1 %? CCCCCCC DDDDDDDD 5555555555 000000 000000 2222222 RRRRRRRRR 11 CCCCCCCCCC DDDDDDDDD 5555555555 00000000 00000000 222222222 RRRRRRRRRR 111 CC CC DD DD 55 00 00 00 00 22 22 RR RR 1111 CC DD DD 55 00 00 00 00 22 RR RR 11 CC DD DD 5555555 00 00 00 00 22 RRRRRRRRRR 11 CC DD DD 55 00 00 00 00 22 RRRRRRRRR 11 CC DD DD 55 00 00 00 00 22 RR RR 11 CC CC DD DD 55 00 00 00 00 22 RR RR 11 CCCCCCCCCC DDDDDDDDD 555555555 00000000 00000000 222222222 RR RR 11111111 CCCCCCC DDDDDDDD 55555555 000000 000000 222222222 RR RR 11111111 0 0 *** JOB NAME *** ******** REPORT TITLE ******** *** AS OF DATE *** PICCD100 SUSPICIOUS DRUG CONTROL ORDERS 05/03/10 0 **** USER ***** ** DEPARTMENT * *EXT* 0 0 ************** SPECIAL INSTRUCTIONS ************** REPORT AVAILABLE ON MOBIUS ?% 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 1 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 001 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 00829 AW3883609 8361 W BELMONT RIVER GROVE IL 60171 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 541895 SOMA 250MG TAB + 100 30037225010 00037225010 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 003 04/23/10 1 003 04/21/10 1 003 04/16/10 3 003 04/09/10 2 003 04/07/10 1 003 04/02/10 1 + __________ TOTAL ORDERED 9 300.00 % 003 03/31/10 1 003 03/17/10 3 + __________ TOTAL ORDERED 4 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 003 04/28/10 3 003 04/23/10 4 003 04/21/10 3 003 04/16/10 7 003 04/14/10 5 003 04/09/10 6 003 04/07/10 5 003 04/02/10 7 + __________ TOTAL ORDERED 40 222.22 % 003 03/31/10 1 003 03/26/10 5 003 03/24/10 2 003 03/19/10 6 003 03/17/10 4 003 03/12/10 5 003 03/10/10 2 003 03/05/10 8 003 03/03/10 2 + __________ TOTAL ORDERED 35 194.44 % 003 02/24/10 4 003 02/19/10 3 003 02/17/10 2 003 02/12/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 2 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 001 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 00829 AW3883609 8361 W BELMONT RIVER GROVE IL 60171 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 003 02/10/10 1 003 02/05/10 7 + __________ TOTAL ORDERED 21 116.66 % 003 01/22/10 5 003 01/15/10 6 003 01/13/10 1 003 01/08/10 8 + __________ TOTAL ORDERED 20 111.11 % 003 12/31/09 5 003 12/23/09 5 003 12/16/09 4 003 12/14/09 1 003 12/09/09 5 003 12/07/09 4 003 12/02/09 2 + __________ TOTAL ORDERED 26 144.44 % 003 11/24/09 5 003 11/20/09 3 003 11/13/09 4 003 11/17/09 1 003 11/10/09 1 003 11/06/09 5 003 11/03/09 1 + __________ TOTAL ORDERED 20 111.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 04/23/10 4 003 04/16/10 3 003 04/14/10 1 003 04/09/10 6 003 04/02/10 4 + __________ TOTAL ORDERED 18 200.00 % 003 03/26/10 2 003 03/19/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 3 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 001 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 00829 AW3883609 8361 W BELMONT RIVER GROVE IL 60171 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 03/12/10 2 003 03/05/10 5 + __________ TOTAL ORDERED 13 144.44 % 003 02/19/10 3 003 02/12/10 3 003 02/10/10 1 003 02/05/10 3 + __________ TOTAL ORDERED 10 111.11 % 003 12/31/09 2 003 12/23/09 3 003 12/21/09 1 003 12/16/09 4 003 12/09/09 3 + __________ TOTAL ORDERED 13 144.44 % 003 11/24/09 3 003 11/20/09 3 003 11/13/09 2 003 11/17/09 1 003 11/06/09 1 + __________ TOTAL ORDERED 10 111.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 003 04/28/10 1 003 04/23/10 9 003 04/21/10 2 003 04/16/10 8 003 04/14/10 2 003 04/09/10 10 003 04/07/10 4 003 04/02/10 8 + __________ TOTAL ORDERED 44 293.33 % 003 03/31/10 2 003 03/26/10 7 003 03/19/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 4 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 001 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 00829 AW3883609 8361 W BELMONT RIVER GROVE IL 60171 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 003 03/17/10 2 003 03/12/10 10 003 03/10/10 5 003 03/05/10 5 + __________ TOTAL ORDERED 38 253.33 % 003 02/24/10 5 003 02/19/10 7 003 02/17/10 2 003 02/12/10 5 003 02/10/10 6 003 02/05/10 13 + __________ TOTAL ORDERED 38 253.33 % 003 01/22/10 2 003 01/15/10 8 003 01/13/10 5 003 01/08/10 2 + __________ TOTAL ORDERED 17 113.33 % 003 12/31/09 1 003 12/23/09 4 003 12/16/09 5 003 12/14/09 3 003 12/09/09 5 003 12/02/09 1 + __________ TOTAL ORDERED 19 126.66 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 01496 BB0201133 6310 N NAGLE CHICAGO IL 60646 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 514230 BUTORPHANOL TART NS (APO) + 2.5ML 36050508131 60505081301 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 003 04/26/10 14 003 04/01/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 5 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 001 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 01496 BB0201133 6310 N NAGLE CHICAGO IL 60646 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 514230 BUTORPHANOL TART NS (APO) + 2.5ML 36050508131 60505081301 4 3.0 12.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 18 150.00 % 003 03/29/10 13 003 03/11/10 4 003 03/08/10 12 + __________ TOTAL ORDERED 29 241.66 % 003 02/11/10 4 003 02/08/10 11 + __________ TOTAL ORDERED 15 125.00 % 003 12/24/09 7 003 12/22/09 3 003 12/10/09 2 003 12/08/09 4 003 12/03/09 1 + __________ TOTAL ORDERED 17 141.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 003 03/29/10 1 003 03/25/10 3 003 03/22/10 2 003 03/18/10 3 003 03/15/10 3 003 03/11/10 2 003 03/08/10 3 003 03/04/10 3 003 03/01/10 1 + __________ TOTAL ORDERED 21 116.66 % 003 02/25/10 4 003 02/22/10 1 003 02/18/10 3 003 02/15/10 1 003 02/11/10 2 003 02/08/10 4 003 02/04/10 3 003 02/01/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 6 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 001 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 01496 BB0201133 6310 N NAGLE CHICAGO IL 60646 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 6 3.0 18.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 19 105.55 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672713 ACET-CODEINE 120-12/5 (PAI)+473ML 30121050416 00121050416 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 03/29/10 1 003 03/25/10 1 003 03/22/10 1 003 03/18/10 1 003 03/15/10 1 003 03/11/10 2 003 03/08/10 2 003 03/04/10 1 003 03/01/10 1 + __________ TOTAL ORDERED 11 122.22 % 003 01/28/10 1 003 01/25/10 3 003 01/18/10 1 003 01/14/10 2 003 01/11/10 1 003 01/07/10 2 003 01/04/10 2 + __________ TOTAL ORDERED 12 133.33 % 003 12/30/09 2 003 12/24/09 2 003 12/22/09 2 003 12/17/09 2 003 12/10/09 2 003 12/08/09 1 003 12/01/09 1 + __________ TOTAL ORDERED 12 133.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 7 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 001 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02721 AW3883623 9000 N GREENWOOD AV NILES IL 60714 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 514247 MORPHINE SULFATE IR 15MG TABS+100 30054023525 00054023525 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 03/26/10 3 013 03/19/10 4 013 03/12/10 8 + __________ TOTAL ORDERED 15 166.66 % 013 02/26/10 13 013 02/12/10 1 + __________ TOTAL ORDERED 14 155.55 % 013 01/29/10 3 013 01/15/10 7 013 01/04/10 3 + __________ TOTAL ORDERED 13 144.44 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03015 BB4215542 160 ROBERT PALMER DR ELMHURST IL 60126 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684556 VICODIN 5/500 TAB (ABB) + 100NP 30074194914 00074194914 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 003 04/29/10 1 003 04/08/10 1 003 04/06/10 2 + __________ TOTAL ORDERED 4 133.33 % 003 03/18/10 1 003 03/09/10 2 003 03/04/10 1 + __________ TOTAL ORDERED 4 133.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 8 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 001 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03076 AW3883647 7251 W LAKE STR RVR FOREST IL 60305 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 683092 TESTIM 1% GEL + 30X5GM 36688700105 66887000105 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 02/11/10 2 003 02/04/10 2 003 02/02/10 3 + __________ TOTAL ORDERED 7 116.66 % 003 01/28/10 3 003 01/26/10 2 003 01/05/10 3 + __________ TOTAL ORDERED 8 133.33 % 003 11/09/09 4 003 11/05/09 2 003 11/02/09 1 + __________ TOTAL ORDERED 7 116.66 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03833 AW1230096 2828 N HARLEM ELMWOOD PARK IL 60707 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 03/31/10 1 003 03/29/10 3 003 03/24/10 1 003 03/22/10 1 003 03/17/10 1 003 03/15/10 1 003 03/10/10 1 003 03/03/10 2 003 03/01/10 1 + __________ TOTAL ORDERED 12 133.33 % 003 02/24/10 1 003 02/17/10 1 003 02/15/10 1 003 02/10/10 1 003 02/08/10 3 003 02/03/10 2 003 02/01/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 9 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 001 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03833 AW1230096 2828 N HARLEM ELMWOOD PARK IL 60707 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 13 144.44 % 003 01/27/10 1 003 01/25/10 1 003 01/20/10 4 003 01/13/10 1 003 01/11/10 1 003 01/06/10 2 003 01/04/10 2 + __________ TOTAL ORDERED 12 133.33 % 003 12/29/09 2 003 12/24/09 2 003 12/21/09 3 003 12/17/09 1 003 12/14/09 1 003 12/10/09 2 003 12/07/09 1 003 12/03/09 2 + __________ TOTAL ORDERED 14 155.55 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 003 04/28/10 4 003 04/26/10 4 003 04/21/10 2 003 04/19/10 3 003 04/14/10 1 003 04/07/10 4 + __________ TOTAL ORDERED 18 120.00 % 003 03/31/10 6 003 03/29/10 3 003 03/24/10 4 003 03/22/10 2 003 03/17/10 2 003 03/10/10 3 003 03/08/10 1 003 03/03/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 10 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 001 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03833 AW1230096 2828 N HARLEM ELMWOOD PARK IL 60707 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 24 160.00 % 003 02/24/10 3 003 02/22/10 2 003 02/17/10 3 003 02/10/10 1 003 02/03/10 7 + __________ TOTAL ORDERED 16 106.66 % 003 01/27/10 6 003 01/25/10 1 003 01/20/10 3 003 01/18/10 1 003 01/13/10 4 003 01/06/10 4 + __________ TOTAL ORDERED 19 126.66 % 003 12/29/09 5 003 12/24/09 1 003 12/21/09 1 003 12/17/09 2 003 12/14/09 1 003 12/10/09 5 003 12/07/09 3 003 12/03/09 3 + __________ TOTAL ORDERED 21 140.00 % 003 11/30/09 2 003 11/20/09 8 003 11/13/09 4 003 11/18/09 5 003 11/11/09 1 003 11/06/09 3 + __________ TOTAL ORDERED 23 153.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675041 HC-IBUPRO 7.5-200 TABS (TEV)+ 100 30093516101 00093516101 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 04/28/10 3 003 04/21/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 11 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 001 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03833 AW1230096 2828 N HARLEM ELMWOOD PARK IL 60707 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675041 HC-IBUPRO 7.5-200 TABS (TEV)+ 100 30093516101 00093516101 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 04/19/10 2 003 04/14/10 1 003 04/12/10 2 003 04/07/10 1 + __________ TOTAL ORDERED 10 111.11 % 003 03/31/10 2 003 03/24/10 1 003 03/22/10 3 003 03/17/10 1 003 03/15/10 1 003 03/10/10 1 003 03/03/10 1 003 03/01/10 2 + __________ TOTAL ORDERED 12 133.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03994 AW2000519 200 E ROOSEVELT VILLA PARK IL 60181 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 477625 DURAGESIC 75MCG/HOUR PATCH 5 35045809305 50458009305 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 03/29/10 1 013 03/22/10 8 013 03/08/10 7 + __________ TOTAL ORDERED 16 177.77 % 013 02/22/10 7 013 02/15/10 2 013 02/08/10 4 013 02/01/10 1 + __________ TOTAL ORDERED 14 155.55 % 013 01/25/10 9 013 01/11/10 1 013 01/05/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 12 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 001 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03994 AW2000519 200 E ROOSEVELT VILLA PARK IL 60181 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 477625 DURAGESIC 75MCG/HOUR PATCH 5 35045809305 50458009305 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 15 166.66 % 013 12/29/09 10 013 12/07/09 4 + __________ TOTAL ORDERED 14 155.55 % 013 11/30/09 3 013 11/23/09 6 013 11/09/09 9 013 11/02/09 10 + __________ TOTAL ORDERED 28 311.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 003 04/29/10 2 003 04/27/10 2 003 04/22/10 2 003 04/20/10 5 003 04/15/10 3 003 04/13/10 4 003 04/08/10 3 003 04/01/10 5 + __________ TOTAL ORDERED 26 144.44 % 003 03/30/10 1 003 03/25/10 4 003 03/23/10 3 003 03/18/10 3 003 03/16/10 3 003 03/11/10 3 003 03/09/10 2 003 03/04/10 3 003 03/02/10 2 + __________ TOTAL ORDERED 24 133.33 % 003 02/25/10 7 003 02/23/10 3 003 02/18/10 2 003 02/16/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 13 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 001 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03994 AW2000519 200 E ROOSEVELT VILLA PARK IL 60181 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 003 02/11/10 3 003 02/04/10 5 003 02/02/10 2 + __________ TOTAL ORDERED 24 133.33 % 003 12/30/09 5 003 12/28/09 2 003 12/22/09 3 003 12/18/09 4 003 12/15/09 1 003 12/11/09 3 003 12/08/09 1 003 12/04/09 4 003 12/01/09 1 + __________ TOTAL ORDERED 24 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673822 BUT-APAP-CAF-COD 30MG CAP(Q)+ 100 30603255321 00603255321 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 04/22/10 2 003 04/01/10 6 + __________ TOTAL ORDERED 8 133.33 % 003 03/30/10 3 003 03/25/10 2 003 03/04/10 3 + __________ TOTAL ORDERED 8 133.33 % 003 12/30/09 8 003 12/28/09 1 003 12/22/09 4 003 12/11/09 2 003 12/04/09 1 + __________ TOTAL ORDERED 16 266.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 14 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 001 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03994 AW2000519 200 E ROOSEVELT VILLA PARK IL 60181 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 681627 OXAZEPAM 15MG CAP (PPC) + 100 30228206910 00228206910 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 003 04/29/10 4 003 04/01/10 3 + __________ TOTAL ORDERED 7 233.33 % 003 03/04/10 2 003 03/02/10 2 + __________ TOTAL ORDERED 4 133.33 % 003 01/28/10 1 003 01/21/10 1 003 01/19/10 1 003 01/07/10 2 + __________ TOTAL ORDERED 5 166.66 % 003 12/30/09 1 003 12/22/09 2 003 12/04/09 1 003 12/01/09 1 + __________ TOTAL ORDERED 5 166.66 % 003 11/16/09 1 003 11/19/09 1 003 11/05/09 1 003 11/02/09 1 + __________ TOTAL ORDERED 4 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684809 TESTOSTERN CYP 200MG/ML(WAT)+10ML 30591322379 00364661054 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 04/29/10 1 003 04/06/10 6 + __________ TOTAL ORDERED 7 116.66 % 003 02/25/10 7 + __________ TOTAL ORDERED 7 116.66 % 003 01/21/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 15 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 001 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03994 AW2000519 200 E ROOSEVELT VILLA PARK IL 60181 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684809 TESTOSTERN CYP 200MG/ML(WAT)+10ML 30591322379 00364661054 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 7 116.66 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03995 BB1651985 6 E NORTH AVE NORTHLAKE IL 60164 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 499233 HYDROCO-APAP 10-660 TAB (WAT)+100 36203756701 62037056701 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 04/16/10 2 003 04/09/10 2 003 04/02/10 3 + __________ TOTAL ORDERED 7 116.66 % 003 03/26/10 1 003 03/10/10 4 003 03/05/10 4 + __________ TOTAL ORDERED 9 150.00 % 003 02/24/10 1 003 02/12/10 1 003 02/10/10 3 003 02/05/10 3 003 02/03/10 1 + __________ TOTAL ORDERED 9 150.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 541895 SOMA 250MG TAB + 100 30037225010 00037225010 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 003 04/23/10 2 003 04/21/10 1 003 04/14/10 1 003 04/09/10 2 003 04/07/10 1 + __________ TOTAL ORDERED 7 233.33 % 003 03/24/10 2 003 03/19/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 16 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 001 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03995 BB1651985 6 E NORTH AVE NORTHLAKE IL 60164 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 541895 SOMA 250MG TAB + 100 30037225010 00037225010 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 003 03/17/10 1 003 03/12/10 1 003 03/05/10 1 + __________ TOTAL ORDERED 11 366.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 003 04/28/10 1 003 04/23/10 6 003 04/21/10 2 003 04/16/10 5 003 04/14/10 3 003 04/09/10 10 003 04/07/10 4 003 04/02/10 6 + __________ TOTAL ORDERED 37 205.55 % 003 03/31/10 2 003 03/26/10 7 003 03/24/10 2 003 03/19/10 5 003 03/17/10 4 003 03/12/10 8 003 03/10/10 2 003 03/05/10 6 003 03/03/10 3 + __________ TOTAL ORDERED 39 216.66 % 003 02/24/10 4 003 02/19/10 6 003 02/17/10 3 003 02/12/10 7 003 02/10/10 3 003 02/05/10 8 003 02/03/10 1 + __________ TOTAL ORDERED 32 177.77 % 003 01/27/10 2 003 01/22/10 8 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 17 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 001 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03995 BB1651985 6 E NORTH AVE NORTHLAKE IL 60164 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 003 01/20/10 4 003 01/15/10 9 003 01/13/10 1 003 01/08/10 9 + __________ TOTAL ORDERED 33 183.33 % 003 12/31/09 10 003 12/23/09 8 003 12/21/09 7 003 12/16/09 5 003 12/14/09 7 003 12/09/09 7 003 12/07/09 4 003 12/02/09 8 + __________ TOTAL ORDERED 56 311.11 % 003 11/24/09 7 003 11/20/09 7 003 11/13/09 8 003 11/17/09 2 003 11/10/09 4 003 11/06/09 8 003 11/03/09 1 + __________ TOTAL ORDERED 37 205.55 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 04/23/10 4 003 04/09/10 8 003 04/02/10 7 + __________ TOTAL ORDERED 19 211.11 % 003 03/26/10 6 003 03/19/10 1 003 03/12/10 5 003 03/05/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 18 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 001 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03995 BB1651985 6 E NORTH AVE NORTHLAKE IL 60164 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 13 144.44 % 003 02/19/10 5 003 02/12/10 7 003 02/10/10 2 003 02/05/10 4 + __________ TOTAL ORDERED 18 200.00 % 003 01/22/10 6 003 01/15/10 1 003 01/08/10 6 + __________ TOTAL ORDERED 13 144.44 % 003 12/23/09 5 003 12/21/09 7 003 12/16/09 4 003 12/14/09 6 003 12/09/09 2 003 12/07/09 2 003 12/02/09 8 + __________ TOTAL ORDERED 34 377.77 % 003 11/30/09 1 003 11/24/09 5 003 11/20/09 2 003 11/13/09 4 003 11/17/09 1 003 11/10/09 2 003 11/06/09 8 003 11/03/09 4 + __________ TOTAL ORDERED 27 300.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673036 ALPRAZOLAM 1MG TAB (PPC) + 500 30228203150 00228203150 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 03/31/10 2 003 03/26/10 1 003 03/12/10 1 003 03/10/10 1 003 03/05/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 19 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 001 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03995 BB1651985 6 E NORTH AVE NORTHLAKE IL 60164 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673036 ALPRAZOLAM 1MG TAB (PPC) + 500 30228203150 00228203150 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 03/03/10 1 + __________ TOTAL ORDERED 8 133.33 % 003 12/31/09 2 003 12/23/09 1 003 12/16/09 1 003 12/14/09 1 003 12/09/09 1 003 12/07/09 1 003 12/02/09 1 + __________ TOTAL ORDERED 8 133.33 % 003 11/24/09 2 003 11/13/09 1 003 11/17/09 1 003 11/06/09 3 003 11/03/09 1 + __________ TOTAL ORDERED 8 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 003 04/23/10 5 003 04/21/10 2 003 04/16/10 5 003 04/14/10 4 003 04/09/10 5 003 04/07/10 3 003 04/02/10 6 + __________ TOTAL ORDERED 30 200.00 % 003 03/31/10 3 003 03/26/10 7 003 03/24/10 3 003 03/19/10 5 003 03/17/10 1 003 03/12/10 7 003 03/10/10 1 003 03/05/10 9 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 20 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 001 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03995 BB1651985 6 E NORTH AVE NORTHLAKE IL 60164 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 36 240.00 % 003 02/24/10 4 003 02/19/10 6 003 02/17/10 3 003 02/12/10 7 003 02/10/10 4 003 02/05/10 5 003 02/03/10 1 + __________ TOTAL ORDERED 30 200.00 % 003 01/22/10 8 003 01/20/10 2 003 01/15/10 8 003 01/13/10 3 003 01/08/10 8 + __________ TOTAL ORDERED 29 193.33 % 003 12/31/09 6 003 12/23/09 8 003 12/21/09 6 003 12/16/09 8 003 12/14/09 9 003 12/09/09 3 003 12/07/09 11 003 12/02/09 5 + __________ TOTAL ORDERED 56 373.33 % 003 11/24/09 4 003 11/20/09 7 003 11/13/09 9 003 11/17/09 3 003 11/10/09 1 003 11/06/09 5 003 11/03/09 1 + __________ TOTAL ORDERED 30 200.00 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 21 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 001 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03995 BB1651985 6 E NORTH AVE NORTHLAKE IL 60164 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 04/28/10 1 003 04/23/10 2 003 04/21/10 1 003 04/16/10 1 003 04/14/10 1 003 04/09/10 1 003 04/07/10 1 003 04/02/10 2 + __________ TOTAL ORDERED 10 111.11 % 003 03/31/10 2 003 03/26/10 1 003 03/24/10 1 003 03/19/10 2 003 03/12/10 2 003 03/05/10 2 003 03/03/10 1 + __________ TOTAL ORDERED 11 122.22 % 003 02/24/10 1 003 02/19/10 1 003 02/17/10 1 003 02/12/10 2 003 02/10/10 1 003 02/05/10 2 003 02/03/10 3 + __________ TOTAL ORDERED 11 122.22 % 003 01/27/10 1 003 01/22/10 1 003 01/20/10 2 003 01/15/10 2 003 01/13/10 2 003 01/08/10 1 003 01/06/10 2 + __________ TOTAL ORDERED 11 122.22 % 003 12/31/09 2 003 12/29/09 1 003 12/23/09 4 003 12/21/09 2 003 12/16/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 22 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 001 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03995 BB1651985 6 E NORTH AVE NORTHLAKE IL 60164 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 12/14/09 1 003 12/09/09 1 003 12/07/09 2 003 12/02/09 1 + __________ TOTAL ORDERED 15 166.66 % 003 11/30/09 1 003 11/24/09 2 003 11/20/09 3 003 11/13/09 1 003 11/17/09 1 003 11/10/09 1 003 11/06/09 3 003 11/03/09 1 + __________ TOTAL ORDERED 13 144.44 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 676052 DIAZEPAM 10MG TAB (MYL) + 500 30378047705 00378047705 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 003 12/23/09 1 003 12/16/09 1 003 12/14/09 1 003 12/09/09 1 + __________ TOTAL ORDERED 4 133.33 % 003 11/20/09 1 003 11/13/09 1 003 11/17/09 1 003 11/06/09 1 + __________ TOTAL ORDERED 4 133.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 23 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 001 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04252 AW3883673 10 E ST CHARLES ST VILLA PK IL 60181 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 645805 HYDROCOD-APAP ORAL SOL(PAI)+473ML 30121065516 00121065516 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 003 04/28/10 3 003 04/23/10 2 003 04/16/10 1 003 04/09/10 3 003 04/07/10 1 003 04/02/10 3 + __________ TOTAL ORDERED 13 108.33 % 003 03/26/10 3 003 03/24/10 1 003 03/19/10 3 003 03/17/10 1 003 03/12/10 2 003 03/05/10 4 + __________ TOTAL ORDERED 14 116.66 % 003 12/31/09 3 003 12/23/09 2 003 12/16/09 4 003 12/09/09 4 003 12/02/09 3 + __________ TOTAL ORDERED 16 133.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05282 BB6585078 5600 TOUHY AVE NILES IL 60714 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674547 CHLORDIAZEPOXIDE 10MG CAP(BR)+100 30555003302 00555003302 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 003 01/18/10 2 003 01/14/10 2 + __________ TOTAL ORDERED 4 133.33 % 003 12/30/09 1 003 12/03/09 3 + __________ TOTAL ORDERED 4 133.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 24 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 001 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05468 AW6847365 16 E LAKE ST ADDISON IL 60101 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 003 04/30/10 3 003 04/27/10 2 003 04/23/10 5 003 04/20/10 3 003 04/16/10 2 003 04/13/10 1 003 04/09/10 4 003 04/06/10 1 003 04/02/10 2 + __________ TOTAL ORDERED 23 127.77 % 003 03/30/10 2 003 03/26/10 4 003 03/23/10 2 003 03/19/10 2 003 03/16/10 3 003 03/12/10 3 003 03/09/10 3 003 03/05/10 5 003 03/02/10 1 + __________ TOTAL ORDERED 25 138.88 % 003 02/26/10 2 003 02/23/10 2 003 02/19/10 5 003 02/16/10 1 003 02/12/10 4 003 02/09/10 1 003 02/05/10 4 003 02/02/10 3 + __________ TOTAL ORDERED 22 122.22 % 003 01/29/10 3 003 01/26/10 1 003 01/22/10 3 003 01/19/10 1 003 01/15/10 5 003 01/12/10 3 003 01/08/10 3 003 01/05/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 25 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 001 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05468 AW6847365 16 E LAKE ST ADDISON IL 60101 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 6 3.0 18.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 20 111.11 % 003 12/31/09 4 003 12/28/09 1 003 12/23/09 4 003 12/18/09 3 003 12/16/09 1 003 12/11/09 3 003 12/09/09 2 003 12/04/09 2 003 12/02/09 1 + __________ TOTAL ORDERED 21 116.66 % 003 11/27/09 4 003 11/24/09 4 003 11/17/09 1 003 11/19/09 2 003 11/12/09 2 003 11/10/09 1 003 11/05/09 4 003 11/03/09 2 + __________ TOTAL ORDERED 20 111.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 676915 HYDROMORPHONE HCL 4MG (MK) + 100 30406324401 00406324401 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 013 03/15/10 14 013 03/08/10 6 013 03/01/10 3 + __________ TOTAL ORDERED 23 153.33 % 013 02/22/10 5 013 02/15/10 8 013 02/01/10 13 + __________ TOTAL ORDERED 26 173.33 % 013 01/25/10 5 013 01/18/10 8 013 01/11/10 9 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 26 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 001 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05468 AW6847365 16 E LAKE ST ADDISON IL 60101 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 676915 HYDROMORPHONE HCL 4MG (MK) + 100 30406324401 00406324401 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 22 146.66 % 013 11/30/09 13 013 11/23/09 9 013 11/16/09 10 + __________ TOTAL ORDERED 32 213.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05962 BW7557397 CUMBERLAND & LAWRENCE NORRIDGE IL60656 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 003 04/27/10 2 003 04/23/10 3 003 04/20/10 1 003 04/16/10 6 003 04/13/10 3 003 04/09/10 2 003 04/06/10 1 003 04/02/10 1 + __________ TOTAL ORDERED 19 105.55 % 003 03/30/10 1 003 03/26/10 4 003 03/23/10 2 003 03/19/10 2 003 03/16/10 2 003 03/12/10 3 003 03/09/10 1 003 03/05/10 3 003 03/02/10 2 + __________ TOTAL ORDERED 20 111.11 % 003 02/23/10 2 003 02/19/10 4 003 02/16/10 1 003 02/12/10 5 003 02/09/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 27 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 001 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05962 BW7557397 CUMBERLAND & LAWRENCE NORRIDGE IL60656 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 003 02/05/10 2 003 02/02/10 1 + __________ TOTAL ORDERED 19 105.55 % 003 12/31/09 4 003 12/28/09 2 003 12/23/09 2 003 12/18/09 3 003 12/11/09 3 003 12/09/09 3 003 12/04/09 3 003 12/02/09 1 + __________ TOTAL ORDERED 21 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674485 CHERATUSSIN DAC SYRUP (QT) 16OZ 30603107858 00603107858 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 003 04/16/10 2 003 04/13/10 1 003 04/09/10 1 + __________ TOTAL ORDERED 4 133.33 % 003 03/19/10 2 003 03/12/10 1 003 03/05/10 2 + __________ TOTAL ORDERED 5 166.66 % 003 11/19/09 6 003 11/12/09 1 003 11/10/09 2 003 11/05/09 2 003 11/03/09 1 + __________ TOTAL ORDERED 12 400.00 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 28 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 00162 AW3882544 1554 E 55TH CHICAGO IL 60615 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672873 ANDROGEL 1% GEL (UNI) + 30X5.0GM 30051845030 00051845030 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 003 04/29/10 2 003 04/22/10 2 003 04/20/10 3 003 04/15/10 1 003 04/08/10 1 003 04/06/10 1 003 04/01/10 3 + __________ TOTAL ORDERED 13 108.33 % 003 02/25/10 3 003 02/16/10 4 003 02/11/10 2 003 02/04/10 1 003 02/02/10 3 + __________ TOTAL ORDERED 13 108.33 % 003 11/27/09 1 003 11/23/09 2 003 11/16/09 3 003 11/19/09 3 003 11/12/09 1 003 11/09/09 1 003 11/05/09 1 003 11/02/09 1 + __________ TOTAL ORDERED 13 108.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 685835 TYLENOL/CODEINE 300/30 TAB +100NP 30045051360 00045051360 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 003 04/08/10 1 003 04/01/10 3 + __________ TOTAL ORDERED 4 133.33 % 003 03/30/10 1 003 03/11/10 2 003 03/04/10 1 + __________ TOTAL ORDERED 4 133.33 % 003 01/07/10 2 003 01/05/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 29 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 00162 AW3882544 1554 E 55TH CHICAGO IL 60615 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 685835 TYLENOL/CODEINE 300/30 TAB +100NP 30045051360 00045051360 1 3.0 3.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 4 133.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 00211 AW3882974 757 N MICHIGAN CHICAGO IL 60611 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539150 D-AMPHET SALT COMBO 20MG TAB +100 36472013510 64720013510 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 04/27/10 10 013 04/20/10 8 013 04/13/10 4 013 04/06/10 5 + __________ TOTAL ORDERED 27 150.00 % 013 03/30/10 4 013 03/23/10 4 013 03/16/10 9 013 03/09/10 6 013 03/02/10 1 + __________ TOTAL ORDERED 24 133.33 % 013 12/29/09 2 013 12/22/09 3 013 12/15/09 5 013 12/08/09 9 + __________ TOTAL ORDERED 19 105.55 % 013 11/24/09 5 013 11/17/09 3 013 11/10/09 2 013 11/03/09 12 + __________ TOTAL ORDERED 22 122.22 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 30 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 00211 AW3882974 757 N MICHIGAN CHICAGO IL 60611 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539151 D-AMPHET SALT COMBO 10MG TAB +100 36472013210 64720013210 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 013 04/27/10 6 013 04/20/10 6 013 04/13/10 7 013 04/06/10 4 + __________ TOTAL ORDERED 23 153.33 % 013 03/30/10 5 013 03/23/10 6 013 03/16/10 6 013 03/09/10 6 013 03/02/10 1 + __________ TOTAL ORDERED 24 160.00 % 013 02/23/10 5 013 02/16/10 5 013 02/09/10 3 013 02/02/10 7 + __________ TOTAL ORDERED 20 133.33 % 013 12/29/09 7 013 12/22/09 4 013 12/15/09 3 013 12/08/09 11 + __________ TOTAL ORDERED 25 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 668712 XANAX 0.5MG TAB 100 + (PZ) 30009005501 00009005501 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 003 02/18/10 1 003 02/01/10 9 + __________ TOTAL ORDERED 10 333.33 % 003 01/28/10 7 + __________ TOTAL ORDERED 7 233.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 31 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 00211 AW3882974 757 N MICHIGAN CHICAGO IL 60611 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679543 METHYLPHENIDATE 20MG TAB (WT)+100 30591588401 00591588401 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 013 04/27/10 4 013 04/20/10 5 013 04/13/10 1 013 04/06/10 3 + __________ TOTAL ORDERED 13 108.33 % 013 03/30/10 2 013 03/23/10 7 013 03/09/10 5 013 03/02/10 1 + __________ TOTAL ORDERED 15 125.00 % 013 02/23/10 10 013 02/16/10 2 013 02/02/10 1 + __________ TOTAL ORDERED 13 108.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 01096 AW1464281 3646 N BROADWAY CHICAGO IL 60613 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 683092 TESTIM 1% GEL + 30X5GM 36688700105 66887000105 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 04/28/10 2 003 04/23/10 1 003 04/16/10 1 003 04/02/10 3 + __________ TOTAL ORDERED 7 116.66 % 003 02/24/10 1 003 02/19/10 1 003 02/12/10 1 003 02/05/10 1 003 02/03/10 3 + __________ TOTAL ORDERED 7 116.66 % 003 12/23/09 1 003 12/16/09 1 003 12/09/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 32 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 01096 AW1464281 3646 N BROADWAY CHICAGO IL 60613 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 683092 TESTIM 1% GEL + 30X5GM 36688700105 66887000105 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 12/07/09 1 003 12/02/09 3 + __________ TOTAL ORDERED 7 116.66 % 003 11/30/09 1 003 11/24/09 3 003 11/10/09 2 003 11/03/09 1 + __________ TOTAL ORDERED 7 116.66 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 01375 AW2699859 1200 N DEARBORN CHICAGO IL 60610 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539151 D-AMPHET SALT COMBO 10MG TAB +100 36472013210 64720013210 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 013 04/28/10 2 013 04/21/10 1 013 04/14/10 6 013 04/07/10 8 + __________ TOTAL ORDERED 17 113.33 % 013 03/31/10 3 013 03/24/10 7 013 03/17/10 2 013 03/10/10 3 013 03/03/10 3 + __________ TOTAL ORDERED 18 120.00 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 33 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03072 BB3833072 641 NORTH CLARK CHICAGO IL 60610 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539147 D-AMPHET SALT COMBO 30MG TAB +100 36472013610 64720013610 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 02/23/10 7 013 02/16/10 6 013 02/09/10 2 + __________ TOTAL ORDERED 15 166.66 % 013 12/29/09 5 013 12/22/09 3 013 12/15/09 1 013 12/08/09 3 013 12/01/09 1 + __________ TOTAL ORDERED 13 144.44 % 013 11/24/09 1 013 11/10/09 3 013 11/03/09 8 + __________ TOTAL ORDERED 12 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539151 D-AMPHET SALT COMBO 10MG TAB +100 36472013210 64720013210 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 013 04/27/10 1 013 04/20/10 7 013 04/13/10 10 013 04/06/10 5 + __________ TOTAL ORDERED 23 153.33 % 013 03/30/10 7 013 03/23/10 9 013 03/16/10 6 013 03/09/10 7 013 03/02/10 1 + __________ TOTAL ORDERED 30 200.00 % 013 02/23/10 9 013 02/16/10 5 013 02/09/10 4 013 02/02/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 34 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03072 BB3833072 641 NORTH CLARK CHICAGO IL 60610 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539151 D-AMPHET SALT COMBO 10MG TAB +100 36472013210 64720013210 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 22 146.66 % 013 12/29/09 13 013 12/22/09 9 013 12/15/09 3 013 12/08/09 3 + __________ TOTAL ORDERED 28 186.66 % 013 11/24/09 7 013 11/17/09 5 013 11/10/09 3 013 11/03/09 6 + __________ TOTAL ORDERED 21 140.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 601600 AMBIEN CR 12.5MG TAB + 100 30024552131 00024552131 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 03/29/10 1 003 03/22/10 3 003 03/18/10 2 003 03/15/10 1 003 03/08/10 1 003 03/01/10 2 + __________ TOTAL ORDERED 10 111.11 % 003 01/28/10 2 003 01/25/10 1 003 01/18/10 3 003 01/14/10 1 003 01/07/10 1 003 01/04/10 2 + __________ TOTAL ORDERED 10 111.11 % 003 12/31/09 2 003 12/17/09 1 003 12/14/09 1 003 12/10/09 2 003 12/03/09 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 35 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03072 BB3833072 641 NORTH CLARK CHICAGO IL 60610 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 601600 AMBIEN CR 12.5MG TAB + 100 30024552131 00024552131 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 10 111.11 % 003 11/30/09 2 003 11/23/09 3 003 11/16/09 2 003 11/09/09 1 003 11/02/09 2 + __________ TOTAL ORDERED 10 111.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 651942 HYDROMORPHONE 8MG TAB (MKT) + 100 30406324901 00406324901 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 03/30/10 1 013 03/23/10 3 013 03/16/10 4 013 03/02/10 2 + __________ TOTAL ORDERED 10 111.11 % 013 12/29/09 6 013 12/08/09 5 + __________ TOTAL ORDERED 11 122.22 % 013 11/24/09 4 013 11/03/09 6 + __________ TOTAL ORDERED 10 111.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672805 ADDERALL XR 30MG CAPS + 100 35409239101 54092039101 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 01/26/10 3 013 01/19/10 3 013 01/12/10 2 + __________ TOTAL ORDERED 8 133.33 % 013 12/29/09 3 013 12/22/09 1 013 12/15/09 1 013 12/01/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 36 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03072 BB3833072 641 NORTH CLARK CHICAGO IL 60610 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672805 ADDERALL XR 30MG CAPS + 100 35409239101 54092039101 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 7 116.66 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03698 BB4737815 3201 N BROADWAY CHICAGO IL 60657 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 472540 TRAMADOL HCL ER 100MG TB (PAT)+30 31014709013 10147090103 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 03/26/10 6 003 03/05/10 3 + __________ TOTAL ORDERED 9 150.00 % 003 02/19/10 7 003 02/12/10 2 003 02/05/10 1 + __________ TOTAL ORDERED 10 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539151 D-AMPHET SALT COMBO 10MG TAB +100 36472013210 64720013210 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 013 04/29/10 10 013 04/22/10 6 013 04/15/10 5 013 04/08/10 1 013 04/01/10 7 + __________ TOTAL ORDERED 29 193.33 % 013 02/25/10 6 013 02/18/10 5 013 02/11/10 4 013 02/04/10 6 + __________ TOTAL ORDERED 21 140.00 % 013 12/31/09 6 013 12/24/09 4 013 12/17/09 4 013 12/10/09 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 37 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03698 BB4737815 3201 N BROADWAY CHICAGO IL 60657 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539151 D-AMPHET SALT COMBO 10MG TAB +100 36472013210 64720013210 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 19 126.66 % 013 11/27/09 8 013 11/05/09 8 + __________ TOTAL ORDERED 16 106.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 654427 LUNESTA 3MG TAB (SEP) + 100 36340219310 63402019310 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 03/30/10 1 003 03/26/10 1 003 03/23/10 1 003 03/19/10 2 003 03/16/10 1 003 03/12/10 1 003 03/09/10 1 + __________ TOTAL ORDERED 8 133.33 % 003 12/29/09 1 003 12/22/09 3 003 12/18/09 2 003 12/15/09 1 003 12/08/09 1 003 12/01/09 1 + __________ TOTAL ORDERED 9 150.00 % 003 11/27/09 1 003 11/24/09 1 003 11/20/09 1 003 11/13/09 1 003 11/17/09 2 003 11/06/09 1 + __________ TOTAL ORDERED 7 116.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 38 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03698 BB4737815 3201 N BROADWAY CHICAGO IL 60657 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672805 ADDERALL XR 30MG CAPS + 100 35409239101 54092039101 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 03/25/10 1 013 03/11/10 3 013 03/04/10 3 + __________ TOTAL ORDERED 7 116.66 % 013 02/11/10 1 013 02/18/10 2 013 02/11/10 3 013 02/04/10 1 + __________ TOTAL ORDERED 7 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673028 AMBIEN 10MG TAB (SNF) 100 30024542131 00024542131 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 003 12/29/09 2 003 12/18/09 1 003 12/15/09 1 003 12/04/09 1 + __________ TOTAL ORDERED 5 166.66 % 003 11/27/09 1 003 11/13/09 1 003 11/17/09 1 003 11/06/09 1 + __________ TOTAL ORDERED 4 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675738 METHYLPHENIDATE 5MG TAB (WAT)+100 30591588201 00591588201 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 04/29/10 1 013 04/22/10 3 013 04/15/10 4 013 04/08/10 1 013 04/01/10 1 + __________ TOTAL ORDERED 10 111.11 % 013 03/25/10 3 013 03/11/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 39 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03698 BB4737815 3201 N BROADWAY CHICAGO IL 60657 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675738 METHYLPHENIDATE 5MG TAB (WAT)+100 30591588201 00591588201 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 03/04/10 4 + __________ TOTAL ORDERED 11 122.22 % 013 01/21/10 9 013 01/07/10 2 + __________ TOTAL ORDERED 11 122.22 % 013 12/31/09 1 013 12/24/09 5 013 12/03/09 4 + __________ TOTAL ORDERED 10 111.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679543 METHYLPHENIDATE 20MG TAB (WT)+100 30591588401 00591588401 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 013 04/29/10 2 013 04/22/10 9 013 04/15/10 1 013 04/08/10 1 + __________ TOTAL ORDERED 13 108.33 % 013 01/28/10 7 013 01/21/10 8 013 01/07/10 5 + __________ TOTAL ORDERED 20 166.66 % 013 12/24/09 13 013 12/17/09 3 013 12/10/09 3 013 12/03/09 5 + __________ TOTAL ORDERED 24 200.00 % 013 11/27/09 13 + __________ TOTAL ORDERED 13 108.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 40 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03698 BB4737815 3201 N BROADWAY CHICAGO IL 60657 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 683092 TESTIM 1% GEL + 30X5GM 36688700105 66887000105 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 04/27/10 3 003 04/23/10 4 003 04/16/10 2 003 04/13/10 1 003 04/09/10 3 003 04/06/10 1 + __________ TOTAL ORDERED 14 233.33 % 003 03/23/10 3 003 03/16/10 2 003 03/12/10 2 + __________ TOTAL ORDERED 7 116.66 % 003 02/19/10 1 003 02/16/10 3 003 02/12/10 3 003 02/05/10 3 003 02/02/10 1 + __________ TOTAL ORDERED 11 183.33 % 003 01/26/10 2 003 01/15/10 1 003 01/12/10 4 003 01/08/10 3 + __________ TOTAL ORDERED 10 166.66 % 003 12/22/09 2 003 12/18/09 1 003 12/15/09 2 003 12/11/09 2 003 12/08/09 3 003 12/01/09 1 + __________ TOTAL ORDERED 11 183.33 % 003 11/27/09 3 003 11/24/09 3 003 11/17/09 2 + __________ TOTAL ORDERED 8 133.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 41 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03949 BW4931095 3046 N HALSTED CHICAGO IL 60657 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 514230 BUTORPHANOL TART NS (APO) + 2.5ML 36050508131 60505081301 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 003 04/23/10 10 003 04/21/10 1 003 04/16/10 3 003 04/14/10 2 003 04/09/10 6 003 04/02/10 3 + __________ TOTAL ORDERED 25 208.33 % 003 03/26/10 12 003 03/24/10 1 003 03/19/10 4 003 03/17/10 1 003 03/12/10 4 003 03/10/10 2 + __________ TOTAL ORDERED 24 200.00 % 003 02/12/10 10 003 02/10/10 1 003 02/05/10 4 + __________ TOTAL ORDERED 15 125.00 % 003 01/27/10 1 003 01/22/10 4 003 01/15/10 4 003 01/13/10 4 003 01/08/10 3 + __________ TOTAL ORDERED 16 133.33 % 003 12/23/09 15 003 12/21/09 5 003 12/16/09 4 003 12/02/09 5 + __________ TOTAL ORDERED 29 241.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539147 D-AMPHET SALT COMBO 30MG TAB +100 36472013610 64720013610 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 04/22/10 3 013 04/15/10 3 013 04/08/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 42 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03949 BW4931095 3046 N HALSTED CHICAGO IL 60657 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539147 D-AMPHET SALT COMBO 30MG TAB +100 36472013610 64720013610 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 04/01/10 5 + __________ TOTAL ORDERED 12 133.33 % 013 02/25/10 5 013 02/18/10 9 013 02/11/10 5 013 02/04/10 1 + __________ TOTAL ORDERED 20 222.22 % 013 01/28/10 1 013 01/21/10 5 013 01/14/10 4 013 01/07/10 1 + __________ TOTAL ORDERED 11 122.22 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539150 D-AMPHET SALT COMBO 20MG TAB +100 36472013510 64720013510 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 04/29/10 7 013 04/22/10 7 013 04/15/10 7 013 04/08/10 2 013 04/01/10 3 + __________ TOTAL ORDERED 26 144.44 % 013 03/25/10 5 013 03/18/10 12 013 03/11/10 6 013 03/04/10 1 + __________ TOTAL ORDERED 24 133.33 % 013 02/25/10 8 013 02/18/10 10 013 02/11/10 5 013 02/04/10 5 + __________ TOTAL ORDERED 28 155.55 % 013 11/30/09 15 013 11/19/09 3 013 11/05/09 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 43 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03949 BW4931095 3046 N HALSTED CHICAGO IL 60657 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539150 D-AMPHET SALT COMBO 20MG TAB +100 36472013510 64720013510 6 3.0 18.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 21 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539151 D-AMPHET SALT COMBO 10MG TAB +100 36472013210 64720013210 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 013 04/29/10 3 013 04/22/10 1 013 04/15/10 8 013 04/08/10 3 013 04/01/10 6 + __________ TOTAL ORDERED 21 140.00 % 013 03/25/10 4 013 03/18/10 7 013 03/11/10 7 013 03/04/10 4 + __________ TOTAL ORDERED 22 146.66 % 013 02/25/10 3 013 02/18/10 4 013 02/11/10 6 013 02/04/10 5 + __________ TOTAL ORDERED 18 120.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675802 DEXTROAMPHETAMINE 5MG TAB(BAR)100 30555095202 00555095202 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 03/11/10 2 013 03/04/10 19 + __________ TOTAL ORDERED 21 350.00 % 013 02/25/10 2 013 02/18/10 4 013 02/11/10 8 + __________ TOTAL ORDERED 14 233.33 % 013 12/24/09 14 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 44 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03949 BW4931095 3046 N HALSTED CHICAGO IL 60657 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675802 DEXTROAMPHETAMINE 5MG TAB(BAR)100 30555095202 00555095202 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 14 233.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 676915 HYDROMORPHONE HCL 4MG (MK) + 100 30406324401 00406324401 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 013 04/29/10 2 013 04/22/10 3 013 04/15/10 11 013 04/01/10 2 + __________ TOTAL ORDERED 18 120.00 % 013 03/25/10 2 013 03/18/10 14 013 03/04/10 2 + __________ TOTAL ORDERED 18 120.00 % 013 12/31/09 12 013 12/10/09 1 013 12/03/09 11 + __________ TOTAL ORDERED 24 160.00 % 013 11/19/09 17 + __________ TOTAL ORDERED 17 113.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 683092 TESTIM 1% GEL + 30X5GM 36688700105 66887000105 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 03/31/10 3 003 03/26/10 1 003 03/12/10 2 003 03/10/10 1 003 03/05/10 3 + __________ TOTAL ORDERED 10 166.66 % 003 12/16/09 5 003 12/14/09 3 003 12/09/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 45 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03949 BW4931095 3046 N HALSTED CHICAGO IL 60657 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 683092 TESTIM 1% GEL + 30X5GM 36688700105 66887000105 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 9 150.00 % 003 11/30/09 2 003 11/24/09 3 003 11/13/09 1 003 11/03/09 2 + __________ TOTAL ORDERED 8 133.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04349 BB5770549 201 W MADISON ST CHICAGO IL 60606 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539151 D-AMPHET SALT COMBO 10MG TAB +100 36472013210 64720013210 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 013 03/30/10 2 013 03/23/10 11 013 03/16/10 4 013 03/02/10 4 + __________ TOTAL ORDERED 21 140.00 % 013 02/23/10 7 013 02/16/10 3 013 02/09/10 1 013 02/02/10 5 + __________ TOTAL ORDERED 16 106.66 % 013 12/29/09 6 013 12/22/09 10 013 12/08/09 6 + __________ TOTAL ORDERED 22 146.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 46 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04461 BB6064771 501 W ROOSEVELT RD CHICAGO IL 60607 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672759 ANDROGEL 1% GEL (UNI) + 30X2.5GM 30051842530 00051842530 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 04/23/10 2 003 04/21/10 3 003 04/09/10 1 003 04/07/10 1 003 04/02/10 1 + __________ TOTAL ORDERED 8 133.33 % 003 03/19/10 4 003 03/12/10 1 003 03/10/10 1 003 03/05/10 2 + __________ TOTAL ORDERED 8 133.33 % 003 11/17/09 3 003 11/06/09 2 003 11/03/09 2 + __________ TOTAL ORDERED 7 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675738 METHYLPHENIDATE 5MG TAB (WAT)+100 30591588201 00591588201 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 04/20/10 7 013 04/13/10 3 013 04/06/10 1 + __________ TOTAL ORDERED 11 122.22 % 013 03/30/10 12 + __________ TOTAL ORDERED 12 133.33 % 013 12/22/09 3 013 12/08/09 8 + __________ TOTAL ORDERED 11 122.22 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 47 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04505 BB5618460 4025 N SHERIDAN CHICAGO IL 60613 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 676239 DIPHENOXYLATE/ATROPINE TAB + 100 30378041501 00378041501 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 003 04/26/10 2 003 04/19/10 28 003 04/05/10 1 + __________ TOTAL ORDERED 31 258.33 % 003 02/22/10 2 003 02/15/10 5 003 02/08/10 2 003 02/01/10 5 + __________ TOTAL ORDERED 14 116.66 % 003 01/25/10 14 003 01/18/10 7 003 01/11/10 4 003 01/04/10 2 + __________ TOTAL ORDERED 27 225.00 % 003 11/30/09 1 003 11/02/09 16 + __________ TOTAL ORDERED 17 141.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684809 TESTOSTERN CYP 200MG/ML(WAT)+10ML 30591322379 00364661054 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 02/15/10 5 003 02/08/10 2 + __________ TOTAL ORDERED 7 116.66 % 003 01/25/10 4 003 01/18/10 4 003 01/11/10 2 + __________ TOTAL ORDERED 10 166.66 % 003 11/23/09 12 003 11/16/09 4 003 11/09/09 2 003 11/02/09 8 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 48 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04505 BB5618460 4025 N SHERIDAN CHICAGO IL 60613 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684809 TESTOSTERN CYP 200MG/ML(WAT)+10ML 30591322379 00364661054 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 26 433.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 09000 BW9525455 2001 N MILWAUKEE CHICAGO IL 60647 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539150 D-AMPHET SALT COMBO 20MG TAB +100 36472013510 64720013510 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 03/30/10 7 013 03/23/10 4 013 03/16/10 4 013 03/09/10 6 013 03/02/10 8 + __________ TOTAL ORDERED 29 161.11 % 013 02/23/10 4 013 02/16/10 4 013 02/09/10 6 013 02/02/10 5 + __________ TOTAL ORDERED 19 105.55 % 013 12/29/09 5 013 12/22/09 5 013 12/15/09 4 013 12/08/09 5 + __________ TOTAL ORDERED 19 105.55 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 594167 ALPRAZOLAM XR 2MG TAB (GRN) + 60 35976200661 59762006601 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 003 04/28/10 1 003 04/23/10 1 003 04/09/10 1 003 04/02/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 49 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 09000 BW9525455 2001 N MILWAUKEE CHICAGO IL 60647 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 594167 ALPRAZOLAM XR 2MG TAB (GRN) + 60 35976200661 59762006601 1 3.0 3.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 4 133.33 % 003 03/26/10 2 003 03/24/10 1 003 03/19/10 1 003 03/03/10 1 + __________ TOTAL ORDERED 5 166.66 % 003 02/24/10 2 003 02/19/10 2 003 02/12/10 1 + __________ TOTAL ORDERED 5 166.66 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 09399 BW9464758 CLINIC RX 00000 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 470570 OXANDROLONE 10MG TAB (PAR) + 60 34988430202 49884030202 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 04/29/10 2 003 04/15/10 5 003 04/08/10 7 003 04/05/10 6 + __________ TOTAL ORDERED 20 333.33 % 003 03/25/10 3 003 03/18/10 6 + __________ TOTAL ORDERED 9 150.00 % 003 02/25/10 1 003 02/18/10 10 + __________ TOTAL ORDERED 11 183.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 50 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 09399 BW9464758 CLINIC RX 00000 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 474280 BUPRENORPHINE 8MG SL TAB (ROX)+30 30054017713 00054017713 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 04/29/10 6 003 04/15/10 12 + __________ TOTAL ORDERED 18 200.00 % 003 03/25/10 1 003 03/18/10 15 + __________ TOTAL ORDERED 16 177.77 % 003 01/21/10 20 003 01/14/10 1 + __________ TOTAL ORDERED 21 233.33 % 003 12/30/09 13 003 12/22/09 1 003 12/15/09 1 003 12/08/09 10 003 12/01/09 4 + __________ TOTAL ORDERED 29 322.22 % 003 11/23/09 1 003 11/02/09 15 + __________ TOTAL ORDERED 16 177.77 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563160 OXANDROLONE 10MG TAB (WAT) +60 30591354560 00591354560 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 01/07/10 10 + __________ TOTAL ORDERED 10 166.66 % 003 12/30/09 8 003 12/22/09 3 003 12/15/09 4 003 12/08/09 2 003 12/01/09 2 + __________ TOTAL ORDERED 19 316.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 51 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 09399 BW9464758 CLINIC RX 00000 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684809 TESTOSTERN CYP 200MG/ML(WAT)+10ML 30591322379 00364661054 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 12/30/09 3 003 12/22/09 2 003 12/15/09 1 003 12/08/09 3 + __________ TOTAL ORDERED 9 150.00 % 003 11/16/09 1 003 11/09/09 7 003 11/02/09 3 + __________ TOTAL ORDERED 11 183.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11386 FW0264933 WALGREENS @ NW MEM HOSP 60611 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 473960 CODEINE SULFATE 30MG TAB(ROX)+100 30054024425 00054024425 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 04/02/10 15 + __________ TOTAL ORDERED 15 250.00 % 013 12/22/09 3 013 12/18/09 7 + __________ TOTAL ORDERED 10 166.66 % 013 11/13/09 8 013 11/06/09 7 + __________ TOTAL ORDERED 15 250.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 474143 OXYCODONE ER 20MG TABS (ETH)+ 100 35817767904 58177067904 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 04/30/10 4 013 04/27/10 1 013 04/23/10 1 013 04/20/10 2 013 04/16/10 1 013 04/13/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 52 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11386 FW0264933 WALGREENS @ NW MEM HOSP 60611 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 474143 OXYCODONE ER 20MG TABS (ETH)+ 100 35817767904 58177067904 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 04/09/10 1 013 04/06/10 3 013 04/02/10 1 + __________ TOTAL ORDERED 15 166.66 % 013 03/19/10 18 013 03/02/10 4 + __________ TOTAL ORDERED 22 244.44 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 474145 OXYCODONE ER 40MG TAB (ETH) + 100 35817768104 58177068104 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 04/30/10 4 013 04/13/10 6 013 04/02/10 6 + __________ TOTAL ORDERED 16 177.77 % 013 03/19/10 10 013 03/02/10 4 + __________ TOTAL ORDERED 14 155.55 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 474146 OXYCODONE ER 80MG TABS (ETH)+ 100 35817768304 58177068304 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 03/19/10 6 013 03/02/10 6 + __________ TOTAL ORDERED 12 200.00 % 013 02/16/10 8 + __________ TOTAL ORDERED 8 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 474149 OXYCODONE ER 10MG TABS (ETH)+ 100 35817767704 58177067704 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 04/30/10 4 013 04/13/10 8 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 53 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11386 FW0264933 WALGREENS @ NW MEM HOSP 60611 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 474149 OXYCODONE ER 10MG TABS (ETH)+ 100 35817767704 58177067704 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 04/02/10 6 + __________ TOTAL ORDERED 18 300.00 % 013 03/16/10 6 013 03/02/10 3 + __________ TOTAL ORDERED 9 150.00 % 013 02/16/10 8 + __________ TOTAL ORDERED 8 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 484847 OXYCODONE 5MG TABS (QUA) + 100 30603499021 00603499021 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 013 04/30/10 11 013 04/27/10 4 013 04/23/10 9 013 04/20/10 6 013 04/16/10 8 013 04/13/10 6 013 04/09/10 1 013 04/02/10 4 + __________ TOTAL ORDERED 49 181.48 % 013 03/30/10 6 013 03/26/10 11 013 03/19/10 9 013 03/16/10 2 013 03/12/10 3 013 03/09/10 7 013 03/05/10 6 013 03/02/10 2 + __________ TOTAL ORDERED 46 170.37 % 013 02/26/10 14 013 02/23/10 9 013 02/19/10 13 013 02/16/10 3 013 02/12/10 9 013 02/09/10 1 013 02/05/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 54 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11386 FW0264933 WALGREENS @ NW MEM HOSP 60611 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 484847 OXYCODONE 5MG TABS (QUA) + 100 30603499021 00603499021 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 013 02/02/10 6 + __________ TOTAL ORDERED 59 218.51 % 013 01/29/10 6 013 01/19/10 30 013 01/15/10 6 013 01/12/10 3 013 01/08/10 14 013 01/05/10 7 + __________ TOTAL ORDERED 66 244.44 % 013 12/29/09 2 013 12/22/09 9 013 12/18/09 10 013 12/15/09 1 013 12/08/09 24 013 12/04/09 3 + __________ TOTAL ORDERED 49 181.48 % 013 11/24/09 6 013 11/13/09 15 013 11/06/09 1 013 11/03/09 15 + __________ TOTAL ORDERED 37 137.03 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 514247 MORPHINE SULFATE IR 15MG TABS+100 30054023525 00054023525 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 04/23/10 3 013 04/02/10 20 + __________ TOTAL ORDERED 23 255.55 % 013 03/19/10 3 013 03/05/10 10 + __________ TOTAL ORDERED 13 144.44 % 013 01/29/10 4 013 01/19/10 8 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 55 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11386 FW0264933 WALGREENS @ NW MEM HOSP 60611 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 514247 MORPHINE SULFATE IR 15MG TABS+100 30054023525 00054023525 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 12 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 514718 MORPHINE SUL 30MG TAB (ROX) + 100 30054023625 00054023625 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 04/30/10 3 013 04/13/10 10 013 04/02/10 2 + __________ TOTAL ORDERED 15 166.66 % 013 03/26/10 5 013 03/19/10 4 013 03/16/10 3 + __________ TOTAL ORDERED 12 133.33 % 013 02/19/10 12 013 02/12/10 1 + __________ TOTAL ORDERED 13 144.44 % 013 01/29/10 5 013 01/22/10 3 013 01/19/10 1 013 01/08/10 3 + __________ TOTAL ORDERED 12 133.33 % 013 12/18/09 20 013 12/11/09 2 013 12/08/09 2 + __________ TOTAL ORDERED 24 266.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 532529 MORPHINE SULF 20MG/ML (LAN)+120ML 30527142562 00527142562 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 04/30/10 6 013 04/27/10 3 013 04/23/10 5 013 04/13/10 2 013 04/09/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 56 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11386 FW0264933 WALGREENS @ NW MEM HOSP 60611 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 532529 MORPHINE SULF 20MG/ML (LAN)+120ML 30527142562 00527142562 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 20 333.33 % 013 03/26/10 5 013 03/23/10 5 013 03/05/10 1 + __________ TOTAL ORDERED 11 183.33 % 013 02/23/10 2 013 02/19/10 5 + __________ TOTAL ORDERED 7 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 532538 MORPHINE SULF 20MG/ML (LAN)+ 30ML 30527142536 00527142536 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 04/30/10 4 013 04/23/10 21 013 04/13/10 3 013 04/09/10 1 + __________ TOTAL ORDERED 29 322.22 % 013 03/30/10 1 013 03/26/10 9 + __________ TOTAL ORDERED 10 111.11 % 013 02/12/10 38 013 02/02/10 11 + __________ TOTAL ORDERED 49 544.44 % 013 01/22/10 11 013 01/08/10 50 + __________ TOTAL ORDERED 61 677.77 % 013 11/10/09 11 013 11/06/09 45 013 11/03/09 15 + __________ TOTAL ORDERED 71 788.88 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 57 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11386 FW0264933 WALGREENS @ NW MEM HOSP 60611 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 532549 OXYCODONE 20MG/ML SOLN (LAN)+30ML 30527142636 00527142636 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 01/29/10 55 + __________ TOTAL ORDERED 55 305.55 % 013 12/18/09 8 013 12/11/09 27 + __________ TOTAL ORDERED 35 194.44 % 013 11/24/09 7 013 11/06/09 55 + __________ TOTAL ORDERED 62 344.44 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 535303 OXYCONTIN 60MG TAB (PUR) + 100 35901186010 59011086010 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 04/30/10 4 013 04/09/10 4 013 04/02/10 3 + __________ TOTAL ORDERED 11 183.33 % 013 03/12/10 6 013 03/02/10 4 + __________ TOTAL ORDERED 10 166.66 % 013 02/12/10 6 013 02/05/10 4 + __________ TOTAL ORDERED 10 166.66 % 013 12/29/09 3 013 12/08/09 6 013 12/04/09 2 + __________ TOTAL ORDERED 11 183.33 % 013 11/02/09 3 013 11/13/09 5 + __________ TOTAL ORDERED 8 133.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 58 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11386 FW0264933 WALGREENS @ NW MEM HOSP 60611 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 535305 OXYCONTIN 30MG TAB (PUR) + 100 35901183010 59011083010 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 04/27/10 4 013 04/02/10 6 + __________ TOTAL ORDERED 10 166.66 % 013 03/19/10 3 013 03/05/10 4 + __________ TOTAL ORDERED 7 116.66 % 013 02/19/10 8 + __________ TOTAL ORDERED 8 133.33 % 013 01/29/10 6 013 01/26/10 4 013 01/15/10 3 013 01/08/10 3 + __________ TOTAL ORDERED 16 266.66 % 013 12/04/09 4 013 12/15/09 3 013 12/04/09 4 + __________ TOTAL ORDERED 11 183.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544540 FENTANYL 100MCG/HR TS (WAT) + 5 30591321472 00591321472 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 04/23/10 10 013 04/20/10 6 013 04/13/10 20 013 04/09/10 10 013 04/02/10 10 + __________ TOTAL ORDERED 56 311.11 % 013 03/26/10 10 013 03/19/10 5 013 03/12/10 19 013 03/05/10 10 + __________ TOTAL ORDERED 44 244.44 % 013 02/26/10 15 013 02/19/10 12 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 59 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11386 FW0264933 WALGREENS @ NW MEM HOSP 60611 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544540 FENTANYL 100MCG/HR TS (WAT) + 5 30591321472 00591321472 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 02/05/10 10 + __________ TOTAL ORDERED 37 205.55 % 013 01/29/10 5 013 01/26/10 12 013 01/19/10 6 013 01/15/10 15 013 01/08/10 10 013 01/05/10 10 + __________ TOTAL ORDERED 58 322.22 % 013 12/22/09 10 013 12/18/09 7 013 12/04/09 20 + __________ TOTAL ORDERED 37 205.55 % 013 11/10/09 9 013 11/24/09 1 013 11/20/09 9 013 11/13/09 14 + __________ TOTAL ORDERED 33 183.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544541 FENTANYL 75MCG/HR TS (WAT) + 5 30591321372 00591321372 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 013 04/27/10 6 013 04/23/10 17 013 04/02/10 5 + __________ TOTAL ORDERED 28 186.66 % 013 03/26/10 20 013 03/19/10 10 013 03/05/10 4 + __________ TOTAL ORDERED 34 226.66 % 013 02/26/10 15 013 02/05/10 15 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 60 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11386 FW0264933 WALGREENS @ NW MEM HOSP 60611 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544541 FENTANYL 75MCG/HR TS (WAT) + 5 30591321372 00591321372 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 30 200.00 % 013 01/26/10 10 013 01/22/10 7 013 01/19/10 4 013 01/05/10 10 + __________ TOTAL ORDERED 31 206.66 % 013 12/18/09 10 013 12/11/09 3 013 12/04/09 10 + __________ TOTAL ORDERED 23 153.33 % 013 11/24/09 9 013 11/20/09 1 013 11/03/09 15 + __________ TOTAL ORDERED 25 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544543 FENTANYL 50MCG/HR TS (WAT) + 5 30591321272 00591321272 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 013 04/30/10 10 013 04/23/10 10 013 04/20/10 15 013 04/02/10 15 + __________ TOTAL ORDERED 50 238.09 % 013 03/26/10 12 013 03/19/10 15 013 03/05/10 10 + __________ TOTAL ORDERED 37 176.19 % 013 02/26/10 5 013 02/19/10 12 013 02/16/10 5 013 02/05/10 6 + __________ TOTAL ORDERED 28 133.33 % 013 01/26/10 4 013 01/22/10 11 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 61 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11386 FW0264933 WALGREENS @ NW MEM HOSP 60611 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544543 FENTANYL 50MCG/HR TS (WAT) + 5 30591321272 00591321272 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 013 01/15/10 5 013 01/08/10 11 013 01/05/10 15 + __________ TOTAL ORDERED 46 219.04 % 013 12/29/09 4 013 12/22/09 3 013 12/18/09 6 013 12/15/09 10 013 12/04/09 10 013 12/01/09 12 + __________ TOTAL ORDERED 45 214.28 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544544 FENTANYL 25MCG/HR TS (WAT) + 5 30591319872 00591319872 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 013 04/27/10 5 013 04/23/10 10 013 04/20/10 1 013 04/16/10 1 013 04/13/10 13 013 04/09/10 2 013 04/06/10 10 + __________ TOTAL ORDERED 42 200.00 % 013 03/26/10 17 013 03/12/10 20 013 03/05/10 12 + __________ TOTAL ORDERED 49 233.33 % 013 02/26/10 12 013 02/19/10 2 013 02/12/10 14 013 02/05/10 2 + __________ TOTAL ORDERED 30 142.85 % 013 01/29/10 20 013 01/22/10 2 013 01/19/10 10 013 01/08/10 8 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 62 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11386 FW0264933 WALGREENS @ NW MEM HOSP 60611 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544544 FENTANYL 25MCG/HR TS (WAT) + 5 30591319872 00591319872 7 3.0 21.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 40 190.47 % 013 12/29/09 20 013 12/22/09 2 013 12/15/09 10 013 12/11/09 7 013 12/04/09 10 + __________ TOTAL ORDERED 49 233.33 % 013 11/17/09 15 013 11/13/09 3 013 11/06/09 9 + __________ TOTAL ORDERED 27 128.57 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 561631 FENTANYL 12MCG/HR TS (MYL) 5 30378911998 00378911998 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 013 04/30/10 10 013 04/20/10 10 013 04/13/10 10 013 04/02/10 6 + __________ TOTAL ORDERED 36 300.00 % 013 03/24/10 15 013 03/16/10 5 013 03/12/10 6 + __________ TOTAL ORDERED 26 216.66 % 013 02/26/10 20 013 02/05/10 4 + __________ TOTAL ORDERED 24 200.00 % 013 01/29/10 15 013 01/15/10 3 013 01/05/10 10 + __________ TOTAL ORDERED 28 233.33 % 013 12/29/09 4 013 12/18/09 12 013 12/15/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 63 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11386 FW0264933 WALGREENS @ NW MEM HOSP 60611 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 561631 FENTANYL 12MCG/HR TS (MYL) 5 30378911998 00378911998 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 013 12/04/09 8 013 12/01/09 1 + __________ TOTAL ORDERED 26 216.66 % 013 11/20/09 18 013 11/03/09 12 + __________ TOTAL ORDERED 30 250.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 003 04/27/10 2 003 04/23/10 8 003 04/20/10 2 003 04/16/10 5 003 04/13/10 3 003 04/09/10 6 003 04/06/10 4 003 04/02/10 4 + __________ TOTAL ORDERED 34 188.88 % 003 03/30/10 2 003 03/26/10 9 003 03/23/10 3 003 03/19/10 6 003 03/16/10 4 003 03/12/10 6 003 03/09/10 3 003 03/05/10 6 003 03/02/10 3 + __________ TOTAL ORDERED 42 233.33 % 003 02/23/10 3 003 02/19/10 5 003 02/16/10 4 003 02/12/10 8 003 02/09/10 3 003 02/05/10 8 003 02/02/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 64 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11386 FW0264933 WALGREENS @ NW MEM HOSP 60611 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 6 3.0 18.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 35 194.44 % 003 01/26/10 4 003 01/22/10 4 003 01/19/10 3 003 01/15/10 6 003 01/12/10 4 003 01/08/10 7 003 01/05/10 2 + __________ TOTAL ORDERED 30 166.66 % 003 12/31/09 6 003 12/28/09 6 003 12/23/09 10 003 12/18/09 8 003 12/16/09 3 003 12/11/09 7 003 12/09/09 6 003 12/04/09 4 003 12/02/09 1 + __________ TOTAL ORDERED 51 283.33 % 003 11/27/09 6 003 11/24/09 2 003 11/17/09 3 003 11/19/09 5 003 11/12/09 6 003 11/10/09 2 003 11/05/09 6 003 11/03/09 3 + __________ TOTAL ORDERED 33 183.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 564860 MORPHINE SULF 100MG CR+TAB(WT)100 30591351401 00591351401 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 01/29/10 6 013 01/22/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 65 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11386 FW0264933 WALGREENS @ NW MEM HOSP 60611 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 564860 MORPHINE SULF 100MG CR+TAB(WT)100 30591351401 00591351401 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 7 116.66 % 013 12/22/09 10 013 12/18/09 2 013 12/15/09 1 + __________ TOTAL ORDERED 13 216.66 % 013 11/24/09 5 013 11/20/09 1 013 11/13/09 2 013 11/06/09 1 + __________ TOTAL ORDERED 9 150.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 564861 MORPHINE SULF 30MG CR TB(WAT)+100 30591351201 00591351201 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 013 04/30/10 1 013 04/27/10 2 013 04/23/10 7 013 04/16/10 5 013 04/13/10 2 013 04/09/10 3 013 04/02/10 4 + __________ TOTAL ORDERED 24 200.00 % 013 03/30/10 2 013 03/26/10 4 013 03/19/10 3 013 03/16/10 2 013 03/12/10 4 013 03/09/10 2 013 03/05/10 6 + __________ TOTAL ORDERED 23 191.66 % 013 02/19/10 2 013 02/05/10 20 + __________ TOTAL ORDERED 22 183.33 % 013 01/19/10 6 013 01/12/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 66 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11386 FW0264933 WALGREENS @ NW MEM HOSP 60611 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 564861 MORPHINE SULF 30MG CR TB(WAT)+100 30591351201 00591351201 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 013 01/08/10 6 + __________ TOTAL ORDERED 18 150.00 % 013 12/29/09 2 013 12/15/09 12 013 12/11/09 1 013 12/08/09 12 + __________ TOTAL ORDERED 27 225.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 564862 MORPHINE SULF 15MG CR TAB(WAT)100 30591351101 00591351101 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 04/30/10 2 013 04/27/10 1 013 04/16/10 5 013 04/09/10 3 013 04/06/10 1 013 04/02/10 4 + __________ TOTAL ORDERED 16 177.77 % 013 03/30/10 5 013 03/26/10 1 013 03/12/10 10 013 03/05/10 3 013 03/02/10 2 + __________ TOTAL ORDERED 21 233.33 % 013 02/26/10 2 013 02/19/10 2 013 02/16/10 4 013 02/12/10 2 013 02/05/10 8 + __________ TOTAL ORDERED 18 200.00 % 013 01/29/10 3 013 01/19/10 12 013 01/15/10 2 013 01/12/10 1 013 01/08/10 1 013 01/05/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 67 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11386 FW0264933 WALGREENS @ NW MEM HOSP 60611 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 564862 MORPHINE SULF 15MG CR TAB(WAT)100 30591351101 00591351101 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 20 222.22 % 013 12/29/09 2 013 12/18/09 10 013 12/15/09 1 013 12/11/09 1 013 12/04/09 4 + __________ TOTAL ORDERED 18 200.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 15 3.0 45.0 0 DC DATE ORDERED QUANTITY 003 04/27/10 8 003 04/23/10 13 003 04/20/10 8 003 04/16/10 7 003 04/13/10 5 003 04/09/10 11 003 04/06/10 7 003 04/02/10 8 + __________ TOTAL ORDERED 67 148.88 % 003 03/30/10 4 003 03/26/10 8 003 03/23/10 5 003 03/19/10 17 003 03/16/10 10 003 03/12/10 5 003 03/09/10 5 003 03/05/10 9 003 03/02/10 4 + __________ TOTAL ORDERED 67 148.88 % 003 02/23/10 5 003 02/19/10 7 003 02/16/10 4 003 02/12/10 12 003 02/09/10 4 003 02/05/10 12 003 02/02/10 10 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 68 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11386 FW0264933 WALGREENS @ NW MEM HOSP 60611 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 15 3.0 45.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 54 120.00 % 003 12/31/09 5 003 12/28/09 6 003 12/23/09 13 003 12/18/09 12 003 12/16/09 9 003 12/11/09 13 003 12/09/09 3 003 12/04/09 12 + __________ TOTAL ORDERED 73 162.22 % 003 11/27/09 12 003 11/24/09 3 003 11/17/09 2 003 11/19/09 12 003 11/12/09 10 003 11/10/09 6 003 11/05/09 12 + __________ TOTAL ORDERED 57 126.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 597169 METHADONE HCL 10MG TAB (MAL) +100 30406577101 00406577101 13 3.0 39.0 0 DC DATE ORDERED QUANTITY 013 03/26/10 22 013 03/23/10 2 013 03/19/10 10 013 03/16/10 2 013 03/12/10 1 013 03/09/10 2 013 03/05/10 16 013 03/02/10 1 + __________ TOTAL ORDERED 56 143.58 % 013 02/26/10 24 013 02/23/10 1 013 02/19/10 9 013 02/16/10 3 013 02/12/10 1 013 02/05/10 11 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 69 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11386 FW0264933 WALGREENS @ NW MEM HOSP 60611 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 597169 METHADONE HCL 10MG TAB (MAL) +100 30406577101 00406577101 13 3.0 39.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 49 125.64 % 013 01/29/10 13 013 01/26/10 2 013 01/22/10 10 013 01/19/10 2 013 01/15/10 9 013 01/08/10 12 013 01/05/10 6 + __________ TOTAL ORDERED 54 138.46 % 013 12/29/09 8 013 12/22/09 10 013 12/18/09 9 013 12/15/09 1 013 12/11/09 7 013 12/08/09 8 013 12/04/09 7 013 12/01/09 4 + __________ TOTAL ORDERED 54 138.46 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 651382 FENTANYL 100MCG/HR TS (MYL) 5 30378912498 00378912498 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 013 04/30/10 10 013 04/20/10 5 013 04/13/10 20 + __________ TOTAL ORDERED 35 166.66 % 013 03/26/10 6 013 03/19/10 5 013 03/12/10 12 + __________ TOTAL ORDERED 23 109.52 % 013 02/26/10 4 013 02/19/10 10 013 02/05/10 15 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 70 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11386 FW0264933 WALGREENS @ NW MEM HOSP 60611 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 651382 FENTANYL 100MCG/HR TS (MYL) 5 30378912498 00378912498 7 3.0 21.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 29 138.09 % 013 12/22/09 10 013 12/08/09 15 + __________ TOTAL ORDERED 25 119.04 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 651383 FENTANYL 75MCG/HR TS (MYL) 5 30378912398 00378912398 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 04/06/10 20 + __________ TOTAL ORDERED 20 111.11 % 013 03/19/10 3 013 03/16/10 6 013 03/05/10 12 + __________ TOTAL ORDERED 21 116.66 % 013 02/05/10 20 + __________ TOTAL ORDERED 20 111.11 % 013 01/29/10 5 013 01/26/10 6 013 01/19/10 7 013 01/05/10 5 + __________ TOTAL ORDERED 23 127.77 % 013 12/15/09 4 013 12/11/09 8 013 12/01/09 12 + __________ TOTAL ORDERED 24 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 651384 FENTANYL 50MCG/HR TS (MYL) 5 30378912298 00378912298 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 04/30/10 10 013 04/20/10 6 013 04/02/10 10 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 71 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11386 FW0264933 WALGREENS @ NW MEM HOSP 60611 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 651384 FENTANYL 50MCG/HR TS (MYL) 5 30378912298 00378912298 6 3.0 18.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 26 144.44 % 013 03/19/10 10 013 03/05/10 12 + __________ TOTAL ORDERED 22 122.22 % 013 02/26/10 8 013 02/19/10 5 013 02/05/10 25 + __________ TOTAL ORDERED 38 211.11 % 013 01/26/10 10 013 01/08/10 10 + __________ TOTAL ORDERED 20 111.11 % 013 11/20/09 12 013 11/13/09 10 013 11/06/09 3 + __________ TOTAL ORDERED 25 138.88 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 651385 FENTANYL 25MCG/HR TS (MYL) 5 30378912198 00378912198 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 04/20/10 10 013 04/13/10 15 + __________ TOTAL ORDERED 25 138.88 % 013 03/16/10 20 + __________ TOTAL ORDERED 20 111.11 % 013 02/26/10 10 013 02/19/10 5 013 02/05/10 15 + __________ TOTAL ORDERED 30 166.66 % 013 01/29/10 10 013 01/15/10 5 013 01/05/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 72 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11386 FW0264933 WALGREENS @ NW MEM HOSP 60611 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 651385 FENTANYL 25MCG/HR TS (MYL) 5 30378912198 00378912198 6 3.0 18.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 20 111.11 % 013 12/15/09 20 + __________ TOTAL ORDERED 20 111.11 % 013 11/17/09 12 013 11/20/09 10 + __________ TOTAL ORDERED 22 122.22 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 651942 HYDROMORPHONE 8MG TAB (MKT) + 100 30406324901 00406324901 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 04/30/10 2 013 04/23/10 8 013 04/20/10 1 013 04/09/10 9 + __________ TOTAL ORDERED 20 222.22 % 013 03/26/10 4 013 03/16/10 2 013 03/12/10 15 013 03/09/10 3 013 03/05/10 8 013 03/02/10 3 + __________ TOTAL ORDERED 35 388.88 % 013 02/23/10 1 013 02/19/10 1 013 02/16/10 4 013 02/05/10 6 + __________ TOTAL ORDERED 12 133.33 % 013 01/29/10 11 + __________ TOTAL ORDERED 11 122.22 % 013 11/03/09 15 + __________ TOTAL ORDERED 15 166.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 73 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11386 FW0264933 WALGREENS @ NW MEM HOSP 60611 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675637 HYDROMORPHONE 2MG TAB (MKT) + 100 30406324301 00406324301 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 04/30/10 3 013 04/23/10 2 013 04/16/10 1 013 04/09/10 2 013 04/02/10 2 + __________ TOTAL ORDERED 10 111.11 % 013 03/26/10 4 013 03/19/10 2 013 03/12/10 2 013 03/05/10 7 013 03/02/10 4 + __________ TOTAL ORDERED 19 211.11 % 013 02/26/10 2 013 02/19/10 5 013 02/16/10 1 013 02/12/10 4 013 02/09/10 1 013 02/05/10 8 013 02/02/10 2 + __________ TOTAL ORDERED 23 255.55 % 013 01/29/10 7 013 01/26/10 1 013 01/22/10 5 013 01/15/10 1 013 01/08/10 3 + __________ TOTAL ORDERED 17 188.88 % 013 12/29/09 8 013 12/18/09 4 + __________ TOTAL ORDERED 12 133.33 % 013 11/24/09 1 013 11/13/09 25 013 11/10/09 18 + __________ TOTAL ORDERED 44 488.88 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 74 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11386 FW0264933 WALGREENS @ NW MEM HOSP 60611 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 676915 HYDROMORPHONE HCL 4MG (MK) + 100 30406324401 00406324401 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 013 04/30/10 8 013 04/27/10 5 013 04/23/10 1 013 04/16/10 6 013 04/13/10 1 013 04/09/10 4 013 04/06/10 1 013 04/02/10 4 + __________ TOTAL ORDERED 30 200.00 % 013 03/26/10 14 013 03/23/10 2 013 03/19/10 29 013 03/12/10 4 013 03/05/10 3 + __________ TOTAL ORDERED 52 346.66 % 013 02/26/10 1 013 02/19/10 8 013 02/16/10 2 013 02/12/10 4 013 02/05/10 25 + __________ TOTAL ORDERED 40 266.66 % 013 01/22/10 8 013 01/19/10 14 013 01/08/10 7 + __________ TOTAL ORDERED 29 193.33 % 013 12/29/09 4 013 12/22/09 18 013 12/18/09 26 013 12/15/09 6 013 12/11/09 12 013 12/08/09 25 + __________ TOTAL ORDERED 91 606.66 % 013 11/13/09 40 + __________ TOTAL ORDERED 40 266.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 75 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11386 FW0264933 WALGREENS @ NW MEM HOSP 60611 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 680312 MORPHINE SULF 60MG ER TAB(EN)+100 36095165570 60951065570 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 04/30/10 6 013 04/23/10 4 013 04/20/10 1 013 04/09/10 2 013 04/02/10 3 + __________ TOTAL ORDERED 16 177.77 % 013 01/26/10 4 013 01/22/10 2 013 01/19/10 1 013 01/15/10 1 013 01/05/10 6 + __________ TOTAL ORDERED 14 155.55 % 013 11/20/09 9 013 11/13/09 5 013 11/06/09 1 + __________ TOTAL ORDERED 15 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682972 OXYCODONE HCL 15MG TAB (ACT) +100 35215221402 52152021402 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 013 04/30/10 4 013 04/27/10 3 013 04/23/10 6 013 04/16/10 12 013 04/06/10 2 013 04/02/10 6 + __________ TOTAL ORDERED 33 157.14 % 013 03/30/10 2 013 03/26/10 3 013 03/23/10 3 013 03/19/10 2 013 03/16/10 1 013 03/12/10 2 013 03/05/10 11 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 76 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11386 FW0264933 WALGREENS @ NW MEM HOSP 60611 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682972 OXYCODONE HCL 15MG TAB (ACT) +100 35215221402 52152021402 7 3.0 21.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 24 114.28 % 013 12/29/09 10 013 12/22/09 13 013 12/04/09 5 013 12/01/09 4 + __________ TOTAL ORDERED 32 152.38 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684277 OXYCONTIN 20MG TAB (PUR) 100 35901110310 59011010310 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 04/27/10 9 013 04/16/10 1 013 04/09/10 4 + __________ TOTAL ORDERED 14 155.55 % 013 02/26/10 7 013 02/19/10 5 013 02/12/10 7 013 02/09/10 1 013 02/05/10 3 013 02/02/10 1 + __________ TOTAL ORDERED 24 266.66 % 013 01/29/10 3 013 01/26/10 1 013 01/22/10 9 013 01/15/10 6 013 01/12/10 6 + __________ TOTAL ORDERED 25 277.77 % 013 12/29/09 3 013 12/22/09 12 013 12/15/09 12 013 12/11/09 2 013 12/04/09 4 013 12/01/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 77 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11386 FW0264933 WALGREENS @ NW MEM HOSP 60611 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684277 OXYCONTIN 20MG TAB (PUR) 100 35901110310 59011010310 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 34 377.77 % 013 11/24/09 4 013 11/20/09 4 013 11/13/09 4 013 11/10/09 6 013 11/06/09 4 + __________ TOTAL ORDERED 22 244.44 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684278 OXYCONTIN 40MG TAB (PUR) 100 35901110510 59011010510 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 013 01/19/10 12 013 01/12/10 4 + __________ TOTAL ORDERED 16 133.33 % 013 12/29/09 4 013 12/08/09 8 013 12/04/09 2 + __________ TOTAL ORDERED 14 116.66 % 013 11/24/09 4 013 11/17/09 1 013 11/20/09 2 013 11/06/09 8 + __________ TOTAL ORDERED 15 125.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684285 OXYCONTIN 80MG TAB (PUR) 100 35901110710 59011010710 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 01/29/10 8 013 01/08/10 6 + __________ TOTAL ORDERED 14 155.55 % 013 12/22/09 5 013 12/15/09 4 013 12/08/09 3 013 12/04/09 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 78 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11386 FW0264933 WALGREENS @ NW MEM HOSP 60611 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684285 OXYCONTIN 80MG TAB (PUR) 100 35901110710 59011010710 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 16 177.77 % 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 01656 BB0595415 63 GREEN BAY RD WINNETKA IL 60093 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 654368 LUNESTA 2MG TAB (SEP) + 100 36340219110 63402019110 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 003 12/28/09 2 003 12/10/09 1 003 12/03/09 1 + __________ TOTAL ORDERED 4 133.33 % 003 11/23/09 1 003 11/12/09 1 003 11/05/09 1 003 11/02/09 1 + __________ TOTAL ORDERED 4 133.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02003 BB1266647 1130 S MAIN ST ANTIOCH IL 60002 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544541 FENTANYL 75MCG/HR TS (WAT) + 5 30591321372 00591321372 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 013 04/22/10 1 013 04/15/10 1 013 04/08/10 16 013 04/01/10 2 + __________ TOTAL ORDERED 20 133.33 % 013 03/25/10 1 013 03/18/10 7 013 03/11/10 10 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 79 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02003 BB1266647 1130 S MAIN ST ANTIOCH IL 60002 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544541 FENTANYL 75MCG/HR TS (WAT) + 5 30591321372 00591321372 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 18 120.00 % 013 01/28/10 4 013 01/21/10 7 013 01/14/10 8 + __________ TOTAL ORDERED 19 126.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 003 04/28/10 1 003 04/23/10 5 003 04/21/10 2 003 04/16/10 4 003 04/14/10 2 003 04/09/10 4 003 04/02/10 4 + __________ TOTAL ORDERED 22 122.22 % 003 03/31/10 1 003 03/26/10 4 003 03/24/10 1 003 03/19/10 5 003 03/17/10 2 003 03/12/10 4 003 03/10/10 1 003 03/05/10 2 003 03/03/10 2 + __________ TOTAL ORDERED 22 122.22 % 003 12/31/09 4 003 12/29/09 2 003 12/23/09 4 003 12/21/09 3 003 12/16/09 4 003 12/14/09 1 003 12/09/09 3 003 12/07/09 2 003 12/02/09 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 80 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02003 BB1266647 1130 S MAIN ST ANTIOCH IL 60002 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 6 3.0 18.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 26 144.44 % 003 11/30/09 2 003 11/24/09 5 003 11/20/09 4 003 11/13/09 3 003 11/17/09 1 003 11/10/09 1 003 11/06/09 3 003 11/03/09 3 + __________ TOTAL ORDERED 22 122.22 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 651942 HYDROMORPHONE 8MG TAB (MKT) + 100 30406324901 00406324901 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 04/08/10 10 + __________ TOTAL ORDERED 10 111.11 % 013 02/11/10 17 013 02/04/10 2 + __________ TOTAL ORDERED 19 211.11 % 013 12/31/09 4 013 12/03/09 9 + __________ TOTAL ORDERED 13 144.44 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675041 HC-IBUPRO 7.5-200 TABS (TEV)+ 100 30093516101 00093516101 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 04/23/10 3 003 04/16/10 1 003 04/09/10 2 003 04/07/10 3 003 04/02/10 1 + __________ TOTAL ORDERED 10 111.11 % 003 03/26/10 1 003 03/19/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 81 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02003 BB1266647 1130 S MAIN ST ANTIOCH IL 60002 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675041 HC-IBUPRO 7.5-200 TABS (TEV)+ 100 30093516101 00093516101 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 03/17/10 1 003 03/12/10 1 003 03/10/10 1 003 03/05/10 2 003 03/03/10 1 + __________ TOTAL ORDERED 11 122.22 % 003 12/31/09 3 003 12/23/09 2 003 12/16/09 1 003 12/14/09 2 003 12/09/09 1 003 12/07/09 2 003 12/02/09 1 + __________ TOTAL ORDERED 12 133.33 % 003 11/24/09 4 003 11/13/09 1 003 11/17/09 1 003 11/06/09 5 003 11/03/09 1 + __________ TOTAL ORDERED 12 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 03/31/10 2 003 03/26/10 2 003 03/24/10 1 003 03/19/10 1 003 03/12/10 1 003 03/10/10 1 003 03/05/10 2 003 03/03/10 1 + __________ TOTAL ORDERED 11 122.22 % 003 12/31/09 1 003 12/29/09 1 003 12/23/09 2 003 12/21/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 82 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02003 BB1266647 1130 S MAIN ST ANTIOCH IL 60002 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 12/16/09 2 003 12/14/09 1 003 12/09/09 1 003 12/07/09 1 003 12/02/09 1 + __________ TOTAL ORDERED 11 122.22 % 003 11/30/09 2 003 11/24/09 2 003 11/20/09 1 003 11/13/09 1 003 11/17/09 1 003 11/10/09 1 003 11/06/09 1 003 11/03/09 1 + __________ TOTAL ORDERED 10 111.11 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02985 BB3884574 295 S. HWY 45 GRAYSLAKE IL 60030 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 651384 FENTANYL 50MCG/HR TS (MYL) 5 30378912298 00378912298 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 03/16/10 19 013 03/09/10 12 013 03/02/10 2 + __________ TOTAL ORDERED 33 183.33 % 013 02/23/10 7 013 02/09/10 8 013 02/02/10 4 + __________ TOTAL ORDERED 19 105.55 % 013 12/22/09 10 013 12/15/09 15 013 12/01/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 83 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02985 BB3884574 295 S. HWY 45 GRAYSLAKE IL 60030 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 651384 FENTANYL 50MCG/HR TS (MYL) 5 30378912298 00378912298 6 3.0 18.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 27 150.00 % 013 11/24/09 5 013 11/17/09 15 + __________ TOTAL ORDERED 20 111.11 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03273 BB4184317 655 ELM PLACE HIGHLAND PARK IL 60035 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539147 D-AMPHET SALT COMBO 30MG TAB +100 36472013610 64720013610 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 12/31/09 3 013 12/17/09 3 013 12/10/09 4 + __________ TOTAL ORDERED 10 111.11 % 013 11/27/09 3 013 11/19/09 4 013 11/05/09 3 + __________ TOTAL ORDERED 10 111.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539151 D-AMPHET SALT COMBO 10MG TAB +100 36472013210 64720013210 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 013 04/29/10 7 013 04/22/10 3 013 04/15/10 5 013 04/08/10 3 + __________ TOTAL ORDERED 18 120.00 % 013 03/25/10 4 013 03/18/10 4 013 03/11/10 7 013 03/04/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 84 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03273 BB4184317 655 ELM PLACE HIGHLAND PARK IL 60035 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539151 D-AMPHET SALT COMBO 10MG TAB +100 36472013210 64720013210 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 16 106.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 553698 ZOLPIDEM 5MG TABS (TEV) + 100 30093007301 00093007301 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 003 04/27/10 2 003 04/23/10 1 003 04/20/10 2 003 04/16/10 4 003 04/13/10 2 003 04/09/10 1 003 04/06/10 3 003 04/02/10 3 + __________ TOTAL ORDERED 18 150.00 % 003 03/30/10 2 003 03/26/10 4 003 03/23/10 1 003 03/19/10 3 003 03/16/10 1 003 03/12/10 2 003 03/09/10 1 003 03/05/10 3 003 03/02/10 2 + __________ TOTAL ORDERED 19 158.33 % 003 12/31/09 3 003 12/28/09 1 003 12/23/09 1 003 12/18/09 3 003 12/16/09 2 003 12/11/09 2 003 12/04/09 2 003 12/02/09 1 + __________ TOTAL ORDERED 15 125.00 % 003 11/27/09 2 003 11/24/09 2 003 11/19/09 3 003 11/12/09 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 85 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03273 BB4184317 655 ELM PLACE HIGHLAND PARK IL 60035 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 553698 ZOLPIDEM 5MG TABS (TEV) + 100 30093007301 00093007301 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 003 11/10/09 2 003 11/05/09 3 003 11/03/09 3 + __________ TOTAL ORDERED 19 158.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 654368 LUNESTA 2MG TAB (SEP) + 100 36340219110 63402019110 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 003 12/28/09 1 003 12/18/09 1 003 12/11/09 1 003 12/02/09 1 + __________ TOTAL ORDERED 4 133.33 % 003 11/27/09 1 003 11/12/09 1 003 11/05/09 1 003 11/03/09 1 + __________ TOTAL ORDERED 4 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672806 ADDERALL XR 20MG CAPS + 100 35409238701 54092038701 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 04/29/10 2 013 04/15/10 2 013 04/01/10 4 + __________ TOTAL ORDERED 8 133.33 % 013 03/25/10 1 013 03/18/10 1 013 03/11/10 2 013 03/04/10 3 + __________ TOTAL ORDERED 7 116.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 86 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03273 BB4184317 655 ELM PLACE HIGHLAND PARK IL 60035 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679658 HYDROMET SYRUP (ALP) + 473ML 30472103016 00472103016 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 03/30/10 2 003 03/23/10 2 003 03/19/10 1 003 03/12/10 2 003 03/09/10 1 003 03/02/10 1 + __________ TOTAL ORDERED 9 150.00 % 003 02/23/10 1 003 02/19/10 1 003 02/16/10 1 003 02/05/10 2 003 02/02/10 2 + __________ TOTAL ORDERED 7 116.66 % 003 12/28/09 2 003 12/18/09 2 003 12/16/09 2 003 12/11/09 2 003 12/09/09 1 003 12/04/09 1 003 12/02/09 1 + __________ TOTAL ORDERED 11 183.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03320 AW6863977 61 S ROUTE 12 FOX LAKE IL 60020 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 553889 ANDROGEL 1% PUMP (UNI) +150GM 30051848888 00051848888 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 02/12/10 2 003 02/10/10 3 003 02/05/10 3 003 02/03/10 2 + __________ TOTAL ORDERED 10 111.11 % 003 01/22/10 1 003 01/15/10 1 003 01/13/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 87 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03320 AW6863977 61 S ROUTE 12 FOX LAKE IL 60020 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 553889 ANDROGEL 1% PUMP (UNI) +150GM 30051848888 00051848888 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 01/08/10 2 003 01/06/10 5 + __________ TOTAL ORDERED 10 111.11 % 003 11/30/09 3 003 11/24/09 4 003 11/20/09 2 003 11/13/09 1 003 11/17/09 1 + __________ TOTAL ORDERED 11 122.22 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 003 04/28/10 1 003 04/23/10 3 003 04/21/10 2 003 04/16/10 2 003 04/14/10 1 003 04/09/10 4 003 04/07/10 2 003 04/02/10 5 + __________ TOTAL ORDERED 20 111.11 % 003 12/31/09 4 003 12/23/09 5 003 12/21/09 2 003 12/16/09 4 003 12/14/09 2 003 12/09/09 3 003 12/07/09 2 003 12/02/09 2 + __________ TOTAL ORDERED 24 133.33 % 003 11/30/09 1 003 11/24/09 4 003 11/20/09 3 003 11/13/09 3 003 11/17/09 2 003 11/10/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 88 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03320 AW6863977 61 S ROUTE 12 FOX LAKE IL 60020 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 003 11/06/09 3 003 11/03/09 3 + __________ TOTAL ORDERED 21 116.66 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03750 BB6111873 709 N GREENBAY RD WAUKEGAN IL 60085 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 552577 SUBOXONE 8-2MG SL TAB + 30 31249613062 12496130602 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 003 04/28/10 4 003 04/23/10 1 003 04/16/10 2 003 04/14/10 8 003 04/09/10 2 003 04/07/10 3 003 04/02/10 8 + __________ TOTAL ORDERED 28 103.70 % 003 03/31/10 6 003 03/26/10 1 003 03/19/10 2 003 03/12/10 7 003 03/10/10 3 003 03/05/10 6 003 03/03/10 3 + __________ TOTAL ORDERED 28 103.70 % 003 02/24/10 5 003 02/19/10 8 003 02/17/10 1 003 02/12/10 5 003 02/10/10 9 003 02/05/10 3 + __________ TOTAL ORDERED 31 114.81 % 003 01/27/10 3 003 01/15/10 10 003 01/13/10 8 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 89 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03750 BB6111873 709 N GREENBAY RD WAUKEGAN IL 60085 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 552577 SUBOXONE 8-2MG SL TAB + 30 31249613062 12496130602 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 003 01/08/10 6 003 01/06/10 3 + __________ TOTAL ORDERED 30 111.11 % 003 12/31/09 4 003 12/16/09 5 003 12/14/09 8 003 12/09/09 1 003 12/07/09 8 003 12/02/09 2 + __________ TOTAL ORDERED 28 103.70 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 681530 NORCO 10MG/325MG TAB (WT) + 100 35254453901 52544053901 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 04/23/10 3 003 04/16/10 1 003 04/14/10 2 003 04/09/10 1 + __________ TOTAL ORDERED 7 116.66 % 003 03/26/10 1 003 03/19/10 1 003 03/17/10 1 003 03/12/10 3 003 03/10/10 1 + __________ TOTAL ORDERED 7 116.66 % 003 01/22/10 3 003 01/20/10 1 003 01/15/10 1 003 01/13/10 2 003 01/08/10 1 003 01/06/10 3 + __________ TOTAL ORDERED 11 183.33 % 003 12/31/09 4 003 12/23/09 1 003 12/16/09 1 003 12/14/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 90 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03750 BB6111873 709 N GREENBAY RD WAUKEGAN IL 60085 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 681530 NORCO 10MG/325MG TAB (WT) + 100 35254453901 52544053901 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 12/09/09 1 003 12/07/09 1 003 12/02/09 2 + __________ TOTAL ORDERED 11 183.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03926 BB5899781 1825 WILLOW RD NORTHFIELD IL 60093 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 601601 AMBIEN CR 6.25MG TAB + 100 30024550131 00024550131 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 003 04/27/10 1 003 04/23/10 1 003 04/20/10 1 003 04/06/10 1 + __________ TOTAL ORDERED 4 133.33 % 003 03/23/10 1 003 03/16/10 1 003 03/12/10 1 003 03/02/10 1 + __________ TOTAL ORDERED 4 133.33 % 003 12/31/09 1 003 12/28/09 1 003 12/18/09 1 003 12/04/09 1 + __________ TOTAL ORDERED 4 133.33 % 003 11/27/09 1 003 11/19/09 1 003 11/12/09 1 003 11/10/09 1 003 11/03/09 1 + __________ TOTAL ORDERED 5 166.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 91 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04067 BB0732607 15 N BUFFALO GROVE RD BUFFALO GRO60089 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 471202 FENTANYL 12MCG/HR TS (SAN) + 5 30781724055 00781724055 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 04/27/10 3 013 04/20/10 4 013 04/13/10 5 + __________ TOTAL ORDERED 12 133.33 % 013 03/30/10 5 013 03/23/10 5 013 03/16/10 1 013 03/09/10 1 013 03/02/10 5 + __________ TOTAL ORDERED 17 188.88 % 013 01/26/10 12 + __________ TOTAL ORDERED 12 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 474146 OXYCODONE ER 80MG TABS (ETH)+ 100 35817768304 58177068304 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 04/13/10 4 013 04/06/10 3 + __________ TOTAL ORDERED 7 116.66 % 013 03/30/10 2 013 03/02/10 5 + __________ TOTAL ORDERED 7 116.66 % 013 01/05/10 10 + __________ TOTAL ORDERED 10 166.66 % 013 11/25/09 6 013 11/24/09 6 013 11/03/09 4 + __________ TOTAL ORDERED 16 266.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 92 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04067 BB0732607 15 N BUFFALO GROVE RD BUFFALO GRO60089 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 477624 DURAGESIC 100MCG/HOUR PATCH 5 35045809405 50458009405 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 013 12/22/09 9 013 12/15/09 6 013 12/08/09 3 + __________ TOTAL ORDERED 18 150.00 % 013 11/16/09 10 013 11/24/09 10 + __________ TOTAL ORDERED 20 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 507053 CONCERTA 54MG ER TAB 100 35045858701 50458058701 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 02/16/10 4 013 02/09/10 3 013 02/02/10 7 + __________ TOTAL ORDERED 14 155.55 % 013 12/29/09 2 013 12/15/09 3 013 12/08/09 5 + __________ TOTAL ORDERED 10 111.11 % 013 11/24/09 3 013 11/17/09 3 013 11/10/09 5 013 11/03/09 1 + __________ TOTAL ORDERED 12 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 514230 BUTORPHANOL TART NS (APO) + 2.5ML 36050508131 60505081301 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 003 04/23/10 11 003 04/16/10 1 003 04/13/10 3 003 04/09/10 2 003 04/06/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 93 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04067 BB0732607 15 N BUFFALO GROVE RD BUFFALO GRO60089 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 514230 BUTORPHANOL TART NS (APO) + 2.5ML 36050508131 60505081301 4 3.0 12.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 22 183.33 % 003 03/19/10 2 003 03/16/10 1 003 03/12/10 12 + __________ TOTAL ORDERED 15 125.00 % 003 01/26/10 10 003 01/08/10 2 003 01/05/10 4 + __________ TOTAL ORDERED 16 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 514718 MORPHINE SUL 30MG TAB (ROX) + 100 30054023625 00054023625 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 04/20/10 10 013 04/13/10 4 + __________ TOTAL ORDERED 14 155.55 % 013 03/23/10 8 013 03/02/10 5 + __________ TOTAL ORDERED 13 144.44 % 013 01/26/10 5 013 01/19/10 5 013 01/05/10 4 + __________ TOTAL ORDERED 14 155.55 % 013 12/29/09 6 013 12/22/09 1 013 12/15/09 4 013 12/01/09 9 + __________ TOTAL ORDERED 20 222.22 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 94 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04067 BB0732607 15 N BUFFALO GROVE RD BUFFALO GRO60089 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539150 D-AMPHET SALT COMBO 20MG TAB +100 36472013510 64720013510 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 04/27/10 10 013 04/20/10 3 013 04/13/10 5 013 04/06/10 3 + __________ TOTAL ORDERED 21 116.66 % 013 03/30/10 6 013 03/23/10 2 013 03/16/10 1 013 03/09/10 4 013 03/02/10 8 + __________ TOTAL ORDERED 21 116.66 % 013 12/29/09 5 013 12/22/09 5 013 12/08/09 12 + __________ TOTAL ORDERED 22 122.22 % 013 11/24/09 8 013 11/17/09 1 013 11/10/09 5 013 11/03/09 5 + __________ TOTAL ORDERED 19 105.55 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539153 D-AMPHET SALT COMBO 5MG TAB +100 36472013010 64720013010 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 03/10/10 1 013 03/30/10 2 013 03/16/10 1 013 03/09/10 4 + __________ TOTAL ORDERED 8 133.33 % 013 02/23/10 1 013 02/16/10 5 013 02/09/10 1 + __________ TOTAL ORDERED 7 116.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 95 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04067 BB0732607 15 N BUFFALO GROVE RD BUFFALO GRO60089 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 551686 VYVANSE 50MG CAPS + 100 35941710510 59417010510 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 02/23/10 2 013 02/16/10 4 013 02/09/10 2 + __________ TOTAL ORDERED 8 133.33 % 013 01/26/10 2 013 01/19/10 3 013 01/12/10 2 + __________ TOTAL ORDERED 7 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 003 04/27/10 2 003 04/23/10 5 003 04/20/10 4 003 04/16/10 3 003 04/13/10 4 003 04/09/10 4 003 04/06/10 2 003 04/02/10 4 + __________ TOTAL ORDERED 28 155.55 % 003 03/30/10 4 003 03/26/10 3 003 03/23/10 4 003 03/19/10 2 003 03/16/10 4 003 03/12/10 3 003 03/09/10 4 003 03/05/10 2 003 03/02/10 2 + __________ TOTAL ORDERED 28 155.55 % 003 02/23/10 4 003 02/19/10 3 003 02/16/10 1 003 02/12/10 5 003 02/09/10 2 003 02/05/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 96 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04067 BB0732607 15 N BUFFALO GROVE RD BUFFALO GRO60089 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 003 02/02/10 4 + __________ TOTAL ORDERED 23 127.77 % 003 01/26/10 2 003 01/22/10 3 003 01/19/10 3 003 01/15/10 5 003 01/12/10 3 003 01/08/10 2 003 01/05/10 2 + __________ TOTAL ORDERED 20 111.11 % 003 12/31/09 1 003 12/28/09 6 003 12/23/09 6 003 12/18/09 3 003 12/16/09 4 003 12/11/09 3 003 12/09/09 3 003 12/04/09 3 003 12/02/09 1 + __________ TOTAL ORDERED 30 166.66 % 003 11/27/09 4 003 11/24/09 3 003 11/17/09 3 003 11/19/09 4 003 11/12/09 4 003 11/10/09 1 003 11/05/09 3 003 11/03/09 1 + __________ TOTAL ORDERED 23 127.77 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 564864 HYDROCO-APAP 7.5-325 TAB(WAT)+100 30591320301 00591320301 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 003 04/27/10 2 003 04/23/10 5 003 04/20/10 3 003 04/16/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 97 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04067 BB0732607 15 N BUFFALO GROVE RD BUFFALO GRO60089 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 564864 HYDROCO-APAP 7.5-325 TAB(WAT)+100 30591320301 00591320301 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 003 04/13/10 2 003 04/09/10 3 003 04/06/10 4 003 04/02/10 2 + __________ TOTAL ORDERED 23 109.52 % 003 03/30/10 4 003 03/26/10 1 003 03/23/10 2 003 03/19/10 2 003 03/16/10 1 003 03/12/10 4 003 03/09/10 1 003 03/05/10 8 003 03/02/10 1 + __________ TOTAL ORDERED 24 114.28 % 003 12/31/09 7 003 12/28/09 3 003 12/23/09 3 003 12/18/09 7 003 12/16/09 2 003 12/11/09 2 003 12/09/09 5 003 12/04/09 5 + __________ TOTAL ORDERED 34 161.90 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 15 3.0 45.0 0 DC DATE ORDERED QUANTITY 003 04/27/10 8 003 04/23/10 3 003 04/20/10 5 003 04/16/10 9 003 04/13/10 7 003 04/09/10 6 003 04/06/10 5 003 04/02/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 98 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04067 BB0732607 15 N BUFFALO GROVE RD BUFFALO GRO60089 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 15 3.0 45.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 48 106.66 % 003 03/30/10 5 003 03/26/10 6 003 03/23/10 4 003 03/19/10 9 003 03/16/10 2 003 03/12/10 8 003 03/09/10 3 003 03/05/10 6 003 03/02/10 12 + __________ TOTAL ORDERED 55 122.22 % 003 12/31/09 5 003 12/28/09 7 003 12/23/09 10 003 12/18/09 8 003 12/16/09 4 003 12/11/09 5 003 12/09/09 10 003 12/04/09 8 003 12/02/09 3 + __________ TOTAL ORDERED 60 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 600850 OXYCODONE 5MG CAPS (MAL) +100 30406055401 00406055401 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 12/09/09 19 013 12/08/09 6 + __________ TOTAL ORDERED 25 277.77 % 013 11/10/09 8 013 11/03/09 3 + __________ TOTAL ORDERED 11 122.22 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 99 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04067 BB0732607 15 N BUFFALO GROVE RD BUFFALO GRO60089 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 601600 AMBIEN CR 12.5MG TAB + 100 30024552131 00024552131 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 03/30/10 2 003 03/26/10 2 003 03/23/10 1 003 03/19/10 1 003 03/16/10 1 003 03/09/10 1 003 03/05/10 1 003 03/02/10 1 + __________ TOTAL ORDERED 10 111.11 % 003 12/31/09 2 003 12/28/09 2 003 12/23/09 2 003 12/18/09 1 003 12/16/09 1 003 12/11/09 1 003 12/09/09 1 003 12/04/09 1 003 12/02/09 2 + __________ TOTAL ORDERED 13 144.44 % 003 11/27/09 2 003 11/24/09 1 003 11/17/09 1 003 11/19/09 3 003 11/12/09 1 003 11/05/09 1 003 11/03/09 2 + __________ TOTAL ORDERED 11 122.22 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 603807 LYRICA 100MG CAP + 90 30071101568 00071101568 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 01/26/10 1 003 01/22/10 1 003 01/19/10 4 003 01/15/10 1 003 01/12/10 2 003 01/08/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 100 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04067 BB0732607 15 N BUFFALO GROVE RD BUFFALO GRO60089 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 603807 LYRICA 100MG CAP + 90 30071101568 00071101568 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 10 111.11 % 003 12/31/09 2 003 12/28/09 2 003 12/23/09 2 003 12/18/09 1 003 12/11/09 2 003 12/04/09 3 003 12/02/09 2 + __________ TOTAL ORDERED 14 155.55 % 003 11/27/09 4 003 11/24/09 1 003 11/17/09 1 003 11/19/09 2 003 11/12/09 1 003 11/05/09 3 + __________ TOTAL ORDERED 12 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 651942 HYDROMORPHONE 8MG TAB (MKT) + 100 30406324901 00406324901 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 03/30/10 1 013 03/23/10 6 013 03/09/10 6 013 03/02/10 5 + __________ TOTAL ORDERED 18 200.00 % 013 02/23/10 6 013 02/09/10 7 013 02/02/10 3 + __________ TOTAL ORDERED 16 177.77 % 013 01/26/10 3 013 01/12/10 7 013 01/05/10 5 + __________ TOTAL ORDERED 15 166.66 % 013 12/29/09 10 013 12/08/09 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 101 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04067 BB0732607 15 N BUFFALO GROVE RD BUFFALO GRO60089 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 651942 HYDROMORPHONE 8MG TAB (MKT) + 100 30406324901 00406324901 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 15 166.66 % 013 11/03/09 30 + __________ TOTAL ORDERED 30 333.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672806 ADDERALL XR 20MG CAPS + 100 35409238701 54092038701 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 03/30/10 2 013 03/09/10 2 013 03/02/10 3 + __________ TOTAL ORDERED 7 116.66 % 013 01/13/10 2 013 01/19/10 2 013 01/12/10 3 + __________ TOTAL ORDERED 7 116.66 % 013 12/15/09 2 013 12/08/09 3 013 12/01/09 2 + __________ TOTAL ORDERED 7 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673036 ALPRAZOLAM 1MG TAB (PPC) + 500 30228203150 00228203150 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 03/30/10 1 003 03/26/10 1 003 03/19/10 1 003 03/16/10 1 003 03/05/10 2 003 03/02/10 1 + __________ TOTAL ORDERED 7 116.66 % 003 12/28/09 1 003 12/23/09 2 003 12/18/09 1 003 12/11/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 102 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04067 BB0732607 15 N BUFFALO GROVE RD BUFFALO GRO60089 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673036 ALPRAZOLAM 1MG TAB (PPC) + 500 30228203150 00228203150 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 12/09/09 1 003 12/04/09 1 + __________ TOTAL ORDERED 7 116.66 % 003 11/27/09 1 003 11/17/09 1 003 11/19/09 1 003 11/12/09 2 003 11/10/09 2 003 11/05/09 1 + __________ TOTAL ORDERED 8 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675041 HC-IBUPRO 7.5-200 TABS (TEV)+ 100 30093516101 00093516101 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 02/23/10 2 003 02/19/10 1 003 02/16/10 1 003 02/12/10 2 003 02/09/10 2 003 02/05/10 1 003 02/02/10 1 + __________ TOTAL ORDERED 10 111.11 % 003 12/28/09 1 003 12/23/09 2 003 12/18/09 1 003 12/09/09 4 003 12/04/09 2 003 12/02/09 1 + __________ TOTAL ORDERED 11 122.22 % 003 11/27/09 3 003 11/24/09 1 003 11/17/09 3 003 11/19/09 1 003 11/12/09 3 003 11/10/09 5 003 11/05/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 103 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04067 BB0732607 15 N BUFFALO GROVE RD BUFFALO GRO60089 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675041 HC-IBUPRO 7.5-200 TABS (TEV)+ 100 30093516101 00093516101 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 17 188.88 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679658 HYDROMET SYRUP (ALP) + 473ML 30472103016 00472103016 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 04/27/10 1 003 04/20/10 1 003 04/16/10 1 003 04/09/10 2 003 04/06/10 2 003 04/02/10 1 + __________ TOTAL ORDERED 8 133.33 % 003 03/26/10 1 003 03/23/10 1 003 03/12/10 5 003 03/09/10 1 003 03/05/10 4 003 03/02/10 1 + __________ TOTAL ORDERED 13 216.66 % 003 02/23/10 1 003 02/19/10 3 003 02/16/10 2 003 02/12/10 2 003 02/05/10 2 003 02/02/10 1 + __________ TOTAL ORDERED 11 183.33 % 003 01/26/10 1 003 01/22/10 1 003 01/19/10 1 003 01/15/10 2 003 01/12/10 2 003 01/08/10 1 003 01/05/10 1 + __________ TOTAL ORDERED 9 150.00 % 003 12/31/09 1 003 12/28/09 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 104 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04067 BB0732607 15 N BUFFALO GROVE RD BUFFALO GRO60089 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679658 HYDROMET SYRUP (ALP) + 473ML 30472103016 00472103016 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 12/23/09 4 003 12/18/09 2 003 12/16/09 1 003 12/04/09 4 003 12/02/09 4 + __________ TOTAL ORDERED 20 333.33 % 003 11/27/09 5 003 11/24/09 1 003 11/17/09 2 003 11/19/09 4 003 11/12/09 1 003 11/10/09 1 003 11/05/09 3 003 11/03/09 3 + __________ TOTAL ORDERED 20 333.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 680312 MORPHINE SULF 60MG ER TAB(EN)+100 36095165570 60951065570 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 04/20/10 8 013 04/13/10 3 + __________ TOTAL ORDERED 11 122.22 % 013 03/23/10 6 013 03/02/10 7 + __________ TOTAL ORDERED 13 144.44 % 013 01/26/10 3 013 01/19/10 5 013 01/05/10 6 + __________ TOTAL ORDERED 14 155.55 % 013 11/10/09 4 013 11/03/09 6 + __________ TOTAL ORDERED 10 111.11 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 105 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04067 BB0732607 15 N BUFFALO GROVE RD BUFFALO GRO60089 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 685301 TRIAZOLAM 0.25MG TAB (GRN)+ 10X10 35976237184 59762371804 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 003 04/27/10 1 003 04/23/10 1 003 04/20/10 1 003 04/09/10 1 003 04/02/10 1 + __________ TOTAL ORDERED 5 166.66 % 003 03/30/10 1 003 03/19/10 1 003 03/16/10 1 003 03/09/10 1 003 03/05/10 1 + __________ TOTAL ORDERED 5 166.66 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04097 BB5392636 7501 GRAND AVE GURNEE IL 60031 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 553889 ANDROGEL 1% PUMP (UNI) +150GM 30051848888 00051848888 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 12/31/09 1 003 12/29/09 1 003 12/23/09 1 003 12/21/09 6 003 12/16/09 2 003 12/02/09 2 + __________ TOTAL ORDERED 13 144.44 % 003 11/30/09 3 003 11/24/09 1 003 11/20/09 3 003 11/17/09 1 003 11/10/09 2 003 11/06/09 1 003 11/03/09 1 + __________ TOTAL ORDERED 12 133.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 106 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04940 AW5301344 305 W ROLLINS RD ROUND LK BCH IL 60073 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 514718 MORPHINE SUL 30MG TAB (ROX) + 100 30054023625 00054023625 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 03/25/10 6 013 03/18/10 4 013 03/11/10 2 + __________ TOTAL ORDERED 12 133.33 % 013 02/25/10 5 013 02/18/10 2 013 02/11/10 1 013 02/04/10 2 + __________ TOTAL ORDERED 10 111.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 541895 SOMA 250MG TAB + 100 30037225010 00037225010 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 003 12/31/09 2 003 12/23/09 1 003 12/09/09 1 + __________ TOTAL ORDERED 4 133.33 % 003 11/30/09 1 003 11/24/09 1 003 11/06/09 1 003 11/03/09 1 + __________ TOTAL ORDERED 4 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 003 04/28/10 4 003 04/23/10 4 003 04/21/10 3 003 04/16/10 4 003 04/14/10 5 003 04/09/10 5 003 04/07/10 3 003 04/02/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 107 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04940 AW5301344 305 W ROLLINS RD ROUND LK BCH IL 60073 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 6 3.0 18.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 34 188.88 % 003 03/31/10 4 003 03/26/10 4 003 03/24/10 5 003 03/19/10 4 003 03/17/10 4 003 03/12/10 5 003 03/10/10 2 003 03/05/10 4 003 03/03/10 3 + __________ TOTAL ORDERED 35 194.44 % 003 02/24/10 3 003 02/19/10 7 003 02/17/10 3 003 02/12/10 4 003 02/10/10 2 003 02/05/10 5 003 02/03/10 2 + __________ TOTAL ORDERED 26 144.44 % 003 01/27/10 4 003 01/22/10 5 003 01/20/10 2 003 01/15/10 4 003 01/13/10 5 003 01/08/10 3 003 01/06/10 1 + __________ TOTAL ORDERED 24 133.33 % 003 12/31/09 9 003 12/29/09 2 003 12/23/09 5 003 12/21/09 5 003 12/16/09 4 003 12/14/09 5 003 12/09/09 2 003 12/07/09 5 003 12/02/09 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 108 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04940 AW5301344 305 W ROLLINS RD ROUND LK BCH IL 60073 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 6 3.0 18.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 41 227.77 % 003 11/30/09 3 003 11/24/09 8 003 11/20/09 3 003 11/13/09 3 003 11/17/09 3 003 11/10/09 4 003 11/06/09 3 003 11/03/09 2 + __________ TOTAL ORDERED 29 161.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 564864 HYDROCO-APAP 7.5-325 TAB(WAT)+100 30591320301 00591320301 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 003 03/31/10 1 003 03/26/10 3 003 03/24/10 2 003 03/19/10 3 003 03/12/10 4 003 03/10/10 2 003 03/05/10 6 003 03/03/10 3 + __________ TOTAL ORDERED 24 114.28 % 003 02/24/10 4 003 02/19/10 1 003 02/17/10 3 003 02/12/10 3 003 02/10/10 4 003 02/05/10 2 003 02/03/10 5 + __________ TOTAL ORDERED 22 104.76 % 003 12/31/09 5 003 12/23/09 4 003 12/21/09 2 003 12/16/09 3 003 12/14/09 3 003 12/09/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 109 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04940 AW5301344 305 W ROLLINS RD ROUND LK BCH IL 60073 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 564864 HYDROCO-APAP 7.5-325 TAB(WAT)+100 30591320301 00591320301 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 003 12/07/09 5 003 12/02/09 6 + __________ TOTAL ORDERED 30 142.85 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 607188 FOCALIN XR 5MG CAP 100 30078043005 00078043005 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 013 03/25/10 2 013 03/18/10 2 013 03/11/10 1 013 03/04/10 1 + __________ TOTAL ORDERED 6 200.00 % 013 01/28/10 2 013 01/21/10 2 + __________ TOTAL ORDERED 4 133.33 % 013 11/09/09 1 013 11/19/09 2 013 11/12/09 2 013 11/05/09 1 + __________ TOTAL ORDERED 6 200.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675041 HC-IBUPRO 7.5-200 TABS (TEV)+ 100 30093516101 00093516101 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 04/23/10 3 003 04/21/10 3 003 04/16/10 1 003 04/14/10 1 003 04/09/10 2 003 04/02/10 1 + __________ TOTAL ORDERED 11 122.22 % 003 03/26/10 3 003 03/24/10 1 003 03/19/10 1 003 03/12/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 110 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04940 AW5301344 305 W ROLLINS RD ROUND LK BCH IL 60073 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675041 HC-IBUPRO 7.5-200 TABS (TEV)+ 100 30093516101 00093516101 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 03/10/10 2 003 03/05/10 2 003 03/03/10 1 + __________ TOTAL ORDERED 11 122.22 % 003 02/19/10 3 003 02/17/10 2 003 02/12/10 2 003 02/10/10 3 003 02/05/10 2 + __________ TOTAL ORDERED 12 133.33 % 003 12/31/09 2 003 12/23/09 2 003 12/21/09 1 003 12/16/09 2 003 12/14/09 2 003 12/09/09 2 003 12/07/09 3 003 12/02/09 2 + __________ TOTAL ORDERED 16 177.77 % 003 11/30/09 1 003 11/24/09 4 003 11/20/09 3 003 11/13/09 2 003 11/17/09 1 003 11/06/09 1 003 11/03/09 1 + __________ TOTAL ORDERED 13 144.44 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 04/28/10 2 003 04/23/10 2 003 04/21/10 1 003 04/16/10 2 003 04/14/10 2 003 04/09/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 111 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04940 AW5301344 305 W ROLLINS RD ROUND LK BCH IL 60073 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 04/07/10 1 003 04/02/10 2 + __________ TOTAL ORDERED 13 144.44 % 003 03/31/10 1 003 03/26/10 1 003 03/24/10 2 003 03/19/10 2 003 03/17/10 1 003 03/12/10 1 003 03/10/10 1 003 03/05/10 2 003 03/03/10 2 + __________ TOTAL ORDERED 13 144.44 % 003 02/24/10 1 003 02/19/10 4 003 02/17/10 2 003 02/12/10 2 003 02/10/10 1 003 02/05/10 2 003 02/03/10 1 + __________ TOTAL ORDERED 13 144.44 % 003 01/27/10 2 003 01/22/10 2 003 01/20/10 1 003 01/15/10 1 003 01/13/10 3 003 01/08/10 1 003 01/06/10 1 + __________ TOTAL ORDERED 11 122.22 % 003 12/31/09 2 003 12/29/09 1 003 12/23/09 2 003 12/21/09 2 003 12/16/09 2 003 12/14/09 2 003 12/09/09 1 003 12/07/09 2 003 12/02/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 112 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04940 AW5301344 305 W ROLLINS RD ROUND LK BCH IL 60073 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 15 166.66 % 003 11/30/09 2 003 11/24/09 2 003 11/20/09 3 003 11/13/09 1 003 11/17/09 2 003 11/10/09 1 003 11/06/09 2 003 11/03/09 1 + __________ TOTAL ORDERED 14 155.55 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 676915 HYDROMORPHONE HCL 4MG (MK) + 100 30406324401 00406324401 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 013 03/25/10 17 013 03/18/10 8 013 03/04/10 14 + __________ TOTAL ORDERED 39 260.00 % 013 01/28/10 22 013 01/21/10 18 013 01/14/10 11 013 01/07/10 4 + __________ TOTAL ORDERED 55 366.66 % 013 12/24/09 24 013 12/17/09 3 013 12/10/09 11 013 12/03/09 1 + __________ TOTAL ORDERED 39 260.00 % 013 11/27/09 18 013 11/19/09 27 + __________ TOTAL ORDERED 45 300.00 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 113 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04940 AW5301344 305 W ROLLINS RD ROUND LK BCH IL 60073 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684285 OXYCONTIN 80MG TAB (PUR) 100 35901110710 59011010710 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 04/29/10 4 013 04/22/10 5 013 04/01/10 2 + __________ TOTAL ORDERED 11 122.22 % 013 03/25/10 8 013 03/18/10 1 013 03/11/10 1 + __________ TOTAL ORDERED 10 111.11 % 013 02/25/10 4 013 02/18/10 6 013 02/11/10 2 + __________ TOTAL ORDERED 12 133.33 % 013 12/24/09 6 013 12/17/09 3 013 12/03/09 1 + __________ TOTAL ORDERED 10 111.11 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05045 AW4077613 780 WAUKEGAN RD DEERFIELD IL 60015 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 507055 CONCERTA 36MG ER TAB 100 35045858601 50458058601 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 013 03/29/10 6 013 03/16/10 2 013 03/09/10 4 013 03/02/10 2 + __________ TOTAL ORDERED 14 116.66 % 013 02/23/10 5 013 02/16/10 5 013 02/09/10 3 013 02/02/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 114 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05045 AW4077613 780 WAUKEGAN RD DEERFIELD IL 60015 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 507055 CONCERTA 36MG ER TAB 100 35045858601 50458058601 4 3.0 12.