496139,"59417010610","VYVANSE","Brand","Retail 30","Y","N","SSB","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":20,"d":"$20.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2021-03-03",62823700807,"00228424106","CLONIDINE HCL ER","Generic","Retail 30","N","N","Generic","4426486","1649287640","WALGREENS #6967 6967","4423 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2020-06-23",32810846070,"69097012705","AMLODIPINE BESYLATE","Generic","Mail","Y","N","Generic","0556540","1497704431","OPTUMRX","2858 LOKER AVENUE EAST","CARLSBAD","CA","92010","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-11-24",17344957400,"43386035701","HYDROCODONE/ACETAMINOPHEN","Generic","Retail 30","Y","N","Generic","4421145","1710080429","CVS PHARMACY #06365 06365","101 NORTH CHARLES SEIVERS BOULEVARD","CLINTON","TN","37716","Non- Specialty","No",{"v":90,"d":"90.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A001","P","2020-09-22",14813265837,"00093834410","GLYBURIDE","Generic","Retail 30","Y","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":30,"d":"30.00"},7,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-07-03",68176307326,"13668013601","ESCITALOPRAM OXALATE","Generic","Retail 90","Y","N","Generic","4403781","1679676373","CVS PHARMACY #03721 03721","4864 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-09-01",20532685329,"00093101042","MUPIROCIN","Generic","Retail 30","Y","N","Generic","4428682","1497760409","WALGREENS #3209 3209","8950 KINGSTON PIKE","KNOXVILLE","TN","37923","Non- Specialty","No",{"v":22,"d":"22.00"},10,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A003","P","2020-06-18",84294677186,"45802049537","DESOXIMETASONE","Generic","Retail 30","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":60,"d":"60.00"},25,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2020-08-25",45669372233,"16571020106","DICLOFENAC SODIUM DR","Generic","Retail 30","Y","N","Generic","4420028","1134222847","CVS PHARMACY #05639 05639","11946 KINGSTON PIKE","FARRAGUT","TN","37934","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-12-27",21272210342,"00406895601","AMPHETAMINE/DEXTROAMPHETA","Generic","Retail 30","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2020-09-10",60824271410,"00781261305","AMOXICILLIN","Generic","Retail 30","Y","N","Generic","4433556","1417974866","FOOD CITY PHARMACY #688 688","7202 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":21,"d":"21.00"},7,{"v":2.39,"d":"$2.39"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-10-16",68565898369,"70377002811","ATORVASTATIN CALCIUM","Generic","Retail 90","Y","N","Generic","4403907","1750484457","CVS PHARMACY #03743 03743","110 MAJESTIC GROVE RD","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D003","P","2021-02-10",34178698565,"65862001501","AMOXICILLIN","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":14,"d":"14.00"},7,{"v":3.18,"d":"$3.18"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B002","P","2021-01-28",50202172831,"43547033750","BENAZEPRIL HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A001","P","2021-01-29",22476116555,"00093101042","MUPIROCIN","Generic","Retail 30","Y","N","Generic","4429177","1033124045","WALGREENS #3388 3388","225 NORTH HALL RD","ALCOA","TN","37701","Non- Specialty","No",{"v":22,"d":"22.00"},10,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B002","P","2020-05-12",82592161995,"00378041510","DIPHENOXYLATE/ATROPINE","Generic","Retail 30","Y","N","Generic","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","No",{"v":18,"d":"18.00"},3,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2020-10-26",61699120024,"00781261305","AMOXICILLIN","Generic","Retail 30","Y","N","Generic","4429533","1063439255","WALMART PHARMACY 10-0678 100678","1075 COSBY HWY","NEWPORT","TN","37821","Non- Specialty","No",{"v":30,"d":"30.00"},8,{"v":3.06,"d":"$3.06"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C002","P","2021-01-22",80159878110,"00955104190","IRBESARTAN","Generic","Retail 90","Y","N","Generic","4411548","1831108471","EAST TENNESSEE DISCOUNT DRUG","524 ANDREW JOHNSON HWY","STRAWBERRY PLAINS","TN","37871","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","C002","P","2020-12-07",71824177344,"13668001101","CITALOPRAM HYDROBROMIDE","Generic","Retail 30","Y","N","Generic","4450083","1073038121","WALGREENS #18021 18021","2710 MAYNARDVILLE HIGHWAY","MAYNARDVILLE","TN","37807","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2021-04-16",66515868524,"00169430713","RYBELSUS","Brand","Retail 30","Y","N","SSB","4432237","1528165024","CVS PHARMACY #07698 07698","9435 S NORTHSHORE DR","KNOXVILLE","TN","37922","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2020-09-12",32431154409,"59762330403","NITROGLYCERIN","Generic","Retail 30","Y","N","Generic","4434370","1356368559","SAMS PHARMACY 10-6572 106572","2920 KNOXVILLE CENTER DR","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":25,"d":"25.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2021-01-20",66615710166,"00054040013","DESVENLAFAXINE ER","Generic","Retail 30","Y","N","Generic","4422111","1194730192","WALGREENS #4169 4169","4001 CHAPMAN HIGHWAY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2020-08-18",37693449284,"00024586903","TOUJEO SOLOSTAR","Brand","Retail 30","Y","N","SSB","4434370","1356368559","SAMS PHARMACY 10-6572 106572","2920 KNOXVILLE CENTER DR","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":9,"d":"9.00"},45,{"v":25,"d":"$25.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2020-07-29",84053046735,"27241009990","DULOXETINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4444698","1316215981","BELEW DRUGS WASHINGTON PIKE","5908 WASHINGTON PIKE STE 102","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B001","P","2020-08-04",53934811898,"16729003510","ANASTROZOLE","Generic","Retail 90","Y","N","Generic","4452099","1821645201","SPRING CITY PHARMACY","171 CLINTON AVE","SPRING CITY","TN","37381","Non- Specialty","Yes",{"v":12,"d":"12.00"},84,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2021-01-07",72487650896,"00406055201","OXYCODONE HYDROCHLORIDE","Generic","Retail 30","N","N","Generic","4435649","1477568491","WALGREENS #6993 6993","220 FOOTHILLS MALL DR","MARYVILLE","TN","37801","Non- Specialty","No",{"v":40,"d":"40.00"},7,{"v":3.89,"d":"$3.89"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","A002","P","2021-02-17",13937069715,"65862019401","FLUOXETINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4421791","1659305381","KROGER PHARMACY #862 02600862","244 S HALL RD","ALCOA","TN","37701","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-11-02",25698921944,"45802005535","TRIAMCINOLONE ACETONIDE","Generic","Retail 30","Y","N","Generic","4424949","1811902810","WALGREENS #5729 5729","9200 MIDDLEBROOK PIKE","KNOXVILLE","TN","37931","Non- Specialty","No",{"v":15,"d":"15.00"},14,{"v":1.89,"d":"$1.89"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2021-03-17",60824271410,"64380080707","IBUPROFEN","Generic","Retail 30","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":21,"d":"21.00"},7,{"v":2.04,"d":"$2.04"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-09-12",32787678887,"31722072690","MONTELUKAST SODIUM","Generic","Retail 90","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-06-03",23124292833,"31722072690","MONTELUKAST SODIUM","Generic","Retail 90","Y","N","Generic","4435790","1386651396","WALGREENS #6609 6609","119 FORK OF THE RIVER PKWY","SEVIERVILLE","TN","37862","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A002","P","2021-01-18",36832468966,"00781106110","ALPRAZOLAM","Generic","Retail 30","Y","N","Generic","4443254","1013236785","WALGREENS #12980 12980","7425 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","No",{"v":15,"d":"15.00"},5,{"v":1.06,"d":"$1.06"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-06-03",40707137694,"00006027754","JANUVIA","Brand","Retail 30","Y","N","SSB","4446503","1710304837","VICTORY PHARMACY 1","4127 E EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","C003","P","2020-09-15",38026095156,"76282042010","LISINOPRIL","Generic","Retail 90","Y","N","Generic","4429583","1316905904","MURFREESBORO VAMC","3400 LEBANON PIKE","MURFREESBORO","TN","37129","Non- Specialty","Yes",{"v":45,"d":"45.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-10-02",97209460866,"49281072010","FLUBLOK QUADRIVALENT 2020","Brand","Retail 30","Y","N","SSB","4430803","1356444079","CVS PHARMACY #04457 04457","7341 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","No",{"v":0.5,"d":"0.50"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2020-06-12",48512827265,"68180059206","DESVENLAFAXINE ER","Generic","Retail 30","Y","N","Generic","4421157","1629171335","CVS PHARMACY #06366 06366","2800 BROADWAY ST NE","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-08-21",18919942032,"69097084805","ESCITALOPRAM OXALATE","Generic","Retail 90","Y","N","Generic","4424949","1811902810","WALGREENS #5729 5729","9200 MIDDLEBROOK PIKE","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-11-16",17856208285,"60505025203","TIZANIDINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4400317","1093818783","CVS PHARMACY #06355 06355","4325 ASHEVILLE HIGHWAY E","KNOXVILLE","TN","37914","Non- Specialty","No",{"v":21,"d":"21.00"},7,{"v":2.56,"d":"$2.56"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2021-03-22",90952955911,"00078100768","KESIMPTA","Brand","Retail 30","Y","N","SSB","4436615","1467401315","OPTUM PHARMACY 705 LLC","1893 GENERAL GEORGE PATTON DRIVE","FRANKLIN","TN","37067","Specialty","Yes",{"v":0.4,"d":"0.40"},30,{"v":80,"d":"$80.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A099","P","2021-04-27",47161086067,"00597010061","SPIRIVA RESPIMAT","Brand","Retail 30","Y","N","SSB","4442721","1659607141","KROGER PHARMACY #698 02600698","5201 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":4,"d":"4.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B002","P","2020-05-13",42330740716,"00054474125","PREDNISONE","Generic","Retail 90","Y","N","Generic","4436071","1124033154","WALGREENS #7320 7320","7320 CLINTON HWY","POWELL","TN","37849","Non- Specialty","No",{"v":360,"d":"360.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-07-18",46555220498,"60505082901","FLUTICASONE PROPIONATE","Generic","Retail 30","Y","N","Generic","4431487","1841205853","WALGREENS #4199 4199","9536 S NORTHSHORE DR","KNOXVILLE","TN","37922","Non- Specialty","No",{"v":16,"d":"16.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A001","P","2020-12-30",29964151783,"00527133001","BACLOFEN","Generic","Retail 30","Y","N","Generic","4441541","1861657991","WALGREENS #12311 12311","2151 N CHARLES G SEIVERS BLVD","CLINTON","TN","37716","Non- Specialty","No",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2020-05-21",69845171344,"00378001805","METOPROLOL TARTRATE","Generic","Retail 90","Y","N","Generic","4441541","1861657991","WALGREENS #12311 12311","2151 N CHARLES G SEIVERS BLVD","CLINTON","TN","37716","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-05-23",67972188267,"29300034901","ALLOPURINOL","Generic","Retail 90","Y","N","Generic","4439623","1578586954","FOOD CITY PHARMACY #687 687","2712 LOVES CREEK RD","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","B002","P","2020-09-09",59701072379,"31722072690","MONTELUKAST SODIUM","Generic","Retail 90","Y","N","Generic","4451871","1578125126","WALGREENS #21264 21264","4935 MILLERTOWN PIKE","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","B001","P","2021-03-26",16181103567,"62332049241","TIZANIDINE HYDROCHLORIDE","Generic","Retail 90","N","N","Generic","4421917","1467555979","CVS PHARMACY #07727 07727","2931 ALCOA HWY","KNOXVILLE","TN","37920","Non- Specialty","No",{"v":90,"d":"90.00"},90,{"v":25,"d":"$25.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2021-02-06",90556398969,"76204010025","IPRATROPIUM BROMIDE","Generic","Retail 30","Y","N","Generic","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":62.5,"d":"62.50"},7,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2021-04-08",91289016895,"16714066201","GABAPENTIN","Generic","Retail 30","Y","N","Generic","4433568","1326065772","FOOD CITY PHARMACY #681 681","1199 OAK RIDGE TURNPIKE","OAK RIDGE","TN","37830","Non- Specialty","Yes",{"v":120,"d":"120.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C002","P","2021-04-20",83220694325,"69097015915","MELOXICAM","Generic","Retail 90","Y","N","Generic","4438722","1336150986","RIGGS DRUG STORE","604 E EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":8.75,"d":"$8.75"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A001","P","2021-04-01",22421051042,"66689000816","NYSTATIN","Generic","Retail 30","Y","N","Generic","4437516","1457368466","WALGREENS #1634 1634","7810 OAK RIDGE HWY","KNOXVILLE","TN","37931","Non- Specialty","No",{"v":140,"d":"140.00"},14,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B002","P","2020-08-27",84460947630,"65862007701","CIPROFLOXACIN HYDROCHLORI","Generic","Retail 30","Y","N","Generic","4435598","1568477586","WALGREENS #6788 6788","1959 W ANDREW JOHNSON HWY","MORRISTOWN","TN","37814","Non- Specialty","No",{"v":6,"d":"6.00"},3,{"v":1.83,"d":"$1.83"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2021-03-28",19051785680,"00378064205","PREDNISONE","Generic","Retail 30","Y","N","Generic","4412300","1578666277","CVS PHARMACY #03769 03769","139 EAST BROADWAY BLVD","JEFFERSON CITY","TN","37760","Non- Specialty","No",{"v":90,"d":"90.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","C001","P","2020-09-28",63182588523,"65862019999","GABAPENTIN","Generic","Retail 30","Y","N","Generic","4428240","1982621173","WALMART PHARMACY 10-2065 102065","8445 WALBROOK DR","KNOXVILLE","TN","37923","Non- Specialty","Yes",{"v":90,"d":"90.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A003","P","2020-08-23",20498111848,"51862056406","LOW-OGESTREL","Generic","Retail 90","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":84,"d":"84.00"},84,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-07-08",92226664690,"00186037020","SYMBICORT","Brand","Retail 30","Y","N","MSB","4430283","1194803601","ANDERSON CROSSING PHARMACY","3318 ANDERSONVILLE HWY","ANDERSONVILLE","TN","37705","Non- Specialty","Yes",{"v":10.2,"d":"10.20"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B001","P","2021-02-02",86774815774,"65862057490","MONTELUKAST SODIUM","Generic","Retail 90","Y","N","Generic","4430803","1356444079","CVS PHARMACY #04457 04457","7341 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2021-01-14",15866506848,"00378728353","NORETHINDRONE ACETATE/ETH","Generic","Retail 30","Y","N","Generic","4410914","1982621959","MAC'S EDGEMOOR PHARMACY","643 EDGEMOOR RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":21,"d":"21.00"},21,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-07-20",68892609076,"43547033810","BENAZEPRIL HCL","Generic","Retail 90","Y","N","Generic","4424949","1811902810","WALGREENS #5729 5729","9200 MIDDLEBROOK PIKE","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","C003","P","2021-03-23",38026095156,"00597015390","JARDIANCE","Brand","Retail 90","Y","N","SSB","4429583","1316905904","MURFREESBORO VAMC","3400 LEBANON PIKE","MURFREESBORO","TN","37129","Non- Specialty","Yes",{"v":45,"d":"45.00"},90,{"v":25,"d":"$25.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-10-17",93837938641,"00406012401","HYDROCODONE/ACETAMINOPHEN","Generic","Retail 30","Y","N","Generic","4424533","1225055403","WALMART PHARMACY 10-1318 101318","6777 CLINTON HWY","KNOXVILLE","TN","37912","Non- Specialty","No",{"v":45,"d":"45.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-07-15",11098361056,"45802046564","KETOCONAZOLE","Generic","Retail 30","Y","N","Generic","4437910","1750396784","WALGREENS #9430 9430","132 E BROADWAY BLVD","JEFFERSON CITY","TN","37760","Non- Specialty","No",{"v":120,"d":"120.00"},15,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","E003","P","2021-03-09",57239769639,"68180072003","AMLODIPINE BESYLATE","Generic","Retail 90","Y","N","Generic","4421880","1386678019","KROGER PHARMACY #531 02600531","4409 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2021-03-28",80774799310,"59651000305","OMEPRAZOLE DR","Generic","Retail 90","Y","N","Generic","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-09-08",66338701184,"27241009706","DULOXETINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4422111","1194730192","WALGREENS #4169 4169","4001 CHAPMAN HIGHWAY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C002","P","2021-03-28",44004460209,"68382013201","TAMSULOSIN HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4422111","1194730192","WALGREENS #4169 4169","4001 CHAPMAN HIGHWAY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":10,"d":"10.00"},10,{"v":3.6,"d":"$3.60"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-10-07",20052325227,"68180072003","AMLODIPINE BESYLATE","Generic","Retail 30","Y","N","Generic","4401410","1346255445","WALGREENS #5483 5483","7523 KINGSTON PIKE","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","E001","P","2021-03-16",61215832904,"65862019405","FLUOXETINE HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B002","P","2020-07-15",38423212834,"00378037201","CIMETIDINE","Generic","Retail 30","Y","N","Generic","4442721","1659607141","KROGER PHARMACY #698 02600698","5201 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-08-05",92226664690,"33342007007","OLANZAPINE","Generic","Retail 90","Y","N","Generic","4430283","1194803601","ANDERSON CROSSING PHARMACY","3318 ANDERSONVILLE HWY","ANDERSONVILLE","TN","37705","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","E002","P","2020-06-25",20500014293,"00781570092","LOSARTAN POTASSIUM","Generic","Retail 90","Y","N","Generic","4426690","1477697589","FOUR WAY PRESCRIPTION SHOP","8707 A ASHEVILLE HWY","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D003","P","2021-03-30",54875382099,"80777027399","MODERNA COVID-19 VACCINE","Brand","Retail 30","Y","N","SSB","4443901","1366746489","GENOA HEALTHCARE, LLC 00092","205 W SPRINGDALE AVE","KNOXVILLE","TN","37917","Non- Specialty","No",{"v":0.5,"d":"0.50"},28,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-12-18",74688419013,"00054327099","FLUTICASONE PROPIONATE","Generic","Retail 30","Y","N","Generic","4421880","1386678019","KROGER PHARMACY #531 02600531","4409 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","No",{"v":16,"d":"16.00"},60,{"v":10.48,"d":"$10.48"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2021-02-10",41212360065,"55111012105","ATORVASTATIN CALCIUM","Generic","Retail 90","Y","N","Generic","4422111","1194730192","WALGREENS #4169 4169","4001 CHAPMAN HIGHWAY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E003","P","2021-01-30",66936541592,"00378180310","LEVOTHYROXINE SODIUM","Generic","Retail 90","Y","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","B002","P","2020-06-20",47583712155,"00955104290","IRBESARTAN","Generic","Mail","Y","N","Generic","0556540","1497704431","OPTUMRX","2858 LOKER AVENUE EAST","CARLSBAD","CA","92010","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D001","P","2020-10-24",33488150686,"16729043315","EZETIMIBE","Generic","Retail 30","N","N","Generic","4440955","1639353733","FOOD CITY PHARMACY #609 609","2946 WINFIELD DUNN PARKWAY","KODAK","TN","37764","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B001","P","2020-10-05",71332472578,"00378462126","ESTRADIOL","Generic","Retail 30","Y","N","Generic","4430803","1356444079","CVS PHARMACY #04457 04457","7341 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":8,"d":"8.00"},28,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B002","P","2020-12-06",44053998274,"55111029236","SUMATRIPTAN SUCCINATE","Generic","Retail 30","Y","N","Generic","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","No",{"v":9,"d":"9.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D001","P","2020-11-13",59476029615,"43199001301","HYOSCYAMINE SULFATE","Generic","Retail 30","Y","N","Generic","4436716","1932206877","OKIE'S PHARMACY II","1050 RUTLEDGE PIKE","BLAINE","TN","37709","Non- Specialty","Yes",{"v":120,"d":"120.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E002","P","2021-01-19",55486360641,"60505015701","BUPROPION HCL","Generic","Retail 30","Y","N","Generic","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C002","P","2020-07-07",23743364822,"33342010210","MONTELUKAST SODIUM","Generic","Retail 30","Y","N","Generic","4438722","1336150986","RIGGS DRUG STORE","604 E EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-11-06",50013114379,"00185032501","BENAZEPRIL HCL/HYDROCHLOR","Generic","Retail 90","Y","N","Generic","4434394","1265459465","SAMS PHARMACY 10-8256 108256","8435 WALBROOK DR","KNOXVILLE","TN","37923","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A003","P","2021-03-02",21016491566,"65862094088","AUROVELA FE 1/20","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":28,"d":"28.00"},28,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C003","P","2021-02-18",59011836662,"00591565810","CYCLOBENZAPRINE HYDROCHLO","Generic","Retail 30","Y","N","Generic","4421145","1710080429","CVS PHARMACY #06365 06365","101 NORTH CHARLES SEIVERS BOULEVARD","CLINTON","TN","37716","Non- Specialty","No",{"v":8,"d":"8.00"},2,{"v":0.95,"d":"$0.95"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D003","P","2020-11-18",58406999412,"68180088673","NIKKI","Generic","Retail 90","Y","N","Generic","4427630","1164525879","CVS PHARMACY #04180 04180","4406 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","Yes",{"v":84,"d":"84.00"},84,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2021-02-22",75076361712,"00169413602","OZEMPIC","Brand","Retail 90","Y","N","SSB","4421739","1477568475","WALGREENS #3798 3798","2400 N BROADWAY ST","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":9,"d":"9.00"},90,{"v":25,"d":"$25.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-11-07",39935854002,"70710113908","FLUCONAZOLE","Generic","Retail 30","Y","N","Generic","4403781","1679676373","CVS PHARMACY #03721 03721","4864 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":3,"d":"3.00"},3,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B001","P","2021-01-16",94391651608,"42794001812","LIOTHYRONINE SODIUM","Generic","Retail 30","Y","N","Generic","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2021-04-12",95593283514,"63402030630","LATUDA","Brand","Retail 30","N","N","SSB","4445107","1275894735","BLOUNT SPECIALTY PHARMACY","131 MONTGOMERY LANE, SUITE B","MARYVILLE","TN","37803","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":20,"d":"$20.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C001","P","2021-04-09",94568325311,"16729013616","CLONAZEPAM","Generic","Retail 30","Y","N","Generic","4442517","1194958280","WALGREENS #12858 12858","2103 E ANDREW JOHNSON HWY","MORRISTOWN","TN","37814","Non- Specialty","No",{"v":34,"d":"34.00"},17,{"v":2.47,"d":"$2.47"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-07-10",71948899561,"00054327099","FLUTICASONE PROPIONATE","Generic","Retail 30","Y","N","Generic","4430891","1790719433","KROGER PHARMACY #558 02600558","4414 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","No",{"v":16,"d":"16.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2021-03-03",61309832249,"65862001705","AMOXICILLIN","Generic","Retail 30","Y","N","Generic","4435322","1922013945","WALGREENS #6738 6738","2109 JACKSBORO PIKE","LA FOLLETTE","TN","37766","Non- Specialty","No",{"v":20,"d":"20.00"},10,{"v":2.58,"d":"$2.58"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B002","P","2020-07-16",73151534376,"10702001150","HYDROXYZINE HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","No",{"v":270,"d":"270.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-06-25",17856208285,"00169633910","NOVOLOG FLEXPEN","Brand","Retail 90","Y","N","SSB","4400317","1093818783","CVS PHARMACY #06355 06355","4325 ASHEVILLE HIGHWAY E","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":25,"d":"$25.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2021-03-23",56037456094,"00093720210","PRAVASTATIN SODIUM","Generic","Mail","Y","N","Generic","5926716","1154893600","OPTUMRX PHARMACY 704","5627 UNIVERSITY HEIGHTS BOULEVARD","SAN ANTONIO","TX","78249","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E001","P","2021-01-18",19483085720,"45963067611","METOPROLOL SUCCINATE ER","Generic","Retail 90","Y","N","Generic","4424949","1811902810","WALGREENS #5729 5729","9200 MIDDLEBROOK PIKE","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C003","P","2021-01-06",46742463840,"68462025501","ROPINIROLE HCL","Generic","Retail 30","Y","N","Generic","4428682","1497760409","WALGREENS #3209 3209","8950 KINGSTON PIKE","KNOXVILLE","TN","37923","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A002","P","2020-11-19",69827237005,"00904555960","PRIMIDONE","Generic","Retail 30","Y","N","Generic","4443747","1194032730","M.D. PHARMACY","1467 W MORRIS BLVD","MORRISTOWN","TN","37813","Non- Specialty","Yes",{"v":120,"d":"120.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E003","P","2021-01-18",80541722086,"00378181110","LEVOTHYROXINE SODIUM","Generic","Retail 90","Y","N","Generic","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D001","P","2020-06-06",25343895264,"23155010205","METFORMIN HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4438722","1336150986","RIGGS DRUG STORE","604 E EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2020-10-12",18605184826,"43547033850","BENAZEPRIL HCL","Generic","Mail","Y","N","Generic","0556540","1497704431","OPTUMRX","2858 LOKER AVENUE EAST","CARLSBAD","CA","92010","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C003","P","2020-12-17",59011836662,"00378020810","FUROSEMIDE","Generic","Retail 90","Y","N","Generic","4421145","1710080429","CVS PHARMACY #06365 06365","101 NORTH CHARLES SEIVERS BOULEVARD","CLINTON","TN","37716","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C003","P","2020-10-07",57850490518,"68025006630","DIVIGEL","Brand","Retail 90","N","N","SSB","4436261","1033124060","WALGREENS #7407 7407","11305 CHAPMAN HIGHWAY","SEYMOUR","TN","37865","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-05-04",60885284146,"68180098103","LISINOPRIL","Generic","Retail 30","Y","N","Generic","4443254","1013236785","WALGREENS #12980 12980","7425 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A003","P","2020-09-10",53321024119,"00093317431","ALBUTEROL SULFATE HFA","Generic","Retail 30","Y","N","Generic","4423896","1912914912","WALGREENS #4330 4330","121 N NORTHSHORE DR","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":8.5,"d":"8.50"},25,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","B002","P","2020-06-26",25582449257,"00378427677","VALACYCLOVIR HCL","Generic","Retail 90","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2021-03-19",90236863705,"00781286810","OMEPRAZOLE","Generic","Retail 90","Y","N","Generic","4424533","1225055403","WALMART PHARMACY 10-1318 101318","6777 CLINTON HWY","KNOXVILLE","TN","37912","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","B001","P","2020-12-12",85109665608,"31722088530","ROSUVASTATIN CALCIUM","Generic","Retail 30","Y","N","Generic","4429177","1033124045","WALGREENS #3388 3388","225 NORTH HALL RD","ALCOA","TN","37701","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2021-02-02",97411074701,"70377000812","ROSUVASTATIN CALCIUM","Generic","Retail 90","Y","N","Generic","4430803","1356444079","CVS PHARMACY #04457 04457","7341 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2020-09-16",81784871343,"16110052660","ACZONE","Brand","Retail 30","Y","N","MSB","4404377","1235159070","NUNALLY DRUG STORE","226 MAIN STREET","BAXTER","TN","38544","Non- Specialty","No",{"v":60,"d":"60.00"},30,{"v":20,"d":"$20.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2020-11-22",95860522319,"60505083305","AZELASTINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4443254","1013236785","WALGREENS #12980 12980","7425 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","No",{"v":30,"d":"30.00"},50,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C003","P","2021-04-21",58200575720,"29300012510","MELOXICAM","Generic","Retail 30","Y","N","Generic","4426486","1649287640","WALGREENS #6967 6967","4423 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":2.9,"d":"$2.90"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-07-20",10621563940,"00555900867","NORTREL 0.5/35 (28)","Generic","Retail 30","Y","N","Generic","4430283","1194803601","ANDERSON CROSSING PHARMACY","3318 ANDERSONVILLE HWY","ANDERSONVILLE","TN","37705","Non- Specialty","Yes",{"v":28,"d":"28.00"},28,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-10-12",98345262552,"51224000760","METFORMIN HYDROCHLORIDE E","Generic","Retail 90","Y","N","Generic","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C002","P","2020-11-30",80159878110,"67877021905","CEPHALEXIN","Generic","Retail 30","Y","N","Generic","4411548","1831108471","EAST TENNESSEE DISCOUNT DRUG","524 ANDREW JOHNSON HWY","STRAWBERRY PLAINS","TN","37871","Non- Specialty","No",{"v":20,"d":"20.00"},5,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E002","P","2020-05-07",18857145549,"65862069790","VENLAFAXINE HCL ER","Generic","Retail 90","Y","N","Generic","4443254","1013236785","WALGREENS #12980 12980","7425 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-05-15",67972188267,"00832532511","POTASSIUM CHLORIDE ER","Generic","Retail 30","Y","N","Generic","4439623","1578586954","FOOD CITY PHARMACY #687 687","2712 LOVES CREEK RD","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":60,"d":"60.00"},60,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B001","P","2020-12-21",87229351341,"55111015810","OMEPRAZOLE","Generic","Retail 90","Y","N","Generic","4417475","1427151133","CVS PHARMACY #05601 05601","570 HWY 321 N","LENOIR CITY","TN","37771","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2020-05-04",85945156726,"00046087221","PREMARIN","Brand","Retail 30","Y","N","SSB","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":20,"d":"$20.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","E001","P","2021-01-04",84508174592,"68382076010","METFORMIN HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4430803","1356444079","CVS PHARMACY #04457 04457","7341 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C001","P","2020-10-10",20276281808,"57237000299","HYDROCHLOROTHIAZIDE","Generic","Retail 30","Y","N","Generic","4441705","1538319298","KROGER PHARMACY #686 02600686","189 BROOKLAWN ST","FARRAGUT","TN","37934","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-10-31",11870457588,"65862020390","LOSARTAN POTASSIUM","Generic","Retail 90","Y","N","Generic","4432237","1528165024","CVS PHARMACY #07698 07698","9435 S NORTHSHORE DR","KNOXVILLE","TN","37922","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","B002","P","2020-05-24",67092361459,"31722070210","LOSARTAN POTASSIUM","Generic","Retail 30","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-12-14",47831943298,"00378182377","LEVOTHYROXINE SODIUM","Generic","Retail 90","Y","N","Generic","4421917","1467555979","CVS PHARMACY #07727 07727","2931 ALCOA HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2020-11-18",56864129942,"00093310905","AMOXICILLIN","Generic","Retail 30","Y","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","No",{"v":28,"d":"28.00"},7,{"v":2.83,"d":"$2.83"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-07-08",20262234674,"13668000805","ZOLPIDEM TARTRATE","Generic","Retail 30","Y","N","Generic","4420028","1134222847","CVS PHARMACY #05639 05639","11946 KINGSTON PIKE","FARRAGUT","TN","37934","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":3.02,"d":"$3.02"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2020-07-26",10325362803,"00591079401","DICYCLOMINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4436071","1124033154","WALGREENS #7320 7320","7320 CLINTON HWY","POWELL","TN","37849","Non- Specialty","No",{"v":15,"d":"15.00"},5,{"v":3.13,"d":"$3.13"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-09-21",11870457588,"65862060230","MODAFINIL","Generic","Retail 30","N","N","Generic","4432237","1528165024","CVS PHARMACY #07698 07698","9435 S NORTHSHORE DR","KNOXVILLE","TN","37922","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-09-08",91727565139,"00597015390","JARDIANCE","Brand","Retail 30","Y","N","SSB","4424545","1134146319","WALMART PHARMACY 10-1319 101319","7550 NORRIS FWY","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-12-08",87445308362,"59762453701","MEDROXYPROGESTERONE ACETA","Generic","Retail 90","Y","N","Generic","4423896","1912914912","WALGREENS #4330 4330","121 N NORTHSHORE DR","KNOXVILLE","TN","37919","Non- Specialty","No",{"v":1,"d":"1.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E003","P","2020-06-25",66936541592,"68180046907","LOVASTATIN","Generic","Retail 90","Y","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D003","P","2021-04-05",85329622394,"80777027399","MODERNA COVID-19 VACCINE","Brand","Retail 30","Y","N","SSB","4424533","1225055403","WALMART PHARMACY 10-1318 101318","6777 CLINTON HWY","KNOXVILLE","TN","37912","Non- Specialty","No",{"v":0.5,"d":"0.50"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E001","P","2021-03-27",33886142872,"55111012205","ATORVASTATIN CALCIUM","Generic","Retail 90","Y","N","Generic","4426486","1649287640","WALGREENS #6967 6967","4423 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D003","P","2020-07-08",29280642353,"51224000760","METFORMIN HYDROCHLORIDE E","Generic","Retail 30","Y","N","Generic","4429634","1588679591","WALGREENS #3137 3137","1299 OAK RIDGE TURNPIKE","OAK RIDGE","TN","37830","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D001","P","2020-10-09",40183762140,"70461012003","FLUAD QUADRIVALENT INFLUE","Brand","Retail 30","Y","N","SSB","4430687","1972606515","CVS PHARMACY #05761 05761","7655 NORTHSHORE DRIVE","KNOXVILLE","TN","37919","Non- Specialty","No",{"v":0.5,"d":"0.50"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D003","P","2021-03-31",77987715369,"00093585001","ESCITALOPRAM OXALATE","Generic","Retail 30","Y","N","Generic","4434370","1356368559","SAMS PHARMACY 10-6572 106572","2920 KNOXVILLE CENTER DR","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2021-04-09",40095741382,"00527810937","DEXMETHYLPHENIDATE HYDROC","Generic","Retail 30","Y","N","Generic","4424949","1811902810","WALGREENS #5729 5729","9200 MIDDLEBROOK PIKE","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2020-06-03",53648422586,"65862057490","MONTELUKAST SODIUM","Generic","Retail 30","Y","N","Generic","0323624","1588670996","WALGREENS.COM 21147","2225 S PRICE RD","CHANDLER","AZ","85286","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","C003","P","2020-07-18",33537169730,"00169413212","OZEMPIC","Brand","Retail 30","Y","N","SSB","4427630","1164525879","CVS PHARMACY #04180 04180","4406 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","Yes",{"v":1.5,"d":"1.50"},28,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2021-02-28",60018304972,"16729000216","GLIMEPIRIDE","Generic","Retail 30","Y","N","Generic","4442721","1659607141","KROGER PHARMACY #698 02600698","5201 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D099","P","2020-10-21",79910948883,"31722072690","MONTELUKAST SODIUM","Generic","Retail 30","Y","N","Generic","4416954","1790790897","WALGREENS #6224 6224","5320 CLINTON HIGHWAY","KNOXVILLE","TN","37912","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B001","P","2020-06-11",71080396565,"00069046956","CHANTIX","Brand","Retail 30","N","N","SSB","4450083","1073038121","WALGREENS #18021 18021","2710 MAYNARDVILLE HIGHWAY","MAYNARDVILLE","TN","37807","Non- Specialty","No",{"v":30,"d":"30.00"},15,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-09-14",60311459363,"65862056090","PANTOPRAZOLE SODIUM","Generic","Retail 30","Y","N","Generic","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-05-23",58375182299,"68382002210","ATENOLOL","Generic","Retail 90","Y","N","Generic","4400317","1093818783","CVS PHARMACY #06355 06355","4325 ASHEVILLE HIGHWAY E","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C001","P","2021-04-09",99763391000,"51991029301","OXCARBAZEPINE","Generic","Retail 30","Y","N","Generic","4432237","1528165024","CVS PHARMACY #07698 07698","9435 S NORTHSHORE DR","KNOXVILLE","TN","37922","Non- Specialty","Yes",{"v":90,"d":"90.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A099","P","2020-07-16",22934134548,"29300012510","MELOXICAM","Generic","Retail 30","Y","N","Generic","4443254","1013236785","WALGREENS #12980 12980","7425 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":2.54,"d":"$2.54"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","E001","P","2021-03-30",57758865029,"24208050707","LOTEMAX SM","Brand","Retail 30","N","N","SSB","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","No",{"v":5,"d":"5.00"},30,{"v":40,"d":"$40.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-08-13",80807262796,"43598029290","PREGABALIN","Generic","Retail 30","N","N","Generic","4421917","1467555979","CVS PHARMACY #07727 07727","2931 ALCOA HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":6.6,"d":"$6.60"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2020-09-25",57536727025,"70461032003","FLUCELVAX QUADRIVALENT 20","Brand","Retail 30","Y","N","SSB","4423896","1912914912","WALGREENS #4330 4330","121 N NORTHSHORE DR","KNOXVILLE","TN","37919","Non- Specialty","No",{"v":0.5,"d":"0.50"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D003","P","2020-07-29",39927108591,"70756080790","LANSOPRAZOLE","Generic","Retail 90","Y","N","Generic","4430788","1982707600","CVS PHARMACY #04624 04624","9137 MIDDLEBROOK PIKE","KNOXVILLE","TN","37923","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-11-17",97972884792,"00002143480","TRULICITY","Brand","Retail 90","Y","N","SSB","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":6,"d":"6.00"},84,{"v":25,"d":"$25.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2021-04-23",17344957400,"43386035701","HYDROCODONE/ACETAMINOPHEN","Generic","Retail 30","Y","N","Generic","4421145","1710080429","CVS PHARMACY #06365 06365","101 NORTH CHARLES SEIVERS BOULEVARD","CLINTON","TN","37716","Non- Specialty","No",{"v":90,"d":"90.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2020-12-28",28983958485,"42571025201","CLINDAMYCIN HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4444698","1316215981","BELEW DRUGS WASHINGTON PIKE","5908 WASHINGTON PIKE STE 102","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":14,"d":"14.00"},7,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","E001","P","2020-11-25",38177931869,"16714010105","GEMFIBROZIL","Generic","Retail 90","Y","N","Generic","4440955","1639353733","FOOD CITY PHARMACY #609 609","2946 WINFIELD DUNN PARKWAY","KODAK","TN","37764","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","B002","P","2020-05-22",32569801337,"65862020299","LOSARTAN POTASSIUM","Generic","Retail 30","Y","N","Generic","4424949","1811902810","WALGREENS #5729 5729","9200 MIDDLEBROOK PIKE","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B002","P","2021-04-22",10728063512,"68645051954","ESCITALOPRAM OXALATE","Generic","Retail 30","Y","N","Generic","4441212","1467638890","WALMART PHARMACY 10-4635 104635","150 TANNER LN","CLINTON","TN","37716","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2021-03-22",26532453940,"45802026337","CLINDAMYCIN PHOSPHATE","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E001","P","2021-03-06",55651368140,"16729013616","CLONAZEPAM","Generic","Retail 30","Y","N","Generic","4401410","1346255445","WALGREENS #5483 5483","7523 KINGSTON PIKE","KNOXVILLE","TN","37919","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":2.22,"d":"$2.22"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","C001","P","2021-04-20",78760310398,"00093031401","KETOROLAC TROMETHAMINE","Generic","Retail 30","Y","N","Generic","4437516","1457368466","WALGREENS #1634 1634","7810 OAK RIDGE HWY","KNOXVILLE","TN","37931","Non- Specialty","No",{"v":20,"d":"20.00"},5,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-10-08",28421975072,"00093101042","MUPIROCIN","Generic","Retail 30","Y","N","Generic","4424949","1811902810","WALGREENS #5729 5729","9200 MIDDLEBROOK PIKE","KNOXVILLE","TN","37931","Non- Specialty","No",{"v":22,"d":"22.00"},10,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","C003","P","2020-07-07",34187818425,"68682099798","DILTIAZEM HYDROCHLORIDE E","Generic","Retail 90","Y","N","Generic","4421145","1710080429","CVS PHARMACY #06365 06365","101 NORTH CHARLES SEIVERS BOULEVARD","CLINTON","TN","37716","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2021-03-16",95821325596,"0","-","Brand","Retail 30","Y","Y","SSB","4444864","1821362526","FOUNTAINRX","2825 W ANDREW JOHNSON HWY","MORRISTOWN","TN","37814","Non- Specialty","No",{"v":60,"d":"60.00"},20,{"v":40,"d":"$40.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-12-01",18970763194,"67877057505","BENZONATATE","Generic","Retail 30","Y","N","Generic","4419912","1225131931","CVS PHARMACY #06364 06364","5401 CLINTON PIKE","KNOXVILLE","TN","37912","Non- Specialty","No",{"v":30,"d":"30.00"},10,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-09-10",52045099703,"68180012202","CEPHALEXIN","Generic","Retail 30","Y","N","Generic","4421157","1629171335","CVS PHARMACY #06366 06366","2800 BROADWAY ST NE","KNOXVILLE","TN","37917","Non- Specialty","No",{"v":28,"d":"28.00"},7,{"v":3.81,"d":"$3.81"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2021-01-23",17856208285,"00088222033","LANTUS","Brand","Retail 90","Y","N","SSB","4400317","1093818783","CVS PHARMACY #06355 06355","4325 ASHEVILLE HIGHWAY E","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":80,"d":"80.00"},90,{"v":25,"d":"$25.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2020-08-09",94844542357,"68382080601","TRAZODONE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","0323624","1588670996","WALGREENS.COM 21147","2225 S PRICE RD","CHANDLER","AZ","85286","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2020-09-29",85945156726,"00591565810","CYCLOBENZAPRINE HYDROCHLO","Generic","Retail 90","Y","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","No",{"v":90,"d":"90.00"},90,{"v":3.82,"d":"$3.82"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","C001","P","2020-07-20",78760310398,"55111032201","GLIMEPIRIDE","Generic","Retail 90","Y","N","Generic","4437516","1457368466","WALGREENS #1634 1634","7810 OAK RIDGE HWY","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-09-03",62360433272,"55111015810","OMEPRAZOLE","Generic","Retail 30","Y","N","Generic","4403907","1750484457","CVS PHARMACY #03743 03743","110 MAJESTIC GROVE RD","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":42,"d":"42.00"},42,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2020-09-16",59898124599,"00046110481","PREMARIN","Brand","Retail 30","Y","N","SSB","4430207","1578588299","KROGER PHARMACY #525 02600525","9501 S NORTHSHORE DR","KNOXVILLE","TN","37922","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A003","P","2021-03-01",85575274623,"45802091939","CETIRIZINE HYDROCHLORIDE","Generic","Retail 30","N","N","Generic","4426981","1952496804","PULMONAIRE PHARMACY","821 MCCALLIE","CHATTANOOGA","TN","37403","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":1.64,"d":"$1.64"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A003","P","2021-02-16",59697039030,"68462012801","ZONISAMIDE","Generic","Retail 30","Y","N","Generic","4446565","1417375403","WALGREENS #15906 15906","1602 E LAMAR ALEXANDER PKWY","MARYVILLE","TN","37804","Non- Specialty","Yes",{"v":180,"d":"180.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-10-08",56376004615,"65162036111","FOLIC ACID","Generic","Retail 90","Y","N","Generic","4403832","1114020815","CVS PHARMACY #03727 03727","2008 WEST ANDREW JOHNSON HWY","MORRISTOWN","TN","37814","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A001","P","2020-12-21",58725931027,"53746010901","HYDROCODONE/ACETAMINOPHEN","Generic","Retail 30","Y","N","Generic","4418566","1417050121","CVS PHARMACY #05671 05671","103 FOOTHILLS MALL RD","MARYVILLE","TN","37801","Non- Specialty","No",{"v":18,"d":"18.00"},3,{"v":2.15,"d":"$2.15"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B001","P","2020-10-17",31266636525,"23155002405","BUSPIRONE HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4448444","1073979522","M.D. PHARMACY STORE 2","657 E BROADWAY BLVD STE B","JEFFERSON CITY","TN","37760","Non- Specialty","No",{"v":180,"d":"180.00"},90,{"v":12.45,"d":"$12.45"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-12-23",94044047842,"00054327099","FLUTICASONE PROPIONATE","Generic","Retail 90","Y","N","Generic","4439419","1811939002","CVS PHARMACY #17146 17146","5405 WASHINGTON PKE","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":32,"d":"32.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2021-04-16",91289016895,"57237022501","RAMIPRIL","Generic","Retail 30","Y","N","Generic","4433568","1326065772","FOOD CITY PHARMACY #681 681","1199 OAK RIDGE TURNPIKE","OAK RIDGE","TN","37830","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-06-22",37336600616,"63304082705","ATORVASTATIN CALCIUM","Generic","Retail 90","Y","N","Generic","4434394","1265459465","SAMS PHARMACY 10-8256 108256","8435 WALBROOK DR","KNOXVILLE","TN","37923","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A003","P","2020-12-09",44185175877,"33342004910","IRBESARTAN","Generic","Retail 90","Y","N","Generic","4435649","1477568491","WALGREENS #6993 6993","220 FOOTHILLS MALL DR","MARYVILLE","TN","37801","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2020-10-05",45306325403,"68382035405","BUPROPION HYDROCHLORIDE E","Generic","Retail 30","Y","N","Generic","4436716","1932206877","OKIE'S PHARMACY II","1050 RUTLEDGE PIKE","BLAINE","TN","37709","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2021-04-08",29627150736,"70756081390","OLMESARTAN MEDOXOMIL/HYDR","Generic","Mail","Y","N","Generic","5926716","1154893600","OPTUMRX PHARMACY 704","5627 UNIVERSITY HEIGHTS BOULEVARD","SAN ANTONIO","TX","78249","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2020-07-06",14612157162,"69097083512","SERTRALINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4418566","1417050121","CVS PHARMACY #05671 05671","103 FOOTHILLS MALL RD","MARYVILLE","TN","37801","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A001","P","2021-03-02",57228722270,"00527132601","URSODIOL","Generic","Retail 90","Y","N","Generic","4437516","1457368466","WALGREENS #1634 1634","7810 OAK RIDGE HWY","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E001","P","2020-07-28",55327700932,"47781035703","BUPRENORPHINE HYDROCHLORI","Generic","Retail 30","Y","N","Generic","4449129","1013467505","WALMART PHARMACY 10-3959 103959","3120 MCKAMEY RD","KNOXVILLE","TN","37921","Non- Specialty","No",{"v":42,"d":"42.00"},28,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","E002","P","2020-05-14",73737247653,"70377002811","ATORVASTATIN CALCIUM","Generic","Retail 90","Y","N","Generic","4418376","1699878306","CVS PHARMACY #06359 06359","111 S. HALL ROAD","ALCOA","TN","37701","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E003","P","2021-01-04",58121399749,"68382039801","POTASSIUM CHLORIDE ER","Generic","Retail 90","Y","N","Generic","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2020-09-05",98208313751,"65862007701","CIPROFLOXACIN HYDROCHLORI","Generic","Retail 30","Y","N","Generic","4426486","1649287640","WALGREENS #6967 6967","4423 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","No",{"v":14,"d":"14.00"},7,{"v":3.34,"d":"$3.34"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","E002","P","2021-02-23",78131721904,"00228308706","ALPRAZOLAM ER","Generic","Retail 30","Y","N","Generic","4436071","1124033154","WALGREENS #7320 7320","7320 CLINTON HWY","POWELL","TN","37849","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-11-07",67040541961,"68382066010","SPIRONOLACTONE","Generic","Retail 30","Y","N","Generic","4438722","1336150986","RIGGS DRUG STORE","604 E EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":90,"d":"90.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E001","P","2020-11-04",95034531144,"68382003516","VENLAFAXINE HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4418566","1417050121","CVS PHARMACY #05671 05671","103 FOOTHILLS MALL RD","MARYVILLE","TN","37801","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2021-02-16",11870457588,"53746010901","HYDROCODONE/ACETAMINOPHEN","Generic","Retail 30","Y","N","Generic","4432237","1528165024","CVS PHARMACY #07698 07698","9435 S NORTHSHORE DR","KNOXVILLE","TN","37922","Non- Specialty","No",{"v":18,"d":"18.00"},5,{"v":2.43,"d":"$2.43"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-06-02",37507258201,"31722072690","MONTELUKAST SODIUM","Generic","Retail 30","Y","N","Generic","4435841","1497760425","WALGREENS #7048 7048","3071 PARKWAY","PIGEON FORGE","TN","37863","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B001","P","2021-02-01",18776114940,"33342017910","OLMESARTAN MEDOXOMIL","Generic","Retail 90","Y","N","Generic","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2021-02-24",89881889199,"13668000901","CITALOPRAM HYDROBROMIDE","Generic","Retail 90","Y","N","Generic","4441818","1649421157","INGLES PHARMACY 091","11847 KINGSTON PIKE","FARRAGUT","TN","37934","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B001","P","2021-01-12",74345424926,"23155050001","HYDROXYZINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4426955","1639184633","WALGREENS #7374 7374","4423 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","No",{"v":90,"d":"90.00"},30,{"v":4.7,"d":"$4.70"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2020-10-12",18432450238,"00591544305","PREDNISONE","Generic","Retail 30","Y","N","Generic","4437516","1457368466","WALGREENS #1634 1634","7810 OAK RIDGE HWY","KNOXVILLE","TN","37931","Non- Specialty","No",{"v":5,"d":"5.00"},5,{"v":1.34,"d":"$1.34"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","C003","P","2021-01-21",68211504691,"23155013525","DOXYCYCLINE MONOHYDRATE","Generic","Retail 30","N","N","Generic","4441541","1861657991","WALGREENS #12311 12311","2151 N CHARLES G SEIVERS BLVD","CLINTON","TN","37716","Non- Specialty","No",{"v":20,"d":"20.00"},10,{"v":10,"d":"$10.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","C001","P","2020-09-23",81007377967,"59310057922","PROAIR HFA","Brand","Retail 30","Y","N","MSB","4428240","1982621173","WALMART PHARMACY 10-2065 102065","8445 WALBROOK DR","KNOXVILLE","TN","37923","Non- Specialty","Yes",{"v":8.5,"d":"8.50"},23,{"v":10,"d":"$10.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","C001","P","2021-01-24",78760310398,"29300012510","MELOXICAM","Generic","Retail 30","Y","N","Generic","4437516","1457368466","WALGREENS #1634 1634","7810 OAK RIDGE HWY","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":2.77,"d":"$2.77"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-10-23",64667813827,"69315012710","FOLIC ACID","Generic","Retail 90","Y","N","Generic","4427630","1164525879","CVS PHARMACY #04180 04180","4406 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":5.58,"d":"$5.58"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2021-03-31",57731340445,"59267100001","PFIZER-BIONTECH COVID-19","Brand","Retail 30","Y","N","SSB","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":0.3,"d":"0.30"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C001","P","2021-01-15",94568325311,"43598058230","BUPRENORPHINE HYDROCHLORI","Generic","Retail 30","Y","N","Generic","4442517","1194958280","WALGREENS #12858 12858","2103 E ANDREW JOHNSON HWY","MORRISTOWN","TN","37814","Non- Specialty","No",{"v":42,"d":"42.00"},21,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C003","P","2020-08-30",58200575720,"68180098003","LISINOPRIL","Generic","Retail 30","Y","N","Generic","4426486","1649287640","WALGREENS #6967 6967","4423 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E003","P","2020-07-01",74191837115,"00228202996","ALPRAZOLAM","Generic","Retail 30","Y","N","Generic","4426955","1639184633","WALGREENS #7374 7374","4423 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","No",{"v":90,"d":"90.00"},30,{"v":2.93,"d":"$2.93"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-10-22",74688419013,"00002143480","TRULICITY","Brand","Retail 30","Y","N","SSB","4421880","1386678019","KROGER PHARMACY #531 02600531","4409 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":2,"d":"2.00"},28,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2021-01-07",56376004615,"69315012710","FOLIC ACID","Generic","Retail 90","Y","N","Generic","4403832","1114020815","CVS PHARMACY #03727 03727","2008 WEST ANDREW JOHNSON HWY","MORRISTOWN","TN","37814","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":5.58,"d":"$5.58"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D001","P","2021-04-01",16648038948,"60505082901","FLUTICASONE PROPIONATE","Generic","Retail 30","N","N","Generic","4430865","1396750303","WALGREENS #3955 3955","10701 KINGSTON PIKE","FARRAGUT","TN","37934","Non- Specialty","No",{"v":16,"d":"16.00"},30,{"v":6.48,"d":"$6.48"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2020-06-22",66473803495,"59746017310","PREDNISONE","Generic","Retail 30","Y","N","Generic","4437352","1821003773","INGLES PHARMACY 399","430 EMORY RD","POWELL","TN","37849","Non- Specialty","No",{"v":34,"d":"34.00"},15,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2021-01-12",69488295697,"52817033200","CYCLOBENZAPRINE HYDROCHLO","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":30,"d":"30.00"},10,{"v":1.61,"d":"$1.61"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2020-12-24",82049066748,"59417010710","VYVANSE","Brand","Retail 30","Y","N","SSB","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":20,"d":"$20.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E001","P","2021-02-18",75948814059,"75834021830","VENLAFAXINE HYDROCHLORIDE","Generic","Retail 90","N","N","Generic","4429545","1972520161","WALMART PHARMACY 10-2310 102310","3051 KINZEL WAY","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":25,"d":"$25.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-09-09",82162306565,"76385012810","METFORMIN HYDROCHLORIDE E","Generic","Retail 90","Y","N","Generic","4403781","1679676373","CVS PHARMACY #03721 03721","4864 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D099","P","2020-09-10",47293550690,"00172572960","FAMOTIDINE","Generic","Retail 90","Y","N","Generic","4437516","1457368466","WALGREENS #1634 1634","7810 OAK RIDGE HWY","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-07-28",41140875084,"00093314705","CEPHALEXIN","Generic","Retail 30","Y","N","Generic","4441541","1861657991","WALGREENS #12311 12311","2151 N CHARLES G SEIVERS BLVD","CLINTON","TN","37716","Non- Specialty","No",{"v":20,"d":"20.00"},10,{"v":3.15,"d":"$3.15"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-12-01",97937824770,"00378041510","DIPHENOXYLATE/ATROPINE","Generic","Retail 30","Y","N","Generic","4403666","1942303649","CVS PHARMACY #03762 03762","9175 KINGSTON PIKE","KNOXVILLE","TN","37923","Non- Specialty","No",{"v":12,"d":"12.00"},2,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A003","P","2020-10-29",86469612235,"16729003510","ANASTROZOLE","Generic","Retail 30","Y","N","Generic","4423896","1912914912","WALGREENS #4330 4330","121 N NORTHSHORE DR","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":12,"d":"12.00"},24,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2020-11-12",35355055799,"00143985375","AMOXICILLIN/CLAVULANATE P","Generic","Retail 30","Y","N","Generic","4439419","1811939002","CVS PHARMACY #17146 17146","5405 WASHINGTON PKE","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":75,"d":"75.00"},7,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-08-17",34399135297,"68180015001","FAMOTIDINE","Generic","Retail 90","N","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":50,"d":"50.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2021-04-14",21612207502,"00168014630","HYDROCORTISONE","Generic","Retail 30","Y","N","Generic","4441541","1861657991","WALGREENS #12311 12311","2151 N CHARLES G SEIVERS BLVD","CLINTON","TN","37716","Non- Specialty","No",28.35,7,{"v":4.04,"d":"$4.04"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2020-08-03",18432450238,"68382013905","TOPIRAMATE","Generic","Retail 30","Y","N","Generic","4437516","1457368466","WALGREENS #1634 1634","7810 OAK RIDGE HWY","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":26,"d":"26.00"},26,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2021-04-01",66338701184,"65862016001","ZOLPIDEM TARTRATE","Generic","Retail 30","Y","N","Generic","4422111","1194730192","WALGREENS #4169 4169","4001 CHAPMAN HIGHWAY","KNOXVILLE","TN","37920","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":3.65,"d":"$3.65"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-05-21",12133892365,"50111043401","TRAZODONE HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4437516","1457368466","WALGREENS #1634 1634","7810 OAK RIDGE HWY","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-07-29",46633239696,"67877054588","CEPHALEXIN","Generic","Retail 30","Y","N","Generic","4430740","1831134972","BLOUNT DISCOUNT PHARMACY - WEST","131 MONTGOMERY LANE","MARYVILLE","TN","37803","Non- Specialty","No",{"v":100,"d":"100.00"},7,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2020-05-04",62571358976,"16571020150","DICLOFENAC SODIUM DR","Generic","Retail 30","Y","N","Generic","4401410","1346255445","WALGREENS #5483 5483","7523 KINGSTON PIKE","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2021-04-12",97518329995,"62559066290","CANDESARTAN CILEXETIL/HYD","Generic","Retail 90","N","N","Generic","4437910","1750396784","WALGREENS #9430 9430","132 E BROADWAY BLVD","JEFFERSON CITY","TN","37760","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B001","P","2021-04-07",75687449369,"43975028210","AMPHETAMINE/DEXTROAMPHETA","Generic","Retail 30","Y","N","Generic","4407929","1447388707","MACS PHARMACY 1","2419 WASHINGTON PIKE","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2020-08-29",59840220752,"00378180910","LEVOTHYROXINE SODIUM","Generic","Retail 90","Y","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2021-03-01",65463592016,"65862050320","AMOXICILLIN/CLAVULANATE P","Generic","Retail 30","Y","N","Generic","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","No",{"v":10,"d":"10.00"},5,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A001","P","2021-03-11",87896771059,"14539067401","HYDROXYZINE PAMOATE","Generic","Retail 30","Y","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":2.92,"d":"$2.92"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","B003","P","2021-02-10",34296031580,"50458057990","XARELTO","Brand","Retail 90","Y","N","SSB","4446945","1063815470","VOLUNTEER PHARMACY","2559 WILLOW POINT WAY","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-07-22",35230147298,"65862056099","PANTOPRAZOLE SODIUM","Generic","Mail","Y","N","Generic","5741372","1790340206","OPTUMRX PHARMACY 700, LLC","5700 DOT COM COURT","OVIEDO","FL","32765","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E001","P","2021-03-22",84053046735,"68001011203","LANSOPRAZOLE","Generic","Retail 30","Y","N","Generic","4444698","1316215981","BELEW DRUGS WASHINGTON PIKE","5908 WASHINGTON PIKE STE 102","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":6.09,"d":"$6.09"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D003","P","2020-12-07",44531298174,"00002143380","TRULICITY","Brand","Retail 30","Y","N","SSB","4446781","1235547423","PUBLIX PHARMACY #1418 1418","2429 UNIVERSITY COMMONS WAY","KNOXVILLE","TN","37916","Non- Specialty","Yes",{"v":2,"d":"2.00"},28,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C003","P","2020-05-18",83350007749,"00378312501","DOXEPIN HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4421880","1386678019","KROGER PHARMACY #531 02600531","4409 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A001","P","2020-09-23",66022822318,"69238183107","LEVOTHYROXINE SODIUM","Generic","Retail 30","Y","N","Generic","4443254","1013236785","WALGREENS #12980 12980","7425 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C003","P","2020-09-18",61273325707,"23155010410","METFORMIN HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4434661","1871510222","FOOD CITY PHARMACY #674 674","5941 KINGSTON PIKE","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2021-03-16",85945156726,"00591565810","CYCLOBENZAPRINE HYDROCHLO","Generic","Retail 90","Y","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","No",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2021-02-13",55197273056,"69315011610","FUROSEMIDE","Generic","Retail 30","Y","N","Generic","4446503","1710304837","VICTORY PHARMACY","4127 E EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-09-11",77209827031,"49884027082","NASCOBAL","Brand","Retail 30","N","N","SSB","4446781","1235547423","PUBLIX PHARMACY #1418 1418","2429 UNIVERSITY COMMONS WAY","KNOXVILLE","TN","37916","Non- Specialty","Yes",{"v":4,"d":"4.00"},28,{"v":40,"d":"$40.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2021-02-02",74626674649,"62037072501","METHYLPHENIDATE HYDROCHLO","Generic","Retail 30","Y","N","Generic","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2021-04-07",57879075234,"00054327099","FLUTICASONE PROPIONATE","Generic","Retail 30","N","N","Generic","4426640","1063549863","SEYMOUR ADVALUE PHARMACY","10721 CHAPMAN HWY","SEYMOUR","TN","37865","Non- Specialty","No",{"v":16,"d":"16.00"},30,{"v":6.48,"d":"$6.48"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D003","P","2020-07-09",47588724772,"68180047301","AMLODIPINE BESYLATE/BENAZ","Generic","Retail 90","Y","N","Generic","4426955","1639184633","WALGREENS #7374 7374","4423 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2021-03-22",42111364586,"42806004801","GUANFACINE HCL","Generic","Retail 30","Y","N","Generic","4422111","1194730192","WALGREENS #4169 4169","4001 CHAPMAN HIGHWAY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E001","P","2021-01-08",75948814059,"00591292418","TESTOSTERONE","Generic","Retail 30","Y","N","Generic","4429545","1972520161","WALMART PHARMACY 10-2310 102310","3051 KINZEL WAY","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":75,"d":"75.