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 01/03/11 0 **** USER ***** ** DEPARTMENT * *EXT* 0 0 ************** SPECIAL INSTRUCTIONS ************** REPORT AVAILABLE ON MOBIUS ?% 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 1 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 003 12/29/10 5 003 12/27/10 1 003 12/21/10 6 003 12/17/10 4 003 12/14/10 1 003 12/10/10 3 003 12/07/10 3 003 12/03/10 5 + __________ TOTAL ORDERED 28 133.33 % 003 11/30/10 2 003 11/26/10 5 003 11/22/10 4 003 11/18/10 1 003 11/15/10 2 003 11/08/10 3 003 11/04/10 4 003 11/01/10 2 + __________ TOTAL ORDERED 23 109.52 % 003 10/28/10 1 003 10/25/10 2 003 10/21/10 2 003 10/18/10 3 003 10/14/10 2 003 10/11/10 3 003 10/07/10 4 003 10/04/10 5 + __________ TOTAL ORDERED 22 104.76 % 003 09/30/10 1 003 09/27/10 2 003 09/23/10 3 003 09/20/10 3 003 09/16/10 2 003 09/13/10 4 003 09/09/10 4 003 09/02/10 8 + __________ TOTAL ORDERED 27 128.57 % 003 08/31/10 1 003 08/26/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 2 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 003 08/19/10 5 003 08/17/10 2 003 08/12/10 4 003 08/05/10 6 003 08/03/10 1 + __________ TOTAL ORDERED 22 104.76 % 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 12/29/10 3 003 12/21/10 2 003 12/17/10 1 003 12/14/10 2 003 12/10/10 3 003 12/03/10 3 + __________ TOTAL ORDERED 14 155.55 % 003 11/26/10 3 003 11/22/10 3 003 11/15/10 2 003 11/11/10 2 003 11/04/10 5 + __________ TOTAL ORDERED 15 166.66 % 003 07/29/10 3 003 07/22/10 1 003 07/15/10 5 003 07/08/10 2 003 07/06/10 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 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 003 12/29/10 3 003 12/21/10 4 003 12/17/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 3 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 12/14/10 2 003 12/10/10 5 003 12/07/10 4 + __________ TOTAL ORDERED 23 153.33 % 003 11/22/10 2 003 11/18/10 5 003 11/15/10 4 003 11/11/10 2 003 11/08/10 1 003 11/01/10 2 + __________ TOTAL ORDERED 16 106.66 % 003 10/28/10 3 003 10/25/10 3 003 10/21/10 2 003 10/18/10 2 003 10/14/10 5 003 10/11/10 1 003 10/07/10 1 003 10/04/10 1 + __________ TOTAL ORDERED 18 120.00 % 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) + 100 30074194914 00074194914 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 003 11/24/10 3 003 11/10/10 1 + __________ TOTAL ORDERED 4 133.33 % 003 10/27/10 2 003 10/15/10 1 003 10/01/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 4 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 001 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) + 100 30074194914 00074194914 1 3.0 3.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 4 133.33 % 003 09/29/10 1 003 09/17/10 1 003 09/08/10 2 + __________ TOTAL ORDERED 4 133.33 % 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 + 30X5 36688700105 66887000105 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 11/19/10 3 003 11/12/10 3 003 11/10/10 2 + __________ TOTAL ORDERED 8 133.33 % 003 10/22/10 2 003 10/08/10 5 + __________ TOTAL ORDERED 7 116.66 % 003 08/04/10 10 003 08/02/10 6 + __________ TOTAL ORDERED 16 266.66 % 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 09/30/10 2 003 09/28/10 3 003 09/23/10 2 003 09/21/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 5 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 003 09/16/10 1 003 09/09/10 1 + __________ TOTAL ORDERED 10 111.11 % 003 08/31/10 2 003 08/27/10 3 003 08/24/10 2 003 08/06/10 3 + __________ 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 12/27/10 2 003 12/22/10 1 003 12/17/10 8 003 12/10/10 3 003 12/03/10 4 + __________ TOTAL ORDERED 18 120.00 % 003 11/26/10 2 003 11/23/10 1 003 11/18/10 8 003 11/16/10 1 003 11/11/10 1 003 11/04/10 6 + __________ TOTAL ORDERED 19 126.66 % 003 10/28/10 5 003 10/26/10 1 003 10/21/10 4 003 10/19/10 2 003 10/14/10 2 003 10/07/10 2 + __________ TOTAL ORDERED 16 106.66 % 003 09/30/10 7 003 09/23/10 3 003 09/21/10 2 003 09/16/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 6 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 003 09/14/10 1 003 09/09/10 2 + __________ TOTAL ORDERED 19 126.66 % 003 08/31/10 5 003 08/27/10 2 003 08/24/10 2 003 08/20/10 4 003 08/17/10 1 003 08/13/10 1 003 08/06/10 4 003 08/03/10 3 + __________ TOTAL ORDERED 22 146.66 % 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 514718 MORPHINE SUL 30MG TAB (ROX) + 100 30054023625 00054023625 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 11/29/10 1 013 11/22/10 4 013 11/15/10 5 013 11/01/10 3 + __________ TOTAL ORDERED 13 144.44 % 013 09/27/10 3 013 09/20/10 5 013 09/13/10 1 013 09/07/10 2 + __________ TOTAL ORDERED 11 122.22 % 013 08/30/10 8 013 08/02/10 4 + __________ TOTAL ORDERED 12 133.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 7 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 003 12/28/10 2 003 12/23/10 6 003 12/20/10 3 003 12/16/10 1 003 12/13/10 4 003 12/09/10 2 003 12/06/10 2 003 12/02/10 2 + __________ TOTAL ORDERED 22 104.76 % 003 11/29/10 4 003 11/24/10 4 003 11/19/10 3 003 11/12/10 6 003 11/05/10 4 003 11/03/10 3 + __________ TOTAL ORDERED 24 114.28 % 003 09/29/10 3 003 09/24/10 4 003 09/22/10 3 003 09/17/10 3 003 09/15/10 6 003 09/10/10 1 003 09/01/10 6 + __________ TOTAL ORDERED 26 123.80 % 003 08/30/10 4 003 08/25/10 4 003 08/23/10 2 003 08/18/10 3 003 08/16/10 2 003 08/11/10 4 003 08/09/10 2 003 08/04/10 3 003 08/02/10 2 + __________ TOTAL ORDERED 26 123.80 % 003 07/28/10 6 003 07/26/10 2 003 07/21/10 3 003 07/19/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 8 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 003 07/14/10 3 003 07/07/10 2 003 07/01/10 7 + __________ TOTAL ORDERED 24 114.28 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 654393 OXYCONTIN 40MG TAB (REFORM) 100 35901144010 59011044010 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 12/06/10 10 + __________ TOTAL ORDERED 10 111.11 % 013 11/22/10 7 013 11/08/10 4 + __________ TOTAL ORDERED 11 122.22 % 013 08/30/10 10 013 08/23/10 1 + __________ TOTAL ORDERED 11 122.22 % 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 08/30/10 2 013 08/23/10 1 013 08/09/10 1 + __________ TOTAL ORDERED 4 133.33 % 013 07/26/10 1 013 07/19/10 1 013 07/12/10 1 013 07/06/10 1 + __________ TOTAL ORDERED 4 133.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 9 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 676927 METHYLIN 20MG ER TAB (MRT) + 100 30406145101 00406145101 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 12/20/10 1 013 12/13/10 6 + __________ TOTAL ORDERED 7 116.66 % 013 09/27/10 6 013 09/20/10 1 + __________ TOTAL ORDERED 7 116.66 % 013 08/30/10 2 013 08/23/10 6 013 08/16/10 1 + __________ TOTAL ORDERED 9 150.00 % 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 003 10/22/10 1 003 10/15/10 7 + __________ TOTAL ORDERED 8 133.33 % 003 09/17/10 6 003 09/10/10 1 003 09/08/10 1 + __________ TOTAL ORDERED 8 133.33 % 003 08/18/10 1 003 08/16/10 1 003 08/09/10 7 + __________ TOTAL ORDERED 9 150.00 % 003 07/12/10 7 + __________ TOTAL ORDERED 7 116.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 10 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 003 12/29/10 5 003 12/27/10 2 003 12/21/10 9 003 12/17/10 3 003 12/14/10 3 003 12/10/10 5 003 12/07/10 3 003 12/03/10 4 + __________ TOTAL ORDERED 34 161.90 % 003 11/30/10 1 003 11/26/10 9 003 11/22/10 7 003 11/18/10 2 003 11/15/10 5 003 11/11/10 2 003 11/08/10 3 003 11/04/10 6 003 11/01/10 3 + __________ TOTAL ORDERED 38 180.95 % 003 10/25/10 8 003 10/21/10 3 003 10/18/10 3 003 10/14/10 3 003 10/11/10 4 003 10/07/10 3 003 10/04/10 2 + __________ TOTAL ORDERED 26 123.80 % 003 09/30/10 7 003 09/27/10 6 003 09/23/10 3 003 09/20/10 3 003 09/16/10 3 003 09/13/10 2 003 09/09/10 3 003 09/02/10 8 + __________ TOTAL ORDERED 35 166.66 % 003 08/31/10 1 003 08/26/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 11 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 003 08/24/10 2 003 08/19/10 7 003 08/17/10 3 003 08/12/10 5 003 08/05/10 5 + __________ TOTAL ORDERED 28 133.33 % 003 07/29/10 6 003 07/27/10 2 003 07/22/10 6 003 07/20/10 1 003 07/15/10 4 003 07/13/10 1 003 07/08/10 5 + __________ TOTAL ORDERED 25 119.04 % 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 12/29/10 2 003 12/27/10 2 003 12/21/10 2 003 12/17/10 1 003 12/10/10 2 003 12/03/10 5 + __________ TOTAL ORDERED 14 155.55 % 003 10/28/10 4 003 10/07/10 5 003 10/04/10 1 + __________ TOTAL ORDERED 10 111.11 % 003 08/26/10 2 003 08/24/10 2 003 08/19/10 1 003 08/12/10 2 003 08/05/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 12 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 12 133.33 % 003 07/29/10 2 003 07/22/10 3 003 07/15/10 1 003 07/08/10 2 003 07/06/10 5 + __________ TOTAL ORDERED 13 144.44 % 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 12/29/10 1 003 12/21/10 1 003 12/17/10 1 003 12/14/10 1 003 12/07/10 1 003 12/03/10 2 + __________ TOTAL ORDERED 7 116.66 % 003 11/30/10 1 003 11/26/10 1 003 11/15/10 1 003 11/11/10 1 003 11/08/10 1 003 11/04/10 2 003 11/01/10 1 + __________ TOTAL ORDERED 8 133.33 % 003 07/29/10 1 003 07/22/10 1 003 07/20/10 1 003 07/15/10 1 003 07/13/10 1 003 07/08/10 1 003 07/06/10 1 + __________ TOTAL ORDERED 7 116.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 13 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 003 12/29/10 5 003 12/27/10 3 003 12/21/10 6 003 12/17/10 3 003 12/14/10 2 003 12/10/10 4 003 12/07/10 3 003 12/03/10 6 + __________ TOTAL ORDERED 32 213.33 % 003 11/30/10 3 003 11/26/10 1 003 11/22/10 2 003 11/18/10 1 003 11/15/10 1 003 11/11/10 9 003 11/08/10 2 003 11/04/10 1 003 11/01/10 3 + __________ TOTAL ORDERED 23 153.33 % 003 10/28/10 2 003 10/25/10 2 003 10/18/10 3 003 10/14/10 1 003 10/11/10 3 003 10/07/10 5 003 10/04/10 8 + __________ TOTAL ORDERED 24 160.00 % 003 09/30/10 2 003 09/23/10 4 003 09/20/10 2 003 09/16/10 5 003 09/13/10 3 003 09/09/10 1 003 09/02/10 5 + __________ TOTAL ORDERED 22 146.66 % 003 08/26/10 2 003 08/19/10 7 003 08/12/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 14 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 003 08/10/10 4 003 08/05/10 3 + __________ TOTAL ORDERED 23 153.33 % 003 07/29/10 5 003 07/27/10 5 003 07/22/10 2 003 07/15/10 5 003 07/08/10 4 + __________ TOTAL ORDERED 21 140.00 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04826 BB6340311 9800 IRVNG PK RD SCHILLER PK IL 60176 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 512904 TEMAZEPAM 22.5MG CAP (MKT) 30 30406995903 00406995903 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 003 11/10/10 1 003 11/08/10 1 003 11/03/10 1 003 11/01/10 1 + __________ TOTAL ORDERED 4 133.33 % 003 10/27/10 1 003 10/25/10 1 003 10/20/10 1 003 10/18/10 1 003 10/13/10 1 003 10/11/10 1 003 10/06/10 1 003 10/04/10 1 + __________ TOTAL ORDERED 8 266.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 15 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 472540 TRAMADOL HCL ER 100MG TB (PAT)+30 31014709013 10147090103 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 08/30/10 1 003 08/26/10 4 003 08/19/10 1 003 08/16/10 1 + __________ TOTAL ORDERED 7 116.66 % 003 07/29/10 5 003 07/19/10 2 003 07/01/10 1 + __________ TOTAL ORDERED 8 133.33 % 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 013 08/30/10 7 013 08/16/10 9 013 08/09/10 7 013 08/02/10 5 + __________ TOTAL ORDERED 28 133.33 % 013 07/19/10 10 013 07/12/10 9 013 07/06/10 5 + __________ TOTAL ORDERED 24 114.28 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 003 12/29/10 5 003 12/23/10 4 003 12/21/10 5 003 12/16/10 5 003 12/14/10 1 003 12/09/10 4 003 12/07/10 4 003 12/02/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 16 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 7 3.0 21.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 31 147.61 % 003 11/30/10 1 003 11/24/10 3 003 11/22/10 3 003 11/17/10 5 003 11/15/10 4 003 11/10/10 3 003 11/08/10 4 003 11/03/10 2 003 11/01/10 4 + __________ TOTAL ORDERED 29 138.09 % 003 10/27/10 2 003 10/25/10 4 003 10/20/10 3 003 10/18/10 2 003 10/13/10 3 003 10/11/10 2 003 10/06/10 2 003 10/04/10 4 + __________ TOTAL ORDERED 22 104.76 % 003 09/29/10 3 003 09/27/10 2 003 09/22/10 3 003 09/20/10 2 003 09/15/10 2 003 09/13/10 3 003 09/08/10 4 003 09/02/10 6 + __________ TOTAL ORDERED 25 119.04 % 003 08/30/10 4 003 08/26/10 3 003 08/23/10 2 003 08/19/10 4 003 08/12/10 4 003 08/09/10 3 003 08/05/10 3 003 08/02/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 17 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 7 3.0 21.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 25 119.04 % 003 07/29/10 3 003 07/26/10 3 003 07/22/10 3 003 07/19/10 3 003 07/15/10 3 003 07/12/10 2 003 07/08/10 3 003 07/01/10 5 + __________ TOTAL ORDERED 25 119.04 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674484 CHERATUSSIN AC SYRUP (QT) + 473ML 30603107558 00603107558 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 003 12/29/10 5 003 12/23/10 5 003 12/21/10 2 003 12/16/10 3 003 12/14/10 2 003 12/09/10 4 003 12/07/10 2 003 12/02/10 4 + __________ TOTAL ORDERED 27 112.50 % 003 11/30/10 2 003 11/24/10 4 003 11/22/10 3 003 11/17/10 1 003 11/15/10 4 003 11/10/10 2 003 11/08/10 1 003 11/03/10 4 003 11/01/10 7 + __________ TOTAL ORDERED 28 116.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 18 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 684809 TESTOSTERN CYP 200MG/ML(WAT)+10ML 30591322379 00364661054 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 12/23/10 4 003 12/14/10 3 + __________ TOTAL ORDERED 7 116.66 % 003 11/15/10 3 003 11/01/10 4 + __________ TOTAL ORDERED 7 116.66 % 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 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 003 12/29/10 3 003 12/23/10 3 003 12/21/10 2 003 12/16/10 3 003 12/14/10 2 003 12/09/10 2 003 12/07/10 4 003 12/02/10 3 + __________ TOTAL ORDERED 22 104.76 % 003 11/30/10 1 003 11/24/10 5 003 11/22/10 3 003 11/17/10 1 003 11/15/10 4 003 11/10/10 3 003 11/08/10 3 003 11/03/10 3 003 11/01/10 3 + __________ TOTAL ORDERED 26 123.80 % 003 09/29/10 3 003 09/27/10 3 003 09/22/10 3 003 09/20/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 19 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 003 09/15/10 3 003 09/13/10 2 003 09/08/10 2 003 09/02/10 5 + __________ TOTAL ORDERED 22 104.76 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674484 CHERATUSSIN AC SYRUP (QT) + 473ML 30603107558 00603107558 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 003 12/29/10 4 003 12/23/10 5 003 12/21/10 1 003 12/16/10 5 003 12/14/10 4 003 12/09/10 8 003 12/07/10 5 003 12/02/10 6 + __________ TOTAL ORDERED 38 158.33 % 003 11/24/10 5 003 11/22/10 4 003 11/17/10 5 003 11/15/10 8 003 11/10/10 4 003 11/08/10 5 003 11/03/10 5 003 11/01/10 7 + __________ TOTAL ORDERED 43 179.16 % 003 10/27/10 3 003 10/25/10 4 003 10/20/10 2 003 10/18/10 5 003 10/13/10 4 003 10/11/10 6 003 10/06/10 4 003 10/04/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 20 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 674484 CHERATUSSIN AC SYRUP (QT) + 473ML 30603107558 00603107558 8 3.0 24.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 31 129.16 % 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 12/23/10 2 003 12/16/10 1 003 12/09/10 1 + __________ TOTAL ORDERED 4 133.33 % 003 10/27/10 1 003 10/25/10 1 003 10/18/10 1 003 10/13/10 1 003 10/11/10 2 003 10/06/10 1 003 10/04/10 3 + __________ TOTAL ORDERED 10 333.33 % 003 08/26/10 1 003 08/23/10 2 003 08/19/10 1 003 08/02/10 1 + __________ TOTAL ORDERED 5 166.66 % 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 539150 D-AMPHET SALT COMBO 20MG TAB +100 36472013510 64720013510 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 12/28/10 7 013 12/21/10 3 013 12/14/10 14 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 21 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 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 % 013 11/24/10 5 013 11/23/10 8 013 11/16/10 3 013 11/09/10 3 013 11/02/10 9 + __________ TOTAL ORDERED 28 155.55 % 013 09/28/10 5 013 09/21/10 4 013 09/14/10 5 013 09/08/10 7 + __________ TOTAL ORDERED 21 116.66 % 013 08/31/10 5 013 08/24/10 8 013 08/17/10 1 013 08/10/10 8 + __________ 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 12/28/10 7 013 12/21/10 3 013 12/14/10 11 + __________ TOTAL ORDERED 21 140.00 % 013 10/26/10 14 013 10/19/10 2 013 10/12/10 10 013 10/05/10 5 + __________ TOTAL ORDERED 31 206.66 % 013 09/28/10 9 013 09/21/10 4 013 09/14/10 6 013 09/08/10 8 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 22 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 27 180.00 % 013 08/31/10 4 013 08/24/10 4 013 08/17/10 4 013 08/10/10 15 + __________ TOTAL ORDERED 27 180.00 % 013 07/27/10 15 013 07/20/10 3 013 07/13/10 10 + __________ TOTAL ORDERED 28 186.66 % 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 11/30/10 5 013 11/16/10 9 013 11/09/10 3 + __________ TOTAL ORDERED 17 283.33 % 013 09/28/10 6 013 09/21/10 5 + __________ TOTAL ORDERED 11 183.33 % 013 08/31/10 3 013 08/17/10 3 013 08/10/10 5 + __________ TOTAL ORDERED 11 183.33 % 013 07/27/10 3 013 07/20/10 4 + __________ TOTAL ORDERED 7 116.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 23 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 12/28/10 4 013 12/21/10 6 013 12/14/10 10 013 12/07/10 4 + __________ TOTAL ORDERED 24 200.00 % 013 11/30/10 1 013 11/23/10 2 013 11/16/10 3 013 11/09/10 4 013 11/02/10 3 + __________ TOTAL ORDERED 13 108.33 % 013 10/26/10 8 013 10/19/10 2 013 10/12/10 1 013 10/05/10 3 + __________ TOTAL ORDERED 14 116.66 % 013 09/28/10 5 013 09/21/10 5 013 09/14/10 2 013 09/08/10 4 + __________ TOTAL ORDERED 16 133.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 00249 AW7672505 1601 N WELLS CHICAGO IL 60614 +_________________________________________________________________________________________________________________________________________________ 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 08/31/10 3 013 08/24/10 5 013 08/17/10 4 013 08/10/10 3 013 08/03/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 24 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 00249 AW7672505 1601 N WELLS CHICAGO IL 60614 +_________________________________________________________________________________________________________________________________________________ 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 07/27/10 5 013 07/20/10 3 013 07/13/10 7 013 07/07/10 3 + __________ TOTAL ORDERED 18 120.00 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 01298 AB2691182 1372 N MILWAUKEE CHICAGO IL 60622 +_________________________________________________________________________________________________________________________________________________ 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 08/25/10 4 013 08/18/10 6 013 08/11/10 4 013 08/04/10 3 + __________ TOTAL ORDERED 17 113.33 % 013 07/28/10 1 013 07/21/10 8 013 07/14/10 5 013 07/07/10 3 + __________ TOTAL ORDERED 17 113.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 01308 AB2359520 7410 N CLARK ST CHICAGO IL 60626 +_________________________________________________________________________________________________________________________________________________ 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 08/31/10 2 003 08/20/10 2 003 08/17/10 1 003 08/10/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 25 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 01308 AB2359520 7410 N CLARK ST CHICAGO IL 60626 +_________________________________________________________________________________________________________________________________________________ 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 08/03/10 1 + __________ TOTAL ORDERED 7 116.66 % 003 07/27/10 2 003 07/23/10 1 003 07/20/10 2 003 07/06/10 3 + __________ TOTAL ORDERED 8 133.33 % 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 539150 D-AMPHET SALT COMBO 20MG TAB +100 36472013510 64720013510 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 11/24/10 7 013 11/17/10 3 013 11/10/10 7 013 11/03/10 8 + __________ TOTAL ORDERED 25 138.88 % 013 09/29/10 6 013 09/15/10 10 013 09/08/10 6 013 09/01/10 6 + __________ TOTAL ORDERED 28 155.55 % 013 07/28/10 7 013 07/21/10 5 013 07/14/10 6 013 07/07/10 2 + __________ TOTAL ORDERED 20 111.11 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 26 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 013 12/28/10 6 013 12/21/10 4 013 12/14/10 7 + __________ TOTAL ORDERED 17 141.66 % 013 11/23/10 3 013 11/16/10 2 013 11/09/10 4 013 11/02/10 7 + __________ TOTAL ORDERED 16 133.33 % 013 10/26/10 2 013 10/19/10 1 013 10/12/10 1 013 10/05/10 10 + __________ TOTAL ORDERED 14 116.66 % 013 08/31/10 4 013 08/24/10 5 013 08/17/10 3 013 08/10/10 1 013 08/03/10 2 + __________ TOTAL ORDERED 15 125.00 % 013 07/27/10 1 013 07/20/10 3 013 07/13/10 5 013 07/07/10 5 + __________ 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 013 12/28/10 9 013 12/21/10 8 013 12/14/10 16 + __________ TOTAL ORDERED 33 183.33 % 013 11/23/10 7 013 11/16/10 10 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 27 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 539150 D-AMPHET SALT COMBO 20MG TAB +100 36472013510 64720013510 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 11/09/10 4 013 11/02/10 12 + __________ TOTAL ORDERED 33 183.33 % 013 10/26/10 7 013 10/19/10 9 013 10/12/10 7 013 10/05/10 15 + __________ TOTAL ORDERED 38 211.11 % 013 09/28/10 8 013 09/21/10 5 013 09/14/10 4 013 09/08/10 8 + __________ TOTAL ORDERED 25 138.88 % 013 08/31/10 5 013 08/24/10 13 013 08/17/10 3 013 08/10/10 7 013 08/03/10 3 + __________ TOTAL ORDERED 31 172.22 % 013 07/27/10 10 013 07/20/10 5 013 07/13/10 8 013 07/07/10 3 + __________ TOTAL ORDERED 26 144.44 % 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 12/28/10 12 013 12/21/10 10 + __________ TOTAL ORDERED 22 146.66 % 013 10/26/10 7 013 10/19/10 5 013 10/12/10 1 013 10/05/10 9 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 28 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 09/28/10 4 013 09/21/10 8 013 09/14/10 4 013 09/08/10 8 + __________ TOTAL ORDERED 24 160.00 % 013 08/31/10 2 013 08/24/10 8 013 08/10/10 4 013 08/03/10 7 + __________ TOTAL ORDERED 21 140.00 % 013 07/27/10 9 013 07/20/10 4 013 07/13/10 6 013 07/07/10 3 + __________ TOTAL ORDERED 22 146.66 % 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 12/28/10 3 013 12/14/10 2 013 12/07/10 4 + __________ TOTAL ORDERED 9 150.00 % 013 09/28/10 3 013 09/21/10 1 013 09/14/10 1 013 09/08/10 2 + __________ TOTAL ORDERED 7 116.66 % 013 07/27/10 1 013 07/20/10 2 013 07/13/10 3 013 07/07/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 29 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 539150 D-AMPHET SALT COMBO 20MG TAB +100 36472013510 64720013510 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 10/07/10 1 013 10/28/10 6 013 10/21/10 9 013 10/14/10 3 + __________ TOTAL ORDERED 19 105.55 % 013 09/30/10 4 013 09/23/10 2 013 09/16/10 5 013 09/09/10 3 013 09/02/10 7 + __________ TOTAL ORDERED 21 116.66 % 013 07/29/10 3 013 07/22/10 10 013 07/15/10 4 013 07/08/10 5 013 07/01/10 6 + __________ TOTAL ORDERED 28 155.55 % 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 10/07/10 3 013 10/28/10 2 013 10/14/10 11 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 30 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 16 106.66 % 013 09/30/10 1 013 09/23/10 7 013 09/16/10 5 013 09/09/10 5 013 09/02/10 2 + __________ TOTAL ORDERED 20 133.33 % 013 08/26/10 3 013 08/19/10 15 013 08/05/10 5 + __________ TOTAL ORDERED 23 153.33 % 013 07/22/10 6 013 07/15/10 3 013 07/08/10 3 013 07/01/10 11 + __________ TOTAL ORDERED 23 153.33 % 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 12/06/10 4 013 12/23/10 3 013 12/09/10 7 + __________ TOTAL ORDERED 14 155.55 % 013 09/30/10 3 013 09/23/10 3 013 09/16/10 2 013 09/02/10 2 + __________ TOTAL ORDERED 10 111.11 % 013 07/29/10 2 013 07/22/10 3 013 07/15/10 3 013 07/01/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 31 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 10 111.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 683092 # TESTIM 1% GEL + 30X5 36688700105 66887000105 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 11/26/10 5 003 11/19/10 2 003 11/12/10 2 + __________ TOTAL ORDERED 9 150.00 % 003 10/26/10 3 003 10/15/10 2 003 10/01/10 2 + __________ TOTAL ORDERED 7 116.66 % 003 09/24/10 2 003 09/21/10 3 003 09/17/10 1 003 09/07/10 2 + __________ TOTAL ORDERED 8 133.33 % 003 08/31/10 3 003 08/27/10 3 003 08/24/10 2 003 08/10/10 1 + __________ TOTAL ORDERED 9 150.00 % 003 07/27/10 1 003 07/23/10 2 003 07/20/10 3 003 07/09/10 2 003 07/06/10 3 + __________ TOTAL ORDERED 11 183.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 32 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 013 12/30/10 11 013 12/16/10 13 + __________ TOTAL ORDERED 24 133.33 % 013 10/07/10 6 013 10/28/10 5 013 10/21/10 9 013 10/14/10 6 + __________ TOTAL ORDERED 26 144.44 % 013 09/30/10 6 013 09/23/10 5 013 09/16/10 8 013 09/09/10 11 013 09/02/10 3 + __________ TOTAL ORDERED 33 183.33 % 013 08/26/10 9 013 08/19/10 6 013 08/12/10 5 013 08/05/10 5 013 08/03/10 4 + __________ TOTAL ORDERED 29 161.11 % 013 07/29/10 5 013 07/27/10 3 013 07/22/10 2 013 07/20/10 4 013 07/08/10 7 013 07/01/10 6 + __________ 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 013 09/30/10 6 013 09/09/10 11 013 09/02/10 11 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 33 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 539151 D-AMPHET SALT COMBO 10MG TAB +100 36472013210 64720013210 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 28 186.66 % 013 08/26/10 5 013 08/19/10 5 013 08/12/10 5 013 08/05/10 5 013 08/03/10 1 + __________ TOTAL ORDERED 21 140.00 % 013 07/29/10 11 013 07/27/10 2 013 07/08/10 7 013 07/07/10 1 013 07/01/10 6 + __________ TOTAL ORDERED 27 180.00 % 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 11/18/10 1 013 11/11/10 2 013 11/04/10 4 + __________ TOTAL ORDERED 7 116.66 % 013 10/07/10 3 013 10/14/10 4 + __________ TOTAL ORDERED 7 116.66 % 013 09/30/10 1 013 09/23/10 1 013 09/16/10 1 013 09/09/10 4 013 09/02/10 2 + __________ TOTAL ORDERED 9 150.00 % 013 07/08/10 6 013 07/01/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 34 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 672737 D-AMPHET SALT COMBO 15MG TAB 100 30555077702 00555077702 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 672806 ADDERALL XR 20MG CAPS + 100 35409238701 54092038701 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 12/23/10 4 013 12/02/10 3 + __________ TOTAL ORDERED 7 116.66 % 013 11/26/10 2 013 11/18/10 2 013 11/11/10 3 013 11/04/10 2 + __________ TOTAL ORDERED 9 150.00 % 013 09/23/10 7 013 09/09/10 3 013 09/02/10 3 + __________ TOTAL ORDERED 13 216.66 % 013 07/29/10 6 013 07/27/10 2 013 07/22/10 1 013 07/08/10 2 013 07/01/10 1 + __________ TOTAL ORDERED 12 200.00 % 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 10/07/10 11 013 10/14/10 16 + __________ TOTAL ORDERED 27 450.00 % 013 09/30/10 11 013 09/02/10 8 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 35 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 19 316.66 % 013 07/08/10 6 013 07/01/10 9 + __________ TOTAL ORDERED 15 250.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 683092 # TESTIM 1% GEL + 30X5 36688700105 66887000105 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 12/29/10 2 003 12/27/10 2 003 12/21/10 3 003 12/14/10 1 003 12/10/10 1 003 12/03/10 1 + __________ TOTAL ORDERED 10 166.66 % 003 11/30/10 1 003 11/22/10 3 003 11/11/10 3 003 11/01/10 2 + __________ TOTAL ORDERED 9 150.00 % 003 09/23/10 1 003 09/09/10 3 003 09/02/10 4 + __________ 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 12/28/10 5 013 12/21/10 5 013 12/14/10 10 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 36 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 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 + __________ TOTAL ORDERED 20 133.33 % 013 10/26/10 5 013 10/12/10 11 + __________ TOTAL ORDERED 16 106.66 % 013 08/31/10 1 013 08/24/10 4 013 08/17/10 9 013 08/03/10 2 + __________ TOTAL ORDERED 16 106.66 % 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 539150 D-AMPHET SALT COMBO 20MG TAB +100 36472013510 64720013510 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 10/26/10 7 013 10/12/10 2 013 10/05/10 10 + __________ TOTAL ORDERED 19 105.55 % 013 08/31/10 4 013 08/24/10 5 013 08/10/10 12 013 08/03/10 3 + __________ TOTAL ORDERED 24 133.33 % 013 07/27/10 5 013 07/13/10 5 013 07/07/10 9 + __________ TOTAL ORDERED 19 105.55 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 37 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 675738 METHYLPHENIDATE 5MG TAB (WAT)+100 30591588201 00591588201 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 12/28/10 12 013 12/07/10 2 + __________ TOTAL ORDERED 14 155.55 % 013 10/26/10 1 013 10/12/10 5 013 10/05/10 8 + __________ TOTAL ORDERED 14 155.55 % 013 07/20/10 6 013 07/13/10 4 + __________ TOTAL ORDERED 10 111.11 % 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 11/29/10 4 003 11/22/10 2 003 11/15/10 4 003 11/01/10 3 + __________ TOTAL ORDERED 13 108.33 % 003 10/25/10 1 003 10/18/10 3 003 10/11/10 10 003 10/04/10 9 + __________ TOTAL ORDERED 23 191.66 % 003 08/30/10 7 003 08/16/10 1 003 08/09/10 3 003 08/02/10 2 + __________ TOTAL ORDERED 13 108.33 % 003 07/26/10 3 003 07/19/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 38 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 07/12/10 13 + __________ 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 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 11/29/10 4 003 11/22/10 1 003 11/15/10 3 + __________ TOTAL ORDERED 8 133.33 % 003 09/27/10 5 003 09/20/10 5 003 09/13/10 2 + __________ TOTAL ORDERED 12 200.00 % 003 08/23/10 3 003 08/16/10 2 003 08/02/10 2 + __________ TOTAL ORDERED 7 116.66 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04978 BB6679015 111 S HALSTED ST CHICAGO IL 60661 +_________________________________________________________________________________________________________________________________________________ 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 09/29/10 6 013 09/22/10 6 013 09/15/10 5 013 09/08/10 6 013 09/01/10 4 + __________ TOTAL ORDERED 27 150.00 % 013 08/25/10 6 013 08/11/10 8 013 08/04/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 39 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04978 BB6679015 111 S HALSTED ST CHICAGO IL 60661 +_________________________________________________________________________________________________________________________________________________ 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 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 12/28/10 10 013 12/21/10 11 013 12/14/10 12 + __________ TOTAL ORDERED 33 183.33 % 013 11/23/10 3 013 11/16/10 6 013 11/09/10 6 013 11/02/10 6 + __________ TOTAL ORDERED 21 116.66 % 013 09/28/10 6 013 09/21/10 6 013 09/14/10 4 013 09/08/10 7 + __________ TOTAL ORDERED 23 127.77 % 013 08/31/10 8 013 08/24/10 7 013 08/17/10 6 013 08/10/10 4 013 08/03/10 11 + __________ TOTAL ORDERED 36 200.00 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 40 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 454490 MORPHINE SUL 100MG ER+TAB(WAT)100 30591374301 00591374301 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 12/22/10 8 013 12/01/10 3 + __________ TOTAL ORDERED 11 183.33 % 013 11/24/10 5 013 11/10/10 12 + __________ TOTAL ORDERED 17 283.33 % 013 10/27/10 4 013 10/20/10 2 013 10/06/10 2 + __________ TOTAL ORDERED 8 133.33 % 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 10/26/10 4 003 10/12/10 5 003 10/05/10 5 + __________ TOTAL ORDERED 14 233.33 % 003 09/28/10 2 003 09/21/10 1 003 09/10/10 4 003 09/01/10 4 + __________ TOTAL ORDERED 11 183.33 % 003 08/25/10 3 003 08/18/10 2 003 08/11/10 2 + __________ TOTAL ORDERED 7 116.66 % 003 07/28/10 6 003 07/21/10 5 003 07/14/10 2 003 07/07/10 6 + __________ TOTAL ORDERED 19 316.