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 14 116.66 % 013 01/26/10 5 013 01/19/10 3 013 01/12/10 4 013 01/05/10 1 + __________ TOTAL ORDERED 13 108.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 514230 BUTORPHANOL TART NS (APO) + 2.5ML 36050508131 60505081301 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 003 04/23/10 5 003 04/16/10 4 003 04/09/10 6 003 04/02/10 8 + __________ TOTAL ORDERED 23 191.66 % 003 03/26/10 5 003 03/19/10 3 003 03/12/10 12 + __________ TOTAL ORDERED 20 166.66 % 003 01/22/10 5 003 01/15/10 5 003 01/08/10 4 003 01/05/10 5 + __________ TOTAL ORDERED 19 158.33 % 003 12/29/09 4 003 12/22/09 4 003 12/18/09 5 003 12/15/09 5 003 12/08/09 1 003 12/01/09 6 + __________ TOTAL ORDERED 25 208.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 115 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05045 AW4077613 780 WAUKEGAN RD DEERFIELD IL 60015 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 529506 VYVANSE 60MG CAPS + 100 35941710610 59417010610 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 013 03/30/10 2 013 03/16/10 2 013 03/02/10 3 + __________ TOTAL ORDERED 7 233.33 % 013 02/16/10 2 013 02/09/10 1 013 02/02/10 3 + __________ TOTAL ORDERED 6 200.00 % 013 12/29/09 3 013 12/22/09 1 013 12/08/09 2 013 12/01/09 1 + __________ TOTAL ORDERED 7 233.33 % 013 11/24/09 2 013 11/17/09 1 013 11/10/09 1 + __________ TOTAL ORDERED 4 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 529634 VYVANSE 40MG CAPS + 100 35941710410 59417010410 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 03/30/10 3 013 03/16/10 2 013 03/09/10 4 013 03/02/10 2 + __________ TOTAL ORDERED 11 183.33 % 013 02/23/10 1 013 02/16/10 2 013 02/09/10 3 013 02/02/10 1 + __________ TOTAL ORDERED 7 116.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 116 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05045 AW4077613 780 WAUKEGAN RD DEERFIELD IL 60015 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 529635 VYVANSE 20MG CAPS + 100 35941710210 59417010210 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 013 04/20/10 3 013 04/13/10 2 + __________ TOTAL ORDERED 5 166.66 % 013 03/30/10 2 013 03/23/10 2 013 03/09/10 1 013 03/02/10 3 + __________ TOTAL ORDERED 8 266.66 % 013 02/19/10 3 013 02/23/10 1 013 02/16/10 2 013 02/09/10 1 013 02/02/10 1 + __________ TOTAL ORDERED 8 266.66 % 013 01/26/10 1 013 01/19/10 2 013 01/12/10 1 + __________ TOTAL ORDERED 4 133.33 % 013 12/29/09 1 013 12/08/09 2 013 12/01/09 2 + __________ TOTAL ORDERED 5 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539147 D-AMPHET SALT COMBO 30MG TAB +100 36472013610 64720013610 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 04/20/10 4 013 04/13/10 2 013 04/06/10 4 + __________ TOTAL ORDERED 10 111.11 % 013 03/30/10 1 013 03/23/10 1 013 03/16/10 2 013 03/09/10 2 013 03/02/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 117 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05045 AW4077613 780 WAUKEGAN RD DEERFIELD IL 60015 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539147 D-AMPHET SALT COMBO 30MG TAB +100 36472013610 64720013610 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 10 111.11 % 013 12/29/09 2 013 12/22/09 1 013 12/15/09 2 013 12/08/09 7 + __________ TOTAL ORDERED 12 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539150 D-AMPHET SALT COMBO 20MG TAB +100 36472013510 64720013510 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 04/27/10 8 013 04/20/10 5 013 04/13/10 2 013 04/06/10 6 + __________ TOTAL ORDERED 21 116.66 % 013 03/30/10 8 013 03/23/10 3 013 03/16/10 4 013 03/09/10 7 013 03/02/10 7 + __________ TOTAL ORDERED 29 161.11 % 013 02/23/10 4 013 02/16/10 5 013 02/09/10 6 013 02/02/10 4 + __________ TOTAL ORDERED 19 105.55 % 013 01/26/10 11 013 01/12/10 6 013 01/05/10 4 + __________ TOTAL ORDERED 21 116.66 % 013 12/29/09 4 013 12/22/09 8 013 12/15/09 1 013 12/08/09 9 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 118 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05045 AW4077613 780 WAUKEGAN RD DEERFIELD IL 60015 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539150 D-AMPHET SALT COMBO 20MG TAB +100 36472013510 64720013510 6 3.0 18.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 22 122.22 % 013 11/24/09 4 013 11/17/09 8 013 11/10/09 5 013 11/03/09 5 + __________ TOTAL ORDERED 22 122.22 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539151 D-AMPHET SALT COMBO 10MG TAB +100 36472013210 64720013210 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 013 04/27/10 5 013 04/20/10 4 013 04/13/10 6 013 04/06/10 3 + __________ TOTAL ORDERED 18 120.00 % 013 03/30/10 7 013 03/23/10 4 013 03/16/10 4 013 03/09/10 7 013 03/02/10 4 + __________ TOTAL ORDERED 26 173.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 550610 DEXMETHYLPHENIDATE 5MG TAB + 100 30093527601 00093527601 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 013 03/23/10 2 013 03/16/10 3 013 03/09/10 1 + __________ TOTAL ORDERED 6 200.00 % 013 01/19/10 2 013 01/05/10 3 + __________ TOTAL ORDERED 5 166.66 % 013 11/03/09 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 119 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05045 AW4077613 780 WAUKEGAN RD DEERFIELD IL 60015 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 550610 DEXMETHYLPHENIDATE 5MG TAB + 100 30093527601 00093527601 1 3.0 3.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 4 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 551685 VYVANSE 70MG CAPS + 100 35941710710 59417010710 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 04/27/10 4 013 04/13/10 4 013 04/06/10 1 + __________ TOTAL ORDERED 9 150.00 % 013 03/30/10 2 013 03/16/10 2 013 03/09/10 3 013 03/02/10 2 + __________ TOTAL ORDERED 9 150.00 % 013 12/29/09 2 013 12/22/09 2 013 12/15/09 2 013 12/08/09 3 013 12/01/09 2 + __________ TOTAL ORDERED 11 183.33 % 013 11/24/09 2 013 11/17/09 2 013 11/10/09 2 013 11/03/09 1 + __________ TOTAL ORDERED 7 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 551686 VYVANSE 50MG CAPS + 100 35941710510 59417010510 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 03/29/10 2 013 03/16/10 3 013 03/02/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 120 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05045 AW4077613 780 WAUKEGAN RD DEERFIELD IL 60015 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 551686 VYVANSE 50MG CAPS + 100 35941710510 59417010510 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 7 116.66 % 013 02/23/10 2 013 02/16/10 1 013 02/09/10 5 013 02/02/10 2 + __________ TOTAL ORDERED 10 166.66 % 013 01/26/10 1 013 01/19/10 3 013 01/12/10 4 + __________ TOTAL ORDERED 8 133.33 % 013 12/22/09 2 013 12/15/09 3 013 12/08/09 3 013 12/01/09 1 + __________ TOTAL ORDERED 9 150.00 % 013 11/24/09 2 013 11/17/09 2 013 11/10/09 3 013 11/03/09 1 + __________ TOTAL ORDERED 8 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 551687 VYVANSE 30MG CAPS (SHI) 100 35941710310 59417010310 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 04/27/10 4 013 04/20/10 4 013 04/13/10 1 013 04/06/10 1 + __________ TOTAL ORDERED 10 166.66 % 013 03/29/10 2 013 03/30/10 3 013 03/16/10 1 013 03/09/10 3 013 03/02/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 121 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05045 AW4077613 780 WAUKEGAN RD DEERFIELD IL 60015 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 551687 VYVANSE 30MG CAPS (SHI) 100 35941710310 59417010310 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 12 200.00 % 013 02/23/10 2 013 02/09/10 4 013 02/02/10 2 + __________ TOTAL ORDERED 8 133.33 % 013 01/26/10 3 013 01/19/10 3 013 01/12/10 4 + __________ TOTAL ORDERED 10 166.66 % 013 12/29/09 5 013 12/22/09 1 013 12/15/09 4 013 12/08/09 3 013 12/01/09 3 + __________ TOTAL ORDERED 16 266.66 % 013 11/24/09 1 013 11/17/09 2 013 11/10/09 2 013 11/03/09 2 + __________ TOTAL ORDERED 7 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 553698 ZOLPIDEM 5MG TABS (TEV) + 100 30093007301 00093007301 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 003 03/30/10 1 003 03/26/10 2 003 03/23/10 1 003 03/19/10 2 003 03/16/10 2 003 03/12/10 3 003 03/09/10 2 003 03/05/10 2 003 03/02/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 122 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05045 AW4077613 780 WAUKEGAN RD DEERFIELD IL 60015 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 553698 ZOLPIDEM 5MG TABS (TEV) + 100 30093007301 00093007301 4 3.0 12.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 16 133.33 % 003 01/26/10 1 003 01/22/10 3 003 01/15/10 3 003 01/12/10 1 003 01/08/10 4 003 01/05/10 1 + __________ TOTAL ORDERED 13 108.33 % 003 12/29/09 3 003 12/22/09 5 003 12/18/09 2 003 12/15/09 4 003 12/11/09 2 003 12/08/09 2 003 12/04/09 3 003 12/01/09 2 + __________ TOTAL ORDERED 23 191.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 553889 ANDROGEL 1% PUMP (UNI) +150GM 30051848888 00051848888 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 03/30/10 2 003 03/23/10 4 003 03/19/10 1 003 03/12/10 1 003 03/09/10 2 + __________ TOTAL ORDERED 10 111.11 % 003 02/23/10 3 003 02/19/10 2 003 02/16/10 3 003 02/12/10 1 003 02/09/10 3 + __________ TOTAL ORDERED 12 133.33 % 003 12/29/09 1 003 12/22/09 3 003 12/08/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 123 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05045 AW4077613 780 WAUKEGAN RD DEERFIELD IL 60015 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 553889 ANDROGEL 1% PUMP (UNI) +150GM 30051848888 00051848888 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 12/04/09 4 003 12/01/09 1 + __________ TOTAL ORDERED 10 111.11 % 003 11/27/09 3 003 11/24/09 2 003 11/13/09 2 003 11/17/09 2 003 11/10/09 2 003 11/06/09 3 + __________ TOTAL ORDERED 14 155.55 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 601600 AMBIEN CR 12.5MG TAB + 100 30024552131 00024552131 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 03/30/10 1 003 03/26/10 1 003 03/23/10 2 003 03/16/10 1 003 03/12/10 1 003 03/09/10 1 003 03/05/10 1 003 03/02/10 2 + __________ TOTAL ORDERED 10 111.11 % 003 12/29/09 4 003 12/22/09 3 003 12/18/09 3 003 12/11/09 2 003 12/08/09 1 003 12/04/09 3 003 12/01/09 2 + __________ TOTAL ORDERED 18 200.00 % 003 11/27/09 1 003 11/24/09 3 003 11/20/09 1 003 11/13/09 1 003 11/17/09 2 003 11/10/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 124 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05045 AW4077613 780 WAUKEGAN RD DEERFIELD IL 60015 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 601600 AMBIEN CR 12.5MG TAB + 100 30024552131 00024552131 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 11/06/09 1 003 11/03/09 3 + __________ TOTAL ORDERED 13 144.44 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 601601 AMBIEN CR 6.25MG TAB + 100 30024550131 00024550131 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 003 03/26/10 2 003 03/12/10 1 003 03/02/10 1 + __________ TOTAL ORDERED 4 133.33 % 003 02/23/10 1 003 02/05/10 1 003 02/02/10 2 + __________ TOTAL ORDERED 4 133.33 % 003 11/20/09 1 003 11/13/09 2 003 11/10/09 1 + __________ TOTAL ORDERED 4 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 607146 FOCALIN XR 20MG CAPS 100 30078043205 00078043205 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 02/23/10 2 013 02/16/10 3 013 02/09/10 1 013 02/02/10 2 + __________ TOTAL ORDERED 8 133.33 % 013 12/29/09 2 013 12/15/09 2 013 12/08/09 2 013 12/01/09 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 125 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05045 AW4077613 780 WAUKEGAN RD DEERFIELD IL 60015 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 607146 FOCALIN XR 20MG CAPS 100 30078043205 00078043205 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 9 150.00 % 013 11/24/09 3 013 11/17/09 1 013 11/10/09 1 013 11/03/09 2 + __________ TOTAL ORDERED 7 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 654368 LUNESTA 2MG TAB (SEP) + 100 36340219110 63402019110 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 003 03/30/10 1 003 03/26/10 1 003 03/23/10 1 003 03/09/10 1 003 03/05/10 1 + __________ TOTAL ORDERED 5 166.66 % 003 12/29/09 1 003 12/22/09 2 003 12/18/09 1 003 12/08/09 1 + __________ TOTAL ORDERED 5 166.66 % 003 11/27/09 2 003 11/10/09 1 003 11/06/09 1 + __________ TOTAL ORDERED 4 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672795 ADDERALL XR 25MG CAPS + 100 35409238901 54092038901 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 013 03/16/10 1 013 03/09/10 1 013 03/02/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 126 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05045 AW4077613 780 WAUKEGAN RD DEERFIELD IL 60015 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672795 ADDERALL XR 25MG CAPS + 100 35409238901 54092038901 1 3.0 3.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 4 133.33 % 013 02/01/10 3 013 02/16/10 1 + __________ TOTAL ORDERED 4 133.33 % 013 12/29/09 2 013 12/22/09 2 013 12/15/09 2 + __________ TOTAL ORDERED 6 200.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672805 ADDERALL XR 30MG CAPS + 100 35409239101 54092039101 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 01/26/10 3 013 01/19/10 1 013 01/12/10 3 + __________ TOTAL ORDERED 7 116.66 % 013 12/29/09 1 013 12/22/09 2 013 12/08/09 3 013 12/01/09 2 + __________ TOTAL ORDERED 8 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672806 ADDERALL XR 20MG CAPS + 100 35409238701 54092038701 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 03/29/10 5 013 03/16/10 1 013 03/09/10 1 013 03/02/10 1 + __________ TOTAL ORDERED 8 133.33 % 013 02/08/10 10 013 02/01/10 5 013 02/23/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 127 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05045 AW4077613 780 WAUKEGAN RD DEERFIELD IL 60015 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672806 ADDERALL XR 20MG CAPS + 100 35409238701 54092038701 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 16 266.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673028 AMBIEN 10MG TAB (SNF) 100 30024542131 00024542131 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 003 03/26/10 2 003 03/09/10 1 003 03/05/10 1 + __________ TOTAL ORDERED 4 133.33 % 003 12/22/09 2 003 12/15/09 1 003 12/08/09 2 003 12/04/09 1 003 12/01/09 1 + __________ TOTAL ORDERED 7 233.33 % 003 11/13/09 2 003 11/17/09 1 003 11/06/09 1 + __________ TOTAL ORDERED 4 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675041 HC-IBUPRO 7.5-200 TABS (TEV)+ 100 30093516101 00093516101 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 04/27/10 5 003 04/23/10 2 003 04/16/10 1 003 04/13/10 1 003 04/02/10 1 + __________ TOTAL ORDERED 10 111.11 % 003 12/29/09 4 003 12/22/09 2 003 12/18/09 1 003 12/11/09 1 003 12/08/09 3 003 12/04/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 128 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05045 AW4077613 780 WAUKEGAN RD DEERFIELD IL 60015 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675041 HC-IBUPRO 7.5-200 TABS (TEV)+ 100 30093516101 00093516101 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 13 144.44 % 003 11/27/09 2 003 11/24/09 1 003 11/13/09 4 003 11/10/09 2 003 11/06/09 2 + __________ TOTAL ORDERED 11 122.22 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675738 METHYLPHENIDATE 5MG TAB (WAT)+100 30591588201 00591588201 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 12/29/09 5 013 12/08/09 2 013 12/01/09 3 + __________ TOTAL ORDERED 10 111.11 % 013 11/17/09 2 013 11/10/09 5 013 11/03/09 3 + __________ TOTAL ORDERED 10 111.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682600 PROVIGIL 200MG TAB + 100 36345920101 63459020101 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 04/27/10 1 003 04/23/10 2 003 04/20/10 1 003 04/16/10 1 003 04/13/10 1 003 04/02/10 1 + __________ TOTAL ORDERED 7 116.66 % 003 03/30/10 1 003 03/26/10 1 003 03/19/10 1 003 03/16/10 2 003 03/12/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 129 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05045 AW4077613 780 WAUKEGAN RD DEERFIELD IL 60015 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682600 PROVIGIL 200MG TAB + 100 36345920101 63459020101 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 03/05/10 1 003 03/02/10 1 + __________ TOTAL ORDERED 8 133.33 % 003 11/27/09 2 003 11/24/09 1 003 11/13/09 1 003 11/17/09 1 003 11/10/09 1 003 11/06/09 1 + __________ TOTAL ORDERED 7 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684342 TEMAZEPAM 30MG CAPSULES + 100 30781220201 00781220201 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 03/26/10 1 003 03/19/10 1 003 03/16/10 2 003 03/12/10 1 003 03/05/10 1 003 03/02/10 1 + __________ TOTAL ORDERED 7 116.66 % 003 01/26/10 1 003 01/22/10 2 003 01/19/10 2 003 01/08/10 2 003 01/05/10 1 + __________ TOTAL ORDERED 8 133.33 % 003 12/22/09 2 003 12/18/09 1 003 12/15/09 1 003 12/08/09 1 003 12/04/09 1 003 12/01/09 1 + __________ TOTAL ORDERED 7 116.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 130 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05056 BB7554098 4830 GRAND AVE GURNEE IL 60031 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684556 VICODIN 5/500 TAB (ABB) + 100NP 30074194914 00074194914 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 003 04/20/10 2 003 04/13/10 1 003 04/02/10 2 + __________ TOTAL ORDERED 5 166.66 % 003 03/26/10 1 003 03/19/10 1 003 03/16/10 2 003 03/09/10 1 + __________ TOTAL ORDERED 5 166.66 % 003 02/23/10 2 003 02/12/10 1 003 02/09/10 1 003 02/02/10 2 + __________ TOTAL ORDERED 6 200.00 % 003 01/26/10 1 003 01/12/10 1 003 01/08/10 1 003 01/05/10 1 + __________ TOTAL ORDERED 4 133.33 % 003 12/23/09 1 003 12/18/09 1 003 12/16/09 1 003 12/04/09 1 003 12/02/09 1 + __________ TOTAL ORDERED 5 166.66 % 003 11/27/09 2 003 11/10/09 1 003 11/05/09 2 + __________ TOTAL ORDERED 5 166.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 131 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05108 BB6456912 305 E GRAND AVE LAKE VILLA IL 60046 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 514230 BUTORPHANOL TART NS (APO) + 2.5ML 36050508131 60505081301 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 003 04/28/10 4 003 04/26/10 2 003 04/21/10 8 003 04/19/10 1 003 04/14/10 3 003 04/12/10 10 003 04/07/10 2 003 04/05/10 3 + __________ TOTAL ORDERED 33 275.00 % 003 03/31/10 4 003 03/24/10 3 003 03/22/10 2 003 03/17/10 3 003 03/15/10 5 003 03/10/10 8 003 03/08/10 3 003 03/03/10 2 003 03/01/10 4 + __________ TOTAL ORDERED 34 283.33 % 003 02/24/10 3 003 02/17/10 8 003 02/15/10 6 003 02/10/10 2 003 02/08/10 5 003 02/01/10 3 + __________ TOTAL ORDERED 27 225.00 % 003 12/29/09 6 003 12/21/09 7 003 12/14/09 4 003 12/07/09 6 003 12/03/09 4 + __________ TOTAL ORDERED 27 225.00 % 003 11/30/09 2 003 11/20/09 6 003 11/13/09 5 003 11/18/09 2 003 11/06/09 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 132 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05108 BB6456912 305 E GRAND AVE LAKE VILLA IL 60046 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 514230 BUTORPHANOL TART NS (APO) + 2.5ML 36050508131 60505081301 4 3.0 12.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 19 158.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05258 BB6834926 1470 S MILWAUKEE LIBERTYVILLE IL 60048 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675801 DEXTROAMPHETAMINE 10MG TB(BAR)100 30555095302 00555095302 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 12/23/09 6 013 12/16/09 3 + __________ TOTAL ORDERED 9 150.00 % 013 11/18/09 6 013 11/04/09 5 + __________ TOTAL ORDERED 11 183.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 676915 HYDROMORPHONE HCL 4MG (MK) + 100 30406324401 00406324401 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 013 04/21/10 12 013 04/14/10 1 013 04/07/10 4 + __________ TOTAL ORDERED 17 113.33 % 013 03/31/10 4 013 03/24/10 6 013 03/17/10 4 013 03/03/10 4 + __________ TOTAL ORDERED 18 120.00 % 013 12/30/09 3 013 12/23/09 1 013 12/16/09 5 013 12/09/09 4 013 12/02/09 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 133 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05258 BB6834926 1470 S MILWAUKEE LIBERTYVILLE IL 60048 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 676915 HYDROMORPHONE HCL 4MG (MK) + 100 30406324401 00406324401 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 16 106.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679658 HYDROMET SYRUP (ALP) + 473ML 30472103016 00472103016 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 01/28/10 2 003 01/21/10 1 003 01/14/10 2 003 01/07/10 2 + __________ TOTAL ORDERED 7 116.66 % 003 12/30/09 1 003 12/22/09 1 003 12/18/09 4 003 12/15/09 1 003 12/11/09 1 003 12/08/09 1 003 12/04/09 1 + __________ TOTAL ORDERED 10 166.66 % 003 11/27/09 1 003 11/23/09 1 003 11/16/09 1 003 11/19/09 2 003 11/12/09 3 003 11/09/09 1 003 11/05/09 1 + __________ TOTAL ORDERED 10 166.66 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05543 BB8319419 320 WAUKEGAN AVE HIGHWOOD IL 60040 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679658 HYDROMET SYRUP (ALP) + 473ML 30472103016 00472103016 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 04/21/10 3 003 04/19/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 134 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05543 BB8319419 320 WAUKEGAN AVE HIGHWOOD IL 60040 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679658 HYDROMET SYRUP (ALP) + 473ML 30472103016 00472103016 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 04/14/10 1 003 04/07/10 3 + __________ TOTAL ORDERED 10 166.66 % 003 03/31/10 1 003 03/29/10 3 003 03/24/10 1 003 03/15/10 2 003 03/10/10 2 + __________ TOTAL ORDERED 9 150.00 % 003 02/24/10 2 003 02/22/10 1 003 02/17/10 2 003 02/10/10 1 003 02/08/10 2 003 02/03/10 2 + __________ TOTAL ORDERED 10 166.66 % 003 01/20/10 2 003 01/18/10 1 003 01/13/10 1 003 01/06/10 2 003 01/04/10 2 + __________ TOTAL ORDERED 8 133.33 % 003 12/29/09 5 003 12/10/09 1 003 12/07/09 2 + __________ TOTAL ORDERED 8 133.33 % 003 11/25/09 5 003 11/06/09 5 003 11/04/09 3 + __________ TOTAL ORDERED 13 216.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 135 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05683 AW9241869 1403 WAUKEGAN RD GLENVIEW IL 60025 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 552568 SUBOXONE 2-0.5MG SL TAB (REC)+30 31249612832 12496128302 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 003 03/31/10 1 003 03/29/10 2 003 03/24/10 4 003 03/22/10 7 003 03/17/10 2 003 03/15/10 2 003 03/03/10 2 + __________ TOTAL ORDERED 20 133.33 % 003 02/24/10 4 003 02/22/10 7 003 02/10/10 5 003 02/03/10 2 003 02/01/10 5 + __________ TOTAL ORDERED 23 153.33 % 003 01/27/10 1 003 01/25/10 8 003 01/20/10 2 003 01/13/10 6 + __________ TOTAL ORDERED 17 113.33 % 003 12/29/09 4 003 12/24/09 11 003 12/17/09 1 003 12/14/09 5 003 12/07/09 4 + __________ TOTAL ORDERED 25 166.66 % 003 11/30/09 1 003 11/25/09 5 003 11/20/09 6 003 11/18/09 8 + __________ TOTAL ORDERED 20 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 601600 AMBIEN CR 12.5MG TAB + 100 30024552131 00024552131 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 04/28/10 2 003 04/26/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 136 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05683 AW9241869 1403 WAUKEGAN RD GLENVIEW IL 60025 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 601600 AMBIEN CR 12.5MG TAB + 100 30024552131 00024552131 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 04/21/10 2 003 04/14/10 1 003 04/12/10 3 003 04/07/10 1 + __________ TOTAL ORDERED 11 122.22 % 003 03/31/10 2 003 03/29/10 2 003 03/24/10 1 003 03/22/10 2 003 03/17/10 1 003 03/15/10 1 003 03/10/10 1 003 03/08/10 1 003 03/03/10 1 003 03/01/10 2 + __________ TOTAL ORDERED 14 155.55 % 003 02/24/10 2 003 02/17/10 1 003 02/15/10 2 003 02/10/10 2 003 02/08/10 3 003 02/03/10 1 003 02/01/10 1 + __________ TOTAL ORDERED 12 133.33 % 003 01/27/10 2 003 01/25/10 1 003 01/18/10 3 003 01/13/10 1 003 01/11/10 2 003 01/06/10 1 003 01/04/10 1 + __________ TOTAL ORDERED 11 122.22 % 003 12/29/09 3 003 12/24/09 1 003 12/21/09 2 003 12/17/09 1 003 12/14/09 1 003 12/10/09 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 137 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05683 AW9241869 1403 WAUKEGAN RD GLENVIEW IL 60025 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 601600 AMBIEN CR 12.5MG TAB + 100 30024552131 00024552131 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 12 133.33 % 003 11/30/09 1 003 11/25/09 1 003 11/20/09 2 003 11/13/09 2 003 11/11/09 2 003 11/06/09 2 003 11/04/09 1 + __________ TOTAL ORDERED 11 122.22 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672806 ADDERALL XR 20MG CAPS + 100 35409238701 54092038701 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 03/25/10 4 013 03/18/10 4 013 03/11/10 2 013 03/04/10 4 + __________ TOTAL ORDERED 14 233.33 % 013 02/25/10 2 013 02/18/10 3 013 02/11/10 2 013 02/04/10 1 + __________ TOTAL ORDERED 8 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 676915 HYDROMORPHONE HCL 4MG (MK) + 100 30406324401 00406324401 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 013 04/29/10 13 013 04/22/10 6 013 04/01/10 11 + __________ TOTAL ORDERED 30 200.00 % 013 03/25/10 8 013 03/18/10 2 013 03/11/10 10 013 03/04/10 9 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 138 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05683 AW9241869 1403 WAUKEGAN RD GLENVIEW IL 60025 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 676915 HYDROMORPHONE HCL 4MG (MK) + 100 30406324401 00406324401 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 29 193.33 % 013 02/25/10 6 013 02/18/10 5 013 02/11/10 10 013 02/04/10 7 + __________ TOTAL ORDERED 28 186.66 % 013 01/28/10 1 013 01/14/10 16 013 01/07/10 8 + __________ TOTAL ORDERED 25 166.66 % 013 12/31/09 2 013 12/24/09 15 013 12/03/09 12 + __________ TOTAL ORDERED 29 193.33 % 013 11/19/09 19 + __________ TOTAL ORDERED 19 126.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679658 HYDROMET SYRUP (ALP) + 473ML 30472103016 00472103016 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 03/31/10 1 003 03/24/10 2 003 03/17/10 2 003 03/10/10 1 003 03/03/10 2 003 03/01/10 2 + __________ TOTAL ORDERED 10 166.66 % 003 01/20/10 1 003 01/18/10 1 003 01/13/10 3 003 01/11/10 2 003 01/06/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 139 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05683 AW9241869 1403 WAUKEGAN RD GLENVIEW IL 60025 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679658 HYDROMET SYRUP (ALP) + 473ML 30472103016 00472103016 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 8 133.33 % 003 12/29/09 1 003 12/24/09 2 003 12/21/09 3 003 12/14/09 2 003 12/10/09 1 003 12/07/09 1 003 12/03/09 1 + __________ TOTAL ORDERED 11 183.33 % 003 11/25/09 3 003 11/13/09 2 003 11/18/09 1 003 11/06/09 4 003 11/04/09 4 + __________ TOTAL ORDERED 14 233.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05829 BB2400947 2300 SHERIDAN RD ZION IL 60099 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 532538 MORPHINE SULF 20MG/ML (LAN)+ 30ML 30527142536 00527142536 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 04/27/10 6 013 04/20/10 5 013 04/13/10 3 013 04/06/10 11 + __________ TOTAL ORDERED 25 277.77 % 013 03/30/10 10 + __________ TOTAL ORDERED 10 111.11 % 013 02/23/10 5 013 02/09/10 3 013 02/02/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 140 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05829 BB2400947 2300 SHERIDAN RD ZION IL 60099 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 532538 MORPHINE SULF 20MG/ML (LAN)+ 30ML 30527142536 00527142536 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 12 133.33 % 013 01/26/10 11 013 01/19/10 2 013 01/12/10 1 013 01/05/10 5 + __________ TOTAL ORDERED 19 211.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 04/29/10 1 003 04/26/10 2 003 04/19/10 3 003 04/15/10 2 003 04/12/10 2 003 04/08/10 1 003 04/05/10 2 003 04/01/10 2 + __________ TOTAL ORDERED 15 166.66 % 003 03/29/10 1 003 03/25/10 2 003 03/22/10 2 003 03/15/10 2 003 03/11/10 1 003 03/08/10 2 003 03/04/10 2 003 03/01/10 1 + __________ TOTAL ORDERED 13 144.44 % 003 02/25/10 2 003 02/22/10 1 003 02/18/10 1 003 02/15/10 2 003 02/11/10 1 003 02/08/10 3 003 02/01/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 141 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05829 BB2400947 2300 SHERIDAN RD ZION IL 60099 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 11 122.22 % 003 01/28/10 2 003 01/25/10 1 003 01/21/10 1 003 01/18/10 2 003 01/14/10 1 003 01/11/10 2 003 01/07/10 1 003 01/04/10 2 + __________ TOTAL ORDERED 12 133.33 % 003 12/30/09 1 003 12/24/09 2 003 12/22/09 1 003 12/17/09 2 003 12/15/09 1 003 12/10/09 3 003 12/08/09 2 003 12/03/09 3 + __________ TOTAL ORDERED 15 166.66 % 003 11/25/09 2 003 11/23/09 3 003 11/16/09 2 003 11/18/09 1 003 11/11/09 2 003 11/09/09 1 003 11/04/09 2 003 11/02/09 1 + __________ TOTAL ORDERED 14 155.55 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 142 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06819 FW0572380 12700 W ROCKLAND DR LK BLUFF IL 60044 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684556 VICODIN 5/500 TAB (ABB) + 100NP 30074194914 00074194914 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 003 03/31/10 1 003 03/22/10 2 003 03/15/10 1 003 03/01/10 2 + __________ TOTAL ORDERED 6 200.00 % 003 02/24/10 1 003 02/17/10 1 003 02/10/10 1 003 02/03/10 2 003 02/01/10 1 + __________ TOTAL ORDERED 6 200.00 % 003 12/24/09 1 003 12/21/09 1 003 12/14/09 1 003 12/10/09 1 + __________ TOTAL ORDERED 4 133.33 % 003 11/30/09 2 003 11/20/09 1 003 11/18/09 1 + __________ TOTAL ORDERED 4 133.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 12584 AW3883522 1050 WAUKEGAN RD NORTHBOOK IL 60062 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 553698 ZOLPIDEM 5MG TABS (TEV) + 100 30093007301 00093007301 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 003 01/28/10 5 003 01/26/10 1 003 01/21/10 2 003 01/14/10 3 003 01/07/10 2 + __________ TOTAL ORDERED 13 108.33 % 003 12/30/09 3 003 12/22/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 143 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 12584 AW3883522 1050 WAUKEGAN RD NORTHBOOK IL 60062 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 553698 ZOLPIDEM 5MG TABS (TEV) + 100 30093007301 00093007301 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 003 12/18/09 2 003 12/15/09 1 003 12/11/09 2 003 12/08/09 2 003 12/04/09 2 + __________ TOTAL ORDERED 13 108.33 % 0 SALES DISTRICT 006 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 12777 BW3737686 4365 LK MICHIGAN DR NW WALKER MI 49544 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 497513 D-AMPHET SALT COM XR+30MG CAP 100 30555078902 00555078902 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 04/26/10 4 013 04/19/10 5 013 04/12/10 1 013 04/05/10 2 + __________ TOTAL ORDERED 12 133.33 % 013 03/29/10 5 013 03/22/10 9 013 03/15/10 6 013 03/08/10 4 013 03/01/10 6 + __________ TOTAL ORDERED 30 333.33 % 013 02/22/10 3 013 02/15/10 3 013 02/08/10 2 013 02/01/10 2 + __________ TOTAL ORDERED 10 111.11 % 013 01/25/10 1 013 01/11/10 6 013 01/07/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 144 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 006 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 12777 BW3737686 4365 LK MICHIGAN DR NW WALKER MI 49544 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 497513 D-AMPHET SALT COM XR+30MG CAP 100 30555078902 00555078902 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 12 133.33 % 013 12/24/09 2 013 12/17/09 3 013 12/10/09 3 013 12/03/09 4 + __________ TOTAL ORDERED 12 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 497514 D-AMPHET SALT COM XR+20MG CAP 100 30555078802 00555078802 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 013 04/26/10 8 013 04/19/10 4 013 04/12/10 1 013 04/05/10 4 + __________ TOTAL ORDERED 17 141.66 % 013 03/29/10 4 013 03/22/10 2 013 03/15/10 6 013 03/08/10 5 013 03/01/10 5 + __________ TOTAL ORDERED 22 183.33 % 013 02/22/10 5 013 02/15/10 3 013 02/08/10 3 013 02/01/10 4 + __________ TOTAL ORDERED 15 125.00 % 013 01/25/10 5 013 01/18/10 4 013 01/11/10 6 013 01/07/10 1 + __________ TOTAL ORDERED 16 133.33 % 013 12/24/09 8 013 12/17/09 7 013 12/10/09 8 013 12/03/09 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 145 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 006 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 12777 BW3737686 4365 LK MICHIGAN DR NW WALKER MI 49544 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 497514 D-AMPHET SALT COM XR+20MG CAP 100 30555078802 00555078802 4 3.0 12.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 28 233.33 % 013 11/18/09 6 013 11/25/09 1 013 11/18/09 10 013 11/11/09 1 013 11/04/09 2 + __________ TOTAL ORDERED 20 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672737 D-AMPHET SALT COMBO 15MG TAB 100 30555077702 00555077702 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 03/29/10 5 013 03/01/10 2 + __________ TOTAL ORDERED 7 116.66 % 013 02/22/10 1 013 02/15/10 3 013 02/08/10 6 + __________ TOTAL ORDERED 10 166.66 % 0 SALES DISTRICT 007 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 01504 BB0200698 10639 S CICERO OAKLAWN IL 60453 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675601 DIAZEPAM 5MG/5ML SOL (ROX)+ 500ML 30054318863 00054318863 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 003 04/06/10 4 + __________ TOTAL ORDERED 4 133.33 % 003 01/08/10 4 + __________ TOTAL ORDERED 4 133.33 % 003 11/03/09 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 146 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 007 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 01504 BB0200698 10639 S CICERO OAKLAWN IL 60453 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675601 DIAZEPAM 5MG/5ML SOL (ROX)+ 500ML 30054318863 00054318863 1 3.0 3.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 4 133.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03710 AW1033923 15575 127TH ST LEMONT IL 60439 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 003 04/28/10 4 003 04/26/10 2 003 04/21/10 4 003 04/19/10 1 003 04/14/10 2 003 04/12/10 4 003 04/07/10 2 003 04/05/10 2 + __________ TOTAL ORDERED 21 116.66 % 003 03/31/10 3 003 03/29/10 2 003 03/24/10 4 003 03/22/10 3 003 03/17/10 3 003 03/15/10 1 003 03/10/10 2 003 03/08/10 4 003 03/03/10 4 003 03/01/10 2 + __________ TOTAL ORDERED 28 155.55 % 003 02/24/10 2 003 02/22/10 5 003 02/17/10 3 003 02/15/10 2 003 02/10/10 3 003 02/08/10 4 003 02/03/10 2 003 02/01/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 147 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 007 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03710 AW1033923 15575 127TH ST LEMONT IL 60439 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 6 3.0 18.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 23 127.77 % 003 01/27/10 3 003 01/25/10 3 003 01/20/10 3 003 01/18/10 2 003 01/13/10 3 003 01/11/10 5 003 01/06/10 1 003 01/04/10 3 + __________ TOTAL ORDERED 23 127.77 % 003 12/29/09 4 003 12/24/09 1 003 12/21/09 3 003 12/17/09 3 003 12/14/09 2 003 12/10/09 4 003 12/07/09 3 003 12/03/09 4 + __________ TOTAL ORDERED 24 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675041 HC-IBUPRO 7.5-200 TABS (TEV)+ 100 30093516101 00093516101 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 04/28/10 2 003 04/26/10 3 003 04/21/10 1 003 04/14/10 2 003 04/12/10 2 003 04/05/10 8 + __________ TOTAL ORDERED 18 200.00 % 003 03/24/10 1 003 03/17/10 1 003 03/10/10 6 003 03/08/10 3 003 03/03/10 1 003 03/01/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 148 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 007 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03710 AW1033923 15575 127TH ST LEMONT IL 60439 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675041 HC-IBUPRO 7.5-200 TABS (TEV)+ 100 30093516101 00093516101 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 13 144.44 % 003 01/20/10 8 003 01/18/10 3 003 01/13/10 2 003 01/06/10 1 + __________ TOTAL ORDERED 14 155.55 % 003 12/29/09 5 003 12/24/09 1 003 12/21/09 3 003 12/10/09 1 + __________ TOTAL ORDERED 10 111.11 % 003 11/30/09 2 003 11/25/09 1 003 11/20/09 3 003 11/13/09 2 003 11/18/09 3 003 11/06/09 2 + __________ TOTAL ORDERED 13 144.44 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04148 BB5641394 7960 W 159TH ST ORLAND PARK IL 60462 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 532538 MORPHINE SULF 20MG/ML (LAN)+ 30ML 30527142536 00527142536 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 04/26/10 6 013 04/19/10 2 013 04/12/10 8 013 04/05/10 1 + __________ TOTAL ORDERED 17 188.88 % 013 03/29/10 7 013 03/22/10 10 013 03/15/10 1 013 03/01/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 149 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 007 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04148 BB5641394 7960 W 159TH ST ORLAND PARK IL 60462 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 532538 MORPHINE SULF 20MG/ML (LAN)+ 30ML 30527142536 00527142536 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 20 222.22 % 013 02/22/10 6 013 02/01/10 4 + __________ TOTAL ORDERED 10 111.11 % 013 01/25/10 14 013 01/11/10 2 013 01/07/10 18 + __________ TOTAL ORDERED 34 377.77 % 013 11/11/09 2 013 11/04/09 8 + __________ TOTAL ORDERED 10 111.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544540 FENTANYL 100MCG/HR TS (WAT) + 5 30591321472 00591321472 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 04/26/10 6 013 04/19/10 12 013 04/12/10 5 013 04/05/10 11 + __________ TOTAL ORDERED 34 188.88 % 013 03/29/10 5 013 03/22/10 8 013 03/15/10 4 013 03/08/10 8 + __________ TOTAL ORDERED 25 138.88 % 013 02/22/10 7 013 02/15/10 6 013 02/08/10 3 013 02/01/10 11 + __________ TOTAL ORDERED 27 150.00 % 013 01/25/10 6 013 01/18/10 5 013 01/11/10 5 013 01/07/10 9 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 150 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 007 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04148 BB5641394 7960 W 159TH ST ORLAND PARK IL 60462 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544540 FENTANYL 100MCG/HR TS (WAT) + 5 30591321472 00591321472 6 3.0 18.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 25 138.88 % 013 12/24/09 14 013 12/17/09 5 013 12/10/09 4 013 12/03/09 7 + __________ TOTAL ORDERED 30 166.66 % 013 11/25/09 9 013 11/18/09 6 013 11/11/09 6 013 11/04/09 7 + __________ TOTAL ORDERED 28 155.55 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 564864 HYDROCO-APAP 7.5-325 TAB(WAT)+100 30591320301 00591320301 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 011 04/29/10 5 011 04/22/10 3 011 04/20/10 3 011 04/15/10 3 011 04/08/10 5 011 04/06/10 2 011 04/01/10 5 + __________ TOTAL ORDERED 26 108.33 % 011 01/28/10 9 011 01/26/10 2 011 01/21/10 3 011 01/19/10 3 011 01/14/10 4 011 01/12/10 1 011 01/07/10 6 011 01/05/10 4 + __________ TOTAL ORDERED 32 133.33 % 011 12/30/09 6 011 12/28/09 1 011 12/22/09 4 011 12/18/09 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 151 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 007 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04148 BB5641394 7960 W 159TH ST ORLAND PARK IL 60462 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 564864 HYDROCO-APAP 7.5-325 TAB(WAT)+100 30591320301 00591320301 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 011 12/15/09 1 011 12/11/09 4 011 12/08/09 5 011 12/04/09 1 011 12/01/09 4 + __________ TOTAL ORDERED 31 129.16 % 011 11/27/09 4 011 11/23/09 3 011 11/16/09 4 011 11/19/09 2 011 11/12/09 5 011 11/09/09 4 011 11/05/09 4 011 11/02/09 1 + __________ TOTAL ORDERED 27 112.50 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 011 04/29/10 8 011 04/27/10 5 011 04/22/10 9 011 04/20/10 3 011 04/15/10 9 011 04/13/10 5 011 04/08/10 8 011 04/06/10 5 011 04/01/10 11 + __________ TOTAL ORDERED 63 233.33 % 011 03/30/10 4 011 03/25/10 8 011 03/23/10 10 011 03/18/10 6 011 03/16/10 3 011 03/11/10 8 011 03/09/10 2 011 03/04/10 10 011 03/02/10 11 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 152 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 007 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04148 BB5641394 7960 W 159TH ST ORLAND PARK IL 60462 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 9 3.0 27.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 62 229.62 % 011 02/25/10 8 011 02/23/10 6 011 02/18/10 10 011 02/11/10 9 011 02/09/10 3 011 02/04/10 8 011 02/02/10 2 + __________ TOTAL ORDERED 46 170.37 % 011 01/28/10 11 011 01/21/10 7 011 01/19/10 4 011 01/14/10 5 011 01/12/10 1 011 01/07/10 4 011 01/05/10 1 + __________ TOTAL ORDERED 33 122.22 % 011 12/30/09 10 011 12/28/09 7 011 12/22/09 12 011 12/18/09 4 011 12/15/09 1 011 12/11/09 8 011 12/08/09 5 011 12/04/09 8 011 12/01/09 2 + __________ TOTAL ORDERED 57 211.11 % 011 11/27/09 13 011 11/23/09 6 011 11/16/09 6 011 11/19/09 3 011 11/12/09 6 011 11/09/09 9 011 11/05/09 11 011 11/02/09 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 153 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 007 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04148 BB5641394 7960 W 159TH ST ORLAND PARK IL 60462 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 9 3.0 27.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 59 218.51 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 603810 LYRICA 50MG CAP + 90 30071101368 00071101368 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 011 04/29/10 1 011 04/22/10 1 011 04/20/10 1 011 04/15/10 3 011 04/13/10 1 011 04/08/10 1 011 04/06/10 2 011 04/01/10 3 + __________ TOTAL ORDERED 13 144.44 % 011 02/18/10 2 011 02/16/10 3 011 02/11/10 5 011 02/09/10 1 + __________ TOTAL ORDERED 11 122.22 % 011 01/19/10 2 011 01/14/10 3 011 01/12/10 3 011 01/07/10 2 + __________ TOTAL ORDERED 10 111.11 % 011 12/30/09 1 011 12/28/09 3 011 12/22/09 6 011 12/18/09 3 011 12/15/09 3 011 12/11/09 1 011 12/01/09 1 + __________ TOTAL ORDERED 18 200.00 % 011 11/27/09 3 011 11/23/09 2 011 11/16/09 3 011 11/19/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 154 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 007 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04148 BB5641394 7960 W 159TH ST ORLAND PARK IL 60462 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 603810 LYRICA 50MG CAP + 90 30071101368 00071101368 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 011 11/09/09 1 011 11/02/09 2 + __________ TOTAL ORDERED 13 144.44 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 651942 HYDROMORPHONE 8MG TAB (MKT) + 100 30406324901 00406324901 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 03/29/10 2 013 03/15/10 6 013 03/08/10 5 013 03/01/10 3 + __________ TOTAL ORDERED 16 177.77 % 013 01/18/10 10 013 01/11/10 2 + __________ TOTAL ORDERED 12 133.33 % 013 12/29/09 3 013 12/24/09 3 013 12/03/09 4 + __________ TOTAL ORDERED 10 111.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674484 CHERATUSSIN AC SYRUP (QT) + 473ML 30603107558 00603107558 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 011 01/28/10 3 011 01/21/10 6 011 01/19/10 3 011 01/14/10 3 011 01/12/10 1 011 01/07/10 3 + __________ TOTAL ORDERED 19 105.55 % 011 12/30/09 4 011 12/28/09 1 011 12/22/09 4 011 12/18/09 2 011 12/11/09 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 155 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 007 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04148 BB5641394 7960 W 159TH ST ORLAND PARK IL 60462 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674484 CHERATUSSIN AC SYRUP (QT) + 473ML 30603107558 00603107558 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 011 12/08/09 3 011 12/04/09 1 + __________ TOTAL ORDERED 20 111.11 % 011 11/23/09 4 011 11/16/09 5 011 11/19/09 7 011 11/09/09 3 011 11/05/09 8 011 11/02/09 4 + __________ TOTAL ORDERED 31 172.22 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682093 PHENOBARBITAL 97.2MG TAB (QT)+100 30603516821 00603516821 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 011 12/30/09 1 011 12/28/09 1 011 12/22/09 1 011 12/11/09 2 + __________ TOTAL ORDERED 5 166.66 % 011 11/23/09 6 + __________ TOTAL ORDERED 6 200.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682586 PROMETH-COD 6.25-10 SYR(HIT)+16OZ 35038380416 50383080416 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 011 02/25/10 3 011 02/23/10 1 011 02/18/10 5 011 02/11/10 1 011 02/09/10 3 011 02/04/10 3 + __________ TOTAL ORDERED 16 106.66 % 011 01/28/10 4 011 01/26/10 1 011 01/21/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 156 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 007 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04148 BB5641394 7960 W 159TH ST ORLAND PARK IL 60462 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682586 PROMETH-COD 6.25-10 SYR(HIT)+16OZ 35038380416 50383080416 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 011 01/14/10 3 011 01/12/10 1 011 01/07/10 5 011 01/05/10 1 + __________ TOTAL ORDERED 18 120.00 % 011 11/23/09 2 011 11/16/09 3 011 11/19/09 11 011 11/09/09 2 011 11/05/09 2 011 11/02/09 2 + __________ TOTAL ORDERED 22 146.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682600 PROVIGIL 200MG TAB + 100 36345920101 63459020101 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 011 01/28/10 1 011 01/21/10 1 011 01/14/10 1 011 01/12/10 1 011 01/07/10 1 011 01/05/10 2 + __________ TOTAL ORDERED 7 116.66 % 011 12/30/09 1 011 12/15/09 1 011 12/11/09 1 011 12/08/09 1 011 12/04/09 1 011 12/01/09 2 + __________ TOTAL ORDERED 7 116.66 % 011 11/23/09 1 011 11/16/09 1 011 11/19/09 1 011 11/12/09 2 011 11/09/09 1 011 11/05/09 2 011 11/02/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 157 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 007 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04148 BB5641394 7960 W 159TH ST ORLAND PARK IL 60462 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682600 PROVIGIL 200MG TAB + 100 36345920101 63459020101 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 9 150.00 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04743 AW5764267 16675 S OAK PK AV TINLEY PARK IL 60477 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 011 04/29/10 6 011 04/22/10 8 011 04/20/10 1 011 04/15/10 7 011 04/13/10 2 011 04/08/10 6 011 04/01/10 5 + __________ TOTAL ORDERED 35 129.62 % 011 03/25/10 8 011 03/23/10 2 011 03/18/10 7 011 03/16/10 2 011 03/11/10 6 011 03/09/10 2 011 03/04/10 8 011 03/02/10 5 + __________ TOTAL ORDERED 40 148.14 % 011 02/25/10 6 011 02/23/10 1 011 02/18/10 4 011 02/11/10 7 011 02/09/10 2 011 02/04/10 8 011 02/02/10 6 + __________ TOTAL ORDERED 34 125.92 % 011 12/30/09 8 011 12/28/09 2 011 12/22/09 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 158 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 007 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04743 AW5764267 16675 S OAK PK AV TINLEY PARK IL 60477 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 011 12/18/09 5 011 12/15/09 3 011 12/11/09 14 011 12/08/09 5 011 12/04/09 5 011 12/01/09 2 + __________ TOTAL ORDERED 50 185.18 % 011 11/27/09 5 011 11/23/09 4 011 11/16/09 5 011 11/19/09 2 011 11/12/09 3 011 11/09/09 6 011 11/05/09 4 011 11/02/09 8 + __________ TOTAL ORDERED 37 137.03 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04779 AW9813177 1799 DOUGLAS RD MONTGOMERY IL 60538 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 003 04/28/10 5 003 04/26/10 1 003 04/21/10 3 003 04/19/10 1 003 04/14/10 3 003 04/12/10 3 003 04/07/10 3 003 04/05/10 4 + __________ TOTAL ORDERED 23 127.77 % 003 03/31/10 2 003 03/29/10 2 003 03/24/10 3 003 03/22/10 1 003 03/17/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 159 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 007 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04779 AW9813177 1799 DOUGLAS RD MONTGOMERY IL 60538 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 003 03/10/10 3 003 03/08/10 3 003 03/03/10 4 003 03/01/10 2 + __________ TOTAL ORDERED 23 127.77 % 003 02/24/10 4 003 02/22/10 1 003 02/17/10 3 003 02/15/10 3 003 02/10/10 3 003 02/08/10 2 003 02/03/10 3 003 02/01/10 1 + __________ TOTAL ORDERED 20 111.11 % 003 01/27/10 2 003 01/25/10 3 003 01/20/10 3 003 01/18/10 3 003 01/13/10 4 003 01/11/10 1 003 01/06/10 3 003 01/04/10 1 + __________ TOTAL ORDERED 20 111.11 % 003 12/29/09 3 003 12/24/09 4 003 12/21/09 4 003 12/17/09 2 003 12/14/09 3 003 12/10/09 3 003 12/07/09 2 003 12/03/09 3 + __________ TOTAL ORDERED 24 133.33 % 003 11/30/09 2 003 11/25/09 2 003 11/20/09 7 003 11/13/09 4 003 11/18/09 2 003 11/11/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 160 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 007 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04779 AW9813177 1799 DOUGLAS RD MONTGOMERY IL 60538 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 003 11/06/09 4 003 11/04/09 1 + __________ TOTAL ORDERED 23 127.77 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04948 AW4643549 101 LILY CACHE LN BOLINGBROOK IL 60440 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 676915 HYDROMORPHONE HCL 4MG (MK) + 100 30406324401 00406324401 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 013 02/17/10 12 013 02/10/10 4 013 02/03/10 3 + __________ TOTAL ORDERED 19 126.66 % 013 12/30/09 13 013 12/23/09 6 013 12/09/09 6 013 12/02/09 2 + __________ TOTAL ORDERED 27 180.00 % 013 11/16/09 8 013 11/25/09 1 013 11/18/09 16 + __________ TOTAL ORDERED 25 166.66 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05139 BB7228251 7945 W 95TH ST HICKORY HILLS IL 60457 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 003 04/23/10 5 003 04/21/10 1 003 04/16/10 5 003 04/09/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 161 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 007 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05139 BB7228251 7945 W 95TH ST HICKORY HILLS IL 60457 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 003 04/02/10 6 + __________ TOTAL ORDERED 21 116.66 % 003 12/31/09 4 003 12/23/09 5 003 12/16/09 4 003 12/14/09 2 003 12/09/09 5 003 12/07/09 2 003 12/02/09 3 + __________ TOTAL ORDERED 25 138.88 % 003 11/24/09 4 003 11/20/09 3 003 11/13/09 4 003 11/17/09 1 003 11/10/09 3 003 11/06/09 2 003 11/03/09 2 + __________ TOTAL ORDERED 19 105.55 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 564864 HYDROCO-APAP 7.5-325 TAB(WAT)+100 30591320301 00591320301 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 003 03/26/10 4 003 03/19/10 9 003 03/17/10 1 003 03/12/10 8 003 03/10/10 1 003 03/05/10 7 003 03/03/10 1 + __________ TOTAL ORDERED 31 147.61 % 003 12/31/09 1 003 12/23/09 10 003 12/21/09 2 003 12/16/09 5 003 12/14/09 5 003 12/09/09 2 003 12/02/09 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 162 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 007 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05139 BB7228251 7945 W 95TH ST HICKORY HILLS IL 60457 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 564864 HYDROCO-APAP 7.5-325 TAB(WAT)+100 30591320301 00591320301 7 3.0 21.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 29 138.09 % 003 11/30/09 3 003 11/24/09 7 003 11/20/09 2 003 11/13/09 3 003 11/17/09 2 003 11/10/09 4 003 11/06/09 1 + __________ TOTAL ORDERED 22 104.76 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05924 BB0541486 6430 W 111TH ST WORTH IL 60482 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 564864 HYDROCO-APAP 7.5-325 TAB(WAT)+100 30591320301 00591320301 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 003 04/29/10 4 003 04/27/10 1 003 04/22/10 6 003 04/15/10 6 003 04/13/10 3 003 04/08/10 3 003 04/06/10 1 003 04/01/10 3 + __________ TOTAL ORDERED 27 128.57 % 003 02/25/10 5 003 02/23/10 4 003 02/18/10 2 003 02/16/10 1 003 02/11/10 5 003 02/09/10 1 003 02/04/10 4 003 02/02/10 1 + __________ TOTAL ORDERED 23 109.52 % 003 01/28/10 6 003 01/26/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 163 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 007 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05924 BB0541486 6430 W 111TH ST WORTH IL 60482 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 564864 HYDROCO-APAP 7.5-325 TAB(WAT)+100 30591320301 00591320301 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 003 01/21/10 4 003 01/14/10 6 003 01/12/10 2 003 01/07/10 5 + __________ TOTAL ORDERED 25 119.04 % 003 12/30/09 4 003 12/22/09 4 003 12/18/09 9 003 12/15/09 2 003 12/11/09 3 003 12/08/09 2 003 12/04/09 2 003 12/01/09 1 + __________ TOTAL ORDERED 27 128.57 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675041 HC-IBUPRO 7.5-200 TABS (TEV)+ 100 30093516101 00093516101 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 04/29/10 1 003 04/22/10 2 003 04/15/10 3 003 04/08/10 2 003 04/01/10 3 + __________ TOTAL ORDERED 11 122.22 % 003 03/25/10 5 003 03/23/10 1 003 03/18/10 1 003 03/11/10 1 003 03/04/10 2 + __________ TOTAL ORDERED 10 111.11 % 003 01/28/10 3 003 01/21/10 3 003 01/14/10 4 003 01/12/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 164 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 007 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05924 BB0541486 6430 W 111TH ST WORTH IL 60482 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675041 HC-IBUPRO 7.5-200 TABS (TEV)+ 100 30093516101 00093516101 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 11 122.22 % 003 12/30/09 2 003 12/28/09 1 003 12/22/09 3 003 12/18/09 4 003 12/15/09 1 003 12/04/09 1 003 12/01/09 1 + __________ TOTAL ORDERED 13 144.44 % 003 11/27/09 1 003 11/23/09 1 003 11/16/09 1 003 11/19/09 1 003 11/12/09 1 003 11/05/09 4 003 11/02/09 5 + __________ TOTAL ORDERED 14 155.55 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06377 BW7863942 13023 S LAGRANGE PALOS PK IL 60463 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 011 01/29/10 2 011 01/22/10 6 011 01/20/10 2 011 01/15/10 9 011 01/13/10 3 011 01/08/10 6 + __________ TOTAL ORDERED 28 103.70 % 011 12/31/09 6 011 12/23/09 4 011 12/16/09 3 011 12/14/09 1 011 12/09/09 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 165 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 007 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06377 BW7863942 13023 S LAGRANGE PALOS PK IL 60463 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 011 12/07/09 6 011 12/02/09 3 + __________ TOTAL ORDERED 28 103.70 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06580 AW9727756 14680 LA GRANGE ORLAND PK IL 60467 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 011 04/29/10 5 011 04/27/10 4 011 04/22/10 6 011 04/20/10 4 011 04/15/10 8 011 04/13/10 1 011 04/08/10 7 011 04/06/10 5 011 04/01/10 5 + __________ TOTAL ORDERED 45 166.66 % 011 03/30/10 1 011 03/25/10 7 011 03/23/10 5 011 03/18/10 7 011 03/16/10 3 011 03/11/10 4 011 03/09/10 5 011 03/04/10 8 011 03/02/10 5 + __________ TOTAL ORDERED 45 166.66 % 011 02/25/10 7 011 02/23/10 7 011 02/18/10 5 011 02/16/10 3 011 02/11/10 6 011 02/09/10 3 011 02/04/10 8 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 166 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 007 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06580 AW9727756 14680 LA GRANGE ORLAND PK IL 60467 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 011 02/02/10 4 + __________ TOTAL ORDERED 43 159.25 % 011 12/30/09 13 011 12/28/09 8 011 12/22/09 8 011 12/18/09 4 011 12/15/09 3 011 12/11/09 8 011 12/08/09 7 011 12/04/09 1 011 12/01/09 6 + __________ TOTAL ORDERED 58 214.81 % 011 11/27/09 6 011 11/23/09 8 011 11/16/09 7 011 11/19/09 5 011 11/12/09 5 011 11/09/09 4 011 11/05/09 4 011 11/02/09 6 + __________ TOTAL ORDERED 45 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675637 HYDROMORPHONE 2MG TAB (MKT) + 100 30406324301 00406324301 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 01/11/10 7 013 01/07/10 7 + __________ TOTAL ORDERED 14 155.55 % 013 12/17/09 6 013 12/10/09 2 013 12/03/09 5 + __________ TOTAL ORDERED 13 144.44 % 013 11/25/09 3 013 11/11/09 8 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 167 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 007 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06580 AW9727756 14680 LA GRANGE ORLAND PK IL 60467 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675637 HYDROMORPHONE 2MG TAB (MKT) + 100 30406324301 00406324301 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 11 122.22 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682586 PROMETH-COD 6.25-10 SYR(HIT)+16OZ 35038380416 50383080416 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 011 12/30/09 3 011 12/28/09 5 011 12/22/09 3 011 12/08/09 6 011 12/04/09 5 011 12/01/09 2 + __________ TOTAL ORDERED 24 160.00 % 011 11/23/09 8 011 11/16/09 4 011 11/19/09 5 011 11/12/09 3 011 11/09/09 3 011 11/05/09 3 011 11/02/09 2 + __________ TOTAL ORDERED 28 186.66 % 0 SALES DISTRICT 008 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03651 AW8942523 20950 GOVERNORS HWY OLY FIELDS IL60461 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 011 04/29/10 6 011 04/27/10 2 011 04/22/10 6 011 04/20/10 1 011 04/15/10 7 011 04/13/10 1 011 04/08/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 168 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 008 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03651 AW8942523 20950 GOVERNORS HWY OLY FIELDS IL60461 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 011 04/06/10 2 011 04/01/10 7 + __________ TOTAL ORDERED 39 144.44 % 011 03/30/10 3 011 03/25/10 5 011 03/18/10 6 011 03/11/10 9 011 03/09/10 3 011 03/04/10 12 011 03/02/10 2 + __________ TOTAL ORDERED 40 148.14 % 011 01/28/10 7 011 01/26/10 3 011 01/21/10 4 011 01/14/10 4 011 01/07/10 14 + __________ TOTAL ORDERED 32 118.51 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675041 HC-IBUPRO 7.5-200 TABS (TEV)+ 100 30093516101 00093516101 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 011 04/29/10 2 011 04/27/10 2 011 04/22/10 2 011 04/15/10 1 011 04/13/10 1 011 04/08/10 1 011 04/01/10 2 + __________ TOTAL ORDERED 11 122.22 % 011 03/30/10 1 011 03/25/10 2 011 03/18/10 2 011 03/11/10 3 011 03/04/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 169 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 008 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03651 AW8942523 20950 GOVERNORS HWY OLY FIELDS IL60461 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675041 HC-IBUPRO 7.5-200 TABS (TEV)+ 100 30093516101 00093516101 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 10 111.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675637 HYDROMORPHONE 2MG TAB (MKT) + 100 30406324301 00406324301 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 04/26/10 7 013 04/12/10 3 + __________ TOTAL ORDERED 10 111.11 % 013 03/22/10 7 013 03/01/10 3 + __________ TOTAL ORDERED 10 111.11 % 013 01/25/10 2 013 01/18/10 4 013 01/11/10 5 013 01/07/10 2 + __________ TOTAL ORDERED 13 144.44 % 013 12/24/09 3 013 12/17/09 6 013 12/03/09 2 + __________ TOTAL ORDERED 11 122.22 % 013 11/18/09 3 013 11/11/09 9 + __________ TOTAL ORDERED 12 133.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04241 AW4168008 1225 E RIDGE RD GRIFFITH IN 46319 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 011 12/29/09 2 011 12/24/09 3 011 12/21/09 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 170 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 008 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04241 AW4168008 1225 E RIDGE RD GRIFFITH IN 46319 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 011 12/17/09 2 011 12/14/09 4 011 12/10/09 3 011 12/07/09 4 + __________ TOTAL ORDERED 23 127.77 % 011 11/30/09 2 011 11/25/09 3 011 11/18/09 1 011 11/20/09 4 011 11/13/09 1 011 11/06/09 8 + __________ TOTAL ORDERED 19 105.55 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04306 AB2845444 1633 W 95TH ST CHICAGO IL 60643 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 591810 ACETAMIN/COD 300/60 TAB (TEV)+100 30093035001 00093035001 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 01/28/10 4 003 01/21/10 2 003 01/14/10 2 003 01/07/10 3 + __________ TOTAL ORDERED 11 122.22 % 003 12/30/09 4 003 12/22/09 1 003 12/18/09 2 003 12/15/09 1 003 12/11/09 4 003 12/04/09 2 003 12/01/09 1 + __________ TOTAL ORDERED 15 166.66 % 003 11/27/09 3 003 11/23/09 1 003 11/16/09 2 003 11/12/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 171 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 008 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04306 AB2845444 1633 W 95TH ST CHICAGO IL 60643 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 591810 ACETAMIN/COD 300/60 TAB (TEV)+100 30093035001 00093035001 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 11/09/09 1 003 11/05/09 1 003 11/02/09 4 + __________ TOTAL ORDERED 13 144.44 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672713 ACET-CODEINE 120-12/5 (PAI)+473ML 30121050416 00121050416 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 04/29/10 1 003 04/22/10 6 003 04/15/10 1 003 04/01/10 2 + __________ TOTAL ORDERED 10 111.11 % 003 03/30/10 1 003 03/25/10 6 003 03/11/10 2 003 03/04/10 3 + __________ TOTAL ORDERED 12 133.33 % 003 11/27/09 4 003 11/23/09 1 003 11/16/09 3 003 11/19/09 1 003 11/09/09 2 + __________ TOTAL ORDERED 11 122.22 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 681762 PHENOBARBITAL ELIXIR (QUA) + 16OZ 30603150858 00603150858 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 03/18/10 4 003 03/16/10 1 003 03/11/10 1 003 03/04/10 1 + __________ TOTAL ORDERED 7 116.66 % 003 01/21/10 4 003 01/19/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 172 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 008 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04306 AB2845444 1633 W 95TH ST CHICAGO IL 60643 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 681762 PHENOBARBITAL ELIXIR (QUA) + 16OZ 30603150858 00603150858 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 01/14/10 3 003 01/07/10 1 + __________ TOTAL ORDERED 10 166.66 % 003 12/30/09 2 003 12/22/09 1 003 12/15/09 2 003 12/11/09 2 003 12/08/09 1 + __________ TOTAL ORDERED 8 133.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05086 BB2528098 3120 CHGO RD S. CHGO HTS IL 60411 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 011 04/29/10 6 011 04/27/10 4 011 04/22/10 6 011 04/20/10 1 011 04/15/10 5 011 04/13/10 2 011 04/08/10 7 011 04/06/10 4 011 04/01/10 6 + __________ TOTAL ORDERED 41 151.85 % 011 03/30/10 3 011 03/25/10 4 011 03/18/10 5 011 03/16/10 3 011 03/11/10 6 011 03/09/10 2 011 03/04/10 5 011 03/02/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 173 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 008 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05086 BB2528098 3120 CHGO RD S. CHGO HTS IL 60411 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 9 3.0 27.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 30 111.11 % 011 02/25/10 7 011 02/23/10 5 011 02/18/10 5 011 02/16/10 5 011 02/11/10 7 011 02/09/10 5 011 02/04/10 6 011 02/02/10 3 + __________ TOTAL ORDERED 43 159.25 % 011 01/28/10 7 011 01/26/10 2 011 01/21/10 3 011 01/19/10 5 011 01/14/10 6 011 01/12/10 3 011 01/07/10 7 011 01/05/10 1 + __________ TOTAL ORDERED 34 125.92 % 011 12/30/09 6 011 12/22/09 9 011 12/18/09 6 011 12/15/09 5 011 12/11/09 8 011 12/08/09 1 011 12/04/09 4 + __________ TOTAL ORDERED 39 144.44 % 011 11/27/09 6 011 11/23/09 9 011 11/16/09 5 011 11/19/09 2 011 11/12/09 2 011 11/09/09 5 011 11/05/09 3 011 11/02/09 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 174 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 008 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05086 BB2528098 3120 CHGO RD S. CHGO HTS IL 60411 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 9 3.0 27.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 37 137.03 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675041 HC-IBUPRO 7.5-200 TABS (TEV)+ 100 30093516101 00093516101 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 011 04/29/10 3 011 04/27/10 1 011 04/22/10 4 011 04/15/10 3 011 04/08/10 2 011 04/01/10 7 + __________ TOTAL ORDERED 20 222.22 % 011 03/25/10 3 011 03/23/10 3 011 03/18/10 1 011 03/11/10 2 011 03/09/10 1 011 03/04/10 2 011 03/02/10 4 + __________ TOTAL ORDERED 16 177.77 % 011 02/25/10 3 011 02/18/10 1 011 02/11/10 2 011 02/04/10 5 + __________ TOTAL ORDERED 11 122.22 % 011 01/28/10 1 011 01/21/10 4 011 01/14/10 1 011 01/12/10 3 011 01/07/10 3 + __________ TOTAL ORDERED 12 133.33 % 011 12/22/09 4 011 12/18/09 1 011 12/11/09 7 011 12/04/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 175 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 008 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05086 BB2528098 3120 CHGO RD S. CHGO HTS IL 60411 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675041 HC-IBUPRO 7.5-200 TABS (TEV)+ 100 30093516101 00093516101 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 13 144.44 % 011 11/27/09 2 011 11/23/09 1 011 11/16/09 3 011 11/19/09 1 011 11/09/09 1 011 11/02/09 3 + __________ TOTAL ORDERED 11 122.22 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 681762 PHENOBARBITAL ELIXIR (QUA) + 16OZ 30603150858 00603150858 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 011 01/28/10 4 011 01/07/10 3 + __________ TOTAL ORDERED 7 116.66 % 011 12/30/09 2 011 12/22/09 1 011 12/18/09 2 011 12/08/09 2 + __________ TOTAL ORDERED 7 116.66 % 011 11/27/09 2 011 11/23/09 1 011 11/16/09 2 011 11/12/09 1 011 11/09/09 2 + __________ TOTAL ORDERED 8 133.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 176 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 008 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05123 AW1440849 10300 S MICHIGAN CHICAGO IL 60628 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 591810 ACETAMIN/COD 300/60 TAB (TEV)+100 30093035001 00093035001 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 12/29/09 5 003 12/24/09 1 003 12/21/09 2 003 12/17/09 1 003 12/14/09 1 + __________ TOTAL ORDERED 10 111.11 % 003 11/25/09 3 003 11/20/09 5 003 11/13/09 1 003 11/06/09 1 + __________ TOTAL ORDERED 10 111.11 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05126 AB2721276 3564 RIDGE RD LANSING IL 60438 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 011 04/29/10 2 011 04/26/10 3 011 04/22/10 3 011 04/19/10 6 011 04/15/10 7 011 04/12/10 4 011 04/08/10 3 011 04/05/10 5 011 04/01/10 4 + __________ TOTAL ORDERED 37 137.03 % 011 03/29/10 5 011 03/22/10 4 011 03/18/10 9 011 03/15/10 4 011 03/11/10 4 011 03/08/10 4 011 03/04/10 2 011 03/01/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 177 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 008 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05126 AB2721276 3564 RIDGE RD LANSING IL 60438 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 9 3.0 27.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 36 133.33 % 011 02/25/10 6 011 02/22/10 3 011 02/18/10 2 011 02/15/10 4 011 02/11/10 7 011 02/08/10 3 011 02/04/10 3 011 02/01/10 3 + __________ TOTAL ORDERED 31 114.81 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 603810 LYRICA 50MG CAP + 90 30071101368 00071101368 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 011 04/29/10 2 011 04/26/10 2 011 04/19/10 1 011 04/15/10 1 011 04/12/10 3 011 04/08/10 1 011 04/01/10 2 + __________ TOTAL ORDERED 12 133.33 % 011 03/29/10 3 011 03/25/10 3 011 03/22/10 1 011 03/15/10 2 011 03/11/10 3 011 03/08/10 1 011 03/04/10 1 011 03/01/10 4 + __________ TOTAL ORDERED 18 200.00 % 011 12/30/09 2 011 12/24/09 2 011 12/17/09 5 011 12/15/09 1 011 12/10/09 1 011 12/03/09 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 178 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 008 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05126 AB2721276 3564 RIDGE RD LANSING IL 60438 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 603810 LYRICA 50MG CAP + 90 30071101368 00071101368 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 011 12/01/09 1 + __________ TOTAL ORDERED 15 166.66 % 011 11/25/09 2 011 11/16/09 3 011 11/18/09 1 011 11/11/09 1 011 11/09/09 2 011 11/04/09 1 011 11/02/09 2 + __________ TOTAL ORDERED 12 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675041 HC-IBUPRO 7.5-200 TABS (TEV)+ 100 30093516101 00093516101 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 011 04/29/10 2 011 04/26/10 1 011 04/22/10 1 011 04/19/10 3 011 04/15/10 1 011 04/12/10 2 011 04/05/10 1 + __________ TOTAL ORDERED 11 122.22 % 011 03/29/10 2 011 03/22/10 3 011 03/18/10 3 011 03/15/10 1 011 03/11/10 5 011 03/01/10 2 + __________ TOTAL ORDERED 16 177.77 % 011 02/25/10 1 011 02/22/10 3 011 02/18/10 3 011 02/15/10 5 011 02/11/10 4 011 02/08/10 2 011 02/04/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 179 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 008 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05126 AB2721276 3564 RIDGE RD LANSING IL 60438 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675041 HC-IBUPRO 7.5-200 TABS (TEV)+ 100 30093516101 00093516101 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 19 211.11 % 011 01/25/10 4 011 01/21/10 1 011 01/18/10 6 011 01/14/10 2 011 01/11/10 1 011 01/07/10 2 011 01/04/10 1 + __________ TOTAL ORDERED 17 188.88 % 011 12/30/09 1 011 12/24/09 3 011 12/22/09 1 011 12/17/09 2 011 12/15/09 4 011 12/10/09 2 + __________ TOTAL ORDERED 13 144.44 % 011 11/25/09 2 011 11/23/09 1 011 11/16/09 3 011 11/18/09 1 011 11/11/09 1 011 11/04/09 1 011 11/02/09 3 + __________ TOTAL ORDERED 12 133.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05192 AW3882758 2824 E 92ND ST CHICAGO IL 60617 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 681762 PHENOBARBITAL ELIXIR (QUA) + 16OZ 30603150858 00603150858 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 03/26/10 1 003 03/12/10 2 003 03/05/10 2 003 03/03/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 180 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 008 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05192 AW3882758 2824 E 92ND ST CHICAGO IL 60617 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 681762 PHENOBARBITAL ELIXIR (QUA) + 16OZ 30603150858 00603150858 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 8 133.33 % 003 12/31/09 2 003 12/29/09 1 003 12/23/09 2 003 12/16/09 2 003 12/09/09 2 003 12/07/09 1 + __________ TOTAL ORDERED 10 166.66 % 003 11/24/09 1 003 11/17/09 1 003 11/06/09 2 003 11/03/09 3 + __________ TOTAL ORDERED 7 116.66 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06564 BW3083069 5200 TORRENCE CALUMET CITY IL 60409 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 468935 ACETAMIN-COD 300-30 TAB+(QUA)1000 30603233832 00603233832 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 011 04/26/10 1 011 04/19/10 1 011 04/12/10 1 011 04/01/10 1 + __________ TOTAL ORDERED 4 133.33 % 011 03/22/10 1 011 03/15/10 1 011 03/08/10 1 011 03/01/10 1 + __________ TOTAL ORDERED 4 133.33 % 011 02/22/10 1 011 02/18/10 2 011 02/15/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 181 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 008 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06564 BW3083069 5200 TORRENCE CALUMET CITY IL 60409 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 468935 ACETAMIN-COD 300-30 TAB+(QUA)1000 30603233832 00603233832 1 3.0 3.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 5 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 011 04/29/10 8 011 04/26/10 2 011 04/22/10 3 011 04/19/10 3 011 04/15/10 1 011 04/12/10 3 011 04/08/10 5 011 04/05/10 5 011 04/01/10 2 + __________ TOTAL ORDERED 32 118.51 % 011 03/29/10 6 011 03/25/10 4 011 03/22/10 3 011 03/18/10 1 011 03/15/10 3 011 03/11/10 3 011 03/08/10 6 011 03/04/10 5 011 03/01/10 5 + __________ TOTAL ORDERED 36 133.33 % 011 01/28/10 3 011 01/25/10 4 011 01/21/10 5 011 01/18/10 5 011 01/14/10 3 011 01/11/10 3 011 01/07/10 1 011 01/04/10 4 + __________ TOTAL ORDERED 28 103.70 % 011 11/25/09 7 011 11/23/09 5 011 11/16/09 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 182 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 008 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06564 BW3083069 5200 TORRENCE CALUMET CITY IL 60409 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 011 11/18/09 5 011 11/11/09 5 011 11/09/09 6 011 11/04/09 5 + __________ TOTAL ORDERED 37 137.03 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674484 CHERATUSSIN AC SYRUP (QT) + 473ML 30603107558 00603107558 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 011 12/30/09 3 011 12/24/09 6 011 12/22/09 1 011 12/17/09 4 011 12/10/09 1 011 12/08/09 1 011 12/03/09 3 + __________ TOTAL ORDERED 19 105.55 % 011 11/25/09 4 011 11/18/09 2 011 11/11/09 7 011 11/09/09 5 011 11/02/09 4 + __________ TOTAL ORDERED 22 122.22 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06629 AW7672454 8701 S CICERO AVE HOMETOWN IL 60456 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675041 HC-IBUPRO 7.5-200 TABS (TEV)+ 100 30093516101 00093516101 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 03/25/10 8 003 03/18/10 1 003 03/11/10 2 003 03/04/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 183 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 008 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06629 AW7672454 8701 S CICERO AVE HOMETOWN IL 60456 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675041 HC-IBUPRO 7.5-200 TABS (TEV)+ 100 30093516101 00093516101 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 12 133.33 % 003 02/25/10 3 003 02/18/10 3 003 02/04/10 3 003 02/02/10 4 + __________ TOTAL ORDERED 13 144.44 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06906 AW5432492 6097 BROADWAY MERRILLVILLE IN 46410 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 499233 HYDROCO-APAP 10-660 TAB (WAT)+100 36203756701 62037056701 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 011 04/28/10 3 011 04/26/10 1 011 04/21/10 2 011 04/19/10 2 011 04/14/10 6 011 04/12/10 2 011 04/07/10 1 + __________ TOTAL ORDERED 17 113.33 % 011 03/31/10 1 011 03/29/10 2 011 03/24/10 1 011 03/22/10 1 011 03/17/10 4 011 03/10/10 1 011 03/08/10 1 011 03/03/10 5 + __________ TOTAL ORDERED 16 106.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 184 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 008 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06906 AW5432492 6097 BROADWAY MERRILLVILLE IN 46410 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 603810 LYRICA 50MG CAP + 90 30071101368 00071101368 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 011 12/29/09 2 011 12/24/09 1 011 12/21/09 2 011 12/14/09 3 011 12/07/09 1 011 12/03/09 3 + __________ TOTAL ORDERED 12 133.33 % 011 11/30/09 1 011 11/25/09 1 011 11/20/09 4 011 11/11/09 5 011 11/06/09 1 + __________ TOTAL ORDERED 12 133.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 09290 BW3608366 2500 GRANT ST GARY IN 46407 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 468935 ACETAMIN-COD 300-30 TAB+(QUA)1000 30603233832 00603233832 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 011 04/27/10 1 011 04/20/10 1 011 04/13/10 1 011 04/09/10 1 011 04/02/10 1 + __________ TOTAL ORDERED 5 166.66 % 011 03/30/10 1 011 03/23/10 1 011 03/16/10 1 011 03/12/10 1 011 03/09/10 1 011 03/05/10 1 011 03/02/10 1 + __________ TOTAL ORDERED 7 233.33 % 011 02/23/10 1 011 02/16/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 185 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 008 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 09290 BW3608366 2500 GRANT ST GARY IN 46407 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 468935 ACETAMIN-COD 300-30 TAB+(QUA)1000 30603233832 00603233832 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 011 02/12/10 2 + __________ TOTAL ORDERED 4 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 543514 BUTAL/ASA/CAF/CODEINE 30MG CP+100 30591354601 00591354601 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 011 04/30/10 2 011 04/27/10 1 011 04/23/10 1 011 04/20/10 1 011 04/16/10 1 011 04/06/10 3 011 04/02/10 2 + __________ TOTAL ORDERED 11 183.33 % 011 03/30/10 1 011 03/23/10 1 011 03/16/10 2 011 03/09/10 1 011 03/05/10 1 011 03/02/10 1 + __________ TOTAL ORDERED 7 116.66 % 011 02/26/10 1 011 02/23/10 1 011 02/19/10 2 011 02/16/10 1 011 02/05/10 3 011 02/02/10 1 + __________ TOTAL ORDERED 9 150.00 % 011 01/26/10 1 011 01/22/10 1 011 01/19/10 1 011 01/12/10 2 011 01/08/10 2 + __________ TOTAL ORDERED 7 116.66 % 011 11/27/09 1 011 11/17/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 186 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 008 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 09290 BW3608366 2500 GRANT ST GARY IN 46407 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 543514 BUTAL/ASA/CAF/CODEINE 30MG CP+100 30591354601 00591354601 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 011 11/19/09 3 011 11/12/09 1 011 11/05/09 1 + __________ TOTAL ORDERED 7 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 591810 ACETAMIN/COD 300/60 TAB (TEV)+100 30093035001 00093035001 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 011 01/29/10 3 011 01/26/10 2 011 01/22/10 4 011 01/19/10 3 011 01/15/10 3 011 01/12/10 3 011 01/08/10 2 011 01/05/10 2 + __________ TOTAL ORDERED 22 183.33 % 011 12/31/09 4 011 12/28/09 2 011 12/23/09 4 011 12/18/09 4 011 12/16/09 3 011 12/11/09 4 011 12/09/09 8 011 12/04/09 6 011 12/02/09 1 + __________ TOTAL ORDERED 36 300.00 % 011 11/27/09 1 011 11/24/09 5 011 11/19/09 3 011 11/12/09 5 011 11/10/09 3 011 11/05/09 2 011 11/03/09 2 + __________ TOTAL ORDERED 21 175.00 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 187 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 008 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 09290 BW3608366 2500 GRANT ST GARY IN 46407 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 609112 ACETAMIN-COD 300-30 TAB+(TEV)1000 30093015010 00093015010 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 011 12/28/09 1 011 12/18/09 1 011 12/11/09 1 011 12/04/09 2 + __________ TOTAL ORDERED 5 166.66 % 011 11/24/09 1 011 11/19/09 1 011 11/12/09 1 011 11/05/09 1 + __________ TOTAL ORDERED 4 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672651 ACETAMIN/CODIENE 300/60 TAB + 100 30603233921 00603233921 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 011 04/30/10 4 011 04/27/10 1 011 04/23/10 4 011 04/20/10 1 011 04/16/10 3 011 04/13/10 3 011 04/09/10 4 011 04/06/10 5 011 04/02/10 7 + __________ TOTAL ORDERED 32 355.55 % 011 03/30/10 3 011 03/26/10 1 011 03/23/10 2 011 03/19/10 3 011 03/12/10 4 011 03/09/10 3 011 03/05/10 6 011 03/02/10 4 + __________ TOTAL ORDERED 26 288.88 % 011 02/26/10 3 011 02/23/10 5 011 02/19/10 3 011 02/16/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 188 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 008 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 09290 BW3608366 2500 GRANT ST GARY IN 46407 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672651 ACETAMIN/CODIENE 300/60 TAB + 100 30603233921 00603233921 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 011 02/12/10 6 + __________ TOTAL ORDERED 18 200.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 10 3.0 30.0 0 DC DATE ORDERED QUANTITY 011 04/30/10 4 011 04/27/10 4 011 04/23/10 5 011 04/20/10 5 011 04/16/10 7 011 04/13/10 5 011 04/09/10 6 011 04/06/10 4 011 04/02/10 4 + __________ TOTAL ORDERED 44 146.66 % 011 03/30/10 3 011 03/26/10 3 011 03/23/10 4 011 03/19/10 6 011 03/16/10 6 011 03/12/10 5 011 03/09/10 5 011 03/05/10 5 011 03/02/10 5 + __________ TOTAL ORDERED 42 140.00 % 011 02/26/10 4 011 02/23/10 4 011 02/19/10 5 011 02/16/10 6 011 02/12/10 4 011 02/09/10 5 011 02/05/10 6 011 02/02/10 4 + __________ TOTAL ORDERED 38 126.66 % 011 01/29/10 4 011 01/26/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 189 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 008 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 09290 BW3608366 2500 GRANT ST GARY IN 46407 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 10 3.0 30.0 0 DC DATE ORDERED QUANTITY 011 01/22/10 5 011 01/19/10 4 011 01/15/10 6 011 01/12/10 3 011 01/08/10 6 011 01/05/10 3 + __________ TOTAL ORDERED 33 110.00 % 011 12/31/09 4 011 12/28/09 5 011 12/23/09 7 011 12/18/09 6 011 12/16/09 5 011 12/11/09 7 011 12/09/09 5 011 12/04/09 5 011 12/02/09 3 + __________ TOTAL ORDERED 47 156.66 % 011 11/27/09 5 011 11/24/09 5 011 11/17/09 4 011 11/19/09 5 011 11/12/09 4 011 11/10/09 5 011 11/05/09 5 011 11/03/09 3 + __________ TOTAL ORDERED 36 120.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682586 PROMETH-COD 6.25-10 SYR(HIT)+16OZ 35038380416 50383080416 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 011 03/30/10 2 011 03/26/10 2 011 03/23/10 2 011 03/19/10 2 011 03/12/10 2 011 03/09/10 1 011 03/05/10 4 011 03/02/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 190 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 008 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 09290 BW3608366 2500 GRANT ST GARY IN 46407 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682586 PROMETH-COD 6.25-10 SYR(HIT)+16OZ 35038380416 50383080416 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 17 113.33 % 011 02/26/10 3 011 02/23/10 2 011 02/19/10 1 011 02/16/10 2 011 02/12/10 5 011 02/09/10 2 011 02/05/10 1 011 02/02/10 2 + __________ TOTAL ORDERED 18 120.00 % 011 01/29/10 6 011 01/26/10 2 011 01/22/10 1 011 01/19/10 1 011 01/15/10 3 011 01/12/10 1 011 01/08/10 3 011 01/05/10 1 + __________ TOTAL ORDERED 18 120.00 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 09924 BB1505669 390 E 162ND ST SO HOLLAND IL 60473 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 550610 DEXMETHYLPHENIDATE 5MG TAB + 100 30093527601 00093527601 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 013 03/03/10 5 + __________ TOTAL ORDERED 5 166.66 % 013 02/12/10 1 013 02/24/10 1 013 02/17/10 2 + __________ TOTAL ORDERED 4 133.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 191 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 009 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 01201 AW3883611 800 DEVON AVE PARK RIDGE IL 60068 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539147 D-AMPHET SALT COMBO 30MG TAB +100 36472013610 64720013610 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 04/30/10 5 013 04/23/10 4 013 04/16/10 1 013 04/09/10 3 013 04/02/10 1 + __________ TOTAL ORDERED 14 155.55 % 013 03/19/10 6 013 03/12/10 3 013 03/05/10 2 + __________ TOTAL ORDERED 11 122.22 % 013 12/28/09 3 013 12/18/09 4 013 12/11/09 3 013 12/04/09 1 + __________ TOTAL ORDERED 11 122.22 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673274 BUT-ASA-CAF 50-325-40 CAP(LAN)100 30527155201 00527155201 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 12/28/09 1 003 12/23/09 3 003 12/04/09 2 003 12/02/09 1 + __________ TOTAL ORDERED 7 116.66 % 003 11/27/09 1 003 11/24/09 2 003 11/17/09 2 003 11/12/09 1 003 11/05/09 2 + __________ TOTAL ORDERED 8 133.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 192 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 009 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 01201 AW3883611 800 DEVON AVE PARK RIDGE IL 60068 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679658 HYDROMET SYRUP (ALP) + 473ML 30472103016 00472103016 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 03/26/10 1 003 03/23/10 1 003 03/19/10 1 003 03/16/10 1 003 03/12/10 1 003 03/09/10 1 003 03/05/10 1 003 03/02/10 2 + __________ TOTAL ORDERED 9 150.00 % 003 02/23/10 1 003 02/16/10 2 003 02/12/10 4 003 02/09/10 1 + __________ TOTAL ORDERED 8 133.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 01446 AW2911116 4101 DEMPSTER SKOKIE IL 60076 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 476339 PROPOXY HCL 65MG CAP (QUA) + 100 30603511021 00603511021 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 04/23/10 2 003 04/21/10 2 003 04/09/10 3 + __________ TOTAL ORDERED 7 116.66 % 003 02/24/10 4 003 02/05/10 4 + __________ TOTAL ORDERED 8 133.33 % 003 01/20/10 6 003 01/06/10 6 + __________ TOTAL ORDERED 12 200.00 % 003 12/16/09 4 003 12/02/09 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 193 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 009 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 01446 AW2911116 4101 DEMPSTER SKOKIE IL 60076 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 476339 PROPOXY HCL 65MG CAP (QUA) + 100 30603511021 00603511021 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 7 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679543 METHYLPHENIDATE 20MG TAB (WT)+100 30591588401 00591588401 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 013 01/26/10 7 013 01/19/10 6 013 01/12/10 4 + __________ TOTAL ORDERED 17 141.66 % 013 12/29/09 2 013 12/22/09 6 013 12/15/09 1 013 12/08/09 3 013 12/01/09 11 + __________ TOTAL ORDERED 23 191.66 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04233 AW8056269 5600 W FULLERTON CHICAGO IL 60639 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 483575 PHENTERMINE 37.5MG TAB (LAN) +100 30527144501 00527144501 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 04/23/10 2 003 04/20/10 2 003 04/16/10 2 003 04/09/10 1 003 04/06/10 2 003 04/02/10 1 + __________ TOTAL ORDERED 10 111.11 % 003 03/26/10 2 003 03/23/10 2 003 03/12/10 3 003 03/09/10 1 003 03/05/10 2 003 03/02/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 194 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 009 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04233 AW8056269 5600 W FULLERTON CHICAGO IL 60639 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 483575 PHENTERMINE 37.5MG TAB (LAN) +100 30527144501 00527144501 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 11 122.22 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04542 BB6168086 5625 N RIDGE CHICAGO IL 60660 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 472540 TRAMADOL HCL ER 100MG TB (PAT)+30 31014709013 10147090103 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 03/24/10 1 003 03/17/10 1 003 03/10/10 2 003 03/08/10 2 003 03/01/10 1 + __________ TOTAL ORDERED 7 116.66 % 003 02/24/10 1 003 02/22/10 2 003 02/17/10 1 003 02/15/10 2 003 02/03/10 2 003 02/01/10 2 + __________ TOTAL ORDERED 10 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544540 FENTANYL 100MCG/HR TS (WAT) + 5 30591321472 00591321472 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 04/26/10 1 013 04/19/10 7 013 04/12/10 6 013 04/05/10 5 + __________ TOTAL ORDERED 19 105.55 % 013 03/22/10 4 013 03/15/10 8 013 03/08/10 9 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 195 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 009 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04542 BB6168086 5625 N RIDGE CHICAGO IL 60660 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544540 FENTANYL 100MCG/HR TS (WAT) + 5 30591321472 00591321472 6 3.0 18.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 21 116.66 % 013 12/29/09 6 013 12/21/09 8 013 12/14/09 7 013 12/07/09 1 + __________ TOTAL ORDERED 22 122.22 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04862 BB7452078 4343 N CENTRAL AVE CHICAGO IL 60634 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 003 04/28/10 4 003 04/26/10 7 003 04/21/10 3 003 04/19/10 4 003 04/14/10 3 003 04/12/10 5 003 04/07/10 3 003 04/05/10 5 + __________ TOTAL ORDERED 34 188.88 % 003 03/31/10 1 003 03/29/10 3 003 03/24/10 4 003 03/22/10 5 003 03/17/10 4 003 03/15/10 7 003 03/10/10 4 003 03/08/10 5 003 03/03/10 5 003 03/01/10 5 + __________ TOTAL ORDERED 43 238.88 % 003 02/24/10 4 003 02/22/10 4 003 02/17/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 196 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 009 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04862 BB7452078 4343 N CENTRAL AVE CHICAGO IL 60634 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 003 02/15/10 2 003 02/10/10 3 003 02/08/10 3 003 02/03/10 3 003 02/01/10 3 + __________ TOTAL ORDERED 25 138.88 % 003 01/27/10 2 003 01/25/10 3 003 01/20/10 2 003 01/18/10 2 003 01/13/10 4 003 01/11/10 5 003 01/06/10 3 003 01/04/10 2 + __________ TOTAL ORDERED 23 127.77 % 003 12/29/09 6 003 12/24/09 3 003 12/21/09 2 003 12/17/09 2 003 12/14/09 3 003 12/10/09 3 003 12/07/09 3 003 12/03/09 2 + __________ TOTAL ORDERED 24 133.33 % 003 11/30/09 4 003 11/25/09 2 003 11/20/09 5 003 11/13/09 6 003 11/18/09 2 003 11/11/09 1 003 11/06/09 3 003 11/04/09 1 + __________ TOTAL ORDERED 24 133.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 197 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 009 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04862 BB7452078 4343 N CENTRAL AVE CHICAGO IL 60634 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 04/28/10 1 003 04/21/10 3 003 04/19/10 2 003 04/14/10 1 003 04/12/10 3 003 04/07/10 2 + __________ TOTAL ORDERED 12 133.33 % 003 03/24/10 5 003 03/22/10 1 003 03/17/10 2 003 03/10/10 1 003 03/03/10 4 003 03/01/10 1 + __________ TOTAL ORDERED 14 155.55 % 003 02/24/10 2 003 02/17/10 2 003 02/10/10 2 003 02/08/10 2 003 02/03/10 2 003 02/01/10 2 + __________ TOTAL ORDERED 12 133.33 % 003 01/27/10 1 003 01/20/10 1 003 01/18/10 3 003 01/13/10 3 003 01/06/10 2 003 01/04/10 2 + __________ TOTAL ORDERED 12 133.33 % 003 12/29/09 4 003 12/24/09 7 003 12/21/09 2 003 12/14/09 2 003 12/07/09 4 003 12/03/09 1 + __________ TOTAL ORDERED 20 222.22 % 003 11/30/09 1 003 11/25/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 198 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 009 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04862 BB7452078 4343 N CENTRAL AVE CHICAGO IL 60634 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 11/20/09 4 003 11/18/09 1 003 11/06/09 4 003 11/04/09 4 + __________ TOTAL ORDERED 15 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 003 04/28/10 6 003 04/26/10 5 003 04/21/10 2 003 04/19/10 2 003 04/14/10 2 003 04/12/10 3 003 04/07/10 3 003 04/05/10 7 + __________ TOTAL ORDERED 30 200.00 % 003 03/31/10 4 003 03/29/10 4 003 03/24/10 6 003 03/22/10 4 003 03/17/10 3 003 03/15/10 6 003 03/10/10 4 003 03/08/10 7 003 03/03/10 4 003 03/01/10 6 + __________ TOTAL ORDERED 48 320.00 % 003 02/24/10 4 003 02/22/10 2 003 02/17/10 3 003 02/15/10 1 003 02/10/10 3 003 02/08/10 1 003 02/03/10 3 003 02/01/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 199 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 009 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04862 BB7452078 4343 N CENTRAL AVE CHICAGO IL 60634 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 19 126.66 % 003 01/27/10 4 003 01/20/10 4 003 01/13/10 3 003 01/11/10 1 003 01/06/10 2 003 01/04/10 2 + __________ TOTAL ORDERED 16 106.66 % 003 12/29/09 6 003 12/24/09 4 003 12/21/09 3 003 12/17/09 3 003 12/14/09 1 003 12/10/09 3 003 12/07/09 3 003 12/03/09 1 + __________ TOTAL ORDERED 24 160.00 % 003 11/30/09 5 003 11/25/09 3 003 11/20/09 3 003 11/13/09 5 003 11/06/09 5 003 11/04/09 3 + __________ TOTAL ORDERED 24 160.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675041 HC-IBUPRO 7.5-200 TABS (TEV)+ 100 30093516101 00093516101 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 04/28/10 3 003 04/21/10 2 003 04/19/10 1 003 04/14/10 1 003 04/12/10 2 003 04/07/10 1 003 04/05/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 200 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 009 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04862 BB7452078 4343 N CENTRAL AVE CHICAGO IL 60634 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675041 HC-IBUPRO 7.5-200 TABS (TEV)+ 100 30093516101 00093516101 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 12 133.33 % 003 03/31/10 2 003 03/29/10 3 003 03/24/10 1 003 03/22/10 1 003 03/17/10 2 003 03/15/10 1 003 03/10/10 1 003 03/08/10 2 003 03/03/10 2 003 03/01/10 3 + __________ TOTAL ORDERED 18 200.00 % 003 02/24/10 3 003 02/22/10 1 003 02/17/10 2 003 02/15/10 1 003 02/10/10 2 003 02/03/10 3 + __________ TOTAL ORDERED 12 133.33 % 003 01/27/10 4 003 01/25/10 1 003 01/20/10 2 003 01/13/10 5 003 01/11/10 6 003 01/06/10 2 003 01/04/10 4 + __________ TOTAL ORDERED 24 266.66 % 003 12/29/09 1 003 12/24/09 1 003 12/21/09 3 003 12/17/09 1 003 12/14/09 3 003 12/10/09 2 003 12/07/09 2 + __________ TOTAL ORDERED 13 144.44 % 003 11/30/09 3 003 11/25/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 201 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 009 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04862 BB7452078 4343 N CENTRAL AVE CHICAGO IL 60634 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675041 HC-IBUPRO 7.5-200 TABS (TEV)+ 100 30093516101 00093516101 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 11/13/09 1 003 11/18/09 4 003 11/04/09 2 + __________ TOTAL ORDERED 11 122.22 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04938 BB6854916 4748 W NORTH AVE CHICAGO IL 60639 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 532538 MORPHINE SULF 20MG/ML (LAN)+ 30ML 30527142536 00527142536 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 04/30/10 8 013 04/16/10 1 013 04/09/10 1 013 04/02/10 2 + __________ TOTAL ORDERED 12 133.33 % 013 03/26/10 3 013 03/12/10 2 013 03/05/10 5 + __________ TOTAL ORDERED 10 111.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 681762 PHENOBARBITAL ELIXIR (QUA) + 16OZ 30603150858 00603150858 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 04/20/10 1 003 04/16/10 1 003 04/13/10 2 003 04/09/10 2 003 04/06/10 1 003 04/02/10 1 + __________ TOTAL ORDERED 8 133.33 % 003 03/30/10 1 003 03/26/10 1 003 03/19/10 1 003 03/16/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 202 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 009 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04938 BB6854916 4748 W NORTH AVE CHICAGO IL 60639 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 681762 PHENOBARBITAL ELIXIR (QUA) + 16OZ 30603150858 00603150858 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 03/12/10 2 + __________ TOTAL ORDERED 7 116.66 % 003 02/23/10 2 003 02/19/10 1 003 02/12/10 1 003 02/09/10 2 003 02/05/10 2 + __________ TOTAL ORDERED 8 133.33 % 003 12/31/09 2 003 12/28/09 1 003 12/23/09 1 003 12/18/09 2 003 12/16/09 1 003 12/11/09 1 003 12/04/09 1 + __________ TOTAL ORDERED 9 150.00 % 003 11/27/09 1 003 11/17/09 2 003 11/19/09 3 003 11/05/09 1 + __________ TOTAL ORDERED 7 116.66 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05057 BB6648325 3153 W IRVING PARK CHICAGO IL 60618 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 003 03/30/10 1 003 03/26/10 2 003 03/19/10 1 003 03/12/10 2 003 03/09/10 2 003 03/05/10 10 003 03/02/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 203 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 009 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05057 BB6648325 3153 W IRVING PARK CHICAGO IL 60618 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 20 133.33 % 003 12/31/09 1 003 12/28/09 1 003 12/18/09 5 003 12/16/09 1 003 12/11/09 4 003 12/09/09 1 003 12/04/09 4 + __________ TOTAL ORDERED 17 113.33 % 003 11/27/09 3 003 11/24/09 1 003 11/19/09 4 003 11/12/09 4 003 11/10/09 2 003 11/05/09 2 + __________ TOTAL ORDERED 16 106.66 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06980 BW9426190 3419 W PETERSON CHGO IL 60659 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 003 04/27/10 1 003 04/23/10 4 003 04/20/10 2 003 04/16/10 3 003 04/13/10 1 003 04/09/10 4 003 04/06/10 2 003 04/02/10 4 + __________ TOTAL ORDERED 21 116.66 % 003 03/30/10 2 003 03/26/10 4 003 03/23/10 2 003 03/19/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 204 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 009 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06980 BW9426190 3419 W PETERSON CHGO IL 60659 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 003 03/16/10 2 003 03/12/10 3 003 03/09/10 2 003 03/05/10 4 003 03/02/10 2 + __________ TOTAL ORDERED 24 133.33 % 003 02/23/10 1 003 02/19/10 6 003 02/16/10 2 003 02/12/10 3 003 02/09/10 3 003 02/05/10 5 003 02/02/10 2 + __________ TOTAL ORDERED 22 122.22 % 003 12/31/09 1 003 12/28/09 5 003 12/23/09 2 003 12/18/09 4 003 12/16/09 1 003 12/11/09 4 003 12/09/09 1 003 12/04/09 5 003 12/02/09 1 + __________ TOTAL ORDERED 24 133.33 % 003 11/27/09 4 003 11/24/09 3 003 11/19/09 3 003 11/12/09 4 003 11/10/09 3 003 11/05/09 4 003 11/03/09 1 + __________ TOTAL ORDERED 22 122.22 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 205 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 009 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06980 BW9426190 3419 W PETERSON CHGO IL 60659 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674484 CHERATUSSIN AC SYRUP (QT) + 473ML 30603107558 00603107558 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 003 12/31/09 5 003 12/28/09 4 003 12/23/09 4 003 12/18/09 2 003 12/11/09 10 003 12/09/09 6 003 12/04/09 5 + __________ TOTAL ORDERED 36 133.33 % 003 11/17/09 6 003 11/19/09 5 003 11/12/09 9 003 11/10/09 5 003 11/05/09 8 + __________ TOTAL ORDERED 33 122.22 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07687 BW9017775 3320 W FULLERTON CHGO IL 60647 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 483575 PHENTERMINE 37.5MG TAB (LAN) +100 30527144501 00527144501 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 04/27/10 2 003 04/22/10 1 003 04/20/10 1 003 04/13/10 3 003 04/08/10 3 003 04/01/10 1 + __________ TOTAL ORDERED 11 122.22 % 003 02/25/10 1 003 02/23/10 3 003 02/18/10 1 003 02/11/10 2 003 02/04/10 2 003 02/02/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 206 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 009 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07687 BW9017775 3320 W FULLERTON CHGO IL 60647 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 483575 PHENTERMINE 37.5MG TAB (LAN) +100 30527144501 00527144501 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 10 111.11 % 003 11/27/09 2 003 11/23/09 2 003 11/16/09 1 003 11/12/09 2 003 11/09/09 1 003 11/05/09 1 003 11/02/09 1 + __________ TOTAL ORDERED 10 111.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672940 ADIPEX-P 37.5MG TABLET (GAT) +100 35784400901 57844000901 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 003 04/27/10 4 003 04/22/10 2 003 04/13/10 4 + __________ TOTAL ORDERED 10 333.33 % 003 03/30/10 3 003 03/23/10 3 003 03/18/10 2 003 03/16/10 2 003 03/11/10 1 003 03/04/10 1 + __________ TOTAL ORDERED 12 400.00 % 003 02/23/10 3 003 02/16/10 3 003 02/11/10 1 + __________ TOTAL ORDERED 7 233.33 % 003 01/26/10 4 003 01/21/10 1 003 01/19/10 1 003 01/14/10 1 003 01/05/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 207 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 009 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07687 BW9017775 3320 W FULLERTON CHGO IL 60647 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672940 ADIPEX-P 37.5MG TABLET (GAT) +100 35784400901 57844000901 1 3.0 3.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 9 300.00 % 003 12/30/09 1 003 12/28/09 1 003 12/22/09 1 003 12/18/09 1 003 12/08/09 1 003 12/04/09 1 + __________ TOTAL ORDERED 6 200.00 % 003 11/23/09 2 003 11/16/09 1 003 11/05/09 1 003 11/02/09 1 + __________ TOTAL ORDERED 5 166.66 % 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 01267 AW2613974 485 SAWDUST RD SPRING TX 77380 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 472540 TRAMADOL HCL ER 100MG TB (PAT)+30 31014709013 10147090103 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 04/16/10 6 010 04/13/10 2 010 04/09/10 2 010 04/02/10 2 + __________ TOTAL ORDERED 12 200.00 % 010 03/26/10 5 010 03/16/10 1 010 03/12/10 1 010 03/05/10 6 + __________ TOTAL ORDERED 13 216.66 % 010 12/28/09 5 010 12/18/09 1 010 12/16/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 208 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 01267 AW2613974 485 SAWDUST RD SPRING TX 77380 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 472540 TRAMADOL HCL ER 100MG TB (PAT)+30 31014709013 10147090103 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 12/11/09 1 + __________ TOTAL ORDERED 8 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 474146 OXYCODONE ER 80MG TABS (ETH)+ 100 35817768304 58177068304 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 04/29/10 1 014 04/22/10 4 014 04/15/10 1 014 04/08/10 5 014 04/01/10 3 + __________ TOTAL ORDERED 14 233.33 % 014 03/18/10 6 014 03/11/10 2 014 03/04/10 2 + __________ TOTAL ORDERED 10 166.66 % 014 12/31/09 4 014 12/24/09 5 014 12/17/09 3 014 12/10/09 3 + __________ TOTAL ORDERED 15 250.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 517272 LYRICA 25MG CAP + 90 30071101268 00071101268 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 010 02/12/10 3 010 02/09/10 2 + __________ TOTAL ORDERED 5 166.66 % 010 01/22/10 1 010 01/12/10 3 010 01/08/10 1 + __________ TOTAL ORDERED 5 166.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 209 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 01267 AW2613974 485 SAWDUST RD SPRING TX 77380 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539147 D-AMPHET SALT COMBO 30MG TAB +100 36472013610 64720013610 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 014 04/29/10 3 014 04/22/10 6 014 04/15/10 4 014 04/08/10 11 014 04/01/10 1 + __________ TOTAL ORDERED 25 208.33 % 014 03/25/10 5 014 03/18/10 7 014 03/11/10 3 + __________ TOTAL ORDERED 15 125.00 % 014 02/25/10 11 014 02/18/10 5 014 02/11/10 4 014 02/04/10 3 + __________ TOTAL ORDERED 23 191.66 % 014 01/28/10 7 014 01/21/10 7 + __________ TOTAL ORDERED 14 116.66 % 014 12/31/09 11 014 12/24/09 9 014 12/17/09 4 014 12/10/09 8 014 12/03/09 6 + __________ TOTAL ORDERED 38 316.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539150 D-AMPHET SALT COMBO 20MG TAB +100 36472013510 64720013510 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 014 04/29/10 4 014 04/22/10 5 014 04/15/10 7 014 04/08/10 10 014 04/01/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 210 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 01267 AW2613974 485 SAWDUST RD SPRING TX 77380 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539150 D-AMPHET SALT COMBO 20MG TAB +100 36472013510 64720013510 6 3.0 18.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 32 177.77 % 014 03/25/10 6 014 03/18/10 13 014 03/11/10 6 014 03/04/10 1 + __________ TOTAL ORDERED 26 144.44 % 014 02/25/10 5 014 02/18/10 4 014 02/11/10 8 014 02/04/10 2 + __________ TOTAL ORDERED 19 105.55 % 014 12/31/09 12 014 12/24/09 12 014 12/17/09 4 014 12/10/09 10 014 12/03/09 6 + __________ TOTAL ORDERED 44 244.44 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 551686 VYVANSE 50MG CAPS + 100 35941710510 59417010510 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 12/28/09 1 014 12/24/09 4 014 12/17/09 2 014 12/10/09 2 + __________ TOTAL ORDERED 9 150.00 % 014 11/27/09 4 014 11/18/09 1 014 11/12/09 2 + __________ TOTAL ORDERED 7 116.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 211 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 01267 AW2613974 485 SAWDUST RD SPRING TX 77380 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 553889 ANDROGEL 1% PUMP (UNI) +150GM 30051848888 00051848888 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 04/23/10 2 010 04/16/10 3 010 04/13/10 2 010 04/06/10 1 010 04/02/10 6 + __________ TOTAL ORDERED 14 116.66 % 010 02/26/10 5 010 02/16/10 1 010 02/12/10 5 010 02/09/10 1 010 02/05/10 2 010 02/02/10 5 + __________ TOTAL ORDERED 19 158.33 % 010 11/27/09 1 010 11/17/09 1 010 11/19/09 3 010 11/12/09 6 010 11/10/09 1 010 11/05/09 1 + __________ TOTAL ORDERED 13 108.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 10 3.0 30.0 0 DC DATE ORDERED QUANTITY 010 04/27/10 2 010 04/23/10 6 010 04/20/10 6 010 04/16/10 8 010 04/13/10 3 010 04/09/10 3 010 04/06/10 4 010 04/02/10 4 + __________ TOTAL ORDERED 36 120.00 % 010 03/30/10 2 010 03/26/10 4 010 03/23/10 2 010 03/19/10 8 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 212 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 01267 AW2613974 485 SAWDUST RD SPRING TX 77380 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 10 3.0 30.0 0 DC DATE ORDERED QUANTITY 010 03/16/10 4 010 03/12/10 7 010 03/09/10 2 010 03/05/10 6 010 03/02/10 3 + __________ TOTAL ORDERED 38 126.66 % 010 02/26/10 7 010 02/19/10 6 010 02/16/10 4 010 02/12/10 5 010 02/09/10 3 010 02/05/10 5 010 02/02/10 2 + __________ TOTAL ORDERED 32 106.66 % 010 12/31/09 5 010 12/28/09 7 010 12/23/09 5 010 12/18/09 4 010 12/16/09 4 010 12/11/09 5 010 12/09/09 5 010 12/04/09 3 010 12/02/09 2 + __________ TOTAL ORDERED 40 133.33 % 010 11/27/09 5 010 11/24/09 4 010 11/17/09 4 010 11/19/09 5 010 11/12/09 5 010 11/10/09 2 010 11/05/09 5 010 11/03/09 2 + __________ TOTAL ORDERED 32 106.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 213 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 01267 AW2613974 485 SAWDUST RD SPRING TX 77380 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 651942 HYDROMORPHONE 8MG TAB (MKT) + 100 30406324901 00406324901 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 02/25/10 6 014 02/18/10 7 014 02/11/10 1 + __________ TOTAL ORDERED 14 155.55 % 014 01/28/10 1 014 01/21/10 6 014 01/14/10 2 014 01/07/10 1 + __________ TOTAL ORDERED 10 111.11 % 014 12/03/09 3 014 12/17/09 2 014 12/10/09 5 014 12/03/09 3 + __________ TOTAL ORDERED 13 144.44 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 04/27/10 13 010 04/23/10 16 010 04/20/10 7 010 04/16/10 20 010 04/13/10 28 010 04/09/10 19 010 04/06/10 29 010 04/02/10 16 + __________ TOTAL ORDERED 148 448.48 % 010 03/30/10 8 010 03/26/10 21 010 03/23/10 7 010 03/19/10 24 010 03/16/10 25 010 03/12/10 27 010 03/09/10 24 010 03/05/10 22 010 03/02/10 18 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 214 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 01267 AW2613974 485 SAWDUST RD SPRING TX 77380 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 176 533.33 % 010 02/26/10 21 010 02/19/10 13 010 02/16/10 15 010 02/12/10 30 010 02/09/10 10 010 02/05/10 23 010 02/02/10 5 + __________ TOTAL ORDERED 117 354.54 % 010 01/26/10 17 010 01/22/10 17 010 01/19/10 16 010 01/15/10 39 010 01/12/10 18 010 01/08/10 36 010 01/05/10 6 + __________ TOTAL ORDERED 149 451.51 % 010 12/31/09 13 010 12/28/09 18 010 12/23/09 24 010 12/18/09 17 010 12/16/09 26 010 12/11/09 16 010 12/09/09 23 010 12/04/09 15 010 12/02/09 10 + __________ TOTAL ORDERED 162 490.90 % 010 11/27/09 41 010 11/24/09 18 010 11/17/09 14 010 11/19/09 20 010 11/12/09 22 010 11/10/09 18 010 11/05/09 28 010 11/03/09 21 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 215 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 01267 AW2613974 485 SAWDUST RD SPRING TX 77380 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 182 551.51 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 010 04/27/10 8 010 04/23/10 7 010 04/20/10 2 010 04/16/10 8 010 04/13/10 7 010 04/09/10 3 010 04/06/10 6 010 04/02/10 9 + __________ TOTAL ORDERED 50 208.33 % 010 03/30/10 7 010 03/26/10 12 010 03/23/10 4 010 03/19/10 7 010 03/16/10 5 010 03/12/10 7 010 03/09/10 4 010 03/05/10 9 010 03/02/10 10 + __________ TOTAL ORDERED 65 270.83 % 010 02/26/10 16 010 02/19/10 6 010 02/16/10 4 010 02/12/10 10 010 02/09/10 3 010 02/05/10 8 010 02/02/10 2 + __________ TOTAL ORDERED 49 204.16 % 010 01/26/10 6 010 01/22/10 7 010 01/19/10 4 010 01/15/10 23 010 01/12/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 216 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 01267 AW2613974 485 SAWDUST RD SPRING TX 77380 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 010 01/08/10 16 010 01/05/10 1 + __________ TOTAL ORDERED 63 262.50 % 010 12/31/09 10 010 12/28/09 6 010 12/23/09 9 010 12/18/09 12 010 12/16/09 8 010 12/11/09 11 010 12/09/09 7 010 12/04/09 8 010 12/02/09 3 + __________ TOTAL ORDERED 74 308.33 % 010 11/27/09 13 010 11/24/09 8 010 11/17/09 8 010 11/19/09 10 010 11/12/09 13 010 11/10/09 6 010 11/05/09 9 010 11/03/09 4 + __________ TOTAL ORDERED 71 295.83 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674231 CARISOPRODOL 350MG TAB (QT)+ 500 30603258228 00603258228 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 010 04/27/10 3 010 04/23/10 4 010 04/20/10 2 010 04/16/10 5 010 04/13/10 4 010 04/09/10 4 010 04/06/10 5 010 04/02/10 5 + __________ TOTAL ORDERED 32 213.33 % 010 03/30/10 3 010 03/26/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 217 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 01267 AW2613974 485 SAWDUST RD SPRING TX 77380 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674231 CARISOPRODOL 350MG TAB (QT)+ 500 30603258228 00603258228 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 010 03/23/10 1 010 03/19/10 4 010 03/16/10 4 010 03/12/10 7 010 03/09/10 4 010 03/05/10 7 010 03/02/10 4 + __________ TOTAL ORDERED 39 260.00 % 010 02/26/10 4 010 02/19/10 5 010 02/16/10 3 010 02/12/10 5 010 02/09/10 3 010 02/05/10 4 010 02/02/10 2 + __________ TOTAL ORDERED 26 173.33 % 010 01/26/10 4 010 01/22/10 3 010 01/19/10 3 010 01/15/10 6 010 01/12/10 3 010 01/08/10 6 010 01/05/10 2 + __________ TOTAL ORDERED 27 180.00 % 010 12/31/09 5 010 12/28/09 5 010 12/23/09 5 010 12/18/09 5 010 12/16/09 4 010 12/11/09 4 010 12/09/09 3 010 12/04/09 5 + __________ TOTAL ORDERED 36 240.00 % 010 11/27/09 7 010 11/24/09 3 010 11/17/09 1 010 11/19/09 6 010 11/12/09 8 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 218 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 01267 AW2613974 485 SAWDUST RD SPRING TX 77380 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674231 CARISOPRODOL 350MG TAB (QT)+ 500 30603258228 00603258228 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 010 11/10/09 2 010 11/05/09 6 010 11/03/09 2 + __________ TOTAL ORDERED 35 233.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675762 METHYLPHENIDATE 10MG TAB(WAT)+100 30591588301 00591588301 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 03/18/10 2 014 03/04/10 8 + __________ TOTAL ORDERED 10 111.11 % 014 02/11/10 8 014 02/04/10 3 + __________ TOTAL ORDERED 11 122.22 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 676052 DIAZEPAM 10MG TAB (MYL) + 500 30378047705 00378047705 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 010 04/23/10 1 010 04/16/10 1 010 04/09/10 1 010 04/06/10 1 010 04/02/10 1 + __________ TOTAL ORDERED 5 166.66 % 010 03/23/10 1 010 03/19/10 1 010 03/12/10 1 010 03/09/10 1 010 03/05/10 1 010 03/02/10 1 + __________ TOTAL ORDERED 6 200.00 % 010 02/19/10 2 010 02/16/10 1 010 02/09/10 1 010 02/02/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 219 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 01267 AW2613974 485 SAWDUST RD SPRING TX 77380 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 676052 DIAZEPAM 10MG TAB (MYL) + 500 30378047705 00378047705 1 3.0 3.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 5 166.66 % 010 12/31/09 1 010 12/28/09 1 010 12/23/09 1 010 12/16/09 1 010 12/09/09 1 010 12/02/09 1 + __________ TOTAL ORDERED 6 200.00 % 010 11/27/09 1 010 11/24/09 1 010 11/12/09 1 010 11/10/09 1 010 11/03/09 1 + __________ TOTAL ORDERED 5 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679543 METHYLPHENIDATE 20MG TAB (WT)+100 30591588401 00591588401 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 12/31/09 6 014 12/24/09 6 014 12/17/09 2 014 12/10/09 4 014 12/03/09 1 + __________ TOTAL ORDERED 19 211.11 % 014 11/27/09 3 014 11/18/09 2 014 11/05/09 6 + __________ TOTAL ORDERED 11 122.22 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 220 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04493 BW5758581 8000 RESRCH FRST THE WOODLANDS TX77382 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 551686 VYVANSE 50MG CAPS + 100 35941710510 59417010510 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 04/30/10 1 014 04/23/10 1 014 04/16/10 1 014 04/09/10 3 014 04/02/10 1 + __________ TOTAL ORDERED 7 116.66 % 014 02/19/10 3 014 02/12/10 4 014 02/05/10 2 + __________ TOTAL ORDERED 9 150.00 % 014 01/29/10 2 014 01/22/10 1 014 01/15/10 3 014 01/04/10 2 + __________ TOTAL ORDERED 8 133.33 % 014 11/27/09 3 014 11/20/09 1 014 11/13/09 4 014 11/06/09 1 + __________ TOTAL ORDERED 9 150.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 551687 VYVANSE 30MG CAPS (SHI) 100 35941710310 59417010310 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 04/30/10 4 014 04/16/10 1 014 04/09/10 2 014 04/02/10 4 + __________ TOTAL ORDERED 11 122.22 % 014 02/26/10 2 014 02/19/10 2 014 02/12/10 4 014 02/05/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 221 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04493 BW5758581 8000 RESRCH FRST THE WOODLANDS TX77382 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 551687 VYVANSE 30MG CAPS (SHI) 100 35941710310 59417010310 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 11 122.22 % 014 01/29/10 5 014 01/22/10 2 014 01/04/10 3 + __________ TOTAL ORDERED 10 111.11 % 014 12/28/09 3 014 12/18/09 5 014 12/11/09 2 014 12/04/09 1 + __________ TOTAL ORDERED 11 122.22 % 014 11/27/09 3 014 11/20/09 2 014 11/13/09 5 014 11/06/09 4 + __________ TOTAL ORDERED 14 155.55 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684810 TESTOST ENANTH 200MG/ML+(WAT) 5ML 30591322126 00364661754 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 010 04/27/10 5 + __________ TOTAL ORDERED 5 166.66 % 010 03/30/10 2 010 03/26/10 4 + __________ TOTAL ORDERED 6 200.00 % 010 02/19/10 1 010 02/16/10 1 010 02/09/10 1 010 02/05/10 1 + __________ TOTAL ORDERED 4 133.33 % 010 12/31/09 5 010 12/09/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 222 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04493 BW5758581 8000 RESRCH FRST THE WOODLANDS TX77382 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684810 TESTOST ENANTH 200MG/ML+(WAT) 5ML 30591322126 00364661754 1 3.0 3.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 6 200.00 % 010 11/05/09 6 + __________ TOTAL ORDERED 6 200.00 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04513 AW1075022 1403 FM 1960 W HOUSTON TX 77090 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 514230 BUTORPHANOL TART NS (APO) + 2.5ML 36050508131 60505081301 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 010 04/23/10 1 010 04/09/10 13 010 04/06/10 4 + __________ TOTAL ORDERED 18 120.00 % 010 03/26/10 2 010 03/05/10 16 + __________ TOTAL ORDERED 18 120.00 % 010 01/26/10 1 010 01/08/10 15 + __________ TOTAL ORDERED 16 106.66 % 010 12/28/09 3 010 12/11/09 11 010 12/09/09 4 + __________ TOTAL ORDERED 18 120.00 % 010 11/27/09 5 010 11/24/09 2 010 11/12/09 8 010 11/10/09 7 010 11/05/09 1 + __________ TOTAL ORDERED 23 153.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 223 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04513 AW1075022 1403 FM 1960 W HOUSTON TX 77090 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682586 PROMETH-COD 6.25-10 SYR(HIT)+16OZ 35038380416 50383080416 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 010 03/30/10 1 010 03/26/10 2 010 03/23/10 2 010 03/19/10 3 010 03/16/10 2 010 03/12/10 3 010 03/09/10 3 010 03/05/10 7 010 03/02/10 1 + __________ TOTAL ORDERED 24 160.00 % 010 01/22/10 8 010 01/19/10 3 010 01/15/10 3 010 01/12/10 1 010 01/08/10 2 010 01/05/10 3 + __________ TOTAL ORDERED 20 133.33 % 010 12/31/09 2 010 12/28/09 2 010 12/11/09 11 010 12/09/09 1 010 12/04/09 4 010 12/02/09 1 + __________ TOTAL ORDERED 21 140.00 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04999 AW1335149 1570 11TH ST HUNTSVILLE TX 77340 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 04/27/10 1 010 04/23/10 2 010 04/20/10 1 010 04/16/10 1 010 04/13/10 1 010 04/09/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 224 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04999 AW1335149 1570 11TH ST HUNTSVILLE TX 77340 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 04/06/10 1 + __________ TOTAL ORDERED 10 111.11 % 010 12/31/09 1 010 12/28/09 2 010 12/23/09 2 010 12/18/09 2 010 12/16/09 1 010 12/11/09 2 010 12/09/09 1 010 12/04/09 1 010 12/02/09 1 + __________ TOTAL ORDERED 13 144.44 % 010 11/27/09 1 010 11/24/09 2 010 11/17/09 1 010 11/19/09 2 010 11/12/09 2 010 11/10/09 1 010 11/05/09 1 010 11/03/09 1 + __________ TOTAL ORDERED 11 122.22 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05269 BW6655596 420 N FRAZIER ST CONROE TX 77301 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 474145 OXYCODONE ER 40MG TAB (ETH) + 100 35817768104 58177068104 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 04/30/10 4 014 04/23/10 2 014 04/09/10 1 014 04/02/10 2 + __________ TOTAL ORDERED 9 150.00 % 014 02/26/10 6 014 02/05/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 225 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05269 BW6655596 420 N FRAZIER ST CONROE TX 77301 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 474145 OXYCODONE ER 40MG TAB (ETH) + 100 35817768104 58177068104 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 7 116.66 % 014 01/29/10 4 014 01/08/10 5 + __________ TOTAL ORDERED 9 150.00 % 014 12/28/09 6 014 12/11/09 5 + __________ TOTAL ORDERED 11 183.33 % 014 11/27/09 6 014 11/13/09 4 + __________ TOTAL ORDERED 10 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 474146 OXYCODONE ER 80MG TABS (ETH)+ 100 35817768304 58177068304 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 02/26/10 4 014 02/19/10 6 014 02/12/10 1 014 02/05/10 1 + __________ TOTAL ORDERED 12 200.00 % 014 01/29/10 4 014 01/22/10 2 014 01/08/10 6 014 01/04/10 1 + __________ TOTAL ORDERED 13 216.66 % 014 12/28/09 8 014 12/11/09 1 014 12/04/09 1 + __________ TOTAL ORDERED 10 166.66 % 014 11/27/09 3 014 11/13/09 4 + __________ TOTAL ORDERED 7 116.