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-10-31",21396154907,"65862023060","LAMOTRIGINE","Generic","Mail","Y","N","Generic","1718634","1669498515","OPTUMRX","6800 WEST 115TH STREET","OVERLAND PARK","KS","66211","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-09-14",68565898369,"70710113908","FLUCONAZOLE","Generic","Retail 30","Y","N","Generic","4403907","1750484457","CVS PHARMACY #03743 03743","110 MAJESTIC GROVE RD","KNOXVILLE","TN","37920","Non- Specialty","No",{"v":3,"d":"3.00"},9,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","B002","P","2020-08-21",67092361459,"45802011846","MOMETASONE FUROATE","Generic","Retail 30","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D001","P","2020-11-11",84831757702,"16729028417","ROSUVASTATIN CALCIUM","Generic","Retail 90","Y","N","Generic","4434065","1053338400","FOOD CITY PHARMACY #655 655","7510 ASHEVILLE HWY","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","E003","P","2021-03-10",43169985530,"45802065087","LORATADINE","Generic","Retail 30","N","N","Generic","4421739","1477568475","WALGREENS #3798 3798","2400 N BROADWAY ST","KNOXVILLE","TN","37917","Non- Specialty","No",{"v":60,"d":"60.00"},30,{"v":2.6,"d":"$2.60"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","B002","P","2020-08-24",49086597064,"70710122501","AMITRIPTYLINE HYDROCHLORI","Generic","Retail 30","Y","N","Generic","4440703","1275720740","WALGREENS #11699 11699","2409 US HIGHWAY 411 S","MARYVILLE","TN","37801","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B002","P","2021-04-05",39845328633,"59267100003","PFIZER-BIONTECH COVID-19","Brand","Retail 30","Y","N","SSB","4420953","1013941749","KROGER PHARMACY #506 02600506","2217 N BROADWAY ST","KNOXVILLE","TN","37917","Non- Specialty","No",{"v":0.3,"d":"0.30"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-09-08",60209933745,"69097083412","SERTRALINE HCL","Generic","Retail 30","Y","N","Generic","4435827","1225062961","KROGER PHARMACY #549 02600549","6702 CLINTON HWY","KNOXVILLE","TN","37912","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E002","P","2020-07-27",78131721904,"60505279500","IBANDRONATE SODIUM","Generic","Retail 30","Y","N","Generic","4436071","1124033154","WALGREENS #7320 7320","7320 CLINTON HWY","POWELL","TN","37849","Non- Specialty","Yes",{"v":1,"d":"1.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-06-18",46197683207,"68462010630","ONDANSETRON HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4435649","1477568491","WALGREENS #6993 6993","220 FOOTHILLS MALL DR","MARYVILLE","TN","37801","Non- Specialty","No",{"v":21,"d":"21.00"},7,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-05-20",22016216284,"70710120901","ALLOPURINOL","Generic","Retail 90","Y","N","Generic","4400317","1093818783","CVS PHARMACY #06355 06355","4325 ASHEVILLE HIGHWAY E","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-11-25",46503187892,"70700016406","LEVONORGESTREL","Generic","Retail 30","Y","N","Generic","4541846","1932110525","TPC PHARMACY","4200 BUCKINGHAM RD","FORT WORTH","TX","76155","Non- Specialty","No",{"v":2,"d":"2.00"},2,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2020-11-23",61983319657,"00555905058","KARIVA","Generic","Retail 30","Y","N","Generic","4418376","1699878306","CVS PHARMACY #06359 06359","111 S. HALL ROAD","ALCOA","TN","37701","Non- Specialty","Yes",{"v":28,"d":"28.00"},21,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2020-12-12",32431154409,"50383070016","FLUTICASONE PROPIONATE","Generic","Retail 30","Y","N","Generic","4434370","1356368559","SAMS PHARMACY 10-6572 106572","2920 KNOXVILLE CENTER DR","KNOXVILLE","TN","37924","Non- Specialty","No",{"v":16,"d":"16.00"},60,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E003","P","2020-09-13",15966049155,"51224000760","METFORMIN HYDROCHLORIDE E","Generic","Retail 90","Y","N","Generic","4433265","1356358352","WALGREENS #5053 5053","601 N CAMPBELL STATION RD","FARRAGUT","TN","37934","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C001","P","2021-02-18",32556064304,"00006027754","JANUVIA","Brand","Retail 90","Y","N","SSB","4441705","1538319298","KROGER PHARMACY #686 02600686","189 BROOKLAWN ST","FARRAGUT","TN","37934","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":25,"d":"$25.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-11-17",51958236163,"00378728490","LEVONORGESTREL AND ETHINY","Generic","Retail 90","Y","N","Generic","4423896","1912914912","WALGREENS #4330 4330","121 N NORTHSHORE DR","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":91,"d":"91.00"},91,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-06-30",22992400144,"63304073530","ESOMEPRAZOLE MAGNESIUM","Generic","Retail 90","Y","N","Generic","4450083","1073038121","WALGREENS #18021 18021","2710 MAYNARDVILLE HIGHWAY","MAYNARDVILLE","TN","37807","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-07-09",67040541961,"47781064010","LEVOTHYROXINE SODIUM","Generic","Retail 90","Y","N","Generic","4438722","1336150986","RIGGS DRUG STORE","604 E EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-05-13",98872567338,"65162017910","METFORMIN HYDROCHLORIDE E","Generic","Retail 90","Y","N","Generic","4441705","1538319298","KROGER PHARMACY #686 02600686","189 BROOKLAWN ST","FARRAGUT","TN","37934","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-09-15",30732762164,"11534016503","FOLIC ACID","Generic","Retail 30","Y","N","Generic","4422111","1194730192","WALGREENS #4169 4169","4001 CHAPMAN HIGHWAY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":3.66,"d":"$3.66"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D001","P","2021-01-22",85559919972,"00093031401","KETOROLAC TROMETHAMINE","Generic","Retail 30","Y","N","Generic","4400317","1093818783","CVS PHARMACY #06355 06355","4325 ASHEVILLE HIGHWAY E","KNOXVILLE","TN","37914","Non- Specialty","No",{"v":15,"d":"15.00"},5,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-09-02",68957582730,"00185111160","BUPROPION HYDROCHLORIDE E","Generic","Retail 90","Y","N","Generic","0323624","1588670996","WALGREENS.COM 21147","2225 S PRICE RD","CHANDLER","AZ","85286","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C003","P","2020-09-23",58535286434,"60505082901","FLUTICASONE PROPIONATE","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":16,"d":"16.00"},15,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","B003","P","2020-05-07",78275084999,"00009470913","DEPO-SUBQ PROVERA 104","Brand","Retail 90","Y","N","SSB","4426955","1639184633","WALGREENS #7374 7374","4423 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","No",0.65,90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","E001","P","2020-10-19",83534900945,"00781286810","OMEPRAZOLE","Generic","Retail 30","Y","N","Generic","4440955","1639353733","FOOD CITY PHARMACY #609 609","2946 WINFIELD DUNN PARKWAY","KODAK","TN","37764","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D003","P","2021-01-26",36874050006,"65862050220","AMOXICILLIN/CLAVULANATE P","Generic","Retail 30","Y","N","Generic","4422111","1194730192","WALGREENS #4169 4169","4001 CHAPMAN HIGHWAY","KNOXVILLE","TN","37920","Non- Specialty","No",{"v":14,"d":"14.00"},7,{"v":3.87,"d":"$3.87"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","A002","P","2021-03-12",66544126713,"00781518110","LEVOTHYROXINE SODIUM","Generic","Retail 30","Y","N","Generic","4430740","1831134972","BLOUNT DISCOUNT PHARMACY - WEST","131 MONTGOMERY LANE","MARYVILLE","TN","37803","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","A001","P","2020-11-16",49215229509,"68382013905","TOPIRAMATE","Generic","Retail 30","Y","N","Generic","4429177","1033124045","WALGREENS #3388 3388","225 NORTH HALL RD","ALCOA","TN","37701","Non- Specialty","Yes",{"v":90,"d":"90.00"},36,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C001","P","2020-06-11",94131545179,"68462010530","ONDANSETRON HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4436261","1033124060","WALGREENS #7407 7407","11305 CHAPMAN HIGHWAY","SEYMOUR","TN","37865","Non- Specialty","No",{"v":20,"d":"20.00"},5,{"v":2.83,"d":"$2.83"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","B003","P","2021-04-15",53819406356,"65862020399","LOSARTAN POTASSIUM","Generic","Retail 90","Y","N","Generic","4437910","1750396784","WALGREENS #9430 9430","132 E BROADWAY BLVD","JEFFERSON CITY","TN","37760","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-11-03",86540247481,"00472037915","CLOTRIMAZOLE/BETAMETHASON","Generic","Retail 30","Y","N","Generic","4446565","1417375403","WALGREENS #15906 15906","1602 E LAMAR ALEXANDER PKWY","MARYVILLE","TN","37804","Non- Specialty","No",{"v":15,"d":"15.00"},7,{"v":2.41,"d":"$2.41"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B002","P","2020-11-22",66822383271,"00143980305","DOXYCYCLINE HYCLATE","Generic","Retail 30","Y","N","Generic","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","No",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A003","P","2020-08-19",54579122248,"00173089201","NUCALA","Brand","Retail 30","Y","N","SSB","4539079","1457408536","OPTUMRX PHARMACY 704, INC","5627 UNIVERSITY HEIGHTS BOULEVARD","SAN ANTONIO","TX","78249","Specialty","Yes",{"v":1,"d":"1.00"},28,{"v":80,"d":"$80.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","C003","P","2020-12-18",38026095156,"60432060416","PROMETHAZINE/DEXTROMETHOR","Generic","Retail 30","Y","N","Generic","4445056","1952660490","INGLES PHARMACY 088","917 DECATUR PIKE","ATHENS","TN","37303","Non- Specialty","No",{"v":100,"d":"100.00"},5,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2020-08-31",42657559031,"21922000201","CLINDAMYCIN PHOSPHATE","Generic","Retail 30","Y","N","Generic","4424545","1134146319","WALMART PHARMACY 10-1319 101319","7550 NORRIS FWY","KNOXVILLE","TN","37938","Non- Specialty","No",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A003","P","2020-06-03",76417461210,"69097084905","ESCITALOPRAM OXALATE","Generic","Retail 30","Y","N","Generic","4424949","1811902810","WALGREENS #5729 5729","9200 MIDDLEBROOK PIKE","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-08-08",96087910964,"00597015330","JARDIANCE","Brand","Retail 30","Y","N","SSB","4432237","1528165024","CVS PHARMACY #07698 07698","9435 S NORTHSHORE DR","KNOXVILLE","TN","37922","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","C003","P","2020-12-04",34015690750,"65862007701","CIPROFLOXACIN HYDROCHLORI","Generic","Retail 30","Y","N","Generic","4427630","1164525879","CVS PHARMACY #04180 04180","4406 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","No",{"v":14,"d":"14.00"},7,{"v":2.82,"d":"$2.82"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","E003","P","2021-04-02",49839316521,"68462010630","ONDANSETRON HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":12,"d":"12.00"},4,{"v":3.77,"d":"$3.77"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","E002","P","2020-05-15",94107918073,"59762033302","LATANOPROST","Generic","Retail 30","Y","N","Generic","4421739","1477568475","WALGREENS #3798 3798","2400 N BROADWAY ST","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":2.5,"d":"2.50"},22,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C002","P","2020-10-19",44810534111,"55111012305","ATORVASTATIN CALCIUM","Generic","Retail 30","Y","N","Generic","4436071","1124033154","WALGREENS #7320 7320","7320 CLINTON HWY","POWELL","TN","37849","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","B002","P","2021-04-06",30541573954,"59651031577","TIZANIDINE HYDROCHLORIDE","Generic","Retail 30","N","N","Generic","4416954","1790790897","WALGREENS #6224 6224","5320 CLINTON HIGHWAY","KNOXVILLE","TN","37912","Non- Specialty","No",{"v":60,"d":"60.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-09-24",23027978502,"55111064505","OMEPRAZOLE","Generic","Retail 30","Y","N","Generic","4438330","1689608325","KROGER PHARMACY 02600628","1820 ROANE STATE HWY","HARRIMAN","TN","37748","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-07-27",31292609786,"68180072103","AMLODIPINE BESYLATE","Generic","Retail 90","Y","N","Generic","4401410","1346255445","WALGREENS #5483 5483","7523 KINGSTON PIKE","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A004","P","2021-04-20",44009391240,"55513084301","AIMOVIG","Brand","Retail 30","Y","N","SSB","4443406","1134431620","WALGREENS #13979 13979","1 MEDICAL PARK BLVD STE 106E","BRISTOL","TN","37620","Non- Specialty","Yes",{"v":1,"d":"1.00"},30,{"v":20,"d":"$20.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2021-04-03",53967419518,"65862016001","ZOLPIDEM TARTRATE","Generic","Retail 30","Y","N","Generic","4424949","1811902810","WALGREENS #5729 5729","9200 MIDDLEBROOK PIKE","KNOXVILLE","TN","37931","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":3.65,"d":"$3.65"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-09-15",62350820989,"33332032001","AFLURIA QUADRIVALENT 2020","Brand","Retail 30","Y","N","SSB","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","No",{"v":0.5,"d":"0.50"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A002","P","2021-01-27",69827237005,"16729000316","GLIMEPIRIDE","Generic","Retail 30","Y","N","Generic","4443747","1194032730","M.D. PHARMACY","1467 W MORRIS BLVD","MORRISTOWN","TN","37813","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A003","P","2020-11-22",27295394459,"00555097202","AMPHETAMINE/DEXTROAMPHETA","Generic","Retail 30","Y","N","Generic","4426486","1649287640","WALGREENS #6967 6967","4423 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-09-08",96445127996,"68180032002","BUPROPION HYDROCHLORIDE E","Generic","Retail 30","Y","N","Generic","4435827","1225062961","KROGER PHARMACY #549 02600549","6702 CLINTON HWY","KNOXVILLE","TN","37912","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2021-04-15",19687586722,"68180072003","AMLODIPINE BESYLATE","Generic","Retail 90","Y","N","Generic","4430803","1356444079","CVS PHARMACY #04457 04457","7341 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","A003","P","2020-09-07",19636565536,"00378808220","TRETINOIN","Generic","Retail 30","Y","N","Generic","4436261","1033124060","WALGREENS #7407 7407","11305 CHAPMAN HIGHWAY","SEYMOUR","TN","37865","Non- Specialty","No",{"v":20,"d":"20.00"},7,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","C003","P","2020-10-08",33537169730,"00173071920","FLOVENT HFA","Brand","Retail 30","Y","N","SSB","4427630","1164525879","CVS PHARMACY #04180 04180","4406 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","Yes",{"v":12,"d":"12.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2021-01-09",46426498475,"00832105410","BACLOFEN","Generic","Retail 30","Y","N","Generic","4434611","1306868054","CVS PHARMACY #16034 16034","8040 RAY MEARS BLVD","KNOXVILLE","TN","37919","Non- Specialty","No",{"v":30,"d":"30.00"},10,{"v":4.86,"d":"$4.86"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2021-03-16",94044047842,"00054327099","FLUTICASONE PROPIONATE","Generic","Retail 90","N","N","Generic","4439419","1811939002","CVS PHARMACY #17146 17146","5405 WASHINGTON PKE","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":32,"d":"32.00"},90,{"v":15.93,"d":"$15.93"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-11-15",42449048828,"00781808926","AZITHROMYCIN","Generic","Retail 30","Y","N","Generic","4435322","1922013945","WALGREENS #6738 6738","2109 JACKSBORO PIKE","LA FOLLETTE","TN","37766","Non- Specialty","No",{"v":6,"d":"6.00"},5,{"v":4.08,"d":"$4.08"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-12-11",77275695268,"23155005519","NARATRIPTAN HCL","Generic","Retail 30","N","N","Generic","4439419","1811939002","CVS PHARMACY #17146 17146","5405 WASHINGTON PKE","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":9,"d":"9.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","C003","P","2020-06-18",14213955364,"76439030210","CHLORDIAZEPOXIDE HCL/CLID","Generic","Retail 30","Y","N","Generic","4444698","1316215981","BELEW DRUGS WASHINGTON PIKE","5908 WASHINGTON PIKE STE 102","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":120,"d":"120.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-07-17",21818775852,"57664050658","METOPROLOL TARTRATE","Generic","Retail 90","Y","N","Generic","4400317","1093818783","CVS PHARMACY #06355 06355","4325 ASHEVILLE HIGHWAY E","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-05-28",99879740078,"00378632001","VERAPAMIL HCL ER","Generic","Retail 90","Y","N","Generic","4430803","1356444079","CVS PHARMACY #04457 04457","7341 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B002","P","2020-12-27",42330740716,"60505265301","TRAZODONE HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4436071","1124033154","WALGREENS #7320 7320","7320 CLINTON HWY","POWELL","TN","37849","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2020-09-03",94844542357,"68382080601","TRAZODONE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","0323624","1588670996","WALGREENS.COM 21147","2225 S PRICE RD","CHANDLER","AZ","85286","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","C001","P","2021-04-06",74695322587,"00054418625","DEXAMETHASONE","Generic","Retail 30","Y","N","Generic","4446565","1417375403","WALGREENS #15906 15906","1602 E LAMAR ALEXANDER PKWY","MARYVILLE","TN","37804","Non- Specialty","No",{"v":2,"d":"2.00"},1,{"v":3.57,"d":"$3.57"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-05-09",41140875084,"29300012510","MELOXICAM","Generic","Retail 30","Y","N","Generic","4441541","1861657991","WALGREENS #12311 12311","2151 N CHARLES G SEIVERS BLVD","CLINTON","TN","37716","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":2.44,"d":"$2.44"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D003","P","2021-04-12",99350639290,"00002143380","TRULICITY","Brand","Retail 90","Y","N","SSB","4448848","1508216029","KROGER PHARMACY #670 02600670","234 E EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":6,"d":"6.00"},84,{"v":25,"d":"$25.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","C003","P","2021-02-03",58132280806,"00642009330","VITAFOL ULTRA","Brand","Retail 30","Y","N","SSB","4426955","1639184633","WALGREENS #7374 7374","4423 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":20,"d":"$20.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B001","P","2021-02-18",67718733739,"68462019005","NAPROXEN","Generic","Retail 90","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C001","P","2020-11-21",29963131762,"55111015001","FLUOXETINE HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4430788","1982707600","CVS PHARMACY #04624 04624","9137 MIDDLEBROOK PIKE","KNOXVILLE","TN","37923","Non- Specialty","Yes",{"v":270,"d":"270.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-07-09",51237433537,"60432046608","DEXAMETHASONE","Generic","Retail 30","Y","N","Generic","4423896","1912914912","WALGREENS #4330 4330","121 N NORTHSHORE DR","KNOXVILLE","TN","37919","Non- Specialty","No",{"v":120,"d":"120.00"},12,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E003","P","2020-06-22",38317128659,"50742061605","METOPROLOL SUCCINATE ER","Generic","Retail 90","Y","N","Generic","4438722","1336150986","RIGGS DRUG STORE","604 E EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-06-20",75590634247,"16729000517","SIMVASTATIN","Generic","Mail","Y","N","Generic","5741372","1790340206","BRIOVARX SPECIALTY","5700 DOT COM COURT","OVIEDO","FL","32765","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","A001","P","2020-05-20",10941290187,"51862056406","LOW-OGESTREL","Generic","Retail 90","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":112,"d":"112.00"},84,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2020-05-21",69845171344,"68180037603","LOSARTAN POTASSIUM","Generic","Retail 90","Y","N","Generic","4441541","1861657991","WALGREENS #12311 12311","2151 N CHARLES G SEIVERS BLVD","CLINTON","TN","37716","Non- Specialty","Yes",{"v":45,"d":"45.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","B002","P","2020-12-19",74890250416,"13668000701","ZOLPIDEM TARTRATE","Generic","Retail 30","Y","N","Generic","4448848","1508216029","KROGER PHARMACY #670 02600670","234 E EMORY RD","POWELL","TN","37849","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":2,"d":"$2.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2020-09-04",15649676006,"00378180310","LEVOTHYROXINE SODIUM","Generic","Retail 90","Y","N","Generic","4439419","1811939002","CVS PHARMACY #17146 17146","5405 WASHINGTON PKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2021-01-29",92721508879,"65862029390","ROSUVASTATIN CALCIUM","Generic","Retail 90","Y","N","Generic","4430207","1578588299","KROGER PHARMACY #525 02600525","9501 S NORTHSHORE DR","KNOXVILLE","TN","37922","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2021-04-19",20734376033,"00002850101","HUMULIN R U-500 (CONCENTR","Brand","Retail 30","Y","N","SSB","4419912","1225131931","CVS PHARMACY #06364 06364","5401 CLINTON PIKE","KNOXVILLE","TN","37912","Non- Specialty","Yes",{"v":80,"d":"80.00"},70,{"v":25,"d":"$25.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2021-01-06",36116588700,"13107008305","LORAZEPAM","Generic","Retail 30","Y","N","Generic","4403844","1023111721","CVS PHARMACY #03729 03729","4459 KINGSTON PIKE STE","KNOXVILLE","TN","37919","Non- Specialty","No",{"v":60,"d":"60.00"},30,{"v":3.01,"d":"$3.01"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-06-29",46909536864,"43598051030","ESOMEPRAZOLE MAGNESIUM","Generic","Retail 90","Y","N","Generic","4431019","1518991256","KROGER PHARMACY #581 02600581","10721 CHAPMAN HWY","SEYMOUR","TN","37865","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D003","P","2021-01-04",24473778911,"00143980305","DOXYCYCLINE HYCLATE","Generic","Retail 30","Y","N","Generic","4404377","1235159070","NUNALLY DRUG STORE","226 MAIN STREET","BAXTER","TN","38544","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2021-04-11",66330068671,"13668000805","ZOLPIDEM TARTRATE","Generic","Retail 30","Y","N","Generic","4430803","1356444079","CVS PHARMACY #04457 04457","7341 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2020-12-08",66330068671,"13668000805","ZOLPIDEM TARTRATE","Generic","Retail 30","Y","N","Generic","4430803","1356444079","CVS PHARMACY #04457 04457","7341 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":3.11,"d":"$3.11"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-12-18",92226664690,"00074055402","HUMIRA PEN","Brand","Retail 30","Y","N","SSB","5732676","1538618459","OPTUMRX PHARMACY 700, LLC","5700 DOT COM CT STE 1000","OVIEDO","FL","32765","Specialty","Yes",{"v":2,"d":"2.00"},28,{"v":505,"d":"$505.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E002","P","2020-05-12",18857145549,"00555088702","ESTRADIOL","Generic","Retail 30","Y","N","Generic","4443254","1013236785","WALGREENS #12980 12980","7425 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":210,"d":"210.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2021-03-02",97209460866,"00002143480","TRULICITY","Brand","Retail 90","Y","N","SSB","4430803","1356444079","CVS PHARMACY #04457 04457","7341 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":6,"d":"6.00"},89,{"v":25,"d":"$25.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2020-11-16",88918645085,"00456141030","BYSTOLIC","Brand","Retail 90","Y","N","SSB","4440955","1639353733","FOOD CITY PHARMACY #609 609","2946 WINFIELD DUNN PARKWAY","KODAK","TN","37764","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":25,"d":"$25.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B002","P","2020-08-05",15791039224,"69238111701","BUSPIRONE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4450083","1073038121","WALGREENS #18021 18021","2710 MAYNARDVILLE HIGHWAY","MAYNARDVILLE","TN","37807","Non- Specialty","No",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B001","P","2021-04-17",70087714888,"00430042014","LO LOESTRIN FE","Brand","Retail 90","Y","N","SSB","4418566","1417050121","CVS PHARMACY #05671 05671","103 FOOTHILLS MALL RD","MARYVILLE","TN","37801","Non- Specialty","Yes",{"v":84,"d":"84.00"},84,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B001","P","2021-04-21",74345424926,"68180031909","BUPROPION HYDROCHLORIDE E","Generic","Retail 30","Y","N","Generic","4426955","1639184633","WALGREENS #7374 7374","4423 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2020-11-03",44332712536,"65162083366","DICLOFENAC SODIUM","Generic","Retail 30","Y","N","Generic","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","No",{"v":400,"d":"400.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-09-03",34398190901,"27241009706","DULOXETINE HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4422111","1194730192","WALGREENS #4169 4169","4001 CHAPMAN HIGHWAY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2020-11-13",16333749852,"65162062711","TRAMADOL HCL","Generic","Retail 30","Y","N","Generic","4436071","1124033154","WALGREENS #7320 7320","7320 CLINTON HWY","POWELL","TN","37849","Non- Specialty","No",{"v":40,"d":"40.00"},6,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D001","P","2020-08-10",37537029067,"00406012305","HYDROCODONE/ACETAMINOPHEN","Generic","Retail 30","Y","N","Generic","4421739","1477568475","WALGREENS #3798 3798","2400 N BROADWAY ST","KNOXVILLE","TN","37917","Non- Specialty","No",{"v":15,"d":"15.00"},3,{"v":2.03,"d":"$2.03"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-05-03",97619633647,"65862035790","CLOPIDOGREL","Generic","Retail 90","Y","N","Generic","4421917","1467555979","CVS PHARMACY #07727 07727","2931 ALCOA HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D001","P","2020-12-02",22087534162,"67877051290","ATORVASTATIN CALCIUM","Generic","Retail 90","Y","N","Generic","4440955","1639353733","FOOD CITY PHARMACY #609 609","2946 WINFIELD DUNN PARKWAY","KODAK","TN","37764","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","A001","P","2020-05-20",99646349126,"57237007710","ONDANSETRON ODT","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":30,"d":"30.00"},10,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E001","P","2020-09-09",60025872238,"00591351004","CLONIDINE HCL","Generic","Retail 90","N","N","Generic","4423896","1912914912","WALGREENS #4330 4330","121 N NORTHSHORE DR","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":12,"d":"12.00"},84,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C002","P","2020-10-21",17598264809,"68180051703","LISINOPRIL","Generic","Retail 30","Y","N","Generic","4426486","1649287640","WALGREENS #6967 6967","4423 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-12-28",30820207821,"69238183207","LEVOTHYROXINE SODIUM","Generic","Retail 90","Y","N","Generic","4431019","1518991256","KROGER PHARMACY #581 02600581","10721 CHAPMAN HWY","SEYMOUR","TN","37865","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2021-02-22",82049066748,"59417010710","VYVANSE","Brand","Retail 30","Y","N","SSB","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":20,"d":"$20.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B002","P","2021-03-26",66822383271,"00555105786","CLARAVIS","Generic","Retail 30","Y","N","Generic","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2020-07-17",85945156726,"69097082515","RALOXIFENE HYDROCHLORIDE","Generic","Mail","Y","N","Generic","5741372","1790340206","BRIOVARX SPECIALTY","5700 DOT COM COURT","OVIEDO","FL","32765","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","C003","P","2020-08-25",14213955364,"54092054701","MOTEGRITY","Brand","Retail 30","N","N","SSB","4444698","1316215981","BELEW DRUGS WASHINGTON PIKE","5908 WASHINGTON PIKE STE 102","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B002","P","2020-12-12",31236389184,"59762005601","MEDROXYPROGESTERONE ACETA","Generic","Retail 30","Y","N","Generic","4436071","1124033154","WALGREENS #7320 7320","7320 CLINTON HWY","POWELL","TN","37849","Non- Specialty","Yes",{"v":21,"d":"21.00"},28,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-05-21",64098236254,"62332000271","FAMOTIDINE","Generic","Retail 30","Y","N","Generic","4436716","1932206877","OKIE'S PHARMACY II","1050 RUTLEDGE PIKE","BLAINE","TN","37709","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-07-13",37526661577,"70010049101","METFORMIN HYDROCHLORIDE E","Generic","Retail 30","Y","N","Generic","4438203","1891712378","FOOD CITY PHARMACY #685 685","4805 N BROADWAY","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2021-02-12",69895517616,"65862094088","AUROVELA FE 1/20","Generic","Retail 30","Y","N","Generic","4446565","1417375403","WALGREENS #15906 15906","1602 E LAMAR ALEXANDER PKWY","MARYVILLE","TN","37804","Non- Specialty","Yes",{"v":28,"d":"28.00"},21,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2021-04-09",61332754517,"51224000760","METFORMIN HYDROCHLORIDE E","Generic","Retail 30","Y","N","Generic","4445335","1508113143","UT STUDENT HEALTH CENTER PHARMACY","1800 VOLUNTEER BLVD","KNOXVILLE","TN","37996","Non- Specialty","Yes",{"v":120,"d":"120.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-05-27",91727565139,"68645049554","ATORVASTATIN CALCIUM","Generic","Retail 90","Y","N","Generic","4424545","1134146319","WALMART PHARMACY 10-1319 101319","7550 NORRIS FWY","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E003","P","2021-04-13",80541722086,"59267100002","PFIZER-BIONTECH COVID-19","Brand","Retail 30","Y","N","SSB","4448848","1508216029","KROGER PHARMACY #670 02600670","234 E EMORY RD","POWELL","TN","37849","Non- Specialty","No",{"v":0.3,"d":"0.30"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B001","P","2020-08-28",18846345124,"45963070911","METOPROLOL SUCCINATE ER","Generic","Retail 30","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-11-29",32652149589,"00378727253","NORETHINDRONE","Generic","Retail 30","Y","N","Generic","4450083","1073038121","WALGREENS #18021 18021","2710 MAYNARDVILLE HIGHWAY","MAYNARDVILLE","TN","37807","Non- Specialty","Yes",{"v":28,"d":"28.00"},28,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C003","P","2020-06-28",69593090472,"55111012405","ATORVASTATIN CALCIUM","Generic","Retail 90","Y","N","Generic","4422111","1194730192","WALGREENS #4169 4169","4001 CHAPMAN HIGHWAY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C003","P","2020-06-12",54612627877,"00378718705","METFORMIN HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4423896","1912914912","WALGREENS #4330 4330","121 N NORTHSHORE DR","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2021-03-24",24660097374,"55111012405","ATORVASTATIN CALCIUM","Generic","Retail 30","Y","N","Generic","4436261","1033124060","WALGREENS #7407 7407","11305 CHAPMAN HIGHWAY","SEYMOUR","TN","37865","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D003","P","2020-09-16",29280642353,"00093719801","FLUOXETINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4429634","1588679591","WALGREENS #3137 3137","1299 OAK RIDGE TURNPIKE","OAK RIDGE","TN","37830","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D001","P","2020-10-14",49794253315,"68462019005","NAPROXEN","Generic","Retail 30","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","C001","P","2020-05-20",79411246870,"00093102606","NEFAZODONE HYDROCHLORIDE","Generic","Retail 90","N","N","Generic","4437516","1457368466","WALGREENS #1634 1634","7810 OAK RIDGE HWY","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":25,"d":"$25.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-05-19",16173848398,"00002143480","TRULICITY","Brand","Retail 30","Y","N","SSB","4448800","1922454529","INGLES PHARMACY 071","404 HIGHWAY 321 N","LENOIR CITY","TN","37771","Non- Specialty","Yes",{"v":2,"d":"2.00"},28,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2021-04-14",82194251363,"65862016001","ZOLPIDEM TARTRATE","Generic","Retail 30","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":3.65,"d":"$3.65"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","B003","P","2020-07-03",59297441022,"69238152201","TETRACYCLINE HYDROCHLORID","Generic","Retail 30","Y","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","No",{"v":28,"d":"28.00"},14,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E001","P","2020-05-09",95034531144,"65862052890","VENLAFAXINE HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4418566","1417050121","CVS PHARMACY #05671 05671","103 FOOTHILLS MALL RD","MARYVILLE","TN","37801","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D003","P","2020-12-07",59035251846,"68180059306","DESVENLAFAXINE ER","Generic","Retail 90","Y","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2021-03-01",53965141952,"00591412879","TESTOSTERONE CYPIONATE","Generic","Retail 30","Y","N","Generic","4429177","1033124045","WALGREENS #3388 3388","225 NORTH HALL RD","ALCOA","TN","37701","Non- Specialty","No",{"v":10,"d":"10.00"},70,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A003","P","2020-06-03",30575407384,"50419040503","YAZ","Brand","Retail 30","Y","N","MSB","4436261","1033124060","WALGREENS #7407 7407","11305 CHAPMAN HIGHWAY","SEYMOUR","TN","37865","Non- Specialty","Yes",{"v":28,"d":"28.00"},21,{"v":104.53,"d":"$104.53"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-11-28",87714959074,"00456114030","VIIBRYD","Brand","Retail 30","N","N","SSB","4424038","1124198205","VAUGHN PHARMACY","2141 EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":40,"d":"$40.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-09-22",41654670738,"57237000511","FLUCONAZOLE","Generic","Retail 30","Y","N","Generic","4428682","1497760409","WALGREENS #3209 3209","8950 KINGSTON PIKE","KNOXVILLE","TN","37923","Non- Specialty","No",{"v":2,"d":"2.00"},2,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-06-30",97168186208,"69097015807","MELOXICAM","Generic","Retail 30","Y","N","Generic","4430803","1356444079","CVS PHARMACY #04457 04457","7341 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":4.12,"d":"$4.12"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2020-10-02",91968049265,"00228306011","AMPHETAMINE/DEXTROAMPHETA","Generic","Retail 90","Y","N","Generic","4434611","1306868054","CVS PHARMACY #16034 16034","8040 RAY MEARS BLVD","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-11-02",65286724731,"65862018601","CLINDAMYCIN HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4421739","1477568475","WALGREENS #3798 3798","2400 N BROADWAY ST","KNOXVILLE","TN","37917","Non- Specialty","No",{"v":8,"d":"8.00"},4,{"v":3.29,"d":"$3.29"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A001","P","2020-06-04",78910657201,"00054040113","DESVENLAFAXINE ER","Generic","Retail 30","Y","N","Generic","4446565","1417375403","WALGREENS #15906 15906","1602 E LAMAR ALEXANDER PKWY","MARYVILLE","TN","37804","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2021-01-22",68892609076,"68180032002","BUPROPION HYDROCHLORIDE E","Generic","Retail 30","Y","N","Generic","4424949","1811902810","WALGREENS #5729 5729","9200 MIDDLEBROOK PIKE","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","B003","P","2020-09-30",22946737676,"65862001205","SERTRALINE HCL","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-10-15",18604343548,"00456120330","LINZESS","Brand","Retail 90","Y","N","SSB","4451871","1578125126","WALGREENS #21264 21264","4935 MILLERTOWN PIKE","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":50,"d":"$50.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C003","P","2020-11-04",69645921840,"59417010710","VYVANSE","Brand","Retail 30","Y","N","SSB","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":20,"d":"$20.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2021-03-04",72487650896,"68462020113","TELMISARTAN","Generic","Retail 90","Y","N","Generic","4435649","1477568491","WALGREENS #6993 6993","220 FOOTHILLS MALL DR","MARYVILLE","TN","37801","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","B003","P","2021-03-17",74100586175,"47781017901","AMPHETAMINE/DEXTROAMPHETA","Generic","Retail 30","Y","N","Generic","4428240","1982621173","WALMART PHARMACY 10-2065 102065","8445 WALBROOK DR","KNOXVILLE","TN","37923","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A003","P","2020-10-13",65148902422,"68382080505","TRAZODONE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4434065","1053338400","FOOD CITY PHARMACY #655 655","7510 ASHEVILLE HWY","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B001","P","2021-03-30",33886754403,"13668031390","AMLODIPINE/OLMESARTAN MED","Generic","Retail 90","Y","N","Generic","4418566","1417050121","CVS PHARMACY #05671 05671","103 FOOTHILLS MALL RD","MARYVILLE","TN","37801","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2021-02-11",97668460647,"16714082301","METHYLPHENIDATE HYDROCHLO","Generic","Retail 30","Y","N","Generic","4436817","1871510230","FOOD CITY PHARMACY #667 667","741 DOLLY PARTON PARKWAY","SEVIERVILLE","TN","37864","Non- Specialty","Yes",{"v":75,"d":"75.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2021-02-04",40884086070,"65862042005","SULFAMETHOXAZOLE/TRIMETHO","Generic","Retail 30","Y","N","Generic","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","No",{"v":10,"d":"10.00"},5,{"v":1.82,"d":"$1.82"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B001","P","2020-07-28",37227552373,"43199001301","HYOSCYAMINE SULFATE","Generic","Retail 30","Y","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":30,"d":"30.00"},7,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D001","P","2020-10-27",50561241010,"00430042014","LO LOESTRIN FE","Brand","Retail 90","Y","N","SSB","4430687","1972606515","CVS PHARMACY #05761 05761","7655 NORTHSHORE DRIVE","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":84,"d":"84.00"},84,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-10-27",49074478752,"65862001905","CEPHALEXIN","Generic","Retail 30","Y","N","Generic","4407664","1245383173","BELEW DRUGS ASHEVILLE HIGHWAY","8622 ASHEVILLE HWY","KNOXVILLE","TN","37924","Non- Specialty","No",{"v":9,"d":"9.00"},3,{"v":1.68,"d":"$1.68"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E003","P","2020-06-14",39792329211,"68180094111","TESTOSTERONE PUMP","Generic","Retail 30","Y","N","Generic","4421880","1386678019","KROGER PHARMACY #531 02600531","4409 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":75,"d":"75.00"},20,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-05-11",94885529139,"68180037803","LOSARTAN POTASSIUM","Generic","Retail 90","Y","N","Generic","4426486","1649287640","WALGREENS #6967 6967","4423 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-07-27",96445127996,"68645047854","METOPROLOL SUCCINATE ER","Generic","Retail 90","Y","N","Generic","4435827","1225062961","KROGER PHARMACY #549 02600549","6702 CLINTON HWY","KNOXVILLE","TN","37912","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-08-05",16947660110,"35573042030","ATOMOXETINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4435841","1497760425","WALGREENS #7048 7048","3071 PARKWAY","PIGEON FORGE","TN","37863","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-11-22",64254812533,"68645052254","SERTRALINE HCL","Generic","Retail 30","Y","N","Generic","4424545","1134146319","WALMART PHARMACY 10-1319 101319","7550 NORRIS FWY","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E003","P","2021-03-13",87834711715,"00024586903","TOUJEO SOLOSTAR","Brand","Retail 30","Y","N","SSB","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":4.5,"d":"4.50"},31,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C001","P","2020-12-01",67583239710,"68382004001","PROMETHAZINE HCL","Generic","Retail 30","Y","N","Generic","4434065","1053338400","FOOD CITY PHARMACY #655 655","7510 ASHEVILLE HWY","KNOXVILLE","TN","37924","Non- Specialty","No",{"v":12,"d":"12.00"},3,{"v":1.81,"d":"$1.81"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D003","P","2020-10-28",49823793244,"65862057490","MONTELUKAST SODIUM","Generic","Retail 90","Y","N","Generic","4424862","1043237225","WALMART PHARMACY 10-1320 101320","7420 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2021-02-18",65633031005,"42858072001","AMPHETAMINE/DEXTROAMPHETA","Generic","Retail 30","Y","N","Generic","4439623","1578586954","FOOD CITY PHARMACY #687 687","2712 LOVES CREEK RD","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D003","P","2021-01-26",39927108591,"00023916360","RESTASIS","Brand","Retail 90","Y","N","SSB","4430788","1982707600","CVS PHARMACY #04624 04624","9137 MIDDLEBROOK PIKE","KNOXVILLE","TN","37923","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":50,"d":"$50.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-11-14",50062328868,"10370010150","BUPROPION HYDROCHLORIDE E","Generic","Retail 90","Y","N","Generic","4430803","1356444079","CVS PHARMACY #04457 04457","7341 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E001","P","2021-03-04",79207909710,"00093100301","BUSPIRONE HCL","Generic","Retail 90","Y","N","Generic","1004198","1801990882","CVS PHARMACY #00104 00104","1 S MISSOURI AVE","CLEARWATER","FL","33756","Non- Specialty","No",{"v":360,"d":"360.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D003","P","2021-01-25",39927108591,"71093014105","METHOCARBAMOL","Generic","Retail 30","Y","N","Generic","4430788","1982707600","CVS PHARMACY #04624 04624","9137 MIDDLEBROOK PIKE","KNOXVILLE","TN","37923","Non- Specialty","No",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C002","P","2020-08-17",44810534111,"55111012305","ATORVASTATIN CALCIUM","Generic","Retail 30","Y","N","Generic","4436071","1124033154","WALGREENS #7320 7320","7320 CLINTON HWY","POWELL","TN","37849","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C001","P","2021-02-16",48554019411,"68180051901","LISINOPRIL/HYDROCHLOROTHI","Generic","Retail 90","Y","N","Generic","4436716","1932206877","OKIE'S PHARMACY II","1050 RUTLEDGE PIKE","BLAINE","TN","37709","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-12-07",93942832066,"42806031250","DOXYCYCLINE HYCLATE","Generic","Retail 30","Y","N","Generic","4429545","1972520161","WALMART PHARMACY 10-2310 102310","3051 KINZEL WAY","KNOXVILLE","TN","37924","Non- Specialty","No",{"v":20,"d":"20.00"},10,{"v":2.87,"d":"$2.87"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2021-01-26",13056618823,"00093834301","GLYBURIDE","Generic","Retail 30","Y","N","Generic","4400317","1093818783","CVS PHARMACY #06355 06355","4325 ASHEVILLE HIGHWAY E","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":17,"d":"17.00"},17,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B002","P","2020-08-18",74871469582,"13668051501","ACYCLOVIR","Generic","Retail 30","Y","N","Generic","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","No",{"v":15,"d":"15.00"},7,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","E002","P","2021-01-07",94107918073,"69238183407","LEVOTHYROXINE SODIUM","Generic","Retail 90","Y","N","Generic","4421739","1477568475","WALGREENS #3798 3798","2400 N BROADWAY ST","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2021-02-11",88918645085,"29300012810","HYDROCHLOROTHIAZIDE","Generic","Retail 30","Y","N","Generic","4440955","1639353733","FOOD CITY PHARMACY #609 609","2946 WINFIELD DUNN PARKWAY","KODAK","TN","37764","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-06-01",43016152591,"45802046564","KETOCONAZOLE","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":120,"d":"120.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2020-06-02",95860522319,"59746038406","TERAZOSIN HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4443254","1013236785","WALGREENS #12980 12980","7425 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2021-01-10",66338701184,"62175011843","OMEPRAZOLE","Generic","Retail 90","Y","N","Generic","4422111","1194730192","WALGREENS #4169 4169","4001 CHAPMAN HIGHWAY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-05-13",13056618823,"00597015330","JARDIANCE","Brand","Retail 30","Y","N","SSB","4400317","1093818783","CVS PHARMACY #06355 06355","4325 ASHEVILLE HIGHWAY E","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-05-20",82194251363,"13668000801","ZOLPIDEM TARTRATE","Generic","Retail 30","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":3.04,"d":"$3.04"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-10-14",17333931352,"64764054411","PREVACID SOLUTAB","Brand","Retail 90","Y","N","MSB","4403907","1750484457","CVS PHARMACY #03743 03743","110 MAJESTIC GROVE RD","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2021-03-03",74688419013,"00172392770","DIAZEPAM","Generic","Retail 30","Y","N","Generic","4421880","1386678019","KROGER PHARMACY #531 02600531","4409 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","No",{"v":2,"d":"2.00"},2,{"v":0.78,"d":"$0.78"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B002","P","2021-01-12",75717303982,"16714040604","LARIN FE 1/20","Generic","Retail 30","Y","N","Generic","4441212","1467638890","WALMART PHARMACY 10-4635 104635","150 TANNER LN","CLINTON","TN","37716","Non- Specialty","Yes",{"v":28,"d":"28.00"},28,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D003","P","2020-07-12",68972372713,"00093031401","KETOROLAC TROMETHAMINE","Generic","Retail 30","Y","N","Generic","4422111","1194730192","WALGREENS #4169 4169","4001 CHAPMAN HIGHWAY","KNOXVILLE","TN","37920","Non- Specialty","No",{"v":20,"d":"20.00"},5,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2021-02-24",57473214241,"70377002911","ATORVASTATIN CALCIUM","Generic","Retail 90","Y","N","Generic","4427630","1164525879","CVS PHARMACY #04180 04180","4406 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2021-02-01",57855547395,"00186037020","SYMBICORT","Brand","Retail 30","Y","N","MSB","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":10.2,"d":"10.20"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B002","P","2021-01-10",51434156866,"68180046807","LOVASTATIN","Generic","Retail 90","Y","N","Generic","4439419","1811939002","CVS PHARMACY #17146 17146","5405 WASHINGTON PKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-12-21",84489100102,"65162046650","IBUPROFEN","Generic","Retail 30","Y","N","Generic","4448141","1124494455","FOOD CITY PHARMACY #619 619","180 RUTLEDGE PIKE","BLAINE","TN","37709","Non- Specialty","Yes",{"v":30,"d":"30.00"},10,{"v":2.15,"d":"$2.15"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-12-17",33930395195,"43547022650","METHOCARBAMOL","Generic","Retail 30","Y","N","Generic","0141541","1477901270","CVS PHARMACY # 10811 10811","1218 UNIVERSITY BLVD","TUSCALOOSA","AL","35401","Non- Specialty","No",{"v":21,"d":"21.00"},6,{"v":3.89,"d":"$3.89"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2021-01-22",44053998274,"00115165903","PROPRANOLOL HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2021-01-21",98340798236,"62756052269","SUMATRIPTAN SUCCINATE","Generic","Retail 30","Y","N","Generic","4428682","1497760409","WALGREENS #3209 3209","8950 KINGSTON PIKE","KNOXVILLE","TN","37923","Non- Specialty","No",{"v":9,"d":"9.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2021-01-29",61332754517,"70010077005","METHOCARBAMOL","Generic","Retail 30","Y","N","Generic","4445777","1942540828","UNIVERSITY PHARMACY","1924 ALCOA HWY STE NP100","KNOXVILLE","TN","37920","Non- Specialty","No",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2020-10-05",51851612623,"00093416173","AMOXICILLIN","Generic","Retail 30","Y","N","Generic","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","No",{"v":200,"d":"200.00"},10,{"v":4.59,"d":"$4.59"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E003","P","2021-03-09",17653883638,"57237011490","ALFUZOSIN HCL ER","Generic","Retail 30","Y","N","Generic","4424533","1225055403","WALMART PHARMACY 10-1318 101318","6777 CLINTON HWY","KNOXVILLE","TN","37912","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","B001","P","2020-11-11",55973406370,"65862052890","VENLAFAXINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4434065","1053338400","FOOD CITY PHARMACY #655 655","7510 ASHEVILLE HWY","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C003","P","2021-02-09",95505891276,"16714029904","AMOXICILLIN","Generic","Retail 30","Y","N","Generic","4426640","1063549863","SEYMOUR ADVALUE PHARMACY","10721 CHAPMAN HWY","SEYMOUR","TN","37865","Non- Specialty","No",{"v":30,"d":"30.00"},10,{"v":3.48,"d":"$3.48"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-11-30",39695168451,"00456140530","BYSTOLIC","Brand","Retail 90","Y","N","SSB","4441541","1861657991","WALGREENS #12311 12311","2151 N CHARLES G SEIVERS BLVD","CLINTON","TN","37716","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":25,"d":"$25.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","B003","P","2020-12-22",15323138848,"57664016758","METOPROLOL TARTRATE","Generic","Retail 30","Y","N","Generic","4420181","1043313752","CVS PHARMACY #07246 07246","346 COSBY HWY","NEWPORT","TN","37821","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-06-01",81896485803,"62756052269","SUMATRIPTAN SUCCINATE","Generic","Retail 30","Y","N","Generic","4422111","1194730192","WALGREENS #4169 4169","4001 CHAPMAN HIGHWAY","KNOXVILLE","TN","37920","Non- Specialty","No",{"v":9,"d":"9.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-08-18",66528751452,"64380080807","IBUPROFEN","Generic","Retail 30","Y","N","Generic","4437516","1457368466","WALGREENS #1634 1634","7810 OAK RIDGE HWY","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":30,"d":"30.00"},7,{"v":1.69,"d":"$1.69"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","B003","P","2020-10-28",72844616835,"00430042014","LO LOESTRIN FE","Brand","Retail 90","Y","N","SSB","4435598","1568477586","WALGREENS #6788 6788","1959 W ANDREW JOHNSON HWY","MORRISTOWN","TN","37814","Non- Specialty","Yes",{"v":84,"d":"84.00"},84,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A002","P","2021-01-27",69827237005,"65862069705","VENLAFAXINE HCL ER","Generic","Retail 30","Y","N","Generic","4443747","1194032730","M.D. PHARMACY","1467 W MORRIS BLVD","MORRISTOWN","TN","37813","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","B003","P","2021-04-16",29117017331,"69238110809","CLOMIPRAMINE HYDROCHLORID","Generic","Retail 30","Y","N","Generic","4436071","1124033154","WALGREENS #7320 7320","7320 CLINTON HWY","POWELL","TN","37849","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2021-02-23",37764363437,"57237007810","ONDANSETRON ODT","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":20,"d":"20.00"},10,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2021-03-18",69254188793,"53746010901","HYDROCODONE/ACETAMINOPHEN","Generic","Retail 30","Y","N","Generic","4419304","1316958994","BLOUNT DISCOUNT PHARMACY - GILL","129 GILL ST","ALCOA","TN","37701","Non- Specialty","No",{"v":15,"d":"15.00"},3,{"v":2.18,"d":"$2.18"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2021-03-15",44141680218,"65862018830","ONDANSETRON HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4434065","1053338400","FOOD CITY PHARMACY #655 655","7510 ASHEVILLE HWY","KNOXVILLE","TN","37924","Non- Specialty","No",{"v":90,"d":"90.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D003","P","2020-05-28",77987715369,"00186037020","SYMBICORT","Brand","Retail 90","Y","N","MSB","4434370","1356368559","SAMS PHARMACY 10-6572 106572","2920 KNOXVILLE CENTER DR","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":30.6,"d":"30.60"},90,{"v":25,"d":"$25.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","B002","P","2020-08-22",55984089953,"24208044605","BESIVANCE","Brand","Retail 30","N","N","SSB","4422111","1194730192","WALGREENS #4169 4169","4001 CHAPMAN HIGHWAY","KNOXVILLE","TN","37920","Non- Specialty","No",{"v":5,"d":"5.00"},7,{"v":40,"d":"$40.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C003","P","2021-02-08",97423448030,"65649030302","XIFAXAN","Brand","Retail 30","Y","N","SSB","4416954","1790790897","WALGREENS #6224 6224","5320 CLINTON HIGHWAY","KNOXVILLE","TN","37912","Non- Specialty","Yes",{"v":33,"d":"33.00"},11,{"v":20,"d":"$20.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","B002","P","2021-01-12",11061615898,"45802057178","FEXOFENADINE HYDROCHLORID","Generic","Retail 30","Y","N","Generic","4421145","1710080429","CVS PHARMACY #06365 06365","101 NORTH CHARLES SEIVERS BOULEVARD","CLINTON","TN","37716","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":5.4,"d":"$5.40"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2020-09-16",32723107002,"68462010530","ONDANSETRON HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4419912","1225131931","CVS PHARMACY #06364 06364","5401 CLINTON PIKE","KNOXVILLE","TN","37912","Non- Specialty","No",{"v":20,"d":"20.00"},4,{"v":2.76,"d":"$2.76"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C001","P","2020-11-11",85892976257,"65162010250","GABAPENTIN","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D001","P","2020-11-25",40183762140,"69097084507","CYCLOBENZAPRINE HYDROCHLO","Generic","Retail 30","Y","N","Generic","4430687","1972606515","CVS PHARMACY #05761 05761","7655 NORTHSHORE DRIVE","KNOXVILLE","TN","37919","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":1.79,"d":"$1.79"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-09-18",72644635028,"00228306111","AMPHETAMINE/DEXTROAMPHETA","Generic","Retail 30","Y","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","B002","P","2020-10-27",77976128336,"00093083205","CLONAZEPAM","Generic","Retail 30","Y","N","Generic","4400317","1093818783","CVS PHARMACY #06355 06355","4325 ASHEVILLE HIGHWAY E","KNOXVILLE","TN","37914","Non- Specialty","No",{"v":20,"d":"20.00"},10,{"v":1.54,"d":"$1.54"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D003","P","2021-01-18",85369190067,"31722094201","HYDROCODONE BITARTRATE/AC","Generic","Retail 30","Y","N","Generic","4446046","1609117720","WALMART PHARMACY 10-4166 104166","935 STATE HIGHWAY 11 SOUTH","SWEETWATER","TN","37874","Non- Specialty","No",{"v":15,"d":"15.00"},3,{"v":2.63,"d":"$2.63"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","B003","P","2020-06-02",29482861933,"65862084601","CLOZAPINE","Generic","Retail 30","Y","N","Generic","4419304","1316958994","BLOUNT DISCOUNT PHARMACY - GILL","129 GILL ST","ALCOA","TN","37701","Non- Specialty","No",{"v":28,"d":"28.00"},28,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B002","P","2020-10-24",15791039224,"69238183601","LEVOTHYROXINE SODIUM","Generic","Retail 30","Y","N","Generic","4444698","1316215981","BELEW DRUGS WASHINGTON PIKE","5908 WASHINGTON PIKE STE 102","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":60,"d":"60.00"},60,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","B003","P","2021-03-12",23808195685,"00115165901","PROPRANOLOL HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B002","P","2021-01-07",42330740716,"25682001012","STRENSIQ","Brand","Retail 30","Y","N","SSB","6001565","1659762524","PANTHERX SPECIALTY PHARMACY","24 SUMMIT PARK DR STE 101","PITTSBURGH","PA","15275","Specialty","Yes",{"v":5.4,"d":"5.40"},28,{"v":80,"d":"$80.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","E099","P","2020-10-04",40099816650,"53746051101","SPIRONOLACTONE","Generic","Retail 30","Y","N","Generic","4400317","1093818783","CVS PHARMACY #06355 06355","4325 ASHEVILLE HIGHWAY E","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B001","P","2020-11-19",80774799310,"65862039010","ONDANSETRON ODT","Generic","Retail 30","Y","N","Generic","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","No",{"v":20,"d":"20.00"},7,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2021-03-26",39649762769,"66993059902","AMPHETAMINE/DEXTROAMPHETA","Generic","Retail 30","Y","N","Generic","4421739","1477568475","WALGREENS #3798 3798","2400 N BROADWAY ST","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-11-19",64098236254,"65862086001","FAMOTIDINE","Generic","Retail 30","Y","N","Generic","4436716","1932206877","OKIE'S PHARMACY II","1050 RUTLEDGE PIKE","BLAINE","TN","37709","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2021-01-26",66743504751,"70377000315","SIMVASTATIN","Generic","Retail 90","Y","N","Generic","4430788","1982707600","CVS PHARMACY #04624 04624","9137 MIDDLEBROOK PIKE","KNOXVILLE","TN","37923","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-05-01",64667813827,"68180094111","TESTOSTERONE PUMP","Generic","Retail 30","Y","N","Generic","4427630","1164525879","CVS PHARMACY #04180 04180","4406 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","Yes",{"v":75,"d":"75.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C001","P","2020-09-25",94568325311,"43598058230","BUPRENORPHINE HYDROCHLORI","Generic","Retail 30","Y","N","Generic","4442517","1194958280","WALGREENS #12858 12858","2103 E ANDREW JOHNSON HWY","MORRISTOWN","TN","37814","Non- Specialty","No",{"v":43,"d":"43.00"},21,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B001","P","2020-09-29",54456541687,"00430042014","LO LOESTRIN FE","Brand","Retail 90","Y","N","SSB","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":84,"d":"84.00"},84,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2021-01-07",15363027110,"29300011416","LAMOTRIGINE","Generic","Retail 30","Y","N","Generic","4429545","1972520161","WALMART PHARMACY 10-2310 102310","3051 KINZEL WAY","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2020-12-31",23539313066,"08290309574","3ML LUER-LOK SYRINGE 22G ","Brand","Retail 90","N","N","SSB","4441705","1538319298","KROGER PHARMACY #686 02600686","189 BROOKLAWN ST","FARRAGUT","TN","37934","Non- Specialty","No",{"v":12,"d":"12.00"},84,{"v":1.24,"d":"$1.24"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D001","P","2020-08-17",80210153009,"68462019005","NAPROXEN","Generic","Mail","Y","N","Generic","5741372","1790340206","OPTUMRX PHARMACY 700, LLC","5700 DOT COM COURT","OVIEDO","FL","32765","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":10,"d":"$10.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","B002","P","2020-11-17",59769547087,"55111018015","TIZANIDINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4401410","1346255445","WALGREENS #5483 5483","7523 KINGSTON PIKE","KNOXVILLE","TN","37919","Non- Specialty","No",{"v":45,"d":"45.00"},22,{"v":4.69,"d":"$4.69"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B002","P","2020-08-20",66822383271,"23155050001","HYDROXYZINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","No",{"v":180,"d":"180.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2021-01-04",23943462484,"21922002107","PERMETHRIN","Generic","Retail 30","Y","N","Generic","4429177","1033124045","WALGREENS #3388 3388","225 NORTH HALL RD","ALCOA","TN","37701","Non- Specialty","No",{"v":60,"d":"60.00"},7,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2021-03-16",19096247321,"59267100001","PFIZER-BIONTECH COVID-19","Brand","Retail 30","Y","N","SSB","4435598","1568477586","WALGREENS #6788 6788","1959 W ANDREW JOHNSON HWY","MORRISTOWN","TN","37814","Non- Specialty","No",{"v":0.3,"d":"0.30"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A002","P","2020-10-16",13340288807,"13913001203","CAMBIA","Brand","Retail 30","Y","N","SSB","0141274","1952761751","SPECIALTY PHARMACY OF THE SHOALS","1404 E AVALON AVE","TUSCUMBIA","AL","35674","Non- Specialty","No",{"v":4,"d":"4.00"},26,{"v":20,"d":"$20.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2021-03-22",76725281640,"29300013501","CLONIDINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4424533","1225055403","WALMART PHARMACY 10-1318 101318","6777 CLINTON HWY","KNOXVILLE","TN","37912","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2021-04-23",32610629375,"59267100002","PFIZER-BIONTECH COVID-19","Brand","Retail 30","Y","N","SSB","4421791","1659305381","KROGER PHARMACY #862 02600862","244 S HALL RD","ALCOA","TN","37701","Non- Specialty","No",{"v":0.3,"d":"0.30"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A001","P","2021-03-10",55850630167,"67877032005","IBUPROFEN","Generic","Retail 30","Y","N","Generic","4434370","1356368559","SAMS PHARMACY 10-6572 106572","2920 KNOXVILLE CENTER DR","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":60,"d":"60.00"},15,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","B002","P","2020-05-17",46347914154,"60505084805","AZELASTINE HCL","Generic","Retail 30","Y","N","Generic","4426955","1639184633","WALGREENS #7374 7374","4423 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","No",{"v":30,"d":"30.00"},50,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A003","P","2020-07-13",36679336298,"29300012510","MELOXICAM","Generic","Retail 30","Y","N","Generic","4416954","1790790897","WALGREENS #6224 6224","5320 CLINTON HIGHWAY","KNOXVILLE","TN","37912","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":2.46,"d":"$2.46"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2021-02-26",33264019577,"69238183801","LEVOTHYROXINE SODIUM","Generic","Retail 90","Y","N","Generic","4422111","1194730192","WALGREENS #4169 4169","4001 CHAPMAN HIGHWAY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-10-07",17124000808,"00378427677","VALACYCLOVIR HCL","Generic","Retail 30","Y","N","Generic","4433924","1851306872","WALGREENS #5502 5502","350 HWY 321 N","LENOIR CITY","TN","37771","Non- Specialty","No",{"v":4,"d":"4.00"},2,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B002","P","2021-03-14",83717230453,"51224000760","METFORMIN HYDROCHLORIDE E","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-08-04",83405621567,"68462043890","OLMESARTAN MEDOXOMIL","Generic","Mail","Y","N","Generic","5741372","1790340206","OPTUMRX PHARMACY 700, LLC","5700 DOT COM COURT","OVIEDO","FL","32765","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C003","P","2021-03-25",98417549479,"00555003302","CHLORDIAZEPOXIDE HCL","Generic","Retail 30","Y","N","Generic","4419912","1225131931","CVS PHARMACY #06364 06364","5401 CLINTON PIKE","KNOXVILLE","TN","37912","Non- Specialty","No",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2020-10-29",50202172831,"43547033710","BENAZEPRIL HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2020-05-14",91968049265,"00378180710","LEVOTHYROXINE SODIUM","Generic","Retail 30","Y","N","Generic","4434611","1306868054","CVS PHARMACY #16034 16034","8040 RAY MEARS BLVD","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D003","P","2021-04-12",19818579882,"00143992801","CIPROFLOXACIN HYDROCHLORI","Generic","Retail 30","Y","N","Generic","4433924","1851306872","WALGREENS #5502 5502","350 HWY 321 N","LENOIR CITY","TN","37771","Non- Specialty","No",{"v":14,"d":"14.00"},7,{"v":3.12,"d":"$3.12"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2021-04-21",74176522278,"31722017401","METHYLPHENIDATE HYDROCHLO","Generic","Retail 30","Y","N","Generic","4428240","1982621173","WALMART PHARMACY 10-2065 102065","8445 WALBROOK DR","KNOXVILLE","TN","37923","Non- Specialty","Yes",{"v":45,"d":"45.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-12-26",34398190901,"27241009903","DULOXETINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4422111","1194730192","WALGREENS #4169 4169","4001 CHAPMAN HIGHWAY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2021-02-16",59675213771,"00378668999","PANTOPRAZOLE SODIUM","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D001","P","2021-04-05",11142224374,"16729013401","ALLOPURINOL","Generic","Retail 30","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","E001","P","2021-03-04",32866708577,"00228212750","CLONIDINE HYDROCHLORIDE","Generic","Mail","Y","N","Generic","1718634","1669498515","OPTUMRX","6800 WEST 115TH STREET","OVERLAND PARK","KS","66211","Non- Specialty","Yes",{"v":270,"d":"270.