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 41 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 12/22/10 5 003 12/15/10 6 003 12/08/10 6 003 12/01/10 2 + __________ TOTAL ORDERED 19 211.11 % 003 11/09/10 3 003 11/02/10 16 + __________ TOTAL ORDERED 19 211.11 % 003 10/12/10 4 003 10/05/10 12 + __________ TOTAL ORDERED 16 177.77 % 003 09/28/10 2 003 09/21/10 1 003 09/10/10 20 003 09/01/10 6 + __________ TOTAL ORDERED 29 322.22 % 003 08/18/10 6 003 08/11/10 8 003 08/04/10 8 + __________ TOTAL ORDERED 22 244.44 % 003 07/28/10 4 003 07/21/10 1 003 07/14/10 7 003 07/07/10 4 + __________ TOTAL ORDERED 16 177.77 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 474282 BUPRENORPHINE 2MG SL TAB (ROX)+30 30054017613 00054017613 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 003 12/22/10 4 003 12/01/10 10 + __________ TOTAL ORDERED 14 116.66 % 003 09/28/10 10 003 09/20/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 42 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 474282 BUPRENORPHINE 2MG SL TAB (ROX)+30 30054017613 00054017613 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 003 09/10/10 4 003 09/01/10 2 + __________ TOTAL ORDERED 23 191.66 % 003 08/25/10 4 003 08/18/10 9 003 08/11/10 11 + __________ TOTAL ORDERED 24 200.00 % 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 09/29/10 4 013 09/22/10 3 013 09/08/10 3 013 09/01/10 1 + __________ TOTAL ORDERED 11 122.22 % 013 08/25/10 3 013 08/18/10 2 013 08/11/10 2 013 08/04/10 4 + __________ TOTAL ORDERED 11 122.22 % 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 11/23/10 2 003 11/16/10 1 003 11/09/10 3 003 11/02/10 3 + __________ TOTAL ORDERED 9 150.00 % 003 10/26/10 1 003 10/19/10 3 003 10/12/10 3 003 10/05/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 43 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 8 133.33 % 003 09/20/10 2 003 09/10/10 10 003 09/01/10 5 + __________ TOTAL ORDERED 17 283.33 % 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 449336 OXYMORPHONE HCL 10MG TAB+(ROX)100 30054028425 00054028425 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 12/21/10 7 013 12/17/10 2 013 12/10/10 3 013 12/07/10 1 + __________ TOTAL ORDERED 13 216.66 % 013 11/29/10 4 013 11/23/10 2 013 11/19/10 5 + __________ TOTAL ORDERED 11 183.33 % 013 10/15/10 10 + __________ TOTAL ORDERED 10 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 453839 MORPHINE SUL 60MG ER TAB+(WAT)100 30591374201 00591374201 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 12/28/10 2 013 12/21/10 2 013 12/14/10 10 013 12/10/10 1 013 12/03/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 44 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 453839 MORPHINE SUL 60MG ER TAB+(WAT)100 30591374201 00591374201 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 16 177.77 % 013 11/23/10 7 013 11/19/10 4 013 11/16/10 1 013 11/09/10 2 013 11/05/10 2 013 11/02/10 1 + __________ TOTAL ORDERED 17 188.88 % 013 10/26/10 3 013 10/22/10 1 013 10/15/10 3 013 10/08/10 2 013 10/01/10 3 + __________ TOTAL ORDERED 12 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 454492 MORPHINE SUL 30MG ER TAB+(WAT)100 30591374101 00591374101 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 013 12/28/10 2 013 12/21/10 5 013 12/17/10 2 013 12/07/10 10 013 12/03/10 7 + __________ TOTAL ORDERED 26 216.66 % 013 11/23/10 3 013 11/19/10 2 013 11/16/10 2 013 11/12/10 2 013 11/09/10 2 013 11/05/10 6 013 11/02/10 1 + __________ TOTAL ORDERED 18 150.00 % 013 10/29/10 4 013 10/26/10 1 013 10/22/10 3 013 10/08/10 10 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 45 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 454492 MORPHINE SUL 30MG ER TAB+(WAT)100 30591374101 00591374101 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 013 10/05/10 2 013 10/01/10 3 + __________ TOTAL ORDERED 23 191.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 454493 MORPHINE SUL 15MG ER TAB+(WAT)100 30591374001 00591374001 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 12/28/10 3 013 12/21/10 5 013 12/17/10 1 013 12/14/10 2 013 12/07/10 10 013 12/03/10 5 + __________ TOTAL ORDERED 26 288.88 % 013 11/30/10 1 013 11/29/10 1 013 11/23/10 2 013 11/19/10 1 013 11/12/10 1 013 11/09/10 2 013 11/05/10 2 + __________ TOTAL ORDERED 10 111.11 % 013 10/29/10 5 013 10/26/10 3 013 10/22/10 2 013 10/19/10 2 013 10/08/10 10 + __________ TOTAL ORDERED 22 244.44 % 013 09/24/10 15 013 09/21/10 4 013 09/14/10 2 + __________ TOTAL ORDERED 21 233.33 % 013 08/27/10 15 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 46 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 454493 MORPHINE SUL 15MG ER TAB+(WAT)100 30591374001 00591374001 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 15 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 455516 OXYCONTIN 60MG TAB (REFORM) 100 35901146010 59011046010 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 11/30/10 3 013 11/12/10 12 + __________ TOTAL ORDERED 15 250.00 % 013 10/08/10 10 013 10/05/10 4 + __________ TOTAL ORDERED 14 233.33 % 013 08/31/10 10 + __________ TOTAL ORDERED 10 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 455517 OXYCONTIN 30MG TAB (REFORM) 100 35901143010 59011043010 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 12/10/10 7 + __________ TOTAL ORDERED 7 116.66 % 013 11/19/10 6 013 11/12/10 4 + __________ TOTAL ORDERED 10 166.66 % 013 10/22/10 11 013 10/05/10 4 + __________ TOTAL ORDERED 15 250.00 % 013 08/31/10 10 + __________ TOTAL ORDERED 10 166.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 47 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 469132 OXYCODONE ER 20MG TABS (APO) +100 36050535381 60505353801 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 09/10/10 12 + __________ TOTAL ORDERED 12 133.33 % 013 08/18/10 9 013 08/26/10 4 + __________ TOTAL ORDERED 13 144.44 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 469133 OXYCODONE ER 10MG TABS (APO) +100 36050535371 60505353701 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 09/28/10 17 013 09/24/10 2 013 09/17/10 1 + __________ TOTAL ORDERED 20 333.33 % 013 08/26/10 10 013 08/17/10 1 013 08/13/10 4 013 08/10/10 1 013 08/06/10 2 013 08/03/10 3 + __________ TOTAL ORDERED 21 350.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 471633 MORPHINE SUL 20MG/ML (ROX) +120ML 30054035250 00054035250 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 12/28/10 1 013 12/21/10 1 013 12/17/10 1 013 12/14/10 2 013 12/10/10 1 013 12/07/10 4 + __________ TOTAL ORDERED 10 166.66 % 013 11/23/10 2 013 11/19/10 1 013 11/12/10 4 013 11/09/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 48 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 471633 MORPHINE SUL 20MG/ML (ROX) +120ML 30054035250 00054035250 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 11/05/10 1 013 11/02/10 1 + __________ TOTAL ORDERED 12 200.00 % 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 11/23/10 1 013 11/02/10 8 + __________ TOTAL ORDERED 9 150.00 % 013 09/28/10 10 013 09/24/10 1 013 09/17/10 1 + __________ TOTAL ORDERED 12 200.00 % 013 08/20/10 10 + __________ TOTAL ORDERED 10 166.66 % 013 07/23/10 6 013 07/20/10 1 + __________ 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 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 08/31/10 10 013 08/27/10 1 013 08/24/10 1 013 08/13/10 10 + __________ TOTAL ORDERED 22 244.44 % 013 07/30/10 5 013 07/23/10 2 013 07/16/10 3 013 07/07/10 12 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 49 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 474146 OXYCODONE ER 80MG TABS (ETH)+ 100 35817768304 58177068304 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 22 244.44 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 484847 OXYCODONE 5MG TABS (QUA) + 100 30603499021 00603499021 10 3.0 30.0 0 DC DATE ORDERED QUANTITY 013 10/08/10 6 013 10/05/10 3 013 10/01/10 22 + __________ TOTAL ORDERED 31 103.33 % 013 09/28/10 4 013 09/24/10 13 013 09/21/10 4 013 09/17/10 1 013 09/14/10 25 013 09/10/10 7 + __________ TOTAL ORDERED 54 180.00 % 013 08/24/10 5 013 08/20/10 17 013 08/17/10 4 013 08/13/10 3 013 08/06/10 4 + __________ TOTAL ORDERED 33 110.00 % 013 07/30/10 22 013 07/27/10 3 013 07/23/10 1 013 07/16/10 16 013 07/13/10 4 013 07/09/10 5 013 07/07/10 6 + __________ TOTAL ORDERED 57 190.00 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 50 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 013 12/28/10 4 013 12/21/10 8 013 12/17/10 5 013 12/14/10 12 013 12/10/10 2 013 12/03/10 7 + __________ TOTAL ORDERED 38 422.22 % 013 11/23/10 11 013 11/19/10 2 013 11/16/10 2 013 11/12/10 4 013 11/09/10 2 013 11/05/10 2 + __________ TOTAL ORDERED 23 255.55 % 013 10/29/10 3 013 10/22/10 3 013 10/19/10 2 013 10/15/10 11 013 10/05/10 1 013 10/01/10 7 + __________ TOTAL ORDERED 27 300.00 % 013 09/28/10 1 013 09/24/10 8 013 09/21/10 4 013 09/17/10 1 013 09/14/10 1 013 09/10/10 7 + __________ TOTAL ORDERED 22 244.44 % 013 08/31/10 7 013 08/27/10 4 013 08/24/10 2 013 08/20/10 5 013 08/13/10 7 013 08/10/10 1 013 08/06/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 51 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 28 311.11 % 013 07/23/10 10 013 07/16/10 2 013 07/09/10 1 + __________ TOTAL ORDERED 13 144.44 % 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 12/28/10 11 013 12/21/10 8 013 12/17/10 8 013 12/14/10 2 013 12/10/10 2 013 12/07/10 1 013 12/03/10 1 + __________ TOTAL ORDERED 33 366.66 % 013 11/23/10 10 013 11/19/10 7 013 11/16/10 1 013 11/12/10 1 013 11/09/10 4 013 11/05/10 4 + __________ TOTAL ORDERED 27 300.00 % 013 10/29/10 2 013 10/22/10 12 013 10/19/10 2 013 10/15/10 1 013 10/01/10 4 + __________ TOTAL ORDERED 21 233.33 % 013 09/24/10 6 013 09/17/10 1 013 09/10/10 12 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 52 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 514718 MORPHINE SUL 30MG TAB (ROX) + 100 30054023625 00054023625 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 19 211.11 % 013 08/31/10 7 013 08/27/10 8 013 08/24/10 1 013 08/20/10 1 013 08/13/10 2 013 08/06/10 7 + __________ TOTAL ORDERED 26 288.88 % 013 07/23/10 10 013 07/20/10 2 013 07/16/10 3 013 07/13/10 1 013 07/09/10 8 013 07/07/10 1 + __________ TOTAL ORDERED 25 277.77 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 532549 OXYCODONE 20MG/ML SOLN (LAN)+30ML 30527142636 00527142636 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 013 12/21/10 21 + __________ TOTAL ORDERED 21 140.00 % 013 11/23/10 9 013 11/09/10 1 013 11/05/10 65 + __________ TOTAL ORDERED 75 500.00 % 013 09/24/10 36 013 09/01/10 20 + __________ TOTAL ORDERED 56 373.33 % 013 07/23/10 10 013 07/16/10 48 013 07/13/10 7 + __________ TOTAL ORDERED 65 433.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 53 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 013 12/21/10 27 013 12/17/10 23 013 12/14/10 13 013 12/10/10 11 013 12/03/10 6 + __________ TOTAL ORDERED 80 380.95 % 013 11/30/10 15 013 11/29/10 23 013 11/19/10 20 013 11/16/10 15 013 11/09/10 6 + __________ TOTAL ORDERED 79 376.19 % 013 10/26/10 8 013 10/22/10 20 013 10/19/10 22 013 10/15/10 20 013 10/08/10 1 + __________ TOTAL ORDERED 71 338.09 % 013 09/24/10 20 013 09/21/10 15 013 09/17/10 5 013 09/14/10 10 013 09/10/10 3 + __________ TOTAL ORDERED 53 252.38 % 013 08/31/10 12 013 08/27/10 10 013 08/20/10 15 013 08/17/10 9 013 08/13/10 10 013 08/06/10 10 + __________ TOTAL ORDERED 66 314.28 % 013 07/23/10 27 013 07/20/10 2 013 07/16/10 8 013 07/09/10 5 013 07/07/10 20 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 54 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 7 3.0 21.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 62 295.23 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544541 FENTANYL 75MCG/HR TS (WAT) + 5 30591321372 00591321372 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 12/28/10 20 013 12/14/10 15 013 12/07/10 15 + __________ TOTAL ORDERED 50 277.77 % 013 11/30/10 10 013 11/12/10 18 013 11/09/10 11 013 11/05/10 15 + __________ TOTAL ORDERED 54 300.00 % 013 10/29/10 14 013 10/26/10 5 013 10/22/10 1 013 10/15/10 11 013 10/08/10 20 013 10/05/10 5 013 10/01/10 11 + __________ TOTAL ORDERED 67 372.22 % 013 09/24/10 6 013 09/21/10 10 013 09/17/10 10 013 09/10/10 18 + __________ TOTAL ORDERED 44 244.44 % 013 08/31/10 15 013 08/27/10 8 013 08/13/10 15 013 08/10/10 6 013 08/06/10 10 + __________ TOTAL ORDERED 54 300.00 % 013 07/23/10 1 013 07/16/10 24 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 55 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 07/07/10 21 + __________ TOTAL ORDERED 46 255.55 % 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 12/28/10 4 013 12/21/10 11 013 12/17/10 12 013 12/14/10 6 013 12/10/10 16 013 12/07/10 15 + __________ TOTAL ORDERED 64 304.76 % 013 11/30/10 10 013 11/29/10 2 013 11/23/10 4 013 11/19/10 15 013 11/12/10 6 013 11/05/10 19 + __________ TOTAL ORDERED 56 266.66 % 013 10/22/10 10 013 10/15/10 12 013 10/08/10 10 + __________ TOTAL ORDERED 32 152.38 % 013 09/24/10 10 013 09/21/10 10 013 09/17/10 5 013 09/10/10 10 + __________ TOTAL ORDERED 35 166.66 % 013 08/31/10 10 013 08/27/10 9 013 08/20/10 6 013 08/13/10 8 013 08/06/10 10 013 08/03/10 10 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 56 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 53 252.38 % 013 07/27/10 1 013 07/23/10 9 013 07/20/10 13 013 07/16/10 9 013 07/09/10 2 + __________ TOTAL ORDERED 34 161.90 % 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 12/21/10 36 013 12/17/10 6 013 12/10/10 16 013 12/03/10 9 + __________ TOTAL ORDERED 67 319.04 % 013 11/30/10 2 013 11/29/10 7 013 11/19/10 8 013 11/16/10 1 013 11/12/10 9 013 11/09/10 2 013 11/05/10 5 013 11/02/10 9 + __________ TOTAL ORDERED 43 204.76 % 013 10/29/10 4 013 10/26/10 9 013 10/22/10 15 013 10/15/10 8 013 10/12/10 3 013 10/08/10 1 013 10/05/10 10 013 10/01/10 9 + __________ TOTAL ORDERED 59 280.95 % 013 09/28/10 3 013 09/17/10 12 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 57 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 013 09/10/10 15 + __________ TOTAL ORDERED 30 142.85 % 013 08/31/10 15 013 08/27/10 6 013 08/24/10 5 013 08/20/10 6 013 08/13/10 11 013 08/06/10 15 + __________ TOTAL ORDERED 58 276.19 % 013 07/23/10 19 013 07/20/10 9 013 07/16/10 9 013 07/13/10 15 013 07/07/10 10 + __________ TOTAL ORDERED 62 295.23 % 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 12/28/10 9 013 12/21/10 15 013 12/17/10 5 013 12/10/10 10 + __________ TOTAL ORDERED 39 325.00 % 013 11/30/10 6 013 11/23/10 3 013 11/19/10 5 013 11/12/10 7 013 11/02/10 5 + __________ TOTAL ORDERED 26 216.66 % 013 10/29/10 5 013 10/26/10 1 013 10/22/10 10 013 10/15/10 4 013 10/12/10 3 013 10/05/10 15 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 58 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 38 316.66 % 013 09/24/10 10 013 09/10/10 10 + __________ TOTAL ORDERED 20 166.66 % 013 08/31/10 12 013 08/27/10 20 013 08/17/10 6 013 08/13/10 15 013 08/06/10 3 + __________ TOTAL ORDERED 56 466.66 % 013 07/23/10 15 013 07/07/10 15 + __________ 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 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 003 12/29/10 6 003 12/23/10 9 003 12/21/10 4 003 12/16/10 7 003 12/14/10 6 003 12/09/10 11 003 12/07/10 6 003 12/02/10 7 + __________ TOTAL ORDERED 56 266.66 % 003 11/24/10 5 003 11/22/10 10 003 11/17/10 5 003 11/15/10 9 003 11/10/10 5 003 11/08/10 8 003 11/03/10 4 003 11/01/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 59 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 7 3.0 21.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 53 252.38 % 003 10/27/10 3 003 10/25/10 7 003 10/20/10 4 003 10/18/10 9 003 10/13/10 4 003 10/11/10 5 003 10/06/10 3 003 10/04/10 8 + __________ TOTAL ORDERED 43 204.76 % 003 09/29/10 3 003 09/27/10 6 003 09/22/10 5 003 09/20/10 5 003 09/15/10 5 003 09/13/10 7 003 09/08/10 5 003 09/02/10 10 + __________ TOTAL ORDERED 46 219.04 % 003 08/30/10 5 003 08/26/10 5 003 08/23/10 6 003 08/19/10 5 003 08/16/10 5 003 08/12/10 5 003 08/09/10 6 003 08/05/10 2 003 08/02/10 7 + __________ TOTAL ORDERED 46 219.04 % 003 07/29/10 2 003 07/26/10 6 003 07/22/10 5 003 07/19/10 4 003 07/15/10 4 003 07/12/10 6 003 07/08/10 3 003 07/01/10 11 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 60 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 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 564861 MORPHINE SULF 30MG CR TB(WAT) 100 30591351201 00591351201 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 013 08/31/10 10 013 08/13/10 3 013 08/10/10 1 013 08/03/10 5 + __________ TOTAL ORDERED 19 158.33 % 013 07/30/10 3 013 07/23/10 2 013 07/16/10 5 013 07/09/10 4 + __________ TOTAL ORDERED 14 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 19 3.0 57.0 0 DC DATE ORDERED QUANTITY 003 12/29/10 13 003 12/23/10 24 003 12/21/10 13 003 12/16/10 11 003 12/14/10 6 003 12/09/10 12 003 12/07/10 7 003 12/02/10 13 + __________ TOTAL ORDERED 99 173.68 % 003 11/30/10 2 003 11/24/10 10 003 11/22/10 14 003 11/17/10 7 003 11/15/10 8 003 11/10/10 5 003 11/08/10 17 003 11/03/10 8 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 61 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 19 3.0 57.0 0 DC DATE ORDERED QUANTITY 003 11/01/10 11 + __________ TOTAL ORDERED 82 143.85 % 003 10/27/10 5 003 10/25/10 6 003 10/20/10 6 003 10/18/10 10 003 10/13/10 8 003 10/11/10 12 003 10/06/10 4 003 10/04/10 14 + __________ TOTAL ORDERED 65 114.03 % 003 09/29/10 8 003 09/27/10 17 003 09/22/10 7 003 09/20/10 15 003 09/15/10 5 003 09/13/10 12 003 09/08/10 9 003 09/02/10 13 + __________ TOTAL ORDERED 86 150.87 % 003 08/30/10 9 003 08/26/10 4 003 08/23/10 10 003 08/19/10 6 003 08/16/10 12 003 08/12/10 6 003 08/09/10 8 003 08/05/10 2 003 08/02/10 12 + __________ TOTAL ORDERED 69 121.05 % 003 07/29/10 9 003 07/26/10 13 003 07/22/10 6 003 07/19/10 9 003 07/15/10 8 003 07/12/10 9 003 07/08/10 3 003 07/01/10 22 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 62 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 19 3.0 57.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 79 138.59 % 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 12/28/10 15 013 12/17/10 23 013 12/07/10 6 + __________ TOTAL ORDERED 44 209.52 % 013 11/30/10 15 013 11/19/10 10 013 11/12/10 15 013 11/05/10 9 + __________ TOTAL ORDERED 49 233.33 % 013 10/26/10 20 013 10/22/10 15 013 10/15/10 6 013 10/08/10 15 013 10/05/10 10 + __________ TOTAL ORDERED 66 314.28 % 013 09/21/10 10 013 09/17/10 15 013 09/10/10 10 + __________ TOTAL ORDERED 35 166.66 % 013 08/31/10 10 013 08/27/10 10 013 08/20/10 15 013 08/13/10 10 013 08/06/10 15 + __________ TOTAL ORDERED 60 285.71 % 013 07/23/10 20 013 07/07/10 12 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 63 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 32 152.38 % 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 11/30/10 15 013 11/12/10 6 + __________ TOTAL ORDERED 21 116.66 % 013 10/26/10 10 013 10/15/10 10 + __________ TOTAL ORDERED 20 111.11 % 013 08/31/10 10 013 08/27/10 6 013 08/20/10 10 013 08/06/10 5 + __________ TOTAL ORDERED 31 172.22 % 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 12/28/10 15 013 12/17/10 10 013 12/10/10 20 + __________ TOTAL ORDERED 45 250.00 % 013 11/30/10 10 013 11/19/10 10 013 11/12/10 20 + __________ TOTAL ORDERED 40 222.22 % 013 10/26/10 15 013 10/15/10 10 013 10/08/10 10 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 64 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 35 194.44 % 013 08/31/10 10 013 08/27/10 7 013 08/20/10 15 + __________ TOTAL ORDERED 32 177.77 % 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 12/21/10 25 013 12/17/10 10 013 12/10/10 10 + __________ TOTAL ORDERED 45 250.00 % 013 11/30/10 6 013 11/19/10 23 013 11/12/10 9 013 11/02/10 10 + __________ TOTAL ORDERED 48 266.66 % 013 10/29/10 10 013 10/22/10 10 013 10/05/10 15 + __________ TOTAL ORDERED 35 194.44 % 013 09/24/10 10 013 09/17/10 10 013 09/10/10 10 + __________ TOTAL ORDERED 30 166.66 % 013 08/31/10 10 013 08/27/10 6 013 08/13/10 6 + __________ TOTAL ORDERED 22 122.22 % 013 07/23/10 15 013 07/07/10 15 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 65 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 30 166.66 % 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 12/28/10 8 013 12/21/10 7 013 12/17/10 4 013 12/14/10 1 013 12/10/10 3 013 12/07/10 10 013 12/03/10 16 + __________ TOTAL ORDERED 49 544.44 % 013 11/30/10 2 013 11/29/10 7 013 11/23/10 9 013 11/19/10 5 013 11/16/10 4 013 11/12/10 3 013 11/09/10 3 013 11/05/10 11 + __________ TOTAL ORDERED 44 488.88 % 013 10/29/10 8 013 10/22/10 3 013 10/15/10 3 013 10/12/10 1 013 10/08/10 5 013 10/01/10 5 + __________ TOTAL ORDERED 25 277.77 % 013 09/24/10 5 013 09/17/10 5 013 09/14/10 4 013 09/10/10 2 + __________ TOTAL ORDERED 16 177.77 % 013 08/31/10 9 013 08/27/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 66 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 651942 HYDROMORPHONE 8MG TAB (MKT) + 100 30406324901 00406324901 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 08/24/10 2 013 08/20/10 3 013 08/17/10 4 013 08/10/10 2 013 08/06/10 4 013 08/03/10 2 + __________ TOTAL ORDERED 30 333.33 % 013 07/30/10 3 013 07/23/10 3 013 07/20/10 4 013 07/16/10 5 013 07/13/10 1 013 07/09/10 3 + __________ TOTAL ORDERED 19 211.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 654393 OXYCONTIN 40MG TAB (REFORM) 100 35901144010 59011044010 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 12/17/10 10 013 12/03/10 5 + __________ TOTAL ORDERED 15 166.66 % 013 11/12/10 6 013 11/02/10 7 + __________ TOTAL ORDERED 13 144.44 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 654394 OXYCONTIN 20MG TAB (REFORM) 100 35901142010 59011042010 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 12/03/10 10 + __________ TOTAL ORDERED 10 111.11 % 013 11/19/10 6 013 11/12/10 4 013 11/05/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 67 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 654394 OXYCONTIN 20MG TAB (REFORM) 100 35901142010 59011042010 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 16 177.77 % 013 10/29/10 10 013 10/22/10 12 013 10/08/10 2 + __________ TOTAL ORDERED 24 266.66 % 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 12/28/10 3 013 12/21/10 5 013 12/17/10 3 013 12/14/10 4 013 12/10/10 7 013 12/07/10 3 013 12/03/10 2 + __________ TOTAL ORDERED 27 300.00 % 013 11/30/10 1 013 11/23/10 6 013 11/19/10 5 013 11/16/10 3 013 11/05/10 1 013 11/02/10 1 + __________ TOTAL ORDERED 17 188.88 % 013 10/29/10 6 013 10/26/10 1 013 10/22/10 4 013 10/19/10 2 013 10/15/10 1 013 10/08/10 4 013 10/05/10 3 013 10/01/10 1 + __________ TOTAL ORDERED 22 244.44 % 013 08/31/10 8 013 08/27/10 2 013 08/20/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 68 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 08/13/10 15 013 08/10/10 7 013 08/06/10 3 + __________ TOTAL ORDERED 37 411.11 % 013 07/30/10 3 013 07/23/10 4 013 07/16/10 3 013 07/13/10 5 013 07/09/10 5 + __________ TOTAL ORDERED 20 222.22 % 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 12/28/10 7 013 12/21/10 13 013 12/17/10 5 013 12/10/10 10 013 12/07/10 1 013 12/03/10 11 + __________ TOTAL ORDERED 47 313.33 % 013 11/30/10 4 013 11/23/10 9 013 11/19/10 3 013 11/12/10 5 013 11/05/10 5 013 11/02/10 2 + __________ TOTAL ORDERED 28 186.66 % 013 10/29/10 10 013 10/26/10 8 013 10/22/10 6 013 10/19/10 7 013 10/15/10 11 013 10/08/10 18 013 10/05/10 17 013 10/01/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 69 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 79 526.66 % 013 08/31/10 15 013 08/27/10 7 013 08/20/10 10 013 08/17/10 4 013 08/13/10 5 013 08/10/10 5 013 08/06/10 9 013 08/03/10 4 + __________ TOTAL ORDERED 59 393.33 % 013 07/30/10 5 013 07/27/10 6 013 07/23/10 5 013 07/16/10 5 013 07/13/10 2 013 07/09/10 9 + __________ TOTAL ORDERED 32 213.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679796 METHADONE 10MG TAB (ROX) + 100 30054457125 00054457125 13 3.0 39.0 0 DC DATE ORDERED QUANTITY 013 12/28/10 2 013 12/21/10 2 013 12/17/10 24 013 12/14/10 4 013 12/10/10 15 013 12/07/10 4 013 12/03/10 17 + __________ TOTAL ORDERED 68 174.35 % 013 11/23/10 13 013 11/19/10 14 013 11/16/10 11 013 11/05/10 6 + __________ TOTAL ORDERED 44 112.82 % 013 10/29/10 13 013 10/26/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 70 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 679796 METHADONE 10MG TAB (ROX) + 100 30054457125 00054457125 13 3.0 39.0 0 DC DATE ORDERED QUANTITY 013 10/22/10 20 013 10/19/10 5 013 10/15/10 1 013 10/08/10 5 013 10/05/10 1 013 10/01/10 17 + __________ TOTAL ORDERED 67 171.79 % 013 08/31/10 20 013 08/27/10 8 013 08/24/10 21 013 08/20/10 4 013 08/17/10 1 013 08/13/10 15 013 08/10/10 6 013 08/06/10 6 + __________ TOTAL ORDERED 81 207.69 % 013 07/30/10 13 013 07/23/10 4 013 07/16/10 17 013 07/13/10 3 013 07/09/10 6 + __________ TOTAL ORDERED 43 110.25 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682972 OXYCODONE HCL 15MG TAB (ACT) +100 35215221402 52152021402 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 013 11/23/10 7 013 11/19/10 3 013 11/16/10 15 013 11/12/10 6 + __________ TOTAL ORDERED 31 114.81 % 013 09/24/10 12 013 09/21/10 12 013 09/17/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 71 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 9 3.0 27.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 28 103.70 % 013 08/31/10 14 013 08/27/10 5 013 08/24/10 3 013 08/20/10 3 013 08/17/10 1 013 08/13/10 7 013 08/10/10 1 013 08/06/10 8 013 08/03/10 4 + __________ TOTAL ORDERED 46 170.37 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684106 OXYCODONE HCL 5MG TAB (MKT) + 100 30406055201 00406055201 10 3.0 30.0 0 DC DATE ORDERED QUANTITY 013 12/28/10 4 013 12/21/10 26 013 12/07/10 3 013 12/03/10 11 + __________ TOTAL ORDERED 44 146.66 % 013 11/30/10 6 013 11/29/10 9 013 11/23/10 13 013 11/19/10 4 013 11/12/10 6 013 11/09/10 6 013 11/05/10 9 013 11/02/10 1 + __________ TOTAL ORDERED 54 180.00 % 013 10/29/10 16 013 10/26/10 6 013 10/22/10 8 013 10/19/10 13 013 10/15/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 72 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 684106 OXYCODONE HCL 5MG TAB (MKT) + 100 30406055201 00406055201 10 3.0 30.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 48 160.00 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 13973 FW2226101 2300 CHILDREN'S PLZ CHICAGO IL 00000 +_________________________________________________________________________________________________________________________________________________ 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 12/29/10 5 003 12/22/10 5 003 12/15/10 5 003 12/08/10 2 003 12/01/10 4 + __________ TOTAL ORDERED 21 233.33 % 003 11/17/10 5 003 11/10/10 4 003 11/02/10 5 + __________ TOTAL ORDERED 14 155.55 % 003 09/30/10 1 003 09/16/10 16 + __________ TOTAL ORDERED 17 188.88 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 677239 HYDROCOD/ACET 7.5-500 (QUA)+473ML 30603129558 00603129558 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 003 12/29/10 15 003 12/22/10 6 003 12/15/10 8 003 12/08/10 2 003 12/01/10 8 + __________ TOTAL ORDERED 39 325.00 % 003 11/24/10 3 003 11/17/10 10 003 11/10/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 73 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 003 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 13973 FW2226101 2300 CHILDREN'S PLZ CHICAGO IL 00000 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 677239 HYDROCOD/ACET 7.5-500 (QUA)+473ML 30603129558 00603129558 4 3.0 12.