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 226 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05269 BW6655596 420 N FRAZIER ST CONROE TX 77301 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 477627 DURAGESIC 50MCG/HOUR PATCH 5 35045809205 50458009205 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 01/22/10 8 014 01/15/10 8 014 01/08/10 2 + __________ TOTAL ORDERED 18 200.00 % 014 12/28/09 2 014 12/11/09 4 014 12/04/09 5 + __________ TOTAL ORDERED 11 122.22 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 514247 MORPHINE SULFATE IR 15MG TABS+100 30054023525 00054023525 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 04/30/10 5 014 04/09/10 3 014 04/02/10 2 + __________ TOTAL ORDERED 10 111.11 % 014 03/26/10 5 014 03/12/10 4 014 03/05/10 3 + __________ TOTAL ORDERED 12 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 10 3.0 30.0 0 DC DATE ORDERED QUANTITY 010 03/30/10 3 010 03/26/10 7 010 03/23/10 2 010 03/19/10 5 010 03/16/10 2 010 03/12/10 5 010 03/09/10 2 010 03/05/10 5 010 03/02/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 227 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05269 BW6655596 420 N FRAZIER ST CONROE TX 77301 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 10 3.0 30.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 37 123.33 % 010 12/31/09 4 010 12/28/09 6 010 12/23/09 6 010 12/18/09 7 010 12/16/09 2 010 12/11/09 6 010 12/09/09 3 010 12/04/09 6 010 12/02/09 1 + __________ TOTAL ORDERED 41 136.66 % 010 11/27/09 10 010 11/24/09 4 010 11/17/09 2 010 11/19/09 4 010 11/12/09 5 010 11/10/09 3 010 11/05/09 6 010 11/03/09 5 + __________ TOTAL ORDERED 39 130.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 594173 ALPRAZOLAM XR 1MG TAB (GRN) + 60 35976200591 59762005901 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 03/26/10 1 010 03/23/10 2 010 03/16/10 2 010 03/12/10 3 010 03/05/10 1 + __________ TOTAL ORDERED 9 150.00 % 010 01/22/10 5 010 01/19/10 1 010 01/15/10 3 + __________ TOTAL ORDERED 9 150.00 % 010 12/23/09 1 010 12/18/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 228 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05269 BW6655596 420 N FRAZIER ST CONROE TX 77301 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 594173 ALPRAZOLAM XR 1MG TAB (GRN) + 60 35976200591 59762005901 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 12/11/09 3 010 12/04/09 3 + __________ TOTAL ORDERED 9 150.00 % 010 11/27/09 2 010 11/19/09 6 010 11/12/09 1 + __________ TOTAL ORDERED 9 150.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 597169 METHADONE HCL 10MG TAB (MAL) +100 30406577101 00406577101 14 3.0 42.0 0 DC DATE ORDERED QUANTITY 014 03/26/10 20 014 03/12/10 15 014 03/05/10 8 + __________ TOTAL ORDERED 43 102.38 % 014 02/26/10 10 014 02/19/10 10 014 02/12/10 20 014 02/05/10 3 + __________ TOTAL ORDERED 43 102.38 % 014 01/29/10 16 014 01/22/10 12 014 01/15/10 10 014 01/08/10 7 014 01/04/10 8 + __________ TOTAL ORDERED 53 126.19 % 014 12/28/09 18 014 12/11/09 27 014 12/04/09 27 + __________ TOTAL ORDERED 72 171.42 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 229 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05269 BW6655596 420 N FRAZIER ST CONROE TX 77301 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 651942 HYDROMORPHONE 8MG TAB (MKT) + 100 30406324901 00406324901 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 04/30/10 7 014 04/23/10 3 014 04/16/10 4 + __________ TOTAL ORDERED 14 155.55 % 014 01/29/10 6 014 01/04/10 6 + __________ TOTAL ORDERED 12 133.33 % 014 12/11/09 7 014 12/04/09 8 + __________ TOTAL ORDERED 15 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 04/27/10 5 010 04/23/10 12 010 04/20/10 6 010 04/16/10 13 010 04/13/10 7 010 04/09/10 22 010 04/06/10 2 010 04/02/10 6 + __________ TOTAL ORDERED 73 221.21 % 010 03/30/10 7 010 03/26/10 10 010 03/23/10 5 010 03/19/10 10 010 03/16/10 4 010 03/12/10 5 010 03/09/10 1 010 03/05/10 16 010 03/02/10 13 + __________ TOTAL ORDERED 71 215.15 % 010 02/19/10 13 010 02/16/10 7 010 02/12/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 230 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05269 BW6655596 420 N FRAZIER ST CONROE TX 77301 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 02/09/10 12 010 02/05/10 17 010 02/02/10 6 + __________ TOTAL ORDERED 62 187.87 % 010 01/22/10 8 010 01/19/10 2 010 01/15/10 10 010 01/12/10 5 010 01/08/10 13 010 01/05/10 2 + __________ TOTAL ORDERED 40 121.21 % 010 12/31/09 3 010 12/28/09 4 010 12/23/09 3 010 12/18/09 11 010 12/16/09 9 010 12/11/09 9 010 12/09/09 5 010 12/04/09 10 010 12/02/09 1 + __________ TOTAL ORDERED 55 166.66 % 010 11/27/09 8 010 11/24/09 7 010 11/17/09 2 010 11/19/09 3 010 11/12/09 6 010 11/10/09 14 010 11/05/09 8 010 11/03/09 6 + __________ TOTAL ORDERED 54 163.63 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 010 03/30/10 2 010 03/26/10 4 010 03/23/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 231 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05269 BW6655596 420 N FRAZIER ST CONROE TX 77301 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 010 03/19/10 5 010 03/16/10 3 010 03/12/10 7 010 03/09/10 2 010 03/05/10 7 010 03/02/10 4 + __________ TOTAL ORDERED 35 145.83 % 010 01/22/10 9 010 01/19/10 1 010 01/15/10 9 010 01/12/10 6 010 01/08/10 5 010 01/05/10 1 + __________ TOTAL ORDERED 31 129.16 % 010 12/31/09 3 010 12/28/09 4 010 12/23/09 4 010 12/18/09 7 010 12/16/09 2 010 12/11/09 8 010 12/09/09 5 010 12/04/09 5 + __________ TOTAL ORDERED 38 158.33 % 010 11/27/09 5 010 11/24/09 3 010 11/12/09 8 010 11/10/09 2 010 11/05/09 10 010 11/03/09 5 + __________ TOTAL ORDERED 33 137.50 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674231 CARISOPRODOL 350MG TAB (QT)+ 500 30603258228 00603258228 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 010 04/27/10 3 010 04/23/10 4 010 04/20/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 232 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05269 BW6655596 420 N FRAZIER ST CONROE TX 77301 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674231 CARISOPRODOL 350MG TAB (QT)+ 500 30603258228 00603258228 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 010 04/16/10 4 010 04/13/10 2 010 04/09/10 4 010 04/06/10 1 010 04/02/10 2 + __________ TOTAL ORDERED 22 146.66 % 010 03/30/10 3 010 03/26/10 5 010 03/23/10 3 010 03/19/10 4 010 03/16/10 2 010 03/12/10 4 010 03/09/10 1 010 03/05/10 4 010 03/02/10 3 + __________ TOTAL ORDERED 29 193.33 % 010 02/19/10 3 010 02/16/10 2 010 02/12/10 4 010 02/09/10 4 010 02/05/10 4 010 02/02/10 3 + __________ TOTAL ORDERED 20 133.33 % 010 01/26/10 1 010 01/22/10 4 010 01/19/10 1 010 01/15/10 3 010 01/12/10 4 010 01/08/10 5 010 01/05/10 1 + __________ TOTAL ORDERED 19 126.66 % 010 12/31/09 3 010 12/28/09 3 010 12/23/09 3 010 12/18/09 4 010 12/16/09 3 010 12/11/09 4 010 12/09/09 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 233 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05269 BW6655596 420 N FRAZIER ST CONROE TX 77301 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674231 CARISOPRODOL 350MG TAB (QT)+ 500 30603258228 00603258228 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 010 12/04/09 3 010 12/02/09 2 + __________ TOTAL ORDERED 28 186.66 % 010 11/27/09 4 010 11/24/09 3 010 11/17/09 1 010 11/19/09 3 010 11/12/09 4 010 11/10/09 3 010 11/05/09 3 010 11/03/09 2 + __________ TOTAL ORDERED 23 153.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674522 CHLORDIAZEPOXIDE 25MG CAP(BR)+100 30555015902 00555015902 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 010 04/20/10 1 010 04/16/10 1 010 04/13/10 1 010 04/09/10 1 + __________ TOTAL ORDERED 4 133.33 % 010 03/30/10 1 010 03/26/10 2 010 03/12/10 1 + __________ TOTAL ORDERED 4 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 04/27/10 2 010 04/23/10 2 010 04/20/10 4 010 04/16/10 2 010 04/13/10 2 010 04/09/10 3 010 04/06/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 234 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05269 BW6655596 420 N FRAZIER ST CONROE TX 77301 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 04/02/10 1 + __________ TOTAL ORDERED 18 200.00 % 010 03/30/10 1 010 03/26/10 2 010 03/23/10 3 010 03/19/10 2 010 03/16/10 1 010 03/12/10 3 010 03/09/10 1 010 03/05/10 4 010 03/02/10 2 + __________ TOTAL ORDERED 19 211.11 % 010 02/19/10 3 010 02/16/10 1 010 02/12/10 3 010 02/09/10 3 010 02/05/10 2 010 02/02/10 2 + __________ TOTAL ORDERED 14 155.55 % 010 01/26/10 2 010 01/22/10 3 010 01/19/10 2 010 01/15/10 1 010 01/12/10 1 010 01/08/10 3 010 01/05/10 1 + __________ TOTAL ORDERED 13 144.44 % 010 12/31/09 3 010 12/28/09 2 010 12/23/09 4 010 12/18/09 2 010 12/16/09 1 010 12/11/09 2 010 12/09/09 1 010 12/04/09 4 010 12/02/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 235 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05269 BW6655596 420 N FRAZIER ST CONROE TX 77301 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 20 222.22 % 010 11/27/09 3 010 11/24/09 3 010 11/19/09 2 010 11/12/09 3 010 11/10/09 3 010 11/05/09 3 010 11/03/09 2 + __________ TOTAL ORDERED 19 211.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682586 PROMETH-COD 6.25-10 SYR(HIT)+16OZ 35038380416 50383080416 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 010 04/27/10 1 010 04/23/10 4 010 04/20/10 2 010 04/16/10 4 010 04/13/10 3 010 04/09/10 5 010 04/06/10 2 010 04/02/10 2 + __________ TOTAL ORDERED 23 153.33 % 010 03/30/10 1 010 03/26/10 3 010 03/23/10 2 010 03/19/10 2 010 03/16/10 2 010 03/12/10 5 010 03/09/10 2 010 03/05/10 4 010 03/02/10 4 + __________ TOTAL ORDERED 25 166.66 % 010 02/19/10 4 010 02/16/10 4 010 02/12/10 11 010 02/09/10 3 010 02/05/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 236 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05269 BW6655596 420 N FRAZIER ST CONROE TX 77301 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682586 PROMETH-COD 6.25-10 SYR(HIT)+16OZ 35038380416 50383080416 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 010 02/02/10 2 + __________ TOTAL ORDERED 27 180.00 % 010 01/26/10 3 010 01/22/10 3 010 01/19/10 1 010 01/15/10 1 010 01/12/10 1 010 01/08/10 14 010 01/05/10 5 + __________ TOTAL ORDERED 28 186.66 % 010 12/31/09 12 010 12/28/09 3 010 12/23/09 1 010 12/18/09 1 010 12/11/09 19 010 12/09/09 3 010 12/04/09 1 + __________ TOTAL ORDERED 40 266.66 % 010 11/27/09 3 010 11/24/09 1 010 11/12/09 14 010 11/05/09 3 + __________ TOTAL ORDERED 21 140.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684342 TEMAZEPAM 30MG CAPSULES + 100 30781220201 00781220201 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 04/23/10 3 010 04/20/10 2 010 04/16/10 2 010 04/13/10 2 010 04/09/10 1 010 04/06/10 1 010 04/02/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 237 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05269 BW6655596 420 N FRAZIER ST CONROE TX 77301 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684342 TEMAZEPAM 30MG CAPSULES + 100 30781220201 00781220201 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 13 144.44 % 010 01/22/10 4 010 01/19/10 4 010 01/15/10 1 010 01/12/10 1 + __________ TOTAL ORDERED 10 111.11 % 010 12/31/09 1 010 12/28/09 1 010 12/23/09 2 010 12/18/09 3 010 12/16/09 1 010 12/11/09 1 010 12/04/09 1 + __________ TOTAL ORDERED 10 111.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684556 VICODIN 5/500 TAB (ABB) + 100NP 30074194914 00074194914 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 010 03/30/10 1 010 03/23/10 1 010 03/16/10 1 010 03/12/10 1 010 03/02/10 1 + __________ TOTAL ORDERED 5 166.66 % 010 01/22/10 1 010 01/19/10 1 010 01/08/10 2 + __________ TOTAL ORDERED 4 133.33 % 010 12/31/09 1 010 12/28/09 1 010 12/18/09 1 010 12/11/09 1 010 12/09/09 1 010 12/02/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 238 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05269 BW6655596 420 N FRAZIER ST CONROE TX 77301 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684556 VICODIN 5/500 TAB (ABB) + 100NP 30074194914 00074194914 1 3.0 3.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 6 200.00 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06239 AW9639583 105 WEST RD HOUSTON TX 77037 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 4 010 04/26/10 12 010 04/21/10 4 010 04/19/10 9 010 04/14/10 7 010 04/12/10 9 010 04/07/10 4 010 04/05/10 13 + __________ TOTAL ORDERED 62 187.87 % 010 03/31/10 2 010 03/29/10 3 010 03/24/10 8 010 03/22/10 5 010 03/17/10 4 010 03/15/10 5 010 03/10/10 3 010 03/08/10 8 010 03/03/10 5 010 03/01/10 8 + __________ TOTAL ORDERED 51 154.54 % 010 02/24/10 4 010 02/22/10 7 010 02/17/10 6 010 02/15/10 5 010 02/10/10 5 010 02/08/10 5 010 02/03/10 5 010 02/01/10 8 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 239 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06239 AW9639583 105 WEST RD HOUSTON TX 77037 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 45 136.36 % 010 01/27/10 3 010 01/25/10 13 010 01/20/10 5 010 01/18/10 13 010 01/13/10 6 010 01/11/10 9 010 01/06/10 5 010 01/04/10 6 + __________ TOTAL ORDERED 60 181.81 % 010 12/29/09 7 010 12/24/09 8 010 12/21/09 8 010 12/17/09 4 010 12/14/09 9 010 12/10/09 2 010 12/07/09 5 010 12/03/09 11 + __________ TOTAL ORDERED 54 163.63 % 010 11/30/09 6 010 11/25/09 7 010 11/20/09 8 010 11/13/09 7 010 11/18/09 7 010 11/11/09 5 010 11/06/09 5 010 11/04/09 4 + __________ TOTAL ORDERED 49 148.48 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672713 ACET-CODEINE 120-12/5 (PAI)+473ML 30121050416 00121050416 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 1 010 04/21/10 1 010 04/19/10 1 010 04/14/10 2 010 04/12/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 240 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06239 AW9639583 105 WEST RD HOUSTON TX 77037 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672713 ACET-CODEINE 120-12/5 (PAI)+473ML 30121050416 00121050416 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 04/07/10 1 010 04/05/10 3 + __________ TOTAL ORDERED 14 155.55 % 010 03/31/10 1 010 03/29/10 2 010 03/24/10 1 010 03/22/10 3 010 03/17/10 1 010 03/15/10 3 010 03/10/10 1 010 03/03/10 1 010 03/01/10 2 + __________ TOTAL ORDERED 15 166.66 % 010 11/30/09 4 010 11/20/09 2 010 11/13/09 3 010 11/18/09 1 010 11/11/09 1 010 11/06/09 1 + __________ TOTAL ORDERED 12 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 010 03/31/10 3 010 03/29/10 3 010 03/24/10 3 010 03/22/10 1 010 03/17/10 4 010 03/10/10 4 010 03/08/10 6 010 03/03/10 3 010 03/01/10 6 + __________ TOTAL ORDERED 33 137.50 % 010 01/27/10 3 010 01/20/10 2 010 01/18/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 241 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06239 AW9639583 105 WEST RD HOUSTON TX 77037 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 010 01/13/10 3 010 01/11/10 10 010 01/06/10 5 010 01/04/10 7 + __________ TOTAL ORDERED 32 133.33 % 010 11/30/09 4 010 11/25/09 5 010 11/20/09 4 010 11/13/09 5 010 11/18/09 4 010 11/11/09 1 010 11/06/09 6 010 11/04/09 1 + __________ TOTAL ORDERED 30 125.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 1 010 04/26/10 1 010 04/21/10 1 010 04/19/10 2 010 04/14/10 1 010 04/12/10 1 010 04/07/10 1 010 04/05/10 2 + __________ TOTAL ORDERED 10 111.11 % 010 03/29/10 1 010 03/24/10 1 010 03/22/10 2 010 03/17/10 1 010 03/15/10 2 010 03/08/10 2 010 03/03/10 1 010 03/01/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 242 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06239 AW9639583 105 WEST RD HOUSTON TX 77037 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 11 122.22 % 010 02/24/10 1 010 02/22/10 1 010 02/15/10 3 010 02/10/10 1 010 02/08/10 1 010 02/03/10 1 010 02/01/10 2 + __________ TOTAL ORDERED 10 111.11 % 010 01/27/10 1 010 01/25/10 1 010 01/20/10 2 010 01/13/10 1 010 01/11/10 2 010 01/06/10 1 010 01/04/10 2 + __________ TOTAL ORDERED 10 111.11 % 010 12/29/09 1 010 12/24/09 1 010 12/21/09 2 010 12/17/09 1 010 12/14/09 2 010 12/10/09 1 010 12/07/09 2 010 12/03/09 1 + __________ TOTAL ORDERED 11 122.22 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 681762 PHENOBARBITAL ELIXIR (QUA) + 16OZ 30603150858 00603150858 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 03/31/10 1 010 03/29/10 1 010 03/24/10 4 010 03/03/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 243 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06239 AW9639583 105 WEST RD HOUSTON TX 77037 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 681762 PHENOBARBITAL ELIXIR (QUA) + 16OZ 30603150858 00603150858 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 8 133.33 % 010 01/27/10 2 010 01/25/10 1 010 01/20/10 4 + __________ TOTAL ORDERED 7 116.66 % 010 11/25/09 3 010 11/20/09 3 010 11/18/09 1 + __________ TOTAL ORDERED 7 116.66 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06864 BW8399405 6707 FM 1488 RD MAGNOLIA TX 77354 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544543 FENTANYL 50MCG/HR TS (WAT) + 5 30591321272 00591321272 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 014 04/29/10 3 014 04/22/10 3 014 04/08/10 13 + __________ TOTAL ORDERED 19 105.55 % 014 03/25/10 13 014 03/18/10 2 014 03/11/10 2 014 03/04/10 4 + __________ TOTAL ORDERED 21 116.66 % 014 02/25/10 5 014 02/18/10 8 014 02/11/10 5 014 02/04/10 4 + __________ TOTAL ORDERED 22 122.22 % 014 01/28/10 8 014 01/21/10 5 014 01/14/10 3 014 01/07/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 244 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06864 BW8399405 6707 FM 1488 RD MAGNOLIA TX 77354 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544543 FENTANYL 50MCG/HR TS (WAT) + 5 30591321272 00591321272 6 3.0 18.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 22 122.22 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 594188 ALPRAZOLAM XR 0.5MG TAB (GRN)+ 60 35976200571 59762005701 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 03/31/10 2 010 03/29/10 1 010 03/24/10 1 010 03/22/10 2 010 03/17/10 1 010 03/10/10 1 010 03/08/10 2 010 03/03/10 2 010 03/01/10 1 + __________ TOTAL ORDERED 13 216.66 % 010 02/17/10 1 010 02/10/10 1 010 02/08/10 1 010 02/03/10 1 010 02/01/10 3 + __________ TOTAL ORDERED 7 116.66 % 010 01/27/10 1 010 01/25/10 2 010 01/20/10 1 010 01/18/10 1 010 01/13/10 1 010 01/06/10 2 + __________ TOTAL ORDERED 8 133.33 % 010 12/29/09 1 010 12/21/09 1 010 12/17/09 3 010 12/10/09 3 + __________ TOTAL ORDERED 8 133.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 245 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07287 AW2756116 1120 N LOOP 336 W CONROE TX 77301 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682586 PROMETH-COD 6.25-10 SYR(HIT)+16OZ 35038380416 50383080416 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 010 03/29/10 3 010 03/18/10 2 010 03/15/10 3 010 03/08/10 4 010 03/04/10 10 010 03/01/10 2 + __________ TOTAL ORDERED 24 160.00 % 010 02/25/10 3 010 02/22/10 5 010 02/18/10 3 010 02/15/10 3 010 02/08/10 3 010 02/04/10 2 + __________ TOTAL ORDERED 19 126.66 % 010 01/25/10 3 010 01/21/10 1 010 01/18/10 3 010 01/11/10 9 010 01/07/10 10 010 01/04/10 4 + __________ TOTAL ORDERED 30 200.00 % 010 12/30/09 5 010 12/24/09 1 010 12/22/09 4 010 12/17/09 10 010 12/15/09 3 + __________ TOTAL ORDERED 23 153.33 % 010 11/25/09 1 010 11/23/09 2 010 11/16/09 10 010 11/18/09 3 010 11/11/09 3 010 11/09/09 2 010 11/04/09 2 + __________ TOTAL ORDERED 23 153.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 246 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07599 BW3675850 7304 LOUETTA RD SPRING TX 77379 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 529634 VYVANSE 40MG CAPS + 100 35941710410 59417010410 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 04/27/10 2 014 04/20/10 1 014 04/13/10 1 014 04/06/10 3 + __________ TOTAL ORDERED 7 116.66 % 014 03/23/10 4 014 03/02/10 3 + __________ TOTAL ORDERED 7 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 551685 VYVANSE 70MG CAPS + 100 35941710710 59417010710 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 01/26/10 2 014 01/19/10 2 014 01/12/10 1 014 01/05/10 2 + __________ TOTAL ORDERED 7 116.66 % 014 12/22/09 1 014 12/15/09 3 014 12/08/09 2 014 12/01/09 1 + __________ TOTAL ORDERED 7 116.66 % 014 11/24/09 4 014 11/17/09 1 014 11/09/09 1 014 11/02/09 3 + __________ TOTAL ORDERED 9 150.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 551686 VYVANSE 50MG CAPS + 100 35941710510 59417010510 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 04/27/10 2 014 04/20/10 4 014 04/13/10 2 014 04/06/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 247 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07599 BW3675850 7304 LOUETTA RD SPRING TX 77379 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 551686 VYVANSE 50MG CAPS + 100 35941710510 59417010510 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 9 150.00 % 014 03/30/10 2 014 03/23/10 5 014 03/16/10 1 014 03/02/10 3 + __________ TOTAL ORDERED 11 183.33 % 014 02/23/10 2 014 02/16/10 2 014 02/09/10 1 014 02/02/10 4 + __________ TOTAL ORDERED 9 150.00 % 014 01/26/10 3 014 01/19/10 3 014 01/12/10 2 014 01/05/10 1 + __________ TOTAL ORDERED 9 150.00 % 014 12/29/09 4 014 12/15/09 4 014 12/08/09 3 014 12/01/09 2 + __________ TOTAL ORDERED 13 216.66 % 014 11/24/09 3 014 11/17/09 3 014 11/10/09 1 014 11/02/09 1 + __________ TOTAL ORDERED 8 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679543 METHYLPHENIDATE 20MG TAB (WT)+100 30591588401 00591588401 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 01/26/10 4 014 01/19/10 6 014 01/05/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 248 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07599 BW3675850 7304 LOUETTA RD SPRING TX 77379 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679543 METHYLPHENIDATE 20MG TAB (WT)+100 30591588401 00591588401 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 11 122.22 % 014 12/21/09 3 014 12/29/09 7 + __________ TOTAL ORDERED 10 111.11 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07632 BW8429056 3061 COLLEGE PK WOODLANDS TX 77027 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 497513 D-AMPHET SALT COM XR+30MG CAP 100 30555078902 00555078902 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 03/26/10 3 014 03/19/10 2 014 03/12/10 3 014 03/05/10 2 + __________ TOTAL ORDERED 10 166.66 % 014 02/26/10 1 014 02/19/10 2 014 02/12/10 3 014 02/05/10 2 + __________ TOTAL ORDERED 8 133.33 % 014 01/29/10 1 014 01/15/10 4 014 01/04/10 2 + __________ TOTAL ORDERED 7 116.66 % 014 11/20/09 2 014 11/13/09 3 014 11/06/09 2 + __________ TOTAL ORDERED 7 116.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 249 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07632 BW8429056 3061 COLLEGE PK WOODLANDS TX 77027 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675762 METHYLPHENIDATE 10MG TAB(WAT)+100 30591588301 00591588301 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 04/30/10 1 014 04/23/10 3 014 04/16/10 3 014 04/02/10 5 + __________ TOTAL ORDERED 12 133.33 % 014 03/26/10 1 014 03/19/10 3 014 03/12/10 3 014 03/05/10 3 + __________ TOTAL ORDERED 10 111.11 % 014 01/29/10 6 014 01/22/10 3 014 01/15/10 4 + __________ TOTAL ORDERED 13 144.44 % 014 12/28/09 8 014 12/18/09 1 014 12/11/09 1 + __________ TOTAL ORDERED 10 111.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 683092 TESTIM 1% GEL + 30X5GM 36688700105 66887000105 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 01/13/10 1 010 01/11/10 3 010 01/06/10 3 010 01/04/10 5 + __________ TOTAL ORDERED 12 133.33 % 010 12/29/09 2 010 12/21/09 4 010 12/07/09 2 010 12/03/09 6 + __________ TOTAL ORDERED 14 155.55 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 250 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07632 BW8429056 3061 COLLEGE PK WOODLANDS TX 77027 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684341 TEMAZEPAM 15MG CAP + 100 30781220101 00781220101 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 01/27/10 2 010 01/25/10 2 010 01/20/10 1 010 01/18/10 2 010 01/13/10 2 010 01/06/10 1 + __________ TOTAL ORDERED 10 111.11 % 010 12/29/09 1 010 12/24/09 3 010 12/21/09 1 010 12/17/09 1 010 12/10/09 2 010 12/07/09 3 + __________ TOTAL ORDERED 11 122.22 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07720 BW8567628 21106 KUYENDAHL RD SPRING TX 77379 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 551687 VYVANSE 30MG CAPS (SHI) 100 35941710310 59417010310 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 04/29/10 3 014 04/22/10 3 014 04/15/10 1 014 04/08/10 2 014 04/01/10 3 + __________ TOTAL ORDERED 12 133.33 % 014 03/25/10 1 014 03/18/10 5 014 03/11/10 2 014 03/04/10 3 + __________ TOTAL ORDERED 11 122.22 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 251 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07720 BW8567628 21106 KUYENDAHL RD SPRING TX 77379 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 594188 ALPRAZOLAM XR 0.5MG TAB (GRN)+ 60 35976200571 59762005701 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 02/25/10 3 010 02/04/10 3 010 02/02/10 1 + __________ TOTAL ORDERED 7 116.66 % 010 12/30/09 1 010 12/22/09 1 010 12/18/09 5 010 12/11/09 1 + __________ TOTAL ORDERED 8 133.33 % 010 11/16/09 1 010 11/19/09 5 010 11/05/09 2 + __________ TOTAL ORDERED 8 133.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07773 BW8720129 12959 ALDINE WESTFLD HOUSTON TX 77039 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 04/29/10 9 010 04/27/10 7 010 04/22/10 6 010 04/20/10 2 010 04/15/10 7 010 04/13/10 6 010 04/08/10 2 010 04/06/10 1 010 04/01/10 7 + __________ TOTAL ORDERED 47 142.42 % 010 03/30/10 4 010 03/25/10 9 010 03/23/10 1 010 03/18/10 5 010 03/16/10 5 010 03/11/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 252 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07773 BW8720129 12959 ALDINE WESTFLD HOUSTON TX 77039 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 03/09/10 3 010 03/04/10 4 010 03/02/10 8 + __________ TOTAL ORDERED 42 127.27 % 010 02/25/10 4 010 02/23/10 1 010 02/18/10 6 010 02/16/10 1 010 02/11/10 10 010 02/04/10 6 010 02/02/10 6 + __________ TOTAL ORDERED 34 103.03 % 010 12/30/09 4 010 12/28/09 2 010 12/22/09 5 010 12/18/09 5 010 12/15/09 2 010 12/11/09 5 010 12/08/09 2 010 12/04/09 9 010 12/01/09 2 + __________ TOTAL ORDERED 36 109.09 % 010 11/27/09 1 010 11/23/09 4 010 11/16/09 5 010 11/19/09 6 010 11/12/09 6 010 11/09/09 5 010 11/05/09 5 010 11/02/09 3 + __________ TOTAL ORDERED 35 106.06 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 253 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07775 BW8544632 560 RAYFORD RD SPRING TX 77386 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 499233 HYDROCO-APAP 10-660 TAB (WAT)+100 36203756701 62037056701 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 04/15/10 3 010 04/13/10 6 010 04/08/10 5 010 04/06/10 1 010 04/01/10 1 + __________ TOTAL ORDERED 16 177.77 % 010 12/30/09 1 010 12/22/09 1 010 12/18/09 2 010 12/15/09 1 010 12/11/09 1 010 12/04/09 4 010 12/01/09 1 + __________ TOTAL ORDERED 11 122.22 % 010 11/27/09 2 010 11/23/09 2 010 11/05/09 5 010 11/02/09 1 + __________ TOTAL ORDERED 10 111.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 551686 VYVANSE 50MG CAPS + 100 35941710510 59417010510 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 04/30/10 1 014 04/23/10 2 014 04/16/10 2 014 04/09/10 2 014 04/02/10 1 + __________ TOTAL ORDERED 8 133.33 % 014 02/26/10 4 014 02/19/10 2 014 02/12/10 1 014 02/05/10 2 + __________ TOTAL ORDERED 9 150.00 % 014 12/28/09 1 014 12/18/09 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 254 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07775 BW8544632 560 RAYFORD RD SPRING TX 77386 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 551686 VYVANSE 50MG CAPS + 100 35941710510 59417010510 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 12/11/09 2 014 12/04/09 1 + __________ TOTAL ORDERED 7 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 04/29/10 9 010 04/27/10 10 010 04/22/10 6 010 04/20/10 2 010 04/15/10 2 010 04/13/10 3 010 04/08/10 6 010 04/06/10 4 010 04/01/10 9 + __________ TOTAL ORDERED 51 154.54 % 010 03/30/10 5 010 03/25/10 8 010 03/23/10 9 010 03/18/10 4 010 03/11/10 8 010 03/09/10 6 010 03/04/10 8 010 03/02/10 4 + __________ TOTAL ORDERED 52 157.57 % 010 02/25/10 7 010 02/23/10 6 010 02/18/10 8 010 02/16/10 5 010 02/11/10 10 010 02/09/10 4 010 02/04/10 4 010 02/02/10 3 + __________ TOTAL ORDERED 47 142.42 % 010 01/28/10 5 010 01/26/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 255 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07775 BW8544632 560 RAYFORD RD SPRING TX 77386 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 01/21/10 6 010 01/19/10 5 010 01/14/10 8 010 01/12/10 5 010 01/07/10 13 + __________ TOTAL ORDERED 43 130.30 % 010 12/30/09 5 010 12/28/09 4 010 12/22/09 7 010 12/18/09 10 010 12/15/09 3 010 12/11/09 12 010 12/08/09 8 010 12/04/09 6 010 12/01/09 3 + __________ TOTAL ORDERED 58 175.75 % 010 11/27/09 9 010 11/23/09 4 010 11/16/09 7 010 11/12/09 3 010 11/09/09 7 010 11/05/09 9 010 11/02/09 8 + __________ TOTAL ORDERED 47 142.42 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674231 CARISOPRODOL 350MG TAB (QT)+ 500 30603258228 00603258228 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 010 04/29/10 4 010 04/27/10 2 010 04/22/10 2 010 04/20/10 1 010 04/15/10 2 010 04/08/10 4 010 04/06/10 1 010 04/01/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 256 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07775 BW8544632 560 RAYFORD RD SPRING TX 77386 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674231 CARISOPRODOL 350MG TAB (QT)+ 500 30603258228 00603258228 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 18 120.00 % 010 02/25/10 3 010 02/23/10 1 010 02/18/10 3 010 02/11/10 5 010 02/09/10 2 010 02/04/10 1 010 02/02/10 1 + __________ TOTAL ORDERED 16 106.66 % 010 12/30/09 2 010 12/28/09 1 010 12/22/09 2 010 12/18/09 2 010 12/15/09 2 010 12/11/09 3 010 12/08/09 2 010 12/04/09 2 010 12/01/09 1 + __________ TOTAL ORDERED 17 113.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 09161 BW9066211 4870 W DAVIS ST CONROE TX 77304 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682586 PROMETH-COD 6.25-10 SYR(HIT)+16OZ 35038380416 50383080416 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 010 03/30/10 1 010 03/26/10 2 010 03/23/10 1 010 03/19/10 5 010 03/16/10 2 010 03/12/10 4 010 03/09/10 2 010 03/05/10 2 010 03/02/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 257 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 09161 BW9066211 4870 W DAVIS ST CONROE TX 77304 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682586 PROMETH-COD 6.25-10 SYR(HIT)+16OZ 35038380416 50383080416 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 20 133.33 % 010 02/19/10 5 010 02/16/10 1 010 02/09/10 2 010 02/05/10 16 010 02/02/10 4 + __________ TOTAL ORDERED 28 186.66 % 010 12/31/09 11 010 12/28/09 12 010 12/23/09 6 010 12/18/09 3 010 12/11/09 10 + __________ TOTAL ORDERED 42 280.00 % 010 11/27/09 2 010 11/24/09 2 010 11/12/09 10 010 11/10/09 1 010 11/05/09 1 010 11/03/09 1 + __________ TOTAL ORDERED 17 113.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 09602 BW9492238 6467 WOODLANDS THE WOODLANDS TX 77382 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 527363 PAREGORIC 2MG/5ML (HIT) + 16OZ 35038385516 50383085516 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 03/04/10 6 010 03/01/10 2 + __________ TOTAL ORDERED 8 133.33 % 010 02/22/10 7 + __________ TOTAL ORDERED 7 116.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 258 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 09602 BW9492238 6467 WOODLANDS THE WOODLANDS TX 77382 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 604028 CLONAZEPAM ODT 0.25MG TAB+(PAR)60 34988430702 49884030702 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 04/29/10 1 010 04/26/10 3 010 04/01/10 4 + __________ TOTAL ORDERED 8 133.33 % 010 03/29/10 1 010 03/22/10 2 010 03/01/10 4 + __________ TOTAL ORDERED 7 116.66 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 10919 FW1304966 18900 HWY 105 W CONROE TX 77356 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539150 D-AMPHET SALT COMBO 20MG TAB +100 36472013510 64720013510 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 014 04/26/10 4 014 04/19/10 2 014 04/12/10 6 014 04/05/10 9 + __________ TOTAL ORDERED 21 116.66 % 014 03/29/10 5 014 03/22/10 2 014 03/15/10 4 014 03/08/10 9 014 03/01/10 10 + __________ TOTAL ORDERED 30 166.66 % 014 01/25/10 9 014 01/18/10 8 014 01/11/10 2 + __________ TOTAL ORDERED 19 105.55 % 014 11/30/09 3 014 11/23/09 8 014 11/16/09 8 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 259 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 10919 FW1304966 18900 HWY 105 W CONROE TX 77356 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539150 D-AMPHET SALT COMBO 20MG TAB +100 36472013510 64720013510 6 3.0 18.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 19 105.55 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 12165 FW1135614 3901 E DAVIS ST CONROE TX 77301 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 582982 DIASTAT 10MG ACUDIAL + 1 00187065820 00187065820 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 04/23/10 5 010 04/16/10 2 010 04/06/10 5 + __________ TOTAL ORDERED 12 200.00 % 010 03/26/10 3 010 03/23/10 2 010 03/16/10 5 + __________ TOTAL ORDERED 10 166.66 % 010 12/31/09 4 010 12/18/09 4 + __________ TOTAL ORDERED 8 133.33 % 0 SALES DISTRICT 011 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 00553 AW8818607 5300 N BRAESWOOD HOUSTON TX 77096 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 497513 D-AMPHET SALT COM XR+30MG CAP 100 30555078902 00555078902 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 12/18/09 2 014 12/11/09 1 014 12/04/09 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 260 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 011 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 00553 AW8818607 5300 N BRAESWOOD HOUSTON TX 77096 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 497513 D-AMPHET SALT COM XR+30MG CAP 100 30555078902 00555078902 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 8 133.33 % 014 11/27/09 1 014 11/20/09 1 014 11/13/09 1 014 11/06/09 5 + __________ TOTAL ORDERED 8 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 497514 D-AMPHET SALT COM XR+20MG CAP 100 30555078802 00555078802 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 04/30/10 3 014 04/23/10 2 014 04/16/10 5 014 04/09/10 2 + __________ TOTAL ORDERED 12 133.33 % 014 03/19/10 5 014 03/12/10 2 014 03/05/10 3 + __________ TOTAL ORDERED 10 111.11 % 014 02/26/10 2 014 02/19/10 1 014 02/12/10 3 014 02/05/10 4 + __________ TOTAL ORDERED 10 111.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 550610 DEXMETHYLPHENIDATE 5MG TAB + 100 30093527601 00093527601 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 014 04/23/10 4 014 04/02/10 1 + __________ TOTAL ORDERED 5 166.66 % 014 01/29/10 2 014 01/22/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 261 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 011 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 00553 AW8818607 5300 N BRAESWOOD HOUSTON TX 77096 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 550610 DEXMETHYLPHENIDATE 5MG TAB + 100 30093527601 00093527601 1 3.0 3.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 4 133.33 % 014 12/18/09 2 014 12/11/09 1 014 12/04/09 1 + __________ TOTAL ORDERED 4 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 551686 VYVANSE 50MG CAPS + 100 35941710510 59417010510 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 01/29/10 4 014 01/22/10 3 014 01/15/10 2 014 01/08/10 1 + __________ TOTAL ORDERED 10 166.66 % 014 12/28/09 3 014 12/18/09 3 014 12/11/09 1 014 12/04/09 1 + __________ TOTAL ORDERED 8 133.33 % 014 11/27/09 4 014 11/20/09 1 014 11/13/09 2 + __________ TOTAL ORDERED 7 116.66 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04073 BW8753558 12606 WESTPARK RD HOUSTON TX 77079 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 04/29/10 5 010 04/26/10 5 010 04/22/10 5 010 04/19/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 262 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 011 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04073 BW8753558 12606 WESTPARK RD HOUSTON TX 77079 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 04/15/10 4 010 04/12/10 6 010 04/08/10 5 010 04/05/10 4 010 04/01/10 2 + __________ TOTAL ORDERED 41 124.24 % 010 03/29/10 3 010 03/22/10 7 010 03/18/10 7 010 03/15/10 7 010 03/11/10 3 010 03/08/10 5 010 03/04/10 2 010 03/01/10 4 + __________ TOTAL ORDERED 38 115.15 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04328 AW4174253 8413 STELLA LINK RD HOUSTON TX 77025 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672873 ANDROGEL 1% GEL (UNI) + 30X5.0GM 30051845030 00051845030 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 1 010 04/26/10 3 010 04/21/10 3 010 04/19/10 3 010 04/14/10 1 010 04/12/10 2 + __________ TOTAL ORDERED 13 108.33 % 010 02/24/10 2 010 02/22/10 6 010 02/15/10 1 010 02/10/10 1 010 02/03/10 1 010 02/01/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 263 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 011 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04328 AW4174253 8413 STELLA LINK RD HOUSTON TX 77025 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672873 ANDROGEL 1% GEL (UNI) + 30X5.0GM 30051845030 00051845030 4 3.0 12.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 13 108.33 % 010 11/30/09 3 010 11/25/09 1 010 11/20/09 3 010 11/13/09 1 010 11/18/09 2 010 11/06/09 3 + __________ TOTAL ORDERED 13 108.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04837 BW6168050 6102 S HWY 6 MISSOURI CITY TX 77459 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 553889 ANDROGEL 1% PUMP (UNI) +150GM 30051848888 00051848888 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 04/23/10 5 010 04/16/10 4 010 04/13/10 4 010 04/09/10 1 010 04/06/10 2 + __________ TOTAL ORDERED 16 133.33 % 010 03/26/10 2 010 03/23/10 3 010 03/19/10 1 010 03/16/10 2 010 03/12/10 3 010 03/09/10 2 010 03/05/10 1 010 03/02/10 4 + __________ TOTAL ORDERED 18 150.00 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 264 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 011 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04837 BW6168050 6102 S HWY 6 MISSOURI CITY TX 77459 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 683092 TESTIM 1% GEL + 30X5GM 36688700105 66887000105 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 03/30/10 1 010 03/26/10 3 010 03/23/10 1 010 03/19/10 3 010 03/16/10 1 010 03/09/10 1 010 03/05/10 3 010 03/02/10 1 + __________ TOTAL ORDERED 14 155.55 % 010 12/31/09 1 010 12/28/09 3 010 12/23/09 3 010 12/18/09 1 010 12/16/09 1 010 12/11/09 1 010 12/09/09 2 010 12/04/09 3 010 12/02/09 1 + __________ TOTAL ORDERED 16 177.77 % 010 11/27/09 2 010 11/24/09 1 010 11/12/09 1 010 11/10/09 4 010 11/03/09 2 + __________ TOTAL ORDERED 10 111.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684556 VICODIN 5/500 TAB (ABB) + 100NP 30074194914 00074194914 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 010 03/26/10 1 010 03/19/10 1 010 03/16/10 1 010 03/05/10 1 + __________ TOTAL ORDERED 4 133.33 % 010 12/31/09 1 010 12/28/09 1 010 12/11/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 265 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 011 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04837 BW6168050 6102 S HWY 6 MISSOURI CITY TX 77459 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684556 VICODIN 5/500 TAB (ABB) + 100NP 30074194914 00074194914 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 010 12/09/09 2 + __________ TOTAL ORDERED 5 166.66 % 010 11/27/09 1 010 11/17/09 1 010 11/05/09 1 010 11/03/09 1 + __________ TOTAL ORDERED 4 133.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04927 AW8812643 6675 W BELLFORT ST HOUSTON TX 77035 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 04/29/10 6 010 04/27/10 10 010 04/22/10 11 010 04/20/10 6 010 04/15/10 5 010 04/13/10 5 010 04/08/10 9 010 04/06/10 4 010 04/01/10 7 + __________ TOTAL ORDERED 63 190.90 % 010 03/30/10 5 010 03/25/10 7 010 03/23/10 4 010 03/18/10 6 010 03/16/10 8 010 03/11/10 5 010 03/09/10 8 010 03/04/10 16 010 03/02/10 5 + __________ TOTAL ORDERED 64 193.93 % 010 02/25/10 7 010 02/23/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 266 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 011 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04927 AW8812643 6675 W BELLFORT ST HOUSTON TX 77035 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 02/18/10 11 010 02/16/10 9 010 02/11/10 14 010 02/09/10 1 010 02/04/10 8 010 02/02/10 1 + __________ TOTAL ORDERED 52 157.57 % 010 01/28/10 5 010 01/26/10 7 010 01/21/10 5 010 01/19/10 5 010 01/14/10 11 010 01/12/10 8 010 01/07/10 4 010 01/05/10 2 + __________ TOTAL ORDERED 47 142.42 % 010 12/30/09 6 010 12/28/09 3 010 12/22/09 6 010 12/18/09 8 010 12/15/09 3 010 12/11/09 6 010 12/08/09 2 010 12/04/09 11 010 12/01/09 1 + __________ TOTAL ORDERED 46 139.39 % 010 11/27/09 6 010 11/23/09 6 010 11/16/09 6 010 11/19/09 6 010 11/12/09 4 010 11/09/09 5 010 11/05/09 2 010 11/02/09 5 + __________ TOTAL ORDERED 40 121.21 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 267 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 011 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04927 AW8812643 6675 W BELLFORT ST HOUSTON TX 77035 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672713 ACET-CODEINE 120-12/5 (PAI)+473ML 30121050416 00121050416 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 03/18/10 4 010 03/11/10 3 010 03/09/10 3 010 03/04/10 1 + __________ TOTAL ORDERED 11 122.22 % 010 02/25/10 4 010 02/23/10 3 010 02/18/10 4 010 02/16/10 2 + __________ TOTAL ORDERED 13 144.44 % 010 12/22/09 2 010 12/18/09 4 010 12/11/09 1 010 12/08/09 3 + __________ TOTAL ORDERED 10 111.11 % 010 11/27/09 6 010 11/23/09 1 010 11/19/09 5 010 11/05/09 6 + __________ TOTAL ORDERED 18 200.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 010 04/29/10 6 010 04/27/10 3 010 04/22/10 7 010 04/20/10 3 010 04/15/10 2 010 04/08/10 5 010 04/06/10 3 010 04/01/10 7 + __________ TOTAL ORDERED 36 150.00 % 010 03/30/10 1 010 03/25/10 10 010 03/18/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 268 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 011 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04927 AW8812643 6675 W BELLFORT ST HOUSTON TX 77035 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 010 03/16/10 4 010 03/11/10 6 010 03/09/10 4 010 03/04/10 10 010 03/02/10 4 + __________ TOTAL ORDERED 44 183.33 % 010 02/25/10 6 010 02/18/10 7 010 02/16/10 3 010 02/11/10 8 010 02/09/10 1 010 02/04/10 8 010 02/02/10 1 + __________ TOTAL ORDERED 34 141.66 % 010 01/28/10 9 010 01/26/10 4 010 01/21/10 4 010 01/19/10 2 010 01/14/10 6 010 01/12/10 4 010 01/07/10 7 + __________ TOTAL ORDERED 36 150.00 % 010 12/30/09 4 010 12/28/09 2 010 12/22/09 8 010 12/18/09 1 010 12/15/09 1 010 12/11/09 2 010 12/08/09 2 010 12/04/09 7 010 12/01/09 2 + __________ TOTAL ORDERED 29 120.83 % 010 11/27/09 7 010 11/23/09 5 010 11/16/09 4 010 11/19/09 6 010 11/12/09 4 010 11/09/09 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 269 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 011 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04927 AW8812643 6675 W BELLFORT ST HOUSTON TX 77035 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 010 11/05/09 4 010 11/02/09 3 + __________ TOTAL ORDERED 36 150.00 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06484 BW7553123 9600 WESTHEIMER RD HOUSTON TX 77063 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 552568 SUBOXONE 2-0.5MG SL TAB (REC)+30 31249612832 12496128302 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 2 010 04/26/10 1 010 04/21/10 10 010 04/19/10 1 010 04/14/10 1 + __________ TOTAL ORDERED 15 125.00 % 010 03/29/10 4 010 03/17/10 12 + __________ TOTAL ORDERED 16 133.33 % 010 01/18/10 11 010 01/13/10 4 + __________ TOTAL ORDERED 15 125.00 % 010 11/25/09 12 010 11/18/09 4 + __________ TOTAL ORDERED 16 133.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 270 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 012 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02851 BW3617620 7000 N 16TH STR PHOENIX AZ 85020 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 474146 OXYCODONE ER 80MG TABS (ETH)+ 100 35817768304 58177068304 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 026 03/22/10 9 026 03/18/10 5 + __________ TOTAL ORDERED 14 155.55 % 026 02/22/10 5 026 02/18/10 4 026 02/04/10 1 + __________ TOTAL ORDERED 10 111.11 % 026 12/28/09 3 026 12/31/09 5 026 12/24/09 7 026 12/17/09 1 026 12/03/09 2 + __________ TOTAL ORDERED 18 200.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 564861 MORPHINE SULF 30MG CR TB(WAT)+100 30591351201 00591351201 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 026 04/29/10 4 026 04/22/10 10 026 04/15/10 4 026 04/08/10 5 026 04/01/10 6 + __________ TOTAL ORDERED 29 161.11 % 026 03/25/10 3 026 03/18/10 7 026 03/11/10 3 026 03/04/10 6 + __________ TOTAL ORDERED 19 105.55 % 026 12/15/09 2 026 12/14/09 2 026 12/31/09 9 026 12/24/09 7 026 12/17/09 4 026 12/10/09 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 271 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 012 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02851 BW3617620 7000 N 16TH STR PHOENIX AZ 85020 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 564861 MORPHINE SULF 30MG CR TB(WAT)+100 30591351201 00591351201 6 3.0 18.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 29 161.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682972 OXYCODONE HCL 15MG TAB (ACT) +100 35215221402 52152021402 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 026 04/13/10 5 026 04/12/10 9 026 04/29/10 8 026 04/22/10 9 026 04/08/10 4 026 04/01/10 10 + __________ TOTAL ORDERED 45 187.50 % 026 02/18/10 14 026 02/11/10 6 026 02/04/10 7 + __________ TOTAL ORDERED 27 112.50 % 026 01/11/10 5 026 01/28/10 9 026 01/21/10 5 026 01/14/10 11 + __________ TOTAL ORDERED 30 125.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 683092 TESTIM 1% GEL + 30X5GM 36688700105 66887000105 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 012 03/25/10 3 012 03/23/10 2 012 03/17/10 1 012 03/10/10 1 012 03/08/10 1 012 03/03/10 3 + __________ TOTAL ORDERED 11 122.22 % 012 02/17/10 1 012 02/15/10 2 012 02/10/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 272 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 012 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02851 BW3617620 7000 N 16TH STR PHOENIX AZ 85020 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 683092 TESTIM 1% GEL + 30X5GM 36688700105 66887000105 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 012 02/08/10 4 012 02/03/10 1 012 02/01/10 1 + __________ TOTAL ORDERED 10 111.11 % 012 11/30/09 3 012 11/25/09 4 012 11/20/09 2 012 11/13/09 2 012 11/18/09 2 012 11/11/09 3 012 11/06/09 2 + __________ TOTAL ORDERED 18 200.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684809 TESTOSTERN CYP 200MG/ML(WAT)+10ML 30591322379 00364661054 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 012 03/30/10 2 012 03/25/10 2 012 03/17/10 2 012 03/15/10 1 012 03/03/10 2 + __________ TOTAL ORDERED 9 150.00 % 012 02/24/10 3 012 02/22/10 4 012 02/17/10 2 012 02/15/10 1 012 02/10/10 1 012 02/03/10 1 + __________ TOTAL ORDERED 12 200.00 % 012 01/27/10 1 012 01/25/10 2 012 01/20/10 2 012 01/13/10 1 012 01/11/10 1 012 01/06/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 273 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 012 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02851 BW3617620 7000 N 16TH STR PHOENIX AZ 85020 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684809 TESTOSTERN CYP 200MG/ML(WAT)+10ML 30591322379 00364661054 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 9 150.00 % 012 12/24/09 3 012 12/17/09 1 012 12/14/09 3 012 12/10/09 3 012 12/07/09 3 + __________ TOTAL ORDERED 13 216.66 % 012 11/25/09 2 012 11/13/09 1 012 11/06/09 4 + __________ TOTAL ORDERED 7 116.66 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03132 BW4115677 2415 E UNION HILLS PHOENIX AZ 85050 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563755 OXYCODONE-APAP 5-325 TAB(WAT)+500 30591074905 00591074905 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 026 04/30/10 4 026 04/23/10 5 026 04/16/10 8 026 04/09/10 2 026 04/02/10 4 + __________ TOTAL ORDERED 23 109.52 % 026 01/29/10 3 026 01/15/10 4 026 01/08/10 8 026 01/04/10 7 + __________ TOTAL ORDERED 22 104.76 % 026 11/27/09 8 026 11/20/09 5 026 11/13/09 7 026 11/06/09 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 274 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 012 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03132 BW4115677 2415 E UNION HILLS PHOENIX AZ 85050 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563755 OXYCODONE-APAP 5-325 TAB(WAT)+500 30591074905 00591074905 7 3.0 21.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 23 109.52 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682972 OXYCODONE HCL 15MG TAB (ACT) +100 35215221402 52152021402 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 026 04/23/10 18 026 04/09/10 4 026 04/02/10 3 + __________ TOTAL ORDERED 25 104.16 % 026 03/26/10 6 026 03/19/10 9 026 03/12/10 8 026 03/05/10 5 + __________ TOTAL ORDERED 28 116.66 % 026 01/29/10 9 026 01/22/10 2 026 01/15/10 18 026 01/08/10 7 + __________ TOTAL ORDERED 36 150.00 % 026 12/18/09 13 026 12/11/09 5 026 12/04/09 8 + __________ TOTAL ORDERED 26 108.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03177 BW4115653 7011 E SHEA BLVD SCOTTSDALE AZ 85254 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539150 D-AMPHET SALT COMBO 20MG TAB +100 36472013510 64720013510 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 026 04/28/10 3 026 04/21/10 5 026 04/14/10 5 026 04/07/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 275 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 012 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03177 BW4115653 7011 E SHEA BLVD SCOTTSDALE AZ 85254 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539150 D-AMPHET SALT COMBO 20MG TAB +100 36472013510 64720013510 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 18 120.00 % 026 03/31/10 4 026 03/24/10 4 026 03/17/10 3 026 03/10/10 3 026 03/03/10 2 + __________ TOTAL ORDERED 16 106.66 % 026 02/24/10 5 026 02/17/10 3 026 02/10/10 2 026 02/03/10 6 + __________ TOTAL ORDERED 16 106.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539151 D-AMPHET SALT COMBO 10MG TAB +100 36472013210 64720013210 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 026 04/28/10 5 026 04/21/10 3 026 04/14/10 3 026 04/07/10 3 + __________ TOTAL ORDERED 14 116.66 % 026 03/31/10 6 026 03/24/10 4 026 03/17/10 11 026 03/10/10 3 026 03/03/10 12 + __________ TOTAL ORDERED 36 300.00 % 026 02/24/10 4 026 02/17/10 3 026 02/10/10 7 026 02/03/10 4 + __________ TOTAL ORDERED 18 150.00 % 026 12/30/09 6 026 12/23/09 10 026 12/16/09 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 276 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 012 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03177 BW4115653 7011 E SHEA BLVD SCOTTSDALE AZ 85254 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539151 D-AMPHET SALT COMBO 10MG TAB +100 36472013210 64720013210 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 026 12/02/09 6 + __________ TOTAL ORDERED 26 216.66 % 026 11/25/09 4 026 11/18/09 5 026 11/04/09 4 + __________ TOTAL ORDERED 13 108.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 654427 LUNESTA 3MG TAB (SEP) + 100 36340219310 63402019310 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 012 04/26/10 1 012 04/22/10 1 012 04/19/10 1 012 04/15/10 1 012 04/12/10 1 012 04/08/10 1 012 04/05/10 1 + __________ TOTAL ORDERED 7 116.66 % 012 03/29/10 2 012 03/22/10 2 012 03/12/10 1 012 03/10/10 1 012 03/05/10 1 + __________ TOTAL ORDERED 7 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679543 METHYLPHENIDATE 20MG TAB (WT)+100 30591588401 00591588401 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 026 03/31/10 3 026 03/24/10 1 026 03/17/10 1 026 03/10/10 6 + __________ TOTAL ORDERED 11 122.22 % 026 02/24/10 1 026 02/17/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 277 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 012 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03177 BW4115653 7011 E SHEA BLVD SCOTTSDALE AZ 85254 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679543 METHYLPHENIDATE 20MG TAB (WT)+100 30591588401 00591588401 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 026 02/10/10 5 026 02/03/10 3 + __________ TOTAL ORDERED 12 133.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03464 AW0572518 3402 N. CENTRAL AVE. PHOENIX AZ 85012 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 514247 MORPHINE SULFATE IR 15MG TABS+100 30054023525 00054023525 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 026 04/16/10 9 026 04/09/10 7 026 04/02/10 5 + __________ TOTAL ORDERED 21 175.00 % 026 02/26/10 2 026 02/19/10 3 026 02/12/10 3 026 02/05/10 8 + __________ TOTAL ORDERED 16 133.33 % 026 12/18/09 6 026 12/11/09 8 026 12/04/09 4 + __________ TOTAL ORDERED 18 150.00 % 026 11/27/09 2 026 11/20/09 1 026 11/13/09 8 026 11/06/09 6 + __________ TOTAL ORDERED 17 141.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 514718 MORPHINE SUL 30MG TAB (ROX) + 100 30054023625 00054023625 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 026 04/16/10 9 026 04/09/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 278 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 012 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03464 AW0572518 3402 N. CENTRAL AVE. PHOENIX AZ 85012 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 514718 MORPHINE SUL 30MG TAB (ROX) + 100 30054023625 00054023625 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 026 04/02/10 2 + __________ TOTAL ORDERED 17 141.66 % 026 03/26/10 2 026 03/19/10 4 026 03/12/10 8 026 03/05/10 3 + __________ TOTAL ORDERED 17 141.66 % 026 12/28/09 1 026 12/18/09 4 026 12/11/09 5 026 12/04/09 3 + __________ TOTAL ORDERED 13 108.33 % 026 11/27/09 8 026 11/20/09 1 026 11/13/09 2 026 11/06/09 4 + __________ TOTAL ORDERED 15 125.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544543 FENTANYL 50MCG/HR TS (WAT) + 5 30591321272 00591321272 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 026 04/30/10 4 026 04/23/10 3 026 04/16/10 14 026 04/02/10 2 + __________ TOTAL ORDERED 23 109.52 % 026 03/26/10 7 026 03/19/10 6 026 03/12/10 8 026 03/05/10 3 + __________ TOTAL ORDERED 24 114.28 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 279 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 012 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03464 AW0572518 3402 N. CENTRAL AVE. PHOENIX AZ 85012 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563755 OXYCODONE-APAP 5-325 TAB(WAT)+500 30591074905 00591074905 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 026 04/05/10 9 026 04/30/10 5 026 04/23/10 8 026 04/16/10 11 026 04/09/10 4 026 04/02/10 5 + __________ TOTAL ORDERED 42 200.00 % 026 03/18/10 9 026 03/26/10 3 026 03/05/10 11 + __________ TOTAL ORDERED 23 109.52 % 026 02/26/10 8 026 02/19/10 7 026 02/12/10 2 026 02/05/10 12 + __________ TOTAL ORDERED 29 138.09 % 026 01/29/10 6 026 01/22/10 12 026 01/15/10 8 026 01/08/10 8 026 01/04/10 3 + __________ TOTAL ORDERED 37 176.19 % 026 12/28/09 6 026 12/18/09 6 026 12/11/09 11 026 12/04/09 7 + __________ TOTAL ORDERED 30 142.85 % 026 11/27/09 10 026 11/20/09 7 026 11/13/09 9 026 11/06/09 6 + __________ TOTAL ORDERED 32 152.38 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 280 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 012 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03464 AW0572518 3402 N. CENTRAL AVE. PHOENIX AZ 85012 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563978 PROMETHAZIN VC/CODEINE(QTL)+473ML 30603158858 00603158858 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 012 03/30/10 1 012 03/26/10 1 012 03/18/10 1 012 03/15/10 1 012 03/11/10 1 012 03/04/10 1 012 03/01/10 1 + __________ TOTAL ORDERED 7 116.66 % 012 02/25/10 2 012 02/22/10 1 012 02/18/10 5 012 02/15/10 1 012 02/11/10 4 012 02/08/10 1 + __________ TOTAL ORDERED 14 233.33 % 012 01/28/10 2 012 01/25/10 1 012 01/21/10 1 012 01/18/10 1 012 01/07/10 1 012 01/04/10 4 + __________ TOTAL ORDERED 10 166.66 % 012 12/30/09 2 012 12/24/09 3 012 12/17/09 2 012 12/10/09 1 012 12/08/09 1 012 12/01/09 1 + __________ TOTAL ORDERED 10 166.66 % 012 11/25/09 1 012 11/23/09 2 012 11/16/09 2 012 11/18/09 1 012 11/04/09 2 012 11/02/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 281 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 012 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03464 AW0572518 3402 N. CENTRAL AVE. PHOENIX AZ 85012 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563978 PROMETHAZIN VC/CODEINE(QTL)+473ML 30603158858 00603158858 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 9 150.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 645920 OXYCOD-APAP 7.5-325 TAB (WAT)+100 30591093301 00591093301 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 026 02/26/10 10 026 02/19/10 2 026 02/05/10 13 + __________ TOTAL ORDERED 25 119.04 % 026 01/29/10 8 026 01/22/10 6 026 01/15/10 6 026 01/08/10 5 026 01/04/10 1 + __________ TOTAL ORDERED 26 123.80 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 680312 MORPHINE SULF 60MG ER TAB(EN)+100 36095165570 60951065570 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 026 04/16/10 8 026 04/09/10 8 026 04/02/10 1 + __________ TOTAL ORDERED 17 141.66 % 026 03/26/10 2 026 03/19/10 2 026 03/12/10 2 026 03/05/10 7 + __________ TOTAL ORDERED 13 108.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682972 OXYCODONE HCL 15MG TAB (ACT) +100 35215221402 52152021402 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 026 03/26/10 16 026 03/05/10 14 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 282 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 012 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03464 AW0572518 3402 N. CENTRAL AVE. PHOENIX AZ 85012 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682972 OXYCODONE HCL 15MG TAB (ACT) +100 35215221402 52152021402 8 3.0 24.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 30 125.00 % 026 02/26/10 4 026 02/19/10 4 026 02/12/10 2 026 02/05/10 15 + __________ TOTAL ORDERED 25 104.16 % 026 12/18/09 7 026 12/11/09 11 026 12/04/09 10 + __________ TOTAL ORDERED 28 116.66 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03602 BW4908907 8816 E PINNACLE PEAK SCOTTSDLE AZ85255 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 521110 LUNESTA 1MG TAB + 30 36340219030 63402019030 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 012 04/26/10 1 012 04/15/10 1 012 04/12/10 3 + __________ TOTAL ORDERED 5 166.66 % 012 02/12/10 2 012 02/10/10 2 012 02/05/10 1 + __________ TOTAL ORDERED 5 166.66 % 012 12/31/09 1 012 12/23/09 1 012 12/21/09 2 012 12/09/09 1 012 12/07/09 1 + __________ TOTAL ORDERED 6 200.00 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 283 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 012 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03766 BW4940866 34402 N SCOTTSDALE SCOTTSDALE AZ 85262 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 553698 ZOLPIDEM 5MG TABS (TEV) + 100 30093007301 00093007301 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 012 04/27/10 2 012 04/23/10 2 012 04/20/10 1 012 04/16/10 1 012 04/13/10 1 012 04/09/10 1 012 04/06/10 1 012 04/02/10 1 + __________ TOTAL ORDERED 10 111.11 % 012 03/30/10 2 012 03/26/10 1 012 03/23/10 1 012 03/18/10 1 012 03/15/10 3 012 03/01/10 2 + __________ TOTAL ORDERED 10 111.11 % 012 01/25/10 1 012 01/21/10 1 012 01/18/10 3 012 01/14/10 1 012 01/11/10 1 012 01/07/10 1 012 01/04/10 2 + __________ TOTAL ORDERED 10 111.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 601600 AMBIEN CR 12.5MG TAB + 100 30024552131 00024552131 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 012 12/24/09 2 012 12/22/09 1 012 12/17/09 1 012 12/10/09 2 012 12/08/09 1 012 12/03/09 2 012 12/01/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 284 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 012 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03766 BW4940866 34402 N SCOTTSDALE SCOTTSDALE AZ 85262 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 601600 AMBIEN CR 12.5MG TAB + 100 30024552131 00024552131 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 10 111.11 % 012 11/25/09 4 012 11/23/09 2 012 11/11/09 1 012 11/09/09 1 012 11/04/09 1 012 11/02/09 2 + __________ TOTAL ORDERED 11 122.22 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674485 CHERATUSSIN DAC SYRUP (QT) 16OZ 30603107858 00603107858 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 012 04/27/10 1 012 04/23/10 1 012 04/16/10 2 012 04/13/10 1 012 04/09/10 2 012 04/02/10 1 + __________ TOTAL ORDERED 8 266.66 % 012 03/26/10 2 012 03/18/10 2 012 03/15/10 3 012 03/11/10 1 012 03/08/10 1 012 03/04/10 2 012 03/01/10 2 + __________ TOTAL ORDERED 13 433.33 % 012 02/25/10 2 012 02/11/10 4 012 02/08/10 1 + __________ TOTAL ORDERED 7 233.33 % 012 01/25/10 1 012 01/14/10 2 012 01/11/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 285 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 012 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03766 BW4940866 34402 N SCOTTSDALE SCOTTSDALE AZ 85262 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674485 CHERATUSSIN DAC SYRUP (QT) 16OZ 30603107858 00603107858 1 3.0 3.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 4 133.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03769 BW0264971 1616 E THOMAS PHOENIX AZ 85016 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563978 PROMETHAZIN VC/CODEINE(QTL)+473ML 30603158858 00603158858 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 012 03/18/10 2 012 03/08/10 1 012 03/04/10 3 012 03/01/10 1 + __________ TOTAL ORDERED 7 116.66 % 012 02/25/10 5 012 02/22/10 1 012 02/18/10 5 012 02/15/10 1 012 02/11/10 2 012 02/08/10 2 + __________ TOTAL ORDERED 16 266.66 % 012 01/28/10 1 012 01/25/10 1 012 01/18/10 2 012 01/11/10 1 012 01/07/10 2 012 01/04/10 4 + __________ TOTAL ORDERED 11 183.33 % 012 12/24/09 3 012 12/22/09 4 012 12/17/09 1 012 12/10/09 1 012 12/08/09 2 012 12/01/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 286 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 012 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03769 BW0264971 1616 E THOMAS PHOENIX AZ 85016 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563978 PROMETHAZIN VC/CODEINE(QTL)+473ML 30603158858 00603158858 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 12 200.00 % 012 11/25/09 1 012 11/23/09 1 012 11/16/09 1 012 11/11/09 2 012 11/04/09 1 012 11/02/09 2 + __________ TOTAL ORDERED 8 133.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03789 AW0572481 3605 E THOMAS RD PHOENIX AZ 85018 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 514718 MORPHINE SUL 30MG TAB (ROX) + 100 30054023625 00054023625 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 026 12/23/09 4 026 12/16/09 3 026 12/02/09 6 + __________ TOTAL ORDERED 13 108.33 % 026 11/25/09 2 026 11/18/09 1 026 11/11/09 4 026 11/04/09 6 + __________ TOTAL ORDERED 13 108.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544540 FENTANYL 100MCG/HR TS (WAT) + 5 30591321472 00591321472 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 026 04/28/10 10 026 04/21/10 10 026 04/14/10 7 + __________ TOTAL ORDERED 27 128.57 % 026 03/24/10 24 026 03/17/10 20 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 287 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 012 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03789 AW0572481 3605 E THOMAS RD PHOENIX AZ 85018 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544540 FENTANYL 100MCG/HR TS (WAT) + 5 30591321472 00591321472 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 026 03/03/10 5 + __________ TOTAL ORDERED 49 233.33 % 026 02/24/10 18 026 02/17/10 16 026 02/10/10 5 026 02/03/10 13 + __________ TOTAL ORDERED 52 247.61 % 026 01/27/10 6 026 01/20/10 4 026 01/13/10 3 026 01/06/10 15 + __________ TOTAL ORDERED 28 133.33 % 026 12/30/09 31 026 12/23/09 6 026 12/16/09 1 026 12/09/09 3 026 12/02/09 12 + __________ TOTAL ORDERED 53 252.38 % 026 11/25/09 11 026 11/18/09 11 026 11/11/09 19 026 11/04/09 13 + __________ TOTAL ORDERED 54 257.14 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563755 OXYCODONE-APAP 5-325 TAB(WAT)+500 30591074905 00591074905 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 026 04/28/10 8 026 04/21/10 8 026 04/14/10 6 026 04/07/10 7 + __________ TOTAL ORDERED 29 138.09 % 026 03/31/10 8 026 03/24/10 7 026 03/17/10 8 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 288 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 012 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03789 AW0572481 3605 E THOMAS RD PHOENIX AZ 85018 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563755 OXYCODONE-APAP 5-325 TAB(WAT)+500 30591074905 00591074905 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 026 03/10/10 8 026 03/03/10 8 + __________ TOTAL ORDERED 39 185.71 % 026 02/24/10 8 026 02/17/10 6 026 02/10/10 9 026 02/03/10 9 + __________ TOTAL ORDERED 32 152.38 % 026 12/30/09 10 026 12/23/09 8 026 12/16/09 6 026 12/09/09 7 026 12/02/09 6 + __________ TOTAL ORDERED 37 176.19 % 026 11/25/09 6 026 11/18/09 7 026 11/11/09 5 026 11/04/09 6 + __________ TOTAL ORDERED 24 114.28 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 564861 MORPHINE SULF 30MG CR TB(WAT)+100 30591351201 00591351201 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 026 12/30/09 7 026 12/23/09 4 026 12/16/09 6 026 12/09/09 7 026 12/02/09 1 + __________ TOTAL ORDERED 25 138.88 % 026 11/25/09 2 026 11/18/09 4 026 11/11/09 9 026 11/04/09 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 289 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 012 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03789 AW0572481 3605 E THOMAS RD PHOENIX AZ 85018 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 564861 MORPHINE SULF 30MG CR TB(WAT)+100 30591351201 00591351201 6 3.0 18.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 19 105.55 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 680312 MORPHINE SULF 60MG ER TAB(EN)+100 36095165570 60951065570 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 026 03/31/10 5 026 03/24/10 1 026 03/17/10 1 026 03/10/10 4 026 03/03/10 2 + __________ TOTAL ORDERED 13 108.33 % 026 12/30/09 5 026 12/23/09 4 026 12/16/09 3 026 12/09/09 2 026 12/02/09 2 + __________ TOTAL ORDERED 16 133.33 % 026 11/25/09 3 026 11/18/09 1 026 11/11/09 2 026 11/04/09 7 + __________ TOTAL ORDERED 13 108.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (AMI)+ 100 35215221502 52152021502 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 026 03/31/10 3 026 03/24/10 4 026 03/17/10 7 026 03/10/10 8 026 03/03/10 3 + __________ TOTAL ORDERED 25 119.04 % 026 02/24/10 4 026 02/17/10 4 026 02/10/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 290 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 012 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03789 AW0572481 3605 E THOMAS RD PHOENIX AZ 85018 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (AMI)+ 100 35215221502 52152021502 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 026 02/03/10 9 + __________ TOTAL ORDERED 24 114.28 % 026 12/30/09 12 026 12/23/09 6 026 12/16/09 5 026 12/09/09 7 026 12/02/09 12 + __________ TOTAL ORDERED 42 200.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682972 OXYCODONE HCL 15MG TAB (ACT) +100 35215221402 52152021402 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 026 04/28/10 8 026 04/21/10 10 026 04/14/10 10 026 04/07/10 5 + __________ TOTAL ORDERED 33 137.50 % 026 03/31/10 9 026 03/24/10 10 026 03/17/10 7 026 03/10/10 6 026 03/03/10 8 + __________ TOTAL ORDERED 40 166.66 % 026 02/24/10 5 026 02/17/10 10 026 02/10/10 9 026 02/03/10 6 + __________ TOTAL ORDERED 30 125.00 % 026 01/27/10 5 026 01/20/10 7 026 01/13/10 15 + __________ TOTAL ORDERED 27 112.50 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 291 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 012 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04507 BW6831944 15025 N THOMPSN PEAK SCOTTSDL AZ 85260 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539151 D-AMPHET SALT COMBO 10MG TAB +100 36472013210 64720013210 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 026 03/30/10 6 026 03/23/10 1 026 03/16/10 7 026 03/09/10 3 026 03/02/10 3 + __________ TOTAL ORDERED 20 166.66 % 026 02/16/10 10 026 02/09/10 4 026 02/02/10 4 + __________ TOTAL ORDERED 18 150.00 % 026 12/29/09 5 026 12/22/09 2 026 12/01/09 6 + __________ TOTAL ORDERED 13 108.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684285 OXYCONTIN 80MG TAB (PUR) 100 35901110710 59011010710 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 026 04/27/10 4 026 04/20/10 6 026 04/06/10 3 + __________ TOTAL ORDERED 13 108.33 % 026 03/30/10 4 026 03/23/10 4 026 03/16/10 3 026 03/09/10 3 026 03/02/10 1 + __________ TOTAL ORDERED 15 125.00 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 292 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 012 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04951 BW6197897 4006 E BELL RD PHOENIX AZ 85032 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (AMI)+ 100 35215221502 52152021502 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 026 04/15/10 23 026 04/08/10 8 026 04/01/10 1 + __________ TOTAL ORDERED 32 152.38 % 026 03/25/10 8 026 03/18/10 17 026 03/11/10 13 026 03/04/10 7 + __________ TOTAL ORDERED 45 214.28 % 026 02/25/10 8 026 02/18/10 14 026 02/11/10 2 026 02/04/10 14 + __________ TOTAL ORDERED 38 180.95 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05893 BW7189194 705 E MCDOWELL RD PHOENIX AZ 85006 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563755 OXYCODONE-APAP 5-325 TAB(WAT)+500 30591074905 00591074905 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 026 04/29/10 5 026 04/22/10 5 026 04/15/10 1 026 04/08/10 9 026 04/01/10 6 + __________ TOTAL ORDERED 26 123.80 % 026 02/25/10 7 026 02/18/10 6 026 02/11/10 5 026 02/04/10 9 + __________ TOTAL ORDERED 27 128.57 % 026 12/31/09 9 026 12/24/09 6 026 12/17/09 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 293 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 012 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05893 BW7189194 705 E MCDOWELL RD PHOENIX AZ 85006 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563755 OXYCODONE-APAP 5-325 TAB(WAT)+500 30591074905 00591074905 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 026 12/10/09 9 026 12/03/09 4 + __________ TOTAL ORDERED 32 152.38 % 026 11/27/09 6 026 11/19/09 10 026 11/12/09 6 026 11/05/09 4 + __________ TOTAL ORDERED 26 123.80 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05938 BW7189207 4134 N 44TH ST PHOENIX AZ 85018 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539151 D-AMPHET SALT COMBO 10MG TAB +100 36472013210 64720013210 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 026 04/09/10 8 026 04/02/10 5 + __________ TOTAL ORDERED 13 108.33 % 026 03/26/10 7 026 03/19/10 3 026 03/12/10 3 + __________ TOTAL ORDERED 13 108.33 % 026 01/22/10 8 026 01/15/10 5 026 01/08/10 3 + __________ TOTAL ORDERED 16 133.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 294 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 012 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06060 BW2778946 16415 E PALISADES FOUNTN HILLS AZ85268 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563978 PROMETHAZIN VC/CODEINE(QTL)+473ML 30603158858 00603158858 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 012 03/29/10 1 012 03/25/10 1 012 03/22/10 1 012 03/17/10 1 012 03/12/10 1 012 03/05/10 3 012 03/03/10 1 + __________ TOTAL ORDERED 9 150.00 % 012 02/12/10 3 012 02/10/10 3 012 02/05/10 2 012 02/03/10 1 + __________ TOTAL ORDERED 9 150.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 661497 DIPHENOX-ATROPINE LIQ (ROX)+ 60ML 30054319446 00054319446 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 012 12/31/09 5 012 12/29/09 2 012 12/23/09 1 012 12/21/09 1 + __________ TOTAL ORDERED 9 150.00 % 012 11/30/09 1 012 11/24/09 2 012 11/17/09 3 012 11/10/09 3 + __________ TOTAL ORDERED 9 150.00 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 295 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 012 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06729 BW7686011 10929 E DYNAMITE SCOTTSDALE AZ 85255 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 555506 LYRICA 200MG CAP (PZ) + 90 30071101768 00071101768 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 012 12/16/09 1 012 12/11/09 1 012 12/04/09 1 012 12/02/09 1 + __________ TOTAL ORDERED 4 133.33 % 012 11/12/09 1 012 11/10/09 2 012 11/05/09 1 + __________ TOTAL ORDERED 4 133.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07516 BW8678748 2411 W ANTHEM WAY ANTHEM AZ 85086 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679658 HYDROMET SYRUP (ALP) + 473ML 30472103016 00472103016 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 012 04/27/10 1 012 04/23/10 2 012 04/20/10 1 012 04/16/10 2 012 04/09/10 2 012 04/06/10 2 012 04/02/10 1 + __________ TOTAL ORDERED 11 122.22 % 012 03/26/10 1 012 03/18/10 5 012 03/11/10 1 012 03/08/10 3 012 03/04/10 1 012 03/01/10 3 + __________ TOTAL ORDERED 14 155.55 % 012 12/30/09 3 012 12/24/09 5 012 12/22/09 2 012 12/17/09 6 012 12/15/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 296 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 012 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07516 BW8678748 2411 W ANTHEM WAY ANTHEM AZ 85086 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679658 HYDROMET SYRUP (ALP) + 473ML 30472103016 00472103016 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 012 12/10/09 3 + __________ TOTAL ORDERED 21 233.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 09472 FW0549254 2797 W CAREFREE HWY PHOENIX AZ 85027 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679658 HYDROMET SYRUP (ALP) + 473ML 30472103016 00472103016 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 012 03/31/10 2 012 03/29/10 1 012 03/24/10 1 012 03/22/10 2 012 03/16/10 2 012 03/12/10 5 012 03/09/10 1 012 03/05/10 3 012 03/02/10 4 + __________ TOTAL ORDERED 21 233.33 % 012 02/23/10 2 012 02/19/10 1 012 02/16/10 1 012 02/09/10 1 012 02/05/10 6 012 02/02/10 1 + __________ TOTAL ORDERED 12 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682972 OXYCODONE HCL 15MG TAB (ACT) +100 35215221402 52152021402 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 026 03/22/10 1 026 03/15/10 3 026 03/08/10 20 026 03/01/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 297 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 012 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 09472 FW0549254 2797 W CAREFREE HWY PHOENIX AZ 85027 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682972 OXYCODONE HCL 15MG TAB (ACT) +100 35215221402 52152021402 8 3.0 24.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 31 129.16 % 026 02/22/10 16 026 02/15/10 4 026 02/08/10 8 026 02/01/10 5 + __________ TOTAL ORDERED 33 137.50 % 026 01/25/10 6 026 01/18/10 10 026 01/11/10 11 + __________ TOTAL ORDERED 27 112.50 % 0 SALES DISTRICT 013 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05528 BW7385253 4041 N STERRA WAY SAN BERNRDNO CA92407 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 012 04/28/10 4 012 04/26/10 4 012 04/21/10 3 012 04/19/10 4 012 04/14/10 3 012 04/12/10 4 012 04/07/10 2 012 04/05/10 5 + __________ TOTAL ORDERED 29 120.83 % 012 03/31/10 2 012 03/29/10 4 012 03/24/10 4 012 03/22/10 4 012 03/16/10 3 012 03/12/10 5 012 03/09/10 3 012 03/05/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 298 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 013 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05528 BW7385253 4041 N STERRA WAY SAN BERNRDNO CA92407 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 012 03/02/10 1 + __________ TOTAL ORDERED 31 129.16 % 012 02/26/10 5 012 02/23/10 4 012 02/19/10 4 012 02/16/10 2 012 02/12/10 6 012 02/09/10 1 012 02/05/10 6 012 02/02/10 1 + __________ TOTAL ORDERED 29 120.83 % 012 01/29/10 5 012 01/26/10 3 012 01/22/10 5 012 01/19/10 2 012 01/15/10 4 012 01/12/10 1 012 01/08/10 5 012 01/05/10 2 + __________ TOTAL ORDERED 27 112.50 % 012 12/31/09 5 012 12/28/09 3 012 12/23/09 6 012 12/18/09 4 012 12/16/09 2 012 12/11/09 5 012 12/09/09 2 012 12/04/09 3 012 12/02/09 1 + __________ TOTAL ORDERED 31 129.16 % 012 11/27/09 9 012 11/24/09 2 012 11/17/09 2 012 11/19/09 6 012 11/12/09 5 012 11/10/09 2 012 11/05/09 3 012 11/03/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 299 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 013 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05528 BW7385253 4041 N STERRA WAY SAN BERNRDNO CA92407 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 8 3.0 24.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 31 129.16 % 0 SALES DISTRICT 014 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03191 BW5204627 10865 N TATUM PHOENIX AZ 85028 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 594188 ALPRAZOLAM XR 0.5MG TAB (GRN)+ 60 35976200571 59762005701 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 012 01/28/10 4 012 01/14/10 1 012 01/07/10 1 + __________ TOTAL ORDERED 6 200.00 % 012 12/11/09 4 012 12/08/09 1 + __________ TOTAL ORDERED 5 166.66 % 012 11/19/09 1 012 11/12/09 2 012 11/09/09 1 + __________ TOTAL ORDERED 4 133.33 % 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 00272 AW2845230 1 CORRY STREET CINCINNATI OH 45219 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 552577 SUBOXONE 8-2MG SL TAB + 30 31249613062 12496130602 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 011 04/28/10 1 011 04/26/10 6 011 04/21/10 6 011 04/19/10 8 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 300 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 00272 AW2845230 1 CORRY STREET CINCINNATI OH 45219 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 552577 SUBOXONE 8-2MG SL TAB + 30 31249613062 12496130602 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 011 04/14/10 1 011 04/12/10 3 011 04/07/10 5 011 04/05/10 10 + __________ TOTAL ORDERED 40 121.21 % 011 03/31/10 5 011 03/29/10 3 011 03/24/10 5 011 03/22/10 6 011 03/17/10 5 011 03/15/10 1 011 03/10/10 2 011 03/08/10 5 011 03/03/10 5 011 03/01/10 5 + __________ TOTAL ORDERED 42 127.27 % 011 02/24/10 3 011 02/22/10 2 011 02/17/10 1 011 02/15/10 8 011 02/10/10 5 011 02/08/10 9 011 02/03/10 6 + __________ TOTAL ORDERED 34 103.03 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563755 OXYCODONE-APAP 5-325 TAB(WAT)+500 30591074905 00591074905 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 04/23/10 6 013 04/16/10 5 013 04/09/10 6 013 04/02/10 5 + __________ TOTAL ORDERED 22 122.22 % 013 03/26/10 5 013 03/19/10 6 013 03/12/10 7 013 03/05/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 301 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 00272 AW2845230 1 CORRY STREET CINCINNATI OH 45219 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563755 OXYCODONE-APAP 5-325 TAB(WAT)+500 30591074905 00591074905 6 3.0 18.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 23 127.77 % 013 12/23/09 5 013 12/16/09 6 013 12/09/09 6 013 12/02/09 6 + __________ TOTAL ORDERED 23 127.77 % 013 11/24/09 5 013 11/17/09 5 013 11/10/09 4 013 11/03/09 5 + __________ TOTAL ORDERED 19 105.55 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 591810 ACETAMIN/COD 300/60 TAB (TEV)+100 30093035001 00093035001 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 011 01/27/10 1 011 01/20/10 2 011 01/13/10 3 011 01/11/10 1 011 01/06/10 3 011 01/04/10 3 + __________ TOTAL ORDERED 13 108.33 % 011 12/29/09 1 011 12/24/09 2 011 12/21/09 4 011 12/17/09 2 011 12/14/09 4 011 12/07/09 2 011 12/03/09 2 + __________ TOTAL ORDERED 17 141.66 % 011 11/30/09 2 011 11/25/09 3 011 11/20/09 3 011 11/13/09 1 011 11/06/09 3 011 11/04/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 302 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 00272 AW2845230 1 CORRY STREET CINCINNATI OH 45219 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 591810 ACETAMIN/COD 300/60 TAB (TEV)+100 30093035001 00093035001 4 3.0 12.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 14 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 597169 METHADONE HCL 10MG TAB (MAL) +100 30406577101 00406577101 13 3.0 39.0 0 DC DATE ORDERED QUANTITY 013 03/26/10 7 013 03/19/10 9 013 03/12/10 12 013 03/05/10 25 + __________ TOTAL ORDERED 53 135.89 % 013 01/22/10 6 013 01/15/10 26 013 01/08/10 10 + __________ TOTAL ORDERED 42 107.69 % 013 12/23/09 17 013 12/16/09 16 013 12/09/09 11 013 12/02/09 7 + __________ TOTAL ORDERED 51 130.76 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 645920 OXYCOD-APAP 7.5-325 TAB (WAT)+100 30591093301 00591093301 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 04/23/10 9 013 04/09/10 10 + __________ TOTAL ORDERED 19 105.55 % 013 03/26/10 10 013 03/19/10 4 013 03/12/10 9 013 03/05/10 1 + __________ TOTAL ORDERED 24 133.33 % 013 12/23/09 4 013 12/16/09 9 013 12/09/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 303 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 00272 AW2845230 1 CORRY STREET CINCINNATI OH 45219 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 645920 OXYCOD-APAP 7.5-325 TAB (WAT)+100 30591093301 00591093301 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 12/02/09 5 + __________ TOTAL ORDERED 19 105.55 % 013 11/24/09 5 013 11/17/09 12 013 11/03/09 4 + __________ TOTAL ORDERED 21 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672651 ACETAMIN/CODIENE 300/60 TAB + 100 30603233921 00603233921 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 011 04/28/10 1 011 04/21/10 3 011 04/14/10 2 011 04/12/10 1 011 04/07/10 2 011 04/05/10 5 + __________ TOTAL ORDERED 14 155.55 % 011 03/31/10 3 011 03/24/10 3 011 03/22/10 2 011 03/17/10 2 011 03/10/10 3 011 03/08/10 4 011 03/03/10 4 + __________ TOTAL ORDERED 21 233.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684278 OXYCONTIN 40MG TAB (PUR) 100 35901110510 59011010510 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 013 12/23/09 1 013 12/16/09 5 013 12/09/09 7 013 12/02/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 304 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 00272 AW2845230 1 CORRY STREET CINCINNATI OH 45219 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684278 OXYCONTIN 40MG TAB (PUR) 100 35901110510 59011010510 4 3.0 12.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 15 125.00 % 013 11/24/09 2 013 11/17/09 7 013 11/10/09 4 013 11/03/09 2 + __________ TOTAL ORDERED 15 125.00 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02991 BW3850648 1026 MADISON AVE COVINGTON KY 41011 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 552577 SUBOXONE 8-2MG SL TAB + 30 31249613062 12496130602 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 011 04/29/10 1 011 04/22/10 5 011 04/20/10 4 011 04/15/10 10 011 04/13/10 8 011 04/08/10 4 011 04/06/10 3 011 04/01/10 2 + __________ TOTAL ORDERED 37 112.12 % 011 03/30/10 1 011 03/25/10 2 011 03/18/10 11 011 03/16/10 8 011 03/11/10 6 011 03/09/10 9 011 03/04/10 6 011 03/02/10 5 + __________ TOTAL ORDERED 48 145.45 % 011 01/28/10 8 011 01/26/10 1 011 01/21/10 4 011 01/19/10 5 011 01/14/10 10 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 305 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02991 BW3850648 1026 MADISON AVE COVINGTON KY 41011 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 552577 SUBOXONE 8-2MG SL TAB + 30 31249613062 12496130602 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 011 01/12/10 4 011 01/07/10 7 011 01/05/10 1 + __________ TOTAL ORDERED 40 121.21 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682972 OXYCODONE HCL 15MG TAB (ACT) +100 35215221402 52152021402 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 013 01/25/10 8 013 01/18/10 18 013 01/11/10 4 + __________ TOTAL ORDERED 30 142.85 % 013 12/24/09 35 + __________ TOTAL ORDERED 35 166.66 % 013 11/25/09 12 013 11/18/09 20 013 11/11/09 6 013 11/04/09 1 + __________ TOTAL ORDERED 39 185.71 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03807 AW2795978 5508 BRIDGETWN RD BRIDGTWN OH 45248 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 474146 OXYCODONE ER 80MG TABS (ETH)+ 100 35817768304 58177068304 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 03/25/10 7 013 03/18/10 7 013 03/11/10 1 013 03/04/10 2 + __________ TOTAL ORDERED 17 283.33 % 013 02/18/10 8 013 02/11/10 1 013 02/04/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 306 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03807 AW2795978 5508 BRIDGETWN RD BRIDGTWN OH 45248 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 474146 OXYCODONE ER 80MG TABS (ETH)+ 100 35817768304 58177068304 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 12 200.00 % 013 01/28/10 1 013 01/21/10 8 013 01/14/10 2 + __________ TOTAL ORDERED 11 183.33 % 013 12/30/09 2 013 12/22/09 7 013 12/15/09 1 013 12/08/09 2 013 12/01/09 2 + __________ TOTAL ORDERED 14 233.33 % 013 11/23/09 6 013 11/16/09 1 013 11/09/09 2 013 11/02/09 2 + __________ TOTAL ORDERED 11 183.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 477627 DURAGESIC 50MCG/HOUR PATCH 5 35045809205 50458009205 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 04/29/10 9 013 04/22/10 1 013 04/08/10 9 + __________ TOTAL ORDERED 19 211.11 % 013 03/04/10 10 + __________ TOTAL ORDERED 10 111.11 % 013 02/25/10 1 013 02/11/10 1 013 02/04/10 10 + __________ TOTAL ORDERED 12 133.33 % 013 01/07/10 10 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 307 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03807 AW2795978 5508 BRIDGETWN RD BRIDGTWN OH 45248 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 477627 DURAGESIC 50MCG/HOUR PATCH 5 35045809205 50458009205 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 10 111.11 % 013 12/30/09 3 013 12/15/09 9 013 12/01/09 2 + __________ TOTAL ORDERED 14 155.55 % 013 11/16/09 8 013 11/02/09 2 + __________ TOTAL ORDERED 10 111.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 535305 OXYCONTIN 30MG TAB (PUR) + 100 35901183010 59011083010 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 04/22/10 5 013 04/15/10 2 + __________ TOTAL ORDERED 7 116.66 % 013 03/25/10 4 013 03/18/10 3 013 03/11/10 2 013 03/04/10 1 + __________ TOTAL ORDERED 10 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563755 OXYCODONE-APAP 5-325 TAB(WAT)+500 30591074905 00591074905 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 04/19/10 6 013 04/29/10 5 013 04/22/10 8 + __________ TOTAL ORDERED 19 105.55 % 013 03/25/10 9 013 03/18/10 9 013 03/11/10 4 013 03/04/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 308 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03807 AW2795978 5508 BRIDGETWN RD BRIDGTWN OH 45248 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563755 OXYCODONE-APAP 5-325 TAB(WAT)+500 30591074905 00591074905 6 3.0 18.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 28 155.55 % 013 02/25/10 6 013 02/18/10 6 013 02/11/10 3 013 02/04/10 5 + __________ TOTAL ORDERED 20 111.11 % 013 12/30/09 4 013 12/22/09 5 013 12/15/09 6 013 12/08/09 4 013 12/01/09 4 + __________ TOTAL ORDERED 23 127.77 % 013 11/23/09 3 013 11/16/09 6 013 11/09/09 5 013 11/02/09 5 + __________ TOTAL ORDERED 19 105.55 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 582982 DIASTAT 10MG ACUDIAL + 1 00187065820 00187065820 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 011 04/27/10 10 011 04/16/10 1 011 04/06/10 10 + __________ TOTAL ORDERED 21 350.00 % 011 03/26/10 1 011 03/19/10 10 011 03/02/10 10 + __________ TOTAL ORDERED 21 350.00 % 011 02/09/10 9 + __________ TOTAL ORDERED 9 150.00 % 011 01/22/10 11 011 01/05/10 9 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 309 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03807 AW2795978 5508 BRIDGETWN RD BRIDGTWN OH 45248 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 582982 DIASTAT 10MG ACUDIAL + 1 00187065820 00187065820 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 20 333.33 % 011 12/18/09 9 011 12/02/09 10 + __________ TOTAL ORDERED 19 316.66 % 011 11/12/09 3 011 11/10/09 7 + __________ TOTAL ORDERED 10 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 597169 METHADONE HCL 10MG TAB (MAL) +100 30406577101 00406577101 13 3.0 39.0 0 DC DATE ORDERED QUANTITY 013 03/25/10 10 013 03/18/10 7 013 03/11/10 14 013 03/04/10 9 + __________ TOTAL ORDERED 40 102.56 % 013 01/28/10 3 013 01/21/10 8 013 01/14/10 18 013 01/07/10 13 + __________ TOTAL ORDERED 42 107.69 % 013 12/30/09 6 013 12/22/09 10 013 12/15/09 16 013 12/08/09 6 013 12/01/09 6 + __________ TOTAL ORDERED 44 112.82 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 645920 OXYCOD-APAP 7.5-325 TAB (WAT)+100 30591093301 00591093301 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 04/29/10 1 013 04/22/10 7 013 04/15/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 310 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03807 AW2795978 5508 BRIDGETWN RD BRIDGTWN OH 45248 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 645920 OXYCOD-APAP 7.5-325 TAB (WAT)+100 30591093301 00591093301 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 04/08/10 6 + __________ TOTAL ORDERED 19 105.55 % 013 12/30/09 6 013 12/22/09 6 013 12/15/09 8 013 12/08/09 4 013 12/01/09 4 + __________ TOTAL ORDERED 28 155.55 % 013 11/23/09 3 013 11/16/09 7 013 11/09/09 7 013 11/02/09 5 + __________ TOTAL ORDERED 22 122.22 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 651382 FENTANYL 100MCG/HR TS (MYL) 5 30378912498 00378912498 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 013 04/29/10 23 + __________ TOTAL ORDERED 23 109.52 % 013 03/25/10 23 013 03/18/10 19 013 03/11/10 3 + __________ TOTAL ORDERED 45 214.28 % 013 12/22/09 25 013 12/15/09 4 013 12/08/09 3 + __________ TOTAL ORDERED 32 152.38 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 651385 FENTANYL 25MCG/HR TS (MYL) 5 30378912198 00378912198 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 04/29/10 4 013 04/22/10 3 013 04/15/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 311 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03807 AW2795978 5508 BRIDGETWN RD BRIDGTWN OH 45248 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 651385 FENTANYL 25MCG/HR TS (MYL) 5 30378912198 00378912198 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 04/08/10 3 013 04/01/10 11 + __________ TOTAL ORDERED 25 138.88 % 013 03/25/10 6 013 03/18/10 1 013 03/11/10 6 013 03/04/10 10 + __________ TOTAL ORDERED 23 127.77 % 013 01/28/10 10 013 01/14/10 6 013 01/07/10 10 + __________ TOTAL ORDERED 26 144.44 % 013 12/30/09 1 013 12/22/09 6 013 12/15/09 14 013 12/08/09 2 + __________ TOTAL ORDERED 23 127.77 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 652294 OXYCOD-APAP 10-325 TAB (WAT) +100 30591093201 00591093201 16 3.0 48.0 0 DC DATE ORDERED QUANTITY 013 04/29/10 26 013 04/22/10 48 013 04/15/10 17 + __________ TOTAL ORDERED 91 189.58 % 013 03/25/10 53 013 03/18/10 37 013 03/11/10 16 013 03/04/10 26 + __________ TOTAL ORDERED 132 275.00 % 013 02/25/10 14 013 02/18/10 46 013 02/11/10 17 013 02/04/10 8 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 312 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03807 AW2795978 5508 BRIDGETWN RD BRIDGTWN OH 45248 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 652294 OXYCOD-APAP 10-325 TAB (WAT) +100 30591093201 00591093201 16 3.0 48.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 85 177.08 % 013 01/28/10 23 013 01/21/10 48 013 01/14/10 10 013 01/07/10 30 + __________ TOTAL ORDERED 111 231.25 % 013 12/30/09 29 013 12/22/09 26 013 12/15/09 16 013 12/08/09 25 013 12/01/09 29 + __________ TOTAL ORDERED 125 260.41 % 013 11/23/09 18 013 11/16/09 17 013 11/09/09 17 013 11/02/09 12 + __________ TOTAL ORDERED 64 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (AMI)+ 100 35215221502 52152021502 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 04/29/10 10 013 04/22/10 21 + __________ TOTAL ORDERED 31 172.22 % 013 03/25/10 19 013 03/18/10 10 013 03/11/10 6 013 03/04/10 21 + __________ TOTAL ORDERED 56 311.11 % 013 02/25/10 5 013 02/18/10 8 013 02/11/10 4 013 02/04/10 20 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 313 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03807 AW2795978 5508 BRIDGETWN RD BRIDGTWN OH 45248 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (AMI)+ 100 35215221502 52152021502 6 3.0 18.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 37 205.55 % 013 01/28/10 8 013 01/21/10 4 013 01/14/10 17 013 01/07/10 3 + __________ TOTAL ORDERED 32 177.77 % 013 12/30/09 8 013 12/22/09 15 013 12/08/09 7 013 12/01/09 3 + __________ TOTAL ORDERED 33 183.33 % 013 11/23/09 11 013 11/16/09 7 013 11/09/09 2 013 11/02/09 4 + __________ TOTAL ORDERED 24 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682972 OXYCODONE HCL 15MG TAB (ACT) +100 35215221402 52152021402 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 013 04/29/10 10 013 04/22/10 31 + __________ TOTAL ORDERED 41 195.23 % 013 03/25/10 31 013 03/18/10 6 013 03/11/10 5 013 03/04/10 5 + __________ TOTAL ORDERED 47 223.80 % 013 02/25/10 21 013 02/18/10 7 013 02/11/10 7 013 02/04/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 314 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03807 AW2795978 5508 BRIDGETWN RD BRIDGTWN OH 45248 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682972 OXYCODONE HCL 15MG TAB (ACT) +100 35215221402 52152021402 7 3.0 21.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 42 200.00 % 013 01/28/10 18 013 01/21/10 21 013 01/14/10 9 013 01/07/10 9 + __________ TOTAL ORDERED 57 271.42 % 013 12/30/09 9 013 12/22/09 20 013 12/08/09 16 013 12/01/09 6 + __________ TOTAL ORDERED 51 242.85 % 013 11/23/09 11 013 11/16/09 8 013 11/09/09 5 013 11/02/09 11 + __________ TOTAL ORDERED 35 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684278 OXYCONTIN 40MG TAB (PUR) 100 35901110510 59011010510 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 013 04/29/10 7 013 04/22/10 7 013 04/15/10 2 013 04/08/10 1 013 04/01/10 1 + __________ TOTAL ORDERED 18 150.00 % 013 03/25/10 7 013 03/18/10 3 013 03/11/10 3 013 03/04/10 2 + __________ TOTAL ORDERED 15 125.00 % 013 02/25/10 5 013 02/18/10 3 013 02/11/10 4 013 02/04/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 315 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03807 AW2795978 5508 BRIDGETWN RD BRIDGTWN OH 45248 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684278 OXYCONTIN 40MG TAB (PUR) 100 35901110510 59011010510 4 3.0 12.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 14 116.66 % 013 01/21/10 8 013 01/14/10 3 013 01/07/10 2 + __________ TOTAL ORDERED 13 108.33 % 013 12/30/09 4 013 12/22/09 4 013 12/15/09 4 013 12/08/09 1 013 12/01/09 4 + __________ TOTAL ORDERED 17 141.66 % 013 11/23/09 4 013 11/16/09 4 013 11/09/09 1 013 11/02/09 6 + __________ TOTAL ORDERED 15 125.00 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04246 BW5456101 2320 BOUDINOT AVE CINCINNATI OH 45238 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 484847 OXYCODONE 5MG TABS (QUA) + 100 30603499021 00603499021 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 013 04/26/10 15 013 04/19/10 8 013 04/12/10 5 013 04/05/10 10 + __________ TOTAL ORDERED 38 140.74 % 013 03/29/10 11 013 03/22/10 10 013 03/15/10 5 013 03/08/10 9 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 316 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04246 BW5456101 2320 BOUDINOT AVE CINCINNATI OH 45238 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 484847 OXYCODONE 5MG TABS (QUA) + 100 30603499021 00603499021 9 3.0 27.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 35 129.62 % 013 12/24/09 13 013 12/17/09 7 013 12/10/09 3 013 12/03/09 7 + __________ TOTAL ORDERED 30 111.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 496044 CLONAZEPAM 1MG TAB (MYL) + 1000 30378191210 00378191210 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 011 04/22/10 1 011 04/15/10 1 011 04/08/10 1 011 04/01/10 1 + __________ TOTAL ORDERED 4 133.33 % 011 03/25/10 1 011 03/23/10 1 011 03/16/10 1 011 03/02/10 1 + __________ TOTAL ORDERED 4 133.33 % 011 02/25/10 1 011 02/23/10 1 011 02/18/10 1 011 02/11/10 1 011 02/04/10 1 011 02/02/10 1 + __________ TOTAL ORDERED 6 200.00 % 011 01/28/10 1 011 01/21/10 1 011 01/14/10 1 011 01/07/10 1 + __________ TOTAL ORDERED 4 133.33 % 011 12/30/09 1 011 12/22/09 1 011 12/18/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 317 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04246 BW5456101 2320 BOUDINOT AVE CINCINNATI OH 45238 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 496044 CLONAZEPAM 1MG TAB (MYL) + 1000 30378191210 00378191210 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 011 12/08/09 1 + __________ TOTAL ORDERED 4 133.33 % 011 11/27/09 1 011 11/16/09 1 011 11/19/09 1 011 11/05/09 1 + __________ TOTAL ORDERED 4 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539150 D-AMPHET SALT COMBO 20MG TAB +100 36472013510 64720013510 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 04/26/10 5 013 04/19/10 7 013 04/12/10 5 013 04/05/10 4 + __________ TOTAL ORDERED 21 116.66 % 013 03/29/10 3 013 03/22/10 9 013 03/15/10 7 013 03/08/10 4 013 03/01/10 3 + __________ TOTAL ORDERED 26 144.44 % 013 01/11/10 11 013 01/07/10 11 + __________ TOTAL ORDERED 22 122.22 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539151 D-AMPHET SALT COMBO 10MG TAB +100 36472013210 64720013210 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 013 03/29/10 5 013 03/22/10 1 013 03/15/10 4 013 03/08/10 6 013 03/01/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 318 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04246 BW5456101 2320 BOUDINOT AVE CINCINNATI OH 45238 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539151 D-AMPHET SALT COMBO 10MG TAB +100 36472013210 64720013210 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 18 120.00 % 013 02/22/10 4 013 02/15/10 3 013 02/08/10 6 013 02/01/10 5 + __________ TOTAL ORDERED 18 120.00 % 013 01/25/10 1 013 01/18/10 1 013 01/11/10 11 013 01/07/10 7 + __________ TOTAL ORDERED 20 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544541 FENTANYL 75MCG/HR TS (WAT) + 5 30591321372 00591321372 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 013 03/15/10 2 013 03/08/10 12 013 03/01/10 3 + __________ TOTAL ORDERED 17 113.33 % 013 02/22/10 2 013 02/15/10 2 013 02/08/10 11 013 02/01/10 6 + __________ TOTAL ORDERED 21 140.00 % 013 12/24/09 7 013 12/10/09 6 013 12/03/09 12 + __________ TOTAL ORDERED 25 166.66 % 013 11/25/09 2 013 11/18/09 2 013 11/11/09 11 013 11/04/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 319 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04246 BW5456101 2320 BOUDINOT AVE CINCINNATI OH 45238 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544541 FENTANYL 75MCG/HR TS (WAT) + 5 30591321372 00591321372 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 16 106.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544543 FENTANYL 50MCG/HR TS (WAT) + 5 30591321272 00591321272 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 013 03/29/10 3 013 03/22/10 6 013 03/15/10 9 013 03/08/10 3 013 03/01/10 3 + __________ TOTAL ORDERED 24 114.28 % 013 01/25/10 12 013 01/18/10 5 013 01/11/10 12 013 01/07/10 5 + __________ TOTAL ORDERED 34 161.90 % 013 12/24/09 9 013 12/17/09 4 013 12/10/09 1 013 12/03/09 9 + __________ TOTAL ORDERED 23 109.52 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 553697 ZOLPIDEM 10MG TABS (TEV) + 100 30093007401 00093007401 13 3.0 39.0 0 DC DATE ORDERED QUANTITY 011 04/29/10 5 011 04/27/10 5 011 04/22/10 5 011 04/20/10 5 011 04/15/10 9 011 04/13/10 6 011 04/08/10 5 011 04/06/10 2 011 04/01/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 320 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04246 BW5456101 2320 BOUDINOT AVE CINCINNATI OH 45238 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 553697 ZOLPIDEM 10MG TABS (TEV) + 100 30093007401 00093007401 13 3.0 39.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 46 117.94 % 011 03/30/10 5 011 03/25/10 6 011 03/23/10 4 011 03/18/10 5 011 03/16/10 5 011 03/11/10 8 011 03/09/10 3 011 03/04/10 1 011 03/02/10 6 + __________ TOTAL ORDERED 43 110.25 % 011 12/30/09 6 011 12/28/09 2 011 12/22/09 6 011 12/18/09 8 011 12/15/09 4 011 12/11/09 5 011 12/08/09 2 011 12/04/09 6 011 12/01/09 2 + __________ TOTAL ORDERED 41 105.12 % 011 11/27/09 3 011 11/23/09 5 011 11/16/09 8 011 11/19/09 9 011 11/12/09 5 011 11/09/09 3 011 11/05/09 5 011 11/02/09 3 + __________ TOTAL ORDERED 41 105.12 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563755 OXYCODONE-APAP 5-325 TAB(WAT)+500 30591074905 00591074905 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 04/26/10 4 013 04/19/10 7 013 04/12/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 321 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04246 BW5456101 2320 BOUDINOT AVE CINCINNATI OH 45238 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563755 OXYCODONE-APAP 5-325 TAB(WAT)+500 30591074905 00591074905 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 04/05/10 5 + __________ TOTAL ORDERED 23 127.77 % 013 03/29/10 5 013 03/22/10 7 013 03/15/10 6 013 03/08/10 8 013 03/01/10 8 + __________ TOTAL ORDERED 34 188.88 % 013 02/22/10 10 013 02/15/10 4 013 02/08/10 8 013 02/01/10 5 + __________ TOTAL ORDERED 27 150.00 % 013 01/25/10 6 013 01/18/10 2 013 01/11/10 10 013 01/07/10 5 + __________ TOTAL ORDERED 23 127.77 % 013 12/24/09 10 013 12/17/09 7 013 12/10/09 5 013 12/03/09 7 + __________ TOTAL ORDERED 29 161.11 % 013 11/25/09 7 013 11/18/09 6 013 11/11/09 6 013 11/04/09 8 + __________ TOTAL ORDERED 27 150.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 597169 METHADONE HCL 10MG TAB (MAL) +100 30406577101 00406577101 13 3.0 39.0 0 DC DATE ORDERED QUANTITY 013 03/29/10 13 013 03/22/10 14 013 03/15/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 322 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04246 BW5456101 2320 BOUDINOT AVE CINCINNATI OH 45238 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 597169 METHADONE HCL 10MG TAB (MAL) +100 30406577101 00406577101 13 3.0 39.0 0 DC DATE ORDERED QUANTITY 013 03/08/10 15 013 03/01/10 16 + __________ TOTAL ORDERED 60 153.84 % 013 02/22/10 23 013 02/15/10 5 013 02/08/10 2 013 02/01/10 12 + __________ TOTAL ORDERED 42 107.69 % 013 01/25/10 2 013 01/11/10 29 013 01/07/10 24 + __________ TOTAL ORDERED 55 141.02 % 013 12/24/09 19 013 12/17/09 13 013 12/10/09 6 013 12/03/09 17 + __________ TOTAL ORDERED 55 141.02 % 013 11/25/09 12 013 11/18/09 5 013 11/11/09 11 013 11/04/09 13 + __________ TOTAL ORDERED 41 105.12 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 603806 LYRICA 150MG CAP + 90 30071101668 00071101668 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 011 03/30/10 1 011 03/25/10 3 011 03/18/10 1 011 03/11/10 1 011 03/09/10 3 011 03/04/10 1 + __________ TOTAL ORDERED 10 111.11 % 011 02/25/10 2 011 02/23/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 323 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04246 BW5456101 2320 BOUDINOT AVE CINCINNATI OH 45238 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 603806 LYRICA 150MG CAP + 90 30071101668 00071101668 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 011 02/18/10 1 011 02/11/10 2 011 02/09/10 2 011 02/04/10 2 + __________ TOTAL ORDERED 10 111.11 % 011 12/30/09 2 011 12/28/09 1 011 12/18/09 1 011 12/15/09 2 011 12/08/09 1 011 12/04/09 1 011 12/01/09 2 + __________ TOTAL ORDERED 10 111.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 645920 OXYCOD-APAP 7.5-325 TAB (WAT)+100 30591093301 00591093301 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 04/26/10 13 013 04/19/10 10 013 04/05/10 4 + __________ TOTAL ORDERED 27 150.00 % 013 03/29/10 8 013 03/22/10 13 013 03/15/10 10 013 03/08/10 11 013 03/01/10 6 + __________ TOTAL ORDERED 48 266.66 % 013 02/22/10 7 013 02/15/10 7 013 02/08/10 1 013 02/01/10 9 + __________ TOTAL ORDERED 24 133.33 % 013 01/25/10 7 013 01/18/10 1 013 01/11/10 14 013 01/07/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 324 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04246 BW5456101 2320 BOUDINOT AVE CINCINNATI OH 45238 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 645920 OXYCOD-APAP 7.5-325 TAB (WAT)+100 30591093301 00591093301 6 3.0 18.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 29 161.11 % 013 12/24/09 6 013 12/17/09 8 013 12/10/09 10 013 12/03/09 1 + __________ TOTAL ORDERED 25 138.88 % 013 11/25/09 9 013 11/18/09 8 013 11/11/09 8 013 11/04/09 5 + __________ TOTAL ORDERED 30 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 652294 OXYCOD-APAP 10-325 TAB (WAT) +100 30591093201 00591093201 16 3.0 48.0 0 DC DATE ORDERED QUANTITY 013 04/26/10 34 013 04/19/10 38 013 04/12/10 28 013 04/05/10 21 + __________ TOTAL ORDERED 121 252.08 % 013 03/29/10 27 013 03/22/10 44 013 03/15/10 29 013 03/08/10 23 013 03/01/10 16 + __________ TOTAL ORDERED 139 289.58 % 013 02/22/10 39 013 02/15/10 32 013 02/08/10 24 013 02/01/10 13 + __________ TOTAL ORDERED 108 225.00 % 013 01/25/10 37 013 01/18/10 11 013 01/11/10 32 013 01/07/10 13 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 325 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04246 BW5456101 2320 BOUDINOT AVE CINCINNATI OH 45238 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 652294 OXYCOD-APAP 10-325 TAB (WAT) +100 30591093201 00591093201 16 3.0 48.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 93 193.75 % 013 12/24/09 54 013 12/17/09 29 013 12/10/09 20 013 12/03/09 21 + __________ TOTAL ORDERED 124 258.33 % 013 11/25/09 34 013 11/18/09 28 013 11/11/09 14 013 11/04/09 24 + __________ TOTAL ORDERED 100 208.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672663 HYDROCODONE/APAP 5/500+TAB(WT)500 30591034905 00591034905 12 3.0 36.0 0 DC DATE ORDERED QUANTITY 011 04/29/10 6 011 04/27/10 3 011 04/22/10 5 011 04/20/10 5 011 04/15/10 5 011 04/13/10 5 011 04/08/10 5 011 04/06/10 4 011 04/01/10 5 + __________ TOTAL ORDERED 43 119.44 % 011 03/30/10 4 011 03/25/10 5 011 03/23/10 4 011 03/18/10 5 011 03/16/10 5 011 03/11/10 5 011 03/09/10 6 011 03/04/10 2 011 03/02/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 326 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04246 BW5456101 2320 BOUDINOT AVE CINCINNATI OH 45238 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672663 HYDROCODONE/APAP 5/500+TAB(WT)500 30591034905 00591034905 12 3.0 36.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 42 116.66 % 011 02/25/10 5 011 02/23/10 4 011 02/18/10 5 011 02/16/10 6 011 02/11/10 4 011 02/09/10 5 011 02/04/10 4 011 02/02/10 4 + __________ TOTAL ORDERED 37 102.77 % 011 12/30/09 6 011 12/28/09 5 011 12/22/09 8 011 12/18/09 6 011 12/15/09 3 011 12/11/09 7 011 12/08/09 4 011 12/04/09 6 011 12/01/09 3 + __________ TOTAL ORDERED 48 133.33 % 011 11/27/09 4 011 11/23/09 7 011 11/16/09 8 011 11/19/09 5 011 11/12/09 4 011 11/09/09 7 011 11/05/09 3 011 11/02/09 6 + __________ TOTAL ORDERED 44 122.22 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672806 ADDERALL XR 20MG CAPS + 100 35409238701 54092038701 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 04/26/10 1 013 04/19/10 3 013 04/12/10 2 013 04/05/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 327 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04246 BW5456101 2320 BOUDINOT AVE CINCINNATI OH 45238 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672806 ADDERALL XR 20MG CAPS + 100 35409238701 54092038701 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 10 166.66 % 013 03/29/10 3 013 03/15/10 2 013 03/08/10 4 013 03/01/10 1 + __________ TOTAL ORDERED 10 166.66 % 013 02/22/10 2 013 02/15/10 3 013 02/08/10 4 013 02/01/10 4 + __________ TOTAL ORDERED 13 216.66 % 013 11/25/09 1 013 11/18/09 2 013 11/11/09 1 013 11/04/09 3 + __________ TOTAL ORDERED 7 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674484 CHERATUSSIN AC SYRUP (QT) + 473ML 30603107558 00603107558 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 011 03/30/10 1 011 03/25/10 3 011 03/23/10 2 011 03/18/10 3 011 03/16/10 1 011 03/11/10 2 011 03/09/10 1 011 03/04/10 4 011 03/02/10 3 + __________ TOTAL ORDERED 20 111.11 % 011 12/30/09 4 011 12/28/09 1 011 12/22/09 3 011 12/15/09 1 011 12/11/09 8 011 12/08/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 328 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04246 BW5456101 2320 BOUDINOT AVE CINCINNATI OH 45238 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674484 CHERATUSSIN AC SYRUP (QT) + 473ML 30603107558 00603107558 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 011 12/04/09 4 011 12/01/09 1 + __________ TOTAL ORDERED 24 133.33 % 011 11/23/09 3 011 11/16/09 2 011 11/19/09 2 011 11/12/09 1 011 11/09/09 3 011 11/05/09 6 011 11/02/09 4 + __________ TOTAL ORDERED 21 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675041 HC-IBUPRO 7.5-200 TABS (TEV)+ 100 30093516101 00093516101 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 011 01/28/10 2 011 01/21/10 6 011 01/14/10 1 011 01/07/10 2 + __________ TOTAL ORDERED 11 122.22 % 011 12/30/09 4 011 12/28/09 3 011 12/22/09 3 011 12/15/09 1 + __________ TOTAL ORDERED 11 122.22 % 011 11/27/09 1 011 11/23/09 2 011 11/09/09 2 011 11/05/09 5 011 11/02/09 2 + __________ TOTAL ORDERED 12 133.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 329 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04246 BW5456101 2320 BOUDINOT AVE CINCINNATI OH 45238 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 676041 DIAZEPAM 5MG TAB (MYL) + 500 30378034505 00378034505 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 011 04/29/10 1 011 04/27/10 1 011 04/22/10 2 011 04/20/10 1 011 04/15/10 2 011 04/08/10 1 011 04/01/10 1 + __________ TOTAL ORDERED 9 150.00 % 011 03/30/10 1 011 03/25/10 1 011 03/23/10 2 011 03/18/10 1 011 03/11/10 1 011 03/04/10 1 011 03/02/10 1 + __________ TOTAL ORDERED 8 133.33 % 011 02/25/10 3 011 02/23/10 1 011 02/18/10 1 011 02/11/10 1 011 02/09/10 1 011 02/04/10 2 011 02/02/10 1 + __________ TOTAL ORDERED 10 166.66 % 011 12/30/09 1 011 12/28/09 2 011 12/22/09 2 011 12/15/09 1 011 12/11/09 1 011 12/08/09 1 + __________ TOTAL ORDERED 8 133.33 % 011 11/27/09 2 011 11/23/09 1 011 11/16/09 1 011 11/19/09 1 011 11/12/09 1 011 11/09/09 1 011 11/05/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 330 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04246 BW5456101 2320 BOUDINOT AVE CINCINNATI OH 45238 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 676041 DIAZEPAM 5MG TAB (MYL) + 500 30378034505 00378034505 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 8 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 676915 HYDROMORPHONE HCL 4MG (MK) + 100 30406324401 00406324401 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 013 01/25/10 5 013 01/11/10 8 013 01/07/10 6 + __________ TOTAL ORDERED 19 126.66 % 013 12/24/09 7 013 12/17/09 1 013 12/03/09 9 + __________ TOTAL ORDERED 17 113.33 % 013 11/25/09 4 013 11/18/09 15 + __________ TOTAL ORDERED 19 126.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679658 HYDROMET SYRUP (ALP) + 473ML 30472103016 00472103016 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 011 03/25/10 1 011 03/23/10 2 011 03/18/10 1 011 03/16/10 1 011 03/11/10 1 011 03/09/10 2 011 03/02/10 3 + __________ TOTAL ORDERED 11 122.22 % 011 02/25/10 2 011 02/23/10 2 011 02/16/10 2 011 02/11/10 2 011 02/09/10 2 011 02/04/10 3 011 02/02/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 331 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04246 BW5456101 2320 BOUDINOT AVE CINCINNATI OH 45238 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679658 HYDROMET SYRUP (ALP) + 473ML 30472103016 00472103016 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 14 155.55 % 011 01/28/10 1 011 01/21/10 1 011 01/14/10 2 011 01/12/10 1 011 01/07/10 2 011 01/05/10 4 + __________ TOTAL ORDERED 11 122.22 % 011 12/30/09 2 011 12/28/09 1 011 12/22/09 2 011 12/15/09 3 011 12/11/09 2 011 12/04/09 3 011 12/01/09 2 + __________ TOTAL ORDERED 15 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (AMI)+ 100 35215221502 52152021502 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 04/26/10 28 013 04/05/10 5 + __________ TOTAL ORDERED 33 183.33 % 013 03/29/10 14 013 03/22/10 12 013 03/15/10 3 013 03/08/10 20 013 03/01/10 15 + __________ TOTAL ORDERED 64 355.55 % 013 02/22/10 5 013 02/15/10 7 013 02/08/10 15 013 02/01/10 14 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 332 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04246 BW5456101 2320 BOUDINOT AVE CINCINNATI OH 45238 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (AMI)+ 100 35215221502 52152021502 6 3.0 18.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 41 227.77 % 013 01/25/10 8 013 01/11/10 15 013 01/07/10 8 + __________ TOTAL ORDERED 31 172.22 % 013 12/24/09 21 013 12/10/09 17 013 12/03/09 3 + __________ TOTAL ORDERED 41 227.77 % 013 11/25/09 6 013 11/18/09 10 013 11/11/09 10 013 11/04/09 1 + __________ TOTAL ORDERED 27 150.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682972 OXYCODONE HCL 15MG TAB (ACT) +100 35215221402 52152021402 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 013 04/26/10 20 013 04/19/10 15 013 04/05/10 14 + __________ TOTAL ORDERED 49 233.33 % 013 03/29/10 8 013 03/22/10 5 013 03/15/10 11 013 03/08/10 17 013 03/01/10 16 + __________ TOTAL ORDERED 57 271.42 % 013 02/22/10 8 013 02/15/10 12 013 02/08/10 16 013 02/01/10 16 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 333 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04246 BW5456101 2320 BOUDINOT AVE CINCINNATI OH 45238 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682972 OXYCODONE HCL 15MG TAB (ACT) +100 35215221402 52152021402 7 3.0 21.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 52 247.61 % 013 01/25/10 4 013 01/11/10 21 013 01/07/10 11 + __________ TOTAL ORDERED 36 171.42 % 013 12/24/09 32 013 12/03/09 7 + __________ TOTAL ORDERED 39 185.71 % 013 11/25/09 9 013 11/18/09 4 013 11/11/09 13 013 11/04/09 10 + __________ TOTAL ORDERED 36 171.42 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684277 OXYCONTIN 20MG TAB (PUR) 100 35901110310 59011010310 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 04/26/10 6 013 04/19/10 4 013 04/05/10 1 + __________ TOTAL ORDERED 11 122.22 % 013 03/29/10 6 013 03/22/10 7 013 03/15/10 1 013 03/08/10 3 013 03/01/10 4 + __________ TOTAL ORDERED 21 233.33 % 013 02/22/10 5 013 02/15/10 5 013 02/08/10 4 013 02/01/10 1 + __________ TOTAL ORDERED 15 166.66 % 013 01/25/10 7 013 01/18/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 334 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04246 BW5456101 2320 BOUDINOT AVE CINCINNATI OH 45238 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684277 OXYCONTIN 20MG TAB (PUR) 100 35901110310 59011010310 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 01/11/10 8 013 01/07/10 3 + __________ TOTAL ORDERED 22 244.44 % 013 12/24/09 7 013 12/17/09 2 013 12/10/09 5 013 12/03/09 2 + __________ TOTAL ORDERED 16 177.77 % 013 11/25/09 4 013 11/18/09 7 013 11/11/09 1 013 11/04/09 2 + __________ TOTAL ORDERED 14 155.55 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684278 OXYCONTIN 40MG TAB (PUR) 100 35901110510 59011010510 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 013 04/26/10 4 013 04/19/10 3 013 04/12/10 8 013 04/05/10 5 + __________ TOTAL ORDERED 20 166.66 % 013 03/29/10 1 013 03/22/10 3 013 03/15/10 4 013 03/08/10 7 013 03/01/10 2 + __________ TOTAL ORDERED 17 141.66 % 013 02/22/10 9 013 02/15/10 4 013 02/08/10 5 013 02/01/10 2 + __________ TOTAL ORDERED 20 166.66 % 013 01/25/10 4 013 01/18/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 335 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04246 BW5456101 2320 BOUDINOT AVE CINCINNATI OH 45238 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684278 OXYCONTIN 40MG TAB (PUR) 100 35901110510 59011010510 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 013 01/11/10 7 013 01/07/10 5 + __________ TOTAL ORDERED 17 141.66 % 013 12/24/09 3 013 12/17/09 7 013 12/10/09 4 013 12/03/09 2 + __________ TOTAL ORDERED 16 133.33 % 013 11/25/09 2 013 11/18/09 4 013 11/11/09 4 013 11/04/09 4 + __________ TOTAL ORDERED 14 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684285 OXYCONTIN 80MG TAB (PUR) 100 35901110710 59011010710 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 04/26/10 1 013 04/19/10 1 013 04/12/10 4 013 04/05/10 6 + __________ TOTAL ORDERED 12 133.33 % 013 03/29/10 2 013 03/15/10 10 013 03/08/10 2 013 03/01/10 3 + __________ TOTAL ORDERED 17 188.88 % 013 02/22/10 1 013 02/15/10 6 013 02/08/10 7 013 02/01/10 1 + __________ TOTAL ORDERED 15 166.66 % 013 01/25/10 4 013 01/18/10 5 013 01/11/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 336 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04246 BW5456101 2320 BOUDINOT AVE CINCINNATI OH 45238 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684285 OXYCONTIN 80MG TAB (PUR) 100 35901110710 59011010710 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 14 155.55 % 013 12/24/09 15 013 12/17/09 2 013 12/10/09 6 013 12/03/09 8 + __________ TOTAL ORDERED 31 344.44 % 013 11/25/09 7 013 11/18/09 1 013 11/11/09 3 013 11/04/09 5 + __________ TOTAL ORDERED 16 177.77 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684342 TEMAZEPAM 30MG CAPSULES + 100 30781220201 00781220201 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 011 04/29/10 3 011 04/27/10 1 011 04/22/10 1 011 04/15/10 1 011 04/08/10 3 011 04/01/10 1 + __________ TOTAL ORDERED 10 166.66 % 011 03/30/10 2 011 03/25/10 1 011 03/18/10 1 011 03/11/10 1 011 03/04/10 3 011 03/02/10 1 + __________ TOTAL ORDERED 9 150.00 % 011 11/23/09 1 011 11/16/09 2 011 11/19/09 3 011 11/05/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 337 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04246 BW5456101 2320 BOUDINOT AVE CINCINNATI OH 45238 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684342 TEMAZEPAM 30MG CAPSULES + 100 30781220201 00781220201 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 7 116.66 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05548 BW6826525 3104 DIXIE HWY ERLANGER KY 41018 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 552577 SUBOXONE 8-2MG SL TAB + 30 31249613062 12496130602 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 011 04/29/10 8 011 04/26/10 7 011 04/22/10 5 011 04/19/10 12 011 04/12/10 13 011 04/08/10 1 011 04/05/10 15 011 04/01/10 2 + __________ TOTAL ORDERED 63 190.90 % 011 03/29/10 9 011 03/25/10 8 011 03/22/10 11 011 03/15/10 9 011 03/11/10 8 011 03/08/10 14 011 03/04/10 8 011 03/01/10 6 + __________ TOTAL ORDERED 73 221.21 % 011 01/28/10 5 011 01/25/10 5 011 01/21/10 6 011 01/18/10 5 011 01/14/10 3 011 01/11/10 9 011 01/07/10 4 + __________ TOTAL ORDERED 37 112.12 % 011 12/30/09 3 011 12/24/09 8 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 338 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05548 BW6826525 3104 DIXIE HWY ERLANGER KY 41018 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 552577 SUBOXONE 8-2MG SL TAB + 30 31249613062 12496130602 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 011 12/22/09 10 011 12/17/09 3 011 12/15/09 9 011 12/10/09 2 011 12/08/09 5 011 12/03/09 8 + __________ TOTAL ORDERED 48 145.45 % 011 11/25/09 12 011 11/23/09 16 011 11/16/09 4 011 11/18/09 3 + __________ TOTAL ORDERED 35 106.06 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 652294 OXYCOD-APAP 10-325 TAB (WAT) +100 30591093201 00591093201 16 3.0 48.0 0 DC DATE ORDERED QUANTITY 013 03/31/10 4 013 03/24/10 8 013 03/17/10 15 013 03/10/10 15 013 03/03/10 10 + __________ TOTAL ORDERED 52 108.33 % 013 12/29/09 14 013 12/21/09 26 013 12/14/09 11 013 12/07/09 10 + __________ TOTAL ORDERED 61 127.08 % 013 11/30/09 21 013 11/20/09 9 013 11/13/09 17 013 11/06/09 9 + __________ TOTAL ORDERED 56 116.