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2020-12-21",91813694140,"68382002210","ATENOLOL","Generic","Retail 90","Y","N","Generic","4418566","1417050121","CVS PHARMACY #05671 05671","103 FOOTHILLS MALL RD","MARYVILLE","TN","37801","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-11-02",53994318879,"27808015701","ROSUVASTATIN CALCIUM","Generic","Retail 90","Y","N","Generic","4411548","1831108471","EAST TENNESSEE DISCOUNT DRUG","524 ANDREW JOHNSON HWY","STRAWBERRY PLAINS","TN","37871","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A003","P","2020-11-16",73473621070,"00378827052","ALBUTEROL SULFATE","Generic","Retail 30","Y","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":75,"d":"75.00"},8,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D003","P","2020-06-27",67876484256,"64764011907","COLCRYS","Brand","Retail 90","Y","N","MSB","4434370","1356368559","SAMS PHARMACY 10-6572 106572","2920 KNOXVILLE CENTER DR","KNOXVILLE","TN","37924","Non- Specialty","No",{"v":90,"d":"90.00"},90,{"v":50,"d":"$50.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2021-04-13",47563750148,"59267100002","PFIZER-BIONTECH COVID-19","Brand","Retail 30","Y","N","SSB","4438330","1689608325","KROGER PHARMACY 02600628","1820 ROANE STATE HWY","HARRIMAN","TN","37748","Non- Specialty","No",{"v":0.3,"d":"0.30"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-11-22",59146095910,"16729018201","HYDROCHLOROTHIAZIDE","Generic","Retail 90","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2021-03-31",84482783887,"57237021330","MONTELUKAST SODIUM","Generic","Retail 30","Y","N","Generic","4451871","1578125126","WALGREENS #21264 21264","4935 MILLERTOWN PIKE","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D003","P","2020-05-26",67243729845,"55111029209","SUMATRIPTAN SUCCINATE","Generic","Retail 30","Y","N","Generic","4442721","1659607141","KROGER PHARMACY #698 02600698","5201 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":9,"d":"9.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-09-02",66958105424,"69097015907","MELOXICAM","Generic","Retail 30","Y","N","Generic","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":2.6,"d":"$2.60"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E001","P","2020-07-07",60025872238,"00088222033","LANTUS","Brand","Retail 30","Y","N","SSB","4423896","1912914912","WALGREENS #4330 4330","121 N NORTHSHORE DR","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":10,"d":"10.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2021-03-08",38963732815,"00093416173","AMOXICILLIN","Generic","Retail 30","Y","N","Generic","4421157","1629171335","CVS PHARMACY #06366 06366","2800 BROADWAY ST NE","KNOXVILLE","TN","37917","Non- Specialty","No",{"v":100,"d":"100.00"},10,{"v":2.96,"d":"$2.96"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D001","P","2020-06-24",17068659776,"00781518692","LEVOTHYROXINE SODIUM","Generic","Retail 90","Y","N","Generic","4433556","1417974866","FOOD CITY PHARMACY #688 688","7202 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B002","P","2020-07-27",28732255765,"00186037020","SYMBICORT","Brand","Retail 30","Y","N","MSB","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":10.2,"d":"10.20"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C002","P","2020-10-24",80159878110,"00955104190","IRBESARTAN","Generic","Retail 90","Y","N","Generic","4411548","1831108471","EAST TENNESSEE DISCOUNT DRUG","524 ANDREW JOHNSON HWY","STRAWBERRY PLAINS","TN","37871","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","C003","P","2020-10-11",33537169730,"00054327099","FLUTICASONE PROPIONATE","Generic","Retail 30","Y","N","Generic","4427630","1164525879","CVS PHARMACY #04180 04180","4406 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","No",{"v":16,"d":"16.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-06-16",58931335379,"69452023320","PROGESTERONE","Generic","Retail 30","N","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2021-02-05",94625659251,"62037072501","METHYLPHENIDATE HYDROCHLO","Generic","Retail 30","Y","N","Generic","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2021-04-19",59581038286,"00527169505","BUTALBITAL/ACETAMINOPHEN/","Generic","Retail 30","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":30,"d":"30.00"},5,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B001","P","2021-02-14",65050024376,"70954005930","PREDNISONE","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":21,"d":"21.00"},6,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2020-08-02",83751178514,"68462034690","LEVOCETIRIZINE DIHYDROCHL","Generic","Retail 90","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2020-07-08",25980500261,"23155010209","METFORMIN HYDROCHLORIDE","Generic","Mail","Y","N","Generic","0556540","1497704431","OPTUMRX","2858 LOKER AVENUE EAST","CARLSBAD","CA","92010","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-05-07",47588614786,"69097080232","TESTOSTERONE CYPIONATE","Generic","Retail 90","Y","N","Generic","4431677","1336173079","KROGER PHARMACY #530 02600530","9161 MIDDLEBROOK PIKE","KNOXVILLE","TN","37923","Non- Specialty","No",{"v":6,"d":"6.00"},84,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-05-08",98060801066,"00527411637","PROPRANOLOL HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","0323624","1588670996","WALGREENS.COM 21147","2225 S PRICE RD","CHANDLER","AZ","85286","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2021-02-12",39158358110,"00185021101","BENAZEPRIL HCL/HYDROCHLOR","Generic","Retail 90","Y","N","Generic","4426486","1649287640","WALGREENS #6967 6967","4423 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C001","P","2020-06-10",91210528171,"68382013210","TAMSULOSIN HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4407929","1447388707","MACS PHARMACY 1","2419 WASHINGTON PIKE","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-08-31",60910588608,"08214054080","KROGER PEN NEEDLES/32G X","Brand","Retail 90","Y","N","SSB","4435485","1407880149","KROGER PHARMACY #562 02600562","702 WINFIELD DUNN PKWY","SEVIERVILLE","TN","37876","Non- Specialty","No",{"v":100,"d":"100.00"},90,{"v":20.32,"d":"$20.32"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E003","P","2021-03-31",39792329211,"51672402703","WARFARIN SODIUM","Generic","Retail 30","Y","N","Generic","4421880","1386678019","KROGER PHARMACY #531 02600531","4409 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-06-29",90015087422,"16729013516","ALLOPURINOL","Generic","Retail 90","Y","N","Generic","4426955","1639184633","WALGREENS #7374 7374","4423 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","C002","P","2020-07-28",39586010376,"67877022305","GABAPENTIN","Generic","Retail 30","Y","N","Generic","4438722","1336150986","RIGGS DRUG STORE","604 E EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2021-02-03",14189661167,"42192033001","NP THYROID 60","Generic","Retail 90","N","N","Generic","4426955","1639184633","WALGREENS #7374 7374","4423 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":25,"d":"$25.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A001","P","2020-11-23",41285972300,"00603533715","PREDNISONE","Generic","Retail 30","Y","N","Generic","1815565","1760416580","KROGER PHARMACY 02400355","515 NORTH 12TH STREET","MIDDLESBORO","KY","40965","Non- Specialty","No",{"v":21,"d":"21.00"},6,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-07-21",85732265686,"10702002501","PHENTERMINE HCL","Generic","Retail 30","Y","N","Generic","4436261","1033124060","WALGREENS #7407 7407","11305 CHAPMAN HIGHWAY","SEYMOUR","TN","37865","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":2.42,"d":"$2.42"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-10-05",26856950974,"65862052305","GABAPENTIN","Generic","Mail","Y","N","Generic","0556540","1497704431","OPTUMRX","2858 LOKER AVENUE EAST","CARLSBAD","CA","92010","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-12-24",60220898557,"42806071401","BENZONATATE","Generic","Retail 30","Y","N","Generic","4421739","1477568475","WALGREENS #3798 3798","2400 N BROADWAY ST","KNOXVILLE","TN","37917","Non- Specialty","No",{"v":30,"d":"30.00"},5,{"v":3.25,"d":"$3.25"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-07-05",54514992509,"00093753656","ANASTROZOLE","Generic","Retail 30","Y","N","Generic","4401410","1346255445","WALGREENS #5483 5483","7523 KINGSTON PIKE","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B001","P","2020-11-11",36032117859,"58160088552","FLUARIX QUADRIVALENT 2020","Brand","Retail 30","Y","N","SSB","4401410","1346255445","WALGREENS #5483 5483","7523 KINGSTON PIKE","KNOXVILLE","TN","37919","Non- Specialty","No",{"v":0.5,"d":"0.50"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D003","P","2021-04-21",49935061202,"80777027399","MODERNA COVID-19 VACCINE","Brand","Retail 30","Y","N","SSB","4434394","1265459465","SAMS PHARMACY 10-8256 108256","8435 WALBROOK DR","KNOXVILLE","TN","37923","Non- Specialty","No",{"v":0.5,"d":"0.50"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-11-15",62091822032,"64380080707","IBUPROFEN","Generic","Retail 90","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":270,"d":"270.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-07-16",58806753105,"00527169505","BUTALBITAL/ACETAMINOPHEN/","Generic","Retail 30","Y","N","Generic","4443254","1013236785","WALGREENS #12980 12980","7425 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","No",{"v":30,"d":"30.00"},10,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2021-01-14",66338701184,"27241009706","DULOXETINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4422111","1194730192","WALGREENS #4169 4169","4001 CHAPMAN HIGHWAY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2021-01-05",38851119664,"60432060416","PROMETHAZINE/DEXTROMETHOR","Generic","Retail 30","Y","N","Generic","4436261","1033124060","WALGREENS #7407 7407","11305 CHAPMAN HIGHWAY","SEYMOUR","TN","37865","Non- Specialty","No",{"v":210,"d":"210.00"},7,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-12-10",52805155100,"60505082901","FLUTICASONE PROPIONATE","Generic","Retail 30","Y","N","Generic","4428682","1497760409","WALGREENS #3209 3209","8950 KINGSTON PIKE","KNOXVILLE","TN","37923","Non- Specialty","No",{"v":16,"d":"16.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2020-08-31",14774883806,"10702002501","PHENTERMINE HCL","Generic","Retail 30","Y","N","Generic","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":2.49,"d":"$2.49"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2021-02-25",39523912632,"69097094312","GABAPENTIN","Generic","Retail 30","Y","N","Generic","4448848","1508216029","KROGER PHARMACY #670 02600670","234 E EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":45,"d":"45.00"},15,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2021-03-05",95145808883,"69097084805","ESCITALOPRAM OXALATE","Generic","Retail 90","Y","N","Generic","4431487","1841205853","WALGREENS #4199 4199","9536 S NORTHSHORE DR","KNOXVILLE","TN","37922","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-09-10",19096247321,"00597015330","JARDIANCE","Brand","Retail 90","Y","N","SSB","4439990","1497818074","FOOD CITY PHARMACY #615 615","1507 ODELL AVE","JEFFERSON CITY","TN","37760","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":25,"d":"$25.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D003","P","2020-10-19",36874050006,"00173071920","FLOVENT HFA","Brand","Retail 30","Y","N","SSB","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":12,"d":"12.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C003","P","2020-05-27",35900975497,"62175061743","PANTOPRAZOLE SODIUM","Generic","Retail 90","Y","N","Generic","4421880","1386678019","KROGER PHARMACY #531 02600531","4409 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2021-04-28",28096525388,"69238183607","LEVOTHYROXINE SODIUM","Generic","Retail 90","Y","N","Generic","4423896","1912914912","WALGREENS #4330 4330","121 N NORTHSHORE DR","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C003","P","2020-12-17",49626774039,"51224000760","METFORMIN HYDROCHLORIDE E","Generic","Retail 30","Y","N","Generic","4426486","1649287640","WALGREENS #6967 6967","4423 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-11-23",11374409595,"68180051703","LISINOPRIL","Generic","Retail 30","Y","N","Generic","4441705","1538319298","KROGER PHARMACY #686 02600686","189 BROOKLAWN ST","FARRAGUT","TN","37934","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2021-04-28",62823700807,"35573041830","ATOMOXETINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4426486","1649287640","WALGREENS #6967 6967","4423 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-10-27",18106107112,"63304082905","ATORVASTATIN CALCIUM","Generic","Retail 90","Y","N","Generic","4434394","1265459465","SAMS PHARMACY 10-8256 108256","8435 WALBROOK DR","KNOXVILLE","TN","37923","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E001","P","2021-04-20",79207909710,"68180072103","AMLODIPINE BESYLATE","Generic","Retail 90","Y","N","Generic","4403907","1750484457","CVS PHARMACY #03743 03743","110 MAJESTIC GROVE RD","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2020-07-02",16333749852,"00046110711","PREMPRO","Brand","Retail 90","Y","N","SSB","4421739","1477568475","WALGREENS #3798 3798","2400 N BROADWAY ST","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":84,"d":"84.00"},84,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-09-29",29712261546,"58160082311","SHINGRIX","Brand","Retail 30","Y","N","SSB","4444698","1316215981","BELEW DRUGS WASHINGTON PIKE","5908 WASHINGTON PIKE STE 102","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":1,"d":"1.00"},60,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","E002","P","2020-10-14",73737247653,"00378064110","PREDNISONE","Generic","Retail 30","Y","N","Generic","4418376","1699878306","CVS PHARMACY #06359 06359","111 S. HALL ROAD","ALCOA","TN","37701","Non- Specialty","No",{"v":22,"d":"22.00"},8,{"v":3.13,"d":"$3.13"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-07-05",52045099703,"69097012403","TOPIRAMATE","Generic","Retail 90","Y","N","Generic","4421157","1629171335","CVS PHARMACY #06366 06366","2800 BROADWAY ST NE","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-06-26",75098395426,"00093101042","MUPIROCIN","Generic","Retail 30","Y","N","Generic","4421739","1477568475","WALGREENS #3798 3798","2400 N BROADWAY ST","KNOXVILLE","TN","37917","Non- Specialty","No",{"v":22,"d":"22.00"},10,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","B003","P","2021-02-03",51177346917,"16571020150","DICLOFENAC SODIUM DR","Generic","Retail 90","Y","N","Generic","4437516","1457368466","WALGREENS #1634 1634","7810 OAK RIDGE HWY","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2021-01-14",98340798236,"51862094105","DIAZEPAM","Generic","Retail 30","Y","N","Generic","4428682","1497760409","WALGREENS #3209 3209","8950 KINGSTON PIKE","KNOXVILLE","TN","37923","Non- Specialty","No",{"v":120,"d":"120.00"},30,{"v":4.81,"d":"$4.81"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C003","P","2021-03-11",83350007749,"27241016801","DOXEPIN HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4421880","1386678019","KROGER PHARMACY #531 02600531","4409 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-11-19",23943462484,"69238183107","LEVOTHYROXINE SODIUM","Generic","Retail 90","Y","N","Generic","4429177","1033124045","WALGREENS #3388 3388","225 NORTH HALL RD","ALCOA","TN","37701","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2021-03-30",27588761008,"00430042014","LO LOESTRIN FE","Brand","Retail 30","Y","N","SSB","4447529","1598152498","THE PHOENIX PHARMACY AND FOUNTAIN 1","418 S GAY ST STE 104","KNOXVILLE","TN","37902","Non- Specialty","Yes",{"v":28,"d":"28.00"},28,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E003","P","2020-06-29",96963356408,"00169255013","TRESIBA FLEXTOUCH","Brand","Retail 30","Y","N","SSB","4426640","1063549863","SEYMOUR ADVALUE PHARMACY","10721 CHAPMAN HWY","SEYMOUR","TN","37865","Non- Specialty","Yes",{"v":9,"d":"9.00"},15,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2021-03-26",48793959485,"00406012401","HYDROCODONE/ACETAMINOPHEN","Generic","Retail 30","Y","N","Generic","4442149","1487893608","FOOD CITY PHARMACY #616 616","11501 HARDIN VALLEY RD","KNOXVILLE","TN","37932","Non- Specialty","No",{"v":18,"d":"18.00"},3,{"v":3.13,"d":"$3.13"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2021-02-04",17989081978,"00378808645","TRETINOIN","Generic","Retail 30","N","N","Generic","4422111","1194730192","WALGREENS #4169 4169","4001 CHAPMAN HIGHWAY","KNOXVILLE","TN","37920","Non- Specialty","No",{"v":45,"d":"45.00"},20,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B002","P","2020-11-20",34919415692,"00406012305","HYDROCODONE/ACETAMINOPHEN","Generic","Retail 30","Y","N","Generic","4450083","1073038121","WALGREENS #18021 18021","2710 MAYNARDVILLE HIGHWAY","MAYNARDVILLE","TN","37807","Non- Specialty","No",{"v":6,"d":"6.00"},1,{"v":1.21,"d":"$1.21"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2020-11-24",47285542127,"59651015301","PROGESTERONE","Generic","Retail 30","N","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-08-03",66515868524,"66993096045","METRONIDAZOLE","Generic","Retail 30","Y","N","Generic","4432237","1528165024","CVS PHARMACY #07698 07698","9435 S NORTHSHORE DR","KNOXVILLE","TN","37922","Non- Specialty","No",{"v":45,"d":"45.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-11-19",15866506848,"16729017117","AMITRIPTYLINE HYDROCHLORI","Generic","Retail 30","Y","N","Generic","4410914","1982621959","MAC'S EDGEMOOR PHARMACY","643 EDGEMOOR RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-10-09",58931335379,"00456046001","ARMOUR THYROID","Brand","Retail 30","N","N","SSB","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":40,"d":"$40.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B001","P","2020-06-05",15094726625,"43547035411","LISINOPRIL","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-10-12",98981802535,"68382080510","TRAZODONE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4421739","1477568475","WALGREENS #3798 3798","2400 N BROADWAY ST","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B001","P","2020-05-27",16479969313,"00378181510","LEVOTHYROXINE SODIUM","Generic","Retail 90","Y","N","Generic","4418376","1699878306","CVS PHARMACY #06359 06359","111 S. HALL ROAD","ALCOA","TN","37701","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E002","P","2020-11-19",47861799370,"16714078401","ARIPIPRAZOLE","Generic","Retail 30","Y","N","Generic","4434065","1053338400","FOOD CITY PHARMACY #655 655","7510 ASHEVILLE HWY","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-06-10",44004460209,"69097084805","ESCITALOPRAM OXALATE","Generic","Retail 30","Y","N","Generic","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-08-19",64098236254,"65862086001","FAMOTIDINE","Generic","Retail 30","Y","N","Generic","4436716","1932206877","OKIE'S PHARMACY II","1050 RUTLEDGE PIKE","BLAINE","TN","37709","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C001","P","2020-08-03",14018203351,"68382009505","CARVEDILOL","Generic","Retail 30","Y","N","Generic","4429545","1972520161","WALMART PHARMACY 10-2310 102310","3051 KINZEL WAY","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-09-12",30291801260,"66993060536","ETONOGESTREL/ETHINYL ESTR","Generic","Retail 90","Y","N","Generic","4430803","1356444079","CVS PHARMACY #04457 04457","7341 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":3,"d":"3.00"},84,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C001","P","2021-02-16",48554019411,"69097012715","AMLODIPINE BESYLATE","Generic","Retail 90","Y","N","Generic","4436716","1932206877","OKIE'S PHARMACY II","1050 RUTLEDGE PIKE","BLAINE","TN","37709","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D003","P","2020-09-21",44531298174,"67877019810","AMLODIPINE BESYLATE","Generic","Retail 90","Y","N","Generic","4446781","1235547423","PUBLIX PHARMACY #1418 1418","2429 UNIVERSITY COMMONS WAY","KNOXVILLE","TN","37916","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C001","P","2020-12-18",29963131762,"57664047758","METOPROLOL TARTRATE","Generic","Retail 90","Y","N","Generic","4430788","1982707600","CVS PHARMACY #04624 04624","9137 MIDDLEBROOK PIKE","KNOXVILLE","TN","37923","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A002","P","2020-09-07",56022810951,"68382066005","SPIRONOLACTONE","Generic","Retail 90","Y","N","Generic","4412677","1467410753","FRESH PHARMACY 1","721 HIGHWAY 321 N","LENOIR CITY","TN","37771","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2021-04-19",93124056050,"45802091987","CETIRIZINE HYDROCHLORIDE","Generic","Retail 90","N","N","Generic","4436540","1548218266","MOUNTAIN HOME VAMC PHARMACY","SIDNEY & LAMONT ST","MOUNTAIN HOME","TN","37684","Non- Specialty","No",{"v":90,"d":"90.00"},90,{"v":1.03,"d":"$1.03"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C003","P","2020-09-15",61273325707,"31722070290","LOSARTAN POTASSIUM","Generic","Retail 90","Y","N","Generic","4434661","1871510222","FOOD CITY PHARMACY #674 674","5941 KINGSTON PIKE","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C001","P","2021-04-26",45231441941,"00781808926","AZITHROMYCIN","Generic","Retail 30","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":6,"d":"6.00"},5,{"v":4.98,"d":"$4.98"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2021-03-10",74086949603,"57237021330","MONTELUKAST SODIUM","Generic","Retail 30","Y","N","Generic","4441185","1194996942","WALGREENS #11435 11435","915 N BOARD ST","NEW TAZEWELL","TN","37825","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A001","P","2020-12-04",41850967437,"16714008110","HYDROXYZINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4437352","1821003773","INGLES PHARMACY 399","430 EMORY RD","POWELL","TN","37849","Non- Specialty","No",{"v":60,"d":"60.00"},30,{"v":3.76,"d":"$3.76"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2020-09-20",60117456230,"55111015810","OMEPRAZOLE","Generic","Retail 90","Y","N","Generic","4427630","1164525879","CVS PHARMACY #04180 04180","4406 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A003","P","2020-12-14",72895171613,"69097084905","ESCITALOPRAM OXALATE","Generic","Retail 30","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A003","P","2020-08-17",53807981963,"68382009601","HYDROXYCHLOROQUINE SULFAT","Generic","Retail 30","Y","N","Generic","4424949","1811902810","WALGREENS #5729 5729","9200 MIDDLEBROOK PIKE","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","B003","P","2020-05-19",74100586175,"66993059702","AMPHETAMINE/DEXTROAMPHETA","Generic","Retail 30","Y","N","Generic","4428240","1982621173","WALMART PHARMACY 10-2065 102065","8445 WALBROOK DR","KNOXVILLE","TN","37923","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-09-03",46197683207,"54092047701","MYDAYIS","Brand","Retail 30","N","N","SSB","4435649","1477568491","WALGREENS #6993 6993","220 FOOTHILLS MALL DR","MARYVILLE","TN","37801","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A001","P","2020-05-13",27293865631,"00555902742","JUNEL 1.5/30","Generic","Retail 30","Y","N","Generic","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":63,"d":"63.00"},63,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-05-12",53216877724,"65862078430","ESOMEPRAZOLE MAGNESIUM","Generic","Retail 90","Y","N","Generic","4436261","1033124060","WALGREENS #7407 7407","11305 CHAPMAN HIGHWAY","SEYMOUR","TN","37865","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D001","P","2020-09-09",22087534162,"43547035510","LISINOPRIL","Generic","Retail 90","Y","N","Generic","4440955","1639353733","FOOD CITY PHARMACY #609 609","2946 WINFIELD DUNN PARKWAY","KODAK","TN","37764","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C001","P","2020-05-18",94131545179,"65862018730","ONDANSETRON HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":20,"d":"20.00"},5,{"v":2.86,"d":"$2.86"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","B003","P","2020-09-19",59547744812,"60505082901","FLUTICASONE PROPIONATE","Generic","Retail 30","Y","N","Generic","4437516","1457368466","WALGREENS #1634 1634","7810 OAK RIDGE HWY","KNOXVILLE","TN","37931","Non- Specialty","No",{"v":16,"d":"16.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-09-14",96055568756,"00169320415","FIASP FLEXTOUCH","Brand","Retail 30","Y","N","SSB","1154804","1619061777","WALMART PHARMACY 10-3775 103775","1801 HOWELL MILL ROAD NW","ATLANTA","GA","30318","Non- Specialty","Yes",{"v":15,"d":"15.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-06-18",32652149589,"49884068905","METOCLOPRAMIDE HYDROCHLOR","Generic","Retail 30","Y","N","Generic","4450083","1073038121","WALGREENS #18021 18021","2710 MAYNARDVILLE HIGHWAY","MAYNARDVILLE","TN","37807","Non- Specialty","No",{"v":28,"d":"28.00"},7,{"v":2.69,"d":"$2.69"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-10-30",80807262796,"76385011050","CARVEDILOL","Generic","Retail 90","Y","N","Generic","4421917","1467555979","CVS PHARMACY #07727 07727","2931 ALCOA HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-08-14",39935854002,"64764017530","DEXILANT","Brand","Retail 90","Y","N","SSB","4403781","1679676373","CVS PHARMACY #03721 03721","4864 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":25,"d":"$25.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2020-05-11",62896435775,"60793086001","LEVOXYL","Generic","Retail 30","Y","N","Generic","4436071","1124033154","WALGREENS #7320 7320","7320 CLINTON HWY","POWELL","TN","37849","Non- Specialty","Yes",{"v":5,"d":"5.00"},5,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2020-08-02",21012170002,"59746000103","METHYLPREDNISOLONE DOSE P","Generic","Retail 30","Y","N","Generic","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","No",{"v":21,"d":"21.00"},6,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2021-03-18",46227356636,"59267100001","PFIZER-BIONTECH COVID-19","Brand","Retail 30","Y","N","SSB","4435322","1922013945","WALGREENS #6738 6738","2109 JACKSBORO PIKE","LA FOLLETTE","TN","37766","Non- Specialty","No",{"v":0.3,"d":"0.30"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A003","P","2021-04-05",77025715149,"50742025190","DILTIAZEM HYDROCHLORIDE E","Generic","Retail 90","Y","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D001","P","2020-11-19",76472004813,"60758011915","PREDNISOLONE ACETATE","Generic","Retail 30","Y","N","Generic","4426640","1063549863","SEYMOUR ADVALUE PHARMACY","10721 CHAPMAN HWY","SEYMOUR","TN","37865","Non- Specialty","No",{"v":15,"d":"15.00"},25,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A003","P","2020-06-13",33875448492,"57237022501","RAMIPRIL","Generic","Retail 30","Y","N","Generic","4434661","1871510222","FOOD CITY PHARMACY #674 674","5941 KINGSTON PIKE","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A003","P","2020-09-09",26337581391,"00185061501","HYDROXYZINE PAMOATE","Generic","Retail 30","Y","N","Generic","4424949","1811902810","WALGREENS #5729 5729","9200 MIDDLEBROOK PIKE","KNOXVILLE","TN","37931","Non- Specialty","No",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2021-03-31",68957582730,"00378932132","WIXELA INHUB","Generic","Retail 30","Y","N","Generic","0323624","1588670996","WALGREENS.COM 21147","2225 S PRICE RD","CHANDLER","AZ","85286","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2021-03-17",14435600669,"80777027399","MODERNA COVID-19 VACCINE","Brand","Retail 30","Y","N","SSB","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","No",{"v":0.5,"d":"0.50"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","B003","P","2020-10-12",96421570511,"29300013510","CLONIDINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4443254","1013236785","WALGREENS #12980 12980","7425 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-09-14",17148175765,"57237007710","ONDANSETRON ODT","Generic","Retail 30","Y","N","Generic","4426486","1649287640","WALGREENS #6967 6967","4423 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","No",{"v":12,"d":"12.00"},4,{"v":4.85,"d":"$4.85"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2021-01-12",13493743900,"62175013643","OMEPRAZOLE","Generic","Retail 30","Y","N","Generic","4440955","1639353733","FOOD CITY PHARMACY #609 609","2946 WINFIELD DUNN PARKWAY","KODAK","TN","37764","Non- Specialty","Yes",{"v":1,"d":"1.00"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","B002","P","2021-04-10",30541573954,"29300012510","MELOXICAM","Generic","Retail 30","Y","N","Generic","4416954","1790790897","WALGREENS #6224 6224","5320 CLINTON HIGHWAY","KNOXVILLE","TN","37912","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":2.9,"d":"$2.90"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2021-01-10",29052860196,"65862001205","SERTRALINE HCL","Generic","Retail 30","Y","N","Generic","4422111","1194730192","WALGREENS #4169 4169","4001 CHAPMAN HIGHWAY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D001","P","2020-06-20",62962601722,"60505258009","ATORVASTATIN CALCIUM","Generic","Retail 30","Y","N","Generic","4436716","1932206877","OKIE'S PHARMACY II","1050 RUTLEDGE PIKE","BLAINE","TN","37709","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-08-14",58787013362,"62175061743","PANTOPRAZOLE SODIUM","Generic","Retail 90","Y","N","Generic","4430803","1356444079","CVS PHARMACY #04457 04457","7341 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-10-19",87714959074,"16714045501","QUETIAPINE FUMARATE","Generic","Retail 30","Y","N","Generic","4424038","1124198205","VAUGHN PHARMACY","2141 EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E003","P","2020-10-28",58121399749,"70377000415","SIMVASTATIN","Generic","Retail 90","Y","N","Generic","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","C003","P","2020-12-30",92908560164,"60505257808","ATORVASTATIN CALCIUM","Generic","Retail 30","Y","N","Generic","4444698","1316215981","BELEW DRUGS WASHINGTON PIKE","5908 WASHINGTON PIKE STE 102","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C003","P","2021-02-03",91727565139,"00006057561","JANUMET","Brand","Retail 30","Y","N","SSB","4424545","1134146319","WALMART PHARMACY 10-1319 101319","7550 NORRIS FWY","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","A003","P","2020-12-04",90054364485,"68382013905","TOPIRAMATE","Generic","Retail 30","Y","N","Generic","4436716","1932206877","OKIE'S PHARMACY II","1050 RUTLEDGE PIKE","BLAINE","TN","37709","Non- Specialty","Yes",{"v":90,"d":"90.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2021-03-30",89881889199,"00169280015","SAXENDA","Brand","Retail 30","Y","N","SSB","4441818","1649421157","INGLES PHARMACY 091","11847 KINGSTON PIKE","FARRAGUT","TN","37934","Non- Specialty","Yes",{"v":15,"d":"15.00"},30,{"v":20,"d":"$20.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C001","P","2020-10-23",32556064304,"70377002813","ATORVASTATIN CALCIUM","Generic","Retail 90","Y","N","Generic","4441705","1538319298","KROGER PHARMACY #686 02600686","189 BROOKLAWN ST","FARRAGUT","TN","37934","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E001","P","2020-12-09",95034531144,"65862067899","ALPRAZOLAM","Generic","Retail 30","Y","N","Generic","4418566","1417050121","CVS PHARMACY #05671 05671","103 FOOTHILLS MALL RD","MARYVILLE","TN","37801","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":1.34,"d":"$1.34"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A004","P","2020-07-16",44009391240,"00469260290","MYRBETRIQ","Brand","Mail","Y","N","SSB","0556540","1497704431","OPTUMRX","2858 LOKER AVENUE EAST","CARLSBAD","CA","92010","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":40,"d":"$40.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-05-04",79117521840,"69680011225","CYANOCOBALAMIN","Generic","Retail 90","N","N","Generic","4421145","1710080429","CVS PHARMACY #06365 06365","101 NORTH CHARLES SEIVERS BOULEVARD","CLINTON","TN","37716","Non- Specialty","No",{"v":12,"d":"12.00"},84,{"v":25,"d":"$25.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2020-11-13",65884021006,"31722072690","MONTELUKAST SODIUM","Generic","Retail 30","Y","N","Generic","4426486","1649287640","WALGREENS #6967 6967","4423 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B002","P","2020-08-09",64847546844,"43547036009","LOSARTAN POTASSIUM","Generic","Retail 90","Y","N","Generic","4435649","1477568491","WALGREENS #6993 6993","220 FOOTHILLS MALL DR","MARYVILLE","TN","37801","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","B001","P","2020-06-01",55973406370,"16714070101","LAMOTRIGINE","Generic","Retail 30","Y","N","Generic","4434065","1053338400","FOOD CITY PHARMACY #655 655","7510 ASHEVILLE HWY","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A002","P","2020-06-25",69827237005,"69097084615","CYCLOBENZAPRINE HYDROCHLO","Generic","Retail 30","Y","N","Generic","4443747","1194032730","M.D. PHARMACY","1467 W MORRIS BLVD","MORRISTOWN","TN","37813","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":1.48,"d":"$1.48"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-09-11",76633945765,"00185012201","NITROFURANTOIN MONOHYDRAT","Generic","Retail 30","Y","N","Generic","4435790","1386651396","WALGREENS #6609 6609","119 FORK OF THE RIVER PKWY","SEVIERVILLE","TN","37862","Non- Specialty","No",{"v":10,"d":"10.00"},5,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-09-21",21272210342,"55111012205","ATORVASTATIN CALCIUM","Generic","Retail 90","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2021-04-12",80905186611,"50111056003","TRAZODONE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4435497","1316971054","KROGER PHARMACY #683 02600683","507 FOOTHILLS PLZ","MARYVILLE","TN","37801","Non- Specialty","Yes",{"v":90,"d":"90.00"},45,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2020-08-08",88460056353,"69238183407","LEVOTHYROXINE SODIUM","Generic","Retail 30","Y","N","Generic","4443254","1013236785","WALGREENS #12980 12980","7425 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-08-19",22213946120,"16729044416","BUPROPION HYDROCHLORIDE E","Generic","Retail 90","Y","N","Generic","4422111","1194730192","WALGREENS #4169 4169","4001 CHAPMAN HIGHWAY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E003","P","2021-03-01",66493187108,"31722072690","MONTELUKAST SODIUM","Generic","Retail 90","Y","N","Generic","4426486","1649287640","WALGREENS #6967 6967","4423 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-10-16",40707137694,"50458009801","ELMIRON","Brand","Retail 30","Y","N","SSB","4446503","1710304837","VICTORY PHARMACY 1","4127 E EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","No",{"v":120,"d":"120.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E002","P","2020-09-14",18850716229,"55111012405","ATORVASTATIN CALCIUM","Generic","Retail 30","Y","N","Generic","4436071","1124033154","WALGREENS #7320 7320","7320 CLINTON HWY","POWELL","TN","37849","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2020-12-29",44053998274,"65862039010","ONDANSETRON ODT","Generic","Retail 30","Y","N","Generic","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","No",{"v":30,"d":"30.00"},8,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A003","P","2020-05-19",31864864839,"53746051401","SPIRONOLACTONE","Generic","Retail 30","Y","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D003","P","2020-12-28",99350639290,"00002143380","TRULICITY","Brand","Retail 30","Y","N","SSB","4448848","1508216029","KROGER PHARMACY #670 02600670","234 E EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":2,"d":"2.00"},28,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-08-07",53967419518,"00456141030","BYSTOLIC","Brand","Retail 30","Y","N","SSB","0131374","1982619243","WALGREENS #6979 6979","2784 CARL T JONES DR SE","HUNTSVILLE","AL","35802","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C003","P","2021-01-21",32556274073,"65862029590","ROSUVASTATIN CALCIUM","Generic","Retail 90","Y","N","Generic","4421880","1386678019","KROGER PHARMACY #531 02600531","4409 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-05-19",40707137694,"68382004110","PROMETHAZINE HYDROCHLORID","Generic","Retail 30","Y","N","Generic","4446503","1710304837","VICTORY PHARMACY 1","4127 E EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","No",{"v":30,"d":"30.00"},6,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2021-04-08",87636719882,"65862008101","GLYBURIDE/METFORMIN HYDRO","Generic","Retail 90","Y","N","Generic","4400317","1093818783","CVS PHARMACY #06355 06355","4325 ASHEVILLE HIGHWAY E","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C003","P","2020-06-20",53789411979,"43386035801","HYDROCODONE/ACETAMINOPHEN","Generic","Retail 30","Y","N","Generic","4419962","1154424794","CVS PHARMACY #07226 07226","2114 E ANDREW JOHNSON HWY","MORRISTOWN","TN","37814","Non- Specialty","No",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C003","P","2020-11-02",58200575720,"55111012205","ATORVASTATIN CALCIUM","Generic","Retail 30","Y","N","Generic","4426486","1649287640","WALGREENS #6967 6967","4423 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D003","P","2021-04-05",16811736537,"33342004807","IRBESARTAN","Generic","Retail 90","Y","N","Generic","4433265","1356358352","WALGREENS #5053 5053","601 N CAMPBELL STATION RD","FARRAGUT","TN","37934","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C002","P","2020-06-03",80159878110,"68462039710","OMEPRAZOLE","Generic","Retail 90","Y","N","Generic","4411548","1831108471","EAST TENNESSEE DISCOUNT DRUG","524 ANDREW JOHNSON HWY","STRAWBERRY PLAINS","TN","37871","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2020-11-16",88918645085,"43547040210","FUROSEMIDE","Generic","Retail 90","Y","N","Generic","4440955","1639353733","FOOD CITY PHARMACY #609 609","2946 WINFIELD DUNN PARKWAY","KODAK","TN","37764","Non- Specialty","Yes",{"v":126,"d":"126.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","E001","P","2020-09-26",86312490720,"70377002911","ATORVASTATIN CALCIUM","Generic","Retail 90","Y","N","Generic","4403832","1114020815","CVS PHARMACY #03727 03727","2008 WEST ANDREW JOHNSON HWY","MORRISTOWN","TN","37814","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2021-03-08",71759874592,"68382009605","HYDROXYCHLOROQUINE SULFAT","Generic","Retail 30","N","N","Generic","4411548","1831108471","EAST TENNESSEE DISCOUNT DRUG","524 ANDREW JOHNSON HWY","STRAWBERRY PLAINS","TN","37871","Non- Specialty","Yes",{"v":28,"d":"28.00"},14,{"v":10,"d":"$10.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","B001","P","2020-10-25",55973406370,"62175013643","OMEPRAZOLE","Generic","Retail 30","Y","N","Generic","4434065","1053338400","FOOD CITY PHARMACY #655 655","7510 ASHEVILLE HWY","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D003","P","2020-08-13",17387968458,"52544005872","NORETHINDRONE ACETATE/ETH","Generic","Retail 30","Y","N","Generic","4443254","1013236785","WALGREENS #12980 12980","7425 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":28,"d":"28.00"},28,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2021-03-16",60910588608,"69238183107","LEVOTHYROXINE SODIUM","Generic","Retail 30","Y","N","Generic","4435485","1407880149","KROGER PHARMACY #562 02600562","702 WINFIELD DUNN PKWY","SEVIERVILLE","TN","37876","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","B001","P","2020-12-28",16181103567,"65162075310","BENAZEPRIL HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4421917","1467555979","CVS PHARMACY #07727 07727","2931 ALCOA HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-08-29",37526661577,"16714066201","GABAPENTIN","Generic","Retail 30","Y","N","Generic","4438203","1891712378","FOOD CITY PHARMACY #685 685","4805 N BROADWAY","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-11-24",93593221104,"65862050320","AMOXICILLIN/CLAVULANATE P","Generic","Retail 30","Y","N","Generic","4420028","1134222847","CVS PHARMACY #05639 05639","11946 KINGSTON PIKE","FARRAGUT","TN","37934","Non- Specialty","No",{"v":14,"d":"14.00"},7,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2021-02-09",46080009139,"00378427577","VALACYCLOVIR HYDROCHLORID","Generic","Retail 90","Y","N","Generic","4424949","1811902810","WALGREENS #5729 5729","9200 MIDDLEBROOK PIKE","KNOXVILLE","TN","37931","Non- Specialty","No",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B002","P","2020-12-01",20967306244,"00003089421","ELIQUIS","Brand","Retail 30","Y","N","SSB","4426955","1639184633","WALGREENS #7374 7374","4423 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-08-14",73052691532,"00430042014","LO LOESTRIN FE","Brand","Retail 30","Y","N","SSB","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":28,"d":"28.00"},28,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","C002","P","2020-05-20",77529190096,"68382075810","METFORMIN HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4400317","1093818783","CVS PHARMACY #06355 06355","4325 ASHEVILLE HIGHWAY E","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A001","P","2020-08-05",10959778955,"00143988701","AMOXICILLIN","Generic","Retail 30","Y","N","Generic","4436261","1033124060","WALGREENS #7407 7407","11305 CHAPMAN HIGHWAY","SEYMOUR","TN","37865","Non- Specialty","No",{"v":100,"d":"100.00"},11,{"v":3.16,"d":"$3.16"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-06-11",14167755935,"68462072029","DROSPIRENONE/ETHINYL ESTR","Generic","Retail 30","Y","N","Generic","4440703","1275720740","WALGREENS #11699 11699","2409 US HIGHWAY 411 S","MARYVILLE","TN","37801","Non- Specialty","Yes",{"v":28,"d":"28.00"},28,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D003","P","2020-06-05",15771250683,"49884027082","NASCOBAL","Brand","Retail 30","N","N","SSB","5716317","1962839498","PUBLIX PHARMACY #3212 3212","7616 SOUTHLAND BLVD STE 112","ORLANDO","FL","32809","Non- Specialty","Yes",{"v":4,"d":"4.00"},28,{"v":40,"d":"$40.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-09-04",27452939950,"33342009341","RIZATRIPTAN BENZOATE ODT","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":18,"d":"18.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-07-21",81384544956,"00003089421","ELIQUIS","Brand","Retail 30","Y","N","SSB","4430803","1356444079","CVS PHARMACY #04457 04457","7341 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":120,"d":"120.00"},60,{"v":25,"d":"$25.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2021-01-14",32875303741,"10702025350","BUTALBITAL/ACETAMINOPHEN/","Generic","Retail 30","Y","N","Generic","4403781","1679676373","CVS PHARMACY #03721 03721","4864 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":40,"d":"40.00"},7,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2021-02-09",21612207502,"64380071206","BENZONATATE","Generic","Retail 30","Y","N","Generic","4441541","1861657991","WALGREENS #12311 12311","2151 N CHARLES G SEIVERS BLVD","CLINTON","TN","37716","Non- Specialty","No",{"v":60,"d":"60.00"},10,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2021-01-06",87636719882,"00169413212","OZEMPIC","Brand","Retail 90","Y","N","SSB","4400317","1093818783","CVS PHARMACY #06355 06355","4325 ASHEVILLE HIGHWAY E","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":4.5,"d":"4.50"},84,{"v":25,"d":"$25.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-08-18",12989475351,"51991074890","DULOXETINE HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4419912","1225131931","CVS PHARMACY #06364 06364","5401 CLINTON PIKE","KNOXVILLE","TN","37912","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2020-12-05",84482783887,"00093555101","DEXMETHYLPHENIDATE HCL ER","Generic","Retail 30","Y","N","Generic","4421739","1477568475","WALGREENS #3798 3798","2400 N BROADWAY ST","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-06-29",75098395426,"54838057280","CETIRIZINE HYDROCHLORIDE","Generic","Retail 30","N","N","Generic","4421739","1477568475","WALGREENS #3798 3798","2400 N BROADWAY ST","KNOXVILLE","TN","37917","Non- Specialty","No",{"v":80,"d":"80.00"},32,{"v":3.02,"d":"$3.02"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A001","P","2021-03-12",22421051042,"51224000760","METFORMIN HYDROCHLORIDE E","Generic","Retail 30","Y","N","Generic","4437516","1457368466","WALGREENS #1634 1634","7810 OAK RIDGE HWY","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D001","P","2020-09-30",13830758945,"00603548221","PROPRANOLOL HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4434661","1871510222","FOOD CITY PHARMACY #674 674","5941 KINGSTON PIKE","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":30,"d":"30.00"},10,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A003","P","2020-05-17",64052585601,"59310057922","PROAIR HFA","Brand","Retail 30","Y","N","MSB","4436540","1548218266","MOUNTAIN HOME VAMC PHARMACY","SIDNEY & LAMONT ST","MOUNTAIN HOME","TN","37684","Non- Specialty","Yes",{"v":8.5,"d":"8.50"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2021-04-18",24501888009,"00093005401","BUSPIRONE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4444105","1992002877","WALGREENS #13891 13891","429 N STATE OF FRANKLIN RD","JOHNSON CITY","TN","37604","Non- Specialty","No",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2021-02-14",66615710166,"00054040013","DESVENLAFAXINE ER","Generic","Retail 30","Y","N","Generic","4422111","1194730192","WALGREENS #4169 4169","4001 CHAPMAN HIGHWAY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A002","P","2020-09-10",24168978957,"62559038101","FLECAINIDE ACETATE","Generic","Retail 90","Y","N","Generic","4437516","1457368466","WALGREENS #1634 1634","7810 OAK RIDGE HWY","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":135,"d":"135.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-05-19",82422660150,"68180051303","LISINOPRIL","Generic","Retail 90","Y","N","Generic","4421880","1386678019","KROGER PHARMACY #531 02600531","4409 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","C003","P","2020-06-24",74465807995,"55111012701","CIPROFLOXACIN HYDROCHLORI","Generic","Retail 30","Y","N","Generic","4426955","1639184633","WALGREENS #7374 7374","4423 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","No",{"v":14,"d":"14.00"},7,{"v":3.27,"d":"$3.27"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B001","P","2021-04-01",74345424926,"00378668999","PANTOPRAZOLE SODIUM","Generic","Retail 90","Y","N","Generic","4426955","1639184633","WALGREENS #7374 7374","4423 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-11-17",97937824770,"08290320109","BD PEN NEEDLE/SHORT/ULTRA","Brand","Retail 90","Y","N","SSB","4403666","1942303649","CVS PHARMACY #03762 03762","9175 KINGSTON PIKE","KNOXVILLE","TN","37923","Non- Specialty","No",{"v":500,"d":"500.00"},90,{"v":25,"d":"$25.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E002","P","2020-08-31",38566890107,"68180098003","LISINOPRIL","Generic","Retail 90","Y","N","Generic","4430803","1356444079","CVS PHARMACY #04457 04457","7341 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B001","P","2020-08-27",37227552373,"10702001050","HYDROXYZINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":2.14,"d":"$2.14"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B001","P","2020-07-27",37227552373,"10702001050","HYDROXYZINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":2.17,"d":"$2.17"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A002","P","2020-06-16",24168978957,"57237000511","FLUCONAZOLE","Generic","Retail 30","Y","N","Generic","4437516","1457368466","WALGREENS #1634 1634","7810 OAK RIDGE HWY","KNOXVILLE","TN","37931","Non- Specialty","No",{"v":5,"d":"5.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2020-10-07",11269647376,"60505384901","CELECOXIB","Generic","Retail 30","N","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-10-27",40988655505,"13668021730","ARIPIPRAZOLE","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2020-09-10",95860522319,"55111012305","ATORVASTATIN CALCIUM","Generic","Retail 90","Y","N","Generic","4443254","1013236785","WALGREENS #12980 12980","7425 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A003","P","2020-06-15",73473621070,"00115521116","COLESTIPOL HCL","Generic","Retail 90","Y","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2021-04-05",60277770775,"29300012510","MELOXICAM","Generic","Retail 30","Y","N","Generic","4436071","1124033154","WALGREENS #7320 7320","7320 CLINTON HWY","POWELL","TN","37849","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":2.9,"d":"$2.90"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","A001","P","2021-02-01",49215229509,"00378668999","PANTOPRAZOLE SODIUM","Generic","Retail 90","Y","N","Generic","4429177","1033124045","WALGREENS #3388 3388","225 NORTH HALL RD","ALCOA","TN","37701","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-10-29",22174787095,"43547028910","BUPROPION HYDROCHLORIDE E","Generic","Retail 30","Y","N","Generic","4424949","1811902810","WALGREENS #5729 5729","9200 MIDDLEBROOK PIKE","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C001","P","2020-06-09",58161988229,"69543013611","TRAMADOL HCL","Generic","Retail 30","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":12,"d":"12.00"},3,{"v":1.01,"d":"$1.01"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2020-10-30",47485272268,"62175013643","OMEPRAZOLE","Generic","Retail 90","Y","N","Generic","4448141","1124494455","FOOD CITY PHARMACY #619 619","180 RUTLEDGE PIKE","BLAINE","TN","37709","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-11-02",38398647580,"68462043730","OLMESARTAN MEDOXOMIL","Generic","Retail 30","Y","N","Generic","4401410","1346255445","WALGREENS #5483 5483","7523 KINGSTON PIKE","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2021-04-20",41857036069,"80777027310","MODERNA COVID-19 VACCINE","Brand","Retail 30","Y","N","SSB","4438722","1336150986","RIGGS DRUG STORE","604 E EMORY RD","POWELL","TN","37849","Non- Specialty","No",{"v":0.5,"d":"0.50"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-11-24",93593221104,"67877057305","BENZONATATE","Generic","Retail 30","Y","N","Generic","4420028","1134222847","CVS PHARMACY #05639 05639","11946 KINGSTON PIKE","FARRAGUT","TN","37934","Non- Specialty","No",{"v":40,"d":"40.00"},13,{"v":4.32,"d":"$4.32"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A003","P","2020-05-12",21016491566,"51862001201","MICROGESTIN FE","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":28,"d":"28.00"},28,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2020-07-24",14141148366,"00054018913","BUPRENORPHINE HCL/NALOXON","Generic","Retail 30","N","N","Generic","4407929","1447388707","MACS PHARMACY 1","2419 WASHINGTON PIKE","KNOXVILLE","TN","37917","Non- Specialty","No",{"v":14,"d":"14.00"},7,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-08-14",74850797803,"00591544305","PREDNISONE","Generic","Retail 30","Y","N","Generic","4422111","1194730192","WALGREENS #4169 4169","4001 CHAPMAN HIGHWAY","KNOXVILLE","TN","37920","Non- Specialty","No",{"v":10,"d":"10.00"},5,{"v":2.06,"d":"$2.06"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","B003","P","2020-06-22",47645261456,"13668001005","CITALOPRAM HYDROBROMIDE","Generic","Retail 30","Y","N","Generic","4410647","1205948213","WILSONS SAV-MOR DRUGS","265 E MAIN ST","NEWPORT","TN","37821","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2020-05-23",76678915437,"60505283303","ATOMOXETINE","Generic","Retail 90","Y","N","Generic","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D001","P","2021-03-20",33488150686,"57664037708","TRAMADOL HCL","Generic","Retail 30","Y","N","Generic","4440955","1639353733","FOOD CITY PHARMACY #609 609","2946 WINFIELD DUNN PARKWAY","KODAK","TN","37764","Non- Specialty","No",{"v":120,"d":"120.00"},30,{"v":4.26,"d":"$4.26"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C002","P","2020-05-23",55023358947,"00591040710","LISINOPRIL","Generic","Retail 30","Y","N","Generic","4436071","1124033154","WALGREENS #7320 7320","7320 CLINTON HWY","POWELL","TN","37849","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2021-01-09",37235688326,"00781286810","OMEPRAZOLE","Generic","Retail 90","Y","N","Generic","4434902","1083631287","WALMART PHARMACY 10-2932 102932","10900 PARKSIDE DR","KNOXVILLE","TN","37934","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2021-02-18",86932120123,"00131247835","VIMPAT","Brand","Retail 30","N","N","SSB","4424545","1134146319","WALMART PHARMACY 10-1319 101319","7550 NORRIS FWY","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":40,"d":"$40.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A003","P","2021-02-08",21016491566,"65862094088","AUROVELA FE 1/20","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":28,"d":"28.00"},28,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-12-31",96087910964,"43386035701","HYDROCODONE/ACETAMINOPHEN","Generic","Retail 30","Y","N","Generic","4432237","1528165024","CVS PHARMACY #07698 07698","9435 S NORTHSHORE DR","KNOXVILLE","TN","37922","Non- Specialty","No",{"v":90,"d":"90.00"},15,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2020-10-24",57473214241,"13668001105","CITALOPRAM HYDROBROMIDE","Generic","Retail 90","Y","N","Generic","4427630","1164525879","CVS PHARMACY #04180 04180","4406 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","B003","P","2020-11-18",19731917411,"00781613954","AMOXICILLIN/CLAVULANATE P","Generic","Retail 30","Y","N","Generic","4436261","1033124060","WALGREENS #7407 7407","11305 CHAPMAN HIGHWAY","SEYMOUR","TN","37865","Non- Specialty","No",{"v":125,"d":"125.00"},10,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D001","P","2020-11-24",25343895264,"69097085902","TERBINAFINE HCL","Generic","Retail 30","Y","N","Generic","4438722","1336150986","RIGGS DRUG STORE","604 E EMORY RD","POWELL","TN","37849","Non- Specialty","No",{"v":14,"d":"14.00"},14,{"v":4.41,"d":"$4.41"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","C003","P","2021-03-05",58132280806,"00642009330","VITAFOL ULTRA","Brand","Retail 30","Y","N","SSB","4426955","1639184633","WALGREENS #7374 7374","4423 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":20,"d":"$20.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E002","P","2020-12-08",18850716229,"55111012405","ATORVASTATIN CALCIUM","Generic","Retail 30","Y","N","Generic","4436071","1124033154","WALGREENS #7320 7320","7320 CLINTON HWY","POWELL","TN","37849","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-05-26",10621563940,"00555900867","NORTREL 0.5/35 (28)","Generic","Retail 30","Y","N","Generic","4430283","1194803601","ANDERSON CROSSING PHARMACY","3318 ANDERSONVILLE HWY","ANDERSONVILLE","TN","37705","Non- Specialty","Yes",{"v":28,"d":"28.00"},28,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","B002","P","2020-12-03",42455974636,"16729020201","BUSPIRONE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4439419","1811939002","CVS PHARMACY #17146 17146","5405 WASHINGTON PKE","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C001","P","2021-01-21",76766798964,"65162074510","PROMETHAZINE HCL","Generic","Retail 30","Y","N","Generic","4403666","1942303649","CVS PHARMACY #03762 03762","9175 KINGSTON PIKE","KNOXVILLE","TN","37923","Non- Specialty","No",{"v":20,"d":"20.00"},5,{"v":2.75,"d":"$2.75"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2021-03-29",82618415741,"00378623101","CITALOPRAM HYDROBROMIDE","Generic","Retail 90","Y","N","Generic","4429177","1033124045","WALGREENS #3388 3388","225 NORTH HALL RD","ALCOA","TN","37701","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","E001","P","2021-01-11",57758865029,"68180051703","LISINOPRIL","Generic","Retail 90","Y","N","Generic","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B002","P","2021-03-04",38381863366,"65862017760","CEFDINIR","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":28,"d":"28.00"},14,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2021-01-30",32875303741,"00527169505","BUTALBITAL/ACETAMINOPHEN/","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":40,"d":"40.00"},7,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","B002","P","2020-06-16",36422808697,"00555902542","JUNEL 1/20","Generic","Retail 30","Y","N","Generic","4448848","1508216029","KROGER PHARMACY #670 02600670","234 E EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":21,"d":"21.00"},21,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","A003","P","2021-02-27",24396845374,"64764072030","TRINTELLIX","Brand","Retail 90","Y","N","SSB","4434065","1053338400","FOOD CITY PHARMACY #655 655","7510 ASHEVILLE HWY","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":50,"d":"$50.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-05-27",68493192079,"00555901467","LESSINA","Generic","Retail 30","Y","N","Generic","4423896","1912914912","WALGREENS #4330 4330","121 N NORTHSHORE DR","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":28,"d":"28.00"},28,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B001","P","2020-07-17",54126482316,"16729020201","BUSPIRONE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4418592","1326141037","CVS PHARMACY #06361 06361","718 WINFIELD DUNN PKWY","SEVIERVILLE","TN","37876","Non- Specialty","No",{"v":90,"d":"90.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2021-01-20",59404429657,"65862053513","AMOXICILLIN/CLAVULANATE P","Generic","Retail 30","Y","N","Generic","4435497","1316971054","KROGER PHARMACY #683 02600683","507 FOOTHILLS PLZ","MARYVILLE","TN","37801","Non- Specialty","No",{"v":125,"d":"125.00"},10,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-07-11",34583523592,"50111033401","METRONIDAZOLE","Generic","Retail 30","Y","N","Generic","4434039","1770505422","CVS PHARMACY #16598 16598","800 WATKINS RD","MARYVILLE","TN","37801","Non- Specialty","No",{"v":14,"d":"14.00"},7,{"v":2.68,"d":"$2.68"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-05-31",37526661577,"16714066201","GABAPENTIN","Generic","Retail 30","Y","N","Generic","4438203","1891712378","FOOD CITY PHARMACY #685 685","4805 N BROADWAY","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A004","P","2020-07-06",44009391240,"64980015701","VITAMIN D","Generic","Retail 30","Y","N","Generic","4436716","1932206877","OKIE'S PHARMACY II","1050 RUTLEDGE PIKE","BLAINE","TN","37709","Non- Specialty","Yes",{"v":4,"d":"4.00"},28,{"v":2.3,"d":"$2.30"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2021-04-01",83482920140,"80777027399","MODERNA COVID-19 VACCINE","Brand","Retail 30","Y","N","SSB","4411562","1194746156","LITTLE DRUGS","510 S MAIN ST","SWEETWATER","TN","37874","Non- Specialty","No",{"v":0.5,"d":"0.50"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-09-16",91289016895,"55111046701","METOPROLOL SUCCINATE ER","Generic","Retail 30","Y","N","Generic","4433568","1326065772","FOOD CITY PHARMACY #681 681","1199 OAK RIDGE TURNPIKE","OAK RIDGE","TN","37830","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D003","P","2021-04-19",23203685513,"00555097202","AMPHETAMINE/DEXTROAMPHETA","Generic","Retail 30","Y","N","Generic","4441541","1861657991","WALGREENS #12311 12311","2151 N CHARLES G SEIVERS BLVD","CLINTON","TN","37716","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2020-05-04",94844542357,"13107019790","LOSARTAN POTASSIUM","Generic","Retail 90","Y","N","Generic","4436540","1548218266","MOUNTAIN HOME VAMC PHARMACY","SIDNEY & LAMONT ST","MOUNTAIN HOME","TN","37684","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2021-02-07",20514772043,"68180099706","FLUOXETINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4450273","1376068361","WALGREENS #19623 19623","1255 HIGHWAY 11 WEST","BEAN STATION","TN","37708","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D001","P","2020-10-26",40183762140,"65862020390","LOSARTAN POTASSIUM","Generic","Retail 90","Y","N","Generic","4430687","1972606515","CVS PHARMACY #05761 05761","7655 NORTHSHORE DRIVE","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B001","P","2020-08-04",49361360424,"29300022010","MONTELUKAST SODIUM","Generic","Retail 90","Y","N","Generic","4430740","1831134972","BLOUNT DISCOUNT PHARMACY - WEST","131 MONTGOMERY LANE","MARYVILLE","TN","37803","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-12-29",32396513331,"42192033901","HYOSCYAMINE SULFATE","Generic","Retail 30","Y","N","Generic","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":20,"d":"20.00"},3,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2020-05-07",59938117929,"65862059805","TAMSULOSIN HYDROCHLORIDE","Generic","Mail","Y","N","Generic","1565398","1770983884","OPTUM PHARMACY 702 LLC","1050 PATROL ROAD","JEFFERSONVILLE","IN","47130","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":10,"d":"$10.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","B002","P","2020-11-22",25399252953,"00378623305","CITALOPRAM HYDROBROMIDE","Generic","Mail","Y","N","Generic","5741372","1790340206","OPTUMRX PHARMACY 700, LLC","5700 DOT COM COURT","OVIEDO","FL","32765","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2021-01-28",73363769393,"68462025401","ROPINIROLE HCL","Generic","Retail 30","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D001","P","2021-03-31",90350914849,"59267100001","PFIZER-BIONTECH COVID-19","Brand","Retail 30","Y","N","SSB","4437352","1821003773","INGLES PHARMACY 399","430 EMORY RD","POWELL","TN","37849","Non- Specialty","No",{"v":0.3,"d":"0.30"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2021-04-05",34684200413,"00781223410","OMEPRAZOLE","Generic","Retail 30","Y","N","Generic","4430740","1831134972","BLOUNT DISCOUNT PHARMACY - WEST","131 MONTGOMERY LANE","MARYVILLE","TN","37803","Non- Specialty","Yes",{"v":60,"d":"60.00"},60,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C001","P","2021-03-05",10281276345,"68180098103","LISINOPRIL","Generic","Retail 90","Y","N","Generic","4430803","1356444079","CVS PHARMACY #04457 04457","7341 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A003","P","2020-12-04",35912951005,"55111012305","ATORVASTATIN CALCIUM","Generic","Retail 90","Y","N","Generic","4416954","1790790897","WALGREENS #6224 6224","5320 CLINTON HIGHWAY","KNOXVILLE","TN","37912","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-08-05",16947660110,"00054429731","FUROSEMIDE","Generic","Retail 30","Y","N","Generic","4435841","1497760425","WALGREENS #7048 7048","3071 PARKWAY","PIGEON FORGE","TN","37863","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D003","P","2021-03-13",16190480109,"68645055554","LISINOPRIL","Generic","Retail 90","Y","N","Generic","4429545","1972520161","WALMART PHARMACY 10-2310 102310","3051 KINZEL WAY","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","C003","P","2020-06-24",14213955364,"69367016204","PHENAZOPYRIDINE HYDROCHLO","Generic","Retail 30","Y","N","Generic","4444698","1316215981","BELEW DRUGS WASHINGTON PIKE","5908 WASHINGTON PIKE STE 102","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":30,"d":"30.00"},5,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A001","P","2020-12-02",57228722270,"00456114030","VIIBRYD","Brand","Retail 30","N","N","SSB","4437516","1457368466","WALGREENS #1634 1634","7810 OAK RIDGE HWY","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-08-20",16623115321,"00406012301","HYDROCODONE/ACETAMINOPHEN","Generic","Retail 30","Y","N","Generic","4424862","1043237225","WALMART PHARMACY 10-1320 101320","7420 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","No",{"v":10,"d":"10.00"},2,{"v":1.58,"d":"$1.58"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E003","P","2020-11-23",74191837115,"58406002104","ENBREL","Brand","Retail 30","Y","N","SSB","2521640","1700814449","OPTUM PHARMACY 705 LLC","3539 BLUECUTT ROAD","COLUMBUS","MS","39705","Specialty","Yes",{"v":4,"d":"4.00"},28,{"v":80,"d":"$80.