MONEY MAKER. Volume 20, Issue 10 March 12, 2017

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1 MONEY MAKER Volume 20, Issue 10 March 12, 2017 Routing List Owner Front Manager Pharmacy Manager Other Phone... (919) Toll-Free... (800) Fax... (919) CII Fax... (919) Customer Service...(800) After Hours Tech Support...(866) Automated Inventory System...(800) Electronic Order Entry...(800) Please note: Money Maker prices are listed as Net Invoice Price (NIP) and reflect all invoice discounts. All prices are valid through March 22, 2017 unless otherwise noted or until stock has been exhausted. Recalls 1. Zydus Pharmaceuticals has issued a voluntary recall, to the retail level, for two lots of Atenolol tablets, 50 mg. Zydus has decided to initiate voluntary recall based on a single product complaint where the complainant found one tablet of Paroxetine 20mg tablets in repackaged bottle of Atenolol Tablets USP, 50mg, Lot Z For more information see page 10. Announcements 1. Generic Pristiq Now Available Mutual Drug is now stocking generic Pristiq (Desvenlafaxine ER). The 25 MG is being marketed by Teva/ Actavis, while the 50 MG and 100 MG is being marketed by Breckenridge Pharmaceuticals. Be sure to add to your next order today! Item # Description NDC AWP* DESVENLAFAXINE ER TAB 25 MG $ DESVENLAFAXINE ER TAB 50 MG $ DESVENLAFAXINE ER TAB 50 MG $ DESVENLAFAXINE ER TAB 100 MG $ DESVENLAFAXINE ER TAB 100 MG $83.57 *NIP as of 3/9/2017 and subject to change without prior notice 2. Generic Oxycontin Coming Soon Impax Pharmaceuticals expects to receive their allocations of generic Oxycontin (Oxycodone ER) in March. All strengths are expected to be available in limited quantities. Please note that a 222 form is required for all CII items, and all orders will be subject to SOMS restrictions. More information will be communicated as soon as it becomes available. 3. Exclusivity Reminders Exclusivity periods are often granted to new ANDA applicants who are awarded first-to-file status. These periods afford usually a single generic company a finite period of time in which they can market their generic product. At the end of an exclusivity period, other competition may launch, which my drastically impact market pricing. It is important that you monitor your inventory closely during these periods so as to avoid getting caught with expensive product when cheaper product becomes available. As per Mutual Drug policy, shelf stocks are not available to the retail level. The following products have expected exclusivity periods that expire on or near the dates below: Item # Description NDC Potential Loss of Exclusivity** YUVAFEM TAB 10 MCG April 15, YUVAFEM TAB 10 MCG April 15, OLMESARTAN MEDOXOMIL TAB 5 MG April 24, OLMESARTAN MEDOXOMIL TAB 20 MG April 24, OLMESARTAN MEDOXOMIL TAB 40 MG April 24, OLMESARTAN/HCTZ TAB 20/12.5 MG April 24, OLMESARTAN/HCTZ TAB 40/12.5 MG April 24, OLMESARTAN/HCTZ TAB 40/25 MG April 24, EZETIMIBE TAB 10 MG June 10, EZETIMIBE TAB 10 MG June 10, 2017 ** Dates are estimates only. Mutual Drug will continue to work with vendors to determine exact launch plans and dates of other manufacturers.