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 18 150.00 % 003 10/26/10 7 003 10/19/10 6 003 10/12/10 1 003 10/05/10 7 + __________ TOTAL ORDERED 21 175.00 % 003 09/30/10 2 003 09/23/10 20 003 09/16/10 6 + __________ TOTAL ORDERED 28 233.33 % 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 514718 MORPHINE SUL 30MG TAB (ROX) + 100 30054023625 00054023625 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 12/30/10 7 013 12/23/10 4 013 12/09/10 3 013 12/02/10 4 + __________ TOTAL ORDERED 18 200.00 % 013 11/11/10 11 + __________ TOTAL ORDERED 11 122.22 % 013 09/30/10 1 013 09/16/10 2 013 09/09/10 9 + __________ TOTAL ORDERED 12 133.33 % 013 07/22/10 6 013 07/15/10 6 013 07/08/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 74 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 514718 MORPHINE SUL 30MG TAB (ROX) + 100 30054023625 00054023625 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 15 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544541 FENTANYL 75MCG/HR TS (WAT) + 5 30591321372 00591321372 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 11/26/10 9 013 11/11/10 18 + __________ TOTAL ORDERED 27 150.00 % 013 09/16/10 18 013 09/09/10 10 + __________ TOTAL ORDERED 28 155.55 % 013 07/22/10 6 013 07/15/10 3 013 07/08/10 12 013 07/01/10 4 + __________ TOTAL ORDERED 25 138.88 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 003 12/29/10 3 003 12/27/10 5 003 12/21/10 6 003 12/17/10 2 003 12/14/10 1 003 12/10/10 4 003 12/07/10 2 003 12/03/10 4 + __________ TOTAL ORDERED 27 128.57 % 003 11/30/10 1 003 11/26/10 5 003 11/22/10 4 003 11/18/10 2 003 11/15/10 4 003 11/11/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 75 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 003 11/08/10 3 003 11/04/10 3 003 11/01/10 3 + __________ TOTAL ORDERED 26 123.80 % 003 10/28/10 6 003 10/25/10 2 003 10/21/10 4 003 10/18/10 1 003 10/14/10 5 003 10/11/10 4 003 10/07/10 2 003 10/04/10 4 + __________ TOTAL ORDERED 28 133.33 % 003 09/30/10 4 003 09/27/10 4 003 09/23/10 2 003 09/20/10 3 003 09/16/10 3 003 09/13/10 3 003 09/09/10 1 003 09/02/10 9 + __________ TOTAL ORDERED 29 138.09 % 003 08/31/10 3 003 08/26/10 5 003 08/24/10 1 003 08/19/10 5 003 08/17/10 1 003 08/12/10 4 003 08/10/10 1 003 08/05/10 5 003 08/03/10 2 + __________ TOTAL ORDERED 27 128.57 % 003 07/29/10 6 003 07/27/10 2 003 07/22/10 2 003 07/20/10 1 003 07/15/10 5 003 07/13/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 76 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 003 07/08/10 5 003 07/06/10 2 + __________ TOTAL ORDERED 25 119.04 % 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 11/26/10 12 013 11/18/10 10 + __________ TOTAL ORDERED 22 244.44 % 013 09/23/10 12 013 09/16/10 14 + __________ TOTAL ORDERED 26 288.88 % 013 08/26/10 10 013 08/19/10 3 + __________ TOTAL ORDERED 13 144.44 % 013 07/22/10 2 013 07/15/10 3 013 07/08/10 12 013 07/01/10 10 + __________ TOTAL ORDERED 27 300.00 % 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 003 12/29/10 3 003 12/27/10 1 003 12/21/10 2 003 12/17/10 1 003 12/10/10 2 003 12/07/10 1 + __________ TOTAL ORDERED 10 111.11 % 003 11/30/10 1 003 11/26/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 77 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 11/22/10 1 003 11/18/10 1 003 11/15/10 1 003 11/11/10 1 003 11/08/10 1 003 11/04/10 1 003 11/01/10 2 + __________ TOTAL ORDERED 11 122.22 % 003 10/28/10 2 003 10/25/10 1 003 10/21/10 1 003 10/18/10 2 003 10/11/10 2 003 10/04/10 3 + __________ TOTAL ORDERED 11 122.22 % 003 08/26/10 3 003 08/24/10 1 003 08/19/10 2 003 08/12/10 2 003 08/10/10 1 003 08/05/10 2 003 08/03/10 2 + __________ TOTAL ORDERED 13 144.44 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02528 BB3277438 2871 PFINGSTON 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 003 12/29/10 1 003 12/23/10 1 003 12/21/10 1 003 12/16/10 3 003 12/14/10 2 003 12/09/10 1 003 12/02/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 78 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02528 BB3277438 2871 PFINGSTON 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 10 166.66 % 003 11/30/10 1 003 11/24/10 1 003 11/17/10 2 003 11/15/10 1 003 11/10/10 1 003 11/03/10 1 003 11/01/10 1 + __________ TOTAL ORDERED 8 133.33 % 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 12/28/10 8 013 12/21/10 5 013 12/14/10 8 + __________ TOTAL ORDERED 21 116.66 % 013 11/30/10 15 013 11/16/10 12 013 11/09/10 2 + __________ TOTAL ORDERED 29 161.11 % 013 09/21/10 25 013 09/14/10 3 + __________ TOTAL ORDERED 28 155.55 % 013 08/31/10 4 013 08/24/10 10 013 08/03/10 15 + __________ TOTAL ORDERED 29 161.11 % 013 07/20/10 12 013 07/13/10 5 013 07/07/10 14 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 79 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 31 172.22 % 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 507606 CONCERTA 18MG ER TAB 100 35045858501 50458058501 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 11/26/10 5 013 11/18/10 3 + __________ TOTAL ORDERED 8 133.33 % 013 09/30/10 2 013 09/23/10 2 013 09/16/10 4 013 09/02/10 1 + __________ TOTAL ORDERED 9 150.00 % 013 08/26/10 4 013 08/19/10 1 013 08/12/10 1 013 08/05/10 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 013 09/30/10 2 013 09/23/10 7 013 09/16/10 5 013 09/09/10 1 013 09/02/10 10 + __________ TOTAL ORDERED 25 138.88 % 013 08/26/10 8 013 08/19/10 3 013 08/12/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 80 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 539150 D-AMPHET SALT COMBO 20MG TAB +100 36472013510 64720013510 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 08/05/10 6 + __________ TOTAL ORDERED 23 127.77 % 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 12/29/10 2 003 12/23/10 3 003 12/21/10 2 003 12/16/10 2 003 12/14/10 1 003 12/09/10 5 003 12/07/10 3 003 12/02/10 2 + __________ TOTAL ORDERED 20 166.66 % 003 11/24/10 3 003 11/22/10 3 003 11/17/10 1 003 11/15/10 2 003 11/10/10 3 003 11/08/10 1 003 11/03/10 4 003 11/01/10 2 + __________ TOTAL ORDERED 19 158.33 % 003 10/27/10 1 003 10/25/10 5 003 10/20/10 1 003 10/18/10 3 003 10/13/10 2 003 10/11/10 2 003 10/06/10 2 003 10/04/10 3 + __________ TOTAL ORDERED 19 158.33 % 003 09/29/10 1 003 09/27/10 4 003 09/22/10 3 003 09/20/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 81 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 09/15/10 2 003 09/13/10 1 003 09/08/10 4 003 09/02/10 3 + __________ TOTAL ORDERED 22 183.33 % 003 08/30/10 1 003 08/26/10 2 003 08/23/10 2 003 08/19/10 1 003 08/16/10 4 003 08/09/10 2 003 08/05/10 1 003 08/02/10 3 + __________ TOTAL ORDERED 16 133.33 % 003 07/29/10 2 003 07/26/10 3 003 07/22/10 1 003 07/19/10 2 003 07/15/10 1 003 07/12/10 2 003 07/08/10 5 003 07/01/10 6 + __________ TOTAL ORDERED 22 183.33 % 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 003 10/20/10 1 003 10/13/10 1 003 10/11/10 2 003 10/06/10 2 003 10/04/10 1 + __________ TOTAL ORDERED 7 116.66 % 003 09/29/10 1 003 09/22/10 3 003 09/15/10 1 003 09/08/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 82 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 594188 ALPRAZOLAM XR 0.5MG TAB (GRN)+ 60 35976200571 59762005701 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 09/02/10 2 + __________ TOTAL ORDERED 8 133.33 % 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 08/30/10 1 003 08/26/10 2 003 08/23/10 3 003 08/19/10 1 003 08/16/10 1 003 08/12/10 1 003 08/09/10 2 + __________ TOTAL ORDERED 11 122.22 % 003 07/29/10 3 003 07/26/10 1 003 07/22/10 1 003 07/19/10 2 003 07/12/10 2 003 07/01/10 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 003 11/22/10 1 003 11/10/10 1 003 11/03/10 1 003 11/01/10 1 + __________ TOTAL ORDERED 4 133.33 % 003 08/30/10 1 003 08/23/10 1 003 08/19/10 1 003 08/16/10 1 003 08/09/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 83 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 654368 LUNESTA 2MG TAB (SEP) + 100 36340219110 63402019110 1 3.0 3.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 5 166.66 % 003 07/29/10 1 003 07/19/10 1 003 07/12/10 1 003 07/01/10 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 12/23/10 2 013 12/09/10 3 013 12/02/10 2 + __________ TOTAL ORDERED 7 116.66 % 013 11/18/10 2 013 11/11/10 2 013 11/04/10 3 + __________ TOTAL ORDERED 7 116.66 % 013 09/30/10 2 013 09/23/10 2 013 09/02/10 4 + __________ TOTAL ORDERED 8 133.33 % 013 08/19/10 4 013 08/12/10 2 013 08/05/10 4 + __________ TOTAL ORDERED 10 166.66 % 013 07/29/10 3 013 07/22/10 2 013 07/15/10 2 013 07/08/10 1 + __________ TOTAL ORDERED 8 133.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 84 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 679543 METHYLPHENIDATE 20MG TAB (WT)+100 30591588401 00591588401 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 013 12/23/10 1 013 12/16/10 6 013 12/09/10 2 013 12/02/10 6 + __________ TOTAL ORDERED 15 125.00 % 013 10/07/10 3 013 10/28/10 1 013 10/21/10 2 013 10/14/10 10 + __________ TOTAL ORDERED 16 133.33 % 013 07/29/10 2 013 07/22/10 10 013 07/15/10 8 013 07/08/10 1 + __________ TOTAL ORDERED 21 175.00 % 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 12/29/10 1 003 12/23/10 4 003 12/16/10 1 003 12/02/10 3 + __________ TOTAL ORDERED 9 150.00 % 003 11/24/10 3 003 11/22/10 2 003 11/17/10 2 003 11/15/10 1 003 11/10/10 1 003 11/03/10 2 + __________ TOTAL ORDERED 11 183.33 % 003 10/27/10 3 003 10/25/10 1 003 10/20/10 1 003 10/18/10 3 003 10/13/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 85 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 10/11/10 2 + __________ TOTAL ORDERED 11 183.33 % 003 09/27/10 1 003 09/22/10 1 003 09/20/10 2 003 09/15/10 1 003 09/13/10 1 003 09/08/10 3 003 09/02/10 1 + __________ TOTAL ORDERED 10 166.66 % 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 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 003 12/29/10 4 003 12/27/10 6 003 12/21/10 6 003 12/17/10 4 003 12/14/10 2 003 12/10/10 3 003 12/07/10 1 003 12/03/10 2 + __________ TOTAL ORDERED 28 133.33 % 003 11/30/10 1 003 11/26/10 6 003 11/22/10 5 003 11/18/10 2 003 11/15/10 4 003 11/11/10 1 003 11/08/10 3 003 11/04/10 2 003 11/01/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 86 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 7 3.0 21.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 27 128.57 % 003 10/28/10 4 003 10/25/10 4 003 10/21/10 6 003 10/18/10 4 003 10/14/10 2 003 10/11/10 4 003 10/07/10 2 003 10/04/10 3 + __________ TOTAL ORDERED 29 138.09 % 003 09/30/10 4 003 09/27/10 3 003 09/23/10 1 003 09/20/10 4 003 09/16/10 1 003 09/13/10 4 003 09/09/10 1 003 09/02/10 7 + __________ TOTAL ORDERED 25 119.04 % 003 08/31/10 1 003 08/26/10 4 003 08/24/10 3 003 08/19/10 3 003 08/17/10 1 003 08/12/10 3 003 08/10/10 1 003 08/05/10 5 003 08/03/10 3 + __________ TOTAL ORDERED 24 114.28 % 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 12/29/10 1 003 12/27/10 2 003 12/21/10 2 003 12/17/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 87 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 12/14/10 1 003 12/10/10 2 + __________ TOTAL ORDERED 10 111.11 % 003 11/30/10 1 003 11/26/10 2 003 11/22/10 1 003 11/18/10 1 003 11/15/10 2 003 11/11/10 1 003 11/04/10 1 003 11/01/10 1 + __________ TOTAL ORDERED 10 111.11 % 003 08/31/10 2 003 08/26/10 1 003 08/24/10 1 003 08/19/10 1 003 08/17/10 1 003 08/12/10 1 003 08/10/10 1 003 08/05/10 2 + __________ TOTAL ORDERED 10 111.11 % 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 12/29/10 2 003 12/21/10 2 003 12/17/10 2 003 12/10/10 3 003 12/07/10 1 003 12/03/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 88 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 11 183.33 % 003 11/22/10 2 003 11/18/10 1 003 11/11/10 2 003 11/08/10 1 003 11/04/10 1 + __________ TOTAL ORDERED 7 116.66 % 003 07/29/10 2 003 07/22/10 1 003 07/20/10 2 003 07/15/10 1 003 07/13/10 1 003 07/06/10 1 + __________ TOTAL ORDERED 8 133.33 % 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 454490 MORPHINE SUL 100MG ER+TAB(WAT)100 30591374301 00591374301 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 12/28/10 2 013 12/07/10 8 + __________ TOTAL ORDERED 10 166.66 % 013 11/09/10 4 013 11/02/10 8 + __________ TOTAL ORDERED 12 200.00 % 013 10/12/10 7 013 10/05/10 5 + __________ TOTAL ORDERED 12 200.00 % 013 09/08/10 8 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 89 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 454490 MORPHINE SUL 100MG ER+TAB(WAT)100 30591374301 00591374301 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 457754 BUTORPHANOL TART NS (ROX) + 2.5ML 30054309036 00054309036 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 003 10/27/10 2 003 10/25/10 5 003 10/20/10 2 003 10/06/10 1 003 10/04/10 4 + __________ TOTAL ORDERED 14 116.66 % 003 09/29/10 3 003 09/27/10 6 003 09/15/10 1 003 09/13/10 4 003 09/08/10 4 + __________ TOTAL ORDERED 18 150.00 % 003 08/23/10 6 003 08/19/10 1 003 08/16/10 6 003 08/02/10 4 + __________ TOTAL ORDERED 17 141.66 % 003 07/08/10 15 + __________ TOTAL ORDERED 15 125.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 469133 OXYCODONE ER 10MG TABS (APO) +100 36050535371 60505353701 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 09/02/10 10 + __________ TOTAL ORDERED 10 166.66 % 013 08/31/10 6 013 08/24/10 1 013 08/17/10 2 013 08/10/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 90 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 469133 OXYCODONE ER 10MG TABS (APO) +100 36050535371 60505353701 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 11 183.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 471202 FENTANYL 12MCG/HR TS (SAN) + 5 30781724055 00781724055 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 013 11/23/10 3 013 11/09/10 10 013 11/02/10 1 + __________ TOTAL ORDERED 14 116.66 % 013 10/26/10 2 013 10/19/10 5 013 10/12/10 3 013 10/05/10 4 + __________ TOTAL ORDERED 14 116.66 % 013 08/31/10 5 013 08/24/10 9 013 08/17/10 12 013 08/10/10 13 013 08/03/10 1 + __________ TOTAL ORDERED 40 333.33 % 013 07/27/10 3 013 07/20/10 5 013 07/13/10 2 013 07/07/10 3 + __________ TOTAL ORDERED 13 108.33 % 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 11/23/10 3 013 11/09/10 8 + __________ TOTAL ORDERED 11 122.22 % 013 10/26/10 8 013 10/05/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 91 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 507053 CONCERTA 54MG ER TAB 100 35045858701 50458058701 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 15 166.66 % 013 08/31/10 6 013 08/24/10 5 013 08/03/10 5 + __________ TOTAL ORDERED 16 177.77 % 013 07/27/10 4 013 07/20/10 2 013 07/13/10 2 013 07/07/10 2 + __________ TOTAL ORDERED 10 111.11 % 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 11/30/10 8 013 11/23/10 1 013 11/02/10 4 + __________ TOTAL ORDERED 13 144.44 % 013 10/26/10 7 013 10/05/10 10 + __________ TOTAL ORDERED 17 188.88 % 013 08/31/10 4 013 08/17/10 5 013 08/10/10 6 013 08/03/10 4 + __________ TOTAL ORDERED 19 211.11 % 013 07/13/10 6 013 07/07/10 5 + __________ TOTAL ORDERED 11 122.22 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 92 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 529506 VYVANSE 60MG CAPS + 100 35941710610 59417010610 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 013 09/30/10 4 013 09/21/10 1 + __________ TOTAL ORDERED 5 166.66 % 013 08/17/10 3 013 08/03/10 2 + __________ TOTAL ORDERED 5 166.66 % 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 013 12/28/10 3 013 12/21/10 6 013 12/14/10 12 + __________ TOTAL ORDERED 21 116.66 % 013 10/26/10 7 013 10/19/10 2 013 10/12/10 6 013 10/05/10 6 + __________ TOTAL ORDERED 21 116.66 % 013 08/31/10 5 013 08/24/10 7 013 08/17/10 10 013 08/10/10 3 013 08/03/10 8 + __________ TOTAL ORDERED 33 183.33 % 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 013 11/30/10 6 013 11/23/10 3 013 11/16/10 6 013 11/09/10 10 013 11/02/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 93 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 544540 FENTANYL 100MCG/HR TS (WAT) + 5 30591321472 00591321472 7 3.0 21.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 29 138.09 % 013 10/26/10 5 013 10/05/10 20 + __________ TOTAL ORDERED 25 119.04 % 013 08/31/10 16 013 08/24/10 3 013 08/10/10 3 013 08/03/10 10 + __________ TOTAL ORDERED 32 152.38 % 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 12/21/10 2 013 12/07/10 7 + __________ TOTAL ORDERED 9 150.00 % 013 10/26/10 3 013 10/12/10 4 013 10/05/10 2 + __________ TOTAL ORDERED 9 150.00 % 013 08/24/10 3 013 08/10/10 2 013 08/03/10 3 + __________ TOTAL ORDERED 8 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 003 12/29/10 4 003 12/23/10 7 003 12/21/10 1 003 12/16/10 6 003 12/14/10 2 003 12/09/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 94 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 003 12/07/10 3 003 12/02/10 4 + __________ TOTAL ORDERED 32 152.38 % 003 11/30/10 1 003 11/24/10 6 003 11/22/10 4 003 11/17/10 3 003 11/15/10 3 003 11/10/10 2 003 11/08/10 6 003 11/03/10 2 003 11/01/10 4 + __________ TOTAL ORDERED 31 147.61 % 003 10/27/10 5 003 10/25/10 1 003 10/20/10 3 003 10/18/10 4 003 10/13/10 4 003 10/11/10 2 003 10/06/10 4 003 10/04/10 5 + __________ TOTAL ORDERED 28 133.33 % 003 09/29/10 5 003 09/27/10 4 003 09/22/10 4 003 09/20/10 3 003 09/15/10 3 003 09/13/10 2 003 09/08/10 4 003 09/02/10 5 + __________ TOTAL ORDERED 30 142.85 % 003 08/30/10 4 003 08/26/10 2 003 08/23/10 5 003 08/19/10 1 003 08/16/10 3 003 08/12/10 3 003 08/09/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 95 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 003 08/05/10 4 003 08/02/10 4 + __________ TOTAL ORDERED 31 147.61 % 003 07/29/10 2 003 07/26/10 4 003 07/22/10 4 003 07/19/10 3 003 07/15/10 4 003 07/12/10 2 003 07/08/10 3 003 07/01/10 7 + __________ TOTAL ORDERED 29 138.09 % 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 003 12/29/10 3 003 12/23/10 8 003 12/21/10 4 003 12/16/10 4 003 12/09/10 7 003 12/07/10 1 003 12/02/10 3 + __________ TOTAL ORDERED 30 125.00 % 003 08/30/10 2 003 08/26/10 1 003 08/23/10 1 003 08/19/10 5 003 08/16/10 5 003 08/12/10 5 003 08/09/10 1 003 08/05/10 3 003 08/02/10 4 + __________ TOTAL ORDERED 27 112.50 % 003 07/29/10 5 003 07/26/10 1 003 07/22/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 96 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 003 07/15/10 6 003 07/12/10 2 003 07/08/10 1 003 07/01/10 8 + __________ TOTAL ORDERED 25 104.16 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 19 3.0 57.0 0 DC DATE ORDERED QUANTITY 003 12/29/10 8 003 12/23/10 11 003 12/21/10 5 003 12/16/10 8 003 12/14/10 4 003 12/09/10 9 003 12/07/10 4 003 12/02/10 10 + __________ TOTAL ORDERED 59 103.50 % 003 11/30/10 8 003 11/24/10 9 003 11/22/10 7 003 11/17/10 5 003 11/15/10 8 003 11/10/10 7 003 11/08/10 6 003 11/03/10 7 003 11/01/10 7 + __________ TOTAL ORDERED 64 112.28 % 003 09/29/10 7 003 09/27/10 9 003 09/22/10 7 003 09/20/10 6 003 09/15/10 5 003 09/13/10 1 003 09/08/10 7 003 09/02/10 16 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 97 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 19 3.0 57.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 58 101.75 % 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 12/16/10 1 003 12/14/10 1 003 12/09/10 1 003 12/07/10 1 003 12/02/10 1 + __________ TOTAL ORDERED 5 166.66 % 003 10/13/10 1 003 10/06/10 2 003 10/04/10 1 + __________ TOTAL ORDERED 4 133.33 % 003 09/29/10 1 003 09/20/10 1 003 09/15/10 1 003 09/13/10 1 003 09/02/10 1 + __________ TOTAL ORDERED 5 166.66 % 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 12/14/10 12 + __________ TOTAL ORDERED 12 133.33 % 013 11/30/10 2 013 11/09/10 10 + __________ TOTAL ORDERED 12 133.33 % 013 10/26/10 5 013 10/19/10 8 013 10/12/10 4 013 10/05/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 98 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 19 211.11 % 013 08/31/10 12 013 08/10/10 4 013 08/03/10 4 + __________ TOTAL ORDERED 20 222.22 % 013 07/20/10 6 013 07/13/10 5 + __________ 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 17 3.0 51.0 0 DC DATE ORDERED QUANTITY 013 11/30/10 8 013 11/23/10 10 013 11/16/10 1 013 11/09/10 18 013 11/02/10 16 + __________ TOTAL ORDERED 53 103.92 % 013 10/26/10 15 013 10/19/10 8 013 10/12/10 20 013 10/05/10 14 + __________ TOTAL ORDERED 57 111.76 % 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 12/28/10 3 013 12/14/10 6 + __________ TOTAL ORDERED 9 150.00 % 013 11/15/10 4 013 11/23/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 99 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 672805 ADDERALL XR 30MG CAPS + 100 35409239101 54092039101 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 7 116.66 % 013 10/19/10 4 013 10/12/10 4 013 10/05/10 4 + __________ TOTAL ORDERED 12 200.00 % 013 08/24/10 2 013 08/17/10 3 013 08/10/10 4 013 08/03/10 5 + __________ TOTAL ORDERED 14 233.33 % 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 003 11/24/10 5 003 11/22/10 3 003 11/17/10 2 003 11/10/10 2 003 11/08/10 1 + __________ TOTAL ORDERED 13 108.33 % 003 08/30/10 2 003 08/23/10 1 003 08/19/10 3 003 08/16/10 1 003 08/12/10 4 003 08/09/10 3 003 08/02/10 1 + __________ TOTAL ORDERED 15 125.00 % 003 07/26/10 3 003 07/22/10 1 003 07/12/10 3 003 07/08/10 1 003 07/01/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 100 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 672873 ANDROGEL 1% GEL (UNI) + 30X5.0GM 30051845030 00051845030 4 3.0 12.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 13 108.33 % 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 12/29/10 1 003 12/23/10 1 003 12/21/10 1 003 12/16/10 1 003 12/14/10 1 003 12/09/10 1 003 12/07/10 1 003 12/02/10 1 + __________ TOTAL ORDERED 8 133.33 % 003 08/30/10 1 003 08/26/10 1 003 08/23/10 1 003 08/19/10 1 003 08/16/10 1 003 08/12/10 1 003 08/02/10 1 + __________ TOTAL ORDERED 7 116.66 % 003 07/29/10 1 003 07/26/10 1 003 07/19/10 1 003 07/12/10 1 003 07/08/10 2 003 07/01/10 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 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 003 12/23/10 6 003 12/21/10 2 003 12/16/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 101 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 003 12/09/10 2 003 12/02/10 1 + __________ TOTAL ORDERED 18 120.00 % 003 11/24/10 4 003 11/22/10 1 003 11/17/10 5 003 11/10/10 2 003 11/08/10 2 003 11/03/10 4 003 11/01/10 2 + __________ TOTAL ORDERED 20 133.33 % 003 09/29/10 1 003 09/22/10 3 003 09/20/10 1 003 09/15/10 4 003 09/13/10 1 003 09/08/10 4 003 09/02/10 4 + __________ 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 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 08/30/10 4 003 08/26/10 1 003 08/23/10 1 003 08/19/10 1 003 08/12/10 1 003 08/09/10 1 003 08/05/10 1 003 08/02/10 1 + __________ TOTAL ORDERED 11 122.22 % 003 07/29/10 1 003 07/26/10 2 003 07/15/10 2 003 07/12/10 3 003 07/08/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 102 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 003 07/01/10 3 + __________ TOTAL ORDERED 14 155.55 % 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 11/30/10 4 013 11/23/10 3 013 11/16/10 3 + __________ TOTAL ORDERED 10 111.11 % 013 10/12/10 10 + __________ TOTAL ORDERED 10 111.11 % 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 12/14/10 8 + __________ TOTAL ORDERED 8 133.33 % 013 11/02/10 8 + __________ TOTAL ORDERED 8 133.33 % 013 10/26/10 4 013 10/12/10 1 013 10/05/10 7 + __________ TOTAL ORDERED 12 200.00 % 013 08/17/10 7 013 08/03/10 3 + __________ TOTAL ORDERED 10 166.66 % 013 07/20/10 3 013 07/13/10 3 013 07/07/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 103 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 675802 DEXTROAMPHETAMINE 5MG TAB(BAR)100 30555095202 00555095202 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 676915 HYDROMORPHONE HCL 4MG (MK) + 100 30406324401 00406324401 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 013 11/30/10 1 013 11/23/10 4 013 11/16/10 5 013 11/09/10 8 013 11/02/10 4 + __________ TOTAL ORDERED 22 146.66 % 013 10/19/10 2 013 10/12/10 10 013 10/05/10 11 + __________ TOTAL ORDERED 23 153.33 % 013 08/31/10 14 013 08/24/10 12 013 08/17/10 6 013 08/03/10 6 + __________ TOTAL ORDERED 38 253.33 % 013 07/27/10 4 013 07/20/10 10 013 07/13/10 2 + __________ 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 12/29/10 4 003 12/23/10 4 003 12/21/10 1 003 12/16/10 1 003 12/09/10 6 003 12/07/10 2 003 12/02/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 104 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 23 383.33 % 003 11/24/10 3 003 11/22/10 2 003 11/17/10 2 003 11/15/10 3 003 11/10/10 2 003 11/08/10 3 003 11/03/10 1 003 11/01/10 3 + __________ TOTAL ORDERED 19 316.66 % 003 10/27/10 2 003 10/25/10 2 003 10/20/10 1 003 10/13/10 1 003 10/11/10 1 003 10/06/10 1 + __________ TOTAL ORDERED 8 133.33 % 003 09/29/10 1 003 09/27/10 2 003 09/22/10 1 003 09/08/10 2 003 09/02/10 1 + __________ TOTAL ORDERED 7 116.66 % 003 07/26/10 2 003 07/22/10 1 003 07/15/10 1 003 07/12/10 1 003 07/01/10 2 + __________ TOTAL ORDERED 7 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679796 METHADONE 10MG TAB (ROX) + 100 30054457125 00054457125 13 3.0 39.0 0 DC DATE ORDERED QUANTITY 013 11/30/10 20 013 11/23/10 12 013 11/09/10 10 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 105 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 679796 METHADONE 10MG TAB (ROX) + 100 30054457125 00054457125 13 3.0 39.0 0 DC DATE ORDERED QUANTITY 013 11/02/10 16 + __________ TOTAL ORDERED 58 148.71 % 013 10/26/10 10 013 10/12/10 20 013 10/05/10 12 + __________ TOTAL ORDERED 42 107.69 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 680816 PHENDIMETRAZINE 35MG TB (EON)+100 30185405701 00185405701 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 003 10/20/10 1 003 10/13/10 1 003 10/06/10 1 003 10/04/10 1 + __________ TOTAL ORDERED 4 133.33 % 003 09/27/10 2 003 09/08/10 1 003 09/02/10 1 + __________ TOTAL ORDERED 4 133.33 % 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 453839 MORPHINE SUL 60MG ER TAB+(WAT)100 30591374201 00591374201 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 11/26/10 6 013 11/11/10 3 013 11/04/10 3 + __________ TOTAL ORDERED 12 133.33 % 013 10/07/10 2 013 10/28/10 6 013 10/21/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 106 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 453839 MORPHINE SUL 60MG ER TAB+(WAT)100 30591374201 00591374201 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 454492 MORPHINE SUL 30MG ER TAB+(WAT)100 30591374101 00591374101 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 013 12/23/10 4 013 12/16/10 5 013 12/09/10 9 + __________ TOTAL ORDERED 18 150.00 % 013 11/26/10 8 013 11/18/10 3 013 11/11/10 2 013 11/04/10 4 + __________ TOTAL ORDERED 17 141.66 % 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 11/26/10 1 003 11/22/10 2 003 11/11/10 1 + __________ TOTAL ORDERED 4 133.33 % 003 10/25/10 1 003 10/21/10 1 003 10/07/10 1 003 10/04/10 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 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 003 12/29/10 6 003 12/27/10 5 003 12/21/10 10 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 107 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 003 12/17/10 8 003 12/14/10 5 003 12/10/10 4 003 12/07/10 4 003 12/03/10 6 + __________ TOTAL ORDERED 48 228.57 % 003 11/30/10 1 003 11/26/10 4 003 11/22/10 9 003 11/18/10 7 003 11/15/10 3 003 11/11/10 3 003 11/08/10 5 003 11/04/10 6 003 11/01/10 3 + __________ TOTAL ORDERED 41 195.23 % 003 10/28/10 4 003 10/25/10 4 003 10/21/10 4 003 10/18/10 3 003 10/14/10 4 003 10/11/10 6 003 10/07/10 3 003 10/04/10 6 + __________ TOTAL ORDERED 34 161.90 % 003 09/30/10 4 003 09/27/10 5 003 09/23/10 4 003 09/20/10 5 003 09/16/10 3 003 09/13/10 6 003 09/09/10 4 003 09/02/10 8 + __________ TOTAL ORDERED 39 185.71 % 003 08/31/10 4 003 08/26/10 5 003 08/24/10 5 003 08/19/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 108 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 003 08/17/10 5 003 08/12/10 3 003 08/10/10 4 003 08/05/10 4 003 08/03/10 4 + __________ TOTAL ORDERED 39 185.71 % 003 07/29/10 3 003 07/27/10 5 003 07/22/10 4 003 07/20/10 6 003 07/15/10 8 003 07/13/10 2 003 07/08/10 4 003 07/06/10 2 + __________ TOTAL ORDERED 34 161.90 % 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 003 12/29/10 3 003 12/27/10 3 003 12/21/10 5 003 12/17/10 3 003 12/10/10 2 003 12/07/10 5 003 12/03/10 4 + __________ TOTAL ORDERED 25 104.16 % 003 11/26/10 2 003 11/22/10 8 003 11/18/10 7 003 11/15/10 8 003 11/11/10 3 003 11/08/10 3 003 11/04/10 1 003 11/01/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 109 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 8 3.0 24.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 33 137.50 % 003 09/30/10 1 003 09/27/10 3 003 09/23/10 3 003 09/20/10 5 003 09/16/10 3 003 09/13/10 2 003 09/09/10 2 003 09/02/10 9 + __________ TOTAL ORDERED 28 116.66 % 003 08/31/10 7 003 08/26/10 4 003 08/24/10 1 003 08/19/10 6 003 08/17/10 1 003 08/12/10 5 003 08/10/10 1 003 08/05/10 3 + __________ TOTAL ORDERED 28 116.66 % 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 12/06/10 4 013 12/03/10 4 013 12/30/10 14 013 12/16/10 3 013 12/09/10 10 + __________ TOTAL ORDERED 35 388.88 % 013 11/30/10 3 013 11/26/10 1 013 11/18/10 2 013 11/11/10 7 + __________ TOTAL ORDERED 13 144.44 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 110 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 654392 OXYCONTIN 80MG TAB (REFORM) 100 35901148010 59011048010 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 12/23/10 3 013 12/02/10 5 + __________ TOTAL ORDERED 8 133.33 % 013 11/18/10 7 + __________ TOTAL ORDERED 7 116.66 % 013 10/07/10 2 013 10/28/10 4 013 10/14/10 5 + __________ TOTAL ORDERED 11 183.33 % 013 08/16/10 4 013 08/26/10 2 013 08/12/10 5 + __________ TOTAL ORDERED 11 183.33 % 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 12/29/10 1 003 12/27/10 1 003 12/21/10 2 003 12/10/10 2 003 12/07/10 1 + __________ TOTAL ORDERED 7 116.66 % 003 11/30/10 1 003 11/26/10 1 003 11/22/10 1 003 11/18/10 1 003 11/08/10 1 003 11/04/10 1 003 11/01/10 1 + __________ TOTAL ORDERED 7 116.