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2020-09-11",32810846070,"33332032001","AFLURIA QUADRIVALENT 2020","Brand","Retail 30","Y","N","SSB","4445335","1508113143","UT STUDENT HEALTH CENTER PHARMACY","1800 VOLUNTEER BLVD","KNOXVILLE","TN","37996","Non- Specialty","No",{"v":0.5,"d":"0.50"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2021-02-02",82194251363,"66685100100","AMOXICILLIN/CLAVULANATE P","Generic","Retail 30","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":10,"d":"10.00"},5,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D003","P","2021-02-22",15091233903,"50111064801","FLUOXETINE HCL","Generic","Retail 30","Y","N","Generic","4401410","1346255445","WALGREENS #5483 5483","7523 KINGSTON PIKE","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D001","P","2020-09-01",94331996546,"16729044416","BUPROPION HYDROCHLORIDE E","Generic","Retail 30","Y","N","Generic","4426955","1639184633","WALGREENS #7374 7374","4423 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E003","P","2021-04-13",58121399749,"00591505210","PREDNISONE","Generic","Retail 30","Y","N","Generic","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","No",{"v":45,"d":"45.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-11-12",52882761961,"00597015330","JARDIANCE","Brand","Retail 90","Y","N","SSB","4431019","1518991256","KROGER PHARMACY #581 02600581","10721 CHAPMAN HWY","SEYMOUR","TN","37865","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":25,"d":"$25.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A001","P","2021-03-29",55850630167,"80777027399","MODERNA COVID-19 VACCINE","Brand","Retail 30","Y","N","SSB","4434370","1356368559","SAMS PHARMACY 10-6572 106572","2920 KNOXVILLE CENTER DR","KNOXVILLE","TN","37924","Non- Specialty","No",{"v":0.5,"d":"0.50"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-06-09",40707137694,"68382004110","PROMETHAZINE HYDROCHLORID","Generic","Retail 30","Y","N","Generic","4446503","1710304837","VICTORY PHARMACY 1","4127 E EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","No",{"v":30,"d":"30.00"},6,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A004","P","2020-10-27",44009391240,"00172392670","DIAZEPAM","Generic","Retail 30","Y","N","Generic","4436716","1932206877","OKIE'S PHARMACY II","1050 RUTLEDGE PIKE","BLAINE","TN","37709","Non- Specialty","No",{"v":1,"d":"1.00"},1,{"v":0.73,"d":"$0.73"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","B002","P","2021-03-24",42455974636,"65862022701","LAMOTRIGINE","Generic","Retail 30","Y","N","Generic","4439419","1811939002","CVS PHARMACY #17146 17146","5405 WASHINGTON PKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","A003","P","2021-04-01",56728622463,"59267100001","PFIZER-BIONTECH COVID-19","Brand","Retail 30","Y","N","SSB","4438633","1225055684","FOOD CITY PHARMACY #672 672","9565 MIDDLEBROOK PIKE","KNOXVILLE","TN","37931","Non- Specialty","No",{"v":0.3,"d":"0.30"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2021-03-29",52882761961,"51862056406","LOW-OGESTREL","Generic","Retail 90","Y","N","Generic","4431019","1518991256","KROGER PHARMACY #581 02600581","10721 CHAPMAN HWY","SEYMOUR","TN","37865","Non- Specialty","Yes",{"v":84,"d":"84.00"},84,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-11-23",27128756837,"29300011201","LAMOTRIGINE","Generic","Retail 30","Y","N","Generic","4421739","1477568475","WALGREENS #3798 3798","2400 N BROADWAY ST","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":45,"d":"45.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2021-03-02",96445127996,"70436001102","BUPROPION HYDROCHLORIDE E","Generic","Retail 90","Y","N","Generic","4435827","1225062961","KROGER PHARMACY #549 02600549","6702 CLINTON HWY","KNOXVILLE","TN","37912","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B001","P","2020-12-25",26186915232,"70377000712","ROSUVASTATIN CALCIUM","Generic","Retail 90","Y","N","Generic","4418376","1699878306","CVS PHARMACY #06359 06359","111 S. HALL ROAD","ALCOA","TN","37701","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2020-07-21",20368956110,"68645051954","ESCITALOPRAM OXALATE","Generic","Retail 30","Y","N","Generic","4424545","1134146319","WALMART PHARMACY 10-1319 101319","7550 NORRIS FWY","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-07-18",52045099703,"69452015120","VITAMIN D","Generic","Retail 90","Y","N","Generic","4421157","1629171335","CVS PHARMACY #06366 06366","2800 BROADWAY ST NE","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":13,"d":"13.00"},90,{"v":7.34,"d":"$7.34"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-07-28",28421975072,"00406117003","NALTREXONE HCL","Generic","Retail 30","Y","N","Generic","4424949","1811902810","WALGREENS #5729 5729","9200 MIDDLEBROOK PIKE","KNOXVILLE","TN","37931","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2021-01-07",19051785680,"00310173030","FASENRA","Brand","Retail 30","Y","N","SSB","4436615","1467401315","OPTUM PHARMACY 705 LLC","1893 GENERAL GEORGE PATTON DRIVE","FRANKLIN","TN","37067","Specialty","Yes",{"v":1,"d":"1.00"},30,{"v":80,"d":"$80.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C003","P","2020-06-25",69392166939,"00115165901","PROPRANOLOL HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4436261","1033124060","WALGREENS #7407 7407","11305 CHAPMAN HIGHWAY","SEYMOUR","TN","37865","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-08-02",20734376033,"69097083512","SERTRALINE HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4419912","1225131931","CVS PHARMACY #06364 06364","5401 CLINTON PIKE","KNOXVILLE","TN","37912","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A002","P","2020-11-25",59923991925,"68645056054","MONTELUKAST SODIUM","Generic","Retail 90","Y","N","Generic","4430207","1578588299","KROGER PHARMACY #525 02600525","9501 S NORTHSHORE DR","KNOXVILLE","TN","37922","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","E002","P","2020-10-31",23800444977,"70436001104","BUPROPION HYDROCHLORIDE E","Generic","Retail 90","Y","N","Generic","4440183","1982829594","FOOD CITY PHARMACY #676 676","1950 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2021-02-20",21612207502,"51672139509","TRETINOIN","Generic","Retail 30","Y","N","Generic","4404377","1235159070","NUNALLY DRUG STORE","226 MAIN STREET","BAXTER","TN","38544","Non- Specialty","No",{"v":45,"d":"45.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D003","P","2020-11-04",10545696330,"27241009803","DULOXETINE HCL","Generic","Retail 30","Y","N","Generic","4441541","1861657991","WALGREENS #12311 12311","2151 N CHARLES G SEIVERS BLVD","CLINTON","TN","37716","Non- Specialty","Yes",{"v":53,"d":"53.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-05-12",98345262552,"55111012105","ATORVASTATIN CALCIUM","Generic","Retail 90","Y","N","Generic","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2020-05-21",89881889199,"65162044210","MECLIZINE HYDROCHLORIDE","Generic","Retail 30","N","N","Generic","4441818","1649421157","INGLES PHARMACY 091","11847 KINGSTON PIKE","FARRAGUT","TN","37934","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":6,"d":"$6.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","B003","P","2021-03-30",92294476623,"31722072690","MONTELUKAST SODIUM","Generic","Retail 30","Y","N","Generic","4428682","1497760409","WALGREENS #3209 3209","8950 KINGSTON PIKE","KNOXVILLE","TN","37923","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D004","P","2021-04-21",93761632576,"42858072001","AMPHETAMINE/DEXTROAMPHETA","Generic","Retail 30","Y","N","Generic","4450211","1942725908","WALGREENS #19231 19231","2111 HIGHWAY 72 NORTH","LOUDON","TN","37774","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A003","P","2020-07-22",74794457632,"00002751001","HUMALOG","Brand","Retail 90","Y","N","SSB","4434902","1083631287","WALMART PHARMACY 10-2932 102932","10900 PARKSIDE DR","KNOXVILLE","TN","37934","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":25,"d":"$25.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E003","P","2020-08-01",58121399749,"68382013201","TAMSULOSIN HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E002","P","2020-07-30",19072671121,"00093310905","AMOXICILLIN","Generic","Retail 30","Y","N","Generic","4419912","1225131931","CVS PHARMACY #06364 06364","5401 CLINTON PIKE","KNOXVILLE","TN","37912","Non- Specialty","No",{"v":20,"d":"20.00"},5,{"v":2.47,"d":"$2.47"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E003","P","2020-11-27",55191496542,"00046087221","PREMARIN","Brand","Retail 90","Y","N","SSB","4407664","1245383173","BELEW DRUGS ASHEVILLE HIGHWAY","8622 ASHEVILLE HWY","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":30,"d":"30.00"},90,{"v":50,"d":"$50.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","C003","P","2020-11-30",67132476258,"43547028210","ESCITALOPRAM OXALATE","Generic","Retail 30","Y","N","Generic","4443901","1366746489","GENOA HEALTHCARE, LLC 00092","205 W SPRINGDALE AVE","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D003","P","2020-07-06",72768131469,"16729009015","FINASTERIDE","Generic","Retail 90","Y","N","Generic","4439180","1275550758","FOOD CITY PHARMACY #694 694","284 MORRELL RD","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-05-21",73031088334,"69097094312","GABAPENTIN","Generic","Retail 30","Y","N","Generic","4419912","1225131931","CVS PHARMACY #06364 06364","5401 CLINTON PIKE","KNOXVILLE","TN","37912","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2020-05-12",26532453940,"45802026337","CLINDAMYCIN PHOSPHATE","Generic","Retail 30","Y","N","Generic","4426486","1649287640","WALGREENS #6967 6967","4423 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","No",{"v":60,"d":"60.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2020-05-05",47485272268,"62175013643","OMEPRAZOLE","Generic","Retail 90","Y","N","Generic","4448141","1124494455","FOOD CITY PHARMACY #619 619","180 RUTLEDGE PIKE","BLAINE","TN","37709","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","B003","P","2020-11-21",15323138848,"70954002110","PRAZOSIN HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4420181","1043313752","CVS PHARMACY #07246 07246","346 COSBY HWY","NEWPORT","TN","37821","Non- Specialty","Yes",{"v":90,"d":"90.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2021-01-14",27295394459,"50111064801","FLUOXETINE HCL","Generic","Retail 90","Y","N","Generic","4426486","1649287640","WALGREENS #6967 6967","4423 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A002","P","2020-11-19",69827237005,"43547033750","BENAZEPRIL HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4443747","1194032730","M.D. PHARMACY","1467 W MORRIS BLVD","MORRISTOWN","TN","37813","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2021-03-26",34679812087,"68180095603","CLOBETASOL PROPIONATE","Generic","Retail 30","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":45,"d":"45.00"},20,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","C003","P","2021-04-21",79155246322,"47781030301","NITROFURANTOIN MONOHYDRAT","Generic","Retail 30","Y","N","Generic","4421157","1629171335","CVS PHARMACY #06366 06366","2800 BROADWAY ST NE","KNOXVILLE","TN","37917","Non- Specialty","No",{"v":20,"d":"20.00"},10,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2021-04-25",80774799310,"70436001102","BUPROPION HYDROCHLORIDE E","Generic","Retail 90","Y","N","Generic","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-07-01",75113105725,"00378464026","ESTRADIOL","Generic","Retail 90","Y","N","Generic","4436261","1033124060","WALGREENS #7407 7407","11305 CHAPMAN HIGHWAY","SEYMOUR","TN","37865","Non- Specialty","Yes",{"v":24,"d":"24.00"},84,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2021-04-08",18846345124,"45963070911","METOPROLOL SUCCINATE ER","Generic","Retail 90","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-05-19",68070348721,"00093506105","HYDROXYZINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4433924","1851306872","WALGREENS #5502 5502","350 HWY 321 N","LENOIR CITY","TN","37771","Non- Specialty","No",{"v":60,"d":"60.00"},20,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","A003","P","2020-11-12",41802260211,"00024587102","TOUJEO MAX SOLOSTAR","Brand","Retail 30","Y","N","SSB","4446565","1417375403","WALGREENS #15906 15906","1602 E LAMAR ALEXANDER PKWY","MARYVILLE","TN","37804","Non- Specialty","Yes",{"v":6,"d":"6.00"},28,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2021-03-14",18016242861,"43547028111","ESCITALOPRAM OXALATE","Generic","Mail","Y","N","Generic","5926716","1154893600","OPTUMRX PHARMACY 704","5627 UNIVERSITY HEIGHTS BOULEVARD","SAN ANTONIO","TX","78249","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E003","P","2021-02-20",87834711715,"00002143480","TRULICITY","Brand","Retail 30","Y","N","SSB","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":2,"d":"2.00"},28,{"v":10,"d":"$10.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","E001","P","2021-04-25",24253894345,"65862039010","ONDANSETRON ODT","Generic","Retail 30","Y","N","Generic","4403666","1942303649","CVS PHARMACY #03762 03762","9175 KINGSTON PIKE","KNOXVILLE","TN","37923","Non- Specialty","No",{"v":20,"d":"20.00"},6,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-12-17",35242390906,"68462012605","GABAPENTIN","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C003","P","2021-04-06",92308563039,"68180072103","AMLODIPINE BESYLATE","Generic","Retail 90","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2021-01-15",32431154409,"00006033530","BELSOMRA","Brand","Retail 30","N","N","SSB","4434370","1356368559","SAMS PHARMACY 10-6572 106572","2920 KNOXVILLE CENTER DR","KNOXVILLE","TN","37924","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":40,"d":"$40.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-06-25",62762458593,"00002773701","INSULIN LISPRO","Brand","Retail 30","Y","N","SSB","4435322","1922013945","WALGREENS #6738 6738","2109 JACKSBORO PIKE","LA FOLLETTE","TN","37766","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-06-22",62285383352,"51672300302","HYDROCORTISONE","Generic","Retail 30","Y","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","No",28.35,14,{"v":4.17,"d":"$4.17"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-06-19",55288734178,"68382050010","OMEPRAZOLE","Generic","Retail 90","Y","N","Generic","4421739","1477568475","WALGREENS #3798 3798","2400 N BROADWAY ST","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C003","P","2020-06-21",69392166939,"68382013805","TOPIRAMATE","Generic","Retail 90","Y","N","Generic","4436261","1033124060","WALGREENS #7407 7407","11305 CHAPMAN HIGHWAY","SEYMOUR","TN","37865","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.26,"d":"$12.26"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D003","P","2021-02-04",49823793244,"59746033790","LOSARTAN POTASSIUM/HYDROC","Generic","Retail 90","Y","N","Generic","4424862","1043237225","WALMART PHARMACY 10-1320 101320","7420 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-12-28",84489100102,"70010077001","METHOCARBAMOL","Generic","Retail 30","Y","N","Generic","4448141","1124494455","FOOD CITY PHARMACY #619 619","180 RUTLEDGE PIKE","BLAINE","TN","37709","Non- Specialty","No",{"v":90,"d":"90.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2021-03-26",95593283514,"55111025760","ZIPRASIDONE HCL","Generic","Retail 30","N","N","Generic","4445107","1275894735","BLOUNT SPECIALTY PHARMACY","131 MONTGOMERY LANE, SUITE B","MARYVILLE","TN","37803","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","C002","P","2021-04-14",77529190096,"65162019050","NAPROXEN","Generic","Retail 30","Y","N","Generic","4400317","1093818783","CVS PHARMACY #06355 06355","4325 ASHEVILLE HIGHWAY E","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2021-03-22",37973453736,"68462010530","ONDANSETRON HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4403666","1942303649","CVS PHARMACY #03762 03762","9175 KINGSTON PIKE","KNOXVILLE","TN","37923","Non- Specialty","No",{"v":20,"d":"20.00"},4,{"v":3.09,"d":"$3.09"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2021-01-30",39670780292,"57237000511","FLUCONAZOLE","Generic","Retail 30","Y","N","Generic","4426955","1639184633","WALGREENS #7374 7374","4423 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","No",{"v":1,"d":"1.00"},1,{"v":3.95,"d":"$3.95"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E001","P","2021-02-12",55327700932,"68382075810","METFORMIN HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4403781","1679676373","CVS PHARMACY #03721 03721","4864 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2020-07-24",63107154067,"47335067081","DILTIAZEM HCL ER","Generic","Retail 90","Y","N","Generic","4424545","1134146319","WALMART PHARMACY 10-1319 101319","7550 NORRIS FWY","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","E003","P","2020-12-21",89293234528,"69097015907","MELOXICAM","Generic","Retail 30","Y","N","Generic","4439419","1811939002","CVS PHARMACY #17146 17146","5405 WASHINGTON PKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":2.28,"d":"$2.28"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","A002","P","2021-03-04",60374971502,"65862093488","AUROVELA 24 FE","Generic","Retail 30","Y","N","Generic","4436071","1124033154","WALGREENS #7320 7320","7320 CLINTON HWY","POWELL","TN","37849","Non- Specialty","Yes",{"v":28,"d":"28.00"},28,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-08-28",22899568370,"60505006501","OMEPRAZOLE","Generic","Retail 30","Y","N","Generic","4434370","1356368559","SAMS PHARMACY 10-6572 106572","2920 KNOXVILLE CENTER DR","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2021-04-12",55176314534,"50111064801","FLUOXETINE HCL","Generic","Retail 30","Y","N","Generic","4435790","1386651396","WALGREENS #6609 6609","119 FORK OF THE RIVER PKWY","SEVIERVILLE","TN","37862","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-07-18",52045099703,"00378182377","LEVOTHYROXINE SODIUM","Generic","Retail 90","Y","N","Generic","4421157","1629171335","CVS PHARMACY #06366 06366","2800 BROADWAY ST NE","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B002","P","2020-12-09",88514168693,"51862004791","AMETHIA","Generic","Retail 90","Y","N","Generic","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":91,"d":"91.00"},91,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2020-05-03",88774552729,"59746000103","METHYLPREDNISOLONE DOSE P","Generic","Retail 30","Y","N","Generic","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","No",{"v":21,"d":"21.00"},6,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C003","P","2021-02-19",95505891276,"00116200116","CHLORHEXIDINE GLUCONATE","Generic","Retail 30","Y","N","Generic","4426640","1063549863","SEYMOUR ADVALUE PHARMACY","10721 CHAPMAN HWY","SEYMOUR","TN","37865","Non- Specialty","No",{"v":473,"d":"473.00"},16,{"v":4.06,"d":"$4.06"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","B003","P","2021-03-06",29482861933,"00378145001","LITHIUM CARBONATE ER","Generic","Retail 30","Y","N","Generic","4419304","1316958994","BLOUNT DISCOUNT PHARMACY - GILL","129 GILL ST","ALCOA","TN","37701","Non- Specialty","Yes",{"v":75,"d":"75.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D003","P","2020-09-23",67876484256,"72205002830","FEBUXOSTAT","Generic","Retail 90","Y","N","Generic","4434370","1356368559","SAMS PHARMACY 10-6572 106572","2920 KNOXVILLE CENTER DR","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2020-09-12",92628875689,"68462010530","ONDANSETRON HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4222206","1558376624","WALGREENS #4813 4813","11 PALMETTO BAY RD","HILTON HEAD","SC","29928","Non- Specialty","No",{"v":15,"d":"15.00"},5,{"v":2.24,"d":"$2.24"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-11-04",58931335379,"59651015201","PROGESTERONE","Generic","Retail 30","N","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","E002","P","2021-02-21",18605184826,"69097082112","GEMFIBROZIL","Generic","Mail","Y","N","Generic","5926716","1154893600","OPTUMRX PHARMACY 704","5627 UNIVERSITY HEIGHTS BOULEVARD","SAN ANTONIO","TX","78249","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A001","P","2021-02-03",99041932109,"16729000617","SIMVASTATIN","Generic","Retail 90","Y","N","Generic","4438722","1336150986","RIGGS DRUG STORE","604 E EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2021-01-11",92226664690,"00074055402","HUMIRA PEN","Brand","Retail 30","Y","N","SSB","1564930","1083045140","OPTUM PHARMACY 702, LLC","1050 PATROL RD","JEFFERSONVILLE","IN","47130","Specialty","Yes",{"v":2,"d":"2.00"},28,{"v":505,"d":"$505.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C003","P","2020-09-18",34669793069,"55111012105","ATORVASTATIN CALCIUM","Generic","Retail 30","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2021-03-16",21818775852,"68180072103","AMLODIPINE BESYLATE","Generic","Retail 90","Y","N","Generic","4400317","1093818783","CVS PHARMACY #06355 06355","4325 ASHEVILLE HIGHWAY E","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2021-04-19",46197683207,"00378004001","CLORAZEPATE DIPOTASSIUM","Generic","Retail 30","Y","N","Generic","4435649","1477568491","WALGREENS #6993 6993","220 FOOTHILLS MALL DR","MARYVILLE","TN","37801","Non- Specialty","No",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-09-10",39935854002,"13107008305","LORAZEPAM","Generic","Retail 30","Y","N","Generic","4403781","1679676373","CVS PHARMACY #03721 03721","4864 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":90,"d":"90.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","A003","P","2021-02-15",21611786919,"55111012305","ATORVASTATIN CALCIUM","Generic","Retail 30","Y","N","Generic","4428682","1497760409","WALGREENS #3209 3209","8950 KINGSTON PIKE","KNOXVILLE","TN","37923","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2020-10-02",46426498475,"65162055310","METAXALONE","Generic","Retail 30","N","N","Generic","4434611","1306868054","CVS PHARMACY #16034 16034","8040 RAY MEARS BLVD","KNOXVILLE","TN","37919","Non- Specialty","No",{"v":28,"d":"28.00"},7,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2020-08-03",83751178514,"00597007541","SPIRIVA HANDIHALER","Brand","Retail 90","Y","N","SSB","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":25,"d":"$25.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2020-05-10",59840220752,"65862020290","LOSARTAN POTASSIUM","Generic","Retail 30","Y","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2021-04-20",46503187892,"68462073329","DROSPIRENONE/ETHINYL ESTR","Generic","Retail 90","Y","N","Generic","4541846","1932110525","TPC PHARMACY","4200 BUCKINGHAM RD","FORT WORTH","TX","76155","Non- Specialty","Yes",{"v":84,"d":"84.00"},84,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-06-16",83184018298,"65162046550","IBUPROFEN","Generic","Retail 30","Y","N","Generic","4439623","1578586954","FOOD CITY PHARMACY #687 687","2712 LOVES CREEK RD","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":24,"d":"24.00"},6,{"v":1.47,"d":"$1.47"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2021-04-19",46426498475,"00456141030","BYSTOLIC","Brand","Retail 30","Y","N","SSB","4434611","1306868054","CVS PHARMACY #16034 16034","8040 RAY MEARS BLVD","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C003","P","2020-05-12",47994934821,"55111064530","OMEPRAZOLE","Generic","Retail 90","Y","N","Generic","4435827","1225062961","KROGER PHARMACY #549 02600549","6702 CLINTON HWY","KNOXVILLE","TN","37912","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D099","P","2020-05-01",73209428782,"29300018801","BISOPROLOL FUMARATE/HYDRO","Generic","Retail 30","Y","N","Generic","4430891","1790719433","KROGER PHARMACY #558 02600558","4414 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2020-08-30",50202172831,"69097084805","ESCITALOPRAM OXALATE","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E003","P","2021-02-17",31229429551,"16729013716","CLONAZEPAM","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":90,"d":"90.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A004","P","2021-03-20",44009391240,"00781518110","LEVOTHYROXINE SODIUM","Generic","Retail 30","Y","N","Generic","4436716","1932206877","OKIE'S PHARMACY II","1050 RUTLEDGE PIKE","BLAINE","TN","37709","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","E099","P","2020-12-04",40099816650,"53746051101","SPIRONOLACTONE","Generic","Retail 90","Y","N","Generic","4400317","1093818783","CVS PHARMACY #06355 06355","4325 ASHEVILLE HIGHWAY E","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-05-29",29911296280,"00456046201","ARMOUR THYROID","Brand","Retail 90","Y","N","SSB","4403907","1750484457","CVS PHARMACY #03743 03743","110 MAJESTIC GROVE RD","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":50,"d":"50.00"},90,{"v":50,"d":"$50.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2021-04-07",70755261984,"33342005607","PIOGLITAZONE HCL","Generic","Retail 90","Y","N","Generic","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B001","P","2021-02-12",42320665668,"00527133001","BACLOFEN","Generic","Retail 30","Y","N","Generic","4446565","1417375403","WALGREENS #15906 15906","1602 E LAMAR ALEXANDER PKWY","MARYVILLE","TN","37804","Non- Specialty","No",{"v":90,"d":"90.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2021-03-01",21612207502,"00591544305","PREDNISONE","Generic","Retail 30","Y","N","Generic","4441541","1861657991","WALGREENS #12311 12311","2151 N CHARLES G SEIVERS BLVD","CLINTON","TN","37716","Non- Specialty","No",{"v":10,"d":"10.00"},5,{"v":2.03,"d":"$2.03"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-06-14",66515868524,"76385012810","METFORMIN HYDROCHLORIDE E","Generic","Retail 90","Y","N","Generic","4432237","1528165024","CVS PHARMACY #07698 07698","9435 S NORTHSHORE DR","KNOXVILLE","TN","37922","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-05-01",39935854002,"65862086001","FAMOTIDINE","Generic","Retail 90","Y","N","Generic","4403781","1679676373","CVS PHARMACY #03721 03721","4864 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2021-01-08",47288102682,"64380080807","IBUPROFEN","Generic","Retail 30","Y","N","Generic","4443254","1013236785","WALGREENS #12980 12980","7425 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":30,"d":"30.00"},7,{"v":1.52,"d":"$1.52"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2020-10-09",74626674649,"62037072501","METHYLPHENIDATE HYDROCHLO","Generic","Retail 30","Y","N","Generic","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":5,"d":"5.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A003","P","2020-12-30",49599339401,"00093555101","DEXMETHYLPHENIDATE HCL ER","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2020-11-10",32431154409,"64380080707","IBUPROFEN","Generic","Retail 30","Y","N","Generic","4440703","1275720740","WALGREENS #11699 11699","2409 US HIGHWAY 411 S","MARYVILLE","TN","37801","Non- Specialty","Yes",{"v":20,"d":"20.00"},6,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C001","P","2020-10-05",78800792685,"00713067831","NYSTATIN","Generic","Retail 30","Y","N","Generic","4407929","1447388707","MACS PHARMACY 1","2419 WASHINGTON PIKE","KNOXVILLE","TN","37917","Non- Specialty","No",{"v":30,"d":"30.00"},10,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2021-03-01",28759640524,"69238183007","LEVOTHYROXINE SODIUM","Generic","Mail","Y","N","Generic","5926716","1154893600","OPTUMRX PHARMACY 704","5627 UNIVERSITY HEIGHTS BOULEVARD","SAN ANTONIO","TX","78249","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":9.83,"d":"$9.83"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C001","P","2020-12-20",58161988229,"65862001705","AMOXICILLIN","Generic","Retail 30","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":4,"d":"4.00"},1,{"v":1.02,"d":"$1.02"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A001","P","2021-01-23",89704285447,"68180098003","LISINOPRIL","Generic","Retail 90","Y","N","Generic","4430207","1578588299","KROGER PHARMACY #525 02600525","9501 S NORTHSHORE DR","KNOXVILLE","TN","37922","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","E001","P","2020-08-25",84508174592,"64896069701","OXYMORPHONE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4400317","1093818783","CVS PHARMACY #06355 06355","4325 ASHEVILLE HIGHWAY E","KNOXVILLE","TN","37914","Non- Specialty","No",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2020-12-08",67992136564,"68462026390","ROSUVASTATIN CALCIUM","Generic","Mail","Y","N","Generic","5741372","1790340206","OPTUMRX PHARMACY 700, LLC","5700 DOT COM COURT","OVIEDO","FL","32765","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D001","P","2020-11-09",72998023647,"65862019399","FLUOXETINE HCL","Generic","Retail 90","Y","N","Generic","4424038","1124198205","VAUGHN PHARMACY","2141 EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":270,"d":"270.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-06-21",59581038286,"00378623301","CITALOPRAM HYDROBROMIDE","Generic","Retail 30","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-12-29",73031088334,"00054418625","DEXAMETHASONE","Generic","Retail 30","Y","N","Generic","4419912","1225131931","CVS PHARMACY #06364 06364","5401 CLINTON PIKE","KNOXVILLE","TN","37912","Non- Specialty","No",{"v":16,"d":"16.00"},8,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-06-05",68957582730,"65862044990","VALACYCLOVIR HCL","Generic","Retail 30","Y","N","Generic","0323624","1588670996","WALGREENS.COM 21147","2225 S PRICE RD","CHANDLER","AZ","85286","Non- Specialty","No",{"v":30,"d":"30.00"},15,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2021-04-01",11885618433,"65862057490","MONTELUKAST SODIUM","Generic","Retail 90","Y","N","Generic","4421133","1295838704","CVS PHARMACY #06363 06363","6005 KINGSTON PIKE","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D001","P","2020-10-09",74418383568,"00555902542","JUNEL 1/20","Generic","Retail 90","Y","N","Generic","4439419","1811939002","CVS PHARMACY #17146 17146","5405 WASHINGTON PKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":84,"d":"84.00"},84,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","C003","P","2021-01-26",66391833611,"00406012505","HYDROCODONE/ACETAMINOPHEN","Generic","Retail 30","Y","N","Generic","4437061","1720095730","WALGREENS #7760 7760","11927 KINGSTON PIKE","KNOXVILLE","TN","37934","Non- Specialty","No",{"v":60,"d":"60.00"},10,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-05-15",72642342006,"00054327099","FLUTICASONE PROPIONATE","Generic","Retail 90","Y","N","Generic","4430803","1356444079","CVS PHARMACY #04457 04457","7341 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","No",{"v":48,"d":"48.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-09-04",55288734178,"00378427677","VALACYCLOVIR HCL","Generic","Retail 30","Y","N","Generic","4421739","1477568475","WALGREENS #3798 3798","2400 N BROADWAY ST","KNOXVILLE","TN","37917","Non- Specialty","No",{"v":21,"d":"21.00"},7,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-12-04",40095741382,"00115992101","DEXMETHYLPHENIDATE HCL ER","Generic","Retail 30","Y","N","Generic","4424949","1811902810","WALGREENS #5729 5729","9200 MIDDLEBROOK PIKE","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A002","P","2020-09-23",69827237005,"65862069705","VENLAFAXINE HCL ER","Generic","Retail 30","Y","N","Generic","4443747","1194032730","M.D. PHARMACY","1467 W MORRIS BLVD","MORRISTOWN","TN","37813","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D003","P","2020-05-11",29521410213,"65862042005","SULFAMETHOXAZOLE/TRIMETHO","Generic","Retail 30","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":10,"d":"10.00"},5,{"v":1.74,"d":"$1.74"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2021-04-06",46426498475,"65162055310","METAXALONE","Generic","Retail 30","N","N","Generic","4434611","1306868054","CVS PHARMACY #16034 16034","8040 RAY MEARS BLVD","KNOXVILLE","TN","37919","Non- Specialty","No",{"v":28,"d":"28.00"},7,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-12-30",63417851532,"45802026337","CLINDAMYCIN PHOSPHATE","Generic","Retail 30","Y","N","Generic","4433001","1487669495","WALGREENS #4904 4904","2611 8TH AVE S","NASHVILLE","TN","37204","Non- Specialty","No",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","E001","P","2020-09-25",61215832904,"65862019405","FLUOXETINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2020-08-20",87407988593,"57237007710","ONDANSETRON ODT","Generic","Retail 30","Y","N","Generic","4401410","1346255445","WALGREENS #5483 5483","7523 KINGSTON PIKE","KNOXVILLE","TN","37919","Non- Specialty","No",{"v":15,"d":"15.00"},3,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","E002","P","2020-09-13",51804068542,"00172572860","FAMOTIDINE","Generic","Retail 90","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2021-02-09",26241138626,"00555901467","LESSINA","Generic","Retail 90","Y","N","Generic","4421739","1477568475","WALGREENS #3798 3798","2400 N BROADWAY ST","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":84,"d":"84.00"},84,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D001","P","2021-04-16",21179283797,"60432021208","PREDNISOLONE SODIUM PHOSP","Generic","Retail 30","Y","N","Generic","4426955","1639184633","WALGREENS #7374 7374","4423 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","No",{"v":30,"d":"30.00"},4,{"v":4.12,"d":"$4.12"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A002","P","2020-10-25",63215042108,"49281042050","FLUZONE QUADRIVALENT 2020","Brand","Retail 30","Y","N","SSB","4435625","1124040878","CVS PHARMACY #16709 16709","11100 PARKSIDE DR","KNOXVILLE","TN","37934","Non- Specialty","No",{"v":0.5,"d":"0.50"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","C001","P","2020-08-27",78760310398,"55111012205","ATORVASTATIN CALCIUM","Generic","Retail 90","Y","N","Generic","4437516","1457368466","WALGREENS #1634 1634","7810 OAK RIDGE HWY","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2021-03-12",61332754517,"16714089501","GLIPIZIDE ER","Generic","Retail 30","Y","N","Generic","4445335","1508113143","UT STUDENT HEALTH CENTER PHARMACY","1800 VOLUNTEER BLVD","KNOXVILLE","TN","37996","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D001","P","2020-11-25",22045510155,"62175061743","PANTOPRAZOLE SODIUM","Generic","Retail 90","Y","N","Generic","4430803","1356444079","CVS PHARMACY #04457 04457","7341 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-08-10",97975902241,"60505083305","AZELASTINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4423896","1912914912","WALGREENS #4330 4330","121 N NORTHSHORE DR","KNOXVILLE","TN","37919","Non- Specialty","No",{"v":30,"d":"30.00"},50,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-07-29",46204853350,"00378623301","CITALOPRAM HYDROBROMIDE","Generic","Retail 30","Y","N","Generic","4426486","1649287640","WALGREENS #6967 6967","4423 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2021-03-09",61332754517,"65862096901","ESZOPICLONE","Generic","Retail 30","Y","N","Generic","4445335","1508113143","UT STUDENT HEALTH CENTER PHARMACY","1800 VOLUNTEER BLVD","KNOXVILLE","TN","37996","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-05-18",84551748572,"69238184001","LEVOTHYROXINE SODIUM","Generic","Retail 90","Y","N","Generic","4430865","1396750303","WALGREENS #3955 3955","10701 KINGSTON PIKE","FARRAGUT","TN","37934","Non- Specialty","Yes",{"v":7,"d":"7.00"},84,{"v":4.44,"d":"$4.44"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2020-09-14",37693449284,"00003089421","ELIQUIS","Brand","Retail 90","Y","N","SSB","4434370","1356368559","SAMS PHARMACY 10-6572 106572","2920 KNOXVILLE CENTER DR","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":25,"d":"$25.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","E003","P","2020-05-22",43169985530,"45963067711","METOPROLOL SUCCINATE ER","Generic","Retail 90","Y","N","Generic","4421739","1477568475","WALGREENS #3798 3798","2400 N BROADWAY ST","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2021-04-04",60933044678,"00002143380","TRULICITY","Brand","Retail 30","Y","N","SSB","4428240","1982621173","WALMART PHARMACY 10-2065 102065","8445 WALBROOK DR","KNOXVILLE","TN","37923","Non- Specialty","Yes",{"v":2,"d":"2.00"},28,{"v":10,"d":"$10.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","B003","P","2020-05-21",78275084999,"29300013701","CLONIDINE HCL","Generic","Retail 30","Y","N","Generic","4424949","1811902810","WALGREENS #5729 5729","9200 MIDDLEBROOK PIKE","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-07-27",55133749933,"16729016917","ESCITALOPRAM OXALATE","Generic","Retail 30","Y","N","Generic","1047770","1942431036","PUBLIX PHARMACY #1258 1258","2038 US HIGHWAY 98  WEST","SANTA ROSA BEACH","FL","32459","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-09-21",97975902241,"00115168974","BUDESONIDE","Generic","Retail 30","N","N","Generic","4423896","1912914912","WALGREENS #4330 4330","121 N NORTHSHORE DR","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-07-10",55284596536,"00555097302","AMPHETAMINE/DEXTROAMPHETA","Generic","Retail 30","Y","N","Generic","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":90,"d":"90.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C001","P","2020-10-12",91210528171,"68382013210","TAMSULOSIN HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4407929","1447388707","MACS PHARMACY 1","2419 WASHINGTON PIKE","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2020-12-15",14774883806,"68462012705","GABAPENTIN","Generic","Retail 30","Y","N","Generic","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2021-01-20",20514772043,"62756014202","METFORMIN HYDROCHLORIDE E","Generic","Retail 30","Y","N","Generic","4450273","1376068361","WALGREENS #19623 19623","1255 HIGHWAY 11 WEST","BEAN STATION","TN","37708","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B002","P","2021-02-09",42330740716,"65862090801","CELECOXIB","Generic","Retail 90","N","N","Generic","4436071","1124033154","WALGREENS #7320 7320","7320 CLINTON HWY","POWELL","TN","37849","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":25,"d":"$25.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A001","P","2021-02-11",55850630167,"65862042001","SULFAMETHOXAZOLE/TRIMETHO","Generic","Retail 30","Y","N","Generic","4434370","1356368559","SAMS PHARMACY 10-6572 106572","2920 KNOXVILLE CENTER DR","KNOXVILLE","TN","37924","Non- Specialty","No",{"v":8,"d":"8.00"},4,{"v":1.6,"d":"$1.60"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-11-27",21396154907,"60758011905","PREDNISOLONE ACETATE","Generic","Retail 30","Y","N","Generic","4424545","1134146319","WALMART PHARMACY 10-1319 101319","7550 NORRIS FWY","KNOXVILLE","TN","37938","Non- Specialty","No",{"v":15,"d":"15.00"},28,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2021-01-13",60018304972,"65862006399","METOPROLOL TARTRATE","Generic","Retail 30","Y","N","Generic","4442721","1659607141","KROGER PHARMACY #698 02600698","5201 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},15,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-08-14",60910588608,"67877041305","METFORMIN HYDROCHLORIDE E","Generic","Retail 30","Y","N","Generic","4435485","1407880149","KROGER PHARMACY #562 02600562","702 WINFIELD DUNN PKWY","SEVIERVILLE","TN","37876","Non- Specialty","Yes",{"v":90,"d":"90.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D001","P","2020-09-03",13830758945,"68180096901","LEVOTHYROXINE SODIUM","Generic","Retail 30","Y","N","Generic","4434661","1871510222","FOOD CITY PHARMACY #674 674","5941 KINGSTON PIKE","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":60,"d":"60.00"},60,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2020-06-04",28994918909,"00093092810","LOVASTATIN","Generic","Retail 90","Y","N","Generic","4423896","1912914912","WALGREENS #4330 4330","121 N NORTHSHORE DR","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B001","P","2020-10-19",31773307143,"76385012810","METFORMIN HYDROCHLORIDE E","Generic","Retail 90","Y","N","Generic","4421133","1295838704","CVS PHARMACY #06363 06363","6005 KINGSTON PIKE","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":360,"d":"360.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","C003","P","2021-04-21",79155246322,"70377000114","SIMVASTATIN","Generic","Retail 90","Y","N","Generic","4421157","1629171335","CVS PHARMACY #06366 06366","2800 BROADWAY ST NE","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C002","P","2020-11-10",55023358947,"00591367101","NABUMETONE","Generic","Retail 30","Y","N","Generic","4436071","1124033154","WALGREENS #7320 7320","7320 CLINTON HWY","POWELL","TN","37849","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A001","P","2021-02-27",22421051042,"66689034599","CHLORTHALIDONE","Generic","Retail 90","Y","N","Generic","4437516","1457368466","WALGREENS #1634 1634","7810 OAK RIDGE HWY","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2021-04-01",23124292833,"00143992801","CIPROFLOXACIN HYDROCHLORI","Generic","Retail 30","Y","N","Generic","4435790","1386651396","WALGREENS #6609 6609","119 FORK OF THE RIVER PKWY","SEVIERVILLE","TN","37862","Non- Specialty","No",{"v":28,"d":"28.00"},14,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D003","P","2020-10-06",39927108591,"65862086001","FAMOTIDINE","Generic","Retail 90","Y","N","Generic","4430788","1982707600","CVS PHARMACY #04624 04624","9137 MIDDLEBROOK PIKE","KNOXVILLE","TN","37923","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C003","P","2020-07-07",15657826227,"65862069790","VENLAFAXINE HCL ER","Generic","Retail 30","Y","N","Generic","4416954","1790790897","WALGREENS #6224 6224","5320 CLINTON HIGHWAY","KNOXVILLE","TN","37912","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2021-03-25",37526661577,"16714066201","GABAPENTIN","Generic","Retail 30","Y","N","Generic","4438203","1891712378","FOOD CITY PHARMACY #685 685","4805 N BROADWAY","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":84,"d":"84.00"},28,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A002","P","2020-12-21",69827237005,"16729000316","GLIMEPIRIDE","Generic","Retail 30","Y","N","Generic","4443747","1194032730","M.D. PHARMACY","1467 W MORRIS BLVD","MORRISTOWN","TN","37813","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2021-04-17",44141680218,"64764073030","TRINTELLIX","Brand","Retail 30","Y","N","SSB","4434065","1053338400","FOOD CITY PHARMACY #655 655","7510 ASHEVILLE HWY","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":20,"d":"$20.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E099","P","2020-11-22",46637175528,"68462034690","LEVOCETIRIZINE DIHYDROCHL","Generic","Retail 90","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","B003","P","2020-08-12",96421570511,"62037072701","METHYLPHENIDATE HYDROCHLO","Generic","Retail 30","Y","N","Generic","4443254","1013236785","WALGREENS #12980 12980","7425 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B002","P","2020-07-30",22033363272,"00172392680","DIAZEPAM","Generic","Retail 30","Y","N","Generic","4430283","1194803601","ANDERSON CROSSING PHARMACY","3318 ANDERSONVILLE HWY","ANDERSONVILLE","TN","37705","Non- Specialty","No",{"v":1,"d":"1.00"},1,{"v":0.73,"d":"$0.73"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E003","P","2020-08-10",58121399749,"65862078430","ESOMEPRAZOLE MAGNESIUM","Generic","Retail 90","Y","N","Generic","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B002","P","2021-02-26",74871469582,"00378427677","VALACYCLOVIR HCL","Generic","Retail 30","Y","N","Generic","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","No",{"v":6,"d":"6.00"},3,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2021-01-24",60018304972,"13668000701","ZOLPIDEM TARTRATE","Generic","Retail 30","Y","N","Generic","4442721","1659607141","KROGER PHARMACY #698 02600698","5201 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":20,"d":"20.00"},46,{"v":1.8,"d":"$1.80"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2021-01-22",10993921920,"65862020299","LOSARTAN POTASSIUM","Generic","Retail 90","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A003","P","2021-02-12",77025715149,"00378632477","VALSARTAN/HYDROCHLOROTHIA","Generic","Retail 90","Y","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C003","P","2020-08-18",49626774039,"29300012810","HYDROCHLOROTHIAZIDE","Generic","Retail 90","Y","N","Generic","4426486","1649287640","WALGREENS #6967 6967","4423 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C002","P","2020-05-26",40638416047,"55111012701","CIPROFLOXACIN HYDROCHLORI","Generic","Retail 30","Y","N","Generic","4443254","1013236785","WALGREENS #12980 12980","7425 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","No",{"v":14,"d":"14.00"},7,{"v":3.27,"d":"$3.27"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2021-01-19",32431154409,"00046087221","PREMARIN","Brand","Retail 90","Y","N","SSB","4434370","1356368559","SAMS PHARMACY 10-6572 106572","2920 KNOXVILLE CENTER DR","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":30,"d":"30.00"},90,{"v":50,"d":"$50.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-08-24",43951459874,"70710120901","ALLOPURINOL","Generic","Retail 90","Y","N","Generic","4403781","1679676373","CVS PHARMACY #03721 03721","4864 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2021-03-11",13510633536,"70700026390","LANSOPRAZOLE","Generic","Retail 90","Y","N","Generic","4426486","1649287640","WALGREENS #6967 6967","4423 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":22.72,"d":"$22.72"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2021-01-19",27295394459,"68180031909","BUPROPION HYDROCHLORIDE E","Generic","Retail 90","Y","N","Generic","4426486","1649287640","WALGREENS #6967 6967","4423 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-07-09",39649762769,"66993059902","AMPHETAMINE/DEXTROAMPHETA","Generic","Retail 30","Y","N","Generic","4421739","1477568475","WALGREENS #3798 3798","2400 N BROADWAY ST","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","B003","P","2021-04-12",73857655936,"65862042005","SULFAMETHOXAZOLE/TRIMETHO","Generic","Retail 30","Y","N","Generic","4430865","1396750303","WALGREENS #3955 3955","10701 KINGSTON PIKE","FARRAGUT","TN","37934","Non- Specialty","No",{"v":14,"d":"14.00"},7,{"v":2.35,"d":"$2.35"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2021-03-08",63107154067,"68645051054","HYDROCHLOROTHIAZIDE","Generic","Retail 90","Y","N","Generic","4424545","1134146319","WALMART PHARMACY 10-1319 101319","7550 NORRIS FWY","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C003","P","2021-02-06",92308563039,"68180032002","BUPROPION HYDROCHLORIDE E","Generic","Retail 90","Y","N","Generic","4421739","1477568475","WALGREENS #3798 3798","2400 N BROADWAY ST","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C003","P","2020-10-09",45925584205,"00228203150","ALPRAZOLAM","Generic","Retail 30","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":45,"d":"45.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B002","P","2021-04-05",26701347614,"68180072003","AMLODIPINE BESYLATE","Generic","Retail 90","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-09-17",89589235910,"64764075030","TRINTELLIX","Brand","Retail 30","N","N","SSB","4426652","1265459457","WALMART PHARMACY 10-0672 100672","1030 HUNTERS CROSSING DRIVE","ALCOA","TN","37701","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":40,"d":"$40.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","E003","P","2021-04-25",57239769639,"65862000899","METFORMIN HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4421880","1386678019","KROGER PHARMACY #531 02600531","4409 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C001","P","2020-05-18",29963131762,"00378180710","LEVOTHYROXINE SODIUM","Generic","Retail 30","Y","N","Generic","4430788","1982707600","CVS PHARMACY #04624 04624","9137 MIDDLEBROOK PIKE","KNOXVILLE","TN","37923","Non- Specialty","Yes",{"v":60,"d":"60.00"},60,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D001","P","2021-04-26",72998023647,"80777027310","MODERNA COVID-19 VACCINE","Brand","Retail 30","Y","N","SSB","4438722","1336150986","RIGGS DRUG STORE","604 E EMORY RD","POWELL","TN","37849","Non- Specialty","No",{"v":0.5,"d":"0.50"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2021-04-28",97209460866,"70377002911","ATORVASTATIN CALCIUM","Generic","Retail 90","Y","N","Generic","4430803","1356444079","CVS PHARMACY #04457 04457","7341 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E002","P","2021-04-29",81943737200,"16571040210","CETIRIZINE HYDROCHLORIDE","Generic","Retail 30","N","N","Generic","1831545","1194058727","WALGREENS #10560 10560","6620 BARDSTOWN RD","LOUISVILLE","KY","40291","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":1.7,"d":"$1.70"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B002","P","2021-03-24",10728063512,"68645051954","ESCITALOPRAM OXALATE","Generic","Retail 30","Y","N","Generic","4441212","1467638890","WALMART PHARMACY 10-4635 104635","150 TANNER LN","CLINTON","TN","37716","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2020-08-07",40165059220,"10702000310","PROMETHAZINE HYDROCHLORID","Generic","Retail 30","Y","N","Generic","4403806","1588767289","CVS PHARMACY #03723 03723","1287 OAK RIDGE TPK","OAK RIDGE","TN","37830","Non- Specialty","No",{"v":30,"d":"30.00"},6,{"v":2.79,"d":"$2.79"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-05-01",43476919151,"00143965901","TESTOSTERONE CYPIONATE","Generic","Retail 30","N","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","No",{"v":2,"d":"2.00"},28,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D001","P","2020-10-06",94746689779,"45802002683","AZELASTINE HCL","Generic","Retail 30","Y","N","Generic","4401410","1346255445","WALGREENS #5483 5483","7523 KINGSTON PIKE","KNOXVILLE","TN","37919","Non- Specialty","No",{"v":30,"d":"30.00"},50,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A003","P","2021-02-06",73473621070,"50742061610","METOPROLOL SUCCINATE ER","Generic","Retail 90","Y","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D001","P","2021-03-08",94331996546,"68180051902","LISINOPRIL/HYDROCHLOROTHI","Generic","Retail 30","Y","N","Generic","4426955","1639184633","WALGREENS #7374 7374","4423 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C001","P","2020-11-12",20276281808,"50111056003","TRAZODONE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4441705","1538319298","KROGER PHARMACY #686 02600686","189 BROOKLAWN ST","FARRAGUT","TN","37934","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-12-27",10502359382,"00713022515","TRIAMCINOLONE ACETONIDE","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":15,"d":"15.00"},7,{"v":1.36,"d":"$1.36"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B001","P","2020-05-04",41396989241,"68180052002","LISINOPRIL/HYDROCHLOROTHI","Generic","Retail 30","Y","N","Generic","4436716","1932206877","OKIE'S PHARMACY II","1050 RUTLEDGE PIKE","BLAINE","TN","37709","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-05-26",60018304972,"68180051303","LISINOPRIL","Generic","Retail 90","Y","N","Generic","4442721","1659607141","KROGER PHARMACY #698 02600698","5201 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D099","P","2020-06-01",14647164704,"47335067981","DILTIAZEM HYDROCHLORIDE E","Generic","Retail 30","N","N","Generic","4442721","1659607141","KROGER PHARMACY #698 02600698","5201 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C001","P","2020-06-05",94568325311,"16729013616","CLONAZEPAM","Generic","Retail 30","Y","N","Generic","4441248","1528232816","WALGREENS #11813 11813","251 S CUMBERLAND ST","MORRISTOWN","TN","37813","Non- Specialty","No",{"v":34,"d":"34.00"},17,{"v":2.15,"d":"$2.15"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-05-20",67972188267,"55111034101","AMLODIPINE BESYLATE/BENAZ","Generic","Retail 90","Y","N","Generic","4439623","1578586954","FOOD CITY PHARMACY #687 687","2712 LOVES CREEK RD","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-06-18",32787678887,"70710122600","AMITRIPTYLINE HYDROCHLORI","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2021-03-03",74434591421,"68180097001","LEVOTHYROXINE SODIUM","Generic","Retail 90","Y","N","Generic","4434902","1083631287","WALMART PHARMACY 10-2932 102932","10900 PARKSIDE DR","KNOXVILLE","TN","37934","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E001","P","2020-07-29",19483085720,"60505082901","FLUTICASONE PROPIONATE","Generic","Retail 30","Y","N","Generic","4424949","1811902810","WALGREENS #5729 5729","9200 MIDDLEBROOK PIKE","KNOXVILLE","TN","37931","Non- Specialty","No",{"v":16,"d":"16.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","E001","P","2020-12-09",24253894345,"65862039010","ONDANSETRON ODT","Generic","Retail 30","Y","N","Generic","4403666","1942303649","CVS PHARMACY #03762 03762","9175 KINGSTON PIKE","KNOXVILLE","TN","37923","Non- Specialty","No",{"v":20,"d":"20.00"},5,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2021-01-13",71276134812,"68382013201","TAMSULOSIN HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4428240","1982621173","WALMART PHARMACY 10-2065 102065","8445 WALBROOK DR","KNOXVILLE","TN","37923","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":10.31,"d":"$10.31"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","C001","P","2021-01-11",20013258681,"00591040810","LISINOPRIL","Generic","Retail 30","Y","N","Generic","4452001","1053876896","BELIEVERX 1","9627 COUNTRYSIDE CENTER LN","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D003","P","2021-03-10",24064269857,"68180031909","BUPROPION HYDROCHLORIDE E","Generic","Retail 90","Y","N","Generic","4443254","1013236785","WALGREENS #12980 12980","7425 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-09-21",41140875084,"69097084805","ESCITALOPRAM OXALATE","Generic","Retail 30","Y","N","Generic","4441541","1861657991","WALGREENS #12311 12311","2151 N CHARLES G SEIVERS BLVD","CLINTON","TN","37716","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2020-09-28",20514772043,"68180099706","FLUOXETINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4450273","1376068361","WALGREENS #19623 19623","1255 HIGHWAY 11 WEST","BEAN STATION","TN","37708","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E003","P","2020-12-20",31229429551,"00378623201","CITALOPRAM HYDROBROMIDE","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-09-30",23027978502,"68180012201","CEPHALEXIN","Generic","Retail 30","Y","N","Generic","4438330","1689608325","KROGER PHARMACY 02600628","1820 ROANE STATE HWY","HARRIMAN","TN","37748","Non- Specialty","No",{"v":63,"d":"63.00"},21,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2021-03-20",66515868524,"00169430713","RYBELSUS","Brand","Retail 30","Y","N","SSB","4432237","1528165024","CVS PHARMACY #07698 07698","9435 S NORTHSHORE DR","KNOXVILLE","TN","37922","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-09-21",28639308600,"59417010210","VYVANSE","Brand","Retail 30","Y","N","SSB","4401410","1346255445","WALGREENS #5483 5483","7523 KINGSTON PIKE","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":20,"d":"$20.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D003","P","2020-06-22",80708916230,"55111012205","ATORVASTATIN CALCIUM","Generic","Retail 90","Y","N","Generic","4426486","1649287640","WALGREENS #6967 6967","4423 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2021-03-21",27295394459,"59417010710","VYVANSE","Brand","Retail 30","Y","N","SSB","4426486","1649287640","WALGREENS #6967 6967","4423 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":20,"d":"$20.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E003","P","2020-11-02",74191837115,"00228202996","ALPRAZOLAM","Generic","Retail 30","Y","N","Generic","4426955","1639184633","WALGREENS #7374 7374","4423 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","No",{"v":90,"d":"90.00"},30,{"v":2.83,"d":"$2.83"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C001","P","2020-11-23",46357308342,"69097014260","ALBUTEROL SULFATE HFA","Generic","Retail 30","Y","N","Generic","4424545","1134146319","WALMART PHARMACY 10-1319 101319","7550 NORRIS FWY","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":6.7,"d":"6.70"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-09-03",52882761961,"00904531360","PRENATAL","Generic","Retail 30","Y","N","Generic","4431019","1518991256","KROGER PHARMACY #581 02600581","10721 CHAPMAN HWY","SEYMOUR","TN","37865","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","B002","P","2020-07-14",29720294001,"13668013601","ESCITALOPRAM OXALATE","Generic","Retail 90","Y","N","Generic","4421145","1710080429","CVS PHARMACY #06365 06365","101 NORTH CHARLES SEIVERS BOULEVARD","CLINTON","TN","37716","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-12-29",36885404025,"00169280015","SAXENDA","Brand","Retail 30","Y","N","SSB","4424038","1124198205","VAUGHN PHARMACY","2141 EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":15,"d":"15.00"},30,{"v":20,"d":"$20.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-11-12",99498577452,"70436000203","POTASSIUM CHLORIDE ER","Generic","Retail 30","Y","N","Generic","4403781","1679676373","CVS PHARMACY #03721 03721","4864 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":15,"d":"15.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","B002","P","2020-12-21",32676257062,"33342004907","IRBESARTAN","Generic","Retail 90","Y","N","Generic","4424533","1225055403","WALMART PHARMACY 10-1318 101318","6777 CLINTON HWY","KNOXVILLE","TN","37912","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","C003","P","2021-04-21",79155246322,"68382002401","ATENOLOL","Generic","Retail 90","Y","N","Generic","4421157","1629171335","CVS PHARMACY #06366 06366","2800 BROADWAY ST NE","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A001","P","2021-04-15",63780502967,"70954005930","PREDNISONE","Generic","Retail 30","Y","N","Generic","4436261","1033124060","WALGREENS #7407 7407","11305 CHAPMAN HIGHWAY","SEYMOUR","TN","37865","Non- Specialty","No",{"v":21,"d":"21.00"},6,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D003","P","2020-10-29",68972372713,"68180032002","BUPROPION HYDROCHLORIDE E","Generic","Retail 30","Y","N","Generic","4422111","1194730192","WALGREENS #4169 4169","4001 CHAPMAN HIGHWAY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-10-15",75076361712,"00185021101","BENAZEPRIL HCL/HYDROCHLOR","Generic","Retail 90","Y","N","Generic","4421739","1477568475","WALGREENS #3798 3798","2400 N BROADWAY ST","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2020-12-03",46426498475,"00574022901","BENAZEPRIL HYDROCHLORIDE/","Generic","Retail 90","Y","N","Generic","4434611","1306868054","CVS PHARMACY #16034 16034","8040 RAY MEARS BLVD","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2021-01-04",42673522057,"59746000103","METHYLPREDNISOLONE DOSE P","Generic","Retail 30","Y","N","Generic","4400317","1093818783","CVS PHARMACY #06355 06355","4325 ASHEVILLE HIGHWAY E","KNOXVILLE","TN","37914","Non- Specialty","No",{"v":21,"d":"21.00"},6,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D001","P","2020-10-26",66404682393,"68382013201","TAMSULOSIN HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4423896","1912914912","WALGREENS #4330 4330","121 N NORTHSHORE DR","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-11-24",31826588846,"43199001301","HYOSCYAMINE SULFATE","Generic","Retail 30","Y","N","Generic","4424355","1598782773","WALMART PHARMACY 10-0741 100741","911 HIGHWAY 321 N","LENOIR CITY","TN","37771","Non- Specialty","Yes",{"v":90,"d":"90.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","B003","P","2021-01-26",23769424615,"24208044605","BESIVANCE","Brand","Retail 30","N","N","SSB","4448141","1124494455","FOOD CITY PHARMACY #619 619","180 RUTLEDGE PIKE","BLAINE","TN","37709","Non- Specialty","No",{"v":5,"d":"5.00"},7,{"v":40,"d":"$40.