2 Announcements (continued) 4. New Generics Coming Soon (Updated 3/9/2017) Mutual Drug is anticipating the launches of several generics in the near future including the following: Coreg CR (Carvedilol CR): To be determined. Minastrin FE (Ethinyl Estradiol; Norethindrone Acetate): March 15, 2017 Expected ProAir HFA (Albuterol Sulfate): 2017 Expected Relpax (Eletriptan HBR): March Expected Suboxone Film Strips (Buprenorphine HCL/ Naloxone): To be determined Tracleer (Bosentan): 1Q 2017 Vytorin (Ezetimibe; Simvastatin): March 25, 2017 Expected All dates are subject to change without prior notice. Mutual Drug will provide more information as it becomes available. Reminders Returning Defective Durable Medical Equipment Please contact Jennifer Fulford or Chelsea Oakley before returning defective DME products to Mutual Drug. Whether the item is new and defective, or it has been used at the consumer level and needs a new part, please provide as much detail as possible. Coupon Redemption Center For personalized service to solve all your coupon handling problems, contact Couponics, Inc. Contact Stan Grossman with any questions at or couponics@bellsouth.net. Returns Notice When placing items in returning totes, please be sure to provide contact information. If items are returned without information we cannot contact the store and/or give credit. For returning items that require refrigeration, please follow the guidelines provided on If these items are returned in the totes, they will need to be placed in the morgue, as they cannot return to inventory. Please ensure all totes are checked before returning them to Mutual Drug. Bulletin Board 1. Pharmacy Clearing House Pharmacy Clearing House is an online marketplace for buying and selling pre-owned pharmacy equipment. A broad selection of equipment is available including store fixtures and manufacturer refurbished robots at significantly lower prices than new. Quality equipment with a substantial savings. Sellers only pay if a transaction is completed through Pharmacy Clearing House. Check the website for weekly deals and specials ACP s Legislative Updates Updated 3/6/2017 Governor Roy Cooper released his proposed budget for the fiscal year, which focuses on identifying common ground solutions. State Budget Director Charles Perusse presented the highlights to the Joint Appropriations Committee meeting on Thursday morning, March 2. It does not include any new tax increases, but would reinstate the film and entertainment tax incentive rebate and the NC Child and Dependent Care Tax Credit. The current-year surplus is estimated to be $552.6 million. Below are highlights from the recommended budget: Making North Carolina a top-10 educated state by 2025 Growing middle class paychecks statewide Building healthier and safer communities Protecting and growing natural and cultural resources Exercising fiscal responsibility Emergency Management: Allocates $100 million to Disaster Reserve and additional $300 million into the Savings Reserve. State Employees and Teachers: Teachers would receive an additional $271 million, which is a 5% average salary increase each year. It would bring all state employees to at least the middle of their position s salary range. Health and Human Services: Fully funds Medicaid and a couple of Medicaid expansions services. It would also invest in early learning including eliminating the waitlist for NC Pre-K. It includes a $12 million opioid package for mental health services. Senate Bill 175 (S. 175) Strengthen Opioid Misuse Prevention (STOP): In an effort to curb opioid abuse in North Carolina, S. 175 was introduced on Thursday, March 2. Representative Craig Horn (R-Union), Representative Greg Murphy (R-Pitt), Representative Ted Davis (R-New Hanover), Representative Chris Malone (R-Wake), Senator Jim Davis (R-Macon), Senator Tom McInnis (R-Richmond), Senator Bill Rabon (R-Brunswick), and Attorney General Josh Stein held a press conference on Thursday to unveil the proposal. ACP has been meeting throughout the session with the sponsors to lend input as this legislation was being discussed. Thursday was the first opportunity to view the final draft legislation and ACP will continue to work with bill sponsors to address issues concerning pharmacy. This is a complicated bill with the sponsors trying to cover a wide range of control medication problems. However, as a pharmacist, you see several practical problems exist with the bill as written. In Washington, there seems to be a draft ACA replacement bill on the move. The bill appears to dismantle ACA subsidies and scrap Medicaid expansion. The document is more detailed than the outline that House leaders circulated before their recess. However, several lawmakers are still in disagreement about several key issues, including Medicaid and the size and form of subsidies. The legislation will also be shaped by findings from the Congressional Budget Office (CBO) about the costs and federal deficit implications. Another sign of trouble with this draft is that the House Energy and Commerce and Ways and Means committees haven t scheduled any markups of the legislation, despite Republicans leaders statements that they would release more details right after the congressional recess. President Trump has said he expects a plan to emerge in early to mid-march. 2

3 CAPS Back Order ACTAVIS LEVETIRACETAM ER TAB 750 MG 60 WEEK OF 03/20/2017 EXPECTED MINOCYCLINE HCL CAP 50 MG 100 WEEK OF 05/01/2017 EXPECTED AKORN MYORISAN (ISOTRETINOIN) CAP 40 MG 30 EXPECTED MID MARCH 2017 AMNEAL IBUPROFEN TAB 600 MG 500 APOTEX ATORVASTATIN CALCIUM TAB 20 MG 1000 CITRON PENICILLIN V (ROUND) TAB 250 MG 100 DR. REDDY S RIVASTIGMINE TARTRATE CAP 1.5 MG SUMATRIPTAN TAB 50 MG RIVASTIGMINE TARTRATE CAP 3 MG 60 EXPECTED MID MARCH 2017 GLENMARK ROPINIROLE HCL TAB 3 MG ZONISAMIDE CAP 50 MG FELODIPINE ER TAB 10 MG 100 BROWN WEEK OF 03/27/2017 EXPECTED IMPAX BUDESONIDE INHAL SUSP 0.25MG/2ML BUDESONIDE INHAL SUSP 0.5MG/2ML 30 EXPECTED MID MARCH 2017 PAR (QUALITEST) GLIPIZIDE XL TAB 5 MG PROMETHAZINE COD SYR 10/6.25MG/5ML 16 OZ AMLODIPINE BES/VALSARTAN TAB 10/160 MG DILTIAZEM CD ER CAP 120 MG 500 WEEK OF 03/20/2017 EXPECTED PERRIGO CLOTRIMAZOLE CREAM 1% 15 GM (OTC) FEXOFENADINE TAB 180 MG 100 (OTC) IMIQUIMOD CREAM 5% OLOPATADINE NASAL SPRAY 0.6% 30.5 GM EXPECTED APRIL 2017 SANDOZ ZINC OXIDE OINT TUBE 20% 2 OZ WEEK OF 03/20/2017 EXPECTED TEVA AMLOD/VALSARTAN/HCTZ TAB 5/160/12.5 MG FAMOTIDINE TAB 20 MG FAMOTIDINE TAB 20 MG 1000 WEEK OF 03/27/2017 EXPECTED VALEANT NEO/POLY B HC OTIC SOL 10 ML SULFACETAMIDE SOD OPHTH SOL 10% 15 ML WOCKHARDT CLOBETASOL TOP SOL USP 0.05% 25 ML EXPECTED EARLY MARCH 2017 ZYDUS SIMVASTATIN TAB 80 MG 90 MAJOR APRODINE TAB 60/2.5 MG 24 EXPECTED MID MARCH 2017 MYLAN CARBAMAZEPINE ER CAP 200 MG CARBAMAZEPINE ER CAP 300 MG 120 WEEK OF 05/15/2017 EXPECTED ORCHID ESZOPICLONE TAB 2 MG 100 EXPECTED MARCH