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 111 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 12/17/10 2 003 12/14/10 1 003 12/10/10 3 003 12/07/10 1 003 12/03/10 3 + __________ TOTAL ORDERED 10 111.11 % 003 11/22/10 2 003 11/18/10 2 003 11/15/10 2 003 11/11/10 1 003 11/08/10 1 003 11/04/10 1 003 11/01/10 3 + __________ TOTAL ORDERED 12 133.33 % 003 08/26/10 4 003 08/24/10 2 003 08/19/10 1 003 08/12/10 2 003 08/10/10 1 003 08/05/10 2 + __________ TOTAL ORDERED 12 133.33 % 003 07/27/10 1 003 07/22/10 2 003 07/15/10 2 003 07/13/10 1 003 07/08/10 2 003 07/06/10 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 003 12/29/10 2 003 12/27/10 1 003 12/21/10 2 003 12/17/10 2 003 12/14/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 112 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 12/10/10 1 003 12/07/10 1 003 12/03/10 1 + __________ TOTAL ORDERED 12 133.33 % 003 11/30/10 2 003 11/26/10 2 003 11/22/10 2 003 11/18/10 1 003 11/15/10 2 003 11/11/10 2 003 11/08/10 1 003 11/04/10 2 003 11/01/10 1 + __________ TOTAL ORDERED 15 166.66 % 003 10/28/10 1 003 10/25/10 3 003 10/21/10 2 003 10/18/10 2 003 10/14/10 2 003 10/11/10 2 003 10/07/10 1 003 10/04/10 1 + __________ TOTAL ORDERED 14 155.55 % 003 09/30/10 1 003 09/27/10 2 003 09/23/10 2 003 09/20/10 2 003 09/16/10 1 003 09/13/10 1 003 09/09/10 1 003 09/02/10 4 + __________ TOTAL ORDERED 14 155.55 % 003 08/26/10 4 003 08/24/10 3 003 08/19/10 1 003 08/12/10 2 003 08/05/10 3 003 08/03/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 113 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 14 155.55 % 003 07/29/10 1 003 07/27/10 1 003 07/22/10 3 003 07/20/10 1 003 07/15/10 1 003 07/13/10 1 003 07/08/10 3 + __________ TOTAL ORDERED 11 122.22 % 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 12/30/10 5 013 12/23/10 4 013 12/16/10 3 013 12/09/10 10 013 12/02/10 2 + __________ TOTAL ORDERED 24 160.00 % 013 11/26/10 3 013 11/18/10 18 013 11/11/10 5 013 11/04/10 1 + __________ TOTAL ORDERED 27 180.00 % 013 10/07/10 5 013 10/28/10 6 013 10/21/10 4 013 10/14/10 15 + __________ TOTAL ORDERED 30 200.00 % 013 09/30/10 4 013 09/23/10 8 013 09/16/10 3 013 09/09/10 1 013 09/02/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 114 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 676915 HYDROMORPHONE HCL 4MG (MK) + 100 30406324401 00406324401 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 18 120.00 % 013 08/26/10 11 013 08/19/10 6 013 08/05/10 5 + __________ TOTAL ORDERED 22 146.66 % 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 10/28/10 1 003 10/25/10 1 003 10/21/10 1 003 10/18/10 1 003 10/14/10 1 003 10/07/10 2 003 10/04/10 2 + __________ TOTAL ORDERED 9 150.00 % 003 09/30/10 1 003 09/23/10 1 003 09/20/10 1 003 09/16/10 1 003 09/13/10 1 003 09/02/10 2 + __________ TOTAL ORDERED 7 116.66 % 003 08/31/10 2 003 08/26/10 1 003 08/19/10 2 003 08/12/10 1 003 08/10/10 1 + __________ TOTAL ORDERED 7 116.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 115 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 681762 PHENOBARBITAL ELIXIR (QUA) + 16OZ 30603150858 00603150858 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 10/28/10 1 003 10/21/10 4 003 10/14/10 1 003 10/11/10 1 + __________ TOTAL ORDERED 7 116.66 % 003 09/30/10 1 003 09/27/10 1 003 09/16/10 3 003 09/13/10 1 003 09/02/10 3 + __________ TOTAL ORDERED 9 150.00 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04988 BB6624844 1701 N BUFFALO GRV RD BUFFALO GRV60089 +_________________________________________________________________________________________________________________________________________________ 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 12/20/10 4 013 12/13/10 4 013 12/06/10 2 + __________ TOTAL ORDERED 10 166.66 % 013 10/27/10 5 013 10/04/10 2 + __________ TOTAL ORDERED 7 116.66 % 013 08/30/10 3 013 08/23/10 5 013 08/09/10 1 013 08/02/10 2 + __________ TOTAL ORDERED 11 183.33 % 013 07/26/10 1 013 07/19/10 1 013 07/12/10 3 013 07/06/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 116 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 004 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04988 BB6624844 1701 N BUFFALO GRV RD BUFFALO GRV60089 +_________________________________________________________________________________________________________________________________________________ 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 7 116.66 % 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 457754 BUTORPHANOL TART NS (ROX) + 2.5ML 30054309036 00054309036 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 003 12/28/10 5 003 12/21/10 3 003 12/17/10 1 003 12/14/10 3 003 12/10/10 4 003 12/07/10 1 003 12/03/10 3 + __________ TOTAL ORDERED 20 166.66 % 003 11/30/10 1 003 11/26/10 2 003 11/23/10 1 003 11/19/10 3 003 11/16/10 1 003 11/12/10 2 003 11/09/10 1 003 11/05/10 4 003 11/02/10 2 + __________ TOTAL ORDERED 17 141.66 % 003 10/26/10 3 003 10/22/10 6 003 10/19/10 3 003 10/15/10 3 003 10/12/10 1 003 10/08/10 8 003 10/05/10 1 003 10/01/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 117 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 457754 BUTORPHANOL TART NS (ROX) + 2.5ML 30054309036 00054309036 4 3.0 12.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 28 233.33 % 003 09/28/10 5 003 09/24/10 4 003 09/21/10 2 003 09/17/10 1 003 09/10/10 7 003 09/07/10 8 + __________ TOTAL ORDERED 27 225.00 % 003 08/31/10 4 003 08/27/10 7 003 08/24/10 4 003 08/20/10 3 003 08/17/10 7 003 08/06/10 6 + __________ TOTAL ORDERED 31 258.33 % 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 12/28/10 5 013 12/14/10 4 013 12/07/10 4 + __________ TOTAL ORDERED 13 108.33 % 013 11/23/10 8 013 11/09/10 4 013 11/02/10 4 + __________ TOTAL ORDERED 16 133.33 % 013 10/26/10 2 013 10/19/10 4 013 10/12/10 5 013 10/05/10 4 + __________ TOTAL ORDERED 15 125.00 % 013 08/31/10 5 013 08/24/10 5 013 08/17/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 118 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 013 08/10/10 3 013 08/03/10 3 + __________ TOTAL ORDERED 20 166.66 % 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 12/07/10 4 + __________ TOTAL ORDERED 4 133.33 % 013 11/23/10 2 013 11/16/10 3 013 11/02/10 3 + __________ TOTAL ORDERED 8 266.66 % 013 10/01/10 4 013 10/26/10 3 + __________ TOTAL ORDERED 7 233.33 % 013 09/28/10 2 013 09/21/10 2 013 09/14/10 3 + __________ TOTAL ORDERED 7 233.33 % 013 08/31/10 3 013 08/17/10 4 013 08/10/10 2 013 08/03/10 2 + __________ TOTAL ORDERED 11 366.66 % 013 07/20/10 3 013 07/13/10 2 013 07/07/10 1 + __________ TOTAL ORDERED 6 200.00 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 119 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 529634 VYVANSE 40MG CAPS + 100 35941710410 59417010410 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 12/21/10 3 013 12/14/10 3 013 12/07/10 3 + __________ TOTAL ORDERED 9 150.00 % 013 11/30/10 5 013 11/16/10 2 013 11/09/10 3 013 11/02/10 2 + __________ TOTAL ORDERED 12 200.00 % 013 10/01/10 3 013 10/26/10 3 013 10/19/10 3 013 10/12/10 5 + __________ TOTAL ORDERED 14 233.33 % 013 09/21/10 3 013 09/14/10 2 013 09/08/10 2 + __________ TOTAL ORDERED 7 116.66 % 013 07/20/10 4 013 07/13/10 2 013 07/07/10 2 + __________ TOTAL ORDERED 8 133.33 % 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 12/28/10 4 013 12/21/10 10 013 12/14/10 14 + __________ TOTAL ORDERED 28 155.55 % 013 11/23/10 6 013 11/16/10 6 013 11/09/10 7 013 11/02/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 120 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 23 127.77 % 013 10/26/10 4 013 10/19/10 9 013 10/12/10 5 013 10/05/10 1 + __________ TOTAL ORDERED 19 105.55 % 013 09/28/10 8 013 09/21/10 9 013 09/14/10 6 013 09/08/10 1 + __________ TOTAL ORDERED 24 133.33 % 013 08/31/10 10 013 08/24/10 8 013 08/17/10 8 013 08/10/10 4 013 08/03/10 8 + __________ TOTAL ORDERED 38 211.11 % 013 07/20/10 8 013 07/13/10 6 013 07/07/10 5 + __________ TOTAL ORDERED 19 105.55 % 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 10/26/10 2 013 10/19/10 7 013 10/12/10 7 013 10/05/10 8 + __________ TOTAL ORDERED 24 160.00 % 013 09/28/10 6 013 09/21/10 11 013 09/14/10 7 013 09/08/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 121 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 539151 D-AMPHET SALT COMBO 10MG TAB +100 36472013210 64720013210 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 25 166.66 % 013 08/31/10 3 013 08/24/10 6 013 08/17/10 10 + __________ TOTAL ORDERED 19 126.66 % 013 07/20/10 12 013 07/13/10 7 013 07/07/10 4 + __________ TOTAL ORDERED 23 153.33 % 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 12/14/10 3 013 12/07/10 1 + __________ TOTAL ORDERED 4 133.33 % 013 11/30/10 1 013 11/09/10 3 + __________ TOTAL ORDERED 4 133.33 % 013 09/28/10 1 013 09/14/10 1 013 09/08/10 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 013 12/21/10 5 013 12/07/10 5 + __________ TOTAL ORDERED 10 166.66 % 013 11/23/10 4 013 11/09/10 4 013 11/02/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 122 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 551685 VYVANSE 70MG CAPS + 100 35941710710 59417010710 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 11 183.33 % 013 09/28/10 4 013 09/14/10 2 013 09/08/10 3 + __________ TOTAL ORDERED 9 150.00 % 013 08/31/10 2 013 08/24/10 2 013 08/17/10 2 013 08/10/10 2 013 08/03/10 2 + __________ TOTAL ORDERED 10 166.66 % 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 12/03/10 2 013 12/28/10 3 013 12/21/10 5 013 12/07/10 4 + __________ TOTAL ORDERED 14 233.33 % 013 10/19/10 2 013 10/12/10 5 + __________ TOTAL ORDERED 7 116.66 % 013 09/28/10 2 013 09/21/10 2 013 09/14/10 3 + __________ TOTAL ORDERED 7 116.66 % 013 08/31/10 3 013 08/17/10 4 013 08/10/10 1 013 08/03/10 3 + __________ TOTAL ORDERED 11 183.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 123 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 013 12/21/10 6 013 12/07/10 6 + __________ TOTAL ORDERED 12 200.00 % 013 11/23/10 3 013 11/16/10 3 013 11/09/10 2 013 11/02/10 3 + __________ TOTAL ORDERED 11 183.33 % 013 10/19/10 4 013 10/05/10 5 + __________ TOTAL ORDERED 9 150.00 % 013 09/28/10 4 013 09/21/10 3 013 09/14/10 4 013 09/08/10 2 + __________ TOTAL ORDERED 13 216.66 % 013 08/31/10 4 013 08/17/10 5 013 08/10/10 2 013 08/03/10 3 + __________ TOTAL ORDERED 14 233.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 553697 ZOLPIDEM 10MG TABS (TEV) + 100 30093007401 00093007401 17 3.0 51.0 0 DC DATE ORDERED QUANTITY 003 12/28/10 13 003 12/21/10 12 003 12/17/10 9 003 12/14/10 3 003 12/10/10 5 003 12/07/10 4 003 12/03/10 10 + __________ TOTAL ORDERED 56 109.80 % 003 11/30/10 4 003 11/26/10 11 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 124 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 553697 ZOLPIDEM 10MG TABS (TEV) + 100 30093007401 00093007401 17 3.0 51.0 0 DC DATE ORDERED QUANTITY 003 11/23/10 5 003 11/19/10 7 003 11/16/10 4 003 11/12/10 5 003 11/09/10 5 003 11/05/10 8 003 11/02/10 4 + __________ TOTAL ORDERED 53 103.92 % 003 08/31/10 15 003 08/27/10 7 003 08/24/10 4 003 08/20/10 4 003 08/17/10 9 003 08/13/10 16 003 08/10/10 1 003 08/03/10 6 + __________ TOTAL ORDERED 62 121.56 % 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 12/28/10 2 003 12/21/10 4 003 12/17/10 2 003 12/14/10 3 003 12/10/10 2 003 12/07/10 2 003 12/03/10 2 + __________ TOTAL ORDERED 17 141.66 % 003 10/26/10 1 003 10/22/10 3 003 10/19/10 3 003 10/15/10 2 003 10/12/10 1 003 10/08/10 1 003 10/05/10 1 003 10/01/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 125 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 15 125.00 % 003 08/31/10 3 003 08/27/10 3 003 08/24/10 1 003 08/20/10 1 003 08/17/10 1 003 08/13/10 5 003 08/03/10 2 + __________ TOTAL ORDERED 16 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 582163 DAYTRANA 20MG TRANSDERMAL PTCH 30 35409255430 54092055430 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 11/30/10 2 013 11/16/10 5 + __________ TOTAL ORDERED 7 116.66 % 013 10/26/10 4 013 10/12/10 3 013 10/05/10 1 + __________ 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 003 11/19/10 1 003 11/16/10 1 003 11/12/10 4 003 11/02/10 1 + __________ TOTAL ORDERED 7 116.66 % 003 10/15/10 3 003 10/12/10 1 003 10/01/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 126 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 594188 ALPRAZOLAM XR 0.5MG TAB (GRN)+ 60 35976200571 59762005701 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 8 133.33 % 003 08/31/10 1 003 08/27/10 2 003 08/20/10 1 003 08/17/10 2 003 08/03/10 1 + __________ TOTAL ORDERED 7 116.66 % 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 11/23/10 2 013 11/09/10 3 013 11/02/10 3 + __________ TOTAL ORDERED 8 133.33 % 013 10/26/10 2 013 10/19/10 2 013 10/12/10 2 013 10/05/10 4 + __________ TOTAL ORDERED 10 166.66 % 013 08/31/10 3 013 08/17/10 4 013 08/03/10 2 + __________ TOTAL ORDERED 9 150.00 % 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 12/21/10 2 013 12/14/10 2 013 12/07/10 1 + __________ TOTAL ORDERED 5 166.66 % 013 11/05/10 2 013 11/09/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 127 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 607188 FOCALIN XR 5MG CAP 100 30078043005 00078043005 1 3.0 3.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 4 133.33 % 013 08/24/10 3 013 08/17/10 1 013 08/10/10 2 + __________ TOTAL ORDERED 6 200.00 % 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 12/28/10 2 003 12/21/10 1 003 12/03/10 1 + __________ TOTAL ORDERED 4 133.33 % 003 11/30/10 1 003 11/26/10 2 003 11/05/10 1 + __________ TOTAL ORDERED 4 133.33 % 003 09/24/10 3 003 09/17/10 2 003 09/10/10 1 003 09/07/10 1 + __________ TOTAL ORDERED 7 233.33 % 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 003 11/30/10 2 003 11/26/10 1 003 11/19/10 1 003 11/12/10 1 003 11/09/10 1 003 11/05/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 128 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 654427 LUNESTA 3MG TAB (SEP) + 100 36340219310 63402019310 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 7 116.66 % 003 10/22/10 2 003 10/15/10 1 003 10/12/10 1 003 10/05/10 1 003 10/01/10 2 + __________ TOTAL ORDERED 7 116.66 % 003 08/31/10 2 003 08/20/10 1 003 08/13/10 2 003 08/10/10 1 003 08/06/10 1 + __________ TOTAL ORDERED 7 116.66 % 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 12/28/10 2 013 12/14/10 1 013 12/07/10 1 + __________ TOTAL ORDERED 4 133.33 % 013 11/23/10 2 013 11/16/10 1 013 11/09/10 1 + __________ TOTAL ORDERED 4 133.33 % 013 09/28/10 2 013 09/08/10 2 + __________ TOTAL ORDERED 4 133.33 % 013 08/31/10 2 013 08/17/10 1 013 08/10/10 3 + __________ TOTAL ORDERED 6 200.00 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 129 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 013 10/27/10 3 013 10/26/10 3 013 10/19/10 3 + __________ TOTAL ORDERED 9 150.00 % 013 09/29/10 4 013 09/21/10 6 + __________ TOTAL ORDERED 10 166.66 % 013 08/31/10 3 013 08/24/10 3 013 08/17/10 3 013 08/03/10 2 + __________ TOTAL ORDERED 11 183.33 % 013 07/27/10 1 013 07/20/10 4 013 07/13/10 2 013 07/07/10 1 + __________ TOTAL ORDERED 8 133.33 % 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 12/21/10 2 003 12/14/10 1 003 12/10/10 1 003 12/03/10 1 + __________ TOTAL ORDERED 5 166.66 % 003 11/30/10 1 003 11/23/10 1 003 11/12/10 1 003 11/09/10 1 + __________ TOTAL ORDERED 4 133.33 % 003 08/31/10 3 003 08/20/10 1 003 08/03/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 130 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 673028 AMBIEN 10MG TAB (SNF) 100 30024542131 00024542131 1 3.0 3.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 5 166.66 % 003 07/27/10 1 003 07/20/10 1 003 07/16/10 1 003 07/06/10 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 12/21/10 2 003 12/17/10 2 003 12/10/10 5 003 12/07/10 1 + __________ TOTAL ORDERED 10 111.11 % 003 11/26/10 1 003 11/19/10 1 003 11/16/10 2 003 11/12/10 6 003 11/05/10 1 + __________ TOTAL ORDERED 11 122.22 % 003 08/31/10 2 003 08/27/10 1 003 08/24/10 3 003 08/17/10 1 003 08/13/10 3 + __________ TOTAL ORDERED 10 111.11 % 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 12/28/10 7 013 12/21/10 4 013 12/14/10 1 013 12/07/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 131 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 675738 METHYLPHENIDATE 5MG TAB (WAT)+100 30591588201 00591588201 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 13 144.44 % 013 11/19/10 5 013 11/30/10 3 013 11/23/10 2 013 11/09/10 2 + __________ TOTAL ORDERED 12 133.33 % 013 07/27/10 3 013 07/20/10 7 013 07/13/10 1 + __________ 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 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 12/28/10 2 003 12/21/10 2 003 12/14/10 1 003 12/07/10 1 003 12/03/10 1 + __________ TOTAL ORDERED 7 116.66 % 003 11/26/10 4 003 11/23/10 1 003 11/19/10 2 003 11/16/10 2 003 11/12/10 2 003 11/05/10 1 003 11/02/10 1 + __________ TOTAL ORDERED 13 216.66 % 003 09/28/10 4 003 09/17/10 2 003 09/10/10 2 + __________ TOTAL ORDERED 8 133.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 132 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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) + 100 30074194914 00074194914 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 003 12/23/10 2 003 12/16/10 2 003 12/07/10 2 + __________ TOTAL ORDERED 6 200.00 % 003 11/24/10 2 003 11/15/10 2 003 11/08/10 1 + __________ TOTAL ORDERED 5 166.66 % 003 10/27/10 1 003 10/20/10 1 003 10/04/10 2 + __________ TOTAL ORDERED 4 133.33 % 003 09/29/10 2 003 09/13/10 1 003 09/08/10 2 + __________ TOTAL ORDERED 5 166.66 % 003 08/26/10 1 003 08/19/10 1 003 08/16/10 2 003 08/05/10 1 003 08/02/10 1 + __________ TOTAL ORDERED 6 200.00 % 003 07/26/10 1 003 07/19/10 2 003 07/08/10 1 003 07/01/10 1 + __________ TOTAL ORDERED 5 166.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 133 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 457754 BUTORPHANOL TART NS (ROX) + 2.5ML 30054309036 00054309036 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 003 12/22/10 10 003 12/17/10 2 003 12/15/10 3 003 12/10/10 6 003 12/08/10 4 003 12/03/10 5 003 12/01/10 4 + __________ TOTAL ORDERED 34 283.33 % 003 11/26/10 2 003 11/23/10 8 003 11/18/10 1 003 11/16/10 3 003 11/11/10 7 003 11/09/10 4 003 11/04/10 6 003 11/02/10 4 + __________ TOTAL ORDERED 35 291.66 % 003 10/26/10 4 003 10/21/10 6 003 10/19/10 3 003 10/14/10 2 003 10/12/10 10 003 10/07/10 6 003 10/05/10 4 + __________ TOTAL ORDERED 35 291.66 % 003 09/30/10 6 003 09/28/10 3 003 09/23/10 2 003 09/21/10 9 003 09/14/10 3 003 09/09/10 8 003 09/07/10 4 + __________ TOTAL ORDERED 35 291.66 % 003 08/31/10 15 003 08/27/10 6 003 08/24/10 4 003 08/20/10 7 003 08/17/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 134 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 457754 BUTORPHANOL TART NS (ROX) + 2.5ML 30054309036 00054309036 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 003 08/13/10 6 003 08/10/10 5 003 08/06/10 2 003 08/03/10 4 + __________ TOTAL ORDERED 53 441.66 % 003 07/20/10 5 003 07/16/10 6 003 07/09/10 12 + __________ TOTAL ORDERED 23 191.66 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05257 BB6826537 1770 N MILWAUKEE AVE LIBERTYVILLE60048 +_________________________________________________________________________________________________________________________________________________ 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 11/23/10 3 013 11/16/10 1 013 11/02/10 1 + __________ TOTAL ORDERED 5 166.66 % 013 09/28/10 3 013 09/14/10 2 013 09/08/10 1 + __________ TOTAL ORDERED 6 200.00 % 013 08/31/10 3 013 08/17/10 1 + __________ TOTAL ORDERED 4 133.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 135 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 529506 VYVANSE 60MG CAPS + 100 35941710610 59417010610 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 013 11/10/10 2 013 11/08/10 2 + __________ TOTAL ORDERED 4 133.33 % 013 10/20/10 1 013 10/13/10 2 013 10/06/10 1 + __________ TOTAL ORDERED 4 133.33 % 013 09/22/10 1 013 09/15/10 1 013 09/08/10 1 013 09/01/10 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 09/29/10 4 013 09/22/10 4 013 09/15/10 4 013 09/08/10 1 013 09/01/10 6 + __________ TOTAL ORDERED 19 105.55 % 013 08/25/10 13 013 08/18/10 3 013 08/11/10 2 013 08/04/10 4 + __________ TOTAL ORDERED 22 122.22 % 013 07/28/10 7 013 07/21/10 5 013 07/14/10 6 013 07/07/10 2 + __________ TOTAL ORDERED 20 111.11 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 136 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 551686 VYVANSE 50MG CAPS + 100 35941710510 59417010510 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 12/29/10 2 013 12/15/10 3 013 12/01/10 4 + __________ TOTAL ORDERED 9 150.00 % 013 09/29/10 3 013 09/22/10 1 013 09/15/10 1 013 09/08/10 2 013 09/01/10 2 + __________ TOTAL ORDERED 9 150.00 % 013 07/28/10 1 013 07/21/10 3 013 07/14/10 1 013 07/07/10 2 + __________ TOTAL ORDERED 7 116.66 % 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 12/17/10 2 003 12/15/10 2 003 12/10/10 2 003 12/08/10 1 + __________ TOTAL ORDERED 7 116.66 % 003 11/26/10 2 003 11/23/10 3 003 11/18/10 2 003 11/16/10 1 003 11/11/10 1 003 11/04/10 3 003 11/02/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 137 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 14 233.33 % 003 10/28/10 1 003 10/21/10 1 003 10/14/10 3 003 10/12/10 2 + __________ TOTAL ORDERED 7 116.66 % 003 09/30/10 1 003 09/23/10 6 003 09/16/10 1 003 09/09/10 2 003 09/07/10 2 + __________ TOTAL ORDERED 12 200.00 % 003 08/31/10 2 003 08/27/10 1 003 08/20/10 1 003 08/06/10 5 + __________ TOTAL ORDERED 9 150.00 % 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 539150 D-AMPHET SALT COMBO 20MG TAB +100 36472013510 64720013510 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 11/18/10 7 013 11/11/10 11 013 11/04/10 5 + __________ TOTAL ORDERED 23 127.77 % 013 10/07/10 10 013 10/28/10 4 013 10/21/10 6 013 10/14/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 138 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 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 % 013 08/26/10 2 013 08/19/10 9 013 08/12/10 5 013 08/05/10 5 + __________ TOTAL ORDERED 21 116.66 % 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 12/27/10 2 003 12/22/10 3 003 12/17/10 2 003 12/15/10 1 003 12/10/10 4 003 12/08/10 1 003 12/03/10 2 + __________ TOTAL ORDERED 15 125.00 % 003 10/26/10 5 003 10/21/10 2 003 10/14/10 3 003 10/07/10 3 + __________ TOTAL ORDERED 13 108.33 % 003 08/31/10 3 003 08/27/10 3 003 08/24/10 2 003 08/20/10 1 003 08/17/10 2 003 08/13/10 1 003 08/06/10 1 003 08/03/10 1 + __________ TOTAL ORDERED 14 116.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 139 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 08/31/10 3 003 08/27/10 2 003 08/24/10 2 003 08/17/10 3 003 08/10/10 2 003 08/06/10 1 + __________ TOTAL ORDERED 13 144.44 % 003 07/27/10 1 003 07/20/10 4 003 07/16/10 3 003 07/13/10 1 003 07/09/10 1 003 07/06/10 3 + __________ TOTAL ORDERED 13 144.44 % 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 003 11/04/10 6 003 11/02/10 7 + __________ TOTAL ORDERED 13 216.66 % 003 10/21/10 3 003 10/19/10 23 003 10/14/10 4 003 10/07/10 3 + __________ TOTAL ORDERED 33 550.00 % 003 09/16/10 7 003 09/14/10 2 + __________ TOTAL ORDERED 9 150.00 % 003 08/31/10 8 003 08/24/10 1 003 08/17/10 1 + __________ TOTAL ORDERED 10 166.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 140 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 654392 OXYCONTIN 80MG TAB (REFORM) 100 35901148010 59011048010 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 12/23/10 2 013 12/09/10 5 013 12/02/10 2 + __________ TOTAL ORDERED 9 150.00 % 013 11/26/10 2 013 11/11/10 7 013 11/04/10 3 + __________ TOTAL ORDERED 12 200.00 % 013 10/14/10 7 + __________ TOTAL ORDERED 7 116.66 % 013 08/20/10 4 013 08/19/10 5 013 08/12/10 3 + __________ TOTAL ORDERED 12 200.00 % 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 12/16/10 3 013 12/09/10 4 + __________ TOTAL ORDERED 7 116.66 % 013 11/26/10 4 013 11/18/10 2 013 11/04/10 3 + __________ TOTAL ORDERED 9 150.00 % 013 09/23/10 7 013 09/16/10 2 + __________ TOTAL ORDERED 9 150.00 % 013 08/20/10 4 013 08/19/10 2 013 08/12/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 141 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 672806 ADDERALL XR 20MG CAPS + 100 35409238701 54092038701 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 9 150.00 % 013 07/29/10 2 013 07/22/10 3 013 07/15/10 3 013 07/08/10 1 + __________ TOTAL ORDERED 9 150.00 % 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 12/23/10 16 013 12/09/10 6 013 12/02/10 15 + __________ TOTAL ORDERED 37 246.66 % 013 10/21/10 14 013 10/14/10 6 + __________ TOTAL ORDERED 20 133.33 % 013 09/30/10 15 013 09/09/10 10 + __________ TOTAL ORDERED 25 166.66 % 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 12/27/10 2 003 12/22/10 1 003 12/17/10 1 003 12/10/10 1 003 12/03/10 1 003 12/01/10 2 + __________ TOTAL ORDERED 8 133.33 % 003 11/26/10 2 003 11/18/10 2 003 11/04/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 142 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 003 11/02/10 1 + __________ TOTAL ORDERED 7 116.66 % 003 10/28/10 2 003 10/21/10 2 003 10/14/10 2 003 10/07/10 2 003 10/05/10 1 + __________ TOTAL ORDERED 9 150.00 % 003 08/31/10 1 003 08/27/10 1 003 08/24/10 1 003 08/13/10 2 003 08/10/10 1 003 08/06/10 1 003 08/03/10 1 + __________ TOTAL ORDERED 8 133.33 % 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 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 12/22/10 3 003 12/20/10 2 003 12/15/10 2 003 12/13/10 1 003 12/08/10 2 003 12/06/10 2 003 12/01/10 2 + __________ TOTAL ORDERED 14 155.55 % 003 11/29/10 1 003 11/19/10 3 003 11/16/10 1 003 11/12/10 2 003 11/09/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 143 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 003 11/05/10 2 003 11/02/10 1 + __________ TOTAL ORDERED 11 122.22 % 003 10/26/10 1 003 10/22/10 3 003 10/19/10 1 003 10/15/10 2 003 10/12/10 2 003 10/08/10 1 003 10/05/10 1 003 10/01/10 2 + __________ TOTAL ORDERED 13 144.44 % 003 09/28/10 1 003 09/24/10 3 003 09/21/10 2 003 09/17/10 2 003 09/14/10 2 003 09/10/10 1 003 09/07/10 1 003 09/01/10 4 + __________ TOTAL ORDERED 16 177.77 % 003 08/27/10 2 003 08/20/10 3 003 08/18/10 2 003 08/13/10 1 003 08/11/10 1 003 08/06/10 1 003 08/04/10 2 + __________ TOTAL ORDERED 12 133.33 % 003 07/28/10 1 003 07/23/10 2 003 07/21/10 3 003 07/16/10 2 003 07/14/10 1 003 07/09/10 2 003 07/07/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 144 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 12 133.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 10122 FW0660793 951 N HWY 83 MUNDELEIN IL 60060 +_________________________________________________________________________________________________________________________________________________ 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 10/27/10 3 003 10/25/10 3 003 10/20/10 1 003 10/13/10 2 003 10/11/10 3 003 10/06/10 2 003 10/04/10 1 + __________ TOTAL ORDERED 15 166.66 % 003 09/29/10 2 003 09/27/10 5 003 09/22/10 2 003 09/20/10 1 003 09/15/10 2 003 09/13/10 4 003 09/08/10 1 + __________ TOTAL ORDERED 17 188.88 % 003 08/23/10 1 003 08/19/10 8 003 08/05/10 1 003 08/02/10 3 + __________ TOTAL ORDERED 13 144.44 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 145 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 672806 ADDERALL XR 20MG CAPS + 100 35409238701 54092038701 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 11/23/10 4 013 11/16/10 3 + __________ TOTAL ORDERED 7 116.66 % 013 10/26/10 3 013 10/12/10 2 013 10/05/10 3 + __________ TOTAL ORDERED 8 133.33 % 013 08/31/10 2 013 08/24/10 3 013 08/17/10 1 013 08/10/10 3 + __________ TOTAL ORDERED 9 150.00 % 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 473470 D-AMPHET SLT CM XR30MG+CP(GLO)100 30115133301 00115133301 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 12/22/10 5 013 12/15/10 3 013 12/08/10 3 013 12/01/10 3 + __________ TOTAL ORDERED 14 155.55 % 013 11/23/10 2 013 11/16/10 3 013 11/09/10 2 013 11/02/10 3 + __________ TOTAL ORDERED 10 111.11 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 146 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 473473 D-AMPHET SLT CM XR20MG+CP(GLO)100 30115133101 00115133101 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 013 12/22/10 5 013 12/15/10 7 013 12/08/10 4 013 12/01/10 1 + __________ TOTAL ORDERED 17 141.66 % 013 11/23/10 5 013 11/16/10 4 013 11/09/10 4 013 11/02/10 4 + __________ TOTAL ORDERED 17 141.66 % 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 09/28/10 3 013 09/21/10 8 013 09/14/10 5 013 09/07/10 4 + __________ TOTAL ORDERED 20 222.22 % 013 08/27/10 4 013 08/20/10 2 013 08/13/10 2 013 08/06/10 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 10/26/10 2 013 10/19/10 5 013 10/12/10 2 013 10/05/10 9 + __________ TOTAL ORDERED 18 150.00 % 013 09/28/10 5 013 09/21/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 147 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 013 09/14/10 4 013 09/07/10 6 + __________ TOTAL ORDERED 17 141.66 % 013 08/27/10 7 013 08/20/10 3 013 08/13/10 4 013 08/06/10 2 + __________ TOTAL ORDERED 16 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 645805 HYDROCOD-APAP ORAL SOL(PAI)+473ML 30121065516 00121065516 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 011 08/25/10 5 011 08/23/10 4 011 08/18/10 5 011 08/11/10 4 011 08/09/10 3 011 08/04/10 11 011 08/02/10 2 + __________ TOTAL ORDERED 34 226.66 % 011 07/28/10 1 011 07/21/10 4 011 07/19/10 4 011 07/14/10 4 011 07/12/10 2 011 07/01/10 8 + __________ TOTAL ORDERED 23 153.33 % 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 12/22/10 4 013 12/15/10 2 013 12/01/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 148 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 672806 ADDERALL XR 20MG CAPS + 100 35409238701 54092038701 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 9 150.00 % 013 11/17/10 3 013 11/08/10 3 013 11/16/10 2 + __________ TOTAL ORDERED 8 133.33 % 013 10/28/10 3 013 10/14/10 2 013 10/26/10 2 013 10/12/10 1 013 10/05/10 1 + __________ TOTAL ORDERED 9 150.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 677239 HYDROCOD/ACET 7.5-500 (QUA)+473ML 30603129558 00603129558 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 011 12/28/10 4 011 12/23/10 5 011 12/20/10 10 011 12/16/10 2 011 12/13/10 4 011 12/02/10 5 + __________ TOTAL ORDERED 30 200.00 % 011 11/29/10 7 011 11/24/10 3 011 11/19/10 4 011 11/12/10 6 011 11/10/10 4 011 11/05/10 7 + __________ TOTAL ORDERED 31 206.66 % 011 10/29/10 1 011 10/22/10 11 011 10/20/10 3 011 10/08/10 3 011 10/01/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 149 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 677239 HYDROCOD/ACET 7.5-500 (QUA)+473ML 30603129558 00603129558 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 22 146.66 % 011 09/24/10 14 011 09/22/10 2 011 09/17/10 1 011 09/10/10 1 011 09/01/10 8 + __________ TOTAL ORDERED 26 173.33 % 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 11/30/10 4 003 11/01/10 3 + __________ TOTAL ORDERED 7 233.33 % 003 09/29/10 4 + __________ TOTAL ORDERED 4 133.33 % 003 08/30/10 4 + __________ 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 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 003 12/27/10 2 003 12/22/10 3 003 12/17/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 150 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 003 12/15/10 2 003 12/10/10 3 003 12/08/10 1 003 12/03/10 4 003 12/01/10 1 + __________ TOTAL ORDERED 22 104.76 % 003 11/26/10 3 003 11/23/10 2 003 11/18/10 4 003 11/16/10 2 003 11/11/10 4 003 11/09/10 2 003 11/04/10 4 003 11/02/10 2 + __________ TOTAL ORDERED 23 109.52 % 003 10/28/10 5 003 10/26/10 1 003 10/21/10 4 003 10/19/10 3 003 10/14/10 4 003 10/12/10 1 003 10/07/10 4 + __________ TOTAL ORDERED 22 104.76 % 003 09/30/10 6 003 09/23/10 4 003 09/16/10 6 003 09/14/10 4 003 09/09/10 3 + __________ TOTAL ORDERED 23 109.52 % 003 08/31/10 5 003 08/27/10 3 003 08/24/10 3 003 08/20/10 2 003 08/17/10 2 003 08/13/10 5 003 08/10/10 1 003 08/06/10 3 003 08/03/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 151 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 7 3.0 21.