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-09-02",38398647580,"68462043730","OLMESARTAN MEDOXOMIL","Generic","Retail 30","Y","N","Generic","4401410","1346255445","WALGREENS #5483 5483","7523 KINGSTON PIKE","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-08-28",96087910964,"65162075110","BENAZEPRIL HCL","Generic","Retail 90","Y","N","Generic","4432237","1528165024","CVS PHARMACY #07698 07698","9435 S NORTHSHORE DR","KNOXVILLE","TN","37922","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2021-04-05",84335202065,"58657045101","PHENAZOPYRIDINE HCL","Generic","Retail 30","Y","N","Generic","4431677","1336173079","KROGER PHARMACY #530 02600530","9161 MIDDLEBROOK PIKE","KNOXVILLE","TN","37923","Non- Specialty","No",{"v":10,"d":"10.00"},3,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2021-03-26",87466814524,"29300012510","MELOXICAM","Generic","Retail 30","Y","N","Generic","4422111","1194730192","WALGREENS #4169 4169","4001 CHAPMAN HIGHWAY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":2.87,"d":"$2.87"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-05-14",51594970080,"00406051205","OXYCODONE/ACETAMINOPHEN","Generic","Retail 30","Y","N","Generic","4443254","1013236785","WALGREENS #12980 12980","7425 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","No",{"v":15,"d":"15.00"},3,{"v":2.45,"d":"$2.45"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D001","P","2020-09-08",66404682393,"00591544210","PREDNISONE","Generic","Retail 30","Y","N","Generic","4423896","1912914912","WALGREENS #4330 4330","121 N NORTHSHORE DR","KNOXVILLE","TN","37919","Non- Specialty","No",{"v":30,"d":"30.00"},10,{"v":3.99,"d":"$3.99"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2021-01-13",33236906590,"00406895601","AMPHETAMINE/DEXTROAMPHETA","Generic","Retail 30","Y","N","Generic","4443254","1013236785","WALGREENS #12980 12980","7425 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","A002","P","2020-10-07",99337797081,"68180072103","AMLODIPINE BESYLATE","Generic","Retail 90","Y","N","Generic","4429634","1588679591","WALGREENS #3137 3137","1299 OAK RIDGE TURNPIKE","OAK RIDGE","TN","37830","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B002","P","2020-08-28",73782814236,"00378180010","LEVOTHYROXINE SODIUM","Generic","Retail 90","Y","N","Generic","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D003","P","2021-02-18",54875382099,"13668013601","ESCITALOPRAM OXALATE","Generic","Retail 90","Y","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-05-11",92226664690,"00186037020","SYMBICORT","Brand","Retail 30","Y","N","MSB","4430283","1194803601","ANDERSON CROSSING PHARMACY","3318 ANDERSONVILLE HWY","ANDERSONVILLE","TN","37705","Non- Specialty","Yes",{"v":10.2,"d":"10.20"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D001","P","2020-12-23",46437941517,"00093092810","LOVASTATIN","Generic","Retail 90","Y","N","Generic","4426640","1063549863","SEYMOUR ADVALUE PHARMACY","10721 CHAPMAN HWY","SEYMOUR","TN","37865","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2021-01-26",40165059220,"00093406801","PRAZOSIN HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4418097","1497789127","KROGER PHARMACY #690 02600690","1550 OAK RIDGE TPKE","OAK RIDGE","TN","37830","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-09-15",60735164385,"00378728353","NORETHINDRONE ACETATE/ETH","Generic","Retail 30","Y","N","Generic","4424949","1811902810","WALGREENS #5729 5729","9200 MIDDLEBROOK PIKE","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":28,"d":"28.00"},28,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B001","P","2020-10-05",42320665668,"24208060203","PROLENSA","Brand","Retail 30","Y","N","SSB","4446565","1417375403","WALGREENS #15906 15906","1602 E LAMAR ALEXANDER PKWY","MARYVILLE","TN","37804","Non- Specialty","No",{"v":3,"d":"3.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2021-02-22",32787678887,"00378718505","METFORMIN HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-10-01",52045099703,"59651000305","OMEPRAZOLE DR","Generic","Retail 90","Y","N","Generic","4421157","1629171335","CVS PHARMACY #06366 06366","2800 BROADWAY ST NE","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2021-02-04",52265911440,"33342018010","OLMESARTAN MEDOXOMIL","Generic","Retail 90","Y","N","Generic","0323624","1588670996","WALGREENS.COM 21147","2225 S PRICE RD","CHANDLER","AZ","85286","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-07-09",39935854002,"00093226301","AMOXICILLIN","Generic","Retail 30","Y","N","Generic","4403781","1679676373","CVS PHARMACY #03721 03721","4864 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":24,"d":"24.00"},8,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-09-10",32875303741,"65862085901","FAMOTIDINE","Generic","Retail 30","Y","N","Generic","4403781","1679676373","CVS PHARMACY #03721 03721","4864 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-05-27",58806753105,"68462030205","INDOMETHACIN","Generic","Retail 30","Y","N","Generic","4443254","1013236785","WALGREENS #12980 12980","7425 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C001","P","2020-11-02",16469723032,"13107003234","MIRTAZAPINE","Generic","Retail 30","Y","N","Generic","4442391","1164659223","PENINSULA OUTPATIENT PHARMACY - KNOX","1451 DOWELL SPRINGS BLVD","KNOXVILLE","TN","37909","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B001","P","2020-07-30",37731335841,"16714007205","BACLOFEN","Generic","Retail 30","Y","N","Generic","4426640","1063549863","SEYMOUR ADVALUE PHARMACY","10721 CHAPMAN HWY","SEYMOUR","TN","37865","Non- Specialty","No",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2021-02-24",92276854653,"69097083412","SERTRALINE HCL","Generic","Retail 30","Y","N","Generic","4435497","1316971054","KROGER PHARMACY #683 02600683","507 FOOTHILLS PLZ","MARYVILLE","TN","37801","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B001","P","2020-12-23",74345424926,"00378668999","PANTOPRAZOLE SODIUM","Generic","Retail 90","Y","N","Generic","4426955","1639184633","WALGREENS #7374 7374","4423 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","C003","P","2020-05-07",39333101478,"16714038802","CEFADROXIL","Generic","Retail 30","Y","N","Generic","4426640","1063549863","SEYMOUR ADVALUE PHARMACY","10721 CHAPMAN HWY","SEYMOUR","TN","37865","Non- Specialty","No",{"v":20,"d":"20.00"},10,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D001","P","2020-09-28",62552259009,"65862042001","SULFAMETHOXAZOLE/TRIMETHO","Generic","Retail 30","Y","N","Generic","4431019","1518991256","KROGER PHARMACY #581 02600581","10721 CHAPMAN HWY","SEYMOUR","TN","37865","Non- Specialty","No",{"v":20,"d":"20.00"},10,{"v":2.79,"d":"$2.79"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D003","P","2020-06-09",15486145325,"00378728590","LEVONORGESTREL/ETHINYL ES","Generic","Retail 90","Y","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":91,"d":"91.00"},91,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D003","P","2021-03-25",73423854468,"59267100002","PFIZER-BIONTECH COVID-19","Brand","Retail 30","Y","N","SSB","4421791","1659305381","KROGER PHARMACY #862 02600862","244 S HALL RD","ALCOA","TN","37701","Non- Specialty","No",{"v":0.3,"d":"0.30"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D001","P","2020-12-25",48700494051,"29300012810","HYDROCHLOROTHIAZIDE","Generic","Retail 90","Y","N","Generic","4451871","1578125126","WALGREENS #21264 21264","4935 MILLERTOWN PIKE","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-06-08",28421975072,"00456046101","ARMOUR THYROID","Brand","Retail 30","N","N","SSB","4446945","1063815470","VOLUNTEER PHARMACY","2559 WILLOW POINT WAY","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":40,"d":"$40.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-12-05",79117521840,"65162077810","BUDESONIDE","Generic","Retail 90","Y","N","Generic","4421145","1710080429","CVS PHARMACY #06365 06365","101 NORTH CHARLES SEIVERS BOULEVARD","CLINTON","TN","37716","Non- Specialty","No",{"v":180,"d":"180.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E001","P","2020-12-22",96012082798,"68462030201","INDOMETHACIN","Generic","Retail 30","Y","N","Generic","4429177","1033124045","WALGREENS #3388 3388","225 NORTH HALL RD","ALCOA","TN","37701","Non- Specialty","Yes",{"v":90,"d":"90.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-07-27",11801039617,"70377002911","ATORVASTATIN CALCIUM","Generic","Retail 90","Y","N","Generic","4403666","1942303649","CVS PHARMACY #03762 03762","9175 KINGSTON PIKE","KNOXVILLE","TN","37923","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B001","P","2021-02-18",10700728719,"00472080460","DESONIDE","Generic","Retail 30","N","N","Generic","4446565","1417375403","WALGREENS #15906 15906","1602 E LAMAR ALEXANDER PKWY","MARYVILLE","TN","37804","Non- Specialty","No",{"v":60,"d":"60.00"},25,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C003","P","2020-09-22",11885618433,"65162036111","FOLIC ACID","Generic","Retail 90","Y","N","Generic","4421133","1295838704","CVS PHARMACY #06363 06363","6005 KINGSTON PIKE","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-12-29",98345262552,"31722088290","ROSUVASTATIN CALCIUM","Generic","Retail 30","Y","N","Generic","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2021-02-09",36596388584,"68645052054","ESCITALOPRAM OXALATE","Generic","Retail 90","Y","N","Generic","4424355","1598782773","WALMART PHARMACY 10-0741 100741","911 HIGHWAY 321 N","LENOIR CITY","TN","37771","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B002","P","2021-04-23",42330740716,"68382009601","HYDROXYCHLOROQUINE SULFAT","Generic","Retail 90","N","N","Generic","4436071","1124033154","WALGREENS #7320 7320","7320 CLINTON HWY","POWELL","TN","37849","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D001","P","2021-03-15",22087534162,"00603533715","PREDNISONE","Generic","Retail 30","Y","N","Generic","4440955","1639353733","FOOD CITY PHARMACY #609 609","2946 WINFIELD DUNN PARKWAY","KODAK","TN","37764","Non- Specialty","No",{"v":21,"d":"21.00"},6,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A003","P","2021-02-15",38022451660,"00093224001","CEPHALEXIN","Generic","Retail 30","Y","N","Generic","4419215","1427063528","WALGREENS #1015 1015","1725 W CUMBERLAND","KNOXVILLE","TN","37916","Non- Specialty","No",{"v":28,"d":"28.00"},14,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2021-04-15",11885618433,"69315012710","FOLIC ACID","Generic","Retail 90","Y","N","Generic","4421133","1295838704","CVS PHARMACY #06363 06363","6005 KINGSTON PIKE","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":5.58,"d":"$5.58"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-10-19",81896485803,"52268001201","SUPREP BOWEL PREP KIT","Brand","Retail 30","N","N","SSB","4422111","1194730192","WALGREENS #4169 4169","4001 CHAPMAN HIGHWAY","KNOXVILLE","TN","37920","Non- Specialty","No",{"v":354,"d":"354.00"},1,{"v":40,"d":"$40.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A003","P","2020-05-20",38546120442,"00088221905","LANTUS SOLOSTAR","Brand","Retail 30","Y","N","SSB","4411548","1831108471","EAST TENNESSEE DISCOUNT DRUG","524 ANDREW JOHNSON HWY","STRAWBERRY PLAINS","TN","37871","Non- Specialty","Yes",{"v":15,"d":"15.00"},42,{"v":25,"d":"$25.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","E003","P","2020-12-03",80799088083,"00093753656","ANASTROZOLE","Generic","Retail 90","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":12,"d":"12.00"},84,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","B002","P","2020-10-12",11061615898,"49281042050","FLUZONE QUADRIVALENT 2020","Brand","Retail 30","Y","N","SSB","4426614","1396872057","CLINTON DRUG STORE","1130 N CHARLES SEIVERS BLVD","CLINTON","TN","37716","Non- Specialty","No",{"v":0.5,"d":"0.50"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A099","P","2020-09-03",10964082891,"13668001005","CITALOPRAM HYDROBROMIDE","Generic","Retail 90","Y","N","Generic","4448759","1285091330","VANDERBILT OUTPATIENT PHARMACY","1211 MEDICAL CENTER DRIVE","NASHVILLE","TN","37232","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-12-18",74688419013,"65862029490","ROSUVASTATIN CALCIUM","Generic","Retail 90","Y","N","Generic","4421880","1386678019","KROGER PHARMACY #531 02600531","4409 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2021-03-27",65364123335,"69238183307","LEVOTHYROXINE SODIUM","Generic","Mail","Y","N","Generic","5926716","1154893600","OPTUMRX PHARMACY 704","5627 UNIVERSITY HEIGHTS BOULEVARD","SAN ANTONIO","TX","78249","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2021-03-30",27268099434,"68180072003","AMLODIPINE BESYLATE","Generic","Retail 90","Y","N","Generic","4421157","1629171335","CVS PHARMACY #06366 06366","2800 BROADWAY ST NE","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A001","P","2020-09-18",89704285447,"69238183707","LEVOTHYROXINE SODIUM","Generic","Retail 90","Y","N","Generic","4430207","1578588299","KROGER PHARMACY #525 02600525","9501 S NORTHSHORE DR","KNOXVILLE","TN","37922","Non- Specialty","Yes",{"v":26,"d":"26.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A003","P","2020-09-14",52621155840,"08290320119","BD PEN NEEDLE/MINI/ULTRA-","Brand","Retail 90","Y","N","SSB","4422111","1194730192","WALGREENS #4169 4169","4001 CHAPMAN HIGHWAY","KNOXVILLE","TN","37920","Non- Specialty","No",{"v":100,"d":"100.00"},90,{"v":25,"d":"$25.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B099","P","2020-12-17",97342153270,"16714096701","TESTOSTERONE","Generic","Retail 30","Y","N","Generic","4434065","1053338400","FOOD CITY PHARMACY #655 655","7510 ASHEVILLE HWY","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":75,"d":"75.00"},60,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-05-07",76166035686,"69238158306","NORLYDA","Generic","Retail 30","Y","N","Generic","4421739","1477568475","WALGREENS #3798 3798","2400 N BROADWAY ST","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":28,"d":"28.00"},28,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-07-01",54514992509,"00185079930","RIFAMPIN","Generic","Retail 30","Y","N","Generic","4401410","1346255445","WALGREENS #5483 5483","7523 KINGSTON PIKE","KNOXVILLE","TN","37919","Non- Specialty","No",{"v":60,"d":"60.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-09-28",51237433537,"52817033010","CYCLOBENZAPRINE HYDROCHLO","Generic","Retail 30","Y","N","Generic","4431487","1841205853","WALGREENS #4199 4199","9536 S NORTHSHORE DR","KNOXVILLE","TN","37922","Non- Specialty","No",{"v":20,"d":"20.00"},10,{"v":1.46,"d":"$1.46"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2021-02-20",49472740000,"00169413602","OZEMPIC","Brand","Retail 90","Y","N","SSB","4437910","1750396784","WALGREENS #9430 9430","132 E BROADWAY BLVD","JEFFERSON CITY","TN","37760","Non- Specialty","Yes",{"v":9,"d":"9.00"},84,{"v":25,"d":"$25.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B001","P","2020-12-30",54225200027,"80777027310","MODERNA COVID-19 VACCINE","Brand","Retail 30","Y","N","SSB","4428682","1497760409","WALGREENS #3209 3209","8950 KINGSTON PIKE","KNOXVILLE","TN","37923","Non- Specialty","No",{"v":0.5,"d":"0.50"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E001","P","2020-07-17",75948814059,"75834021730","VENLAFAXINE HYDROCHLORIDE","Generic","Retail 90","N","N","Generic","4429545","1972520161","WALMART PHARMACY 10-2310 102310","3051 KINZEL WAY","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":25,"d":"$25.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-10-04",90556398969,"68462039610","OMEPRAZOLE","Generic","Retail 30","Y","N","Generic","5729871","1295193324","AMAZON PHARMACY #003","6701 NW 7TH STREET","MIAMI","FL","33126","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","A003","P","2020-06-16",93425420566,"61314032001","OLOPATADINE HCL","Generic","Retail 30","N","N","Generic","4420028","1134222847","CVS PHARMACY #05639 05639","11946 KINGSTON PIKE","FARRAGUT","TN","37934","Non- Specialty","No",{"v":30.5,"d":"30.50"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2020-11-27",57473214241,"70377002911","ATORVASTATIN CALCIUM","Generic","Retail 90","Y","N","Generic","4427630","1164525879","CVS PHARMACY #04180 04180","4406 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2021-02-02",46426498475,"00832105410","BACLOFEN","Generic","Retail 30","Y","N","Generic","4434611","1306868054","CVS PHARMACY #16034 16034","8040 RAY MEARS BLVD","KNOXVILLE","TN","37919","Non- Specialty","No",{"v":30,"d":"30.00"},10,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2020-10-06",67106213667,"00169406013","VICTOZA","Brand","Retail 30","Y","N","SSB","4443254","1013236785","WALGREENS #12980 12980","7425 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":9,"d":"9.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2020-07-08",48347231978,"00093753656","ANASTROZOLE","Generic","Retail 90","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":12,"d":"12.00"},84,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A001","P","2020-08-25",31233654635,"65862078430","ESOMEPRAZOLE MAGNESIUM","Generic","Retail 90","Y","N","Generic","4435649","1477568491","WALGREENS #6993 6993","220 FOOTHILLS MALL DR","MARYVILLE","TN","37801","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E003","P","2021-03-13",11997155871,"16714004211","ALLOPURINOL","Generic","Retail 90","Y","N","Generic","4426640","1063549863","SEYMOUR ADVALUE PHARMACY","10721 CHAPMAN HWY","SEYMOUR","TN","37865","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-09-21",18970763194,"65162052110","PROMETHAZINE HYDROCHLORID","Generic","Retail 30","Y","N","Generic","4419912","1225131931","CVS PHARMACY #06364 06364","5401 CLINTON PIKE","KNOXVILLE","TN","37912","Non- Specialty","No",{"v":18,"d":"18.00"},5,{"v":1.93,"d":"$1.93"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A001","P","2020-10-23",62146063779,"58160084252","BOOSTRIX","Brand","Retail 30","Y","N","SSB","4434370","1356368559","SAMS PHARMACY 10-6572 106572","2920 KNOXVILLE CENTER DR","KNOXVILLE","TN","37924","Non- Specialty","No",{"v":0.5,"d":"0.50"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E001","P","2020-05-05",94317754247,"00093172101","WARFARIN SODIUM","Generic","Retail 90","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2020-09-25",20514772043,"62756014202","METFORMIN HYDROCHLORIDE E","Generic","Retail 30","Y","N","Generic","4450273","1376068361","WALGREENS #19623 19623","1255 HIGHWAY 11 WEST","BEAN STATION","TN","37708","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-06-02",95222550219,"00116200116","CHLORHEXIDINE GLUCONATE","Generic","Retail 30","Y","N","Generic","4423896","1912914912","WALGREENS #4330 4330","121 N NORTHSHORE DR","KNOXVILLE","TN","37919","Non- Specialty","No",{"v":473,"d":"473.00"},16,{"v":3.76,"d":"$3.76"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-07-20",29052860196,"64380080707","IBUPROFEN","Generic","Retail 30","Y","N","Generic","4422111","1194730192","WALGREENS #4169 4169","4001 CHAPMAN HIGHWAY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":20,"d":"20.00"},6,{"v":1.78,"d":"$1.78"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B001","P","2020-11-19",41396989241,"51672411806","FLUOROURACIL","Generic","Retail 30","Y","N","Generic","4407929","1447388707","MACS PHARMACY 1","2419 WASHINGTON PIKE","KNOXVILLE","TN","37917","Non- Specialty","No",{"v":40,"d":"40.00"},14,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","E001","P","2020-11-21",80597910860,"68382009801","PAROXETINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4431689","1245257690","FOOD CITY PHARMACY #679 679","7350 CLINTON HWY","POWELL","TN","37849","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-12-30",83482920140,"10702000350","PROMETHAZINE HYDROCHLORID","Generic","Retail 30","Y","N","Generic","4443381","1891007712","WALGREENS #11969 11969","950 N WASHINGTON AVE","COOKEVILLE","TN","38501","Non- Specialty","No",{"v":30,"d":"30.00"},7,{"v":2.52,"d":"$2.52"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2020-09-24",25980500261,"00378172193","AMLODIPINE BESYLATE/VALSA","Generic","Mail","Y","N","Generic","5741372","1790340206","OPTUMRX PHARMACY 700, LLC","5700 DOT COM COURT","OVIEDO","FL","32765","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C003","P","2020-08-17",81196295364,"00169633910","NOVOLOG FLEXPEN","Brand","Retail 30","Y","N","SSB","4443254","1013236785","WALGREENS #12980 12980","7425 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":6,"d":"6.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C003","P","2020-08-23",59011836662,"53746011001","HYDROCODONE/ACETAMINOPHEN","Generic","Retail 30","Y","N","Generic","4421145","1710080429","CVS PHARMACY #06365 06365","101 NORTH CHARLES SEIVERS BOULEVARD","CLINTON","TN","37716","Non- Specialty","No",{"v":120,"d":"120.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","A002","P","2020-05-16",99337797081,"33342004910","IRBESARTAN","Generic","Retail 90","Y","N","Generic","4429634","1588679591","WALGREENS #3137 3137","1299 OAK RIDGE TURNPIKE","OAK RIDGE","TN","37830","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A001","P","2020-09-06",14813265837,"57237001401","TAMSULOSIN HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2020-05-06",94844542357,"68382080601","TRAZODONE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","0323624","1588670996","WALGREENS.COM 21147","2225 S PRICE RD","CHANDLER","AZ","85286","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-09-21",72122453957,"68180051901","LISINOPRIL/HYDROCHLOROTHI","Generic","Retail 90","Y","N","Generic","4427630","1164525879","CVS PHARMACY #04180 04180","4406 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-06-04",59903077120,"0","-","Brand","Retail 30","N","Y","SSB","4446945","1063815470","VOLUNTEER PHARMACY","2559 WILLOW POINT WAY","KNOXVILLE","TN","37931","Non- Specialty","No",{"v":120,"d":"120.00"},8,{"v":8.81,"d":"$8.81"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2020-05-20",78921986754,"00093300893","LANSOPRAZOLE","Generic","Retail 30","N","N","Generic","4431019","1518991256","KROGER PHARMACY #581 02600581","10721 CHAPMAN HWY","SEYMOUR","TN","37865","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2021-02-22",72642342006,"68382025601","OXYBUTYNIN CHLORIDE ER","Generic","Retail 90","Y","N","Generic","4430803","1356444079","CVS PHARMACY #04457 04457","7341 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-05-06",38339790968,"00955104290","IRBESARTAN","Generic","Retail 90","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E001","P","2020-05-26",79207909710,"59651000305","OMEPRAZOLE DR","Generic","Retail 90","Y","N","Generic","4403907","1750484457","CVS PHARMACY #03743 03743","110 MAJESTIC GROVE RD","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E002","P","2021-03-22",70692445860,"69238183501","LEVOTHYROXINE SODIUM","Generic","Retail 90","Y","N","Generic","4436261","1033124060","WALGREENS #7407 7407","11305 CHAPMAN HIGHWAY","SEYMOUR","TN","37865","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2021-03-12",15363027110,"29300011416","LAMOTRIGINE","Generic","Retail 30","Y","N","Generic","4429545","1972520161","WALMART PHARMACY 10-2310 102310","3051 KINZEL WAY","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D001","P","2021-02-16",48828287688,"59417010610","VYVANSE","Brand","Retail 30","Y","N","SSB","4418592","1326141037","CVS PHARMACY #06361 06361","718 WINFIELD DUNN PKWY","SEVIERVILLE","TN","37876","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":20,"d":"$20.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2021-01-06",38851119664,"70954005830","PREDNISONE","Generic","Retail 30","Y","N","Generic","4436261","1033124060","WALGREENS #7407 7407","11305 CHAPMAN HIGHWAY","SEYMOUR","TN","37865","Non- Specialty","No",{"v":21,"d":"21.00"},5,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2021-01-30",46227356636,"57237001899","DULOXETINE HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4434887","1487670949","TERRYS PHARMACY JACKSBORO","2715 JACKSBORO PIKE","JACKSBORO","TN","37757","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D003","P","2020-07-22",59776340264,"00093314705","CEPHALEXIN","Generic","Retail 30","Y","N","Generic","4429444","1760497770","WALGREENS #3537 3537","5301 RINGGOLD ROAD","EAST RIDGE","TN","37412","Non- Specialty","No",{"v":14,"d":"14.00"},7,{"v":2.31,"d":"$2.31"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-05-05",58848412959,"00093553901","ESZOPICLONE","Generic","Retail 30","Y","N","Generic","4424949","1811902810","WALGREENS #5729 5729","9200 MIDDLEBROOK PIKE","KNOXVILLE","TN","37931","Non- Specialty","No",{"v":25,"d":"25.00"},25,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-12-21",19327699951,"00088221905","LANTUS SOLOSTAR","Brand","Retail 90","Y","N","SSB","4400317","1093818783","CVS PHARMACY #06355 06355","4325 ASHEVILLE HIGHWAY E","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":45,"d":"45.00"},90,{"v":25,"d":"$25.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E003","P","2021-01-13",14637779482,"67877024601","QUETIAPINE FUMARATE","Generic","Retail 30","Y","N","Generic","4426486","1649287640","WALGREENS #6967 6967","4423 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2021-04-24",17971932318,"80777027399","MODERNA COVID-19 VACCINE","Brand","Retail 30","Y","N","SSB","4429545","1972520161","WALMART PHARMACY 10-2310 102310","3051 KINZEL WAY","KNOXVILLE","TN","37924","Non- Specialty","No",{"v":0.5,"d":"0.50"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A002","P","2020-11-23",69827237005,"62332003331","ROPINIROLE HCL","Generic","Retail 30","Y","N","Generic","4437910","1750396784","WALGREENS #9430 9430","132 E BROADWAY BLVD","JEFFERSON CITY","TN","37760","Non- Specialty","Yes",{"v":90,"d":"90.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2021-02-13",25980500261,"23155010210","METFORMIN HYDROCHLORIDE","Generic","Mail","Y","N","Generic","3472660","1356967749","OPTUM PHARMACY 701, LLC","4015 SHOPTON ROAD","CHARLOTTE","NC","28217","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-11-30",19316359941,"10370010150","BUPROPION HYDROCHLORIDE E","Generic","Retail 90","Y","N","Generic","4420028","1134222847","CVS PHARMACY #05639 05639","11946 KINGSTON PIKE","FARRAGUT","TN","37934","Non- Specialty","Yes",{"v":270,"d":"270.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2021-04-08",61441058636,"80777027399","MODERNA COVID-19 VACCINE","Brand","Retail 30","Y","N","SSB","4424862","1043237225","WALMART PHARMACY 10-1320 101320","7420 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","No",{"v":0.5,"d":"0.50"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2020-05-25",91592770908,"53489011905","DOXYCYCLINE HYCLATE","Generic","Retail 30","Y","N","Generic","4430803","1356444079","CVS PHARMACY #04457 04457","7341 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B001","P","2021-04-21",74345424926,"69097084805","ESCITALOPRAM OXALATE","Generic","Retail 30","Y","N","Generic","4426955","1639184633","WALGREENS #7374 7374","4423 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2021-02-04",58787013362,"70377000712","ROSUVASTATIN CALCIUM","Generic","Retail 90","Y","N","Generic","4430803","1356444079","CVS PHARMACY #04457 04457","7341 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-06-22",72060378535,"42571025101","CLINDAMYCIN HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4430891","1790719433","KROGER PHARMACY #558 02600558","4414 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","No",{"v":20,"d":"20.00"},10,{"v":3,"d":"$3.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-10-17",18431993364,"43547028111","ESCITALOPRAM OXALATE","Generic","Retail 90","Y","N","Generic","4424038","1124198205","VAUGHN PHARMACY","2141 EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E002","P","2020-06-01",38566890107,"68180098003","LISINOPRIL","Generic","Retail 90","Y","N","Generic","4430803","1356444079","CVS PHARMACY #04457 04457","7341 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-05-07",23543143476,"50111078751","AZITHROMYCIN","Generic","Retail 30","Y","N","Generic","4436261","1033124060","WALGREENS #7407 7407","11305 CHAPMAN HIGHWAY","SEYMOUR","TN","37865","Non- Specialty","No",{"v":6,"d":"6.00"},5,{"v":4.21,"d":"$4.21"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C001","P","2020-06-18",42122072074,"00527128201","DICYCLOMINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4429545","1972520161","WALMART PHARMACY 10-2310 102310","3051 KINZEL WAY","KNOXVILLE","TN","37924","Non- Specialty","No",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C003","P","2020-06-10",34669793069,"16729018201","HYDROCHLOROTHIAZIDE","Generic","Retail 90","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","C003","P","2020-10-11",33537169730,"16729018201","HYDROCHLOROTHIAZIDE","Generic","Retail 30","Y","N","Generic","4427630","1164525879","CVS PHARMACY #04180 04180","4406 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C003","P","2021-03-04",50409095747,"59762500901","CLINDAMYCIN PHOSPHATE","Generic","Retail 30","Y","N","Generic","4426486","1649287640","WALGREENS #6967 6967","4423 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","No",{"v":40,"d":"40.00"},7,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2020-09-24",47200641583,"00406012305","HYDROCODONE/ACETAMINOPHEN","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":12,"d":"12.00"},2,{"v":1.77,"d":"$1.77"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D001","P","2021-01-13",94331996546,"65162010250","GABAPENTIN","Generic","Retail 30","Y","N","Generic","4426955","1639184633","WALGREENS #7374 7374","4423 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":4.78,"d":"$4.78"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-07-28",85112945349,"55111017915","TIZANIDINE HCL","Generic","Retail 90","Y","N","Generic","4443254","1013236785","WALGREENS #12980 12980","7425 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","No",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2020-06-10",89881889199,"13668000901","CITALOPRAM HYDROBROMIDE","Generic","Retail 90","Y","N","Generic","4441818","1649421157","INGLES PHARMACY 091","11847 KINGSTON PIKE","FARRAGUT","TN","37934","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2021-02-24",21396154907,"47781017901","AMPHETAMINE/DEXTROAMPHETA","Generic","Retail 30","Y","N","Generic","4424545","1134146319","WALMART PHARMACY 10-1319 101319","7550 NORRIS FWY","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","B003","P","2020-05-26",15323138848,"23155000810","HYDROCHLOROTHIAZIDE","Generic","Retail 90","Y","N","Generic","4420181","1043313752","CVS PHARMACY #07246 07246","346 COSBY HWY","NEWPORT","TN","37821","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-06-03",56376004615,"51991074790","DULOXETINE HCL","Generic","Retail 90","Y","N","Generic","4403832","1114020815","CVS PHARMACY #03727 03727","2008 WEST ANDREW JOHNSON HWY","MORRISTOWN","TN","37814","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E003","P","2020-10-01",39792329211,"66993001968","ALBUTEROL SULFATE HFA","Brand","Retail 30","Y","N","MSB","4421880","1386678019","KROGER PHARMACY #531 02600531","4409 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":18,"d":"18.00"},16,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C003","P","2020-07-20",69392166939,"00591079401","DICYCLOMINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4436261","1033124060","WALGREENS #7407 7407","11305 CHAPMAN HIGHWAY","SEYMOUR","TN","37865","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C001","P","2020-05-08",94568325311,"62175013643","OMEPRAZOLE","Generic","Retail 30","Y","N","Generic","4419809","1720121643","COLLEGE PARK PHARMACY","2106 EAST ANDREW JOHNSON HWY","MORRISTOWN","TN","37814","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D003","P","2021-01-22",11156218686,"65862057490","MONTELUKAST SODIUM","Generic","Retail 90","Y","N","Generic","4400317","1093818783","CVS PHARMACY #06355 06355","4325 ASHEVILLE HIGHWAY E","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-07-28",95317603654,"72205002790","ROSUVASTATIN CALCIUM","Generic","Retail 30","Y","N","Generic","4424545","1134146319","WALMART PHARMACY 10-1319 101319","7550 NORRIS FWY","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","A001","P","2020-07-23",35991173391,"00378727253","NORETHINDRONE","Generic","Retail 90","Y","N","Generic","4429177","1033124045","WALGREENS #3388 3388","225 NORTH HALL RD","ALCOA","TN","37701","Non- Specialty","Yes",{"v":84,"d":"84.00"},84,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-05-13",45666899267,"00093506001","HYDROXYZINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4433265","1356358352","WALGREENS #5053 5053","601 N CAMPBELL STATION RD","FARRAGUT","TN","37934","Non- Specialty","No",{"v":60,"d":"60.00"},7,{"v":3.42,"d":"$3.42"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2021-03-21",27295394459,"00555097202","AMPHETAMINE/DEXTROAMPHETA","Generic","Retail 30","Y","N","Generic","4426486","1649287640","WALGREENS #6967 6967","4423 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","C003","P","2020-12-27",68211504691,"16729021816","CLOPIDOGREL","Generic","Retail 30","Y","N","Generic","4441541","1861657991","WALGREENS #12311 12311","2151 N CHARLES G SEIVERS BLVD","CLINTON","TN","37716","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E003","P","2020-11-03",58121399749,"60505083305","AZELASTINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","No",{"v":30,"d":"30.00"},25,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2021-04-27",83554326501,"21922001607","CLOBETASOL PROPIONATE","Generic","Retail 30","Y","N","Generic","4407195","1104905884","MURPHY'S SAV-MOR PHARMACY,INC.","1403 RUSSELL AVE","JEFFERSON CITY","TN","37760","Non- Specialty","No",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-12-12",62360433272,"00074055402","HUMIRA PEN","Brand","Retail 30","Y","N","SSB","2521640","1700814449","OPTUM PHARMACY 705 LLC","3539 BLUECUTT ROAD","COLUMBUS","MS","39705","Specialty","Yes",{"v":4,"d":"4.00"},28,{"v":505,"d":"$505.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-07-17",52215533968,"65162062750","TRAMADOL HCL","Generic","Retail 30","Y","N","Generic","4448848","1508216029","KROGER PHARMACY #670 02600670","234 E EMORY RD","POWELL","TN","37849","Non- Specialty","No",{"v":30,"d":"30.00"},7,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E003","P","2020-12-09",94849933722,"16729036715","OLMESARTAN MEDOXOMIL/HYDR","Generic","Retail 90","Y","N","Generic","4403666","1942303649","CVS PHARMACY #03762 03762","9175 KINGSTON PIKE","KNOXVILLE","TN","37923","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","A001","P","2020-12-02",10941290187,"65862020199","LOSARTAN POTASSIUM","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2021-01-06",23471753696,"62332024631","AMANTADINE HCL","Generic","Retail 30","Y","N","Generic","4424533","1225055403","WALMART PHARMACY 10-1318 101318","6777 CLINTON HWY","KNOXVILLE","TN","37912","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-07-07",51011568839,"00093816301","QUETIAPINE FUMARATE","Generic","Retail 30","Y","N","Generic","4400317","1093818783","CVS PHARMACY #06355 06355","4325 ASHEVILLE HIGHWAY E","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2021-04-08",32431154409,"65862001305","SERTRALINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4434370","1356368559","SAMS PHARMACY 10-6572 106572","2920 KNOXVILLE CENTER DR","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-12-12",38851119664,"60505082901","FLUTICASONE PROPIONATE","Generic","Retail 30","Y","N","Generic","4436261","1033124060","WALGREENS #7407 7407","11305 CHAPMAN HIGHWAY","SEYMOUR","TN","37865","Non- Specialty","No",{"v":16,"d":"16.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","C003","P","2021-02-04",34015690750,"46122059848","GNP ASPIRIN LOW DOSE","Generic","Retail 30","Y","N","Generic","4445777","1942540828","UNIVERSITY PHARMACY","1924 ALCOA HWY STE NP100","KNOXVILLE","TN","37920","Non- Specialty","No",{"v":28,"d":"28.00"},14,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E003","P","2020-06-07",58121399749,"45963067711","METOPROLOL SUCCINATE ER","Generic","Retail 90","Y","N","Generic","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C001","P","2020-10-29",85161026635,"00713072615","MOMETASONE FUROATE","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":30,"d":"30.00"},14,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2021-02-01",57879075234,"42858010250","OXYCODONE/ACETAMINOPHEN","Generic","Retail 30","Y","N","Generic","4426640","1063549863","SEYMOUR ADVALUE PHARMACY","10721 CHAPMAN HWY","SEYMOUR","TN","37865","Non- Specialty","No",{"v":5,"d":"5.00"},2,{"v":1.32,"d":"$1.32"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2021-01-09",14025947610,"69097094312","GABAPENTIN","Generic","Retail 30","Y","N","Generic","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B001","P","2020-07-13",69248250357,"00781223410","OMEPRAZOLE","Generic","Mail","Y","N","Generic","0556540","1497704431","OPTUMRX","2858 LOKER AVENUE EAST","CARLSBAD","CA","92010","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-12-27",86932120123,"70069023101","BRIMONIDINE TARTRATE","Generic","Retail 30","Y","N","Generic","4424545","1134146319","WALMART PHARMACY 10-1319 101319","7550 NORRIS FWY","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":5,"d":"5.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2021-01-23",68565898369,"13811071430","VENLAFAXINE HYDROCHLORIDE","Generic","Retail 30","N","N","Generic","4403907","1750484457","CVS PHARMACY #03743 03743","110 MAJESTIC GROVE RD","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2021-03-12",91968049265,"00185023601","BENAZEPRIL HCL/HYDROCHLOR","Generic","Retail 90","Y","N","Generic","4434611","1306868054","CVS PHARMACY #16034 16034","8040 RAY MEARS BLVD","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2021-03-25",37526661577,"57237001890","DULOXETINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4438203","1891712378","FOOD CITY PHARMACY #685 685","4805 N BROADWAY","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":28,"d":"28.00"},28,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C001","P","2021-01-28",73853758834,"68180098103","LISINOPRIL","Generic","Retail 90","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2020-12-01",98285354199,"69238183107","LEVOTHYROXINE SODIUM","Generic","Mail","Y","N","Generic","0556540","1497704431","OPTUMRX","2858 LOKER AVENUE EAST","CARLSBAD","CA","92010","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":10,"d":"$10.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A099","P","2020-07-07",10964082891,"16714040001","CEFUROXIME AXETIL","Generic","Retail 30","Y","N","Generic","4447214","1679971485","VANDERBILT INTEGRATED PHARMACY","726 MELROSE AVENUE","NASHVILLE","TN","37211","Non- Specialty","No",{"v":60,"d":"60.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-06-27",99498577452,"00169280015","SAXENDA","Brand","Retail 30","Y","N","SSB","4403781","1679676373","CVS PHARMACY #03721 03721","4864 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":15,"d":"15.00"},30,{"v":20,"d":"$20.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-06-23",81204884091,"65862035705","CLOPIDOGREL","Generic","Retail 90","Y","N","Generic","4426640","1063549863","SEYMOUR ADVALUE PHARMACY","10721 CHAPMAN HWY","SEYMOUR","TN","37865","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-12-28",99498577452,"00430042014","LO LOESTRIN FE","Brand","Retail 90","Y","N","SSB","4403781","1679676373","CVS PHARMACY #03721 03721","4864 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":84,"d":"84.00"},84,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D001","P","2020-10-31",96545045279,"00088221905","LANTUS SOLOSTAR","Brand","Retail 30","Y","N","SSB","4449129","1013467505","WALMART PHARMACY 10-3959 103959","3120 MCKAMEY RD","KNOXVILLE","TN","37921","Non- Specialty","Yes",{"v":15,"d":"15.00"},56,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2021-03-01",19980826014,"59417010510","VYVANSE","Brand","Retail 30","Y","N","SSB","4416954","1790790897","WALGREENS #6224 6224","5320 CLINTON HIGHWAY","KNOXVILLE","TN","37912","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":20,"d":"$20.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2020-07-09",32431154409,"64764024060","AMITIZA","Brand","Retail 90","Y","N","SSB","4434370","1356368559","SAMS PHARMACY 10-6572 106572","2920 KNOXVILLE CENTER DR","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","E002","P","2020-11-27",41867686666,"00169750111","NOVOLOG","Brand","Retail 30","Y","N","SSB","4419760","1235232737","CVS PHARMACY #05665 05665","8034 EAST BRAINERD RD","CHATTANOOGA","TN","37421","Non- Specialty","Yes",{"v":40,"d":"40.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","C002","P","2020-10-10",20190500805,"65862067899","ALPRAZOLAM","Generic","Retail 30","Y","N","Generic","4427630","1164525879","CVS PHARMACY #04180 04180","4406 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","No",{"v":60,"d":"60.00"},30,{"v":1.95,"d":"$1.95"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C001","P","2020-07-20",73853758834,"68180098103","LISINOPRIL","Generic","Retail 90","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A003","P","2020-08-29",15690029318,"16729018201","HYDROCHLOROTHIAZIDE","Generic","Retail 30","Y","N","Generic","4443254","1013236785","WALGREENS #12980 12980","7425 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-12-21",17344957400,"50228014610","HYDROCHLOROTHIAZIDE","Generic","Retail 90","Y","N","Generic","4421145","1710080429","CVS PHARMACY #06365 06365","101 NORTH CHARLES SEIVERS BOULEVARD","CLINTON","TN","37716","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D001","P","2020-08-24",36637253613,"00527163210","TRIAMTERENE/HYDROCHLOROTH","Generic","Retail 90","Y","N","Generic","4421880","1386678019","KROGER PHARMACY #531 02600531","4409 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C003","P","2020-11-05",34669793069,"65862001205","SERTRALINE HCL","Generic","Retail 30","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},14,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D001","P","2020-06-08",58532926519,"70377002811","ATORVASTATIN CALCIUM","Generic","Retail 90","Y","N","Generic","4430687","1972606515","CVS PHARMACY #05761 05761","7655 NORTHSHORE DRIVE","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2021-03-16",52661626164,"51991081403","AZELASTINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4432237","1528165024","CVS PHARMACY #07698 07698","9435 S NORTHSHORE DR","KNOXVILLE","TN","37922","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-07-28",19051785680,"00378064205","PREDNISONE","Generic","Retail 30","Y","N","Generic","4412300","1578666277","CVS PHARMACY #03769 03769","139 EAST BROADWAY BLVD","JEFFERSON CITY","TN","37760","Non- Specialty","No",{"v":90,"d":"90.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-05-12",92276854653,"00074055402","HUMIRA PEN","Brand","Retail 30","Y","N","SSB","2992750","1720364532","OPTUM PHARMACY 703 LLC","6425 SANTA MARGARITA STREET","LAS VEGAS","NV","89118","Specialty","Yes",{"v":2,"d":"2.00"},28,{"v":80,"d":"$80.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-12-27",52530866595,"00002143480","TRULICITY","Brand","Retail 90","Y","N","SSB","4423896","1912914912","WALGREENS #4330 4330","121 N NORTHSHORE DR","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":6,"d":"6.00"},84,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-05-21",19051785680,"13668016130","TELMISARTAN/HYDROCHLOROTH","Generic","Retail 90","Y","N","Generic","4412300","1578666277","CVS PHARMACY #03769 03769","139 EAST BROADWAY BLVD","JEFFERSON CITY","TN","37760","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-11-06",59146095910,"68382059516","DILTIAZEM HYDROCHLORIDE E","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-10-30",81204884091,"31722055190","LEVOCETIRIZINE DIHYDROCHL","Generic","Retail 90","Y","N","Generic","4426640","1063549863","SEYMOUR ADVALUE PHARMACY","10721 CHAPMAN HWY","SEYMOUR","TN","37865","Non- Specialty","No",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","E001","P","2020-08-14",53053072676,"00172392670","DIAZEPAM","Generic","Retail 30","Y","N","Generic","1041829","1205073830","CVS PHARMACY #07964 07964","2301 MOODY BLVD","FLAGLER BEACH","FL","32136","Non- Specialty","No",{"v":30,"d":"30.00"},15,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D003","P","2020-11-20",91367097669,"68382002310","ATENOLOL","Generic","Retail 90","Y","N","Generic","4403781","1679676373","CVS PHARMACY #03721 03721","4864 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2021-04-06",19617917233,"67877026218","RIZATRIPTAN BENZOATE","Generic","Retail 30","Y","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","No",{"v":12,"d":"12.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E003","P","2020-07-15",12547659274,"69097086807","NADOLOL","Generic","Retail 90","Y","N","Generic","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-07-06",62285383352,"62175061743","PANTOPRAZOLE SODIUM","Generic","Retail 90","Y","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B001","P","2020-11-21",42320665668,"00003089421","ELIQUIS","Brand","Retail 30","Y","N","SSB","3061582","1821438862","PILLPACK BY AMAZON PHARMACY","250 COMMERCIAL ST STE 2012","MANCHESTER","NH","03101","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2021-04-05",78313381426,"68462019005","NAPROXEN","Generic","Retail 30","Y","N","Generic","4426486","1649287640","WALGREENS #6967 6967","4423 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A002","P","2021-04-19",84294677186,"55111012105","ATORVASTATIN CALCIUM","Generic","Retail 30","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2021-04-14",27462057487,"00299590645","EPIDUO FORTE","Brand","Retail 30","N","N","SSB","4404377","1235159070","NUNALLY DRUG STORE","226 MAIN STREET","BAXTER","TN","38544","Non- Specialty","No",{"v":45,"d":"45.00"},30,{"v":40,"d":"$40.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A002","P","2020-07-13",56022810951,"67877024910","QUETIAPINE FUMARATE","Generic","Retail 30","Y","N","Generic","4412677","1467410753","FRESH PHARMACY 1","721 HIGHWAY 321 N","LENOIR CITY","TN","37771","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2020-06-20",69909140684,"68382013616","LOSARTAN POTASSIUM","Generic","Retail 90","Y","N","Generic","4420953","1013941749","KROGER PHARMACY #506 02600506","2217 N BROADWAY ST","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D001","P","2021-03-24",77993086527,"00406114401","METHYLPHENIDATE HYDROCHLO","Generic","Retail 30","Y","N","Generic","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-10-22",67246832418,"00173088710","TRELEGY ELLIPTA","Brand","Retail 90","Y","N","SSB","4422111","1194730192","WALGREENS #4169 4169","4001 CHAPMAN HIGHWAY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":25,"d":"$25.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-12-11",66528751452,"58160088552","FLUARIX QUADRIVALENT 2020","Brand","Retail 30","Y","N","SSB","4437516","1457368466","WALGREENS #1634 1634","7810 OAK RIDGE HWY","KNOXVILLE","TN","37931","Non- Specialty","No",{"v":0.5,"d":"0.50"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","B003","P","2020-06-19",35921822930,"00115681110","BUPROPION HYDROCHLORIDE E","Generic","Retail 90","Y","N","Generic","4438722","1336150986","RIGGS DRUG STORE","604 E EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A001","P","2020-05-04",86989865600,"00469260130","MYRBETRIQ","Brand","Retail 30","Y","N","SSB","4438722","1336150986","RIGGS DRUG STORE","604 E EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":20,"d":"$20.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2020-05-01",65364123335,"69238183307","LEVOTHYROXINE SODIUM","Generic","Mail","Y","N","Generic","1565398","1770983884","OPTUM PHARMACY 702 LLC","1050 PATROL ROAD","JEFFERSONVILLE","IN","47130","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A003","P","2020-10-05",15690029318,"16729018201","HYDROCHLOROTHIAZIDE","Generic","Retail 30","Y","N","Generic","4443254","1013236785","WALGREENS #12980 12980","7425 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C003","P","2020-06-05",58200575720,"65862076990","FENOFIBRATE","Generic","Retail 30","Y","N","Generic","4426486","1649287640","WALGREENS #6967 6967","4423 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","E003","P","2020-05-30",89293234528,"00169413212","OZEMPIC","Brand","Mail","Y","N","SSB","1718634","1669498515","OPTUMRX","6800 WEST 115TH STREET","OVERLAND PARK","KS","66211","Non- Specialty","Yes",{"v":4.5,"d":"4.50"},84,{"v":20,"d":"$20.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","B001","P","2020-05-25",55973406370,"62175013643","OMEPRAZOLE","Generic","Retail 30","Y","N","Generic","4434065","1053338400","FOOD CITY PHARMACY #655 655","7510 ASHEVILLE HWY","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2021-01-31",97628085119,"00093520006","BUSPIRONE HCL","Generic","Retail 30","Y","N","Generic","4435841","1497760425","WALGREENS #7048 7048","3071 PARKWAY","PIGEON FORGE","TN","37863","Non- Specialty","No",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-10-09",26856950974,"62332038590","MODAFINIL","Generic","Mail","N","N","Generic","1718634","1669498515","OPTUMRX","6800 WEST 115TH STREET","OVERLAND PARK","KS","66211","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":20,"d":"$20.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2021-03-03",89641535665,"42799080601","IVERMECTIN","Generic","Retail 30","N","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","No",{"v":27,"d":"27.00"},3,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B001","P","2021-03-18",57323298874,"68462031465","NYSTATIN/TRIAMCINOLONE","Generic","Retail 30","Y","N","Generic","4426640","1063549863","SEYMOUR ADVALUE PHARMACY","10721 CHAPMAN HWY","SEYMOUR","TN","37865","Non- Specialty","No",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2020-10-06",14141148366,"60505464303","PRASUGREL","Generic","Retail 90","Y","N","Generic","4407929","1447388707","MACS PHARMACY 1","2419 WASHINGTON PIKE","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E001","P","2020-11-16",19483085720,"45963067611","METOPROLOL SUCCINATE ER","Generic","Retail 30","Y","N","Generic","4424949","1811902810","WALGREENS #5729 5729","9200 MIDDLEBROOK PIKE","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A003","P","2021-01-18",33875448492,"65862047701","RAMIPRIL","Generic","Retail 30","Y","N","Generic","4434661","1871510222","FOOD CITY PHARMACY #674 674","5941 KINGSTON PIKE","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-12-23",14146858934,"68382052842","CHOLESTYRAMINE","Generic","Retail 30","Y","N","Generic","4430207","1578588299","KROGER PHARMACY #525 02600525","9501 S NORTHSHORE DR","KNOXVILLE","TN","37922","Non- Specialty","Yes",{"v":378,"d":"378.00"},42,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2021-02-13",72616292483,"63402030230","LATUDA","Brand","Retail 30","N","N","SSB","4429634","1588679591","WALGREENS #3137 3137","1299 OAK RIDGE TURNPIKE","OAK RIDGE","TN","37830","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":20,"d":"$20.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-05-12",54514992509,"49884068905","METOCLOPRAMIDE HYDROCHLOR","Generic","Retail 30","Y","N","Generic","4401410","1346255445","WALGREENS #5483 5483","7523 KINGSTON PIKE","KNOXVILLE","TN","37919","Non- Specialty","No",{"v":60,"d":"60.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2021-01-05",97975902241,"62175011843","OMEPRAZOLE","Generic","Retail 90","Y","N","Generic","4423896","1912914912","WALGREENS #4330 4330","121 N NORTHSHORE DR","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A002","P","2020-05-11",41122880984,"57237007710","ONDANSETRON ODT","Generic","Retail 30","Y","N","Generic","4430207","1578588299","KROGER PHARMACY #525 02600525","9501 S NORTHSHORE DR","KNOXVILLE","TN","37922","Non- Specialty","No",{"v":12,"d":"12.00"},4,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-05-21",74434591421,"00781518592","LEVOTHYROXINE SODIUM","Generic","Retail 90","Y","N","Generic","4434902","1083631287","WALMART PHARMACY 10-2932 102932","10900 PARKSIDE DR","KNOXVILLE","TN","37934","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":10,"d":"$10.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-06-02",20532685329,"00093101042","MUPIROCIN","Generic","Retail 30","Y","N","Generic","4428682","1497760409","WALGREENS #3209 3209","8950 KINGSTON PIKE","KNOXVILLE","TN","37923","Non- Specialty","No",{"v":22,"d":"22.00"},10,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2021-04-01",67040541961,"68382041205","OMEPRAZOLE","Generic","Retail 90","Y","N","Generic","4438722","1336150986","RIGGS DRUG STORE","604 E EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A003","P","2020-06-25",27295394459,"59417010710","VYVANSE","Brand","Retail 30","Y","N","SSB","4426486","1649287640","WALGREENS #6967 6967","4423 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":20,"d":"$20.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-09-04",74176522278,"00406012405","HYDROCODONE/ACETAMINOPHEN","Generic","Retail 30","Y","N","Generic","4401410","1346255445","WALGREENS #5483 5483","7523 KINGSTON PIKE","KNOXVILLE","TN","37919","Non- Specialty","No",{"v":18,"d":"18.00"},3,{"v":2.85,"d":"$2.85"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-07-16",31910555325,"00228285311","GUANFACINE ER","Generic","Retail 30","Y","N","Generic","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2020-06-29",95860522319,"00228202996","ALPRAZOLAM","Generic","Retail 30","Y","N","Generic","4443254","1013236785","WALGREENS #12980 12980","7425 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","No",{"v":60,"d":"60.00"},30,{"v":2.19,"d":"$2.19"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","C003","P","2021-02-04",67132476258,"43547028210","ESCITALOPRAM OXALATE","Generic","Retail 30","Y","N","Generic","4443901","1366746489","GENOA HEALTHCARE, LLC 00092","205 W SPRINGDALE AVE","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B001","P","2021-04-23",71080396565,"00378427577","VALACYCLOVIR HYDROCHLORID","Generic","Retail 90","Y","N","Generic","4421739","1477568475","WALGREENS #3798 3798","2400 N BROADWAY ST","KNOXVILLE","TN","37917","Non- Specialty","No",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2020-06-08",38737931268,"60505036301","OFLOXACIN","Generic","Retail 30","Y","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","No",{"v":5,"d":"5.00"},7,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2021-02-28",61280465605,"53489032801","SPIRONOLACTONE","Generic","Retail 90","Y","N","Generic","4437910","1750396784","WALGREENS #9430 9430","132 E BROADWAY BLVD","JEFFERSON CITY","TN","37760","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-12-19",94044047842,"68180051303","LISINOPRIL","Generic","Retail 90","Y","N","Generic","4439419","1811939002","CVS PHARMACY #17146 17146","5405 WASHINGTON PKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-05-21",22558003534,"59310041012","QNASL","Brand","Mail","N","N","SSB","1718634","1669498515","OPTUMRX","6800 WEST 115TH STREET","OVERLAND PARK","KS","66211","Non- Specialty","No",{"v":21.2,"d":"21.20"},90,{"v":80,"d":"$80.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","C003","P","2021-03-12",67132476258,"23155002405","BUSPIRONE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4443901","1366746489","GENOA HEALTHCARE, LLC 00092","205 W SPRINGDALE AVE","KNOXVILLE","TN","37917","Non- Specialty","No",{"v":60,"d":"60.00"},30,{"v":4.96,"d":"$4.96"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","E001","P","2020-08-23",87007508688,"13668013601","ESCITALOPRAM OXALATE","Generic","Retail 90","Y","N","Generic","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","B002","P","2021-03-03",93524986127,"69097084805","ESCITALOPRAM OXALATE","Generic","Retail 90","Y","N","Generic","4424949","1811902810","WALGREENS #5729 5729","9200 MIDDLEBROOK PIKE","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","C001","P","2020-08-17",79411246870,"00093102606","NEFAZODONE HYDROCHLORIDE","Generic","Retail 30","N","N","Generic","4437516","1457368466","WALGREENS #1634 1634","7810 OAK RIDGE HWY","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","E099","P","2020-07-29",40099816650,"43547033850","BENAZEPRIL HCL","Generic","Mail","Y","N","Generic","5741372","1790340206","OPTUMRX PHARMACY 700, LLC","5700 DOT COM COURT","OVIEDO","FL","32765","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C003","P","2020-08-10",53789411979,"60758080105","TIMOLOL MALEATE","Generic","Retail 30","Y","N","Generic","4419962","1154424794","CVS PHARMACY #07226 07226","2114 E ANDREW JOHNSON HWY","MORRISTOWN","TN","37814","Non- Specialty","Yes",{"v":5,"d":"5.00"},50,{"v":5.98,"d":"$5.98"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D003","P","2021-04-12",67243729845,"35573041830","ATOMOXETINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4442721","1659607141","KROGER PHARMACY #698 02600698","5201 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2021-01-28",67972188267,"70377000911","ROSUVASTATIN CALCIUM","Generic","Retail 90","Y","N","Generic","4439623","1578586954","FOOD CITY PHARMACY #687 687","2712 LOVES CREEK RD","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2021-03-21",72644635028,"00228306111","AMPHETAMINE/DEXTROAMPHETA","Generic","Retail 30","Y","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","E003","P","2021-02-07",47538022653,"45963067611","METOPROLOL SUCCINATE ER","Generic","Retail 90","Y","N","Generic","4433924","1851306872","WALGREENS #5502 5502","350 HWY 321 N","LENOIR CITY","TN","37771","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","B003","P","2020-05-21",26553891543,"65862052890","VENLAFAXINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-05-31",74688419013,"00469260230","MYRBETRIQ","Brand","Retail 30","Y","N","SSB","4421880","1386678019","KROGER PHARMACY #531 02600531","4409 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":20,"d":"$20.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C003","P","2020-08-18",49626774039,"00955104290","IRBESARTAN","Generic","Retail 90","Y","N","Generic","4426486","1649287640","WALGREENS #6967 6967","4423 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-05-14",58375182299,"68382002210","ATENOLOL","Generic","Retail 90","Y","N","Generic","4400317","1093818783","CVS PHARMACY #06355 06355","4325 ASHEVILLE HIGHWAY E","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2020-10-06",57754759853,"51293081001","PHENAZOPYRIDINE HYDROCHLO","Generic","Retail 30","Y","N","Generic","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","No",{"v":6,"d":"6.00"},2,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","B002","P","2020-08-26",42274882684,"00378727253","NORETHINDRONE","Generic","Retail 90","Y","N","Generic","4451871","1578125126","WALGREENS #21264 21264","4935 MILLERTOWN PIKE","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":84,"d":"84.00"},84,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","E003","P","2021-03-15",89293234528,"23155070501","ENALAPRIL MALEATE","Generic","Mail","Y","N","Generic","5926716","1154893600","OPTUMRX PHARMACY 704","5627 UNIVERSITY HEIGHTS BOULEVARD","SAN ANTONIO","TX","78249","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-07-25",28183698697,"00378053101","SULINDAC","Generic","Retail 90","Y","N","Generic","4427630","1164525879","CVS PHARMACY #04180 04180","4406 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D099","P","2020-11-24",67875652171,"00093057610","LOVASTATIN","Generic","Retail 90","Y","N","Generic","4442721","1659607141","KROGER PHARMACY #698 02600698","5201 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-12-29",74688419013,"00469260230","MYRBETRIQ","Brand","Retail 30","Y","N","SSB","4421880","1386678019","KROGER PHARMACY #531 02600531","4409 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":20,"d":"$20.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-07-03",93761632576,"00781235201","AMPHETAMINE/DEXTROAMPHETA","Generic","Retail 30","Y","N","Generic","4450211","1942725908","WALGREENS #19231 19231","2111 HIGHWAY 72 NORTH","LOUDON","TN","37774","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2021-04-13",40707137694,"10702005650","OXYCODONE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4446503","1710304837","VICTORY PHARMACY","4127 E EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","No",{"v":30,"d":"30.00"},15,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-10-09",17653883638,"57237011490","ALFUZOSIN HCL ER","Generic","Retail 30","Y","N","Generic","4424533","1225055403","WALMART PHARMACY 10-1318 101318","6777 CLINTON HWY","KNOXVILLE","TN","37912","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-12-19",70179366988,"27241009803","DULOXETINE HCL","Generic","Retail 30","Y","N","Generic","4436261","1033124060","WALGREENS #7407 7407","11305 CHAPMAN HIGHWAY","SEYMOUR","TN","37865","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-05-23",79870568592,"00603389132","HYDROCODONE/ACETAMINOPHEN","Generic","Retail 30","Y","N","Generic","4449066","1285182352","TAZEWELL DRUG 1","951 N BROAD ST","TAZEWELL","TN","37879","Non- Specialty","No",{"v":18,"d":"18.00"},3,{"v":2.85,"d":"$2.85"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A001","P","2020-06-15",99041932109,"13668000810","ZOLPIDEM TARTRATE","Generic","Retail 30","Y","N","Generic","4438722","1336150986","RIGGS DRUG STORE","604 E EMORY RD","POWELL","TN","37849","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":2.98,"d":"$2.98"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-11-03",61280465605,"00093214062","TRI-LO-SPRINTEC","Generic","Retail 30","Y","N","Generic","4437910","1750396784","WALGREENS #9430 9430","132 E BROADWAY BLVD","JEFFERSON CITY","TN","37760","Non- Specialty","Yes",{"v":28,"d":"28.00"},28,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-05-27",76633945765,"51293081101","PHENAZOPYRIDINE HCL","Generic","Retail 30","Y","N","Generic","4437910","1750396784","WALGREENS #9430 9430","132 E BROADWAY BLVD","JEFFERSON CITY","TN","37760","Non- Specialty","No",{"v":6,"d":"6.00"},2,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-12-15",19687586722,"51991074890","DULOXETINE HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4430803","1356444079","CVS PHARMACY #04457 04457","7341 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2021-02-11",19687586722,"62332024590","FENOFIBRIC ACID DR","Generic","Retail 90","Y","N","Generic","4430803","1356444079","CVS PHARMACY #04457 04457","7341 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2021-03-31",77496897548,"00378180910","LEVOTHYROXINE SODIUM","Generic","Retail 30","Y","N","Generic","4439419","1811939002","CVS PHARMACY #17146 17146","5405 WASHINGTON PKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-06-22",33236906590,"45802006405","TRIAMCINOLONE ACETONIDE","Generic","Retail 30","Y","N","Generic","4443254","1013236785","WALGREENS #12980 12980","7425 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","No",{"v":454,"d":"454.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2020-09-18",98285354199,"62332021130","TELMISARTAN/HYDROCHLOROTH","Generic","Retail 90","Y","N","Generic","4437516","1457368466","WALGREENS #1634 1634","7810 OAK RIDGE HWY","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D001","P","2021-04-17",99369797799,"80777027399","MODERNA COVID-19 VACCINE","Brand","Retail 30","Y","N","SSB","4429545","1972520161","WALMART PHARMACY 10-2310 102310","3051 KINZEL WAY","KNOXVILLE","TN","37924","Non- Specialty","No",{"v":0.5,"d":"0.50"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2021-04-27",32810846070,"59310057922","PROAIR HFA","Brand","Retail 30","Y","N","MSB","4422111","1194730192","WALGREENS #4169 4169","4001 CHAPMAN HIGHWAY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":8.5,"d":"8.50"},25,{"v":20,"d":"$20.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-06-01",50062328868,"58468021004","AUBAGIO","Brand","Retail 30","Y","N","SSB","4539079","1457408536","OPTUMRX PHARMACY 704, INC","5627 UNIVERSITY HEIGHTS BOULEVARD","SAN ANTONIO","TX","78249","Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":40,"d":"$40.