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 339 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05763 AW7824798 8193 MALL RD FLORENCE KY 41042 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 496044 CLONAZEPAM 1MG TAB (MYL) + 1000 30378191210 00378191210 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 011 04/30/10 1 011 04/23/10 1 011 04/20/10 1 011 04/13/10 1 011 04/02/10 1 + __________ TOTAL ORDERED 5 166.66 % 011 03/26/10 2 011 03/23/10 1 011 03/16/10 1 011 03/09/10 1 011 03/02/10 1 + __________ TOTAL ORDERED 6 200.00 % 011 02/26/10 1 011 02/23/10 1 011 02/19/10 1 011 02/16/10 1 011 02/12/10 1 011 02/05/10 1 011 02/02/10 1 + __________ TOTAL ORDERED 7 233.33 % 011 01/29/10 1 011 01/22/10 1 011 01/19/10 1 011 01/12/10 1 011 01/08/10 1 + __________ TOTAL ORDERED 5 166.66 % 011 12/31/09 1 011 12/23/09 1 011 12/18/09 1 011 12/16/09 1 011 12/11/09 1 011 12/04/09 1 + __________ TOTAL ORDERED 6 200.00 % 011 11/27/09 2 011 11/24/09 1 011 11/19/09 1 011 11/10/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 340 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05763 AW7824798 8193 MALL RD FLORENCE KY 41042 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 496044 CLONAZEPAM 1MG TAB (MYL) + 1000 30378191210 00378191210 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 011 11/05/09 1 011 11/03/09 1 + __________ TOTAL ORDERED 7 233.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 513951 CLORAZ DIPOT 7.5MG TAB (TAR) +100 35167240431 51672404301 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 011 04/23/10 4 011 04/20/10 1 011 04/13/10 1 011 04/09/10 1 + __________ TOTAL ORDERED 7 233.33 % 011 01/29/10 1 011 01/26/10 3 + __________ TOTAL ORDERED 4 133.33 % 011 11/27/09 1 011 11/19/09 2 011 11/05/09 2 011 11/03/09 1 + __________ TOTAL ORDERED 6 200.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 529635 VYVANSE 20MG CAPS + 100 35941710210 59417010210 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 013 02/25/10 1 013 02/18/10 1 013 02/04/10 2 + __________ TOTAL ORDERED 4 133.33 % 013 01/21/10 2 013 01/14/10 2 + __________ TOTAL ORDERED 4 133.33 % 013 12/22/09 1 013 12/15/09 1 013 12/08/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 341 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05763 AW7824798 8193 MALL RD FLORENCE KY 41042 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 529635 VYVANSE 20MG CAPS + 100 35941710210 59417010210 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 013 12/01/09 1 + __________ TOTAL ORDERED 5 166.66 % 013 11/23/09 1 013 11/16/09 2 013 11/09/09 1 013 11/02/09 1 + __________ TOTAL ORDERED 5 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 535305 OXYCONTIN 30MG TAB (PUR) + 100 35901183010 59011083010 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 04/29/10 2 013 04/22/10 1 013 04/08/10 5 013 04/01/10 1 + __________ TOTAL ORDERED 9 150.00 % 013 03/18/10 1 013 03/11/10 2 013 03/04/10 4 + __________ TOTAL ORDERED 7 116.66 % 013 02/25/10 2 013 02/04/10 5 + __________ TOTAL ORDERED 7 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 551686 VYVANSE 50MG CAPS + 100 35941710510 59417010510 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 04/15/10 3 013 04/08/10 3 013 04/01/10 1 + __________ TOTAL ORDERED 7 116.66 % 013 03/25/10 2 013 03/18/10 1 013 03/11/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 342 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05763 AW7824798 8193 MALL RD FLORENCE KY 41042 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 551686 VYVANSE 50MG CAPS + 100 35941710510 59417010510 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 03/04/10 2 + __________ TOTAL ORDERED 8 133.33 % 013 02/18/10 2 013 02/11/10 3 013 02/04/10 2 + __________ TOTAL ORDERED 7 116.66 % 013 12/15/09 3 013 12/08/09 3 013 12/01/09 1 + __________ TOTAL ORDERED 7 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 551687 VYVANSE 30MG CAPS (SHI) 100 35941710310 59417010310 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 04/29/10 1 013 04/15/10 1 013 04/08/10 2 013 04/01/10 3 + __________ TOTAL ORDERED 7 116.66 % 013 03/25/10 2 013 03/18/10 1 013 03/11/10 2 013 03/04/10 2 + __________ TOTAL ORDERED 7 116.66 % 013 02/25/10 3 013 02/18/10 1 013 02/11/10 1 013 02/04/10 4 + __________ TOTAL ORDERED 9 150.00 % 013 11/23/09 2 013 11/16/09 3 013 11/09/09 1 013 11/02/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 343 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05763 AW7824798 8193 MALL RD FLORENCE KY 41042 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 551687 VYVANSE 30MG CAPS (SHI) 100 35941710310 59417010310 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 7 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 552577 SUBOXONE 8-2MG SL TAB + 30 31249613062 12496130602 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 011 04/30/10 4 011 04/27/10 1 011 04/23/10 20 011 04/20/10 8 011 04/16/10 9 011 04/13/10 5 011 04/09/10 1 011 04/06/10 10 011 04/02/10 4 + __________ TOTAL ORDERED 62 187.87 % 011 03/30/10 7 011 03/26/10 13 011 03/23/10 12 011 03/19/10 20 011 03/16/10 3 011 03/12/10 7 011 03/09/10 5 011 03/05/10 5 011 03/02/10 1 + __________ TOTAL ORDERED 73 221.21 % 011 02/26/10 18 011 02/23/10 8 011 02/19/10 21 011 02/16/10 20 011 02/12/10 16 011 02/05/10 4 011 02/02/10 4 + __________ TOTAL ORDERED 91 275.75 % 011 01/29/10 7 011 01/26/10 8 011 01/22/10 15 011 01/19/10 11 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 344 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05763 AW7824798 8193 MALL RD FLORENCE KY 41042 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 552577 SUBOXONE 8-2MG SL TAB + 30 31249613062 12496130602 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 011 01/15/10 14 011 01/12/10 12 011 01/08/10 12 011 01/05/10 14 + __________ TOTAL ORDERED 93 281.81 % 011 12/31/09 17 011 12/23/09 22 011 12/16/09 12 011 12/11/09 5 011 12/09/09 8 011 12/04/09 14 011 12/02/09 18 + __________ TOTAL ORDERED 96 290.90 % 011 11/27/09 11 011 11/24/09 15 011 11/17/09 6 011 11/19/09 4 + __________ TOTAL ORDERED 36 109.09 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 553697 ZOLPIDEM 10MG TABS (TEV) + 100 30093007401 00093007401 13 3.0 39.0 0 DC DATE ORDERED QUANTITY 011 03/30/10 3 011 03/26/10 5 011 03/23/10 4 011 03/19/10 5 011 03/16/10 3 011 03/12/10 6 011 03/09/10 5 011 03/05/10 6 011 03/02/10 3 + __________ TOTAL ORDERED 40 102.56 % 011 12/31/09 8 011 12/28/09 6 011 12/23/09 9 011 12/18/09 3 011 12/16/09 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 345 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05763 AW7824798 8193 MALL RD FLORENCE KY 41042 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 553697 ZOLPIDEM 10MG TABS (TEV) + 100 30093007401 00093007401 13 3.0 39.0 0 DC DATE ORDERED QUANTITY 011 12/11/09 6 011 12/09/09 6 011 12/04/09 8 011 12/02/09 6 + __________ TOTAL ORDERED 58 148.71 % 011 11/27/09 6 011 11/24/09 4 011 11/17/09 6 011 11/19/09 4 011 11/12/09 3 011 11/10/09 5 011 11/05/09 5 011 11/03/09 7 + __________ TOTAL ORDERED 40 102.56 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 553889 ANDROGEL 1% PUMP (UNI) +150GM 30051848888 00051848888 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 011 04/30/10 1 011 04/27/10 4 011 04/23/10 1 011 04/20/10 1 011 04/09/10 2 011 04/02/10 2 + __________ TOTAL ORDERED 11 122.22 % 011 01/22/10 2 011 01/08/10 5 011 01/05/10 3 + __________ TOTAL ORDERED 10 111.11 % 011 11/27/09 2 011 11/17/09 4 011 11/12/09 3 011 11/05/09 1 + __________ TOTAL ORDERED 10 111.11 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 346 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05763 AW7824798 8193 MALL RD FLORENCE KY 41042 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563755 OXYCODONE-APAP 5-325 TAB(WAT)+500 30591074905 00591074905 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 04/29/10 10 013 04/22/10 6 013 04/15/10 7 013 04/08/10 8 013 04/01/10 6 + __________ TOTAL ORDERED 37 205.55 % 013 03/25/10 7 013 03/18/10 8 013 03/11/10 7 013 03/04/10 8 + __________ TOTAL ORDERED 30 166.66 % 013 02/25/10 7 013 02/18/10 4 013 02/11/10 8 013 02/04/10 8 + __________ TOTAL ORDERED 27 150.00 % 013 01/28/10 6 013 01/21/10 6 013 01/14/10 5 013 01/07/10 8 + __________ TOTAL ORDERED 25 138.88 % 013 12/30/09 7 013 12/22/09 8 013 12/15/09 6 013 12/08/09 5 013 12/01/09 7 + __________ TOTAL ORDERED 33 183.33 % 013 11/23/09 8 013 11/16/09 7 013 11/09/09 5 013 11/02/09 4 + __________ TOTAL ORDERED 24 133.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 347 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05763 AW7824798 8193 MALL RD FLORENCE KY 41042 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 597169 METHADONE HCL 10MG TAB (MAL) +100 30406577101 00406577101 13 3.0 39.0 0 DC DATE ORDERED QUANTITY 013 03/25/10 27 013 03/18/10 8 013 03/11/10 10 013 03/04/10 8 + __________ TOTAL ORDERED 53 135.89 % 013 02/25/10 14 013 02/18/10 9 013 02/11/10 9 013 02/04/10 11 + __________ TOTAL ORDERED 43 110.25 % 013 01/28/10 14 013 01/21/10 16 013 01/14/10 3 013 01/07/10 20 + __________ TOTAL ORDERED 53 135.89 % 013 12/30/09 16 013 12/22/09 19 013 12/15/09 9 013 12/08/09 7 013 12/01/09 19 + __________ TOTAL ORDERED 70 179.48 % 013 11/23/09 12 013 11/16/09 13 013 11/09/09 8 013 11/02/09 10 + __________ TOTAL ORDERED 43 110.25 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 645920 OXYCOD-APAP 7.5-325 TAB (WAT)+100 30591093301 00591093301 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 04/29/10 8 013 04/22/10 1 013 04/15/10 11 013 04/08/10 3 013 04/01/10 10 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 348 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05763 AW7824798 8193 MALL RD FLORENCE KY 41042 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 645920 OXYCOD-APAP 7.5-325 TAB (WAT)+100 30591093301 00591093301 6 3.0 18.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 33 183.33 % 013 03/25/10 2 013 03/18/10 7 013 03/11/10 6 013 03/04/10 7 + __________ TOTAL ORDERED 22 122.22 % 013 02/25/10 11 013 02/18/10 2 013 02/11/10 3 013 02/04/10 5 + __________ TOTAL ORDERED 21 116.66 % 013 12/30/09 3 013 12/22/09 7 013 12/15/09 7 013 12/08/09 4 013 12/01/09 1 + __________ TOTAL ORDERED 22 122.22 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 652294 OXYCOD-APAP 10-325 TAB (WAT) +100 30591093201 00591093201 16 3.0 48.0 0 DC DATE ORDERED QUANTITY 013 04/29/10 20 013 04/22/10 29 013 04/15/10 21 013 04/08/10 15 013 04/01/10 12 + __________ TOTAL ORDERED 97 202.08 % 013 03/25/10 21 013 03/18/10 17 013 03/11/10 13 013 03/04/10 16 + __________ TOTAL ORDERED 67 139.58 % 013 02/25/10 28 013 02/18/10 16 013 02/11/10 22 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 349 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05763 AW7824798 8193 MALL RD FLORENCE KY 41042 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 652294 OXYCOD-APAP 10-325 TAB (WAT) +100 30591093201 00591093201 16 3.0 48.0 0 DC DATE ORDERED QUANTITY 013 02/04/10 20 + __________ TOTAL ORDERED 86 179.16 % 013 01/28/10 20 013 01/21/10 13 013 01/14/10 22 013 01/07/10 36 + __________ TOTAL ORDERED 91 189.58 % 013 12/30/09 24 013 12/22/09 19 013 12/15/09 19 013 12/08/09 20 013 12/01/09 23 + __________ TOTAL ORDERED 105 218.75 % 013 11/23/09 24 013 11/16/09 14 013 11/09/09 23 013 11/02/09 17 + __________ TOTAL ORDERED 78 162.50 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672663 HYDROCODONE/APAP 5/500+TAB(WT)500 30591034905 00591034905 12 3.0 36.0 0 DC DATE ORDERED QUANTITY 011 04/30/10 4 011 04/27/10 4 011 04/23/10 5 011 04/20/10 3 011 04/16/10 4 011 04/13/10 4 011 04/09/10 5 011 04/06/10 4 011 04/02/10 4 + __________ TOTAL ORDERED 37 102.77 % 011 03/30/10 4 011 03/26/10 4 011 03/23/10 4 011 03/19/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 350 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05763 AW7824798 8193 MALL RD FLORENCE KY 41042 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672663 HYDROCODONE/APAP 5/500+TAB(WT)500 30591034905 00591034905 12 3.0 36.0 0 DC DATE ORDERED QUANTITY 011 03/16/10 5 011 03/12/10 4 011 03/09/10 3 011 03/05/10 5 011 03/02/10 3 + __________ TOTAL ORDERED 37 102.77 % 011 12/31/09 4 011 12/28/09 6 011 12/23/09 5 011 12/18/09 5 011 12/16/09 4 011 12/11/09 4 011 12/09/09 4 011 12/04/09 4 011 12/02/09 6 + __________ TOTAL ORDERED 42 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 011 12/31/09 2 011 12/28/09 1 011 12/23/09 4 011 12/18/09 2 011 12/16/09 5 011 12/11/09 1 011 12/09/09 1 011 12/04/09 2 + __________ TOTAL ORDERED 18 120.00 % 011 11/27/09 2 011 11/24/09 4 011 11/19/09 1 011 11/10/09 5 011 11/05/09 4 + __________ TOTAL ORDERED 16 106.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 351 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05763 AW7824798 8193 MALL RD FLORENCE KY 41042 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672713 ACET-CODEINE 120-12/5 (PAI)+473ML 30121050416 00121050416 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 011 04/30/10 2 011 04/27/10 1 011 04/23/10 2 011 04/20/10 2 011 04/16/10 1 011 04/13/10 2 011 04/06/10 2 011 04/02/10 1 + __________ TOTAL ORDERED 13 144.44 % 011 03/26/10 2 011 03/23/10 4 011 03/19/10 6 011 03/16/10 3 011 03/12/10 2 011 03/09/10 1 + __________ TOTAL ORDERED 18 200.00 % 011 01/29/10 2 011 01/26/10 2 011 01/22/10 2 011 01/19/10 6 011 01/08/10 1 + __________ TOTAL ORDERED 13 144.44 % 011 11/17/09 2 011 11/19/09 5 011 11/12/09 3 011 11/10/09 2 011 11/05/09 1 + __________ TOTAL ORDERED 13 144.44 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672806 ADDERALL XR 20MG CAPS + 100 35409238701 54092038701 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 02/25/10 3 013 02/18/10 2 013 02/11/10 3 013 02/04/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 352 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05763 AW7824798 8193 MALL RD FLORENCE KY 41042 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672806 ADDERALL XR 20MG CAPS + 100 35409238701 54092038701 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 9 150.00 % 013 12/22/09 2 013 12/15/09 3 013 12/08/09 1 013 12/01/09 4 + __________ TOTAL ORDERED 10 166.66 % 013 11/23/09 1 013 11/16/09 1 013 11/09/09 3 013 11/02/09 3 + __________ TOTAL ORDERED 8 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673036 ALPRAZOLAM 1MG TAB (PPC) + 500 30228203150 00228203150 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 011 04/30/10 3 011 04/27/10 2 011 04/23/10 3 011 04/20/10 2 011 04/16/10 1 011 04/13/10 1 011 04/09/10 1 011 04/06/10 1 011 04/02/10 2 + __________ TOTAL ORDERED 16 133.33 % 011 03/30/10 2 011 03/26/10 1 011 03/23/10 3 011 03/19/10 3 011 03/16/10 1 011 03/12/10 2 011 03/09/10 2 011 03/05/10 2 011 03/02/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 353 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05763 AW7824798 8193 MALL RD FLORENCE KY 41042 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673036 ALPRAZOLAM 1MG TAB (PPC) + 500 30228203150 00228203150 4 3.0 12.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 18 150.00 % 011 02/26/10 2 011 02/23/10 2 011 02/19/10 3 011 02/16/10 1 011 02/12/10 2 011 02/09/10 3 011 02/05/10 2 011 02/02/10 2 + __________ TOTAL ORDERED 17 141.66 % 011 01/29/10 1 011 01/26/10 1 011 01/22/10 2 011 01/19/10 2 011 01/15/10 3 011 01/12/10 2 011 01/08/10 3 011 01/05/10 1 + __________ TOTAL ORDERED 15 125.00 % 011 12/31/09 2 011 12/28/09 2 011 12/23/09 2 011 12/18/09 2 011 12/16/09 1 011 12/11/09 3 011 12/09/09 2 011 12/04/09 2 + __________ TOTAL ORDERED 16 133.33 % 011 11/27/09 3 011 11/24/09 2 011 11/17/09 2 011 11/19/09 3 011 11/12/09 3 011 11/10/09 2 011 11/05/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 354 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05763 AW7824798 8193 MALL RD FLORENCE KY 41042 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673036 ALPRAZOLAM 1MG TAB (PPC) + 500 30228203150 00228203150 4 3.0 12.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 17 141.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675756 HYDROCOD-APAP 10-500 TB (WT)+500 30591054005 00591054005 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 011 04/30/10 1 011 04/27/10 1 011 04/23/10 1 011 04/20/10 2 011 04/16/10 2 011 04/13/10 2 011 04/09/10 1 011 04/06/10 3 011 04/02/10 1 + __________ TOTAL ORDERED 14 155.55 % 011 03/30/10 2 011 03/26/10 2 011 03/23/10 1 011 03/16/10 2 011 03/12/10 2 011 03/09/10 2 011 03/05/10 2 011 03/02/10 2 + __________ TOTAL ORDERED 15 166.66 % 011 02/26/10 2 011 02/23/10 1 011 02/19/10 2 011 02/16/10 1 011 02/12/10 2 011 02/09/10 1 011 02/05/10 3 011 02/02/10 2 + __________ TOTAL ORDERED 14 155.55 % 011 01/29/10 1 011 01/26/10 1 011 01/22/10 2 011 01/19/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 355 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05763 AW7824798 8193 MALL RD FLORENCE KY 41042 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675756 HYDROCOD-APAP 10-500 TB (WT)+500 30591054005 00591054005 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 011 01/15/10 1 011 01/12/10 1 011 01/08/10 2 011 01/05/10 2 + __________ TOTAL ORDERED 11 122.22 % 011 12/31/09 2 011 12/28/09 1 011 12/23/09 2 011 12/18/09 2 011 12/11/09 5 011 12/09/09 3 011 12/04/09 2 + __________ TOTAL ORDERED 17 188.88 % 011 11/27/09 2 011 11/24/09 2 011 11/17/09 1 011 11/19/09 1 011 11/12/09 2 011 11/10/09 1 011 11/05/09 2 011 11/03/09 2 + __________ TOTAL ORDERED 13 144.44 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 676041 DIAZEPAM 5MG TAB (MYL) + 500 30378034505 00378034505 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 011 04/27/10 1 011 04/23/10 1 011 04/20/10 1 011 04/16/10 1 011 04/13/10 1 011 04/09/10 1 011 04/02/10 1 + __________ TOTAL ORDERED 7 116.66 % 011 03/30/10 1 011 03/23/10 1 011 03/19/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 356 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05763 AW7824798 8193 MALL RD FLORENCE KY 41042 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 676041 DIAZEPAM 5MG TAB (MYL) + 500 30378034505 00378034505 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 011 03/16/10 1 011 03/09/10 1 011 03/05/10 1 011 03/02/10 2 + __________ TOTAL ORDERED 8 133.33 % 011 02/23/10 1 011 02/16/10 1 011 02/12/10 1 011 02/09/10 1 011 02/05/10 2 011 02/02/10 1 + __________ TOTAL ORDERED 7 116.66 % 011 01/29/10 1 011 01/26/10 1 011 01/22/10 1 011 01/19/10 1 011 01/15/10 1 011 01/12/10 1 011 01/08/10 1 011 01/05/10 1 + __________ TOTAL ORDERED 8 133.33 % 011 12/31/09 1 011 12/28/09 1 011 12/23/09 1 011 12/18/09 1 011 12/16/09 1 011 12/11/09 1 011 12/09/09 2 011 12/04/09 2 + __________ TOTAL ORDERED 10 166.66 % 011 11/27/09 2 011 11/19/09 1 011 11/12/09 1 011 11/10/09 1 011 11/05/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 357 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05763 AW7824798 8193 MALL RD FLORENCE KY 41042 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 676041 DIAZEPAM 5MG TAB (MYL) + 500 30378034505 00378034505 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 7 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 676052 DIAZEPAM 10MG TAB (MYL) + 500 30378047705 00378047705 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 011 04/27/10 1 011 04/23/10 2 011 04/20/10 1 011 04/16/10 1 011 04/13/10 1 011 04/09/10 2 011 04/06/10 1 + __________ TOTAL ORDERED 9 150.00 % 011 03/30/10 1 011 03/23/10 2 011 03/16/10 1 011 03/09/10 1 011 03/05/10 2 011 03/02/10 1 + __________ TOTAL ORDERED 8 133.33 % 011 02/26/10 1 011 02/23/10 1 011 02/19/10 1 011 02/16/10 1 011 02/09/10 1 011 02/05/10 1 011 02/02/10 1 + __________ TOTAL ORDERED 7 116.66 % 011 01/29/10 1 011 01/26/10 1 011 01/15/10 2 011 01/12/10 1 011 01/08/10 2 011 01/05/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 358 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05763 AW7824798 8193 MALL RD FLORENCE KY 41042 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 676052 DIAZEPAM 10MG TAB (MYL) + 500 30378047705 00378047705 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 8 133.33 % 011 12/31/09 1 011 12/28/09 2 011 12/23/09 1 011 12/18/09 1 011 12/16/09 1 011 12/09/09 2 011 12/04/09 1 011 12/02/09 1 + __________ TOTAL ORDERED 10 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 678961 LORAZEPAM 1MG TAB (PPC) +500 30228205950 00228205950 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 011 04/27/10 1 011 04/23/10 1 011 04/20/10 1 011 04/16/10 2 011 04/13/10 1 011 04/06/10 1 011 04/02/10 2 + __________ TOTAL ORDERED 9 150.00 % 011 03/30/10 1 011 03/26/10 1 011 03/23/10 1 011 03/19/10 2 011 03/16/10 1 011 03/12/10 2 011 03/05/10 2 011 03/02/10 3 + __________ TOTAL ORDERED 13 216.66 % 011 01/29/10 1 011 01/22/10 3 011 01/12/10 1 011 01/08/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 359 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05763 AW7824798 8193 MALL RD FLORENCE KY 41042 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 678961 LORAZEPAM 1MG TAB (PPC) +500 30228205950 00228205950 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 7 116.66 % 011 12/28/09 1 011 12/23/09 3 011 12/18/09 2 011 12/16/09 1 011 12/11/09 3 011 12/09/09 1 011 12/04/09 2 + __________ TOTAL ORDERED 13 216.66 % 011 11/27/09 2 011 11/24/09 1 011 11/19/09 2 011 11/12/09 2 011 11/05/09 2 011 11/03/09 1 + __________ TOTAL ORDERED 10 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 680312 MORPHINE SULF 60MG ER TAB(EN)+100 36095165570 60951065570 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 04/29/10 2 013 04/22/10 2 013 04/15/10 2 013 04/01/10 5 + __________ TOTAL ORDERED 11 122.22 % 013 02/25/10 3 013 02/18/10 1 013 02/11/10 5 013 02/04/10 2 + __________ TOTAL ORDERED 11 122.22 % 013 11/16/09 6 013 11/09/09 2 013 11/02/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 360 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05763 AW7824798 8193 MALL RD FLORENCE KY 41042 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 680312 MORPHINE SULF 60MG ER TAB(EN)+100 36095165570 60951065570 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 10 111.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682972 OXYCODONE HCL 15MG TAB (ACT) +100 35215221402 52152021402 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 013 04/29/10 17 013 04/22/10 27 013 04/01/10 13 + __________ TOTAL ORDERED 57 271.42 % 013 03/25/10 3 013 03/18/10 6 013 03/11/10 7 013 03/04/10 13 + __________ TOTAL ORDERED 29 138.09 % 013 02/25/10 6 013 02/18/10 3 013 02/11/10 12 013 02/04/10 3 + __________ TOTAL ORDERED 24 114.28 % 013 01/28/10 6 013 01/21/10 15 013 01/14/10 7 013 01/07/10 22 + __________ TOTAL ORDERED 50 238.09 % 013 12/30/09 2 013 12/22/09 14 013 12/08/09 19 013 12/01/09 6 + __________ TOTAL ORDERED 41 195.23 % 013 11/23/09 18 013 11/16/09 3 013 11/09/09 14 013 11/02/09 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 361 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05763 AW7824798 8193 MALL RD FLORENCE KY 41042 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682972 OXYCODONE HCL 15MG TAB (ACT) +100 35215221402 52152021402 7 3.0 21.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 41 195.23 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684145 OXYCOD-APAP 10-650 TAB (WAT) +100 30591082501 00591082501 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 04/29/10 4 013 04/22/10 8 013 04/15/10 10 013 04/08/10 4 013 04/01/10 4 + __________ TOTAL ORDERED 30 333.33 % 013 03/25/10 4 013 03/18/10 15 013 03/11/10 4 013 03/04/10 1 + __________ TOTAL ORDERED 24 266.66 % 013 02/25/10 3 013 02/18/10 7 013 02/11/10 13 + __________ TOTAL ORDERED 23 255.55 % 013 01/28/10 7 013 01/21/10 2 013 01/14/10 11 013 01/07/10 4 + __________ TOTAL ORDERED 24 266.66 % 013 12/30/09 3 013 12/22/09 6 013 12/15/09 3 013 12/08/09 5 013 12/01/09 4 + __________ TOTAL ORDERED 21 233.33 % 013 11/23/09 7 013 11/16/09 7 013 11/09/09 4 013 11/02/09 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 362 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05763 AW7824798 8193 MALL RD FLORENCE KY 41042 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684145 OXYCOD-APAP 10-650 TAB (WAT) +100 30591082501 00591082501 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 23 255.55 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684147 OXYCOD-APAP 7.5-500 TAB (WAT)+100 30591082401 00591082401 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 04/29/10 1 013 04/15/10 1 013 04/08/10 8 013 04/01/10 1 + __________ TOTAL ORDERED 11 122.22 % 013 03/18/10 3 013 03/11/10 3 013 03/04/10 5 + __________ TOTAL ORDERED 11 122.22 % 013 01/28/10 6 013 01/21/10 2 013 01/14/10 3 013 01/07/10 3 + __________ TOTAL ORDERED 14 155.55 % 013 12/30/09 3 013 12/22/09 3 013 12/15/09 3 013 12/08/09 3 013 12/01/09 2 + __________ TOTAL ORDERED 14 155.55 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684285 OXYCONTIN 80MG TAB (PUR) 100 35901110710 59011010710 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 04/29/10 1 013 04/22/10 2 013 04/15/10 2 013 04/08/10 3 013 04/01/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 363 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05763 AW7824798 8193 MALL RD FLORENCE KY 41042 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684285 OXYCONTIN 80MG TAB (PUR) 100 35901110710 59011010710 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 11 122.22 % 013 12/30/09 1 013 12/22/09 2 013 12/15/09 6 013 12/01/09 5 + __________ TOTAL ORDERED 14 155.55 % 013 11/23/09 4 013 11/16/09 3 013 11/09/09 2 013 11/02/09 2 + __________ TOTAL ORDERED 11 122.22 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684342 TEMAZEPAM 30MG CAPSULES + 100 30781220201 00781220201 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 011 04/27/10 1 011 04/23/10 1 011 04/20/10 1 011 04/16/10 1 011 04/13/10 1 011 04/09/10 2 011 04/06/10 1 + __________ TOTAL ORDERED 8 133.33 % 011 03/26/10 3 011 03/23/10 1 011 03/19/10 1 011 03/16/10 2 011 03/09/10 2 011 03/02/10 1 + __________ TOTAL ORDERED 10 166.66 % 011 02/26/10 2 011 02/23/10 1 011 02/19/10 1 011 02/16/10 1 011 02/12/10 1 011 02/05/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 364 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05763 AW7824798 8193 MALL RD FLORENCE KY 41042 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684342 TEMAZEPAM 30MG CAPSULES + 100 30781220201 00781220201 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 8 133.33 % 011 11/27/09 3 011 11/24/09 1 011 11/19/09 1 011 11/12/09 1 011 11/05/09 1 011 11/03/09 4 + __________ TOTAL ORDERED 11 183.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06642 BW2409212 1747 PATRICKS DR S BURLINGTON KY 41005 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 552577 SUBOXONE 8-2MG SL TAB + 30 31249613062 12496130602 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 011 04/29/10 4 011 04/26/10 5 011 04/22/10 1 011 04/19/10 5 011 04/12/10 6 011 04/08/10 7 011 04/05/10 11 011 04/01/10 9 + __________ TOTAL ORDERED 48 145.45 % 011 03/29/10 7 011 03/25/10 3 011 03/22/10 9 011 03/15/10 7 011 03/11/10 5 011 03/08/10 11 011 03/04/10 3 011 03/01/10 4 + __________ TOTAL ORDERED 49 148.48 % 011 02/22/10 5 011 02/18/10 9 011 02/15/10 11 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 365 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06642 BW2409212 1747 PATRICKS DR S BURLINGTON KY 41005 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 552577 SUBOXONE 8-2MG SL TAB + 30 31249613062 12496130602 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 011 02/11/10 4 011 02/04/10 7 011 02/01/10 5 + __________ TOTAL ORDERED 41 124.24 % 011 01/28/10 7 011 01/25/10 7 011 01/21/10 1 011 01/18/10 7 011 01/14/10 4 011 01/11/10 5 011 01/07/10 1 011 01/04/10 11 + __________ TOTAL ORDERED 43 130.30 % 011 12/30/09 13 011 12/22/09 4 011 12/17/09 1 011 12/15/09 5 011 12/10/09 11 011 12/03/09 9 011 12/01/09 8 + __________ TOTAL ORDERED 51 154.54 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 678961 LORAZEPAM 1MG TAB (PPC) +500 30228205950 00228205950 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 011 04/29/10 1 011 04/26/10 1 011 04/22/10 1 011 04/19/10 1 011 04/15/10 1 011 04/12/10 1 011 04/05/10 1 011 04/01/10 1 + __________ TOTAL ORDERED 8 133.33 % 011 03/29/10 1 011 03/25/10 2 011 03/22/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 366 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06642 BW2409212 1747 PATRICKS DR S BURLINGTON KY 41005 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 678961 LORAZEPAM 1MG TAB (PPC) +500 30228205950 00228205950 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 011 03/18/10 1 011 03/15/10 1 011 03/08/10 2 011 03/04/10 3 + __________ TOTAL ORDERED 11 183.33 % 011 01/28/10 1 011 01/25/10 2 011 01/14/10 2 011 01/11/10 1 011 01/07/10 1 + __________ TOTAL ORDERED 7 116.66 % 011 12/24/09 2 011 12/17/09 2 011 12/10/09 2 011 12/03/09 3 + __________ TOTAL ORDERED 9 150.00 % 011 11/25/09 2 011 11/23/09 1 011 11/16/09 1 011 11/18/09 1 011 11/11/09 1 011 11/04/09 1 + __________ TOTAL ORDERED 7 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684145 OXYCOD-APAP 10-650 TAB (WAT) +100 30591082501 00591082501 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 03/24/10 2 013 03/17/10 2 013 03/10/10 3 013 03/03/10 4 + __________ TOTAL ORDERED 11 122.22 % 013 01/27/10 2 013 01/20/10 2 013 01/13/10 6 013 01/05/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 367 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06642 BW2409212 1747 PATRICKS DR S BURLINGTON KY 41005 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684145 OXYCOD-APAP 10-650 TAB (WAT) +100 30591082501 00591082501 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 12 133.33 % 013 12/29/09 2 013 12/21/09 2 013 12/14/09 4 013 12/07/09 2 + __________ TOTAL ORDERED 10 111.11 % 013 11/30/09 3 013 11/20/09 3 013 11/06/09 7 + __________ TOTAL ORDERED 13 144.44 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07181 BW1274416 4241 GLENWAY AV CINCINNATI OH 45205 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 597169 METHADONE HCL 10MG TAB (MAL) +100 30406577101 00406577101 13 3.0 39.0 0 DC DATE ORDERED QUANTITY 013 03/26/10 11 013 03/19/10 9 013 03/12/10 7 013 03/05/10 14 + __________ TOTAL ORDERED 41 105.12 % 013 12/23/09 4 013 12/16/09 8 013 12/09/09 12 013 12/02/09 20 + __________ TOTAL ORDERED 44 112.82 % 013 11/24/09 6 013 11/17/09 13 013 11/10/09 13 013 11/03/09 24 + __________ TOTAL ORDERED 56 143.58 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 368 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07181 BW1274416 4241 GLENWAY AV CINCINNATI OH 45205 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 645920 OXYCOD-APAP 7.5-325 TAB (WAT)+100 30591093301 00591093301 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 04/23/10 8 013 04/16/10 5 013 04/09/10 3 013 04/02/10 6 + __________ TOTAL ORDERED 22 122.22 % 013 03/26/10 5 013 03/19/10 6 013 03/12/10 2 013 03/05/10 8 + __________ TOTAL ORDERED 21 116.66 % 013 12/23/09 1 013 12/16/09 5 013 12/09/09 7 013 12/02/09 11 + __________ TOTAL ORDERED 24 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 652294 OXYCOD-APAP 10-325 TAB (WAT) +100 30591093201 00591093201 16 3.0 48.0 0 DC DATE ORDERED QUANTITY 013 04/23/10 19 013 04/16/10 22 013 04/09/10 16 013 04/02/10 9 + __________ TOTAL ORDERED 66 137.50 % 013 03/26/10 16 013 03/19/10 13 013 03/12/10 22 013 03/05/10 8 + __________ TOTAL ORDERED 59 122.91 % 013 12/23/09 5 013 12/16/09 16 013 12/09/09 15 013 12/02/09 17 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 369 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07181 BW1274416 4241 GLENWAY AV CINCINNATI OH 45205 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 652294 OXYCOD-APAP 10-325 TAB (WAT) +100 30591093201 00591093201 16 3.0 48.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 53 110.41 % 013 11/24/09 9 013 11/17/09 18 013 11/10/09 18 013 11/03/09 10 + __________ TOTAL ORDERED 55 114.58 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07346 AW3028570 1601 MONMOUTH ST NEWPORT KY 41071 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 496044 CLONAZEPAM 1MG TAB (MYL) + 1000 30378191210 00378191210 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 011 04/22/10 1 011 04/15/10 1 011 04/08/10 1 011 04/01/10 1 + __________ TOTAL ORDERED 4 133.33 % 011 02/25/10 1 011 02/18/10 1 011 02/11/10 1 011 02/04/10 1 + __________ TOTAL ORDERED 4 133.33 % 011 01/28/10 1 011 01/21/10 1 011 01/14/10 1 011 01/07/10 1 011 01/05/10 1 + __________ TOTAL ORDERED 5 166.66 % 011 12/30/09 1 011 12/22/09 1 011 12/11/09 1 011 12/08/09 1 011 12/04/09 1 011 12/01/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 370 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07346 AW3028570 1601 MONMOUTH ST NEWPORT KY 41071 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 496044 CLONAZEPAM 1MG TAB (MYL) + 1000 30378191210 00378191210 1 3.0 3.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 6 200.00 % 011 11/19/09 1 011 11/12/09 1 011 11/09/09 1 011 11/05/09 1 011 11/02/09 1 + __________ TOTAL ORDERED 5 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 529635 VYVANSE 20MG CAPS + 100 35941710210 59417010210 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 013 04/26/10 1 013 04/19/10 1 013 04/12/10 1 013 04/05/10 1 + __________ TOTAL ORDERED 4 133.33 % 013 03/29/10 2 013 03/15/10 2 + __________ TOTAL ORDERED 4 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539151 D-AMPHET SALT COMBO 10MG TAB +100 36472013210 64720013210 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 013 03/29/10 6 013 03/22/10 2 013 03/15/10 5 013 03/08/10 1 013 03/01/10 6 + __________ TOTAL ORDERED 20 133.33 % 013 02/22/10 5 013 02/15/10 7 013 02/08/10 5 013 02/01/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 371 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07346 AW3028570 1601 MONMOUTH ST NEWPORT KY 41071 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539151 D-AMPHET SALT COMBO 10MG TAB +100 36472013210 64720013210 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 18 120.00 % 013 12/24/09 7 013 12/17/09 8 013 12/10/09 4 + __________ TOTAL ORDERED 19 126.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 552577 SUBOXONE 8-2MG SL TAB + 30 31249613062 12496130602 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 011 04/29/10 7 011 04/27/10 11 011 04/22/10 6 011 04/15/10 10 011 04/13/10 4 011 04/08/10 12 011 04/06/10 10 + __________ TOTAL ORDERED 60 181.81 % 011 03/30/10 5 011 03/25/10 6 011 03/18/10 5 011 03/16/10 3 011 03/11/10 4 011 03/09/10 10 011 03/04/10 5 011 03/02/10 7 + __________ TOTAL ORDERED 45 136.36 % 011 02/25/10 5 011 02/23/10 11 011 02/18/10 6 011 02/16/10 10 011 02/11/10 9 011 02/04/10 5 011 02/02/10 9 + __________ TOTAL ORDERED 55 166.66 % 011 01/28/10 2 011 01/26/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 372 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07346 AW3028570 1601 MONMOUTH ST NEWPORT KY 41071 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 552577 SUBOXONE 8-2MG SL TAB + 30 31249613062 12496130602 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 011 01/21/10 8 011 01/19/10 7 011 01/14/10 11 011 01/12/10 10 011 01/07/10 8 011 01/05/10 7 + __________ TOTAL ORDERED 58 175.75 % 011 12/30/09 17 011 12/18/09 13 011 12/15/09 13 011 12/11/09 3 011 12/08/09 6 011 12/04/09 6 011 12/01/09 5 + __________ TOTAL ORDERED 63 190.90 % 011 11/27/09 15 011 11/23/09 14 011 11/16/09 14 011 11/19/09 5 + __________ TOTAL ORDERED 48 145.45 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563755 OXYCODONE-APAP 5-325 TAB(WAT)+500 30591074905 00591074905 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 04/26/10 8 013 04/19/10 8 013 04/12/10 5 013 04/05/10 3 + __________ TOTAL ORDERED 24 133.33 % 013 03/29/10 5 013 03/22/10 8 013 03/15/10 7 013 03/08/10 6 013 03/01/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 373 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07346 AW3028570 1601 MONMOUTH ST NEWPORT KY 41071 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563755 OXYCODONE-APAP 5-325 TAB(WAT)+500 30591074905 00591074905 6 3.0 18.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 33 183.33 % 013 02/22/10 6 013 02/15/10 6 013 02/08/10 5 013 02/01/10 5 + __________ TOTAL ORDERED 22 122.22 % 013 01/25/10 7 013 01/18/10 6 013 01/11/10 4 013 01/07/10 4 + __________ TOTAL ORDERED 21 116.66 % 013 12/24/09 12 013 12/17/09 6 013 12/10/09 6 013 12/03/09 7 + __________ TOTAL ORDERED 31 172.22 % 013 11/25/09 7 013 11/18/09 5 013 11/11/09 4 013 11/04/09 5 + __________ TOTAL ORDERED 21 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 597169 METHADONE HCL 10MG TAB (MAL) +100 30406577101 00406577101 13 3.0 39.0 0 DC DATE ORDERED QUANTITY 013 03/29/10 4 013 03/22/10 32 013 03/15/10 9 013 03/08/10 1 013 03/01/10 5 + __________ TOTAL ORDERED 51 130.76 % 013 02/22/10 26 013 02/15/10 12 013 02/08/10 3 013 02/01/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 374 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07346 AW3028570 1601 MONMOUTH ST NEWPORT KY 41071 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 597169 METHADONE HCL 10MG TAB (MAL) +100 30406577101 00406577101 13 3.0 39.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 43 110.25 % 013 12/24/09 39 013 12/17/09 4 013 12/10/09 5 013 12/03/09 4 + __________ TOTAL ORDERED 52 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 652294 OXYCOD-APAP 10-325 TAB (WAT) +100 30591093201 00591093201 16 3.0 48.0 0 DC DATE ORDERED QUANTITY 013 04/26/10 21 013 04/19/10 15 013 04/12/10 12 013 04/05/10 12 + __________ TOTAL ORDERED 60 125.00 % 013 03/29/10 14 013 03/22/10 23 013 03/15/10 8 013 03/08/10 16 013 03/01/10 7 + __________ TOTAL ORDERED 68 141.66 % 013 02/22/10 19 013 02/15/10 16 013 02/08/10 14 013 02/01/10 13 + __________ TOTAL ORDERED 62 129.16 % 013 01/25/10 12 013 01/18/10 16 013 01/11/10 13 013 01/07/10 12 + __________ TOTAL ORDERED 53 110.41 % 013 12/24/09 22 013 12/17/09 14 013 12/10/09 20 013 12/03/09 14 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 375 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07346 AW3028570 1601 MONMOUTH ST NEWPORT KY 41071 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 652294 OXYCOD-APAP 10-325 TAB (WAT) +100 30591093201 00591093201 16 3.0 48.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 70 145.83 % 013 11/25/09 9 013 11/18/09 12 013 11/11/09 22 013 11/04/09 12 + __________ TOTAL ORDERED 55 114.58 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672663 HYDROCODONE/APAP 5/500+TAB(WT)500 30591034905 00591034905 12 3.0 36.0 0 DC DATE ORDERED QUANTITY 011 04/29/10 4 011 04/27/10 4 011 04/22/10 6 011 04/20/10 4 011 04/15/10 5 011 04/13/10 5 011 04/08/10 5 011 04/06/10 5 011 04/01/10 4 + __________ TOTAL ORDERED 42 116.66 % 011 03/30/10 4 011 03/25/10 5 011 03/23/10 4 011 03/18/10 5 011 03/16/10 4 011 03/11/10 4 011 03/09/10 5 011 03/04/10 5 011 03/02/10 3 + __________ TOTAL ORDERED 39 108.33 % 011 02/25/10 5 011 02/23/10 6 011 02/18/10 4 011 02/16/10 4 011 02/11/10 6 011 02/09/10 5 011 02/04/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 376 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07346 AW3028570 1601 MONMOUTH ST NEWPORT KY 41071 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672663 HYDROCODONE/APAP 5/500+TAB(WT)500 30591034905 00591034905 12 3.0 36.0 0 DC DATE ORDERED QUANTITY 011 02/02/10 3 + __________ TOTAL ORDERED 37 102.77 % 011 12/30/09 7 011 12/28/09 4 011 12/22/09 7 011 12/18/09 5 011 12/15/09 5 011 12/11/09 4 011 12/08/09 4 011 12/04/09 7 011 12/01/09 3 + __________ TOTAL ORDERED 46 127.77 % 011 11/27/09 6 011 11/23/09 8 011 11/16/09 7 011 11/19/09 3 011 11/12/09 4 011 11/09/09 4 011 11/05/09 6 011 11/02/09 6 + __________ TOTAL ORDERED 44 122.22 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 011 04/29/10 2 011 04/27/10 1 011 04/22/10 1 011 04/20/10 3 011 04/15/10 1 011 04/13/10 2 011 04/08/10 3 011 04/06/10 6 011 04/01/10 6 + __________ TOTAL ORDERED 25 166.66 % 011 03/25/10 2 011 03/23/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 377 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07346 AW3028570 1601 MONMOUTH ST NEWPORT KY 41071 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 011 03/18/10 5 011 03/11/10 4 011 03/09/10 6 011 03/04/10 5 011 03/02/10 3 + __________ TOTAL ORDERED 27 180.00 % 011 02/25/10 4 011 02/23/10 4 011 02/18/10 5 011 02/16/10 3 011 02/11/10 3 011 02/09/10 4 011 02/04/10 6 + __________ TOTAL ORDERED 29 193.33 % 011 01/28/10 3 011 01/26/10 1 011 01/21/10 7 011 01/14/10 7 011 01/12/10 3 011 01/07/10 2 + __________ TOTAL ORDERED 23 153.33 % 011 12/30/09 7 011 12/28/09 2 011 12/22/09 7 011 12/18/09 4 011 12/15/09 3 011 12/11/09 8 011 12/08/09 1 011 12/04/09 2 011 12/01/09 2 + __________ TOTAL ORDERED 36 240.00 % 011 11/27/09 4 011 11/23/09 5 011 11/16/09 3 011 11/19/09 3 011 11/12/09 2 011 11/09/09 3 011 11/05/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 378 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07346 AW3028570 1601 MONMOUTH ST NEWPORT KY 41071 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 011 11/02/09 4 + __________ TOTAL ORDERED 25 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672805 ADDERALL XR 30MG CAPS + 100 35409239101 54092039101 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 04/26/10 2 013 04/19/10 2 013 04/12/10 2 013 04/05/10 1 + __________ TOTAL ORDERED 7 116.66 % 013 03/29/10 2 013 03/22/10 1 013 03/08/10 2 013 03/01/10 2 + __________ TOTAL ORDERED 7 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673036 ALPRAZOLAM 1MG TAB (PPC) + 500 30228203150 00228203150 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 011 04/29/10 2 011 04/27/10 2 011 04/22/10 2 011 04/20/10 1 011 04/15/10 3 011 04/13/10 2 011 04/08/10 3 011 04/06/10 1 011 04/01/10 1 + __________ TOTAL ORDERED 17 141.66 % 011 03/30/10 2 011 03/25/10 2 011 03/18/10 2 011 03/16/10 3 011 03/11/10 3 011 03/09/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 379 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07346 AW3028570 1601 MONMOUTH ST NEWPORT KY 41071 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673036 ALPRAZOLAM 1MG TAB (PPC) + 500 30228203150 00228203150 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 011 03/04/10 2 + __________ TOTAL ORDERED 15 125.00 % 011 02/25/10 2 011 02/23/10 3 011 02/18/10 2 011 02/16/10 1 011 02/11/10 3 011 02/09/10 2 011 02/04/10 2 011 02/02/10 1 + __________ TOTAL ORDERED 16 133.33 % 011 01/28/10 1 011 01/26/10 1 011 01/21/10 3 011 01/19/10 1 011 01/14/10 4 011 01/12/10 2 011 01/07/10 2 + __________ TOTAL ORDERED 14 116.66 % 011 12/30/09 3 011 12/28/09 1 011 12/22/09 3 011 12/18/09 2 011 12/15/09 2 011 12/11/09 1 011 12/08/09 2 011 12/04/09 1 011 12/01/09 1 + __________ TOTAL ORDERED 16 133.33 % 011 11/27/09 3 011 11/23/09 4 011 11/16/09 2 011 11/19/09 4 011 11/09/09 2 011 11/05/09 2 011 11/02/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 380 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07346 AW3028570 1601 MONMOUTH ST NEWPORT KY 41071 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673036 ALPRAZOLAM 1MG TAB (PPC) + 500 30228203150 00228203150 4 3.0 12.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 18 150.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675756 HYDROCOD-APAP 10-500 TB (WT)+500 30591054005 00591054005 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 011 12/30/09 3 011 12/22/09 2 011 12/18/09 3 011 12/15/09 1 011 12/11/09 1 011 12/08/09 1 011 12/04/09 2 011 12/01/09 1 + __________ TOTAL ORDERED 14 155.55 % 011 11/27/09 1 011 11/23/09 1 011 11/16/09 1 011 11/19/09 3 011 11/12/09 1 011 11/05/09 2 011 11/02/09 2 + __________ TOTAL ORDERED 11 122.22 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 676041 DIAZEPAM 5MG TAB (MYL) + 500 30378034505 00378034505 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 011 01/28/10 1 011 01/21/10 1 011 01/14/10 2 011 01/07/10 2 011 01/05/10 1 + __________ TOTAL ORDERED 7 116.66 % 011 12/30/09 2 011 12/22/09 1 011 12/18/09 1 011 12/11/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 381 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07346 AW3028570 1601 MONMOUTH ST NEWPORT KY 41071 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 676041 DIAZEPAM 5MG TAB (MYL) + 500 30378034505 00378034505 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 011 12/08/09 1 011 12/04/09 1 011 12/01/09 1 + __________ TOTAL ORDERED 8 133.33 % 011 11/27/09 2 011 11/23/09 1 011 11/16/09 1 011 11/19/09 1 011 11/09/09 1 011 11/05/09 1 011 11/02/09 1 + __________ TOTAL ORDERED 8 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 676052 DIAZEPAM 10MG TAB (MYL) + 500 30378047705 00378047705 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 011 04/29/10 2 011 04/22/10 1 011 04/20/10 1 011 04/15/10 1 011 04/08/10 1 011 04/06/10 2 011 04/01/10 1 + __________ TOTAL ORDERED 9 150.00 % 011 03/25/10 2 011 03/18/10 1 011 03/11/10 1 011 03/09/10 1 011 03/04/10 1 011 03/02/10 1 + __________ TOTAL ORDERED 7 116.66 % 011 02/25/10 1 011 02/23/10 1 011 02/18/10 1 011 02/16/10 1 011 02/11/10 1 011 02/09/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 382 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07346 AW3028570 1601 MONMOUTH ST NEWPORT KY 41071 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 676052 DIAZEPAM 10MG TAB (MYL) + 500 30378047705 00378047705 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 011 02/04/10 2 + __________ TOTAL ORDERED 8 133.33 % 011 01/28/10 1 011 01/26/10 1 011 01/21/10 1 011 01/19/10 1 011 01/14/10 1 011 01/07/10 2 011 01/05/10 1 + __________ TOTAL ORDERED 8 133.33 % 011 12/30/09 1 011 12/22/09 2 011 12/18/09 1 011 12/15/09 1 011 12/11/09 1 011 12/08/09 1 011 12/04/09 1 011 12/01/09 1 + __________ TOTAL ORDERED 9 150.00 % 011 11/27/09 1 011 11/23/09 1 011 11/19/09 1 011 11/12/09 1 011 11/09/09 1 011 11/05/09 1 011 11/02/09 1 + __________ TOTAL ORDERED 7 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 678961 LORAZEPAM 1MG TAB (PPC) +500 30228205950 00228205950 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 011 04/29/10 2 011 04/22/10 1 011 04/20/10 1 011 04/15/10 1 011 04/08/10 1 011 04/06/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 383 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07346 AW3028570 1601 MONMOUTH ST NEWPORT KY 41071 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 678961 LORAZEPAM 1MG TAB (PPC) +500 30228205950 00228205950 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 011 04/01/10 1 + __________ TOTAL ORDERED 9 150.00 % 011 03/30/10 1 011 03/25/10 1 011 03/18/10 2 011 03/11/10 2 011 03/04/10 3 011 03/02/10 2 + __________ TOTAL ORDERED 11 183.33 % 011 02/23/10 1 011 02/18/10 2 011 02/16/10 1 011 02/11/10 1 011 02/04/10 2 + __________ TOTAL ORDERED 7 116.66 % 011 01/28/10 2 011 01/26/10 1 011 01/21/10 2 011 01/14/10 2 011 01/07/10 3 + __________ TOTAL ORDERED 10 166.66 % 011 12/30/09 2 011 12/22/09 2 011 12/18/09 2 011 12/11/09 2 011 12/08/09 1 011 12/04/09 2 011 12/01/09 1 + __________ TOTAL ORDERED 12 200.00 % 011 11/27/09 1 011 11/23/09 1 011 11/16/09 1 011 11/19/09 1 011 11/12/09 1 011 11/09/09 1 011 11/05/09 1 011 11/02/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 384 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07346 AW3028570 1601 MONMOUTH ST NEWPORT KY 41071 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 678961 LORAZEPAM 1MG TAB (PPC) +500 30228205950 00228205950 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 9 150.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684341 TEMAZEPAM 15MG CAP + 100 30781220101 00781220101 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 011 04/29/10 3 011 04/27/10 1 011 04/22/10 2 011 04/08/10 1 011 04/01/10 1 + __________ TOTAL ORDERED 8 133.33 % 011 03/30/10 1 011 03/25/10 1 011 03/18/10 3 011 03/11/10 1 011 03/04/10 2 011 03/02/10 1 + __________ TOTAL ORDERED 9 150.00 % 011 01/28/10 2 011 01/21/10 2 011 01/19/10 3 + __________ TOTAL ORDERED 7 116.66 % 011 12/22/09 2 011 12/18/09 1 011 12/11/09 1 011 12/04/09 3 011 12/01/09 1 + __________ TOTAL ORDERED 8 133.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 385 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07435 BW0538061 4605 MONTGOMERY NORWOOD OH 45212 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 499233 HYDROCO-APAP 10-660 TAB (WAT)+100 36203756701 62037056701 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 011 04/30/10 3 011 04/27/10 2 011 04/23/10 3 011 04/13/10 1 011 04/09/10 2 011 04/06/10 2 011 04/02/10 6 + __________ TOTAL ORDERED 19 126.66 % 011 01/29/10 1 011 01/26/10 3 011 01/22/10 2 011 01/15/10 5 011 01/12/10 3 011 01/08/10 2 + __________ TOTAL ORDERED 16 106.66 % 011 12/29/09 2 011 12/22/09 4 011 12/18/09 2 011 12/15/09 5 011 12/11/09 6 + __________ TOTAL ORDERED 19 126.66 % 011 11/27/09 5 011 11/24/09 1 011 11/20/09 3 011 11/13/09 4 011 11/17/09 2 011 11/06/09 3 + __________ TOTAL ORDERED 18 120.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 532538 MORPHINE SULF 20MG/ML (LAN)+ 30ML 30527142536 00527142536 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 03/29/10 3 013 03/22/10 5 013 03/15/10 2 013 03/08/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 386 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07435 BW0538061 4605 MONTGOMERY NORWOOD OH 45212 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 532538 MORPHINE SULF 20MG/ML (LAN)+ 30ML 30527142536 00527142536 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 15 166.66 % 013 02/08/10 4 013 02/01/10 6 + __________ TOTAL ORDERED 10 111.11 % 013 01/25/10 5 013 01/11/10 2 013 01/04/10 5 + __________ TOTAL ORDERED 12 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563755 OXYCODONE-APAP 5-325 TAB(WAT)+500 30591074905 00591074905 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 04/26/10 5 013 04/19/10 6 013 04/12/10 4 013 04/05/10 6 + __________ TOTAL ORDERED 21 116.66 % 013 03/29/10 4 013 03/22/10 4 013 03/15/10 5 013 03/08/10 9 013 03/01/10 5 + __________ TOTAL ORDERED 27 150.00 % 013 12/28/09 4 013 12/21/09 9 013 12/14/09 4 013 12/10/09 2 013 12/07/09 3 013 12/03/09 3 + __________ TOTAL ORDERED 25 138.88 % 013 11/30/09 1 013 11/27/09 2 013 11/23/09 3 013 11/19/09 1 013 11/12/09 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 387 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07435 BW0538061 4605 MONTGOMERY NORWOOD OH 45212 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563755 OXYCODONE-APAP 5-325 TAB(WAT)+500 30591074905 00591074905 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 11/16/09 5 013 11/09/09 2 013 11/05/09 1 013 11/02/09 4 + __________ TOTAL ORDERED 22 122.22 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 591810 ACETAMIN/COD 300/60 TAB (TEV)+100 30093035001 00093035001 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 011 01/29/10 2 011 01/22/10 6 011 01/15/10 4 011 01/12/10 1 011 01/08/10 1 + __________ TOTAL ORDERED 14 116.66 % 011 12/29/09 5 011 12/22/09 3 011 12/18/09 2 011 12/15/09 1 011 12/11/09 1 011 12/08/09 3 + __________ TOTAL ORDERED 15 125.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 597169 METHADONE HCL 10MG TAB (MAL) +100 30406577101 00406577101 13 3.0 39.0 0 DC DATE ORDERED QUANTITY 013 03/29/10 9 013 03/22/10 17 013 03/15/10 6 013 03/08/10 13 013 03/01/10 16 + __________ TOTAL ORDERED 61 156.41 % 013 12/28/09 14 013 12/21/09 13 013 12/14/09 4 013 12/10/09 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 388 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07435 BW0538061 4605 MONTGOMERY NORWOOD OH 45212 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 597169 METHADONE HCL 10MG TAB (MAL) +100 30406577101 00406577101 13 3.0 39.0 0 DC DATE ORDERED QUANTITY 013 12/03/09 2 + __________ TOTAL ORDERED 40 102.56 % 013 11/30/09 4 013 11/25/09 4 013 11/27/09 7 013 11/23/09 6 013 11/19/09 3 013 11/12/09 10 013 11/16/09 4 013 11/09/09 8 013 11/05/09 2 + __________ TOTAL ORDERED 48 123.07 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 645920 OXYCOD-APAP 7.5-325 TAB (WAT)+100 30591093301 00591093301 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 04/26/10 4 013 04/19/10 9 013 04/12/10 8 013 04/05/10 13 + __________ TOTAL ORDERED 34 188.88 % 013 03/29/10 6 013 03/22/10 2 013 03/15/10 2 013 03/08/10 16 013 03/01/10 7 + __________ TOTAL ORDERED 33 183.33 % 013 02/22/10 5 013 02/15/10 5 013 02/08/10 10 013 02/01/10 12 + __________ TOTAL ORDERED 32 177.77 % 013 01/25/10 6 013 01/18/10 6 013 01/11/10 7 013 01/04/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 389 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07435 BW0538061 4605 MONTGOMERY NORWOOD OH 45212 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 645920 OXYCOD-APAP 7.5-325 TAB (WAT)+100 30591093301 00591093301 6 3.0 18.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 25 138.88 % 013 12/28/09 5 013 12/21/09 7 013 12/14/09 4 013 12/10/09 2 013 12/03/09 2 + __________ TOTAL ORDERED 20 111.11 % 013 11/27/09 4 013 11/23/09 4 013 11/19/09 2 013 11/12/09 5 013 11/16/09 1 013 11/09/09 3 013 11/05/09 3 013 11/02/09 6 + __________ TOTAL ORDERED 28 155.55 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 652294 OXYCOD-APAP 10-325 TAB (WAT) +100 30591093201 00591093201 16 3.0 48.0 0 DC DATE ORDERED QUANTITY 013 04/26/10 23 013 04/19/10 21 013 04/12/10 12 013 04/05/10 16 + __________ TOTAL ORDERED 72 150.00 % 013 03/29/10 18 013 03/22/10 22 013 03/15/10 15 013 03/08/10 24 013 03/01/10 21 + __________ TOTAL ORDERED 100 208.33 % 013 02/22/10 10 013 02/15/10 16 013 02/08/10 17 013 02/01/10 20 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 390 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07435 BW0538061 4605 MONTGOMERY NORWOOD OH 45212 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 652294 OXYCOD-APAP 10-325 TAB (WAT) +100 30591093201 00591093201 16 3.0 48.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 63 131.25 % 013 01/25/10 28 013 01/18/10 23 013 01/11/10 20 013 01/04/10 20 + __________ TOTAL ORDERED 91 189.58 % 013 12/28/09 20 013 12/21/09 23 013 12/14/09 6 013 12/10/09 5 013 12/07/09 11 013 12/03/09 13 + __________ TOTAL ORDERED 78 162.50 % 013 11/30/09 7 013 11/25/09 5 013 11/27/09 12 013 11/23/09 9 013 11/19/09 6 013 11/12/09 6 013 11/16/09 5 013 11/09/09 10 013 11/05/09 9 013 11/02/09 13 + __________ TOTAL ORDERED 82 170.83 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672651 ACETAMIN/CODIENE 300/60 TAB + 100 30603233921 00603233921 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 011 04/30/10 2 011 04/23/10 1 011 04/20/10 1 011 04/16/10 4 011 04/13/10 3 011 04/09/10 2 011 04/02/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 391 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07435 BW0538061 4605 MONTGOMERY NORWOOD OH 45212 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672651 ACETAMIN/CODIENE 300/60 TAB + 100 30603233921 00603233921 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 14 155.55 % 011 03/26/10 2 011 03/19/10 4 011 03/05/10 8 + __________ TOTAL ORDERED 14 155.55 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 676041 DIAZEPAM 5MG TAB (MYL) + 500 30378034505 00378034505 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 011 04/30/10 1 011 04/23/10 1 011 04/20/10 1 011 04/16/10 2 011 04/13/10 1 011 04/09/10 1 011 04/02/10 1 + __________ TOTAL ORDERED 8 133.33 % 011 03/30/10 1 011 03/26/10 1 011 03/19/10 2 011 03/16/10 1 011 03/12/10 1 011 03/09/10 1 011 03/05/10 1 + __________ TOTAL ORDERED 8 133.33 % 011 12/29/09 1 011 12/22/09 2 011 12/18/09 1 011 12/15/09 1 011 12/08/09 1 011 12/01/09 1 + __________ TOTAL ORDERED 7 116.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 392 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07435 BW0538061 4605 MONTGOMERY NORWOOD OH 45212 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684285 OXYCONTIN 80MG TAB (PUR) 100 35901110710 59011010710 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 12/28/09 2 013 12/21/09 2 013 12/14/09 2 013 12/10/09 2 013 12/07/09 2 + __________ TOTAL ORDERED 10 111.11 % 013 11/27/09 2 013 11/23/09 1 013 11/19/09 1 013 11/12/09 1 013 11/16/09 2 013 11/09/09 1 013 11/02/09 2 + __________ TOTAL ORDERED 10 111.11 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07470 BW2318839 1032 HARRISON AV HARRISON OH 45030 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544543 FENTANYL 50MCG/HR TS (WAT) + 5 30591321272 00591321272 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 013 04/26/10 5 013 04/19/10 7 013 04/12/10 6 013 04/05/10 8 + __________ TOTAL ORDERED 26 123.80 % 013 02/22/10 9 013 02/15/10 2 013 02/08/10 5 013 02/01/10 8 + __________ TOTAL ORDERED 24 114.28 % 013 01/25/10 6 013 01/11/10 11 013 01/07/10 11 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 393 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07470 BW2318839 1032 HARRISON AV HARRISON OH 45030 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544543 FENTANYL 50MCG/HR TS (WAT) + 5 30591321272 00591321272 7 3.0 21.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 28 133.33 % 013 11/25/09 6 013 11/18/09 3 013 11/11/09 15 + __________ TOTAL ORDERED 24 114.28 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 645920 OXYCOD-APAP 7.5-325 TAB (WAT)+100 30591093301 00591093301 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 04/26/10 8 013 04/19/10 7 013 04/12/10 6 013 04/05/10 4 + __________ TOTAL ORDERED 25 138.88 % 013 03/29/10 4 013 03/22/10 6 013 03/15/10 6 013 03/08/10 5 013 03/01/10 7 + __________ TOTAL ORDERED 28 155.55 % 013 02/22/10 4 013 02/15/10 7 013 02/08/10 4 013 02/01/10 4 + __________ TOTAL ORDERED 19 105.55 % 013 01/11/10 9 013 01/07/10 10 + __________ TOTAL ORDERED 19 105.55 % 013 12/24/09 4 013 12/17/09 3 013 12/10/09 4 013 12/03/09 9 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 394 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07470 BW2318839 1032 HARRISON AV HARRISON OH 45030 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 645920 OXYCOD-APAP 7.5-325 TAB (WAT)+100 30591093301 00591093301 6 3.0 18.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 20 111.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 652294 OXYCOD-APAP 10-325 TAB (WAT) +100 30591093201 00591093201 16 3.0 48.0 0 DC DATE ORDERED QUANTITY 013 03/29/10 12 013 03/22/10 12 013 03/15/10 13 013 03/08/10 8 013 03/01/10 5 + __________ TOTAL ORDERED 50 104.16 % 013 02/22/10 10 013 02/15/10 22 013 02/08/10 14 013 02/01/10 4 + __________ TOTAL ORDERED 50 104.16 % 013 01/25/10 13 013 01/18/10 9 013 01/11/10 24 013 01/07/10 15 + __________ TOTAL ORDERED 61 127.08 % 013 12/24/09 30 013 12/17/09 16 013 12/10/09 6 013 12/03/09 8 + __________ TOTAL ORDERED 60 125.00 % 013 11/25/09 10 013 11/18/09 15 013 11/11/09 13 013 11/04/09 12 + __________ TOTAL ORDERED 50 104.16 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 395 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07489 BW8287737 57 W MAIN ST AMELIA OH 45102 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (AMI)+ 100 35215221502 52152021502 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 04/26/10 12 013 04/05/10 7 + __________ TOTAL ORDERED 19 105.55 % 013 03/22/10 1 013 03/15/10 13 013 03/08/10 5 + __________ TOTAL ORDERED 19 105.55 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 09162 BW1057606 6617 DIXIE HWY FLORENCE NY 41042 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 552577 SUBOXONE 8-2MG SL TAB + 30 31249613062 12496130602 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 011 04/29/10 1 011 04/26/10 1 011 04/22/10 12 011 04/19/10 10 011 04/12/10 5 011 04/08/10 4 011 04/05/10 10 + __________ TOTAL ORDERED 43 130.30 % 011 03/29/10 4 011 03/25/10 7 011 03/22/10 3 011 03/18/10 8 011 03/15/10 3 011 03/11/10 4 011 03/08/10 9 011 03/01/10 6 + __________ TOTAL ORDERED 44 133.33 % 011 12/30/09 7 011 12/22/09 1 011 12/17/09 3 011 12/15/09 9 011 12/10/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 396 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 09162 BW1057606 6617 DIXIE HWY FLORENCE NY 41042 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 552577 SUBOXONE 8-2MG SL TAB + 30 31249613062 12496130602 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 011 12/08/09 4 011 12/03/09 2 011 12/01/09 10 + __________ TOTAL ORDERED 37 112.12 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 652294 OXYCOD-APAP 10-325 TAB (WAT) +100 30591093201 00591093201 16 3.0 48.0 0 DC DATE ORDERED QUANTITY 013 03/31/10 18 013 03/24/10 14 013 03/17/10 7 013 03/10/10 13 013 03/03/10 17 + __________ TOTAL ORDERED 69 143.75 % 013 01/27/10 21 013 01/20/10 8 013 01/13/10 20 013 01/05/10 13 + __________ TOTAL ORDERED 62 129.16 % 013 12/29/09 21 013 12/21/09 14 013 12/14/09 9 013 12/07/09 11 + __________ TOTAL ORDERED 55 114.58 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 011 04/29/10 4 011 04/26/10 2 011 04/19/10 1 011 04/08/10 4 011 04/05/10 3 011 04/01/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 397 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 09162 BW1057606 6617 DIXIE HWY FLORENCE NY 41042 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 6 3.0 18.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 19 105.55 % 011 03/29/10 4 011 03/18/10 1 011 03/15/10 1 011 03/11/10 2 011 03/08/10 2 011 03/04/10 4 011 03/01/10 6 + __________ TOTAL ORDERED 20 111.11 % 011 12/24/09 6 011 12/17/09 2 011 12/10/09 2 011 12/08/09 2 011 12/03/09 4 011 12/01/09 3 + __________ TOTAL ORDERED 19 105.55 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 676052 DIAZEPAM 10MG TAB (MYL) + 500 30378047705 00378047705 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 011 03/29/10 1 011 03/25/10 1 011 03/22/10 1 011 03/15/10 1 011 03/08/10 1 011 03/04/10 1 011 03/01/10 1 + __________ TOTAL ORDERED 7 116.66 % 011 01/25/10 2 011 01/21/10 1 011 01/18/10 1 011 01/14/10 1 011 01/11/10 1 011 01/07/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 398 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 09162 BW1057606 6617 DIXIE HWY FLORENCE NY 41042 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 676052 DIAZEPAM 10MG TAB (MYL) + 500 30378047705 00378047705 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 7 116.66 % 011 12/30/09 2 011 12/24/09 1 011 12/22/09 1 011 12/17/09 1 011 12/10/09 1 011 12/08/09 1 011 12/03/09 1 + __________ TOTAL ORDERED 8 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 678961 LORAZEPAM 1MG TAB (PPC) +500 30228205950 00228205950 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 011 04/29/10 1 011 04/26/10 1 011 04/19/10 1 011 04/15/10 1 011 04/12/10 1 011 04/08/10 1 011 04/01/10 1 + __________ TOTAL ORDERED 7 116.66 % 011 03/29/10 1 011 03/25/10 1 011 03/15/10 1 011 03/11/10 1 011 03/08/10 1 011 03/04/10 3 + __________ TOTAL ORDERED 8 133.33 % 011 01/28/10 2 011 01/21/10 1 011 01/18/10 1 011 01/14/10 1 011 01/07/10 1 011 01/04/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 399 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 09162 BW1057606 6617 DIXIE HWY FLORENCE NY 41042 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 678961 LORAZEPAM 1MG TAB (PPC) +500 30228205950 00228205950 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 7 116.66 % 011 12/30/09 1 011 12/24/09 2 011 12/17/09 1 011 12/10/09 1 011 12/08/09 1 011 12/03/09 1 + __________ TOTAL ORDERED 7 116.66 % 011 11/25/09 2 011 11/23/09 1 011 11/18/09 1 011 11/11/09 1 011 11/09/09 1 011 11/04/09 1 011 11/02/09 1 + __________ TOTAL ORDERED 8 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684145 OXYCOD-APAP 10-650 TAB (WAT) +100 30591082501 00591082501 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 04/21/10 3 013 04/14/10 7 + __________ TOTAL ORDERED 10 111.11 % 013 12/21/09 5 013 12/14/09 6 013 12/07/09 1 + __________ TOTAL ORDERED 12 133.33 % 013 11/30/09 4 013 11/20/09 6 013 11/13/09 4 + __________ TOTAL ORDERED 14 155.55 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 400 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 09359 BW9377587 432 CRAIG AVE GREENDALE IN 47025 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 552577 SUBOXONE 8-2MG SL TAB + 30 31249613062 12496130602 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 011 04/30/10 3 011 04/28/10 2 011 04/23/10 11 011 04/21/10 1 011 04/16/10 10 011 04/14/10 4 011 04/09/10 4 011 04/07/10 3 011 04/02/10 1 + __________ TOTAL ORDERED 39 118.18 % 011 03/26/10 13 011 03/19/10 11 011 03/17/10 4 011 03/12/10 5 011 03/10/10 3 011 03/05/10 5 + __________ TOTAL ORDERED 41 124.24 % 011 02/26/10 13 011 02/24/10 2 011 02/19/10 12 011 02/17/10 1 011 02/12/10 6 011 02/10/10 2 011 02/05/10 3 011 02/03/10 1 + __________ TOTAL ORDERED 40 121.21 % 011 01/29/10 9 011 01/27/10 2 011 01/22/10 12 011 01/20/10 6 011 01/15/10 9 011 01/13/10 1 011 01/08/10 3 011 01/06/10 1 + __________ TOTAL ORDERED 43 130.30 % 011 12/31/09 9 011 12/29/09 4 011 12/23/09 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 401 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 09359 BW9377587 432 CRAIG AVE GREENDALE IN 47025 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 552577 SUBOXONE 8-2MG SL TAB + 30 31249613062 12496130602 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 011 12/21/09 10 011 12/16/09 5 011 12/14/09 1 011 12/09/09 1 011 12/07/09 7 011 12/02/09 2 + __________ TOTAL ORDERED 42 127.27 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684285 OXYCONTIN 80MG TAB (PUR) 100 35901110710 59011010710 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 03/30/10 1 013 03/23/10 2 013 03/16/10 2 013 03/09/10 3 013 03/02/10 2 + __________ TOTAL ORDERED 10 111.11 % 013 01/26/10 4 013 01/12/10 5 013 01/04/10 3 + __________ TOTAL ORDERED 12 133.33 % 013 11/27/09 2 013 11/19/09 3 013 11/12/09 3 013 11/05/09 5 + __________ TOTAL ORDERED 13 144.44 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 09360 BW9593383 8820 US 42 UNION KY 41091 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 553889 ANDROGEL 1% PUMP (UNI) +150GM 30051848888 00051848888 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 011 04/29/10 1 011 04/27/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 402 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 09360 BW9593383 8820 US 42 UNION KY 41091 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 553889 ANDROGEL 1% PUMP (UNI) +150GM 30051848888 00051848888 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 011 04/08/10 6 011 04/06/10 1 011 04/01/10 1 + __________ TOTAL ORDERED 10 111.11 % 011 03/18/10 2 011 03/16/10 2 011 03/11/10 5 011 03/04/10 1 + __________ TOTAL ORDERED 10 111.11 % 011 02/18/10 4 011 02/11/10 3 011 02/09/10 1 011 02/04/10 5 011 02/02/10 1 + __________ TOTAL ORDERED 14 155.55 % 011 12/30/09 1 011 12/28/09 4 011 12/22/09 5 011 12/18/09 1 011 12/11/09 4 011 12/04/09 1 011 12/01/09 2 + __________ TOTAL ORDERED 18 200.00 % 011 11/12/09 6 011 11/09/09 3 011 11/02/09 1 + __________ TOTAL ORDERED 10 111.11 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 403 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 09751 BW9897793 512 GREEN BLVD AURORA IN 47001 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675756 HYDROCOD-APAP 10-500 TB (WT)+500 30591054005 00591054005 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 011 04/26/10 1 011 04/22/10 3 011 04/19/10 1 011 04/08/10 5 011 04/05/10 4 011 04/01/10 1 + __________ TOTAL ORDERED 15 166.66 % 011 03/29/10 1 011 03/25/10 2 011 03/22/10 1 011 03/18/10 4 011 03/15/10 2 011 03/11/10 1 011 03/08/10 2 011 03/04/10 2 011 03/01/10 1 + __________ TOTAL ORDERED 16 177.77 % 011 02/25/10 1 011 02/22/10 1 011 02/18/10 5 011 02/15/10 1 011 02/11/10 1 011 02/08/10 1 011 02/04/10 2 011 02/01/10 1 + __________ TOTAL ORDERED 13 144.44 % 011 01/28/10 1 011 01/25/10 1 011 01/21/10 1 011 01/18/10 3 011 01/14/10 3 011 01/11/10 1 011 01/04/10 2 + __________ TOTAL ORDERED 12 133.33 % 011 12/30/09 1 011 12/24/09 1 011 12/22/09 1 011 12/17/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 404 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 09751 BW9897793 512 GREEN BLVD AURORA IN 47001 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675756 HYDROCOD-APAP 10-500 TB (WT)+500 30591054005 00591054005 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 011 12/15/09 1 011 12/10/09 3 011 12/08/09 1 011 12/03/09 1 011 12/01/09 1 + __________ TOTAL ORDERED 12 133.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 10315 FW0468961 2005 CENTENNIAL INDEPENDENCE KY 41051 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 685301 TRIAZOLAM 0.25MG TAB (GRN)+ 10X10 35976237184 59762371804 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 011 03/24/10 3 011 03/03/10 2 + __________ TOTAL ORDERED 5 166.66 % 011 12/29/09 1 011 12/21/09 3 011 12/03/09 1 + __________ TOTAL ORDERED 5 166.66 % 011 11/30/09 3 011 11/25/09 1 + __________ TOTAL ORDERED 4 133.33 % 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03025 BW3830571 7440 FM 1960 E HUMBLE TX 77346 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 483575 PHENTERMINE 37.5MG TAB (LAN) +100 30527144501 00527144501 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 010 04/27/10 1 010 04/23/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 405 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03025 BW3830571 7440 FM 1960 E HUMBLE TX 77346 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 483575 PHENTERMINE 37.5MG TAB (LAN) +100 30527144501 00527144501 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 010 04/20/10 3 010 04/16/10 2 010 04/13/10 3 010 04/09/10 3 010 04/06/10 3 010 04/02/10 3 + __________ TOTAL ORDERED 22 104.76 % 010 03/30/10 2 010 03/26/10 2 010 03/23/10 3 010 03/19/10 2 010 03/16/10 3 010 03/12/10 3 010 03/09/10 3 010 03/05/10 3 010 03/02/10 2 + __________ TOTAL ORDERED 23 109.52 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 507055 CONCERTA 36MG ER TAB 100 35045858601 50458058601 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 03/31/10 3 014 03/17/10 3 014 03/10/10 3 014 03/03/10 3 + __________ TOTAL ORDERED 12 133.33 % 014 12/30/09 2 014 12/23/09 3 014 12/16/09 4 014 12/09/09 2 014 12/02/09 2 + __________ TOTAL ORDERED 13 144.44 % 014 11/25/09 1 014 11/18/09 5 014 11/11/09 4 014 11/04/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 406 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03025 BW3830571 7440 FM 1960 E HUMBLE TX 77346 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 507055 CONCERTA 36MG ER TAB 100 35045858601 50458058601 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 12 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 529634 VYVANSE 40MG CAPS + 100 35941710410 59417010410 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 04/21/10 3 014 04/14/10 3 014 04/07/10 1 + __________ TOTAL ORDERED 7 116.66 % 014 03/31/10 2 014 03/17/10 1 014 03/10/10 2 014 03/03/10 3 + __________ TOTAL ORDERED 8 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544543 FENTANYL 50MCG/HR TS (WAT) + 5 30591321272 00591321272 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 014 04/21/10 14 014 04/14/10 9 + __________ TOTAL ORDERED 23 127.77 % 014 12/30/09 6 014 12/23/09 10 014 12/16/09 8 014 12/02/09 2 + __________ TOTAL ORDERED 26 144.44 % 014 11/25/09 2 014 11/18/09 8 014 11/11/09 12 014 11/04/09 9 + __________ TOTAL ORDERED 31 172.22 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 407 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03025 BW3830571 7440 FM 1960 E HUMBLE TX 77346 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 551686 VYVANSE 50MG CAPS + 100 35941710510 59417010510 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 04/21/10 5 014 04/14/10 4 014 04/07/10 1 + __________ TOTAL ORDERED 10 166.66 % 014 03/31/10 3 014 03/24/10 3 014 03/17/10 1 014 03/10/10 2 014 03/03/10 4 + __________ TOTAL ORDERED 13 216.66 % 014 01/20/10 6 014 01/13/10 3 014 01/06/10 2 + __________ TOTAL ORDERED 11 183.33 % 014 12/30/09 1 014 12/23/09 3 014 12/16/09 1 014 12/09/09 4 014 12/02/09 1 + __________ TOTAL ORDERED 10 166.66 % 014 11/25/09 3 014 11/18/09 3 014 11/11/09 1 014 11/04/09 4 + __________ TOTAL ORDERED 11 183.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 551687 VYVANSE 30MG CAPS (SHI) 100 35941710310 59417010310 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 03/31/10 3 014 03/24/10 2 014 03/17/10 1 014 03/10/10 1 014 03/03/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 408 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03025 BW3830571 7440 FM 1960 E HUMBLE TX 77346 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 551687 VYVANSE 30MG CAPS (SHI) 100 35941710310 59417010310 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 11 122.22 % 014 01/20/10 5 014 01/13/10 5 014 01/06/10 4 + __________ TOTAL ORDERED 14 155.55 % 014 11/25/09 4 014 11/18/09 4 014 11/11/09 4 014 11/04/09 2 + __________ TOTAL ORDERED 14 155.55 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 552577 SUBOXONE 8-2MG SL TAB + 30 31249613062 12496130602 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 010 03/30/10 1 010 03/26/10 2 010 03/23/10 5 010 03/19/10 1 010 03/16/10 7 010 03/12/10 5 010 03/09/10 9 010 03/05/10 8 010 03/02/10 3 + __________ TOTAL ORDERED 41 151.85 % 010 01/26/10 4 010 01/22/10 8 010 01/19/10 1 010 01/15/10 4 010 01/12/10 5 010 01/08/10 7 010 01/05/10 2 + __________ TOTAL ORDERED 31 114.81 % 010 12/31/09 3 010 12/28/09 2 010 12/23/09 8 010 12/18/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 409 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03025 BW3830571 7440 FM 1960 E HUMBLE TX 77346 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 552577 SUBOXONE 8-2MG SL TAB + 30 31249613062 12496130602 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 010 12/16/09 2 010 12/11/09 8 010 12/09/09 1 010 12/04/09 2 010 12/02/09 4 + __________ TOTAL ORDERED 32 118.51 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 553889 ANDROGEL 1% PUMP (UNI) +150GM 30051848888 00051848888 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 04/27/10 2 010 04/23/10 1 010 04/20/10 4 010 04/16/10 3 010 04/13/10 3 010 04/09/10 1 010 04/06/10 2 010 04/02/10 1 + __________ TOTAL ORDERED 17 141.66 % 010 03/19/10 4 010 03/16/10 2 010 03/12/10 1 010 03/09/10 1 010 03/05/10 5 010 03/02/10 4 + __________ TOTAL ORDERED 17 141.66 % 010 02/26/10 2 010 02/19/10 3 010 02/16/10 4 010 02/12/10 1 010 02/09/10 4 + __________ TOTAL ORDERED 14 116.66 % 010 01/19/10 8 010 01/15/10 7 010 01/12/10 2 010 01/08/10 4 010 01/05/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 410 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03025 BW3830571 7440 FM 1960 E HUMBLE TX 77346 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 553889 ANDROGEL 1% PUMP (UNI) +150GM 30051848888 00051848888 4 3.0 12.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 22 183.33 % 010 11/27/09 1 010 11/24/09 8 010 11/19/09 5 010 11/12/09 2 010 11/05/09 1 010 11/03/09 1 + __________ TOTAL ORDERED 18 150.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 010 03/30/10 3 010 03/26/10 1 010 03/23/10 3 010 03/19/10 3 010 03/16/10 2 010 03/12/10 3 010 03/09/10 2 010 03/05/10 4 010 03/02/10 5 + __________ TOTAL ORDERED 26 108.33 % 010 02/26/10 11 010 02/19/10 4 010 02/16/10 3 010 02/12/10 6 010 02/09/10 1 010 02/05/10 1 010 02/02/10 3 + __________ TOTAL ORDERED 29 120.83 % 010 12/28/09 5 010 12/23/09 6 010 12/18/09 8 010 12/16/09 4 010 12/11/09 4 010 12/04/09 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 411 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03025 BW3830571 7440 FM 1960 E HUMBLE TX 77346 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 8 3.0 24.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 31 129.16 % 010 11/27/09 7 010 11/24/09 3 010 11/19/09 4 010 11/12/09 3 010 11/10/09 2 010 11/05/09 5 010 11/03/09 2 + __________ TOTAL ORDERED 26 108.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674231 CARISOPRODOL 350MG TAB (QT)+ 500 30603258228 00603258228 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 010 04/27/10 1 010 04/23/10 4 010 04/20/10 2 010 04/16/10 2 010 04/13/10 1 010 04/09/10 3 010 04/06/10 1 010 04/02/10 4 + __________ TOTAL ORDERED 18 120.00 % 010 03/30/10 1 010 03/26/10 4 010 03/23/10 1 010 03/19/10 3 010 03/16/10 1 010 03/12/10 2 010 03/09/10 1 010 03/05/10 3 010 03/02/10 2 + __________ TOTAL ORDERED 18 120.00 % 010 02/26/10 5 010 02/19/10 2 010 02/16/10 1 010 02/12/10 3 010 02/09/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 412 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03025 BW3830571 7440 FM 1960 E HUMBLE TX 77346 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674231 CARISOPRODOL 350MG TAB (QT)+ 500 30603258228 00603258228 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 010 02/05/10 4 010 02/02/10 2 + __________ TOTAL ORDERED 18 120.00 % 010 12/31/09 2 010 12/28/09 2 010 12/23/09 3 010 12/18/09 3 010 12/16/09 2 010 12/11/09 2 010 12/09/09 2 010 12/04/09 3 + __________ TOTAL ORDERED 19 126.66 % 010 11/27/09 2 010 11/24/09 2 010 11/17/09 1 010 11/19/09 3 010 11/12/09 2 010 11/10/09 2 010 11/05/09 3 010 11/03/09 1 + __________ TOTAL ORDERED 16 106.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 04/27/10 1 010 04/23/10 2 010 04/20/10 1 010 04/16/10 2 010 04/13/10 1 010 04/09/10 1 010 04/06/10 1 010 04/02/10 3 + __________ TOTAL ORDERED 12 133.33 % 010 03/30/10 2 010 03/26/10 2 010 03/23/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 413 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03025 BW3830571 7440 FM 1960 E HUMBLE TX 77346 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 03/19/10 2 010 03/16/10 2 010 03/09/10 1 010 03/05/10 2 010 03/02/10 2 + __________ TOTAL ORDERED 14 155.55 % 010 02/26/10 2 010 02/19/10 2 010 02/16/10 1 010 02/12/10 1 010 02/09/10 1 010 02/05/10 2 010 02/02/10 2 + __________ TOTAL ORDERED 11 122.22 % 010 01/26/10 2 010 01/22/10 1 010 01/19/10 1 010 01/15/10 1 010 01/12/10 1 010 01/08/10 3 010 01/05/10 1 + __________ TOTAL ORDERED 10 111.11 % 010 12/31/09 3 010 12/28/09 2 010 12/23/09 3 010 12/18/09 2 010 12/16/09 1 010 12/11/09 2 010 12/09/09 1 010 12/04/09 3 010 12/02/09 2 + __________ TOTAL ORDERED 19 211.11 % 010 11/27/09 1 010 11/24/09 1 010 11/17/09 1 010 11/19/09 2 010 11/12/09 2 010 11/05/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 414 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03025 BW3830571 7440 FM 1960 E HUMBLE TX 77346 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 11/03/09 2 + __________ TOTAL ORDERED 11 122.22 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679658 HYDROMET SYRUP (ALP) + 473ML 30472103016 00472103016 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 01/26/10 1 010 01/22/10 2 010 01/19/10 3 010 01/15/10 2 010 01/12/10 2 010 01/08/10 3 010 01/05/10 1 + __________ TOTAL ORDERED 14 116.66 % 010 12/28/09 3 010 12/23/09 6 010 12/18/09 1 010 12/11/09 3 010 12/02/09 1 + __________ TOTAL ORDERED 14 116.66 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03081 AW8818796 1408 16TH STR ORANGE TX 77630 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544544 FENTANYL 25MCG/HR TS (WAT) + 5 30591319872 00591319872 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 014 01/27/10 2 014 01/20/10 12 014 01/13/10 12 014 01/06/10 2 + __________ TOTAL ORDERED 28 155.55 % 014 12/23/09 2 014 12/16/09 10 014 12/09/09 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 415 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03081 AW8818796 1408 16TH STR ORANGE TX 77630 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544544 FENTANYL 25MCG/HR TS (WAT) + 5 30591319872 00591319872 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 014 12/02/09 4 + __________ TOTAL ORDERED 20 111.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 04/29/10 1 010 04/27/10 8 010 04/22/10 5 010 04/20/10 6 010 04/15/10 3 010 04/13/10 8 010 04/08/10 7 010 04/06/10 12 010 04/01/10 6 + __________ TOTAL ORDERED 56 169.69 % 010 03/30/10 4 010 03/25/10 5 010 03/23/10 6 010 03/18/10 9 010 03/16/10 8 010 03/11/10 3 010 03/09/10 8 010 03/04/10 6 010 03/02/10 2 + __________ TOTAL ORDERED 51 154.54 % 010 02/25/10 6 010 02/23/10 7 010 02/18/10 6 010 02/16/10 9 010 02/11/10 3 010 02/09/10 6 010 02/04/10 5 010 02/02/10 6 + __________ TOTAL ORDERED 48 145.45 % 010 01/28/10 4 010 01/26/10 12 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 416 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03081 AW8818796 1408 16TH STR ORANGE TX 77630 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 01/21/10 7 010 01/19/10 12 010 01/14/10 2 010 01/12/10 6 010 01/07/10 12 010 01/05/10 6 + __________ TOTAL ORDERED 61 184.84 % 010 12/30/09 2 010 12/28/09 9 010 12/22/09 9 010 12/18/09 5 010 12/15/09 2 010 12/11/09 6 010 12/08/09 6 010 12/04/09 12 010 12/01/09 2 + __________ TOTAL ORDERED 53 160.60 % 010 11/27/09 12 010 11/23/09 9 010 11/16/09 6 010 11/19/09 1 010 11/12/09 3 010 11/09/09 13 010 11/05/09 1 010 11/02/09 10 + __________ TOTAL ORDERED 55 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 010 12/30/09 6 010 12/22/09 7 010 12/18/09 1 010 12/15/09 3 010 12/11/09 1 010 12/08/09 1 010 12/04/09 6 010 12/01/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 417 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03081 AW8818796 1408 16TH STR ORANGE TX 77630 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 8 3.0 24.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 27 112.50 % 010 11/27/09 3 010 11/23/09 5 010 11/19/09 7 010 11/12/09 1 010 11/09/09 5 010 11/05/09 2 010 11/02/09 2 + __________ TOTAL ORDERED 25 104.16 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 04/29/10 2 010 04/27/10 1 010 04/22/10 1 010 04/20/10 1 010 04/15/10 2 010 04/08/10 2 010 04/01/10 2 + __________ TOTAL ORDERED 11 122.22 % 010 03/25/10 2 010 03/23/10 1 010 03/18/10 2 010 03/16/10 1 010 03/11/10 2 010 03/09/10 1 010 03/04/10 2 + __________ TOTAL ORDERED 11 122.22 % 010 12/30/09 1 010 12/28/09 2 010 12/22/09 1 010 12/18/09 3 010 12/15/09 1 010 12/11/09 1 010 12/04/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 418 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03081 AW8818796 1408 16TH STR ORANGE TX 77630 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 10 111.11 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03271 AW8818532 3990 E LUCAS DRV BEAUMONT TX 77708 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 499233 HYDROCO-APAP 10-660 TAB (WAT)+100 36203756701 62037056701 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 03/31/10 2 010 03/24/10 1 010 03/22/10 1 010 03/17/10 1 010 03/15/10 1 010 03/10/10 2 010 03/08/10 1 010 03/03/10 1 010 03/01/10 2 + __________ TOTAL ORDERED 12 133.33 % 010 01/27/10 1 010 01/20/10 2 010 01/18/10 2 010 01/13/10 1 010 01/11/10 3 010 01/06/10 1 + __________ TOTAL ORDERED 10 111.11 % 010 12/29/09 1 010 12/21/09 1 010 12/14/09 3 010 12/10/09 3 010 12/07/09 2 + __________ TOTAL ORDERED 10 111.11 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 419 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03271 AW8818532 3990 E LUCAS DRV BEAUMONT TX 77708 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674519 CHLORDIAZEPOXIDE 5MG CAP (BR)+100 30555015802 00555015802 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 010 01/27/10 1 010 01/25/10 1 010 01/20/10 1 010 01/18/10 1 010 01/13/10 1 010 01/11/10 1 010 01/06/10 1 010 01/04/10 1 + __________ TOTAL ORDERED 8 266.66 % 010 12/29/09 1 010 12/24/09 1 010 12/21/09 1 010 12/17/09 1 010 12/14/09 1 + __________ TOTAL ORDERED 5 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 2 010 04/26/10 1 010 04/21/10 1 010 04/19/10 4 010 04/14/10 2 010 04/12/10 3 010 04/07/10 2 010 04/05/10 2 + __________ TOTAL ORDERED 17 188.88 % 010 03/31/10 1 010 03/29/10 2 010 03/24/10 2 010 03/22/10 2 010 03/17/10 2 010 03/15/10 2 010 03/10/10 1 010 03/08/10 3 010 03/03/10 2 010 03/01/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 420 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03271 AW8818532 3990 E LUCAS DRV BEAUMONT TX 77708 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 20 222.22 % 010 02/24/10 2 010 02/22/10 2 010 02/15/10 2 010 02/10/10 1 010 02/08/10 4 010 02/03/10 2 010 02/01/10 2 + __________ TOTAL ORDERED 15 166.66 % 010 01/27/10 1 010 01/25/10 2 010 01/20/10 1 010 01/18/10 2 010 01/13/10 1 010 01/11/10 2 010 01/06/10 3 010 01/04/10 1 + __________ TOTAL ORDERED 13 144.44 % 010 12/29/09 2 010 12/24/09 3 010 12/21/09 2 010 12/17/09 1 010 12/14/09 2 010 12/10/09 1 010 12/07/09 2 010 12/03/09 1 + __________ TOTAL ORDERED 14 155.55 % 010 11/30/09 2 010 11/25/09 2 010 11/20/09 3 010 11/13/09 2 010 11/18/09 1 010 11/11/09 2 010 11/06/09 3 010 11/04/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 421 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03271 AW8818532 3990 E LUCAS DRV BEAUMONT TX 77708 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 17 188.88 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03507 AW4312029 2126 NALL ST PORT NECHES TX 77651 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 483575 PHENTERMINE 37.5MG TAB (LAN) +100 30527144501 00527144501 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 2 010 04/26/10 6 010 04/21/10 3 010 04/19/10 5 010 04/14/10 1 010 04/12/10 7 010 04/07/10 3 010 04/05/10 4 + __________ TOTAL ORDERED 31 147.61 % 010 03/31/10 2 010 03/29/10 4 010 03/24/10 3 010 03/22/10 4 010 03/17/10 1 010 03/15/10 1 010 03/10/10 2 010 03/08/10 3 010 03/03/10 1 010 03/01/10 5 + __________ TOTAL ORDERED 26 123.80 % 010 02/24/10 1 010 02/22/10 5 010 02/17/10 2 010 02/15/10 4 010 02/10/10 1 010 02/08/10 4 010 02/03/10 2 010 02/01/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 422 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03507 AW4312029 2126 NALL ST PORT NECHES TX 77651 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 483575 PHENTERMINE 37.5MG TAB (LAN) +100 30527144501 00527144501 7 3.0 21.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 23 109.52 % 010 11/30/09 3 010 11/25/09 6 010 11/20/09 3 010 11/13/09 3 010 11/18/09 4 010 11/11/09 2 010 11/06/09 3 010 11/04/09 1 + __________ TOTAL ORDERED 25 119.04 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 513951 CLORAZ DIPOT 7.5MG TAB (TAR) +100 35167240431 51672404301 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 03/31/10 1 010 03/29/10 1 010 03/24/10 1 010 03/17/10 1 010 03/10/10 1 010 03/03/10 1 010 03/01/10 1 + __________ TOTAL ORDERED 7 116.66 % 010 02/24/10 1 010 02/17/10 1 010 02/15/10 1 010 02/10/10 1 010 02/08/10 2 010 02/03/10 1 010 02/01/10 1 + __________ TOTAL ORDERED 8 133.33 % 010 11/25/09 1 010 11/13/09 2 010 11/11/09 1 010 11/06/09 2 010 11/04/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 423 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03507 AW4312029 2126 NALL ST PORT NECHES TX 77651 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 513951 CLORAZ DIPOT 7.5MG TAB (TAR) +100 35167240431 51672404301 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 7 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 551686 VYVANSE 50MG CAPS + 100 35941710510 59417010510 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 04/28/10 3 014 04/21/10 1 014 04/14/10 2 014 04/07/10 2 + __________ TOTAL ORDERED 8 133.33 % 014 03/31/10 2 014 03/24/10 1 014 03/17/10 1 014 03/10/10 2 014 03/03/10 3 + __________ TOTAL ORDERED 9 150.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 2 010 04/26/10 1 010 04/21/10 2 010 04/19/10 2 010 04/14/10 1 010 04/12/10 2 010 04/07/10 1 010 04/05/10 2 + __________ TOTAL ORDERED 13 144.44 % 010 03/31/10 1 010 03/29/10 3 010 03/24/10 2 010 03/22/10 2 010 03/17/10 1 010 03/15/10 2 010 03/10/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 424 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03507 AW4312029 2126 NALL ST PORT NECHES TX 77651 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 03/08/10 2 010 03/03/10 2 010 03/01/10 1 + __________ TOTAL ORDERED 18 200.00 % 010 02/24/10 1 010 02/22/10 1 010 02/17/10 2 010 02/15/10 1 010 02/10/10 1 010 02/08/10 2 010 02/03/10 1 010 02/01/10 2 + __________ TOTAL ORDERED 11 122.22 % 010 01/27/10 1 010 01/25/10 2 010 01/20/10 1 010 01/18/10 2 010 01/13/10 1 010 01/11/10 3 010 01/06/10 1 + __________ TOTAL ORDERED 11 122.22 % 010 12/29/09 1 010 12/24/09 1 010 12/21/09 2 010 12/17/09 3 010 12/14/09 2 010 12/10/09 2 010 12/07/09 2 010 12/03/09 1 + __________ TOTAL ORDERED 14 155.55 % 010 11/30/09 1 010 11/25/09 3 010 11/20/09 2 010 11/13/09 1 010 11/18/09 2 010 11/11/09 1 010 11/06/09 2 010 11/04/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 425 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03507 AW4312029 2126 NALL ST PORT NECHES TX 77651 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 13 144.44 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679658 HYDROMET SYRUP (ALP) + 473ML 30472103016 00472103016 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 03/31/10 2 010 03/29/10 2 010 03/24/10 2 010 03/17/10 3 010 03/10/10 2 010 03/08/10 1 010 03/03/10 4 + __________ TOTAL ORDERED 16 133.33 % 010 02/24/10 1 010 02/22/10 4 010 02/17/10 2 010 02/15/10 5 010 02/10/10 2 010 02/08/10 1 010 02/03/10 1 + __________ TOTAL ORDERED 16 133.33 % 010 01/20/10 2 010 01/18/10 9 010 01/13/10 3 010 01/11/10 1 + __________ TOTAL ORDERED 15 125.00 % 010 11/30/09 14 010 11/11/09 1 010 11/06/09 9 010 11/04/09 1 + __________ TOTAL ORDERED 25 208.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 426 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03796 AW9623643 6795 CALDER RD BEAUMONT TX 77706 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 3 010 04/23/10 6 010 04/21/10 5 010 04/16/10 3 010 04/14/10 4 010 04/09/10 7 010 04/07/10 2 010 04/02/10 4 + __________ TOTAL ORDERED 34 103.03 % 010 03/31/10 3 010 03/26/10 9 010 03/24/10 4 010 03/19/10 8 010 03/17/10 2 010 03/12/10 6 010 03/10/10 2 010 03/05/10 5 010 03/03/10 3 + __________ TOTAL ORDERED 42 127.27 % 010 12/31/09 4 010 12/29/09 1 010 12/23/09 7 010 12/21/09 2 010 12/16/09 6 010 12/14/09 8 010 12/09/09 2 010 12/07/09 3 010 12/02/09 5 + __________ TOTAL ORDERED 38 115.15 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 1 010 04/23/10 2 010 04/21/10 1 010 04/16/10 1 010 04/14/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 427 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03796 AW9623643 6795 CALDER RD BEAUMONT TX 77706 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 04/09/10 3 010 04/07/10 1 010 04/02/10 2 + __________ TOTAL ORDERED 13 144.44 % 010 03/31/10 1 010 03/26/10 2 010 03/24/10 1 010 03/19/10 2 010 03/17/10 1 010 03/12/10 2 010 03/10/10 2 010 03/05/10 1 + __________ TOTAL ORDERED 12 133.33 % 010 02/24/10 2 010 02/19/10 2 010 02/17/10 2 010 02/10/10 2 010 02/05/10 2 010 02/03/10 1 + __________ TOTAL ORDERED 11 122.22 % 010 01/27/10 1 010 01/22/10 2 010 01/20/10 1 010 01/15/10 1 010 01/13/10 1 010 01/08/10 3 010 01/06/10 2 + __________ TOTAL ORDERED 11 122.22 % 010 12/31/09 1 010 12/29/09 1 010 12/23/09 2 010 12/16/09 1 010 12/14/09 1 010 12/09/09 2 010 12/07/09 2 010 12/02/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 428 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03796 AW9623643 6795 CALDER RD BEAUMONT TX 77706 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 12 133.33 % 010 11/24/09 3 010 11/20/09 1 010 11/13/09 2 010 11/17/09 1 010 11/06/09 3 + __________ TOTAL ORDERED 10 111.11 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03821 AW8818544 3605 COLLEGE BEAUMONT TX 77701 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 499233 HYDROCO-APAP 10-660 TAB (WAT)+100 36203756701 62037056701 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 03/31/10 1 010 03/26/10 2 010 03/24/10 2 010 03/19/10 3 010 03/12/10 3 010 03/10/10 1 010 03/05/10 3 + __________ TOTAL ORDERED 15 166.66 % 010 02/24/10 2 010 02/19/10 2 010 02/17/10 1 010 02/10/10 4 010 02/05/10 2 010 02/03/10 1 + __________ TOTAL ORDERED 12 133.33 % 010 12/31/09 5 010 12/23/09 2 010 12/21/09 2 010 12/16/09 2 010 12/09/09 2 010 12/07/09 2 010 12/02/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 429 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03821 AW8818544 3605 COLLEGE BEAUMONT TX 77701 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 499233 HYDROCO-APAP 10-660 TAB (WAT)+100 36203756701 62037056701 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 17 188.88 % 010 11/24/09 3 010 11/20/09 3 010 11/13/09 1 010 11/10/09 1 010 11/06/09 2 010 11/03/09 2 + __________ TOTAL ORDERED 12 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539147 D-AMPHET SALT COMBO 30MG TAB +100 36472013610 64720013610 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 014 04/21/10 5 014 04/14/10 3 014 04/07/10 9 + __________ TOTAL ORDERED 17 141.66 % 014 03/31/10 4 014 03/24/10 1 014 03/17/10 6 014 03/10/10 4 014 03/03/10 5 + __________ TOTAL ORDERED 20 166.66 % 014 01/27/10 4 014 01/20/10 5 014 01/13/10 5 + __________ TOTAL ORDERED 14 116.66 % 014 12/30/09 1 014 12/23/09 1 014 12/16/09 6 014 12/09/09 6 + __________ TOTAL ORDERED 14 116.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 430 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03821 AW8818544 3605 COLLEGE BEAUMONT TX 77701 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 591810 ACETAMIN/COD 300/60 TAB (TEV)+100 30093035001 00093035001 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 01/22/10 4 010 01/20/10 3 010 01/08/10 1 + __________ TOTAL ORDERED 8 133.33 % 010 12/23/09 3 010 12/16/09 1 010 12/14/09 1 010 12/09/09 3 010 12/07/09 2 + __________ TOTAL ORDERED 10 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 6 010 04/23/10 6 010 04/21/10 2 010 04/16/10 2 010 04/14/10 14 010 04/09/10 6 010 04/07/10 3 010 04/02/10 10 + __________ TOTAL ORDERED 49 148.48 % 010 01/27/10 4 010 01/22/10 5 010 01/20/10 12 010 01/08/10 9 010 01/06/10 7 + __________ TOTAL ORDERED 37 112.12 % 010 12/31/09 5 010 12/29/09 2 010 12/23/09 5 010 12/21/09 2 010 12/16/09 6 010 12/14/09 7 010 12/09/09 10 010 12/07/09 8 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 431 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03821 AW8818544 3605 COLLEGE BEAUMONT TX 77701 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 12/02/09 2 + __________ TOTAL ORDERED 47 142.42 % 010 11/30/09 5 010 11/24/09 7 010 11/20/09 3 010 11/13/09 7 010 11/17/09 9 010 11/10/09 9 010 11/06/09 7 010 11/03/09 4 + __________ TOTAL ORDERED 51 154.54 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672713 ACET-CODEINE 120-12/5 (PAI)+473ML 30121050416 00121050416 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 04/23/10 3 010 04/16/10 3 010 04/14/10 3 010 04/09/10 2 010 04/07/10 1 010 04/02/10 1 + __________ TOTAL ORDERED 13 144.44 % 010 03/31/10 2 010 03/26/10 1 010 03/24/10 2 010 03/19/10 3 010 03/17/10 2 010 03/12/10 1 010 03/10/10 1 010 03/05/10 1 010 03/03/10 1 + __________ TOTAL ORDERED 14 155.55 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 432 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03821 AW8818544 3605 COLLEGE BEAUMONT TX 77701 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 3 010 04/23/10 3 010 04/21/10 2 010 04/16/10 5 010 04/14/10 2 010 04/09/10 8 010 04/07/10 4 010 04/02/10 4 + __________ TOTAL ORDERED 31 344.44 % 010 03/31/10 2 010 03/26/10 3 010 03/24/10 3 010 03/19/10 3 010 03/05/10 4 010 03/03/10 2 + __________ TOTAL ORDERED 17 188.88 % 010 02/24/10 8 010 02/19/10 5 010 02/17/10 6 010 02/10/10 3 010 02/05/10 5 010 02/03/10 2 + __________ TOTAL ORDERED 29 322.22 % 010 01/27/10 4 010 01/22/10 4 010 01/20/10 5 010 01/13/10 2 010 01/08/10 4 010 01/06/10 4 + __________ TOTAL ORDERED 23 255.55 % 010 12/31/09 3 010 12/29/09 2 010 12/23/09 4 010 12/21/09 4 010 12/16/09 2 010 12/14/09 4 010 12/09/09 2 010 12/07/09 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 433 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03821 AW8818544 3605 COLLEGE BEAUMONT TX 77701 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 12/02/09 2 + __________ TOTAL ORDERED 27 300.00 % 010 11/30/09 3 010 11/24/09 4 010 11/20/09 3 010 11/13/09 3 010 11/17/09 2 010 11/10/09 2 010 11/06/09 5 010 11/03/09 2 + __________ TOTAL ORDERED 24 266.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682092 PHENOBARBITAL 64.8MG TAB (QT)+100 30603516721 00603516721 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 03/26/10 2 010 03/12/10 2 010 03/05/10 2 010 03/03/10 2 + __________ TOTAL ORDERED 8 133.33 % 010 12/31/09 2 010 12/23/09 2 010 12/21/09 1 010 12/16/09 1 010 12/02/09 1 + __________ TOTAL ORDERED 7 116.66 % 010 11/24/09 1 010 11/06/09 3 010 11/03/09 3 + __________ TOTAL ORDERED 7 116.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 434 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03821 AW8818544 3605 COLLEGE BEAUMONT TX 77701 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682432 PROPOXY N-APAP 100/650 WT TB +500 30603546728 00603546732 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 010 03/26/10 2 010 03/24/10 2 010 03/19/10 2 010 03/17/10 2 010 03/12/10 3 010 03/10/10 1 010 03/05/10 2 010 03/03/10 2 + __________ TOTAL ORDERED 16 106.66 % 010 12/31/09 2 010 12/29/09 2 010 12/23/09 3 010 12/21/09 2 010 12/16/09 2 010 12/14/09 2 010 12/09/09 2 010 12/07/09 2 010 12/02/09 2 + __________ TOTAL ORDERED 19 126.66 % 010 11/30/09 3 010 11/24/09 2 010 11/20/09 3 010 11/13/09 1 010 11/17/09 2 010 11/10/09 2 010 11/06/09 2 010 11/03/09 1 + __________ TOTAL ORDERED 16 106.66 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03958 AW0946030 4930 GULFWAY DR PORT ARTHUR TX 77642 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 468843 TRAMADOL/APAP 37.5/325MG+(AMN)500 36516261750 65162061750 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 1 010 04/26/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 435 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03958 AW0946030 4930 GULFWAY DR PORT ARTHUR TX 77642 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 468843 TRAMADOL/APAP 37.5/325MG+(AMN)500 36516261750 65162061750 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 010 04/21/10 1 010 04/14/10 1 010 04/12/10 1 010 04/07/10 1 + __________ TOTAL ORDERED 6 200.00 % 010 03/24/10 1 010 03/15/10 1 010 03/08/10 2 010 03/03/10 1 + __________ TOTAL ORDERED 5 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 484721 TRAMADOL HCL/ACTMN 37.5/325MG+500 34988494605 49884094605 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 010 12/29/09 1 010 12/24/09 1 010 12/21/09 1 010 12/17/09 1 010 12/07/09 2 + __________ TOTAL ORDERED 6 200.00 % 010 11/25/09 1 010 11/20/09 1 010 11/11/09 1 010 11/06/09 1 + __________ TOTAL ORDERED 4 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 499233 HYDROCO-APAP 10-660 TAB (WAT)+100 36203756701 62037056701 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 1 010 04/26/10 1 010 04/21/10 1 010 04/14/10 2 010 04/07/10 3 010 04/05/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 436 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03958 AW0946030 4930 GULFWAY DR PORT ARTHUR TX 77642 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 499233 HYDROCO-APAP 10-660 TAB (WAT)+100 36203756701 62037056701 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 10 111.11 % 010 03/31/10 2 010 03/29/10 3 010 03/24/10 1 010 03/22/10 1 010 03/17/10 1 010 03/10/10 1 010 03/08/10 3 010 03/03/10 2 010 03/01/10 1 + __________ TOTAL ORDERED 15 166.66 % 010 11/25/09 1 010 11/20/09 3 010 11/13/09 2 010 11/06/09 3 010 11/04/09 2 + __________ TOTAL ORDERED 11 122.22 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 2 010 04/21/10 1 010 04/19/10 1 010 04/14/10 1 010 04/12/10 2 010 04/07/10 2 010 04/05/10 1 + __________ TOTAL ORDERED 10 111.11 % 010 03/31/10 2 010 03/29/10 1 010 03/24/10 1 010 03/22/10 2 010 03/17/10 1 010 03/15/10 3 010 03/10/10 1 010 03/08/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 437 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03958 AW0946030 4930 GULFWAY DR PORT ARTHUR TX 77642 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 03/03/10 2 010 03/01/10 2 + __________ TOTAL ORDERED 18 200.00 % 010 02/24/10 1 010 02/22/10 1 010 02/17/10 1 010 02/15/10 3 010 02/10/10 2 010 02/08/10 1 010 02/03/10 2 010 02/01/10 1 + __________ TOTAL ORDERED 12 133.33 % 010 01/27/10 1 010 01/25/10 1 010 01/20/10 1 010 01/18/10 3 010 01/13/10 1 010 01/11/10 2 010 01/06/10 1 010 01/04/10 2 + __________ TOTAL ORDERED 12 133.33 % 010 12/29/09 1 010 12/24/09 1 010 12/21/09 3 010 12/17/09 1 010 12/14/09 3 010 12/10/09 2 010 12/07/09 1 010 12/03/09 2 + __________ TOTAL ORDERED 14 155.55 % 010 11/30/09 1 010 11/25/09 1 010 11/20/09 2 010 11/13/09 3 010 11/18/09 2 010 11/11/09 1 010 11/06/09 2 010 11/04/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 438 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03958 AW0946030 4930 GULFWAY DR PORT ARTHUR TX 77642 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 13 144.44 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04647 AW2885082 388 UVALDE RD HOUSTON TX 77015 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 03/31/10 6 010 03/26/10 2 010 03/24/10 2 010 03/19/10 9 010 03/17/10 4 010 03/12/10 10 010 03/10/10 5 010 03/05/10 6 010 03/03/10 3 + __________ TOTAL ORDERED 47 142.42 % 010 12/31/09 8 010 12/29/09 4 010 12/23/09 6 010 12/21/09 3 010 12/16/09 3 010 12/14/09 5 010 12/09/09 3 010 12/07/09 5 010 12/02/09 3 + __________ TOTAL ORDERED 40 121.21 % 010 11/30/09 4 010 11/24/09 7 010 11/20/09 8 010 11/13/09 4 010 11/17/09 3 010 11/10/09 4 010 11/06/09 8 010 11/03/09 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 439 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04647 AW2885082 388 UVALDE RD HOUSTON TX 77015 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 42 127.27 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674391 CHLORDI/AMITRIP 5/12.5MG TB 100 30378021101 00378021101 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 010 04/23/10 2 010 04/21/10 1 010 04/16/10 1 + __________ TOTAL ORDERED 4 133.33 % 010 03/19/10 1 010 03/12/10 1 010 03/10/10 1 010 03/05/10 1 010 03/03/10 1 + __________ TOTAL ORDERED 5 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674392 CHLORDI/AMITRIP 10/25MG TAB +100 30378027701 00378027701 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 1 010 04/23/10 1 010 04/16/10 1 010 04/09/10 1 + __________ TOTAL ORDERED 4 133.33 % 010 03/31/10 1 010 03/26/10 2 010 03/24/10 1 010 03/19/10 1 010 03/12/10 2 010 03/05/10 1 + __________ TOTAL ORDERED 8 266.66 % 010 02/19/10 1 010 02/17/10 2 010 02/05/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 440 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04647 AW2885082 388 UVALDE RD HOUSTON TX 77015 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674392 CHLORDI/AMITRIP 10/25MG TAB +100 30378027701 00378027701 1 3.0 3.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 4 133.33 % 010 01/15/10 3 010 01/08/10 2 + __________ TOTAL ORDERED 5 166.66 % 010 12/23/09 3 010 12/21/09 1 010 12/16/09 1 010 12/09/09 1 010 12/02/09 1 + __________ TOTAL ORDERED 7 233.33 % 010 11/24/09 1 010 11/20/09 2 010 11/06/09 1 + __________ TOTAL ORDERED 4 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 681762 PHENOBARBITAL ELIXIR (QUA) + 16OZ 30603150858 00603150858 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 04/23/10 7 010 04/09/10 3 010 04/02/10 6 + __________ TOTAL ORDERED 16 266.66 % 010 03/31/10 1 010 03/26/10 3 010 03/19/10 1 010 03/12/10 2 010 03/05/10 2 + __________ TOTAL ORDERED 9 150.00 % 010 01/22/10 5 010 01/15/10 1 010 01/08/10 4 010 01/06/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 441 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04647 AW2885082 388 UVALDE RD HOUSTON TX 77015 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 681762 PHENOBARBITAL ELIXIR (QUA) + 16OZ 30603150858 00603150858 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 15 250.00 % 010 12/31/09 1 010 12/23/09 3 010 12/16/09 3 010 12/14/09 1 010 12/09/09 2 010 12/07/09 1 010 12/02/09 3 + __________ TOTAL ORDERED 14 233.33 % 010 11/24/09 2 010 11/20/09 1 010 11/13/09 6 010 11/06/09 1 010 11/03/09 1 + __________ TOTAL ORDERED 11 183.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04840 BW0633897 240 N PARK DR KINGSWOOD TX 77339 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 553889 ANDROGEL 1% PUMP (UNI) +150GM 30051848888 00051848888 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 02/24/10 2 010 02/22/10 1 010 02/17/10 2 010 02/10/10 3 010 02/08/10 3 010 02/03/10 2 010 02/01/10 2 + __________ TOTAL ORDERED 15 125.00 % 010 12/29/09 3 010 12/21/09 3 010 12/14/09 2 010 12/07/09 1 010 12/03/09 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 442 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04840 BW0633897 240 N PARK DR KINGSWOOD TX 77339 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 553889 ANDROGEL 1% PUMP (UNI) +150GM 30051848888 00051848888 4 3.0 12.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 13 108.33 % 010 11/30/09 4 010 11/20/09 2 010 11/13/09 3 010 11/18/09 3 010 11/11/09 2 010 11/06/09 1 010 11/04/09 2 + __________ TOTAL ORDERED 17 141.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679658 HYDROMET SYRUP (ALP) + 473ML 30472103016 00472103016 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 01/27/10 3 010 01/25/10 1 010 01/20/10 1 010 01/18/10 2 010 01/13/10 2 010 01/11/10 5 010 01/06/10 2 010 01/04/10 2 + __________ TOTAL ORDERED 18 150.00 % 010 12/29/09 3 010 12/24/09 8 010 12/21/09 5 010 12/17/09 2 010 12/07/09 2 010 12/03/09 1 + __________ TOTAL ORDERED 21 175.00 % 010 11/30/09 5 010 11/11/09 1 010 11/06/09 8 010 11/04/09 1 + __________ TOTAL ORDERED 15 125.00 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 443 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05375 BW0238306 3700 HIGHWAY 365 PORT ARTHUR TX 77642 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 483575 PHENTERMINE 37.5MG TAB (LAN) +100 30527144501 00527144501 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 2 010 04/26/10 4 010 04/21/10 1 010 04/19/10 6 010 04/14/10 3 010 04/12/10 4 010 04/07/10 3 010 04/05/10 4 + __________ TOTAL ORDERED 27 128.57 % 010 03/31/10 2 010 03/29/10 5 010 03/24/10 2 010 03/22/10 3 010 03/17/10 1 010 03/15/10 7 010 03/10/10 1 010 03/08/10 6 010 03/03/10 2 010 03/01/10 4 + __________ TOTAL ORDERED 33 157.14 % 010 02/24/10 2 010 02/22/10 6 010 02/17/10 3 010 02/15/10 4 010 02/10/10 1 010 02/08/10 4 010 02/03/10 2 010 02/01/10 6 + __________ TOTAL ORDERED 28 133.33 % 010 01/27/10 2 010 01/25/10 5 010 01/20/10 3 010 01/18/10 5 010 01/13/10 3 010 01/11/10 4 010 01/06/10 2 010 01/04/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 444 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05375 BW0238306 3700 HIGHWAY 365 PORT ARTHUR TX 77642 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 483575 PHENTERMINE 37.5MG TAB (LAN) +100 30527144501 00527144501 7 3.0 21.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 26 123.80 % 010 12/29/09 3 010 12/24/09 3 010 12/21/09 5 010 12/17/09 4 010 12/14/09 4 010 12/10/09 2 010 12/07/09 4 010 12/03/09 3 + __________ TOTAL ORDERED 28 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 499233 HYDROCO-APAP 10-660 TAB (WAT)+100 36203756701 62037056701 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 3 010 04/26/10 1 010 04/21/10 1 010 04/19/10 3 010 04/14/10 3 010 04/12/10 3 010 04/07/10 2 010 04/05/10 2 + __________ TOTAL ORDERED 18 200.00 % 010 03/31/10 3 010 03/29/10 1 010 03/24/10 3 010 03/22/10 2 010 03/17/10 3 010 03/15/10 2 010 03/10/10 2 010 03/03/10 3 + __________ TOTAL ORDERED 19 211.11 % 010 02/24/10 2 010 02/22/10 3 010 02/17/10 4 010 02/15/10 2 010 02/10/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 445 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05375 BW0238306 3700 HIGHWAY 365 PORT ARTHUR TX 77642 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 499233 HYDROCO-APAP 10-660 TAB (WAT)+100 36203756701 62037056701 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 02/08/10 1 010 02/03/10 2 + __________ TOTAL ORDERED 16 177.77 % 010 01/27/10 2 010 01/25/10 1 010 01/20/10 2 010 01/18/10 3 010 01/13/10 2 010 01/11/10 2 010 01/06/10 1 + __________ TOTAL ORDERED 13 144.44 % 010 12/29/09 1 010 12/24/09 1 010 12/21/09 2 010 12/17/09 1 010 12/14/09 1 010 12/10/09 5 010 12/07/09 1 010 12/03/09 2 + __________ TOTAL ORDERED 14 155.55 % 010 11/30/09 1 010 11/20/09 6 010 11/13/09 3 010 11/18/09 1 010 11/06/09 1 + __________ TOTAL ORDERED 12 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 513951 CLORAZ DIPOT 7.5MG TAB (TAR) +100 35167240431 51672404301 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 2 010 04/19/10 4 010 04/14/10 2 010 04/12/10 1 010 04/07/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 446 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05375 BW0238306 3700 HIGHWAY 365 PORT ARTHUR TX 77642 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 513951 CLORAZ DIPOT 7.5MG TAB (TAR) +100 35167240431 51672404301 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 10 166.66 % 010 03/24/10 2 010 03/17/10 4 010 03/10/10 1 + __________ TOTAL ORDERED 7 116.66 % 010 02/24/10 2 010 02/22/10 2 010 02/17/10 2 010 02/15/10 2 010 02/10/10 2 010 02/08/10 2 010 02/03/10 1 010 02/01/10 1 + __________ TOTAL ORDERED 14 233.33 % 010 01/27/10 1 010 01/25/10 1 010 01/20/10 1 010 01/13/10 4 010 01/06/10 1 + __________ TOTAL ORDERED 8 133.33 % 010 12/29/09 2 010 12/24/09 1 010 12/21/09 4 010 12/17/09 1 010 12/14/09 1 010 12/10/09 1 010 12/03/09 2 + __________ TOTAL ORDERED 12 200.00 % 010 11/25/09 1 010 11/20/09 6 010 11/13/09 2 010 11/18/09 2 010 11/11/09 1 010 11/06/09 2 010 11/04/09 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 447 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05375 BW0238306 3700 HIGHWAY 365 PORT ARTHUR TX 77642 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 513951 CLORAZ DIPOT 7.5MG TAB (TAR) +100 35167240431 51672404301 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 18 300.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539147 D-AMPHET SALT COMBO 30MG TAB +100 36472013610 64720013610 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 014 04/27/10 4 014 04/20/10 7 014 04/13/10 8 014 04/06/10 1 + __________ TOTAL ORDERED 20 166.66 % 014 03/30/10 2 014 03/23/10 5 014 03/16/10 4 014 03/09/10 3 014 03/02/10 5 + __________ TOTAL ORDERED 19 158.33 % 014 02/23/10 5 014 02/16/10 5 014 02/09/10 1 014 02/02/10 2 + __________ TOTAL ORDERED 13 108.33 % 014 01/26/10 5 014 01/19/10 3 014 01/12/10 1 014 01/05/10 4 + __________ TOTAL ORDERED 13 108.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 551686 VYVANSE 50MG CAPS + 100 35941710510 59417010510 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 03/30/10 1 014 03/23/10 2 014 03/16/10 2 014 03/09/10 2 014 03/02/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 448 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05375 BW0238306 3700 HIGHWAY 365 PORT ARTHUR TX 77642 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 551686 VYVANSE 50MG CAPS + 100 35941710510 59417010510 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 9 150.00 % 014 02/19/10 2 014 02/23/10 3 014 02/09/10 1 014 02/02/10 1 + __________ TOTAL ORDERED 7 116.66 % 014 11/24/09 2 014 11/17/09 1 014 11/10/09 3 014 11/03/09 2 + __________ TOTAL ORDERED 8 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 552577 SUBOXONE 8-2MG SL TAB + 30 31249613062 12496130602 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 3 010 04/26/10 8 010 04/21/10 4 010 04/19/10 2 010 04/14/10 1 010 04/12/10 8 010 04/05/10 4 + __________ TOTAL ORDERED 30 111.11 % 010 03/31/10 1 010 03/29/10 6 010 03/24/10 3 010 03/22/10 2 010 03/17/10 2 010 03/15/10 1 010 03/10/10 1 010 03/08/10 2 010 03/03/10 4 010 03/01/10 7 + __________ TOTAL ORDERED 29 107.40 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 449 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05375 BW0238306 3700 HIGHWAY 365 PORT ARTHUR TX 77642 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 603810 LYRICA 50MG CAP + 90 30071101368 00071101368 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 03/29/10 3 010 03/24/10 1 010 03/22/10 2 010 03/17/10 1 010 03/15/10 3 010 03/10/10 1 010 03/08/10 4 010 03/03/10 3 010 03/01/10 2 + __________ TOTAL ORDERED 20 166.66 % 010 12/29/09 2 010 12/24/09 2 010 12/21/09 4 010 12/14/09 2 010 12/10/09 1 010 12/07/09 3 + __________ TOTAL ORDERED 14 116.66 % 010 11/30/09 1 010 11/25/09 1 010 11/20/09 5 010 11/13/09 3 010 11/18/09 2 010 11/11/09 2 + __________ TOTAL ORDERED 14 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 8 010 04/26/10 20 010 04/21/10 9 010 04/19/10 7 010 04/14/10 4 010 04/12/10 5 010 04/07/10 7 010 04/05/10 10 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 450 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05375 BW0238306 3700 HIGHWAY 365 PORT ARTHUR TX 77642 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 70 212.12 % 010 03/31/10 9 010 03/29/10 8 010 03/24/10 12 010 03/22/10 9 010 03/17/10 8 010 03/15/10 10 010 03/10/10 6 010 03/08/10 17 010 03/03/10 7 010 03/01/10 12 + __________ TOTAL ORDERED 98 296.96 % 010 02/24/10 10 010 02/22/10 14 010 02/17/10 5 010 02/15/10 5 010 02/10/10 7 010 02/08/10 7 010 02/03/10 4 010 02/01/10 8 + __________ TOTAL ORDERED 60 181.81 % 010 01/27/10 8 010 01/25/10 14 010 01/20/10 6 010 01/18/10 8 010 01/13/10 8 010 01/11/10 10 010 01/06/10 6 010 01/04/10 10 + __________ TOTAL ORDERED 70 212.12 % 010 12/29/09 7 010 12/24/09 21 010 12/21/09 14 010 12/17/09 3 010 12/14/09 7 010 12/10/09 4 010 12/07/09 7 010 12/03/09 10 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 451 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05375 BW0238306 3700 HIGHWAY 365 PORT ARTHUR TX 77642 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 73 221.21 % 010 11/30/09 4 010 11/25/09 14 010 11/20/09 9 010 11/13/09 5 010 11/11/09 8 010 11/06/09 8 010 11/04/09 7 + __________ TOTAL ORDERED 55 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673034 ALPRAZOLAM 0.25MG TAB (PPC) +1000 30228202796 00228202796 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 1 010 04/21/10 1 010 04/14/10 1 010 04/12/10 1 010 04/07/10 1 + __________ TOTAL ORDERED 5 166.66 % 010 03/29/10 1 010 03/22/10 1 010 03/10/10 1 010 03/03/10 1 010 03/01/10 1 + __________ TOTAL ORDERED 5 166.66 % 010 01/27/10 1 010 01/18/10 1 010 01/13/10 1 010 01/06/10 1 + __________ TOTAL ORDERED 4 133.33 % 010 12/29/09 1 010 12/17/09 1 010 12/14/09 1 010 12/10/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 452 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05375 BW0238306 3700 HIGHWAY 365 PORT ARTHUR TX 77642 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673034 ALPRAZOLAM 0.25MG TAB (PPC) +1000 30228202796 00228202796 1 3.0 3.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 4 133.33 % 010 11/13/09 2 010 11/06/09 2 010 11/04/09 1 + __________ TOTAL ORDERED 5 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673035 ALPRAZOLAM 0.5MG TAB (PPC) + 1000 30228202996 00228202996 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 04/26/10 1 010 04/21/10 1 010 04/19/10 1 010 04/14/10 1 010 04/12/10 1 010 04/07/10 1 010 04/05/10 1 + __________ TOTAL ORDERED 7 116.66 % 010 03/29/10 1 010 03/24/10 1 010 03/22/10 1 010 03/17/10 1 010 03/15/10 1 010 03/10/10 1 010 03/08/10 1 010 03/03/10 1 + __________ TOTAL ORDERED 8 133.33 % 010 01/27/10 1 010 01/25/10 1 010 01/20/10 1 010 01/18/10 1 010 01/13/10 1 010 01/06/10 1 010 01/04/10 1 + __________ TOTAL ORDERED 7 116.66 % 010 11/30/09 1 010 11/25/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 453 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05375 BW0238306 3700 HIGHWAY 365 PORT ARTHUR TX 77642 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673035 ALPRAZOLAM 0.5MG TAB (PPC) + 1000 30228202996 00228202996 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 11/20/09 1 010 11/13/09 1 010 11/18/09 1 010 11/06/09 3 + __________ TOTAL ORDERED 8 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673036 ALPRAZOLAM 1MG TAB (PPC) + 500 30228203150 00228203150 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 2 010 04/26/10 1 010 04/21/10 1 010 04/19/10 1 010 04/14/10 1 010 04/12/10 2 010 04/07/10 1 010 04/05/10 2 + __________ TOTAL ORDERED 11 122.22 % 010 03/31/10 1 010 03/24/10 1 010 03/22/10 3 010 03/17/10 1 010 03/15/10 2 010 03/10/10 1 010 03/08/10 2 010 03/03/10 1 010 03/01/10 2 + __________ TOTAL ORDERED 14 155.55 % 010 02/24/10 1 010 02/22/10 2 010 02/17/10 2 010 02/15/10 1 010 02/10/10 1 010 02/08/10 3 010 02/03/10 1 010 02/01/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 454 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05375 BW0238306 3700 HIGHWAY 365 PORT ARTHUR TX 77642 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673036 ALPRAZOLAM 1MG TAB (PPC) + 500 30228203150 00228203150 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 12 133.33 % 010 01/27/10 1 010 01/25/10 3 010 01/20/10 1 010 01/18/10 1 010 01/13/10 2 010 01/06/10 1 010 01/04/10 1 + __________ TOTAL ORDERED 10 111.11 % 010 12/29/09 2 010 12/24/09 1 010 12/21/09 1 010 12/17/09 2 010 12/14/09 3 010 12/10/09 3 010 12/07/09 1 010 12/03/09 1 + __________ TOTAL ORDERED 14 155.55 % 010 11/25/09 1 010 11/20/09 3 010 11/13/09 3 010 11/11/09 1 010 11/06/09 2 010 11/04/09 1 + __________ TOTAL ORDERED 11 122.22 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 2 010 04/26/10 4 010 04/21/10 2 010 04/19/10 4 010 04/14/10 4 010 04/12/10 3 010 04/07/10 5 010 04/05/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 455 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05375 BW0238306 3700 HIGHWAY 365 PORT ARTHUR TX 77642 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 8 3.0 24.