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 25 119.04 % 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 12/17/10 3 003 12/15/10 3 003 12/10/10 2 003 12/08/10 1 003 12/03/10 3 + __________ TOTAL ORDERED 12 133.33 % 003 11/26/10 1 003 11/23/10 1 003 11/18/10 2 003 11/11/10 4 003 11/09/10 1 003 11/04/10 2 + __________ TOTAL ORDERED 11 122.22 % 003 10/28/10 1 003 10/21/10 2 003 10/19/10 1 003 10/14/10 2 003 10/07/10 4 003 10/05/10 3 + __________ TOTAL ORDERED 13 144.44 % 003 08/31/10 4 003 08/27/10 1 003 08/24/10 1 003 08/17/10 8 003 08/13/10 2 003 08/10/10 2 003 08/06/10 1 003 08/03/10 1 + __________ TOTAL ORDERED 20 222.22 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 152 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 470462 MORPHINE SUL 20MG/ML SOL + 30ML 30054035244 00054035244 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 12/22/10 9 013 12/15/10 5 013 12/08/10 3 013 12/01/10 3 + __________ TOTAL ORDERED 20 222.22 % 013 11/23/10 10 013 11/16/10 2 + __________ TOTAL ORDERED 12 133.33 % 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 08/27/10 24 013 08/20/10 1 013 08/13/10 11 013 08/06/10 2 + __________ TOTAL ORDERED 38 422.22 % 013 07/23/10 8 013 07/16/10 4 013 07/09/10 1 + __________ TOTAL ORDERED 13 144.44 % 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 013 12/22/10 3 013 12/15/10 8 013 12/08/10 6 013 12/01/10 8 + __________ TOTAL ORDERED 25 119.04 % 013 09/28/10 13 013 09/21/10 12 013 09/14/10 12 013 09/07/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 153 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 7 3.0 21.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 40 190.47 % 013 08/27/10 14 013 08/20/10 12 013 08/13/10 12 + __________ TOTAL ORDERED 38 180.95 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 011 12/28/10 3 011 12/23/10 3 011 12/20/10 3 011 12/16/10 2 011 12/13/10 3 011 12/09/10 2 011 12/06/10 3 011 12/02/10 3 + __________ TOTAL ORDERED 22 104.76 % 011 11/29/10 2 011 11/24/10 2 011 11/19/10 4 011 11/17/10 2 011 11/12/10 4 011 11/10/10 2 011 11/05/10 3 011 11/03/10 3 + __________ TOTAL ORDERED 22 104.76 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 564864 HYDROCO-APAP 7.5-325 TAB(WAT)+100 30591320301 00591320301 10 3.0 30.0 0 DC DATE ORDERED QUANTITY 011 12/28/10 8 011 12/23/10 9 011 12/20/10 2 011 12/16/10 3 011 12/13/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 154 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 10 3.0 30.0 0 DC DATE ORDERED QUANTITY 011 12/09/10 4 011 12/06/10 2 011 12/02/10 4 + __________ TOTAL ORDERED 35 116.66 % 011 10/29/10 6 011 10/27/10 2 011 10/22/10 3 011 10/20/10 1 011 10/15/10 9 011 10/13/10 3 011 10/08/10 5 011 10/06/10 1 011 10/01/10 4 + __________ TOTAL ORDERED 34 113.33 % 011 08/30/10 6 011 08/25/10 2 011 08/23/10 7 011 08/18/10 4 011 08/16/10 2 011 08/11/10 2 011 08/09/10 1 011 08/04/10 3 011 08/02/10 4 + __________ TOTAL ORDERED 31 103.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 011 12/28/10 14 011 12/23/10 10 011 12/20/10 8 011 12/16/10 3 011 12/13/10 7 011 12/09/10 5 011 12/06/10 10 011 12/02/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 155 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 11 3.0 33.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 61 184.84 % 011 11/29/10 12 011 11/24/10 7 011 11/19/10 13 011 11/17/10 4 011 11/12/10 10 011 11/10/10 6 011 11/05/10 9 011 11/03/10 4 + __________ TOTAL ORDERED 65 196.96 % 011 10/29/10 10 011 10/27/10 6 011 10/22/10 7 011 10/20/10 2 011 10/15/10 12 011 10/13/10 5 011 10/08/10 6 011 10/06/10 3 011 10/01/10 10 + __________ TOTAL ORDERED 61 184.84 % 011 09/29/10 4 011 09/24/10 11 011 09/17/10 12 011 09/15/10 2 011 09/10/10 9 011 09/01/10 14 + __________ TOTAL ORDERED 52 157.57 % 011 08/30/10 5 011 08/25/10 7 011 08/23/10 4 011 08/18/10 7 011 08/16/10 7 011 08/11/10 7 011 08/09/10 8 011 08/04/10 5 011 08/02/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 156 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 11 3.0 33.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 57 172.72 % 011 07/28/10 7 011 07/26/10 1 011 07/21/10 7 011 07/19/10 1 011 07/14/10 5 011 07/12/10 4 011 07/07/10 6 011 07/01/10 15 + __________ TOTAL ORDERED 46 139.39 % 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 10/29/10 4 011 10/22/10 2 011 10/20/10 1 011 10/15/10 2 011 10/06/10 2 011 10/01/10 1 + __________ TOTAL ORDERED 12 133.33 % 011 08/30/10 2 011 08/25/10 2 011 08/18/10 1 011 08/16/10 1 011 08/09/10 3 011 08/04/10 1 + __________ TOTAL ORDERED 10 111.11 % 011 07/21/10 2 011 07/19/10 1 011 07/14/10 1 011 07/12/10 2 011 07/07/10 3 011 07/01/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 157 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 11 122.22 % 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 12/22/10 2 013 12/15/10 7 013 12/08/10 5 + __________ TOTAL ORDERED 14 155.55 % 013 11/23/10 4 013 11/16/10 1 013 11/09/10 8 + __________ TOTAL ORDERED 13 144.44 % 013 08/27/10 3 013 08/20/10 4 013 08/13/10 3 + __________ 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 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 011 12/28/10 4 011 12/23/10 5 011 12/20/10 3 011 12/16/10 1 011 12/13/10 2 011 12/09/10 2 011 12/06/10 2 011 12/02/10 2 + __________ TOTAL ORDERED 21 140.00 % 011 11/29/10 3 011 11/24/10 5 011 11/19/10 5 011 11/17/10 1 011 11/12/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 158 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 011 11/10/10 4 011 11/05/10 1 011 11/03/10 2 + __________ TOTAL ORDERED 25 166.66 % 011 10/29/10 4 011 10/27/10 3 011 10/22/10 2 011 10/20/10 1 011 10/15/10 2 011 10/13/10 1 011 10/08/10 4 011 10/06/10 2 011 10/01/10 3 + __________ TOTAL ORDERED 22 146.66 % 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 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 011 12/28/10 9 011 12/23/10 8 011 12/20/10 7 011 12/16/10 5 011 12/13/10 6 011 12/09/10 4 011 12/06/10 4 011 12/02/10 7 + __________ TOTAL ORDERED 50 151.51 % 011 10/29/10 6 011 10/27/10 7 011 10/22/10 10 011 10/20/10 3 011 10/15/10 9 011 10/13/10 2 011 10/08/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 159 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 011 10/06/10 1 011 10/01/10 7 + __________ TOTAL ORDERED 50 151.51 % 011 09/29/10 5 011 09/24/10 11 011 09/22/10 9 011 09/17/10 5 011 09/15/10 5 011 09/10/10 7 011 09/01/10 10 + __________ TOTAL ORDERED 52 157.57 % 011 08/30/10 5 011 08/25/10 4 011 08/23/10 2 011 08/18/10 8 011 08/16/10 7 011 08/11/10 5 011 08/09/10 7 011 08/04/10 6 + __________ TOTAL ORDERED 44 133.33 % 011 07/28/10 6 011 07/26/10 1 011 07/21/10 5 011 07/19/10 4 011 07/14/10 4 011 07/12/10 8 011 07/07/10 7 011 07/01/10 3 + __________ TOTAL ORDERED 38 115.15 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 160 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 478483 PROPOXY-N-ACET 100-500TB(ARI)+100 32448632610 24486032610 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 003 09/30/10 1 003 09/28/10 2 003 09/16/10 1 + __________ TOTAL ORDERED 4 133.33 % 003 08/31/10 1 003 08/24/10 1 003 08/13/10 2 003 08/10/10 1 + __________ TOTAL ORDERED 5 166.66 % 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 013 10/07/10 5 013 10/28/10 3 013 10/21/10 5 013 10/14/10 9 + __________ TOTAL ORDERED 22 104.76 % 013 09/30/10 2 013 09/23/10 6 013 09/16/10 5 013 09/09/10 5 013 09/02/10 4 + __________ TOTAL ORDERED 22 104.76 % 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 544544 FENTANYL 25MCG/HR TS (WAT) + 5 30591319872 00591319872 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 013 12/29/10 11 013 12/22/10 12 013 12/15/10 1 013 12/08/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 161 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 007 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 544544 FENTANYL 25MCG/HR TS (WAT) + 5 30591319872 00591319872 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 013 12/01/10 4 + __________ TOTAL ORDERED 29 138.09 % 013 10/27/10 9 013 10/20/10 5 013 10/13/10 2 013 10/06/10 10 + __________ TOTAL ORDERED 26 123.80 % 013 09/29/10 2 013 09/22/10 3 013 09/15/10 10 013 09/08/10 4 013 09/01/10 5 + __________ TOTAL ORDERED 24 114.28 % 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 12/29/10 7 013 12/22/10 1 013 12/08/10 1 013 12/01/10 6 + __________ TOTAL ORDERED 15 166.66 % 013 09/15/10 2 013 09/08/10 4 013 09/01/10 5 + __________ TOTAL ORDERED 11 122.22 % 013 08/18/10 1 013 08/11/10 4 013 08/04/10 6 + __________ TOTAL ORDERED 11 122.22 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 162 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 003 12/29/10 5 003 12/27/10 9 003 12/21/10 7 003 12/17/10 1 003 12/14/10 3 003 12/10/10 3 003 12/07/10 2 + __________ TOTAL ORDERED 30 125.00 % 003 11/30/10 3 003 11/26/10 7 003 11/22/10 5 003 11/18/10 1 003 11/15/10 2 003 11/11/10 3 003 11/08/10 5 003 11/04/10 2 003 11/01/10 3 + __________ TOTAL ORDERED 31 129.16 % 003 09/30/10 5 003 09/27/10 3 003 09/23/10 2 003 09/20/10 2 003 09/16/10 6 003 09/13/10 3 003 09/02/10 6 + __________ 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 19 3.0 57.0 0 DC DATE ORDERED QUANTITY 003 12/29/10 14 003 12/27/10 7 003 12/21/10 8 003 12/17/10 6 003 12/14/10 6 003 12/10/10 7 003 12/07/10 16 003 12/03/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 163 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 19 3.0 57.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 71 124.56 % 003 11/30/10 6 003 11/26/10 7 003 11/22/10 15 003 11/18/10 4 003 11/15/10 9 003 11/11/10 2 003 11/08/10 6 003 11/04/10 11 003 11/01/10 6 + __________ TOTAL ORDERED 66 115.78 % 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 11/30/10 2 003 11/22/10 1 003 11/18/10 1 003 11/11/10 1 003 11/08/10 2 + __________ TOTAL ORDERED 7 116.66 % 003 09/27/10 1 003 09/23/10 2 003 09/20/10 1 003 09/09/10 1 003 09/02/10 3 + __________ TOTAL ORDERED 8 133.33 % 003 07/29/10 2 003 07/22/10 3 003 07/15/10 1 003 07/08/10 1 + __________ TOTAL ORDERED 7 116.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 164 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 007 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05275 AW3903449 8 W 63RD ST WESTMONT IL 60559 +_________________________________________________________________________________________________________________________________________________ 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 10/27/10 1 013 10/20/10 1 013 10/13/10 4 013 10/06/10 6 + __________ TOTAL ORDERED 12 200.00 % 013 09/29/10 1 013 09/22/10 4 013 09/15/10 3 013 09/08/10 1 013 09/01/10 1 + __________ TOTAL ORDERED 10 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 569539 FENTANYL CIT ORAL 400MCG (WAT)+30 35525307130 55253007130 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 013 12/08/10 10 013 12/01/10 4 + __________ TOTAL ORDERED 14 116.66 % 013 11/17/10 8 013 11/10/10 4 013 11/03/10 4 + __________ TOTAL ORDERED 16 133.33 % 013 10/20/10 5 013 10/13/10 8 + __________ TOTAL ORDERED 13 108.33 % 013 09/29/10 4 013 09/22/10 8 013 09/15/10 8 013 09/01/10 4 + __________ TOTAL ORDERED 24 200.00 % 013 07/15/10 8 013 07/28/10 8 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 165 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 007 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05275 AW3903449 8 W 63RD ST WESTMONT IL 60559 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 569539 FENTANYL CIT ORAL 400MCG (WAT)+30 35525307130 55253007130 4 3.0 12.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 16 133.33 % 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 003 12/20/10 4 003 12/16/10 1 003 12/09/10 5 003 12/06/10 2 003 12/02/10 4 + __________ TOTAL ORDERED 16 177.77 % 003 11/29/10 2 003 11/24/10 2 003 11/19/10 2 003 11/17/10 4 003 11/12/10 3 003 11/10/10 1 003 11/05/10 2 + __________ TOTAL ORDERED 16 177.77 % 003 10/27/10 1 003 10/22/10 5 003 10/15/10 1 003 10/08/10 2 003 10/06/10 2 003 10/01/10 1 + __________ TOTAL ORDERED 12 133.33 % 003 09/24/10 3 003 09/17/10 2 003 09/15/10 3 003 09/01/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 166 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 08/30/10 2 003 08/25/10 3 003 08/18/10 2 003 08/11/10 1 003 08/09/10 2 003 08/04/10 2 + __________ TOTAL ORDERED 12 133.33 % 003 07/28/10 2 003 07/26/10 4 003 07/21/10 2 003 07/19/10 3 003 07/14/10 1 003 07/12/10 1 003 07/07/10 1 003 07/01/10 4 + __________ TOTAL ORDERED 18 200.00 % 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 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 011 12/28/10 15 011 12/23/10 14 011 12/20/10 14 011 12/06/10 6 011 12/02/10 9 + __________ TOTAL ORDERED 58 175.75 % 011 11/29/10 6 011 11/24/10 5 011 11/19/10 7 011 11/17/10 3 011 11/12/10 8 011 11/10/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 167 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 011 11/05/10 8 011 11/03/10 6 + __________ TOTAL ORDERED 49 148.48 % 011 10/29/10 11 011 10/27/10 5 011 10/22/10 5 011 10/20/10 2 011 10/15/10 7 011 10/13/10 4 011 10/08/10 6 011 10/06/10 4 011 10/01/10 5 + __________ TOTAL ORDERED 49 148.48 % 011 09/29/10 7 011 09/24/10 8 011 09/22/10 4 011 09/17/10 9 011 09/15/10 8 011 09/10/10 8 011 09/01/10 10 + __________ TOTAL ORDERED 54 163.63 % 011 08/30/10 3 011 08/25/10 6 011 08/23/10 7 011 08/18/10 3 011 08/16/10 7 011 08/11/10 6 011 08/09/10 7 011 08/04/10 5 011 08/02/10 2 + __________ TOTAL ORDERED 46 139.39 % 011 07/28/10 5 011 07/26/10 2 011 07/21/10 2 011 07/19/10 11 011 07/14/10 8 011 07/07/10 4 011 07/01/10 8 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 168 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 11 3.0 33.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 40 121.21 % 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 011 12/28/10 4 011 12/23/10 3 011 12/20/10 8 011 12/16/10 1 011 12/13/10 2 011 12/09/10 4 011 12/06/10 2 011 12/02/10 2 + __________ TOTAL ORDERED 26 173.33 % 011 11/29/10 2 011 11/24/10 1 011 11/19/10 3 011 11/17/10 1 011 11/12/10 1 011 11/10/10 2 011 11/05/10 2 011 11/03/10 5 + __________ TOTAL ORDERED 17 113.33 % 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 544543 FENTANYL 50MCG/HR TS (WAT) + 5 30591321272 00591321272 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 013 09/28/10 7 013 09/21/10 5 013 09/14/10 1 013 09/07/10 11 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 169 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 544543 FENTANYL 50MCG/HR TS (WAT) + 5 30591321272 00591321272 7 3.0 21.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 24 114.28 % 013 08/27/10 6 013 08/13/10 2 013 08/06/10 15 + __________ TOTAL ORDERED 23 109.52 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 011 12/28/10 11 011 12/23/10 9 011 12/20/10 7 011 12/16/10 7 011 12/13/10 3 011 12/09/10 3 011 12/06/10 6 011 12/02/10 6 + __________ TOTAL ORDERED 52 157.57 % 011 11/29/10 9 011 11/24/10 6 011 11/19/10 7 011 11/17/10 5 011 11/12/10 7 011 11/10/10 4 011 11/05/10 6 011 11/03/10 2 + __________ TOTAL ORDERED 46 139.39 % 011 10/29/10 7 011 10/27/10 5 011 10/22/10 6 011 10/20/10 3 011 10/15/10 4 011 10/13/10 4 011 10/08/10 6 011 10/06/10 2 011 10/01/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 170 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 11 3.0 33.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 44 133.33 % 011 09/29/10 5 011 09/24/10 7 011 09/22/10 5 011 09/17/10 5 011 09/15/10 3 011 09/10/10 11 011 09/01/10 10 + __________ TOTAL ORDERED 46 139.39 % 011 08/30/10 5 011 08/25/10 5 011 08/23/10 1 011 08/18/10 7 011 08/16/10 1 011 08/11/10 6 011 08/09/10 3 011 08/04/10 6 011 08/02/10 8 + __________ TOTAL ORDERED 42 127.27 % 011 07/28/10 5 011 07/26/10 8 011 07/21/10 5 011 07/19/10 9 011 07/14/10 6 011 07/12/10 8 011 07/07/10 7 011 07/01/10 11 + __________ TOTAL ORDERED 59 178.78 % 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 10/29/10 3 011 10/22/10 4 011 10/20/10 1 011 10/15/10 2 011 10/08/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 171 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 011 10/06/10 1 011 10/01/10 2 + __________ TOTAL ORDERED 15 166.66 % 011 09/29/10 2 011 09/24/10 2 011 09/22/10 1 011 09/17/10 2 011 09/15/10 2 011 09/01/10 3 + __________ TOTAL ORDERED 12 133.33 % 011 08/30/10 2 011 08/25/10 2 011 08/23/10 4 011 08/18/10 1 011 08/11/10 2 011 08/09/10 5 + __________ TOTAL ORDERED 16 177.77 % 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 11/16/10 7 013 11/02/10 6 + __________ TOTAL ORDERED 13 144.44 % 013 10/19/10 7 013 10/05/10 3 + __________ TOTAL ORDERED 10 111.11 % 013 08/13/10 13 + __________ TOTAL ORDERED 13 144.44 % 013 07/23/10 6 013 07/16/10 6 + __________ TOTAL ORDERED 12 133.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 172 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 672651 ACETAMIN/CODIENE 300/60 TAB + 100 30603233921 00603233921 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 003 12/28/10 1 003 12/23/10 1 003 12/13/10 2 003 12/09/10 3 003 12/06/10 2 003 12/02/10 1 + __________ TOTAL ORDERED 10 111.11 % 003 11/29/10 1 003 11/24/10 1 003 11/19/10 1 003 11/12/10 1 003 11/05/10 4 003 11/03/10 3 + __________ TOTAL ORDERED 11 122.22 % 003 08/30/10 2 003 08/25/10 1 003 08/18/10 2 003 08/11/10 2 003 08/09/10 1 003 08/04/10 2 003 08/02/10 1 + __________ TOTAL ORDERED 11 122.22 % 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 10/22/10 1 003 10/20/10 1 003 10/15/10 3 003 10/08/10 2 003 10/06/10 1 003 10/01/10 2 + __________ TOTAL ORDERED 10 111.11 % 003 09/24/10 1 003 09/17/10 5 003 09/10/10 3 003 09/08/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 173 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 672713 ACET-CODEINE 120-12/5 (PAI)+473ML 30121050416 00121050416 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 13 144.44 % 003 08/25/10 1 003 08/18/10 3 003 08/11/10 4 003 08/09/10 3 + __________ TOTAL ORDERED 11 122.22 % 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 10/27/10 1 003 10/22/10 1 003 10/15/10 3 003 10/08/10 4 003 10/01/10 1 + __________ TOTAL ORDERED 10 111.11 % 003 09/24/10 3 003 09/22/10 1 003 09/17/10 5 003 09/01/10 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 12/28/10 3 003 12/23/10 4 003 12/16/10 1 003 12/06/10 2 + __________ TOTAL ORDERED 10 166.66 % 003 11/24/10 2 003 11/17/10 5 003 11/12/10 2 003 11/05/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 174 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 11 183.33 % 003 10/22/10 3 003 10/15/10 3 003 10/08/10 1 003 10/06/10 1 003 10/01/10 2 + __________ TOTAL ORDERED 10 166.66 % 003 07/28/10 1 003 07/26/10 1 003 07/21/10 1 003 07/14/10 3 003 07/01/10 1 + __________ TOTAL ORDERED 7 116.66 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04668 AW2106513 1003 N MAIN ST CROWN POINT IN 46307 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 011 12/29/10 4 011 12/23/10 8 011 12/21/10 4 011 12/16/10 4 011 12/14/10 2 011 12/09/10 7 011 12/07/10 5 011 12/02/10 7 + __________ TOTAL ORDERED 41 124.24 % 011 11/24/10 5 011 11/22/10 7 011 11/17/10 4 011 11/15/10 5 011 11/10/10 4 011 11/08/10 5 011 11/03/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 175 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 008 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04668 AW2106513 1003 N MAIN ST CROWN POINT IN 46307 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 011 11/01/10 4 + __________ TOTAL ORDERED 37 112.12 % 011 08/30/10 3 011 08/26/10 4 011 08/23/10 3 011 08/19/10 3 011 08/16/10 3 011 08/12/10 2 011 08/09/10 2 011 08/05/10 6 011 08/02/10 8 + __________ TOTAL ORDERED 34 103.03 % 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 11/24/10 1 011 11/22/10 2 011 11/17/10 2 011 11/10/10 2 011 11/08/10 3 011 11/03/10 2 + __________ TOTAL ORDERED 12 133.33 % 011 10/27/10 1 011 10/25/10 2 011 10/20/10 1 011 10/18/10 2 011 10/13/10 3 011 10/11/10 2 011 10/06/10 1 + __________ TOTAL ORDERED 12 133.33 % 011 09/29/10 2 011 09/20/10 2 011 09/15/10 1 011 09/13/10 2 011 09/08/10 2 011 09/02/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 176 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 008 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04668 AW2106513 1003 N MAIN ST CROWN POINT IN 46307 +_________________________________________________________________________________________________________________________________________________ 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 % 011 08/30/10 3 011 08/23/10 1 011 08/19/10 1 011 08/16/10 4 011 08/12/10 1 011 08/09/10 1 + __________ TOTAL ORDERED 11 122.22 % 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 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 011 12/28/10 10 011 12/23/10 8 011 12/20/10 5 011 12/16/10 2 011 12/13/10 2 011 12/09/10 4 011 12/06/10 4 011 12/02/10 4 + __________ TOTAL ORDERED 39 118.18 % 011 11/29/10 2 011 11/24/10 6 011 11/19/10 10 011 11/17/10 5 011 11/12/10 6 011 11/10/10 1 011 11/05/10 8 011 11/03/10 6 + __________ TOTAL ORDERED 44 133.33 % 011 10/29/10 7 011 10/27/10 3 011 10/22/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 177 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 011 10/20/10 2 011 10/15/10 5 011 10/13/10 5 011 10/08/10 9 011 10/06/10 1 011 10/01/10 7 + __________ TOTAL ORDERED 46 139.39 % 011 09/29/10 2 011 09/24/10 6 011 09/22/10 2 011 09/17/10 9 011 09/15/10 1 011 09/10/10 11 011 09/01/10 10 + __________ TOTAL ORDERED 41 124.24 % 011 08/30/10 5 011 08/25/10 7 011 08/23/10 5 011 08/18/10 7 011 08/16/10 4 011 08/11/10 5 011 08/09/10 2 011 08/04/10 6 011 08/02/10 3 + __________ TOTAL ORDERED 44 133.33 % 011 07/28/10 8 011 07/26/10 4 011 07/21/10 7 011 07/19/10 7 011 07/14/10 4 011 07/12/10 8 011 07/07/10 13 011 07/01/10 6 + __________ TOTAL ORDERED 57 172.72 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 178 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 672713 ACET-CODEINE 120-12/5 (PAI)+473ML 30121050416 00121050416 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 011 11/12/10 8 011 11/10/10 3 + __________ TOTAL ORDERED 11 122.22 % 011 08/30/10 6 011 08/25/10 2 011 08/23/10 1 011 08/18/10 1 011 08/16/10 1 + __________ TOTAL ORDERED 11 122.22 % 011 07/28/10 8 011 07/21/10 3 011 07/19/10 1 011 07/14/10 7 011 07/01/10 9 + __________ TOTAL ORDERED 28 311.11 % 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 12/20/10 2 011 12/16/10 1 011 12/13/10 1 011 12/09/10 1 011 12/06/10 2 011 12/02/10 3 + __________ TOTAL ORDERED 10 111.11 % 011 10/29/10 2 011 10/22/10 2 011 10/15/10 2 011 10/08/10 2 011 10/01/10 4 + __________ TOTAL ORDERED 12 133.33 % 011 09/24/10 3 011 09/17/10 1 011 09/15/10 1 011 09/10/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 179 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 011 09/01/10 4 + __________ TOTAL ORDERED 10 111.11 % 011 08/25/10 3 011 08/23/10 2 011 08/18/10 1 011 08/11/10 3 011 08/09/10 5 + __________ TOTAL ORDERED 14 155.55 % 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 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 011 12/28/10 4 011 12/22/10 9 011 12/20/10 5 011 12/15/10 7 011 12/13/10 4 011 12/08/10 6 011 12/06/10 4 011 12/01/10 4 + __________ TOTAL ORDERED 43 130.30 % 011 11/29/10 2 011 11/23/10 7 011 11/19/10 7 011 11/16/10 3 011 11/12/10 5 011 11/09/10 4 011 11/05/10 4 011 11/02/10 2 + __________ TOTAL ORDERED 34 103.03 % 011 10/29/10 5 011 10/26/10 2 011 10/22/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 180 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 011 10/19/10 4 011 10/15/10 4 011 10/12/10 4 011 10/08/10 5 011 10/05/10 2 011 10/01/10 6 + __________ TOTAL ORDERED 36 109.09 % 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 12/20/10 3 011 12/15/10 3 011 12/13/10 1 011 12/08/10 1 011 12/01/10 2 + __________ TOTAL ORDERED 10 111.11 % 011 11/23/10 2 011 11/19/10 3 011 11/16/10 1 011 11/12/10 2 011 11/09/10 1 011 11/05/10 1 011 11/02/10 1 + __________ TOTAL ORDERED 11 122.22 % 011 10/29/10 2 011 10/26/10 1 011 10/22/10 2 011 10/19/10 3 011 10/15/10 1 011 10/12/10 1 011 10/08/10 1 011 10/05/10 2 011 10/01/10 1 + __________ TOTAL ORDERED 14 155.55 % 011 09/28/10 2 011 09/24/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 181 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 011 09/14/10 10 011 09/10/10 1 011 09/01/10 3 + __________ TOTAL ORDERED 17 188.88 % 011 08/27/10 1 011 08/18/10 3 011 08/13/10 1 011 08/11/10 7 011 08/06/10 5 + __________ TOTAL ORDERED 17 188.88 % 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 12/22/10 1 011 12/20/10 1 011 12/15/10 2 011 12/08/10 1 011 12/06/10 1 011 12/01/10 1 + __________ TOTAL ORDERED 7 116.66 % 011 11/23/10 1 011 11/19/10 1 011 11/05/10 4 011 11/02/10 2 + __________ TOTAL ORDERED 8 133.33 % 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 09/28/10 1 011 09/24/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 182 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 011 09/14/10 1 011 09/07/10 1 011 09/01/10 1 + __________ TOTAL ORDERED 5 166.66 % 011 08/27/10 1 011 08/25/10 1 011 08/11/10 1 011 08/06/10 1 + __________ TOTAL ORDERED 4 133.33 % 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 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 011 12/30/10 2 011 12/27/10 1 011 12/22/10 4 011 12/17/10 3 011 12/15/10 4 011 12/10/10 4 011 12/08/10 1 011 12/03/10 1 + __________ TOTAL ORDERED 20 111.11 % 011 10/28/10 9 011 10/21/10 2 011 10/19/10 3 011 10/14/10 4 011 10/12/10 1 011 10/07/10 8 011 10/05/10 4 + __________ TOTAL ORDERED 31 172.22 % 011 08/31/10 3 011 08/27/10 4 011 08/24/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 183 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 499233 HYDROCO-APAP 10-660 TAB (WAT)+100 36203756701 62037056701 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 011 08/20/10 4 011 08/17/10 4 011 08/13/10 1 011 08/06/10 4 011 08/03/10 3 + __________ TOTAL ORDERED 25 138.88 % 011 07/27/10 2 011 07/23/10 10 011 07/20/10 1 011 07/16/10 5 011 07/13/10 1 011 07/09/10 7 011 07/06/10 4 + __________ TOTAL ORDERED 30 166.66 % 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 10/28/10 1 011 10/21/10 1 011 10/19/10 4 011 10/14/10 3 011 10/12/10 1 + __________ TOTAL ORDERED 10 111.11 % 011 09/30/10 3 011 09/21/10 4 011 09/09/10 2 011 09/07/10 1 + __________ TOTAL ORDERED 10 111.11 % 011 08/31/10 2 011 08/20/10 3 011 08/17/10 1 011 08/10/10 1 011 08/06/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 184 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 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 685928 XANAX 1MG TAB + 100 30009009001 00009009001 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 011 12/27/10 1 011 12/22/10 1 011 12/08/10 2 + __________ TOTAL ORDERED 4 133.33 % 011 11/18/10 2 011 11/09/10 1 011 11/04/10 1 + __________ TOTAL ORDERED 4 133.33 % 011 09/30/10 1 011 09/28/10 1 011 09/14/10 1 011 09/09/10 1 + __________ TOTAL ORDERED 4 133.33 % 011 08/31/10 1 011 08/27/10 1 011 08/13/10 1 011 08/06/10 1 011 08/03/10 1 + __________ TOTAL ORDERED 5 166.66 % 011 07/27/10 1 011 07/09/10 2 011 07/06/10 1 + __________ TOTAL ORDERED 4 133.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 185 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 468843 TRAMADOL/APAP 37.5/325MG+(AMN)500 36516261750 65162061750 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 011 12/29/10 1 011 12/23/10 1 011 12/09/10 1 011 12/02/10 1 + __________ TOTAL ORDERED 4 133.33 % 011 11/30/10 1 011 11/22/10 1 011 11/10/10 1 011 11/01/10 1 + __________ TOTAL ORDERED 4 133.33 % 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 11/24/10 1 011 11/17/10 1 011 11/10/10 1 011 11/03/10 1 + __________ TOTAL ORDERED 4 133.33 % 011 10/27/10 1 011 10/25/10 1 011 10/13/10 1 011 10/06/10 1 + __________ TOTAL ORDERED 4 133.33 % 011 09/29/10 1 011 09/27/10 1 011 09/15/10 1 011 09/08/10 1 + __________ TOTAL ORDERED 4 133.33 % 011 08/30/10 1 011 08/26/10 1 011 08/12/10 1 011 08/09/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 186 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 4 133.33 % 011 07/29/10 1 011 07/22/10 1 011 07/15/10 1 011 07/08/10 1 011 07/01/10 1 + __________ TOTAL ORDERED 5 166.66 % 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 12/29/10 3 011 12/23/10 5 011 12/16/10 4 011 12/14/10 5 011 12/09/10 4 011 12/07/10 1 011 12/02/10 5 + __________ TOTAL ORDERED 27 300.00 % 011 11/24/10 4 011 11/22/10 5 011 11/17/10 3 011 11/10/10 2 011 11/03/10 2 011 11/01/10 5 + __________ TOTAL ORDERED 21 233.33 % 011 10/25/10 4 011 10/20/10 4 011 10/13/10 2 011 10/11/10 4 011 10/06/10 6 011 10/04/10 5 + __________ TOTAL ORDERED 25 277.77 % 011 09/29/10 10 011 09/22/10 2 011 09/08/10 12 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 187 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 24 266.66 % 011 08/30/10 1 011 08/26/10 3 011 08/23/10 5 011 08/16/10 1 011 08/12/10 2 011 08/09/10 1 011 08/05/10 1 011 08/02/10 2 + __________ TOTAL ORDERED 16 177.77 % 011 07/29/10 7 011 07/26/10 3 011 07/22/10 2 011 07/19/10 2 011 07/15/10 1 011 07/12/10 3 011 07/01/10 12 + __________ TOTAL ORDERED 30 333.