4 CAPS Decrease ACTAVIS NYSTATIN TRIAMCINOLONE ACT CREAM 15 GM $43.39 $ NYSTATIN TRIAMCINOLONE ACT CREAM 30 GM $69.45 $ NYSTATIN TRIAMCINOLONE ACT CREAM 60 GM $ $ NYSTATIN TRIAMCINOLONE ACT OINT 15 GM $43.39 $ NYSTATIN TRIAMCINOLONE ACT OINT 30 GM $69.45 $ NYSTATIN TRIAMCINOLONE ACT OINT 60 GM $ $ ANI HYDROCORTISONE CREAM 2.5 % 30 GM $24.88 $83.16 APOTEX OMEGA 3 ACID ETHYL ESTERS CAP 1 GM $40.97 $ AUROBINDO ENTECAVIR TAB 0.5 MG $ $1, ENTECAVIR TAB 1 MG $ $1, MALLINCRODT HYDROMORPHONE ER TAB 16 MG $1, $2, MORPHINE SULFATE ER TAB 100 MG $88.90 $ MORPHINE SULFATE ER TAB 15 MG $15.75 $ MORPHINE SULFATE ER TAB 30 MG $29.97 $ MORPHINE SULFATE ER TAB 60 MG $52.06 $ PRASCO COLCHICINE TAB 0.6 MG 100 (AG) $ $ TRIS HYDROCODONE BIT/APAP TAB 10/325 MG $87.33 $ HYDROCODONE BIT/APAP TAB 5/325 MG $87.33 $ HYDROCODONE BIT/APAP TAB 7.5/325 MG $87.33 $ CAPS Increase RISING DIPYRIDAMOLE TAB 25 MG $40.58 $ DIPYRIDAMOLE TAB 50 MG $65.36 $ DIPYRIDAMOLE TAB 75 MG $87.46 $

5 CAPS New ACTAVIS DESVENLAFAXINE ER TAB 25 MG $26.70 $ COMPARE TO: PRISTIQ ER AKORN BRIMONIDINE TARTRATE OPHTH SOL 0.2% 10 ML $4.75 $65.24 COMPARE TO: ALPHAGAN REPLACES: BRECKENRIDGE DESVENLAFAXINE ER TAB 100 MG $28.19 $ DESVENLAFAXINE ER TAB 100 MG $83.57 $1, DESVENLAFAXINE ER TAB 50 MG $28.19 $ DESVENLAFAXINE ER TAB 50 MG $83.57 $1, COMPARE TO: PRISTIQ ER DR. REDDY'S LAMOTRIGINE ODT TAB 25 MG $ $ COMPARE TO: LAMICTIL GREENSTONE TRIAZOLAM TAB 0.25 MG $ $ COMPARE TO: HALCION, REPLACES: MAYNE CLONIDINE TRANS SYS 0.3 MG/DAY (1X4) $ $ COMPARE TO: CATAPRES TTS, REPLACES: PAR DILTIAZEM CD ER CAP 120 MG $9.93 $36.70 COMPARE TO: CARDIZEM CD, REPLACES: SOLCO IRBESARTAN TAB 150 MG $4.89 $92.15 COMPARE TO: AVAPRO, REPLACES: IRBESARTAN TAB 300 MG $7.90 $ COMPARE TO: AVAPRO, REPLACES: IRBESARTAN TAB 75 MG $3.98 $87.60 COMPARE TO: AVAPRO, REPLACES: LEVETIRACETAM ER TAB 500 MG $19.37 $ COMPARE TO: KEPPRA XR, REPLACES: LEVETIRACETAM ER TAB 750 MG $28.34 $ COMPARE TO: KEPPRA XR, REPLACES:

6 Rx Branded New LEO PHARMA PROTOPIC OINT 0.1% 30 GM $ $ SPECIFIC USE: ECZEMA, REPLACES: VERNALIS THERAPEUTICS MOXATAG TAB 775 MG $ $ SPECIFIC USE: ANTIBIOTIC OTC New EMERSON SALONPAS PAIN RELIEVING PATCH LG 6 $24.78 REPLACES: HUMCO MERTHIOLATE 2 OZ $3.66 REPLACES: INTERNATIONAL VITAMIN TEENAGE MUTANT NINJA TURTLES MULTI GUMMIES 90 $5.80 REPLACES: KAO BIORE CHARCOAL ACNE SCRUB 4.5 OZ $4.79 PFIZER ADVIL LIQUIGEL EZ OPEN 160 $ ADVIL MENSTRUAL PAIN TAB 40 $ ADVIL PM CAPLET EZ OPEN 120 $ ADVIL TABLET EZ OPEN 200 $ CENTRUM SPECIALIST ENERGY TAB 60 $ CHAPSTICK LIP MOIST CARDED 0.15 OZ $ CHAPSTICK MEDICATED CARDED 0.15 OZ $ DIMETAPP CHILD COLD & ALLERGY 4 OZ $ DIMETAPP CHILD COLD & COUGH 4 OZ $ EMERGEN-C IMMUNE + ORANGE CHEWABLES 42 $ EMERGEN-ZZZZ BERRY PM 24 $ PREPARATION H MAX STRENGTH CREAM 1.8 OZ $ PREPARATION H MEDICATED WIPES WOMEN 48 $ PREPARATION H SUPPOSITORIES 12 $ ROBITUSSIN CHILD 12HR COUGH RELIEF GRAPE 3 OZ $ ROBITUSSIN CHILD 12HR COUGH RELIEF ORANGE 3OZ $ ROBITUSSIN MAX STR NIGHTTIME COUGH DM 4 OZ $ ROBITUSSIN SEVERE MS COUGH COLD & FLU 8 OZ $8.84 6

7 OTC New (continued) PHARMAVITE FISH OIL SOFTGEL 1200 MG + VIT D 1000IU 90 $ VITAMIN D IU CHEW TAB 120 NM $5.72 REPLACES: POINT GUARD SUPER GLUE 6 CT $ TISSUE PAPER WHITE 20 $0.58 PROCTER & GAMBLE ALIGN PROBIOTIC CHEW BANANA STRAWBERRY 24 CT $ OLAY DEEPLY CLEAN MINERAL FACE CLEANSER 5 OZ $ OLAY GENTLE CLEAN FOAMING FACE CLEANSER 5 OZ $ OLAY IN SHOWER FACE SCRUB STRAWBERRY MINT 5OZ $ OLAY LUMINOUS BRIGHT CREAM FACE CLEANSER 5 OZ $ OLAY OIL MINIMIZING FOAMING FACE CLEANSER 5OZ $ SECRET CLINICAL GEL AP/DEO CLEAN 1.6 OZ $ SECRET CLINICAL GEL AP/DEO POWDER 1.6 OZ $ SECRET CLINICAL GEL AP/DEO STRESS RESP 1.6 OZ $ SECRET FRESH INV SOLID AP/DEO BOHOBERRY 2.6OZ $ SECRET FRESH INV SOLID AP/DEO HA/CITRUS 2.6OZ $ SECRET FRESH INV SOLID AP/DEO WATERLILY 2.6OZ $4.38 TEC LABS LICE FREE KIT $13.20 OTC Specials BAYER SPECIAL NIP MIRAFIBER CAPLET 100 $11.35 $ MIRAFIBER ORANGE POWDER 482G $11.35 $ MIRAFIBER ORANGE POWDER SUGAR FREE 482G $11.35 $ % OFF THROUGH 3/17/2017 Home Health New AG INDUSTRIES FILTER CONCENTRATOR INTAKE EVERFLO $4.77 REPLACES: DYNAREX TOOTHETTE ORAL SWABSTICKS UNFLAVORED BX/250 $ TOWELETTE BENZALKONIUM BZK ANTISEPTIC 100 $1.44 7

8 Home Health New (continued) MEDLINE NEBULIZER COMP AEROMIST COMPACT W/DISP NEB $17.92 REPLACES: POSEY HEEL/ELBOW PROTECTOR LG 1 PR $ HEEL/ELBOW PROTECTOR MD 1 PR $ SOCKS NON SKID LF GREEN STD PR #6239 $ SOCKS NON SKID LF PUR LG PR #6239L $2.67 RESMED CPAP MASK W/HEADGEAR AIRFIT F20 FOR HER SM $

9 Retail Level Recall 10

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