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2021-01-17",40755116999,"00088221905","LANTUS SOLOSTAR","Brand","Retail 90","Y","N","SSB","4401410","1346255445","WALGREENS #5483 5483","7523 KINGSTON PIKE","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":60,"d":"60.00"},89,{"v":25,"d":"$25.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D001","P","2020-07-03",94331996546,"29300018901","BISOPROLOL FUMARATE/HYDRO","Generic","Retail 30","Y","N","Generic","4426955","1639184633","WALGREENS #7374 7374","4423 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-10-08",25222123030,"55111029336","SUMATRIPTAN SUCCINATE","Generic","Retail 30","Y","N","Generic","4421917","1467555979","CVS PHARMACY #07727 07727","2931 ALCOA HWY","KNOXVILLE","TN","37920","Non- Specialty","No",{"v":9,"d":"9.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-06-10",44759691376,"29300022010","MONTELUKAST SODIUM","Generic","Retail 30","Y","N","Generic","4411548","1831108471","EAST TENNESSEE DISCOUNT DRUG","524 ANDREW JOHNSON HWY","STRAWBERRY PLAINS","TN","37871","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B001","P","2021-04-21",74345424926,"69097084705","ESCITALOPRAM OXALATE","Generic","Retail 30","Y","N","Generic","4426955","1639184633","WALGREENS #7374 7374","4423 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2021-01-26",61387409186,"68180038909","FENOFIBRATE","Generic","Retail 90","Y","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","B003","P","2020-08-18",74100586175,"66993059702","AMPHETAMINE/DEXTROAMPHETA","Generic","Retail 30","Y","N","Generic","4428240","1982621173","WALMART PHARMACY 10-2065 102065","8445 WALBROOK DR","KNOXVILLE","TN","37923","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2021-01-29",23409109826,"00527134710","LEVOTHYROXINE SODIUM","Generic","Retail 30","Y","N","Generic","4436716","1932206877","OKIE'S PHARMACY II","1050 RUTLEDGE PIKE","BLAINE","TN","37709","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D001","P","2020-11-13",59476029615,"29300012810","HYDROCHLOROTHIAZIDE","Generic","Retail 90","Y","N","Generic","4436716","1932206877","OKIE'S PHARMACY II","1050 RUTLEDGE PIKE","BLAINE","TN","37709","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2020-11-30",37744545657,"00406012405","HYDROCODONE/ACETAMINOPHEN","Generic","Retail 30","Y","N","Generic","4443254","1013236785","WALGREENS #12980 12980","7425 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","No",{"v":10,"d":"10.00"},2,{"v":1.87,"d":"$1.87"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2021-01-15",22042007669,"68180072003","AMLODIPINE BESYLATE","Generic","Retail 90","Y","N","Generic","4403907","1750484457","CVS PHARMACY #03743 03743","110 MAJESTIC GROVE RD","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2020-05-19",64933502470,"43199001201","HYOSCYAMINE SULFATE","Generic","Retail 30","N","N","Generic","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":40,"d":"40.00"},10,{"v":10,"d":"$10.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-08-25",92000784857,"00781223410","OMEPRAZOLE","Generic","Mail","Y","N","Generic","5741372","1790340206","OPTUMRX PHARMACY 700, LLC","5700 DOT COM COURT","OVIEDO","FL","32765","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D003","P","2020-07-30",66748542603,"51672128901","NYSTATIN","Generic","Retail 30","Y","N","Generic","4421892","1194759829","KROGER PHARMACY #848 02600848","4918 KINGSTON PIKE","KNOXVILLE","TN","37919","Non- Specialty","No",{"v":45,"d":"45.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A003","P","2020-05-19",85575274623,"65862001205","SERTRALINE HCL","Generic","Retail 30","Y","N","Generic","4426981","1952496804","PULMONAIRE PHARMACY","821 MCCALLIE","CHATTANOOGA","TN","37403","Non- Specialty","Yes",{"v":27,"d":"27.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","C003","P","2020-06-11",33537169730,"00093770198","LEVOCETIRIZINE DIHYDROCHL","Generic","Retail 30","Y","N","Generic","4427630","1164525879","CVS PHARMACY #04180 04180","4406 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E001","P","2020-08-15",79207909710,"68180072103","AMLODIPINE BESYLATE","Generic","Retail 90","Y","N","Generic","4403907","1750484457","CVS PHARMACY #03743 03743","110 MAJESTIC GROVE RD","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-12-12",89641535665,"65162019050","NAPROXEN","Generic","Retail 90","Y","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2021-02-15",17691800613,"65862064163","AZITHROMYCIN","Generic","Retail 30","Y","N","Generic","4442721","1659607141","KROGER PHARMACY #698 02600698","5201 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":6,"d":"6.00"},5,{"v":4.8,"d":"$4.80"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","B002","P","2021-01-05",67092361459,"16729013516","ALLOPURINOL","Generic","Retail 90","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B002","P","2020-05-19",13477648920,"65862001705","AMOXICILLIN","Generic","Retail 30","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":4,"d":"4.00"},1,{"v":1.05,"d":"$1.05"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A003","P","2021-04-25",52134998168,"55513013760","OTEZLA","Brand","Retail 30","Y","N","SSB","1564930","1083045140","OPTUM PHARMACY 702, LLC","1050 PATROL RD","JEFFERSONVILLE","IN","47130","Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":750,"d":"$750.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2021-01-31",56238133652,"57237000511","FLUCONAZOLE","Generic","Retail 30","Y","N","Generic","4401410","1346255445","WALGREENS #5483 5483","7523 KINGSTON PIKE","KNOXVILLE","TN","37919","Non- Specialty","No",{"v":2,"d":"2.00"},3,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-07-31",12885178365,"68462030329","HEATHER","Generic","Retail 90","Y","N","Generic","4435497","1316971054","KROGER PHARMACY #683 02600683","507 FOOTHILLS PLZ","MARYVILLE","TN","37801","Non- Specialty","Yes",{"v":84,"d":"84.00"},84,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-08-26",84489100102,"70010077001","METHOCARBAMOL","Generic","Retail 30","Y","N","Generic","4424949","1811902810","WALGREENS #5729 5729","9200 MIDDLEBROOK PIKE","KNOXVILLE","TN","37931","Non- Specialty","No",{"v":90,"d":"90.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A002","P","2021-01-18",43475922601,"42806016005","HYDROXYZINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4439419","1811939002","CVS PHARMACY #17146 17146","5405 WASHINGTON PKE","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":90,"d":"90.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C001","P","2021-02-12",94568325311,"43598058230","BUPRENORPHINE HYDROCHLORI","Generic","Retail 30","Y","N","Generic","4442517","1194958280","WALGREENS #12858 12858","2103 E ANDREW JOHNSON HWY","MORRISTOWN","TN","37814","Non- Specialty","No",{"v":42,"d":"42.00"},21,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D003","P","2021-01-09",97162355771,"00054327099","FLUTICASONE PROPIONATE","Generic","Retail 90","N","N","Generic","4403666","1942303649","CVS PHARMACY #03762 03762","9175 KINGSTON PIKE","KNOXVILLE","TN","37923","Non- Specialty","No",{"v":48,"d":"48.00"},90,{"v":25.46,"d":"$25.46"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D099","P","2021-02-28",14647164704,"24979003007","DILTIAZEM HYDROCHLORIDE E","Generic","Retail 90","N","N","Generic","4442721","1659607141","KROGER PHARMACY #698 02600698","5201 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B002","P","2021-04-06",33818662606,"16729022601","SPIRONOLACTONE","Generic","Retail 30","Y","N","Generic","4431019","1518991256","KROGER PHARMACY #581 02600581","10721 CHAPMAN HWY","SEYMOUR","TN","37865","Non- Specialty","Yes",{"v":90,"d":"90.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D001","P","2020-10-26",40183762140,"00603211532","ALLOPURINOL","Generic","Retail 90","Y","N","Generic","4430687","1972606515","CVS PHARMACY #05761 05761","7655 NORTHSHORE DRIVE","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2021-04-30",45167121747,"62756052169","SUMATRIPTAN SUCCINATE","Generic","Retail 30","Y","N","Generic","4437061","1720095730","WALGREENS #7760 7760","11927 KINGSTON PIKE","KNOXVILLE","TN","37934","Non- Specialty","No",{"v":9,"d":"9.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C002","P","2020-12-31",83220694325,"43547028111","ESCITALOPRAM OXALATE","Generic","Retail 30","Y","N","Generic","4438722","1336150986","RIGGS DRUG STORE","604 E EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","B003","P","2020-08-28",72844616835,"57237000511","FLUCONAZOLE","Generic","Retail 30","Y","N","Generic","4437910","1750396784","WALGREENS #9430 9430","132 E BROADWAY BLVD","JEFFERSON CITY","TN","37760","Non- Specialty","No",{"v":1,"d":"1.00"},1,{"v":3.68,"d":"$3.68"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-12-24",97937824770,"00006027731","JANUVIA","Brand","Retail 90","Y","N","SSB","4403666","1942303649","CVS PHARMACY #03762 03762","9175 KINGSTON PIKE","KNOXVILLE","TN","37923","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":25,"d":"$25.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2021-01-19",31300521811,"00093317431","ALBUTEROL SULFATE HFA","Generic","Retail 30","N","N","Generic","4450083","1073038121","WALGREENS #18021 18021","2710 MAYNARDVILLE HIGHWAY","MAYNARDVILLE","TN","37807","Non- Specialty","Yes",{"v":8.5,"d":"8.50"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C003","P","2020-09-24",50963508967,"31722057330","ESOMEPRAZOLE MAGNESIUM","Generic","Retail 90","Y","N","Generic","4400317","1093818783","CVS PHARMACY #06355 06355","4325 ASHEVILLE HIGHWAY E","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A001","P","2021-03-29",55806152540,"80777027399","MODERNA COVID-19 VACCINE","Brand","Retail 30","Y","N","SSB","4434370","1356368559","SAMS PHARMACY 10-6572 106572","2920 KNOXVILLE CENTER DR","KNOXVILLE","TN","37924","Non- Specialty","No",{"v":0.5,"d":"0.50"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2020-08-15",37322441221,"57664037888","DEXMETHYLPHENIDATE HCL","Generic","Retail 30","Y","N","Generic","4441818","1649421157","INGLES PHARMACY 091","11847 KINGSTON PIKE","FARRAGUT","TN","37934","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2021-04-27",72642342006,"59417010410","VYVANSE","Brand","Retail 30","Y","N","SSB","4430803","1356444079","CVS PHARMACY #04457 04457","7341 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":20,"d":"$20.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-11-05",10718405057,"49281042050","FLUZONE QUADRIVALENT 2020","Brand","Retail 30","Y","N","SSB","4401410","1346255445","WALGREENS #5483 5483","7523 KINGSTON PIKE","KNOXVILLE","TN","37919","Non- Specialty","No",{"v":0.5,"d":"0.50"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-12-27",32652149589,"00378727253","NORETHINDRONE","Generic","Retail 30","Y","N","Generic","4450083","1073038121","WALGREENS #18021 18021","2710 MAYNARDVILLE HIGHWAY","MAYNARDVILLE","TN","37807","Non- Specialty","Yes",{"v":28,"d":"28.00"},28,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D001","P","2020-10-07",52530866595,"69238183607","LEVOTHYROXINE SODIUM","Generic","Retail 30","Y","N","Generic","4423896","1912914912","WALGREENS #4330 4330","121 N NORTHSHORE DR","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C003","P","2020-06-25",61228022645,"00597015330","JARDIANCE","Brand","Retail 90","Y","N","SSB","4416954","1790790897","WALGREENS #6224 6224","5320 CLINTON HIGHWAY","KNOXVILLE","TN","37912","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":25,"d":"$25.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2021-01-07",88532018290,"69452010719","MONTELUKAST SODIUM","Generic","Retail 90","Y","N","Generic","4430207","1578588299","KROGER PHARMACY #525 02600525","9501 S NORTHSHORE DR","KNOXVILLE","TN","37922","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D003","P","2021-01-04",24473778911,"51672530703","DAPSONE","Brand","Retail 30","N","N","MSB","4404377","1235159070","NUNALLY DRUG STORE","226 MAIN STREET","BAXTER","TN","38544","Non- Specialty","No",{"v":60,"d":"60.00"},30,{"v":40,"d":"$40.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2020-05-26",53648422586,"42858066045","FENOFIBRATE","Generic","Retail 90","Y","N","Generic","4428682","1497760409","WALGREENS #3209 3209","8950 KINGSTON PIKE","KNOXVILLE","TN","37923","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-10-10",41872248068,"60432026415","FLUTICASONE PROPIONATE","Generic","Retail 30","Y","N","Generic","4440183","1982829594","FOOD CITY PHARMACY #676 676","1950 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","No",{"v":16,"d":"16.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C003","P","2020-07-23",11885618433,"00115132019","COLESEVELAM HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4421133","1295838704","CVS PHARMACY #06363 06363","6005 KINGSTON PIKE","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":360,"d":"360.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D003","P","2020-07-07",51461787984,"00143314205","DOXYCYCLINE HYCLATE","Generic","Retail 30","Y","N","Generic","4446565","1417375403","WALGREENS #15906 15906","1602 E LAMAR ALEXANDER PKWY","MARYVILLE","TN","37804","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A001","P","2020-06-09",68750867233,"69238183107","LEVOTHYROXINE SODIUM","Generic","Retail 90","Y","N","Generic","4443254","1013236785","WALGREENS #12980 12980","7425 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-08-13",53664257611,"00046110381","PREMARIN","Brand","Retail 90","Y","N","SSB","4427630","1164525879","CVS PHARMACY #04180 04180","4406 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","E001","P","2020-07-28",61215832904,"50111064801","FLUOXETINE HCL","Generic","Retail 30","Y","N","Generic","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2021-04-17",10993921920,"00024576105","SOLIQUA 100/33","Brand","Retail 30","Y","N","SSB","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":9,"d":"9.00"},45,{"v":25,"d":"$25.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2021-04-11",92600781344,"65862042005","SULFAMETHOXAZOLE/TRIMETHO","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":10,"d":"10.00"},5,{"v":1.88,"d":"$1.88"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B001","P","2021-02-12",42320665668,"60505083305","AZELASTINE HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4446565","1417375403","WALGREENS #15906 15906","1602 E LAMAR ALEXANDER PKWY","MARYVILLE","TN","37804","Non- Specialty","No",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2020-07-01",68187582881,"27241009903","DULOXETINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4426955","1639184633","WALGREENS #7374 7374","4423 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2021-03-30",56037456094,"08290320550","BD PEN NEEDLE/NANO 2ND GE","Brand","Retail 90","Y","N","SSB","4430803","1356444079","CVS PHARMACY #04457 04457","7341 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","No",{"v":100,"d":"100.00"},90,{"v":25,"d":"$25.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D003","P","2021-04-19",23203685513,"65862042005","SULFAMETHOXAZOLE/TRIMETHO","Generic","Retail 30","Y","N","Generic","4441541","1861657991","WALGREENS #12311 12311","2151 N CHARLES G SEIVERS BLVD","CLINTON","TN","37716","Non- Specialty","No",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2021-04-16",96852266986,"00378020810","FUROSEMIDE","Generic","Retail 30","Y","N","Generic","4452099","1821645201","SPRING CITY PHARMACY","171 CLINTON AVE","SPRING CITY","TN","37381","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B002","P","2020-10-28",56383597944,"11534016503","FOLIC ACID","Generic","Retail 30","Y","N","Generic","4443254","1013236785","WALGREENS #12980 12980","7425 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":120,"d":"120.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2020-09-03",49472740000,"00169413602","OZEMPIC","Brand","Retail 90","Y","N","SSB","4437910","1750396784","WALGREENS #9430 9430","132 E BROADWAY BLVD","JEFFERSON CITY","TN","37760","Non- Specialty","Yes",{"v":9,"d":"9.00"},84,{"v":25,"d":"$25.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2020-06-04",91130009909,"70436001102","BUPROPION HYDROCHLORIDE E","Generic","Retail 30","Y","N","Generic","4439419","1811939002","CVS PHARMACY #17146 17146","5405 WASHINGTON PKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-10-07",26856950974,"16729000116","GLIMEPIRIDE","Generic","Mail","Y","N","Generic","5741372","1790340206","OPTUMRX PHARMACY 700, LLC","5700 DOT COM COURT","OVIEDO","FL","32765","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D001","P","2020-11-16",58532926519,"69097083412","SERTRALINE HCL","Generic","Retail 90","Y","N","Generic","4430687","1972606515","CVS PHARMACY #05761 05761","7655 NORTHSHORE DRIVE","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2021-01-18",34679812087,"08290305945","BD 1ML TUBERCULIN SYRINGE","Brand","Retail 90","N","N","SSB","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":12,"d":"12.00"},84,{"v":5.26,"d":"$5.26"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","A003","P","2020-06-02",60374971502,"66685100100","AMOXICILLIN/CLAVULANATE P","Generic","Retail 30","Y","N","Generic","4436071","1124033154","WALGREENS #7320 7320","7320 CLINTON HWY","POWELL","TN","37849","Non- Specialty","No",{"v":20,"d":"20.00"},10,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","B003","P","2020-12-24",23769424615,"51224002218","AZITHROMYCIN","Generic","Retail 30","Y","N","Generic","4439990","1497818074","FOOD CITY PHARMACY #615 615","1507 ODELL AVE","JEFFERSON CITY","TN","37760","Non- Specialty","No",{"v":6,"d":"6.00"},5,{"v":4.09,"d":"$4.09"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2021-01-12",18846345124,"29300012810","HYDROCHLOROTHIAZIDE","Generic","Retail 90","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A003","P","2020-08-12",36679336298,"62756052269","SUMATRIPTAN SUCCINATE","Generic","Retail 30","Y","N","Generic","4416954","1790790897","WALGREENS #6224 6224","5320 CLINTON HIGHWAY","KNOXVILLE","TN","37912","Non- Specialty","No",{"v":9,"d":"9.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-07-20",69596205915,"13668001005","CITALOPRAM HYDROBROMIDE","Generic","Retail 90","Y","N","Generic","4430283","1194803601","ANDERSON CROSSING PHARMACY","3318 ANDERSONVILLE HWY","ANDERSONVILLE","TN","37705","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B001","P","2020-10-13",80774799310,"65862086001","FAMOTIDINE","Generic","Retail 90","Y","N","Generic","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","B003","P","2020-07-10",84743437711,"59746000103","METHYLPREDNISOLONE DOSE P","Generic","Retail 30","Y","N","Generic","4435598","1568477586","WALGREENS #6788 6788","1959 W ANDREW JOHNSON HWY","MORRISTOWN","TN","37814","Non- Specialty","No",{"v":21,"d":"21.00"},6,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E002","P","2020-06-25",77421954990,"68382061928","COLESEVELAM HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4426486","1649287640","WALGREENS #6967 6967","4423 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2021-02-24",32801496139,"50111064701","FLUOXETINE HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C003","P","2020-12-03",35900975497,"62175061743","PANTOPRAZOLE SODIUM","Generic","Retail 90","Y","N","Generic","4421880","1386678019","KROGER PHARMACY #531 02600531","4409 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2020-11-14",31792280820,"65862021960","CEFDINIR","Generic","Retail 30","Y","N","Generic","4437516","1457368466","WALGREENS #1634 1634","7810 OAK RIDGE HWY","KNOXVILLE","TN","37931","Non- Specialty","No",{"v":60,"d":"60.00"},10,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2021-04-02",82765434304,"00178074001","URIBEL","Brand","Retail 30","Y","N","SSB","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","No",{"v":90,"d":"90.00"},30,{"v":20,"d":"$20.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E001","P","2020-05-11",95034531144,"00527193206","CLARITHROMYCIN","Generic","Retail 30","Y","N","Generic","4418566","1417050121","CVS PHARMACY #05671 05671","103 FOOTHILLS MALL RD","MARYVILLE","TN","37801","Non- Specialty","No",{"v":28,"d":"28.00"},14,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C001","P","2020-09-28",20276281808,"70436001102","BUPROPION HYDROCHLORIDE E","Generic","Retail 90","Y","N","Generic","4441705","1538319298","KROGER PHARMACY #686 02600686","189 BROOKLAWN ST","FARRAGUT","TN","37934","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","C003","P","2021-03-27",58132280806,"69452015120","VITAMIN D","Generic","Retail 30","Y","N","Generic","4426955","1639184633","WALGREENS #7374 7374","4423 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","Yes",{"v":4,"d":"4.00"},27,{"v":2.81,"d":"$2.81"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2021-01-11",42733602155,"29300012410","MELOXICAM","Generic","Retail 30","Y","N","Generic","4437516","1457368466","WALGREENS #1634 1634","7810 OAK RIDGE HWY","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":20,"d":"20.00"},20,{"v":1.7,"d":"$1.70"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-12-30",11870457588,"69097081507","GABAPENTIN","Generic","Retail 90","Y","N","Generic","4432237","1528165024","CVS PHARMACY #07698 07698","9435 S NORTHSHORE DR","KNOXVILLE","TN","37922","Non- Specialty","Yes",{"v":360,"d":"360.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-08-17",85967726041,"69238183407","LEVOTHYROXINE SODIUM","Generic","Retail 90","Y","N","Generic","4422111","1194730192","WALGREENS #4169 4169","4001 CHAPMAN HIGHWAY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E001","P","2020-06-20",16487626722,"45802002683","AZELASTINE HCL","Generic","Retail 90","Y","N","Generic","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","No",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","B003","P","2020-05-21",53819406356,"00093753656","ANASTROZOLE","Generic","Retail 30","Y","N","Generic","4437910","1750396784","WALGREENS #9430 9430","132 E BROADWAY BLVD","JEFFERSON CITY","TN","37760","Non- Specialty","Yes",{"v":18,"d":"18.00"},36,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-09-11",92226664690,"16714075301","HYDROXYCHLOROQUINE SULFAT","Generic","Retail 30","Y","N","Generic","4430283","1194803601","ANDERSON CROSSING PHARMACY","3318 ANDERSONVILLE HWY","ANDERSONVILLE","TN","37705","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-07-19",96677200885,"62175011843","OMEPRAZOLE","Generic","Retail 90","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2021-01-22",45167121747,"60505252703","MODAFINIL","Generic","Retail 30","N","N","Generic","4437061","1720095730","WALGREENS #7760 7760","11927 KINGSTON PIKE","KNOXVILLE","TN","37934","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2021-03-04",47805109460,"68645055654","LISINOPRIL/HYDROCHLOROTHI","Generic","Retail 90","Y","N","Generic","4429545","1972520161","WALMART PHARMACY 10-2310 102310","3051 KINZEL WAY","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","E001","P","2021-03-30",40109915830,"70010049110","METFORMIN HYDROCHLORIDE E","Generic","Retail 90","Y","N","Generic","4439419","1811939002","CVS PHARMACY #17146 17146","5405 WASHINGTON PKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":360,"d":"360.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D003","P","2021-03-04",72768131469,"16729009015","FINASTERIDE","Generic","Retail 30","Y","N","Generic","4439180","1275550758","FOOD CITY PHARMACY #694 694","284 MORRELL RD","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2020-11-26",95860522319,"59746038406","TERAZOSIN HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4443254","1013236785","WALGREENS #12980 12980","7425 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-11-28",86932120123,"70069023101","BRIMONIDINE TARTRATE","Generic","Retail 30","Y","N","Generic","4424545","1134146319","WALMART PHARMACY 10-1319 101319","7550 NORRIS FWY","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":5,"d":"5.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-10-01",41140875084,"00378427677","VALACYCLOVIR HCL","Generic","Retail 30","Y","N","Generic","4441541","1861657991","WALGREENS #12311 12311","2151 N CHARLES G SEIVERS BLVD","CLINTON","TN","37716","Non- Specialty","No",{"v":21,"d":"21.00"},7,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2021-03-05",50062328868,"65862067899","ALPRAZOLAM","Generic","Retail 30","Y","N","Generic","4430803","1356444079","CVS PHARMACY #04457 04457","7341 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":1.43,"d":"$1.43"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E002","P","2021-01-08",47861799370,"16714061306","SERTRALINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4434065","1053338400","FOOD CITY PHARMACY #655 655","7510 ASHEVILLE HWY","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A003","P","2020-12-01",81021500288,"00591544305","PREDNISONE","Generic","Retail 30","Y","N","Generic","4426486","1649287640","WALGREENS #6967 6967","4423 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","No",{"v":10,"d":"10.00"},7,{"v":1.89,"d":"$1.89"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-07-27",15352774028,"68180016013","AZITHROMYCIN","Generic","Retail 30","Y","N","Generic","4436716","1932206877","OKIE'S PHARMACY II","1050 RUTLEDGE PIKE","BLAINE","TN","37709","Non- Specialty","No",{"v":6,"d":"6.00"},5,{"v":4.7,"d":"$4.70"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C003","P","2020-05-02",13341368467,"51224000760","METFORMIN HYDROCHLORIDE E","Generic","Retail 90","Y","N","Generic","4426486","1649287640","WALGREENS #6967 6967","4423 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-08-24",68493192079,"00574985510","BUDESONIDE","Generic","Retail 30","Y","N","Generic","4423896","1912914912","WALGREENS #4330 4330","121 N NORTHSHORE DR","KNOXVILLE","TN","37919","Non- Specialty","No",{"v":90,"d":"90.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B002","P","2021-03-04",70213256636,"31722088390","ROSUVASTATIN CALCIUM","Generic","Retail 90","Y","N","Generic","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2020-08-22",47492602511,"13811071910","NITROFURANTOIN MONOHYDRAT","Generic","Retail 30","Y","N","Generic","4431019","1518991256","KROGER PHARMACY #581 02600581","10721 CHAPMAN HWY","SEYMOUR","TN","37865","Non- Specialty","No",{"v":14,"d":"14.00"},7,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-12-23",98981802535,"00093753656","ANASTROZOLE","Generic","Retail 90","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2021-02-09",97462113430,"69097084805","ESCITALOPRAM OXALATE","Generic","Retail 30","Y","N","Generic","4422111","1194730192","WALGREENS #4169 4169","4001 CHAPMAN HIGHWAY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2021-03-17",91289016895,"57237022501","RAMIPRIL","Generic","Retail 30","Y","N","Generic","4433568","1326065772","FOOD CITY PHARMACY #681 681","1199 OAK RIDGE TURNPIKE","OAK RIDGE","TN","37830","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","A003","P","2020-12-03",24396845374,"50111078810","AZITHROMYCIN","Generic","Retail 30","Y","N","Generic","4434065","1053338400","FOOD CITY PHARMACY #655 655","7510 ASHEVILLE HWY","KNOXVILLE","TN","37924","Non- Specialty","No",{"v":7,"d":"7.00"},7,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D003","P","2020-05-29",15771250683,"43598065530","BUPROPION HYDROCHLORIDE E","Generic","Retail 30","Y","N","Generic","4424862","1043237225","WALMART PHARMACY 10-1320 101320","7420 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2021-03-03",66528751452,"62756052069","SUMATRIPTAN SUCCINATE","Generic","Retail 30","Y","N","Generic","4428682","1497760409","WALGREENS #3209 3209","8950 KINGSTON PIKE","KNOXVILLE","TN","37923","Non- Specialty","No",{"v":4,"d":"4.00"},14,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B001","P","2020-11-06",18846345124,"68382009810","PAROXETINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-12-16",40707137694,"50458009801","ELMIRON","Brand","Retail 30","Y","N","SSB","4446503","1710304837","VICTORY PHARMACY","4127 E EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","No",{"v":120,"d":"120.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-08-04",52805155100,"65862078430","ESOMEPRAZOLE MAGNESIUM","Generic","Retail 90","Y","N","Generic","4428682","1497760409","WALGREENS #3209 3209","8950 KINGSTON PIKE","KNOXVILLE","TN","37923","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","E001","P","2020-11-24",88750442615,"23155050105","HYDROXYZINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4422111","1194730192","WALGREENS #4169 4169","4001 CHAPMAN HIGHWAY","KNOXVILLE","TN","37920","Non- Specialty","No",{"v":90,"d":"90.00"},22,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2021-01-06",41654670738,"00378464126","ESTRADIOL","Generic","Retail 90","Y","N","Generic","4428682","1497760409","WALGREENS #3209 3209","8950 KINGSTON PIKE","KNOXVILLE","TN","37923","Non- Specialty","Yes",{"v":24,"d":"24.00"},84,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C003","P","2020-10-30",11885618433,"69097084507","CYCLOBENZAPRINE HYDROCHLO","Generic","Retail 30","Y","N","Generic","4421133","1295838704","CVS PHARMACY #06363 06363","6005 KINGSTON PIKE","KNOXVILLE","TN","37919","Non- Specialty","No",{"v":90,"d":"90.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E003","P","2020-09-29",39792329211,"68180094111","TESTOSTERONE PUMP","Generic","Retail 30","Y","N","Generic","4421880","1386678019","KROGER PHARMACY #531 02600531","4409 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":75,"d":"75.00"},20,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D001","P","2021-02-05",19772215730,"65862052890","VENLAFAXINE HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4441832","1619129004","FOOD CITY PHARMACY #650 650","300 MARKET DRIVE","LENOIR CITY","TN","37771","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-10-13",21548332757,"68180072003","AMLODIPINE BESYLATE","Generic","Retail 90","Y","N","Generic","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-09-30",97772709260,"00143988701","AMOXICILLIN","Generic","Retail 30","Y","N","Generic","4424355","1598782773","WALMART PHARMACY 10-0741 100741","911 HIGHWAY 321 N","LENOIR CITY","TN","37771","Non- Specialty","No",{"v":200,"d":"200.00"},10,{"v":4.58,"d":"$4.58"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2020-05-01",44236521851,"65162019050","NAPROXEN","Generic","Retail 30","Y","N","Generic","4423389","1548294275","KROGER PHARMACY #684 02600684","9225 KINGSTON PIKE","KNOXVILLE","TN","37922","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2021-04-06",91813694140,"00378064110","PREDNISONE","Generic","Retail 90","Y","N","Generic","4418566","1417050121","CVS PHARMACY #05671 05671","103 FOOTHILLS MALL RD","MARYVILLE","TN","37801","Non- Specialty","No",{"v":237,"d":"237.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D003","P","2020-07-06",91367097669,"00406012305","HYDROCODONE/ACETAMINOPHEN","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":12,"d":"12.00"},3,{"v":1.75,"d":"$1.75"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2021-04-06",90539133665,"65862020199","LOSARTAN POTASSIUM","Generic","Retail 90","Y","N","Generic","4437910","1750396784","WALGREENS #9430 9430","132 E BROADWAY BLVD","JEFFERSON CITY","TN","37760","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2020-11-03",91813694140,"42858010201","OXYCODONE/ACETAMINOPHEN","Generic","Retail 30","Y","N","Generic","4418566","1417050121","CVS PHARMACY #05671 05671","103 FOOTHILLS MALL RD","MARYVILLE","TN","37801","Non- Specialty","No",{"v":20,"d":"20.00"},5,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-10-06",19051785680,"00310173030","FASENRA","Brand","Retail 30","Y","N","SSB","4436615","1467401315","OPTUM PHARMACY 705 LLC","1893 GENERAL GEORGE PATTON DRIVE","FRANKLIN","TN","37067","Specialty","Yes",{"v":1,"d":"1.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A003","P","2020-12-12",44441387312,"52268001201","SUPREP BOWEL PREP KIT","Brand","Retail 30","N","N","SSB","4418566","1417050121","CVS PHARMACY #05671 05671","103 FOOTHILLS MALL RD","MARYVILLE","TN","37801","Non- Specialty","No",{"v":354,"d":"354.00"},1,{"v":40,"d":"$40.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-12-15",62285383352,"49483060450","IBUPROFEN","Generic","Retail 30","Y","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":30,"d":"30.00"},7,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D003","P","2020-06-26",16811736537,"00955104190","IRBESARTAN","Generic","Retail 90","Y","N","Generic","4433265","1356358352","WALGREENS #5053 5053","601 N CAMPBELL STATION RD","FARRAGUT","TN","37934","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2021-04-02",81714496289,"00093317431","ALBUTEROL SULFATE HFA","Generic","Retail 30","N","N","Generic","4436261","1033124060","WALGREENS #7407 7407","11305 CHAPMAN HIGHWAY","SEYMOUR","TN","37865","Non- Specialty","Yes",{"v":8.5,"d":"8.50"},16,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-07-05",53965141952,"70010075401","METHOCARBAMOL","Generic","Retail 30","Y","N","Generic","4429177","1033124045","WALGREENS #3388 3388","225 NORTH HALL RD","ALCOA","TN","37701","Non- Specialty","No",{"v":40,"d":"40.00"},5,{"v":4.77,"d":"$4.77"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","E001","P","2020-11-13",88750442615,"29300012810","HYDROCHLOROTHIAZIDE","Generic","Retail 90","Y","N","Generic","4422111","1194730192","WALGREENS #4169 4169","4001 CHAPMAN HIGHWAY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D003","P","2020-10-15",77840998949,"00378182377","LEVOTHYROXINE SODIUM","Generic","Retail 90","Y","N","Generic","4400317","1093818783","CVS PHARMACY #06355 06355","4325 ASHEVILLE HIGHWAY E","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2020-06-03",49472740000,"53746051401","SPIRONOLACTONE","Generic","Retail 30","Y","N","Generic","4437910","1750396784","WALGREENS #9430 9430","132 E BROADWAY BLVD","JEFFERSON CITY","TN","37760","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E003","P","2021-04-21",39792329211,"51672403203","WARFARIN SODIUM","Generic","Retail 90","Y","N","Generic","4421880","1386678019","KROGER PHARMACY #531 02600531","4409 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A003","P","2020-06-09",21016491566,"00555902658","JUNEL FE 1/20","Generic","Retail 30","Y","N","Generic","4429545","1972520161","WALMART PHARMACY 10-2310 102310","3051 KINZEL WAY","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":28,"d":"28.00"},28,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","B002","P","2021-02-01",92088708337,"69097083302","SERTRALINE HCL","Generic","Retail 90","Y","N","Generic","4430207","1578588299","KROGER PHARMACY #525 02600525","9501 S NORTHSHORE DR","KNOXVILLE","TN","37922","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A003","P","2021-03-13",73473621070,"00002143380","TRULICITY","Brand","Retail 30","Y","N","SSB","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":2,"d":"2.00"},28,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2021-03-09",91289016895,"16714066201","GABAPENTIN","Generic","Retail 30","Y","N","Generic","4433568","1326065772","FOOD CITY PHARMACY #681 681","1199 OAK RIDGE TURNPIKE","OAK RIDGE","TN","37830","Non- Specialty","Yes",{"v":120,"d":"120.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-09-12",91289016895,"10702000801","OXYCODONE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4433568","1326065772","FOOD CITY PHARMACY #681 681","1199 OAK RIDGE TURNPIKE","OAK RIDGE","TN","37830","Non- Specialty","No",{"v":120,"d":"120.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A003","P","2021-03-29",36679336298,"62756052269","SUMATRIPTAN SUCCINATE","Generic","Retail 30","Y","N","Generic","4416954","1790790897","WALGREENS #6224 6224","5320 CLINTON HIGHWAY","KNOXVILLE","TN","37912","Non- Specialty","No",{"v":9,"d":"9.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-07-31",86932120123,"50111032701","HYDRALAZINE HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4424545","1134146319","WALMART PHARMACY 10-1319 101319","7550 NORRIS FWY","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-07-06",58787013362,"00006027731","JANUVIA","Brand","Retail 30","Y","N","SSB","4430803","1356444079","CVS PHARMACY #04457 04457","7341 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":90,"d":"90.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","E001","P","2020-07-06",28948445456,"60505470303","SOLIFENACIN SUCCINATE","Generic","Retail 90","Y","N","Generic","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E003","P","2021-03-16",13980483776,"51672125902","CLOBETASOL PROPIONATE","Generic","Retail 30","Y","N","Generic","4421739","1477568475","WALGREENS #3798 3798","2400 N BROADWAY ST","KNOXVILLE","TN","37917","Non- Specialty","No",{"v":30,"d":"30.00"},15,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B002","P","2021-02-26",20273633120,"80777027399","MODERNA COVID-19 VACCINE","Brand","Retail 30","Y","N","SSB","4434370","1356368559","SAMS PHARMACY 10-6572 106572","2920 KNOXVILLE CENTER DR","KNOXVILLE","TN","37924","Non- Specialty","No",{"v":0.5,"d":"0.50"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D001","P","2020-09-07",26743051125,"65862020390","LOSARTAN POTASSIUM","Generic","Retail 90","Y","N","Generic","4421157","1629171335","CVS PHARMACY #06366 06366","2800 BROADWAY ST NE","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C003","P","2020-11-19",92308563039,"68180072103","AMLODIPINE BESYLATE","Generic","Retail 30","Y","N","Generic","4421739","1477568475","WALGREENS #3798 3798","2400 N BROADWAY ST","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","C001","P","2021-01-18",63182588523,"65862019999","GABAPENTIN","Generic","Retail 30","Y","N","Generic","4428240","1982621173","WALMART PHARMACY 10-2065 102065","8445 WALBROOK DR","KNOXVILLE","TN","37923","Non- Specialty","Yes",{"v":90,"d":"90.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2021-04-23",32810846070,"69097012715","AMLODIPINE BESYLATE","Generic","Mail","Y","N","Generic","5926716","1154893600","OPTUMRX PHARMACY 704","5627 UNIVERSITY HEIGHTS BOULEVARD","SAN ANTONIO","TX","78249","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A001","P","2020-07-23",89454764863,"00430042014","LO LOESTRIN FE","Brand","Retail 90","Y","N","SSB","4424949","1811902810","WALGREENS #5729 5729","9200 MIDDLEBROOK PIKE","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":84,"d":"84.00"},84,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B001","P","2020-07-16",54126482316,"65862022801","LAMOTRIGINE","Generic","Retail 30","Y","N","Generic","4418592","1326141037","CVS PHARMACY #06361 06361","718 WINFIELD DUNN PKWY","SEVIERVILLE","TN","37876","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-08-11",39695168451,"65862001205","SERTRALINE HCL","Generic","Retail 90","Y","N","Generic","4441541","1861657991","WALGREENS #12311 12311","2151 N CHARLES G SEIVERS BLVD","CLINTON","TN","37716","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","A001","P","2021-02-05",10941290187,"80777027399","MODERNA COVID-19 VACCINE","Brand","Retail 30","Y","N","SSB","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":0.5,"d":"0.50"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E001","P","2020-12-22",43665811377,"31722072690","MONTELUKAST SODIUM","Generic","Retail 30","Y","N","Generic","4429177","1033124045","WALGREENS #3388 3388","225 NORTH HALL RD","ALCOA","TN","37701","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2021-01-05",91413033670,"00781713593","MOXIFLOXACIN HYDROCHLORID","Generic","Retail 30","Y","N","Generic","4429177","1033124045","WALGREENS #3388 3388","225 NORTH HALL RD","ALCOA","TN","37701","Non- Specialty","No",{"v":3,"d":"3.00"},10,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2020-08-13",70240222671,"00186504054","NEXIUM","Brand","Mail","N","N","SSB","2993942","1437526316","OPTUM PHARMACY 703 LLC","8350 BRIOVA DRIVE","LAS VEGAS","NV","89113","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":40,"d":"$40.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2021-01-27",76685402006,"00093915701","VENLAFAXINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4421133","1295838704","CVS PHARMACY #06363 06363","6005 KINGSTON PIKE","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D099","P","2020-05-12",82273371731,"00093820401","CIMETIDINE","Generic","Retail 30","Y","N","Generic","4422111","1194730192","WALGREENS #4169 4169","4001 CHAPMAN HIGHWAY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C002","P","2020-10-08",80159878110,"50228010510","METFORMIN HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4411548","1831108471","EAST TENNESSEE DISCOUNT DRUG","524 ANDREW JOHNSON HWY","STRAWBERRY PLAINS","TN","37871","Non- Specialty","Yes",{"v":180,"d":"180.00"},45,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A099","P","2020-09-27",47161086067,"00378021101","CHLORDIAZEPOXIDE/AMITRIPT","Generic","Retail 30","Y","N","Generic","4442721","1659607141","KROGER PHARMACY #698 02600698","5201 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},10,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2021-02-17",97937824770,"50458014130","INVOKANA","Brand","Retail 90","Y","N","SSB","4403666","1942303649","CVS PHARMACY #03762 03762","9175 KINGSTON PIKE","KNOXVILLE","TN","37923","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":25,"d":"$25.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C003","P","2021-01-18",53426576601,"47781065490","LEVOTHYROXINE SODIUM","Generic","Retail 30","Y","N","Generic","4429545","1972520161","WALMART PHARMACY 10-2310 102310","3051 KINZEL WAY","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":4,"d":"$4.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2021-03-30",28210088599,"13668009490","PRAMIPEXOLE DIHYDROCHLORI","Generic","Retail 90","Y","N","Generic","4431019","1518991256","KROGER PHARMACY #581 02600581","10721 CHAPMAN HWY","SEYMOUR","TN","37865","Non- Specialty","Yes",{"v":135,"d":"135.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-12-30",64254812533,"00006027731","JANUVIA","Brand","Retail 30","Y","N","SSB","4424545","1134146319","WALMART PHARMACY 10-1319 101319","7550 NORRIS FWY","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-09-09",57237852773,"50111043301","TRAZODONE HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4427630","1164525879","CVS PHARMACY #04180 04180","4406 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-11-24",62625425951,"00591079401","DICYCLOMINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4435790","1386651396","WALGREENS #6609 6609","119 FORK OF THE RIVER PKWY","SEVIERVILLE","TN","37862","Non- Specialty","No",{"v":45,"d":"45.00"},15,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C003","P","2020-09-29",11885618433,"69097084507","CYCLOBENZAPRINE HYDROCHLO","Generic","Retail 30","Y","N","Generic","4421133","1295838704","CVS PHARMACY #06363 06363","6005 KINGSTON PIKE","KNOXVILLE","TN","37919","Non- Specialty","No",{"v":90,"d":"90.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C003","P","2020-10-12",81196295364,"00002143480","TRULICITY","Brand","Retail 30","Y","N","SSB","4443254","1013236785","WALGREENS #12980 12980","7425 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":2,"d":"2.00"},28,{"v":10,"d":"$10.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","A003","P","2020-06-11",25938187896,"00781268301","DEXMETHYLPHENIDATE HCL ER","Generic","Retail 30","Y","N","Generic","4420028","1134222847","CVS PHARMACY #05639 05639","11946 KINGSTON PIKE","FARRAGUT","TN","37934","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-07-23",28096525388,"69238183607","LEVOTHYROXINE SODIUM","Generic","Retail 90","Y","N","Generic","4423896","1912914912","WALGREENS #4330 4330","121 N NORTHSHORE DR","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C001","P","2021-04-12",35911048418,"00781261305","AMOXICILLIN","Generic","Retail 30","Y","N","Generic","4437150","1467511469","UNION DISCOUNT PHARMACY INC","2959 MAYNARDVILLE HWY","MAYNARDVILLE","TN","37807","Non- Specialty","No",{"v":21,"d":"21.00"},7,{"v":2.77,"d":"$2.77"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-07-02",92375694319,"50111043403","TRAZODONE HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4419304","1316958994","BLOUNT DISCOUNT PHARMACY - GILL","129 GILL ST","ALCOA","TN","37701","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D003","P","2020-07-06",91367097669,"16571041210","CIPROFLOXACIN HYDROCHLORI","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":20,"d":"20.00"},10,{"v":4.43,"d":"$4.43"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-09-29",56037456094,"00093727298","PIOGLITAZONE HYDROCHLORID","Generic","Retail 90","Y","N","Generic","4430803","1356444079","CVS PHARMACY #04457 04457","7341 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C003","P","2021-02-12",83350007749,"27241016801","DOXEPIN HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4421880","1386678019","KROGER PHARMACY #531 02600531","4409 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2021-03-17",44053998274,"55111029336","SUMATRIPTAN SUCCINATE","Generic","Retail 30","Y","N","Generic","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","No",{"v":9,"d":"9.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D003","P","2021-03-19",39663299304,"31722070290","LOSARTAN POTASSIUM","Generic","Retail 90","Y","N","Generic","4400317","1093818783","CVS PHARMACY #06355 06355","4325 ASHEVILLE HIGHWAY E","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2020-06-23",65210878385,"53489037601","TRIMETHOBENZAMIDE HYDROCH","Generic","Retail 30","Y","N","Generic","4418566","1417050121","CVS PHARMACY #05671 05671","103 FOOTHILLS MALL RD","MARYVILLE","TN","37801","Non- Specialty","No",{"v":90,"d":"90.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-11-09",92226664690,"33342008841","RIZATRIPTAN BENZOATE","Generic","Retail 30","Y","N","Generic","4430283","1194803601","ANDERSON CROSSING PHARMACY","3318 ANDERSONVILLE HWY","ANDERSONVILLE","TN","37705","Non- Specialty","No",{"v":6,"d":"6.00"},12,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D003","P","2021-03-30",24473778911,"00186037220","SYMBICORT","Brand","Retail 30","Y","N","MSB","4437516","1457368466","WALGREENS #1634 1634","7810 OAK RIDGE HWY","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":10.2,"d":"10.20"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","E001","P","2021-01-19",89271293940,"58160082311","SHINGRIX","Brand","Retail 30","Y","N","SSB","4430803","1356444079","CVS PHARMACY #04457 04457","7341 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","No",{"v":1,"d":"1.00"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","B003","P","2021-03-18",23106851866,"68382080601","TRAZODONE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4424862","1043237225","WALMART PHARMACY 10-1320 101320","7420 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":90,"d":"90.00"},45,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-07-02",22558003534,"00228207610","TEMAZEPAM","Generic","Retail 30","Y","N","Generic","4424949","1811902810","WALGREENS #5729 5729","9200 MIDDLEBROOK PIKE","KNOXVILLE","TN","37931","Non- Specialty","No",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-11-17",74434591421,"72511076002","REPATHA SURECLICK","Brand","Mail","Y","N","SSB","0556540","1497704431","OPTUMRX","2858 LOKER AVENUE EAST","CARLSBAD","CA","92010","Non- Specialty","Yes",{"v":2,"d":"2.00"},28,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2021-01-27",81448459709,"57237017190","ROSUVASTATIN CALCIUM","Generic","Retail 30","Y","N","Generic","4444698","1316215981","BELEW DRUGS WASHINGTON PIKE","5908 WASHINGTON PIKE STE 102","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D001","P","2021-01-11",57808469881,"00781286810","OMEPRAZOLE","Generic","Retail 90","Y","N","Generic","4441212","1467638890","WALMART PHARMACY 10-4635 104635","150 TANNER LN","CLINTON","TN","37716","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","B003","P","2021-03-11",40948866522,"62037072601","METHYLPHENIDATE HYDROCHLO","Generic","Retail 30","Y","N","Generic","4429634","1588679591","WALGREENS #3137 3137","1299 OAK RIDGE TURNPIKE","OAK RIDGE","TN","37830","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-10-17",65286724731,"29300012410","MELOXICAM","Generic","Retail 90","Y","N","Generic","4421739","1477568475","WALGREENS #3798 3798","2400 N BROADWAY ST","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2021-02-15",57850490518,"00781808926","AZITHROMYCIN","Generic","Retail 30","Y","N","Generic","4436261","1033124060","WALGREENS #7407 7407","11305 CHAPMAN HIGHWAY","SEYMOUR","TN","37865","Non- Specialty","No",{"v":6,"d":"6.00"},5,{"v":4.8,"d":"$4.80"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-06-02",59146095910,"62175011843","OMEPRAZOLE","Generic","Retail 90","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D003","P","2021-02-08",67181082289,"33342004707","IRBESARTAN","Generic","Retail 30","Y","N","Generic","4432237","1528165024","CVS PHARMACY #07698 07698","9435 S NORTHSHORE DR","KNOXVILLE","TN","37922","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E001","P","2020-07-20",75948814059,"00169266015","TRESIBA FLEXTOUCH","Brand","Retail 90","Y","N","SSB","4429545","1972520161","WALMART PHARMACY 10-2310 102310","3051 KINZEL WAY","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":15,"d":"15.00"},90,{"v":25,"d":"$25.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2020-07-03",83751178514,"68180031909","BUPROPION HYDROCHLORIDE E","Generic","Retail 90","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2021-01-26",32810846070,"00955170310","ZOLPIDEM TARTRATE ER","Generic","Retail 30","Y","N","Generic","4422111","1194730192","WALGREENS #4169 4169","4001 CHAPMAN HIGHWAY","KNOXVILLE","TN","37920","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D099","P","2021-03-17",66300971516,"69097084805","ESCITALOPRAM OXALATE","Generic","Retail 90","Y","N","Generic","4443254","1013236785","WALGREENS #12980 12980","7425 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-11-08",20052325227,"65862001305","SERTRALINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4401410","1346255445","WALGREENS #5483 5483","7523 KINGSTON PIKE","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2021-02-03",66479368617,"68180072103","AMLODIPINE BESYLATE","Generic","Retail 90","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","C003","P","2021-04-12",14213955364,"16729017401","AMITRIPTYLINE HCL","Generic","Retail 30","Y","N","Generic","4444698","1316215981","BELEW DRUGS WASHINGTON PIKE","5908 WASHINGTON PIKE STE 102","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","E002","P","2021-04-12",51804068542,"33342004910","IRBESARTAN","Generic","Retail 90","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A001","P","2021-02-27",27293865631,"00555902742","JUNEL 1.5/30","Generic","Retail 30","Y","N","Generic","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":63,"d":"63.00"},63,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-06-23",34088899789,"50742061510","METOPROLOL SUCCINATE ER","Generic","Retail 90","Y","N","Generic","4424355","1598782773","WALMART PHARMACY 10-0741 100741","911 HIGHWAY 321 N","LENOIR CITY","TN","37771","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","E002","P","2021-03-20",18850716229,"65862020199","LOSARTAN POTASSIUM","Generic","Retail 30","Y","N","Generic","4436071","1124033154","WALGREENS #7320 7320","7320 CLINTON HWY","POWELL","TN","37849","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2021-02-26",26019304027,"68462015305","TOPIRAMATE","Generic","Retail 90","Y","N","Generic","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-11-06",78310751640,"27241009903","DULOXETINE HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4424949","1811902810","WALGREENS #5729 5729","9200 MIDDLEBROOK PIKE","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","E099","P","2021-01-10",40099816650,"00193709021","CONTOUR BLOOD GLUCOSE TES","Brand","Retail 90","Y","N","SSB","4400317","1093818783","CVS PHARMACY #06355 06355","4325 ASHEVILLE HIGHWAY E","KNOXVILLE","TN","37914","Non- Specialty","No",{"v":200,"d":"200.00"},90,{"v":25,"d":"$25.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-06-25",54514992509,"69097094312","GABAPENTIN","Generic","Retail 30","Y","N","Generic","4401410","1346255445","WALGREENS #5483 5483","7523 KINGSTON PIKE","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":240,"d":"240.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2021-03-06",98981802535,"65862086001","FAMOTIDINE","Generic","Retail 90","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":20.68,"d":"$20.68"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","B002","P","2020-08-27",26661002194,"42192032801","NP THYROID 120","Generic","Retail 90","N","N","Generic","4441705","1538319298","KROGER PHARMACY #686 02600686","189 BROOKLAWN ST","FARRAGUT","TN","37934","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":25,"d":"$25.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2020-06-23",32810846070,"72733590102","PRALUENT","Brand","Mail","Y","N","SSB","0556540","1497704431","OPTUMRX","2858 LOKER AVENUE EAST","CARLSBAD","CA","92010","Non- Specialty","Yes",{"v":2,"d":"2.00"},30,{"v":40,"d":"$40.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D001","P","2021-01-11",19231088433,"65862064163","AZITHROMYCIN","Generic","Retail 30","Y","N","Generic","4442721","1659607141","KROGER PHARMACY #698 02600698","5201 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":6,"d":"6.00"},5,{"v":3.76,"d":"$3.76"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","C002","P","2021-02-01",77529190096,"65162019050","NAPROXEN","Generic","Retail 30","Y","N","Generic","4400317","1093818783","CVS PHARMACY #06355 06355","4325 ASHEVILLE HIGHWAY E","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C003","P","2020-11-07",44493715746,"00378718505","METFORMIN HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":360,"d":"360.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2020-10-10",29940625739,"00378728053","NORETHINDRONE ACETATE/ETH","Generic","Retail 90","Y","N","Generic","4541846","1932110525","TPC PHARMACY","4200 BUCKINGHAM RD","FORT WORTH","TX","76155","Non- Specialty","Yes",{"v":84,"d":"84.00"},84,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-12-11",67972188267,"60505083305","AZELASTINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4439623","1578586954","FOOD CITY PHARMACY #687 687","2712 LOVES CREEK RD","KNOXVILLE","TN","37924","Non- Specialty","No",{"v":30,"d":"30.00"},25,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","E003","P","2021-04-19",43169985530,"59267100001","PFIZER-BIONTECH COVID-19","Brand","Retail 30","Y","N","SSB","4421739","1477568475","WALGREENS #3798 3798","2400 N BROADWAY ST","KNOXVILLE","TN","37917","Non- Specialty","No",{"v":0.3,"d":"0.30"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-06-15",34679812087,"61703035038","METHOTREXATE SODIUM","Generic","Retail 90","N","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":12,"d":"12.00"},84,{"v":25,"d":"$25.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D001","P","2020-08-21",26743051125,"00032121201","CREON","Brand","Retail 30","Y","N","SSB","4421157","1629171335","CVS PHARMACY #06366 06366","2800 BROADWAY ST NE","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":420,"d":"420.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","E001","P","2021-04-13",45033979060,"00093075210","ATENOLOL","Generic","Retail 90","Y","N","Generic","1071795","1487669792","WALGREENS #7386 7386","7780 N WICKHAM RD","MELBOURNE","FL","32940","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2021-04-15",18970763194,"08290305270","BD INTEGRA 3ML SYRINGE W/","Brand","Retail 90","N","N","SSB","4419912","1225131931","CVS PHARMACY #06364 06364","5401 CLINTON PIKE","KNOXVILLE","TN","37912","Non- Specialty","No",{"v":3,"d":"3.00"},84,{"v":1.29,"d":"$1.29"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2020-05-26",53648422586,"33342008845","RIZATRIPTAN BENZOATE","Generic","Retail 30","Y","N","Generic","4428682","1497760409","WALGREENS #3209 3209","8950 KINGSTON PIKE","KNOXVILLE","TN","37923","Non- Specialty","No",{"v":12,"d":"12.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2021-01-18",89881889199,"00169280015","SAXENDA","Brand","Retail 30","Y","N","SSB","4441818","1649421157","INGLES PHARMACY 091","11847 KINGSTON PIKE","FARRAGUT","TN","37934","Non- Specialty","Yes",{"v":15,"d":"15.00"},30,{"v":20,"d":"$20.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2021-04-05",92920979424,"00173068220","VENTOLIN HFA","Brand","Retail 30","Y","N","MSB","4424545","1134146319","WALMART PHARMACY 10-1319 101319","7550 NORRIS FWY","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":18,"d":"18.00"},17,{"v":20,"d":"$20.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2020-06-20",56313327131,"65862018601","CLINDAMYCIN HCL","Generic","Retail 30","Y","N","Generic","4422111","1194730192","WALGREENS #4169 4169","4001 CHAPMAN HIGHWAY","KNOXVILLE","TN","37920","Non- Specialty","No",{"v":40,"d":"40.00"},10,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-08-10",82194251363,"68462043730","OLMESARTAN MEDOXOMIL","Generic","Retail 90","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D003","P","2020-08-25",80708916230,"00002143480","TRULICITY","Brand","Retail 90","Y","N","SSB","4426486","1649287640","WALGREENS #6967 6967","4423 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":6,"d":"6.00"},84,{"v":25,"d":"$25.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2021-04-17",86550997582,"69238183301","LEVOTHYROXINE SODIUM","Generic","Retail 30","Y","N","Generic","4428682","1497760409","WALGREENS #3209 3209","8950 KINGSTON PIKE","KNOXVILLE","TN","37923","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D001","P","2021-01-07",36840827196,"64764075030","TRINTELLIX","Brand","Retail 30","N","N","SSB","4430803","1356444079","CVS PHARMACY #04457 04457","7341 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":40,"d":"$40.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A003","P","2020-07-15",77428891432,"00456140530","BYSTOLIC","Brand","Retail 90","Y","N","SSB","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":25,"d":"$25.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C003","P","2020-08-18",49626774039,"53746051401","SPIRONOLACTONE","Generic","Retail 90","Y","N","Generic","4426486","1649287640","WALGREENS #6967 6967","4423 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-12-21",90384923609,"68180016113","AZITHROMYCIN","Generic","Retail 30","Y","N","Generic","4403806","1588767289","CVS PHARMACY #03723 03723","1287 OAK RIDGE TPK","OAK RIDGE","TN","37830","Non- Specialty","No",{"v":3,"d":"3.00"},3,{"v":3.57,"d":"$3.57"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","B003","P","2020-10-29",72844616835,"23155050105","HYDROXYZINE HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4435598","1568477586","WALGREENS #6788 6788","1959 W ANDREW JOHNSON HWY","MORRISTOWN","TN","37814","Non- Specialty","No",{"v":90,"d":"90.00"},90,{"v":12.09,"d":"$12.09"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2020-11-22",40165059220,"43598051090","ESOMEPRAZOLE MAGNESIUM","Generic","Retail 30","Y","N","Generic","4418097","1497789127","KROGER PHARMACY #690 02600690","1550 OAK RIDGE TPKE","OAK RIDGE","TN","37830","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2021-01-28",75076361712,"70377000215","SIMVASTATIN","Generic","Retail 90","Y","N","Generic","4421739","1477568475","WALGREENS #3798 3798","2400 N BROADWAY ST","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C001","P","2020-07-23",60600992441,"65862007930","TERBINAFINE HCL","Generic","Retail 30","Y","N","Generic","4429545","1972520161","WALMART PHARMACY 10-2310 102310","3051 KINZEL WAY","KNOXVILLE","TN","37924","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","E099","P","2020-05-22",40099816650,"67877049090","EZETIMIBE","Generic","Mail","N","N","Generic","1718634","1669498515","OPTUMRX","6800 WEST 115TH STREET","OVERLAND PARK","KS","66211","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":10,"d":"$10.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","B002","P","2020-09-15",62869149151,"65862078430","ESOMEPRAZOLE MAGNESIUM","Generic","Retail 30","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","A003","P","2020-09-08",60374971502,"00093532862","JUNEL FE 24","Generic","Retail 30","Y","N","Generic","4436071","1124033154","WALGREENS #7320 7320","7320 CLINTON HWY","POWELL","TN","37849","Non- Specialty","Yes",{"v":84,"d":"84.00"},72,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A001","P","2021-01-03",87896771059,"60505384901","CELECOXIB","Generic","Retail 30","N","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B001","P","2020-05-04",22370113770,"00406012301","HYDROCODONE/ACETAMINOPHEN","Generic","Retail 30","Y","N","Generic","4434065","1053338400","FOOD CITY PHARMACY #655 655","7510 ASHEVILLE HWY","KNOXVILLE","TN","37924","Non- Specialty","No",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","C099","P","2021-01-27",80104906720,"57237016990","ROSUVASTATIN CALCIUM","Generic","Retail 30","Y","N","Generic","4426690","1477697589","FOUR WAY PRESCRIPTION SHOP","8707 A ASHEVILLE HWY","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C003","P","2020-11-25",30943842892,"65862001005","METFORMIN HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4436716","1932206877","OKIE'S PHARMACY II","1050 RUTLEDGE PIKE","BLAINE","TN","37709","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-08-27",61387409186,"68180098103","LISINOPRIL","Generic","Retail 90","Y","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","C002","P","2020-09-08",77529190096,"49281042050","FLUZONE QUADRIVALENT 2020","Brand","Retail 30","Y","N","SSB","4400317","1093818783","CVS PHARMACY #06355 06355","4325 ASHEVILLE HIGHWAY E","KNOXVILLE","TN","37914","Non- Specialty","No",{"v":0.5,"d":"0.50"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-07-25",23498125040,"16729015615","SIMVASTATIN","Generic","Retail 30","Y","N","Generic","4430891","1790719433","KROGER PHARMACY #558 02600558","4414 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C001","P","2021-02-23",92270000623,"59746000103","METHYLPREDNISOLONE DOSE P","Generic","Retail 30","Y","N","Generic","4436716","1932206877","OKIE'S PHARMACY II","1050 RUTLEDGE PIKE","BLAINE","TN","37709","Non- Specialty","No",{"v":21,"d":"21.00"},6,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C003","P","2020-11-21",53789411979,"70377000712","ROSUVASTATIN CALCIUM","Generic","Retail 90","Y","N","Generic","4419962","1154424794","CVS PHARMACY #07226 07226","2114 E ANDREW JOHNSON HWY","MORRISTOWN","TN","37814","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-08-02",36433476109,"00642747001","SLYND","Brand","Retail 90","Y","N","SSB","4428682","1497760409","WALGREENS #3209 3209","8950 KINGSTON PIKE","KNOXVILLE","TN","37923","Non- Specialty","Yes",{"v":84,"d":"84.00"},84,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C001","P","2021-01-20",28110231882,"00093101042","MUPIROCIN","Generic","Retail 30","Y","N","Generic","4421157","1629171335","CVS PHARMACY #06366 06366","2800 BROADWAY ST NE","KNOXVILLE","TN","37917","Non- Specialty","No",{"v":22,"d":"22.