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 10 3.0 30.0 0 DC DATE ORDERED QUANTITY 011 12/29/10 4 011 12/23/10 6 011 12/21/10 6 011 12/16/10 4 011 12/14/10 6 011 12/09/10 5 011 12/07/10 5 011 12/02/10 6 + __________ TOTAL ORDERED 42 140.00 % 011 11/30/10 3 011 11/24/10 3 011 11/22/10 5 011 11/17/10 1 011 11/15/10 7 011 11/10/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 188 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 11/08/10 7 011 11/03/10 4 011 11/01/10 5 + __________ TOTAL ORDERED 38 126.66 % 011 10/27/10 1 011 10/25/10 7 011 10/20/10 5 011 10/18/10 4 011 10/13/10 5 011 10/11/10 3 011 10/06/10 4 011 10/04/10 5 + __________ TOTAL ORDERED 34 113.33 % 011 09/29/10 5 011 09/27/10 4 011 09/22/10 3 011 09/20/10 11 011 09/15/10 6 011 09/13/10 11 011 09/02/10 3 + __________ TOTAL ORDERED 43 143.33 % 011 08/30/10 5 011 08/26/10 4 011 08/23/10 5 011 08/19/10 5 011 08/16/10 5 011 08/12/10 5 011 08/09/10 6 011 08/05/10 6 011 08/02/10 4 + __________ TOTAL ORDERED 45 150.00 % 011 07/29/10 3 011 07/26/10 5 011 07/22/10 4 011 07/19/10 5 011 07/15/10 6 011 07/12/10 6 011 07/08/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 189 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 07/01/10 9 + __________ TOTAL ORDERED 43 143.33 % 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 011 12/23/10 1 011 12/16/10 1 011 12/02/10 5 + __________ TOTAL ORDERED 7 116.66 % 011 11/24/10 1 011 11/10/10 1 011 11/03/10 5 + __________ TOTAL ORDERED 7 116.66 % 011 08/26/10 6 011 08/19/10 1 011 08/09/10 1 + __________ TOTAL ORDERED 8 133.33 % 0 SALES DISTRICT 009 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 01033 AW9805346 811 GREEN BAY WILMETTE IL 60091 +_________________________________________________________________________________________________________________________________________________ 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 12/29/10 2 003 12/27/10 1 003 12/21/10 2 003 12/17/10 3 003 12/14/10 2 003 12/10/10 1 003 12/07/10 1 003 12/03/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 190 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 009 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 01033 AW9805346 811 GREEN BAY WILMETTE IL 60091 +_________________________________________________________________________________________________________________________________________________ 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 15 125.00 % 003 10/28/10 1 003 10/25/10 1 003 10/21/10 4 003 10/18/10 1 003 10/14/10 1 003 10/11/10 2 003 10/07/10 3 003 10/04/10 3 + __________ TOTAL ORDERED 16 133.33 % 003 09/30/10 1 003 09/27/10 2 003 09/23/10 2 003 09/16/10 4 003 09/13/10 1 003 09/09/10 2 003 09/02/10 2 + __________ TOTAL ORDERED 14 116.66 % 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 11/22/10 1 003 11/08/10 1 003 11/01/10 2 + __________ TOTAL ORDERED 4 133.33 % 003 09/30/10 1 003 09/27/10 1 003 09/23/10 1 003 09/09/10 1 003 09/02/10 1 + __________ TOTAL ORDERED 5 166.66 % 003 08/26/10 1 003 08/19/10 1 003 08/12/10 1 003 08/10/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 191 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 009 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 01033 AW9805346 811 GREEN BAY WILMETTE IL 60091 +_________________________________________________________________________________________________________________________________________________ 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 + __________ TOTAL ORDERED 4 133.33 % 003 07/29/10 1 003 07/22/10 1 003 07/20/10 1 003 07/15/10 1 003 07/08/10 1 003 07/06/10 1 + __________ TOTAL ORDERED 6 200.00 % 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 11/23/10 7 013 11/16/10 4 013 11/02/10 3 + __________ TOTAL ORDERED 14 233.33 % 013 09/02/10 3 013 09/28/10 4 013 09/08/10 3 + __________ TOTAL ORDERED 10 166.66 % 013 08/10/10 6 013 08/03/10 3 + __________ TOTAL ORDERED 9 150.00 % 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 10/27/10 1 003 10/25/10 1 003 10/20/10 1 003 10/18/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 192 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 10/13/10 2 003 10/11/10 1 003 10/04/10 1 + __________ TOTAL ORDERED 8 133.33 % 003 09/29/10 2 003 09/22/10 2 003 09/20/10 1 003 09/15/10 1 003 09/02/10 2 + __________ 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 679543 METHYLPHENIDATE 20MG TAB (WT)+100 30591588401 00591588401 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 013 11/30/10 6 013 11/23/10 2 013 11/16/10 1 013 11/09/10 2 013 11/02/10 4 + __________ TOTAL ORDERED 15 125.00 % 013 09/14/10 8 013 09/08/10 10 + __________ TOTAL ORDERED 18 150.00 % 013 08/31/10 2 013 08/24/10 2 013 08/17/10 9 013 08/10/10 1 013 08/03/10 1 + __________ TOTAL ORDERED 15 125.00 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 193 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 009 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02990 BW1834589 635 CHICAGO AVE EVANSTON IL 60202 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 448226 ZOLPIDEM ER 6.25MG TABS (ACT)+100 30228348111 00228348111 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 003 12/17/10 1 003 12/14/10 1 003 12/03/10 2 + __________ TOTAL ORDERED 4 133.33 % 003 11/30/10 1 003 11/26/10 1 003 11/08/10 1 003 11/04/10 2 + __________ TOTAL ORDERED 5 166.66 % 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 12/27/10 2 003 12/22/10 3 003 12/10/10 1 003 12/03/10 1 + __________ TOTAL ORDERED 7 116.66 % 003 11/26/10 3 003 11/23/10 2 003 11/18/10 1 003 11/16/10 1 003 11/11/10 2 003 11/04/10 1 + __________ TOTAL ORDERED 10 166.66 % 003 10/21/10 5 003 10/14/10 4 003 10/12/10 1 003 10/07/10 2 + __________ TOTAL ORDERED 12 200.00 % 003 09/30/10 2 003 09/23/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 194 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 472540 TRAMADOL HCL ER 100MG TB (PAT)+30 31014709013 10147090103 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 09/16/10 2 003 09/09/10 3 + __________ TOTAL ORDERED 8 133.33 % 003 08/31/10 2 003 08/27/10 2 003 08/24/10 1 003 08/17/10 1 003 08/10/10 1 003 08/06/10 1 + __________ TOTAL ORDERED 8 133.33 % 003 07/27/10 3 003 07/23/10 2 003 07/13/10 1 003 07/09/10 1 + __________ TOTAL ORDERED 7 116.66 % 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 08/30/10 3 013 08/23/10 1 013 08/09/10 1 013 08/02/10 2 + __________ TOTAL ORDERED 7 116.66 % 013 07/26/10 2 013 07/19/10 1 013 07/12/10 3 013 07/06/10 1 + __________ 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 003 12/27/10 4 003 12/22/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 195 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 672873 ANDROGEL 1% GEL (UNI) + 30X5.0GM 30051845030 00051845030 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 003 12/17/10 3 003 12/10/10 5 003 12/08/10 2 + __________ TOTAL ORDERED 20 166.66 % 003 11/26/10 5 003 11/18/10 3 003 11/16/10 3 003 11/04/10 3 + __________ TOTAL ORDERED 14 116.66 % 003 09/30/10 8 003 09/16/10 5 003 09/09/10 3 003 09/07/10 4 + __________ TOTAL ORDERED 20 166.66 % 003 08/24/10 6 003 08/20/10 3 003 08/10/10 5 003 08/06/10 4 003 08/03/10 5 + __________ TOTAL ORDERED 23 191.66 % 003 07/27/10 3 003 07/23/10 3 003 07/20/10 3 003 07/16/10 1 003 07/09/10 5 + __________ TOTAL ORDERED 15 125.00 % 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 003 11/26/10 2 003 11/18/10 1 003 11/11/10 1 003 11/09/10 4 003 11/04/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 196 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 684809 TESTOSTERN CYP 200MG/ML(WAT)+10ML 30591322379 00364661054 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 9 150.00 % 003 09/23/10 2 003 09/21/10 1 003 09/16/10 2 003 09/09/10 1 003 09/07/10 2 + __________ TOTAL ORDERED 8 133.33 % 003 08/31/10 3 003 08/27/10 1 003 08/06/10 2 003 08/03/10 1 + __________ TOTAL ORDERED 7 116.66 % 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 003 12/22/10 1 003 12/17/10 6 003 12/15/10 4 003 12/10/10 7 003 12/08/10 1 003 12/03/10 1 + __________ TOTAL ORDERED 20 133.33 % 003 11/26/10 1 003 11/18/10 8 003 11/11/10 4 003 11/09/10 3 003 11/04/10 5 + __________ TOTAL ORDERED 21 140.00 % 003 10/21/10 6 003 10/19/10 4 003 10/14/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 197 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 003 10/12/10 5 003 10/07/10 4 + __________ TOTAL ORDERED 23 153.33 % 003 09/30/10 4 003 09/28/10 1 003 09/23/10 2 003 09/21/10 2 003 09/16/10 6 003 09/14/10 1 003 09/09/10 1 + __________ TOTAL ORDERED 17 113.33 % 003 08/31/10 7 003 08/24/10 2 003 08/20/10 3 003 08/17/10 2 003 08/13/10 5 003 08/06/10 2 003 08/03/10 2 + __________ 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 11/26/10 6 003 11/23/10 1 003 11/18/10 1 003 11/11/10 3 003 11/09/10 1 003 11/04/10 2 003 11/02/10 3 + __________ TOTAL ORDERED 17 188.88 % 003 10/28/10 2 003 10/21/10 3 003 10/14/10 3 003 10/12/10 2 003 10/07/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 198 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 09/30/10 5 003 09/28/10 3 003 09/23/10 3 003 09/21/10 4 003 09/16/10 1 003 09/14/10 3 + __________ TOTAL ORDERED 19 211.11 % 003 08/31/10 4 003 08/27/10 2 003 08/24/10 3 003 08/20/10 1 003 08/17/10 1 003 08/13/10 1 003 08/10/10 1 003 08/03/10 1 + __________ TOTAL ORDERED 14 155.55 % 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 12/29/10 3 003 12/23/10 1 003 12/16/10 3 003 12/09/10 2 003 12/02/10 1 + __________ TOTAL ORDERED 10 166.66 % 003 11/24/10 3 003 11/17/10 6 003 11/15/10 1 003 11/10/10 2 003 11/08/10 1 003 11/03/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 199 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 11/01/10 1 + __________ TOTAL ORDERED 17 283.33 % 003 10/27/10 2 003 10/20/10 2 003 10/06/10 2 003 10/04/10 1 + __________ TOTAL ORDERED 7 116.66 % 003 09/29/10 1 003 09/27/10 1 003 09/22/10 1 003 09/20/10 1 003 09/08/10 4 003 09/02/10 1 + __________ TOTAL ORDERED 9 150.00 % 003 08/30/10 1 003 08/23/10 1 003 08/19/10 3 003 08/12/10 1 003 08/09/10 4 003 08/05/10 2 003 08/02/10 2 + __________ TOTAL ORDERED 14 233.33 % 003 07/22/10 3 003 07/19/10 1 003 07/08/10 6 003 07/01/10 1 + __________ TOTAL ORDERED 11 183.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 200 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 003 12/29/10 2 003 12/23/10 6 003 12/21/10 3 003 12/16/10 3 003 12/14/10 2 003 12/09/10 3 003 12/07/10 1 003 12/02/10 3 + __________ TOTAL ORDERED 23 109.52 % 003 10/27/10 5 003 10/25/10 2 003 10/20/10 2 003 10/18/10 3 003 10/13/10 3 003 10/11/10 3 003 10/06/10 4 003 10/04/10 2 + __________ TOTAL ORDERED 24 114.28 % 003 09/29/10 3 003 09/27/10 3 003 09/22/10 3 003 09/20/10 2 003 09/15/10 3 003 09/13/10 3 003 09/08/10 2 003 09/02/10 4 + __________ TOTAL ORDERED 23 109.52 % 003 08/30/10 3 003 08/26/10 3 003 08/23/10 2 003 08/19/10 2 003 08/16/10 4 003 08/12/10 2 003 08/09/10 2 003 08/05/10 2 003 08/02/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 201 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 7 3.0 21.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 23 109.52 % 003 07/29/10 1 003 07/26/10 3 003 07/22/10 4 003 07/19/10 4 003 07/15/10 2 003 07/12/10 3 003 07/08/10 2 003 07/01/10 7 + __________ TOTAL ORDERED 26 123.80 % 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 003 12/16/10 1 003 12/13/10 4 003 12/06/10 2 + __________ TOTAL ORDERED 7 233.33 % 003 11/24/10 2 003 11/10/10 3 + __________ TOTAL ORDERED 5 166.66 % 003 10/20/10 2 003 10/15/10 2 003 10/13/10 1 003 10/06/10 2 003 10/01/10 1 + __________ TOTAL ORDERED 8 266.66 % 003 09/29/10 2 003 09/22/10 2 003 09/17/10 1 003 09/10/10 1 003 09/08/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 202 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 003 09/01/10 1 + __________ TOTAL ORDERED 8 266.66 % 003 08/30/10 2 003 08/23/10 2 003 08/09/10 4 003 08/04/10 1 + __________ TOTAL ORDERED 9 300.00 % 003 07/26/10 2 003 07/21/10 1 003 07/19/10 3 003 07/12/10 2 003 07/01/10 2 + __________ TOTAL ORDERED 10 333.33 % 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 457754 BUTORPHANOL TART NS (ROX) + 2.5ML 30054309036 00054309036 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 11/30/10 2 010 11/24/10 2 010 11/17/10 1 010 11/10/10 2 010 11/08/10 2 010 11/03/10 4 + __________ TOTAL ORDERED 13 108.33 % 010 09/29/10 1 010 09/27/10 2 010 09/22/10 1 010 09/15/10 2 010 09/08/10 1 010 09/02/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 203 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 457754 BUTORPHANOL TART NS (ROX) + 2.5ML 30054309036 00054309036 4 3.0 12.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 13 108.33 % 010 07/19/10 6 010 07/12/10 7 + __________ TOTAL ORDERED 13 108.33 % 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 014 09/30/10 1 014 09/23/10 1 014 09/16/10 5 014 09/09/10 5 014 09/02/10 1 + __________ TOTAL ORDERED 13 144.44 % 014 08/26/10 4 014 08/19/10 4 014 08/12/10 4 014 08/05/10 3 + __________ TOTAL ORDERED 15 166.66 % 014 07/15/10 8 014 07/08/10 1 014 07/01/10 1 + __________ TOTAL ORDERED 10 111.11 % 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 014 09/30/10 4 014 09/23/10 2 014 09/02/10 6 + __________ TOTAL ORDERED 12 133.33 % 014 08/26/10 3 014 08/19/10 4 014 08/12/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 204 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 514718 MORPHINE SUL 30MG TAB (ROX) + 100 30054023625 00054023625 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 08/05/10 4 + __________ TOTAL ORDERED 13 144.44 % 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 12/23/10 12 014 12/16/10 8 + __________ TOTAL ORDERED 20 166.66 % 014 11/11/10 7 014 11/04/10 8 + __________ TOTAL ORDERED 15 125.00 % 014 10/28/10 10 014 10/21/10 7 014 10/14/10 9 014 10/07/10 6 + __________ TOTAL ORDERED 32 266.66 % 014 09/30/10 4 014 09/23/10 5 014 09/16/10 4 014 09/09/10 1 014 09/02/10 5 + __________ TOTAL ORDERED 19 158.33 % 014 07/29/10 10 014 07/22/10 2 014 07/01/10 7 + __________ TOTAL ORDERED 19 158.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539150 D-AMPHET SALT COMBO 20MG TAB +100 36472013510 64720013510 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 014 12/23/10 18 014 12/16/10 12 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 205 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 7 3.0 21.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 30 142.85 % 014 10/28/10 11 014 10/21/10 12 014 10/14/10 2 014 10/07/10 8 + __________ TOTAL ORDERED 33 157.14 % 014 08/26/10 13 014 08/19/10 6 014 08/05/10 8 + __________ TOTAL ORDERED 27 128.57 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 12/29/10 3 010 12/23/10 9 010 12/21/10 2 010 12/16/10 5 010 12/14/10 3 010 12/09/10 6 010 12/07/10 2 010 12/02/10 7 + __________ TOTAL ORDERED 37 112.12 % 010 11/30/10 3 010 11/24/10 6 010 11/22/10 3 010 11/17/10 3 010 11/15/10 3 010 11/10/10 4 010 11/08/10 3 010 11/03/10 5 010 11/01/10 4 + __________ TOTAL ORDERED 34 103.03 % 010 09/29/10 5 010 09/27/10 1 010 09/22/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 206 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 09/20/10 5 010 09/15/10 7 010 09/13/10 3 010 09/08/10 6 010 09/02/10 5 + __________ TOTAL ORDERED 35 106.06 % 010 08/30/10 4 010 08/23/10 4 010 08/19/10 6 010 08/16/10 3 010 08/12/10 4 010 08/09/10 4 010 08/05/10 5 010 08/02/10 6 + __________ TOTAL ORDERED 36 109.09 % 010 07/29/10 4 010 07/26/10 3 010 07/22/10 3 010 07/19/10 4 010 07/15/10 3 010 07/12/10 6 010 07/08/10 8 010 07/01/10 8 + __________ TOTAL ORDERED 39 118.18 % 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 12/29/10 9 010 12/23/10 21 010 12/21/10 10 010 12/16/10 7 010 12/14/10 2 010 12/09/10 11 010 12/07/10 8 010 12/02/10 14 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 207 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 82 248.48 % 010 11/30/10 6 010 11/24/10 18 010 11/22/10 1 010 11/17/10 4 010 11/10/10 8 010 11/08/10 9 010 11/03/10 11 010 11/01/10 4 + __________ TOTAL ORDERED 61 184.84 % 010 10/27/10 8 010 10/20/10 8 010 10/13/10 7 010 10/11/10 7 010 10/06/10 10 010 10/04/10 17 + __________ TOTAL ORDERED 57 172.72 % 010 09/29/10 11 010 09/27/10 13 010 09/22/10 6 010 09/20/10 11 010 09/15/10 15 010 09/13/10 21 010 09/08/10 23 010 09/02/10 21 + __________ TOTAL ORDERED 121 366.66 % 010 08/30/10 11 010 08/26/10 14 010 08/23/10 21 010 08/19/10 21 010 08/16/10 7 010 08/12/10 16 010 08/09/10 23 010 08/05/10 3 010 08/02/10 23 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 208 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 139 421.21 % 010 07/29/10 6 010 07/26/10 17 010 07/22/10 11 010 07/19/10 13 010 07/15/10 12 010 07/12/10 22 010 07/08/10 19 010 07/01/10 30 + __________ TOTAL ORDERED 130 393.93 % 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 09/27/10 3 010 09/22/10 3 010 09/20/10 3 010 09/15/10 2 010 09/13/10 1 010 09/02/10 1 + __________ TOTAL ORDERED 13 108.33 % 010 08/30/10 2 010 08/26/10 3 010 08/23/10 1 010 08/19/10 1 010 08/16/10 1 010 08/12/10 2 010 08/09/10 3 + __________ TOTAL ORDERED 13 108.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 010 12/29/10 4 010 12/23/10 8 010 12/21/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 209 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 010 12/16/10 7 010 12/14/10 1 010 12/09/10 7 010 12/02/10 4 + __________ TOTAL ORDERED 32 118.51 % 010 09/29/10 3 010 09/27/10 4 010 09/22/10 7 010 09/20/10 10 010 09/15/10 6 010 09/13/10 7 010 09/08/10 5 010 09/02/10 5 + __________ TOTAL ORDERED 47 174.07 % 010 08/30/10 4 010 08/26/10 8 010 08/23/10 8 010 08/19/10 8 010 08/16/10 2 010 08/12/10 5 010 08/09/10 7 010 08/05/10 3 010 08/02/10 6 + __________ TOTAL ORDERED 51 188.88 % 010 07/29/10 2 010 07/26/10 5 010 07/22/10 8 010 07/19/10 6 010 07/15/10 6 010 07/12/10 6 010 07/08/10 4 010 07/01/10 15 + __________ TOTAL ORDERED 52 192.59 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 210 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 09/29/10 3 010 09/27/10 2 010 09/22/10 4 010 09/20/10 2 010 09/15/10 4 010 09/13/10 5 010 09/02/10 11 + __________ TOTAL ORDERED 31 206.66 % 010 08/26/10 1 010 08/23/10 4 010 08/19/10 3 010 08/16/10 3 010 08/12/10 4 010 08/09/10 4 010 08/05/10 3 010 08/02/10 6 + __________ TOTAL ORDERED 28 186.66 % 010 07/29/10 2 010 07/26/10 3 010 07/22/10 2 010 07/19/10 3 010 07/15/10 3 010 07/12/10 4 010 07/08/10 6 010 07/01/10 8 + __________ TOTAL ORDERED 31 206.66 % 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 12/29/10 1 010 12/23/10 3 010 12/16/10 3 010 12/09/10 1 010 12/07/10 1 010 12/02/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 211 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 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 11/24/10 2 010 11/22/10 1 010 11/17/10 1 010 11/10/10 2 010 11/08/10 1 010 11/03/10 2 010 11/01/10 1 + __________ TOTAL ORDERED 10 111.11 % 010 09/29/10 1 010 09/27/10 2 010 09/22/10 2 010 09/20/10 1 010 09/15/10 1 010 09/08/10 1 010 09/02/10 4 + __________ TOTAL ORDERED 12 133.33 % 010 08/30/10 1 010 08/26/10 1 010 08/23/10 1 010 08/19/10 1 010 08/16/10 2 010 08/12/10 1 010 08/09/10 2 010 08/05/10 1 010 08/02/10 2 + __________ TOTAL ORDERED 12 133.33 % 010 07/29/10 2 010 07/26/10 1 010 07/22/10 3 010 07/19/10 2 010 07/12/10 2 010 07/01/10 4 + __________ TOTAL ORDERED 14 155.55 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 212 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 675801 DEXTROAMPHETAMINE 10MG TB(BAR)100 30555095302 00555095302 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 12/23/10 4 014 12/16/10 5 014 12/02/10 6 + __________ TOTAL ORDERED 15 250.00 % 014 10/28/10 2 014 10/21/10 2 014 10/07/10 7 + __________ TOTAL ORDERED 11 183.33 % 014 09/29/10 2 014 09/30/10 3 014 09/23/10 3 014 09/02/10 2 + __________ TOTAL ORDERED 10 166.66 % 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 12/23/10 1 010 12/21/10 1 010 12/09/10 2 + __________ TOTAL ORDERED 4 133.33 % 010 10/20/10 1 010 10/13/10 1 010 10/04/10 2 + __________ TOTAL ORDERED 4 133.33 % 010 07/22/10 1 010 07/15/10 1 010 07/12/10 1 010 07/08/10 1 010 07/01/10 1 + __________ TOTAL ORDERED 5 166.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 213 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 676915 HYDROMORPHONE HCL 4MG (MK) + 100 30406324401 00406324401 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 014 12/23/10 6 014 12/16/10 8 014 12/02/10 2 + __________ TOTAL ORDERED 16 133.33 % 014 10/28/10 5 014 10/14/10 4 014 10/07/10 4 + __________ TOTAL ORDERED 13 108.33 % 014 09/30/10 1 014 09/23/10 1 014 09/16/10 3 014 09/02/10 9 + __________ TOTAL ORDERED 14 116.66 % 014 08/26/10 6 014 08/19/10 4 014 08/05/10 4 + __________ TOTAL ORDERED 14 116.66 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02428 BW9049912 2717 FM 1960 RD HOUSTON TX 77373 +_________________________________________________________________________________________________________________________________________________ 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 12/29/10 14 010 12/27/10 1 010 12/21/10 9 010 12/17/10 5 010 12/14/10 3 010 12/10/10 3 010 12/07/10 10 010 12/03/10 3 + __________ TOTAL ORDERED 48 145.45 % 010 11/22/10 5 010 11/18/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 214 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02428 BW9049912 2717 FM 1960 RD HOUSTON TX 77373 +_________________________________________________________________________________________________________________________________________________ 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 11/15/10 1 010 11/08/10 3 010 11/04/10 12 010 11/01/10 11 + __________ TOTAL ORDERED 37 112.12 % 010 10/28/10 2 010 10/25/10 6 010 10/21/10 15 010 10/18/10 16 010 10/14/10 13 010 10/11/10 7 010 10/07/10 17 010 10/04/10 14 + __________ TOTAL ORDERED 90 272.72 % 010 09/30/10 2 010 09/27/10 3 010 09/23/10 9 010 09/20/10 13 010 09/16/10 9 010 09/13/10 3 010 09/09/10 15 + __________ TOTAL ORDERED 54 163.63 % 010 07/29/10 8 010 07/27/10 4 010 07/22/10 5 010 07/20/10 6 010 07/15/10 5 010 07/13/10 5 010 07/08/10 8 010 07/06/10 5 + __________ TOTAL ORDERED 46 139.39 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 215 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03026 BW3789306 13606 KUYKENDAHL HOUSTON TX 77090 +_________________________________________________________________________________________________________________________________________________ 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 12/23/10 4 010 12/21/10 4 010 12/16/10 1 010 12/09/10 1 + __________ TOTAL ORDERED 10 111.11 % 010 11/24/10 4 010 11/17/10 1 010 11/10/10 4 010 11/03/10 2 + __________ TOTAL ORDERED 11 122.22 % 010 07/19/10 7 010 07/12/10 11 + __________ TOTAL ORDERED 18 200.00 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03285 AW8812706 530 W LITTLE YORK HOUSTON TX 77091 +_________________________________________________________________________________________________________________________________________________ 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 12/29/10 4 010 12/23/10 7 010 12/21/10 1 010 12/16/10 12 010 12/09/10 14 010 12/07/10 4 010 12/02/10 6 + __________ TOTAL ORDERED 48 145.45 % 010 11/30/10 1 010 11/24/10 7 010 11/22/10 7 010 11/17/10 4 010 11/15/10 11 010 11/10/10 4 010 11/08/10 5 010 11/03/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 216 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03285 AW8812706 530 W LITTLE YORK HOUSTON TX 77091 +_________________________________________________________________________________________________________________________________________________ 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 11/01/10 5 + __________ TOTAL ORDERED 51 154.54 % 010 10/27/10 5 010 10/25/10 7 010 10/20/10 2 010 10/18/10 8 010 10/13/10 6 010 10/11/10 4 010 10/06/10 6 010 10/04/10 5 + __________ TOTAL ORDERED 43 130.30 % 010 09/29/10 6 010 09/27/10 4 010 09/22/10 3 010 09/20/10 8 010 09/15/10 5 010 09/13/10 3 010 09/08/10 6 010 09/02/10 7 + __________ TOTAL ORDERED 42 127.27 % 010 08/30/10 4 010 08/26/10 3 010 08/23/10 3 010 08/19/10 9 010 08/16/10 9 010 08/12/10 3 010 08/09/10 5 010 08/05/10 4 010 08/02/10 1 + __________ TOTAL ORDERED 41 124.24 % 010 07/29/10 5 010 07/26/10 9 010 07/22/10 2 010 07/19/10 7 010 07/15/10 3 010 07/12/10 6 010 07/01/10 13 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 217 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03285 AW8812706 530 W LITTLE YORK HOUSTON TX 77091 +_________________________________________________________________________________________________________________________________________________ 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 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03424 AW1075034 23110 ALDINE WESTFIELD SPRING TX 77373 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 457754 BUTORPHANOL TART NS (ROX) + 2.5ML 30054309036 00054309036 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 11/24/10 3 010 11/17/10 2 010 11/15/10 3 010 11/10/10 2 010 11/03/10 2 010 11/01/10 1 + __________ TOTAL ORDERED 13 108.33 % 010 10/27/10 2 010 10/25/10 1 010 10/20/10 1 010 10/18/10 5 010 10/13/10 2 010 10/06/10 2 010 10/04/10 3 + __________ TOTAL ORDERED 16 133.33 % 010 09/29/10 2 010 09/27/10 1 010 09/22/10 2 010 09/20/10 3 010 09/15/10 2 010 09/08/10 4 010 09/02/10 2 + __________ TOTAL ORDERED 16 133.33 % 010 08/30/10 2 010 08/26/10 2 010 08/19/10 5 010 08/16/10 1 010 08/09/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 218 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03424 AW1075034 23110 ALDINE WESTFIELD SPRING TX 77373 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 457754 BUTORPHANOL TART NS (ROX) + 2.5ML 30054309036 00054309036 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 08/02/10 1 + __________ TOTAL ORDERED 13 108.33 % 010 07/29/10 1 010 07/22/10 1 010 07/19/10 3 010 07/15/10 2 010 07/12/10 6 + __________ TOTAL ORDERED 13 108.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04021 BW8616344 8808 ANTOINE DR HOUSTON TX 44086 +_________________________________________________________________________________________________________________________________________________ 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 11/29/10 6 010 11/23/10 7 010 11/16/10 9 010 11/12/10 6 010 11/09/10 2 010 11/05/10 1 010 11/02/10 5 + __________ TOTAL ORDERED 36 109.09 % 010 10/26/10 6 010 10/22/10 4 010 10/19/10 5 010 10/15/10 9 010 10/12/10 1 010 10/08/10 10 010 10/05/10 2 010 10/01/10 6 + __________ TOTAL ORDERED 43 130.30 % 010 09/28/10 6 010 09/24/10 7 010 09/21/10 2 010 09/14/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 219 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 010 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04021 BW8616344 8808 ANTOINE DR HOUSTON TX 44086 +_________________________________________________________________________________________________________________________________________________ 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 09/10/10 4 010 09/07/10 8 010 09/01/10 9 + __________ TOTAL ORDERED 42 127.27 % 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 448603 HYDROCODO/CHLORPHEN ER SUSP+473ML 36217549070 62175049070 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 010 12/29/10 6 010 12/23/10 1 010 12/21/10 2 010 12/16/10 1 010 12/14/10 2 010 12/09/10 1 010 12/02/10 3 + __________ TOTAL ORDERED 16 106.66 % 010 11/30/10 1 010 11/24/10 2 010 11/22/10 4 010 11/15/10 4 010 11/03/10 5 010 11/01/10 2 + __________ TOTAL ORDERED 18 120.00 % 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 12/27/10 2 014 12/10/10 4 014 12/03/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 220 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 529634 VYVANSE 40MG CAPS + 100 35941710410 59417010410 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 9 150.00 % 014 10/29/10 7 014 10/22/10 5 014 10/15/10 2 014 10/01/10 1 + __________ TOTAL ORDERED 15 250.00 % 014 07/23/10 4 014 07/16/10 3 + __________ 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 11/19/10 5 014 11/12/10 2 + __________ TOTAL ORDERED 7 116.66 % 014 10/15/10 4 014 10/08/10 3 + __________ TOTAL ORDERED 7 116.66 % 014 08/27/10 2 014 08/20/10 3 014 08/13/10 3 014 08/06/10 3 + __________ 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 11/19/10 6 014 11/12/10 4 + __________ TOTAL ORDERED 10 111.11 % 014 10/29/10 2 014 10/15/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 221 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 014 10/01/10 3 + __________ TOTAL ORDERED 10 111.11 % 014 08/27/10 3 014 08/20/10 3 014 08/13/10 3 014 08/06/10 3 + __________ TOTAL ORDERED 12 133.33 % 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 08/30/10 6 010 08/05/10 1 + __________ TOTAL ORDERED 7 233.33 % 010 07/26/10 5 + __________ TOTAL ORDERED 5 166.66 % 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 457754 BUTORPHANOL TART NS (ROX) + 2.5ML 30054309036 00054309036 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 12/23/10 7 010 12/21/10 1 010 12/16/10 3 010 12/09/10 5 + __________ TOTAL ORDERED 16 133.33 % 010 08/26/10 2 010 08/23/10 11 + __________ TOTAL ORDERED 13 108.33 % 010 07/29/10 17 010 07/19/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 222 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 457754 BUTORPHANOL TART NS (ROX) + 2.5ML 30054309036 00054309036 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 07/15/10 16 010 07/12/10 16 + __________ TOTAL ORDERED 55 458.33 % 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 12/29/10 4 010 12/23/10 14 010 12/21/10 3 010 12/16/10 3 010 12/14/10 1 010 12/09/10 9 010 12/07/10 11 010 12/02/10 6 + __________ TOTAL ORDERED 51 154.54 % 010 11/24/10 7 010 11/22/10 3 010 11/17/10 4 010 11/15/10 6 010 11/10/10 7 010 11/08/10 6 010 11/03/10 6 010 11/01/10 2 + __________ TOTAL ORDERED 41 124.24 % 010 10/18/10 15 010 10/13/10 1 010 10/11/10 10 010 10/06/10 4 010 10/04/10 12 + __________ TOTAL ORDERED 42 127.27 % 010 09/29/10 8 010 09/27/10 5 010 09/22/10 5 010 09/20/10 4 010 09/15/10 4 010 09/13/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 223 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 09/08/10 17 + __________ TOTAL ORDERED 45 136.36 % 010 08/30/10 8 010 08/26/10 7 010 08/23/10 5 010 08/19/10 4 010 08/16/10 3 010 08/12/10 2 010 08/09/10 8 010 08/05/10 8 010 08/02/10 8 + __________ TOTAL ORDERED 53 160.60 % 010 07/29/10 7 010 07/26/10 3 010 07/19/10 7 010 07/15/10 6 010 07/12/10 12 010 07/08/10 16 010 07/01/10 11 + __________ TOTAL ORDERED 62 187.87 % 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 12/29/10 1 010 12/23/10 4 010 12/16/10 1 010 12/14/10 