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 26 108.33 % 010 02/24/10 4 010 02/22/10 5 010 02/17/10 3 010 02/15/10 4 010 02/10/10 4 010 02/08/10 2 010 02/03/10 3 010 02/01/10 4 + __________ TOTAL ORDERED 29 120.83 % 010 12/29/09 5 010 12/24/09 4 010 12/21/09 6 010 12/17/09 3 010 12/14/09 2 010 12/10/09 2 010 12/07/09 3 010 12/03/09 5 + __________ TOTAL ORDERED 30 125.00 % 010 11/30/09 4 010 11/25/09 3 010 11/20/09 5 010 11/13/09 4 010 11/18/09 4 010 11/11/09 1 010 11/06/09 4 010 11/04/09 3 + __________ TOTAL ORDERED 28 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674231 CARISOPRODOL 350MG TAB (QT)+ 500 30603258228 00603258228 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 2 010 04/26/10 2 010 04/21/10 2 010 04/19/10 2 010 04/14/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 456 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05375 BW0238306 3700 HIGHWAY 365 PORT ARTHUR TX 77642 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674231 CARISOPRODOL 350MG TAB (QT)+ 500 30603258228 00603258228 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 010 04/12/10 2 010 04/07/10 2 010 04/05/10 2 + __________ TOTAL ORDERED 16 106.66 % 010 03/31/10 3 010 03/24/10 3 010 03/22/10 2 010 03/17/10 1 010 03/15/10 3 010 03/10/10 1 010 03/08/10 3 010 03/03/10 2 010 03/01/10 1 + __________ TOTAL ORDERED 19 126.66 % 010 02/24/10 3 010 02/22/10 3 010 02/17/10 2 010 02/15/10 2 010 02/10/10 2 010 02/08/10 1 010 02/03/10 2 010 02/01/10 1 + __________ TOTAL ORDERED 16 106.66 % 010 12/29/09 2 010 12/24/09 4 010 12/21/09 2 010 12/17/09 1 010 12/14/09 2 010 12/10/09 3 010 12/07/09 1 010 12/03/09 2 + __________ TOTAL ORDERED 17 113.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 457 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05375 BW0238306 3700 HIGHWAY 365 PORT ARTHUR TX 77642 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675041 HC-IBUPRO 7.5-200 TABS (TEV)+ 100 30093516101 00093516101 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 4 010 04/26/10 6 010 04/21/10 4 010 04/19/10 2 010 04/14/10 3 010 04/12/10 1 010 04/07/10 2 010 04/05/10 2 + __________ TOTAL ORDERED 24 200.00 % 010 03/31/10 2 010 03/29/10 3 010 03/24/10 5 010 03/22/10 5 010 03/17/10 2 010 03/15/10 4 010 03/10/10 3 010 03/08/10 1 010 03/03/10 3 010 03/01/10 3 + __________ TOTAL ORDERED 31 258.33 % 010 02/24/10 3 010 02/22/10 3 010 02/17/10 1 010 02/15/10 1 010 02/10/10 3 010 02/08/10 1 010 02/03/10 3 010 02/01/10 2 + __________ TOTAL ORDERED 17 141.66 % 010 01/27/10 2 010 01/25/10 3 010 01/20/10 2 010 01/18/10 3 010 01/13/10 4 010 01/11/10 3 010 01/06/10 4 010 01/04/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 458 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05375 BW0238306 3700 HIGHWAY 365 PORT ARTHUR TX 77642 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675041 HC-IBUPRO 7.5-200 TABS (TEV)+ 100 30093516101 00093516101 4 3.0 12.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 22 183.33 % 010 12/29/09 3 010 12/24/09 2 010 12/21/09 6 010 12/17/09 3 010 12/14/09 2 010 12/10/09 2 010 12/07/09 3 010 12/03/09 1 + __________ TOTAL ORDERED 22 183.33 % 010 11/30/09 1 010 11/25/09 5 010 11/20/09 6 010 11/18/09 2 010 11/06/09 7 010 11/04/09 1 + __________ TOTAL ORDERED 22 183.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 1 010 04/26/10 4 010 04/21/10 2 010 04/19/10 2 010 04/14/10 2 010 04/12/10 4 010 04/07/10 1 010 04/05/10 4 + __________ TOTAL ORDERED 20 222.22 % 010 03/31/10 3 010 03/29/10 4 010 03/24/10 1 010 03/22/10 3 010 03/17/10 1 010 03/15/10 3 010 03/10/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 459 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05375 BW0238306 3700 HIGHWAY 365 PORT ARTHUR TX 77642 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 03/08/10 5 010 03/03/10 2 010 03/01/10 3 + __________ TOTAL ORDERED 27 300.00 % 010 02/24/10 1 010 02/22/10 4 010 02/17/10 1 010 02/15/10 4 010 02/10/10 2 010 02/08/10 5 010 02/03/10 2 010 02/01/10 3 + __________ TOTAL ORDERED 22 244.44 % 010 01/27/10 2 010 01/25/10 3 010 01/20/10 2 010 01/18/10 3 010 01/13/10 3 010 01/11/10 5 010 01/06/10 2 010 01/04/10 4 + __________ TOTAL ORDERED 24 266.66 % 010 12/29/09 3 010 12/24/09 1 010 12/21/09 5 010 12/17/09 2 010 12/14/09 3 010 12/10/09 4 010 12/07/09 3 010 12/03/09 2 + __________ TOTAL ORDERED 23 255.55 % 010 11/30/09 6 010 11/25/09 5 010 11/20/09 4 010 11/13/09 3 010 11/18/09 3 010 11/11/09 1 010 11/06/09 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 460 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05375 BW0238306 3700 HIGHWAY 365 PORT ARTHUR TX 77642 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 11/04/09 3 + __________ TOTAL ORDERED 30 333.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 678960 LORAZEPAM 0.5MG TAB (PPC) + 500 30228205750 00228205750 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 1 010 04/21/10 2 010 04/14/10 1 010 04/07/10 1 + __________ TOTAL ORDERED 5 166.66 % 010 02/24/10 1 010 02/22/10 1 010 02/17/10 1 010 02/03/10 2 + __________ TOTAL ORDERED 5 166.66 % 010 11/30/09 1 010 11/20/09 2 010 11/13/09 1 010 11/11/09 1 + __________ TOTAL ORDERED 5 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679543 METHYLPHENIDATE 20MG TAB (WT)+100 30591588401 00591588401 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 02/16/10 12 014 02/09/10 7 014 02/02/10 1 + __________ TOTAL ORDERED 20 222.22 % 014 12/29/09 4 014 12/22/09 2 014 12/15/09 4 014 12/08/09 4 014 12/01/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 461 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05375 BW0238306 3700 HIGHWAY 365 PORT ARTHUR TX 77642 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679543 METHYLPHENIDATE 20MG TAB (WT)+100 30591588401 00591588401 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 15 166.66 % 014 11/24/09 1 014 11/17/09 3 014 11/10/09 7 014 11/03/09 1 + __________ TOTAL ORDERED 12 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679658 HYDROMET SYRUP (ALP) + 473ML 30472103016 00472103016 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 03/31/10 1 010 03/24/10 1 010 03/22/10 1 010 03/17/10 2 010 03/15/10 1 010 03/08/10 2 010 03/03/10 3 010 03/01/10 4 + __________ TOTAL ORDERED 15 125.00 % 010 02/24/10 3 010 02/22/10 2 010 02/17/10 2 010 02/15/10 2 010 02/10/10 2 010 02/08/10 2 010 02/03/10 1 + __________ TOTAL ORDERED 14 116.66 % 010 01/27/10 2 010 01/25/10 6 010 01/20/10 1 010 01/18/10 4 010 01/13/10 1 + __________ TOTAL ORDERED 14 116.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 462 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05375 BW0238306 3700 HIGHWAY 365 PORT ARTHUR TX 77642 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682432 PROPOXY N-APAP 100/650 WT TB +500 30603546728 00603546732 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 3 010 04/26/10 3 010 04/21/10 3 010 04/19/10 2 010 04/14/10 2 010 04/12/10 3 010 04/07/10 2 010 04/05/10 3 + __________ TOTAL ORDERED 21 140.00 % 010 03/31/10 2 010 03/29/10 3 010 03/24/10 3 010 03/22/10 1 010 03/17/10 3 010 03/15/10 3 010 03/10/10 2 010 03/08/10 3 010 03/03/10 2 010 03/01/10 2 + __________ TOTAL ORDERED 24 160.00 % 010 02/24/10 2 010 02/22/10 1 010 02/17/10 2 010 02/15/10 3 010 02/10/10 1 010 02/08/10 3 010 02/03/10 2 010 02/01/10 2 + __________ TOTAL ORDERED 16 106.66 % 010 01/27/10 1 010 01/25/10 3 010 01/20/10 1 010 01/18/10 2 010 01/13/10 3 010 01/11/10 2 010 01/06/10 3 010 01/04/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 463 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05375 BW0238306 3700 HIGHWAY 365 PORT ARTHUR TX 77642 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682432 PROPOXY N-APAP 100/650 WT TB +500 30603546728 00603546732 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 16 106.66 % 010 12/29/09 2 010 12/24/09 3 010 12/21/09 3 010 12/17/09 3 010 12/14/09 3 010 12/10/09 1 010 12/07/09 2 010 12/03/09 1 + __________ TOTAL ORDERED 18 120.00 % 010 11/30/09 1 010 11/25/09 3 010 11/20/09 3 010 11/13/09 3 010 11/18/09 3 010 11/11/09 1 010 11/06/09 2 010 11/04/09 1 + __________ TOTAL ORDERED 17 113.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684342 TEMAZEPAM 30MG CAPSULES + 100 30781220201 00781220201 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 1 010 04/26/10 2 010 04/21/10 1 010 04/14/10 1 010 04/12/10 3 010 04/07/10 1 010 04/05/10 1 + __________ TOTAL ORDERED 10 111.11 % 010 03/31/10 2 010 03/24/10 1 010 03/15/10 3 010 03/10/10 1 010 03/08/10 2 010 03/03/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 464 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05375 BW0238306 3700 HIGHWAY 365 PORT ARTHUR TX 77642 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684342 TEMAZEPAM 30MG CAPSULES + 100 30781220201 00781220201 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 11 122.22 % 010 02/24/10 1 010 02/22/10 2 010 02/17/10 2 010 02/15/10 1 010 02/10/10 1 010 02/08/10 2 010 02/03/10 1 + __________ TOTAL ORDERED 10 111.11 % 010 01/27/10 2 010 01/20/10 3 010 01/18/10 1 010 01/13/10 2 010 01/11/10 3 010 01/06/10 1 + __________ TOTAL ORDERED 12 133.33 % 010 12/29/09 2 010 12/24/09 1 010 12/21/09 3 010 12/17/09 1 010 12/10/09 1 010 12/07/09 2 010 12/03/09 5 + __________ TOTAL ORDERED 15 166.66 % 010 11/25/09 1 010 11/20/09 3 010 11/13/09 2 010 11/06/09 2 010 11/04/09 3 + __________ TOTAL ORDERED 11 122.22 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 465 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05671 AW3120285 4445 KINGWOOD RD KINGWOOD TX 77339 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 517272 LYRICA 25MG CAP + 90 30071101268 00071101268 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 010 03/16/10 1 010 03/12/10 1 010 03/09/10 2 + __________ TOTAL ORDERED 4 133.33 % 010 02/12/10 1 010 02/09/10 3 + __________ TOTAL ORDERED 4 133.33 % 010 11/12/09 3 010 11/03/09 1 + __________ TOTAL ORDERED 4 133.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05792 BW6886216 102 N TIMBERLAND LUFKIN TX 75901 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673036 ALPRAZOLAM 1MG TAB (PPC) + 500 30228203150 00228203150 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 04/20/10 3 010 04/13/10 5 010 04/06/10 5 + __________ TOTAL ORDERED 13 144.44 % 010 03/30/10 1 010 03/23/10 3 010 03/16/10 4 010 03/09/10 5 010 03/02/10 4 + __________ TOTAL ORDERED 17 188.88 % 010 02/23/10 4 010 02/16/10 2 010 02/09/10 3 010 02/02/10 5 + __________ TOTAL ORDERED 14 155.55 % 010 01/26/10 2 010 01/19/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 466 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05792 BW6886216 102 N TIMBERLAND LUFKIN TX 75901 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673036 ALPRAZOLAM 1MG TAB (PPC) + 500 30228203150 00228203150 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 01/12/10 2 010 01/05/10 4 + __________ TOTAL ORDERED 11 122.22 % 010 12/28/09 5 010 12/18/09 3 010 12/11/09 3 010 12/04/09 3 + __________ TOTAL ORDERED 14 155.55 % 010 11/27/09 4 010 11/19/09 3 010 11/12/09 3 010 11/05/09 2 + __________ TOTAL ORDERED 12 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675041 HC-IBUPRO 7.5-200 TABS (TEV)+ 100 30093516101 00093516101 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 02/23/10 7 010 02/16/10 1 010 02/09/10 4 010 02/02/10 2 + __________ TOTAL ORDERED 14 116.66 % 010 01/26/10 4 010 01/19/10 6 010 01/05/10 3 + __________ TOTAL ORDERED 13 108.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 04/27/10 7 010 04/20/10 6 010 04/13/10 4 010 04/06/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 467 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05792 BW6886216 102 N TIMBERLAND LUFKIN TX 75901 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 23 255.55 % 010 03/30/10 5 010 03/23/10 6 010 03/16/10 5 010 03/09/10 6 010 03/02/10 8 + __________ TOTAL ORDERED 30 333.33 % 010 02/23/10 6 010 02/16/10 5 010 02/09/10 6 010 02/02/10 6 + __________ TOTAL ORDERED 23 255.55 % 010 01/26/10 4 010 01/19/10 6 010 01/12/10 6 010 01/05/10 4 + __________ TOTAL ORDERED 20 222.22 % 010 12/28/09 5 010 12/18/09 6 010 12/11/09 5 010 12/04/09 5 + __________ TOTAL ORDERED 21 233.33 % 010 11/27/09 6 010 11/19/09 5 010 11/12/09 6 010 11/05/09 7 + __________ TOTAL ORDERED 24 266.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679658 HYDROMET SYRUP (ALP) + 473ML 30472103016 00472103016 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 12/11/09 14 010 12/04/09 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 468 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05792 BW6886216 102 N TIMBERLAND LUFKIN TX 75901 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679658 HYDROMET SYRUP (ALP) + 473ML 30472103016 00472103016 4 3.0 12.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 20 166.66 % 010 11/12/09 3 010 11/05/09 12 + __________ TOTAL ORDERED 15 125.00 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06182 BW6891142 15111 WALLISVILLE HOUSTON TX 77049 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 472540 TRAMADOL HCL ER 100MG TB (PAT)+30 31014709013 10147090103 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 04/22/10 3 010 04/08/10 4 + __________ TOTAL ORDERED 7 116.66 % 010 03/25/10 2 010 03/22/10 1 010 03/15/10 2 010 03/11/10 2 010 03/04/10 3 + __________ TOTAL ORDERED 10 166.66 % 010 01/21/10 1 010 01/07/10 3 010 01/04/10 4 + __________ TOTAL ORDERED 8 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674392 CHLORDI/AMITRIP 10/25MG TAB +100 30378027701 00378027701 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 010 04/26/10 1 010 04/08/10 1 010 04/05/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 469 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06182 BW6891142 15111 WALLISVILLE HOUSTON TX 77049 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674392 CHLORDI/AMITRIP 10/25MG TAB +100 30378027701 00378027701 1 3.0 3.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 4 133.33 % 010 02/18/10 1 010 02/15/10 1 010 02/08/10 1 010 02/01/10 1 + __________ TOTAL ORDERED 4 133.33 % 010 12/30/09 1 010 12/24/09 2 010 12/03/09 1 + __________ TOTAL ORDERED 4 133.33 % 010 11/23/09 1 010 11/11/09 1 010 11/04/09 2 + __________ TOTAL ORDERED 4 133.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06583 BW7685994 3885 N DOWNLEN RD BEAUMONT TX 77706 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 483575 PHENTERMINE 37.5MG TAB (LAN) +100 30527144501 00527144501 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 010 04/23/10 7 010 04/21/10 3 010 04/16/10 3 010 04/14/10 1 010 04/09/10 3 010 04/07/10 2 010 04/02/10 3 + __________ TOTAL ORDERED 22 104.76 % 010 03/31/10 3 010 03/26/10 3 010 03/24/10 3 010 03/19/10 2 010 03/17/10 3 010 03/12/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 470 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06583 BW7685994 3885 N DOWNLEN RD BEAUMONT TX 77706 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 483575 PHENTERMINE 37.5MG TAB (LAN) +100 30527144501 00527144501 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 010 03/10/10 3 010 03/05/10 3 010 03/03/10 1 + __________ TOTAL ORDERED 22 104.76 % 010 12/31/09 3 010 12/29/09 1 010 12/23/09 3 010 12/21/09 3 010 12/16/09 2 010 12/14/09 4 010 12/09/09 2 010 12/07/09 3 010 12/02/09 3 + __________ TOTAL ORDERED 24 114.28 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 484721 TRAMADOL HCL/ACTMN 37.5/325MG+500 34988494605 49884094605 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 010 12/23/09 2 010 12/14/09 1 010 12/07/09 1 + __________ TOTAL ORDERED 4 133.33 % 010 11/24/09 1 010 11/13/09 1 010 11/06/09 1 010 11/03/09 1 + __________ TOTAL ORDERED 4 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 532538 MORPHINE SULF 20MG/ML (LAN)+ 30ML 30527142536 00527142536 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 014 03/31/10 5 014 03/24/10 2 014 03/17/10 2 014 03/10/10 3 014 03/03/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 471 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06583 BW7685994 3885 N DOWNLEN RD BEAUMONT TX 77706 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 532538 MORPHINE SULF 20MG/ML (LAN)+ 30ML 30527142536 00527142536 4 3.0 12.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 13 108.33 % 014 02/24/10 1 014 02/10/10 5 014 02/03/10 17 + __________ TOTAL ORDERED 23 191.66 % 014 01/13/10 4 014 01/06/10 15 + __________ TOTAL ORDERED 19 158.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539147 D-AMPHET SALT COMBO 30MG TAB +100 36472013610 64720013610 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 014 04/28/10 6 014 04/21/10 8 014 04/14/10 1 014 04/07/10 1 + __________ TOTAL ORDERED 16 133.33 % 014 03/31/10 1 014 03/24/10 1 014 03/17/10 1 014 03/10/10 3 014 03/03/10 9 + __________ TOTAL ORDERED 15 125.00 % 014 02/24/10 7 014 02/17/10 5 014 02/10/10 3 014 02/03/10 6 + __________ TOTAL ORDERED 21 175.00 % 014 12/30/09 3 014 12/23/09 7 014 12/16/09 2 014 12/09/09 5 014 12/02/09 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 472 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06583 BW7685994 3885 N DOWNLEN RD BEAUMONT TX 77706 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539147 D-AMPHET SALT COMBO 30MG TAB +100 36472013610 64720013610 4 3.0 12.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 21 175.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539150 D-AMPHET SALT COMBO 20MG TAB +100 36472013510 64720013510 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 014 04/28/10 10 014 04/21/10 4 014 04/14/10 5 014 04/07/10 4 + __________ TOTAL ORDERED 23 127.77 % 014 03/31/10 3 014 03/24/10 7 014 03/17/10 5 014 03/10/10 10 014 03/03/10 6 + __________ TOTAL ORDERED 31 172.22 % 014 01/27/10 8 014 01/20/10 5 014 01/13/10 6 014 01/06/10 1 + __________ TOTAL ORDERED 20 111.11 % 014 12/30/09 1 014 12/23/09 2 014 12/16/09 7 014 12/09/09 6 014 12/02/09 3 + __________ TOTAL ORDERED 19 105.55 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 04/23/10 10 010 04/21/10 10 010 04/16/10 5 010 04/09/10 10 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 473 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06583 BW7685994 3885 N DOWNLEN RD BEAUMONT TX 77706 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 04/07/10 3 010 04/02/10 3 + __________ TOTAL ORDERED 41 124.24 % 010 03/26/10 10 010 03/24/10 5 010 03/19/10 3 010 03/12/10 6 010 03/10/10 13 010 03/05/10 12 010 03/03/10 4 + __________ TOTAL ORDERED 53 160.60 % 010 02/24/10 4 010 02/19/10 1 010 02/17/10 13 010 02/10/10 3 010 02/05/10 8 010 02/03/10 6 + __________ TOTAL ORDERED 35 106.06 % 010 12/31/09 8 010 12/29/09 6 010 12/23/09 6 010 12/21/09 5 010 12/16/09 2 010 12/14/09 5 010 12/09/09 2 010 12/07/09 8 010 12/02/09 5 + __________ TOTAL ORDERED 47 142.42 % 010 11/24/09 9 010 11/20/09 6 010 11/13/09 8 010 11/17/09 5 010 11/10/09 7 010 11/06/09 7 010 11/03/09 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 474 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06583 BW7685994 3885 N DOWNLEN RD BEAUMONT TX 77706 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 45 136.36 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673036 ALPRAZOLAM 1MG TAB (PPC) + 500 30228203150 00228203150 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 03/31/10 1 010 03/26/10 2 010 03/24/10 1 010 03/19/10 3 010 03/12/10 1 010 03/10/10 1 010 03/05/10 2 010 03/03/10 1 + __________ TOTAL ORDERED 12 133.33 % 010 12/31/09 1 010 12/29/09 1 010 12/23/09 2 010 12/21/09 1 010 12/16/09 2 010 12/14/09 1 010 12/09/09 1 010 12/07/09 2 010 12/02/09 1 + __________ TOTAL ORDERED 12 133.33 % 010 11/30/09 1 010 11/24/09 3 010 11/20/09 1 010 11/13/09 1 010 11/17/09 1 010 11/10/09 1 010 11/06/09 2 010 11/03/09 1 + __________ TOTAL ORDERED 11 122.22 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 475 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06583 BW7685994 3885 N DOWNLEN RD BEAUMONT TX 77706 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 1 010 04/23/10 4 010 04/21/10 2 010 04/16/10 2 010 04/14/10 1 010 04/09/10 2 010 04/07/10 2 010 04/02/10 3 + __________ TOTAL ORDERED 17 188.88 % 010 03/31/10 2 010 03/26/10 3 010 03/24/10 1 010 03/19/10 2 010 03/17/10 1 010 03/12/10 2 010 03/10/10 2 010 03/05/10 3 010 03/03/10 3 + __________ TOTAL ORDERED 19 211.11 % 010 02/24/10 1 010 02/19/10 2 010 02/17/10 4 010 02/10/10 2 010 02/05/10 3 010 02/03/10 2 + __________ TOTAL ORDERED 14 155.55 % 010 01/27/10 1 010 01/22/10 3 010 01/20/10 1 010 01/15/10 3 010 01/13/10 1 010 01/08/10 3 010 01/06/10 2 + __________ TOTAL ORDERED 14 155.55 % 010 12/31/09 4 010 12/29/09 2 010 12/23/09 2 010 12/21/09 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 476 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06583 BW7685994 3885 N DOWNLEN RD BEAUMONT TX 77706 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 12/16/09 1 010 12/14/09 2 010 12/09/09 1 010 12/07/09 4 010 12/02/09 1 + __________ TOTAL ORDERED 20 222.22 % 010 11/30/09 3 010 11/24/09 3 010 11/20/09 2 010 11/13/09 2 010 11/17/09 1 010 11/10/09 2 010 11/06/09 3 010 11/03/09 2 + __________ TOTAL ORDERED 18 200.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684342 TEMAZEPAM 30MG CAPSULES + 100 30781220201 00781220201 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 04/23/10 1 010 04/16/10 2 010 04/09/10 2 010 04/07/10 2 010 04/02/10 3 + __________ TOTAL ORDERED 10 111.11 % 010 12/31/09 1 010 12/29/09 1 010 12/23/09 3 010 12/21/09 3 010 12/16/09 1 010 12/09/09 1 010 12/07/09 4 010 12/02/09 1 + __________ TOTAL ORDERED 15 166.66 % 010 11/30/09 1 010 11/24/09 2 010 11/20/09 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 477 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06583 BW7685994 3885 N DOWNLEN RD BEAUMONT TX 77706 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684342 TEMAZEPAM 30MG CAPSULES + 100 30781220201 00781220201 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 11/13/09 1 010 11/17/09 1 010 11/10/09 1 010 11/06/09 2 010 11/03/09 1 + __________ TOTAL ORDERED 12 133.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06932 BW7968920 24917 FM 1314 RD PORTER TX 77365 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 529634 VYVANSE 40MG CAPS + 100 35941710410 59417010410 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 03/31/10 4 014 03/24/10 1 014 03/17/10 2 + __________ TOTAL ORDERED 7 116.66 % 014 01/27/10 5 014 01/13/10 4 014 01/06/10 1 + __________ TOTAL ORDERED 10 166.66 % 014 11/25/09 1 014 11/18/09 4 014 11/04/09 3 + __________ TOTAL ORDERED 8 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 594188 ALPRAZOLAM XR 0.5MG TAB (GRN)+ 60 35976200571 59762005701 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 03/31/10 2 010 03/29/10 3 010 03/24/10 2 010 03/22/10 1 010 03/10/10 1 010 03/03/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 478 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06932 BW7968920 24917 FM 1314 RD PORTER TX 77365 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 594188 ALPRAZOLAM XR 0.5MG TAB (GRN)+ 60 35976200571 59762005701 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 03/01/10 1 + __________ TOTAL ORDERED 11 183.33 % 010 02/10/10 2 010 02/03/10 3 010 02/01/10 2 + __________ TOTAL ORDERED 7 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 4 010 04/26/10 10 010 04/21/10 3 010 04/19/10 2 010 04/14/10 3 010 04/12/10 2 010 04/07/10 7 010 04/05/10 6 + __________ TOTAL ORDERED 37 112.12 % 010 03/31/10 5 010 03/29/10 3 010 03/24/10 4 010 03/22/10 4 010 03/17/10 6 010 03/15/10 9 010 03/03/10 4 010 03/01/10 5 + __________ TOTAL ORDERED 40 121.21 % 010 02/24/10 6 010 02/22/10 3 010 02/17/10 4 010 02/15/10 2 010 02/10/10 5 010 02/08/10 5 010 02/03/10 4 010 02/01/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 479 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06932 BW7968920 24917 FM 1314 RD PORTER TX 77365 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 36 109.09 % 010 01/27/10 8 010 01/20/10 5 010 01/13/10 5 010 01/11/10 4 010 01/06/10 7 010 01/04/10 5 + __________ TOTAL ORDERED 34 103.03 % 010 12/29/09 5 010 12/21/09 4 010 12/17/09 3 010 12/14/09 6 010 12/10/09 6 010 12/07/09 8 010 12/03/09 10 + __________ TOTAL ORDERED 42 127.27 % 010 11/20/09 9 010 11/13/09 8 010 11/18/09 5 010 11/11/09 3 010 11/06/09 7 010 11/04/09 4 + __________ TOTAL ORDERED 36 109.09 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673665 COUGHCOLD PD SYR (BRK) + 118ML 35199122404 51991022404 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 010 02/24/10 8 010 02/17/10 11 010 02/10/10 3 + __________ TOTAL ORDERED 22 122.22 % 010 01/27/10 10 010 01/25/10 10 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 480 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06932 BW7968920 24917 FM 1314 RD PORTER TX 77365 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673665 COUGHCOLD PD SYR (BRK) + 118ML 35199122404 51991022404 6 3.0 18.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 20 111.11 % 010 12/24/09 23 010 12/21/09 10 010 12/17/09 3 010 12/14/09 2 010 12/10/09 2 + __________ TOTAL ORDERED 40 222.22 % 010 11/30/09 8 010 11/25/09 2 010 11/20/09 4 010 11/13/09 13 010 11/18/09 1 010 11/11/09 5 010 11/06/09 11 + __________ TOTAL ORDERED 44 244.44 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674231 CARISOPRODOL 350MG TAB (QT)+ 500 30603258228 00603258228 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 010 03/31/10 3 010 03/29/10 2 010 03/24/10 2 010 03/17/10 4 010 03/15/10 3 010 03/10/10 1 010 03/03/10 2 010 03/01/10 3 + __________ TOTAL ORDERED 20 133.33 % 010 12/29/09 2 010 12/24/09 2 010 12/21/09 4 010 12/17/09 1 010 12/14/09 2 010 12/10/09 2 010 12/07/09 3 010 12/03/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 481 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06932 BW7968920 24917 FM 1314 RD PORTER TX 77365 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674231 CARISOPRODOL 350MG TAB (QT)+ 500 30603258228 00603258228 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 18 120.00 % 010 11/30/09 3 010 11/25/09 3 010 11/20/09 4 010 11/13/09 2 010 11/11/09 2 010 11/06/09 2 010 11/04/09 2 + __________ TOTAL ORDERED 18 120.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675041 HC-IBUPRO 7.5-200 TABS (TEV)+ 100 30093516101 00093516101 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 02/24/10 2 010 02/22/10 1 010 02/17/10 1 010 02/15/10 4 010 02/10/10 1 010 02/08/10 2 010 02/03/10 1 010 02/01/10 2 + __________ TOTAL ORDERED 14 116.66 % 010 01/27/10 1 010 01/25/10 1 010 01/20/10 2 010 01/18/10 5 010 01/13/10 1 010 01/11/10 3 010 01/06/10 2 010 01/04/10 1 + __________ TOTAL ORDERED 16 133.33 % 010 11/30/09 2 010 11/25/09 1 010 11/20/09 4 010 11/13/09 3 010 11/18/09 2 010 11/06/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 482 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06932 BW7968920 24917 FM 1314 RD PORTER TX 77365 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675041 HC-IBUPRO 7.5-200 TABS (TEV)+ 100 30093516101 00093516101 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 11/04/09 1 + __________ TOTAL ORDERED 14 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 2 010 04/26/10 2 010 04/21/10 2 010 04/19/10 2 010 04/14/10 1 010 04/12/10 2 010 04/07/10 2 + __________ TOTAL ORDERED 13 144.44 % 010 03/31/10 1 010 03/29/10 3 010 03/24/10 2 010 03/22/10 2 010 03/17/10 3 010 03/15/10 4 010 03/03/10 2 010 03/01/10 2 + __________ TOTAL ORDERED 19 211.11 % 010 02/24/10 3 010 02/22/10 3 010 02/17/10 2 010 02/15/10 1 010 02/10/10 3 010 02/03/10 2 010 02/01/10 2 + __________ TOTAL ORDERED 16 177.77 % 010 01/27/10 2 010 01/25/10 3 010 01/20/10 3 010 01/18/10 2 010 01/13/10 2 010 01/06/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 483 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06932 BW7968920 24917 FM 1314 RD PORTER TX 77365 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 01/04/10 1 + __________ TOTAL ORDERED 15 166.66 % 010 12/29/09 1 010 12/24/09 4 010 12/21/09 5 010 12/17/09 2 010 12/14/09 2 010 12/10/09 1 010 12/07/09 2 010 12/03/09 2 + __________ TOTAL ORDERED 19 211.11 % 010 11/30/09 2 010 11/25/09 3 010 11/20/09 3 010 11/13/09 3 010 11/11/09 1 010 11/06/09 2 010 11/04/09 1 + __________ TOTAL ORDERED 15 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679658 HYDROMET SYRUP (ALP) + 473ML 30472103016 00472103016 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 03/31/10 2 010 03/29/10 2 010 03/24/10 1 010 03/22/10 1 010 03/17/10 3 010 03/15/10 2 010 03/08/10 1 010 03/03/10 2 + __________ TOTAL ORDERED 14 116.66 % 010 12/29/09 1 010 12/24/09 5 010 12/21/09 3 010 12/14/09 2 010 12/10/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 484 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06932 BW7968920 24917 FM 1314 RD PORTER TX 77365 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679658 HYDROMET SYRUP (ALP) + 473ML 30472103016 00472103016 4 3.0 12.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 13 108.33 % 010 11/30/09 7 010 11/13/09 1 010 11/18/09 1 010 11/11/09 1 010 11/06/09 3 010 11/04/09 1 + __________ TOTAL ORDERED 14 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684342 TEMAZEPAM 30MG CAPSULES + 100 30781220201 00781220201 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 2 010 04/26/10 1 010 04/21/10 2 010 04/19/10 1 010 04/14/10 2 010 04/07/10 2 + __________ TOTAL ORDERED 10 111.11 % 010 03/31/10 2 010 03/29/10 1 010 03/24/10 4 010 03/17/10 3 010 03/15/10 2 010 03/10/10 1 010 03/03/10 1 + __________ TOTAL ORDERED 14 155.55 % 010 02/24/10 1 010 02/22/10 2 010 02/17/10 2 010 02/15/10 1 010 02/10/10 1 010 02/08/10 2 010 02/03/10 2 010 02/01/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 485 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06932 BW7968920 24917 FM 1314 RD PORTER TX 77365 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684342 TEMAZEPAM 30MG CAPSULES + 100 30781220201 00781220201 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 12 133.33 % 010 01/27/10 2 010 01/25/10 1 010 01/20/10 2 010 01/18/10 2 010 01/13/10 1 010 01/11/10 2 010 01/06/10 1 + __________ TOTAL ORDERED 11 122.22 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07614 BW8408266 902 N MAIN ST LUMBERTON TX 77657 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 603807 LYRICA 100MG CAP + 90 30071101568 00071101568 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 12/28/09 1 010 12/22/09 2 010 12/18/09 5 010 12/11/09 1 010 12/08/09 1 010 12/04/09 1 + __________ TOTAL ORDERED 11 122.22 % 010 11/27/09 1 010 11/16/09 3 010 11/12/09 1 010 11/09/09 2 010 11/05/09 3 010 11/02/09 3 + __________ TOTAL ORDERED 13 144.44 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 486 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07614 BW8408266 902 N MAIN ST LUMBERTON TX 77657 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 12/30/09 5 010 12/28/09 6 010 12/22/09 4 010 12/18/09 10 010 12/15/09 2 010 12/11/09 2 010 12/08/09 2 010 12/04/09 3 010 12/01/09 1 + __________ TOTAL ORDERED 35 106.06 % 010 11/27/09 12 010 11/23/09 4 010 11/16/09 4 010 11/19/09 6 010 11/12/09 2 010 11/09/09 3 010 11/05/09 3 010 11/02/09 4 + __________ TOTAL ORDERED 38 115.15 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 04/29/10 1 010 04/27/10 1 010 04/22/10 1 010 04/20/10 1 010 04/15/10 2 010 04/08/10 3 010 04/06/10 1 010 04/01/10 1 + __________ TOTAL ORDERED 11 122.22 % 010 01/28/10 2 010 01/26/10 1 010 01/21/10 2 010 01/19/10 1 010 01/14/10 2 010 01/12/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 487 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07614 BW8408266 902 N MAIN ST LUMBERTON TX 77657 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 01/07/10 1 010 01/05/10 1 + __________ TOTAL ORDERED 11 122.22 % 010 12/30/09 2 010 12/28/09 1 010 12/22/09 1 010 12/18/09 2 010 12/15/09 1 010 12/11/09 2 010 12/08/09 1 010 12/04/09 1 010 12/01/09 1 + __________ TOTAL ORDERED 12 133.33 % 010 11/27/09 1 010 11/23/09 2 010 11/16/09 1 010 11/19/09 1 010 11/12/09 2 010 11/09/09 2 010 11/05/09 1 010 11/02/09 1 + __________ TOTAL ORDERED 11 122.22 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07638 BW8408254 1250 S WHEELER ST JASPER TX 75951 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 04/27/10 2 010 04/20/10 10 010 04/13/10 21 010 04/06/10 13 + __________ TOTAL ORDERED 46 139.39 % 010 03/30/10 2 010 03/23/10 8 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 488 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07638 BW8408254 1250 S WHEELER ST JASPER TX 75951 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 03/16/10 9 010 03/09/10 12 010 03/02/10 6 + __________ TOTAL ORDERED 37 112.12 % 010 02/23/10 16 010 02/16/10 8 010 02/09/10 15 010 02/02/10 7 + __________ TOTAL ORDERED 46 139.39 % 010 12/28/09 15 010 12/18/09 14 010 12/11/09 6 010 12/04/09 14 + __________ TOTAL ORDERED 49 148.48 % 010 11/27/09 5 010 11/19/09 11 010 11/12/09 14 010 11/05/09 8 + __________ TOTAL ORDERED 38 115.15 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 03/30/10 2 010 03/23/10 2 010 03/16/10 2 010 03/09/10 4 010 03/02/10 2 + __________ TOTAL ORDERED 12 133.33 % 010 02/23/10 4 010 02/16/10 1 010 02/09/10 3 010 02/02/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 489 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07638 BW8408254 1250 S WHEELER ST JASPER TX 75951 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 10 111.11 % 010 01/26/10 3 010 01/19/10 4 010 01/12/10 2 010 01/05/10 1 + __________ TOTAL ORDERED 10 111.11 % 010 12/28/09 4 010 12/18/09 5 010 12/11/09 2 010 12/04/09 1 + __________ TOTAL ORDERED 12 133.33 % 010 11/27/09 4 010 11/19/09 2 010 11/12/09 3 010 11/05/09 2 + __________ TOTAL ORDERED 11 122.22 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07681 BW8630279 8505 FM 1960 RD W HUMBLE TX 77338 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 4 010 04/26/10 4 010 04/21/10 6 010 04/19/10 5 010 04/14/10 3 010 04/12/10 11 010 04/07/10 5 010 04/05/10 5 + __________ TOTAL ORDERED 43 130.30 % 010 03/31/10 4 010 03/29/10 8 010 03/24/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 490 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07681 BW8630279 8505 FM 1960 RD W HUMBLE TX 77338 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 03/22/10 9 010 03/17/10 7 010 03/15/10 10 010 03/10/10 2 010 03/08/10 6 010 03/03/10 7 010 03/01/10 12 + __________ TOTAL ORDERED 69 209.09 % 010 02/24/10 4 010 02/22/10 7 010 02/17/10 4 010 02/15/10 11 010 02/10/10 4 010 02/08/10 5 010 02/03/10 6 010 02/01/10 4 + __________ TOTAL ORDERED 45 136.36 % 010 01/27/10 3 010 01/25/10 7 010 01/20/10 7 010 01/18/10 5 010 01/13/10 8 010 01/11/10 9 010 01/06/10 12 010 01/04/10 5 + __________ TOTAL ORDERED 56 169.69 % 010 12/29/09 7 010 12/24/09 4 010 12/21/09 5 010 12/17/09 5 010 12/14/09 8 010 12/10/09 8 010 12/07/09 8 010 12/03/09 6 + __________ TOTAL ORDERED 51 154.54 % 010 11/30/09 6 010 11/25/09 5 010 11/20/09 9 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 491 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07681 BW8630279 8505 FM 1960 RD W HUMBLE TX 77338 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 11/13/09 8 010 11/18/09 3 010 11/11/09 6 010 11/06/09 11 + __________ TOTAL ORDERED 48 145.45 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07878 BW8976877 209 W HWY 90 DAYTON TX 77535 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674987 DIETHYLPROP 75MG ER TABS+(WAT)100 30591078201 00591078201 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 010 04/29/10 2 010 04/22/10 1 010 04/15/10 1 010 04/08/10 1 010 04/01/10 1 + __________ TOTAL ORDERED 6 200.00 % 010 03/25/10 1 010 03/23/10 1 010 03/18/10 1 010 03/04/10 1 + __________ TOTAL ORDERED 4 133.33 % 010 02/25/10 2 010 02/18/10 1 010 02/11/10 1 010 02/02/10 1 + __________ TOTAL ORDERED 5 166.66 % 010 12/30/09 1 010 12/22/09 1 010 12/11/09 1 010 12/04/09 1 + __________ TOTAL ORDERED 4 133.33 % 010 11/27/09 1 010 11/23/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 492 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07878 BW8976877 209 W HWY 90 DAYTON TX 77535 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674987 DIETHYLPROP 75MG ER TABS+(WAT)100 30591078201 00591078201 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 010 11/09/09 1 010 11/05/09 1 + __________ TOTAL ORDERED 4 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 04/29/10 2 010 04/27/10 1 010 04/22/10 2 010 04/15/10 2 010 04/08/10 1 010 04/06/10 1 010 04/01/10 3 + __________ TOTAL ORDERED 12 133.33 % 010 03/30/10 2 010 03/25/10 1 010 03/23/10 1 010 03/18/10 2 010 03/16/10 1 010 03/11/10 1 010 03/09/10 1 010 03/04/10 1 010 03/02/10 1 + __________ TOTAL ORDERED 11 122.22 % 010 02/25/10 2 010 02/23/10 1 010 02/18/10 2 010 02/16/10 1 010 02/11/10 1 010 02/09/10 1 010 02/04/10 2 + __________ TOTAL ORDERED 10 111.11 % 010 11/27/09 1 010 11/23/09 1 010 11/16/09 1 010 11/19/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 493 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07878 BW8976877 209 W HWY 90 DAYTON TX 77535 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 11/12/09 1 010 11/09/09 1 010 11/05/09 2 010 11/02/09 1 + __________ TOTAL ORDERED 10 111.11 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 09400 BW9355199 3004 NORTH ST NACODOCHES TX 75965 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 564863 HYDROCO-APAP 7.5-650 TAB(WAT)+100 30591050201 00591050201 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 04/27/10 4 010 04/20/10 4 010 04/13/10 5 010 04/06/10 6 + __________ TOTAL ORDERED 19 211.11 % 010 03/30/10 5 010 03/23/10 1 010 03/16/10 7 010 03/09/10 2 010 03/02/10 3 + __________ TOTAL ORDERED 18 200.00 % 010 02/23/10 3 010 02/16/10 5 010 02/09/10 3 010 02/02/10 4 + __________ TOTAL ORDERED 15 166.66 % 010 01/26/10 3 010 01/19/10 6 010 01/12/10 6 010 01/05/10 5 + __________ TOTAL ORDERED 20 222.22 % 010 12/28/09 3 010 12/18/09 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 494 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 09400 BW9355199 3004 NORTH ST NACODOCHES TX 75965 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 564863 HYDROCO-APAP 7.5-650 TAB(WAT)+100 30591050201 00591050201 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 12/11/09 3 010 12/04/09 10 + __________ TOTAL ORDERED 22 244.44 % 010 11/27/09 2 010 11/19/09 7 010 11/12/09 1 010 11/05/09 7 + __________ TOTAL ORDERED 17 188.88 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 03/30/10 1 010 03/23/10 3 010 03/16/10 2 010 03/09/10 2 010 03/02/10 2 + __________ TOTAL ORDERED 10 111.11 % 010 12/28/09 2 010 12/18/09 5 010 12/11/09 2 010 12/04/09 2 + __________ TOTAL ORDERED 11 122.22 % 010 11/27/09 3 010 11/19/09 2 010 11/12/09 3 010 11/05/09 2 + __________ TOTAL ORDERED 10 111.11 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 495 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11275 FW0486553 4746 TWIN CITY HWY GROVES TX 77619 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 499233 HYDROCO-APAP 10-660 TAB (WAT)+100 36203756701 62037056701 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 04/27/10 3 010 04/20/10 2 010 04/13/10 2 010 04/06/10 3 + __________ TOTAL ORDERED 10 111.11 % 010 03/30/10 3 010 03/23/10 1 010 03/16/10 1 010 03/09/10 1 010 03/02/10 4 + __________ TOTAL ORDERED 10 111.11 % 010 02/23/10 2 010 02/16/10 4 010 02/09/10 2 010 02/02/10 2 + __________ TOTAL ORDERED 10 111.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 03/30/10 2 010 03/23/10 1 010 03/16/10 3 010 03/09/10 4 010 03/02/10 3 + __________ TOTAL ORDERED 13 144.44 % 010 01/26/10 3 010 01/19/10 3 010 01/12/10 3 010 01/05/10 1 + __________ TOTAL ORDERED 10 111.11 % 010 12/28/09 3 010 12/18/09 3 010 12/11/09 3 010 12/04/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 496 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11275 FW0486553 4746 TWIN CITY HWY GROVES TX 77619 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 11 122.22 % 010 11/27/09 2 010 11/19/09 4 010 11/12/09 2 010 11/05/09 2 + __________ TOTAL ORDERED 10 111.11 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11814 FW0727365 101 S WASHINGTON AVE CLEVELAND TX77327 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 496044 CLONAZEPAM 1MG TAB (MYL) + 1000 30378191210 00378191210 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 010 03/29/10 1 010 03/22/10 1 010 03/15/10 1 010 03/04/10 1 + __________ TOTAL ORDERED 4 133.33 % 010 02/25/10 1 010 02/15/10 1 010 02/08/10 1 010 02/01/10 1 + __________ TOTAL ORDERED 4 133.33 % 010 11/23/09 1 010 11/16/09 1 010 11/09/09 1 010 11/02/09 1 + __________ TOTAL ORDERED 4 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544540 FENTANYL 100MCG/HR TS (WAT) + 5 30591321472 00591321472 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 014 04/22/10 15 014 04/15/10 12 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 497 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11814 FW0727365 101 S WASHINGTON AVE CLEVELAND TX77327 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544540 FENTANYL 100MCG/HR TS (WAT) + 5 30591321472 00591321472 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 014 04/08/10 3 + __________ TOTAL ORDERED 30 166.66 % 014 03/25/10 3 014 03/18/10 13 014 03/11/10 10 014 03/04/10 8 + __________ TOTAL ORDERED 34 188.88 % 014 02/25/10 1 014 02/18/10 13 014 02/11/10 1 014 02/04/10 6 + __________ TOTAL ORDERED 21 116.66 % 014 12/31/09 9 014 12/24/09 4 014 12/17/09 11 014 12/03/09 13 + __________ TOTAL ORDERED 37 205.55 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544543 FENTANYL 50MCG/HR TS (WAT) + 5 30591321272 00591321272 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 014 04/22/10 11 014 04/15/10 9 014 04/08/10 7 014 04/01/10 2 + __________ TOTAL ORDERED 29 161.11 % 014 12/31/09 8 014 12/24/09 6 014 12/17/09 9 + __________ TOTAL ORDERED 23 127.77 % 014 11/27/09 16 014 11/19/09 10 014 11/12/09 8 014 11/05/09 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 498 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11814 FW0727365 101 S WASHINGTON AVE CLEVELAND TX77327 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544543 FENTANYL 50MCG/HR TS (WAT) + 5 30591321272 00591321272 6 3.0 18.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 41 227.77 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 552577 SUBOXONE 8-2MG SL TAB + 30 31249613062 12496130602 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 010 04/29/10 1 010 04/26/10 6 010 04/22/10 4 010 04/19/10 5 010 04/12/10 7 010 04/05/10 12 010 04/01/10 3 + __________ TOTAL ORDERED 38 140.74 % 010 03/29/10 8 010 03/25/10 3 010 03/22/10 2 010 03/18/10 4 010 03/15/10 13 010 03/11/10 1 010 03/08/10 12 010 03/04/10 2 010 03/01/10 4 + __________ TOTAL ORDERED 49 181.48 % 010 02/25/10 3 010 02/22/10 3 010 02/18/10 3 010 02/15/10 12 010 02/11/10 4 010 02/08/10 11 010 02/04/10 1 010 02/01/10 4 + __________ TOTAL ORDERED 41 151.85 % 010 01/25/10 3 010 01/21/10 4 010 01/18/10 5 010 01/11/10 15 010 01/07/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 499 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11814 FW0727365 101 S WASHINGTON AVE CLEVELAND TX77327 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 552577 SUBOXONE 8-2MG SL TAB + 30 31249613062 12496130602 9 3.0 27.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 31 114.81 % 010 12/24/09 11 010 12/22/09 6 010 12/17/09 5 010 12/15/09 9 010 12/10/09 1 010 12/03/09 5 010 12/01/09 8 + __________ TOTAL ORDERED 45 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 10 3.0 30.0 0 DC DATE ORDERED QUANTITY 010 04/29/10 4 010 04/26/10 8 010 04/22/10 5 010 04/19/10 3 010 04/15/10 6 010 04/12/10 5 010 04/08/10 2 010 04/05/10 5 010 04/01/10 6 + __________ TOTAL ORDERED 44 146.66 % 010 03/29/10 7 010 03/25/10 2 010 03/22/10 5 010 03/18/10 6 010 03/15/10 9 010 03/11/10 3 010 03/08/10 4 010 03/04/10 6 010 03/01/10 6 + __________ TOTAL ORDERED 48 160.00 % 010 02/25/10 4 010 02/22/10 6 010 02/18/10 5 010 02/15/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 500 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11814 FW0727365 101 S WASHINGTON AVE CLEVELAND TX77327 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 10 3.0 30.0 0 DC DATE ORDERED QUANTITY 010 02/11/10 5 010 02/08/10 6 010 02/04/10 5 010 02/01/10 5 + __________ TOTAL ORDERED 42 140.00 % 010 01/28/10 5 010 01/25/10 4 010 01/21/10 4 010 01/18/10 6 010 01/14/10 4 010 01/11/10 6 010 01/07/10 5 010 01/04/10 2 + __________ TOTAL ORDERED 36 120.00 % 010 12/30/09 5 010 12/24/09 8 010 12/22/09 5 010 12/17/09 6 010 12/15/09 3 010 12/10/09 8 010 12/08/09 4 010 12/03/09 8 010 12/01/09 3 + __________ TOTAL ORDERED 50 166.66 % 010 11/25/09 5 010 11/23/09 6 010 11/16/09 5 010 11/18/09 3 010 11/11/09 3 010 11/09/09 5 010 11/04/09 5 010 11/02/09 8 + __________ TOTAL ORDERED 40 133.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 501 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11814 FW0727365 101 S WASHINGTON AVE CLEVELAND TX77327 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 603806 LYRICA 150MG CAP + 90 30071101668 00071101668 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 04/26/10 1 010 04/22/10 2 010 04/19/10 3 010 04/15/10 1 010 04/12/10 1 010 04/05/10 2 010 04/01/10 3 + __________ TOTAL ORDERED 13 144.44 % 010 03/25/10 2 010 03/22/10 2 010 03/18/10 1 010 03/15/10 2 010 03/11/10 2 010 03/08/10 1 + __________ TOTAL ORDERED 10 111.11 % 010 01/28/10 1 010 01/25/10 1 010 01/18/10 1 010 01/14/10 2 010 01/11/10 1 010 01/07/10 2 010 01/04/10 2 + __________ TOTAL ORDERED 10 111.11 % 010 12/30/09 2 010 12/24/09 1 010 12/22/09 1 010 12/17/09 2 010 12/15/09 1 010 12/10/09 4 010 12/08/09 1 010 12/01/09 2 + __________ TOTAL ORDERED 14 155.55 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 502 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11814 FW0727365 101 S WASHINGTON AVE CLEVELAND TX77327 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 603807 LYRICA 100MG CAP + 90 30071101568 00071101568 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 04/29/10 1 010 04/26/10 5 010 04/22/10 1 010 04/19/10 2 010 04/15/10 1 010 04/08/10 2 010 04/05/10 4 010 04/01/10 1 + __________ TOTAL ORDERED 17 188.88 % 010 03/29/10 1 010 03/25/10 3 010 03/22/10 1 010 03/15/10 1 010 03/08/10 5 010 03/04/10 2 010 03/01/10 1 + __________ TOTAL ORDERED 14 155.55 % 010 02/25/10 2 010 02/22/10 4 010 02/18/10 2 010 02/08/10 2 010 02/04/10 3 + __________ TOTAL ORDERED 13 144.44 % 010 01/25/10 1 010 01/21/10 1 010 01/18/10 4 010 01/14/10 2 010 01/11/10 2 010 01/07/10 2 010 01/04/10 3 + __________ TOTAL ORDERED 15 166.66 % 010 12/24/09 4 010 12/17/09 1 010 12/10/09 7 010 12/03/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 503 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11814 FW0727365 101 S WASHINGTON AVE CLEVELAND TX77327 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 603807 LYRICA 100MG CAP + 90 30071101568 00071101568 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 13 144.44 % 010 11/25/09 1 010 11/23/09 1 010 11/16/09 2 010 11/18/09 5 010 11/11/09 1 010 11/09/09 6 + __________ TOTAL ORDERED 16 177.77 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 04/29/10 7 010 04/26/10 16 010 04/22/10 14 010 04/19/10 20 010 04/15/10 11 010 04/12/10 26 010 04/08/10 7 010 04/05/10 17 010 04/01/10 9 + __________ TOTAL ORDERED 127 384.84 % 010 03/29/10 8 010 03/25/10 7 010 03/22/10 23 010 03/18/10 5 010 03/15/10 23 010 03/11/10 10 010 03/08/10 12 010 03/04/10 28 010 03/01/10 17 + __________ TOTAL ORDERED 133 403.03 % 010 02/25/10 12 010 02/22/10 26 010 02/18/10 6 010 02/15/10 12 010 02/11/10 20 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 504 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11814 FW0727365 101 S WASHINGTON AVE CLEVELAND TX77327 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 02/08/10 23 010 02/04/10 8 010 02/01/10 20 + __________ TOTAL ORDERED 127 384.84 % 010 01/28/10 8 010 01/25/10 18 010 01/21/10 7 010 01/18/10 14 010 01/14/10 7 010 01/11/10 24 010 01/07/10 18 010 01/04/10 10 + __________ TOTAL ORDERED 106 321.21 % 010 12/30/09 16 010 12/24/09 19 010 12/22/09 20 010 12/17/09 12 010 12/15/09 22 010 12/10/09 18 010 12/08/09 15 010 12/03/09 21 010 12/01/09 6 + __________ TOTAL ORDERED 149 451.51 % 010 11/25/09 10 010 11/23/09 18 010 11/16/09 20 010 11/18/09 14 010 11/11/09 12 010 11/09/09 31 010 11/04/09 11 010 11/02/09 20 + __________ TOTAL ORDERED 136 412.12 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 505 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11814 FW0727365 101 S WASHINGTON AVE CLEVELAND TX77327 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673665 COUGHCOLD PD SYR (BRK) + 118ML 35199122404 51991022404 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 010 04/29/10 10 010 04/26/10 7 010 04/19/10 7 010 04/15/10 6 010 04/05/10 1 + __________ TOTAL ORDERED 31 172.22 % 010 02/22/10 6 010 02/18/10 24 010 02/15/10 2 010 02/11/10 1 + __________ TOTAL ORDERED 33 183.33 % 010 12/17/09 10 010 12/15/09 4 010 12/10/09 4 010 12/03/09 3 010 12/01/09 6 + __________ TOTAL ORDERED 27 150.00 % 010 11/25/09 2 010 11/23/09 5 010 11/16/09 2 010 11/18/09 5 010 11/11/09 4 010 11/09/09 1 + __________ TOTAL ORDERED 19 105.55 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674231 CARISOPRODOL 350MG TAB (QT)+ 500 30603258228 00603258228 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 010 04/29/10 2 010 04/26/10 4 010 04/22/10 2 010 04/19/10 4 010 04/15/10 2 010 04/12/10 6 010 04/08/10 3 010 04/05/10 5 010 04/01/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 506 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11814 FW0727365 101 S WASHINGTON AVE CLEVELAND TX77327 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674231 CARISOPRODOL 350MG TAB (QT)+ 500 30603258228 00603258228 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 32 213.33 % 010 03/29/10 5 010 03/25/10 3 010 03/22/10 3 010 03/18/10 3 010 03/15/10 4 010 03/11/10 5 010 03/08/10 3 010 03/04/10 8 010 03/01/10 4 + __________ TOTAL ORDERED 38 253.33 % 010 02/25/10 4 010 02/22/10 5 010 02/18/10 2 010 02/15/10 4 010 02/11/10 4 010 02/08/10 6 010 02/04/10 4 010 02/01/10 4 + __________ TOTAL ORDERED 33 220.00 % 010 01/28/10 4 010 01/25/10 5 010 01/21/10 1 010 01/18/10 3 010 01/14/10 4 010 01/11/10 5 010 01/07/10 5 010 01/04/10 2 + __________ TOTAL ORDERED 29 193.33 % 010 12/30/09 4 010 12/24/09 5 010 12/22/09 4 010 12/17/09 5 010 12/15/09 3 010 12/10/09 6 010 12/08/09 4 010 12/03/09 7 010 12/01/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 507 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11814 FW0727365 101 S WASHINGTON AVE CLEVELAND TX77327 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674231 CARISOPRODOL 350MG TAB (QT)+ 500 30603258228 00603258228 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 40 266.66 % 010 11/25/09 4 010 11/23/09 5 010 11/16/09 3 010 11/18/09 5 010 11/11/09 5 010 11/09/09 5 010 11/04/09 5 010 11/02/09 5 + __________ TOTAL ORDERED 37 246.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 04/29/10 3 010 04/26/10 3 010 04/22/10 3 010 04/19/10 5 010 04/15/10 3 010 04/12/10 5 010 04/08/10 3 010 04/05/10 5 010 04/01/10 4 + __________ TOTAL ORDERED 34 377.77 % 010 03/29/10 3 010 03/25/10 4 010 03/22/10 3 010 03/18/10 3 010 03/15/10 4 010 03/11/10 2 010 03/08/10 4 010 03/04/10 6 010 03/01/10 5 + __________ TOTAL ORDERED 34 377.77 % 010 02/25/10 3 010 02/22/10 4 010 02/18/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 508 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11814 FW0727365 101 S WASHINGTON AVE CLEVELAND TX77327 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 02/15/10 3 010 02/11/10 3 010 02/08/10 5 010 02/04/10 3 010 02/01/10 5 + __________ TOTAL ORDERED 28 311.11 % 010 01/25/10 6 010 01/21/10 2 010 01/18/10 4 010 01/14/10 3 010 01/11/10 3 010 01/07/10 7 010 01/04/10 3 + __________ TOTAL ORDERED 28 311.11 % 010 12/30/09 3 010 12/24/09 5 010 12/22/09 5 010 12/17/09 4 010 12/15/09 2 010 12/10/09 6 010 12/08/09 3 010 12/03/09 6 010 12/01/09 1 + __________ TOTAL ORDERED 35 388.88 % 010 11/25/09 4 010 11/23/09 3 010 11/16/09 3 010 11/18/09 4 010 11/11/09 3 010 11/09/09 4 010 11/04/09 4 010 11/02/09 4 + __________ TOTAL ORDERED 29 322.22 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 509 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11814 FW0727365 101 S WASHINGTON AVE CLEVELAND TX77327 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 676052 DIAZEPAM 10MG TAB (MYL) + 500 30378047705 00378047705 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 010 04/19/10 1 010 04/12/10 1 010 04/08/10 1 010 04/05/10 1 + __________ TOTAL ORDERED 4 133.33 % 010 03/25/10 1 010 03/15/10 1 010 03/08/10 1 010 03/01/10 1 + __________ TOTAL ORDERED 4 133.33 % 010 01/28/10 1 010 01/25/10 1 010 01/11/10 1 010 01/07/10 1 + __________ TOTAL ORDERED 4 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 678960 LORAZEPAM 0.5MG TAB (PPC) + 500 30228205750 00228205750 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 010 04/29/10 1 010 04/22/10 1 010 04/19/10 1 010 04/01/10 1 + __________ TOTAL ORDERED 4 133.33 % 010 03/22/10 1 010 03/15/10 1 010 03/08/10 1 010 03/01/10 1 + __________ TOTAL ORDERED 4 133.33 % 010 01/28/10 1 010 01/25/10 1 010 01/14/10 1 010 01/07/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 510 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11814 FW0727365 101 S WASHINGTON AVE CLEVELAND TX77327 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 678960 LORAZEPAM 0.5MG TAB (PPC) + 500 30228205750 00228205750 1 3.0 3.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 4 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684342 TEMAZEPAM 30MG CAPSULES + 100 30781220201 00781220201 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 04/29/10 2 010 04/26/10 1 010 04/22/10 1 010 04/19/10 2 010 04/15/10 3 010 04/12/10 2 + __________ TOTAL ORDERED 11 122.22 % 010 03/22/10 6 010 03/18/10 3 010 03/15/10 2 010 03/11/10 2 010 03/08/10 1 010 03/04/10 1 010 03/01/10 1 + __________ TOTAL ORDERED 16 177.77 % 010 01/25/10 1 010 01/21/10 2 010 01/18/10 2 010 01/14/10 2 010 01/07/10 2 010 01/04/10 1 + __________ TOTAL ORDERED 10 111.11 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 511 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 12355 FW1133494 1790 TEXAS AVE BRIDGE CITY TX 77611 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 513951 CLORAZ DIPOT 7.5MG TAB (TAR) +100 35167240431 51672404301 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 04/23/10 2 010 04/09/10 2 010 04/02/10 3 + __________ TOTAL ORDERED 7 116.66 % 010 02/19/10 5 010 02/12/10 5 010 02/05/10 1 + __________ TOTAL ORDERED 11 183.33 % 010 12/31/09 4 010 12/23/09 1 010 12/16/09 4 010 12/02/09 3 + __________ TOTAL ORDERED 12 200.00 % 010 11/24/09 1 010 11/17/09 3 010 11/10/09 3 010 11/03/09 7 + __________ TOTAL ORDERED 14 233.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 514230 BUTORPHANOL TART NS (APO) + 2.5ML 36050508131 60505081301 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 010 04/23/10 2 010 04/09/10 15 010 04/02/10 8 + __________ TOTAL ORDERED 25 166.66 % 010 03/26/10 4 010 03/12/10 13 010 03/05/10 2 + __________ TOTAL ORDERED 19 126.66 % 010 02/19/10 3 010 02/12/10 7 010 02/05/10 11 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 512 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 12355 FW1133494 1790 TEXAS AVE BRIDGE CITY TX 77611 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 514230 BUTORPHANOL TART NS (APO) + 2.5ML 36050508131 60505081301 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 21 140.00 % 010 12/31/09 4 010 12/23/09 8 010 12/16/09 3 010 12/09/09 3 010 12/02/09 6 + __________ TOTAL ORDERED 24 160.00 % 010 11/24/09 1 010 11/17/09 2 010 11/10/09 5 010 11/03/09 8 + __________ TOTAL ORDERED 16 106.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 04/23/10 25 010 04/16/10 17 010 04/09/10 34 010 04/02/10 26 + __________ TOTAL ORDERED 102 309.09 % 010 03/26/10 23 010 03/19/10 11 010 03/12/10 19 010 03/05/10 35 + __________ TOTAL ORDERED 88 266.66 % 010 02/19/10 17 010 02/12/10 25 010 02/05/10 24 + __________ TOTAL ORDERED 66 200.00 % 010 01/22/10 27 010 01/15/10 22 010 01/08/10 21 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 513 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 12355 FW1133494 1790 TEXAS AVE BRIDGE CITY TX 77611 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 70 212.12 % 010 12/31/09 15 010 12/23/09 29 010 12/16/09 36 010 12/09/09 31 010 12/02/09 8 + __________ TOTAL ORDERED 119 360.60 % 010 11/24/09 22 010 11/17/09 25 010 11/10/09 33 010 11/03/09 14 + __________ TOTAL ORDERED 94 284.84 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674231 CARISOPRODOL 350MG TAB (QT)+ 500 30603258228 00603258228 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 010 12/31/09 2 010 12/23/09 6 010 12/16/09 5 010 12/09/09 7 010 12/02/09 2 + __________ TOTAL ORDERED 22 146.66 % 010 11/24/09 5 010 11/17/09 3 010 11/10/09 6 010 11/03/09 3 + __________ TOTAL ORDERED 17 113.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 03/26/10 2 010 03/19/10 2 010 03/12/10 3 010 03/05/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 514 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 12355 FW1133494 1790 TEXAS AVE BRIDGE CITY TX 77611 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 10 111.11 % 010 12/31/09 2 010 12/23/09 1 010 12/16/09 2 010 12/09/09 3 010 12/02/09 2 + __________ TOTAL ORDERED 10 111.11 % 010 11/24/09 3 010 11/17/09 4 010 11/10/09 3 010 11/03/09 1 + __________ TOTAL ORDERED 11 122.22 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 12601 FW1260683 1000 W FRANK AVE LUFKIN TX 75904 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 04/27/10 3 010 04/20/10 1 010 04/13/10 4 010 04/06/10 2 + __________ TOTAL ORDERED 10 111.11 % 010 03/30/10 3 010 03/23/10 2 010 03/16/10 2 010 03/09/10 4 010 03/02/10 3 + __________ TOTAL ORDERED 14 155.55 % 010 02/23/10 2 010 02/16/10 3 010 02/09/10 3 010 02/02/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 515 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 12601 FW1260683 1000 W FRANK AVE LUFKIN TX 75904 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 10 111.11 % 010 01/26/10 3 010 01/19/10 4 010 01/12/10 3 010 01/05/10 2 + __________ TOTAL ORDERED 12 133.33 % 010 12/28/09 3 010 12/18/09 6 010 12/11/09 4 010 12/04/09 1 + __________ TOTAL ORDERED 14 155.55 % 010 11/27/09 3 010 11/19/09 3 010 11/12/09 5 010 11/05/09 2 + __________ TOTAL ORDERED 13 144.44 % 0 SALES DISTRICT 017 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02593 BW3220504 1197 AMBOY AVE EDISON NJ 08837 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 601600 AMBIEN CR 12.5MG TAB + 100 30024552131 00024552131 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 007 12/31/09 1 007 12/29/09 1 007 12/23/09 1 007 12/16/09 1 007 12/14/09 2 007 12/09/09 2 007 12/07/09 1 007 12/02/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 516 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 017 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02593 BW3220504 1197 AMBOY AVE EDISON NJ 08837 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 601600 AMBIEN CR 12.5MG TAB + 100 30024552131 00024552131 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 10 111.11 % 007 11/30/09 1 007 11/24/09 2 007 11/17/09 2 007 11/20/09 1 007 11/10/09 1 007 11/06/09 2 007 11/03/09 2 + __________ TOTAL ORDERED 11 122.22 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (AMI)+ 100 35215221502 52152021502 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 04/23/10 9 013 04/26/10 8 013 04/05/10 5 + __________ TOTAL ORDERED 22 122.22 % 013 03/29/10 12 013 03/22/10 5 013 03/15/10 20 013 03/08/10 4 013 03/01/10 10 + __________ TOTAL ORDERED 51 283.33 % 013 02/22/10 8 013 02/15/10 11 013 02/08/10 9 013 02/01/10 11 + __________ TOTAL ORDERED 39 216.66 % 013 01/25/10 4 013 01/18/10 10 013 01/11/10 5 + __________ TOTAL ORDERED 19 105.55 % 013 12/21/09 18 013 12/07/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 517 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 017 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02593 BW3220504 1197 AMBOY AVE EDISON NJ 08837 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (AMI)+ 100 35215221502 52152021502 6 3.0 18.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 20 111.11 % 013 11/23/09 7 013 11/16/09 14 013 11/09/09 8 + __________ TOTAL ORDERED 29 161.11 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03146 BW0605115 561-579 IRVINGTON NEWARK NJ 07106 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682586 PROMETH-COD 6.25-10 SYR(HIT)+16OZ 35038380416 50383080416 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 007 01/28/10 2 007 01/25/10 6 007 01/21/10 1 007 01/18/10 4 007 01/14/10 3 007 01/11/10 2 007 01/07/10 3 + __________ TOTAL ORDERED 21 116.66 % 007 12/24/09 6 007 12/22/09 5 007 12/17/09 3 007 12/10/09 7 007 12/08/09 2 007 12/03/09 1 007 12/01/09 3 + __________ TOTAL ORDERED 27 150.00 % 007 11/25/09 4 007 11/23/09 1 007 11/16/09 4 007 11/18/09 2 007 11/11/09 1 007 11/09/09 6 007 11/04/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 518 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 017 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03146 BW0605115 561-579 IRVINGTON NEWARK NJ 07106 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682586 PROMETH-COD 6.25-10 SYR(HIT)+16OZ 35038380416 50383080416 6 3.0 18.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 20 111.11 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03431 BW4739326 2136-2148 MORRIS AVE UNION NJ 07083 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 474145 OXYCODONE ER 40MG TAB (ETH) + 100 35817768104 58177068104 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 04/28/10 7 013 04/21/10 3 013 04/14/10 4 013 04/07/10 3 + __________ TOTAL ORDERED 17 188.88 % 013 03/31/10 1 013 03/24/10 1 013 03/17/10 1 013 03/10/10 4 013 03/03/10 5 + __________ TOTAL ORDERED 12 133.33 % 013 02/24/10 3 013 02/17/10 3 013 02/10/10 1 013 02/03/10 6 + __________ TOTAL ORDERED 13 144.44 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 483575 PHENTERMINE 37.5MG TAB (LAN) +100 30527144501 00527144501 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 007 04/29/10 1 007 04/26/10 1 007 04/22/10 1 007 04/19/10 1 007 04/15/10 2 007 04/12/10 3 007 04/08/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 519 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 017 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03431 BW4739326 2136-2148 MORRIS AVE UNION NJ 07083 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 483575 PHENTERMINE 37.5MG TAB (LAN) +100 30527144501 00527144501 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 007 04/05/10 1 007 04/01/10 2 + __________ TOTAL ORDERED 13 144.44 % 007 03/29/10 1 007 03/22/10 4 007 03/18/10 2 007 03/15/10 2 007 03/11/10 6 007 03/08/10 1 007 03/04/10 1 007 03/01/10 1 + __________ TOTAL ORDERED 18 200.00 % 007 02/25/10 2 007 02/22/10 3 007 02/15/10 1 007 02/11/10 1 007 02/08/10 2 007 02/04/10 1 007 02/01/10 2 + __________ TOTAL ORDERED 12 133.33 % 007 01/28/10 3 007 01/21/10 3 007 01/18/10 1 007 01/14/10 2 007 01/11/10 2 007 01/07/10 1 007 01/04/10 1 + __________ TOTAL ORDERED 13 144.44 % 007 12/30/09 1 007 12/24/09 1 007 12/17/09 2 007 12/10/09 1 007 12/03/09 4 007 12/01/09 1 + __________ TOTAL ORDERED 10 111.11 % 007 11/25/09 3 007 11/23/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 520 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 017 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03431 BW4739326 2136-2148 MORRIS AVE UNION NJ 07083 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 483575 PHENTERMINE 37.5MG TAB (LAN) +100 30527144501 00527144501 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 007 11/18/09 1 007 11/11/09 2 007 11/09/09 3 007 11/04/09 3 007 11/02/09 2 + __________ TOTAL ORDERED 15 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 536420 TUSSICAPS 10/8MG CAP + 20 32363510820 23635010820 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 007 02/15/10 2 007 02/11/10 4 007 02/04/10 4 + __________ TOTAL ORDERED 10 166.66 % 007 12/30/09 3 007 12/24/09 5 007 12/10/09 1 007 12/03/09 2 007 12/01/09 1 + __________ TOTAL ORDERED 12 200.00 % 007 11/25/09 1 007 11/23/09 1 007 11/16/09 2 007 11/18/09 1 007 11/11/09 2 007 11/09/09 2 007 11/04/09 2 007 11/02/09 1 + __________ TOTAL ORDERED 12 200.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 552568 SUBOXONE 2-0.5MG SL TAB (REC)+30 31249612832 12496128302 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 007 02/22/10 1 007 02/18/10 6 007 02/04/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 521 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 017 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03431 BW4739326 2136-2148 MORRIS AVE UNION NJ 07083 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 552568 SUBOXONE 2-0.5MG SL TAB (REC)+30 31249612832 12496128302 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 007 02/01/10 4 + __________ TOTAL ORDERED 16 133.33 % 007 01/25/10 1 007 01/21/10 2 007 01/18/10 3 007 01/14/10 1 007 01/11/10 1 007 01/07/10 4 007 01/04/10 2 + __________ TOTAL ORDERED 14 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 553889 ANDROGEL 1% PUMP (UNI) +150GM 30051848888 00051848888 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 007 03/29/10 1 007 03/22/10 1 007 03/18/10 3 007 03/15/10 3 007 03/11/10 3 + __________ TOTAL ORDERED 11 122.22 % 007 02/22/10 6 007 02/18/10 1 007 02/15/10 2 007 02/01/10 1 + __________ TOTAL ORDERED 10 111.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673822 BUT-APAP-CAF-COD 30MG CAP(Q)+ 100 30603255321 00603255321 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 007 04/29/10 3 007 04/19/10 1 007 04/12/10 2 007 04/05/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 522 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 017 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03431 BW4739326 2136-2148 MORRIS AVE UNION NJ 07083 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673822 BUT-APAP-CAF-COD 30MG CAP(Q)+ 100 30603255321 00603255321 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 7 116.66 % 007 03/29/10 1 007 03/22/10 1 007 03/18/10 1 007 03/15/10 1 007 03/08/10 1 007 03/04/10 1 007 03/01/10 1 + __________ TOTAL ORDERED 7 116.66 % 007 12/30/09 1 007 12/24/09 1 007 12/22/09 2 007 12/17/09 3 007 12/10/09 1 + __________ TOTAL ORDERED 8 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675041 HC-IBUPRO 7.5-200 TABS (TEV)+ 100 30093516101 00093516101 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 007 03/29/10 4 007 03/25/10 2 007 03/11/10 1 007 03/08/10 2 007 03/04/10 1 007 03/01/10 1 + __________ TOTAL ORDERED 11 122.22 % 007 01/25/10 1 007 01/21/10 2 007 01/18/10 1 007 01/14/10 2 007 01/11/10 2 007 01/07/10 2 + __________ TOTAL ORDERED 10 111.11 % 007 12/30/09 3 007 12/24/09 2 007 12/17/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 523 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 017 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03431 BW4739326 2136-2148 MORRIS AVE UNION NJ 07083 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675041 HC-IBUPRO 7.5-200 TABS (TEV)+ 100 30093516101 00093516101 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 007 12/10/09 2 007 12/03/09 2 + __________ TOTAL ORDERED 10 111.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682586 PROMETH-COD 6.25-10 SYR(HIT)+16OZ 35038380416 50383080416 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 007 04/29/10 3 007 04/26/10 2 007 04/22/10 2 007 04/19/10 1 007 04/15/10 4 007 04/12/10 1 007 04/08/10 1 007 04/05/10 3 007 04/01/10 2 + __________ TOTAL ORDERED 19 105.55 % 007 02/25/10 4 007 02/22/10 1 007 02/15/10 2 007 02/11/10 5 007 02/08/10 3 007 02/04/10 1 007 02/01/10 3 + __________ TOTAL ORDERED 19 105.55 % 007 12/24/09 9 007 12/22/09 3 007 12/17/09 2 007 12/15/09 1 007 12/10/09 1 007 12/08/09 1 007 12/03/09 5 007 12/01/09 2 + __________ TOTAL ORDERED 24 133.33 % 007 11/25/09 3 007 11/23/09 6 007 11/16/09 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 524 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 017 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03431 BW4739326 2136-2148 MORRIS AVE UNION NJ 07083 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682586 PROMETH-COD 6.25-10 SYR(HIT)+16OZ 35038380416 50383080416 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 007 11/18/09 2 007 11/11/09 3 007 11/04/09 1 007 11/02/09 4 + __________ TOTAL ORDERED 23 127.77 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (AMI)+ 100 35215221502 52152021502 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 03/31/10 3 013 03/24/10 6 013 03/17/10 10 013 03/10/10 6 013 03/03/10 4 + __________ TOTAL ORDERED 29 161.11 % 013 02/24/10 1 013 02/17/10 11 013 02/10/10 6 013 02/03/10 6 + __________ TOTAL ORDERED 24 133.33 % 013 12/30/09 11 013 12/23/09 11 013 12/09/09 6 013 12/02/09 4 + __________ TOTAL ORDERED 32 177.77 % 013 11/25/09 7 013 11/18/09 6 013 11/11/09 3 013 11/04/09 6 + __________ TOTAL ORDERED 22 122.22 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 525 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 017 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04109 BW2167333 22 E ST GEORGE LINDEN NJ 07036 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 483575 PHENTERMINE 37.5MG TAB (LAN) +100 30527144501 00527144501 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 007 04/29/10 2 007 04/26/10 1 007 04/22/10 2 007 04/19/10 4 007 04/15/10 3 007 04/12/10 2 007 04/05/10 2 007 04/01/10 3 + __________ TOTAL ORDERED 19 211.11 % 007 03/29/10 1 007 03/25/10 3 007 03/22/10 1 007 03/18/10 5 007 03/15/10 2 007 03/08/10 2 007 03/04/10 3 007 03/01/10 2 + __________ TOTAL ORDERED 19 211.11 % 007 01/28/10 2 007 01/25/10 1 007 01/21/10 1 007 01/18/10 2 007 01/14/10 1 007 01/11/10 3 007 01/07/10 1 007 01/04/10 1 + __________ TOTAL ORDERED 12 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675041 HC-IBUPRO 7.5-200 TABS (TEV)+ 100 30093516101 00093516101 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 007 04/26/10 2 007 04/22/10 2 007 04/19/10 1 007 04/12/10 3 007 04/05/10 1 007 04/01/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 526 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 017 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04109 BW2167333 22 E ST GEORGE LINDEN NJ 07036 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675041 HC-IBUPRO 7.5-200 TABS (TEV)+ 100 30093516101 00093516101 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 10 111.11 % 007 02/25/10 2 007 02/22/10 2 007 02/18/10 1 007 02/15/10 2 007 02/11/10 1 007 02/08/10 1 007 02/04/10 2 007 02/01/10 1 + __________ TOTAL ORDERED 12 133.33 % 007 11/25/09 2 007 11/23/09 1 007 11/16/09 2 007 11/18/09 2 007 11/11/09 1 007 11/04/09 2 + __________ TOTAL ORDERED 10 111.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682586 PROMETH-COD 6.25-10 SYR(HIT)+16OZ 35038380416 50383080416 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 007 04/29/10 6 007 04/26/10 4 007 04/22/10 2 007 04/19/10 6 007 04/15/10 3 007 04/12/10 4 007 04/08/10 2 007 04/05/10 3 007 04/01/10 8 + __________ TOTAL ORDERED 38 211.11 % 007 03/29/10 6 007 03/25/10 6 007 03/22/10 3 007 03/18/10 4 007 03/15/10 2 007 03/08/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 527 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 017 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04109 BW2167333 22 E ST GEORGE LINDEN NJ 07036 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682586 PROMETH-COD 6.25-10 SYR(HIT)+16OZ 35038380416 50383080416 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 007 03/04/10 2 007 03/01/10 1 + __________ TOTAL ORDERED 25 138.88 % 007 02/25/10 5 007 02/22/10 6 007 02/18/10 2 007 02/15/10 4 007 02/11/10 5 007 02/08/10 3 007 02/04/10 5 007 02/01/10 3 + __________ TOTAL ORDERED 33 183.33 % 007 01/28/10 1 007 01/25/10 5 007 01/21/10 2 007 01/18/10 2 007 01/11/10 4 007 01/07/10 8 007 01/04/10 4 + __________ TOTAL ORDERED 26 144.44 % 007 12/30/09 6 007 12/24/09 7 007 12/22/09 3 007 12/17/09 4 007 12/15/09 1 007 12/10/09 6 007 12/08/09 3 007 12/03/09 4 + __________ TOTAL ORDERED 34 188.88 % 007 11/25/09 6 007 11/23/09 7 007 11/16/09 6 007 11/18/09 5 007 11/11/09 4 007 11/09/09 5 007 11/04/09 5 007 11/02/09 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 528 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 017 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04109 BW2167333 22 E ST GEORGE LINDEN NJ 07036 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682586 PROMETH-COD 6.25-10 SYR(HIT)+16OZ 35038380416 50383080416 6 3.0 18.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 44 244.44 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (AMI)+ 100 35215221502 52152021502 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 04/27/10 18 013 04/06/10 10 + __________ TOTAL ORDERED 28 155.55 % 013 02/16/10 17 013 02/09/10 13 013 02/02/10 9 + __________ TOTAL ORDERED 39 216.66 % 013 01/26/10 4 013 01/19/10 2 013 01/12/10 5 013 01/05/10 14 + __________ TOTAL ORDERED 25 138.88 % 013 12/29/09 8 013 12/22/09 1 013 12/08/09 15 013 12/01/09 15 + __________ TOTAL ORDERED 39 216.66 % 013 11/24/09 7 013 11/17/09 6 013 11/10/09 6 013 11/03/09 11 + __________ TOTAL ORDERED 30 166.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 529 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 017 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04287 BW5712953 786 ST GEORGE AVE RAHWAY NJ 07065 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 007 04/29/10 4 007 04/26/10 5 007 04/22/10 2 007 04/19/10 2 007 04/15/10 4 007 04/12/10 4 007 04/08/10 1 007 04/05/10 5 007 04/01/10 2 + __________ TOTAL ORDERED 29 193.33 % 007 03/29/10 2 007 03/25/10 1 007 03/22/10 4 007 03/18/10 2 007 03/15/10 5 007 03/11/10 4 007 03/08/10 4 007 03/04/10 4 007 03/01/10 1 + __________ TOTAL ORDERED 27 180.00 % 007 02/25/10 3 007 02/15/10 5 007 02/11/10 6 007 02/08/10 2 007 02/04/10 11 007 02/01/10 3 + __________ TOTAL ORDERED 30 200.00 % 007 01/28/10 2 007 01/25/10 2 007 01/21/10 3 007 01/18/10 3 007 01/14/10 2 007 01/11/10 4 007 01/07/10 9 007 01/04/10 2 + __________ TOTAL ORDERED 27 180.00 % 007 12/30/09 2 007 12/24/09 8 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 530 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 017 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04287 BW5712953 786 ST GEORGE AVE RAHWAY NJ 07065 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 007 12/22/09 2 007 12/17/09 4 007 12/15/09 3 007 12/10/09 4 007 12/08/09 1 007 12/03/09 2 + __________ TOTAL ORDERED 26 173.33 % 007 11/25/09 3 007 11/23/09 8 007 11/16/09 2 007 11/18/09 3 007 11/11/09 2 007 11/09/09 3 + __________ TOTAL ORDERED 21 140.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682586 PROMETH-COD 6.25-10 SYR(HIT)+16OZ 35038380416 50383080416 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 007 03/29/10 3 007 03/25/10 1 007 03/22/10 1 007 03/18/10 2 007 03/15/10 2 007 03/11/10 4 007 03/08/10 4 007 03/04/10 1 007 03/01/10 2 + __________ TOTAL ORDERED 20 111.11 % 007 01/28/10 2 007 01/25/10 2 007 01/21/10 2 007 01/18/10 4 007 01/14/10 3 007 01/11/10 4 007 01/07/10 5 007 01/04/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 531 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 017 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04287 BW5712953 786 ST GEORGE AVE RAHWAY NJ 07065 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682586 PROMETH-COD 6.25-10 SYR(HIT)+16OZ 35038380416 50383080416 6 3.0 18.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 23 127.77 % 007 12/30/09 1 007 12/24/09 7 007 12/01/09 1 007 12/22/09 3 007 12/17/09 1 007 12/10/09 10 007 12/08/09 3 + __________ TOTAL ORDERED 26 144.44 % 007 11/25/09 3 007 11/16/09 1 007 11/18/09 3 007 11/11/09 2 007 11/09/09 6 007 11/04/09 2 007 11/02/09 6 + __________ TOTAL ORDERED 23 127.77 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (AMI)+ 100 35215221502 52152021502 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 04/22/10 6 013 04/23/10 12 013 04/02/10 7 + __________ TOTAL ORDERED 25 138.88 % 013 03/26/10 4 013 03/19/10 10 013 03/12/10 9 013 03/05/10 9 + __________ TOTAL ORDERED 32 177.77 % 013 02/26/10 10 013 02/19/10 8 013 02/12/10 17 013 02/05/10 12 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 532 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 017 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04287 BW5712953 786 ST GEORGE AVE RAHWAY NJ 07065 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (AMI)+ 100 35215221502 52152021502 6 3.0 18.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 47 261.11 % 013 01/29/10 10 013 01/22/10 12 013 01/15/10 7 013 01/08/10 9 013 01/04/10 5 + __________ TOTAL ORDERED 43 238.88 % 013 12/28/09 11 013 12/11/09 8 013 12/04/09 15 + __________ TOTAL ORDERED 34 188.88 % 013 11/20/09 15 013 11/13/09 5 013 11/06/09 2 + __________ TOTAL ORDERED 22 122.22 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04876 BW6395669 905 NEW DURHAM RD EDISON NJ 08817 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (AMI)+ 100 35215221502 52152021502 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 04/26/10 16 013 04/05/10 3 + __________ TOTAL ORDERED 19 105.55 % 013 03/29/10 8 013 03/22/10 8 013 03/08/10 3 013 03/01/10 2 + __________ TOTAL ORDERED 21 116.66 % 013 02/22/10 6 013 02/15/10 15 013 02/08/10 6 013 02/01/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 533 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 017 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04876 BW6395669 905 NEW DURHAM RD EDISON NJ 08817 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (AMI)+ 100 35215221502 52152021502 6 3.0 18.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 28 155.55 % 013 01/25/10 4 013 01/18/10 9 013 01/11/10 4 013 01/04/10 7 + __________ TOTAL ORDERED 24 133.33 % 013 12/28/09 8 013 12/21/09 14 + __________ TOTAL ORDERED 22 122.22 % 013 11/30/09 11 013 11/23/09 7 013 11/16/09 3 013 11/09/09 6 013 11/02/09 5 + __________ TOTAL ORDERED 32 177.77 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07056 BW0605088 555 INMAN AVE COLONIA NJ 07067 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682586 PROMETH-COD 6.25-10 SYR(HIT)+16OZ 35038380416 50383080416 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 007 02/25/10 4 007 02/22/10 4 007 02/18/10 2 007 02/15/10 2 007 02/11/10 2 007 02/08/10 4 007 02/04/10 2 007 02/01/10 1 + __________ TOTAL ORDERED 21 116.66 % 007 12/30/09 2 007 12/24/09 4 007 12/22/09 2 007 12/17/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 534 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 017 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07056 BW0605088 555 INMAN AVE COLONIA NJ 07067 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682586 PROMETH-COD 6.25-10 SYR(HIT)+16OZ 35038380416 50383080416 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 007 12/15/09 1 007 12/10/09 7 007 12/08/09 1 007 12/01/09 2 + __________ TOTAL ORDERED 21 116.66 % 007 11/25/09 3 007 11/23/09 5 007 11/16/09 2 007 11/18/09 2 007 11/11/09 2 007 11/09/09 1 007 11/04/09 1 007 11/02/09 5 + __________ TOTAL ORDERED 21 116.66 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07490 BW2826937 833 ROOSEVELT AVE CARTERET NJ 07008 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682586 PROMETH-COD 6.25-10 SYR(HIT)+16OZ 35038380416 50383080416 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 007 04/29/10 4 007 04/26/10 2 007 04/22/10 4 007 04/19/10 1 007 04/15/10 2 007 04/12/10 2 007 04/08/10 2 007 04/05/10 3 + __________ TOTAL ORDERED 20 111.11 % 007 01/28/10 1 007 01/25/10 1 007 01/21/10 1 007 01/18/10 3 007 01/14/10 5 007 01/11/10 2 007 01/07/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 535 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 017 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07490 BW2826937 833 ROOSEVELT AVE CARTERET NJ 07008 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682586 PROMETH-COD 6.25-10 SYR(HIT)+16OZ 35038380416 50383080416 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 007 01/04/10 4 + __________ TOTAL ORDERED 20 111.11 % 007 12/30/09 6 007 12/24/09 6 007 12/22/09 2 007 12/17/09 1 007 12/10/09 3 007 12/08/09 1 007 12/03/09 1 + __________ TOTAL ORDERED 20 111.11 % 007 11/25/09 2 007 11/18/09 3 007 11/11/09 4 007 11/09/09 7 007 11/04/09 3 007 11/02/09 1 + __________ TOTAL ORDERED 20 111.11 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07969 BW9501126 343 SPRINGFIELD AVE BERKELY HTS N07922 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 601600 AMBIEN CR 12.5MG TAB + 100 30024552131 00024552131 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 007 01/28/10 1 007 01/25/10 2 007 01/18/10 1 007 01/14/10 2 007 01/11/10 1 007 01/07/10 1 007 01/04/10 3 + __________ TOTAL ORDERED 11 122.22 % 007 12/30/09 2 007 12/24/09 1 007 12/22/09 2 007 12/17/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 536 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 017 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07969 BW9501126 343 SPRINGFIELD AVE BERKELY HTS N07922 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 601600 AMBIEN CR 12.5MG TAB + 100 30024552131 00024552131 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 007 12/15/09 1 007 12/10/09 3 007 12/03/09 3 + __________ TOTAL ORDERED 13 144.44 % 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02755 BW3988029 3065 RIGSBY AVE SAN ANTONIO TX 78222 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 5 010 04/26/10 3 010 04/21/10 4 010 04/19/10 6 010 04/14/10 6 010 04/12/10 3 010 04/07/10 4 + __________ TOTAL ORDERED 31 129.16 % 010 03/31/10 7 010 03/29/10 11 010 03/24/10 5 010 03/22/10 3 010 03/10/10 4 010 03/08/10 7 010 03/03/10 4 010 03/01/10 1 + __________ TOTAL ORDERED 42 175.00 % 010 02/24/10 3 010 02/17/10 3 010 02/15/10 4 010 02/10/10 2 010 02/08/10 4 010 02/03/10 5 010 02/01/10 10 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 537 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02755 BW3988029 3065 RIGSBY AVE SAN ANTONIO TX 78222 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 8 3.0 24.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 31 129.16 % 010 01/27/10 4 010 01/25/10 1 010 01/20/10 3 010 01/18/10 2 010 01/13/10 4 010 01/11/10 6 010 01/06/10 4 010 01/04/10 1 + __________ TOTAL ORDERED 25 104.16 % 010 12/29/09 5 010 12/24/09 1 010 12/21/09 5 010 12/14/09 4 010 12/10/09 5 010 12/07/09 3 010 12/03/09 9 + __________ TOTAL ORDERED 32 133.33 % 010 11/30/09 5 010 11/25/09 6 010 11/20/09 5 010 11/13/09 2 010 11/06/09 7 + __________ TOTAL ORDERED 25 104.16 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 2 010 04/26/10 2 010 04/21/10 1 010 04/14/10 1 010 04/12/10 1 010 04/07/10 2 010 04/05/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 538 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02755 BW3988029 3065 RIGSBY AVE SAN ANTONIO TX 78222 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 10 111.11 % 010 03/31/10 1 010 03/29/10 2 010 03/24/10 1 010 03/17/10 1 010 03/10/10 2 010 03/08/10 1 010 03/03/10 2 010 03/01/10 1 + __________ TOTAL ORDERED 11 122.22 % 010 02/24/10 2 010 02/17/10 2 010 02/10/10 2 010 02/03/10 2 010 02/01/10 2 + __________ TOTAL ORDERED 10 111.11 % 010 12/29/09 3 010 12/24/09 1 010 12/21/09 1 010 12/17/09 1 010 12/10/09 2 010 12/07/09 2 010 12/03/09 2 + __________ TOTAL ORDERED 12 133.33 % 010 11/30/09 1 010 11/25/09 1 010 11/20/09 1 010 11/13/09 2 010 11/11/09 2 010 11/06/09 3 + __________ TOTAL ORDERED 10 111.11 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 539 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02944 BW3569881 7423 BROADWAY STR SAN ANTONIO TX 78209 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539150 D-AMPHET SALT COMBO 20MG TAB +100 36472013510 64720013510 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 014 04/28/10 3 014 04/21/10 4 014 04/14/10 5 014 04/07/10 7 + __________ TOTAL ORDERED 19 105.55 % 014 03/31/10 9 014 03/24/10 2 014 03/17/10 2 014 03/10/10 6 014 03/03/10 3 + __________ TOTAL ORDERED 22 122.22 % 014 12/30/09 8 014 12/23/09 6 014 12/09/09 3 014 12/02/09 2 + __________ TOTAL ORDERED 19 105.55 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03083 BW3821609 10650 TOEPPERWEIN RD CONVERSE TX 78109 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675738 METHYLPHENIDATE 5MG TAB (WAT)+100 30591588201 00591588201 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 04/27/10 4 014 04/20/10 1 014 04/13/10 1 014 04/06/10 1 + __________ TOTAL ORDERED 7 116.66 % 014 03/30/10 3 014 03/09/10 3 014 03/02/10 2 + __________ TOTAL ORDERED 8 133.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 540 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03140 BW3821611 410 WEST CYPRESS SAN ANTONIO TX 78212 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 010 04/26/10 4 010 04/22/10 1 010 04/19/10 3 010 04/12/10 5 010 04/05/10 13 010 04/01/10 5 + __________ TOTAL ORDERED 31 129.16 % 010 03/29/10 1 010 03/25/10 2 010 03/22/10 5 010 03/15/10 2 010 03/11/10 7 010 03/08/10 5 010 03/04/10 8 010 03/01/10 2 + __________ TOTAL ORDERED 32 133.33 % 010 02/25/10 1 010 02/22/10 4 010 02/15/10 1 010 02/11/10 1 010 02/08/10 12 010 02/04/10 2 010 02/01/10 4 + __________ TOTAL ORDERED 25 104.16 % 010 12/30/09 5 010 12/24/09 6 010 12/22/09 2 010 12/17/09 5 010 12/15/09 2 010 12/10/09 9 010 12/08/09 3 010 12/03/09 4 010 12/01/09 2 + __________ TOTAL ORDERED 38 158.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 541 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03141 BW4369422 1105 GOLIAD RD SAN ANTONIO TX 78223 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 499233 HYDROCO-APAP 10-660 TAB (WAT)+100 36203756701 62037056701 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 3 010 04/26/10 1 010 04/21/10 1 010 04/19/10 2 010 04/14/10 1 010 04/07/10 2 + __________ TOTAL ORDERED 10 111.11 % 010 12/29/09 1 010 12/24/09 3 010 12/21/09 2 010 12/17/09 1 010 12/10/09 1 010 12/07/09 1 010 12/03/09 2 + __________ TOTAL ORDERED 11 122.22 % 010 11/30/09 3 010 11/25/09 3 010 11/20/09 1 010 11/13/09 2 010 11/06/09 1 + __________ TOTAL ORDERED 10 111.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672663 HYDROCODONE/APAP 5/500+TAB(WT)500 30591034905 00591034905 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 010 03/31/10 2 010 03/29/10 2 010 03/24/10 3 010 03/22/10 3 010 03/17/10 3 010 03/15/10 3 010 03/10/10 2 010 03/08/10 3 010 03/03/10 2 010 03/01/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 542 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03141 BW4369422 1105 GOLIAD RD SAN ANTONIO TX 78223 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672663 HYDROCODONE/APAP 5/500+TAB(WT)500 30591034905 00591034905 8 3.0 24.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 27 112.50 % 010 12/29/09 4 010 12/24/09 2 010 12/21/09 4 010 12/17/09 3 010 12/14/09 4 010 12/10/09 2 010 12/07/09 4 010 12/03/09 4 + __________ TOTAL ORDERED 27 112.50 % 010 11/30/09 3 010 11/25/09 2 010 11/20/09 5 010 11/13/09 4 010 11/18/09 2 010 11/11/09 2 010 11/06/09 4 010 11/04/09 3 + __________ TOTAL ORDERED 25 104.16 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 6 010 04/21/10 4 010 04/19/10 2 010 04/14/10 3 010 04/12/10 7 010 04/07/10 3 010 04/05/10 2 + __________ TOTAL ORDERED 27 112.50 % 010 03/31/10 3 010 03/29/10 2 010 03/24/10 1 010 03/22/10 6 010 03/17/10 7 010 03/15/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 543 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03141 BW4369422 1105 GOLIAD RD SAN ANTONIO TX 78223 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 010 03/10/10 3 010 03/08/10 5 010 03/03/10 3 010 03/01/10 2 + __________ TOTAL ORDERED 37 154.16 % 010 02/24/10 2 010 02/22/10 6 010 02/17/10 2 010 02/15/10 2 010 02/10/10 4 010 02/08/10 2 010 02/03/10 7 010 02/01/10 8 + __________ TOTAL ORDERED 33 137.50 % 010 12/29/09 6 010 12/24/09 4 010 12/21/09 5 010 12/17/09 8 010 12/14/09 7 010 12/10/09 3 010 12/07/09 4 010 12/03/09 2 + __________ TOTAL ORDERED 39 162.50 % 010 11/30/09 1 010 11/25/09 3 010 11/20/09 4 010 11/13/09 4 010 11/18/09 4 010 11/11/09 4 010 11/06/09 6 + __________ TOTAL ORDERED 26 108.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682586 PROMETH-COD 6.25-10 SYR(HIT)+16OZ 35038380416 50383080416 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 010 03/31/10 3 010 03/24/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 544 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03141 BW4369422 1105 GOLIAD RD SAN ANTONIO TX 78223 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682586 PROMETH-COD 6.25-10 SYR(HIT)+16OZ 35038380416 50383080416 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 010 03/22/10 3 010 03/17/10 3 010 03/15/10 3 010 03/10/10 2 010 03/08/10 2 010 03/03/10 5 010 03/01/10 4 + __________ TOTAL ORDERED 30 200.00 % 010 02/24/10 2 010 02/22/10 5 010 02/17/10 2 010 02/15/10 6 010 02/10/10 1 010 02/08/10 2 010 02/03/10 2 010 02/01/10 1 + __________ TOTAL ORDERED 21 140.00 % 010 12/29/09 1 010 12/24/09 3 010 12/21/09 3 010 12/14/09 2 010 12/10/09 6 010 12/07/09 2 010 12/03/09 2 + __________ TOTAL ORDERED 19 126.66 % 010 11/25/09 1 010 11/20/09 5 010 11/13/09 9 010 11/18/09 2 010 11/11/09 3 010 11/04/09 2 + __________ TOTAL ORDERED 22 146.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 545 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03368 BW4309604 1581 AUSTIN HWY SAN ANTONIO TX 78218 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 594173 ALPRAZOLAM XR 1MG TAB (GRN) + 60 35976200591 59762005901 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 04/27/10 1 010 04/22/10 2 010 04/20/10 3 010 04/01/10 1 + __________ TOTAL ORDERED 7 116.66 % 010 03/25/10 3 010 03/23/10 2 010 03/02/10 3 + __________ TOTAL ORDERED 8 133.33 % 010 12/30/09 3 010 12/28/09 2 010 12/22/09 3 + __________ TOTAL ORDERED 8 133.33 % 010 11/27/09 2 010 11/23/09 4 010 11/09/09 1 + __________ TOTAL ORDERED 7 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673036 ALPRAZOLAM 1MG TAB (PPC) + 500 30228203150 00228203150 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 04/29/10 2 010 04/27/10 1 010 04/22/10 1 010 04/20/10 1 010 04/15/10 1 010 04/13/10 1 010 04/08/10 1 010 04/06/10 1 010 04/01/10 1 + __________ TOTAL ORDERED 10 111.11 % 010 03/30/10 1 010 03/25/10 1 010 03/23/10 1 010 03/18/10 2 010 03/11/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 546 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03368 BW4309604 1581 AUSTIN HWY SAN ANTONIO TX 78218 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673036 ALPRAZOLAM 1MG TAB (PPC) + 500 30228203150 00228203150 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 03/09/10 1 010 03/04/10 2 + __________ TOTAL ORDERED 10 111.11 % 010 12/30/09 2 010 12/22/09 1 010 12/18/09 2 010 12/15/09 2 010 12/08/09 1 010 12/04/09 1 010 12/01/09 1 + __________ TOTAL ORDERED 10 111.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 010 04/29/10 6 010 04/27/10 2 010 04/22/10 4 010 04/20/10 1 010 04/15/10 7 010 04/13/10 1 010 04/08/10 8 010 04/06/10 4 010 04/01/10 4 + __________ TOTAL ORDERED 37 154.16 % 010 03/25/10 5 010 03/23/10 1 010 03/18/10 4 010 03/16/10 1 010 03/11/10 8 010 03/09/10 2 010 03/04/10 7 010 03/02/10 2 + __________ TOTAL ORDERED 30 125.00 % 010 02/25/10 3 010 02/18/10 5 010 02/11/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 547 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03368 BW4309604 1581 AUSTIN HWY SAN ANTONIO TX 78218 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 010 02/09/10 7 010 02/04/10 13 010 02/02/10 2 + __________ TOTAL ORDERED 37 154.16 % 010 01/28/10 4 010 01/21/10 5 010 01/19/10 1 010 01/14/10 3 010 01/07/10 11 010 01/05/10 3 + __________ TOTAL ORDERED 27 112.50 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03634 AW8818772 3326 FREDERICKSBURG SN ANTONIO TX78201 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 661497 DIPHENOX-ATROPINE LIQ (ROX)+ 60ML 30054319446 00054319446 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 04/08/10 41 + __________ TOTAL ORDERED 41 683.33 % 010 03/25/10 5 010 03/23/10 16 010 03/18/10 2 010 03/04/10 2 + __________ TOTAL ORDERED 25 416.66 % 010 02/25/10 18 + __________ TOTAL ORDERED 18 300.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672759 ANDROGEL 1% GEL (UNI) + 30X2.5GM 30051842530 00051842530 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 01/12/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 548 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03634 AW8818772 3326 FREDERICKSBURG SN ANTONIO TX78201 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672759 ANDROGEL 1% GEL (UNI) + 30X2.5GM 30051842530 00051842530 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 7 116.66 % 010 12/22/09 1 010 12/08/09 5 010 12/04/09 4 + __________ TOTAL ORDERED 10 166.66 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03996 AW9653103 5760 WALZEM RD SAN ANTONIO TX 78218 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 507055 CONCERTA 36MG ER TAB 100 35045858601 50458058601 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 04/28/10 3 014 04/21/10 3 014 04/14/10 3 014 04/07/10 2 + __________ TOTAL ORDERED 11 122.22 % 014 03/31/10 2 014 03/17/10 5 014 03/10/10 3 014 03/03/10 1 + __________ TOTAL ORDERED 11 122.22 % 014 12/23/09 2 014 12/16/09 6 014 12/09/09 3 014 12/02/09 1 + __________ TOTAL ORDERED 12 133.33 % 014 11/25/09 3 014 11/18/09 4 014 11/04/09 3 + __________ TOTAL ORDERED 10 111.11 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 549 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03996 AW9653103 5760 WALZEM RD SAN ANTONIO TX 78218 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 010 04/27/10 2 010 04/23/10 10 010 04/20/10 2 010 04/16/10 7 010 04/13/10 7 010 04/09/10 7 010 04/06/10 4 010 04/02/10 1 + __________ TOTAL ORDERED 40 166.66 % 010 03/30/10 2 010 03/26/10 9 010 03/23/10 2 010 03/19/10 6 010 03/16/10 7 010 03/12/10 8 010 03/09/10 3 010 03/05/10 7 010 03/02/10 3 + __________ TOTAL ORDERED 47 195.83 % 010 02/19/10 8 010 02/16/10 2 010 02/12/10 10 010 02/09/10 5 010 02/05/10 9 010 02/02/10 1 + __________ TOTAL ORDERED 35 145.83 % 010 01/26/10 1 010 01/22/10 9 010 01/19/10 5 010 01/15/10 5 010 01/12/10 2 010 01/08/10 12 010 01/05/10 3 + __________ TOTAL ORDERED 37 154.16 % 010 12/31/09 3 010 12/28/09 6 010 12/23/09 8 010 12/18/09 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 550 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03996 AW9653103 5760 WALZEM RD SAN ANTONIO TX 78218 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 010 12/16/09 4 010 12/11/09 11 010 12/09/09 4 010 12/04/09 7 + __________ TOTAL ORDERED 49 204.16 % 010 11/27/09 14 010 11/24/09 3 010 11/19/09 5 010 11/12/09 14 010 11/10/09 6 010 11/05/09 6 + __________ TOTAL ORDERED 48 200.00 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04160 BW5221039 2200 E. HOUSTON SAN ANTONIO TX 78202 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 010 04/29/10 9 010 04/27/10 5 010 04/22/10 5 010 04/20/10 3 010 04/15/10 8 010 04/13/10 5 010 04/08/10 9 010 04/01/10 7 + __________ TOTAL ORDERED 51 212.50 % 010 03/25/10 7 010 03/23/10 4 010 03/18/10 6 010 03/16/10 17 010 03/11/10 10 010 03/09/10 1 010 03/04/10 10 010 03/02/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 551 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04160 BW5221039 2200 E. HOUSTON SAN ANTONIO TX 78202 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 8 3.0 24.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 57 237.50 % 010 02/25/10 8 010 02/18/10 8 010 02/16/10 7 010 02/11/10 11 010 02/09/10 4 010 02/04/10 6 010 02/02/10 3 + __________ TOTAL ORDERED 47 195.83 % 010 01/28/10 8 010 01/26/10 6 010 01/21/10 11 010 01/14/10 5 010 01/07/10 11 010 01/05/10 2 + __________ TOTAL ORDERED 43 179.16 % 010 12/30/09 3 010 12/22/09 10 010 12/18/09 4 010 12/15/09 2 010 12/11/09 4 010 12/08/09 2 010 12/04/09 4 + __________ TOTAL ORDERED 29 120.83 % 010 11/27/09 4 010 11/23/09 11 010 11/16/09 2 010 11/19/09 1 010 11/12/09 3 010 11/09/09 7 010 11/05/09 2 010 11/02/09 5 + __________ TOTAL ORDERED 35 145.83 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 552 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04160 BW5221039 2200 E. HOUSTON SAN ANTONIO TX 78202 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 04/29/10 2 010 04/22/10 2 010 04/20/10 1 010 04/15/10 2 010 04/08/10 1 010 04/01/10 2 + __________ TOTAL ORDERED 10 111.11 % 010 03/25/10 1 010 03/23/10 1 010 03/18/10 2 010 03/16/10 1 010 03/11/10 2 010 03/09/10 1 010 03/04/10 3 + __________ TOTAL ORDERED 11 122.22 % 010 02/25/10 2 010 02/18/10 2 010 02/16/10 2 010 02/11/10 2 010 02/04/10 1 010 02/02/10 2 + __________ TOTAL ORDERED 11 122.22 % 010 12/30/09 1 010 12/28/09 1 010 12/22/09 2 010 12/18/09 1 010 12/15/09 1 010 12/11/09 2 010 12/08/09 1 010 12/01/09 1 + __________ TOTAL ORDERED 10 111.11 % 010 11/27/09 1 010 11/23/09 2 010 11/16/09 2 010 11/12/09 3 010 11/09/09 1 010 11/02/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 553 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04160 BW5221039 2200 E. HOUSTON SAN ANTONIO TX 78202 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 10 111.11 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05963 BW6839457 3801 FM 3009 SCHERTZ TX 78154 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 474143 OXYCODONE ER 20MG TABS (ETH)+ 100 35817767904 58177067904 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 03/23/10 2 014 03/16/10 2 014 03/09/10 2 014 03/02/10 1 + __________ TOTAL ORDERED 7 116.66 % 014 02/23/10 2 014 02/16/10 2 014 02/09/10 1 014 02/02/10 2 + __________ TOTAL ORDERED 7 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 645805 HYDROCOD-APAP ORAL SOL(PAI)+473ML 30121065516 00121065516 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 010 04/15/10 2 010 04/08/10 5 010 04/01/10 14 + __________ TOTAL ORDERED 21 116.66 % 010 02/25/10 1 010 02/18/10 20 + __________ TOTAL ORDERED 21 116.66 % 010 12/30/09 21 010 12/28/09 12 010 12/22/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 554 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05963 BW6839457 3801 FM 3009 SCHERTZ TX 78154 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 645805 HYDROCOD-APAP ORAL SOL(PAI)+473ML 30121065516 00121065516 6 3.0 18.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 34 188.88 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06335 AW9224750 14025 NACOGDOCHES SAN ANTONIO TX 78217 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 474146 OXYCODONE ER 80MG TABS (ETH)+ 100 35817768304 58177068304 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 04/30/10 2 014 04/23/10 1 014 04/16/10 1 014 04/09/10 3 + __________ TOTAL ORDERED 7 116.66 % 014 01/22/10 4 014 01/15/10 1 014 01/08/10 1 014 01/04/10 1 + __________ TOTAL ORDERED 7 116.66 % 014 12/28/09 3 014 12/11/09 4 + __________ TOTAL ORDERED 7 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 482737 NUVIGIL 150MG TABS (CPH) + 60 36345921560 63459021560 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 010 01/27/10 1 010 01/20/10 1 010 01/19/10 1 010 01/13/10 1 + __________ TOTAL ORDERED 4 133.33 % 010 12/24/09 1 010 12/10/09 2 010 12/07/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 555 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06335 AW9224750 14025 NACOGDOCHES SAN ANTONIO TX 78217 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 482737 NUVIGIL 150MG TABS (CPH) + 60 36345921560 63459021560 1 3.0 3.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 4 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 507055 CONCERTA 36MG ER TAB 100 35045858601 50458058601 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 04/30/10 4 014 04/23/10 3 014 04/16/10 3 014 04/09/10 3 014 04/02/10 6 + __________ TOTAL ORDERED 19 211.11 % 014 02/26/10 5 014 02/19/10 4 014 02/12/10 3 + __________ TOTAL ORDERED 12 133.33 % 014 01/29/10 4 014 01/22/10 2 014 01/15/10 3 014 01/04/10 1 + __________ TOTAL ORDERED 10 111.11 % 014 11/27/09 3 014 11/20/09 5 014 11/13/09 3 014 11/06/09 3 + __________ TOTAL ORDERED 14 155.55 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 507606 CONCERTA 18MG ER TAB 100 35045858501 50458058501 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 02/26/10 3 014 02/19/10 2 014 02/12/10 1 014 02/05/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 556 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06335 AW9224750 14025 NACOGDOCHES SAN ANTONIO TX 78217 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 507606 CONCERTA 18MG ER TAB 100 35045858501 50458058501 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 7 116.66 % 014 01/29/10 2 014 01/22/10 2 014 01/15/10 3 014 01/04/10 1 + __________ TOTAL ORDERED 8 133.33 % 014 11/27/09 1 014 11/20/09 2 014 11/13/09 1 014 11/06/09 3 + __________ TOTAL ORDERED 7 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 517272 LYRICA 25MG CAP + 90 30071101268 00071101268 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 010 04/21/10 1 010 04/14/10 1 010 04/12/10 2 010 04/05/10 1 + __________ TOTAL ORDERED 5 166.66 % 010 03/31/10 1 010 03/24/10 1 010 03/10/10 1 010 03/08/10 1 + __________ TOTAL ORDERED 4 133.33 % 010 02/22/10 1 010 02/17/10 1 010 02/03/10 1 010 02/01/10 1 + __________ TOTAL ORDERED 4 133.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 557 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06335 AW9224750 14025 NACOGDOCHES SAN ANTONIO TX 78217 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 543991 TRAMADOL HCL 50MG TAB (AKY) +1000 36516262711 65162062711 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 1 010 04/26/10 3 010 04/21/10 2 010 04/19/10 1 010 04/14/10 2 010 04/12/10 1 010 04/07/10 1 010 04/05/10 2 + __________ TOTAL ORDERED 13 108.33 % 010 03/31/10 1 010 03/29/10 1 010 03/24/10 1 010 03/22/10 2 010 03/17/10 2 010 03/15/10 2 010 03/10/10 1 010 03/08/10 1 010 03/03/10 2 010 03/01/10 2 + __________ TOTAL ORDERED 15 125.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544543 FENTANYL 50MCG/HR TS (WAT) + 5 30591321272 00591321272 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 014 02/26/10 6 014 02/19/10 7 014 02/12/10 4 014 02/05/10 2 + __________ TOTAL ORDERED 19 105.55 % 014 01/29/10 8 014 01/22/10 6 014 01/15/10 5 014 01/04/10 3 + __________ TOTAL ORDERED 22 122.22 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 558 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06335 AW9224750 14025 NACOGDOCHES SAN ANTONIO TX 78217 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544544 FENTANYL 25MCG/HR TS (WAT) + 5 30591319872 00591319872 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 014 04/30/10 2 014 04/23/10 8 014 04/16/10 11 014 04/09/10 7 + __________ TOTAL ORDERED 28 155.55 % 014 02/26/10 22 014 02/19/10 17 014 02/12/10 4 + __________ TOTAL ORDERED 43 238.88 % 014 01/29/10 1 014 01/22/10 3 014 01/15/10 11 014 01/08/10 1 014 01/04/10 8 + __________ TOTAL ORDERED 24 133.33 % 014 12/28/09 3 014 12/18/09 19 014 12/11/09 5 + __________ TOTAL ORDERED 27 150.00 % 014 11/20/09 6 014 11/13/09 15 014 11/06/09 2 + __________ TOTAL ORDERED 23 127.77 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 550610 DEXMETHYLPHENIDATE 5MG TAB + 100 30093527601 00093527601 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 014 02/26/10 3 014 02/19/10 3 + __________ TOTAL ORDERED 6 200.00 % 014 01/22/10 1 014 01/15/10 1 014 01/08/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 559 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06335 AW9224750 14025 NACOGDOCHES SAN ANTONIO TX 78217 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 550610 DEXMETHYLPHENIDATE 5MG TAB + 100 30093527601 00093527601 1 3.0 3.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 4 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 10 3.0 30.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 4 010 04/26/10 5 010 04/21/10 6 010 04/19/10 4 010 04/14/10 7 010 04/12/10 4 010 04/07/10 6 010 04/05/10 4 + __________ TOTAL ORDERED 40 133.33 % 010 03/31/10 5 010 03/29/10 4 010 03/24/10 7 010 03/22/10 2 010 03/17/10 5 010 03/15/10 8 010 03/10/10 5 010 03/08/10 6 010 03/03/10 4 010 03/01/10 5 + __________ TOTAL ORDERED 51 170.00 % 010 02/24/10 4 010 02/22/10 5 010 02/17/10 4 010 02/15/10 6 010 02/10/10 5 010 02/08/10 7 010 02/03/10 5 010 02/01/10 3 + __________ TOTAL ORDERED 39 130.00 % 010 01/27/10 3 010 01/25/10 5 010 01/20/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 560 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06335 AW9224750 14025 NACOGDOCHES SAN ANTONIO TX 78217 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 10 3.0 30.0 0 DC DATE ORDERED QUANTITY 010 01/19/10 6 010 01/13/10 2 010 01/11/10 8 010 01/06/10 7 010 01/04/10 1 + __________ TOTAL ORDERED 35 116.66 % 010 12/29/09 8 010 12/24/09 4 010 12/21/09 5 010 12/17/09 4 010 12/14/09 5 010 12/10/09 8 010 12/07/09 3 010 12/03/09 2 + __________ TOTAL ORDERED 39 130.00 % 010 11/30/09 6 010 11/25/09 5 010 11/20/09 8 010 11/13/09 6 010 11/18/09 4 010 11/11/09 4 010 11/06/09 7 010 11/04/09 3 + __________ TOTAL ORDERED 43 143.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 5 010 04/26/10 6 010 04/21/10 4 010 04/19/10 4 010 04/14/10 3 010 04/12/10 4 010 04/07/10 1 010 04/05/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 561 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06335 AW9224750 14025 NACOGDOCHES SAN ANTONIO TX 78217 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 9 3.0 27.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 31 114.81 % 010 03/31/10 4 010 03/29/10 2 010 03/24/10 5 010 03/22/10 3 010 03/17/10 4 010 03/15/10 3 010 03/10/10 4 010 03/08/10 2 010 03/03/10 3 010 03/01/10 3 + __________ TOTAL ORDERED 33 122.22 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 603806 LYRICA 150MG CAP + 90 30071101668 00071101668 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 03/31/10 1 010 03/29/10 2 010 03/24/10 1 010 03/22/10 1 010 03/10/10 2 010 03/08/10 1 010 03/01/10 3 + __________ TOTAL ORDERED 11 122.22 % 010 02/24/10 1 010 02/22/10 1 010 02/17/10 2 010 02/15/10 2 010 02/08/10 3 010 02/03/10 2 + __________ TOTAL ORDERED 11 122.22 % 010 12/29/09 1 010 12/24/09 2 010 12/21/09 4 010 12/17/09 1 010 12/14/09 4 010 12/10/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 562 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06335 AW9224750 14025 NACOGDOCHES SAN ANTONIO TX 78217 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 603806 LYRICA 150MG CAP + 90 30071101668 00071101668 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 12/03/09 1 + __________ TOTAL ORDERED 15 166.66 % 010 11/30/09 1 010 11/25/09 1 010 11/20/09 2 010 11/13/09 2 010 11/18/09 1 010 11/06/09 1 010 11/04/09 2 + __________ TOTAL ORDERED 10 111.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672663 HYDROCODONE/APAP 5/500+TAB(WT)500 30591034905 00591034905 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 3 010 04/26/10 3 010 04/21/10 2 010 04/19/10 4 010 04/14/10 2 010 04/12/10 5 010 04/07/10 4 010 04/05/10 2 + __________ TOTAL ORDERED 25 104.16 % 010 03/31/10 2 010 03/29/10 2 010 03/24/10 3 010 03/22/10 3 010 03/17/10 3 010 03/15/10 3 010 03/10/10 3 010 03/08/10 3 010 03/03/10 3 010 03/01/10 4 + __________ TOTAL ORDERED 29 120.83 % 010 12/29/09 5 010 12/24/09 3 010 12/21/09 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 563 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06335 AW9224750 14025 NACOGDOCHES SAN ANTONIO TX 78217 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672663 HYDROCODONE/APAP 5/500+TAB(WT)500 30591034905 00591034905 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 010 12/17/09 5 010 12/14/09 3 010 12/10/09 3 010 12/07/09 3 010 12/03/09 3 + __________ TOTAL ORDERED 28 116.66 % 010 11/30/09 3 010 11/25/09 3 010 11/20/09 5 010 11/13/09 4 010 11/18/09 2 010 11/11/09 2 010 11/06/09 4 010 11/04/09 3 + __________ TOTAL ORDERED 26 108.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672713 ACET-CODEINE 120-12/5 (PAI)+473ML 30121050416 00121050416 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 3 010 04/21/10 1 010 04/14/10 1 010 04/12/10 3 010 04/07/10 2 010 04/05/10 1 + __________ TOTAL ORDERED 11 122.22 % 010 03/31/10 1 010 03/24/10 2 010 03/17/10 1 010 03/15/10 3 010 03/10/10 1 010 03/08/10 1 010 03/03/10 2 010 03/01/10 1 + __________ TOTAL ORDERED 12 133.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 564 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06335 AW9224750 14025 NACOGDOCHES SAN ANTONIO TX 78217 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673036 ALPRAZOLAM 1MG TAB (PPC) + 500 30228203150 00228203150 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 03/31/10 2 010 03/29/10 1 010 03/24/10 2 010 03/22/10 1 010 03/17/10 2 010 03/10/10 1 010 03/03/10 2 010 03/01/10 1 + __________ TOTAL ORDERED 12 133.33 % 010 02/24/10 3 010 02/22/10 2 010 02/17/10 2 010 02/15/10 1 010 02/10/10 1 010 02/03/10 2 010 02/01/10 1 + __________ TOTAL ORDERED 12 133.33 % 010 01/27/10 2 010 01/25/10 1 010 01/20/10 2 010 01/19/10 1 010 01/13/10 2 010 01/06/10 2 + __________ TOTAL ORDERED 10 111.11 % 010 12/29/09 1 010 12/24/09 1 010 12/21/09 2 010 12/17/09 3 010 12/14/09 2 010 12/10/09 1 010 12/07/09 1 010 12/03/09 1 + __________ TOTAL ORDERED 12 133.33 % 010 11/30/09 1 010 11/25/09 2 010 11/20/09 3 010 11/13/09 2 010 11/18/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 565 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06335 AW9224750 14025 NACOGDOCHES SAN ANTONIO TX 78217 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673036 ALPRAZOLAM 1MG TAB (PPC) + 500 30228203150 00228203150 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 11/06/09 2 + __________ TOTAL ORDERED 12 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 2 010 04/26/10 2 010 04/21/10 4 010 04/19/10 2 010 04/14/10 4 010 04/12/10 7 010 04/07/10 6 010 04/05/10 1 + __________ TOTAL ORDERED 28 116.66 % 010 03/31/10 4 010 03/29/10 2 010 03/24/10 3 010 03/22/10 3 010 03/17/10 4 010 03/15/10 5 010 03/10/10 5 010 03/08/10 4 010 03/03/10 3 010 03/01/10 5 + __________ TOTAL ORDERED 38 158.33 % 010 02/24/10 4 010 02/22/10 2 010 02/17/10 2 010 02/15/10 4 010 02/10/10 5 010 02/08/10 2 010 02/03/10 3 010 02/01/10 3 + __________ TOTAL ORDERED 25 104.16 % 010 12/29/09 5 010 12/24/09 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 566 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06335 AW9224750 14025 NACOGDOCHES SAN ANTONIO TX 78217 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 010 12/21/09 4 010 12/17/09 1 010 12/14/09 4 010 12/10/09 6 010 12/07/09 1 010 12/03/09 1 + __________ TOTAL ORDERED 25 104.16 % 010 11/30/09 6 010 11/25/09 10 010 11/20/09 5 010 11/13/09 7 010 11/18/09 3 010 11/11/09 3 010 11/06/09 1 + __________ TOTAL ORDERED 35 145.83 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674484 CHERATUSSIN AC SYRUP (QT) + 473ML 30603107558 00603107558 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 010 03/31/10 3 010 03/24/10 3 010 03/17/10 5 010 03/15/10 4 010 03/10/10 3 010 03/08/10 16 010 03/03/10 6 010 03/01/10 8 + __________ TOTAL ORDERED 48 228.57 % 010 02/24/10 7 010 02/22/10 3 010 02/17/10 5 010 02/15/10 2 010 02/10/10 7 010 02/08/10 4 010 02/03/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 567 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06335 AW9224750 14025 NACOGDOCHES SAN ANTONIO TX 78217 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674484 CHERATUSSIN AC SYRUP (QT) + 473ML 30603107558 00603107558 7 3.0 21.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 34 161.90 % 010 01/27/10 4 010 01/25/10 1 010 01/20/10 6 010 01/13/10 3 010 01/11/10 4 010 01/06/10 7 010 01/04/10 3 + __________ TOTAL ORDERED 28 133.33 % 010 11/30/09 8 010 11/13/09 6 010 11/06/09 20 + __________ TOTAL ORDERED 34 161.90 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679543 METHYLPHENIDATE 20MG TAB (WT)+100 30591588401 00591588401 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 03/26/10 6 014 03/12/10 5 + __________ TOTAL ORDERED 11 122.22 % 014 02/26/10 6 014 02/19/10 6 + __________ TOTAL ORDERED 12 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679658 HYDROMET SYRUP (ALP) + 473ML 30472103016 00472103016 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 03/31/10 2 010 03/29/10 2 010 03/24/10 2 010 03/17/10 1 010 03/10/10 3 010 03/08/10 4 010 03/03/10 4 010 03/01/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 568 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06335 AW9224750 14025 NACOGDOCHES SAN ANTONIO TX 78217 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679658 HYDROMET SYRUP (ALP) + 473ML 30472103016 00472103016 4 3.0 12.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 19 158.33 % 010 12/29/09 9 010 12/24/09 6 010 12/14/09 1 010 12/10/09 1 010 12/07/09 2 010 12/03/09 3 + __________ TOTAL ORDERED 22 183.33 % 010 11/30/09 5 010 11/13/09 2 010 11/18/09 2 010 11/06/09 4 010 11/04/09 1 + __________ TOTAL ORDERED 14 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682586 PROMETH-COD 6.25-10 SYR(HIT)+16OZ 35038380416 50383080416 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 010 03/31/10 3 010 03/29/10 1 010 03/24/10 3 010 03/22/10 3 010 03/17/10 2 010 03/15/10 5 010 03/10/10 5 010 03/08/10 2 010 03/03/10 3 010 03/01/10 2 + __________ TOTAL ORDERED 29 193.33 % 010 02/24/10 4 010 02/22/10 2 010 02/17/10 2 010 02/15/10 4 010 02/10/10 2 010 02/08/10 3 010 02/03/10 2 010 02/01/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 569 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06335 AW9224750 14025 NACOGDOCHES SAN ANTONIO TX 78217 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682586 PROMETH-COD 6.25-10 SYR(HIT)+16OZ 35038380416 50383080416 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 20 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684342 TEMAZEPAM 30MG CAPSULES + 100 30781220201 00781220201 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 03/31/10 2 010 03/29/10 2 010 03/24/10 1 010 03/17/10 1 010 03/10/10 1 010 03/03/10 2 010 03/01/10 1 + __________ TOTAL ORDERED 10 111.11 % 010 01/27/10 1 010 01/25/10 1 010 01/20/10 1 010 01/19/10 2 010 01/13/10 2 010 01/06/10 2 010 01/04/10 1 + __________ TOTAL ORDERED 10 111.11 % 010 12/29/09 1 010 12/24/09 1 010 12/17/09 4 010 12/14/09 1 010 12/10/09 1 010 12/07/09 1 010 12/03/09 2 + __________ TOTAL ORDERED 11 122.22 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684556 VICODIN 5/500 TAB (ABB) + 100NP 30074194914 00074194914 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 2 010 04/07/10 1 010 04/05/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 570 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06335 AW9224750 14025 NACOGDOCHES SAN ANTONIO TX 78217 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684556 VICODIN 5/500 TAB (ABB) + 100NP 30074194914 00074194914 1 3.0 3.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 6 200.00 % 010 01/11/10 1 010 01/04/10 6 + __________ TOTAL ORDERED 7 233.33 % 010 12/21/09 1 010 12/03/09 3 + __________ TOTAL ORDERED 4 133.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06337 BW3336573 1160 S BUS IH 35 NEW BRANFELS TX 78130 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 478424 TESTOSTERN CYP 200MG/ML (PAD)+1ML 30574082001 00574082001 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 02/24/10 5 010 02/17/10 2 010 02/10/10 8 010 02/08/10 5 010 02/03/10 4 010 02/01/10 2 + __________ TOTAL ORDERED 26 216.66 % 010 12/29/09 2 010 12/24/09 8 010 12/21/09 2 010 12/17/09 9 + __________ TOTAL ORDERED 21 175.00 % 010 11/11/09 5 010 11/06/09 4 010 11/04/09 6 + __________ TOTAL ORDERED 15 125.00 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 571 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06337 BW3336573 1160 S BUS IH 35 NEW BRANFELS TX 78130 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 484721 TRAMADOL HCL/ACTMN 37.5/325MG+500 34988494605 49884094605 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 010 01/20/10 1 010 01/18/10 1 010 01/13/10 1 010 01/06/10 1 + __________ TOTAL ORDERED 4 133.33 % 010 12/29/09 1 010 12/17/09 1 010 12/07/09 2 + __________ TOTAL ORDERED 4 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 496044 CLONAZEPAM 1MG TAB (MYL) + 1000 30378191210 00378191210 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 010 01/27/10 1 010 01/18/10 1 010 01/13/10 1 010 01/06/10 1 + __________ TOTAL ORDERED 4 133.33 % 010 12/29/09 1 010 12/17/09 1 010 12/10/09 1 010 12/07/09 1 + __________ TOTAL ORDERED 4 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 507053 CONCERTA 54MG ER TAB 100 35045858701 50458058701 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 04/23/10 4 014 04/16/10 1 014 04/09/10 2 014 04/02/10 1 + __________ TOTAL ORDERED 8 133.33 % 014 02/10/10 2 014 02/26/10 3 014 02/19/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 572 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06337 BW3336573 1160 S BUS IH 35 NEW BRANFELS TX 78130 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 507053 CONCERTA 54MG ER TAB 100 35045858701 50458058701 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 02/12/10 2 + __________ TOTAL ORDERED 9 150.00 % 014 12/28/09 2 014 12/18/09 2 014 12/11/09 2 014 12/04/09 1 + __________ TOTAL ORDERED 7 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539150 D-AMPHET SALT COMBO 20MG TAB +100 36472013510 64720013510 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 014 03/01/10 7 014 03/26/10 16 014 03/12/10 2 014 03/05/10 6 + __________ TOTAL ORDERED 31 172.22 % 014 02/10/10 8 014 02/08/10 5 014 02/26/10 6 014 02/12/10 5 + __________ TOTAL ORDERED 24 133.33 % 014 01/22/10 6 014 01/15/10 9 014 01/08/10 4 + __________ TOTAL ORDERED 19 105.55 % 014 11/27/09 7 014 11/20/09 9 014 11/13/09 3 + __________ TOTAL ORDERED 19 105.55 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 573 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06337 BW3336573 1160 S BUS IH 35 NEW BRANFELS TX 78130 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539151 D-AMPHET SALT COMBO 10MG TAB +100 36472013210 64720013210 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 014 04/23/10 16 014 04/02/10 7 + __________ TOTAL ORDERED 23 153.33 % 014 03/26/10 15 014 03/12/10 12 014 03/05/10 8 + __________ TOTAL ORDERED 35 233.33 % 014 02/26/10 2 014 02/19/10 6 014 02/12/10 10 + __________ TOTAL ORDERED 18 120.00 % 014 01/29/10 3 014 01/22/10 10 014 01/15/10 12 014 01/08/10 6 014 01/04/10 10 + __________ TOTAL ORDERED 41 273.33 % 014 12/21/09 6 014 12/28/09 9 014 12/11/09 3 + __________ TOTAL ORDERED 18 120.00 % 014 11/27/09 17 014 11/20/09 9 014 11/13/09 3 + __________ TOTAL ORDERED 29 193.