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2020-09-03",40165059220,"57237001401","TAMSULOSIN HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4403806","1588767289","CVS PHARMACY #03723 03723","1287 OAK RIDGE TPK","OAK RIDGE","TN","37830","Non- Specialty","Yes",{"v":15,"d":"15.00"},15,{"v":4.61,"d":"$4.61"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E001","P","2020-07-09",70315745486,"00378718505","METFORMIN HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2020-06-30",32431154409,"70954002010","PRAZOSIN HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4434370","1356368559","SAMS PHARMACY 10-6572 106572","2920 KNOXVILLE CENTER DR","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B001","P","2020-06-19",42320665668,"24208044605","BESIVANCE","Brand","Retail 30","N","N","SSB","4446565","1417375403","WALGREENS #15906 15906","1602 E LAMAR ALEXANDER PKWY","MARYVILLE","TN","37804","Non- Specialty","No",{"v":5,"d":"5.00"},22,{"v":40,"d":"$40.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E003","P","2020-10-05",58121399749,"68382039801","POTASSIUM CHLORIDE ER","Generic","Retail 90","Y","N","Generic","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2021-02-20",80905186611,"65862029590","ROSUVASTATIN CALCIUM","Generic","Retail 90","Y","N","Generic","4435497","1316971054","KROGER PHARMACY #683 02600683","507 FOOTHILLS PLZ","MARYVILLE","TN","37801","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-07-31",28759640524,"00093747243","RIZATRIPTAN BENZOATE","Generic","Mail","Y","N","Generic","5741372","1790340206","OPTUMRX PHARMACY 700, LLC","5700 DOT COM COURT","OVIEDO","FL","32765","Non- Specialty","No",{"v":27,"d":"27.00"},90,{"v":10,"d":"$10.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A001","P","2021-01-07",14813265837,"68382075810","METFORMIN HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-06-23",22558003534,"13668008190","MONTELUKAST SODIUM","Generic","Mail","Y","N","Generic","0556540","1497704431","OPTUMRX","2858 LOKER AVENUE EAST","CARLSBAD","CA","92010","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C001","P","2020-05-18",55651368140,"27241009903","DULOXETINE HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4401410","1346255445","WALGREENS #5483 5483","7523 KINGSTON PIKE","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2020-12-21",94844542357,"72865014310","LOSARTAN POTASSIUM","Generic","Retail 30","Y","N","Generic","4436540","1548218266","MOUNTAIN HOME VAMC PHARMACY","SIDNEY & LAMONT ST","MOUNTAIN HOME","TN","37684","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","E002","P","2020-05-21",81943737200,"65862001705","AMOXICILLIN","Generic","Retail 30","Y","N","Generic","1831545","1194058727","WALGREENS #10560 10560","6620 BARDSTOWN RD","LOUISVILLE","KY","40291","Non- Specialty","No",{"v":28,"d":"28.00"},7,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A001","P","2020-08-27",80923463846,"68382066005","SPIRONOLACTONE","Generic","Mail","Y","N","Generic","5926716","1154893600","OPTUMRX PHARMACY 704","5627 UNIVERSITY HEIGHTS BOULEVARD","SAN ANTONIO","TX","78249","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-07-25",81204884091,"65862035705","CLOPIDOGREL","Generic","Retail 90","Y","N","Generic","4426640","1063549863","SEYMOUR ADVALUE PHARMACY","10721 CHAPMAN HWY","SEYMOUR","TN","37865","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B001","P","2020-12-02",52337607330,"70700016406","LEVONORGESTREL","Generic","Retail 90","Y","N","Generic","4541846","1932110525","TPC PHARMACY","4200 BUCKINGHAM RD","FORT WORTH","TX","76155","Non- Specialty","No",{"v":8,"d":"8.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C002","P","2021-01-28",80159878110,"16729003410","LETROZOLE","Generic","Retail 90","Y","N","Generic","4411548","1831108471","EAST TENNESSEE DISCOUNT DRUG","524 ANDREW JOHNSON HWY","STRAWBERRY PLAINS","TN","37871","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-09-22",55288734178,"68382050010","OMEPRAZOLE","Generic","Retail 90","Y","N","Generic","4421739","1477568475","WALGREENS #3798 3798","2400 N BROADWAY ST","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","C003","P","2021-03-01",92908560164,"00088221905","LANTUS SOLOSTAR","Brand","Retail 30","Y","N","SSB","4444698","1316215981","BELEW DRUGS WASHINGTON PIKE","5908 WASHINGTON PIKE STE 102","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","E003","P","2021-04-22",71246593480,"45802028139","TESTOSTERONE","Generic","Retail 30","Y","N","Generic","4430803","1356444079","CVS PHARMACY #04457 04457","7341 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":37.5,"d":"37.50"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2021-02-15",99498577452,"00456112030","VIIBRYD","Brand","Retail 30","N","N","SSB","4403781","1679676373","CVS PHARMACY #03721 03721","4864 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":40,"d":"$40.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E003","P","2020-08-25",15966049155,"70377000415","SIMVASTATIN","Generic","Retail 90","Y","N","Generic","4433265","1356358352","WALGREENS #5053 5053","601 N CAMPBELL STATION RD","FARRAGUT","TN","37934","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A003","P","2021-01-27",68495078221,"29300012510","MELOXICAM","Generic","Retail 30","Y","N","Generic","4440157","1710103726","WALGREENS #10066 10066","929 NEW HWY 68","SWEETWATER","TN","37874","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":2.77,"d":"$2.77"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2021-02-26",74176522278,"51862000701","MICROGESTIN 1/20","Generic","Retail 30","Y","N","Generic","4401410","1346255445","WALGREENS #5483 5483","7523 KINGSTON PIKE","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":63,"d":"63.00"},63,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-11-10",14435600669,"66993059902","AMPHETAMINE/DEXTROAMPHETA","Generic","Retail 30","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2021-01-25",18106107112,"00378718705","METFORMIN HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4434394","1265459465","SAMS PHARMACY 10-8256 108256","8435 WALBROOK DR","KNOXVILLE","TN","37923","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-07-23",75076361712,"29033004530","VENLAFAXINE HYDROCHLORIDE","Generic","Retail 90","N","N","Generic","4421739","1477568475","WALGREENS #3798 3798","2400 N BROADWAY ST","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":25,"d":"$25.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-08-07",54514992509,"43598029390","PREGABALIN","Generic","Retail 30","N","N","Generic","4401410","1346255445","WALGREENS #5483 5483","7523 KINGSTON PIKE","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":120,"d":"120.00"},24,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-10-29",17856208285,"08290328411","BD INSULIN SYRINGE ULTRA-","Brand","Retail 90","Y","N","SSB","4400317","1093818783","CVS PHARMACY #06355 06355","4325 ASHEVILLE HIGHWAY E","KNOXVILLE","TN","37914","Non- Specialty","No",{"v":400,"d":"400.00"},90,{"v":25,"d":"$25.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-11-17",26019304027,"60505265501","TRAZODONE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":15,"d":"15.00"},15,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D001","P","2021-03-03",76637397712,"69238183207","LEVOTHYROXINE SODIUM","Generic","Retail 90","Y","N","Generic","4422111","1194730192","WALGREENS #4169 4169","4001 CHAPMAN HIGHWAY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A001","P","2021-02-05",17491531189,"65862050220","AMOXICILLIN/CLAVULANATE P","Generic","Retail 30","Y","N","Generic","4424949","1811902810","WALGREENS #5729 5729","9200 MIDDLEBROOK PIKE","KNOXVILLE","TN","37931","Non- Specialty","No",{"v":20,"d":"20.00"},7,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-05-28",28455764157,"00378464226","ESTRADIOL","Generic","Retail 90","Y","N","Generic","4437516","1457368466","WALGREENS #1634 1634","7810 OAK RIDGE HWY","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":24,"d":"24.00"},84,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2020-08-29",80929591271,"62332000131","FAMOTIDINE","Generic","Retail 30","Y","N","Generic","4441539","1902062722","FOOD CITY PHARMACY #680 680","4344 MAYNARDVILLE","MAYNARDVILLE","TN","37807","Non- Specialty","Yes",{"v":90,"d":"90.00"},45,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2020-05-28",54023368555,"16729013600","CLONAZEPAM","Generic","Retail 30","Y","N","Generic","4448848","1508216029","KROGER PHARMACY #670 02600670","234 E EMORY RD","POWELL","TN","37849","Non- Specialty","No",{"v":60,"d":"60.00"},30,{"v":3.24,"d":"$3.24"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E003","P","2021-01-26",85857488916,"29300012510","MELOXICAM","Generic","Retail 90","Y","N","Generic","4442721","1659607141","KROGER PHARMACY #698 02600698","5201 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":9.13,"d":"$9.13"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2020-09-21",26378648094,"65862056090","PANTOPRAZOLE SODIUM","Generic","Retail 90","Y","N","Generic","4443254","1013236785","WALGREENS #12980 12980","7425 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A003","P","2020-12-15",73473621070,"67877057305","BENZONATATE","Generic","Retail 30","Y","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","No",{"v":20,"d":"20.00"},6,{"v":2.57,"d":"$2.57"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-05-19",46909536864,"65862029490","ROSUVASTATIN CALCIUM","Generic","Retail 90","Y","N","Generic","4431019","1518991256","KROGER PHARMACY #581 02600581","10721 CHAPMAN HWY","SEYMOUR","TN","37865","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D003","P","2020-10-20",96817712869,"33332032001","AFLURIA QUADRIVALENT 2020","Brand","Retail 30","Y","N","SSB","4429634","1588679591","WALGREENS #3137 3137","1299 OAK RIDGE TURNPIKE","OAK RIDGE","TN","37830","Non- Specialty","No",{"v":0.5,"d":"0.50"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2020-09-16",17667393388,"00074929690","SYNTHROID","Brand","Retail 90","Y","N","SSB","4403907","1750484457","CVS PHARMACY #03743 03743","110 MAJESTIC GROVE RD","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":50,"d":"$50.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2021-03-04",89641535665,"00169633910","NOVOLOG FLEXPEN","Brand","Retail 90","Y","N","SSB","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":25,"d":"$25.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C002","P","2020-10-16",80159878110,"65862017760","CEFDINIR","Generic","Retail 30","Y","N","Generic","4411548","1831108471","EAST TENNESSEE DISCOUNT DRUG","524 ANDREW JOHNSON HWY","STRAWBERRY PLAINS","TN","37871","Non- Specialty","No",{"v":10,"d":"10.00"},5,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-11-21",41140875084,"66685100100","AMOXICILLIN/CLAVULANATE P","Generic","Retail 30","Y","N","Generic","4441541","1861657991","WALGREENS #12311 12311","2151 N CHARLES G SEIVERS BLVD","CLINTON","TN","37716","Non- Specialty","No",{"v":20,"d":"20.00"},10,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","E002","P","2020-12-22",45865775401,"00378334053","XULANE","Generic","Retail 30","Y","N","Generic","4419304","1316958994","BLOUNT DISCOUNT PHARMACY - GILL","129 GILL ST","ALCOA","TN","37701","Non- Specialty","Yes",{"v":3,"d":"3.00"},28,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-12-11",19181201642,"50742063460","METFORMIN HYDROCHLORIDE E","Generic","Retail 90","Y","N","Generic","4400317","1093818783","CVS PHARMACY #06355 06355","4325 ASHEVILLE HIGHWAY E","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-12-14",52265911440,"00378718505","METFORMIN HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","0323624","1588670996","WALGREENS.COM 21147","2225 S PRICE RD","CHANDLER","AZ","85286","Non- Specialty","Yes",{"v":180,"d":"180.00"},45,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-07-26",51343831996,"70710122600","AMITRIPTYLINE HYDROCHLORI","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D001","P","2021-02-01",86218410716,"65862001305","SERTRALINE HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4436261","1033124060","WALGREENS #7407 7407","11305 CHAPMAN HIGHWAY","SEYMOUR","TN","37865","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A004","P","2020-12-17",44009391240,"63304090530","VALACYCLOVIR HCL","Generic","Retail 30","Y","N","Generic","4436716","1932206877","OKIE'S PHARMACY II","1050 RUTLEDGE PIKE","BLAINE","TN","37709","Non- Specialty","No",{"v":30,"d":"30.00"},15,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A003","P","2021-02-26",38546120442,"00088221905","LANTUS SOLOSTAR","Brand","Retail 30","Y","N","SSB","4411548","1831108471","EAST TENNESSEE DISCOUNT DRUG","524 ANDREW JOHNSON HWY","STRAWBERRY PLAINS","TN","37871","Non- Specialty","Yes",{"v":15,"d":"15.00"},42,{"v":25,"d":"$25.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-05-06",20734376033,"49483062401","METFORMIN HYDROCHLORIDE E","Generic","Retail 90","Y","N","Generic","4419912","1225131931","CVS PHARMACY #06364 06364","5401 CLINTON PIKE","KNOXVILLE","TN","37912","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-10-02",56376004615,"70710114003","FLUCONAZOLE","Generic","Retail 30","Y","N","Generic","4403832","1114020815","CVS PHARMACY #03727 03727","2008 WEST ANDREW JOHNSON HWY","MORRISTOWN","TN","37814","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-05-07",73465680371,"43386035701","HYDROCODONE/ACETAMINOPHEN","Generic","Retail 30","Y","N","Generic","4400317","1093818783","CVS PHARMACY #06355 06355","4325 ASHEVILLE HIGHWAY E","KNOXVILLE","TN","37914","Non- Specialty","No",{"v":15,"d":"15.00"},3,{"v":2.51,"d":"$2.51"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2021-03-09",54612627877,"55111012105","ATORVASTATIN CALCIUM","Generic","Retail 30","Y","N","Generic","4423896","1912914912","WALGREENS #4330 4330","121 N NORTHSHORE DR","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C002","P","2020-06-07",80159878110,"43547040011","CYCLOBENZAPRINE HYDROCHLO","Generic","Retail 30","Y","N","Generic","4411548","1831108471","EAST TENNESSEE DISCOUNT DRUG","524 ANDREW JOHNSON HWY","STRAWBERRY PLAINS","TN","37871","Non- Specialty","No",{"v":30,"d":"30.00"},10,{"v":1.49,"d":"$1.49"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","E001","P","2020-12-12",87007508688,"70377003012","ATORVASTATIN CALCIUM","Generic","Retail 90","Y","N","Generic","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","C001","P","2020-08-20",20013258681,"47781035703","BUPRENORPHINE HYDROCHLORI","Generic","Retail 30","Y","N","Generic","4452001","1053876896","BELIEVERX 1","9627 COUNTRYSIDE CENTER LN","KNOXVILLE","TN","37931","Non- Specialty","No",{"v":42,"d":"42.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-09-03",99813089752,"68462013281","NORETHINDRONE ACETATE/ETH","Generic","Retail 30","Y","N","Generic","4426486","1649287640","WALGREENS #6967 6967","4423 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":21,"d":"21.00"},28,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-06-24",73052691532,"00430042014","LO LOESTRIN FE","Brand","Retail 30","Y","N","SSB","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":28,"d":"28.00"},28,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2021-04-09",10993921920,"00597015330","JARDIANCE","Brand","Retail 90","Y","N","SSB","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":25,"d":"$25.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-10-23",64254812533,"65862001205","SERTRALINE HCL","Generic","Retail 30","Y","N","Generic","4424545","1134146319","WALMART PHARMACY 10-1319 101319","7550 NORRIS FWY","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","E002","P","2020-07-19",94107918073,"59762033302","LATANOPROST","Generic","Retail 30","Y","N","Generic","4421739","1477568475","WALGREENS #3798 3798","2400 N BROADWAY ST","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":2.5,"d":"2.50"},22,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C001","P","2021-04-04",58161988229,"00378334053","XULANE","Generic","Retail 90","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":9,"d":"9.00"},84,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D001","P","2020-06-25",77993086527,"00078070802","PIQRAY 300MG DAILY DOSE","Brand","Retail 30","N","N","SSB","4436615","1467401315","OPTUM PHARMACY 705 LLC","1893 GENERAL GEORGE PATTON DRIVE","FRANKLIN","TN","37067","Specialty","No",{"v":56,"d":"56.00"},28,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A003","P","2020-07-24",43591138855,"29300012510","MELOXICAM","Generic","Retail 30","Y","N","Generic","4431677","1336173079","KROGER PHARMACY #530 02600530","9161 MIDDLEBROOK PIKE","KNOXVILLE","TN","37923","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":2.54,"d":"$2.54"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D001","P","2020-08-20",19772215730,"29300012510","MELOXICAM","Generic","Retail 90","Y","N","Generic","4418097","1497789127","KROGER PHARMACY #690 02600690","1550 OAK RIDGE TPKE","OAK RIDGE","TN","37830","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":8.74,"d":"$8.74"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-12-08",66515868524,"31722070190","LOSARTAN POTASSIUM","Generic","Retail 90","Y","N","Generic","4432237","1528165024","CVS PHARMACY #07698 07698","9435 S NORTHSHORE DR","KNOXVILLE","TN","37922","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D003","P","2020-12-26",99350639290,"68645030059","METFORMIN HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4448848","1508216029","KROGER PHARMACY #670 02600670","234 E EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-10-21",77209827031,"33342004910","IRBESARTAN","Generic","Retail 90","Y","N","Generic","4421739","1477568475","WALGREENS #3798 3798","2400 N BROADWAY ST","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A001","P","2020-06-04",53053072676,"00172392670","DIAZEPAM","Generic","Retail 30","Y","N","Generic","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","No",{"v":30,"d":"30.00"},15,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-12-02",43633581036,"65862042005","SULFAMETHOXAZOLE/TRIMETHO","Generic","Retail 30","Y","N","Generic","4428199","1184785362","JEFFCO DRUG CENTER","127 W MEETING ST","DANDRIDGE","TN","37725","Non- Specialty","No",{"v":10,"d":"10.00"},10,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A099","P","2020-11-27",47161086067,"65862052401","GABAPENTIN","Generic","Retail 30","Y","N","Generic","4442721","1659607141","KROGER PHARMACY #698 02600698","5201 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":120,"d":"120.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A003","P","2020-09-24",71752965091,"00955104690","IRBESARTAN/HYDROCHLOROTHI","Generic","Retail 90","Y","N","Generic","4424949","1811902810","WALGREENS #5729 5729","9200 MIDDLEBROOK PIKE","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-05-03",46555220498,"31722070430","VALACYCLOVIR HYDROCHLORID","Generic","Retail 30","Y","N","Generic","4430788","1982707600","CVS PHARMACY #04624 04624","9137 MIDDLEBROOK PIKE","KNOXVILLE","TN","37923","Non- Specialty","No",{"v":30,"d":"30.00"},10,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C001","P","2020-08-07",14018203351,"68382009810","PAROXETINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4429545","1972520161","WALMART PHARMACY 10-2310 102310","3051 KINZEL WAY","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","E002","P","2020-08-31",51804068542,"00430042014","LO LOESTRIN FE","Brand","Retail 90","Y","N","SSB","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":84,"d":"84.00"},84,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-08-29",31571142304,"60505283203","ATOMOXETINE","Generic","Retail 30","Y","N","Generic","4403666","1942303649","CVS PHARMACY #03762 03762","9175 KINGSTON PIKE","KNOXVILLE","TN","37923","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","B002","P","2020-06-26",32746819889,"75854060203","BALCOLTRA","Brand","Retail 90","Y","N","SSB","4422111","1194730192","WALGREENS #4169 4169","4001 CHAPMAN HIGHWAY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":112,"d":"112.00"},84,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","C003","P","2020-07-08",33537169730,"00054327099","FLUTICASONE PROPIONATE","Generic","Retail 30","Y","N","Generic","4427630","1164525879","CVS PHARMACY #04180 04180","4406 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","No",{"v":16,"d":"16.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A099","P","2021-03-19",47161086067,"69238183307","LEVOTHYROXINE SODIUM","Generic","Retail 90","Y","N","Generic","4442721","1659607141","KROGER PHARMACY #698 02600698","5201 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2020-11-30",91968049265,"00093101042","MUPIROCIN","Generic","Retail 30","Y","N","Generic","4434611","1306868054","CVS PHARMACY #16034 16034","8040 RAY MEARS BLVD","KNOXVILLE","TN","37919","Non- Specialty","No",{"v":22,"d":"22.00"},10,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-07-10",73400780921,"69238131209","PREGABALIN","Generic","Mail","N","N","Generic","0556540","1497704431","OPTUMRX","2858 LOKER AVENUE EAST","CARLSBAD","CA","92010","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":6.4,"d":"$6.40"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2021-01-12",18846345124,"68382009810","PAROXETINE HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A003","P","2020-07-28",53117663260,"69097084805","ESCITALOPRAM OXALATE","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C001","P","2020-10-10",98417549479,"33342005710","IRBESARTAN/HYDROCHLOROTHI","Generic","Retail 90","Y","N","Generic","4419912","1225131931","CVS PHARMACY #06364 06364","5401 CLINTON PIKE","KNOXVILLE","TN","37912","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","A003","P","2021-02-19",25938187896,"00115991901","DEXMETHYLPHENIDATE HYDROC","Generic","Retail 30","Y","N","Generic","4420028","1134222847","CVS PHARMACY #05639 05639","11946 KINGSTON PIKE","FARRAGUT","TN","37934","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C002","P","2021-04-26",80159878110,"65862050320","AMOXICILLIN/CLAVULANATE P","Generic","Retail 30","Y","N","Generic","4411548","1831108471","EAST TENNESSEE DISCOUNT DRUG","524 ANDREW JOHNSON HWY","STRAWBERRY PLAINS","TN","37871","Non- Specialty","No",{"v":20,"d":"20.00"},10,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D001","P","2020-06-27",33488150686,"00378415101","TRAMADOL HCL","Generic","Retail 30","Y","N","Generic","4440955","1639353733","FOOD CITY PHARMACY #609 609","2946 WINFIELD DUNN PARKWAY","KODAK","TN","37764","Non- Specialty","No",{"v":60,"d":"60.00"},30,{"v":2.26,"d":"$2.26"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D003","P","2021-03-29",29521410213,"50111064801","FLUOXETINE HCL","Generic","Retail 90","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A002","P","2020-05-27",69827237005,"65862069705","VENLAFAXINE HCL ER","Generic","Retail 30","Y","N","Generic","4443747","1194032730","M.D. PHARMACY","1467 W MORRIS BLVD","MORRISTOWN","TN","37813","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-06-29",68892609076,"51224000760","METFORMIN HYDROCHLORIDE E","Generic","Retail 90","Y","N","Generic","4424949","1811902810","WALGREENS #5729 5729","9200 MIDDLEBROOK PIKE","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B002","P","2021-04-22",19901161300,"45802005505","TRIAMCINOLONE ACETONIDE","Generic","Retail 30","Y","N","Generic","4436071","1124033154","WALGREENS #7320 7320","7320 CLINTON HWY","POWELL","TN","37849","Non- Specialty","No",{"v":454,"d":"454.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C002","P","2020-10-30",80159878110,"16729003410","LETROZOLE","Generic","Retail 90","Y","N","Generic","4411548","1831108471","EAST TENNESSEE DISCOUNT DRUG","524 ANDREW JOHNSON HWY","STRAWBERRY PLAINS","TN","37871","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C003","P","2021-04-22",26765902001,"54838057280","CETIRIZINE HYDROCHLORIDE","Generic","Retail 30","N","N","Generic","4421739","1477568475","WALGREENS #3798 3798","2400 N BROADWAY ST","KNOXVILLE","TN","37917","Non- Specialty","No",{"v":300,"d":"300.00"},30,{"v":5.66,"d":"$5.66"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2021-04-21",54918809122,"00121075908","PREDNISOLONE SODIUM PHOSP","Generic","Retail 30","Y","N","Generic","4403666","1942303649","CVS PHARMACY #03762 03762","9175 KINGSTON PIKE","KNOXVILLE","TN","37923","Non- Specialty","No",{"v":50,"d":"50.00"},5,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2020-07-15",27690707396,"50924097110","ACCU-CHEK SOFTCLIX LANCET","Brand","Retail 30","Y","N","SSB","4419912","1225131931","CVS PHARMACY #06364 06364","5401 CLINTON PIKE","KNOXVILLE","TN","37912","Non- Specialty","No",{"v":200,"d":"200.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A001","P","2021-01-06",57228722270,"00456114030","VIIBRYD","Brand","Retail 30","N","N","SSB","4437516","1457368466","WALGREENS #1634 1634","7810 OAK RIDGE HWY","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":40,"d":"$40.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2021-02-18",92226664690,"43547040611","CLONAZEPAM","Generic","Retail 30","Y","N","Generic","4430283","1194803601","ANDERSON CROSSING PHARMACY","3318 ANDERSONVILLE HWY","ANDERSONVILLE","TN","37705","Non- Specialty","No",{"v":90,"d":"90.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2020-08-24",60933044678,"68645055854","LISINOPRIL/HYDROCHLOROTHI","Generic","Retail 90","Y","N","Generic","4428240","1982621173","WALMART PHARMACY 10-2065 102065","8445 WALBROOK DR","KNOXVILLE","TN","37923","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2021-01-31",82194251363,"68180072003","AMLODIPINE BESYLATE","Generic","Retail 30","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","A003","P","2020-09-09",25938187896,"10702010801","DEXMETHYLPHENIDATE HCL","Generic","Retail 30","Y","N","Generic","4420028","1134222847","CVS PHARMACY #05639 05639","11946 KINGSTON PIKE","FARRAGUT","TN","37934","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A004","P","2020-09-23",44009391240,"47781030301","NITROFURANTOIN MONOHYDRAT","Generic","Retail 30","Y","N","Generic","4436716","1932206877","OKIE'S PHARMACY II","1050 RUTLEDGE PIKE","BLAINE","TN","37709","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2021-02-18",91663833103,"00555088604","ESTRADIOL","Generic","Retail 90","Y","N","Generic","4442721","1659607141","KROGER PHARMACY #698 02600698","5201 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D003","P","2020-09-03",77840998949,"62175061743","PANTOPRAZOLE SODIUM","Generic","Retail 90","Y","N","Generic","4400317","1093818783","CVS PHARMACY #06355 06355","4325 ASHEVILLE HIGHWAY E","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-12-16",52982765378,"68968051408","COMBIPATCH","Brand","Retail 30","Y","N","SSB","4424949","1811902810","WALGREENS #5729 5729","9200 MIDDLEBROOK PIKE","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":8,"d":"8.00"},28,{"v":10,"d":"$10.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","B003","P","2020-08-19",59547744812,"60505082901","FLUTICASONE PROPIONATE","Generic","Retail 30","Y","N","Generic","4437516","1457368466","WALGREENS #1634 1634","7810 OAK RIDGE HWY","KNOXVILLE","TN","37931","Non- Specialty","No",{"v":16,"d":"16.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-07-17",83315267787,"00781261305","AMOXICILLIN","Generic","Retail 30","Y","N","Generic","4409632","1225049893","CRESCENT CENTER DRUG 703","228 N FAIRMONT AVE","MORRISTOWN","TN","37814","Non- Specialty","No",{"v":30,"d":"30.00"},10,{"v":3.18,"d":"$3.18"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A003","P","2021-01-13",88067359307,"68682011102","PIMECROLIMUS","Generic","Retail 30","Y","N","Generic","4426486","1649287640","WALGREENS #6967 6967","4423 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","No",{"v":60,"d":"60.00"},25,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-09-15",92555980215,"45963067711","METOPROLOL SUCCINATE ER","Generic","Retail 90","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2021-04-19",88276289761,"00185012201","NITROFURANTOIN MONOHYDRAT","Generic","Retail 30","Y","N","Generic","4436261","1033124060","WALGREENS #7407 7407","11305 CHAPMAN HIGHWAY","SEYMOUR","TN","37865","Non- Specialty","No",{"v":10,"d":"10.00"},5,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","C002","P","2021-02-01",77529190096,"00093321992","KETOCONAZOLE","Generic","Retail 30","Y","N","Generic","4400317","1093818783","CVS PHARMACY #06355 06355","4325 ASHEVILLE HIGHWAY E","KNOXVILLE","TN","37914","Non- Specialty","No",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A002","P","2020-06-25",69827237005,"13668000805","ZOLPIDEM TARTRATE","Generic","Retail 30","Y","N","Generic","4443747","1194032730","M.D. PHARMACY","1467 W MORRIS BLVD","MORRISTOWN","TN","37813","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":2.96,"d":"$2.96"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-10-22",26255378605,"57237002801","AMOXICILLIN","Generic","Retail 30","Y","N","Generic","4437910","1750396784","WALGREENS #9430 9430","132 E BROADWAY BLVD","JEFFERSON CITY","TN","37760","Non- Specialty","No",{"v":32,"d":"32.00"},8,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-06-04",34014338428,"16714096701","TESTOSTERONE","Generic","Retail 30","Y","N","Generic","4426640","1063549863","SEYMOUR ADVALUE PHARMACY","10721 CHAPMAN HWY","SEYMOUR","TN","37865","Non- Specialty","Yes",{"v":75,"d":"75.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2021-03-30",74688419013,"65862000899","METFORMIN HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4421880","1386678019","KROGER PHARMACY #531 02600531","4409 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-07-29",52215533968,"00002143611","EMGALITY","Brand","Retail 30","Y","N","SSB","4448848","1508216029","KROGER PHARMACY #670 02600670","234 E EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":1,"d":"1.00"},28,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","E003","P","2020-05-05",24060548022,"64764011907","COLCRYS","Brand","Retail 30","Y","N","MSB","4437061","1720095730","WALGREENS #7760 7760","11927 KINGSTON PIKE","KNOXVILLE","TN","37934","Non- Specialty","No",{"v":100,"d":"100.00"},29,{"v":20,"d":"$20.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D001","P","2020-06-16",57808469881,"67877022310","GABAPENTIN","Generic","Retail 30","Y","N","Generic","4441212","1467638890","WALMART PHARMACY 10-4635 104635","150 TANNER LN","CLINTON","TN","37716","Non- Specialty","Yes",{"v":90,"d":"90.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A001","P","2020-09-09",16955523166,"65862001105","SERTRALINE HCL","Generic","Retail 30","Y","N","Generic","4424949","1811902810","WALGREENS #5729 5729","9200 MIDDLEBROOK PIKE","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E003","P","2020-12-29",78875903495,"13668013601","ESCITALOPRAM OXALATE","Generic","Retail 90","Y","N","Generic","4419912","1225131931","CVS PHARMACY #06364 06364","5401 CLINTON PIKE","KNOXVILLE","TN","37912","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A003","P","2021-03-15",36679336298,"62756052269","SUMATRIPTAN SUCCINATE","Generic","Retail 30","Y","N","Generic","4416954","1790790897","WALGREENS #6224 6224","5320 CLINTON HIGHWAY","KNOXVILLE","TN","37912","Non- Specialty","No",{"v":3,"d":"3.00"},10,{"v":4.83,"d":"$4.83"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-12-04",39495332530,"70377002711","ATORVASTATIN CALCIUM","Generic","Retail 90","Y","N","Generic","4427630","1164525879","CVS PHARMACY #04180 04180","4406 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","Yes",{"v":270,"d":"270.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-12-01",32652149589,"23155019101","BUPROPION HCL","Generic","Retail 30","Y","N","Generic","4450083","1073038121","WALGREENS #18021 18021","2710 MAYNARDVILLE HIGHWAY","MAYNARDVILLE","TN","37807","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D001","P","2021-02-20",59476029615,"65862060012","RIZATRIPTAN BENZOATE","Generic","Retail 30","Y","N","Generic","4436716","1932206877","OKIE'S PHARMACY II","1050 RUTLEDGE PIKE","BLAINE","TN","37709","Non- Specialty","No",{"v":12,"d":"12.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A003","P","2021-01-15",85575274623,"65862001205","SERTRALINE HCL","Generic","Retail 30","Y","N","Generic","4426981","1952496804","PULMONAIRE PHARMACY","821 MCCALLIE","CHATTANOOGA","TN","37403","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2021-03-03",84489100102,"70010077001","METHOCARBAMOL","Generic","Retail 30","Y","N","Generic","4448141","1124494455","FOOD CITY PHARMACY #619 619","180 RUTLEDGE PIKE","BLAINE","TN","37709","Non- Specialty","No",{"v":90,"d":"90.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B001","P","2020-09-15",74345424926,"00115169301","PROPRANOLOL HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4426955","1639184633","WALGREENS #7374 7374","4423 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-12-30",25207428439,"00591565801","CYCLOBENZAPRINE HYDROCHLO","Generic","Retail 30","Y","N","Generic","4433556","1417974866","FOOD CITY PHARMACY #688 688","7202 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":1.43,"d":"$1.43"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B002","P","2021-02-14",77057528674,"70700011984","ESTARYLLA","Generic","Retail 90","Y","N","Generic","4435649","1477568491","WALGREENS #6993 6993","220 FOOTHILLS MALL DR","MARYVILLE","TN","37801","Non- Specialty","Yes",{"v":84,"d":"84.00"},84,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-12-28",84489100102,"43547035311","LISINOPRIL","Generic","Retail 30","Y","N","Generic","4448141","1124494455","FOOD CITY PHARMACY #619 619","180 RUTLEDGE PIKE","BLAINE","TN","37709","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2020-09-17",40165059220,"70954002010","PRAZOSIN HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4403806","1588767289","CVS PHARMACY #03723 03723","1287 OAK RIDGE TPK","OAK RIDGE","TN","37830","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2020-05-04",94625659251,"00186037220","SYMBICORT","Brand","Retail 30","Y","N","MSB","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":10.2,"d":"10.20"},60,{"v":25,"d":"$25.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-08-17",43476919151,"43598075201","BUPROPION HYDROCHLORIDE E","Generic","Retail 90","Y","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B099","P","2021-02-16",97342153270,"68180078001","ZOLPIDEM TARTRATE ER","Generic","Retail 30","Y","N","Generic","4434065","1053338400","FOOD CITY PHARMACY #655 655","7510 ASHEVILLE HWY","KNOXVILLE","TN","37924","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A003","P","2020-07-31",31314385692,"68180052002","LISINOPRIL/HYDROCHLOROTHI","Generic","Retail 90","Y","N","Generic","4426640","1063549863","SEYMOUR ADVALUE PHARMACY","10721 CHAPMAN HWY","SEYMOUR","TN","37865","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2021-04-14",47485272268,"62175013643","OMEPRAZOLE","Generic","Retail 90","Y","N","Generic","4448141","1124494455","FOOD CITY PHARMACY #619 619","180 RUTLEDGE PIKE","BLAINE","TN","37709","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A003","P","2020-07-26",80582090348,"00093720198","PRAVASTATIN SODIUM","Generic","Retail 90","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C003","P","2021-03-11",54975471956,"43598081115","CETIRIZINE HYDROCHLORIDE","Generic","Retail 30","N","N","Generic","4450083","1073038121","WALGREENS #18021 18021","2710 MAYNARDVILLE HIGHWAY","MAYNARDVILLE","TN","37807","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":0.67,"d":"$0.67"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A001","P","2020-08-14",86989865600,"00781151601","POTASSIUM CHLORIDE SR","Generic","Retail 90","Y","N","Generic","4438722","1336150986","RIGGS DRUG STORE","604 E EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2021-04-14",47588614786,"65162019010","NAPROXEN","Generic","Retail 30","Y","N","Generic","4431677","1336173079","KROGER PHARMACY #530 02600530","9161 MIDDLEBROOK PIKE","KNOXVILLE","TN","37923","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","C003","P","2020-05-19",61774945091,"59746000103","METHYLPREDNISOLONE DOSE P","Generic","Retail 30","Y","N","Generic","4427630","1164525879","CVS PHARMACY #04180 04180","4406 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","No",{"v":21,"d":"21.00"},6,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-07-21",36455242235,"00065853302","CIPRODEX","Brand","Retail 30","Y","N","SSB","4430788","1982707600","CVS PHARMACY #04624 04624","9137 MIDDLEBROOK PIKE","KNOXVILLE","TN","37923","Non- Specialty","No",{"v":7.5,"d":"7.50"},14,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-06-18",40697111625,"65862020390","LOSARTAN POTASSIUM","Generic","Retail 90","Y","N","Generic","4430803","1356444079","CVS PHARMACY #04457 04457","7341 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","A003","P","2020-11-03",41802260211,"00597014760","JENTADUETO","Brand","Retail 30","Y","N","SSB","4446565","1417375403","WALGREENS #15906 15906","1602 E LAMAR ALEXANDER PKWY","MARYVILLE","TN","37804","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2021-04-24",72616292483,"67877024201","QUETIAPINE FUMARATE","Generic","Retail 30","Y","N","Generic","4429634","1588679591","WALGREENS #3137 3137","1299 OAK RIDGE TURNPIKE","OAK RIDGE","TN","37830","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E003","P","2020-06-19",55191496542,"68968345008","ESTRADIOL","Generic","Retail 30","Y","N","Generic","4434065","1053338400","FOOD CITY PHARMACY #655 655","7510 ASHEVILLE HWY","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":8,"d":"8.00"},28,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-07-19",14025947610,"68462039429","ALYACEN 1/35","Generic","Retail 90","Y","N","Generic","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":112,"d":"112.00"},84,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2020-11-14",86023386457,"51991029301","OXCARBAZEPINE","Generic","Retail 30","Y","N","Generic","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2020-07-08",52619967744,"68180072003","AMLODIPINE BESYLATE","Generic","Retail 30","Y","N","Generic","4437516","1457368466","WALGREENS #1634 1634","7810 OAK RIDGE HWY","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2021-03-23",95821325596,"0","-","Brand","Retail 30","Y","Y","SSB","4444864","1821362526","FOUNTAINRX","2825 W ANDREW JOHNSON HWY","MORRISTOWN","TN","37814","Non- Specialty","No",{"v":60,"d":"60.00"},20,{"v":40,"d":"$40.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D001","P","2021-04-07",26931178292,"68180052002","LISINOPRIL/HYDROCHLOROTHI","Generic","Mail","Y","N","Generic","5741372","1790340206","OPTUMRX PHARMACY 700, LLC","5700 DOT COM COURT","OVIEDO","FL","32765","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-10-21",17856208285,"70377002711","ATORVASTATIN CALCIUM","Generic","Retail 90","Y","N","Generic","4400317","1093818783","CVS PHARMACY #06355 06355","4325 ASHEVILLE HIGHWAY E","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2021-04-28",81384544956,"70436000203","POTASSIUM CHLORIDE ER","Generic","Retail 90","Y","N","Generic","4430803","1356444079","CVS PHARMACY #04457 04457","7341 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2021-01-23",39935854002,"00527169505","BUTALBITAL/ACETAMINOPHEN/","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":60,"d":"60.00"},20,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D003","P","2020-09-10",99350639290,"70377002913","ATORVASTATIN CALCIUM","Generic","Retail 30","Y","N","Generic","4448848","1508216029","KROGER PHARMACY #670 02600670","234 E EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":16,"d":"16.00"},16,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D001","P","2020-12-02",17262732660,"68180098103","LISINOPRIL","Generic","Retail 90","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A001","P","2020-05-08",91524557399,"00430042014","LO LOESTRIN FE","Brand","Retail 90","Y","N","SSB","4437516","1457368466","WALGREENS #1634 1634","7810 OAK RIDGE HWY","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":84,"d":"84.00"},84,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2021-02-26",96852266986,"47781066210","LEVOTHYROXINE SODIUM","Generic","Retail 30","Y","N","Generic","4452099","1821645201","SPRING CITY PHARMACY","171 CLINTON AVE","SPRING CITY","TN","37381","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2021-01-27",81448459709,"68462029817","CLOTRIMAZOLE/BETAMETHASON","Generic","Retail 30","Y","N","Generic","4444698","1316215981","BELEW DRUGS WASHINGTON PIKE","5908 WASHINGTON PIKE STE 102","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":45,"d":"45.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2021-01-26",56210891631,"64679096105","AZITHROMYCIN","Generic","Retail 30","Y","N","Generic","4424038","1124198205","VAUGHN PHARMACY","2141 EMORY RD","POWELL","TN","37849","Non- Specialty","No",{"v":6,"d":"6.00"},5,{"v":4.74,"d":"$4.74"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-11-10",58165933354,"49502010202","EPINEPHRINE","Generic","Retail 30","N","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":2,"d":"2.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2020-05-12",32431154409,"00456120230","LINZESS","Brand","Retail 90","Y","N","SSB","4434370","1356368559","SAMS PHARMACY 10-6572 106572","2920 KNOXVILLE CENTER DR","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":50,"d":"$50.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2021-03-27",45306325403,"27241001890","MONTELUKAST SODIUM","Generic","Retail 30","Y","N","Generic","4436716","1932206877","OKIE'S PHARMACY II","1050 RUTLEDGE PIKE","BLAINE","TN","37709","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2021-01-12",90206257683,"68462025401","ROPINIROLE HCL","Generic","Retail 90","Y","N","Generic","4436261","1033124060","WALGREENS #7407 7407","11305 CHAPMAN HIGHWAY","SEYMOUR","TN","37865","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-10-01",26241138626,"00185012201","NITROFURANTOIN MONOHYDRAT","Generic","Retail 30","Y","N","Generic","4421739","1477568475","WALGREENS #3798 3798","2400 N BROADWAY ST","KNOXVILLE","TN","37917","Non- Specialty","No",{"v":10,"d":"10.00"},5,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A003","P","2021-01-07",38546120442,"68382013905","TOPIRAMATE","Generic","Retail 30","Y","N","Generic","4411548","1831108471","EAST TENNESSEE DISCOUNT DRUG","524 ANDREW JOHNSON HWY","STRAWBERRY PLAINS","TN","37871","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-07-14",76143772849,"00093005805","TRAMADOL HCL","Generic","Retail 30","Y","N","Generic","4400317","1093818783","CVS PHARMACY #06355 06355","4325 ASHEVILLE HIGHWAY E","KNOXVILLE","TN","37914","Non- Specialty","No",{"v":90,"d":"90.00"},15,{"v":2.99,"d":"$2.99"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-09-13",38851119664,"70010075401","METHOCARBAMOL","Generic","Retail 30","Y","N","Generic","4436261","1033124060","WALGREENS #7407 7407","11305 CHAPMAN HIGHWAY","SEYMOUR","TN","37865","Non- Specialty","No",{"v":90,"d":"90.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2021-03-04",52450189848,"00555905058","KARIVA","Generic","Retail 90","Y","N","Generic","4432237","1528165024","CVS PHARMACY #07698 07698","9435 S NORTHSHORE DR","KNOXVILLE","TN","37922","Non- Specialty","Yes",{"v":84,"d":"84.00"},84,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-08-24",67972188267,"59762444002","METHYLPREDNISOLONE DOSE P","Generic","Retail 30","Y","N","Generic","4439623","1578586954","FOOD CITY PHARMACY #687 687","2712 LOVES CREEK RD","KNOXVILLE","TN","37924","Non- Specialty","No",{"v":21,"d":"21.00"},6,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-11-12",65633031005,"00781286810","OMEPRAZOLE","Generic","Retail 90","Y","N","Generic","4439623","1578586954","FOOD CITY PHARMACY #687 687","2712 LOVES CREEK RD","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2021-04-05",82618415741,"00002143380","TRULICITY","Brand","Retail 30","Y","N","SSB","4429177","1033124045","WALGREENS #3388 3388","225 NORTH HALL RD","ALCOA","TN","37701","Non- Specialty","Yes",{"v":2,"d":"2.00"},28,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-06-05",78310751640,"27241009903","DULOXETINE HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4424949","1811902810","WALGREENS #5729 5729","9200 MIDDLEBROOK PIKE","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2020-05-12",67106213667,"55111032201","GLIMEPIRIDE","Generic","Retail 30","Y","N","Generic","4443254","1013236785","WALGREENS #12980 12980","7425 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","B003","P","2020-07-07",72844616835,"23155050105","HYDROXYZINE HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4435598","1568477586","WALGREENS #6788 6788","1959 W ANDREW JOHNSON HWY","MORRISTOWN","TN","37814","Non- Specialty","No",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D003","P","2021-02-04",49823793244,"70010049101","METFORMIN HYDROCHLORIDE E","Generic","Retail 90","Y","N","Generic","4424862","1043237225","WALMART PHARMACY 10-1320 101320","7420 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2020-07-03",91968049265,"65862096901","ESZOPICLONE","Generic","Retail 30","Y","N","Generic","4434611","1306868054","CVS PHARMACY #16034 16034","8040 RAY MEARS BLVD","KNOXVILLE","TN","37919","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D001","P","2020-05-13",52530866595,"69238183607","LEVOTHYROXINE SODIUM","Generic","Retail 90","Y","N","Generic","4423896","1912914912","WALGREENS #4330 4330","121 N NORTHSHORE DR","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2021-03-01",91968049265,"65862096901","ESZOPICLONE","Generic","Retail 30","Y","N","Generic","4434611","1306868054","CVS PHARMACY #16034 16034","8040 RAY MEARS BLVD","KNOXVILLE","TN","37919","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-09-27",22174787095,"68180071160","CEFDINIR","Generic","Retail 30","Y","N","Generic","4424949","1811902810","WALGREENS #5729 5729","9200 MIDDLEBROOK PIKE","KNOXVILLE","TN","37931","Non- Specialty","No",{"v":14,"d":"14.00"},7,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-10-20",84489100102,"43598058230","BUPRENORPHINE HYDROCHLORI","Generic","Retail 30","Y","N","Generic","4424949","1811902810","WALGREENS #5729 5729","9200 MIDDLEBROOK PIKE","KNOXVILLE","TN","37931","Non- Specialty","No",{"v":56,"d":"56.00"},28,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2020-09-16",32431154409,"43547040011","CYCLOBENZAPRINE HYDROCHLO","Generic","Retail 30","Y","N","Generic","4434370","1356368559","SAMS PHARMACY 10-6572 106572","2920 KNOXVILLE CENTER DR","KNOXVILLE","TN","37924","Non- Specialty","No",{"v":60,"d":"60.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-12-05",19051785680,"53746051401","SPIRONOLACTONE","Generic","Retail 90","Y","N","Generic","4412300","1578666277","CVS PHARMACY #03769 03769","139 EAST BROADWAY BLVD","JEFFERSON CITY","TN","37760","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A002","P","2020-06-11",36832468966,"00228202796","ALPRAZOLAM","Generic","Retail 30","Y","N","Generic","4443254","1013236785","WALGREENS #12980 12980","7425 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","No",{"v":15,"d":"15.00"},5,{"v":1,"d":"$1.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-11-23",34389079921,"68180072103","AMLODIPINE BESYLATE","Generic","Retail 90","Y","N","Generic","4421739","1477568475","WALGREENS #3798 3798","2400 N BROADWAY ST","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","E001","P","2020-10-19",83534900945,"60432026415","FLUTICASONE PROPIONATE","Generic","Retail 30","Y","N","Generic","4440955","1639353733","FOOD CITY PHARMACY #609 609","2946 WINFIELD DUNN PARKWAY","KODAK","TN","37764","Non- Specialty","No",{"v":16,"d":"16.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-10-26",81204884091,"70010049105","METFORMIN HYDROCHLORIDE E","Generic","Retail 30","Y","N","Generic","4426640","1063549863","SEYMOUR ADVALUE PHARMACY","10721 CHAPMAN HWY","SEYMOUR","TN","37865","Non- Specialty","Yes",{"v":120,"d":"120.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2021-04-02",30579961888,"70377002911","ATORVASTATIN CALCIUM","Generic","Retail 90","Y","N","Generic","4442721","1659607141","KROGER PHARMACY #698 02600698","5201 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B002","P","2020-08-23",67215820876,"66685100100","AMOXICILLIN/CLAVULANATE P","Generic","Retail 30","Y","N","Generic","4436401","1942215975","WALGREENS #7406 7406","245 S MAIN ST","CLINTON","TN","37716","Non- Specialty","No",{"v":20,"d":"20.00"},10,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2020-12-16",15649676006,"53746051501","SPIRONOLACTONE","Generic","Retail 30","Y","N","Generic","4400317","1093818783","CVS PHARMACY #06355 06355","4325 ASHEVILLE HIGHWAY E","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D001","P","2021-01-22",72998023647,"59651009630","SILODOSIN","Generic","Retail 90","Y","N","Generic","4424038","1124198205","VAUGHN PHARMACY","2141 EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2021-03-24",58375182299,"16729001916","MYCOPHENOLATE MOFETIL","Generic","Retail 30","Y","N","Generic","3472658","1508482985","OPTUM PHARMACY 701, LLC","4015 SHOPTON ROAD","CHARLOTTE","NC","28217","Specialty","Yes",{"v":150,"d":"150.00"},30,{"v":40,"d":"$40.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-11-02",35425768199,"00456221230","FETZIMA","Brand","Retail 90","N","N","SSB","4412300","1578666277","CVS PHARMACY #03769 03769","139 EAST BROADWAY BLVD","JEFFERSON CITY","TN","37760","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":100,"d":"$100.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2021-01-11",52530866595,"70954000520","OXYBUTYNIN CHLORIDE","Generic","Retail 30","Y","N","Generic","4423896","1912914912","WALGREENS #4330 4330","121 N NORTHSHORE DR","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C001","P","2020-06-24",63494653115,"60505057501","OLOPATADINE HCL","Generic","Retail 30","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":5,"d":"5.00"},45,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C003","P","2020-05-11",65019890988,"00310628030","XIGDUO XR","Brand","Retail 90","Y","N","SSB","4429545","1972520161","WALMART PHARMACY 10-2310 102310","3051 KINZEL WAY","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":25,"d":"$25.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2021-01-30",69488295697,"69238131309","PREGABALIN","Generic","Mail","N","N","Generic","1718634","1669498515","OPTUMRX","6800 WEST 115TH STREET","OVERLAND PARK","KS","66211","Non- Specialty","Yes",{"v":270,"d":"270.00"},90,{"v":20,"d":"$20.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C002","P","2020-09-14",44810534111,"65162010150","GABAPENTIN","Generic","Retail 30","Y","N","Generic","4436071","1124033154","WALGREENS #7320 7320","7320 CLINTON HWY","POWELL","TN","37849","Non- Specialty","Yes",{"v":90,"d":"90.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E003","P","2020-11-10",39792329211,"68180094111","TESTOSTERONE PUMP","Generic","Retail 30","Y","N","Generic","4421880","1386678019","KROGER PHARMACY #531 02600531","4409 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":75,"d":"75.00"},20,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2020-05-28",38381863366,"60505084805","AZELASTINE HCL","Generic","Retail 90","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":90,"d":"90.00"},84,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","C003","P","2020-09-17",14213955364,"70710122801","AMITRIPTYLINE HYDROCHLORI","Generic","Retail 30","Y","N","Generic","4444698","1316215981","BELEW DRUGS WASHINGTON PIKE","5908 WASHINGTON PIKE STE 102","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B002","P","2020-07-30",42330740716,"65862042005","SULFAMETHOXAZOLE/TRIMETHO","Generic","Retail 30","Y","N","Generic","4436071","1124033154","WALGREENS #7320 7320","7320 CLINTON HWY","POWELL","TN","37849","Non- Specialty","No",{"v":20,"d":"20.00"},10,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-05-04",69987669938,"50111043302","TRAZODONE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4436261","1033124060","WALGREENS #7407 7407","11305 CHAPMAN HIGHWAY","SEYMOUR","TN","37865","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B001","P","2020-07-23",49140065967,"55111032201","GLIMEPIRIDE","Generic","Retail 30","Y","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":90,"d":"90.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2021-02-28",61441058636,"13668000705","ZOLPIDEM TARTRATE","Generic","Retail 30","Y","N","Generic","4403907","1750484457","CVS PHARMACY #03743 03743","110 MAJESTIC GROVE RD","KNOXVILLE","TN","37920","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":2.37,"d":"$2.37"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2020-09-25",28994918909,"70461032003","FLUCELVAX QUADRIVALENT 20","Brand","Retail 30","Y","N","SSB","4423896","1912914912","WALGREENS #4330 4330","121 N NORTHSHORE DR","KNOXVILLE","TN","37919","Non- Specialty","No",{"v":0.5,"d":"0.50"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2021-02-01",51007986566,"51224012250","AZITHROMYCIN","Generic","Retail 30","Y","N","Generic","4422111","1194730192","WALGREENS #4169 4169","4001 CHAPMAN HIGHWAY","KNOXVILLE","TN","37920","Non- Specialty","No",{"v":5,"d":"5.00"},5,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-10-15",34679812087,"54092019112","PENTASA","Brand","Mail","N","N","SSB","5741372","1790340206","OPTUMRX PHARMACY 700, LLC","5700 DOT COM COURT","OVIEDO","FL","32765","Non- Specialty","Yes",{"v":720,"d":"720.00"},90,{"v":80,"d":"$80.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2020-12-01",10325362803,"59746000103","METHYLPREDNISOLONE DOSE P","Generic","Retail 30","Y","N","Generic","4423896","1912914912","WALGREENS #4330 4330","121 N NORTHSHORE DR","KNOXVILLE","TN","37919","Non- Specialty","No",{"v":21,"d":"21.00"},6,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","E003","P","2021-01-07",49839316521,"64380080707","IBUPROFEN","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},30,{"v":4.85,"d":"$4.85"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-12-04",21396154907,"59417010710","VYVANSE","Brand","Mail","Y","N","SSB","0556540","1497704431","OPTUMRX","2858 LOKER AVENUE EAST","CARLSBAD","CA","92010","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":40,"d":"$40.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","E002","P","2020-10-31",30026651882,"33342018010","OLMESARTAN MEDOXOMIL","Generic","Retail 90","Y","N","Generic","1831545","1194058727","WALGREENS #10560 10560","6620 BARDSTOWN RD","LOUISVILLE","KY","40291","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B001","P","2020-09-29",37227552373,"69097083305","SERTRALINE HCL","Generic","Retail 30","Y","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B002","P","2020-07-31",43024995618,"53885000810","ONETOUCH DELICA PLUS LANC","Brand","Retail 30","Y","N","SSB","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","No",{"v":200,"d":"200.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-07-27",68565898369,"68382003516","VENLAFAXINE HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4403907","1750484457","CVS PHARMACY #03743 03743","110 MAJESTIC GROVE RD","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2020-11-02",83751178514,"68462034690","LEVOCETIRIZINE DIHYDROCHL","Generic","Retail 90","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","B003","P","2021-03-28",84743437711,"29300012810","HYDROCHLOROTHIAZIDE","Generic","Retail 90","Y","N","Generic","4435598","1568477586","WALGREENS #6788 6788","1959 W ANDREW JOHNSON HWY","MORRISTOWN","TN","37814","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D001","P","2021-02-18",33488150686,"57664037708","TRAMADOL HCL","Generic","Retail 30","Y","N","Generic","4440955","1639353733","FOOD CITY PHARMACY #609 609","2946 WINFIELD DUNN PARKWAY","KODAK","TN","37764","Non- Specialty","No",{"v":120,"d":"120.00"},30,{"v":4.16,"d":"$4.16"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2021-03-29",10621563940,"00555901058","NORTREL 1/35","Generic","Retail 30","Y","N","Generic","4430283","1194803601","ANDERSON CROSSING PHARMACY","3318 ANDERSONVILLE HWY","ANDERSONVILLE","TN","37705","Non- Specialty","Yes",{"v":28,"d":"28.00"},28,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","E001","P","2021-01-01",40109915830,"70010049110","METFORMIN HYDROCHLORIDE E","Generic","Retail 90","Y","N","Generic","4439419","1811939002","CVS PHARMACY #17146 17146","5405 WASHINGTON PKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":360,"d":"360.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A003","P","2020-06-15",54579122248,"00378932132","WIXELA INHUB","Generic","Retail 90","Y","N","Generic","4437516","1457368466","WALGREENS #1634 1634","7810 OAK RIDGE HWY","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","E003","P","2020-05-09",80541722086,"00173087410","ARNUITY ELLIPTA","Brand","Retail 30","Y","N","SSB","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2020-07-01",95860522319,"68180031506","IMIPRAMINE PAMOATE","Generic","Retail 90","Y","N","Generic","4443254","1013236785","WALGREENS #12980 12980","7425 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A001","P","2020-11-12",86989865600,"00054418425","DEXAMETHASONE","Generic","Retail 30","Y","N","Generic","4438722","1336150986","RIGGS DRUG STORE","604 E EMORY RD","POWELL","TN","37849","Non- Specialty","No",{"v":11,"d":"11.00"},7,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A001","P","2020-11-20",86989865600,"50111044102","TRAZODONE HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4438722","1336150986","RIGGS DRUG STORE","604 E EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A001","P","2020-11-13",10140990786,"13107003134","MIRTAZAPINE","Generic","Retail 30","Y","N","Generic","4431019","1518991256","KROGER PHARMACY #581 02600581","10721 CHAPMAN HWY","SEYMOUR","TN","37865","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E003","P","2020-05-13",85857488916,"68180078001","ZOLPIDEM TARTRATE ER","Generic","Retail 30","Y","N","Generic","4442721","1659607141","KROGER PHARMACY #698 02600698","5201 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-11-19",67598829624,"00115168974","BUDESONIDE","Generic","Retail 90","N","N","Generic","4421917","1467555979","CVS PHARMACY #07727 07727","2931 ALCOA HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-06-25",43016152591,"45802046564","KETOCONAZOLE","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":120,"d":"120.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2021-01-07",83482920140,"55111012205","ATORVASTATIN CALCIUM","Generic","Retail 90","Y","N","Generic","4440157","1710103726","WALGREENS #10066 10066","929 NEW HWY 68","SWEETWATER","TN","37874","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-07-07",23943462484,"65862069790","VENLAFAXINE HCL ER","Generic","Retail 90","Y","N","Generic","4429177","1033124045","WALGREENS #3388 3388","225 NORTH HALL RD","ALCOA","TN","37701","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B099","P","2021-01-13",34067108176,"55111018015","TIZANIDINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4434065","1053338400","FOOD CITY PHARMACY #655 655","7510 ASHEVILLE HWY","KNOXVILLE","TN","37924","Non- Specialty","No",{"v":40,"d":"40.00"},20,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-05-10",49858143593,"68382050010","OMEPRAZOLE","Generic","Retail 90","Y","N","Generic","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2021-02-04",99879740078,"16729020301","BUSPIRONE HCL","Generic","Retail 90","Y","N","Generic","4430803","1356444079","CVS PHARMACY #04457 04457","7341 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","No",{"v":270,"d":"270.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2021-01-15",81204884091,"00169369619","NOVOLOG MIX 70/30 PREFILL","Brand","Retail 30","Y","N","SSB","4426640","1063549863","SEYMOUR ADVALUE PHARMACY","10721 CHAPMAN HWY","SEYMOUR","TN","37865","Non- Specialty","Yes",{"v":15,"d":"15.00"},25,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-08-26",14435600669,"66685100100","AMOXICILLIN/CLAVULANATE P","Generic","Retail 30","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":14,"d":"14.00"},7,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2021-01-19",96172716166,"65862001705","AMOXICILLIN","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":21,"d":"21.00"},6,{"v":2.65,"d":"$2.65"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-06-21",89641535665,"00169406013","VICTOZA","Brand","Retail 30","Y","N","SSB","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":9,"d":"9.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A001","P","2020-09-03",53683042383,"00378110101","PRAZOSIN HCL","Generic","Retail 30","Y","N","Generic","4401410","1346255445","WALGREENS #5483 5483","7523 KINGSTON PIKE","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":30,"d":"30.00"},10,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A001","P","2021-04-30",48117787533,"27808015701","ROSUVASTATIN CALCIUM","Generic","Retail 30","Y","N","Generic","4445777","1942540828","UNIVERSITY PHARMACY","1924 ALCOA HWY STE NP100","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D099","P","2021-02-02",67875652171,"57237007530","ONDANSETRON HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4442721","1659607141","KROGER PHARMACY #698 02600698","5201 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":18,"d":"18.00"},3,{"v":2.75,"d":"$2.75"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A003","P","2020-07-16",53807981963,"68462010530","ONDANSETRON HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4424949","1811902810","WALGREENS #5729 5729","9200 MIDDLEBROOK PIKE","KNOXVILLE","TN","37931","Non- Specialty","No",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-05-08",83007644273,"68645055354","LISINOPRIL","Generic","Retail 90","Y","N","Generic","4429545","1972520161","WALMART PHARMACY 10-2310 102310","3051 KINZEL WAY","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-10-15",75076361712,"70377000215","SIMVASTATIN","Generic","Retail 90","Y","N","Generic","4421739","1477568475","WALGREENS #3798 3798","2400 N BROADWAY ST","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D001","P","2020-10-23",80210153009,"52268001201","SUPREP BOWEL PREP KIT","Brand","Retail 30","N","N","SSB","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","No",{"v":354,"d":"354.00"},1,{"v":40,"d":"$40.