1 010 12/09/10 2 010 12/02/10 1 + __________ TOTAL ORDERED 10 111.11 % 010 10/27/10 1 010 10/20/10 4 010 10/18/10 3 010 10/13/10 1 010 10/06/10 1 010 10/04/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 224 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 672713 ACET-CODEINE 120-12/5 (PAI)+473ML 30121050416 00121050416 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 11 122.22 % 010 09/22/10 4 010 09/20/10 2 010 09/15/10 4 010 09/13/10 1 010 09/02/10 3 + __________ TOTAL ORDERED 14 155.55 % 010 08/26/10 2 010 08/19/10 1 010 08/16/10 2 010 08/12/10 1 010 08/09/10 1 010 08/05/10 3 + __________ TOTAL ORDERED 10 111.11 % 010 07/26/10 2 010 07/22/10 2 010 07/19/10 1 010 07/15/10 1 010 07/12/10 2 010 07/01/10 3 + __________ 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 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 010 12/29/10 3 010 12/23/10 7 010 12/21/10 1 010 12/16/10 6 010 12/14/10 3 010 12/09/10 5 010 12/07/10 4 010 12/02/10 5 + __________ TOTAL ORDERED 34 125.92 % 010 10/27/10 3 010 10/25/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 225 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 010 10/20/10 4 010 10/18/10 2 010 10/13/10 2 010 10/11/10 4 010 10/06/10 2 010 10/04/10 5 + __________ TOTAL ORDERED 29 107.40 % 010 09/29/10 5 010 09/27/10 1 010 09/22/10 4 010 09/20/10 3 010 09/15/10 3 010 09/13/10 7 010 09/08/10 4 010 09/02/10 4 + __________ TOTAL ORDERED 31 114.81 % 010 07/29/10 6 010 07/26/10 4 010 07/22/10 4 010 07/19/10 2 010 07/15/10 1 010 07/12/10 5 010 07/08/10 4 010 07/01/10 9 + __________ TOTAL ORDERED 35 129.62 % 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 684342 TEMAZEPAM 30MG CAPSULES + 100 30781220201 00781220201 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 12/29/10 1 010 12/23/10 2 010 12/16/10 1 010 12/14/10 1 010 12/09/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 226 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 684342 TEMAZEPAM 30MG CAPSULES + 100 30781220201 00781220201 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 12/07/10 2 010 12/02/10 1 + __________ TOTAL ORDERED 11 122.22 % 010 11/24/10 2 010 11/22/10 1 010 11/17/10 2 010 11/15/10 1 010 11/10/10 1 010 11/08/10 3 + __________ TOTAL ORDERED 10 111.11 % 010 09/29/10 1 010 09/27/10 1 010 09/22/10 1 010 09/20/10 2 010 09/15/10 2 010 09/13/10 3 + __________ TOTAL ORDERED 10 111.11 % 010 07/29/10 1 010 07/26/10 1 010 07/22/10 2 010 07/19/10 3 010 07/08/10 2 010 07/01/10 3 + __________ TOTAL ORDERED 12 133.33 % 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 450485 CARISOPRODOL 350MG TAB (WAT) 100 30591551301 00591551301 19 3.0 57.0 0 DC DATE ORDERED QUANTITY 010 11/30/10 13 010 11/24/10 8 010 11/22/10 9 010 11/17/10 16 010 11/15/10 21 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 227 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 450485 CARISOPRODOL 350MG TAB (WAT) 100 30591551301 00591551301 19 3.0 57.0 0 DC DATE ORDERED QUANTITY 010 11/10/10 3 010 11/08/10 18 010 11/03/10 7 010 11/01/10 17 + __________ TOTAL ORDERED 112 196.49 % 010 10/27/10 3 010 10/25/10 22 010 10/20/10 6 010 10/18/10 5 010 10/13/10 10 010 10/11/10 10 010 10/06/10 15 + __________ TOTAL ORDERED 71 124.56 % 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 010 12/23/10 7 010 12/09/10 1 + __________ TOTAL ORDERED 8 133.33 % 010 10/06/10 1 010 10/04/10 8 + __________ TOTAL ORDERED 9 150.00 % 010 07/12/10 1 010 07/08/10 6 + __________ 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 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 12/29/10 5 010 12/23/10 11 010 12/21/10 5 010 12/16/10 4 010 12/14/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 228 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 12/09/10 3 010 12/07/10 4 010 12/02/10 4 + __________ TOTAL ORDERED 41 124.24 % 010 08/30/10 3 010 08/26/10 5 010 08/23/10 4 010 08/19/10 4 010 08/16/10 5 010 08/12/10 2 010 08/09/10 3 010 08/05/10 4 010 08/02/10 4 + __________ TOTAL ORDERED 34 103.03 % 010 07/29/10 2 010 07/26/10 4 010 07/22/10 4 010 07/19/10 5 010 07/15/10 4 010 07/12/10 5 010 07/08/10 2 010 07/01/10 10 + __________ TOTAL ORDERED 36 109.09 % 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 10/13/10 5 010 10/11/10 2 + __________ TOTAL ORDERED 7 116.66 % 010 08/16/10 3 010 08/12/10 2 010 08/09/10 2 + __________ TOTAL ORDERED 7 116.66 % 010 07/12/10 3 010 07/08/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 229 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 594188 ALPRAZOLAM XR 0.5MG TAB (GRN)+ 60 35976200571 59762005701 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 07/01/10 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 12/29/10 10 010 12/23/10 15 010 12/21/10 7 010 12/16/10 7 010 12/14/10 13 010 12/09/10 16 010 12/07/10 10 010 12/02/10 8 + __________ TOTAL ORDERED 86 260.60 % 010 11/30/10 4 010 11/24/10 6 010 11/22/10 11 010 11/17/10 5 010 11/15/10 18 010 11/10/10 5 010 11/08/10 11 010 11/03/10 8 010 11/01/10 8 + __________ TOTAL ORDERED 76 230.30 % 010 10/27/10 6 010 10/25/10 6 010 10/20/10 6 010 10/18/10 8 010 10/13/10 6 010 10/11/10 10 010 10/06/10 8 010 10/04/10 16 + __________ TOTAL ORDERED 66 200.00 % 010 09/29/10 9 010 09/27/10 5 010 09/22/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 230 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 09/20/10 8 010 09/15/10 9 010 09/13/10 17 010 09/08/10 22 + __________ TOTAL ORDERED 77 233.33 % 010 08/30/10 9 010 08/26/10 4 010 08/23/10 10 010 08/19/10 12 010 08/16/10 9 010 08/12/10 10 010 08/09/10 14 010 08/05/10 6 010 08/02/10 9 + __________ TOTAL ORDERED 83 251.51 % 010 07/29/10 7 010 07/26/10 14 010 07/22/10 3 010 07/19/10 10 010 07/15/10 9 010 07/12/10 15 010 07/08/10 12 010 07/01/10 16 + __________ TOTAL ORDERED 86 260.60 % 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 12/29/10 1 010 12/23/10 2 010 12/21/10 1 010 12/16/10 3 010 12/14/10 1 010 12/09/10 1 010 12/02/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 231 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 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 % 010 11/24/10 2 010 11/22/10 3 010 11/17/10 2 010 11/15/10 1 010 11/10/10 4 010 11/08/10 2 010 11/03/10 1 010 11/01/10 5 + __________ TOTAL ORDERED 20 222.22 % 010 10/27/10 2 010 10/13/10 3 010 10/11/10 2 010 10/06/10 2 010 10/04/10 5 + __________ TOTAL ORDERED 14 155.55 % 010 09/29/10 1 010 09/22/10 1 010 09/20/10 2 010 09/15/10 1 010 09/13/10 5 010 09/02/10 2 + __________ TOTAL ORDERED 12 133.33 % 010 07/29/10 1 010 07/26/10 2 010 07/22/10 2 010 07/19/10 1 010 07/15/10 1 010 07/12/10 1 010 07/08/10 2 010 07/01/10 3 + __________ TOTAL ORDERED 13 144.44 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 232 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 010 12/29/10 2 010 12/23/10 7 010 12/16/10 6 010 12/14/10 9 010 12/09/10 5 010 12/07/10 2 010 12/02/10 5 + __________ TOTAL ORDERED 36 133.33 % 010 09/29/10 5 010 09/22/10 4 010 09/20/10 3 010 09/15/10 5 010 09/13/10 4 010 09/08/10 9 010 09/02/10 2 + __________ TOTAL ORDERED 32 118.51 % 010 08/30/10 2 010 08/26/10 2 010 08/23/10 2 010 08/19/10 5 010 08/16/10 3 010 08/12/10 2 010 08/09/10 2 010 08/05/10 7 010 08/02/10 3 + __________ TOTAL ORDERED 28 103.70 % 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 09/29/10 3 010 09/27/10 4 010 09/22/10 2 010 09/20/10 3 010 09/15/10 3 010 09/13/10 7 010 09/02/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 233 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 27 180.00 % 010 08/26/10 3 010 08/23/10 3 010 08/19/10 3 010 08/16/10 3 010 08/12/10 2 010 08/09/10 2 010 08/05/10 3 010 08/02/10 3 + __________ TOTAL ORDERED 22 146.66 % 010 07/29/10 3 010 07/26/10 4 010 07/22/10 2 010 07/19/10 3 010 07/15/10 2 010 07/12/10 3 010 07/08/10 3 010 07/01/10 6 + __________ TOTAL ORDERED 26 173.33 % 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 12/29/10 1 010 12/23/10 4 010 12/16/10 2 010 12/14/10 1 010 12/09/10 3 010 12/02/10 2 + __________ TOTAL ORDERED 13 144.44 % 010 11/24/10 4 010 11/17/10 2 010 11/15/10 1 010 11/10/10 2 010 11/08/10 1 010 11/03/10 2 010 11/01/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 234 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 13 144.44 % 010 10/27/10 2 010 10/25/10 4 010 10/20/10 2 010 10/13/10 2 010 10/11/10 1 010 10/06/10 3 010 10/04/10 2 + __________ TOTAL ORDERED 16 177.77 % 010 09/29/10 2 010 09/27/10 2 010 09/22/10 2 010 09/20/10 1 010 09/15/10 3 010 09/13/10 1 010 09/08/10 3 010 09/02/10 3 + __________ TOTAL ORDERED 17 188.88 % 010 08/30/10 2 010 08/26/10 1 010 08/19/10 1 010 08/16/10 4 010 08/12/10 1 010 08/09/10 2 010 08/05/10 2 010 08/02/10 3 + __________ TOTAL ORDERED 16 177.77 % 010 07/29/10 2 010 07/26/10 2 010 07/22/10 1 010 07/19/10 1 010 07/15/10 2 010 07/12/10 6 010 07/08/10 1 010 07/01/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 235 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 18 200.00 % 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 010 12/29/10 5 010 12/23/10 6 010 12/21/10 3 010 12/16/10 3 010 12/14/10 2 010 12/09/10 2 010 12/02/10 2 + __________ TOTAL ORDERED 23 153.33 % 010 11/30/10 1 010 11/24/10 3 010 11/22/10 2 010 11/17/10 5 010 11/15/10 2 010 11/10/10 2 010 11/08/10 2 010 11/03/10 3 010 11/01/10 2 + __________ TOTAL ORDERED 22 146.66 % 010 10/27/10 2 010 10/25/10 3 010 10/20/10 3 010 10/18/10 6 010 10/13/10 1 010 10/11/10 2 010 10/06/10 1 010 10/04/10 2 + __________ TOTAL ORDERED 20 133.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 236 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 010 12/29/10 1 010 12/23/10 5 010 12/21/10 3 010 12/16/10 1 010 12/09/10 2 010 12/07/10 1 010 12/02/10 1 + __________ TOTAL ORDERED 14 155.55 % 010 11/24/10 3 010 11/22/10 3 010 11/17/10 1 010 11/15/10 4 010 11/10/10 2 010 11/08/10 5 + __________ TOTAL ORDERED 18 200.00 % 010 10/20/10 3 010 10/18/10 2 010 10/13/10 5 + __________ TOTAL ORDERED 10 111.11 % 010 09/29/10 1 010 09/27/10 1 010 09/22/10 2 010 09/20/10 1 010 09/15/10 1 010 09/13/10 5 + __________ TOTAL ORDERED 11 122.22 % 010 08/23/10 3 010 08/19/10 5 010 08/12/10 1 010 08/09/10 1 010 08/05/10 1 010 08/02/10 1 + __________ TOTAL ORDERED 12 133.33 % 010 07/29/10 2 010 07/26/10 1 010 07/22/10 1 010 07/19/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 237 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 010 07/12/10 1 010 07/01/10 3 + __________ 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 08/30/10 1 010 08/19/10 1 010 08/16/10 1 010 08/09/10 1 + __________ TOTAL ORDERED 4 133.33 % 010 07/15/10 2 010 07/12/10 1 010 07/08/10 1 010 07/01/10 1 + __________ TOTAL ORDERED 5 166.66 % 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 474146 OXYCODONE ER 80MG TABS (ETH) 100 35817768304 58177068304 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 10/28/10 6 014 10/21/10 8 014 10/07/10 8 + __________ TOTAL ORDERED 22 244.44 % 014 09/30/10 6 014 09/09/10 7 014 09/02/10 6 + __________ TOTAL ORDERED 19 211.11 % 014 08/26/10 6 014 08/19/10 9 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 238 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 474146 OXYCODONE ER 80MG TABS (ETH) 100 35817768304 58177068304 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 08/12/10 3 014 08/05/10 1 + __________ TOTAL ORDERED 19 211.11 % 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 12/30/10 5 010 12/27/10 19 010 12/22/10 23 010 12/17/10 20 010 12/15/10 10 010 12/10/10 18 010 12/08/10 6 010 12/03/10 13 010 12/01/10 8 + __________ TOTAL ORDERED 122 369.69 % 010 11/26/10 24 010 11/23/10 15 010 11/18/10 9 010 11/16/10 9 010 11/11/10 19 010 11/09/10 6 010 11/04/10 13 010 11/02/10 17 + __________ TOTAL ORDERED 112 339.39 % 010 10/28/10 9 010 10/26/10 1 010 10/21/10 10 010 10/19/10 9 010 10/14/10 16 010 10/12/10 5 010 10/07/10 7 010 10/05/10 8 + __________ TOTAL ORDERED 65 196.96 % 010 09/30/10 15 010 09/28/10 10 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 239 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 010 09/23/10 11 010 09/21/10 8 010 09/16/10 19 010 09/14/10 12 010 09/09/10 9 010 09/07/10 20 + __________ TOTAL ORDERED 104 315.15 % 010 08/31/10 19 010 08/27/10 12 010 08/24/10 5 010 08/20/10 14 010 08/17/10 7 010 08/13/10 24 010 08/10/10 12 010 08/06/10 11 010 08/03/10 7 + __________ TOTAL ORDERED 111 336.36 % 010 07/30/10 7 010 07/27/10 6 010 07/23/10 10 010 07/20/10 3 010 07/16/10 12 010 07/13/10 10 010 07/09/10 12 010 07/06/10 10 + __________ TOTAL ORDERED 70 212.12 % 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 12/30/10 2 010 12/22/10 2 010 12/17/10 2 010 12/10/10 1 010 12/08/10 2 010 12/03/10 5 010 12/01/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 240 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 17 188.88 % 010 10/28/10 3 010 10/26/10 1 010 10/21/10 4 010 10/19/10 4 010 10/14/10 2 010 10/12/10 1 010 10/07/10 4 010 10/05/10 3 + __________ TOTAL ORDERED 22 244.44 % 010 08/24/10 1 010 08/20/10 2 010 08/17/10 1 010 08/13/10 4 010 08/10/10 2 010 08/06/10 2 010 08/03/10 3 + __________ TOTAL ORDERED 15 166.66 % 010 07/30/10 3 010 07/27/10 1 010 07/23/10 1 010 07/20/10 1 010 07/16/10 3 010 07/13/10 1 010 07/09/10 5 + __________ 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 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 010 12/30/10 2 010 12/27/10 4 010 12/22/10 6 010 12/17/10 5 010 12/15/10 2 010 12/10/10 7 010 12/08/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 241 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 010 12/03/10 6 + __________ TOTAL ORDERED 34 125.92 % 010 11/26/10 11 010 11/23/10 3 010 11/18/10 6 010 11/11/10 2 010 11/04/10 6 + __________ TOTAL ORDERED 28 103.70 % 010 10/28/10 9 010 10/26/10 1 010 10/21/10 7 010 10/19/10 1 010 10/14/10 4 010 10/07/10 5 010 10/05/10 1 + __________ TOTAL ORDERED 28 103.70 % 010 09/30/10 10 010 09/28/10 7 010 09/23/10 11 010 09/21/10 4 010 09/16/10 6 010 09/14/10 1 010 09/09/10 6 010 09/07/10 9 + __________ TOTAL ORDERED 54 200.00 % 010 08/31/10 7 010 08/27/10 8 010 08/24/10 6 010 08/20/10 3 010 08/17/10 2 010 08/13/10 6 010 08/10/10 3 010 08/06/10 5 010 08/03/10 1 + __________ TOTAL ORDERED 41 151.85 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 242 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 010 12/30/10 1 010 12/22/10 6 + __________ TOTAL ORDERED 7 116.66 % 010 11/26/10 3 010 11/23/10 3 010 11/18/10 1 + __________ TOTAL ORDERED 7 116.66 % 010 09/23/10 9 010 09/16/10 1 + __________ TOTAL ORDERED 10 166.66 % 010 08/31/10 2 010 08/27/10 3 010 08/24/10 5 + __________ TOTAL ORDERED 10 166.66 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06782 BW7921047 192151 45 SO CNROE TX 77385 +_________________________________________________________________________________________________________________________________________________ 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 12/21/10 8 014 12/07/10 10 + __________ TOTAL ORDERED 18 120.00 % 014 11/23/10 8 014 11/09/10 8 + __________ TOTAL ORDERED 16 106.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 243 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 478424 TESTOSTERN CYP 200MG/ML (PAD)+1ML 30574082001 00574082001 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 010 12/17/10 11 010 12/10/10 5 010 12/08/10 7 010 12/03/10 2 + __________ TOTAL ORDERED 25 138.88 % 010 11/26/10 10 010 11/23/10 5 010 11/18/10 11 010 11/16/10 2 010 11/11/10 1 010 11/04/10 1 + __________ TOTAL ORDERED 30 166.66 % 010 10/28/10 5 010 10/21/10 10 010 10/19/10 5 010 10/14/10 5 010 10/12/10 5 010 10/07/10 3 010 10/05/10 2 + __________ TOTAL ORDERED 35 194.44 % 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 12/30/10 3 014 12/23/10 3 014 12/09/10 6 014 12/02/10 7 + __________ TOTAL ORDERED 19 105.55 % 014 09/30/10 13 014 09/23/10 2 014 09/16/10 2 014 09/02/10 4 + __________ TOTAL ORDERED 21 116.66 % 014 07/29/10 8 014 07/15/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 244 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 544544 FENTANYL 25MCG/HR TS (WAT) + 5 30591319872 00591319872 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 014 07/08/10 4 014 07/01/10 5 + __________ TOTAL ORDERED 20 111.11 % 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 12/27/10 3 010 12/22/10 2 010 12/17/10 4 010 12/10/10 1 010 12/08/10 2 010 12/03/10 1 + __________ TOTAL ORDERED 13 216.66 % 010 11/26/10 1 010 11/23/10 2 010 11/11/10 2 010 11/04/10 3 010 11/02/10 2 + __________ TOTAL ORDERED 10 166.66 % 010 10/28/10 3 010 10/21/10 2 010 10/14/10 3 010 10/12/10 1 010 10/07/10 2 + __________ TOTAL ORDERED 11 183.33 % 010 08/31/10 3 010 08/27/10 1 010 08/24/10 1 010 08/20/10 1 010 08/13/10 5 010 08/10/10 1 010 08/06/10 1 010 08/03/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 245 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 594188 ALPRAZOLAM XR 0.5MG TAB (GRN)+ 60 35976200571 59762005701 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 14 233.33 % 010 07/27/10 2 010 07/23/10 1 010 07/16/10 1 010 07/13/10 2 010 07/09/10 1 010 07/06/10 1 + __________ TOTAL ORDERED 8 133.33 % 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 544544 FENTANYL 25MCG/HR TS (WAT) + 5 30591319872 00591319872 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 014 10/29/10 8 014 10/22/10 4 014 10/01/10 11 + __________ TOTAL ORDERED 23 127.77 % 014 09/24/10 11 014 09/17/10 10 + __________ TOTAL ORDERED 21 116.66 % 014 08/27/10 9 014 08/06/10 13 + __________ TOTAL ORDERED 22 122.22 % 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 010 12/28/10 1 010 12/22/10 4 010 12/20/10 2 010 12/15/10 2 010 12/13/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 246 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 12/08/10 1 010 12/06/10 6 010 12/01/10 3 + __________ TOTAL ORDERED 24 160.00 % 010 11/29/10 3 010 11/23/10 5 010 11/19/10 3 010 11/16/10 2 010 11/12/10 2 010 11/09/10 2 010 11/02/10 4 + __________ TOTAL ORDERED 21 140.00 % 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 539147 D-AMPHET SALT COMBO 30MG TAB +100 36472013610 64720013610 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 014 12/28/10 8 014 12/21/10 5 014 12/14/10 10 + __________ TOTAL ORDERED 23 191.66 % 014 11/16/10 6 014 11/09/10 9 014 11/02/10 7 + __________ TOTAL ORDERED 22 183.33 % 014 07/27/10 3 014 07/20/10 2 014 07/13/10 7 014 07/06/10 2 + __________ TOTAL ORDERED 14 116.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 247 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 539150 D-AMPHET SALT COMBO 20MG TAB +100 36472013510 64720013510 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 014 11/16/10 7 014 11/09/10 13 014 11/02/10 9 + __________ TOTAL ORDERED 29 138.09 % 014 09/21/10 13 014 09/14/10 9 + __________ TOTAL ORDERED 22 104.76 % 014 08/24/10 12 014 08/17/10 10 014 08/10/10 7 014 08/03/10 5 + __________ TOTAL ORDERED 34 161.90 % 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 12/14/10 3 014 12/07/10 4 + __________ TOTAL ORDERED 7 116.66 % 014 11/08/10 5 014 11/30/10 5 + __________ TOTAL ORDERED 10 166.66 % 014 10/26/10 5 014 10/19/10 5 014 10/05/10 3 + __________ TOTAL ORDERED 13 216.66 % 014 09/10/10 3 014 09/28/10 2 014 09/21/10 3 + __________ TOTAL ORDERED 8 133.33 % 014 08/24/10 2 014 08/17/10 3 014 08/10/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 248 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 8 133.33 % 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 014 11/30/10 3 014 11/23/10 2 014 11/16/10 8 014 11/09/10 1 + __________ TOTAL ORDERED 14 233.33 % 014 09/28/10 8 + __________ TOTAL ORDERED 8 133.33 % 014 08/31/10 3 014 08/24/10 4 014 08/10/10 1 014 08/03/10 2 + __________ TOTAL ORDERED 10 166.66 % 014 07/20/10 7 + __________ TOTAL ORDERED 7 116.66 % 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 448603 HYDROCODO/CHLORPHEN ER SUSP+473ML 36217549070 62175049070 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 010 12/27/10 3 010 12/22/10 4 010 12/15/10 1 010 12/10/10 3 010 12/08/10 3 010 12/03/10 1 010 12/01/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 249 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 448603 HYDROCODO/CHLORPHEN ER SUSP+473ML 36217549070 62175049070 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 16 106.66 % 010 11/26/10 1 010 11/23/10 2 010 11/18/10 2 010 11/16/10 4 010 11/11/10 1 010 11/09/10 5 010 11/02/10 1 + __________ TOTAL ORDERED 16 106.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 478424 TESTOSTERN CYP 200MG/ML (PAD)+1ML 30574082001 00574082001 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 010 12/17/10 4 010 12/15/10 4 010 12/10/10 2 010 12/03/10 16 + __________ TOTAL ORDERED 26 144.44 % 010 11/26/10 3 010 11/18/10 6 010 11/16/10 14 010 11/11/10 3 010 11/04/10 11 + __________ TOTAL ORDERED 37 205.55 % 010 10/21/10 8 010 10/14/10 8 010 10/12/10 11 010 10/07/10 8 + __________ TOTAL ORDERED 35 194.44 % 010 09/30/10 3 010 09/28/10 3 010 09/23/10 3 010 09/16/10 4 010 09/14/10 1 010 09/09/10 4 010 09/07/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 250 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 478424 TESTOSTERN CYP 200MG/ML (PAD)+1ML 30574082001 00574082001 6 3.0 18.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 25 138.88 % 010 08/27/10 8 010 08/10/10 1 010 08/06/10 10 010 08/03/10 8 + __________ TOTAL ORDERED 27 150.00 % 010 07/23/10 12 010 07/20/10 2 010 07/16/10 2 010 07/13/10 3 010 07/09/10 8 010 07/06/10 4 + __________ TOTAL ORDERED 31 172.22 % 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 11/26/10 4 014 11/12/10 7 014 11/05/10 2 + __________ TOTAL ORDERED 13 108.33 % 014 08/27/10 12 014 08/20/10 7 014 08/13/10 3 + __________ TOTAL ORDERED 22 183.33 % 014 07/30/10 12 014 07/23/10 5 014 07/16/10 2 + __________ TOTAL ORDERED 19 158.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 251 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 539151 D-AMPHET SALT COMBO 10MG TAB +100 36472013210 64720013210 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 014 10/29/10 4 014 10/22/10 3 014 10/15/10 4 014 10/08/10 5 + __________ TOTAL ORDERED 16 106.66 % 014 08/27/10 11 014 08/20/10 6 014 08/13/10 1 + __________ TOTAL ORDERED 18 120.00 % 014 07/30/10 9 014 07/23/10 4 014 07/16/10 2 014 07/09/10 1 + __________ TOTAL ORDERED 16 106.66 % 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 551685 VYVANSE 70MG CAPS + 100 35941710710 59417010710 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 11/26/10 4 014 11/18/10 2 014 11/04/10 2 + __________ TOTAL ORDERED 8 133.33 % 014 09/30/10 2 014 09/23/10 3 014 09/16/10 1 014 09/09/10 2 014 09/02/10 2 + __________ TOTAL ORDERED 10 166.66 % 014 08/26/10 2 014 08/19/10 2 014 08/12/10 1 014 08/05/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 252 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 551685 VYVANSE 70MG CAPS + 100 35941710710 59417010710 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 12/30/10 2 014 12/23/10 2 014 12/16/10 3 014 12/09/10 2 014 12/02/10 2 + __________ TOTAL ORDERED 11 183.33 % 014 09/30/10 1 014 09/23/10 2 014 09/16/10 3 014 09/09/10 1 014 09/02/10 5 + __________ TOTAL ORDERED 12 200.00 % 014 07/29/10 1 014 07/22/10 1 014 07/15/10 2 014 07/08/10 1 014 07/01/10 2 + __________ TOTAL ORDERED 7 116.66 % 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 12/23/10 1 010 12/13/10 1 010 12/09/10 5 010 12/06/10 1 + __________ TOTAL ORDERED 8 133.33 % 010 10/22/10 1 010 10/15/10 2 010 10/13/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 253 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 594173 ALPRAZOLAM XR 1MG TAB (GRN) + 60 35976200591 59762005901 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 10/08/10 2 010 10/06/10 2 + __________ TOTAL ORDERED 10 166.66 % 010 09/24/10 1 010 09/17/10 3 010 09/10/10 4 010 09/08/10 3 010 09/01/10 2 + __________ TOTAL ORDERED 13 216.66 % 010 08/18/10 4 010 08/16/10 2 010 08/11/10 1 010 08/04/10 1 + __________ TOTAL ORDERED 8 133.33 % 010 07/19/10 3 010 07/14/10 1 010 07/12/10 3 010 07/07/10 1 + __________ TOTAL ORDERED 8 133.33 % 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 08/30/10 5 010 08/25/10 5 010 08/23/10 10 010 08/18/10 10 010 08/16/10 2 010 08/11/10 2 010 08/09/10 4 010 08/04/10 6 010 08/02/10 5 + __________ TOTAL ORDERED 49 148.48 % 010 07/28/10 2 010 07/26/10 6 010 07/21/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 254 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 07/19/10 6 010 07/14/10 6 010 07/12/10 2 010 07/07/10 9 010 07/01/10 7 + __________ TOTAL ORDERED 39 118.18 % 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 014 11/26/10 3 014 11/18/10 2 014 11/04/10 2 + __________ TOTAL ORDERED 7 116.66 % 014 09/30/10 2 014 09/23/10 2 014 09/16/10 1 014 09/02/10 2 + __________ TOTAL ORDERED 7 116.66 % 014 07/29/10 2 014 07/22/10 2 014 07/15/10 1 014 07/08/10 1 014 07/01/10 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 12/28/10 7 010 12/23/10 3 010 12/20/10 9 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 255 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 12/16/10 2 010 12/13/10 8 010 12/09/10 8 010 12/06/10 10 010 12/02/10 9 + __________ TOTAL ORDERED 56 169.69 % 010 11/29/10 3 010 11/24/10 9 010 11/19/10 10 010 11/17/10 5 010 11/12/10 7 010 11/10/10 8 010 11/05/10 6 010 11/03/10 2 + __________ TOTAL ORDERED 50 151.51 % 010 10/22/10 7 010 10/20/10 4 010 10/15/10 6 010 10/13/10 10 010 10/08/10 5 010 10/06/10 6 010 10/01/10 8 + __________ TOTAL ORDERED 46 139.39 % 010 09/24/10 5 010 09/22/10 4 010 09/17/10 6 010 09/15/10 3 010 09/10/10 8 010 09/01/10 14 + __________ TOTAL ORDERED 40 121.21 % 010 08/30/10 3 010 08/25/10 3 010 08/23/10 6 010 08/18/10 6 010 08/16/10 12 010 08/11/10 3 010 08/09/10 3 010 08/04/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 256 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 08/02/10 8 + __________ TOTAL ORDERED 46 139.39 % 010 07/28/10 2 010 07/26/10 6 010 07/21/10 4 010 07/19/10 3 010 07/14/10 5 010 07/12/10 8 010 07/07/10 9 010 07/01/10 2 + __________ TOTAL ORDERED 39 118.18 % 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 09/24/10 2 014 09/17/10 3 014 09/10/10 2 + __________ TOTAL ORDERED 7 116.66 % 014 08/27/10 1 014 08/20/10 2 014 08/13/10 1 014 08/06/10 3 + __________ 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 10/27/10 1 010 10/22/10 6 010 10/15/10 8 010 10/13/10 8 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 257 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 10/08/10 7 010 10/01/10 9 + __________ TOTAL ORDERED 39 118.18 % 010 08/30/10 8 010 08/25/10 6 010 08/23/10 7 010 08/18/10 8 010 08/16/10 5 010 08/11/10 4 010 08/09/10 3 010 08/04/10 5 010 08/02/10 12 + __________ TOTAL ORDERED 58 175.75 % 010 07/28/10 10 010 07/26/10 6 010 07/21/10 6 010 07/19/10 8 010 07/14/10 2 010 07/12/10 5 010 07/07/10 15 010 07/01/10 4 + __________ TOTAL ORDERED 56 169.69 % 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 448603 HYDROCODO/CHLORPHEN ER SUSP+473ML 36217549070 62175049070 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 010 12/29/10 1 010 12/23/10 3 010 12/21/10 1 010 12/16/10 3 010 12/14/10 2 010 12/09/10 3 010 12/07/10 2 010 12/02/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 258 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 448603 HYDROCODO/CHLORPHEN ER SUSP+473ML 36217549070 62175049070 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 16 106.66 % 010 11/30/10 1 010 11/24/10 2 010 11/22/10 1 010 11/17/10 3 010 11/15/10 2 010 11/10/10 1 010 11/08/10 3 010 11/01/10 4 + __________ TOTAL ORDERED 17 113.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539150 D-AMPHET SALT COMBO 20MG TAB +100 36472013510 64720013510 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 014 09/27/10 3 014 09/20/10 6 014 09/13/10 5 014 09/07/10 11 + __________ TOTAL ORDERED 25 119.04 % 014 08/30/10 9 014 08/23/10 5 014 08/16/10 7 014 08/09/10 5 014 08/02/10 5 + __________ TOTAL ORDERED 31 147.61 % 014 07/26/10 5 014 07/19/10 9 014 07/12/10 7 014 07/06/10 4 + __________ TOTAL ORDERED 25 119.04 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 259 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 684342 TEMAZEPAM 30MG CAPSULES + 100 30781220201 00781220201 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 12/23/10 6 010 12/16/10 1 010 12/09/10 2 010 12/02/10 1 + __________ TOTAL ORDERED 10 111.11 % 010 11/24/10 3 010 11/17/10 2 010 11/15/10 1 010 11/10/10 2 010 11/08/10 4 + __________ TOTAL ORDERED 12 133.33 % 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 553698 ZOLPIDEM 5MG TABS (TEV) + 100 30093007301 00093007301 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 12/29/10 1 010 12/27/10 1 010 12/21/10 2 010 12/17/10 2 010 12/14/10 1 010 12/10/10 2 010 12/07/10 1 + __________ TOTAL ORDERED 10 111.11 % 010 11/26/10 2 010 11/22/10 1 010 11/15/10 2 010 11/11/10 1 010 11/08/10 1 010 11/04/10 2 010 11/01/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 260 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 553698 ZOLPIDEM 5MG TABS (TEV) + 100 30093007301 00093007301 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 11 122.22 % 010 09/30/10 1 010 09/27/10 2 010 09/23/10 1 010 09/20/10 4 010 09/16/10 2 010 09/13/10 1 010 09/02/10 3 + __________ TOTAL ORDERED 14 155.55 % 010 07/29/10 3 010 07/22/10 1 010 07/20/10 1 010 07/15/10 2 010 07/08/10 2 010 07/06/10 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 12/29/10 3 010 12/21/10 4 010 12/14/10 3 010 12/10/10 3 + __________ TOTAL ORDERED 13 108.33 % 010 11/30/10 2 010 11/22/10 3 010 11/15/10 2 010 11/04/10 3 010 11/01/10 4 + __________ TOTAL ORDERED 14 116.66 % 010 09/30/10 2 010 09/27/10 3 010 09/20/10 2 010 09/16/10 4 010 09/13/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 261 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 672873 ANDROGEL 1% GEL (UNI) + 30X5.0GM 30051845030 00051845030 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 09/09/10 1 010 09/02/10 4 + __________ TOTAL ORDERED 18 150.00 % 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 12/29/10 1 010 12/21/10 1 010 12/14/10 1 010 12/07/10 1 + __________ TOTAL ORDERED 4 133.33 % 010 11/26/10 1 010 11/22/10 1 010 11/11/10 1 010 11/04/10 1 010 11/01/10 1 + __________ TOTAL ORDERED 5 166.66 % 010 09/30/10 1 010 09/27/10 1 010 09/20/10 1 010 09/09/10 1 010 09/02/10 1 + __________ TOTAL ORDERED 5 166.66 % 010 07/29/10 2 010 07/27/10 1 010 07/22/10 1 + __________ TOTAL ORDERED 4 133.