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544541 FENTANYL 75MCG/HR TS (WAT) + 5 30591321372 00591321372 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 014 04/30/10 6 014 04/23/10 4 014 04/16/10 5 014 04/09/10 2 014 04/02/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 574 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06337 BW3336573 1160 S BUS IH 35 NEW BRANFELS TX 78130 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544541 FENTANYL 75MCG/HR TS (WAT) + 5 30591321372 00591321372 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 21 140.00 % 014 02/26/10 6 014 02/19/10 1 014 02/12/10 9 + __________ TOTAL ORDERED 16 106.66 % 014 12/28/09 15 014 12/18/09 2 014 12/11/09 2 + __________ TOTAL ORDERED 19 126.66 % 014 11/27/09 12 014 11/20/09 5 + __________ TOTAL ORDERED 17 113.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544543 FENTANYL 50MCG/HR TS (WAT) + 5 30591321272 00591321272 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 014 04/30/10 12 014 04/23/10 4 014 04/09/10 2 014 04/02/10 7 + __________ TOTAL ORDERED 25 138.88 % 014 03/26/10 13 014 03/05/10 20 + __________ TOTAL ORDERED 33 183.33 % 014 11/27/09 9 014 11/06/09 10 + __________ TOTAL ORDERED 19 105.55 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544544 FENTANYL 25MCG/HR TS (WAT) + 5 30591319872 00591319872 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 014 04/26/10 9 014 04/23/10 16 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 575 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06337 BW3336573 1160 S BUS IH 35 NEW BRANFELS TX 78130 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544544 FENTANYL 25MCG/HR TS (WAT) + 5 30591319872 00591319872 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 014 04/16/10 6 014 04/09/10 2 + __________ TOTAL ORDERED 33 183.33 % 014 01/29/10 2 014 01/22/10 13 014 01/15/10 3 014 01/08/10 1 + __________ TOTAL ORDERED 19 105.55 % 014 12/28/09 11 014 12/18/09 2 014 12/11/09 6 + __________ TOTAL ORDERED 19 105.55 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 10 3.0 30.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 5 010 04/26/10 7 010 04/21/10 5 010 04/19/10 7 010 04/14/10 3 010 04/12/10 8 010 04/07/10 5 010 04/05/10 3 + __________ TOTAL ORDERED 43 143.33 % 010 03/31/10 6 010 03/29/10 5 010 03/24/10 3 010 03/22/10 7 010 03/17/10 6 010 03/15/10 6 010 03/10/10 4 010 03/08/10 5 010 03/03/10 4 010 03/01/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 576 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06337 BW3336573 1160 S BUS IH 35 NEW BRANFELS TX 78130 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 10 3.0 30.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 53 176.66 % 010 02/24/10 3 010 02/22/10 9 010 02/17/10 4 010 02/15/10 7 010 02/10/10 4 010 02/08/10 6 010 02/03/10 4 010 02/01/10 5 + __________ TOTAL ORDERED 42 140.00 % 010 01/27/10 4 010 01/25/10 2 010 01/20/10 8 010 01/18/10 5 010 01/13/10 3 010 01/11/10 7 010 01/06/10 5 010 01/04/10 6 + __________ TOTAL ORDERED 40 133.33 % 010 12/29/09 6 010 12/24/09 4 010 12/21/09 7 010 12/17/09 4 010 12/14/09 7 010 12/10/09 4 010 12/07/09 10 010 12/03/09 4 + __________ TOTAL ORDERED 46 153.33 % 010 11/30/09 4 010 11/25/09 4 010 11/20/09 9 010 11/13/09 5 010 11/18/09 4 010 11/11/09 5 010 11/06/09 5 010 11/04/09 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 577 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06337 BW3336573 1160 S BUS IH 35 NEW BRANFELS TX 78130 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 10 3.0 30.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 40 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563978 PROMETHAZIN VC/CODEINE(QTL)+473ML 30603158858 00603158858 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 03/31/10 1 010 03/24/10 1 010 03/22/10 1 010 03/17/10 1 010 03/10/10 1 010 03/08/10 1 010 03/03/10 1 010 03/01/10 1 + __________ TOTAL ORDERED 8 133.33 % 010 02/24/10 2 010 02/17/10 2 010 02/10/10 1 010 02/03/10 1 010 02/01/10 1 + __________ TOTAL ORDERED 7 116.66 % 010 12/29/09 3 010 12/24/09 2 010 12/21/09 1 010 12/14/09 1 + __________ TOTAL ORDERED 7 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 564864 HYDROCO-APAP 7.5-325 TAB(WAT)+100 30591320301 00591320301 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 6 010 04/26/10 2 010 04/21/10 4 010 04/19/10 6 010 04/14/10 3 010 04/12/10 6 010 04/07/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 578 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06337 BW3336573 1160 S BUS IH 35 NEW BRANFELS TX 78130 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 564864 HYDROCO-APAP 7.5-325 TAB(WAT)+100 30591320301 00591320301 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 010 04/05/10 3 + __________ TOTAL ORDERED 33 122.22 % 010 03/31/10 6 010 03/29/10 2 010 03/24/10 5 010 03/22/10 5 010 03/17/10 3 010 03/15/10 5 010 03/10/10 4 010 03/08/10 4 010 03/03/10 6 010 03/01/10 4 + __________ TOTAL ORDERED 44 162.96 % 010 02/24/10 4 010 02/22/10 2 010 02/17/10 7 010 02/15/10 1 010 02/10/10 2 010 02/08/10 5 010 02/03/10 4 010 02/01/10 4 + __________ TOTAL ORDERED 29 107.40 % 010 01/27/10 5 010 01/25/10 4 010 01/20/10 4 010 01/18/10 4 010 01/13/10 4 010 01/11/10 3 010 01/06/10 3 010 01/04/10 3 + __________ TOTAL ORDERED 30 111.11 % 010 12/29/09 6 010 12/24/09 4 010 12/21/09 5 010 12/17/09 6 010 12/14/09 2 010 12/10/09 4 010 12/07/09 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 579 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06337 BW3336573 1160 S BUS IH 35 NEW BRANFELS TX 78130 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 564864 HYDROCO-APAP 7.5-325 TAB(WAT)+100 30591320301 00591320301 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 010 12/03/09 7 + __________ TOTAL ORDERED 40 148.14 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 6 010 04/26/10 4 010 04/21/10 4 010 04/19/10 1 010 04/14/10 6 010 04/12/10 7 010 04/07/10 6 010 04/05/10 4 + __________ TOTAL ORDERED 38 140.74 % 010 03/31/10 5 010 03/29/10 3 010 03/24/10 4 010 03/22/10 4 010 03/17/10 4 010 03/15/10 2 010 03/10/10 3 010 03/08/10 5 010 03/03/10 4 + __________ TOTAL ORDERED 34 125.92 % 010 02/24/10 4 010 02/22/10 1 010 02/17/10 7 010 02/15/10 6 010 02/10/10 3 010 02/08/10 4 010 02/03/10 1 010 02/01/10 4 + __________ TOTAL ORDERED 30 111.11 % 010 01/27/10 2 010 01/25/10 5 010 01/20/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 580 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06337 BW3336573 1160 S BUS IH 35 NEW BRANFELS TX 78130 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 010 01/18/10 5 010 01/13/10 4 010 01/11/10 4 010 01/06/10 3 010 01/04/10 4 + __________ TOTAL ORDERED 32 118.51 % 010 12/29/09 6 010 12/24/09 2 010 12/21/09 3 010 12/17/09 8 010 12/14/09 3 010 12/10/09 3 010 12/07/09 3 010 12/03/09 3 + __________ TOTAL ORDERED 31 114.81 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 603806 LYRICA 150MG CAP + 90 30071101668 00071101668 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 1 010 04/19/10 3 010 04/14/10 2 010 04/12/10 1 010 04/07/10 2 010 04/05/10 2 + __________ TOTAL ORDERED 11 122.22 % 010 03/31/10 1 010 03/29/10 1 010 03/22/10 1 010 03/17/10 2 010 03/10/10 1 010 03/08/10 2 010 03/01/10 3 + __________ TOTAL ORDERED 11 122.22 % 010 01/25/10 1 010 01/20/10 4 010 01/18/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 581 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06337 BW3336573 1160 S BUS IH 35 NEW BRANFELS TX 78130 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 603806 LYRICA 150MG CAP + 90 30071101668 00071101668 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 01/13/10 1 010 01/04/10 3 + __________ TOTAL ORDERED 10 111.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 603810 LYRICA 50MG CAP + 90 30071101368 00071101368 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 03/31/10 1 010 03/29/10 4 010 03/24/10 1 010 03/22/10 2 010 03/10/10 1 010 03/08/10 2 010 03/03/10 2 + __________ TOTAL ORDERED 13 108.33 % 010 12/29/09 4 010 12/21/09 3 010 12/17/09 4 010 12/14/09 3 010 12/10/09 1 010 12/07/09 3 010 12/03/09 4 + __________ TOTAL ORDERED 22 183.33 % 010 11/30/09 5 010 11/25/09 3 010 11/20/09 3 010 11/06/09 4 010 11/04/09 3 + __________ TOTAL ORDERED 18 150.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 645805 HYDROCOD-APAP ORAL SOL(PAI)+473ML 30121065516 00121065516 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 4 010 04/26/10 1 010 04/21/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 582 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06337 BW3336573 1160 S BUS IH 35 NEW BRANFELS TX 78130 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 645805 HYDROCOD-APAP ORAL SOL(PAI)+473ML 30121065516 00121065516 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 010 04/19/10 3 010 04/14/10 2 010 04/07/10 9 010 04/05/10 6 + __________ TOTAL ORDERED 28 155.55 % 010 03/31/10 4 010 03/29/10 8 010 03/24/10 3 010 03/22/10 12 010 03/17/10 4 010 03/15/10 9 010 03/10/10 2 010 03/08/10 5 010 03/03/10 4 + __________ TOTAL ORDERED 51 283.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 651942 HYDROMORPHONE 8MG TAB (MKT) + 100 30406324901 00406324901 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 04/23/10 10 + __________ TOTAL ORDERED 10 111.11 % 014 03/26/10 6 014 03/05/10 5 + __________ TOTAL ORDERED 11 122.22 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672663 HYDROCODONE/APAP 5/500+TAB(WT)500 30591034905 00591034905 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 3 010 04/26/10 5 010 04/21/10 3 010 04/19/10 4 010 04/14/10 3 010 04/12/10 4 010 04/07/10 3 010 04/05/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 583 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06337 BW3336573 1160 S BUS IH 35 NEW BRANFELS TX 78130 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672663 HYDROCODONE/APAP 5/500+TAB(WT)500 30591034905 00591034905 8 3.0 24.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 29 120.83 % 010 03/31/10 2 010 03/29/10 3 010 03/24/10 3 010 03/22/10 5 010 03/17/10 3 010 03/15/10 4 010 03/10/10 3 010 03/08/10 5 010 03/03/10 4 010 03/01/10 4 + __________ TOTAL ORDERED 36 150.00 % 010 02/24/10 3 010 02/22/10 4 010 02/17/10 3 010 02/15/10 4 010 02/10/10 2 010 02/08/10 4 010 02/03/10 2 010 02/01/10 4 + __________ TOTAL ORDERED 26 108.33 % 010 01/27/10 3 010 01/25/10 4 010 01/20/10 4 010 01/18/10 3 010 01/13/10 3 010 01/11/10 4 010 01/06/10 3 010 01/04/10 4 + __________ TOTAL ORDERED 28 116.66 % 010 12/29/09 5 010 12/24/09 3 010 12/21/09 5 010 12/17/09 4 010 12/14/09 3 010 12/10/09 2 010 12/07/09 3 010 12/03/09 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 584 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06337 BW3336573 1160 S BUS IH 35 NEW BRANFELS TX 78130 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672663 HYDROCODONE/APAP 5/500+TAB(WT)500 30591034905 00591034905 8 3.0 24.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 28 116.66 % 010 11/30/09 3 010 11/25/09 3 010 11/20/09 6 010 11/13/09 4 010 11/18/09 3 010 11/11/09 1 010 11/06/09 4 010 11/04/09 2 + __________ TOTAL ORDERED 26 108.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673035 ALPRAZOLAM 0.5MG TAB (PPC) + 1000 30228202996 00228202996 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 1 010 04/26/10 1 010 04/21/10 1 010 04/14/10 1 010 04/12/10 1 010 04/07/10 1 010 04/05/10 1 + __________ TOTAL ORDERED 7 116.66 % 010 03/31/10 1 010 03/24/10 1 010 03/22/10 1 010 03/17/10 1 010 03/08/10 1 010 03/03/10 1 010 03/01/10 1 + __________ TOTAL ORDERED 7 116.66 % 010 01/27/10 1 010 01/25/10 1 010 01/20/10 1 010 01/18/10 1 010 01/13/10 1 010 01/11/10 1 010 01/06/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 585 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06337 BW3336573 1160 S BUS IH 35 NEW BRANFELS TX 78130 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673035 ALPRAZOLAM 0.5MG TAB (PPC) + 1000 30228202996 00228202996 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 7 116.66 % 010 12/29/09 1 010 12/24/09 1 010 12/21/09 1 010 12/14/09 1 010 12/10/09 1 010 12/07/09 1 010 12/03/09 1 + __________ TOTAL ORDERED 7 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 010 03/31/10 7 010 03/29/10 1 010 03/24/10 6 010 03/22/10 1 010 03/17/10 6 010 03/15/10 1 010 03/10/10 3 010 03/03/10 5 010 03/01/10 6 + __________ TOTAL ORDERED 36 150.00 % 010 02/24/10 5 010 02/22/10 5 010 02/17/10 4 010 02/15/10 3 010 02/10/10 3 010 02/08/10 5 010 02/03/10 4 + __________ TOTAL ORDERED 29 120.83 % 010 11/30/09 1 010 11/25/09 1 010 11/20/09 8 010 11/13/09 5 010 11/18/09 3 010 11/11/09 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 586 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06337 BW3336573 1160 S BUS IH 35 NEW BRANFELS TX 78130 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 010 11/06/09 2 + __________ TOTAL ORDERED 26 108.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673822 BUT-APAP-CAF-COD 30MG CAP(Q)+ 100 30603255321 00603255321 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 1 010 04/21/10 4 010 04/07/10 2 + __________ TOTAL ORDERED 7 116.66 % 010 03/31/10 2 010 03/24/10 1 010 03/17/10 1 010 03/15/10 1 010 03/10/10 1 010 03/03/10 1 + __________ TOTAL ORDERED 7 116.66 % 010 12/29/09 2 010 12/24/09 2 010 12/17/09 1 010 12/14/09 1 010 12/03/09 1 + __________ TOTAL ORDERED 7 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674484 CHERATUSSIN AC SYRUP (QT) + 473ML 30603107558 00603107558 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 010 03/31/10 2 010 03/29/10 3 010 03/24/10 4 010 03/22/10 4 010 03/17/10 5 010 03/15/10 2 010 03/10/10 6 010 03/08/10 5 010 03/03/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 587 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06337 BW3336573 1160 S BUS IH 35 NEW BRANFELS TX 78130 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674484 CHERATUSSIN AC SYRUP (QT) + 473ML 30603107558 00603107558 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 010 03/01/10 4 + __________ TOTAL ORDERED 42 200.00 % 010 02/24/10 6 010 02/17/10 6 010 02/15/10 4 010 02/10/10 4 010 02/08/10 3 010 02/03/10 3 010 02/01/10 1 + __________ TOTAL ORDERED 27 128.57 % 010 01/27/10 3 010 01/20/10 5 010 01/18/10 1 010 01/13/10 6 010 01/11/10 9 010 01/06/10 5 010 01/04/10 2 + __________ TOTAL ORDERED 31 147.61 % 010 12/29/09 8 010 12/24/09 3 010 12/14/09 2 010 12/10/09 8 010 12/07/09 5 010 12/03/09 3 + __________ TOTAL ORDERED 29 138.09 % 010 11/30/09 10 010 11/25/09 6 010 11/20/09 12 010 11/13/09 3 010 11/18/09 2 010 11/11/09 2 010 11/06/09 4 010 11/04/09 2 + __________ TOTAL ORDERED 41 195.23 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 588 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06337 BW3336573 1160 S BUS IH 35 NEW BRANFELS TX 78130 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675041 HC-IBUPRO 7.5-200 TABS (TEV)+ 100 30093516101 00093516101 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 2 010 04/21/10 1 010 04/14/10 5 010 04/12/10 4 010 04/07/10 2 + __________ TOTAL ORDERED 14 116.66 % 010 03/24/10 1 010 03/17/10 3 010 03/15/10 5 010 03/10/10 3 010 03/08/10 1 010 03/03/10 1 010 03/01/10 1 + __________ TOTAL ORDERED 15 125.00 % 010 02/24/10 2 010 02/22/10 2 010 02/17/10 1 010 02/15/10 4 010 02/10/10 2 010 02/08/10 3 010 02/03/10 1 010 02/01/10 1 + __________ TOTAL ORDERED 16 133.33 % 010 01/27/10 2 010 01/20/10 3 010 01/18/10 5 010 01/13/10 3 010 01/11/10 1 010 01/06/10 4 010 01/04/10 1 + __________ TOTAL ORDERED 19 158.33 % 010 12/29/09 4 010 12/24/09 2 010 12/21/09 3 010 12/17/09 4 010 12/14/09 1 010 12/10/09 1 010 12/07/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 589 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06337 BW3336573 1160 S BUS IH 35 NEW BRANFELS TX 78130 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675041 HC-IBUPRO 7.5-200 TABS (TEV)+ 100 30093516101 00093516101 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 12/03/09 2 + __________ TOTAL ORDERED 18 150.00 % 010 11/25/09 1 010 11/20/09 7 010 11/13/09 4 010 11/18/09 1 010 11/06/09 2 010 11/04/09 1 + __________ TOTAL ORDERED 16 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 678960 LORAZEPAM 0.5MG TAB (PPC) + 500 30228205750 00228205750 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 1 010 04/21/10 1 010 04/14/10 1 010 04/07/10 1 + __________ TOTAL ORDERED 4 133.33 % 010 03/24/10 1 010 03/17/10 1 010 03/15/10 1 010 03/08/10 1 010 03/03/10 1 + __________ TOTAL ORDERED 5 166.66 % 010 01/27/10 1 010 01/20/10 1 010 01/18/10 1 010 01/06/10 1 + __________ TOTAL ORDERED 4 133.33 % 010 12/29/09 1 010 12/21/09 1 010 12/14/09 1 010 12/07/09 1 010 12/03/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 590 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06337 BW3336573 1160 S BUS IH 35 NEW BRANFELS TX 78130 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 678960 LORAZEPAM 0.5MG TAB (PPC) + 500 30228205750 00228205750 1 3.0 3.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 5 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 681627 OXAZEPAM 15MG CAP (PPC) + 100 30228206910 00228206910 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 010 03/31/10 1 010 03/24/10 1 010 03/22/10 1 010 03/10/10 1 010 03/08/10 1 010 03/03/10 1 010 03/01/10 1 + __________ TOTAL ORDERED 7 233.33 % 010 12/29/09 1 010 12/24/09 1 010 12/21/09 2 010 12/03/09 2 + __________ TOTAL ORDERED 6 200.00 % 010 11/30/09 2 010 11/06/09 2 + __________ TOTAL ORDERED 4 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682586 PROMETH-COD 6.25-10 SYR(HIT)+16OZ 35038380416 50383080416 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 4 010 04/26/10 3 010 04/21/10 3 010 04/14/10 2 010 04/12/10 1 010 04/07/10 3 010 04/05/10 2 + __________ TOTAL ORDERED 18 120.00 % 010 03/31/10 4 010 03/24/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 591 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06337 BW3336573 1160 S BUS IH 35 NEW BRANFELS TX 78130 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682586 PROMETH-COD 6.25-10 SYR(HIT)+16OZ 35038380416 50383080416 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 010 03/22/10 1 010 03/17/10 3 010 03/10/10 2 010 03/08/10 5 010 03/03/10 4 010 03/01/10 6 + __________ TOTAL ORDERED 27 180.00 % 010 02/24/10 4 010 02/22/10 4 010 02/17/10 2 010 02/10/10 4 010 02/08/10 12 010 02/03/10 2 010 02/01/10 2 + __________ TOTAL ORDERED 30 200.00 % 010 01/27/10 1 010 01/20/10 1 010 01/18/10 2 010 01/13/10 2 010 01/11/10 6 010 01/06/10 3 010 01/04/10 5 + __________ TOTAL ORDERED 20 133.33 % 010 12/29/09 5 010 12/24/09 2 010 12/21/09 2 010 12/14/09 5 010 12/10/09 2 010 12/07/09 5 + __________ TOTAL ORDERED 21 140.00 % 010 11/30/09 4 010 11/25/09 2 010 11/20/09 11 010 11/13/09 4 010 11/18/09 2 010 11/11/09 1 010 11/06/09 4 010 11/04/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 592 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06337 BW3336573 1160 S BUS IH 35 NEW BRANFELS TX 78130 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682586 PROMETH-COD 6.25-10 SYR(HIT)+16OZ 35038380416 50383080416 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 30 200.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684342 TEMAZEPAM 30MG CAPSULES + 100 30781220201 00781220201 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 2 010 04/26/10 1 010 04/21/10 1 010 04/14/10 2 010 04/07/10 1 010 04/05/10 3 + __________ TOTAL ORDERED 10 111.11 % 010 03/31/10 1 010 03/29/10 1 010 03/24/10 1 010 03/17/10 1 010 03/15/10 1 010 03/10/10 1 010 03/08/10 2 010 03/03/10 2 010 03/01/10 1 + __________ TOTAL ORDERED 11 122.22 % 010 01/27/10 1 010 01/25/10 1 010 01/20/10 2 010 01/18/10 1 010 01/13/10 1 010 01/11/10 1 010 01/06/10 2 010 01/04/10 2 + __________ TOTAL ORDERED 11 122.22 % 010 11/30/09 1 010 11/25/09 2 010 11/20/09 1 010 11/18/09 2 010 11/11/09 1 010 11/06/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 593 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06337 BW3336573 1160 S BUS IH 35 NEW BRANFELS TX 78130 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684342 TEMAZEPAM 30MG CAPSULES + 100 30781220201 00781220201 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 11/04/09 1 + __________ TOTAL ORDERED 10 111.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 685301 TRIAZOLAM 0.25MG TAB (GRN)+ 10X10 35976237184 59762371804 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 1 010 04/21/10 2 010 04/07/10 1 + __________ TOTAL ORDERED 4 133.33 % 010 03/31/10 5 010 03/29/10 3 010 03/24/10 2 010 03/10/10 1 + __________ TOTAL ORDERED 11 366.66 % 010 02/24/10 1 010 02/22/10 2 010 02/17/10 1 010 02/10/10 1 010 02/03/10 2 + __________ TOTAL ORDERED 7 233.33 % 010 01/27/10 2 010 01/20/10 4 010 01/13/10 1 010 01/11/10 1 + __________ TOTAL ORDERED 8 266.66 % 010 12/21/09 2 010 12/03/09 2 + __________ TOTAL ORDERED 4 133.33 % 010 11/30/09 3 010 11/20/09 1 010 11/13/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 594 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06337 BW3336573 1160 S BUS IH 35 NEW BRANFELS TX 78130 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 685301 TRIAZOLAM 0.25MG TAB (GRN)+ 10X10 35976237184 59762371804 1 3.0 3.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 6 200.00 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06695 BW7759472 3328 SHERWOOD WY SAN ANGELO TX 76901 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674484 CHERATUSSIN AC SYRUP (QT) + 473ML 30603107558 00603107558 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 010 03/30/10 4 010 03/23/10 5 010 03/16/10 5 010 03/09/10 8 010 03/02/10 6 + __________ TOTAL ORDERED 28 133.33 % 010 02/23/10 11 010 02/16/10 7 010 02/09/10 2 010 02/02/10 5 + __________ TOTAL ORDERED 25 119.04 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682586 PROMETH-COD 6.25-10 SYR(HIT)+16OZ 35038380416 50383080416 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 010 03/30/10 3 010 03/23/10 4 010 03/16/10 7 010 03/09/10 6 + __________ TOTAL ORDERED 20 133.33 % 010 02/23/10 10 010 02/16/10 4 010 02/02/10 7 + __________ TOTAL ORDERED 21 140.00 % 010 11/27/09 15 010 11/19/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 595 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06695 BW7759472 3328 SHERWOOD WY SAN ANGELO TX 76901 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682586 PROMETH-COD 6.25-10 SYR(HIT)+16OZ 35038380416 50383080416 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 16 106.66 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07214 BW8182014 21002 US 281 N SAN ANTONIO TX 78259 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 594173 ALPRAZOLAM XR 1MG TAB (GRN) + 60 35976200591 59762005901 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 01/22/10 2 010 01/20/10 1 010 01/15/10 1 010 01/13/10 2 010 01/06/10 1 + __________ TOTAL ORDERED 7 116.66 % 010 12/31/09 1 010 12/14/09 3 010 12/09/09 1 010 12/07/09 2 + __________ TOTAL ORDERED 7 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 683092 TESTIM 1% GEL + 30X5GM 36688700105 66887000105 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 03/26/10 1 010 03/19/10 6 010 03/17/10 2 010 03/12/10 3 010 03/05/10 2 010 03/03/10 1 + __________ TOTAL ORDERED 15 166.66 % 010 01/22/10 1 010 01/15/10 3 010 01/13/10 4 010 01/08/10 1 010 01/06/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 596 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07214 BW8182014 21002 US 281 N SAN ANTONIO TX 78259 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 683092 TESTIM 1% GEL + 30X5GM 36688700105 66887000105 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 10 111.11 % 010 12/23/09 2 010 12/21/09 2 010 12/14/09 3 010 12/09/09 1 010 12/02/09 5 + __________ TOTAL ORDERED 13 144.44 % 010 11/30/09 1 010 11/24/09 2 010 11/20/09 2 010 11/06/09 5 010 11/03/09 2 + __________ TOTAL ORDERED 12 133.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07293 BW8220650 12 N ABE ST SAN ANGELO TX 76903 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 507053 CONCERTA 54MG ER TAB 100 35045858701 50458058701 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 04/29/10 2 014 04/22/10 2 014 04/15/10 4 014 04/08/10 4 014 04/01/10 6 + __________ TOTAL ORDERED 18 300.00 % 014 03/25/10 3 014 03/18/10 1 014 03/11/10 3 014 03/04/10 3 + __________ TOTAL ORDERED 10 166.66 % 014 02/25/10 6 014 02/18/10 4 014 02/11/10 5 014 02/04/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 597 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07293 BW8220650 12 N ABE ST SAN ANGELO TX 76903 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 507053 CONCERTA 54MG ER TAB 100 35045858701 50458058701 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 19 316.66 % 014 01/14/10 2 014 01/28/10 4 014 01/21/10 2 014 01/14/10 5 + __________ TOTAL ORDERED 13 216.66 % 014 12/31/09 1 014 12/17/09 4 014 12/10/09 4 014 12/03/09 4 + __________ TOTAL ORDERED 13 216.66 % 014 11/27/09 5 014 11/19/09 1 014 11/12/09 6 014 11/05/09 2 + __________ TOTAL ORDERED 14 233.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 507055 CONCERTA 36MG ER TAB 100 35045858601 50458058601 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 04/29/10 8 014 04/22/10 5 014 04/15/10 7 014 04/08/10 4 014 04/01/10 4 + __________ TOTAL ORDERED 28 311.11 % 014 03/25/10 7 014 03/18/10 10 014 03/11/10 6 014 03/04/10 2 + __________ TOTAL ORDERED 25 277.77 % 014 02/25/10 7 014 02/18/10 6 014 02/11/10 9 014 02/04/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 598 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07293 BW8220650 12 N ABE ST SAN ANGELO TX 76903 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 507055 CONCERTA 36MG ER TAB 100 35045858601 50458058601 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 28 311.11 % 014 01/14/10 2 014 01/28/10 8 014 01/21/10 3 014 01/14/10 8 + __________ TOTAL ORDERED 21 233.33 % 014 12/17/09 4 014 12/10/09 6 014 12/03/09 7 + __________ TOTAL ORDERED 17 188.88 % 014 11/27/09 7 014 11/19/09 7 014 11/05/09 5 + __________ TOTAL ORDERED 19 211.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 507606 CONCERTA 18MG ER TAB 100 35045858501 50458058501 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 04/29/10 3 014 04/22/10 4 014 04/15/10 2 014 04/08/10 2 014 04/01/10 1 + __________ TOTAL ORDERED 12 200.00 % 014 03/25/10 2 014 03/11/10 4 014 03/04/10 2 + __________ TOTAL ORDERED 8 133.33 % 014 02/25/10 1 014 02/18/10 1 014 02/11/10 2 014 02/04/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 599 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07293 BW8220650 12 N ABE ST SAN ANGELO TX 76903 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 507606 CONCERTA 18MG ER TAB 100 35045858501 50458058501 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 7 116.66 % 014 12/24/09 3 014 12/17/09 1 014 12/10/09 2 014 12/03/09 1 + __________ TOTAL ORDERED 7 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 514230 BUTORPHANOL TART NS (APO) + 2.5ML 36050508131 60505081301 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 010 04/27/10 7 010 04/20/10 3 010 04/13/10 9 010 04/06/10 12 + __________ TOTAL ORDERED 31 206.66 % 010 03/30/10 6 010 03/09/10 6 010 03/02/10 12 + __________ TOTAL ORDERED 24 160.00 % 010 02/23/10 2 010 02/16/10 4 010 02/09/10 10 010 02/02/10 6 + __________ TOTAL ORDERED 22 146.66 % 010 12/28/09 3 010 12/18/09 2 010 12/11/09 11 + __________ TOTAL ORDERED 16 106.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 529634 VYVANSE 40MG CAPS + 100 35941710410 59417010410 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 04/29/10 6 014 04/22/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 600 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07293 BW8220650 12 N ABE ST SAN ANGELO TX 76903 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 529634 VYVANSE 40MG CAPS + 100 35941710410 59417010410 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 04/15/10 1 014 04/08/10 3 + __________ TOTAL ORDERED 12 200.00 % 014 03/25/10 3 014 03/18/10 4 014 03/11/10 2 014 03/04/10 1 + __________ TOTAL ORDERED 10 166.66 % 014 02/25/10 2 014 02/18/10 3 014 02/11/10 4 014 02/04/10 2 + __________ TOTAL ORDERED 11 183.33 % 014 12/31/09 2 014 12/17/09 4 014 12/10/09 2 014 12/03/09 3 + __________ TOTAL ORDERED 11 183.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539150 D-AMPHET SALT COMBO 20MG TAB +100 36472013510 64720013510 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 014 04/29/10 6 014 04/22/10 5 014 04/15/10 8 014 04/08/10 6 014 04/01/10 6 + __________ TOTAL ORDERED 31 172.22 % 014 03/25/10 11 014 03/18/10 4 014 03/11/10 6 014 03/04/10 10 + __________ TOTAL ORDERED 31 172.22 % 014 02/25/10 6 014 02/18/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 601 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07293 BW8220650 12 N ABE ST SAN ANGELO TX 76903 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539150 D-AMPHET SALT COMBO 20MG TAB +100 36472013510 64720013510 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 014 02/11/10 10 014 02/04/10 7 + __________ TOTAL ORDERED 28 155.55 % 014 01/28/10 1 014 01/21/10 7 014 01/14/10 4 014 01/07/10 7 + __________ TOTAL ORDERED 19 105.55 % 014 12/31/09 2 014 12/24/09 5 014 12/17/09 4 014 12/10/09 3 014 12/03/09 5 + __________ TOTAL ORDERED 19 105.55 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 551685 VYVANSE 70MG CAPS + 100 35941710710 59417010710 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 04/28/10 3 014 04/29/10 4 014 04/22/10 1 014 04/15/10 3 014 04/01/10 4 + __________ TOTAL ORDERED 15 250.00 % 014 03/25/10 4 014 03/18/10 1 014 03/11/10 3 014 03/04/10 3 + __________ TOTAL ORDERED 11 183.33 % 014 02/25/10 4 014 02/18/10 5 014 02/11/10 2 014 02/04/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 602 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07293 BW8220650 12 N ABE ST SAN ANGELO TX 76903 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 551685 VYVANSE 70MG CAPS + 100 35941710710 59417010710 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 13 216.66 % 014 01/28/10 4 014 01/21/10 4 014 01/14/10 4 + __________ TOTAL ORDERED 12 200.00 % 014 12/31/09 1 014 12/24/09 5 014 12/17/09 4 014 12/10/09 2 + __________ TOTAL ORDERED 12 200.00 % 014 11/27/09 3 014 11/19/09 1 014 11/12/09 4 014 11/05/09 1 + __________ TOTAL ORDERED 9 150.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 551686 VYVANSE 50MG CAPS + 100 35941710510 59417010510 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 04/29/10 4 014 04/22/10 3 014 04/15/10 4 014 04/08/10 2 014 04/01/10 3 + __________ TOTAL ORDERED 16 266.66 % 014 03/25/10 3 014 03/18/10 6 014 03/11/10 2 014 03/04/10 2 + __________ TOTAL ORDERED 13 216.66 % 014 02/25/10 5 014 02/18/10 2 014 02/11/10 6 014 02/04/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 603 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07293 BW8220650 12 N ABE ST SAN ANGELO TX 76903 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 551686 VYVANSE 50MG CAPS + 100 35941710510 59417010510 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 14 233.33 % 014 01/28/10 6 014 01/21/10 4 014 01/14/10 3 + __________ TOTAL ORDERED 13 216.66 % 014 12/24/09 6 014 12/17/09 5 014 12/10/09 4 014 12/03/09 5 + __________ TOTAL ORDERED 20 333.33 % 014 11/27/09 2 014 11/19/09 6 014 11/12/09 5 014 11/05/09 1 + __________ TOTAL ORDERED 14 233.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 551687 VYVANSE 30MG CAPS (SHI) 100 35941710310 59417010310 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 04/29/10 2 014 04/22/10 2 014 04/15/10 3 014 04/08/10 3 014 04/01/10 5 + __________ TOTAL ORDERED 15 166.66 % 014 03/25/10 1 014 03/18/10 1 014 03/11/10 5 014 03/04/10 3 + __________ TOTAL ORDERED 10 111.11 % 014 12/24/09 2 014 12/17/09 3 014 12/10/09 3 014 12/03/09 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 604 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07293 BW8220650 12 N ABE ST SAN ANGELO TX 76903 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 551687 VYVANSE 30MG CAPS (SHI) 100 35941710310 59417010310 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 11 122.22 % 014 11/19/09 4 014 11/12/09 3 014 11/05/09 3 + __________ TOTAL ORDERED 10 111.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 10 3.0 30.0 0 DC DATE ORDERED QUANTITY 010 04/27/10 7 010 04/20/10 8 010 04/13/10 8 010 04/06/10 8 + __________ TOTAL ORDERED 31 103.33 % 010 03/30/10 8 010 03/23/10 8 010 03/16/10 8 010 03/09/10 12 010 03/02/10 11 + __________ TOTAL ORDERED 47 156.66 % 010 02/23/10 11 010 02/16/10 9 010 02/09/10 9 010 02/02/10 9 + __________ TOTAL ORDERED 38 126.66 % 010 01/26/10 9 010 01/19/10 8 010 01/12/10 7 010 01/05/10 8 + __________ TOTAL ORDERED 32 106.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 605 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07293 BW8220650 12 N ABE ST SAN ANGELO TX 76903 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 564864 HYDROCO-APAP 7.5-325 TAB(WAT)+100 30591320301 00591320301 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 010 04/27/10 15 010 04/20/10 17 010 04/13/10 10 010 04/06/10 10 + __________ TOTAL ORDERED 52 192.59 % 010 03/30/10 15 010 03/23/10 13 010 03/16/10 7 010 03/09/10 6 010 03/02/10 13 + __________ TOTAL ORDERED 54 200.00 % 010 02/23/10 12 010 02/16/10 10 010 02/09/10 13 010 02/02/10 13 + __________ TOTAL ORDERED 48 177.77 % 010 01/26/10 11 010 01/19/10 14 010 01/12/10 11 010 01/05/10 8 + __________ TOTAL ORDERED 44 162.96 % 010 12/28/09 11 010 12/18/09 20 010 12/11/09 8 010 12/04/09 11 + __________ TOTAL ORDERED 50 185.18 % 010 11/27/09 13 010 11/19/09 16 010 11/12/09 10 010 11/05/09 8 + __________ TOTAL ORDERED 47 174.07 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 606 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07293 BW8220650 12 N ABE ST SAN ANGELO TX 76903 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 572237 FOCALIN XR 15MG CAPSULE + 100 30078049305 00078049305 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 04/29/10 1 014 04/22/10 2 014 04/15/10 2 014 04/08/10 1 014 04/01/10 2 + __________ TOTAL ORDERED 8 133.33 % 014 02/25/10 5 014 02/18/10 4 014 02/11/10 2 + __________ TOTAL ORDERED 11 183.33 % 014 01/28/10 2 014 01/21/10 3 014 01/14/10 4 + __________ TOTAL ORDERED 9 150.00 % 014 12/31/09 1 014 12/24/09 1 014 12/17/09 2 014 12/10/09 3 014 12/03/09 1 + __________ TOTAL ORDERED 8 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 010 04/27/10 11 010 04/20/10 10 010 04/13/10 7 010 04/06/10 7 + __________ TOTAL ORDERED 35 129.62 % 010 03/30/10 11 010 03/23/10 5 010 03/16/10 8 010 03/09/10 7 010 03/02/10 10 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 607 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07293 BW8220650 12 N ABE ST SAN ANGELO TX 76903 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 9 3.0 27.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 41 151.85 % 010 02/23/10 6 010 02/16/10 12 010 02/09/10 12 010 02/02/10 8 + __________ TOTAL ORDERED 38 140.74 % 010 01/26/10 5 010 01/19/10 11 010 01/12/10 12 010 01/05/10 6 + __________ TOTAL ORDERED 34 125.92 % 010 12/28/09 14 010 12/18/09 12 010 12/11/09 11 010 12/04/09 6 + __________ TOTAL ORDERED 43 159.25 % 010 11/27/09 6 010 11/19/09 7 010 11/12/09 10 010 11/05/09 13 + __________ TOTAL ORDERED 36 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 597169 METHADONE HCL 10MG TAB (MAL) +100 30406577101 00406577101 14 3.0 42.0 0 DC DATE ORDERED QUANTITY 014 04/15/10 17 014 04/08/10 44 014 04/01/10 9 + __________ TOTAL ORDERED 70 166.66 % 014 03/25/10 37 014 03/18/10 17 014 03/11/10 42 014 03/04/10 44 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 608 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07293 BW8220650 12 N ABE ST SAN ANGELO TX 76903 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 597169 METHADONE HCL 10MG TAB (MAL) +100 30406577101 00406577101 14 3.0 42.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 140 333.33 % 014 02/25/10 35 014 02/18/10 24 014 02/11/10 28 014 02/04/10 29 + __________ TOTAL ORDERED 116 276.19 % 014 01/28/10 37 014 01/21/10 20 014 01/14/10 29 014 01/07/10 13 + __________ TOTAL ORDERED 99 235.71 % 014 12/31/09 18 014 12/24/09 16 014 12/17/09 34 014 12/10/09 26 014 12/03/09 42 + __________ TOTAL ORDERED 136 323.80 % 014 11/27/09 14 014 11/19/09 16 014 11/12/09 46 014 11/05/09 26 + __________ TOTAL ORDERED 102 242.85 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 597171 METHADONE HCL 5MG TAB (MAL) + 100 30406575501 00406575501 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 04/15/10 1 014 04/08/10 3 014 04/01/10 3 + __________ TOTAL ORDERED 7 116.66 % 014 03/25/10 3 014 03/18/10 2 014 03/11/10 4 014 03/04/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 609 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07293 BW8220650 12 N ABE ST SAN ANGELO TX 76903 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 597171 METHADONE HCL 5MG TAB (MAL) + 100 30406575501 00406575501 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 10 166.66 % 014 02/25/10 4 014 02/18/10 3 014 02/11/10 1 + __________ TOTAL ORDERED 8 133.33 % 014 01/28/10 3 014 01/21/10 3 014 01/14/10 2 + __________ TOTAL ORDERED 8 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 603806 LYRICA 150MG CAP + 90 30071101668 00071101668 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 04/20/10 6 010 04/13/10 3 010 04/06/10 3 + __________ TOTAL ORDERED 12 133.33 % 010 03/23/10 1 010 03/16/10 4 010 03/09/10 4 010 03/02/10 2 + __________ TOTAL ORDERED 11 122.22 % 010 02/23/10 3 010 02/16/10 6 010 02/09/10 3 + __________ TOTAL ORDERED 12 133.33 % 010 01/26/10 4 010 01/19/10 2 010 01/12/10 2 010 01/05/10 2 + __________ TOTAL ORDERED 10 111.11 % 010 12/18/09 8 010 12/11/09 2 010 12/04/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 610 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07293 BW8220650 12 N ABE ST SAN ANGELO TX 76903 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 603806 LYRICA 150MG CAP + 90 30071101668 00071101668 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 11 122.22 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 603809 LYRICA 75MG CAP + 90 30071101468 00071101468 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 010 04/27/10 6 010 04/20/10 4 010 04/13/10 6 010 04/06/10 4 + __________ TOTAL ORDERED 20 111.11 % 010 03/30/10 7 010 03/23/10 2 010 03/16/10 3 010 03/09/10 1 010 03/02/10 6 + __________ TOTAL ORDERED 19 105.55 % 010 02/23/10 5 010 02/16/10 6 010 02/09/10 9 010 02/02/10 6 + __________ TOTAL ORDERED 26 144.44 % 010 11/27/09 6 010 11/19/09 4 010 11/12/09 4 010 11/05/09 5 + __________ TOTAL ORDERED 19 105.55 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 607146 FOCALIN XR 20MG CAPS 100 30078043205 00078043205 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 04/29/10 2 014 04/22/10 8 014 04/15/10 5 014 04/08/10 2 014 04/01/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 611 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07293 BW8220650 12 N ABE ST SAN ANGELO TX 76903 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 607146 FOCALIN XR 20MG CAPS 100 30078043205 00078043205 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 23 383.33 % 014 03/25/10 3 014 03/18/10 5 014 03/11/10 1 014 03/04/10 1 + __________ TOTAL ORDERED 10 166.66 % 014 02/25/10 5 014 02/11/10 6 014 02/04/10 2 + __________ TOTAL ORDERED 13 216.66 % 014 01/28/10 4 014 01/21/10 4 014 01/14/10 5 014 01/07/10 1 + __________ TOTAL ORDERED 14 233.33 % 014 12/24/09 1 014 12/17/09 5 014 12/10/09 4 + __________ TOTAL ORDERED 10 166.66 % 014 11/27/09 8 014 11/19/09 2 014 11/12/09 4 + __________ TOTAL ORDERED 14 233.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 645805 HYDROCOD-APAP ORAL SOL(PAI)+473ML 30121065516 00121065516 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 010 04/27/10 9 010 04/20/10 9 010 04/13/10 5 010 04/06/10 7 + __________ TOTAL ORDERED 30 166.66 % 010 03/30/10 11 010 03/23/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 612 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07293 BW8220650 12 N ABE ST SAN ANGELO TX 76903 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 645805 HYDROCOD-APAP ORAL SOL(PAI)+473ML 30121065516 00121065516 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 010 03/16/10 5 010 03/09/10 2 010 03/02/10 9 + __________ TOTAL ORDERED 33 183.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672663 HYDROCODONE/APAP 5/500+TAB(WT)500 30591034905 00591034905 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 010 04/27/10 6 010 04/20/10 7 010 04/13/10 6 010 04/06/10 6 + __________ TOTAL ORDERED 25 104.16 % 010 03/30/10 6 010 03/23/10 7 010 03/16/10 7 010 03/09/10 5 010 03/02/10 7 + __________ TOTAL ORDERED 32 133.33 % 010 01/26/10 6 010 01/19/10 7 010 01/12/10 7 010 01/05/10 5 + __________ TOTAL ORDERED 25 104.16 % 010 11/27/09 6 010 11/19/09 8 010 11/12/09 7 010 11/05/09 5 + __________ TOTAL ORDERED 26 108.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673036 ALPRAZOLAM 1MG TAB (PPC) + 500 30228203150 00228203150 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 03/30/10 2 010 03/23/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 613 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07293 BW8220650 12 N ABE ST SAN ANGELO TX 76903 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673036 ALPRAZOLAM 1MG TAB (PPC) + 500 30228203150 00228203150 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 03/16/10 3 010 03/09/10 3 010 03/02/10 3 + __________ TOTAL ORDERED 14 155.55 % 010 02/23/10 2 010 02/16/10 4 010 02/09/10 2 010 02/02/10 3 + __________ TOTAL ORDERED 11 122.22 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674231 CARISOPRODOL 350MG TAB (QT)+ 500 30603258228 00603258228 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 010 04/27/10 9 010 04/20/10 11 010 04/13/10 14 010 04/06/10 10 + __________ TOTAL ORDERED 44 293.33 % 010 03/30/10 9 010 03/23/10 12 010 03/16/10 10 010 03/09/10 17 010 03/02/10 9 + __________ TOTAL ORDERED 57 380.00 % 010 02/23/10 12 010 02/16/10 14 010 02/09/10 18 010 02/02/10 9 + __________ TOTAL ORDERED 53 353.33 % 010 01/26/10 11 010 01/19/10 10 010 01/12/10 13 010 01/05/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 614 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07293 BW8220650 12 N ABE ST SAN ANGELO TX 76903 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674231 CARISOPRODOL 350MG TAB (QT)+ 500 30603258228 00603258228 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 41 273.33 % 010 12/28/09 11 010 12/18/09 14 010 12/11/09 11 010 12/04/09 13 + __________ TOTAL ORDERED 49 326.66 % 010 11/27/09 11 010 11/19/09 11 010 11/12/09 9 010 11/05/09 13 + __________ TOTAL ORDERED 44 293.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674484 CHERATUSSIN AC SYRUP (QT) + 473ML 30603107558 00603107558 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 010 03/23/10 26 010 03/16/10 4 010 03/09/10 6 010 03/02/10 16 + __________ TOTAL ORDERED 52 247.61 % 010 02/23/10 6 010 02/16/10 17 010 02/09/10 17 010 02/02/10 10 + __________ TOTAL ORDERED 50 238.09 % 010 11/27/09 15 010 11/12/09 46 010 11/05/09 7 + __________ TOTAL ORDERED 68 323.80 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 615 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07293 BW8220650 12 N ABE ST SAN ANGELO TX 76903 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675756 HYDROCOD-APAP 10-500 TB (WT)+500 30591054005 00591054005 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 010 04/27/10 18 010 04/20/10 13 010 04/13/10 17 010 04/06/10 16 + __________ TOTAL ORDERED 64 266.66 % 010 03/30/10 11 010 03/23/10 14 010 03/16/10 21 010 03/09/10 19 010 03/02/10 13 + __________ TOTAL ORDERED 78 325.00 % 010 02/23/10 13 010 02/16/10 27 010 02/09/10 17 010 02/02/10 10 + __________ TOTAL ORDERED 67 279.16 % 010 01/26/10 13 010 01/19/10 16 010 01/12/10 15 010 01/05/10 10 + __________ TOTAL ORDERED 54 225.00 % 010 12/28/09 14 010 12/18/09 14 010 12/11/09 18 010 12/04/09 17 + __________ TOTAL ORDERED 63 262.50 % 010 11/27/09 12 010 11/19/09 17 010 11/12/09 16 010 11/05/09 12 + __________ TOTAL ORDERED 57 237.50 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 616 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07293 BW8220650 12 N ABE ST SAN ANGELO TX 76903 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675773 HYDROCOD-APAP 7.5-500 TAB(WT)+500 30591038505 00591038505 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 010 04/27/10 12 010 04/20/10 12 010 04/13/10 12 010 04/06/10 12 + __________ TOTAL ORDERED 48 266.66 % 010 03/30/10 12 010 03/23/10 12 010 03/16/10 12 010 03/09/10 12 010 03/02/10 12 + __________ TOTAL ORDERED 60 333.33 % 010 02/23/10 12 010 02/16/10 12 010 02/09/10 12 010 02/02/10 12 + __________ TOTAL ORDERED 48 266.66 % 010 01/26/10 12 010 01/19/10 12 010 01/12/10 12 010 01/05/10 12 + __________ TOTAL ORDERED 48 266.66 % 010 12/28/09 12 010 12/18/09 12 010 12/11/09 12 010 12/04/09 12 + __________ TOTAL ORDERED 48 266.66 % 010 11/27/09 12 010 11/19/09 12 010 11/12/09 12 010 11/05/09 12 + __________ TOTAL ORDERED 48 266.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 617 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07293 BW8220650 12 N ABE ST SAN ANGELO TX 76903 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 676052 DIAZEPAM 10MG TAB (MYL) + 500 30378047705 00378047705 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 010 03/30/10 1 010 03/23/10 1 010 03/09/10 2 010 03/02/10 1 + __________ TOTAL ORDERED 5 166.66 % 010 02/23/10 2 010 02/16/10 1 010 02/09/10 1 010 02/02/10 1 + __________ TOTAL ORDERED 5 166.66 % 010 12/28/09 2 010 12/11/09 4 + __________ TOTAL ORDERED 6 200.00 % 010 11/27/09 3 010 11/19/09 1 010 11/12/09 1 + __________ TOTAL ORDERED 5 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 678961 LORAZEPAM 1MG TAB (PPC) +500 30228205950 00228205950 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 04/27/10 2 010 04/06/10 6 + __________ TOTAL ORDERED 8 133.33 % 010 03/30/10 1 010 03/23/10 1 010 03/16/10 2 010 03/09/10 2 010 03/02/10 2 + __________ TOTAL ORDERED 8 133.33 % 010 01/26/10 2 010 01/19/10 2 010 01/12/10 2 010 01/05/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 618 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07293 BW8220650 12 N ABE ST SAN ANGELO TX 76903 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 678961 LORAZEPAM 1MG TAB (PPC) +500 30228205950 00228205950 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 7 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 681762 PHENOBARBITAL ELIXIR (QUA) + 16OZ 30603150858 00603150858 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 04/27/10 3 010 04/13/10 6 + __________ TOTAL ORDERED 9 150.00 % 010 03/30/10 8 010 03/23/10 1 010 03/09/10 1 + __________ TOTAL ORDERED 10 166.66 % 010 11/27/09 1 010 11/05/09 11 + __________ TOTAL ORDERED 12 200.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682432 PROPOXY N-APAP 100/650 WT TB +500 30603546728 00603546732 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 010 04/27/10 4 010 04/20/10 4 010 04/13/10 4 010 04/06/10 4 + __________ TOTAL ORDERED 16 106.66 % 010 03/30/10 4 010 03/23/10 3 010 03/16/10 4 010 03/09/10 4 010 03/02/10 4 + __________ TOTAL ORDERED 19 126.66 % 010 02/23/10 4 010 02/16/10 3 010 02/09/10 5 010 02/02/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 619 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07293 BW8220650 12 N ABE ST SAN ANGELO TX 76903 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682432 PROPOXY N-APAP 100/650 WT TB +500 30603546728 00603546732 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 16 106.66 % 010 11/27/09 3 010 11/19/09 4 010 11/12/09 4 010 11/05/09 5 + __________ TOTAL ORDERED 16 106.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682586 PROMETH-COD 6.25-10 SYR(HIT)+16OZ 35038380416 50383080416 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 010 04/27/10 5 010 04/20/10 5 010 04/13/10 5 010 04/06/10 5 + __________ TOTAL ORDERED 20 133.33 % 010 03/30/10 5 010 03/23/10 12 010 03/16/10 8 010 03/09/10 4 010 03/02/10 18 + __________ TOTAL ORDERED 47 313.33 % 010 02/23/10 4 010 02/16/10 17 010 02/09/10 9 010 02/02/10 10 + __________ TOTAL ORDERED 40 266.66 % 010 01/26/10 5 010 01/19/10 5 010 01/12/10 7 010 01/05/10 7 + __________ TOTAL ORDERED 24 160.00 % 010 12/28/09 6 010 12/18/09 5 010 12/11/09 22 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 620 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07293 BW8220650 12 N ABE ST SAN ANGELO TX 76903 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682586 PROMETH-COD 6.25-10 SYR(HIT)+16OZ 35038380416 50383080416 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 33 220.00 % 010 11/27/09 8 010 11/12/09 29 010 11/05/09 9 + __________ TOTAL ORDERED 46 306.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684342 TEMAZEPAM 30MG CAPSULES + 100 30781220201 00781220201 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 04/27/10 2 010 04/20/10 2 010 04/13/10 4 010 04/06/10 2 + __________ TOTAL ORDERED 10 111.11 % 010 02/23/10 3 010 02/09/10 4 010 02/02/10 3 + __________ TOTAL ORDERED 10 111.11 % 010 11/27/09 2 010 11/19/09 1 010 11/12/09 4 010 11/05/09 3 + __________ TOTAL ORDERED 10 111.11 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11971 FW0875217 20226 STONE OAK SAN ANTONIO TX 78258 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 582977 DIASTAT 20MG ACUDIAL + 1 00187065920 00187065920 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 4 010 04/21/10 1 010 04/14/10 3 010 04/12/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 621 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11971 FW0875217 20226 STONE OAK SAN ANTONIO TX 78258 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 582977 DIASTAT 20MG ACUDIAL + 1 00187065920 00187065920 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 13 144.44 % 010 03/17/10 2 010 03/15/10 3 010 03/10/10 2 010 03/08/10 3 + __________ TOTAL ORDERED 10 111.11 % 010 01/27/10 6 010 01/11/10 6 + __________ TOTAL ORDERED 12 133.33 % 010 12/24/09 6 010 12/10/09 6 + __________ TOTAL ORDERED 12 133.33 % 010 11/13/09 12 010 11/06/09 6 + __________ TOTAL ORDERED 18 200.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 582982 DIASTAT 10MG ACUDIAL + 1 00187065820 00187065820 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 4 010 04/12/10 3 + __________ TOTAL ORDERED 7 116.66 % 010 02/24/10 4 010 02/10/10 3 + __________ TOTAL ORDERED 7 116.66 % 010 01/27/10 1 010 01/20/10 4 010 01/13/10 1 010 01/11/10 3 010 01/06/10 1 + __________ TOTAL ORDERED 10 166.66 % 010 11/20/09 5 010 11/13/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 622 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11971 FW0875217 20226 STONE OAK SAN ANTONIO TX 78258 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 582982 DIASTAT 10MG ACUDIAL + 1 00187065820 00187065820 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 11/11/09 3 010 11/04/09 4 + __________ TOTAL ORDERED 14 233.33 % 0 SALES DISTRICT 019 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 10946 FW0542022 2830 S GRAND BLVD SPOKANE WA 99203 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675773 HYDROCOD-APAP 7.5-500 TAB(WT)+500 30591038505 00591038505 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 006 04/30/10 2 006 04/27/10 1 006 04/23/10 2 006 04/16/10 3 006 04/09/10 2 006 04/02/10 2 + __________ TOTAL ORDERED 12 133.33 % 006 03/30/10 1 006 03/26/10 2 006 03/23/10 1 006 03/19/10 1 006 03/16/10 1 006 03/12/10 2 006 03/09/10 1 006 03/05/10 2 006 03/02/10 1 + __________ TOTAL ORDERED 12 133.33 % 006 02/26/10 2 006 02/23/10 1 006 02/19/10 3 006 02/12/10 2 006 02/05/10 2 006 02/02/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 623 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 019 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 10946 FW0542022 2830 S GRAND BLVD SPOKANE WA 99203 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675773 HYDROCOD-APAP 7.5-500 TAB(WT)+500 30591038505 00591038505 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 11 122.22 % 006 01/29/10 2 006 01/26/10 1 006 01/22/10 2 006 01/19/10 1 006 01/15/10 2 006 01/12/10 1 006 01/08/10 3 + __________ TOTAL ORDERED 12 133.33 % 006 12/30/09 3 006 12/23/09 3 006 12/18/09 2 006 12/11/09 2 006 12/08/09 1 006 12/04/09 3 006 12/01/09 1 + __________ TOTAL ORDERED 15 166.66 % 006 11/27/09 2 006 11/17/09 1 006 11/20/09 2 006 11/13/09 2 006 11/06/09 3 006 11/03/09 1 + __________ TOTAL ORDERED 11 122.22 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 10997 BF8715661 500 NOBLESTOWN CARNEGIE PA 00000 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684809 TESTOSTERN CYP 200MG/ML(WAT)+10ML 30591322379 00364661054 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 007 01/15/10 11 007 01/06/10 12 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 624 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 019 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 10997 BF8715661 500 NOBLESTOWN CARNEGIE PA 00000 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684809 TESTOSTERN CYP 200MG/ML(WAT)+10ML 30591322379 00364661054 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 23 383.33 % 007 12/28/09 14 007 12/15/09 12 007 12/07/09 15 + __________ TOTAL ORDERED 41 683.33 % 007 11/27/09 11 007 11/12/09 20 007 11/04/09 15 + __________ TOTAL ORDERED 46 766.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684810 TESTOST ENANTH 200MG/ML+(WAT) 5ML 30591322126 00364661754 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 007 01/19/10 19 007 01/04/10 18 + __________ TOTAL ORDERED 37 616.66 % 007 12/10/09 20 007 12/09/09 16 + __________ TOTAL ORDERED 36 600.00 % 007 11/20/09 20 007 11/05/09 20 + __________ TOTAL ORDERED 40 666.66 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11178 FW0128909 601 7TH ST SOUTH ST PETERSBURG FL33701 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 474143 OXYCODONE ER 20MG TABS (ETH)+ 100 35817767904 58177067904 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 01/26/10 2 014 01/19/10 2 014 01/12/10 1 014 01/05/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 625 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 019 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11178 FW0128909 601 7TH ST SOUTH ST PETERSBURG FL33701 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 474143 OXYCODONE ER 20MG TABS (ETH)+ 100 35817767904 58177067904 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 7 116.66 % 014 12/29/09 2 014 12/22/09 1 014 12/15/09 2 014 12/08/09 1 014 12/01/09 1 + __________ TOTAL ORDERED 7 116.66 % 0 SALES DISTRICT 020 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03328 BW5126506 12850 MEMORIAL DR HOUSTON TX 77024 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 553698 ZOLPIDEM 5MG TABS (TEV) + 100 30093007301 00093007301 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 03/31/10 1 010 03/24/10 1 010 03/17/10 1 010 03/15/10 1 010 03/10/10 2 010 03/08/10 2 010 03/03/10 2 010 03/01/10 1 + __________ TOTAL ORDERED 11 122.22 % 010 01/27/10 1 010 01/20/10 2 010 01/18/10 1 010 01/13/10 2 010 01/11/10 2 010 01/06/10 2 010 01/04/10 1 + __________ TOTAL ORDERED 11 122.22 % 010 12/29/09 1 010 12/24/09 1 010 12/21/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 626 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 020 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03328 BW5126506 12850 MEMORIAL DR HOUSTON TX 77024 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 553698 ZOLPIDEM 5MG TABS (TEV) + 100 30093007301 00093007301 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 12/17/09 1 010 12/14/09 1 010 12/07/09 4 010 12/03/09 2 + __________ TOTAL ORDERED 12 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 607188 FOCALIN XR 5MG CAP 100 30078043005 00078043005 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 014 03/31/10 1 014 03/24/10 1 014 03/03/10 2 + __________ TOTAL ORDERED 4 133.33 % 014 02/24/10 1 014 02/17/10 1 014 02/10/10 1 014 02/03/10 1 + __________ TOTAL ORDERED 4 133.33 % 014 01/27/10 2 014 01/20/10 1 014 01/13/10 1 014 01/06/10 1 + __________ TOTAL ORDERED 5 166.66 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03441 AW8965999 1710 N FRY RD HOUSTON TX 77084 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 607188 FOCALIN XR 5MG CAP 100 30078043005 00078043005 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 014 04/30/10 1 014 04/23/10 1 014 04/09/10 1 014 04/02/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 627 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 020 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03441 AW8965999 1710 N FRY RD HOUSTON TX 77084 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 607188 FOCALIN XR 5MG CAP 100 30078043005 00078043005 1 3.0 3.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 4 133.33 % 014 03/26/10 2 014 03/19/10 2 + __________ TOTAL ORDERED 4 133.33 % 014 02/26/10 2 014 02/12/10 2 + __________ TOTAL ORDERED 4 133.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03735 AW8812667 1919 W GRAY HOUSTON TX 77019 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539150 D-AMPHET SALT COMBO 20MG TAB +100 36472013510 64720013510 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 014 04/30/10 10 014 04/16/10 10 014 04/09/10 1 014 04/02/10 12 + __________ TOTAL ORDERED 33 183.33 % 014 02/26/10 10 014 02/19/10 10 014 02/12/10 4 014 02/05/10 6 + __________ TOTAL ORDERED 30 166.66 % 014 01/29/10 15 014 01/22/10 6 014 01/15/10 7 014 01/04/10 6 + __________ TOTAL ORDERED 34 188.88 % 014 12/28/09 14 014 12/18/09 1 014 12/11/09 4 014 12/04/09 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 628 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 020 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03735 AW8812667 1919 W GRAY HOUSTON TX 77019 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539150 D-AMPHET SALT COMBO 20MG TAB +100 36472013510 64720013510 6 3.0 18.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 25 138.88 % 014 11/27/09 11 014 11/20/09 6 014 11/13/09 10 + __________ TOTAL ORDERED 27 150.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539151 D-AMPHET SALT COMBO 10MG TAB +100 36472013210 64720013210 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 014 04/30/10 6 014 04/16/10 10 014 04/09/10 1 014 04/02/10 10 + __________ TOTAL ORDERED 27 180.00 % 014 02/26/10 10 014 02/19/10 3 014 02/05/10 8 + __________ TOTAL ORDERED 21 140.00 % 014 01/29/10 8 014 01/22/10 8 014 01/15/10 5 014 01/08/10 3 014 01/04/10 3 + __________ TOTAL ORDERED 27 180.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 601601 AMBIEN CR 6.25MG TAB + 100 30024550131 00024550131 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 010 03/30/10 1 010 03/23/10 1 010 03/19/10 1 010 03/12/10 1 010 03/05/10 1 010 03/02/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 629 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 020 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03735 AW8812667 1919 W GRAY HOUSTON TX 77019 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 601601 AMBIEN CR 6.25MG TAB + 100 30024550131 00024550131 1 3.0 3.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 6 200.00 % 010 12/31/09 1 010 12/28/09 2 010 12/23/09 1 010 12/11/09 1 + __________ TOTAL ORDERED 5 166.66 % 010 11/27/09 1 010 11/17/09 1 010 11/12/09 1 010 11/10/09 1 + __________ TOTAL ORDERED 4 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672873 ANDROGEL 1% GEL (UNI) + 30X5.0GM 30051845030 00051845030 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 02/23/10 2 010 02/19/10 6 010 02/16/10 3 010 02/05/10 2 010 02/02/10 1 + __________ TOTAL ORDERED 14 116.66 % 010 12/31/09 1 010 12/28/09 1 010 12/23/09 6 010 12/18/09 5 010 12/16/09 5 010 12/11/09 1 010 12/09/09 1 010 12/04/09 3 010 12/02/09 2 + __________ TOTAL ORDERED 25 208.33 % 010 11/27/09 1 010 11/17/09 8 010 11/12/09 4 010 11/05/09 1 010 11/03/09 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 630 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 020 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03735 AW8812667 1919 W GRAY HOUSTON TX 77019 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672873 ANDROGEL 1% GEL (UNI) + 30X5.0GM 30051845030 00051845030 4 3.0 12.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 18 150.00 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03870 AW9148431 4995 HWY 6 NORTH, HOUSTON TX 77084 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679658 HYDROMET SYRUP (ALP) + 473ML 30472103016 00472103016 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 01/22/10 3 010 01/20/10 1 010 01/15/10 2 010 01/13/10 2 010 01/08/10 5 010 01/06/10 1 + __________ TOTAL ORDERED 14 116.66 % 010 12/31/09 2 010 12/23/09 2 010 12/21/09 1 010 12/16/09 2 010 12/14/09 2 010 12/09/09 1 010 12/07/09 1 010 12/02/09 2 + __________ TOTAL ORDERED 13 108.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04027 BW5005877 5200 WESTHEIMER HOUSTON TX 77056 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539147 D-AMPHET SALT COMBO 30MG TAB +100 36472013610 64720013610 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 014 03/30/10 1 014 03/23/10 2 014 03/16/10 7 014 03/09/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 631 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 020 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04027 BW5005877 5200 WESTHEIMER HOUSTON TX 77056 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539147 D-AMPHET SALT COMBO 30MG TAB +100 36472013610 64720013610 4 3.0 12.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 14 116.66 % 014 02/23/10 6 014 02/16/10 4 014 02/09/10 9 014 02/02/10 3 + __________ TOTAL ORDERED 22 183.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539150 D-AMPHET SALT COMBO 20MG TAB +100 36472013510 64720013510 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 014 04/27/10 7 014 04/20/10 8 014 04/06/10 12 + __________ TOTAL ORDERED 27 150.00 % 014 03/30/10 7 014 03/23/10 7 014 03/16/10 5 014 03/09/10 6 + __________ TOTAL ORDERED 25 138.88 % 014 02/23/10 6 014 02/16/10 5 014 02/09/10 6 014 02/02/10 5 + __________ TOTAL ORDERED 22 122.22 % 014 01/26/10 9 014 01/19/10 6 014 01/12/10 5 014 01/05/10 2 + __________ TOTAL ORDERED 22 122.22 % 014 12/29/09 5 014 12/22/09 6 014 12/15/09 6 014 12/08/09 2 014 12/01/09 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 632 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 020 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04027 BW5005877 5200 WESTHEIMER HOUSTON TX 77056 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539150 D-AMPHET SALT COMBO 20MG TAB +100 36472013510 64720013510 6 3.0 18.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 24 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 601601 AMBIEN CR 6.25MG TAB + 100 30024550131 00024550131 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 1 010 04/12/10 1 010 04/07/10 2 + __________ TOTAL ORDERED 4 133.33 % 010 03/31/10 1 010 03/29/10 1 010 03/24/10 1 010 03/03/10 1 + __________ TOTAL ORDERED 4 133.33 % 010 11/20/09 1 010 11/18/09 1 010 11/06/09 1 010 11/04/09 1 + __________ TOTAL ORDERED 4 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 683092 TESTIM 1% GEL + 30X5GM 36688700105 66887000105 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 03/31/10 2 010 03/29/10 2 010 03/17/10 1 010 03/10/10 4 010 03/08/10 4 010 03/03/10 1 + __________ TOTAL ORDERED 14 155.55 % 010 02/24/10 1 010 02/22/10 2 010 02/17/10 1 010 02/15/10 2 010 02/10/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 633 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 020 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04027 BW5005877 5200 WESTHEIMER HOUSTON TX 77056 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 683092 TESTIM 1% GEL + 30X5GM 36688700105 66887000105 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 02/08/10 1 010 02/01/10 2 + __________ TOTAL ORDERED 10 111.11 % 010 01/27/10 1 010 01/25/10 2 010 01/20/10 1 010 01/11/10 4 010 01/04/10 5 + __________ TOTAL ORDERED 13 144.44 % 010 12/29/09 4 010 12/21/09 1 010 12/14/09 1 010 12/07/09 2 010 12/03/09 3 + __________ TOTAL ORDERED 11 122.22 % 010 11/30/09 1 010 11/20/09 5 010 11/13/09 2 010 11/18/09 1 010 11/06/09 1 010 11/04/09 4 + __________ TOTAL ORDERED 14 155.55 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04114 BW5224198 510 CHIMNEY ROCK RD HOUSTON TX 77056 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539151 D-AMPHET SALT COMBO 10MG TAB +100 36472013210 64720013210 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 014 04/27/10 5 014 04/20/10 4 014 04/13/10 3 014 04/06/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 634 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 020 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04114 BW5224198 510 CHIMNEY ROCK RD HOUSTON TX 77056 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539151 D-AMPHET SALT COMBO 10MG TAB +100 36472013210 64720013210 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 17 113.33 % 014 03/30/10 3 014 03/23/10 9 014 03/16/10 1 014 03/09/10 7 + __________ TOTAL ORDERED 20 133.33 % 014 02/23/10 11 014 02/16/10 4 014 02/09/10 4 014 02/02/10 5 + __________ TOTAL ORDERED 24 160.00 % 014 01/26/10 3 014 01/19/10 7 014 01/12/10 8 014 01/05/10 3 + __________ TOTAL ORDERED 21 140.00 % 014 12/29/09 5 014 12/22/09 5 014 12/15/09 6 014 12/08/09 2 014 12/01/09 10 + __________ TOTAL ORDERED 28 186.66 % 014 11/24/09 6 014 11/17/09 10 + __________ TOTAL ORDERED 16 106.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 553698 ZOLPIDEM 5MG TABS (TEV) + 100 30093007301 00093007301 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 03/29/10 3 010 03/25/10 2 010 03/22/10 1 010 03/15/10 1 010 03/08/10 1 010 03/04/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 635 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 020 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04114 BW5224198 510 CHIMNEY ROCK RD HOUSTON TX 77056 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 553698 ZOLPIDEM 5MG TABS (TEV) + 100 30093007301 00093007301 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 03/01/10 1 + __________ TOTAL ORDERED 10 111.11 % 010 02/25/10 2 010 02/22/10 1 010 02/18/10 2 010 02/15/10 3 010 02/11/10 3 010 02/04/10 1 010 02/01/10 3 + __________ TOTAL ORDERED 15 166.66 % 010 12/30/09 2 010 12/24/09 1 010 12/17/09 5 010 12/15/09 1 010 12/10/09 2 010 12/03/09 3 + __________ TOTAL ORDERED 14 155.55 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 604027 CLONAZPM ODT 0.5MG TAB(PAR)+ 60SX 34988430802 49884030802 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 02/15/10 1 010 02/11/10 1 010 02/04/10 6 + __________ TOTAL ORDERED 8 133.33 % 010 01/25/10 5 010 01/18/10 3 010 01/11/10 1 010 01/04/10 2 + __________ TOTAL ORDERED 11 183.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 636 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 020 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04114 BW5224198 510 CHIMNEY ROCK RD HOUSTON TX 77056 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 604028 CLONAZEPAM ODT 0.25MG TAB+(PAR)60 34988430702 49884030702 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 03/29/10 3 010 03/11/10 4 010 03/01/10 1 + __________ TOTAL ORDERED 8 133.33 % 010 02/22/10 1 010 02/11/10 3 010 02/08/10 1 010 02/04/10 1 010 02/01/10 3 + __________ TOTAL ORDERED 9 150.00 % 010 01/25/10 1 010 01/18/10 2 010 01/14/10 1 010 01/11/10 4 010 01/04/10 4 + __________ TOTAL ORDERED 12 200.00 % 010 12/17/09 2 010 12/10/09 2 010 12/08/09 1 010 12/03/09 2 + __________ TOTAL ORDERED 7 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675738 METHYLPHENIDATE 5MG TAB (WAT)+100 30591588201 00591588201 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 04/20/10 2 014 04/13/10 2 014 04/06/10 3 + __________ TOTAL ORDERED 7 116.66 % 014 03/30/10 2 014 03/23/10 2 014 03/09/10 4 014 03/02/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 637 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 020 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04114 BW5224198 510 CHIMNEY ROCK RD HOUSTON TX 77056 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675738 METHYLPHENIDATE 5MG TAB (WAT)+100 30591588201 00591588201 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 13 216.66 % 014 11/10/09 5 014 11/03/09 3 + __________ TOTAL ORDERED 8 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 683092 TESTIM 1% GEL + 30X5GM 36688700105 66887000105 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 04/29/10 2 010 04/26/10 3 010 04/22/10 1 010 04/19/10 3 010 04/15/10 2 010 04/12/10 2 010 04/08/10 3 010 04/05/10 1 010 04/01/10 2 + __________ TOTAL ORDERED 19 211.11 % 010 03/29/10 5 010 03/18/10 3 010 03/04/10 1 010 03/01/10 5 + __________ TOTAL ORDERED 14 155.55 % 010 02/25/10 4 010 02/22/10 3 010 02/18/10 3 010 02/15/10 1 010 02/08/10 2 010 02/04/10 3 010 02/01/10 2 + __________ TOTAL ORDERED 18 200.00 % 010 01/25/10 3 010 01/21/10 1 010 01/18/10 2 010 01/11/10 2 010 01/07/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 638 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 020 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04114 BW5224198 510 CHIMNEY ROCK RD HOUSTON TX 77056 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 683092 TESTIM 1% GEL + 30X5GM 36688700105 66887000105 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 01/04/10 3 + __________ TOTAL ORDERED 12 133.33 % 010 12/30/09 3 010 12/24/09 3 010 12/22/09 1 010 12/17/09 4 010 12/15/09 1 010 12/10/09 1 010 12/03/09 4 + __________ TOTAL ORDERED 17 188.88 % 010 11/25/09 3 010 11/16/09 4 010 11/18/09 1 010 11/11/09 2 010 11/09/09 4 010 11/04/09 1 + __________ TOTAL ORDERED 15 166.66 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04161 AW2884321 8206 HWY 6 NORTH HOUSTON TX 77095 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544540 FENTANYL 100MCG/HR TS (WAT) + 5 30591321472 00591321472 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 014 04/23/10 1 014 04/09/10 20 014 04/02/10 6 + __________ TOTAL ORDERED 27 150.00 % 014 03/19/10 2 014 03/12/10 1 014 03/05/10 16 + __________ TOTAL ORDERED 19 105.55 % 014 02/05/10 19 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 639 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 020 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04161 AW2884321 8206 HWY 6 NORTH HOUSTON TX 77095 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544540 FENTANYL 100MCG/HR TS (WAT) + 5 30591321472 00591321472 6 3.0 18.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 19 105.55 % 014 12/18/09 9 014 12/11/09 11 014 12/04/09 7 + __________ TOTAL ORDERED 27 150.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 551686 VYVANSE 50MG CAPS + 100 35941710510 59417010510 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 04/30/10 1 014 04/23/10 1 014 04/16/10 4 014 04/09/10 2 014 04/02/10 1 + __________ TOTAL ORDERED 9 150.00 % 014 03/26/10 1 014 03/19/10 3 014 03/12/10 4 014 03/05/10 2 + __________ TOTAL ORDERED 10 166.66 % 014 02/19/10 4 014 02/12/10 1 014 02/05/10 3 + __________ TOTAL ORDERED 8 133.33 % 014 01/29/10 1 014 01/22/10 3 014 01/15/10 2 014 01/08/10 1 014 01/04/10 2 + __________ TOTAL ORDERED 9 150.00 % 014 12/28/09 2 014 12/18/09 1 014 12/11/09 3 014 12/04/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 640 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 020 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04161 AW2884321 8206 HWY 6 NORTH HOUSTON TX 77095 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 551686 VYVANSE 50MG CAPS + 100 35941710510 59417010510 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 7 116.66 % 014 11/27/09 1 014 11/20/09 3 014 11/13/09 2 014 11/06/09 2 + __________ TOTAL ORDERED 8 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 553889 ANDROGEL 1% PUMP (UNI) +150GM 30051848888 00051848888 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 3 010 04/16/10 1 010 04/14/10 1 010 04/09/10 3 010 04/07/10 1 010 04/02/10 4 + __________ TOTAL ORDERED 13 108.33 % 010 02/24/10 3 010 02/19/10 3 010 02/17/10 3 010 02/10/10 1 010 02/05/10 1 010 02/03/10 4 + __________ TOTAL ORDERED 15 125.00 % 010 12/31/09 5 010 12/29/09 4 010 12/23/09 1 010 12/21/09 2 010 12/16/09 4 010 12/09/09 4 010 12/07/09 3 010 12/02/09 3 + __________ TOTAL ORDERED 26 216.66 % 010 11/24/09 2 010 11/20/09 3 010 11/13/09 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 641 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 020 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04161 AW2884321 8206 HWY 6 NORTH HOUSTON TX 77095 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 553889 ANDROGEL 1% PUMP (UNI) +150GM 30051848888 00051848888 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 11/10/09 5 + __________ TOTAL ORDERED 13 108.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679658 HYDROMET SYRUP (ALP) + 473ML 30472103016 00472103016 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 03/31/10 1 010 03/26/10 1 010 03/19/10 2 010 03/12/10 5 010 03/10/10 1 010 03/05/10 5 010 03/03/10 3 + __________ TOTAL ORDERED 18 150.00 % 010 01/27/10 1 010 01/22/10 4 010 01/20/10 2 010 01/15/10 2 010 01/13/10 1 010 01/08/10 2 010 01/06/10 3 + __________ TOTAL ORDERED 15 125.00 % 010 12/31/09 5 010 12/29/09 1 010 12/23/09 3 010 12/21/09 4 010 12/16/09 1 010 12/14/09 5 010 12/09/09 1 010 12/02/09 3 + __________ TOTAL ORDERED 23 191.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 642 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 020 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04696 BW0156504 411 S MASON RD KATY TX 77450 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 474145 OXYCODONE ER 40MG TAB (ETH) + 100 35817768104 58177068104 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 03/16/10 8 + __________ TOTAL ORDERED 8 133.33 % 014 02/16/10 4 014 02/09/10 3 + __________ TOTAL ORDERED 7 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 474146 OXYCODONE ER 80MG TABS (ETH)+ 100 35817768304 58177068304 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 03/30/10 4 014 03/23/10 4 014 03/16/10 2 + __________ TOTAL ORDERED 10 166.66 % 014 02/16/10 7 + __________ TOTAL ORDERED 7 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 497514 D-AMPHET SALT COM XR+20MG CAP 100 30555078802 00555078802 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 03/05/10 4 014 03/30/10 2 014 03/23/10 2 014 03/16/10 1 014 03/02/10 1 + __________ TOTAL ORDERED 10 111.11 % 014 02/23/10 3 014 02/16/10 3 014 02/09/10 2 014 02/02/10 2 + __________ TOTAL ORDERED 10 111.11 % 014 12/29/09 1 014 12/22/09 2 014 12/15/09 3 014 12/08/09 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 643 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 020 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04696 BW0156504 411 S MASON RD KATY TX 77450 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 497514 D-AMPHET SALT COM XR+20MG CAP 100 30555078802 00555078802 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 12/01/09 2 + __________ TOTAL ORDERED 11 122.22 % 014 11/24/09 3 014 11/17/09 1 014 11/10/09 3 014 11/03/09 3 + __________ TOTAL ORDERED 10 111.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 507055 CONCERTA 36MG ER TAB 100 35045858601 50458058601 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 04/27/10 1 014 04/20/10 1 014 04/13/10 3 014 04/06/10 5 + __________ TOTAL ORDERED 10 111.11 % 014 03/30/10 5 014 03/23/10 1 014 03/16/10 2 014 03/09/10 2 014 03/02/10 2 + __________ TOTAL ORDERED 12 133.33 % 014 02/23/10 3 014 02/16/10 3 014 02/09/10 2 014 02/02/10 2 + __________ TOTAL ORDERED 10 111.11 % 014 01/26/10 3 014 01/19/10 5 014 01/12/10 2 014 01/05/10 3 + __________ TOTAL ORDERED 13 144.44 % 014 12/29/09 2 014 12/22/09 1 014 12/15/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 644 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 020 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04696 BW0156504 411 S MASON RD KATY TX 77450 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 507055 CONCERTA 36MG ER TAB 100 35045858601 50458058601 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 12/08/09 3 014 12/01/09 2 + __________ TOTAL ORDERED 10 111.11 % 014 11/17/09 7 014 11/10/09 5 014 11/03/09 2 + __________ TOTAL ORDERED 14 155.55 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539147 D-AMPHET SALT COMBO 30MG TAB +100 36472013610 64720013610 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 014 04/27/10 4 014 04/20/10 2 014 04/13/10 4 014 04/06/10 3 + __________ TOTAL ORDERED 13 108.33 % 014 03/30/10 10 014 03/23/10 3 014 03/16/10 4 014 03/09/10 6 014 03/02/10 8 + __________ TOTAL ORDERED 31 258.33 % 014 02/23/10 6 014 02/16/10 5 014 02/09/10 2 014 02/02/10 2 + __________ TOTAL ORDERED 15 125.00 % 014 01/26/10 3 014 01/19/10 6 014 01/12/10 9 014 01/05/10 4 + __________ TOTAL ORDERED 22 183.33 % 014 12/29/09 2 014 12/22/09 3 014 12/15/09 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 645 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 020 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04696 BW0156504 411 S MASON RD KATY TX 77450 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539147 D-AMPHET SALT COMBO 30MG TAB +100 36472013610 64720013610 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 014 12/08/09 3 014 12/01/09 3 + __________ TOTAL ORDERED 14 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539150 D-AMPHET SALT COMBO 20MG TAB +100 36472013510 64720013510 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 014 04/27/10 7 014 04/20/10 10 014 04/13/10 8 014 04/06/10 4 + __________ TOTAL ORDERED 29 161.11 % 014 03/30/10 11 014 03/23/10 6 014 03/16/10 5 014 03/09/10 6 014 03/02/10 6 + __________ TOTAL ORDERED 34 188.88 % 014 02/23/10 3 014 02/16/10 8 014 02/09/10 6 014 02/02/10 5 + __________ TOTAL ORDERED 22 122.22 % 014 01/26/10 3 014 01/19/10 6 014 01/12/10 9 014 01/05/10 4 + __________ TOTAL ORDERED 22 122.22 % 014 12/29/09 3 014 12/22/09 4 014 12/15/09 12 014 12/08/09 12 014 12/01/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 646 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 020 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04696 BW0156504 411 S MASON RD KATY TX 77450 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539150 D-AMPHET SALT COMBO 20MG TAB +100 36472013510 64720013510 6 3.0 18.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 33 183.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 551686 VYVANSE 50MG CAPS + 100 35941710510 59417010510 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 04/27/10 3 014 04/20/10 2 014 04/13/10 2 014 04/06/10 3 + __________ TOTAL ORDERED 10 166.66 % 014 03/30/10 2 014 03/23/10 2 014 03/16/10 3 014 03/09/10 5 014 03/02/10 3 + __________ TOTAL ORDERED 15 250.00 % 014 02/23/10 4 014 02/16/10 1 014 02/09/10 4 014 02/02/10 2 + __________ TOTAL ORDERED 11 183.33 % 014 01/26/10 3 014 01/19/10 3 014 01/12/10 3 + __________ TOTAL ORDERED 9 150.00 % 014 12/29/09 1 014 12/22/09 3 014 12/15/09 4 014 12/08/09 1 014 12/01/09 2 + __________ TOTAL ORDERED 11 183.33 % 014 11/24/09 3 014 11/17/09 2 014 11/10/09 3 014 11/03/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 647 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 020 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04696 BW0156504 411 S MASON RD KATY TX 77450 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 551686 VYVANSE 50MG CAPS + 100 35941710510 59417010510 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 10 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 552568 SUBOXONE 2-0.5MG SL TAB (REC)+30 31249612832 12496128302 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 04/22/10 2 010 04/20/10 1 010 04/15/10 4 010 04/13/10 5 010 04/01/10 2 + __________ TOTAL ORDERED 14 116.66 % 010 03/25/10 1 010 03/18/10 4 010 03/11/10 6 010 03/09/10 3 + __________ TOTAL ORDERED 14 116.66 % 010 02/25/10 4 010 02/23/10 1 010 02/18/10 6 010 02/11/10 4 010 02/04/10 6 + __________ TOTAL ORDERED 21 175.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 552577 SUBOXONE 8-2MG SL TAB + 30 31249613062 12496130602 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 010 04/29/10 5 010 04/27/10 8 010 04/22/10 3 010 04/20/10 3 010 04/15/10 3 010 04/13/10 9 010 04/01/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 648 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 020 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04696 BW0156504 411 S MASON RD KATY TX 77450 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 552577 SUBOXONE 8-2MG SL TAB + 30 31249613062 12496130602 9 3.0 27.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 33 122.22 % 010 02/25/10 6 010 02/23/10 1 010 02/18/10 5 010 02/16/10 8 010 02/11/10 3 010 02/09/10 4 010 02/04/10 4 010 02/02/10 3 + __________ TOTAL ORDERED 34 125.92 % 010 01/28/10 4 010 01/26/10 7 010 01/21/10 2 010 01/19/10 2 010 01/14/10 6 010 01/12/10 6 010 01/07/10 2 010 01/05/10 4 + __________ TOTAL ORDERED 33 122.22 % 010 12/30/09 6 010 12/22/09 4 010 12/18/09 2 010 12/15/09 2 010 12/11/09 4 010 12/08/09 5 010 12/04/09 8 010 12/01/09 6 + __________ TOTAL ORDERED 37 137.03 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672873 ANDROGEL 1% GEL (UNI) + 30X5.0GM 30051845030 00051845030 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 04/29/10 5 010 04/22/10 2 010 04/20/10 1 010 04/15/10 3 010 04/13/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 649 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 020 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04696 BW0156504 411 S MASON RD KATY TX 77450 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672873 ANDROGEL 1% GEL (UNI) + 30X5.0GM 30051845030 00051845030 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 04/08/10 2 010 04/01/10 1 + __________ TOTAL ORDERED 16 133.33 % 010 02/25/10 6 010 02/23/10 2 010 02/18/10 6 010 02/16/10 2 010 02/11/10 1 010 02/04/10 1 + __________ TOTAL ORDERED 18 150.00 % 010 11/23/09 3 010 11/16/09 3 010 11/19/09 7 010 11/12/09 1 010 11/09/09 3 010 11/05/09 3 010 11/02/09 1 + __________ TOTAL ORDERED 21 175.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 010 04/29/10 4 010 04/22/10 9 010 04/20/10 2 010 04/15/10 5 010 04/13/10 4 010 04/08/10 4 010 04/01/10 3 + __________ TOTAL ORDERED 31 129.16 % 010 03/30/10 1 010 03/25/10 3 010 03/23/10 1 010 03/18/10 5 010 03/16/10 4 010 03/11/10 5 010 03/09/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 650 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 020 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04696 BW0156504 411 S MASON RD KATY TX 77450 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 010 03/04/10 7 + __________ TOTAL ORDERED 27 112.50 % 010 01/28/10 5 010 01/26/10 2 010 01/21/10 4 010 01/14/10 5 010 01/07/10 9 010 01/05/10 3 + __________ TOTAL ORDERED 28 116.66 % 010 11/23/09 5 010 11/16/09 5 010 11/19/09 2 010 11/12/09 4 010 11/09/09 2 010 11/05/09 4 010 11/02/09 4 + __________ TOTAL ORDERED 26 108.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674231 CARISOPRODOL 350MG TAB (QT)+ 500 30603258228 00603258228 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 010 12/30/09 3 010 12/22/09 2 010 12/18/09 1 010 12/15/09 3 010 12/11/09 2 010 12/08/09 2 010 12/04/09 2 010 12/01/09 1 + __________ TOTAL ORDERED 16 106.66 % 010 11/27/09 3 010 11/23/09 2 010 11/16/09 3 010 11/19/09 2 010 11/12/09 1 010 11/09/09 2 010 11/05/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 651 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 020 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04696 BW0156504 411 S MASON RD KATY TX 77450 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674231 CARISOPRODOL 350MG TAB (QT)+ 500 30603258228 00603258228 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 010 11/02/09 2 + __________ TOTAL ORDERED 17 113.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679658 HYDROMET SYRUP (ALP) + 473ML 30472103016 00472103016 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 04/29/10 1 010 04/22/10 2 010 04/15/10 3 010 04/13/10 2 010 04/08/10 1 010 04/01/10 5 + __________ TOTAL ORDERED 14 116.66 % 010 02/25/10 3 010 02/23/10 2 010 02/18/10 2 010 02/16/10 1 010 02/11/10 3 010 02/09/10 1 010 02/04/10 2 + __________ TOTAL ORDERED 14 116.66 % 010 01/28/10 2 010 01/21/10 1 010 01/19/10 2 010 01/14/10 2 010 01/07/10 4 010 01/05/10 2 + __________ TOTAL ORDERED 13 108.33 % 010 12/30/09 4 010 12/28/09 3 010 12/22/09 4 010 12/18/09 3 010 12/15/09 1 010 12/11/09 3 010 12/08/09 3 010 12/04/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 652 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 020 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04696 BW0156504 411 S MASON RD KATY TX 77450 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679658 HYDROMET SYRUP (ALP) + 473ML 30472103016 00472103016 4 3.0 12.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 23 191.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684809 TESTOSTERN CYP 200MG/ML(WAT)+10ML 30591322379 00364661054 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 12/30/09 1 010 12/22/09 1 010 12/18/09 3 010 12/15/09 1 010 12/11/09 2 010 12/04/09 2 010 12/01/09 6 + __________ TOTAL ORDERED 16 177.77 % 010 11/23/09 3 010 11/09/09 2 010 11/05/09 4 010 11/02/09 1 + __________ TOTAL ORDERED 10 111.11 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04745 BW5978741 5820 BUFFALO SPEEDWAY HOUTSON TX 77005 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 532538 MORPHINE SULF 20MG/ML (LAN)+ 30ML 30527142536 00527142536 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 014 04/30/10 2 014 04/23/10 3 014 04/16/10 8 014 04/09/10 2 014 04/02/10 3 + __________ TOTAL ORDERED 18 150.00 % 014 03/26/10 5 014 03/19/10 5 014 03/12/10 3 014 03/05/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 653 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 020 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04745 BW5978741 5820 BUFFALO SPEEDWAY HOUTSON TX 77005 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 532538 MORPHINE SULF 20MG/ML (LAN)+ 30ML 30527142536 00527142536 4 3.0 12.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 18 150.00 % 014 01/15/10 8 014 01/08/10 2 014 01/04/10 8 + __________ TOTAL ORDERED 18 150.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 536420 TUSSICAPS 10/8MG CAP + 20 32363510820 23635010820 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 03/05/10 10 010 03/03/10 1 + __________ TOTAL ORDERED 11 122.22 % 010 12/29/09 5 010 12/23/09 1 010 12/21/09 4 010 12/16/09 1 010 12/07/09 2 010 12/02/09 2 + __________ TOTAL ORDERED 15 166.66 % 010 11/30/09 3 010 11/24/09 1 010 11/13/09 2 010 11/17/09 2 010 11/10/09 1 010 11/06/09 1 010 11/03/09 2 + __________ TOTAL ORDERED 12 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539150 D-AMPHET SALT COMBO 20MG TAB +100 36472013510 64720013510 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 014 04/30/10 10 014 04/23/10 11 014 04/16/10 8 014 04/09/10 12 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 654 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 020 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04745 BW5978741 5820 BUFFALO SPEEDWAY HOUTSON TX 77005 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539150 D-AMPHET SALT COMBO 20MG TAB +100 36472013510 64720013510 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 014 04/02/10 6 + __________ TOTAL ORDERED 47 261.11 % 014 03/26/10 7 014 03/19/10 7 014 03/12/10 7 014 03/05/10 8 + __________ TOTAL ORDERED 29 161.11 % 014 02/26/10 11 014 02/19/10 8 014 02/12/10 15 014 02/05/10 7 + __________ TOTAL ORDERED 41 227.77 % 014 01/29/10 3 014 01/22/10 13 014 01/15/10 17 014 01/08/10 6 014 01/04/10 6 + __________ TOTAL ORDERED 45 250.00 % 014 12/28/09 9 014 12/18/09 5 014 12/11/09 6 014 12/04/09 12 + __________ TOTAL ORDERED 32 177.77 % 014 11/27/09 11 014 11/20/09 6 014 11/13/09 3 + __________ TOTAL ORDERED 20 111.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539151 D-AMPHET SALT COMBO 10MG TAB +100 36472013210 64720013210 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 014 04/30/10 7 014 04/23/10 4 014 04/16/10 10 014 04/09/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 655 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 020 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04745 BW5978741 5820 BUFFALO SPEEDWAY HOUTSON TX 77005 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539151 D-AMPHET SALT COMBO 10MG TAB +100 36472013210 64720013210 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 014 04/02/10 2 + __________ TOTAL ORDERED 28 186.66 % 014 03/26/10 9 014 03/19/10 10 014 03/12/10 8 014 03/05/10 2 + __________ TOTAL ORDERED 29 193.33 % 014 02/26/10 2 014 02/19/10 4 014 02/12/10 8 014 02/05/10 5 + __________ TOTAL ORDERED 19 126.66 % 014 01/29/10 7 014 01/22/10 13 014 01/15/10 4 014 01/08/10 3 014 01/04/10 3 + __________ TOTAL ORDERED 30 200.00 % 014 12/28/09 8 014 12/11/09 8 014 12/04/09 1 + __________ TOTAL ORDERED 17 113.33 % 014 11/27/09 10 014 11/20/09 3 014 11/13/09 9 + __________ TOTAL ORDERED 22 146.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 551685 VYVANSE 70MG CAPS + 100 35941710710 59417010710 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 04/30/10 2 014 04/16/10 3 014 04/09/10 1 014 04/02/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 656 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 020 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04745 BW5978741 5820 BUFFALO SPEEDWAY HOUTSON TX 77005 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 551685 VYVANSE 70MG CAPS + 100 35941710710 59417010710 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 9 150.00 % 014 02/26/10 4 014 02/19/10 3 014 02/05/10 3 + __________ TOTAL ORDERED 10 166.66 % 014 12/18/09 1 014 12/11/09 4 014 12/04/09 2 + __________ TOTAL ORDERED 7 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 551686 VYVANSE 50MG CAPS + 100 35941710510 59417010510 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 04/30/10 4 014 04/23/10 4 014 04/16/10 1 014 04/09/10 2 014 04/02/10 2 + __________ TOTAL ORDERED 13 216.66 % 014 03/26/10 4 014 03/19/10 1 014 03/12/10 1 014 03/05/10 1 + __________ TOTAL ORDERED 7 116.66 % 014 02/26/10 3 014 02/19/10 2 014 02/12/10 3 014 02/05/10 3 + __________ TOTAL ORDERED 11 183.33 % 014 01/22/10 1 014 01/15/10 3 014 01/04/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 657 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 020 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04745 BW5978741 5820 BUFFALO SPEEDWAY HOUTSON TX 77005 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 551686 VYVANSE 50MG CAPS + 100 35941710510 59417010510 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 7 116.66 % 014 12/28/09 1 014 12/18/09 3 014 12/11/09 4 014 12/04/09 1 + __________ TOTAL ORDERED 9 150.00 % 014 11/27/09 1 014 11/20/09 1 014 11/13/09 4 014 11/06/09 3 + __________ TOTAL ORDERED 9 150.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 551687 VYVANSE 30MG CAPS (SHI) 100 35941710310 59417010310 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 04/30/10 2 014 04/23/10 1 014 04/16/10 1 014 04/09/10 3 014 04/02/10 4 + __________ TOTAL ORDERED 11 122.22 % 014 01/29/10 2 014 01/22/10 4 014 01/15/10 2 014 01/08/10 1 014 01/04/10 1 + __________ TOTAL ORDERED 10 111.11 % 014 12/28/09 2 014 12/18/09 2 014 12/11/09 4 014 12/04/09 2 + __________ TOTAL ORDERED 10 111.11 % 014 11/27/09 2 014 11/20/09 3 014 11/13/09 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 658 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 020 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04745 BW5978741 5820 BUFFALO SPEEDWAY HOUTSON TX 77005 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 551687 VYVANSE 30MG CAPS (SHI) 100 35941710310 59417010310 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 11/06/09 1 + __________ TOTAL ORDERED 10 111.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672873 ANDROGEL 1% GEL (UNI) + 30X5.0GM 30051845030 00051845030 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 1 010 04/23/10 3 010 04/21/10 3 010 04/16/10 1 010 04/14/10 1 010 04/07/10 1 010 04/02/10 3 + __________ TOTAL ORDERED 13 108.33 % 010 03/31/10 3 010 03/19/10 3 010 03/12/10 2 010 03/10/10 4 010 03/03/10 3 + __________ TOTAL ORDERED 15 125.00 % 010 02/24/10 5 010 02/19/10 2 010 02/17/10 2 010 02/10/10 2 010 02/05/10 5 010 02/03/10 3 + __________ TOTAL ORDERED 19 158.33 % 010 12/31/09 1 010 12/23/09 2 010 12/21/09 2 010 12/14/09 2 010 12/09/09 1 010 12/07/09 6 010 12/02/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 659 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 020 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04745 BW5978741 5820 BUFFALO SPEEDWAY HOUTSON TX 77005 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672873 ANDROGEL 1% GEL (UNI) + 30X5.0GM 30051845030 00051845030 4 3.0 12.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 15 125.00 % 010 11/30/09 5 010 11/13/09 2 010 11/17/09 1 010 11/20/09 2 010 11/10/09 1 010 11/06/09 4 010 11/03/09 4 + __________ TOTAL ORDERED 19 158.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675762 METHYLPHENIDATE 10MG TAB(WAT)+100 30591588301 00591588301 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 04/30/10 8 014 04/23/10 2 014 04/16/10 1 014 04/02/10 1 + __________ TOTAL ORDERED 12 133.33 % 014 03/26/10 3 014 03/12/10 6 014 03/05/10 5 + __________ TOTAL ORDERED 14 155.55 % 014 11/13/09 9 014 11/06/09 3 + __________ TOTAL ORDERED 12 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 683092 TESTIM 1% GEL + 30X5GM 36688700105 66887000105 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 03/31/10 1 010 03/26/10 1 010 03/24/10 2 010 03/19/10 3 010 03/17/10 1 010 03/12/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 660 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 020 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04745 BW5978741 5820 BUFFALO SPEEDWAY HOUTSON TX 77005 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 683092 TESTIM 1% GEL + 30X5GM 36688700105 66887000105 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 03/05/10 4 010 03/03/10 2 + __________ TOTAL ORDERED 18 200.00 % 010 02/24/10 5 010 02/19/10 1 010 02/17/10 3 010 02/05/10 1 + __________ TOTAL ORDERED 10 111.11 % 010 12/31/09 3 010 12/29/09 2 010 12/23/09 2 010 12/21/09 2 010 12/02/09 3 + __________ TOTAL ORDERED 12 133.33 % 010 11/30/09 3 010 11/24/09 3 010 11/13/09 2 010 11/17/09 3 010 11/10/09 1 + __________ TOTAL ORDERED 12 133.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05094 AW2885107 14616 MEMORIAL DR HOUSTON TX 77079 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 551686 VYVANSE 50MG CAPS + 100 35941710510 59417010510 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 03/30/10 1 014 03/23/10 2 014 03/16/10 3 014 03/09/10 3 014 03/02/10 1 + __________ TOTAL ORDERED 10 166.66 % 014 02/23/10 2 014 02/16/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 661 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 020 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05094 AW2885107 14616 MEMORIAL DR HOUSTON TX 77079 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 551686 VYVANSE 50MG CAPS + 100 35941710510 59417010510 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 02/09/10 2 014 02/02/10 3 + __________ TOTAL ORDERED 10 166.66 % 014 12/29/09 3 014 12/22/09 2 014 12/15/09 1 014 12/08/09 3 014 12/01/09 1 + __________ TOTAL ORDERED 10 166.66 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05101 BW6279740 11220 LOUETTA RD HOUSTON TX 77070 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 582977 DIASTAT 20MG ACUDIAL + 1 00187065920 00187065920 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 03/22/10 15 + __________ TOTAL ORDERED 15 166.66 % 010 01/18/10 15 + __________ TOTAL ORDERED 15 166.66 % 010 11/02/09 15 + __________ TOTAL ORDERED 15 166.66 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06643 BW7759460 6360 SAN FELIPE ST HOUSTON TX 77057 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 514230 BUTORPHANOL TART NS (APO) + 2.5ML 36050508131 60505081301 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 010 03/25/10 16 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 662 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 020 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06643 BW7759460 6360 SAN FELIPE ST HOUSTON TX 77057 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 514230 BUTORPHANOL TART NS (APO) + 2.5ML 36050508131 60505081301 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 16 106.66 % 010 02/25/10 2 010 02/22/10 8 010 02/11/10 1 010 02/04/10 3 010 02/01/10 8 + __________ TOTAL ORDERED 22 146.66 % 010 01/14/10 6 010 01/07/10 17 + __________ TOTAL ORDERED 23 153.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07101 BW8237047 16211 SPRING CYPRESS CYPRESS TX 77429 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 478424 TESTOSTERN CYP 200MG/ML (PAD)+1ML 30574082001 00574082001 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 02/12/10 5 010 02/09/10 4 010 02/05/10 2 010 02/02/10 6 + __________ TOTAL ORDERED 17 141.66 % 010 01/26/10 1 010 01/19/10 3 010 01/15/10 4 010 01/12/10 4 010 01/05/10 1 + __________ TOTAL ORDERED 13 108.33 % 010 12/31/09 3 010 12/23/09 2 010 12/18/09 8 010 12/16/09 6 010 12/09/09 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 663 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 020 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07101 BW8237047 16211 SPRING CYPRESS CYPRESS TX 77429 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 478424 TESTOSTERN CYP 200MG/ML (PAD)+1ML 30574082001 00574082001 4 3.0 12.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 23 191.66 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07491 BW8633009 6802 S FRY RD KATY TX 77494 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 551686 VYVANSE 50MG CAPS + 100 35941710510 59417010510 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 04/22/10 3 014 04/15/10 2 014 04/08/10 2 014 04/01/10 2 + __________ TOTAL ORDERED 9 150.00 % 014 03/18/10 3 014 03/11/10 2 014 03/04/10 2 + __________ TOTAL ORDERED 7 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672873 ANDROGEL 1% GEL (UNI) + 30X5.0GM 30051845030 00051845030 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 04/21/10 2 010 04/14/10 4 010 04/12/10 6 010 04/07/10 1 + __________ TOTAL ORDERED 13 108.33 % 010 03/22/10 1 010 03/17/10 4 010 03/15/10 3 010 03/10/10 3 010 03/03/10 1 010 03/01/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 664 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 020 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07491 BW8633009 6802 S FRY RD KATY TX 77494 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672873 ANDROGEL 1% GEL (UNI) + 30X5.0GM 30051845030 00051845030 4 3.0 12.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 13 108.33 % 010 01/27/10 2 010 01/25/10 2 010 01/20/10 1 010 01/11/10 6 010 01/06/10 2 + __________ TOTAL ORDERED 13 108.33 % 010 11/25/09 1 010 11/20/09 2 010 11/13/09 1 010 11/11/09 3 010 11/06/09 3 010 11/04/09 3 + __________ TOTAL ORDERED 13 108.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 683092 TESTIM 1% GEL + 30X5GM 36688700105 66887000105 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 04/21/10 5 010 04/19/10 5 010 04/14/10 1 010 04/07/10 2 010 04/05/10 1 + __________ TOTAL ORDERED 14 155.55 % 010 03/31/10 1 010 03/17/10 1 010 03/15/10 3 010 03/10/10 1 010 03/08/10 3 010 03/01/10 4 + __________ TOTAL ORDERED 13 144.44 % 010 02/24/10 1 010 02/17/10 1 010 02/15/10 2 010 02/10/10 1 010 02/08/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 665 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 020 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07491 BW8633009 6802 S FRY RD KATY TX 77494 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 683092 TESTIM 1% GEL + 30X5GM 36688700105 66887000105 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 02/01/10 3 + __________ TOTAL ORDERED 10 111.11 % 010 01/27/10 2 010 01/18/10 3 010 01/13/10 2 010 01/11/10 2 010 01/06/10 2 010 01/04/10 5 + __________ TOTAL ORDERED 16 177.77 % 010 12/29/09 3 010 12/24/09 4 010 12/21/09 1 010 12/17/09 2 010 12/14/09 1 010 12/10/09 1 010 12/07/09 2 010 12/03/09 2 + __________ TOTAL ORDERED 16 177.77 % 010 11/30/09 4 010 11/20/09 1 010 11/13/09 2 010 11/11/09 2 010 11/06/09 4 010 11/04/09 2 + __________ TOTAL ORDERED 15 166.66 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07492 BW8901907 6402 FM 1960 RD W HOUSTON TX 77069 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 594173 ALPRAZOLAM XR 1MG TAB (GRN) + 60 35976200591 59762005901 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 04/29/10 2 010 04/15/10 1 010 04/08/10 3 010 04/01/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 666 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 020 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07492 BW8901907 6402 FM 1960 RD W HOUSTON TX 77069 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 594173 ALPRAZOLAM XR 1MG TAB (GRN) + 60 35976200591 59762005901 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 7 116.66 % 010 02/25/10 1 010 02/18/10 1 010 02/16/10 1 010 02/09/10 3 010 02/04/10 1 + __________ TOTAL ORDERED 7 116.66 % 010 12/30/09 1 010 12/28/09 2 010 12/22/09 1 010 12/08/09 1 010 12/04/09 1 010 12/01/09 1 + __________ TOTAL ORDERED 7 116.66 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 10613 BW9937422 32320 ST HWY 249 PINEHURST TX 77362 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 472540 TRAMADOL HCL ER 100MG TB (PAT)+30 31014709013 10147090103 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 04/22/10 2 010 04/19/10 6 010 04/08/10 3 + __________ TOTAL ORDERED 11 183.33 % 010 03/18/10 8 010 03/15/10 2 010 03/11/10 2 + __________ TOTAL ORDERED 12 200.00 % 010 02/22/10 3 010 02/15/10 1 010 02/11/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 667 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 020 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 10613 BW9937422 32320 ST HWY 249 PINEHURST TX 77362 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 472540 TRAMADOL HCL ER 100MG TB (PAT)+30 31014709013 10147090103 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 7 116.66 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11751 FW0893429 CLINIC/909 FROSTWOOD HOUSTON TX 77024 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 514247 MORPHINE SULFATE IR 15MG TABS+100 30054023525 00054023525 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 04/27/10 2 014 04/20/10 7 014 04/13/10 6 014 04/06/10 2 + __________ TOTAL ORDERED 17 188.88 % 014 03/11/10 3 014 03/30/10 2 014 03/23/10 1 014 03/16/10 1 014 03/09/10 6 014 03/02/10 2 + __________ TOTAL ORDERED 15 166.66 % 0 SALES DISTRICT 021 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 01412 AW2621654 890 N STATE RE 7 HOLLYWOOD FL 33021 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 001 04/30/10 5 001 04/23/10 4 001 04/21/10 3 001 04/16/10 5 001 04/09/10 7 001 04/07/10 8 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 668 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 021 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 01412 AW2621654 890 N STATE RE 7 HOLLYWOOD FL 33021 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 001 04/02/10 8 + __________ TOTAL ORDERED 40 121.21 % 001 03/31/10 2 001 03/26/10 4 001 03/24/10 2 001 03/19/10 6 001 03/17/10 3 001 03/12/10 6 001 03/10/10 2 001 03/05/10 12 001 03/03/10 5 + __________ TOTAL ORDERED 42 127.27 % 001 02/24/10 1 001 02/19/10 7 001 02/17/10 3 001 02/12/10 7 001 02/10/10 3 001 02/05/10 9 001 02/03/10 7 + __________ TOTAL ORDERED 37 112.12 % 001 12/31/09 12 001 12/29/09 1 001 12/23/09 6 001 12/21/09 4 001 12/16/09 4 001 12/14/09 6 001 12/09/09 5 001 12/07/09 1 001 12/02/09 3 + __________ TOTAL ORDERED 42 127.27 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (AMI)+ 100 35215221502 52152021502 12 3.0 36.0 0 DC DATE ORDERED QUANTITY 014 04/13/10 25 014 04/06/10 40 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 669 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 021 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 01412 AW2621654 890 N STATE RE 7 HOLLYWOOD FL 33021 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (AMI)+ 100 35215221502 52152021502 12 3.0 36.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 65 180.55 % 014 03/30/10 20 014 03/23/10 15 014 03/16/10 30 014 03/09/10 30 014 03/02/10 20 + __________ TOTAL ORDERED 115 319.44 % 014 02/23/10 40 014 02/16/10 40 014 02/09/10 40 014 02/02/10 40 + __________ TOTAL ORDERED 160 444.44 % 014 01/26/10 42 014 01/19/10 59 014 01/12/10 47 014 01/05/10 36 + __________ TOTAL ORDERED 184 511.11 % 014 12/28/09 47 014 12/18/09 42 014 12/04/09 37 + __________ TOTAL ORDERED 126 350.00 % 014 11/27/09 34 014 11/19/09 30 + __________ TOTAL ORDERED 64 177.77 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682972 OXYCODONE HCL 15MG TAB (ACT) +100 35215221402 52152021402 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 014 04/27/10 12 014 04/13/10 19 + __________ TOTAL ORDERED 31 129.16 % 014 03/30/10 14 014 03/23/10 5 014 03/16/10 18 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 670 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 021 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 01412 AW2621654 890 N STATE RE 7 HOLLYWOOD FL 33021 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682972 OXYCODONE HCL 15MG TAB (ACT) +100 35215221402 52152021402 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 014 03/02/10 22 + __________ TOTAL ORDERED 59 245.83 % 014 02/23/10 10 014 02/16/10 17 014 02/09/10 10 014 02/02/10 7 + __________ TOTAL ORDERED 44 183.33 % 014 01/26/10 9 014 01/19/10 16 014 01/12/10 7 014 01/05/10 2 + __________ TOTAL ORDERED 34 141.66 % 014 12/28/09 8 014 12/18/09 13 014 12/04/09 5 + __________ TOTAL ORDERED 26 108.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684145 OXYCOD-APAP 10-650 TAB (WAT) +100 30591082501 00591082501 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 014 03/30/10 6 014 03/23/10 1 014 03/16/10 3 014 03/09/10 3 014 03/02/10 3 + __________ TOTAL ORDERED 16 106.66 % 014 02/01/10 6 014 02/23/10 2 014 02/16/10 3 014 02/09/10 5 014 02/02/10 2 + __________ TOTAL ORDERED 18 120.00 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 671 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 021 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02489 BW3556529 3304 AVENTURA BLVD AVENTURA FL 33180 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 668698 XANAX 0.25MG TAB 100 + (PZ) 30009002901 00009002901 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 001 04/30/10 4 001 04/28/10 1 001 04/23/10 1 + __________ TOTAL ORDERED 6 200.00 % 001 03/24/10 1 001 03/12/10 1 001 03/10/10 2 + __________ TOTAL ORDERED 4 133.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03525 AW0200939 6817 TAFT ST HOLLYWOOD FL 33024 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 652294 OXYCOD-APAP 10-325 TAB (WAT) +100 30591093201 00591093201 16 3.0 48.0 0 DC DATE ORDERED QUANTITY 014 04/29/10 1 014 04/22/10 26 014 04/15/10 12 014 04/08/10 10 014 04/01/10 4 + __________ TOTAL ORDERED 53 110.41 % 014 01/28/10 8 014 01/21/10 14 014 01/14/10 22 014 01/07/10 5 + __________ TOTAL ORDERED 49 102.08 % 014 12/30/09 17 014 12/22/09 16 014 12/15/09 14 014 12/08/09 18 014 12/01/09 6 + __________ TOTAL ORDERED 71 147.91 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 672 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 021 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03525 AW0200939 6817 TAFT ST HOLLYWOOD FL 33024 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 001 04/30/10 5 001 04/27/10 3 001 04/23/10 7 001 04/20/10 2 001 04/16/10 11 001 04/13/10 5 001 04/09/10 7 001 04/06/10 2 001 04/02/10 8 + __________ TOTAL ORDERED 50 151.51 % 001 03/30/10 1 001 03/26/10 6 001 03/23/10 4 001 03/19/10 5 001 03/16/10 3 001 03/12/10 9 001 03/09/10 3 001 03/05/10 4 + __________ TOTAL ORDERED 35 106.06 % 001 02/26/10 4 001 02/23/10 3 001 02/19/10 4 001 02/16/10 4 001 02/12/10 8 001 02/05/10 12 001 02/02/10 3 + __________ TOTAL ORDERED 38 115.15 % 001 01/29/10 4 001 01/26/10 1 001 01/22/10 4 001 01/19/10 4 001 01/15/10 8 001 01/12/10 1 001 01/08/10 10 001 01/05/10 4 + __________ TOTAL ORDERED 36 109.09 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 673 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 021 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03525 AW0200939 6817 TAFT ST HOLLYWOOD FL 33024 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675041 HC-IBUPRO 7.5-200 TABS (TEV)+ 100 30093516101 00093516101 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 001 04/30/10 1 001 04/27/10 2 001 04/16/10 5 001 04/09/10 3 001 04/06/10 1 001 04/02/10 2 + __________ TOTAL ORDERED 14 116.66 % 001 02/26/10 1 001 02/23/10 1 001 02/19/10 5 001 02/16/10 3 001 02/12/10 2 001 02/09/10 2 001 02/05/10 1 001 02/02/10 1 + __________ TOTAL ORDERED 16 133.33 % 001 12/31/09 3 001 12/23/09 2 001 12/18/09 2 001 12/16/09 1 001 12/11/09 1 001 12/09/09 2 001 12/04/09 3 001 12/02/09 3 + __________ TOTAL ORDERED 17 141.66 % 001 11/27/09 4 001 11/19/09 2 001 11/12/09 2 001 11/10/09 2 001 11/05/09 1 001 11/03/09 2 + __________ TOTAL ORDERED 13 108.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 674 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 021 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03525 AW0200939 6817 TAFT ST HOLLYWOOD FL 33024 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679658 HYDROMET SYRUP (ALP) + 473ML 30472103016 00472103016 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 001 04/30/10 1 001 04/27/10 2 001 04/23/10 1 001 04/20/10 3 001 04/16/10 2 001 04/13/10 1 001 04/09/10 4 001 04/02/10 2 + __________ TOTAL ORDERED 16 133.33 % 001 03/26/10 2 001 03/23/10 1 001 03/19/10 3 001 03/16/10 1 001 03/12/10 2 001 03/09/10 1 001 03/05/10 3 + __________ TOTAL ORDERED 13 108.33 % 001 12/28/09 2 001 12/23/09 5 001 12/18/09 4 001 12/11/09 3 001 12/09/09 1 001 12/02/09 1 + __________ TOTAL ORDERED 16 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684145 OXYCOD-APAP 10-650 TAB (WAT) +100 30591082501 00591082501 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 014 04/29/10 6 014 04/22/10 9 014 04/15/10 10 014 04/08/10 2 + __________ TOTAL ORDERED 27 180.00 % 014 03/18/10 14 014 03/11/10 3 014 03/04/10 8 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 675 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 021 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03525 AW0200939 6817 TAFT ST HOLLYWOOD FL 33024 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684145 OXYCOD-APAP 10-650 TAB (WAT) +100 30591082501 00591082501 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 25 166.66 % 014 02/25/10 3 014 02/18/10 12 014 02/04/10 7 + __________ TOTAL ORDERED 22 146.66 % 014 01/28/10 7 014 01/21/10 10 014 01/14/10 6 014 01/07/10 7 + __________ TOTAL ORDERED 30 200.00 % 014 12/30/09 5 014 12/22/09 9 014 12/15/09 5 014 12/08/09 10 014 12/01/09 13 + __________ TOTAL ORDERED 42 280.00 % 014 11/23/09 3 014 11/16/09 5 014 11/09/09 7 014 11/02/09 10 + __________ TOTAL ORDERED 25 166.66 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03905 BW5347302 1751 BONAVENTURE BLVD WESTON FL 33326 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 521110 LUNESTA 1MG TAB + 30 36340219030 63402019030 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 001 12/23/09 3 001 12/14/09 1 + __________ TOTAL ORDERED 4 133.33 % 001 11/24/09 1 001 11/20/09 2 001 11/06/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 676 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 021 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03905 BW5347302 1751 BONAVENTURE BLVD WESTON FL 33326 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 521110 LUNESTA 1MG TAB + 30 36340219030 63402019030 1 3.0 3.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 4 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 601600 AMBIEN CR 12.5MG TAB + 100 30024552131 00024552131 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 001 12/31/09 2 001 12/29/09 1 001 12/23/09 1 001 12/21/09 2 001 12/16/09 1 001 12/14/09 2 001 12/09/09 1 001 12/07/09 2 001 12/02/09 1 + __________ TOTAL ORDERED 13 144.44 % 001 11/30/09 1 001 11/24/09 2 001 11/20/09 1 001 11/13/09 1 001 11/06/09 3 001 11/03/09 2 + __________ TOTAL ORDERED 10 111.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679658 HYDROMET SYRUP (ALP) + 473ML 30472103016 00472103016 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 001 04/21/10 20 001 04/16/10 2 001 04/14/10 1 001 04/07/10 2 001 04/02/10 3 + __________ TOTAL ORDERED 28 233.33 % 001 03/31/10 5 001 03/26/10 1 001 03/19/10 3 001 03/05/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 677 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 021 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03905 BW5347302 1751 BONAVENTURE BLVD WESTON FL 33326 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679658 HYDROMET SYRUP (ALP) + 473ML 30472103016 00472103016 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 001 03/03/10 2 + __________ TOTAL ORDERED 14 116.66 % 001 02/26/10 5 001 02/24/10 2 001 02/19/10 1 001 02/12/10 3 001 02/05/10 3 001 02/03/10 1 + __________ TOTAL ORDERED 15 125.00 % 001 01/29/10 3 001 01/27/10 1 001 01/22/10 4 001 01/20/10 1 001 01/15/10 2 001 01/08/10 2 001 01/06/10 3 + __________ TOTAL ORDERED 16 133.33 % 001 12/31/09 3 001 12/16/09 2 001 12/14/09 9 001 12/07/09 4 + __________ TOTAL ORDERED 18 150.00 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04003 AW8470611 3015 S UNIVERSITY DR DAVIE FL 33328 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 553889 ANDROGEL 1% PUMP (UNI) +150GM 30051848888 00051848888 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 001 04/21/10 2 001 04/16/10 1 001 04/14/10 3 001 04/09/10 2 001 04/07/10 2 001 04/02/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 678 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 021 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04003 AW8470611 3015 S UNIVERSITY DR DAVIE FL 33328 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 553889 ANDROGEL 1% PUMP (UNI) +150GM 30051848888 00051848888 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 14 155.55 % 001 03/24/10 5 001 03/17/10 1 001 03/12/10 1 001 03/05/10 2 001 03/03/10 2 + __________ TOTAL ORDERED 11 122.22 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04402 BW4020563 1300 E HALLNDAL BCH HALLANDALE FL33009 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 001 04/30/10 4 001 04/28/10 2 001 04/23/10 6 001 04/21/10 1 001 04/16/10 5 001 04/14/10 6 001 04/09/10 4 001 04/07/10 3 001 04/02/10 3 + __________ TOTAL ORDERED 34 103.03 % 001 03/31/10 6 001 03/26/10 2 001 03/24/10 3 001 03/19/10 6 001 03/17/10 8 001 03/12/10 5 001 03/10/10 5 001 03/05/10 5 001 03/03/10 1 + __________ TOTAL ORDERED 41 124.24 % 001 12/31/09 5 001 12/29/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 679 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 021 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04402 BW4020563 1300 E HALLNDAL BCH HALLANDALE FL33009 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 001 12/23/09 9 001 12/21/09 2 001 12/16/09 3 001 12/14/09 6 001 12/09/09 4 001 12/07/09 1 001 12/02/09 4 + __________ TOTAL ORDERED 35 106.06 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679658 HYDROMET SYRUP (ALP) + 473ML 30472103016 00472103016 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 001 03/31/10 2 001 03/26/10 3 001 03/24/10 1 001 03/19/10 2 001 03/12/10 3 001 03/10/10 2 001 03/05/10 2 001 03/03/10 1 + __________ TOTAL ORDERED 16 133.33 % 001 01/27/10 1 001 01/22/10 5 001 01/20/10 1 001 01/15/10 2 001 01/13/10 1 001 01/08/10 3 001 01/06/10 1 + __________ TOTAL ORDERED 14 116.66 % 001 12/31/09 3 001 12/29/09 5 001 12/23/09 1 001 12/16/09 1 001 12/14/09 4 001 12/09/09 4 001 12/07/09 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 680 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 021 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04402 BW4020563 1300 E HALLNDAL BCH HALLANDALE FL33009 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679658 HYDROMET SYRUP (ALP) + 473ML 30472103016 00472103016 4 3.0 12.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 21 175.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684145 OXYCOD-APAP 10-650 TAB (WAT) +100 30591082501 00591082501 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 014 04/29/10 4 014 04/22/10 6 014 04/15/10 8 014 04/08/10 1 014 04/01/10 4 + __________ TOTAL ORDERED 23 153.33 % 014 03/25/10 3 014 03/18/10 3 014 03/11/10 4 014 03/04/10 2 014 03/02/10 4 + __________ TOTAL ORDERED 16 106.66 % 014 02/18/10 3 014 02/16/10 3 014 02/11/10 3 014 02/09/10 1 014 02/04/10 5 014 02/02/10 1 + __________ TOTAL ORDERED 16 106.66 % 014 12/30/09 3 014 12/28/09 3 014 12/22/09 3 014 12/15/09 4 014 12/08/09 7 014 12/01/09 5 + __________ TOTAL ORDERED 25 166.