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E001","P","2020-12-04",43665811377,"00115180301","HYDROXYZINE PAMOATE","Generic","Retail 90","Y","N","Generic","4429177","1033124045","WALGREENS #3388 3388","225 NORTH HALL RD","ALCOA","TN","37701","Non- Specialty","No",{"v":180,"d":"180.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D001","P","2020-06-08",26931178292,"00173087410","ARNUITY ELLIPTA","Brand","Mail","Y","N","SSB","1718634","1669498515","OPTUMRX","6800 WEST 115TH STREET","OVERLAND PARK","KS","66211","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":20,"d":"$20.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","E003","P","2021-04-24",43169985530,"68180072003","AMLODIPINE BESYLATE","Generic","Retail 90","Y","N","Generic","4421739","1477568475","WALGREENS #3798 3798","2400 N BROADWAY ST","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","E001","P","2020-08-01",57758865029,"68180051703","LISINOPRIL","Generic","Retail 90","Y","N","Generic","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C003","P","2020-05-17",65019890988,"00002143380","TRULICITY","Brand","Retail 30","Y","N","SSB","4429545","1972520161","WALMART PHARMACY 10-2310 102310","3051 KINZEL WAY","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":2,"d":"2.00"},28,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D001","P","2020-07-21",79229285406,"00169413212","OZEMPIC","Brand","Retail 30","Y","N","SSB","4438722","1336150986","RIGGS DRUG STORE","604 E EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":1.5,"d":"1.50"},28,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-11-25",19051785680,"65862050320","AMOXICILLIN/CLAVULANATE P","Generic","Retail 30","Y","N","Generic","4412300","1578666277","CVS PHARMACY #03769 03769","139 EAST BROADWAY BLVD","JEFFERSON CITY","TN","37760","Non- Specialty","No",{"v":20,"d":"20.00"},10,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2021-03-16",77209827031,"68180072103","AMLODIPINE BESYLATE","Generic","Retail 90","Y","N","Generic","4421739","1477568475","WALGREENS #3798 3798","2400 N BROADWAY ST","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-07-31",23409109826,"00527134710","LEVOTHYROXINE SODIUM","Generic","Retail 90","Y","N","Generic","4436716","1932206877","OKIE'S PHARMACY II","1050 RUTLEDGE PIKE","BLAINE","TN","37709","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","B003","P","2020-07-01",29482861933,"69315013601","BENZTROPINE MESYLATE","Generic","Retail 30","Y","N","Generic","4419304","1316958994","BLOUNT DISCOUNT PHARMACY - GILL","129 GILL ST","ALCOA","TN","37701","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-05-27",60018304972,"13668000701","ZOLPIDEM TARTRATE","Generic","Retail 30","Y","N","Generic","4442721","1659607141","KROGER PHARMACY #698 02600698","5201 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":20,"d":"20.00"},46,{"v":1.6,"d":"$1.60"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-12-08",56376004615,"00002144511","TALTZ","Brand","Retail 30","Y","N","SSB","2521640","1700814449","OPTUM PHARMACY 705 LLC","3539 BLUECUTT ROAD","COLUMBUS","MS","39705","Specialty","Yes",{"v":1,"d":"1.00"},28,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E001","P","2020-12-17",19483085720,"45963067611","METOPROLOL SUCCINATE ER","Generic","Retail 30","Y","N","Generic","4424949","1811902810","WALGREENS #5729 5729","9200 MIDDLEBROOK PIKE","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-07-07",13056618823,"65862020290","LOSARTAN POTASSIUM","Generic","Retail 90","Y","N","Generic","4400317","1093818783","CVS PHARMACY #06355 06355","4325 ASHEVILLE HIGHWAY E","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","A002","P","2020-05-09",14553687282,"00023586230","TAYTULLA","Brand","Retail 90","Y","N","SSB","4423389","1548294275","KROGER PHARMACY #684 02600684","9225 KINGSTON PIKE","KNOXVILLE","TN","37922","Non- Specialty","Yes",{"v":84,"d":"84.00"},84,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","C003","P","2020-11-16",39333101478,"00169633910","NOVOLOG FLEXPEN","Brand","Retail 30","Y","N","SSB","4426640","1063549863","SEYMOUR ADVALUE PHARMACY","10721 CHAPMAN HWY","SEYMOUR","TN","37865","Non- Specialty","Yes",{"v":15,"d":"15.00"},60,{"v":25,"d":"$25.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","B002","P","2021-03-05",36422808697,"59762040105","SUCRALFATE","Generic","Retail 30","Y","N","Generic","4448848","1508216029","KROGER PHARMACY #670 02600670","234 E EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":56,"d":"56.00"},14,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2020-12-01",39679469107,"00555097402","AMPHETAMINE/DEXTROAMPHETA","Generic","Retail 30","Y","N","Generic","4429177","1033124045","WALGREENS #3388 3388","225 NORTH HALL RD","ALCOA","TN","37701","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B002","P","2020-10-09",65499262965,"00228202996","ALPRAZOLAM","Generic","Retail 30","Y","N","Generic","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","No",{"v":30,"d":"30.00"},10,{"v":1.43,"d":"$1.43"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2021-03-24",14214835654,"00121087316","LACTULOSE","Generic","Retail 30","Y","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":946,"d":"946.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A001","P","2021-02-16",22421051042,"53885000810","ONETOUCH DELICA PLUS LANC","Brand","Retail 90","Y","N","SSB","4437516","1457368466","WALGREENS #1634 1634","7810 OAK RIDGE HWY","KNOXVILLE","TN","37931","Non- Specialty","No",{"v":100,"d":"100.00"},90,{"v":7.72,"d":"$7.72"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","E001","P","2020-07-25",66351004862,"00555902542","JUNEL 1/20","Generic","Retail 30","Y","N","Generic","4403832","1114020815","CVS PHARMACY #03727 03727","2008 WEST ANDREW JOHNSON HWY","MORRISTOWN","TN","37814","Non- Specialty","Yes",{"v":21,"d":"21.00"},21,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-11-16",30732762164,"00456140530","BYSTOLIC","Brand","Retail 90","Y","N","SSB","4422111","1194730192","WALGREENS #4169 4169","4001 CHAPMAN HIGHWAY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":25,"d":"$25.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-10-06",22558003534,"00172572880","FAMOTIDINE","Generic","Mail","Y","N","Generic","0556540","1497704431","OPTUMRX","2858 LOKER AVENUE EAST","CARLSBAD","CA","92010","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D001","P","2020-07-18",29054138139,"70377002811","ATORVASTATIN CALCIUM","Generic","Retail 90","Y","N","Generic","4430687","1972606515","CVS PHARMACY #05761 05761","7655 NORTHSHORE DRIVE","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2021-02-06",22042007669,"00074518290","SYNTHROID","Brand","Retail 90","Y","N","MSB","4403907","1750484457","CVS PHARMACY #03743 03743","110 MAJESTIC GROVE RD","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":71.29,"d":"$71.29"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B001","P","2020-06-22",40109915830,"76385012810","METFORMIN HYDROCHLORIDE E","Generic","Retail 90","Y","N","Generic","4439419","1811939002","CVS PHARMACY #17146 17146","5405 WASHINGTON PKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":360,"d":"360.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C002","P","2020-09-21",55023358947,"00310652401","BYETTA","Brand","Retail 30","Y","N","SSB","4436071","1124033154","WALGREENS #7320 7320","7320 CLINTON HWY","POWELL","TN","37849","Non- Specialty","Yes",{"v":2.4,"d":"2.40"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","A002","P","2020-08-03",99337797081,"62175011843","OMEPRAZOLE","Generic","Retail 90","Y","N","Generic","4429634","1588679591","WALGREENS #3137 3137","1299 OAK RIDGE TURNPIKE","OAK RIDGE","TN","37830","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A001","P","2021-03-01",40478661976,"80777027399","MODERNA COVID-19 VACCINE","Brand","Retail 30","Y","N","SSB","4434370","1356368559","SAMS PHARMACY 10-6572 106572","2920 KNOXVILLE CENTER DR","KNOXVILLE","TN","37924","Non- Specialty","No",{"v":0.5,"d":"0.50"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2021-01-24",74095869151,"52268001201","SUPREP BOWEL PREP KIT","Brand","Retail 30","N","N","SSB","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":354,"d":"354.00"},1,{"v":40,"d":"$40.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-11-06",85112945349,"29300011201","LAMOTRIGINE","Generic","Retail 90","Y","N","Generic","4443254","1013236785","WALGREENS #12980 12980","7425 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2021-02-03",32652149589,"64380078706","BUSPIRONE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4450083","1073038121","WALGREENS #18021 18021","2710 MAYNARDVILLE HIGHWAY","MAYNARDVILLE","TN","37807","Non- Specialty","No",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2021-03-24",74794457632,"00002751001","HUMALOG","Brand","Retail 90","Y","N","SSB","4434902","1083631287","WALMART PHARMACY 10-2932 102932","10900 PARKSIDE DR","KNOXVILLE","TN","37934","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":25,"d":"$25.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A099","P","2020-11-05",47161086067,"00169406012","VICTOZA","Brand","Retail 90","Y","N","SSB","4442721","1659607141","KROGER PHARMACY #698 02600698","5201 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":18,"d":"18.00"},90,{"v":25,"d":"$25.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","C003","P","2021-01-29",39333101478,"52937000120","VASCEPA","Brand","Retail 30","Y","N","SSB","4426640","1063549863","SEYMOUR ADVALUE PHARMACY","10721 CHAPMAN HWY","SEYMOUR","TN","37865","Non- Specialty","Yes",{"v":120,"d":"120.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-08-30",16947660110,"35573042030","ATOMOXETINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4435841","1497760425","WALGREENS #7048 7048","3071 PARKWAY","PIGEON FORGE","TN","37863","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D001","P","2020-06-07",94331996546,"13668000801","ZOLPIDEM TARTRATE","Generic","Retail 30","Y","N","Generic","4426955","1639184633","WALGREENS #7374 7374","4423 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":2.99,"d":"$2.99"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2021-04-22",54514992509,"43598029390","PREGABALIN","Generic","Retail 30","N","N","Generic","4401410","1346255445","WALGREENS #5483 5483","7523 KINGSTON PIKE","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":150,"d":"150.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2021-03-24",60933044678,"68462039730","OMEPRAZOLE","Generic","Retail 90","Y","N","Generic","4428240","1982621173","WALMART PHARMACY 10-2065 102065","8445 WALBROOK DR","KNOXVILLE","TN","37923","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2021-02-08",97975902241,"68382050010","OMEPRAZOLE","Generic","Retail 30","Y","N","Generic","4423896","1912914912","WALGREENS #4330 4330","121 N NORTHSHORE DR","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","C001","P","2020-05-11",92483261767,"00406114201","METHYLPHENIDATE HYDROCHLO","Generic","Retail 30","Y","N","Generic","4433265","1356358352","WALGREENS #5053 5053","601 N CAMPBELL STATION RD","FARRAGUT","TN","37934","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","C003","P","2021-01-09",33537169730,"00169413212","OZEMPIC","Brand","Retail 30","Y","N","SSB","4427630","1164525879","CVS PHARMACY #04180 04180","4406 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","Yes",{"v":1.5,"d":"1.50"},28,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-10-12",82162306565,"00173071620","ADVAIR HFA","Brand","Retail 30","Y","N","SSB","4403781","1679676373","CVS PHARMACY #03721 03721","4864 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":12,"d":"12.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-12-22",97411074701,"00169430713","RYBELSUS","Brand","Retail 30","Y","N","SSB","4430803","1356444079","CVS PHARMACY #04457 04457","7341 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-10-25",17344957400,"00832105410","BACLOFEN","Generic","Retail 30","Y","N","Generic","4421145","1710080429","CVS PHARMACY #06365 06365","101 NORTH CHARLES SEIVERS BOULEVARD","CLINTON","TN","37716","Non- Specialty","No",{"v":45,"d":"45.00"},15,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-05-03",13056618823,"68180072103","AMLODIPINE BESYLATE","Generic","Retail 90","Y","N","Generic","4400317","1093818783","CVS PHARMACY #06355 06355","4325 ASHEVILLE HIGHWAY E","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","C003","P","2021-04-07",92908560164,"60913000101","AQUALANCE LANCETS UL","Brand","Retail 30","Y","N","SSB","4444698","1316215981","BELEW DRUGS WASHINGTON PIKE","5908 WASHINGTON PIKE STE 102","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":100,"d":"100.00"},33,{"v":25,"d":"$25.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2020-09-10",14774883806,"58160088552","FLUARIX QUADRIVALENT 2020","Brand","Retail 30","Y","N","SSB","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","No",{"v":0.5,"d":"0.50"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A003","P","2020-05-04",91172072982,"50111043401","TRAZODONE HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4418566","1417050121","CVS PHARMACY #05671 05671","103 FOOTHILLS MALL RD","MARYVILLE","TN","37801","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2021-03-06",46227356636,"00378668999","PANTOPRAZOLE SODIUM","Generic","Retail 30","Y","N","Generic","4435322","1922013945","WALGREENS #6738 6738","2109 JACKSBORO PIKE","LA FOLLETTE","TN","37766","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E003","P","2020-07-03",58121399749,"68382013201","TAMSULOSIN HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B001","P","2020-12-19",54225200027,"00093317431","ALBUTEROL SULFATE HFA","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":8.5,"d":"8.50"},25,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-09-08",60209933745,"68645035059","CARVEDILOL","Generic","Retail 90","Y","N","Generic","4435827","1225062961","KROGER PHARMACY #549 02600549","6702 CLINTON HWY","KNOXVILLE","TN","37912","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E003","P","2020-08-17",74191837115,"68180072003","AMLODIPINE BESYLATE","Generic","Retail 30","Y","N","Generic","4426955","1639184633","WALGREENS #7374 7374","4423 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2020-12-15",32431154409,"42192034001","HYOSCYAMINE SULFATE","Generic","Retail 90","Y","N","Generic","4434370","1356368559","SAMS PHARMACY 10-6572 106572","2920 KNOXVILLE CENTER DR","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":270,"d":"270.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2021-02-12",13447157170,"70710122501","AMITRIPTYLINE HYDROCHLORI","Generic","Retail 30","Y","N","Generic","4423896","1912914912","WALGREENS #4330 4330","121 N NORTHSHORE DR","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C003","P","2021-02-03",10547453744,"50111064801","FLUOXETINE HCL","Generic","Retail 90","Y","N","Generic","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A003","P","2021-02-25",14335335841,"47335022090","KETOROLAC TROMETHAMINE","Generic","Retail 30","Y","N","Generic","4434926","1669487682","WALGREENS #6223 6223","82 ELMORE RD","CROSSVILLE","TN","38555","Non- Specialty","No",{"v":5,"d":"5.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-10-29",46970544600,"68645052354","SERTRALINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4424355","1598782773","WALMART PHARMACY 10-0741 100741","911 HIGHWAY 321 N","LENOIR CITY","TN","37771","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D003","P","2021-03-13",16190480109,"68645058259","METFORMIN HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4429545","1972520161","WALMART PHARMACY 10-2310 102310","3051 KINZEL WAY","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-11-25",23027978502,"55111064505","OMEPRAZOLE","Generic","Retail 30","Y","N","Generic","4438330","1689608325","KROGER PHARMACY 02600628","1820 ROANE STATE HWY","HARRIMAN","TN","37748","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2021-02-21",80807262796,"43598029290","PREGABALIN","Generic","Retail 30","N","N","Generic","4421917","1467555979","CVS PHARMACY #07727 07727","2931 ALCOA HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":7.32,"d":"$7.32"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-06-15",56376004615,"59630058090","OSPHENA","Brand","Retail 30","N","N","SSB","4403832","1114020815","CVS PHARMACY #03727 03727","2008 WEST ANDREW JOHNSON HWY","MORRISTOWN","TN","37814","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":20,"d":"$20.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2021-01-14",11269647376,"60505384901","CELECOXIB","Generic","Retail 30","N","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","B002","P","2020-09-25",30541573954,"00555088602","ESTRADIOL","Generic","Retail 30","Y","N","Generic","4416954","1790790897","WALGREENS #6224 6224","5320 CLINTON HIGHWAY","KNOXVILLE","TN","37912","Non- Specialty","Yes",{"v":26,"d":"26.00"},26,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","B002","P","2020-10-16",30541573954,"00555088602","ESTRADIOL","Generic","Retail 90","Y","N","Generic","4416954","1790790897","WALGREENS #6224 6224","5320 CLINTON HIGHWAY","KNOXVILLE","TN","37912","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-09-18",40776081965,"65862019299","FLUOXETINE HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4448848","1508216029","KROGER PHARMACY #670 02600670","234 E EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2020-05-26",43083872863,"55513084301","AIMOVIG","Brand","Retail 30","Y","N","SSB","4426614","1396872057","CLINTON DRUG STORE","1130 N CHARLES SEIVERS BLVD","CLINTON","TN","37716","Non- Specialty","Yes",{"v":1,"d":"1.00"},28,{"v":20,"d":"$20.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-04-09",33300309147,"70347010003","TOPROL XL","Brand","Retail 90","Y","N","MSB","4436540","1548218266","MOUNTAIN HOME VAMC PHARMACY","SIDNEY & LAMONT ST","MOUNTAIN HOME","TN","37684","Non- Specialty","Yes",{"v":45,"d":"45.00"},90,{"v":27.06,"d":"$27.06"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2021-03-27",37526661577,"67877051290","ATORVASTATIN CALCIUM","Generic","Retail 90","Y","N","Generic","4438203","1891712378","FOOD CITY PHARMACY #685 685","4805 N BROADWAY","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2021-04-23",45306325403,"60505006501","OMEPRAZOLE","Generic","Retail 90","Y","N","Generic","4436716","1932206877","OKIE'S PHARMACY II","1050 RUTLEDGE PIKE","BLAINE","TN","37709","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-05-08",43951459874,"70710120901","ALLOPURINOL","Generic","Retail 90","Y","N","Generic","4403781","1679676373","CVS PHARMACY #03721 03721","4864 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2021-04-01",44053998274,"00555088602","ESTRADIOL","Generic","Retail 90","Y","N","Generic","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-06-18",46197683207,"59746000103","METHYLPREDNISOLONE DOSE P","Generic","Retail 30","Y","N","Generic","4435649","1477568491","WALGREENS #6993 6993","220 FOOTHILLS MALL DR","MARYVILLE","TN","37801","Non- Specialty","No",{"v":21,"d":"21.00"},6,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B001","P","2021-04-19",27096987848,"59267100002","PFIZER-BIONTECH COVID-19","Brand","Retail 30","Y","N","SSB","4431019","1518991256","KROGER PHARMACY #581 02600581","10721 CHAPMAN HWY","SEYMOUR","TN","37865","Non- Specialty","No",{"v":0.3,"d":"0.30"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2021-01-31",88412007328,"45802088726","FLUOCINOLONE ACETONIDE BO","Generic","Retail 30","Y","N","Generic","4430207","1578588299","KROGER PHARMACY #525 02600525","9501 S NORTHSHORE DR","KNOXVILLE","TN","37922","Non- Specialty","No",118.28,29,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","C003","P","2021-04-07",92908560164,"90166083152","GLOBAL EASE INJECT PEN NE","Brand","Retail 30","Y","N","SSB","4444698","1316215981","BELEW DRUGS WASHINGTON PIKE","5908 WASHINGTON PIKE STE 102","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":100,"d":"100.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A001","P","2020-12-14",85727188061,"00378827052","ALBUTEROL SULFATE","Generic","Retail 30","Y","N","Generic","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":75,"d":"75.00"},15,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C003","P","2020-08-26",92308563039,"45963014205","BUPROPION HYDROCHLORIDE E","Generic","Retail 90","Y","N","Generic","4421739","1477568475","WALGREENS #3798 3798","2400 N BROADWAY ST","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D003","P","2020-06-26",16811736537,"70377000415","SIMVASTATIN","Generic","Retail 90","Y","N","Generic","4433265","1356358352","WALGREENS #5053 5053","601 N CAMPBELL STATION RD","FARRAGUT","TN","37934","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2020-05-13",20514772043,"65862057490","MONTELUKAST SODIUM","Generic","Retail 30","Y","N","Generic","4450273","1376068361","WALGREENS #19623 19623","1255 HIGHWAY 11 WEST","BEAN STATION","TN","37708","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A003","P","2020-05-21",52275501319,"69238101703","ISOTRETINOIN","Generic","Retail 30","Y","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","No",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2020-10-14",68981537187,"50742061510","METOPROLOL SUCCINATE ER","Generic","Retail 90","Y","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D001","P","2021-01-27",96756684782,"50742061610","METOPROLOL SUCCINATE ER","Generic","Retail 90","Y","N","Generic","4403907","1750484457","CVS PHARMACY #03743 03743","110 MAJESTIC GROVE RD","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A002","P","2020-12-14",62881580595,"68382013210","TAMSULOSIN HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4431677","1336173079","KROGER PHARMACY #530 02600530","9161 MIDDLEBROOK PIKE","KNOXVILLE","TN","37923","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A003","P","2020-12-01",53321024119,"69097014260","ALBUTEROL SULFATE HFA","Generic","Retail 30","Y","N","Generic","4423896","1912914912","WALGREENS #4330 4330","121 N NORTHSHORE DR","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":6.7,"d":"6.70"},16,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-06-21",51245818930,"62037072501","METHYLPHENIDATE HYDROCHLO","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-06-10",68957582730,"62332003831","LAMOTRIGINE","Generic","Retail 90","Y","N","Generic","0323624","1588670996","WALGREENS.COM 21147","2225 S PRICE RD","CHANDLER","AZ","85286","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-09-02",92375694319,"42806071405","BENZONATATE","Generic","Retail 30","Y","N","Generic","4419304","1316958994","BLOUNT DISCOUNT PHARMACY - GILL","129 GILL ST","ALCOA","TN","37701","Non- Specialty","No",{"v":30,"d":"30.00"},10,{"v":4.43,"d":"$4.43"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A003","P","2020-12-24",53807981963,"52817033010","CYCLOBENZAPRINE HYDROCHLO","Generic","Retail 30","Y","N","Generic","4424949","1811902810","WALGREENS #5729 5729","9200 MIDDLEBROOK PIKE","KNOXVILLE","TN","37931","Non- Specialty","No",{"v":30,"d":"30.00"},15,{"v":1.7,"d":"$1.70"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-11-12",64254812533,"67877022310","GABAPENTIN","Generic","Retail 30","Y","N","Generic","4437150","1467511469","UNION DISCOUNT PHARMACY INC","2959 MAYNARDVILLE HWY","MAYNARDVILLE","TN","37807","Non- Specialty","Yes",{"v":30,"d":"30.00"},10,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A001","P","2020-07-07",26247270106,"31722053301","METHOCARBAMOL","Generic","Retail 30","Y","N","Generic","4439180","1275550758","FOOD CITY PHARMACY #694 694","284 MORRELL RD","KNOXVILLE","TN","37919","Non- Specialty","No",{"v":56,"d":"56.00"},7,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2020-11-16",37322441221,"57664037888","DEXMETHYLPHENIDATE HCL","Generic","Retail 30","Y","N","Generic","4441818","1649421157","INGLES PHARMACY 091","11847 KINGSTON PIKE","FARRAGUT","TN","37934","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-05-26",36885404025,"00169280015","SAXENDA","Brand","Retail 30","Y","N","SSB","4424038","1124198205","VAUGHN PHARMACY","2141 EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":15,"d":"15.00"},30,{"v":20,"d":"$20.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-09-28",51237433537,"65862001501","AMOXICILLIN","Generic","Retail 30","Y","N","Generic","4431487","1841205853","WALGREENS #4199 4199","9536 S NORTHSHORE DR","KNOXVILLE","TN","37922","Non- Specialty","No",{"v":20,"d":"20.00"},10,{"v":4.05,"d":"$4.05"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2021-03-12",18984385175,"65862001005","METFORMIN HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4423389","1548294275","KROGER PHARMACY #684 02600684","9225 KINGSTON PIKE","KNOXVILLE","TN","37922","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2021-04-17",84831757702,"65862056099","PANTOPRAZOLE SODIUM","Generic","Retail 30","Y","N","Generic","4434065","1053338400","FOOD CITY PHARMACY #655 655","7510 ASHEVILLE HWY","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-12-02",94885529139,"00378623201","CITALOPRAM HYDROBROMIDE","Generic","Retail 90","Y","N","Generic","4426486","1649287640","WALGREENS #6967 6967","4423 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","B003","P","2021-03-31",84743437711,"00093719801","FLUOXETINE HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4435598","1568477586","WALGREENS #6788 6788","1959 W ANDREW JOHNSON HWY","MORRISTOWN","TN","37814","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","A003","P","2020-10-14",25938187896,"71376020203","JORNAY PM","Brand","Retail 30","Y","N","SSB","4420028","1134222847","CVS PHARMACY #05639 05639","11946 KINGSTON PIKE","FARRAGUT","TN","37934","Non- Specialty","Yes",{"v":20,"d":"20.00"},20,{"v":20,"d":"$20.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2020-05-22",36218145142,"00121075908","PREDNISOLONE SODIUM PHOSP","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":52,"d":"52.00"},5,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","B002","P","2020-08-11",65735262311,"66993058497","FLUTICASONE PROPIONATE/SA","Generic","Retail 90","Y","N","Generic","4448848","1508216029","KROGER PHARMACY #670 02600670","234 E EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","B002","P","2020-12-23",49086597064,"70710122501","AMITRIPTYLINE HYDROCHLORI","Generic","Retail 30","Y","N","Generic","4440703","1275720740","WALGREENS #11699 11699","2409 US HIGHWAY 411 S","MARYVILLE","TN","37801","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B002","P","2020-05-04",42712260502,"65862021150","MINOCYCLINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2020-10-14",39679469107,"65862042005","SULFAMETHOXAZOLE/TRIMETHO","Generic","Retail 30","Y","N","Generic","4429177","1033124045","WALGREENS #3388 3388","225 NORTH HALL RD","ALCOA","TN","37701","Non- Specialty","No",{"v":18,"d":"18.00"},7,{"v":2.45,"d":"$2.45"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2020-06-20",53648422586,"29300012410","MELOXICAM","Generic","Retail 30","Y","N","Generic","4428682","1497760409","WALGREENS #3209 3209","8950 KINGSTON PIKE","KNOXVILLE","TN","37923","Non- Specialty","Yes",{"v":60,"d":"60.00"},60,{"v":4.09,"d":"$4.09"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A001","P","2020-05-01",94696941155,"65862020390","LOSARTAN POTASSIUM","Generic","Retail 30","Y","N","Generic","4417475","1427151133","CVS PHARMACY #05601 05601","570 HWY 321 N","LENOIR CITY","TN","37771","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2021-01-21",11870457588,"68462041827","LIDOCAINE","Generic","Retail 30","Y","N","Generic","4432237","1528165024","CVS PHARMACY #07698 07698","9435 S NORTHSHORE DR","KNOXVILLE","TN","37922","Non- Specialty","No",{"v":50,"d":"50.00"},50,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C001","P","2021-01-23",85161026635,"54838050280","HYDROXYZINE HCL","Generic","Retail 30","Y","N","Generic","4403781","1679676373","CVS PHARMACY #03721 03721","4864 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":225,"d":"225.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-12-14",34088899789,"63304069301","CLINDAMYCIN HCL","Generic","Retail 30","Y","N","Generic","4424355","1598782773","WALMART PHARMACY 10-0741 100741","911 HIGHWAY 321 N","LENOIR CITY","TN","37771","Non- Specialty","No",{"v":14,"d":"14.00"},7,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2021-04-14",82162306565,"70010049110","METFORMIN HYDROCHLORIDE E","Generic","Retail 90","Y","N","Generic","4403781","1679676373","CVS PHARMACY #03721 03721","4864 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C003","P","2020-09-13",61731808902,"55111012205","ATORVASTATIN CALCIUM","Generic","Retail 90","Y","N","Generic","4421739","1477568475","WALGREENS #3798 3798","2400 N BROADWAY ST","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2020-05-29",96456313908,"53746010901","HYDROCODONE/ACETAMINOPHEN","Generic","Retail 30","Y","N","Generic","4403907","1750484457","CVS PHARMACY #03743 03743","110 MAJESTIC GROVE RD","KNOXVILLE","TN","37920","Non- Specialty","No",{"v":6,"d":"6.00"},1,{"v":1.23,"d":"$1.23"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-12-17",82162306565,"00173071620","ADVAIR HFA","Brand","Retail 30","Y","N","SSB","4403781","1679676373","CVS PHARMACY #03721 03721","4864 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":12,"d":"12.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2020-06-30",68981537187,"43598029390","PREGABALIN","Generic","Retail 30","N","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":90,"d":"90.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","B003","P","2020-08-28",84743437711,"29300012810","HYDROCHLOROTHIAZIDE","Generic","Retail 90","Y","N","Generic","4435598","1568477586","WALGREENS #6788 6788","1959 W ANDREW JOHNSON HWY","MORRISTOWN","TN","37814","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","B002","P","2020-11-16",32569801337,"16729018317","HYDROCHLOROTHIAZIDE","Generic","Mail","Y","N","Generic","5741372","1790340206","OPTUMRX PHARMACY 700, LLC","5700 DOT COM COURT","OVIEDO","FL","32765","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2020-10-29",80905186611,"24208046325","LATANOPROST","Generic","Retail 30","Y","N","Generic","4435497","1316971054","KROGER PHARMACY #683 02600683","507 FOOTHILLS PLZ","MARYVILLE","TN","37801","Non- Specialty","Yes",{"v":2.5,"d":"2.50"},25,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2020-07-31",50202172831,"69097084805","ESCITALOPRAM OXALATE","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-06-26",98340798236,"00172392570","DIAZEPAM","Generic","Retail 30","Y","N","Generic","4428682","1497760409","WALGREENS #3209 3209","8950 KINGSTON PIKE","KNOXVILLE","TN","37923","Non- Specialty","No",{"v":120,"d":"120.00"},30,{"v":4.39,"d":"$4.39"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-11-30",73400780921,"60505058604","OLOPATADINE HYDROCHLORIDE","Generic","Mail","Y","N","Generic","5741372","1790340206","OPTUMRX PHARMACY 700, LLC","5700 DOT COM COURT","OVIEDO","FL","32765","Non- Specialty","No",{"v":7.5,"d":"7.50"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B001","P","2020-09-21",19160202277,"13107015590","PAROXETINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-10-27",99813089752,"68462013281","NORETHINDRONE ACETATE/ETH","Generic","Retail 30","Y","N","Generic","4426486","1649287640","WALGREENS #6967 6967","4423 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":21,"d":"21.00"},28,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-12-04",54514992509,"68462019005","NAPROXEN","Generic","Retail 30","Y","N","Generic","4401410","1346255445","WALGREENS #5483 5483","7523 KINGSTON PIKE","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C001","P","2020-07-02",65948911408,"00093598627","EPINEPHRINE","Generic","Retail 30","Y","N","Generic","4424862","1043237225","WALMART PHARMACY 10-1320 101320","7420 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","No",{"v":2,"d":"2.00"},1,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-12-16",40707137694,"00172392670","DIAZEPAM","Generic","Retail 30","Y","N","Generic","4446503","1710304837","VICTORY PHARMACY","4127 E EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","No",{"v":90,"d":"90.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-08-30",80807262796,"33342018010","OLMESARTAN MEDOXOMIL","Generic","Retail 90","Y","N","Generic","4421917","1467555979","CVS PHARMACY #07727 07727","2931 ALCOA HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2021-02-19",59146095910,"60505006501","OMEPRAZOLE","Generic","Retail 90","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","E001","P","2020-05-07",77019339206,"65862020399","LOSARTAN POTASSIUM","Generic","Retail 30","Y","N","Generic","4426486","1649287640","WALGREENS #6967 6967","4423 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B003","P","2020-07-24",40755116999,"70377000215","SIMVASTATIN","Generic","Retail 90","Y","N","Generic","4401410","1346255445","WALGREENS #5483 5483","7523 KINGSTON PIKE","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C003","P","2020-05-26",69645921840,"00378427677","VALACYCLOVIR HCL","Generic","Retail 30","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":21,"d":"21.00"},7,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-11-20",43829162210,"60432026415","FLUTICASONE PROPIONATE","Generic","Retail 30","Y","N","Generic","4439623","1578586954","FOOD CITY PHARMACY #687 687","2712 LOVES CREEK RD","KNOXVILLE","TN","37924","Non- Specialty","No",{"v":16,"d":"16.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2020-08-04",26095711161,"00093101042","MUPIROCIN","Generic","Retail 30","Y","N","Generic","4430803","1356444079","CVS PHARMACY #04457 04457","7341 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","No",{"v":22,"d":"22.00"},10,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D001","P","2020-12-28",62962601722,"42806005610","AMLODIPINE BESYLATE","Generic","Retail 30","Y","N","Generic","4436716","1932206877","OKIE'S PHARMACY II","1050 RUTLEDGE PIKE","BLAINE","TN","37709","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D003","P","2020-07-09",54875382099,"13668013601","ESCITALOPRAM OXALATE","Generic","Retail 90","Y","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","B002","P","2021-01-10",30541573954,"00555088602","ESTRADIOL","Generic","Retail 90","Y","N","Generic","4416954","1790790897","WALGREENS #6224 6224","5320 CLINTON HIGHWAY","KNOXVILLE","TN","37912","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B001","P","2020-12-16",86774815774,"13668000905","CITALOPRAM HYDROBROMIDE","Generic","Retail 90","Y","N","Generic","4430803","1356444079","CVS PHARMACY #04457 04457","7341 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A001","P","2021-04-26",58725931027,"65862024608","LEVETIRACETAM","Generic","Retail 90","Y","N","Generic","4418566","1417050121","CVS PHARMACY #05671 05671","103 FOOTHILLS MALL RD","MARYVILLE","TN","37801","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B001","P","2020-10-14",74345424926,"33342008845","RIZATRIPTAN BENZOATE","Generic","Retail 30","Y","N","Generic","4426955","1639184633","WALGREENS #7374 7374","4423 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","No",{"v":12,"d":"12.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2021-01-31",25876164380,"00555087302","MEDROXYPROGESTERONE ACETA","Generic","Retail 90","Y","N","Generic","4424545","1134146319","WALMART PHARMACY 10-1319 101319","7550 NORRIS FWY","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E003","P","2020-09-03",15966049155,"00186077660","BRILINTA","Brand","Retail 90","Y","N","SSB","4433265","1356358352","WALGREENS #5053 5053","601 N CAMPBELL STATION RD","FARRAGUT","TN","37934","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":25,"d":"$25.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B002","P","2020-12-15",93068132897,"16714085201","METOPROLOL SUCCINATE ER","Generic","Retail 90","Y","N","Generic","4434065","1053338400","FOOD CITY PHARMACY #655 655","7510 ASHEVILLE HWY","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-11-06",84335202065,"00555088702","ESTRADIOL","Generic","Retail 90","Y","N","Generic","4431677","1336173079","KROGER PHARMACY #530 02600530","9161 MIDDLEBROOK PIKE","KNOXVILLE","TN","37923","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2021-04-20",10994044055,"65162010150","GABAPENTIN","Generic","Retail 30","Y","N","Generic","4435322","1922013945","WALGREENS #6738 6738","2109 JACKSBORO PIKE","LA FOLLETTE","TN","37766","Non- Specialty","Yes",{"v":90,"d":"90.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-08-02",34583523592,"69097083512","SERTRALINE HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4434039","1770505422","CVS PHARMACY #16598 16598","800 WATKINS RD","MARYVILLE","TN","37801","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","E001","P","2021-03-30",24253894345,"00173068220","VENTOLIN HFA","Brand","Retail 30","Y","N","MSB","4403666","1942303649","CVS PHARMACY #03762 03762","9175 KINGSTON PIKE","KNOXVILLE","TN","37923","Non- Specialty","Yes",{"v":18,"d":"18.00"},16,{"v":20,"d":"$20.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2020-08-11",68237501473,"60432027516","BROMPHEN/PSEUDOEPHEDRINE ","Generic","Retail 30","N","N","Generic","4435497","1316971054","KROGER PHARMACY #683 02600683","507 FOOTHILLS PLZ","MARYVILLE","TN","37801","Non- Specialty","No",{"v":120,"d":"120.00"},2,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2021-01-03",10994044055,"62756026002","ZONISAMIDE","Generic","Retail 30","Y","N","Generic","4435322","1922013945","WALGREENS #6738 6738","2109 JACKSBORO PIKE","LA FOLLETTE","TN","37766","Non- Specialty","Yes",{"v":90,"d":"90.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2020-12-28",98981802535,"00781707787","METRONIDAZOLE VAGINAL","Generic","Retail 30","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":70,"d":"70.00"},5,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2021-02-26",86550997582,"69238183301","LEVOTHYROXINE SODIUM","Generic","Retail 30","Y","N","Generic","4428682","1497760409","WALGREENS #3209 3209","8950 KINGSTON PIKE","KNOXVILLE","TN","37923","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D003","P","2021-04-14",13757680556,"59267100003","PFIZER-BIONTECH COVID-19","Brand","Retail 30","Y","N","SSB","4431677","1336173079","KROGER PHARMACY #530 02600530","9161 MIDDLEBROOK PIKE","KNOXVILLE","TN","37923","Non- Specialty","No",{"v":0.3,"d":"0.30"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-07-31",29666326306,"10370010150","BUPROPION HYDROCHLORIDE E","Generic","Retail 90","Y","N","Generic","4439419","1811939002","CVS PHARMACY #17146 17146","5405 WASHINGTON PKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2020-05-16",62682358624,"57237001401","TAMSULOSIN HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4403907","1750484457","CVS PHARMACY #03743 03743","110 MAJESTIC GROVE RD","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","E002","P","2020-10-19",94107918073,"69238183407","LEVOTHYROXINE SODIUM","Generic","Retail 90","Y","N","Generic","4421739","1477568475","WALGREENS #3798 3798","2400 N BROADWAY ST","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B001","P","2020-08-19",10700728719,"68382061928","COLESEVELAM HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4446565","1417375403","WALGREENS #15906 15906","1602 E LAMAR ALEXANDER PKWY","MARYVILLE","TN","37804","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","B003","P","2021-03-06",95587703459,"59267100001","PFIZER-BIONTECH COVID-19","Brand","Retail 30","Y","N","SSB","4430740","1831134972","BLOUNT DISCOUNT PHARMACY - WEST","131 MONTGOMERY LANE","MARYVILLE","TN","37803","Non- Specialty","No",{"v":0.3,"d":"0.30"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-12-10",36127497572,"24208083060","NEOMYCIN/POLYMYXIN/DEXAME","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":5,"d":"5.00"},22,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-07-16",94561744789,"68382013201","TAMSULOSIN HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4436261","1033124060","WALGREENS #7407 7407","11305 CHAPMAN HIGHWAY","SEYMOUR","TN","37865","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B001","P","2020-05-13",96852266986,"00781518710","LEVOTHYROXINE SODIUM","Generic","Retail 90","Y","N","Generic","4452099","1821645201","SPRING CITY PHARMACY","171 CLINTON AVE","SPRING CITY","TN","37381","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2021-04-09",98345262552,"80777027310","MODERNA COVID-19 VACCINE","Brand","Retail 30","Y","N","SSB","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","No",{"v":0.5,"d":"0.50"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","E001","P","2020-06-13",87007508688,"69452015120","VITAMIN D","Generic","Retail 90","Y","N","Generic","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":15,"d":"15.00"},90,{"v":8.47,"d":"$8.47"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","C003","P","2020-08-03",92908560164,"00088221905","LANTUS SOLOSTAR","Brand","Retail 30","Y","N","SSB","4444698","1316215981","BELEW DRUGS WASHINGTON PIKE","5908 WASHINGTON PIKE STE 102","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E003","P","2020-12-28",25487101627,"00023320503","LUMIGAN","Brand","Retail 90","Y","N","SSB","4403781","1679676373","CVS PHARMACY #03721 03721","4864 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":7.5,"d":"7.50"},90,{"v":50,"d":"$50.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2021-01-29",46227356636,"68382009205","CARVEDILOL","Generic","Retail 30","Y","N","Generic","4434887","1487670949","TERRYS PHARMACY JACKSBORO","2715 JACKSBORO PIKE","JACKSBORO","TN","37757","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B001","P","2020-10-21",86774815774,"67877022305","GABAPENTIN","Generic","Retail 90","Y","N","Generic","4430803","1356444079","CVS PHARMACY #04457 04457","7341 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":270,"d":"270.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-10-22",99879740078,"58160082311","SHINGRIX","Brand","Retail 30","Y","N","SSB","4430803","1356444079","CVS PHARMACY #04457 04457","7341 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","No",{"v":1,"d":"1.00"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","B002","P","2020-09-02",88914296005,"16729044315","BUPROPION HYDROCHLORIDE E","Generic","Retail 90","Y","N","Generic","4443254","1013236785","WALGREENS #12980 12980","7425 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-07-28",10993921920,"60505368003","CARVEDILOL PHOSPHATE","Generic","Retail 30","N","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D001","P","2021-01-09",79229285406,"60505465409","OLMESARTAN MEDOXOMIL","Generic","Retail 90","Y","N","Generic","4438722","1336150986","RIGGS DRUG STORE","604 E EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-10-27",57879075234,"65162062711","TRAMADOL HCL","Generic","Retail 30","Y","N","Generic","4426640","1063549863","SEYMOUR ADVALUE PHARMACY","10721 CHAPMAN HWY","SEYMOUR","TN","37865","Non- Specialty","No",{"v":20,"d":"20.00"},5,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-12-21",90384923609,"59746000103","METHYLPREDNISOLONE DOSE P","Generic","Retail 30","Y","N","Generic","4403806","1588767289","CVS PHARMACY #03723 03723","1287 OAK RIDGE TPK","OAK RIDGE","TN","37830","Non- Specialty","No",{"v":21,"d":"21.00"},6,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2021-04-26",24660097374,"55111012405","ATORVASTATIN CALCIUM","Generic","Retail 30","Y","N","Generic","4436261","1033124060","WALGREENS #7407 7407","11305 CHAPMAN HIGHWAY","SEYMOUR","TN","37865","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-10-26",73181002090,"69238183007","LEVOTHYROXINE SODIUM","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-12-18",89589235910,"17772010330","TROKENDI XR","Brand","Retail 30","N","N","SSB","4426652","1265459457","WALMART PHARMACY 10-0672 100672","1030 HUNTERS CROSSING DRIVE","ALCOA","TN","37701","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":40,"d":"$40.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B001","P","2020-06-25",18846345124,"31722070210","LOSARTAN POTASSIUM","Generic","Retail 30","Y","N","Generic","4422818","1912912916","WALGREENS #5394 5394","6920 MAYNARDVILLE PIKE","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2021-04-23",97411074701,"00169431413","RYBELSUS","Brand","Retail 90","Y","N","SSB","4430803","1356444079","CVS PHARMACY #04457 04457","7341 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":25,"d":"$25.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","C003","P","2020-08-05",64334797813,"00378181110","LEVOTHYROXINE SODIUM","Generic","Retail 30","Y","N","Generic","4400317","1093818783","CVS PHARMACY #06355 06355","4325 ASHEVILLE HIGHWAY E","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-07-26",89515314439,"00093321305","CLONAZEPAM","Generic","Retail 30","Y","N","Generic","4433354","1679677488","CVS PHARMACY #02404 02404","417 EMORY RD","POWELL","TN","37849","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":3.43,"d":"$3.43"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-10-22",23124292833,"00591236360","TESTOSTERONE","Generic","Retail 30","Y","N","Generic","4435790","1386651396","WALGREENS #6609 6609","119 FORK OF THE RIVER PKWY","SEVIERVILLE","TN","37862","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-07-12",56824688539,"70069009101","AZELASTINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","0323624","1588670996","WALGREENS.COM 21147","2225 S PRICE RD","CHANDLER","AZ","85286","Non- Specialty","No",{"v":6,"d":"6.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2020-07-28",40165059220,"13668013701","ESCITALOPRAM OXALATE","Generic","Retail 30","Y","N","Generic","4430687","1972606515","CVS PHARMACY #05761 05761","7655 NORTHSHORE DRIVE","KNOXVILLE","TN","37919","Non- Specialty","Yes",{"v":45,"d":"45.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E001","P","2020-08-17",94317754247,"31722088490","ROSUVASTATIN CALCIUM","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A003","P","2020-07-21",54916574989,"47335079483","VENLAFAXINE HYDROCHLORIDE","Generic","Retail 30","N","N","Generic","4450083","1073038121","WALGREENS #18021 18021","2710 MAYNARDVILLE HIGHWAY","MAYNARDVILLE","TN","37807","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2020-12-29",99498577452,"10702002501","PHENTERMINE HCL","Generic","Retail 30","Y","N","Generic","4403781","1679676373","CVS PHARMACY #03721 03721","4864 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":2.36,"d":"$2.36"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2021-02-04",39523912632,"69097083512","SERTRALINE HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4448848","1508216029","KROGER PHARMACY #670 02600670","234 E EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2020-05-29",86941083388,"00169750111","NOVOLOG","Brand","Retail 30","Y","N","SSB","4424949","1811902810","WALGREENS #5729 5729","9200 MIDDLEBROOK PIKE","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":40,"d":"40.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","A003","P","2020-06-24",44185175877,"00169750111","NOVOLOG","Brand","Retail 30","Y","N","SSB","4435649","1477568491","WALGREENS #6993 6993","220 FOOTHILLS MALL DR","MARYVILLE","TN","37801","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2021-03-03",18016242861,"49884027082","NASCOBAL","Brand","Retail 30","N","N","SSB","4419304","1316958994","BLOUNT DISCOUNT PHARMACY - GILL","129 GILL ST","ALCOA","TN","37701","Non- Specialty","Yes",{"v":4,"d":"4.00"},28,{"v":40,"d":"$40.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-10-15",44004460209,"64764017530","DEXILANT","Brand","Retail 30","Y","N","SSB","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D001","P","2020-06-26",89257264383,"00378464226","ESTRADIOL","Generic","Retail 90","Y","N","Generic","4439623","1578586954","FOOD CITY PHARMACY #687 687","2712 LOVES CREEK RD","KNOXVILLE","TN","37924","Non- Specialty","Yes",{"v":24,"d":"24.00"},84,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D099","P","2020-12-29",52927633484,"29300012410","MELOXICAM","Generic","Retail 30","Y","N","Generic","4431487","1841205853","WALGREENS #4199 4199","9536 S NORTHSHORE DR","KNOXVILLE","TN","37922","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":2.22,"d":"$2.22"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","E002","P","2020-05-29",23800444977,"00378910493","NITROGLYCERIN TRANSDERMAL","Generic","Retail 30","Y","N","Generic","4440183","1982829594","FOOD CITY PHARMACY #676 676","1950 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","C002","P","2020-12-03",70884264145,"43598058230","BUPRENORPHINE HYDROCHLORI","Generic","Retail 30","Y","N","Generic","4411548","1831108471","EAST TENNESSEE DISCOUNT DRUG","524 ANDREW JOHNSON HWY","STRAWBERRY PLAINS","TN","37871","Non- Specialty","No",{"v":35,"d":"35.00"},28,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D099","P","2020-11-05",79910948883,"43199001301","HYOSCYAMINE SULFATE","Generic","Retail 30","Y","N","Generic","4416954","1790790897","WALGREENS #6224 6224","5320 CLINTON HIGHWAY","KNOXVILLE","TN","37912","Non- Specialty","Yes",{"v":40,"d":"40.00"},10,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A003","P","2021-04-07",19051785680,"00597010061","SPIRIVA RESPIMAT","Brand","Retail 90","Y","N","SSB","4412300","1578666277","CVS PHARMACY #03769 03769","139 EAST BROADWAY BLVD","JEFFERSON CITY","TN","37760","Non- Specialty","Yes",{"v":12,"d":"12.00"},90,{"v":25,"d":"$25.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B002","P","2020-09-17",95874402630,"55111015810","OMEPRAZOLE","Generic","Retail 90","Y","N","Generic","4430803","1356444079","CVS PHARMACY #04457 04457","7341 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A003","P","2021-02-15",26337581391,"69097084805","ESCITALOPRAM OXALATE","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2021-01-08",62799249591,"00193731221","CONTOUR NEXT BLOOD GLUCOS","Brand","Retail 90","Y","N","SSB","4400317","1093818783","CVS PHARMACY #06355 06355","4325 ASHEVILLE HIGHWAY E","KNOXVILLE","TN","37914","Non- Specialty","No",{"v":900,"d":"900.00"},90,{"v":25,"d":"$25.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-12-21",89641535665,"00169185189","NOVOFINE 32GX6MM","Brand","Retail 90","Y","N","SSB","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","No",{"v":600,"d":"600.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2020-10-23",41212360065,"13668000801","ZOLPIDEM TARTRATE","Generic","Retail 30","Y","N","Generic","4422111","1194730192","WALGREENS #4169 4169","4001 CHAPMAN HIGHWAY","KNOXVILLE","TN","37920","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":3.08,"d":"$3.08"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C003","P","2020-11-30",38773580469,"68382002210","ATENOLOL","Generic","Retail 90","Y","N","Generic","4428199","1184785362","JEFFCO DRUG CENTER","127 W MEETING ST","DANDRIDGE","TN","37725","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-06-09",23457383604,"00406012310","HYDROCODONE/ACETAMINOPHEN","Generic","Retail 30","Y","N","Generic","4411548","1831108471","EAST TENNESSEE DISCOUNT DRUG","524 ANDREW JOHNSON HWY","STRAWBERRY PLAINS","TN","37871","Non- Specialty","No",{"v":9,"d":"9.00"},3,{"v":1.49,"d":"$1.49"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-05-27",66515868524,"53489011905","DOXYCYCLINE HYCLATE","Generic","Retail 30","Y","N","Generic","4432237","1528165024","CVS PHARMACY #07698 07698","9435 S NORTHSHORE DR","KNOXVILLE","TN","37922","Non- Specialty","No",{"v":10,"d":"10.00"},10,{"v":3.18,"d":"$3.18"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A002","P","2021-01-13",60910588608,"51862056406","LOW-OGESTREL","Generic","Retail 90","Y","N","Generic","4435485","1407880149","KROGER PHARMACY #562 02600562","702 WINFIELD DUNN PKWY","SEVIERVILLE","TN","37876","Non- Specialty","Yes",{"v":84,"d":"84.00"},84,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D001","P","2021-01-18",37874423301,"65862019299","FLUOXETINE HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4442721","1659607141","KROGER PHARMACY #698 02600698","5201 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":270,"d":"270.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-05-21",15443928331,"23155050105","HYDROXYZINE HYDROCHLORIDE","Generic","Retail 90","Y","N","Generic","4441248","1528232816","WALGREENS #11813 11813","251 S CUMBERLAND ST","MORRISTOWN","TN","37813","Non- Specialty","No",{"v":90,"d":"90.00"},90,{"v":11.34,"d":"$11.34"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-05-04",46227356636,"60505082901","FLUTICASONE PROPIONATE","Generic","Retail 30","Y","N","Generic","4434887","1487670949","TERRYS PHARMACY JACKSBORO","2715 JACKSBORO PIKE","JACKSBORO","TN","37757","Non- Specialty","No",{"v":16,"d":"16.00"},30,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-06-03",15443928331,"51224000760","METFORMIN HYDROCHLORIDE E","Generic","Retail 90","Y","N","Generic","4441248","1528232816","WALGREENS #11813 11813","251 S CUMBERLAND ST","MORRISTOWN","TN","37813","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E002","P","2020-08-30",18857145549,"00006494300","PNEUMOVAX 23/1 DOSE","Brand","Retail 30","Y","N","SSB","4430803","1356444079","CVS PHARMACY #04457 04457","7341 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","No",{"v":0.5,"d":"0.50"},1,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","B002","P","2020-11-12",42330740716,"25682001912","STRENSIQ","Brand","Retail 30","Y","N","SSB","6001565","1659762524","PANTHERX SPECIALTY PHARMACY","24 SUMMIT PARK DR STE 101","PITTSBURGH","PA","15275","Specialty","Yes",{"v":9.6,"d":"9.60"},28,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D003","P","2021-01-12",23203685513,"69238184001","LEVOTHYROXINE SODIUM","Generic","Retail 90","Y","N","Generic","4441541","1861657991","WALGREENS #12311 12311","2151 N CHARLES G SEIVERS BLVD","CLINTON","TN","37716","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":12.5,"d":"$12.50"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-10-19",65638559651,"31722077705","ACYCLOVIR","Generic","Mail","Y","N","Generic","5741372","1790340206","OPTUMRX PHARMACY 700, LLC","5700 DOT COM COURT","OVIEDO","FL","32765","Non- Specialty","No",{"v":60,"d":"60.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D001","P","2021-03-16",75093165869,"13668000805","ZOLPIDEM TARTRATE","Generic","Retail 30","Y","N","Generic","4430803","1356444079","CVS PHARMACY #04457 04457","7341 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":3.61,"d":"$3.61"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B003","P","2020-12-17",52007191322,"00228212750","CLONIDINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4436716","1932206877","OKIE'S PHARMACY II","1050 RUTLEDGE PIKE","BLAINE","TN","37709","Non- Specialty","Yes",{"v":15,"d":"15.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-10-23",60311459363,"00008084181","PROTONIX","Brand","Retail 90","Y","N","SSB","4441060","1982882197","WALGREENS #11174 11174","7400 CHAPMAN HWY","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":25,"d":"$25.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","D002","P","2020-07-10",31826588846,"42192033901","HYOSCYAMINE SULFATE","Generic","Retail 30","Y","N","Generic","4424355","1598782773","WALMART PHARMACY 10-0741 100741","911 HIGHWAY 321 N","LENOIR CITY","TN","37771","Non- Specialty","Yes",{"v":30,"d":"30.00"},5,{"v":5,"d":"$5.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","B002","P","2020-11-02",46347914154,"00555088602","ESTRADIOL","Generic","Retail 30","Y","N","Generic","4426955","1639184633","WALGREENS #7374 7374","4423 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","C001","P","2021-02-22",20013258681,"62175061743","PANTOPRAZOLE SODIUM","Generic","Retail 30","Y","N","Generic","4452001","1053876896","BELIEVERX 1","9627 COUNTRYSIDE CENTER LN","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","B002","P","2020-07-31",88914296005,"16729013716","CLONAZEPAM","Generic","Retail 30","Y","N","Generic","4443254","1013236785","WALGREENS #12980 12980","7425 TAZEWELL PIKE","CORRYTON","TN","37721","Non- Specialty","No",{"v":30,"d":"30.00"},15,{"v":2.77,"d":"$2.77"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2021-02-09",58214478788,"59651015301","PROGESTERONE","Generic","Retail 90","N","N","Generic","4430740","1831134972","BLOUNT DISCOUNT PHARMACY - WEST","131 MONTGOMERY LANE","MARYVILLE","TN","37803","Non- Specialty","Yes",{"v":40,"d":"40.00"},90,{"v":25,"d":"$25.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","A001","P","2020-06-25",50831790667,"00406012305","HYDROCODONE/ACETAMINOPHEN","Generic","Retail 30","Y","N","Generic","4426955","1639184633","WALGREENS #7374 7374","4423 WESTERN AVE","KNOXVILLE","TN","37921","Non- Specialty","No",{"v":12,"d":"12.00"},2,{"v":1.75,"d":"$1.75"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","C001","P","2020-05-21",36478689032,"16729018201","HYDROCHLOROTHIAZIDE","Generic","Retail 90","Y","N","Generic","4428240","1982621173","WALMART PHARMACY 10-2065 102065","8445 WALBROOK DR","KNOXVILLE","TN","37923","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2021-02-08",39523912632,"69097094312","GABAPENTIN","Generic","Retail 30","Y","N","Generic","4448848","1508216029","KROGER PHARMACY #670 02600670","234 E EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":45,"d":"45.00"},15,{"v":5,"d":"$5.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D003","P","2020-09-15",23498125040,"16729015615","SIMVASTATIN","Generic","Retail 30","Y","N","Generic","4430891","1790719433","KROGER PHARMACY #558 02600558","4414 ASHEVILLE HWY","KNOXVILLE","TN","37914","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A003","P","2020-06-09",54579122248,"00173089201","NUCALA","Brand","Retail 30","Y","N","SSB","1564930","1083045140","OPTUM PHARMACY 702, LLC","1050 PATROL RD","JEFFERSONVILLE","IN","47130","Specialty","Yes",{"v":1,"d":"1.00"},28,{"v":80,"d":"$80.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","C002","P","2020-09-03",42920612361,"00173085910","BREO ELLIPTA","Brand","Retail 90","Y","N","SSB","4438722","1336150986","RIGGS DRUG STORE","604 E EMORY RD","POWELL","TN","37849","Non- Specialty","Yes",{"v":180,"d":"180.00"},90,{"v":25,"d":"$25.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2021-01-31",28522240030,"65862001305","SERTRALINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4426727","1467469460","WALGREENS #5373 5373","5006 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":60,"d":"60.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-07-20",81204884091,"16729013816","CLONAZEPAM","Generic","Retail 30","Y","N","Generic","4426640","1063549863","SEYMOUR ADVALUE PHARMACY","10721 CHAPMAN HWY","SEYMOUR","TN","37865","Non- Specialty","No",{"v":30,"d":"30.00"},30,{"v":3.29,"d":"$3.29"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2021-02-15",81204884091,"16729013816","CLONAZEPAM","Generic","Retail 30","Y","N","Generic","4426640","1063549863","SEYMOUR ADVALUE PHARMACY","10721 CHAPMAN HWY","SEYMOUR","TN","37865","Non- Specialty","No",{"v":5,"d":"5.00"},5,{"v":1.2,"d":"$1.20"}]
["PSI3574","MQSK0005","$1000 DED-NETWORK S","B003","P","2020-12-10",34296031580,"29300012510","MELOXICAM","Generic","Retail 30","Y","N","Generic","4446945","1063815470","VOLUNTEER PHARMACY","2559 WILLOW POINT WAY","KNOXVILLE","TN","37931","Non- Specialty","Yes",{"v":20,"d":"20.00"},20,{"v":1.86,"d":"$1.86"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","A002","P","2021-04-15",22042007669,"55111015810","OMEPRAZOLE","Generic","Retail 90","Y","N","Generic","4403907","1750484457","CVS PHARMACY #03743 03743","110 MAJESTIC GROVE RD","KNOXVILLE","TN","37920","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B002","P","2020-06-10",11269647376,"60505384901","CELECOXIB","Generic","Retail 30","N","N","Generic","4403894","1841393543","CVS PHARMACY #03741 03741","4500 EAST EMORY RD","KNOXVILLE","TN","37938","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":10,"d":"$10.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","B001","P","2020-10-11",26186915232,"65862020290","LOSARTAN POTASSIUM","Generic","Retail 90","Y","N","Generic","4418376","1699878306","CVS PHARMACY #06359 06359","111 S. HALL ROAD","ALCOA","TN","37701","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E003","P","2020-10-01",25487101627,"00023320503","LUMIGAN","Brand","Retail 90","Y","N","SSB","4403781","1679676373","CVS PHARMACY #03721 03721","4864 N BROADWAY ST","KNOXVILLE","TN","37918","Non- Specialty","Yes",{"v":7.5,"d":"7.50"},90,{"v":50,"d":"$50.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D002","P","2020-10-09",74434591421,"33342006410","VALSARTAN","Generic","Retail 90","Y","N","Generic","4434902","1083631287","WALMART PHARMACY 10-2932 102932","10900 PARKSIDE DR","KNOXVILLE","TN","37934","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","E003","P","2021-01-19",13980483776,"00169430313","RYBELSUS","Brand","Retail 90","Y","N","SSB","4421739","1477568475","WALGREENS #3798 3798","2400 N BROADWAY ST","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":90,"d":"90.00"},90,{"v":25,"d":"$25.00"}]
["PSI3574","MQSK0004","$500 DED-NETWORK S","D002","P","2020-07-27",60933044678,"00781207401","TRIAMTERENE/HYDROCHLOROTH","Generic","Retail 30","Y","N","Generic","4428240","1982621173","WALMART PHARMACY 10-2065 102065","8445 WALBROOK DR","KNOXVILLE","TN","37923","Non- Specialty","Yes",{"v":30,"d":"30.00"},30,{"v":0,"d":"$0.00"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-12-14",75076361712,"00169413602","OZEMPIC","Brand","Retail 90","Y","N","SSB","4421739","1477568475","WALGREENS #3798 3798","2400 N BROADWAY ST","KNOXVILLE","TN","37917","Non- Specialty","Yes",{"v":9,"d":"9.00"},90,{"v":25,"d":"$25.00"}]
["PSI3574","MQPK0007","$1000 DED-NETWORK P","D002","P","2020-10-18",65633031005,"68180016013","AZITHROMYCIN","Generic","Retail 30","Y","N","Generic","4439419","1811939002","CVS PHARMACY #17146 17146","5405 WASHINGTON PKE","KNOXVILLE","TN","37918","Non- Specialty","No",{"v":6,"d":"6.00"},5,{"v":4.21,"d":"$4.21"}]
["PSI3574","MQPK0006","$500 DED-NETWORK P","D003","P","2020-07-11",31744682076,"68382031818","MINOCYCLINE HYDROCHLORIDE","Generic","Retail 30","Y","N","Generic","4417475","1427151133","CVS PHARMACY #05601 05601","570 HWY 321 N","LENOIR CITY","TN","37771","Non- Specialty","No",{"v":60,"d":"60.00"},30,{"v":5,"d":"$5.00"}]
[{"$nulls":25},{"$f":"SUM(Z2:Z37204)","v":{"v":288345.5099999998,"d":"$288,345.51"}}]