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 681 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 021 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04402 BW4020563 1300 E HALLNDAL BCH HALLANDALE FL33009 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684341 TEMAZEPAM 15MG CAP + 100 30781220101 00781220101 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 001 04/30/10 2 001 04/28/10 1 001 04/23/10 3 001 04/21/10 5 001 04/16/10 1 001 04/09/10 3 001 04/07/10 2 001 04/02/10 3 + __________ TOTAL ORDERED 20 133.33 % 001 03/31/10 2 001 03/26/10 3 001 03/24/10 3 001 03/19/10 7 001 03/12/10 1 001 03/10/10 1 001 03/05/10 2 001 03/03/10 2 + __________ TOTAL ORDERED 21 140.00 % 001 12/31/09 3 001 12/29/09 1 001 12/23/09 3 001 12/21/09 2 001 12/16/09 2 001 12/14/09 1 001 12/09/09 1 001 12/07/09 2 001 12/02/09 1 + __________ TOTAL ORDERED 16 106.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684342 TEMAZEPAM 30MG CAPSULES + 100 30781220201 00781220201 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 001 04/30/10 1 001 04/28/10 2 001 04/23/10 2 001 04/21/10 2 001 04/16/10 3 001 04/14/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 682 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 021 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04402 BW4020563 1300 E HALLNDAL BCH HALLANDALE FL33009 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684342 TEMAZEPAM 30MG CAPSULES + 100 30781220201 00781220201 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 001 04/09/10 2 001 04/07/10 1 001 04/02/10 3 + __________ TOTAL ORDERED 19 105.55 % 001 02/26/10 3 001 02/24/10 1 001 02/19/10 2 001 02/17/10 3 001 02/12/10 4 001 02/10/10 3 001 02/05/10 3 001 02/03/10 1 + __________ TOTAL ORDERED 20 111.11 % 001 12/31/09 2 001 12/29/09 1 001 12/23/09 4 001 12/21/09 3 001 12/16/09 2 001 12/14/09 1 001 12/09/09 1 001 12/07/09 2 001 12/02/09 3 + __________ TOTAL ORDERED 19 105.55 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04768 AW0201222 340 SW 24TH ST FT LAUDERDALE FL 33315 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 474146 OXYCODONE ER 80MG TABS (ETH)+ 100 35817768304 58177068304 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 03/24/10 2 014 03/17/10 3 014 03/03/10 2 + __________ TOTAL ORDERED 7 116.66 % 014 02/24/10 1 014 02/17/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 683 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 021 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04768 AW0201222 340 SW 24TH ST FT LAUDERDALE FL 33315 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 474146 OXYCODONE ER 80MG TABS (ETH)+ 100 35817768304 58177068304 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 02/10/10 3 014 02/03/10 1 + __________ TOTAL ORDERED 7 116.66 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04955 BW6959348 18665 BISCAYNE AVENTURA FL 33180 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 601600 AMBIEN CR 12.5MG TAB + 100 30024552131 00024552131 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 001 04/28/10 4 001 04/23/10 1 001 04/21/10 2 001 04/16/10 1 001 04/14/10 1 001 04/09/10 1 001 04/07/10 1 + __________ TOTAL ORDERED 11 122.22 % 001 03/31/10 2 001 03/26/10 1 001 03/24/10 3 001 03/19/10 2 001 03/12/10 1 001 03/10/10 1 001 03/03/10 1 + __________ TOTAL ORDERED 11 122.22 % 001 02/26/10 2 001 02/17/10 5 001 02/12/10 1 001 02/10/10 1 001 02/05/10 1 001 02/03/10 1 + __________ TOTAL ORDERED 11 122.22 % 001 12/31/09 3 001 12/29/09 3 001 12/23/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 684 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 021 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04955 BW6959348 18665 BISCAYNE AVENTURA FL 33180 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 601600 AMBIEN CR 12.5MG TAB + 100 30024552131 00024552131 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 001 12/21/09 2 001 12/16/09 1 001 12/14/09 2 001 12/09/09 2 001 12/07/09 1 001 12/02/09 1 + __________ TOTAL ORDERED 16 177.77 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 603810 LYRICA 50MG CAP + 90 30071101368 00071101368 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 001 04/30/10 1 001 04/23/10 1 001 04/16/10 1 001 04/09/10 2 001 04/07/10 2 001 04/02/10 3 + __________ TOTAL ORDERED 10 111.11 % 001 02/26/10 1 001 02/24/10 3 001 02/19/10 1 001 02/12/10 1 001 02/10/10 1 001 02/05/10 1 001 02/03/10 3 + __________ TOTAL ORDERED 11 122.22 % 001 01/15/10 1 001 01/13/10 4 001 01/08/10 1 001 01/06/10 4 + __________ TOTAL ORDERED 10 111.11 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 685 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 021 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04955 BW6959348 18665 BISCAYNE AVENTURA FL 33180 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673028 AMBIEN 10MG TAB (SNF) 100 30024542131 00024542131 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 001 03/31/10 1 001 03/19/10 1 001 03/12/10 1 001 03/10/10 1 001 03/03/10 1 + __________ TOTAL ORDERED 5 166.66 % 001 01/22/10 1 001 01/20/10 1 001 01/13/10 1 001 01/08/10 1 + __________ TOTAL ORDERED 4 133.33 % 001 12/31/09 1 001 12/21/09 2 001 12/02/09 1 + __________ TOTAL ORDERED 4 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675762 METHYLPHENIDATE 10MG TAB(WAT)+100 30591588301 00591588301 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 04/29/10 2 014 04/22/10 6 014 04/15/10 3 014 04/01/10 1 + __________ TOTAL ORDERED 12 133.33 % 014 03/18/10 3 014 03/11/10 2 014 03/09/10 1 014 03/04/10 4 + __________ TOTAL ORDERED 10 111.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679658 HYDROMET SYRUP (ALP) + 473ML 30472103016 00472103016 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 001 04/30/10 2 001 04/23/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 686 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 021 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04955 BW6959348 18665 BISCAYNE AVENTURA FL 33180 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679658 HYDROMET SYRUP (ALP) + 473ML 30472103016 00472103016 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 001 04/16/10 3 001 04/09/10 3 001 04/02/10 5 + __________ TOTAL ORDERED 14 116.66 % 001 03/26/10 4 001 03/24/10 1 001 03/19/10 2 001 03/12/10 5 001 03/10/10 2 001 03/05/10 1 + __________ TOTAL ORDERED 15 125.00 % 001 01/27/10 3 001 01/22/10 3 001 01/15/10 3 001 01/13/10 3 001 01/06/10 10 + __________ TOTAL ORDERED 22 183.33 % 001 12/31/09 1 001 12/29/09 3 001 12/23/09 3 001 12/14/09 3 001 12/07/09 5 001 12/02/09 2 + __________ TOTAL ORDERED 17 141.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (AMI)+ 100 35215221502 52152021502 12 3.0 36.0 0 DC DATE ORDERED QUANTITY 014 04/15/10 19 014 04/08/10 29 014 04/01/10 48 + __________ TOTAL ORDERED 96 266.66 % 014 03/25/10 40 014 03/18/10 25 014 03/11/10 18 014 03/09/10 9 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 687 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 021 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04955 BW6959348 18665 BISCAYNE AVENTURA FL 33180 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (AMI)+ 100 35215221502 52152021502 12 3.0 36.0 0 DC DATE ORDERED QUANTITY 014 03/04/10 14 014 03/02/10 18 + __________ TOTAL ORDERED 124 344.44 % 014 02/25/10 13 014 02/11/10 16 014 02/04/10 11 014 02/02/10 6 + __________ TOTAL ORDERED 46 127.77 % 014 01/26/10 4 014 01/21/10 20 014 01/19/10 1 014 01/14/10 17 014 01/12/10 5 014 01/07/10 8 + __________ TOTAL ORDERED 55 152.77 % 014 12/30/09 10 014 12/22/09 17 014 12/18/09 28 014 12/08/09 3 014 12/04/09 6 014 12/01/09 1 + __________ TOTAL ORDERED 65 180.55 % 014 11/27/09 11 014 11/23/09 12 014 11/19/09 21 014 11/02/09 3 + __________ TOTAL ORDERED 47 130.55 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684278 OXYCONTIN 40MG TAB (PUR) 100 35901110510 59011010510 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 12/30/09 2 014 12/22/09 3 014 12/18/09 1 014 12/15/09 2 014 12/04/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 688 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 021 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04955 BW6959348 18665 BISCAYNE AVENTURA FL 33180 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684278 OXYCONTIN 40MG TAB (PUR) 100 35901110510 59011010510 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 10 111.11 % 014 11/23/09 1 014 11/16/09 3 014 11/19/09 1 014 11/09/09 1 014 11/05/09 2 014 11/02/09 3 + __________ TOTAL ORDERED 11 122.22 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684341 TEMAZEPAM 15MG CAP + 100 30781220101 00781220101 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 001 03/31/10 8 001 03/26/10 5 001 03/19/10 2 001 03/12/10 1 001 03/05/10 3 001 03/03/10 1 + __________ TOTAL ORDERED 20 133.33 % 001 02/26/10 1 001 02/17/10 8 001 02/12/10 4 001 02/10/10 1 001 02/05/10 1 001 02/03/10 1 + __________ TOTAL ORDERED 16 106.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684342 TEMAZEPAM 30MG CAPSULES + 100 30781220201 00781220201 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 001 04/30/10 3 001 04/28/10 2 001 04/23/10 6 001 04/21/10 1 001 04/16/10 2 001 04/09/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 689 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 021 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04955 BW6959348 18665 BISCAYNE AVENTURA FL 33180 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684342 TEMAZEPAM 30MG CAPSULES + 100 30781220201 00781220201 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 001 04/02/10 5 + __________ TOTAL ORDERED 21 116.66 % 001 03/26/10 3 001 03/24/10 3 001 03/19/10 2 001 03/17/10 6 001 03/05/10 4 001 03/03/10 4 + __________ TOTAL ORDERED 22 122.22 % 001 12/31/09 4 001 12/29/09 3 001 12/23/09 5 001 12/21/09 2 001 12/16/09 1 001 12/14/09 3 001 12/09/09 3 001 12/07/09 2 001 12/02/09 3 + __________ TOTAL ORDERED 26 144.44 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06404 BW1120500 11204 W SR 84 DAVIE FL 33325 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 553889 ANDROGEL 1% PUMP (UNI) +150GM 30051848888 00051848888 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 001 01/28/10 1 001 01/14/10 1 001 01/11/10 2 001 01/04/10 6 + __________ TOTAL ORDERED 10 111.11 % 001 12/30/09 4 001 12/24/09 4 001 12/22/09 1 001 12/15/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 690 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 021 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06404 BW1120500 11204 W SR 84 DAVIE FL 33325 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 553889 ANDROGEL 1% PUMP (UNI) +150GM 30051848888 00051848888 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 11 122.22 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11341 FW1039393 1613 ALTON RD MIAMI BEACH FL 33139 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 478424 TESTOSTERN CYP 200MG/ML (PAD)+1ML 30574082001 00574082001 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 001 04/28/10 46 + __________ TOTAL ORDERED 46 306.66 % 001 03/10/10 35 001 03/03/10 9 + __________ TOTAL ORDERED 44 293.33 % 001 02/24/10 21 001 02/17/10 11 001 02/10/10 12 001 02/03/10 14 + __________ TOTAL ORDERED 58 386.66 % 001 01/27/10 9 001 01/20/10 9 001 01/13/10 17 001 01/06/10 26 + __________ TOTAL ORDERED 61 406.66 % 001 12/30/09 26 001 12/16/09 35 + __________ TOTAL ORDERED 61 406.66 % 001 11/05/09 28 + __________ TOTAL ORDERED 28 186.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 691 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 021 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11341 FW1039393 1613 ALTON RD MIAMI BEACH FL 33139 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563160 OXANDROLONE 10MG TAB (WAT) +60 30591354560 00591354560 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 001 12/30/09 2 001 12/16/09 2 001 12/09/09 1 001 12/02/09 3 + __________ TOTAL ORDERED 8 133.33 % 001 11/25/09 3 001 11/12/09 8 001 11/05/09 1 + __________ TOTAL ORDERED 12 200.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684809 TESTOSTERN CYP 200MG/ML(WAT)+10ML 30591322379 00364661054 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 001 04/28/10 9 001 04/21/10 5 001 04/14/10 10 001 04/07/10 6 + __________ TOTAL ORDERED 30 333.33 % 001 03/31/10 7 001 03/24/10 11 001 03/17/10 5 001 03/10/10 3 001 03/03/10 6 + __________ TOTAL ORDERED 32 355.55 % 001 02/24/10 3 001 02/17/10 5 001 02/10/10 7 001 02/03/10 7 + __________ TOTAL ORDERED 22 244.44 % 001 01/27/10 8 001 01/20/10 12 001 01/13/10 15 001 01/06/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 692 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 021 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11341 FW1039393 1613 ALTON RD MIAMI BEACH FL 33139 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684809 TESTOSTERN CYP 200MG/ML(WAT)+10ML 30591322379 00364661054 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 41 455.55 % 001 12/30/09 6 001 12/23/09 12 001 12/16/09 7 001 12/09/09 8 001 12/02/09 2 + __________ TOTAL ORDERED 35 388.88 % 001 11/25/09 8 001 11/19/09 4 001 11/12/09 16 001 11/05/09 10 + __________ TOTAL ORDERED 38 422.22 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 13849 FW1893165 2540 NE 15TH AVE WILTON MANORS FL33305 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684809 TESTOSTERN CYP 200MG/ML(WAT)+10ML 30591322379 00364661054 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 001 04/28/10 1 001 04/02/10 12 + __________ TOTAL ORDERED 13 144.44 % 001 03/31/10 12 + __________ TOTAL ORDERED 12 133.33 % 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 01622 BW0671493 4050 US #1 JUPITER FL 33477 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 471202 FENTANYL 12MCG/HR TS (SAN) + 5 30781724055 00781724055 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 693 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 01622 BW0671493 4050 US #1 JUPITER FL 33477 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 471202 FENTANYL 12MCG/HR TS (SAN) + 5 30781724055 00781724055 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 03/29/10 5 014 03/15/10 5 014 03/01/10 2 + __________ TOTAL ORDERED 12 133.33 % 014 02/22/10 5 014 02/01/10 9 + __________ TOTAL ORDERED 14 155.55 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (AMI)+ 100 35215221502 52152021502 12 3.0 36.0 0 DC DATE ORDERED QUANTITY 014 04/19/10 10 014 04/12/10 16 014 04/05/10 11 + __________ TOTAL ORDERED 37 102.77 % 014 03/29/10 17 014 03/15/10 11 014 03/08/10 11 014 03/01/10 14 + __________ TOTAL ORDERED 53 147.22 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 01938 BW1531854 1208 ROYAL PALM ROYAL PALM BCH FL33411 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544543 FENTANYL 50MCG/HR TS (WAT) + 5 30591321272 00591321272 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 014 12/23/09 5 014 12/16/09 1 014 12/09/09 2 014 12/02/09 11 + __________ TOTAL ORDERED 19 105.55 % 014 11/24/09 2 014 11/17/09 9 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 694 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 01938 BW1531854 1208 ROYAL PALM ROYAL PALM BCH FL33411 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544543 FENTANYL 50MCG/HR TS (WAT) + 5 30591321272 00591321272 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 014 11/10/09 1 014 11/03/09 7 + __________ TOTAL ORDERED 19 105.55 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 001 03/31/10 4 001 03/29/10 1 001 03/22/10 8 001 03/17/10 3 001 03/15/10 1 001 03/10/10 3 001 03/08/10 3 001 03/03/10 5 001 03/01/10 4 + __________ TOTAL ORDERED 32 133.33 % 001 02/24/10 3 001 02/22/10 4 001 02/17/10 3 001 02/15/10 2 001 02/10/10 1 001 02/08/10 6 001 02/03/10 6 001 02/01/10 3 + __________ TOTAL ORDERED 28 116.66 % 001 01/27/10 4 001 01/25/10 5 001 01/20/10 3 001 01/18/10 3 001 01/13/10 3 001 01/11/10 3 001 01/06/10 3 001 01/04/10 5 + __________ TOTAL ORDERED 29 120.83 % 001 12/29/09 5 001 12/24/09 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 695 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 01938 BW1531854 1208 ROYAL PALM ROYAL PALM BCH FL33411 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 001 12/21/09 5 001 12/17/09 2 001 12/14/09 2 001 12/10/09 9 001 12/07/09 3 001 12/03/09 2 + __________ TOTAL ORDERED 31 129.16 % 001 11/30/09 7 001 11/25/09 6 001 11/18/09 1 001 11/20/09 5 001 11/13/09 5 001 11/11/09 1 001 11/06/09 5 001 11/04/09 3 + __________ TOTAL ORDERED 33 137.50 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03331 AW0200977 1001 N DIXIE HWY LAKE WORTH FL 33460 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (AMI)+ 100 35215221502 52152021502 12 3.0 36.0 0 DC DATE ORDERED QUANTITY 014 01/21/10 20 014 01/14/10 14 014 01/07/10 14 + __________ TOTAL ORDERED 48 133.33 % 014 12/30/09 4 014 12/22/09 19 014 12/01/09 24 + __________ TOTAL ORDERED 47 130.55 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 696 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03334 BW4562294 1255 PALM BEACH LKE W PLM BCH FL 33401 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (AMI)+ 100 35215221502 52152021502 12 3.0 36.0 0 DC DATE ORDERED QUANTITY 014 04/15/10 22 014 04/08/10 16 014 04/01/10 12 + __________ TOTAL ORDERED 50 138.88 % 014 02/25/10 23 014 02/11/10 6 014 02/04/10 8 + __________ TOTAL ORDERED 37 102.77 % 014 01/28/10 13 014 01/21/10 9 014 01/14/10 23 014 01/07/10 2 + __________ TOTAL ORDERED 47 130.55 % 014 12/30/09 13 014 12/22/09 21 014 12/08/09 23 014 12/01/09 5 + __________ TOTAL ORDERED 62 172.22 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03455 AW0201032 2501 BROADWAY RIVERA BEACH FL 33404 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563755 OXYCODONE-APAP 5-325 TAB(WAT)+500 30591074905 00591074905 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 014 04/26/10 2 014 04/19/10 4 014 04/12/10 6 014 04/05/10 6 + __________ TOTAL ORDERED 18 120.00 % 014 03/22/10 3 014 03/15/10 5 014 03/08/10 4 014 03/01/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 697 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03455 AW0201032 2501 BROADWAY RIVERA BEACH FL 33404 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563755 OXYCODONE-APAP 5-325 TAB(WAT)+500 30591074905 00591074905 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 16 106.66 % 014 02/22/10 3 014 02/15/10 5 014 02/08/10 4 014 02/01/10 4 + __________ TOTAL ORDERED 16 106.66 % 014 12/24/09 6 014 12/17/09 5 014 12/10/09 4 014 12/03/09 5 + __________ TOTAL ORDERED 20 133.33 % 014 11/25/09 4 014 11/18/09 3 014 11/11/09 5 014 11/04/09 4 + __________ TOTAL ORDERED 16 106.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 597169 METHADONE HCL 10MG TAB (MAL) +100 30406577101 00406577101 14 3.0 42.0 0 DC DATE ORDERED QUANTITY 014 03/29/10 12 014 03/22/10 6 014 03/15/10 9 014 03/08/10 16 014 03/01/10 8 + __________ TOTAL ORDERED 51 121.42 % 014 02/15/10 10 014 02/08/10 16 014 02/01/10 20 + __________ TOTAL ORDERED 46 109.52 % 014 01/25/10 8 014 01/18/10 16 014 01/11/10 26 014 01/04/10 10 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 698 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03455 AW0201032 2501 BROADWAY RIVERA BEACH FL 33404 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 597169 METHADONE HCL 10MG TAB (MAL) +100 30406577101 00406577101 14 3.0 42.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 60 142.85 % 014 11/25/09 11 014 11/18/09 14 014 11/11/09 7 014 11/04/09 11 + __________ TOTAL ORDERED 43 102.38 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 001 04/29/10 3 001 04/27/10 2 001 04/22/10 6 001 04/20/10 5 001 04/15/10 4 001 04/13/10 6 001 04/08/10 9 001 04/01/10 5 + __________ TOTAL ORDERED 40 166.66 % 001 03/30/10 4 001 03/25/10 5 001 03/18/10 6 001 03/11/10 7 001 03/09/10 3 001 03/04/10 6 001 03/02/10 3 + __________ TOTAL ORDERED 34 141.66 % 001 02/25/10 4 001 02/18/10 6 001 02/16/10 5 001 02/11/10 6 001 02/09/10 3 001 02/04/10 6 001 02/02/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 699 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03455 AW0201032 2501 BROADWAY RIVERA BEACH FL 33404 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 8 3.0 24.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 32 133.33 % 001 01/28/10 2 001 01/26/10 1 001 01/21/10 7 001 01/19/10 5 001 01/14/10 8 001 01/12/10 8 001 01/07/10 6 001 01/05/10 2 + __________ TOTAL ORDERED 39 162.50 % 001 12/30/09 5 001 12/28/09 6 001 12/22/09 5 001 12/18/09 8 001 12/11/09 11 001 12/08/09 4 001 12/04/09 7 001 12/01/09 3 + __________ TOTAL ORDERED 49 204.16 % 001 11/27/09 9 001 11/23/09 8 001 11/16/09 7 001 11/12/09 4 001 11/09/09 8 001 11/05/09 2 001 11/02/09 7 + __________ TOTAL ORDERED 45 187.50 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 001 04/29/10 8 001 04/27/10 2 001 04/22/10 5 001 04/15/10 2 001 04/13/10 6 001 04/08/10 17 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 700 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03455 AW0201032 2501 BROADWAY RIVERA BEACH FL 33404 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 001 04/01/10 5 + __________ TOTAL ORDERED 45 136.36 % 001 03/30/10 1 001 03/25/10 13 001 03/23/10 1 001 03/18/10 5 001 03/11/10 8 001 03/09/10 3 001 03/04/10 7 + __________ TOTAL ORDERED 38 115.15 % 001 01/28/10 6 001 01/26/10 3 001 01/21/10 10 001 01/19/10 3 001 01/14/10 7 001 01/12/10 5 001 01/07/10 7 + __________ TOTAL ORDERED 41 124.24 % 001 12/30/09 5 001 12/28/09 3 001 12/22/09 8 001 12/18/09 4 001 12/15/09 5 001 12/11/09 7 001 12/08/09 12 001 12/04/09 6 + __________ TOTAL ORDERED 50 151.51 % 001 11/27/09 5 001 11/23/09 1 001 11/16/09 7 001 11/19/09 2 001 11/12/09 3 001 11/09/09 8 001 11/05/09 3 001 11/02/09 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 701 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03455 AW0201032 2501 BROADWAY RIVERA BEACH FL 33404 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 11 3.0 33.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 36 109.09 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (AMI)+ 100 35215221502 52152021502 12 3.0 36.0 0 DC DATE ORDERED QUANTITY 014 04/19/10 15 014 04/12/10 25 014 04/05/10 25 + __________ TOTAL ORDERED 65 180.55 % 014 03/29/10 50 014 03/15/10 25 014 03/01/10 52 + __________ TOTAL ORDERED 127 352.77 % 014 02/22/10 25 014 02/15/10 24 014 02/08/10 55 014 02/01/10 27 + __________ TOTAL ORDERED 131 363.88 % 014 01/25/10 43 014 01/18/10 45 014 01/11/10 50 014 01/04/10 25 + __________ TOTAL ORDERED 163 452.77 % 014 12/24/09 97 014 12/17/09 26 014 12/03/09 58 + __________ TOTAL ORDERED 181 502.77 % 014 11/25/09 50 014 11/24/09 30 014 11/04/09 43 + __________ TOTAL ORDERED 123 341.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 702 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03455 AW0201032 2501 BROADWAY RIVERA BEACH FL 33404 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682972 OXYCODONE HCL 15MG TAB (ACT) +100 35215221402 52152021402 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 014 03/29/10 3 014 03/22/10 4 014 03/15/10 2 014 03/08/10 11 014 03/01/10 10 + __________ TOTAL ORDERED 30 125.00 % 014 02/22/10 3 014 02/15/10 6 014 02/08/10 14 014 02/01/10 10 + __________ TOTAL ORDERED 33 137.50 % 014 01/25/10 6 014 01/18/10 6 014 01/11/10 9 014 01/04/10 8 + __________ TOTAL ORDERED 29 120.83 % 014 12/24/09 16 014 12/17/09 10 014 12/03/09 3 + __________ TOTAL ORDERED 29 120.83 % 014 11/25/09 9 014 11/24/09 15 014 11/04/09 1 + __________ TOTAL ORDERED 25 104.16 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03487 BW4739237 4475 MELALEUCA LN LAKE WORTH FL 33461 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 597169 METHADONE HCL 10MG TAB (MAL) +100 30406577101 00406577101 14 3.0 42.0 0 DC DATE ORDERED QUANTITY 014 03/25/10 20 014 03/18/10 8 014 03/11/10 25 014 03/04/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 703 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03487 BW4739237 4475 MELALEUCA LN LAKE WORTH FL 33461 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 597169 METHADONE HCL 10MG TAB (MAL) +100 30406577101 00406577101 14 3.0 42.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 55 130.95 % 014 02/25/10 12 014 02/18/10 15 014 02/11/10 12 014 02/04/10 5 + __________ TOTAL ORDERED 44 104.76 % 014 12/30/09 12 014 12/22/09 15 014 12/15/09 3 014 12/08/09 6 014 12/01/09 21 + __________ TOTAL ORDERED 57 135.71 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674519 CHLORDIAZEPOXIDE 5MG CAP (BR)+100 30555015802 00555015802 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 001 03/26/10 2 001 03/23/10 5 001 03/12/10 2 001 03/09/10 1 001 03/05/10 2 001 03/02/10 2 + __________ TOTAL ORDERED 14 233.33 % 001 02/26/10 4 001 02/23/10 1 001 02/12/10 1 001 02/09/10 3 001 02/05/10 3 001 02/02/10 2 + __________ TOTAL ORDERED 14 233.33 % 001 01/22/10 1 001 01/19/10 2 001 01/15/10 5 001 01/12/10 5 001 01/05/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 704 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03487 BW4739237 4475 MELALEUCA LN LAKE WORTH FL 33461 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674519 CHLORDIAZEPOXIDE 5MG CAP (BR)+100 30555015802 00555015802 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 14 233.33 % 001 12/31/09 1 001 12/28/09 2 001 12/23/09 4 001 12/18/09 1 001 12/11/09 2 001 12/04/09 3 + __________ TOTAL ORDERED 13 216.66 % 001 11/17/09 1 001 11/19/09 2 001 11/12/09 4 001 11/05/09 3 001 11/03/09 2 + __________ TOTAL ORDERED 12 200.00 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03713 BW1233042 6558 LANTANA RD LANTANA FL 33462 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 683092 TESTIM 1% GEL + 30X5GM 36688700105 66887000105 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 001 04/30/10 2 001 04/27/10 3 001 04/16/10 2 001 04/09/10 1 001 04/02/10 2 + __________ TOTAL ORDERED 10 111.11 % 001 03/30/10 2 001 03/19/10 4 001 03/16/10 1 001 03/05/10 5 + __________ TOTAL ORDERED 12 133.33 % 001 02/26/10 1 001 02/12/10 5 001 02/09/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 705 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03713 BW1233042 6558 LANTANA RD LANTANA FL 33462 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 683092 TESTIM 1% GEL + 30X5GM 36688700105 66887000105 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 001 02/05/10 1 + __________ TOTAL ORDERED 10 111.11 % 001 01/29/10 2 001 01/26/10 2 001 01/22/10 2 001 01/19/10 1 001 01/15/10 3 001 01/12/10 1 + __________ TOTAL ORDERED 11 122.22 % 001 12/31/09 1 001 12/28/09 1 001 12/23/09 3 001 12/18/09 1 001 12/09/09 6 001 12/04/09 1 + __________ TOTAL ORDERED 13 144.44 % 001 11/27/09 4 001 11/24/09 3 001 11/17/09 1 001 11/19/09 1 001 11/12/09 2 001 11/10/09 1 001 11/05/09 2 001 11/03/09 2 + __________ TOTAL ORDERED 16 177.77 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04174 AW3157953 3053 SW MARTIN DOWNS PALM CITY FL34990 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 474143 OXYCODONE ER 20MG TABS (ETH)+ 100 35817767904 58177067904 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 04/22/10 6 014 04/08/10 1 014 04/01/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 706 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04174 AW3157953 3053 SW MARTIN DOWNS PALM CITY FL34990 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 474143 OXYCODONE ER 20MG TABS (ETH)+ 100 35817767904 58177067904 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 8 133.33 % 014 03/25/10 5 014 03/11/10 3 + __________ TOTAL ORDERED 8 133.33 % 014 01/18/10 3 014 01/28/10 1 014 01/21/10 1 014 01/19/10 1 014 01/07/10 1 + __________ TOTAL ORDERED 7 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544544 FENTANYL 25MCG/HR TS (WAT) + 5 30591319872 00591319872 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 014 12/30/09 3 014 12/22/09 5 014 12/15/09 2 014 12/11/09 11 + __________ TOTAL ORDERED 21 116.66 % 014 11/27/09 3 014 11/23/09 6 014 11/19/09 3 014 11/12/09 2 014 11/09/09 4 014 11/05/09 2 + __________ TOTAL ORDERED 20 111.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 553698 ZOLPIDEM 5MG TABS (TEV) + 100 30093007301 00093007301 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 001 04/30/10 2 001 04/28/10 1 001 04/23/10 1 001 04/16/10 1 001 04/14/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 707 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04174 AW3157953 3053 SW MARTIN DOWNS PALM CITY FL34990 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 553698 ZOLPIDEM 5MG TABS (TEV) + 100 30093007301 00093007301 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 001 04/09/10 2 001 04/07/10 2 001 04/02/10 3 + __________ TOTAL ORDERED 13 108.33 % 001 03/26/10 3 001 03/24/10 1 001 03/19/10 3 001 03/12/10 2 001 03/05/10 3 001 03/03/10 2 + __________ TOTAL ORDERED 14 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 603807 LYRICA 100MG CAP + 90 30071101568 00071101568 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 001 04/30/10 2 001 04/28/10 2 001 04/23/10 1 001 04/21/10 1 001 04/16/10 3 001 04/02/10 1 + __________ TOTAL ORDERED 10 166.66 % 001 01/22/10 4 001 01/08/10 3 001 01/06/10 1 + __________ TOTAL ORDERED 8 133.33 % 001 12/31/09 3 001 12/29/09 1 001 12/14/09 1 001 12/09/09 2 001 12/07/09 1 001 12/02/09 2 + __________ TOTAL ORDERED 10 166.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 708 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04174 AW3157953 3053 SW MARTIN DOWNS PALM CITY FL34990 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 603809 LYRICA 75MG CAP + 90 30071101468 00071101468 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 001 04/30/10 2 001 04/23/10 2 001 04/21/10 5 001 04/16/10 2 001 04/14/10 2 001 04/09/10 1 001 04/07/10 1 001 04/02/10 3 + __________ TOTAL ORDERED 18 150.00 % 001 12/31/09 6 001 12/29/09 1 001 12/23/09 2 001 12/21/09 1 001 12/09/09 2 001 12/07/09 2 001 12/02/09 1 + __________ TOTAL ORDERED 15 125.00 % 001 11/30/09 4 001 11/24/09 3 001 11/17/09 2 001 11/20/09 1 001 11/10/09 5 001 11/06/09 1 001 11/03/09 1 + __________ TOTAL ORDERED 17 141.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679658 HYDROMET SYRUP (ALP) + 473ML 30472103016 00472103016 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 001 04/30/10 3 001 04/28/10 2 001 04/23/10 2 001 04/21/10 1 001 04/16/10 2 001 04/14/10 2 001 04/09/10 4 001 04/07/10 1 001 04/02/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 709 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04174 AW3157953 3053 SW MARTIN DOWNS PALM CITY FL34990 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679658 HYDROMET SYRUP (ALP) + 473ML 30472103016 00472103016 4 3.0 12.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 20 166.66 % 001 03/26/10 3 001 03/24/10 2 001 03/19/10 1 001 03/17/10 2 001 03/12/10 2 001 03/05/10 4 001 03/03/10 4 + __________ TOTAL ORDERED 18 150.00 % 001 02/26/10 3 001 02/19/10 5 001 02/17/10 1 001 02/12/10 2 001 02/10/10 1 001 02/05/10 2 + __________ TOTAL ORDERED 14 116.66 % 001 01/29/10 3 001 01/27/10 2 001 01/22/10 2 001 01/20/10 2 001 01/15/10 1 001 01/13/10 2 001 01/08/10 1 001 01/06/10 1 + __________ TOTAL ORDERED 14 116.66 % 001 12/31/09 2 001 12/23/09 2 001 12/21/09 2 001 12/14/09 3 001 12/09/09 1 001 12/07/09 2 001 12/02/09 1 + __________ TOTAL ORDERED 13 108.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 710 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04174 AW3157953 3053 SW MARTIN DOWNS PALM CITY FL34990 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 683092 TESTIM 1% GEL + 30X5GM 36688700105 66887000105 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 001 01/22/10 1 001 01/15/10 4 001 01/13/10 5 001 01/08/10 3 + __________ TOTAL ORDERED 13 144.44 % 001 12/23/09 1 001 12/09/09 2 001 12/07/09 6 001 12/02/09 6 + __________ TOTAL ORDERED 15 166.66 % 001 11/30/09 1 001 11/24/09 3 001 11/20/09 2 001 11/13/09 2 001 11/10/09 2 001 11/06/09 1 001 11/03/09 2 + __________ TOTAL ORDERED 13 144.44 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04176 BW5903477 399 N CONGRESS AVE BOYNTON BCH FL33426 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 651942 HYDROMORPHONE 8MG TAB (MKT) + 100 30406324901 00406324901 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 03/31/10 2 014 03/24/10 4 014 03/17/10 1 014 03/10/10 4 014 03/03/10 1 + __________ TOTAL ORDERED 12 133.33 % 014 01/27/10 6 014 01/20/10 3 014 01/13/10 2 014 01/06/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 711 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04176 BW5903477 399 N CONGRESS AVE BOYNTON BCH FL33426 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 651942 HYDROMORPHONE 8MG TAB (MKT) + 100 30406324901 00406324901 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 13 144.44 % 014 12/21/09 9 014 12/14/09 1 014 12/07/09 10 + __________ TOTAL ORDERED 20 222.22 % 014 11/06/09 10 + __________ TOTAL ORDERED 10 111.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (AMI)+ 100 35215221502 52152021502 12 3.0 36.0 0 DC DATE ORDERED QUANTITY 014 04/14/10 25 014 04/07/10 20 + __________ TOTAL ORDERED 45 125.00 % 014 03/31/10 17 014 03/24/10 16 014 03/17/10 18 014 03/10/10 23 014 03/03/10 22 + __________ TOTAL ORDERED 96 266.66 % 014 02/24/10 12 014 02/10/10 26 014 02/03/10 22 + __________ TOTAL ORDERED 60 166.66 % 014 01/27/10 11 014 01/20/10 26 014 01/13/10 35 014 01/06/10 15 + __________ TOTAL ORDERED 87 241.66 % 014 12/29/09 18 014 12/21/09 42 014 12/07/09 33 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 712 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04176 BW5903477 399 N CONGRESS AVE BOYNTON BCH FL33426 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (AMI)+ 100 35215221502 52152021502 12 3.0 36.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 93 258.33 % 014 11/30/09 14 014 11/20/09 39 + __________ TOTAL ORDERED 53 147.22 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682972 OXYCODONE HCL 15MG TAB (ACT) +100 35215221402 52152021402 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 014 03/31/10 4 014 03/24/10 5 014 03/17/10 5 014 03/10/10 11 014 03/03/10 6 + __________ TOTAL ORDERED 31 129.16 % 014 01/27/10 4 014 01/20/10 10 014 01/13/10 7 014 01/06/10 7 + __________ TOTAL ORDERED 28 116.66 % 014 11/20/09 23 014 11/06/09 14 + __________ TOTAL ORDERED 37 154.16 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684145 OXYCOD-APAP 10-650 TAB (WAT) +100 30591082501 00591082501 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 014 03/31/10 5 014 03/24/10 2 014 03/17/10 1 014 03/10/10 7 014 03/03/10 2 + __________ TOTAL ORDERED 17 113.33 % 014 02/17/10 5 014 02/10/10 8 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 713 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04176 BW5903477 399 N CONGRESS AVE BOYNTON BCH FL33426 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684145 OXYCOD-APAP 10-650 TAB (WAT) +100 30591082501 00591082501 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 014 02/03/10 4 + __________ TOTAL ORDERED 17 113.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04279 BW0337116 1800 W INDIANTOWN RD JUPITER FL 33458 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 474146 OXYCODONE ER 80MG TABS (ETH)+ 100 35817768304 58177068304 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 04/26/10 2 014 04/19/10 4 014 04/12/10 1 + __________ TOTAL ORDERED 7 116.66 % 014 03/29/10 1 014 03/22/10 2 014 03/15/10 2 014 03/01/10 3 + __________ TOTAL ORDERED 8 133.33 % 014 02/22/10 2 014 02/15/10 4 014 02/08/10 2 014 02/01/10 3 + __________ TOTAL ORDERED 11 183.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544543 FENTANYL 50MCG/HR TS (WAT) + 5 30591321272 00591321272 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 014 12/30/09 1 014 12/15/09 18 014 12/08/09 3 014 12/01/09 4 + __________ TOTAL ORDERED 26 144.44 % 014 11/17/09 26 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 714 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04279 BW0337116 1800 W INDIANTOWN RD JUPITER FL 33458 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544543 FENTANYL 50MCG/HR TS (WAT) + 5 30591321272 00591321272 6 3.0 18.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 26 144.44 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 601600 AMBIEN CR 12.5MG TAB + 100 30024552131 00024552131 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 001 01/28/10 2 001 01/26/10 3 001 01/21/10 1 001 01/19/10 1 001 01/14/10 2 001 01/12/10 1 001 01/07/10 1 001 01/05/10 2 + __________ TOTAL ORDERED 13 144.44 % 001 12/31/09 1 001 12/28/09 1 001 12/23/09 3 001 12/18/09 1 001 12/11/09 2 001 12/04/09 3 001 12/02/09 1 + __________ TOTAL ORDERED 12 133.33 % 001 11/25/09 2 001 11/18/09 3 001 11/20/09 2 001 11/11/09 2 001 11/06/09 2 001 11/04/09 2 + __________ TOTAL ORDERED 13 144.44 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 654368 LUNESTA 2MG TAB (SEP) + 100 36340219110 63402019110 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 001 03/25/10 1 001 03/18/10 1 001 03/16/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 715 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04279 BW0337116 1800 W INDIANTOWN RD JUPITER FL 33458 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 654368 LUNESTA 2MG TAB (SEP) + 100 36340219110 63402019110 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 001 03/04/10 1 + __________ TOTAL ORDERED 4 133.33 % 001 01/28/10 1 001 01/19/10 1 001 01/14/10 2 + __________ TOTAL ORDERED 4 133.33 % 001 12/18/09 2 001 12/11/09 1 001 12/04/09 1 001 12/02/09 1 + __________ TOTAL ORDERED 5 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 654427 LUNESTA 3MG TAB (SEP) + 100 36340219310 63402019310 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 001 04/22/10 2 001 04/20/10 3 001 04/15/10 1 001 04/13/10 1 001 04/08/10 1 001 04/06/10 1 + __________ TOTAL ORDERED 9 150.00 % 001 03/30/10 1 001 03/16/10 1 001 03/11/10 2 001 03/09/10 2 001 03/04/10 1 + __________ TOTAL ORDERED 7 116.66 % 001 02/25/10 2 001 02/18/10 1 001 02/16/10 2 001 02/09/10 1 001 02/04/10 1 001 02/02/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 716 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04279 BW0337116 1800 W INDIANTOWN RD JUPITER FL 33458 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 654427 LUNESTA 3MG TAB (SEP) + 100 36340219310 63402019310 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 9 150.00 % 001 12/28/09 1 001 12/23/09 2 001 12/18/09 1 001 12/16/09 3 001 12/09/09 2 001 12/04/09 1 + __________ TOTAL ORDERED 10 166.66 % 001 11/25/09 1 001 11/18/09 1 001 11/20/09 1 001 11/13/09 1 001 11/11/09 3 001 11/06/09 1 + __________ TOTAL ORDERED 8 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 683092 TESTIM 1% GEL + 30X5GM 36688700105 66887000105 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 001 04/29/10 1 001 04/27/10 1 001 04/22/10 1 001 04/20/10 2 001 04/13/10 2 001 04/08/10 3 001 04/06/10 3 001 04/01/10 3 + __________ TOTAL ORDERED 16 177.77 % 001 03/30/10 1 001 03/25/10 1 001 03/23/10 1 001 03/18/10 2 001 03/16/10 2 001 03/11/10 1 001 03/04/10 5 001 03/02/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 717 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04279 BW0337116 1800 W INDIANTOWN RD JUPITER FL 33458 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 683092 TESTIM 1% GEL + 30X5GM 36688700105 66887000105 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 15 166.66 % 001 02/25/10 3 001 02/23/10 1 001 02/18/10 1 001 02/11/10 3 001 02/04/10 3 001 02/02/10 2 + __________ TOTAL ORDERED 13 144.44 % 001 01/21/10 5 001 01/19/10 1 001 01/14/10 1 001 01/07/10 3 001 01/05/10 3 + __________ TOTAL ORDERED 13 144.44 % 001 12/31/09 1 001 12/28/09 2 001 12/23/09 4 001 12/18/09 1 001 12/16/09 1 001 12/11/09 1 001 12/09/09 4 001 12/04/09 1 001 12/02/09 5 + __________ TOTAL ORDERED 20 222.22 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04280 AW1648611 3184 S CONGRESS PALM SPRINGS FL 33461 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 001 04/30/10 8 001 04/28/10 6 001 04/23/10 4 001 04/21/10 6 001 04/16/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 718 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04280 AW1648611 3184 S CONGRESS PALM SPRINGS FL 33461 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 001 04/14/10 1 001 04/09/10 3 001 04/02/10 4 + __________ TOTAL ORDERED 35 145.83 % 001 03/31/10 4 001 03/26/10 7 001 03/24/10 3 001 03/19/10 9 001 03/17/10 2 001 03/12/10 4 001 03/10/10 1 001 03/05/10 4 001 03/03/10 9 + __________ TOTAL ORDERED 43 179.16 % 001 01/29/10 4 001 01/27/10 3 001 01/22/10 3 001 01/20/10 3 001 01/15/10 3 001 01/13/10 1 001 01/08/10 3 001 01/06/10 6 + __________ TOTAL ORDERED 26 108.33 % 001 12/31/09 8 001 12/29/09 3 001 12/23/09 1 001 12/21/09 3 001 12/16/09 3 001 12/14/09 1 001 12/04/09 6 + __________ TOTAL ORDERED 25 104.16 % 001 11/27/09 11 001 11/23/09 4 001 11/19/09 5 001 11/12/09 4 001 11/09/09 4 001 11/05/09 5 001 11/02/09 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 719 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04280 AW1648611 3184 S CONGRESS PALM SPRINGS FL 33461 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 8 3.0 24.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 36 150.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 683559 ROXICET ORAL SOLUTION (RX) +500ML 30054368663 00054368663 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 04/01/10 2 014 04/13/10 4 014 04/06/10 1 + __________ TOTAL ORDERED 7 116.66 % 014 03/29/10 2 014 03/30/10 1 014 03/16/10 2 014 03/09/10 2 014 03/02/10 1 + __________ TOTAL ORDERED 8 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684181 OXYCOD-ASA 4.88-325 TAB (WAT)+100 30591082001 00591082001 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 014 12/28/09 1 014 12/18/09 2 014 12/03/09 1 + __________ TOTAL ORDERED 4 133.33 % 014 11/11/09 3 014 11/04/09 2 + __________ TOTAL ORDERED 5 166.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 720 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04618 BW7170361 12001 SOUTHERN ROYAL PALM BCH FL 33411 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 474280 BUPRENORPHINE 8MG SL TAB (ROX)+30 30054017713 00054017713 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 001 04/30/10 2 001 04/23/10 2 001 04/21/10 1 001 04/16/10 3 001 04/09/10 2 001 04/07/10 4 + __________ TOTAL ORDERED 14 116.66 % 001 03/31/10 3 001 03/26/10 1 001 03/24/10 3 001 03/19/10 3 001 03/17/10 5 + __________ TOTAL ORDERED 15 125.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 482737 NUVIGIL 150MG TABS (CPH) + 60 36345921560 63459021560 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 001 04/30/10 1 001 04/09/10 2 001 04/02/10 1 + __________ TOTAL ORDERED 4 133.33 % 001 03/31/10 1 001 03/24/10 1 001 03/10/10 1 001 03/05/10 1 001 03/03/10 1 + __________ TOTAL ORDERED 5 166.66 % 001 11/24/09 1 001 11/17/09 1 001 11/13/09 1 001 11/06/09 1 001 11/03/09 1 + __________ TOTAL ORDERED 5 166.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 721 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04618 BW7170361 12001 SOUTHERN ROYAL PALM BCH FL 33411 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 483575 PHENTERMINE 37.5MG TAB (LAN) +100 30527144501 00527144501 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 001 04/28/10 1 001 04/23/10 2 001 04/21/10 1 001 04/16/10 3 001 04/14/10 2 001 04/07/10 2 001 04/02/10 1 + __________ TOTAL ORDERED 12 133.33 % 001 12/31/09 1 001 12/29/09 1 001 12/23/09 1 001 12/21/09 1 001 12/16/09 1 001 12/14/09 1 001 12/09/09 2 001 12/07/09 1 001 12/02/09 1 + __________ TOTAL ORDERED 10 111.11 % 001 11/24/09 3 001 11/20/09 2 001 11/13/09 1 001 11/06/09 3 001 11/03/09 1 + __________ TOTAL ORDERED 10 111.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 553889 ANDROGEL 1% PUMP (UNI) +150GM 30051848888 00051848888 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 001 04/28/10 1 001 04/23/10 4 001 04/21/10 3 001 04/16/10 2 001 04/09/10 4 001 04/07/10 2 + __________ TOTAL ORDERED 16 177.77 % 001 03/31/10 1 001 03/26/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 722 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04618 BW7170361 12001 SOUTHERN ROYAL PALM BCH FL 33411 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 553889 ANDROGEL 1% PUMP (UNI) +150GM 30051848888 00051848888 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 001 03/24/10 1 001 03/19/10 4 001 03/17/10 3 001 03/12/10 2 001 03/10/10 1 001 03/05/10 2 + __________ TOTAL ORDERED 17 188.88 % 001 02/24/10 4 001 02/19/10 1 001 02/12/10 3 001 02/05/10 1 001 02/03/10 2 + __________ TOTAL ORDERED 11 122.22 % 001 01/29/10 3 001 01/27/10 2 001 01/22/10 1 001 01/20/10 2 001 01/15/10 2 001 01/13/10 2 + __________ TOTAL ORDERED 12 133.33 % 001 12/31/09 2 001 12/29/09 2 001 12/23/09 2 001 12/21/09 4 001 12/16/09 2 001 12/14/09 1 001 12/09/09 2 001 12/07/09 1 001 12/02/09 1 + __________ TOTAL ORDERED 17 188.88 % 001 11/30/09 1 001 11/24/09 2 001 11/17/09 2 001 11/13/09 3 001 11/06/09 2 001 11/03/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 723 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04618 BW7170361 12001 SOUTHERN ROYAL PALM BCH FL 33411 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 553889 ANDROGEL 1% PUMP (UNI) +150GM 30051848888 00051848888 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 11 122.22 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 652294 OXYCOD-APAP 10-325 TAB (WAT) +100 30591093201 00591093201 16 3.0 48.0 0 DC DATE ORDERED QUANTITY 014 03/30/10 12 014 03/23/10 8 014 03/09/10 20 014 03/02/10 12 + __________ TOTAL ORDERED 52 108.33 % 014 02/23/10 12 014 02/16/10 14 014 02/09/10 15 014 02/02/10 10 + __________ TOTAL ORDERED 51 106.25 % 014 12/28/09 21 014 12/18/09 16 014 12/11/09 12 014 12/04/09 5 + __________ TOTAL ORDERED 54 112.50 % 014 11/27/09 24 014 11/19/09 12 014 11/12/09 12 014 11/05/09 13 + __________ TOTAL ORDERED 61 127.08 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 001 04/30/10 6 001 04/28/10 10 001 04/23/10 1 001 04/21/10 5 001 04/16/10 5 001 04/14/10 8 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 724 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04618 BW7170361 12001 SOUTHERN ROYAL PALM BCH FL 33411 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 001 04/09/10 3 001 04/07/10 2 001 04/02/10 6 + __________ TOTAL ORDERED 46 191.66 % 001 03/31/10 6 001 03/26/10 2 001 03/24/10 4 001 03/19/10 8 001 03/17/10 2 001 03/12/10 6 001 03/10/10 3 001 03/05/10 7 001 03/03/10 6 + __________ TOTAL ORDERED 44 183.33 % 001 02/24/10 4 001 02/19/10 5 001 02/17/10 5 001 02/12/10 6 001 02/10/10 6 001 02/05/10 5 001 02/03/10 6 + __________ TOTAL ORDERED 37 154.16 % 001 01/29/10 8 001 01/22/10 6 001 01/20/10 6 001 01/15/10 9 001 01/13/10 6 001 01/08/10 6 001 01/06/10 5 + __________ TOTAL ORDERED 46 191.66 % 001 12/31/09 6 001 12/29/09 3 001 12/23/09 2 001 12/21/09 7 001 12/16/09 3 001 12/14/09 4 001 12/09/09 5 001 12/07/09 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 725 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04618 BW7170361 12001 SOUTHERN ROYAL PALM BCH FL 33411 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 001 12/02/09 4 + __________ TOTAL ORDERED 39 162.50 % 001 11/30/09 2 001 11/24/09 12 001 11/17/09 4 001 11/20/09 7 001 11/13/09 11 001 11/10/09 3 001 11/06/09 6 001 11/03/09 1 + __________ TOTAL ORDERED 46 191.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672713 ACET-CODEINE 120-12/5 (PAI)+473ML 30121050416 00121050416 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 001 04/23/10 1 001 04/16/10 2 001 04/09/10 2 001 04/07/10 2 001 04/02/10 2 + __________ TOTAL ORDERED 9 150.00 % 001 03/31/10 2 001 03/26/10 1 001 03/24/10 1 001 03/19/10 1 001 03/12/10 1 001 03/10/10 1 + __________ TOTAL ORDERED 7 116.66 % 001 12/31/09 1 001 12/23/09 1 001 12/21/09 1 001 12/16/09 1 001 12/14/09 1 001 12/09/09 2 001 12/02/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 726 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04618 BW7170361 12001 SOUTHERN ROYAL PALM BCH FL 33411 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672713 ACET-CODEINE 120-12/5 (PAI)+473ML 30121050416 00121050416 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 8 133.33 % 001 11/30/09 1 001 11/24/09 1 001 11/17/09 1 001 11/20/09 1 001 11/13/09 1 001 11/10/09 2 001 11/03/09 1 + __________ TOTAL ORDERED 8 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679658 HYDROMET SYRUP (ALP) + 473ML 30472103016 00472103016 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 001 04/30/10 2 001 04/23/10 3 001 04/16/10 1 001 04/14/10 1 001 04/09/10 3 001 04/07/10 3 001 04/02/10 3 + __________ TOTAL ORDERED 16 133.33 % 001 03/26/10 1 001 03/24/10 2 001 03/19/10 3 001 03/17/10 1 001 03/12/10 3 001 03/10/10 2 001 03/05/10 1 + __________ TOTAL ORDERED 13 108.33 % 001 12/31/09 4 001 12/23/09 2 001 12/21/09 1 001 12/14/09 4 001 12/09/09 1 001 12/07/09 2 001 12/02/09 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 727 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04618 BW7170361 12001 SOUTHERN ROYAL PALM BCH FL 33411 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679658 HYDROMET SYRUP (ALP) + 473ML 30472103016 00472103016 4 3.0 12.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 17 141.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682092 PHENOBARBITAL 64.8MG TAB (QT)+100 30603516721 00603516721 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 001 12/31/09 3 001 12/23/09 3 001 12/21/09 1 001 12/16/09 1 + __________ TOTAL ORDERED 8 133.33 % 001 11/24/09 3 001 11/20/09 2 001 11/13/09 2 001 11/06/09 1 001 11/03/09 5 + __________ TOTAL ORDERED 13 216.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (AMI)+ 100 35215221502 52152021502 12 3.0 36.0 0 DC DATE ORDERED QUANTITY 014 03/30/10 2 014 03/23/10 10 014 03/16/10 12 014 03/09/10 22 014 03/02/10 5 + __________ TOTAL ORDERED 51 141.66 % 014 02/23/10 15 014 02/09/10 15 014 02/02/10 14 + __________ TOTAL ORDERED 44 122.22 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 728 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04618 BW7170361 12001 SOUTHERN ROYAL PALM BCH FL 33411 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 683092 TESTIM 1% GEL + 30X5GM 36688700105 66887000105 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 001 04/23/10 4 001 04/21/10 6 001 04/16/10 4 001 04/14/10 2 001 04/09/10 1 001 04/02/10 3 + __________ TOTAL ORDERED 20 222.22 % 001 03/26/10 2 001 03/24/10 1 001 03/19/10 2 001 03/17/10 4 001 03/12/10 1 001 03/05/10 3 001 03/03/10 1 + __________ TOTAL ORDERED 14 155.55 % 001 02/24/10 6 001 02/19/10 2 001 02/17/10 3 001 02/12/10 1 001 02/10/10 4 001 02/05/10 1 + __________ TOTAL ORDERED 17 188.88 % 001 01/27/10 2 001 01/22/10 2 001 01/20/10 3 001 01/15/10 2 001 01/08/10 1 001 01/06/10 2 + __________ TOTAL ORDERED 12 133.33 % 001 12/31/09 4 001 12/29/09 4 001 12/23/09 4 001 12/16/09 2 001 12/14/09 5 001 12/09/09 7 001 12/07/09 2 001 12/02/09 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 729 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04618 BW7170361 12001 SOUTHERN ROYAL PALM BCH FL 33411 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 683092 TESTIM 1% GEL + 30X5GM 36688700105 66887000105 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 32 355.55 % 001 11/30/09 1 001 11/24/09 3 001 11/20/09 2 001 11/13/09 3 001 11/10/09 1 001 11/06/09 1 001 11/03/09 4 + __________ TOTAL ORDERED 15 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684145 OXYCOD-APAP 10-650 TAB (WAT) +100 30591082501 00591082501 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 014 03/30/10 3 014 03/16/10 5 014 03/09/10 7 014 03/02/10 3 + __________ TOTAL ORDERED 18 120.00 % 014 02/23/10 1 014 02/16/10 10 014 02/09/10 6 014 02/02/10 3 + __________ TOTAL ORDERED 20 133.33 % 014 12/28/09 2 014 12/18/09 9 014 12/11/09 5 014 12/04/09 2 + __________ TOTAL ORDERED 18 120.00 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 730 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04765 BW6217461 2050 45TH ST W. PALM BEACH FL 33407 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 474280 BUPRENORPHINE 8MG SL TAB (ROX)+30 30054017713 00054017713 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 001 04/29/10 10 001 04/22/10 2 001 04/15/10 7 001 04/08/10 3 001 04/06/10 1 001 04/01/10 3 + __________ TOTAL ORDERED 26 216.66 % 001 03/30/10 7 001 03/25/10 2 001 03/23/10 3 001 03/18/10 2 001 03/16/10 7 + __________ TOTAL ORDERED 21 175.00 % 001 02/25/10 5 001 02/23/10 2 001 02/18/10 1 001 02/16/10 4 001 02/11/10 1 001 02/09/10 1 001 02/04/10 3 001 02/02/10 2 + __________ TOTAL ORDERED 19 158.33 % 001 01/28/10 1 001 01/21/10 2 001 01/19/10 2 001 01/14/10 2 001 01/12/10 1 001 01/07/10 2 001 01/05/10 3 + __________ TOTAL ORDERED 13 108.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672713 ACET-CODEINE 120-12/5 (PAI)+473ML 30121050416 00121050416 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 001 04/29/10 8 001 04/08/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 731 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04765 BW6217461 2050 45TH ST W. PALM BEACH FL 33407 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672713 ACET-CODEINE 120-12/5 (PAI)+473ML 30121050416 00121050416 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 9 150.00 % 001 03/25/10 3 001 03/23/10 5 001 03/18/10 1 001 03/11/10 1 001 03/04/10 1 + __________ TOTAL ORDERED 11 183.33 % 001 12/28/09 2 001 12/18/09 7 + __________ TOTAL ORDERED 9 150.00 % 001 11/24/09 1 001 11/17/09 3 001 11/20/09 5 + __________ TOTAL ORDERED 9 150.00 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04916 BW0649737 1448 N US HWY 1 JUPITER FL 33469 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 654427 LUNESTA 3MG TAB (SEP) + 100 36340219310 63402019310 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 001 03/26/10 1 001 03/19/10 1 001 03/17/10 1 001 03/12/10 2 001 03/05/10 1 001 03/03/10 1 + __________ TOTAL ORDERED 7 116.66 % 001 02/24/10 2 001 02/19/10 1 001 02/17/10 1 001 02/12/10 1 001 02/10/10 2 001 02/03/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 732 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04916 BW0649737 1448 N US HWY 1 JUPITER FL 33469 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 654427 LUNESTA 3MG TAB (SEP) + 100 36340219310 63402019310 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 8 133.33 % 001 12/31/09 2 001 12/23/09 1 001 12/21/09 1 001 12/14/09 1 001 12/09/09 2 001 12/02/09 1 + __________ TOTAL ORDERED 8 133.33 % 001 11/16/09 2 001 11/11/09 3 001 11/09/09 1 001 11/04/09 1 001 11/02/09 2 + __________ TOTAL ORDERED 9 150.00 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04956 BW6717877 4530 LANTANA RD LAKE WORTH FL 33463 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 600850 OXYCODONE 5MG CAPS (MAL) +100 30406055401 00406055401 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 02/18/10 2 014 02/04/10 9 + __________ TOTAL ORDERED 11 183.33 % 014 01/28/10 7 014 01/21/10 1 014 01/14/10 2 014 01/07/10 4 + __________ TOTAL ORDERED 14 233.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 733 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04956 BW6717877 4530 LANTANA RD LAKE WORTH FL 33463 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (AMI)+ 100 35215221502 52152021502 12 3.0 36.0 0 DC DATE ORDERED QUANTITY 014 01/28/10 18 014 01/21/10 10 014 01/14/10 14 014 01/07/10 5 + __________ TOTAL ORDERED 47 130.55 % 014 12/30/09 11 014 12/22/09 23 014 12/08/09 16 014 12/01/09 11 + __________ TOTAL ORDERED 61 169.44 % 014 11/23/09 30 014 11/02/09 25 + __________ TOTAL ORDERED 55 152.77 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05173 BW6603472 439 W INDIANTOWN RD JUPITER FL 33458 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 600850 OXYCODONE 5MG CAPS (MAL) +100 30406055401 00406055401 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 04/26/10 4 014 04/19/10 4 014 04/12/10 1 + __________ TOTAL ORDERED 9 150.00 % 014 03/29/10 5 014 03/22/10 5 014 03/08/10 2 + __________ TOTAL ORDERED 12 200.00 % 014 02/22/10 3 014 02/15/10 4 014 02/08/10 1 + __________ TOTAL ORDERED 8 133.33 % 014 01/25/10 1 014 01/11/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 734 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05173 BW6603472 439 W INDIANTOWN RD JUPITER FL 33458 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 600850 OXYCODONE 5MG CAPS (MAL) +100 30406055401 00406055401 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 01/04/10 3 + __________ TOTAL ORDERED 8 133.33 % 014 12/22/09 4 014 12/15/09 4 014 12/08/09 3 014 12/01/09 2 + __________ TOTAL ORDERED 13 216.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (AMI)+ 100 35215221502 52152021502 12 3.0 36.0 0 DC DATE ORDERED QUANTITY 014 04/12/10 20 014 04/05/10 20 + __________ TOTAL ORDERED 40 111.11 % 014 03/30/10 9 014 03/29/10 20 014 03/15/10 20 014 03/08/10 25 014 03/01/10 20 + __________ TOTAL ORDERED 94 261.11 % 014 02/03/10 9 014 02/22/10 20 014 02/15/10 20 014 02/08/10 28 014 02/01/10 10 + __________ TOTAL ORDERED 87 241.66 % 014 01/25/10 23 014 01/18/10 10 014 01/11/10 15 014 01/04/10 30 + __________ TOTAL ORDERED 78 216.66 % 014 12/21/09 9 014 12/30/09 2 014 12/22/09 50 014 12/08/09 25 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 735 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05173 BW6603472 439 W INDIANTOWN RD JUPITER FL 33458 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (AMI)+ 100 35215221502 52152021502 12 3.0 36.0 0 DC DATE ORDERED QUANTITY 014 12/01/09 15 + __________ TOTAL ORDERED 101 280.55 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682972 OXYCODONE HCL 15MG TAB (ACT) +100 35215221402 52152021402 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 014 03/29/10 5 014 03/15/10 8 014 03/08/10 17 014 03/01/10 13 + __________ TOTAL ORDERED 43 179.16 % 014 02/22/10 10 014 02/08/10 12 014 02/01/10 3 + __________ TOTAL ORDERED 25 104.16 % 014 01/25/10 16 014 01/18/10 10 014 01/11/10 10 014 01/04/10 5 + __________ TOTAL ORDERED 41 170.83 % 014 12/30/09 3 014 12/22/09 24 + __________ TOTAL ORDERED 27 112.50 % 014 11/24/09 25 014 11/03/09 10 + __________ TOTAL ORDERED 35 145.83 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 736 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05464 BW8297170 4601 BROADWAY W PALM BCH FL 33407 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (AMI)+ 100 35215221502 52152021502 12 3.0 36.0 0 DC DATE ORDERED QUANTITY 014 03/31/10 10 014 03/24/10 13 014 03/17/10 5 014 03/10/10 18 014 03/03/10 15 + __________ TOTAL ORDERED 61 169.44 % 014 02/24/10 15 014 02/10/10 15 014 02/03/10 10 + __________ TOTAL ORDERED 40 111.11 % 014 01/27/10 15 014 01/20/10 10 014 01/13/10 10 014 01/06/10 10 + __________ TOTAL ORDERED 45 125.00 % 014 12/29/09 12 014 12/21/09 22 014 12/07/09 22 + __________ TOTAL ORDERED 56 155.55 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06016 BW7012660 101 N MAIN ST BELLE GLADE FL 33430 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673665 COUGHCOLD PD SYR (BRK) + 118ML 35199122404 51991022404 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 001 03/18/10 7 001 03/11/10 2 001 03/04/10 4 + __________ TOTAL ORDERED 13 144.44 % 001 02/25/10 1 001 02/22/10 3 001 02/11/10 9 001 02/08/10 10 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 737 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06016 BW7012660 101 N MAIN ST BELLE GLADE FL 33430 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673665 COUGHCOLD PD SYR (BRK) + 118ML 35199122404 51991022404 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 23 255.55 % 001 01/28/10 4 001 01/25/10 2 001 01/14/10 10 001 01/11/10 6 001 01/04/10 2 + __________ TOTAL ORDERED 24 266.66 % 001 12/31/09 1 001 12/28/09 5 001 12/18/09 4 001 12/16/09 1 + __________ TOTAL ORDERED 11 122.22 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674485 CHERATUSSIN DAC SYRUP (QT) 16OZ 30603107858 00603107858 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 001 04/26/10 1 001 04/22/10 1 001 04/12/10 1 001 04/05/10 1 + __________ TOTAL ORDERED 4 133.33 % 001 03/29/10 1 001 03/18/10 1 001 03/15/10 1 001 03/11/10 1 001 03/04/10 2 001 03/01/10 1 + __________ TOTAL ORDERED 7 233.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 738 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06123 BW3913818 6975 S CONGRESS AVE LANTANA FL 33462 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (AMI)+ 100 35215221502 52152021502 12 3.0 36.0 0 DC DATE ORDERED QUANTITY 014 12/22/09 39 014 12/08/09 14 014 12/01/09 19 + __________ TOTAL ORDERED 72 200.00 % 014 11/23/09 12 014 11/02/09 26 + __________ TOTAL ORDERED 38 105.55 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06832 AW1768463 5800 SE FEDERAL STUART FL 33494 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 471202 FENTANYL 12MCG/HR TS (SAN) + 5 30781724055 00781724055 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 04/29/10 5 014 04/22/10 3 014 04/15/10 6 + __________ TOTAL ORDERED 14 155.55 % 014 03/25/10 7 014 03/18/10 1 014 03/11/10 7 014 03/04/10 2 + __________ TOTAL ORDERED 17 188.88 % 014 02/11/10 3 014 02/18/10 5 014 02/16/10 3 014 02/09/10 4 014 02/04/10 6 + __________ TOTAL ORDERED 21 233.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 739 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06832 AW1768463 5800 SE FEDERAL STUART FL 33494 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 474145 OXYCODONE ER 40MG TAB (ETH) + 100 35817768104 58177068104 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 04/29/10 2 014 04/22/10 2 014 04/15/10 2 014 04/08/10 4 014 04/01/10 2 + __________ TOTAL ORDERED 12 200.00 % 014 03/25/10 2 014 03/11/10 3 014 03/04/10 3 + __________ TOTAL ORDERED 8 133.33 % 014 02/11/10 2 014 02/18/10 4 014 02/04/10 2 + __________ TOTAL ORDERED 8 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 474280 BUPRENORPHINE 8MG SL TAB (ROX)+30 30054017713 00054017713 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 001 03/24/10 24 + __________ TOTAL ORDERED 24 200.00 % 001 01/22/10 6 001 01/20/10 12 + __________ TOTAL ORDERED 18 150.00 % 001 12/21/09 12 001 12/14/09 3 001 12/09/09 1 + __________ TOTAL ORDERED 16 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 484847 OXYCODONE 5MG TABS (QUA) + 100 30603499021 00603499021 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 014 12/30/09 5 014 12/22/09 5 014 12/18/09 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 740 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06832 AW1768463 5800 SE FEDERAL STUART FL 33494 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 484847 OXYCODONE 5MG TABS (QUA) + 100 30603499021 00603499021 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 014 12/15/09 2 014 12/11/09 3 014 12/04/09 2 + __________ TOTAL ORDERED 21 116.66 % 014 11/27/09 3 014 11/23/09 5 014 11/16/09 3 014 11/19/09 1 014 11/12/09 3 014 11/09/09 6 014 11/02/09 1 + __________ TOTAL ORDERED 22 122.22 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 514247 MORPHINE SULFATE IR 15MG TABS+100 30054023525 00054023525 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 01/28/10 4 014 01/21/10 6 014 01/19/10 1 + __________ TOTAL ORDERED 11 122.22 % 014 12/30/09 3 014 12/28/09 5 014 12/22/09 1 014 12/18/09 2 014 12/11/09 1 014 12/04/09 1 014 12/01/09 1 + __________ TOTAL ORDERED 14 155.55 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544541 FENTANYL 75MCG/HR TS (WAT) + 5 30591321372 00591321372 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 014 03/18/10 5 014 03/11/10 8 014 03/09/10 2 014 03/04/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 741 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06832 AW1768463 5800 SE FEDERAL STUART FL 33494 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544541 FENTANYL 75MCG/HR TS (WAT) + 5 30591321372 00591321372 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 014 03/02/10 2 + __________ TOTAL ORDERED 20 133.33 % 014 02/23/10 2 014 02/18/10 8 014 02/04/10 6 014 02/02/10 1 + __________ TOTAL ORDERED 17 113.33 % 014 01/21/10 6 014 01/19/10 8 014 01/14/10 3 + __________ TOTAL ORDERED 17 113.33 % 014 12/30/09 1 014 12/22/09 2 014 12/18/09 11 014 12/11/09 1 014 12/08/09 5 014 12/04/09 3 014 12/01/09 1 + __________ TOTAL ORDERED 24 160.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544544 FENTANYL 25MCG/HR TS (WAT) + 5 30591319872 00591319872 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 014 04/22/10 17 014 04/15/10 6 + __________ TOTAL ORDERED 23 127.77 % 014 03/25/10 12 014 03/18/10 6 014 03/11/10 6 014 03/09/10 2 014 03/04/10 12 + __________ TOTAL ORDERED 38 211.11 % 014 02/11/10 2 014 02/23/10 5 014 02/18/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 742 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06832 AW1768463 5800 SE FEDERAL STUART FL 33494 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544544 FENTANYL 25MCG/HR TS (WAT) + 5 30591319872 00591319872 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 014 02/04/10 13 014 02/02/10 5 + __________ TOTAL ORDERED 32 177.77 % 014 01/28/10 9 014 01/26/10 2 014 01/14/10 2 014 01/12/10 2 014 01/07/10 9 014 01/05/10 6 + __________ TOTAL ORDERED 30 166.66 % 014 12/30/09 5 014 12/28/09 2 014 12/22/09 8 014 12/18/09 2 014 12/11/09 5 014 12/08/09 3 014 12/04/09 5 014 12/01/09 7 + __________ TOTAL ORDERED 37 205.55 % 014 11/27/09 1 014 11/23/09 5 014 11/16/09 6 014 11/19/09 4 014 11/12/09 1 014 11/09/09 4 014 11/05/09 2 014 11/02/09 8 + __________ TOTAL ORDERED 31 172.22 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 564864 HYDROCO-APAP 7.5-325 TAB(WAT)+100 30591320301 00591320301 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 001 04/30/10 2 001 04/23/10 1 001 04/16/10 2 001 04/09/10 4 001 04/02/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 743 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06832 AW1768463 5800 SE FEDERAL STUART FL 33494 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 564864 HYDROCO-APAP 7.5-325 TAB(WAT)+100 30591320301 00591320301 4 3.0 12.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 14 116.66 % 001 03/26/10 4 001 03/19/10 1 001 03/12/10 2 001 03/05/10 4 001 03/03/10 2 + __________ TOTAL ORDERED 13 108.33 % 001 01/29/10 2 001 01/22/10 3 001 01/20/10 1 001 01/15/10 3 001 01/08/10 5 + __________ TOTAL ORDERED 14 116.66 % 001 11/30/09 2 001 11/24/09 1 001 11/17/09 1 001 11/20/09 1 001 11/13/09 1 001 11/06/09 6 001 11/03/09 6 + __________ TOTAL ORDERED 18 150.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 597169 METHADONE HCL 10MG TAB (MAL) +100 30406577101 00406577101 14 3.0 42.0 0 DC DATE ORDERED QUANTITY 014 03/25/10 14 014 03/11/10 20 014 03/09/10 2 014 03/04/10 8 + __________ TOTAL ORDERED 44 104.76 % 014 02/11/10 15 014 02/18/10 22 014 02/09/10 1 014 02/04/10 12 014 02/02/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 744 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06832 AW1768463 5800 SE FEDERAL STUART FL 33494 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 597169 METHADONE HCL 10MG TAB (MAL) +100 30406577101 00406577101 14 3.0 42.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 57 135.71 % 014 01/28/10 4 014 01/26/10 1 014 01/21/10 12 014 01/19/10 5 014 01/14/10 10 014 01/12/10 3 014 01/07/10 17 + __________ TOTAL ORDERED 52 123.80 % 014 12/30/09 10 014 12/28/09 4 014 12/22/09 6 014 12/18/09 15 014 12/15/09 15 014 12/11/09 12 014 12/08/09 2 014 12/04/09 10 014 12/01/09 4 + __________ TOTAL ORDERED 78 185.71 % 014 11/27/09 14 014 11/23/09 9 014 11/16/09 16 014 11/19/09 13 014 11/12/09 3 014 11/09/09 4 014 11/05/09 5 014 11/02/09 4 + __________ TOTAL ORDERED 68 161.90 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 603809 LYRICA 75MG CAP + 90 30071101468 00071101468 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 001 01/27/10 1 001 01/22/10 10 001 01/15/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 745 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06832 AW1768463 5800 SE FEDERAL STUART FL 33494 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 603809 LYRICA 75MG CAP + 90 30071101468 00071101468 4 3.0 12.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 15 125.00 % 001 12/31/09 4 001 12/29/09 4 001 12/23/09 1 001 12/21/09 1 001 12/16/09 1 001 12/14/09 1 001 12/09/09 1 001 12/07/09 1 001 12/02/09 2 + __________ TOTAL ORDERED 16 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 652294 OXYCOD-APAP 10-325 TAB (WAT) +100 30591093201 00591093201 16 3.0 48.0 0 DC DATE ORDERED QUANTITY 014 04/15/10 8 014 04/29/10 10 014 04/22/10 28 014 04/15/10 16 + __________ TOTAL ORDERED 62 129.16 % 014 03/25/10 20 014 03/18/10 15 014 03/11/10 17 014 03/09/10 4 014 03/04/10 5 014 03/02/10 15 + __________ TOTAL ORDERED 76 158.33 % 014 02/11/10 9 014 02/23/10 10 014 02/18/10 14 014 02/16/10 6 014 02/09/10 6 014 02/04/10 8 014 02/02/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 746 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06832 AW1768463 5800 SE FEDERAL STUART FL 33494 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 652294 OXYCOD-APAP 10-325 TAB (WAT) +100 30591093201 00591093201 16 3.0 48.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 60 125.00 % 014 01/28/10 9 014 01/26/10 16 014 01/21/10 8 014 01/19/10 6 014 01/14/10 6 014 01/12/10 5 014 01/07/10 7 014 01/05/10 5 + __________ TOTAL ORDERED 62 129.16 % 014 12/30/09 13 014 12/28/09 10 014 12/22/09 6 014 12/18/09 15 014 12/15/09 3 014 12/11/09 8 014 12/08/09 4 014 12/04/09 13 014 12/01/09 3 + __________ TOTAL ORDERED 75 156.25 % 014 11/27/09 8 014 11/23/09 11 014 11/16/09 5 014 11/19/09 3 014 11/12/09 3 014 11/09/09 11 014 11/05/09 15 014 11/02/09 8 + __________ TOTAL ORDERED 64 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 001 04/30/10 3 001 04/28/10 2 001 04/23/10 4 001 04/21/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 747 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06832 AW1768463 5800 SE FEDERAL STUART FL 33494 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 001 04/16/10 1 001 04/09/10 3 001 04/07/10 1 001 04/02/10 5 + __________ TOTAL ORDERED 25 104.16 % 001 02/26/10 4 001 02/24/10 5 001 02/19/10 11 001 02/05/10 3 001 02/03/10 2 + __________ TOTAL ORDERED 25 104.16 % 001 12/31/09 7 001 12/23/09 8 001 12/21/09 6 001 12/16/09 2 001 12/09/09 2 001 12/07/09 5 001 12/02/09 2 + __________ TOTAL ORDERED 32 133.33 % 001 11/30/09 1 001 11/24/09 12 001 11/17/09 2 001 11/20/09 6 001 11/13/09 1 001 11/10/09 3 001 11/06/09 3 001 11/03/09 2 + __________ TOTAL ORDERED 30 125.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 001 04/30/10 9 001 04/28/10 3 001 04/23/10 6 001 04/16/10 3 001 04/14/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 748 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06832 AW1768463 5800 SE FEDERAL STUART FL 33494 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 001 04/09/10 5 001 04/02/10 7 + __________ TOTAL ORDERED 34 103.03 % 001 03/31/10 6 001 03/26/10 3 001 03/24/10 1 001 03/19/10 10 001 03/17/10 4 001 03/12/10 7 001 03/10/10 4 001 03/05/10 9 001 03/03/10 2 + __________ TOTAL ORDERED 46 139.39 % 001 02/26/10 7 001 02/24/10 1 001 02/19/10 4 001 02/12/10 11 001 02/10/10 6 001 02/05/10 9 001 02/03/10 6 + __________ TOTAL ORDERED 44 133.33 % 001 01/29/10 9 001 01/27/10 4 001 01/22/10 7 001 01/20/10 5 001 01/15/10 7 001 01/13/10 7 001 01/08/10 9 001 01/06/10 4 + __________ TOTAL ORDERED 52 157.57 % 001 12/31/09 9 001 12/29/09 3 001 12/23/09 10 001 12/21/09 9 001 12/16/09 8 001 12/14/09 11 001 12/09/09 7 001 12/07/09 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 749 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06832 AW1768463 5800 SE FEDERAL STUART FL 33494 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 001 12/02/09 4 + __________ TOTAL ORDERED 68 206.06 % 001 11/30/09 10 001 11/24/09 7 001 11/17/09 4 001 11/20/09 4 001 11/13/09 7 001 11/10/09 2 001 11/06/09 5 001 11/03/09 5 + __________ TOTAL ORDERED 44 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673822 BUT-APAP-CAF-COD 30MG CAP(Q)+ 100 30603255321 00603255321 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 001 12/23/09 2 001 12/16/09 5 001 12/09/09 1 + __________ TOTAL ORDERED 8 133.33 % 001 11/24/09 5 001 11/20/09 1 001 11/13/09 1 001 11/06/09 1 + __________ TOTAL ORDERED 8 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679658 HYDROMET SYRUP (ALP) + 473ML 30472103016 00472103016 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 001 04/30/10 3 001 04/28/10 3 001 04/23/10 5 001 04/21/10 1 001 04/16/10 2 001 04/14/10 1 001 04/09/10 4 001 04/07/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 750 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06832 AW1768463 5800 SE FEDERAL STUART FL 33494 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679658 HYDROMET SYRUP (ALP) + 473ML 30472103016 00472103016 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 001 04/02/10 3 + __________ TOTAL ORDERED 23 191.66 % 001 03/26/10 4 001 03/24/10 2 001 03/19/10 4 001 03/17/10 2 001 03/12/10 3 001 03/10/10 3 001 03/05/10 3 001 03/03/10 5 + __________ TOTAL ORDERED 26 216.66 % 001 02/26/10 2 001 02/24/10 5 001 02/19/10 6 001 02/17/10 1 001 02/12/10 3 001 02/05/10 4 + __________ TOTAL ORDERED 21 175.00 % 001 01/29/10 5 001 01/27/10 3 001 01/20/10 8 001 01/15/10 3 001 01/13/10 2 001 01/08/10 8 001 01/06/10 4 + __________ TOTAL ORDERED 33 275.00 % 001 12/31/09 6 001 12/29/09 5 001 12/16/09 3 001 12/14/09 5 001 12/09/09 2 001 12/07/09 1 + __________ TOTAL ORDERED 22 183.33 % 001 11/24/09 4 001 11/17/09 2 001 11/20/09 1 001 11/13/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 751 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06832 AW1768463 5800 SE FEDERAL STUART FL 33494 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679658 HYDROMET SYRUP (ALP) + 473ML 30472103016 00472103016 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 001 11/06/09 4 001 11/03/09 3 + __________ TOTAL ORDERED 15 125.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (AMI)+ 100 35215221502 52152021502 12 3.0 36.0 0 DC DATE ORDERED QUANTITY 014 04/15/10 40 014 04/08/10 16 + __________ TOTAL ORDERED 56 155.55 % 014 03/18/10 30 014 03/11/10 20 014 03/09/10 37 014 03/04/10 25 014 03/02/10 20 + __________ TOTAL ORDERED 132 366.66 % 014 02/11/10 24 014 02/09/10 49 014 02/04/10 28 014 02/02/10 65 + __________ TOTAL ORDERED 166 461.11 % 014 01/28/10 35 014 01/26/10 24 014 01/21/10 28 014 01/19/10 30 014 01/14/10 30 014 01/12/10 24 014 01/07/10 47 014 01/05/10 12 + __________ TOTAL ORDERED 230 638.88 % 014 12/30/09 27 014 12/28/09 17 014 12/22/09 55 014 12/18/09 64 014 12/08/09 15 014 12/04/09 38 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 752 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06832 AW1768463 5800 SE FEDERAL STUART FL 33494 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (AMI)+ 100 35215221502 52152021502 12 3.0 36.0 0 DC DATE ORDERED QUANTITY 014 12/01/09 19 + __________ TOTAL ORDERED 235 652.77 % 014 11/27/09 48 014 11/19/09 88 014 11/02/09 31 + __________ TOTAL ORDERED 167 463.88 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682972 OXYCODONE HCL 15MG TAB (ACT) +100 35215221402 52152021402 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 014 04/29/10 25 014 04/22/10 12 014 04/08/10 3 + __________ TOTAL ORDERED 40 166.66 % 014 03/25/10 6 014 03/11/10 10 014 03/09/10 3 014 03/04/10 10 014 03/02/10 16 + __________ TOTAL ORDERED 45 187.50 % 014 02/11/10 20 014 02/23/10 25 014 02/16/10 1 014 02/09/10 13 014 02/04/10 13 014 02/02/10 4 + __________ TOTAL ORDERED 76 316.66 % 014 01/28/10 24 014 01/26/10 11 014 01/21/10 10 014 01/14/10 12 014 01/12/10 7 014 01/07/10 15 014 01/05/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 753 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06832 AW1768463 5800 SE FEDERAL STUART FL 33494 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682972 OXYCODONE HCL 15MG TAB (ACT) +100 35215221402 52152021402 8 3.0 24.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 84 350.00 % 014 12/30/09 13 014 12/28/09 4 014 12/22/09 13 014 12/18/09 21 014 12/04/09 14 014 12/01/09 3 + __________ TOTAL ORDERED 68 283.33 % 014 11/27/09 7 014 11/23/09 9 014 11/19/09 19 014 11/09/09 9 014 11/05/09 4 014 11/02/09 3 + __________ TOTAL ORDERED 51 212.50 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684285 OXYCONTIN 80MG TAB (PUR) 100 35901110710 59011010710 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 12/22/09 1 014 12/18/09 4 014 12/11/09 3 014 12/04/09 2 + __________ TOTAL ORDERED 10 111.11 % 014 11/23/09 2 014 11/16/09 3 014 11/19/09 2 014 11/12/09 1 014 11/05/09 1 014 11/02/09 1 + __________ TOTAL ORDERED 10 111.11 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 754 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06832 AW1768463 5800 SE FEDERAL STUART FL 33494 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684341 TEMAZEPAM 15MG CAP + 100 30781220101 00781220101 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 001 04/30/10 2 001 04/28/10 2 001 04/23/10 1 001 04/21/10 2 001 04/16/10 3 001 04/09/10 2 001 04/07/10 4 + __________ TOTAL ORDERED 16 106.66 % 001 03/31/10 2 001 03/26/10 4 001 03/24/10 3 001 03/19/10 3 001 03/10/10 2 001 03/05/10 1 001 03/03/10 1 + __________ TOTAL ORDERED 16 106.66 % 001 02/26/10 3 001 02/24/10 3 001 02/19/10 2 001 02/17/10 1 001 02/12/10 2 001 02/10/10 1 001 02/05/10 2 001 02/03/10 3 + __________ TOTAL ORDERED 17 113.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 09044 FW1661950 4860 DON ROSS PALM BCH GARDENS FL33418 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (AMI)+ 100 35215221502 52152021502 12 3.0 36.0 0 DC DATE ORDERED QUANTITY 014 03/25/10 25 014 03/11/10 20 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 755 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 09044 FW1661950 4860 DON ROSS PALM BCH GARDENS FL33418 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (AMI)+ 100 35215221502 52152021502 12 3.0 36.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 45 125.00 % 014 02/25/10 20 014 02/11/10 19 + __________ TOTAL ORDERED 39 108.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 09384 FW0064799 10420 FOREST HILL WELLINGTN FL 33411 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 553889 ANDROGEL 1% PUMP (UNI) +150GM 30051848888 00051848888 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 001 04/28/10 1 001 04/26/10 3 001 04/21/10 1 001 04/19/10 1 001 04/14/10 1 001 04/12/10 2 001 04/05/10 1 + __________ TOTAL ORDERED 10 111.11 % 001 03/31/10 1 001 03/29/10 1 001 03/22/10 2 001 03/17/10 1 001 03/15/10 1 001 03/10/10 1 001 03/08/10 1 001 03/01/10 2 + __________ TOTAL ORDERED 10 111.11 % 001 11/30/09 2 001 11/25/09 4 001 11/20/09 1 001 11/13/09 1 001 11/06/09 2 001 11/04/09 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 756 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 09384 FW0064799 10420 FOREST HILL WELLINGTN FL 33411 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 553889 ANDROGEL 1% PUMP (UNI) +150GM 30051848888 00051848888 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 14 155.55 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 09956 FW0379126 300 W SUGARLAND HWY CLEWISTON FL 33430 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (AMI)+ 100 35215221502 52152021502 12 3.0 36.0 0 DC DATE ORDERED QUANTITY 014 04/14/10 21 014 04/07/10 49 + __________ TOTAL ORDERED 70 194.44 % 014 03/08/10 17 014 03/01/10 9 014 03/31/10 60 014 03/24/10 29 014 03/17/10 31 014 03/10/10 36 014 03/03/10 21 + __________ TOTAL ORDERED 203 563.88 % 014 02/25/10 9 014 02/22/10 9 014 02/15/10 18 014 02/03/10 9 014 02/01/10 9 014 02/24/10 23 014 02/10/10 25 014 02/03/10 15 + __________ TOTAL ORDERED 117 325.00 % 014 01/25/10 9 014 01/13/10 9 014 01/27/10 7 014 01/20/10 14 014 01/13/10 10 014 01/06/10 29 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 757 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 09956 FW0379126 300 W SUGARLAND HWY CLEWISTON FL 33430 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (AMI)+ 100 35215221502 52152021502 12 3.0 36.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 78 216.66 % 014 12/07/09 9 014 12/22/09 1 014 12/08/09 12 014 12/01/09 24 + __________ TOTAL ORDERED 46 127.77 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682972 OXYCODONE HCL 15MG TAB (ACT) +100 35215221402 52152021402 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 014 04/28/10 29 014 04/21/10 5 014 04/14/10 6 014 04/07/10 12 + __________ TOTAL ORDERED 52 216.66 % 014 03/31/10 12 014 03/24/10 6 014 03/17/10 6 014 03/10/10 7 + __________ TOTAL ORDERED 31 129.16 % 014 02/15/10 18 014 02/03/10 9 014 02/01/10 9 + __________ TOTAL ORDERED 36 150.00 % 014 01/25/10 9 014 01/13/10 10 014 01/06/10 13 + __________ TOTAL ORDERED 32 133.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 758 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 10576 BW0706979 6297 PGA BLVD PALM BCH GARDENS FL33418 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 654427 LUNESTA 3MG TAB (SEP) + 100 36340219310 63402019310 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 001 04/30/10 2 001 04/23/10 2 001 04/09/10 1 001 04/06/10 2 + __________ TOTAL ORDERED 7 116.66 % 001 01/29/10 1 001 01/22/10 3 001 01/19/10 1 001 01/12/10 1 001 01/08/10 1 001 01/05/10 1 + __________ TOTAL ORDERED 8 133.33 % 001 12/23/09 2 001 12/18/09 1 001 12/16/09 1 001 12/11/09 1 001 12/09/09 1 001 12/04/09 1 + __________ TOTAL ORDERED 7 116.66 % 0 SALES DISTRICT 023 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02184 AW0214712 8327 W FLAGLER ST MIAMI FL 33144 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 513952 CLORAZ DIPOT 3.75MG TAB (TAR)+100 35167240421 51672404201 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 001 12/24/09 5 001 12/22/09 1 001 12/08/09 1 + __________ TOTAL ORDERED 7 116.66 % 001 11/25/09 3 001 11/09/09 2 001 11/04/09 1 001 11/02/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 759 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 023 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02184 AW0214712 8327 W FLAGLER ST MIAMI FL 33144 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 513952 CLORAZ DIPOT 3.75MG TAB (TAR)+100 35167240421 51672404201 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 7 116.66 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02777 BW3357945 2805 N ROOSEVELT BLVD KEY WEST FL33040 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 536420 TUSSICAPS 10/8MG CAP + 20 32363510820 23635010820 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 001 01/26/10 4 001 01/19/10 10 001 01/12/10 9 001 01/05/10 1 + __________ TOTAL ORDERED 24 400.00 % 001 12/24/09 2 001 12/10/09 1 001 12/03/09 4 + __________ TOTAL ORDERED 7 116.66 % 001 11/25/09 1 001 11/18/09 3 001 11/11/09 5 + __________ TOTAL ORDERED 9 150.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 597169 METHADONE HCL 10MG TAB (MAL) +100 30406577101 00406577101 14 3.0 42.0 0 DC DATE ORDERED QUANTITY 014 03/29/10 13 014 03/22/10 18 014 03/15/10 20 014 03/08/10 17 014 03/01/10 15 + __________ TOTAL ORDERED 83 197.61 % 014 02/22/10 19 014 02/15/10 24 014 02/08/10 14 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 760 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 023 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02777 BW3357945 2805 N ROOSEVELT BLVD KEY WEST FL33040 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 597169 METHADONE HCL 10MG TAB (MAL) +100 30406577101 00406577101 14 3.0 42.0 0 DC DATE ORDERED QUANTITY 014 02/01/10 11 + __________ TOTAL ORDERED 68 161.90 % 014 01/25/10 7 014 01/18/10 19 014 01/11/10 28 014 01/04/10 11 + __________ TOTAL ORDERED 65 154.76 % 014 12/23/09 21 014 12/16/09 12 014 12/09/09 13 014 12/02/09 24 + __________ TOTAL ORDERED 70 166.66 % 014 11/24/09 21 014 11/17/09 21 014 11/10/09 1 014 11/03/09 14 + __________ TOTAL ORDERED 57 135.71 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 652294 OXYCOD-APAP 10-325 TAB (WAT) +100 30591093201 00591093201 16 3.0 48.0 0 DC DATE ORDERED QUANTITY 014 04/26/10 22 014 04/19/10 30 014 04/12/10 26 014 04/05/10 25 + __________ TOTAL ORDERED 103 214.58 % 014 03/29/10 22 014 03/22/10 23 014 03/15/10 22 014 03/08/10 20 014 03/01/10 35 + __________ TOTAL ORDERED 122 254.16 % 014 02/22/10 34 014 02/08/10 34 014 02/01/10 35 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 761 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 023 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02777 BW3357945 2805 N ROOSEVELT BLVD KEY WEST FL33040 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 652294 OXYCOD-APAP 10-325 TAB (WAT) +100 30591093201 00591093201 16 3.0 48.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 103 214.58 % 014 01/25/10 15 014 01/18/10 29 014 01/11/10 38 014 01/04/10 31 + __________ TOTAL ORDERED 113 235.41 % 014 12/23/09 34 014 12/16/09 21 014 12/09/09 18 014 12/02/09 22 + __________ TOTAL ORDERED 95 197.91 % 014 11/24/09 20 014 11/17/09 14 014 11/10/09 24 014 11/03/09 29 + __________ TOTAL ORDERED 87 181.25 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 001 04/27/10 15 001 04/20/10 4 001 04/13/10 4 001 04/06/10 2 + __________ TOTAL ORDERED 25 104.16 % 001 03/30/10 7 001 03/23/10 6 001 03/16/10 4 001 03/09/10 5 001 03/02/10 7 + __________ TOTAL ORDERED 29 120.83 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 762 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 023 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02777 BW3357945 2805 N ROOSEVELT BLVD KEY WEST FL33040 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675041 HC-IBUPRO 7.5-200 TABS (TEV)+ 100 30093516101 00093516101 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 001 04/27/10 8 001 04/20/10 2 001 04/13/10 8 001 04/06/10 8 + __________ TOTAL ORDERED 26 216.66 % 001 03/30/10 10 001 03/23/10 6 001 03/16/10 7 001 03/09/10 13 001 03/02/10 5 + __________ TOTAL ORDERED 41 341.66 % 001 02/23/10 7 001 02/16/10 9 001 02/09/10 6 001 02/02/10 8 + __________ TOTAL ORDERED 30 250.00 % 001 01/26/10 3 001 01/19/10 10 001 01/12/10 11 001 01/05/10 5 + __________ TOTAL ORDERED 29 241.66 % 001 12/24/09 7 001 12/17/09 11 001 12/10/09 11 001 12/03/09 1 + __________ TOTAL ORDERED 30 250.00 % 001 11/25/09 8 001 11/18/09 1 001 11/11/09 6 001 11/04/09 9 + __________ TOTAL ORDERED 24 200.00 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 763 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 023 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02777 BW3357945 2805 N ROOSEVELT BLVD KEY WEST FL33040 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675637 HYDROMORPHONE 2MG TAB (MKT) + 100 30406324301 00406324301 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 02/22/10 2 014 02/08/10 9 + __________ TOTAL ORDERED 11 122.22 % 014 12/23/09 4 014 12/09/09 4 014 12/02/09 2 + __________ TOTAL ORDERED 10 111.11 % 014 11/24/09 10 014 11/10/09 1 014 11/03/09 5 + __________ TOTAL ORDERED 16 177.77 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (AMI)+ 100 35215221502 52152021502 12 3.0 36.0 0 DC DATE ORDERED QUANTITY 014 03/29/10 26 014 03/15/10 15 014 03/08/10 28 014 03/01/10 26 + __________ TOTAL ORDERED 95 263.88 % 014 02/22/10 11 014 02/15/10 14 014 02/08/10 17 014 02/01/10 6 + __________ TOTAL ORDERED 48 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682972 OXYCODONE HCL 15MG TAB (ACT) +100 35215221402 52152021402 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 014 04/26/10 8 014 04/19/10 18 014 04/12/10 7 014 04/05/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 764 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 023 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02777 BW3357945 2805 N ROOSEVELT BLVD KEY WEST FL33040 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682972 OXYCODONE HCL 15MG TAB (ACT) +100 35215221402 52152021402 8 3.0 24.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 37 154.16 % 014 03/29/10 10 014 03/22/10 12 014 03/15/10 8 014 03/08/10 12 014 03/01/10 19 + __________ TOTAL ORDERED 61 254.16 % 014 02/22/10 9 014 02/15/10 10 014 02/08/10 8 014 02/01/10 8 + __________ TOTAL ORDERED 35 145.83 % 014 01/25/10 4 014 01/18/10 9 014 01/11/10 12 014 01/04/10 12 + __________ TOTAL ORDERED 37 154.16 % 014 12/23/09 23 014 12/02/09 16 + __________ TOTAL ORDERED 39 162.50 % 014 11/24/09 20 014 11/03/09 6 + __________ TOTAL ORDERED 26 108.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684145 OXYCOD-APAP 10-650 TAB (WAT) +100 30591082501 00591082501 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 014 04/26/10 9 014 04/19/10 11 014 04/12/10 7 014 04/05/10 3 + __________ TOTAL ORDERED 30 200.00 % 014 03/29/10 3 014 03/22/10 13 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 765 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 023 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02777 BW3357945 2805 N ROOSEVELT BLVD KEY WEST FL33040 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684145 OXYCOD-APAP 10-650 TAB (WAT) +100 30591082501 00591082501 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 014 03/15/10 9 014 03/08/10 7 014 03/01/10 2 + __________ TOTAL ORDERED 34 226.66 % 014 02/22/10 4 014 02/15/10 9 014 02/08/10 7 014 02/01/10 5 + __________ TOTAL ORDERED 25 166.66 % 014 01/25/10 4 014 01/18/10 5 014 01/11/10 7 014 01/04/10 5 + __________ TOTAL ORDERED 21 140.00 % 014 12/23/09 4 014 12/16/09 7 014 12/09/09 5 014 12/02/09 2 + __________ TOTAL ORDERED 18 120.00 % 014 11/24/09 9 014 11/17/09 2 014 11/10/09 3 014 11/03/09 6 + __________ TOTAL ORDERED 20 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684277 OXYCONTIN 20MG TAB (PUR) 100 35901110310 59011010310 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 03/29/10 3 014 03/22/10 2 014 03/15/10 2 014 03/08/10 4 014 03/01/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 766 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 023 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02777 BW3357945 2805 N ROOSEVELT BLVD KEY WEST FL33040 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684277 OXYCONTIN 20MG TAB (PUR) 100 35901110310 59011010310 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 17 188.88 % 014 02/22/10 4 014 02/15/10 3 014 02/08/10 4 014 02/01/10 4 + __________ TOTAL ORDERED 15 166.66 % 014 01/25/10 3 014 01/18/10 5 014 01/11/10 8 014 01/04/10 3 + __________ TOTAL ORDERED 19 211.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684278 OXYCONTIN 40MG TAB (PUR) 100 35901110510 59011010510 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 03/29/10 2 014 03/22/10 3 014 03/15/10 4 014 03/08/10 1 014 03/01/10 3 + __________ TOTAL ORDERED 13 144.44 % 014 02/22/10 3 014 02/15/10 3 014 02/08/10 1 014 02/01/10 3 + __________ TOTAL ORDERED 10 111.11 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 767 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 023 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02832 BW3694230 4010 SW 137TH MIAMI FL 33175 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 513952 CLORAZ DIPOT 3.75MG TAB (TAR)+100 35167240421 51672404201 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 001 03/25/10 2 001 03/18/10 1 001 03/01/10 6 + __________ TOTAL ORDERED 9 150.00 % 001 02/25/10 1 001 02/22/10 1 001 02/18/10 2 001 02/15/10 1 001 02/11/10 1 001 02/08/10 2 001 02/04/10 1 001 02/01/10 1 + __________ TOTAL ORDERED 10 166.66 % 001 12/15/09 8 001 12/10/09 2 001 12/03/09 1 + __________ TOTAL ORDERED 11 183.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 654368 LUNESTA 2MG TAB (SEP) + 100 36340219110 63402019110 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 001 03/29/10 2 001 03/15/10 2 + __________ TOTAL ORDERED 4 133.33 % 001 01/04/10 4 + __________ TOTAL ORDERED 4 133.33 % 001 11/23/09 4 001 11/04/09 1 + __________ TOTAL ORDERED 5 166.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 768 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 023 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02832 BW3694230 4010 SW 137TH MIAMI FL 33175 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682586 PROMETH-COD 6.25-10 SYR(HIT)+16OZ 35038380416 50383080416 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 001 04/29/10 3 001 04/26/10 1 001 04/22/10 1 001 04/19/10 1 001 04/15/10 1 001 04/05/10 1 001 04/01/10 2 + __________ TOTAL ORDERED 10 111.11 % 001 03/29/10 1 001 03/22/10 1 001 03/18/10 1 001 03/15/10 2 001 03/11/10 4 001 03/04/10 1 + __________ TOTAL ORDERED 10 111.11 % 001 01/28/10 2 001 01/25/10 4 001 01/21/10 2 001 01/14/10 1 001 01/11/10 2 001 01/07/10 2 + __________ TOTAL ORDERED 13 144.44 % 001 12/24/09 3 001 12/22/09 1 001 12/17/09 3 001 12/10/09 3 001 12/08/09 1 001 12/03/09 1 + __________ TOTAL ORDERED 12 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684140 ESTAZOLAM 2MG TAB (TEV) + 100 30093013001 00093013001 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 001 12/22/09 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 769 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 023 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02832 BW3694230 4010 SW 137TH MIAMI FL 33175 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684140 ESTAZOLAM 2MG TAB (TEV) + 100 30093013001 00093013001 1 3.0 3.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 4 133.33 % 001 11/16/09 6 + __________ TOTAL ORDERED 6 200.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684342 TEMAZEPAM 30MG CAPSULES + 100 30781220201 00781220201 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 001 04/29/10 2 001 04/26/10 2 001 04/22/10 3 001 04/19/10 3 001 04/15/10 2 001 04/12/10 4 001 04/08/10 2 001 04/05/10 3 001 04/01/10 2 + __________ TOTAL ORDERED 23 127.77 % 001 03/29/10 1 001 03/25/10 3 001 03/22/10 1 001 03/18/10 9 001 03/08/10 5 001 03/04/10 2 001 03/01/10 2 + __________ TOTAL ORDERED 23 127.77 % 001 02/25/10 1 001 02/22/10 3 001 02/18/10 2 001 02/15/10 5 001 02/11/10 1 001 02/08/10 5 001 02/04/10 2 001 02/01/10 5 + __________ TOTAL ORDERED 24 133.33 % 001 01/28/10 1 001 01/25/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 770 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 023 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02832 BW3694230 4010 SW 137TH MIAMI FL 33175 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684342 TEMAZEPAM 30MG CAPSULES + 100 30781220201 00781220201 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 001 01/21/10 2 001 01/18/10 2 001 01/14/10 5 001 01/11/10 6 001 01/07/10 2 + __________ TOTAL ORDERED 21 116.66 % 001 12/30/09 1 001 12/24/09 4 001 12/15/09 8 001 12/10/09 5 001 12/08/09 3 001 12/03/09 3 + __________ TOTAL ORDERED 24 133.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03302 BW5012606 9701 SW 24TH ST MIAMI FL 33165 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 513952 CLORAZ DIPOT 3.75MG TAB (TAR)+100 35167240421 51672404201 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 001 12/31/09 1 001 12/28/09 1 001 12/23/09 3 001 12/11/09 2 001 12/09/09 1 + __________ TOTAL ORDERED 8 133.33 % 001 11/27/09 2 001 11/17/09 2 001 11/19/09 2 001 11/12/09 1 001 11/05/09 2 001 11/03/09 1 + __________ TOTAL ORDERED 10 166.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 771 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 023 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03318 AW2531843 11690 SW 72ND ST MIAMI FL 33173 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 513951 CLORAZ DIPOT 7.5MG TAB (TAR) +100 35167240431 51672404301 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 001 03/31/10 2 001 03/24/10 1 001 03/17/10 1 001 03/10/10 2 001 03/03/10 1 + __________ TOTAL ORDERED 7 116.66 % 001 12/31/09 1 001 12/23/09 2 001 12/16/09 1 001 12/14/09 3 001 12/02/09 1 + __________ TOTAL ORDERED 8 133.33 % 001 11/30/09 1 001 11/20/09 1 001 11/06/09 3 001 11/03/09 3 + __________ TOTAL ORDERED 8 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 532538 MORPHINE SULF 20MG/ML (LAN)+ 30ML 30527142536 00527142536 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 014 04/27/10 8 014 04/20/10 6 014 04/13/10 2 014 04/06/10 3 + __________ TOTAL ORDERED 19 158.33 % 014 03/30/10 5 014 03/23/10 7 014 03/16/10 6 014 03/09/10 4 014 03/05/10 6 + __________ TOTAL ORDERED 28 233.33 % 014 02/23/10 1 014 02/19/10 3 014 02/12/10 4 014 02/09/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 772 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 023 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03318 AW2531843 11690 SW 72ND ST MIAMI FL 33173 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 532538 MORPHINE SULF 20MG/ML (LAN)+ 30ML 30527142536 00527142536 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 014 02/05/10 5 014 02/02/10 2 + __________ TOTAL ORDERED 20 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674484 CHERATUSSIN AC SYRUP (QT) + 473ML 30603107558 00603107558 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 001 03/31/10 1 001 03/29/10 1 001 03/24/10 3 001 03/22/10 4 001 03/17/10 3 001 03/15/10 2 001 03/10/10 1 001 03/03/10 1 001 03/01/10 3 + __________ TOTAL ORDERED 19 126.66 % 001 02/24/10 2 001 02/22/10 2 001 02/17/10 2 001 02/15/10 3 001 02/10/10 2 001 02/08/10 2 001 02/03/10 3 001 02/01/10 1 + __________ TOTAL ORDERED 17 113.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684341 TEMAZEPAM 15MG CAP + 100 30781220101 00781220101 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 001 03/31/10 1 001 03/29/10 4 001 03/24/10 2 001 03/22/10 5 001 03/10/10 2 001 03/08/10 1 001 03/03/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 773 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 023 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03318 AW2531843 11690 SW 72ND ST MIAMI FL 33173 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684341 TEMAZEPAM 15MG CAP + 100 30781220101 00781220101 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 001 03/01/10 2 + __________ TOTAL ORDERED 19 126.66 % 001 02/24/10 2 001 02/22/10 2 001 02/17/10 2 001 02/15/10 1 001 02/10/10 2 001 02/08/10 3 001 02/03/10 2 001 02/01/10 2 + __________ TOTAL ORDERED 16 106.66 % 001 12/31/09 1 001 12/29/09 3 001 12/23/09 3 001 12/21/09 3 001 12/16/09 2 001 12/14/09 1 001 12/09/09 3 001 12/07/09 1 001 12/02/09 1 + __________ TOTAL ORDERED 18 120.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684342 TEMAZEPAM 30MG CAPSULES + 100 30781220201 00781220201 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 001 03/31/10 1 001 03/29/10 2 001 03/24/10 3 001 03/22/10 4 001 03/17/10 6 001 03/10/10 2 001 03/08/10 2 001 03/03/10 3 001 03/01/10 1 + __________ TOTAL ORDERED 24 133.33 % 001 02/24/10 2 001 02/22/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 774 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 023 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03318 AW2531843 11690 SW 72ND ST MIAMI FL 33173 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684342 TEMAZEPAM 30MG CAPSULES + 100 30781220201 00781220201 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 001 02/17/10 3 001 02/15/10 3 001 02/10/10 1 001 02/08/10 2 001 02/03/10 3 001 02/01/10 2 + __________ TOTAL ORDERED 19 105.55 % 001 01/27/10 1 001 01/25/10 3 001 01/20/10 2 001 01/18/10 4 001 01/13/10 3 001 01/11/10 2 001 01/06/10 4 + __________ TOTAL ORDERED 19 105.55 % 001 12/31/09 1 001 12/29/09 2 001 12/23/09 3 001 12/21/09 2 001 12/16/09 1 001 12/14/09 5 001 12/09/09 1 001 12/07/09 4 001 12/02/09 3 + __________ TOTAL ORDERED 22 122.22 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03565 AW1214155 18590 S DIXIE HWY CUTLER RIDGE FL33157 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 591810 ACETAMIN/COD 300/60 TAB (TEV)+100 30093035001 00093035001 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 001 01/27/10 2 001 01/20/10 4 001 01/18/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 775 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 023 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03565 AW1214155 18590 S DIXIE HWY CUTLER RIDGE FL33157 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 591810 ACETAMIN/COD 300/60 TAB (TEV)+100 30093035001 00093035001 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 9 150.00 % 001 12/29/09 4 001 12/24/09 1 001 12/17/09 1 001 12/03/09 1 + __________ TOTAL ORDERED 7 116.66 % 001 11/30/09 5 001 11/20/09 2 001 11/13/09 2 001 11/11/09 1 001 11/06/09 2 + __________ TOTAL ORDERED 12 200.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672651 ACETAMIN/CODIENE 300/60 TAB + 100 30603233921 00603233921 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 001 04/27/10 1 001 04/23/10 4 001 04/20/10 1 001 04/14/10 2 001 04/12/10 2 001 04/07/10 6 + __________ TOTAL ORDERED 16 266.66 % 001 03/24/10 4 001 03/17/10 1 001 03/15/10 1 001 03/10/10 1 001 03/03/10 2 001 03/01/10 1 + __________ TOTAL ORDERED 10 166.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 776 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 023 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03565 AW1214155 18590 S DIXIE HWY CUTLER RIDGE FL33157 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675041 HC-IBUPRO 7.5-200 TABS (TEV)+ 100 30093516101 00093516101 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 001 04/30/10 2 001 04/27/10 1 001 04/23/10 5 001 04/20/10 1 001 04/16/10 1 001 04/14/10 1 001 04/12/10 1 001 04/07/10 1 001 04/05/10 1 + __________ TOTAL ORDERED 14 116.66 % 001 03/31/10 1 001 03/29/10 3 001 03/24/10 3 001 03/22/10 2 001 03/15/10 1 001 03/10/10 1 001 03/08/10 2 001 03/03/10 1 001 03/01/10 2 + __________ TOTAL ORDERED 16 133.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03574 BW0182876 10870 OVERSEAS HWY MARATHON FL 33050 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 474143 OXYCODONE ER 20MG TABS (ETH)+ 100 35817767904 58177067904 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 04/28/10 3 014 04/21/10 4 014 04/07/10 2 + __________ TOTAL ORDERED 9 150.00 % 014 03/31/10 3 014 03/24/10 6 014 03/17/10 2 014 03/10/10 1 014 03/03/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 777 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 023 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03574 BW0182876 10870 OVERSEAS HWY MARATHON FL 33050 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 474143 OXYCODONE ER 20MG TABS (ETH)+ 100 35817767904 58177067904 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 14 233.33 % 014 12/21/09 12 014 12/14/09 1 014 12/07/09 1 + __________ TOTAL ORDERED 14 233.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 474145 OXYCODONE ER 40MG TAB (ETH) + 100 35817768104 58177068104 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 02/23/10 4 014 02/24/10 7 014 02/17/10 1 014 02/03/10 2 + __________ TOTAL ORDERED 14 233.33 % 014 01/20/10 6 014 01/13/10 1 + __________ TOTAL ORDERED 7 116.66 % 014 11/24/09 6 014 11/20/09 1 014 11/06/09 3 + __________ TOTAL ORDERED 10 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 474146 OXYCODONE ER 80MG TABS (ETH)+ 100 35817768304 58177068304 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 02/24/10 7 + __________ TOTAL ORDERED 7 116.66 % 014 01/27/10 6 014 01/13/10 2 014 01/06/10 2 + __________ TOTAL ORDERED 10 166.66 % 014 12/29/09 1 014 12/21/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 778 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 023 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03574 BW0182876 10870 OVERSEAS HWY MARATHON FL 33050 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 474146 OXYCODONE ER 80MG TABS (ETH)+ 100 35817768304 58177068304 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 12/14/09 1 014 12/07/09 3 + __________ TOTAL ORDERED 7 116.66 % 014 11/30/09 2 014 11/20/09 1 014 11/13/09 2 014 11/06/09 3 + __________ TOTAL ORDERED 8 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 532549 OXYCODONE 20MG/ML SOLN (LAN)+30ML 30527142636 00527142636 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 014 04/21/10 8 014 04/14/10 7 + __________ TOTAL ORDERED 15 125.00 % 014 02/24/10 12 014 02/17/10 14 014 02/10/10 3 014 02/03/10 6 + __________ TOTAL ORDERED 35 291.66 % 014 01/06/10 32 + __________ TOTAL ORDERED 32 266.66 % 014 12/21/09 23 014 12/14/09 9 + __________ TOTAL ORDERED 32 266.66 % 014 11/30/09 7 014 11/06/09 15 + __________ TOTAL ORDERED 22 183.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 779 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 023 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03574 BW0182876 10870 OVERSEAS HWY MARATHON FL 33050 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 652294 OXYCOD-APAP 10-325 TAB (WAT) +100 30591093201 00591093201 16 3.0 48.0 0 DC DATE ORDERED QUANTITY 014 03/31/10 9 014 03/24/10 19 014 03/17/10 13 014 03/10/10 10 014 03/03/10 20 + __________ TOTAL ORDERED 71 147.91 % 014 02/24/10 15 014 02/17/10 6 014 02/10/10 21 014 02/03/10 10 + __________ TOTAL ORDERED 52 108.33 % 014 01/27/10 20 014 01/20/10 10 014 01/13/10 15 014 01/06/10 12 + __________ TOTAL ORDERED 57 118.75 % 014 11/30/09 14 014 11/20/09 17 014 11/13/09 13 014 11/06/09 21 + __________ TOTAL ORDERED 65 135.41 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (AMI)+ 100 35215221502 52152021502 12 3.0 36.0 0 DC DATE ORDERED QUANTITY 014 03/31/10 22 014 03/24/10 13 014 03/17/10 14 014 03/10/10 12 014 03/03/10 19 + __________ TOTAL ORDERED 80 222.22 % 014 02/24/10 16 014 02/10/10 11 014 02/03/10 12 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 780 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 023 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03574 BW0182876 10870 OVERSEAS HWY MARATHON FL 33050 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (AMI)+ 100 35215221502 52152021502 12 3.0 36.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 39 108.33 % 014 01/27/10 10 014 01/20/10 8 014 01/13/10 19 014 01/06/10 16 + __________ TOTAL ORDERED 53 147.22 % 014 12/29/09 12 014 12/21/09 24 014 12/07/09 14 + __________ TOTAL ORDERED 50 138.88 % 014 11/30/09 9 014 11/20/09 28 + __________ TOTAL ORDERED 37 102.77 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682972 OXYCODONE HCL 15MG TAB (ACT) +100 35215221402 52152021402 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 014 04/28/10 11 014 04/21/10 15 014 04/14/10 14 014 04/07/10 15 + __________ TOTAL ORDERED 55 229.16 % 014 03/31/10 4 014 03/24/10 9 014 03/17/10 10 014 03/10/10 15 014 03/03/10 18 + __________ TOTAL ORDERED 56 233.33 % 014 02/24/10 15 014 02/17/10 11 014 02/10/10 12 014 02/03/10 16 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 781 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 023 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03574 BW0182876 10870 OVERSEAS HWY MARATHON FL 33050 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682972 OXYCODONE HCL 15MG TAB (ACT) +100 35215221402 52152021402 8 3.0 24.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 54 225.00 % 014 01/27/10 12 014 01/20/10 12 014 01/13/10 8 014 01/06/10 8 + __________ TOTAL ORDERED 40 166.66 % 014 12/29/09 13 014 12/21/09 28 014 12/07/09 2 + __________ TOTAL ORDERED 43 179.16 % 014 11/30/09 7 014 11/20/09 10 014 11/06/09 30 + __________ TOTAL ORDERED 47 195.83 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684147 OXYCOD-APAP 7.5-500 TAB (WAT)+100 30591082401 00591082401 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 03/08/10 10 014 03/31/10 1 014 03/17/10 1 014 03/10/10 4 + __________ TOTAL ORDERED 16 177.77 % 014 02/24/10 4 014 02/17/10 2 014 02/10/10 2 014 02/03/10 2 + __________ TOTAL ORDERED 10 111.11 % 014 12/21/09 4 014 12/14/09 4 014 12/07/09 5 + __________ TOTAL ORDERED 13 144.44 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 782 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 023 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04654 BW6008800 861 NE 8TH ST HOMESTEAD FL 33030 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682586 PROMETH-COD 6.25-10 SYR(HIT)+16OZ 35038380416 50383080416 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 001 03/30/10 1 001 03/26/10 1 001 03/23/10 2 001 03/19/10 2 001 03/16/10 2 001 03/12/10 6 001 03/09/10 3 001 03/05/10 1 001 03/02/10 1 + __________ TOTAL ORDERED 19 211.11 % 001 02/26/10 2 001 02/23/10 2 001 02/16/10 2 001 02/12/10 2 001 02/09/10 1 001 02/05/10 3 + __________ TOTAL ORDERED 12 133.33 % 001 12/30/09 1 001 12/24/09 3 001 12/17/09 1 001 12/10/09 4 001 12/08/09 1 001 12/03/09 1 001 12/01/09 1 + __________ TOTAL ORDERED 12 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (AMI)+ 100 35215221502 52152021502 12 3.0 36.0 0 DC DATE ORDERED QUANTITY 014 04/15/10 24 014 04/08/10 24 014 04/01/10 12 + __________ TOTAL ORDERED 60 166.66 % 014 03/25/10 17 014 03/18/10 30 014 03/11/10 20 014 03/04/10 10 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 783 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 023 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04654 BW6008800 861 NE 8TH ST HOMESTEAD FL 33030 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (AMI)+ 100 35215221502 52152021502 12 3.0 36.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 77 213.88 % 014 02/11/10 24 014 02/04/10 23 + __________ TOTAL ORDERED 47 130.55 % 014 01/21/10 14 014 01/14/10 21 014 01/07/10 27 + __________ TOTAL ORDERED 62 172.22 % 014 12/29/09 12 014 12/21/09 26 014 12/07/09 12 + __________ TOTAL ORDERED 50 138.88 % 014 11/30/09 11 014 11/20/09 27 + __________ TOTAL ORDERED 38 105.55 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684145 OXYCOD-APAP 10-650 TAB (WAT) +100 30591082501 00591082501 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 014 04/29/10 4 014 04/22/10 6 014 04/15/10 10 014 04/08/10 4 + __________ TOTAL ORDERED 24 160.00 % 014 03/25/10 5 014 03/18/10 8 014 03/11/10 6 014 03/04/10 10 + __________ TOTAL ORDERED 29 193.33 % 014 12/29/09 4 014 12/21/09 5 014 12/14/09 2 014 12/07/09 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 784 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 023 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04654 BW6008800 861 NE 8TH ST HOMESTEAD FL 33030 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684145 OXYCOD-APAP 10-650 TAB (WAT) +100 30591082501 00591082501 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 17 113.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05625 BW7022572 1601 SW 107TH AVE MIAMI FL 33165 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 513952 CLORAZ DIPOT 3.75MG TAB (TAR)+100 35167240421 51672404201 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 001 04/30/10 2 001 04/23/10 1 001 04/20/10 1 001 04/16/10 2 001 04/09/10 2 + __________ TOTAL ORDERED 8 133.33 % 001 12/31/09 2 001 12/23/09 2 001 12/21/09 1 001 12/16/09 1 001 12/02/09 1 + __________ TOTAL ORDERED 7 116.66 % 001 11/30/09 1 001 11/24/09 3 001 11/17/09 4 001 11/20/09 2 001 11/13/09 1 001 11/06/09 1 001 11/03/09 1 + __________ TOTAL ORDERED 13 216.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 785 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 023 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06407 BW9093698 99501 OVERSEAS KEY LARGO FL 33037 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 499233 HYDROCO-APAP 10-660 TAB (WAT)+100 36203756701 62037056701 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 001 04/29/10 3 001 04/22/10 4 001 04/15/10 3 001 04/08/10 3 001 04/01/10 6 + __________ TOTAL ORDERED 19 158.33 % 001 02/25/10 9 001 02/11/10 3 001 02/04/10 6 + __________ TOTAL ORDERED 18 150.00 % 001 01/28/10 5 001 01/14/10 4 001 01/07/10 4 + __________ TOTAL ORDERED 13 108.33 % 001 12/30/09 2 001 12/22/09 5 001 12/15/09 2 001 12/08/09 4 001 12/01/09 2 + __________ TOTAL ORDERED 15 125.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682586 PROMETH-COD 6.25-10 SYR(HIT)+16OZ 35038380416 50383080416 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 001 04/29/10 2 001 04/22/10 1 001 04/15/10 3 001 04/08/10 1 001 04/01/10 5 + __________ TOTAL ORDERED 12 133.33 % 001 03/25/10 4 001 03/18/10 3 001 03/11/10 5 001 03/04/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 786 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 023 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06407 BW9093698 99501 OVERSEAS KEY LARGO FL 33037 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682586 PROMETH-COD 6.25-10 SYR(HIT)+16OZ 35038380416 50383080416 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 14 155.55 % 0 SALES DISTRICT 024 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 12942 FW1217884 RX/1402 HWY 101 S GREER SC 29651 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 472540 TRAMADOL HCL ER 100MG TB (PAT)+30 31014709013 10147090103 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 018 04/26/10 5 018 04/01/10 7 + __________ TOTAL ORDERED 12 200.00 % 018 03/08/10 9 + __________ TOTAL ORDERED 9 150.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 483575 PHENTERMINE 37.5MG TAB (LAN) +100 30527144501 00527144501 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 018 04/29/10 1 018 04/26/10 3 018 04/22/10 2 018 04/19/10 4 018 04/15/10 3 018 04/12/10 3 018 04/08/10 2 018 04/05/10 1 018 04/01/10 2 + __________ TOTAL ORDERED 21 140.00 % 018 03/29/10 3 018 03/25/10 1 018 03/22/10 2 018 03/18/10 1 018 03/15/10 7 018 03/11/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 787 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 024 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 12942 FW1217884 RX/1402 HWY 101 S GREER SC 29651 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 483575 PHENTERMINE 37.5MG TAB (LAN) +100 30527144501 00527144501 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 018 03/08/10 3 018 03/04/10 1 018 03/01/10 3 + __________ TOTAL ORDERED 22 146.66 % 018 02/25/10 1 018 02/22/10 3 018 02/18/10 3 018 02/15/10 5 018 02/11/10 2 018 02/08/10 4 018 02/04/10 1 018 02/01/10 4 + __________ TOTAL ORDERED 23 153.33 % 018 01/28/10 2 018 01/25/10 2 018 01/22/10 1 018 01/18/10 2 018 01/14/10 3 018 01/11/10 4 018 01/07/10 3 018 01/04/10 3 + __________ TOTAL ORDERED 20 133.33 % 018 12/31/09 2 018 12/24/09 3 018 12/21/09 4 018 12/17/09 2 018 12/14/09 3 018 12/10/09 3 018 12/07/09 3 + __________ TOTAL ORDERED 20 133.33 % 018 11/23/09 7 018 11/16/09 4 018 11/19/09 2 018 11/12/09 2 018 11/09/09 2 018 11/05/09 1 018 11/02/09 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 788 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 024 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 12942 FW1217884 RX/1402 HWY 101 S GREER SC 29651 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 483575 PHENTERMINE 37.5MG TAB (LAN) +100 30527144501 00527144501 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 22 146.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 484847 OXYCODONE 5MG TABS (QUA) + 100 30603499021 00603499021 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 014 12/24/09 9 014 12/17/09 6 014 12/10/09 7 + __________ TOTAL ORDERED 22 122.22 % 014 11/27/09 1 014 11/19/09 8 014 11/12/09 2 014 11/05/09 11 + __________ TOTAL ORDERED 22 122.22 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 497513 D-AMPHET SALT COM XR+30MG CAP 100 30555078902 00555078902 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 04/29/10 2 014 04/22/10 1 014 04/15/10 2 014 04/08/10 2 + __________ TOTAL ORDERED 7 116.66 % 014 03/18/10 1 014 03/11/10 5 014 03/04/10 1 + __________ TOTAL ORDERED 7 116.66 % 014 01/28/10 2 014 01/14/10 5 + __________ TOTAL ORDERED 7 116.66 % 014 12/24/09 1 014 12/17/09 1 014 12/10/09 4 014 12/03/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 789 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 024 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 12942 FW1217884 RX/1402 HWY 101 S GREER SC 29651 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 497513 D-AMPHET SALT COM XR+30MG CAP 100 30555078902 00555078902 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 8 133.33 % 014 11/27/09 1 014 11/19/09 2 014 11/12/09 1 014 11/05/09 3 + __________ TOTAL ORDERED 7 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 553889 ANDROGEL 1% PUMP (UNI) +150GM 30051848888 00051848888 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 018 03/29/10 2 018 03/25/10 2 018 03/22/10 2 018 03/18/10 1 018 03/15/10 4 018 03/04/10 2 018 03/01/10 3 + __________ TOTAL ORDERED 16 133.33 % 018 02/15/10 3 018 02/11/10 3 018 02/08/10 7 + __________ TOTAL ORDERED 13 108.33 % 018 01/25/10 3 018 01/14/10 6 018 01/11/10 2 018 01/07/10 3 + __________ TOTAL ORDERED 14 116.66 % 018 12/24/09 1 018 12/21/09 2 018 12/17/09 7 018 12/14/09 9 018 12/10/09 2 + __________ TOTAL ORDERED 21 175.00 % 018 11/23/09 8 018 11/16/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 790 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 024 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 12942 FW1217884 RX/1402 HWY 101 S GREER SC 29651 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 553889 ANDROGEL 1% PUMP (UNI) +150GM 30051848888 00051848888 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 018 11/12/09 4 018 11/09/09 7 + __________ TOTAL ORDERED 20 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 601600 AMBIEN CR 12.5MG TAB + 100 30024552131 00024552131 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 018 04/29/10 2 018 04/26/10 4 018 04/22/10 3 018 04/19/10 5 018 04/15/10 1 018 04/12/10 5 018 04/08/10 3 018 04/05/10 2 018 04/01/10 1 + __________ TOTAL ORDERED 26 288.88 % 018 03/29/10 3 018 03/25/10 2 018 03/22/10 3 018 03/18/10 1 018 03/15/10 4 018 03/11/10 3 018 03/08/10 3 018 03/04/10 2 018 03/01/10 2 + __________ TOTAL ORDERED 23 255.55 % 018 02/25/10 1 018 02/22/10 3 018 02/18/10 2 018 02/15/10 3 018 02/11/10 7 018 02/08/10 4 018 02/04/10 1 018 02/01/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 791 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 024 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 12942 FW1217884 RX/1402 HWY 101 S GREER SC 29651 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 601600 AMBIEN CR 12.5MG TAB + 100 30024552131 00024552131 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 24 266.66 % 018 01/28/10 3 018 01/25/10 3 018 01/22/10 1 018 01/18/10 5 018 01/14/10 3 018 01/11/10 4 018 01/07/10 5 018 01/04/10 2 + __________ TOTAL ORDERED 26 288.88 % 018 12/31/09 1 018 12/28/09 2 018 12/24/09 2 018 12/21/09 4 018 12/17/09 1 018 12/14/09 2 018 12/10/09 2 018 12/07/09 3 018 12/03/09 1 + __________ TOTAL ORDERED 18 200.00 % 018 11/23/09 10 018 11/16/09 3 018 11/19/09 2 018 11/12/09 1 018 11/09/09 3 018 11/05/09 3 018 11/02/09 6 + __________ TOTAL ORDERED 28 311.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 603810 LYRICA 50MG CAP + 90 30071101368 00071101368 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 018 03/29/10 3 018 03/25/10 1 018 03/22/10 1 018 03/08/10 3 018 03/04/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 792 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 024 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 12942 FW1217884 RX/1402 HWY 101 S GREER SC 29651 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 603810 LYRICA 50MG CAP + 90 30071101368 00071101368 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 10 111.11 % 018 02/22/10 3 018 02/18/10 1 018 02/15/10 1 018 02/11/10 4 018 02/04/10 2 + __________ TOTAL ORDERED 11 122.22 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 654368 LUNESTA 2MG TAB (SEP) + 100 36340219110 63402019110 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 018 04/29/10 1 018 04/19/10 1 018 04/12/10 2 + __________ TOTAL ORDERED 4 133.33 % 018 03/29/10 1 018 03/22/10 1 018 03/04/10 1 018 03/01/10 1 + __________ TOTAL ORDERED 4 133.33 % 018 12/31/09 1 018 12/24/09 1 018 12/14/09 1 018 12/07/09 1 + __________ TOTAL ORDERED 4 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672873 ANDROGEL 1% GEL (UNI) + 30X5.0GM 30051845030 00051845030 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 018 04/29/10 5 018 04/26/10 1 018 04/22/10 6 018 04/08/10 1 018 04/05/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 793 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 024 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 12942 FW1217884 RX/1402 HWY 101 S GREER SC 29651 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672873 ANDROGEL 1% GEL (UNI) + 30X5.0GM 30051845030 00051845030 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 14 155.55 % 018 03/18/10 7 018 03/15/10 1 018 03/11/10 1 018 03/01/10 4 + __________ TOTAL ORDERED 13 144.44 % 018 01/28/10 3 018 01/18/10 6 018 01/14/10 8 018 01/11/10 5 018 01/07/10 7 + __________ TOTAL ORDERED 29 322.22 % 018 12/31/09 2 018 12/24/09 1 018 12/21/09 2 018 12/17/09 12 018 12/14/09 9 018 12/10/09 3 018 12/07/09 1 + __________ TOTAL ORDERED 30 333.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682600 PROVIGIL 200MG TAB + 100 36345920101 63459020101 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 018 04/26/10 1 018 04/22/10 2 018 04/19/10 2 018 04/12/10 3 018 04/08/10 1 018 04/01/10 1 + __________ TOTAL ORDERED 10 166.66 % 018 03/29/10 3 018 03/25/10 1 018 03/22/10 1 018 03/15/10 1 018 03/11/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 794 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 024 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 12942 FW1217884 RX/1402 HWY 101 S GREER SC 29651 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682600 PROVIGIL 200MG TAB + 100 36345920101 63459020101 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 018 03/08/10 2 018 03/04/10 1 + __________ TOTAL ORDERED 12 200.00 % 018 02/22/10 3 018 02/08/10 1 018 02/04/10 1 018 02/01/10 4 + __________ TOTAL ORDERED 9 150.00 % 018 01/28/10 1 018 01/25/10 1 018 01/22/10 1 018 01/14/10 2 018 01/07/10 4 + __________ TOTAL ORDERED 9 150.00 % 018 12/31/09 3 018 12/24/09 3 018 12/21/09 1 018 12/07/09 6 + __________ TOTAL ORDERED 13 216.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684809 TESTOSTERN CYP 200MG/ML(WAT)+10ML 30591322379 00364661054 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 018 02/25/10 2 018 02/18/10 3 018 02/08/10 1 018 02/04/10 1 + __________ TOTAL ORDERED 7 116.66 % 018 01/28/10 1 018 01/18/10 2 018 01/14/10 3 018 01/07/10 2 + __________ TOTAL ORDERED 8 133.33 % 018 11/23/09 3 018 11/16/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 795 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 024 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 12942 FW1217884 RX/1402 HWY 101 S GREER SC 29651 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684809 TESTOSTERN CYP 200MG/ML(WAT)+10ML 30591322379 00364661054 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 018 11/19/09 2 018 11/09/09 1 + __________ TOTAL ORDERED 7 116.66 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 12945 FW1690507 RX/1128 S PARK RD CARROLLTON GA 30119 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 483575 PHENTERMINE 37.5MG TAB (LAN) +100 30527144501 00527144501 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 018 04/29/10 3 018 04/26/10 2 018 04/22/10 1 018 04/19/10 3 018 04/15/10 1 018 04/12/10 3 018 04/08/10 2 018 04/05/10 5 018 04/01/10 1 + __________ TOTAL ORDERED 21 140.00 % 018 03/29/10 2 018 03/25/10 3 018 03/22/10 4 018 03/18/10 2 018 03/15/10 2 018 03/11/10 6 018 03/08/10 5 018 03/04/10 1 018 03/01/10 4 + __________ TOTAL ORDERED 29 193.33 % 018 02/25/10 3 018 02/22/10 3 018 02/18/10 1 018 02/15/10 2 018 02/11/10 3 018 02/08/10 5 018 02/04/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 796 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 024 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 12945 FW1690507 RX/1128 S PARK RD CARROLLTON GA 30119 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 483575 PHENTERMINE 37.5MG TAB (LAN) +100 30527144501 00527144501 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 018 02/01/10 2 + __________ TOTAL ORDERED 21 140.00 % 018 12/24/09 10 018 12/17/09 5 018 12/15/09 1 018 12/10/09 7 018 12/08/09 2 018 12/03/09 1 018 12/01/09 5 + __________ TOTAL ORDERED 31 206.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 564863 HYDROCO-APAP 7.5-650 TAB(WAT)+100 30591050201 00591050201 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 018 04/26/10 2 018 04/22/10 1 018 04/19/10 3 018 04/15/10 4 018 04/12/10 5 018 04/08/10 6 018 04/05/10 4 018 04/01/10 3 + __________ TOTAL ORDERED 28 133.33 % 018 03/29/10 2 018 03/25/10 2 018 03/22/10 3 018 03/18/10 1 018 03/15/10 5 018 03/11/10 3 018 03/08/10 2 018 03/04/10 1 018 03/01/10 3 + __________ TOTAL ORDERED 22 104.76 % 018 12/24/09 10 018 12/22/09 2 018 12/17/09 5 018 12/15/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 797 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 024 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 12945 FW1690507 RX/1128 S PARK RD CARROLLTON GA 30119 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 564863 HYDROCO-APAP 7.5-650 TAB(WAT)+100 30591050201 00591050201 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 018 12/10/09 5 018 12/08/09 4 018 12/03/09 2 018 12/01/09 5 + __________ TOTAL ORDERED 34 161.90 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674484 CHERATUSSIN AC SYRUP (QT) + 473ML 30603107558 00603107558 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 018 12/24/09 6 018 12/17/09 1 018 12/10/09 3 018 12/08/09 5 018 12/03/09 3 + __________ TOTAL ORDERED 18 120.00 % 018 11/24/09 6 018 11/17/09 3 018 11/19/09 7 018 11/12/09 3 + __________ TOTAL ORDERED 19 126.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679658 HYDROMET SYRUP (ALP) + 473ML 30472103016 00472103016 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 018 03/29/10 4 018 03/25/10 3 018 03/22/10 3 018 03/18/10 1 018 03/15/10 1 018 03/11/10 4 018 03/08/10 7 018 03/04/10 2 018 03/01/10 5 + __________ TOTAL ORDERED 30 142.85 % 018 02/25/10 1 018 02/22/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 798 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 024 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 12945 FW1690507 RX/1128 S PARK RD CARROLLTON GA 30119 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679658 HYDROMET SYRUP (ALP) + 473ML 30472103016 00472103016 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 018 02/18/10 2 018 02/15/10 7 018 02/11/10 3 018 02/08/10 5 018 02/04/10 3 018 02/01/10 3 + __________ TOTAL ORDERED 28 133.33 % 018 01/28/10 6 018 01/25/10 4 018 01/21/10 1 018 01/19/10 3 018 01/14/10 11 018 01/12/10 5 + __________ TOTAL ORDERED 30 142.85 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 12946 FW1683603 RX/ #4 MEDICAL ARTS SAVANNAH GA 31405 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 004 04/29/10 2 004 04/26/10 1 004 04/12/10 2 004 04/08/10 5 004 04/05/10 2 + __________ TOTAL ORDERED 12 133.33 % 004 02/25/10 3 004 02/22/10 1 004 02/18/10 2 004 02/15/10 2 004 02/08/10 2 004 02/01/10 3 + __________ TOTAL ORDERED 13 144.44 % 004 01/28/10 2 004 01/25/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 799 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 024 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 12946 FW1683603 RX/ #4 MEDICAL ARTS SAVANNAH GA 31405 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 004 01/18/10 2 004 01/14/10 3 004 01/11/10 2 + __________ TOTAL ORDERED 10 111.11 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 12953 FW1623847 RX/123 PARK ST CANTON NC 28716 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672873 ANDROGEL 1% GEL (UNI) + 30X5.0GM 30051845030 00051845030 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 018 04/29/10 1 018 04/27/10 8 018 04/22/10 2 018 04/01/10 1 + __________ TOTAL ORDERED 12 133.33 % 018 03/23/10 6 018 03/18/10 7 018 03/11/10 6 018 03/09/10 6 018 03/04/10 4 018 03/02/10 2 + __________ TOTAL ORDERED 31 344.44 % 018 02/25/10 7 018 02/18/10 2 018 02/04/10 10 + __________ TOTAL ORDERED 19 211.11 % 018 12/10/09 9 018 12/03/09 5 + __________ TOTAL ORDERED 14 155.55 % 018 11/24/09 9 018 11/19/09 3 018 11/03/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 800 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 024 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 12953 FW1623847 RX/123 PARK ST CANTON NC 28716 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672873 ANDROGEL 1% GEL (UNI) + 30X5.0GM 30051845030 00051845030 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 14 155.55 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 12958 FW1524467 RX/901 SW GOODYEAR BLVD LAWTON OK73505 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684342 TEMAZEPAM 30MG CAPSULES + 100 30781220201 00781220201 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 02/09/10 11 010 02/04/10 1 010 02/02/10 1 + __________ TOTAL ORDERED 13 144.44 % 010 01/28/10 2 010 01/21/10 2 010 01/19/10 1 010 01/14/10 5 010 01/12/10 1 010 01/05/10 2 + __________ TOTAL ORDERED 13 144.44 % 010 12/29/09 5 010 12/17/09 6 010 12/10/09 1 + __________ TOTAL ORDERED 12 133.33 % 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02115 BW3343388 10997 FUQUA ST HOUSTON TX 77089 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 03/31/10 1 010 03/26/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 801 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02115 BW3343388 10997 FUQUA ST HOUSTON TX 77089 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 03/19/10 8 010 03/17/10 2 010 03/12/10 6 010 03/05/10 6 010 03/03/10 7 + __________ TOTAL ORDERED 35 106.06 % 010 12/31/09 4 010 12/29/09 3 010 12/23/09 4 010 12/21/09 4 010 12/16/09 6 010 12/14/09 2 010 12/09/09 7 010 12/07/09 2 010 12/02/09 2 + __________ TOTAL ORDERED 34 103.03 % 010 11/30/09 3 010 11/24/09 8 010 11/13/09 9 010 11/17/09 5 010 11/20/09 5 010 11/10/09 1 010 11/06/09 6 010 11/03/09 5 + __________ TOTAL ORDERED 42 127.27 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02686 BW3151759 1515 LOCKWOOD DRV HOUSTON TX 77020 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 591810 ACETAMIN/COD 300/60 TAB (TEV)+100 30093035001 00093035001 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 01/28/10 1 010 01/21/10 3 010 01/14/10 3 010 01/07/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 802 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02686 BW3151759 1515 LOCKWOOD DRV HOUSTON TX 77020 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 591810 ACETAMIN/COD 300/60 TAB (TEV)+100 30093035001 00093035001 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 8 133.33 % 010 12/30/09 2 010 12/22/09 3 010 12/18/09 2 010 12/15/09 1 010 12/11/09 2 010 12/08/09 1 010 12/04/09 1 + __________ TOTAL ORDERED 12 200.00 % 010 11/27/09 2 010 11/23/09 2 010 11/16/09 1 010 11/12/09 2 010 11/09/09 1 010 11/05/09 4 010 11/02/09 1 + __________ TOTAL ORDERED 13 216.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672651 ACETAMIN/CODIENE 300/60 TAB + 100 30603233921 00603233921 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 04/29/10 2 010 04/22/10 2 010 04/15/10 3 010 04/08/10 4 010 04/06/10 1 010 04/01/10 1 + __________ TOTAL ORDERED 13 216.66 % 010 03/25/10 3 010 03/23/10 1 010 03/18/10 3 010 03/11/10 1 010 03/04/10 3 + __________ TOTAL ORDERED 11 183.33 % 010 02/25/10 2 010 02/18/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 803 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02686 BW3151759 1515 LOCKWOOD DRV HOUSTON TX 77020 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672651 ACETAMIN/CODIENE 300/60 TAB + 100 30603233921 00603233921 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 02/16/10 5 010 02/11/10 4 + __________ TOTAL ORDERED 17 283.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 04/29/10 4 010 04/27/10 5 010 04/22/10 9 010 04/20/10 6 010 04/15/10 9 010 04/13/10 4 010 04/08/10 7 010 04/06/10 9 010 04/01/10 6 + __________ TOTAL ORDERED 59 178.78 % 010 03/30/10 8 010 03/25/10 8 010 03/18/10 10 010 03/16/10 5 010 03/11/10 7 010 03/09/10 3 010 03/04/10 14 010 03/02/10 3 + __________ TOTAL ORDERED 58 175.75 % 010 02/25/10 2 010 02/23/10 6 010 02/18/10 9 010 02/16/10 2 010 02/11/10 11 010 02/09/10 10 010 02/04/10 5 010 02/02/10 3 + __________ TOTAL ORDERED 48 145.45 % 010 01/28/10 5 010 01/26/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 804 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02686 BW3151759 1515 LOCKWOOD DRV HOUSTON TX 77020 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 01/21/10 7 010 01/19/10 8 010 01/14/10 8 010 01/12/10 6 010 01/07/10 9 010 01/05/10 1 + __________ TOTAL ORDERED 48 145.45 % 010 12/30/09 6 010 12/28/09 7 010 12/22/09 6 010 12/18/09 6 010 12/15/09 4 010 12/11/09 9 010 12/08/09 5 010 12/04/09 6 010 12/01/09 1 + __________ TOTAL ORDERED 50 151.51 % 010 11/27/09 9 010 11/23/09 4 010 11/16/09 3 010 11/19/09 2 010 11/12/09 8 010 11/09/09 4 010 11/05/09 5 010 11/02/09 3 + __________ TOTAL ORDERED 38 115.15 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 010 02/25/10 4 010 02/18/10 9 010 02/16/10 4 010 02/11/10 4 010 02/09/10 1 010 02/04/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 805 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02686 BW3151759 1515 LOCKWOOD DRV HOUSTON TX 77020 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 8 3.0 24.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 25 104.16 % 010 01/28/10 4 010 01/26/10 1 010 01/21/10 6 010 01/19/10 2 010 01/14/10 10 010 01/12/10 3 010 01/07/10 2 + __________ TOTAL ORDERED 28 116.66 % 010 12/30/09 4 010 12/22/09 1 010 12/18/09 10 010 12/15/09 4 010 12/11/09 4 010 12/08/09 1 010 12/04/09 2 + __________ TOTAL ORDERED 26 108.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 04/29/10 2 010 04/22/10 1 010 04/20/10 1 010 04/15/10 2 010 04/13/10 1 010 04/08/10 1 010 04/06/10 1 010 04/01/10 1 + __________ TOTAL ORDERED 10 111.11 % 010 03/30/10 2 010 03/25/10 1 010 03/23/10 1 010 03/18/10 1 010 03/16/10 1 010 03/11/10 1 010 03/09/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 806 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02686 BW3151759 1515 LOCKWOOD DRV HOUSTON TX 77020 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 03/04/10 2 010 03/02/10 2 + __________ TOTAL ORDERED 12 133.33 % 010 12/30/09 2 010 12/22/09 2 010 12/18/09 2 010 12/15/09 1 010 12/08/09 1 010 12/04/09 2 010 12/01/09 1 + __________ TOTAL ORDERED 11 122.22 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02954 BW3711911 131 OYSTER CRK DRV LK JACKSON TX 77566 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 536420 TUSSICAPS 10/8MG CAP + 20 32363510820 23635010820 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 01/14/10 8 010 01/12/10 2 010 01/07/10 5 + __________ TOTAL ORDERED 15 166.66 % 010 12/30/09 1 010 12/28/09 2 010 12/22/09 1 010 12/15/09 2 010 12/11/09 1 010 12/04/09 4 010 12/01/09 3 + __________ TOTAL ORDERED 14 155.55 % 010 11/23/09 3 010 11/12/09 3 010 11/09/09 3 010 11/02/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 807 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02954 BW3711911 131 OYSTER CRK DRV LK JACKSON TX 77566 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 536420 TUSSICAPS 10/8MG CAP + 20 32363510820 23635010820 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 11 122.22 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02981 BW3606045 8106 MARTN LUTHER KNG HOUSTON TX 77033 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 521110 LUNESTA 1MG TAB + 30 36340219030 63402019030 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 010 12/08/09 4 + __________ TOTAL ORDERED 4 133.33 % 010 11/16/09 2 010 11/11/09 2 + __________ TOTAL ORDERED 4 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 591810 ACETAMIN/COD 300/60 TAB (TEV)+100 30093035001 00093035001 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 12/30/09 1 010 12/24/09 1 010 12/22/09 2 010 12/17/09 3 010 12/10/09 1 010 12/03/09 1 + __________ TOTAL ORDERED 9 150.00 % 010 11/25/09 1 010 11/16/09 2 010 11/18/09 2 010 11/11/09 2 010 11/04/09 1 010 11/02/09 3 + __________ TOTAL ORDERED 11 183.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 808 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02981 BW3606045 8106 MARTN LUTHER KNG HOUSTON TX 77033 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672651 ACETAMIN/CODIENE 300/60 TAB + 100 30603233921 00603233921 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 03/25/10 2 010 03/22/10 2 010 03/18/10 5 010 03/15/10 2 010 03/08/10 1 010 03/04/10 1 010 03/01/10 2 + __________ TOTAL ORDERED 15 250.00 % 010 02/25/10 1 010 02/18/10 3 010 02/15/10 2 010 02/11/10 1 + __________ TOTAL ORDERED 7 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 04/29/10 2 010 04/26/10 3 010 04/22/10 4 010 04/19/10 2 010 04/15/10 4 010 04/12/10 4 010 04/08/10 5 010 04/05/10 6 010 04/01/10 4 + __________ TOTAL ORDERED 34 103.03 % 010 03/29/10 5 010 03/25/10 1 010 03/22/10 4 010 03/18/10 2 010 03/15/10 6 010 03/11/10 3 010 03/08/10 7 010 03/04/10 2 010 03/01/10 8 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 809 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02981 BW3606045 8106 MARTN LUTHER KNG HOUSTON TX 77033 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 38 115.15 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03420 AW1074979 308 SEAWALL BLVD GALVESTON TX 77550 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 010 04/29/10 11 010 04/26/10 6 010 04/22/10 1 010 04/19/10 8 010 04/15/10 4 010 04/12/10 12 010 04/08/10 9 010 04/05/10 10 010 04/01/10 6 + __________ TOTAL ORDERED 67 248.14 % 010 03/29/10 7 010 03/25/10 7 010 03/22/10 8 010 03/18/10 7 010 03/15/10 9 010 03/11/10 5 010 03/08/10 10 010 03/04/10 2 010 03/01/10 12 + __________ TOTAL ORDERED 67 248.14 % 010 02/25/10 2 010 02/22/10 12 010 02/18/10 2 010 02/15/10 9 010 02/11/10 8 010 02/08/10 7 010 02/04/10 6 010 02/01/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 810 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03420 AW1074979 308 SEAWALL BLVD GALVESTON TX 77550 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 9 3.0 27.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 53 196.29 % 010 01/28/10 7 010 01/25/10 7 010 01/21/10 3 010 01/18/10 8 010 01/14/10 4 010 01/11/10 8 010 01/07/10 10 010 01/04/10 4 + __________ TOTAL ORDERED 51 188.88 % 010 12/30/09 6 010 12/24/09 6 010 12/17/09 10 010 12/15/09 4 010 12/10/09 9 010 12/03/09 11 010 12/01/09 2 + __________ TOTAL ORDERED 48 177.77 % 010 11/25/09 9 010 11/23/09 3 010 11/18/09 6 010 11/11/09 5 010 11/09/09 12 010 11/04/09 12 010 11/02/09 9 + __________ TOTAL ORDERED 56 207.40 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03760 BW4805478 2990 MARINA BAY DR LEAGUE CITY TX77573 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 582515 BUT-ASA-CAF 50-325-40 TAB(WW)+100 30143178501 00143178501 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 010 02/24/10 1 010 02/19/10 1 010 02/05/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 811 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03760 BW4805478 2990 MARINA BAY DR LEAGUE CITY TX77573 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 582515 BUT-ASA-CAF 50-325-40 TAB(WW)+100 30143178501 00143178501 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 010 02/03/10 1 + __________ TOTAL ORDERED 4 133.33 % 010 01/15/10 2 010 01/08/10 2 + __________ TOTAL ORDERED 4 133.33 % 010 12/23/09 1 010 12/21/09 1 010 12/16/09 1 010 12/02/09 1 + __________ TOTAL ORDERED 4 133.33 % 010 11/24/09 1 010 11/13/09 1 010 11/06/09 2 + __________ TOTAL ORDERED 4 133.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04113 BW6384856 1620 S GORDON ST ALVIN TX 77511 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 507053 CONCERTA 54MG ER TAB 100 35045858701 50458058701 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 12/30/09 2 014 12/23/09 3 014 12/16/09 1 014 12/02/09 1 + __________ TOTAL ORDERED 7 116.66 % 014 11/25/09 2 014 11/18/09 3 014 11/11/09 1 014 11/04/09 1 + __________ TOTAL ORDERED 7 116.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 812 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04113 BW6384856 1620 S GORDON ST ALVIN TX 77511 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 529634 VYVANSE 40MG CAPS + 100 35941710410 59417010410 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 04/21/10 4 014 04/14/10 2 014 04/07/10 2 + __________ TOTAL ORDERED 8 133.33 % 014 03/31/10 3 014 03/24/10 1 014 03/17/10 3 014 03/10/10 3 014 03/03/10 2 + __________ TOTAL ORDERED 12 200.00 % 014 02/24/10 1 014 02/17/10 2 014 02/10/10 5 014 02/03/10 1 + __________ TOTAL ORDERED 9 150.00 % 014 12/30/09 3 014 12/23/09 4 014 12/16/09 2 014 12/09/09 2 014 12/02/09 2 + __________ TOTAL ORDERED 13 216.66 % 014 11/25/09 1 014 11/18/09 2 014 11/11/09 4 014 11/04/09 1 + __________ TOTAL ORDERED 8 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539147 D-AMPHET SALT COMBO 30MG TAB +100 36472013610 64720013610 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 014 04/28/10 3 014 04/21/10 6 014 04/14/10 2 014 04/07/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 813 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04113 BW6384856 1620 S GORDON ST ALVIN TX 77511 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539147 D-AMPHET SALT COMBO 30MG TAB +100 36472013610 64720013610 4 3.0 12.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 15 125.00 % 014 03/31/10 1 014 03/24/10 3 014 03/17/10 4 014 03/10/10 4 014 03/03/10 5 + __________ TOTAL ORDERED 17 141.66 % 014 01/27/10 4 014 01/20/10 4 014 01/13/10 7 + __________ TOTAL ORDERED 15 125.00 % 014 12/30/09 5 014 12/23/09 7 014 12/16/09 4 014 12/09/09 4 014 12/02/09 2 + __________ TOTAL ORDERED 22 183.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539150 D-AMPHET SALT COMBO 20MG TAB +100 36472013510 64720013510 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 014 04/21/10 12 014 04/14/10 9 014 04/07/10 6 + __________ TOTAL ORDERED 27 150.00 % 014 03/31/10 4 014 03/24/10 8 014 03/17/10 9 014 03/10/10 5 014 03/03/10 2 + __________ TOTAL ORDERED 28 155.55 % 014 12/30/09 7 014 12/23/09 7 014 12/16/09 3 014 12/09/09 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 814 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04113 BW6384856 1620 S GORDON ST ALVIN TX 77511 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539150 D-AMPHET SALT COMBO 20MG TAB +100 36472013510 64720013510 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 014 12/02/09 1 + __________ TOTAL ORDERED 23 127.77 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 550610 DEXMETHYLPHENIDATE 5MG TAB + 100 30093527601 00093527601 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 014 04/21/10 1 014 04/14/10 1 014 04/07/10 2 + __________ TOTAL ORDERED 4 133.33 % 014 03/17/10 1 014 03/10/10 1 014 03/03/10 2 + __________ TOTAL ORDERED 4 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 551685 VYVANSE 70MG CAPS + 100 35941710710 59417010710 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 12/30/09 2 014 12/23/09 3 014 12/16/09 2 014 12/09/09 1 + __________ TOTAL ORDERED 8 133.33 % 014 11/25/09 1 014 11/18/09 2 014 11/11/09 2 014 11/04/09 3 + __________ TOTAL ORDERED 8 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 551686 VYVANSE 50MG CAPS + 100 35941710510 59417010510 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 04/28/10 2 014 04/21/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 815 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04113 BW6384856 1620 S GORDON ST ALVIN TX 77511 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 551686 VYVANSE 50MG CAPS + 100 35941710510 59417010510 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 04/14/10 2 014 04/07/10 2 + __________ TOTAL ORDERED 10 166.66 % 014 03/31/10 2 014 03/24/10 2 014 03/17/10 2 014 03/10/10 2 014 03/03/10 4 + __________ TOTAL ORDERED 12 200.00 % 014 02/24/10 2 014 02/17/10 2 014 02/10/10 2 014 02/03/10 1 + __________ TOTAL ORDERED 7 116.66 % 014 12/30/09 2 014 12/23/09 4 014 12/16/09 3 014 12/09/09 1 014 12/02/09 2 + __________ TOTAL ORDERED 12 200.00 % 014 11/25/09 2 014 11/18/09 3 014 11/11/09 1 014 11/04/09 3 + __________ TOTAL ORDERED 9 150.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 10 3.0 30.0 0 DC DATE ORDERED QUANTITY 010 04/29/10 7 010 04/27/10 3 010 04/22/10 6 010 04/20/10 2 010 04/15/10 7 010 04/13/10 7 010 04/08/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 816 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04113 BW6384856 1620 S GORDON ST ALVIN TX 77511 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 10 3.0 30.0 0 DC DATE ORDERED QUANTITY 010 04/06/10 4 010 04/01/10 6 + __________ TOTAL ORDERED 48 160.00 % 010 03/30/10 3 010 03/25/10 5 010 03/23/10 5 010 03/18/10 5 010 03/16/10 4 010 03/11/10 6 010 03/09/10 3 010 03/04/10 7 010 03/02/10 4 + __________ TOTAL ORDERED 42 140.00 % 010 02/25/10 5 010 02/23/10 6 010 02/18/10 5 010 02/16/10 3 010 02/11/10 8 010 02/09/10 2 010 02/04/10 6 010 02/02/10 4 + __________ TOTAL ORDERED 39 130.00 % 010 01/28/10 6 010 01/26/10 3 010 01/21/10 7 010 01/19/10 5 010 01/14/10 6 010 01/12/10 2 010 01/07/10 7 010 01/05/10 1 + __________ TOTAL ORDERED 37 123.33 % 010 12/30/09 7 010 12/28/09 6 010 12/22/09 9 010 12/18/09 5 010 12/15/09 4 010 12/11/09 5 010 12/08/09 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 817 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04113 BW6384856 1620 S GORDON ST ALVIN TX 77511 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 10 3.0 30.0 0 DC DATE ORDERED QUANTITY 010 12/04/09 6 010 12/01/09 2 + __________ TOTAL ORDERED 47 156.66 % 010 11/27/09 5 010 11/23/09 7 010 11/16/09 4 010 11/19/09 5 010 11/12/09 3 010 11/09/09 5 010 11/05/09 5 010 11/02/09 8 + __________ TOTAL ORDERED 42 140.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563978 PROMETHAZIN VC/CODEINE(QTL)+473ML 30603158858 00603158858 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 04/29/10 2 010 04/22/10 2 010 04/15/10 1 010 04/13/10 1 010 04/08/10 1 010 04/06/10 1 010 04/01/10 3 + __________ TOTAL ORDERED 11 183.33 % 010 02/25/10 2 010 02/23/10 1 010 02/18/10 1 010 02/16/10 1 010 02/11/10 3 010 02/09/10 1 010 02/04/10 2 + __________ TOTAL ORDERED 11 183.33 % 010 12/30/09 3 010 12/22/09 3 010 12/18/09 1 010 12/11/09 3 010 12/08/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 818 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04113 BW6384856 1620 S GORDON ST ALVIN TX 77511 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563978 PROMETHAZIN VC/CODEINE(QTL)+473ML 30603158858 00603158858 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 12/04/09 1 010 12/01/09 1 + __________ TOTAL ORDERED 13 216.66 % 010 11/27/09 2 010 11/23/09 2 010 11/12/09 2 010 11/09/09 4 010 11/02/09 1 + __________ TOTAL ORDERED 11 183.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 582982 DIASTAT 10MG ACUDIAL + 1 00187065820 00187065820 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 02/23/10 8 + __________ TOTAL ORDERED 8 133.33 % 010 01/26/10 7 010 01/21/10 1 010 01/12/10 4 010 01/07/10 2 + __________ TOTAL ORDERED 14 233.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 597169 METHADONE HCL 10MG TAB (MAL) +100 30406577101 00406577101 14 3.0 42.0 0 DC DATE ORDERED QUANTITY 014 04/14/10 23 014 04/07/10 21 + __________ TOTAL ORDERED 44 104.76 % 014 03/17/10 18 014 03/10/10 26 014 03/03/10 4 + __________ TOTAL ORDERED 48 114.28 % 014 12/30/09 22 014 12/23/09 19 014 12/16/09 11 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 819 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04113 BW6384856 1620 S GORDON ST ALVIN TX 77511 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 597169 METHADONE HCL 10MG TAB (MAL) +100 30406577101 00406577101 14 3.0 42.0 0 DC DATE ORDERED QUANTITY 014 12/09/09 1 014 12/02/09 5 + __________ TOTAL ORDERED 58 138.09 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 603807 LYRICA 100MG CAP + 90 30071101568 00071101568 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 04/22/10 1 010 04/15/10 1 010 04/13/10 1 010 04/08/10 1 010 04/06/10 4 010 04/01/10 4 + __________ TOTAL ORDERED 12 133.33 % 010 03/25/10 3 010 03/23/10 2 010 03/04/10 4 010 03/02/10 1 + __________ TOTAL ORDERED 10 111.11 % 010 11/27/09 4 010 11/12/09 2 010 11/09/09 2 010 11/05/09 2 + __________ TOTAL ORDERED 10 111.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 04/29/10 6 010 04/22/10 10 010 04/20/10 1 010 04/15/10 11 010 04/08/10 12 010 04/01/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 820 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04113 BW6384856 1620 S GORDON ST ALVIN TX 77511 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 47 142.42 % 010 03/25/10 7 010 03/23/10 2 010 03/18/10 7 010 03/16/10 4 010 03/11/10 9 010 03/09/10 5 010 03/04/10 7 + __________ TOTAL ORDERED 41 124.24 % 010 02/25/10 8 010 02/23/10 6 010 02/18/10 13 010 02/16/10 5 010 02/11/10 6 010 02/09/10 1 010 02/04/10 3 + __________ TOTAL ORDERED 42 127.27 % 010 01/28/10 6 010 01/26/10 4 010 01/21/10 8 010 01/19/10 2 010 01/14/10 18 010 01/12/10 3 010 01/07/10 4 + __________ TOTAL ORDERED 45 136.36 % 010 12/30/09 7 010 12/22/09 11 010 12/18/09 9 010 12/15/09 8 010 12/11/09 20 010 12/08/09 6 010 12/04/09 5 010 12/01/09 5 + __________ TOTAL ORDERED 71 215.15 % 010 11/27/09 3 010 11/23/09 8 010 11/16/09 12 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 821 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04113 BW6384856 1620 S GORDON ST ALVIN TX 77511 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 11/19/09 10 010 11/12/09 8 010 11/09/09 8 010 11/05/09 11 010 11/02/09 9 + __________ TOTAL ORDERED 69 209.09 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 010 04/29/10 3 010 04/22/10 4 010 04/20/10 1 010 04/15/10 4 010 04/08/10 9 010 04/06/10 6 010 04/01/10 2 + __________ TOTAL ORDERED 29 120.83 % 010 12/30/09 4 010 12/28/09 1 010 12/22/09 6 010 12/18/09 3 010 12/15/09 2 010 12/11/09 7 010 12/08/09 5 010 12/04/09 1 + __________ TOTAL ORDERED 29 120.83 % 010 11/27/09 3 010 11/23/09 4 010 11/16/09 4 010 11/19/09 4 010 11/12/09 2 010 11/09/09 4 010 11/05/09 4 010 11/02/09 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 822 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04113 BW6384856 1620 S GORDON ST ALVIN TX 77511 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 8 3.0 24.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 30 125.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674231 CARISOPRODOL 350MG TAB (QT)+ 500 30603258228 00603258228 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 010 04/29/10 4 010 04/27/10 1 010 04/22/10 3 010 04/15/10 2 010 04/13/10 1 010 04/08/10 2 010 04/01/10 4 + __________ TOTAL ORDERED 17 113.33 % 010 03/25/10 3 010 03/23/10 2 010 03/18/10 2 010 03/11/10 2 010 03/04/10 6 010 03/02/10 1 + __________ TOTAL ORDERED 16 106.66 % 010 12/30/09 3 010 12/22/09 4 010 12/18/09 1 010 12/15/09 1 010 12/11/09 4 010 12/08/09 1 010 12/04/09 3 010 12/01/09 1 + __________ TOTAL ORDERED 18 120.00 % 010 11/27/09 1 010 11/23/09 3 010 11/16/09 3 010 11/19/09 3 010 11/12/09 1 010 11/09/09 3 010 11/05/09 2 010 11/02/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 823 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04113 BW6384856 1620 S GORDON ST ALVIN TX 77511 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674231 CARISOPRODOL 350MG TAB (QT)+ 500 30603258228 00603258228 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 18 120.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675041 HC-IBUPRO 7.5-200 TABS (TEV)+ 100 30093516101 00093516101 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 04/29/10 2 010 04/22/10 3 010 04/20/10 2 010 04/15/10 2 010 04/08/10 2 010 04/06/10 1 010 04/01/10 3 + __________ TOTAL ORDERED 15 125.00 % 010 03/25/10 1 010 03/18/10 6 010 03/11/10 2 010 03/09/10 3 010 03/04/10 3 + __________ TOTAL ORDERED 15 125.00 % 010 02/25/10 2 010 02/23/10 1 010 02/18/10 2 010 02/11/10 4 010 02/09/10 2 010 02/04/10 2 + __________ TOTAL ORDERED 13 108.33 % 010 01/28/10 1 010 01/26/10 1 010 01/21/10 4 010 01/19/10 1 010 01/14/10 3 010 01/12/10 1 010 01/07/10 2 + __________ TOTAL ORDERED 13 108.33 % 010 12/30/09 3 010 12/28/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 824 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04113 BW6384856 1620 S GORDON ST ALVIN TX 77511 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675041 HC-IBUPRO 7.5-200 TABS (TEV)+ 100 30093516101 00093516101 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 12/22/09 3 010 12/18/09 4 010 12/15/09 1 010 12/11/09 4 010 12/04/09 1 + __________ TOTAL ORDERED 17 141.66 % 010 11/27/09 2 010 11/23/09 3 010 11/16/09 1 010 11/12/09 6 010 11/05/09 1 010 11/02/09 1 + __________ TOTAL ORDERED 14 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675762 METHYLPHENIDATE 10MG TAB(WAT)+100 30591588301 00591588301 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 03/31/10 2 014 03/17/10 2 014 03/10/10 1 014 03/03/10 6 + __________ TOTAL ORDERED 11 122.22 % 014 12/30/09 3 014 12/23/09 5 014 12/16/09 2 014 12/09/09 4 014 12/02/09 2 + __________ TOTAL ORDERED 16 177.77 % 014 11/25/09 3 014 11/18/09 2 014 11/11/09 4 014 11/04/09 2 + __________ TOTAL ORDERED 11 122.22 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 825 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04113 BW6384856 1620 S GORDON ST ALVIN TX 77511 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 04/29/10 1 010 04/22/10 1 010 04/20/10 1 010 04/15/10 1 010 04/13/10 1 010 04/08/10 3 010 04/06/10 1 010 04/01/10 2 + __________ TOTAL ORDERED 11 122.22 % 010 03/25/10 2 010 03/23/10 1 010 03/18/10 1 010 03/16/10 1 010 03/11/10 2 010 03/09/10 2 010 03/04/10 1 + __________ TOTAL ORDERED 10 111.11 % 010 02/25/10 2 010 02/18/10 2 010 02/16/10 1 010 02/11/10 1 010 02/09/10 2 010 02/04/10 1 010 02/02/10 1 + __________ TOTAL ORDERED 10 111.11 % 010 12/30/09 2 010 12/22/09 4 010 12/18/09 1 010 12/15/09 1 010 12/11/09 1 010 12/08/09 1 010 12/04/09 2 010 12/01/09 1 + __________ TOTAL ORDERED 13 144.44 % 010 11/27/09 1 010 11/23/09 2 010 11/16/09 1 010 11/19/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 826 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04113 BW6384856 1620 S GORDON ST ALVIN TX 77511 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 11/12/09 1 010 11/09/09 2 010 11/05/09 1 010 11/02/09 2 + __________ TOTAL ORDERED 11 122.22 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 676041 DIAZEPAM 5MG TAB (MYL) + 500 30378034505 00378034505 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 010 02/25/10 1 010 02/23/10 1 010 02/18/10 1 010 02/04/10 1 + __________ TOTAL ORDERED 4 133.33 % 010 01/28/10 1 010 01/21/10 1 010 01/14/10 1 010 01/07/10 1 + __________ TOTAL ORDERED 4 133.33 % 010 11/27/09 2 010 11/16/09 1 010 11/12/09 1 010 11/02/09 1 + __________ TOTAL ORDERED 5 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 676052 DIAZEPAM 10MG TAB (MYL) + 500 30378047705 00378047705 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 010 04/22/10 1 010 04/15/10 1 010 04/13/10 1 010 04/08/10 1 010 04/01/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 827 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04113 BW6384856 1620 S GORDON ST ALVIN TX 77511 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 676052 DIAZEPAM 10MG TAB (MYL) + 500 30378047705 00378047705 1 3.0 3.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 5 166.66 % 010 03/25/10 1 010 03/18/10 1 010 03/16/10 1 010 03/11/10 1 010 03/04/10 1 010 03/02/10 1 + __________ TOTAL ORDERED 6 200.00 % 010 02/25/10 1 010 02/18/10 1 010 02/11/10 1 010 02/04/10 1 010 02/02/10 1 + __________ TOTAL ORDERED 5 166.66 % 010 01/28/10 1 010 01/14/10 1 010 01/12/10 1 010 01/07/10 1 010 01/05/10 1 + __________ TOTAL ORDERED 5 166.66 % 010 12/30/09 1 010 12/22/09 1 010 12/18/09 1 010 12/11/09 1 010 12/08/09 1 + __________ TOTAL ORDERED 5 166.66 % 010 11/27/09 1 010 11/23/09 1 010 11/16/09 1 010 11/05/09 1 010 11/02/09 1 + __________ TOTAL ORDERED 5 166.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 828 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04113 BW6384856 1620 S GORDON ST ALVIN TX 77511 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684809 TESTOSTERN CYP 200MG/ML(WAT)+10ML 30591322379 00364661054 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 04/29/10 3 010 04/22/10 2 010 04/20/10 2 010 04/15/10 4 010 04/13/10 1 + __________ TOTAL ORDERED 12 133.33 % 010 03/25/10 7 010 03/23/10 1 010 03/18/10 2 010 03/11/10 1 + __________ TOTAL ORDERED 11 122.22 % 010 01/28/10 1 010 01/21/10 2 010 01/19/10 3 010 01/14/10 1 010 01/12/10 1 010 01/07/10 1 010 01/05/10 1 + __________ TOTAL ORDERED 10 111.11 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04373 AW9607271 1001 LOOP 274 ANGLETON TX 77515 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 507055 CONCERTA 36MG ER TAB 100 35045858601 50458058601 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 04/28/10 3 014 04/21/10 3 014 04/14/10 3 014 04/07/10 1 + __________ TOTAL ORDERED 10 111.11 % 014 03/24/10 2 014 03/17/10 3 014 03/10/10 3 014 03/03/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 829 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04373 AW9607271 1001 LOOP 274 ANGLETON TX 77515 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 507055 CONCERTA 36MG ER TAB 100 35045858601 50458058601 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 11 122.22 % 014 12/23/09 4 014 12/16/09 3 014 12/02/09 3 + __________ TOTAL ORDERED 10 111.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 551686 VYVANSE 50MG CAPS + 100 35941710510 59417010510 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 04/28/10 2 014 04/21/10 2 014 04/14/10 2 014 04/07/10 1 + __________ TOTAL ORDERED 7 116.66 % 014 03/31/10 1 014 03/24/10 2 014 03/17/10 1 014 03/10/10 3 014 03/03/10 1 + __________ TOTAL ORDERED 8 133.33 % 014 02/24/10 2 014 02/17/10 1 014 02/10/10 4 014 02/03/10 2 + __________ TOTAL ORDERED 9 150.00 % 014 12/23/09 2 014 12/16/09 2 014 12/09/09 2 014 12/02/09 2 + __________ TOTAL ORDERED 8 133.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 830 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04373 AW9607271 1001 LOOP 274 ANGLETON TX 77515 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 551687 VYVANSE 30MG CAPS (SHI) 100 35941710310 59417010310 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 04/28/10 3 014 04/21/10 4 014 04/14/10 3 014 04/07/10 2 + __________ TOTAL ORDERED 12 133.33 % 014 03/31/10 2 014 03/24/10 2 014 03/17/10 3 014 03/10/10 1 014 03/03/10 2 + __________ TOTAL ORDERED 10 111.11 % 014 11/25/09 2 014 11/18/09 3 014 11/11/09 3 014 11/04/09 2 + __________ TOTAL ORDERED 10 111.11 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04605 AW8812617 9200 CULLEN BLVD HOUSTON TX 77051 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 591810 ACETAMIN/COD 300/60 TAB (TEV)+100 30093035001 00093035001 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 01/28/10 1 010 01/26/10 1 010 01/21/10 2 010 01/19/10 1 010 01/14/10 1 010 01/12/10 2 010 01/07/10 1 010 01/05/10 2 + __________ TOTAL ORDERED 11 183.33 % 010 12/30/09 2 010 12/22/09 2 010 12/18/09 1 010 12/04/09 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 831 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04605 AW8812617 9200 CULLEN BLVD HOUSTON TX 77051 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 591810 ACETAMIN/COD 300/60 TAB (TEV)+100 30093035001 00093035001 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 12/01/09 1 + __________ TOTAL ORDERED 9 150.00 % 010 11/27/09 3 010 11/23/09 1 010 11/16/09 1 010 11/12/09 1 010 11/05/09 2 010 11/02/09 1 + __________ TOTAL ORDERED 9 150.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672651 ACETAMIN/CODIENE 300/60 TAB + 100 30603233921 00603233921 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 04/29/10 5 010 04/15/10 2 010 04/08/10 2 010 04/06/10 1 010 04/01/10 1 + __________ TOTAL ORDERED 11 183.33 % 010 03/25/10 1 010 03/18/10 1 010 03/16/10 1 010 03/11/10 2 010 03/04/10 3 010 03/02/10 1 + __________ TOTAL ORDERED 9 150.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 04/29/10 8 010 04/27/10 4 010 04/22/10 10 010 04/20/10 4 010 04/15/10 4 010 04/13/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 832 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04605 AW8812617 9200 CULLEN BLVD HOUSTON TX 77051 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 04/08/10 6 010 04/06/10 11 010 04/01/10 8 + __________ TOTAL ORDERED 56 169.69 % 010 03/30/10 3 010 03/25/10 5 010 03/23/10 2 010 03/18/10 1 010 03/16/10 10 010 03/11/10 5 010 03/09/10 4 010 03/04/10 5 010 03/02/10 1 + __________ TOTAL ORDERED 36 109.09 % 010 02/25/10 9 010 02/23/10 4 010 02/18/10 7 010 02/16/10 4 010 02/11/10 2 010 02/09/10 4 010 02/04/10 8 010 02/02/10 4 + __________ TOTAL ORDERED 42 127.27 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05416 BW6541420 3201 FM 528 FRIENDSWOOD TX 77546 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 683092 TESTIM 1% GEL + 30X5GM 36688700105 66887000105 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 02/25/10 2 010 02/22/10 3 010 02/18/10 2 010 02/15/10 1 010 02/11/10 1 010 02/08/10 2 010 02/04/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 833 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05416 BW6541420 3201 FM 528 FRIENDSWOOD TX 77546 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 683092 TESTIM 1% GEL + 30X5GM 36688700105 66887000105 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 12 133.33 % 010 01/28/10 3 010 01/25/10 2 010 01/21/10 3 010 01/14/10 3 + __________ TOTAL ORDERED 11 122.22 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05833 AW8818746 1801 FM 1765 LA MARQUE TX 77568 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 499233 HYDROCO-APAP 10-660 TAB (WAT)+100 36203756701 62037056701 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 02/24/10 1 010 02/17/10 1 010 02/15/10 3 010 02/10/10 6 + __________ TOTAL ORDERED 11 122.22 % 010 01/27/10 2 010 01/20/10 4 010 01/18/10 2 010 01/13/10 2 010 01/11/10 1 + __________ TOTAL ORDERED 11 122.22 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 4 010 04/26/10 3 010 04/21/10 5 010 04/19/10 4 010 04/14/10 6 010 04/12/10 4 010 04/07/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 834 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05833 AW8818746 1801 FM 1765 LA MARQUE TX 77568 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 010 04/05/10 5 + __________ TOTAL ORDERED 34 125.92 % 010 03/31/10 2 010 03/24/10 3 010 03/22/10 5 010 03/17/10 4 010 03/15/10 3 010 03/10/10 6 010 03/08/10 1 010 03/03/10 3 010 03/01/10 1 + __________ TOTAL ORDERED 28 103.70 % 010 02/24/10 6 010 02/22/10 5 010 02/17/10 4 010 02/10/10 4 010 02/08/10 5 010 02/03/10 5 010 02/01/10 4 + __________ TOTAL ORDERED 33 122.22 % 010 12/29/09 4 010 12/24/09 4 010 12/21/09 4 010 12/17/09 4 010 12/14/09 7 010 12/10/09 3 010 12/07/09 6 010 12/03/09 3 + __________ TOTAL ORDERED 35 129.62 % 010 11/30/09 2 010 11/25/09 3 010 11/20/09 4 010 11/13/09 6 010 11/11/09 1 010 11/06/09 9 010 11/04/09 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 835 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05833 AW8818746 1801 FM 1765 LA MARQUE TX 77568 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 9 3.0 27.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 29 107.40 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06089 AW9613022 4016 HWY 3 DICKINSON TX 77539 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 5 010 04/26/10 4 010 04/21/10 4 010 04/14/10 3 010 04/12/10 5 010 04/07/10 5 010 04/05/10 9 + __________ TOTAL ORDERED 35 106.06 % 010 03/31/10 3 010 03/29/10 4 010 03/24/10 4 010 03/22/10 4 010 03/17/10 3 010 03/15/10 6 010 03/10/10 5 010 03/08/10 8 010 03/03/10 4 010 03/01/10 4 + __________ TOTAL ORDERED 45 136.36 % 010 02/24/10 4 010 02/22/10 4 010 02/17/10 4 010 02/15/10 7 010 02/10/10 5 010 02/08/10 11 010 02/03/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 836 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06089 AW9613022 4016 HWY 3 DICKINSON TX 77539 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 42 127.27 % 010 01/27/10 5 010 01/25/10 5 010 01/20/10 5 010 01/18/10 4 010 01/13/10 5 010 01/11/10 14 010 01/06/10 6 010 01/04/10 11 + __________ TOTAL ORDERED 55 166.66 % 010 12/29/09 5 010 12/24/09 5 010 12/21/09 8 010 12/17/09 7 010 12/14/09 11 010 12/10/09 4 010 12/07/09 14 010 12/03/09 4 + __________ TOTAL ORDERED 58 175.75 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675801 DEXTROAMPHETAMINE 10MG TB(BAR)100 30555095302 00555095302 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 04/16/10 2 014 04/09/10 2 014 04/02/10 4 + __________ TOTAL ORDERED 8 133.33 % 014 02/19/10 6 014 02/12/10 7 + __________ TOTAL ORDERED 13 216.66 % 014 12/28/09 3 014 12/18/09 4 014 12/11/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 837 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06089 AW9613022 4016 HWY 3 DICKINSON TX 77539 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675801 DEXTROAMPHETAMINE 10MG TB(BAR)100 30555095302 00555095302 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 8 133.33 % 014 11/27/09 7 014 11/20/09 5 014 11/06/09 3 + __________ TOTAL ORDERED 15 250.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682586 PROMETH-COD 6.25-10 SYR(HIT)+16OZ 35038380416 50383080416 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 010 03/31/10 2 010 03/29/10 3 010 03/24/10 3 010 03/17/10 1 010 03/10/10 5 010 03/03/10 2 010 03/01/10 3 + __________ TOTAL ORDERED 19 126.66 % 010 02/24/10 3 010 02/22/10 6 010 02/17/10 4 010 02/15/10 1 010 02/10/10 1 010 02/08/10 5 010 02/03/10 1 + __________ TOTAL ORDERED 21 140.00 % 010 01/27/10 1 010 01/25/10 2 010 01/20/10 3 010 01/18/10 4 010 01/13/10 1 010 01/11/10 5 010 01/06/10 4 010 01/04/10 1 + __________ TOTAL ORDERED 21 140.00 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 838 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06566 AW1075123 1088 W MAIN ST LEAGUE CITY TX 77573 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 543514 BUTAL/ASA/CAF/CODEINE 30MG CP+100 30591354601 00591354601 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 04/23/10 1 010 04/21/10 2 010 04/16/10 3 010 04/09/10 2 010 04/02/10 4 + __________ TOTAL ORDERED 12 200.00 % 010 03/31/10 1 010 03/26/10 1 010 03/19/10 1 010 03/12/10 3 010 03/10/10 1 + __________ TOTAL ORDERED 7 116.66 % 010 12/29/09 2 010 12/23/09 4 010 12/16/09 1 010 12/09/09 1 010 12/07/09 1 010 12/02/09 1 + __________ TOTAL ORDERED 10 166.66 % 010 11/30/09 1 010 11/24/09 3 010 11/20/09 2 010 11/13/09 3 + __________ TOTAL ORDERED 9 150.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 552577 SUBOXONE 8-2MG SL TAB + 30 31249613062 12496130602 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 5 010 04/23/10 6 010 04/21/10 9 010 04/16/10 5 010 04/14/10 5 010 04/02/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 839 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06566 AW1075123 1088 W MAIN ST LEAGUE CITY TX 77573 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 552577 SUBOXONE 8-2MG SL TAB + 30 31249613062 12496130602 9 3.0 27.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 33 122.22 % 010 03/31/10 7 010 03/26/10 4 010 03/19/10 2 010 03/17/10 10 010 03/12/10 3 010 03/10/10 4 010 03/05/10 1 010 03/03/10 5 + __________ TOTAL ORDERED 36 133.33 % 010 02/24/10 8 010 02/19/10 6 010 02/17/10 3 010 02/10/10 8 010 02/05/10 6 010 02/03/10 2 + __________ TOTAL ORDERED 33 122.22 % 010 12/31/09 4 010 12/29/09 3 010 12/23/09 4 010 12/21/09 7 010 12/16/09 2 010 12/14/09 8 010 12/09/09 6 010 12/02/09 2 + __________ TOTAL ORDERED 36 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 582982 DIASTAT 10MG ACUDIAL + 1 00187065820 00187065820 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 1 010 04/16/10 4 010 04/09/10 1 010 04/07/10 2 010 04/02/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 840 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06566 AW1075123 1088 W MAIN ST LEAGUE CITY TX 77573 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 582982 DIASTAT 10MG ACUDIAL + 1 00187065820 00187065820 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 9 150.00 % 010 03/31/10 2 010 03/26/10 1 010 03/24/10 3 010 03/19/10 1 010 03/12/10 3 010 03/10/10 2 010 03/05/10 1 010 03/03/10 2 + __________ TOTAL ORDERED 15 250.00 % 010 02/24/10 2 010 02/19/10 1 010 02/17/10 3 010 02/10/10 1 + __________ TOTAL ORDERED 7 116.66 % 010 01/27/10 3 010 01/22/10 3 010 01/08/10 2 + __________ TOTAL ORDERED 8 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673822 BUT-APAP-CAF-COD 30MG CAP(Q)+ 100 30603255321 00603255321 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 04/23/10 3 010 04/09/10 1 010 04/02/10 4 + __________ TOTAL ORDERED 8 133.33 % 010 02/19/10 1 010 02/17/10 6 + __________ TOTAL ORDERED 7 116.66 % 010 12/23/09 4 010 12/16/09 1 010 12/09/09 2 010 12/02/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 841 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06566 AW1075123 1088 W MAIN ST LEAGUE CITY TX 77573 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673822 BUT-APAP-CAF-COD 30MG CAP(Q)+ 100 30603255321 00603255321 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 9 150.00 % 010 11/24/09 2 010 11/06/09 5 + __________ TOTAL ORDERED 7 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 681627 OXAZEPAM 15MG CAP (PPC) + 100 30228206910 00228206910 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 2 010 04/23/10 1 010 04/16/10 1 010 04/09/10 1 010 04/02/10 1 + __________ TOTAL ORDERED 6 200.00 % 010 02/19/10 1 010 02/17/10 1 010 02/05/10 2 010 02/03/10 1 + __________ TOTAL ORDERED 5 166.66 % 010 01/15/10 1 010 01/08/10 3 010 01/06/10 1 + __________ TOTAL ORDERED 5 166.66 % 010 12/31/09 1 010 12/23/09 2 010 12/09/09 1 010 12/07/09 1 010 12/02/09 2 + __________ TOTAL ORDERED 7 233.33 % 010 11/24/09 1 010 11/13/09 1 010 11/06/09 1 010 11/03/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 842 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06566 AW1075123 1088 W MAIN ST LEAGUE CITY TX 77573 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 681627 OXAZEPAM 15MG CAP (PPC) + 100 30228206910 00228206910 1 3.0 3.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 4 133.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07020 BW7834408 104 E PARKWOOD FRIENDSWOOD TX 77546 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 478424 TESTOSTERN CYP 200MG/ML (PAD)+1ML 30574082001 00574082001 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 04/29/10 15 + __________ TOTAL ORDERED 15 125.00 % 010 03/15/10 8 010 03/11/10 3 010 03/08/10 1 010 03/01/10 5 + __________ TOTAL ORDERED 17 141.66 % 010 02/25/10 7 010 02/22/10 1 010 02/18/10 10 010 02/15/10 8 010 02/11/10 1 010 02/08/10 13 010 02/04/10 7 010 02/01/10 3 + __________ TOTAL ORDERED 50 416.66 % 010 01/18/10 7 010 01/14/10 11 010 01/11/10 2 010 01/07/10 1 + __________ TOTAL ORDERED 21 175.00 % 010 12/30/09 4 010 12/24/09 5 010 12/22/09 8 010 12/17/09 2 010 12/15/09 6 010 12/08/09 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 843 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07020 BW7834408 104 E PARKWOOD FRIENDSWOOD TX 77546 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 478424 TESTOSTERN CYP 200MG/ML (PAD)+1ML 30574082001 00574082001 4 3.0 12.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 31 258.33 % 010 11/11/09 5 010 11/09/09 2 010 11/02/09 6 + __________ TOTAL ORDERED 13 108.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 553889 ANDROGEL 1% PUMP (UNI) +150GM 30051848888 00051848888 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 03/25/10 3 010 03/22/10 5 010 03/11/10 3 010 03/08/10 2 010 03/04/10 4 010 03/01/10 4 + __________ TOTAL ORDERED 21 175.00 % 010 01/28/10 1 010 01/25/10 2 010 01/21/10 1 010 01/18/10 5 010 01/14/10 3 010 01/11/10 4 010 01/07/10 1 010 01/04/10 1 + __________ TOTAL ORDERED 18 150.00 % 010 11/25/09 7 010 11/23/09 1 010 11/11/09 2 010 11/09/09 5 010 11/04/09 2 + __________ TOTAL ORDERED 17 141.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 844 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07178 BW8142173 100 FM 646 DICKINSON TX 77539 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 478424 TESTOSTERN CYP 200MG/ML (PAD)+1ML 30574082001 00574082001 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 01/28/10 19 010 01/07/10 3 + __________ TOTAL ORDERED 22 183.33 % 010 12/30/09 6 010 12/28/09 1 010 12/08/09 12 + __________ TOTAL ORDERED 19 158.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 04/29/10 5 010 04/27/10 2 010 04/22/10 5 010 04/20/10 1 010 04/15/10 4 010 04/08/10 8 010 04/06/10 4 010 04/01/10 8 + __________ TOTAL ORDERED 37 112.12 % 010 03/30/10 2 010 03/25/10 11 010 03/23/10 1 010 03/18/10 6 010 03/11/10 3 010 03/09/10 5 010 03/04/10 10 010 03/02/10 9 + __________ TOTAL ORDERED 47 142.42 % 010 02/25/10 10 010 02/23/10 5 010 02/18/10 5 010 02/16/10 2 010 02/11/10 7 010 02/09/10 3 010 02/04/10 6 010 02/02/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 845 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07178 BW8142173 100 FM 646 DICKINSON TX 77539 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 44 133.33 % 010 01/28/10 12 010 01/26/10 1 010 01/21/10 5 010 01/19/10 6 010 01/14/10 5 010 01/12/10 2 010 01/07/10 3 010 01/05/10 1 + __________ TOTAL ORDERED 35 106.06 % 010 12/30/09 8 010 12/28/09 12 010 12/22/09 4 010 12/18/09 3 010 12/15/09 4 010 12/11/09 11 010 12/08/09 3 010 12/04/09 5 010 12/01/09 4 + __________ TOTAL ORDERED 54 163.63 % 010 11/27/09 10 010 11/23/09 4 010 11/16/09 8 010 11/19/09 5 010 11/09/09 2 010 11/05/09 2 010 11/02/09 4 + __________ TOTAL ORDERED 35 106.06 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 846 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 09062 AW9814915 2501 61ST ST GALVESTON TX 77551 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 476339 PROPOXY HCL 65MG CAP (QUA) + 100 30603511021 00603511021 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 04/26/10 1 010 04/22/10 1 010 04/12/10 2 010 04/08/10 2 010 04/05/10 2 + __________ TOTAL ORDERED 8 133.33 % 010 03/29/10 3 010 03/25/10 2 010 03/22/10 2 010 03/15/10 1 010 03/04/10 1 010 03/01/10 3 + __________ TOTAL ORDERED 12 200.00 % 010 12/24/09 1 010 12/22/09 1 010 12/17/09 1 010 12/03/09 4 + __________ TOTAL ORDERED 7 116.66 % 010 11/25/09 2 010 11/18/09 2 010 11/04/09 1 010 11/02/09 3 + __________ TOTAL ORDERED 8 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 010 04/29/10 5 010 04/26/10 8 010 04/22/10 2 010 04/19/10 9 010 04/15/10 7 010 04/12/10 4 010 04/08/10 5 010 04/05/10 6 010 04/01/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 847 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 09062 AW9814915 2501 61ST ST GALVESTON TX 77551 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 9 3.0 27.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 49 181.48 % 010 03/29/10 8 010 03/25/10 6 010 03/22/10 7 010 03/18/10 11 010 03/15/10 5 010 03/11/10 6 010 03/08/10 11 010 03/04/10 8 010 03/01/10 9 + __________ TOTAL ORDERED 71 262.96 % 010 02/25/10 3 010 02/22/10 4 010 02/18/10 6 010 02/15/10 9 010 02/11/10 4 010 02/08/10 5 010 02/04/10 3 010 02/01/10 9 + __________ TOTAL ORDERED 43 159.25 % 010 01/28/10 7 010 01/25/10 4 010 01/21/10 6 010 01/18/10 12 010 01/14/10 2 010 01/11/10 7 010 01/07/10 8 010 01/04/10 5 + __________ TOTAL ORDERED 51 188.88 % 010 12/30/09 6 010 12/24/09 17 010 12/22/09 10 010 12/17/09 10 010 12/15/09 3 010 12/10/09 7 010 12/08/09 1 010 12/03/09 15 010 12/01/09 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 848 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 09062 AW9814915 2501 61ST ST GALVESTON TX 77551 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 9 3.0 27.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 75 277.77 % 010 11/25/09 7 010 11/23/09 8 010 11/16/09 6 010 11/18/09 8 010 11/11/09 5 010 11/09/09 6 010 11/04/09 7 010 11/02/09 6 + __________ TOTAL ORDERED 53 196.29 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 09163 BW9080336 9885 BLACKHAWK HOUSTON TX 77075 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 478424 TESTOSTERN CYP 200MG/ML (PAD)+1ML 30574082001 00574082001 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 03/16/10 3 010 03/12/10 5 010 03/09/10 3 010 03/05/10 7 + __________ TOTAL ORDERED 18 150.00 % 010 02/26/10 9 010 02/19/10 5 010 02/12/10 6 010 02/09/10 3 + __________ TOTAL ORDERED 23 191.66 % 010 12/31/09 2 010 12/23/09 3 010 12/18/09 2 010 12/16/09 4 010 12/09/09 5 + __________ TOTAL ORDERED 16 133.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 849 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 09440 BW9303392 3018 7TH ST BAY CITY TX 77414 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675598 DIETHYLPROPION 25MG TAB (WAT)+100 30591078301 00591078301 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 04/27/10 6 010 04/20/10 1 010 04/13/10 1 010 04/06/10 1 + __________ TOTAL ORDERED 9 150.00 % 010 03/23/10 1 010 03/16/10 2 010 03/09/10 2 010 03/02/10 3 + __________ TOTAL ORDERED 8 133.33 % 010 11/27/09 2 010 11/12/09 5 010 11/05/09 2 + __________ TOTAL ORDERED 9 150.00 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 09507 BW3427184 102 N FRIENDSWD FRIENDSWOOD TX 77564 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 553889 ANDROGEL 1% PUMP (UNI) +150GM 30051848888 00051848888 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 03/24/10 1 010 03/19/10 3 010 03/17/10 2 010 03/12/10 5 010 03/10/10 4 010 03/03/10 6 + __________ TOTAL ORDERED 21 175.00 % 010 12/31/09 4 010 12/29/09 2 010 12/23/09 3 010 12/21/09 1 010 12/16/09 2 010 12/14/09 1 010 12/09/09 3 010 12/02/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 850 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 09507 BW3427184 102 N FRIENDSWD FRIENDSWOOD TX 77564 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 553889 ANDROGEL 1% PUMP (UNI) +150GM 30051848888 00051848888 4 3.0 12.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 17 141.66 % 010 11/24/09 4 010 11/20/09 3 010 11/03/09 7 + __________ TOTAL ORDERED 14 116.66 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 10583 BW2739348 3103 PALMER HWY TEXAS CITY TX 77590 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 499233 HYDROCO-APAP 10-660 TAB (WAT)+100 36203756701 62037056701 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 01/27/10 2 010 01/20/10 1 010 01/13/10 2 010 01/11/10 2 010 01/06/10 4 + __________ TOTAL ORDERED 11 122.22 % 010 12/29/09 1 010 12/24/09 1 010 12/21/09 3 010 12/17/09 2 010 12/14/09 1 010 12/10/09 2 010 12/07/09 1 010 12/03/09 2 + __________ TOTAL ORDERED 13 144.44 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 10 3.0 30.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 4 010 04/26/10 3 010 04/21/10 6 010 04/19/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 851 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 10583 BW2739348 3103 PALMER HWY TEXAS CITY TX 77590 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 10 3.0 30.0 0 DC DATE ORDERED QUANTITY 010 04/14/10 4 010 04/12/10 4 010 04/07/10 6 010 04/05/10 6 + __________ TOTAL ORDERED 36 120.00 % 010 03/31/10 3 010 03/29/10 6 010 03/24/10 5 010 03/22/10 4 010 03/17/10 4 010 03/15/10 4 010 03/10/10 4 010 03/08/10 6 010 03/03/10 6 010 03/01/10 6 + __________ TOTAL ORDERED 48 160.00 % 010 02/24/10 4 010 02/22/10 4 010 02/17/10 4 010 02/15/10 5 010 02/10/10 3 010 02/08/10 9 010 02/03/10 4 010 02/01/10 9 + __________ TOTAL ORDERED 42 140.00 % 010 01/27/10 4 010 01/25/10 5 010 01/20/10 4 010 01/18/10 5 010 01/13/10 3 010 01/11/10 6 010 01/06/10 6 010 01/04/10 5 + __________ TOTAL ORDERED 38 126.66 % 010 12/29/09 6 010 12/24/09 6 010 12/21/09 5 010 12/17/09 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 852 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 10583 BW2739348 3103 PALMER HWY TEXAS CITY TX 77590 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 10 3.0 30.0 0 DC DATE ORDERED QUANTITY 010 12/14/09 7 010 12/10/09 5 010 12/07/09 6 010 12/03/09 4 + __________ TOTAL ORDERED 43 143.33 % 010 11/30/09 3 010 11/25/09 6 010 11/20/09 9 010 11/13/09 8 010 11/18/09 4 010 11/11/09 4 010 11/06/09 4 010 11/04/09 3 + __________ TOTAL ORDERED 41 136.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 3 010 04/26/10 7 010 04/21/10 5 010 04/19/10 8 010 04/14/10 6 010 04/12/10 11 010 04/07/10 6 010 04/05/10 7 + __________ TOTAL ORDERED 53 196.29 % 010 03/31/10 6 010 03/29/10 9 010 03/24/10 7 010 03/22/10 3 010 03/17/10 6 010 03/15/10 5 010 03/10/10 8 010 03/08/10 6 010 03/03/10 6 010 03/01/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 853 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 10583 BW2739348 3103 PALMER HWY TEXAS CITY TX 77590 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 9 3.0 27.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 63 233.33 % 010 02/24/10 6 010 02/22/10 6 010 02/17/10 3 010 02/15/10 2 010 02/10/10 12 010 02/08/10 11 010 02/03/10 3 010 02/01/10 4 + __________ TOTAL ORDERED 47 174.07 % 010 01/27/10 3 010 01/25/10 5 010 01/20/10 7 010 01/18/10 6 010 01/13/10 8 010 01/11/10 4 010 01/06/10 7 010 01/04/10 3 + __________ TOTAL ORDERED 43 159.25 % 010 12/29/09 9 010 12/24/09 9 010 12/21/09 8 010 12/17/09 1 010 12/14/09 8 010 12/10/09 4 010 12/07/09 11 010 12/03/09 6 + __________ TOTAL ORDERED 56 207.40 % 010 11/30/09 2 010 11/25/09 6 010 11/20/09 13 010 11/13/09 9 010 11/18/09 4 010 11/11/09 5 010 11/06/09 13 010 11/04/09 8 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 854 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 10583 BW2739348 3103 PALMER HWY TEXAS CITY TX 77590 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 9 3.0 27.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 60 222.22 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 645805 HYDROCOD-APAP ORAL SOL(PAI)+473ML 30121065516 00121065516 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 010 03/31/10 7 010 03/29/10 1 010 03/24/10 19 010 03/17/10 1 010 03/10/10 1 010 03/03/10 3 + __________ TOTAL ORDERED 32 177.77 % 010 02/24/10 11 010 02/17/10 5 010 02/10/10 2 010 02/03/10 10 010 02/01/10 4 + __________ TOTAL ORDERED 32 177.77 % 010 12/29/09 18 010 12/24/09 2 010 12/21/09 5 010 12/17/09 1 010 12/10/09 11 010 12/07/09 8 + __________ TOTAL ORDERED 45 250.00 % 010 11/20/09 2 010 11/06/09 18 010 11/04/09 8 + __________ TOTAL ORDERED 28 155.55 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 04/28/10 3 010 04/26/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 855 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 10583 BW2739348 3103 PALMER HWY TEXAS CITY TX 77590 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 04/21/10 7 010 04/19/10 5 010 04/14/10 6 010 04/12/10 3 010 04/07/10 6 010 04/05/10 13 + __________ TOTAL ORDERED 47 142.42 % 010 03/31/10 3 010 03/29/10 7 010 03/24/10 2 010 03/22/10 6 010 03/17/10 6 010 03/15/10 6 010 03/10/10 5 010 03/08/10 7 010 03/03/10 8 010 03/01/10 6 + __________ TOTAL ORDERED 56 169.69 % 010 02/24/10 3 010 02/22/10 6 010 02/17/10 5 010 02/15/10 6 010 02/10/10 4 010 02/08/10 11 010 02/03/10 2 010 02/01/10 5 + __________ TOTAL ORDERED 42 127.27 % 010 01/27/10 4 010 01/25/10 5 010 01/20/10 7 010 01/18/10 6 010 01/13/10 5 010 01/11/10 7 010 01/06/10 3 010 01/04/10 5 + __________ TOTAL ORDERED 42 127.27 % 010 12/29/09 7 010 12/24/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 856 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 10583 BW2739348 3103 PALMER HWY TEXAS CITY TX 77590 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 12/21/09 9 010 12/17/09 4 010 12/14/09 8 010 12/10/09 6 010 12/07/09 4 010 12/03/09 3 + __________ TOTAL ORDERED 42 127.27 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675041 HC-IBUPRO 7.5-200 TABS (TEV)+ 100 30093516101 00093516101 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 03/31/10 3 010 03/29/10 3 010 03/24/10 1 010 03/22/10 2 010 03/17/10 2 010 03/10/10 1 010 03/03/10 1 010 03/01/10 5 + __________ TOTAL ORDERED 18 150.00 % 010 12/29/09 2 010 12/24/09 3 010 12/21/09 3 010 12/17/09 4 010 12/14/09 1 010 12/10/09 2 010 12/07/09 1 010 12/03/09 2 + __________ TOTAL ORDERED 18 150.00 % 010 11/30/09 2 010 11/25/09 4 010 11/20/09 2 010 11/13/09 2 010 11/06/09 4 + __________ TOTAL ORDERED 14 116.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 857 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02206 BB4196920 300 E JACKSON MACOMB IL 61455 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675041 HC-IBUPRO 7.5-200 TABS (TEV)+ 100 30093516101 00093516101 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 008 03/30/10 5 008 03/25/10 1 008 03/11/10 4 008 03/04/10 4 + __________ TOTAL ORDERED 14 155.55 % 008 02/25/10 4 008 02/23/10 1 008 02/18/10 2 008 02/11/10 3 008 02/04/10 2 + __________ TOTAL ORDERED 12 133.33 % 008 12/30/09 3 008 12/22/09 1 008 12/18/09 4 008 12/15/09 2 008 12/11/09 2 008 12/08/09 1 008 12/04/09 1 + __________ TOTAL ORDERED 14 155.55 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03181 AW3584996 2515 N KNOXVILLE AVE PEORIA IL 61604 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 607188 FOCALIN XR 5MG CAP 100 30078043005 00078043005 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 013 04/22/10 2 013 04/15/10 1 013 04/01/10 1 + __________ TOTAL ORDERED 4 133.33 % 013 02/25/10 2 013 02/18/10 2 + __________ TOTAL ORDERED 4 133.33 % 013 11/27/09 2 013 11/12/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 858 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03181 AW3584996 2515 N KNOXVILLE AVE PEORIA IL 61604 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 607188 FOCALIN XR 5MG CAP 100 30078043005 00078043005 1 3.0 3.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 4 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684556 VICODIN 5/500 TAB (ABB) + 100NP 30074194914 00074194914 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 008 04/28/10 1 008 04/21/10 2 008 04/05/10 1 + __________ TOTAL ORDERED 4 133.33 % 008 02/24/10 1 008 02/22/10 1 008 02/10/10 1 008 02/03/10 1 + __________ TOTAL ORDERED 4 133.33 % 008 01/27/10 1 008 01/20/10 1 008 01/13/10 1 008 01/06/10 1 + __________ TOTAL ORDERED 4 133.33 % 008 12/24/09 2 008 12/21/09 1 008 12/17/09 1 008 12/07/09 1 + __________ TOTAL ORDERED 5 166.66 % 008 11/20/09 2 008 11/18/09 1 008 11/06/09 1 + __________ TOTAL ORDERED 4 133.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 859 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03763 BW9306401 1011 PEORIA ST WASHINGTON IL 61571 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 603810 LYRICA 50MG CAP + 90 30071101368 00071101368 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 008 04/20/10 4 008 04/16/10 2 008 04/09/10 1 008 04/06/10 3 + __________ TOTAL ORDERED 10 111.11 % 008 03/26/10 1 008 03/23/10 1 008 03/19/10 2 008 03/16/10 1 008 03/12/10 2 008 03/09/10 2 008 03/05/10 1 008 03/02/10 2 + __________ TOTAL ORDERED 12 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 678960 LORAZEPAM 0.5MG TAB (PPC) + 500 30228205750 00228205750 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 008 01/22/10 3 008 01/19/10 3 008 01/15/10 1 008 01/08/10 1 008 01/05/10 1 + __________ TOTAL ORDERED 9 150.00 % 008 12/31/09 1 008 12/28/09 1 008 12/18/09 1 008 12/11/09 2 008 12/04/09 2 008 12/02/09 1 + __________ TOTAL ORDERED 8 133.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 860 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04504 BB0800121 844 W FREMONT ST GALESBURG IL 61401 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 483575 PHENTERMINE 37.5MG TAB (LAN) +100 30527144501 00527144501 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 04/27/10 3 003 04/23/10 2 003 04/20/10 1 003 04/16/10 1 003 04/09/10 2 003 04/06/10 1 003 04/02/10 1 + __________ TOTAL ORDERED 11 122.22 % 003 03/30/10 1 003 03/26/10 4 003 03/23/10 2 003 03/19/10 2 003 03/16/10 1 003 03/12/10 1 003 03/09/10 1 003 03/05/10 3 003 03/02/10 1 + __________ TOTAL ORDERED 16 177.77 % 003 01/26/10 1 003 01/22/10 3 003 01/19/10 1 003 01/15/10 2 003 01/12/10 1 003 01/08/10 2 003 01/05/10 1 + __________ TOTAL ORDERED 11 122.22 % 003 12/31/09 1 003 12/28/09 1 003 12/23/09 2 003 12/18/09 2 003 12/16/09 1 003 12/11/09 2 003 12/09/09 3 003 12/04/09 1 + __________ TOTAL ORDERED 13 144.44 % 003 11/27/09 2 003 11/24/09 2 003 11/19/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 861 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04504 BB0800121 844 W FREMONT ST GALESBURG IL 61401 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 483575 PHENTERMINE 37.5MG TAB (LAN) +100 30527144501 00527144501 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 11/12/09 2 003 11/10/09 1 003 11/05/09 2 003 11/03/09 1 + __________ TOTAL ORDERED 12 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 507053 CONCERTA 54MG ER TAB 100 35045858701 50458058701 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 04/30/10 5 013 04/23/10 3 013 04/16/10 2 013 04/09/10 4 013 04/02/10 3 + __________ TOTAL ORDERED 17 188.88 % 013 03/26/10 2 013 03/19/10 5 013 03/12/10 4 013 03/05/10 3 + __________ TOTAL ORDERED 14 155.55 % 013 02/26/10 2 013 02/19/10 2 013 02/12/10 5 013 02/05/10 3 + __________ TOTAL ORDERED 12 133.33 % 013 12/28/09 4 013 12/18/09 5 013 12/11/09 3 013 12/04/09 2 + __________ TOTAL ORDERED 14 155.55 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 862 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04504 BB0800121 844 W FREMONT ST GALESBURG IL 61401 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 507055 CONCERTA 36MG ER TAB 100 35045858601 50458058601 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 013 04/30/10 2 013 04/23/10 2 013 04/16/10 3 013 04/09/10 5 013 04/02/10 5 + __________ TOTAL ORDERED 17 141.66 % 013 03/26/10 3 013 03/19/10 3 013 03/12/10 5 013 03/05/10 2 + __________ TOTAL ORDERED 13 108.33 % 013 02/26/10 5 013 02/19/10 1 013 02/12/10 3 013 02/05/10 5 + __________ TOTAL ORDERED 14 116.66 % 013 01/29/10 6 013 01/22/10 4 013 01/15/10 3 + __________ TOTAL ORDERED 13 108.33 % 013 12/28/09 6 013 12/18/09 6 013 12/11/09 3 013 12/04/09 2 + __________ TOTAL ORDERED 17 141.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 507606 CONCERTA 18MG ER TAB 100 35045858501 50458058501 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 04/30/10 3 013 04/23/10 2 013 04/16/10 3 013 04/09/10 3 013 04/02/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 863 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04504 BB0800121 844 W FREMONT ST GALESBURG IL 61401 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 507606 CONCERTA 18MG ER TAB 100 35045858501 50458058501 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 14 233.33 % 013 03/26/10 1 013 03/19/10 4 013 03/05/10 2 + __________ TOTAL ORDERED 7 116.66 % 013 02/26/10 3 013 02/19/10 2 013 02/05/10 3 + __________ TOTAL ORDERED 8 133.33 % 013 01/29/10 4 013 01/22/10 3 013 01/15/10 2 + __________ TOTAL ORDERED 9 150.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 507812 CONCERTA 27MG ER TAB + 100 35045858801 50458058801 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 04/30/10 5 013 04/23/10 3 013 04/16/10 3 013 04/09/10 2 + __________ TOTAL ORDERED 13 216.66 % 013 03/26/10 1 013 03/19/10 2 013 03/12/10 1 013 03/05/10 3 + __________ TOTAL ORDERED 7 116.66 % 013 02/26/10 4 013 02/19/10 3 013 02/12/10 1 013 02/05/10 1 + __________ TOTAL ORDERED 9 150.00 % 013 01/29/10 1 013 01/22/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 864 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04504 BB0800121 844 W FREMONT ST GALESBURG IL 61401 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 507812 CONCERTA 27MG ER TAB + 100 35045858801 50458058801 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 01/15/10 1 013 01/08/10 4 + __________ TOTAL ORDERED 8 133.33 % 013 12/28/09 2 013 12/18/09 4 013 12/11/09 1 013 12/04/09 1 + __________ TOTAL ORDERED 8 133.33 % 013 11/30/09 2 013 11/20/09 3 013 11/06/09 2 + __________ TOTAL ORDERED 7 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 523789 PHENTERMINE HCL 30MG CAP(LAN)+100 30527130801 00527130801 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 04/23/10 2 003 04/20/10 1 003 04/16/10 1 003 04/13/10 1 003 04/09/10 2 003 04/02/10 1 + __________ TOTAL ORDERED 8 133.33 % 003 03/30/10 1 003 03/23/10 1 003 03/19/10 1 003 03/16/10 2 003 03/09/10 2 003 03/05/10 1 003 03/02/10 1 + __________ TOTAL ORDERED 9 150.00 % 003 02/23/10 1 003 02/19/10 2 003 02/16/10 2 003 02/12/10 1 003 02/09/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 865 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04504 BB0800121 844 W FREMONT ST GALESBURG IL 61401 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 523789 PHENTERMINE HCL 30MG CAP(LAN)+100 30527130801 00527130801 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 02/05/10 1 003 02/02/10 1 + __________ TOTAL ORDERED 9 150.00 % 003 01/26/10 1 003 01/22/10 1 003 01/19/10 2 003 01/15/10 1 003 01/08/10 2 + __________ TOTAL ORDERED 7 116.66 % 003 12/31/09 1 003 12/23/09 2 003 12/18/09 1 003 12/11/09 3 003 12/09/09 1 003 12/04/09 2 + __________ TOTAL ORDERED 10 166.66 % 003 11/27/09 3 003 11/24/09 1 003 11/17/09 1 003 11/19/09 1 003 11/12/09 2 003 11/10/09 2 003 11/05/09 1 + __________ TOTAL ORDERED 11 183.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 536420 TUSSICAPS 10/8MG CAP + 20 32363510820 23635010820 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 03/30/10 2 003 03/26/10 2 003 03/23/10 3 003 03/19/10 2 003 03/05/10 2 003 03/02/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 866 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04504 BB0800121 844 W FREMONT ST GALESBURG IL 61401 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 536420 TUSSICAPS 10/8MG CAP + 20 32363510820 23635010820 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 13 216.66 % 003 01/26/10 3 003 01/22/10 2 003 01/19/10 1 003 01/08/10 2 003 01/05/10 4 + __________ TOTAL ORDERED 12 200.00 % 003 11/27/09 2 003 11/24/09 2 003 11/17/09 4 003 11/19/09 2 003 11/12/09 2 003 11/10/09 2 003 11/05/09 1 003 11/03/09 1 + __________ TOTAL ORDERED 16 266.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 543991 TRAMADOL HCL 50MG TAB (AKY) +1000 36516262711 65162062711 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 003 04/27/10 2 003 04/23/10 1 003 04/20/10 1 003 04/16/10 2 003 04/13/10 3 003 04/09/10 2 003 04/06/10 1 003 04/02/10 3 + __________ TOTAL ORDERED 15 125.00 % 003 03/30/10 1 003 03/26/10 2 003 03/23/10 1 003 03/19/10 4 003 03/16/10 2 003 03/12/10 2 003 03/09/10 1 003 03/05/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 867 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04504 BB0800121 844 W FREMONT ST GALESBURG IL 61401 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 543991 TRAMADOL HCL 50MG TAB (AKY) +1000 36516262711 65162062711 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 003 03/02/10 1 + __________ TOTAL ORDERED 17 141.66 % 003 02/23/10 2 003 02/19/10 2 003 02/16/10 3 003 02/12/10 2 003 02/09/10 2 003 02/05/10 3 003 02/02/10 2 + __________ TOTAL ORDERED 16 133.33 % 003 01/26/10 1 003 01/22/10 3 003 01/19/10 1 003 01/15/10 3 003 01/12/10 1 003 01/08/10 4 003 01/05/10 2 + __________ TOTAL ORDERED 15 125.00 % 003 12/31/09 3 003 12/28/09 2 003 12/23/09 3 003 12/18/09 3 003 12/16/09 3 003 12/11/09 1 003 12/09/09 3 003 12/04/09 2 003 12/02/09 2 + __________ TOTAL ORDERED 22 183.33 % 003 11/27/09 3 003 11/24/09 1 003 11/17/09 1 003 11/19/09 3 003 11/12/09 3 003 11/10/09 2 003 11/05/09 3 003 11/03/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 868 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04504 BB0800121 844 W FREMONT ST GALESBURG IL 61401 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 543991 TRAMADOL HCL 50MG TAB (AKY) +1000 36516262711 65162062711 4 3.0 12.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 17 141.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 645805 HYDROCOD-APAP ORAL SOL(PAI)+473ML 30121065516 00121065516 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 003 04/23/10 3 003 04/20/10 1 003 04/16/10 4 003 04/13/10 1 003 04/09/10 5 003 04/06/10 1 + __________ TOTAL ORDERED 15 125.00 % 003 03/26/10 5 003 03/23/10 1 003 03/19/10 1 003 03/12/10 4 003 03/05/10 3 003 03/02/10 3 + __________ TOTAL ORDERED 17 141.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672663 HYDROCODONE/APAP 5/500+TAB(WT)500 30591034905 00591034905 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 003 04/27/10 3 003 04/23/10 5 003 04/20/10 2 003 04/16/10 7 003 04/13/10 4 003 04/09/10 5 003 04/06/10 5 003 04/02/10 3 + __________ TOTAL ORDERED 34 103.03 % 003 03/30/10 4 003 03/26/10 5 003 03/23/10 3 003 03/19/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 869 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04504 BB0800121 844 W FREMONT ST GALESBURG IL 61401 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672663 HYDROCODONE/APAP 5/500+TAB(WT)500 30591034905 00591034905 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 003 03/16/10 3 003 03/12/10 7 003 03/09/10 3 003 03/05/10 5 003 03/02/10 5 + __________ TOTAL ORDERED 40 121.21 % 003 12/31/09 4 003 12/28/09 4 003 12/23/09 7 003 12/18/09 5 003 12/16/09 5 003 12/11/09 4 003 12/09/09 3 003 12/04/09 5 003 12/02/09 3 + __________ TOTAL ORDERED 40 121.21 % 003 11/27/09 6 003 11/24/09 3 003 11/17/09 3 003 11/19/09 6 003 11/12/09 6 003 11/10/09 3 003 11/05/09 5 003 11/03/09 4 + __________ TOTAL ORDERED 36 109.09 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672713 ACET-CODEINE 120-12/5 (PAI)+473ML 30121050416 00121050416 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 03/30/10 1 003 03/26/10 3 003 03/23/10 1 003 03/19/10 1 003 03/12/10 3 003 03/09/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 870 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04504 BB0800121 844 W FREMONT ST GALESBURG IL 61401 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672713 ACET-CODEINE 120-12/5 (PAI)+473ML 30121050416 00121050416 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 10 111.11 % 003 02/23/10 2 003 02/19/10 3 003 02/16/10 1 003 02/12/10 2 003 02/09/10 2 + __________ TOTAL ORDERED 10 111.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672799 APAP-CODEINE 300-15 TAB (BAR) 100 30555030502 00555030502 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 003 03/19/10 1 003 03/16/10 2 003 03/09/10 1 003 03/05/10 1 + __________ TOTAL ORDERED 5 166.66 % 003 12/31/09 1 003 12/28/09 1 003 12/23/09 1 003 12/18/09 1 003 12/16/09 1 003 12/11/09 1 003 12/04/09 1 + __________ TOTAL ORDERED 7 233.33 % 003 11/27/09 1 003 11/19/09 1 003 11/05/09 1 003 11/03/09 1 + __________ TOTAL ORDERED 4 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674484 CHERATUSSIN AC SYRUP (QT) + 473ML 30603107558 00603107558 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 003 12/31/09 2 003 12/28/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 871 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04504 BB0800121 844 W FREMONT ST GALESBURG IL 61401 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674484 CHERATUSSIN AC SYRUP (QT) + 473ML 30603107558 00603107558 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 003 12/23/09 5 003 12/18/09 3 003 12/16/09 1 003 12/11/09 10 003 12/09/09 3 003 12/04/09 4 + __________ TOTAL ORDERED 30 111.11 % 003 11/27/09 3 003 11/24/09 2 003 11/17/09 5 003 11/19/09 5 003 11/12/09 3 003 11/10/09 6 003 11/05/09 2 003 11/03/09 7 + __________ TOTAL ORDERED 33 122.22 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674547 CHLORDIAZEPOXIDE 10MG CAP(BR)+100 30555003302 00555003302 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 003 02/12/10 1 003 02/09/10 3 + __________ TOTAL ORDERED 4 133.33 % 003 01/26/10 1 003 01/19/10 3 003 01/05/10 1 + __________ TOTAL ORDERED 5 166.66 % 003 11/27/09 1 003 11/19/09 1 003 11/12/09 1 003 11/10/09 2 003 11/05/09 1 003 11/03/09 1 + __________ TOTAL ORDERED 7 233.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 872 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04504 BB0800121 844 W FREMONT ST GALESBURG IL 61401 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675041 HC-IBUPRO 7.5-200 TABS (TEV)+ 100 30093516101 00093516101 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 04/27/10 1 003 04/23/10 3 003 04/20/10 5 003 04/16/10 1 003 04/13/10 1 003 04/09/10 2 003 04/06/10 1 + __________ TOTAL ORDERED 14 155.55 % 003 03/26/10 3 003 03/23/10 3 003 03/19/10 4 003 03/12/10 4 003 03/09/10 4 003 03/02/10 1 + __________ TOTAL ORDERED 19 211.11 % 003 02/23/10 6 003 02/19/10 1 003 02/16/10 2 003 02/09/10 2 003 02/05/10 4 003 02/02/10 1 + __________ TOTAL ORDERED 16 177.77 % 003 01/26/10 4 003 01/22/10 5 003 01/19/10 1 003 01/12/10 2 003 01/08/10 4 003 01/05/10 2 + __________ TOTAL ORDERED 18 200.00 % 003 12/31/09 1 003 12/28/09 3 003 12/23/09 4 003 12/18/09 3 003 12/11/09 3 003 12/04/09 2 003 12/02/09 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 873 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04504 BB0800121 844 W FREMONT ST GALESBURG IL 61401 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675041 HC-IBUPRO 7.5-200 TABS (TEV)+ 100 30093516101 00093516101 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 19 211.11 % 003 11/27/09 5 003 11/24/09 3 003 11/17/09 1 003 11/19/09 5 003 11/12/09 5 003 11/10/09 1 003 11/05/09 4 003 11/03/09 5 + __________ TOTAL ORDERED 29 322.22 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675756 HYDROCOD-APAP 10-500 TB (WT)+500 30591054005 00591054005 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 04/27/10 1 003 04/23/10 3 003 04/20/10 1 003 04/16/10 1 003 04/13/10 1 003 04/09/10 4 003 04/06/10 2 + __________ TOTAL ORDERED 13 216.66 % 003 03/30/10 3 003 03/26/10 2 003 03/23/10 1 003 03/19/10 1 003 03/16/10 2 003 03/12/10 2 003 03/09/10 2 003 03/05/10 1 003 03/02/10 2 + __________ TOTAL ORDERED 16 266.66 % 003 02/23/10 1 003 02/19/10 1 003 02/16/10 2 003 02/12/10 2 003 02/09/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 874 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04504 BB0800121 844 W FREMONT ST GALESBURG IL 61401 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675756 HYDROCOD-APAP 10-500 TB (WT)+500 30591054005 00591054005 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 02/05/10 1 003 02/02/10 1 + __________ TOTAL ORDERED 11 183.33 % 003 01/26/10 1 003 01/22/10 1 003 01/19/10 1 003 01/15/10 1 003 01/12/10 1 003 01/08/10 3 003 01/05/10 1 + __________ TOTAL ORDERED 9 150.00 % 003 12/31/09 2 003 12/28/09 3 003 12/23/09 2 003 12/18/09 1 003 12/16/09 2 003 12/11/09 3 003 12/09/09 2 003 12/04/09 2 003 12/02/09 1 + __________ TOTAL ORDERED 18 300.00 % 003 11/27/09 3 003 11/24/09 1 003 11/17/09 1 003 11/19/09 1 003 11/12/09 2 003 11/05/09 3 + __________ TOTAL ORDERED 11 183.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675762 METHYLPHENIDATE 10MG TAB(WAT)+100 30591588301 00591588301 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 013 04/30/10 4 013 04/23/10 2 013 04/16/10 5 013 04/09/10 4 013 04/02/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 875 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04504 BB0800121 844 W FREMONT ST GALESBURG IL 61401 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675762 METHYLPHENIDATE 10MG TAB(WAT)+100 30591588301 00591588301 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 16 106.66 % 013 03/26/10 3 013 03/19/10 3 013 03/12/10 2 013 03/05/10 8 + __________ TOTAL ORDERED 16 106.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 04/27/10 1 003 04/23/10 2 003 04/20/10 1 003 04/16/10 2 003 04/13/10 1 003 04/09/10 2 003 04/06/10 1 003 04/02/10 2 + __________ TOTAL ORDERED 12 133.33 % 003 03/30/10 1 003 03/26/10 2 003 03/23/10 1 003 03/19/10 3 003 03/16/10 1 003 03/12/10 2 003 03/09/10 1 003 03/05/10 2 003 03/02/10 2 + __________ TOTAL ORDERED 15 166.66 % 003 02/23/10 2 003 02/19/10 2 003 02/16/10 1 003 02/12/10 3 003 02/09/10 1 003 02/05/10 2 003 02/02/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 876 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04504 BB0800121 844 W FREMONT ST GALESBURG IL 61401 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 12 133.33 % 003 01/26/10 1 003 01/22/10 2 003 01/19/10 1 003 01/15/10 4 003 01/12/10 1 003 01/08/10 2 003 01/05/10 1 + __________ TOTAL ORDERED 12 133.33 % 003 12/31/09 1 003 12/28/09 1 003 12/23/09 2 003 12/18/09 4 003 12/16/09 2 003 12/11/09 3 003 12/09/09 1 003 12/04/09 3 + __________ TOTAL ORDERED 17 188.88 % 003 11/27/09 2 003 11/24/09 1 003 11/17/09 3 003 11/19/09 4 003 11/12/09 2 003 11/05/09 2 003 11/03/09 1 + __________ TOTAL ORDERED 15 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 676052 DIAZEPAM 10MG TAB (MYL) + 500 30378047705 00378047705 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 003 03/30/10 1 003 03/26/10 1 003 03/19/10 1 003 03/12/10 1 003 03/02/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 877 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04504 BB0800121 844 W FREMONT ST GALESBURG IL 61401 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 676052 DIAZEPAM 10MG TAB (MYL) + 500 30378047705 00378047705 1 3.0 3.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 5 166.66 % 003 01/26/10 1 003 01/15/10 1 003 01/12/10 1 003 01/05/10 1 + __________ TOTAL ORDERED 4 133.33 % 003 12/23/09 1 003 12/16/09 1 003 12/09/09 1 003 12/04/09 1 + __________ TOTAL ORDERED 4 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 676239 DIPHENOXYLATE/ATROPINE TAB + 100 30378041501 00378041501 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 003 04/27/10 1 003 04/23/10 4 003 04/16/10 6 003 04/13/10 2 003 04/09/10 3 003 04/06/10 2 003 04/02/10 3 + __________ TOTAL ORDERED 21 175.00 % 003 03/30/10 1 003 03/19/10 4 003 03/16/10 4 003 03/12/10 4 003 03/09/10 1 003 03/05/10 3 003 03/02/10 1 + __________ TOTAL ORDERED 18 150.00 % 003 01/26/10 6 003 01/22/10 8 003 01/19/10 7 003 01/15/10 3 003 01/08/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 878 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04504 BB0800121 844 W FREMONT ST GALESBURG IL 61401 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 676239 DIPHENOXYLATE/ATROPINE TAB + 100 30378041501 00378041501 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 003 01/05/10 1 + __________ TOTAL ORDERED 26 216.66 % 003 12/31/09 3 003 12/23/09 3 003 12/18/09 7 003 12/16/09 3 003 12/11/09 1 003 12/04/09 3 + __________ TOTAL ORDERED 20 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 678960 LORAZEPAM 0.5MG TAB (PPC) + 500 30228205750 00228205750 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 04/27/10 1 003 04/23/10 2 003 04/20/10 1 003 04/16/10 2 003 04/13/10 1 003 04/09/10 2 003 04/06/10 1 003 04/02/10 2 + __________ TOTAL ORDERED 12 133.33 % 003 03/30/10 1 003 03/26/10 2 003 03/23/10 1 003 03/19/10 1 003 03/16/10 1 003 03/12/10 1 003 03/09/10 2 003 03/05/10 2 003 03/02/10 1 + __________ TOTAL ORDERED 12 133.33 % 003 12/31/09 2 003 12/28/09 1 003 12/23/09 2 003 12/18/09 2 003 12/16/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 879 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04504 BB0800121 844 W FREMONT ST GALESBURG IL 61401 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 678960 LORAZEPAM 0.5MG TAB (PPC) + 500 30228205750 00228205750 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 12/11/09 3 003 12/09/09 1 003 12/04/09 3 + __________ TOTAL ORDERED 15 166.66 % 003 11/27/09 3 003 11/24/09 1 003 11/17/09 1 003 11/19/09 3 003 11/12/09 2 003 11/10/09 1 003 11/05/09 3 003 11/03/09 2 + __________ TOTAL ORDERED 16 177.77 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682103 PHENTERMINE HCL 15MG (EON) + 100 30185064401 00185064401 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 003 04/27/10 1 003 04/23/10 1 003 04/20/10 1 003 04/16/10 4 003 04/13/10 1 003 04/02/10 1 + __________ TOTAL ORDERED 9 300.00 % 003 03/30/10 1 003 03/26/10 1 003 03/23/10 1 003 03/16/10 2 003 03/12/10 1 003 03/09/10 1 003 03/05/10 3 + __________ TOTAL ORDERED 10 333.33 % 003 01/26/10 1 003 01/22/10 1 003 01/08/10 2 003 01/05/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 880 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04504 BB0800121 844 W FREMONT ST GALESBURG IL 61401 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682103 PHENTERMINE HCL 15MG (EON) + 100 30185064401 00185064401 1 3.0 3.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 5 166.66 % 003 12/31/09 1 003 12/28/09 1 003 12/23/09 1 003 12/11/09 1 003 12/04/09 1 + __________ TOTAL ORDERED 5 166.66 % 003 11/27/09 1 003 11/24/09 1 003 11/19/09 1 003 11/12/09 1 003 11/10/09 1 003 11/05/09 1 + __________ TOTAL ORDERED 6 200.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682432 PROPOXY N-APAP 100/650 WT TB +500 30603546728 00603546732 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 04/27/10 3 003 04/23/10 2 003 04/20/10 2 003 04/16/10 5 003 04/13/10 2 003 04/09/10 5 003 04/06/10 3 003 04/02/10 4 + __________ TOTAL ORDERED 26 288.88 % 003 03/30/10 2 003 03/26/10 4 003 03/23/10 3 003 03/19/10 5 003 03/16/10 4 003 03/12/10 4 003 03/09/10 3 003 03/05/10 4 003 03/02/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 881 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04504 BB0800121 844 W FREMONT ST GALESBURG IL 61401 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682432 PROPOXY N-APAP 100/650 WT TB +500 30603546728 00603546732 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 32 355.55 % 003 02/23/10 2 003 02/19/10 2 003 02/16/10 4 003 02/12/10 3 003 02/09/10 3 003 02/05/10 3 003 02/02/10 3 + __________ TOTAL ORDERED 20 222.22 % 003 01/26/10 3 003 01/22/10 3 003 01/19/10 2 003 01/15/10 5 003 01/12/10 3 003 01/08/10 3 003 01/05/10 3 + __________ TOTAL ORDERED 22 244.44 % 003 12/31/09 2 003 12/28/09 4 003 12/23/09 4 003 12/18/09 3 003 12/16/09 3 003 12/11/09 3 003 12/09/09 3 003 12/04/09 4 003 12/02/09 3 + __________ TOTAL ORDERED 29 322.22 % 003 11/27/09 5 003 11/24/09 5 003 11/17/09 3 003 11/19/09 3 003 11/12/09 4 003 11/10/09 4 003 11/05/09 4 003 11/03/09 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 882 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04504 BB0800121 844 W FREMONT ST GALESBURG IL 61401 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682432 PROPOXY N-APAP 100/650 WT TB +500 30603546728 00603546732 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 31 344.44 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04732 AW5310874 2020 COURT ST PEKIN IL 61554 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 472540 TRAMADOL HCL ER 100MG TB (PAT)+30 31014709013 10147090103 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 008 04/09/10 3 008 04/06/10 4 + __________ TOTAL ORDERED 7 116.66 % 008 03/30/10 4 008 03/19/10 1 008 03/12/10 2 + __________ TOTAL ORDERED 7 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 543991 TRAMADOL HCL 50MG TAB (AKY) +1000 36516262711 65162062711 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 008 04/27/10 1 008 04/23/10 5 008 04/20/10 2 008 04/16/10 1 008 04/13/10 1 008 04/09/10 4 008 04/06/10 1 008 04/02/10 2 + __________ TOTAL ORDERED 17 113.33 % 008 03/30/10 2 008 03/26/10 3 008 03/23/10 2 008 03/19/10 2 008 03/16/10 2 008 03/12/10 2 008 03/09/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 883 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04732 AW5310874 2020 COURT ST PEKIN IL 61554 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 543991 TRAMADOL HCL 50MG TAB (AKY) +1000 36516262711 65162062711 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 008 03/05/10 3 008 03/02/10 3 + __________ TOTAL ORDERED 20 133.33 % 008 12/31/09 2 008 12/28/09 3 008 12/23/09 3 008 12/18/09 2 008 12/16/09 3 008 12/11/09 2 008 12/09/09 2 008 12/04/09 3 008 12/02/09 2 + __________ TOTAL ORDERED 22 146.66 % 008 11/27/09 3 008 11/24/09 3 008 11/17/09 2 008 11/19/09 3 008 11/12/09 2 008 11/10/09 2 008 11/05/09 2 008 11/03/09 3 + __________ TOTAL ORDERED 20 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 603807 LYRICA 100MG CAP + 90 30071101568 00071101568 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 008 04/27/10 2 008 04/23/10 1 008 04/20/10 4 008 04/13/10 2 008 04/06/10 1 008 04/02/10 1 + __________ TOTAL ORDERED 11 122.22 % 008 03/30/10 1 008 03/26/10 4 008 03/23/10 1 008 03/19/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 884 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04732 AW5310874 2020 COURT ST PEKIN IL 61554 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 603807 LYRICA 100MG CAP + 90 30071101568 00071101568 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 008 03/16/10 4 008 03/12/10 1 008 03/02/10 2 + __________ TOTAL ORDERED 14 155.55 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 603810 LYRICA 50MG CAP + 90 30071101368 00071101368 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 008 04/27/10 1 008 04/20/10 6 008 04/16/10 3 008 04/13/10 1 008 04/09/10 3 008 04/06/10 2 + __________ TOTAL ORDERED 16 177.77 % 008 03/30/10 2 008 03/26/10 1 008 03/23/10 1 008 03/19/10 5 008 03/16/10 2 008 03/12/10 3 008 03/02/10 4 + __________ TOTAL ORDERED 18 200.00 % 008 02/23/10 2 008 02/12/10 6 008 02/09/10 1 008 02/05/10 1 008 02/02/10 1 + __________ TOTAL ORDERED 11 122.22 % 008 01/26/10 1 008 01/22/10 6 008 01/19/10 1 008 01/15/10 6 008 01/12/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 885 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04732 AW5310874 2020 COURT ST PEKIN IL 61554 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 603810 LYRICA 50MG CAP + 90 30071101368 00071101368 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 19 211.11 % 008 12/28/09 2 008 12/23/09 6 008 12/18/09 5 008 12/16/09 1 008 12/11/09 1 008 12/09/09 2 + __________ TOTAL ORDERED 17 188.88 % 008 11/27/09 2 008 11/24/09 2 008 11/17/09 1 008 11/19/09 5 008 11/12/09 2 008 11/05/09 6 008 11/03/09 1 + __________ TOTAL ORDERED 19 211.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674484 CHERATUSSIN AC SYRUP (QT) + 473ML 30603107558 00603107558 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 008 02/23/10 2 008 02/19/10 6 008 02/16/10 3 008 02/12/10 7 008 02/09/10 3 008 02/05/10 3 008 02/02/10 1 + __________ TOTAL ORDERED 25 119.04 % 008 12/28/09 6 008 12/23/09 3 008 12/18/09 1 008 12/11/09 7 008 12/09/09 4 008 12/04/09 5 008 12/02/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 886 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04732 AW5310874 2020 COURT ST PEKIN IL 61554 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674484 CHERATUSSIN AC SYRUP (QT) + 473ML 30603107558 00603107558 7 3.0 21.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 28 133.33 % 008 11/27/09 3 008 11/24/09 1 008 11/17/09 1 008 11/19/09 1 008 11/12/09 7 008 11/10/09 3 008 11/05/09 4 008 11/03/09 5 + __________ TOTAL ORDERED 25 119.04 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 008 04/27/10 1 008 04/23/10 3 008 04/20/10 2 008 04/16/10 3 008 04/13/10 1 008 04/09/10 2 008 04/06/10 1 008 04/02/10 1 + __________ TOTAL ORDERED 14 116.66 % 008 03/30/10 1 008 03/26/10 2 008 03/23/10 1 008 03/19/10 4 008 03/16/10 1 008 03/12/10 1 008 03/09/10 1 008 03/05/10 4 008 03/02/10 1 + __________ TOTAL ORDERED 16 133.33 % 008 12/31/09 1 008 12/28/09 3 008 12/23/09 1 008 12/18/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 887 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04732 AW5310874 2020 COURT ST PEKIN IL 61554 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 008 12/16/09 1 008 12/11/09 2 008 12/09/09 2 008 12/04/09 1 008 12/02/09 2 + __________ TOTAL ORDERED 15 125.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 678960 LORAZEPAM 0.5MG TAB (PPC) + 500 30228205750 00228205750 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 008 04/27/10 1 008 04/23/10 2 008 04/20/10 1 008 04/16/10 2 008 04/13/10 1 008 04/09/10 1 008 04/06/10 1 + __________ TOTAL ORDERED 9 150.00 % 008 03/30/10 2 008 03/26/10 2 008 03/23/10 1 008 03/19/10 1 008 03/16/10 1 008 03/12/10 2 008 03/09/10 1 008 03/05/10 3 008 03/02/10 1 + __________ TOTAL ORDERED 14 233.33 % 008 02/23/10 1 008 02/19/10 2 008 02/16/10 1 008 02/12/10 2 008 02/09/10 2 008 02/05/10 1 008 02/02/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 888 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04732 AW5310874 2020 COURT ST PEKIN IL 61554 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 678960 LORAZEPAM 0.5MG TAB (PPC) + 500 30228205750 00228205750 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 10 166.66 % 008 01/26/10 1 008 01/22/10 2 008 01/19/10 1 008 01/15/10 3 008 01/12/10 1 008 01/08/10 1 008 01/05/10 1 + __________ TOTAL ORDERED 10 166.66 % 008 12/31/09 1 008 12/28/09 2 008 12/23/09 2 008 12/18/09 2 008 12/11/09 3 008 12/09/09 1 008 12/04/09 1 + __________ TOTAL ORDERED 12 200.00 % 008 11/27/09 2 008 11/24/09 1 008 11/17/09 1 008 11/19/09 2 008 11/12/09 2 008 11/10/09 1 008 11/05/09 2 008 11/03/09 1 + __________ TOTAL ORDERED 12 200.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 678961 LORAZEPAM 1MG TAB (PPC) +500 30228205950 00228205950 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 008 03/30/10 1 008 03/26/10 1 008 03/23/10 1 008 03/19/10 1 008 03/05/10 5 008 03/02/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 889 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04732 AW5310874 2020 COURT ST PEKIN IL 61554 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 678961 LORAZEPAM 1MG TAB (PPC) +500 30228205950 00228205950 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 13 144.44 % 008 01/26/10 1 008 01/22/10 3 008 01/19/10 2 008 01/15/10 1 008 01/12/10 2 008 01/05/10 1 + __________ TOTAL ORDERED 10 111.11 % 008 12/28/09 1 008 12/23/09 2 008 12/18/09 1 008 12/16/09 1 008 12/11/09 1 008 12/09/09 1 008 12/04/09 2 008 12/02/09 1 + __________ TOTAL ORDERED 10 111.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682432 PROPOXY N-APAP 100/650 WT TB +500 30603546728 00603546732 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 008 03/30/10 1 008 03/26/10 2 008 03/23/10 2 008 03/19/10 2 008 03/16/10 1 008 03/12/10 4 008 03/09/10 1 008 03/05/10 2 008 03/02/10 1 + __________ TOTAL ORDERED 16 106.66 % 008 01/26/10 1 008 01/22/10 6 008 01/19/10 2 008 01/15/10 3 008 01/12/10 1 008 01/08/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 890 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04732 AW5310874 2020 COURT ST PEKIN IL 61554 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682432 PROPOXY N-APAP 100/650 WT TB +500 30603546728 00603546732 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 008 01/05/10 1 + __________ TOTAL ORDERED 17 113.33 % 008 12/31/09 2 008 12/28/09 2 008 12/23/09 3 008 12/18/09 3 008 12/16/09 2 008 12/11/09 3 008 12/09/09 2 008 12/04/09 2 008 12/02/09 1 + __________ TOTAL ORDERED 20 133.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05088 BB6213487 300 N MAIN ST EAST PEORIA IL 61611 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 471202 FENTANYL 12MCG/HR TS (SAN) + 5 30781724055 00781724055 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 04/27/10 4 013 04/20/10 4 013 04/06/10 2 + __________ TOTAL ORDERED 10 111.11 % 013 03/30/10 2 013 03/23/10 7 013 03/09/10 2 + __________ TOTAL ORDERED 11 122.22 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 497513 D-AMPHET SALT COM XR+30MG CAP 100 30555078902 00555078902 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 03/30/10 2 013 03/23/10 1 013 03/16/10 3 013 03/09/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 891 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05088 BB6213487 300 N MAIN ST EAST PEORIA IL 61611 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 497513 D-AMPHET SALT COM XR+30MG CAP 100 30555078902 00555078902 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 03/02/10 3 + __________ TOTAL ORDERED 14 155.55 % 013 02/23/10 1 013 02/16/10 2 013 02/09/10 4 013 02/02/10 3 + __________ TOTAL ORDERED 10 111.11 % 013 01/26/10 5 013 01/19/10 1 013 01/12/10 1 013 01/05/10 5 + __________ TOTAL ORDERED 12 133.33 % 013 12/29/09 2 013 12/22/09 4 013 12/15/09 2 013 12/08/09 3 013 12/01/09 1 + __________ TOTAL ORDERED 12 133.33 % 013 11/24/09 5 013 11/17/09 1 013 11/10/09 2 013 11/03/09 4 + __________ TOTAL ORDERED 12 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 507053 CONCERTA 54MG ER TAB 100 35045858701 50458058701 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 03/30/10 3 013 03/23/10 2 013 03/16/10 3 013 03/09/10 3 013 03/02/10 1 + __________ TOTAL ORDERED 12 133.33 % 013 01/26/10 5 013 01/19/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 892 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05088 BB6213487 300 N MAIN ST EAST PEORIA IL 61611 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 507053 CONCERTA 54MG ER TAB 100 35045858701 50458058701 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 01/12/10 1 013 01/05/10 3 + __________ TOTAL ORDERED 11 122.22 % 013 11/24/09 4 013 11/17/09 2 013 11/10/09 4 013 11/03/09 1 + __________ TOTAL ORDERED 11 122.22 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 507812 CONCERTA 27MG ER TAB + 100 35045858801 50458058801 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 04/27/10 3 013 04/20/10 1 013 04/13/10 1 013 04/06/10 2 + __________ TOTAL ORDERED 7 116.66 % 013 03/30/10 1 013 03/23/10 1 013 03/16/10 1 013 03/09/10 3 013 03/02/10 2 + __________ TOTAL ORDERED 8 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 543991 TRAMADOL HCL 50MG TAB (AKY) +1000 36516262711 65162062711 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 008 04/29/10 2 008 04/27/10 2 008 04/22/10 4 008 04/20/10 3 008 04/15/10 3 008 04/08/10 4 008 04/06/10 2 008 04/01/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 893 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05088 BB6213487 300 N MAIN ST EAST PEORIA IL 61611 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 543991 TRAMADOL HCL 50MG TAB (AKY) +1000 36516262711 65162062711 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 24 160.00 % 008 03/30/10 1 008 03/25/10 3 008 03/23/10 1 008 03/18/10 2 008 03/16/10 1 008 03/11/10 5 008 03/09/10 3 008 03/04/10 2 008 03/02/10 4 + __________ TOTAL ORDERED 22 146.66 % 008 02/25/10 3 008 02/23/10 2 008 02/18/10 2 008 02/11/10 4 008 02/09/10 1 008 02/04/10 3 008 02/02/10 2 + __________ TOTAL ORDERED 17 113.33 % 008 01/28/10 3 008 01/26/10 3 008 01/21/10 4 008 01/19/10 1 008 01/14/10 1 008 01/12/10 4 008 01/07/10 2 008 01/05/10 2 + __________ TOTAL ORDERED 20 133.33 % 008 12/30/09 3 008 12/28/09 2 008 12/22/09 3 008 12/18/09 2 008 12/15/09 2 008 12/11/09 2 008 12/08/09 2 008 12/04/09 2 008 12/01/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 894 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05088 BB6213487 300 N MAIN ST EAST PEORIA IL 61611 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 543991 TRAMADOL HCL 50MG TAB (AKY) +1000 36516262711 65162062711 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 19 126.66 % 008 11/27/09 3 008 11/23/09 2 008 11/16/09 1 008 11/19/09 2 008 11/12/09 2 008 11/09/09 4 008 11/05/09 3 008 11/02/09 1 + __________ TOTAL ORDERED 18 120.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544543 FENTANYL 50MCG/HR TS (WAT) + 5 30591321272 00591321272 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 013 04/27/10 4 013 04/20/10 7 013 04/13/10 8 013 04/06/10 8 + __________ TOTAL ORDERED 27 128.57 % 013 03/30/10 5 013 03/23/10 5 013 03/16/10 9 013 03/09/10 11 013 03/02/10 1 + __________ TOTAL ORDERED 31 147.61 % 013 01/26/10 9 013 01/19/10 9 013 01/12/10 3 013 01/05/10 8 + __________ TOTAL ORDERED 29 138.09 % 013 12/29/09 3 013 12/22/09 16 013 12/15/09 2 013 12/01/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 895 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05088 BB6213487 300 N MAIN ST EAST PEORIA IL 61611 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544543 FENTANYL 50MCG/HR TS (WAT) + 5 30591321272 00591321272 7 3.0 21.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 22 104.76 % 013 11/24/09 8 013 11/17/09 6 013 11/10/09 4 013 11/03/09 7 + __________ TOTAL ORDERED 25 119.04 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544544 FENTANYL 25MCG/HR TS (WAT) + 5 30591319872 00591319872 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 013 04/27/10 11 013 04/20/10 7 013 04/13/10 1 013 04/06/10 5 + __________ TOTAL ORDERED 24 114.28 % 013 03/30/10 10 013 03/23/10 8 013 03/16/10 11 013 03/09/10 9 + __________ TOTAL ORDERED 38 180.95 % 013 02/23/10 3 013 02/16/10 11 013 02/09/10 5 013 02/02/10 6 + __________ TOTAL ORDERED 25 119.04 % 013 01/26/10 12 013 01/19/10 5 013 01/05/10 8 + __________ TOTAL ORDERED 25 119.04 % 013 12/29/09 8 013 12/22/09 6 013 12/15/09 4 013 12/08/09 4 013 12/01/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 896 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05088 BB6213487 300 N MAIN ST EAST PEORIA IL 61611 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544544 FENTANYL 25MCG/HR TS (WAT) + 5 30591319872 00591319872 7 3.0 21.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 24 114.28 % 013 11/24/09 2 013 11/17/09 10 013 11/10/09 5 013 11/03/09 8 + __________ TOTAL ORDERED 25 119.04 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 10 3.0 30.0 0 DC DATE ORDERED QUANTITY 008 04/29/10 5 008 04/27/10 6 008 04/22/10 5 008 04/20/10 6 008 04/15/10 6 008 04/13/10 3 008 04/08/10 11 008 04/06/10 5 008 04/01/10 4 + __________ TOTAL ORDERED 51 170.00 % 008 03/25/10 2 008 03/23/10 12 008 03/18/10 13 008 03/16/10 3 008 03/11/10 6 008 03/09/10 6 008 03/04/10 8 008 03/02/10 6 + __________ TOTAL ORDERED 56 186.66 % 008 02/25/10 8 008 02/23/10 6 008 02/18/10 5 008 02/16/10 1 008 02/11/10 5 008 02/09/10 7 008 02/04/10 6 008 02/02/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 897 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05088 BB6213487 300 N MAIN ST EAST PEORIA IL 61611 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 10 3.0 30.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 39 130.00 % 008 01/28/10 7 008 01/26/10 4 008 01/21/10 10 008 01/19/10 4 008 01/14/10 4 008 01/12/10 6 008 01/07/10 7 008 01/05/10 1 + __________ TOTAL ORDERED 43 143.33 % 008 12/30/09 8 008 12/28/09 2 008 12/22/09 6 008 12/18/09 9 008 12/15/09 3 008 12/11/09 6 008 12/08/09 4 008 12/04/09 5 008 12/01/09 2 + __________ TOTAL ORDERED 45 150.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 603807 LYRICA 100MG CAP + 90 30071101568 00071101568 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 008 04/22/10 6 008 04/08/10 4 008 04/01/10 2 + __________ TOTAL ORDERED 12 133.33 % 008 03/23/10 3 008 03/09/10 6 008 03/04/10 2 008 03/02/10 2 + __________ TOTAL ORDERED 13 144.44 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 898 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05088 BB6213487 300 N MAIN ST EAST PEORIA IL 61611 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 603810 LYRICA 50MG CAP + 90 30071101368 00071101368 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 008 04/29/10 1 008 04/20/10 3 008 04/08/10 4 008 04/01/10 2 + __________ TOTAL ORDERED 10 111.11 % 008 03/25/10 3 008 03/09/10 8 008 03/04/10 4 008 03/02/10 3 + __________ TOTAL ORDERED 18 200.00 % 008 02/25/10 1 008 02/18/10 2 008 02/11/10 2 008 02/09/10 1 008 02/04/10 5 + __________ TOTAL ORDERED 11 122.22 % 008 01/28/10 3 008 01/21/10 6 008 01/14/10 4 008 01/07/10 3 + __________ TOTAL ORDERED 16 177.77 % 008 12/30/09 1 008 12/22/09 3 008 12/18/09 3 008 12/11/09 1 008 12/08/09 1 008 12/04/09 1 008 12/01/09 1 + __________ TOTAL ORDERED 11 122.22 % 008 11/16/09 4 008 11/12/09 8 008 11/09/09 3 008 11/05/09 2 + __________ TOTAL ORDERED 17 188.88 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 899 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05088 BB6213487 300 N MAIN ST EAST PEORIA IL 61611 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 607188 FOCALIN XR 5MG CAP 100 30078043005 00078043005 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 013 04/20/10 2 013 04/13/10 2 013 04/06/10 1 + __________ TOTAL ORDERED 5 166.66 % 013 03/30/10 1 013 03/23/10 1 013 03/16/10 2 013 03/09/10 1 + __________ TOTAL ORDERED 5 166.66 % 013 02/23/10 2 013 02/16/10 1 013 02/09/10 2 + __________ TOTAL ORDERED 5 166.66 % 013 12/22/09 2 013 12/15/09 1 013 12/08/09 1 + __________ TOTAL ORDERED 4 133.33 % 013 11/24/09 1 013 11/17/09 1 013 11/10/09 2 + __________ TOTAL ORDERED 4 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 609112 ACETAMIN-COD 300-30 TAB+(TEV)1000 30093015010 00093015010 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 008 12/30/09 1 008 12/22/09 1 008 12/15/09 1 008 12/04/09 1 + __________ TOTAL ORDERED 4 133.33 % 008 11/23/09 1 008 11/16/09 1 008 11/09/09 1 008 11/02/09 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 900 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05088 BB6213487 300 N MAIN ST EAST PEORIA IL 61611 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 609112 ACETAMIN-COD 300-30 TAB+(TEV)1000 30093015010 00093015010 1 3.0 3.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 4 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672663 HYDROCODONE/APAP 5/500+TAB(WT)500 30591034905 00591034905 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 008 04/29/10 6 008 04/27/10 2 008 04/22/10 5 008 04/20/10 3 008 04/15/10 5 008 04/13/10 2 008 04/08/10 6 008 04/06/10 3 008 04/01/10 4 + __________ TOTAL ORDERED 36 109.09 % 008 03/30/10 3 008 03/25/10 6 008 03/23/10 3 008 03/18/10 5 008 03/16/10 2 008 03/11/10 5 008 03/09/10 2 008 03/04/10 6 008 03/02/10 3 + __________ TOTAL ORDERED 35 106.06 % 008 01/28/10 6 008 01/26/10 4 008 01/21/10 9 008 01/19/10 1 008 01/14/10 4 008 01/12/10 5 008 01/07/10 7 008 01/05/10 1 + __________ TOTAL ORDERED 37 112.12 % 008 12/30/09 7 008 12/28/09 9 008 12/22/09 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 901 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05088 BB6213487 300 N MAIN ST EAST PEORIA IL 61611 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672663 HYDROCODONE/APAP 5/500+TAB(WT)500 30591034905 00591034905 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 008 12/18/09 6 008 12/15/09 4 008 12/11/09 5 008 12/08/09 2 008 12/04/09 6 008 12/01/09 1 + __________ TOTAL ORDERED 47 142.42 % 008 11/27/09 5 008 11/23/09 6 008 11/16/09 4 008 11/19/09 2 008 11/12/09 4 008 11/09/09 4 008 11/05/09 4 008 11/02/09 5 + __________ TOTAL ORDERED 34 103.03 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672873 ANDROGEL 1% GEL (UNI) + 30X5.0GM 30051845030 00051845030 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 008 04/29/10 1 008 04/27/10 2 008 04/22/10 3 008 04/15/10 3 008 04/13/10 2 008 04/08/10 4 008 04/06/10 6 008 04/01/10 2 + __________ TOTAL ORDERED 23 191.66 % 008 03/23/10 4 008 03/18/10 1 008 03/16/10 1 008 03/11/10 8 008 03/09/10 4 008 03/04/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 902 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05088 BB6213487 300 N MAIN ST EAST PEORIA IL 61611 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672873 ANDROGEL 1% GEL (UNI) + 30X5.0GM 30051845030 00051845030 4 3.0 12.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 19 158.33 % 008 02/18/10 3 008 02/11/10 1 008 02/09/10 9 008 02/04/10 5 + __________ TOTAL ORDERED 18 150.00 % 008 01/21/10 6 008 01/14/10 2 008 01/12/10 8 008 01/07/10 6 + __________ TOTAL ORDERED 22 183.33 % 008 12/30/09 3 008 12/22/09 3 008 12/18/09 1 008 12/15/09 1 008 12/11/09 5 008 12/08/09 1 008 12/04/09 4 008 12/01/09 1 + __________ TOTAL ORDERED 19 158.33 % 008 11/27/09 5 008 11/23/09 2 008 11/16/09 2 008 11/12/09 2 008 11/09/09 2 008 11/05/09 1 008 11/02/09 4 + __________ TOTAL ORDERED 18 150.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675041 HC-IBUPRO 7.5-200 TABS (TEV)+ 100 30093516101 00093516101 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 008 04/22/10 4 008 04/20/10 3 008 04/06/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 903 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05088 BB6213487 300 N MAIN ST EAST PEORIA IL 61611 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675041 HC-IBUPRO 7.5-200 TABS (TEV)+ 100 30093516101 00093516101 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 10 111.11 % 008 03/25/10 4 008 03/23/10 4 008 03/18/10 1 008 03/04/10 3 + __________ TOTAL ORDERED 12 133.33 % 008 02/25/10 5 008 02/23/10 5 008 02/18/10 3 008 02/04/10 1 008 02/02/10 2 + __________ TOTAL ORDERED 16 177.77 % 008 12/30/09 2 008 12/18/09 2 008 12/15/09 1 008 12/08/09 1 008 12/04/09 3 008 12/01/09 1 + __________ TOTAL ORDERED 10 111.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675762 METHYLPHENIDATE 10MG TAB(WAT)+100 30591588301 00591588301 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 013 12/29/09 2 013 12/22/09 5 013 12/15/09 3 013 12/08/09 8 + __________ TOTAL ORDERED 18 120.00 % 013 11/24/09 2 013 11/17/09 1 013 11/10/09 9 013 11/03/09 7 + __________ TOTAL ORDERED 19 126.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 904 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05088 BB6213487 300 N MAIN ST EAST PEORIA IL 61611 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 008 03/25/10 4 008 03/18/10 3 008 03/16/10 1 008 03/11/10 2 008 03/04/10 3 + __________ TOTAL ORDERED 13 108.33 % 008 01/28/10 3 008 01/26/10 2 008 01/21/10 3 008 01/19/10 2 008 01/14/10 1 008 01/07/10 2 008 01/05/10 1 + __________ TOTAL ORDERED 14 116.66 % 008 12/30/09 3 008 12/28/09 1 008 12/22/09 3 008 12/18/09 3 008 12/15/09 1 008 12/11/09 1 008 12/08/09 2 008 12/04/09 1 008 12/01/09 1 + __________ TOTAL ORDERED 16 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 676239 DIPHENOXYLATE/ATROPINE TAB + 100 30378041501 00378041501 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 008 01/28/10 11 008 01/21/10 3 008 01/14/10 2 008 01/07/10 3 + __________ TOTAL ORDERED 19 126.66 % 008 12/30/09 2 008 12/22/09 2 008 12/18/09 5 008 12/11/09 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 905 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05088 BB6213487 300 N MAIN ST EAST PEORIA IL 61611 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 676239 DIPHENOXYLATE/ATROPINE TAB + 100 30378041501 00378041501 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 008 12/08/09 1 008 12/04/09 1 + __________ TOTAL ORDERED 16 106.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 676927 METHYLIN 20MG ER TAB (MRT) + 100 30406145101 00406145101 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 03/30/10 3 013 03/23/10 1 013 03/16/10 3 013 03/09/10 2 + __________ TOTAL ORDERED 9 150.00 % 013 01/26/10 2 013 01/05/10 6 + __________ TOTAL ORDERED 8 133.33 % 013 12/29/09 4 013 12/22/09 2 013 12/15/09 2 013 12/08/09 1 013 12/01/09 1 + __________ TOTAL ORDERED 10 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 678960 LORAZEPAM 0.5MG TAB (PPC) + 500 30228205750 00228205750 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 008 04/29/10 2 008 04/22/10 3 008 04/20/10 1 008 04/15/10 1 008 04/08/10 3 008 04/06/10 1 008 04/01/10 3 + __________ TOTAL ORDERED 14 233.33 % 008 03/30/10 1 008 03/25/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 906 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05088 BB6213487 300 N MAIN ST EAST PEORIA IL 61611 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 678960 LORAZEPAM 0.5MG TAB (PPC) + 500 30228205750 00228205750 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 008 03/18/10 3 008 03/11/10 1 008 03/09/10 2 008 03/04/10 3 008 03/02/10 2 + __________ TOTAL ORDERED 14 233.33 % 008 02/25/10 2 008 02/23/10 1 008 02/18/10 2 008 02/16/10 1 008 02/11/10 2 008 02/09/10 1 008 02/04/10 4 008 02/02/10 1 + __________ TOTAL ORDERED 14 233.33 % 008 01/28/10 2 008 01/21/10 4 008 01/14/10 2 008 01/12/10 2 008 01/07/10 3 + __________ TOTAL ORDERED 13 216.66 % 008 12/30/09 2 008 12/22/09 2 008 12/18/09 1 008 12/15/09 1 008 12/11/09 2 008 12/08/09 2 008 12/04/09 1 008 12/01/09 1 + __________ TOTAL ORDERED 12 200.00 % 008 11/27/09 2 008 11/23/09 2 008 11/16/09 1 008 11/19/09 1 008 11/09/09 1 008 11/05/09 1 008 11/02/09 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 907 DATE 05/03/10 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 04/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05088 BB6213487 300 N MAIN ST EAST PEORIA IL 61611 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 678960 LORAZEPAM 0.5MG TAB (PPC) + 500 30228205750 00228205750 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 10 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 678961 LORAZEPAM 1MG TAB (PPC) +500 30228205950 00228205950 3 3.0 9.0 0 DC DATE ORDERED QUANTITY