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 262 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 011 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03696 BW5494567 4711 SWEETWATER BLVD SUGARLAND TX77479 +_________________________________________________________________________________________________________________________________________________ 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 12/30/10 40 014 12/23/10 40 014 12/02/10 40 + __________ TOTAL ORDERED 120 1000.00 % 014 11/04/10 40 + __________ TOTAL ORDERED 40 333.33 % 014 10/14/10 40 + __________ TOTAL ORDERED 40 333.33 % 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 12/22/10 10 010 12/20/10 6 010 12/15/10 2 010 12/13/10 7 010 12/08/10 6 010 12/06/10 3 010 12/01/10 4 + __________ TOTAL ORDERED 38 115.15 % 010 11/29/10 5 010 11/23/10 5 010 11/19/10 7 010 11/16/10 5 010 11/12/10 7 010 11/09/10 3 010 11/05/10 8 010 11/02/10 1 + __________ TOTAL ORDERED 41 124.24 % 010 10/29/10 3 010 10/26/10 2 010 10/22/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 263 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 10/19/10 1 010 10/15/10 5 010 10/12/10 2 010 10/08/10 13 010 10/05/10 2 010 10/01/10 6 + __________ TOTAL ORDERED 37 112.12 % 010 08/27/10 1 010 08/20/10 11 010 08/18/10 10 010 08/13/10 6 010 08/11/10 4 010 08/04/10 8 + __________ TOTAL ORDERED 40 121.21 % 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 672651 ACETAMIN/CODIENE 300/60 TAB + 100 30603233921 00603233921 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 12/22/10 1 010 12/17/10 5 010 12/10/10 1 + __________ TOTAL ORDERED 7 116.66 % 010 11/18/10 4 010 11/04/10 6 + __________ TOTAL ORDERED 10 166.66 % 010 08/31/10 4 010 08/27/10 1 010 08/17/10 1 010 08/13/10 1 010 08/06/10 1 010 08/03/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 264 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 672651 ACETAMIN/CODIENE 300/60 TAB + 100 30603233921 00603233921 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 9 150.00 % 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 12/28/10 9 010 12/23/10 4 010 12/20/10 8 010 12/16/10 7 010 12/13/10 8 010 12/09/10 5 010 12/06/10 7 010 12/02/10 2 + __________ TOTAL ORDERED 50 151.51 % 010 11/29/10 3 010 11/24/10 10 010 11/19/10 8 010 11/17/10 6 010 11/12/10 8 010 11/10/10 2 010 11/05/10 8 010 11/03/10 3 + __________ TOTAL ORDERED 48 145.45 % 010 10/27/10 7 010 10/22/10 4 010 10/20/10 6 010 10/15/10 11 010 10/13/10 1 010 10/08/10 14 010 10/06/10 9 010 10/01/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 265 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 57 172.72 % 010 09/29/10 5 010 09/24/10 11 010 09/22/10 9 010 09/17/10 7 010 09/10/10 9 010 09/08/10 8 010 09/01/10 8 + __________ TOTAL ORDERED 57 172.72 % 010 08/30/10 4 010 08/25/10 5 010 08/23/10 6 010 08/18/10 1 010 08/16/10 8 010 08/11/10 4 010 08/09/10 16 010 08/04/10 2 010 08/02/10 10 + __________ TOTAL ORDERED 56 169.69 % 010 07/28/10 4 010 07/26/10 12 010 07/21/10 6 010 07/19/10 6 010 07/14/10 6 010 07/12/10 10 010 07/07/10 6 010 07/01/10 11 + __________ TOTAL ORDERED 61 184.84 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 010 12/28/10 6 010 12/23/10 4 010 12/20/10 1 010 12/16/10 7 010 12/13/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 266 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 010 12/09/10 6 010 12/06/10 6 010 12/02/10 2 + __________ TOTAL ORDERED 37 137.03 % 010 11/29/10 1 010 11/24/10 4 010 11/19/10 9 010 11/17/10 3 010 11/12/10 7 010 11/05/10 5 010 11/03/10 2 + __________ TOTAL ORDERED 31 114.81 % 010 10/27/10 1 010 10/22/10 6 010 10/15/10 3 010 10/08/10 12 010 10/06/10 6 010 10/01/10 2 + __________ TOTAL ORDERED 30 111.11 % 010 09/24/10 8 010 09/22/10 4 010 09/17/10 9 010 09/15/10 5 010 09/10/10 8 010 09/01/10 5 + __________ TOTAL ORDERED 39 144.44 % 010 08/30/10 3 010 08/25/10 3 010 08/23/10 2 010 08/18/10 3 010 08/16/10 1 010 08/11/10 6 010 08/09/10 5 010 08/04/10 6 + __________ TOTAL ORDERED 29 107.40 % 010 07/28/10 6 010 07/26/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 267 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 010 07/21/10 7 010 07/19/10 1 010 07/14/10 6 010 07/12/10 4 010 07/07/10 5 010 07/01/10 4 + __________ TOTAL ORDERED 34 125.92 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05835 BW0533388 5002 BELLAIRE BELLAIRE TX 77401 +_________________________________________________________________________________________________________________________________________________ 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 12/22/10 2 014 12/08/10 3 014 12/01/10 2 + __________ TOTAL ORDERED 7 116.66 % 014 11/24/10 2 014 11/17/10 2 014 11/03/10 3 + __________ TOTAL ORDERED 7 116.66 % 014 09/29/10 3 014 09/22/10 2 014 09/08/10 1 014 09/01/10 1 + __________ TOTAL ORDERED 7 116.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 268 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 011 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06783 BW8139479 17330 W GRAND PK SO SUGARLAND TX 77479 +_________________________________________________________________________________________________________________________________________________ 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 12/21/10 4 014 12/14/10 3 + __________ TOTAL ORDERED 7 233.33 % 014 10/26/10 4 014 10/19/10 1 014 10/05/10 1 + __________ TOTAL ORDERED 6 200.00 % 014 08/10/10 3 014 08/03/10 1 + __________ TOTAL ORDERED 4 133.33 % 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 010 12/29/10 2 010 12/23/10 1 010 12/09/10 4 010 12/07/10 1 010 12/02/10 3 + __________ TOTAL ORDERED 11 122.22 % 010 11/24/10 4 010 11/22/10 1 010 11/17/10 1 010 11/10/10 1 010 11/08/10 2 010 11/03/10 1 + __________ TOTAL ORDERED 10 111.11 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 269 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 011 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07251 AW1124445 11038 WESTHEIMER RD HOUSTON TX 77042 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 457754 BUTORPHANOL TART NS (ROX) + 2.5ML 30054309036 00054309036 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 11/30/10 4 010 11/18/10 5 010 11/04/10 4 + __________ TOTAL ORDERED 13 108.33 % 010 09/30/10 5 010 09/27/10 1 010 09/20/10 4 010 09/09/10 3 010 09/02/10 4 + __________ TOTAL ORDERED 17 141.66 % 010 07/29/10 8 010 07/20/10 4 010 07/13/10 5 + __________ TOTAL ORDERED 17 141.66 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07721 BW8633023 1307 FM 1092 RD MISSOURI CITY TX 77477 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 582163 DAYTRANA 20MG TRANSDERMAL PTCH 30 35409255430 54092055430 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 12/22/10 4 014 12/01/10 4 + __________ TOTAL ORDERED 8 133.33 % 014 10/27/10 3 014 10/20/10 2 014 10/13/10 2 014 10/06/10 2 + __________ TOTAL ORDERED 9 150.00 % 014 08/25/10 4 014 08/18/10 3 + __________ TOTAL ORDERED 7 116.66 % 014 07/20/10 2 014 07/28/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 270 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 011 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07721 BW8633023 1307 FM 1092 RD MISSOURI CITY TX 77477 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 582163 DAYTRANA 20MG TRANSDERMAL PTCH 30 35409255430 54092055430 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 07/21/10 2 014 07/14/10 1 + __________ TOTAL ORDERED 8 133.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07774 BW8574356 12225 STATE HWY 6 FRESNO TX 77545 +_________________________________________________________________________________________________________________________________________________ 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 10/04/10 4 014 10/29/10 3 + __________ TOTAL ORDERED 7 116.66 % 014 09/24/10 3 014 09/17/10 4 + __________ TOTAL ORDERED 7 116.66 % 014 07/30/10 4 014 07/23/10 3 014 07/16/10 1 014 07/09/10 1 + __________ TOTAL ORDERED 9 150.00 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 10522 BW9598193 7777 SW FRWY S-104 HOUSTON TX 77074 +_________________________________________________________________________________________________________________________________________________ 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 08/18/10 2 014 08/11/10 3 014 08/04/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 271 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 011 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 10522 BW9598193 7777 SW FRWY S-104 HOUSTON TX 77074 +_________________________________________________________________________________________________________________________________________________ 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 07/28/10 3 014 07/21/10 1 014 07/14/10 2 014 07/07/10 1 + __________ TOTAL ORDERED 7 116.66 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11970 FW1564649 9810 S MASON RD RICHMOND TX 77469 +_________________________________________________________________________________________________________________________________________________ 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 12/20/10 4 014 12/13/10 4 + __________ TOTAL ORDERED 8 133.33 % 014 11/22/10 3 014 11/15/10 1 014 11/01/10 3 + __________ TOTAL ORDERED 7 116.66 % 0 SALES DISTRICT 012 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02599 BW2988751 7337 N VIA PASEO DEL SUR SCOTTSDA85258 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675676 DEXTROAMPHET 15MG ER CAP(BAR)+100 30555095602 00555095602 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 026 12/28/10 3 026 12/20/10 3 026 12/06/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 272 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 012 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02599 BW2988751 7337 N VIA PASEO DEL SUR SCOTTSDA85258 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675676 DEXTROAMPHET 15MG ER CAP(BAR)+100 30555095602 00555095602 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 7 116.66 % 026 11/29/10 7 + __________ TOTAL ORDERED 7 116.66 % 026 10/25/10 2 026 10/11/10 2 026 10/04/10 4 + __________ TOTAL ORDERED 8 133.33 % 026 08/30/10 4 026 08/16/10 3 026 08/02/10 1 + __________ TOTAL ORDERED 8 133.33 % 026 07/26/10 4 026 07/19/10 2 026 07/12/10 2 026 07/06/10 2 + __________ TOTAL ORDERED 10 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675802 DEXTROAMPHETAMINE 5MG TAB(BAR)100 30555095202 00555095202 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 026 12/28/10 3 026 12/20/10 6 026 12/06/10 5 + __________ TOTAL ORDERED 14 155.55 % 026 11/29/10 4 026 11/15/10 5 026 11/01/10 2 + __________ TOTAL ORDERED 11 122.22 % 026 10/25/10 1 026 10/18/10 8 026 10/04/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 273 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 012 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02599 BW2988751 7337 N VIA PASEO DEL SUR SCOTTSDA85258 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675802 DEXTROAMPHETAMINE 5MG TAB(BAR)100 30555095202 00555095202 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 10 111.11 % 026 09/27/10 10 026 09/07/10 3 + __________ TOTAL ORDERED 13 144.44 % 026 07/26/10 6 026 07/12/10 4 026 07/06/10 2 + __________ TOTAL ORDERED 12 133.33 % 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 682971 OXYCODONE HCL 30MG TAB (ACT)+ 100 35215221502 52152021502 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 026 12/30/10 9 026 12/23/10 3 026 12/09/10 17 026 12/02/10 7 + __________ TOTAL ORDERED 36 109.09 % 026 11/15/10 6 026 11/26/10 6 026 11/11/10 19 026 11/04/10 7 + __________ TOTAL ORDERED 38 115.15 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682972 OXYCODONE HCL 15MG TAB (ACT) +100 35215221402 52152021402 12 3.0 36.0 0 DC DATE ORDERED QUANTITY 026 12/30/10 12 026 12/23/10 8 026 12/16/10 11 026 12/09/10 6 026 12/02/10 8 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 274 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 682972 OXYCODONE HCL 15MG TAB (ACT) +100 35215221402 52152021402 12 3.0 36.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 45 125.00 % 026 11/26/10 13 026 11/18/10 14 026 11/11/10 4 026 11/04/10 6 + __________ TOTAL ORDERED 37 102.77 % 026 07/29/10 7 026 07/22/10 3 026 07/15/10 4 026 07/08/10 16 026 07/01/10 13 + __________ TOTAL ORDERED 43 119.44 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 683092 # TESTIM 1% GEL + 30X5 36688700105 66887000105 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 012 11/24/10 3 012 11/19/10 4 012 11/17/10 1 012 11/12/10 2 012 11/10/10 1 + __________ TOTAL ORDERED 11 122.22 % 012 08/30/10 2 012 08/18/10 1 012 08/16/10 4 012 08/11/10 2 012 08/09/10 1 012 08/04/10 3 012 08/02/10 2 + __________ TOTAL ORDERED 15 166.66 % 012 07/28/10 2 012 07/26/10 2 012 07/19/10 1 012 07/14/10 1 012 07/07/10 1 012 07/01/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 275 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + 30X5 36688700105 66887000105 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 684809 TESTOSTERN CYP 200MG/ML(WAT)+10ML 30591322379 00364661054 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 012 08/30/10 1 012 08/25/10 1 012 08/18/10 1 012 08/16/10 1 012 08/11/10 1 012 08/04/10 2 012 08/02/10 1 + __________ TOTAL ORDERED 8 133.33 % 012 07/28/10 1 012 07/19/10 2 012 07/07/10 1 012 07/01/10 5 + __________ TOTAL ORDERED 9 150.00 % 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 539151 D-AMPHET SALT COMBO 10MG TAB +100 36472013210 64720013210 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 026 12/27/10 6 026 12/17/10 2 026 12/10/10 7 + __________ TOTAL ORDERED 15 125.00 % 026 10/29/10 1 026 10/22/10 7 026 10/15/10 2 026 10/08/10 1 026 10/01/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 276 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 539151 D-AMPHET SALT COMBO 10MG TAB +100 36472013210 64720013210 4 3.0 12.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 13 108.33 % 026 09/24/10 9 026 09/17/10 1 026 09/10/10 2 026 09/03/10 5 + __________ TOTAL ORDERED 17 141.66 % 026 08/27/10 3 026 08/20/10 3 026 08/13/10 2 026 08/06/10 6 + __________ TOTAL ORDERED 14 116.66 % 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 10/29/10 4 026 10/22/10 6 026 10/15/10 5 026 10/08/10 5 026 10/01/10 3 + __________ TOTAL ORDERED 23 109.52 % 026 09/24/10 5 026 09/17/10 7 026 09/10/10 5 026 09/03/10 5 + __________ TOTAL ORDERED 22 104.76 % 026 07/30/10 4 026 07/23/10 8 026 07/09/10 8 026 07/02/10 4 + __________ TOTAL ORDERED 24 114.28 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 277 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 12/16/10 6 026 12/22/10 2 026 12/15/10 9 + __________ TOTAL ORDERED 17 141.66 % 026 11/10/10 4 026 11/03/10 9 + __________ TOTAL ORDERED 13 108.33 % 026 10/27/10 4 026 10/20/10 2 026 10/13/10 4 026 10/06/10 3 + __________ TOTAL ORDERED 13 108.33 % 026 09/29/10 4 026 09/22/10 3 026 09/15/10 1 026 09/08/10 2 026 09/01/10 5 + __________ TOTAL ORDERED 15 125.00 % 026 08/25/10 4 026 08/18/10 2 026 08/11/10 7 026 08/04/10 8 + __________ TOTAL ORDERED 21 175.00 % 026 07/28/10 6 026 07/21/10 3 026 07/14/10 3 026 07/07/10 1 + __________ 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 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 026 12/29/10 3 026 12/22/10 2 026 12/01/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 278 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 551686 VYVANSE 50MG CAPS + 100 35941710510 59417010510 1 3.0 3.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 7 233.33 % 026 10/13/10 4 026 10/06/10 3 + __________ TOTAL ORDERED 7 233.33 % 026 09/22/10 1 026 09/15/10 1 026 09/08/10 2 + __________ TOTAL ORDERED 4 133.33 % 026 08/25/10 2 026 08/11/10 2 026 08/04/10 3 + __________ TOTAL ORDERED 7 233.33 % 026 07/28/10 1 026 07/21/10 2 026 07/14/10 1 026 07/07/10 1 + __________ TOTAL ORDERED 5 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675677 DEXTROAMPHET 10MG ER CAP(BAR)+100 30555095502 00555095502 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 026 12/29/10 1 026 12/22/10 1 026 12/15/10 5 + __________ TOTAL ORDERED 7 116.66 % 026 10/13/10 5 026 10/06/10 4 + __________ TOTAL ORDERED 9 150.00 % 026 09/22/10 1 026 09/15/10 4 026 09/08/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 279 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 675677 DEXTROAMPHET 10MG ER CAP(BAR)+100 30555095502 00555095502 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 7 116.66 % 026 08/25/10 2 026 08/18/10 1 026 08/11/10 2 026 08/04/10 2 + __________ TOTAL ORDERED 7 116.66 % 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 454490 MORPHINE SUL 100MG ER+TAB(WAT)100 30591374301 00591374301 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 026 12/27/10 3 026 12/10/10 2 026 12/03/10 5 + __________ TOTAL ORDERED 10 111.11 % 026 11/29/10 1 026 11/19/10 3 026 11/05/10 10 + __________ TOTAL ORDERED 14 155.55 % 026 10/29/10 3 026 10/15/10 1 026 10/08/10 7 026 10/01/10 4 + __________ TOTAL ORDERED 15 166.66 % 026 09/17/10 3 026 09/10/10 6 026 09/03/10 3 + __________ TOTAL ORDERED 12 133.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 280 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 514247 MORPHINE SULFATE IR 15MG TABS+100 30054023525 00054023525 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 026 11/29/10 7 026 11/05/10 9 + __________ TOTAL ORDERED 16 133.33 % 026 10/29/10 7 026 10/22/10 4 026 10/08/10 4 026 10/01/10 4 + __________ TOTAL ORDERED 19 158.33 % 026 09/24/10 6 026 09/10/10 4 026 09/03/10 11 + __________ TOTAL ORDERED 21 175.00 % 026 07/09/10 11 026 07/02/10 10 + __________ TOTAL ORDERED 21 175.00 % 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 10/29/10 6 026 10/15/10 6 026 10/08/10 4 026 10/01/10 5 + __________ TOTAL ORDERED 21 175.00 % 026 09/24/10 3 026 09/17/10 3 026 09/10/10 6 026 09/03/10 4 + __________ TOTAL ORDERED 16 133.33 % 026 08/20/10 4 026 08/13/10 1 026 08/06/10 9 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 281 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 14 116.66 % 026 07/23/10 5 026 07/16/10 2 026 07/09/10 5 026 07/02/10 2 + __________ TOTAL ORDERED 14 116.66 % 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 12/27/10 6 026 12/17/10 13 026 12/10/10 10 026 12/03/10 8 + __________ TOTAL ORDERED 37 176.19 % 026 11/29/10 8 026 11/19/10 5 026 11/12/10 4 026 11/05/10 12 + __________ TOTAL ORDERED 29 138.09 % 026 10/29/10 6 026 10/22/10 8 026 10/15/10 5 026 10/08/10 10 026 10/01/10 7 + __________ TOTAL ORDERED 36 171.42 % 026 09/24/10 7 026 09/17/10 11 026 09/10/10 7 026 09/03/10 10 + __________ TOTAL ORDERED 35 166.66 % 026 08/27/10 7 026 08/20/10 8 026 08/13/10 11 026 08/06/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 282 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 28 133.33 % 026 07/26/10 3 026 07/30/10 14 026 07/23/10 12 026 07/09/10 9 026 07/02/10 2 + __________ TOTAL ORDERED 40 190.47 % 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 10/18/10 4 012 10/13/10 1 + __________ TOTAL ORDERED 5 166.66 % 012 09/27/10 3 012 09/15/10 2 + __________ TOTAL ORDERED 5 166.66 % 012 08/26/10 2 012 08/23/10 2 + __________ TOTAL ORDERED 4 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675801 DEXTROAMPHETAMINE 10MG TB(BAR)100 30555095302 00555095302 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 026 12/27/10 12 026 12/10/10 1 026 12/03/10 3 + __________ TOTAL ORDERED 16 177.77 % 026 11/29/10 5 026 11/19/10 1 026 11/12/10 4 026 11/05/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 283 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 675801 DEXTROAMPHETAMINE 10MG TB(BAR)100 30555095302 00555095302 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 11 122.22 % 026 09/24/10 2 026 09/17/10 5 026 09/10/10 3 + __________ TOTAL ORDERED 10 111.11 % 026 07/23/10 8 026 07/16/10 2 + __________ 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 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 026 11/29/10 2 026 11/12/10 3 026 11/05/10 6 + __________ TOTAL ORDERED 11 122.22 % 026 10/29/10 2 026 10/22/10 2 026 10/15/10 2 026 10/08/10 3 026 10/01/10 2 + __________ TOTAL ORDERED 11 122.22 % 026 08/27/10 2 026 08/13/10 6 026 08/06/10 3 + __________ TOTAL ORDERED 11 122.22 % 026 07/30/10 3 026 07/23/10 2 026 07/09/10 4 026 07/02/10 1 + __________ TOTAL ORDERED 10 111.11 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 284 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 12 3.0 36.0 0 DC DATE ORDERED QUANTITY 026 12/27/10 20 026 12/17/10 16 026 12/10/10 13 026 12/03/10 9 + __________ TOTAL ORDERED 58 161.11 % 026 11/29/10 6 026 11/19/10 7 026 11/05/10 25 + __________ TOTAL ORDERED 38 105.55 % 026 10/29/10 14 026 10/22/10 13 026 10/15/10 12 026 10/08/10 11 026 10/01/10 15 + __________ TOTAL ORDERED 65 180.55 % 026 08/27/10 23 026 08/20/10 7 026 08/13/10 7 026 08/06/10 3 + __________ TOTAL ORDERED 40 111.11 % 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 553889 ANDROGEL 1% PUMP (UNI) +150GM 30051848888 00051848888 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 012 12/29/10 4 012 12/23/10 3 012 12/16/10 3 + __________ TOTAL ORDERED 10 111.11 % 012 11/24/10 4 012 11/17/10 3 012 11/15/10 3 012 11/10/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 285 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 553889 ANDROGEL 1% PUMP (UNI) +150GM 30051848888 00051848888 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 012 11/08/10 2 012 11/03/10 2 012 11/01/10 2 + __________ TOTAL ORDERED 18 200.00 % 012 10/27/10 2 012 10/25/10 1 012 10/20/10 2 012 10/13/10 2 012 10/11/10 1 012 10/06/10 2 012 10/04/10 1 + __________ TOTAL ORDERED 11 122.22 % 012 08/30/10 1 012 08/26/10 1 012 08/23/10 1 012 08/19/10 1 012 08/16/10 2 012 08/12/10 1 012 08/09/10 2 012 08/02/10 1 + __________ TOTAL ORDERED 10 111.11 % 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 453839 MORPHINE SUL 60MG ER TAB+(WAT)100 30591374201 00591374201 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 026 12/22/10 8 026 12/08/10 7 + __________ TOTAL ORDERED 15 125.00 % 026 11/17/10 7 026 11/10/10 4 026 11/03/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 286 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 453839 MORPHINE SUL 60MG ER TAB+(WAT)100 30591374201 00591374201 4 3.0 12.0 0 DC DATE ORDERED QUANTITY + __________ 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 12/08/10 12 026 12/01/10 10 + __________ TOTAL ORDERED 22 104.76 % 026 10/04/10 23 026 10/20/10 10 026 10/06/10 10 + __________ TOTAL ORDERED 43 204.76 % 026 08/24/10 16 026 08/11/10 21 + __________ TOTAL ORDERED 37 176.19 % 026 07/28/10 40 + __________ TOTAL ORDERED 40 190.47 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544541 FENTANYL 75MCG/HR TS (WAT) + 5 30591321372 00591321372 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 026 12/08/10 10 026 12/01/10 10 + __________ TOTAL ORDERED 20 111.11 % 026 10/04/10 8 026 10/27/10 13 026 10/20/10 6 026 10/13/10 6 + __________ TOTAL ORDERED 33 183.33 % 026 08/25/10 9 026 08/11/10 12 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 287 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 544541 FENTANYL 75MCG/HR TS (WAT) + 5 30591321372 00591321372 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 563755 OXYCODONE-APAP 5-325 TAB(WAT)+500 30591074905 00591074905 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 026 12/29/10 15 026 12/22/10 6 026 12/15/10 4 026 12/08/10 12 026 12/01/10 10 + __________ TOTAL ORDERED 47 223.80 % 026 11/24/10 4 026 11/17/10 10 026 11/10/10 4 026 11/03/10 12 + __________ TOTAL ORDERED 30 142.85 % 026 10/27/10 8 026 10/13/10 10 026 10/06/10 14 + __________ TOTAL ORDERED 32 152.38 % 026 09/29/10 12 026 09/22/10 5 026 09/15/10 10 + __________ TOTAL ORDERED 27 128.57 % 026 08/24/10 6 026 08/25/10 20 026 08/18/10 5 026 08/11/10 9 + __________ TOTAL ORDERED 40 190.47 % 026 07/21/10 6 026 07/28/10 16 026 07/21/10 4 026 07/07/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 288 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 32 152.38 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 564864 HYDROCO-APAP 7.5-325 TAB(WAT)+100 30591320301 00591320301 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 012 11/30/10 1 012 11/26/10 2 012 11/22/10 6 012 11/18/10 1 012 11/15/10 2 012 11/11/10 3 012 11/08/10 3 012 11/01/10 2 + __________ TOTAL ORDERED 20 111.11 % 012 10/25/10 4 012 10/21/10 7 012 10/14/10 1 012 10/11/10 4 012 10/04/10 4 + __________ TOTAL ORDERED 20 111.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (ACT)+ 100 35215221502 52152021502 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 026 12/29/10 15 026 12/08/10 14 026 12/01/10 15 + __________ TOTAL ORDERED 44 133.33 % 026 09/29/10 15 026 09/22/10 5 026 09/15/10 15 + __________ TOTAL ORDERED 35 106.06 % 026 08/25/10 18 026 08/18/10 4 026 08/11/10 16 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 289 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 (ACT)+ 100 35215221502 52152021502 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 026 08/04/10 6 + __________ TOTAL ORDERED 44 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682972 OXYCODONE HCL 15MG TAB (ACT) +100 35215221402 52152021402 12 3.0 36.0 0 DC DATE ORDERED QUANTITY 026 12/29/10 18 026 12/15/10 10 026 12/08/10 22 026 12/01/10 15 + __________ TOTAL ORDERED 65 180.55 % 026 11/24/10 10 026 11/17/10 15 026 11/10/10 10 026 11/03/10 4 + __________ TOTAL ORDERED 39 108.33 % 026 10/27/10 20 026 10/20/10 6 026 10/13/10 8 026 10/06/10 10 + __________ TOTAL ORDERED 44 122.22 % 026 09/29/10 5 026 09/22/10 5 026 09/15/10 10 026 09/08/10 10 026 09/01/10 10 + __________ TOTAL ORDERED 40 111.11 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 290 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 012 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03912 BW5638082 29660 N TATUM BLVD CAVE CREEK AZ 85331 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 600850 OXYCODONE 5MG CAPS (MAL) +100 30406055401 00406055401 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 026 11/23/10 11 026 11/16/10 3 026 11/09/10 1 026 11/02/10 4 + __________ TOTAL ORDERED 19 158.33 % 026 09/28/10 5 026 09/21/10 2 026 09/14/10 2 026 09/08/10 5 + __________ TOTAL ORDERED 14 116.66 % 026 08/31/10 1 026 08/24/10 3 026 08/17/10 2 026 08/10/10 8 026 08/03/10 1 + __________ TOTAL ORDERED 15 125.00 % 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 539150 D-AMPHET SALT COMBO 20MG TAB +100 36472013510 64720013510 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 026 10/26/10 4 026 10/19/10 5 026 10/12/10 4 026 10/05/10 3 + __________ TOTAL ORDERED 16 106.66 % 026 08/31/10 7 026 08/24/10 5 026 08/17/10 4 026 08/10/10 5 026 08/03/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 291 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 539150 D-AMPHET SALT COMBO 20MG TAB +100 36472013510 64720013510 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 23 153.33 % 026 07/27/10 3 026 07/20/10 6 026 07/13/10 5 026 07/07/10 3 + __________ TOTAL ORDERED 17 113.33 % 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 10/19/10 5 026 10/12/10 6 026 10/05/10 3 + __________ TOTAL ORDERED 14 116.66 % 026 09/28/10 1 026 09/21/10 2 026 09/14/10 5 026 09/08/10 5 + __________ TOTAL ORDERED 13 108.33 % 026 08/31/10 3 026 08/24/10 1 026 08/17/10 4 026 08/10/10 4 026 08/03/10 3 + __________ TOTAL ORDERED 15 125.00 % 026 07/27/10 4 026 07/20/10 4 026 07/13/10 3 026 07/07/10 2 + __________ TOTAL ORDERED 13 108.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 292 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 672805 ADDERALL XR 30MG CAPS + 100 35409239101 54092039101 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 026 09/28/10 1 026 09/21/10 1 026 09/14/10 2 + __________ TOTAL ORDERED 4 133.33 % 026 08/31/10 1 026 08/24/10 1 026 08/17/10 1 026 08/10/10 1 026 08/03/10 1 + __________ TOTAL ORDERED 5 166.66 % 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 012 08/27/10 3 012 08/13/10 1 012 08/06/10 3 + __________ TOTAL ORDERED 7 116.66 % 012 07/23/10 1 012 07/14/10 1 012 07/09/10 5 + __________ TOTAL ORDERED 7 116.66 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05453 BW7141334 6501 E GREENWAY 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 10/26/10 4 026 10/19/10 1 026 10/12/10 5 026 10/05/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 293 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 012 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05453 BW7141334 6501 E GREENWAY 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 + __________ TOTAL ORDERED 15 125.00 % 026 08/31/10 3 026 08/24/10 2 026 08/17/10 3 026 08/10/10 2 026 08/03/10 4 + __________ TOTAL ORDERED 14 116.66 % 026 07/27/10 4 026 07/20/10 3 026 07/13/10 2 026 07/07/10 4 + __________ TOTAL ORDERED 13 108.33 % 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 012 11/24/10 3 012 11/15/10 4 012 11/10/10 2 012 11/08/10 4 + __________ TOTAL ORDERED 13 108.33 % 012 10/20/10 3 012 10/18/10 3 012 10/13/10 3 012 10/06/10 3 012 10/04/10 1 + __________ TOTAL ORDERED 13 108.33 % 012 07/26/10 2 012 07/22/10 5 012 07/19/10 3 012 07/15/10 4 012 07/12/10 1 012 07/08/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 294 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 012 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05453 BW7141334 6501 E GREENWAY SCOTTSDALE AZ 85254 +_________________________________________________________________________________________________________________________________________________ 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 17 141.66 % 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 12/30/10 4 026 12/23/10 5 026 12/16/10 9 026 12/09/10 5 026 12/02/10 3 + __________ TOTAL ORDERED 26 123.80 % 026 11/26/10 7 026 11/18/10 2 026 11/11/10 11 026 11/04/10 4 + __________ TOTAL ORDERED 24 114.28 % 026 10/28/10 8 026 10/21/10 6 026 10/14/10 4 026 10/07/10 10 + __________ TOTAL ORDERED 28 133.33 % 026 09/30/10 5 026 09/23/10 7 026 09/16/10 8 026 09/09/10 4 026 09/02/10 8 + __________ TOTAL ORDERED 32 152.38 % 026 08/26/10 6 026 08/19/10 9 026 08/12/10 5 026 08/05/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 295 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 27 128.57 % 026 07/29/10 7 026 07/22/10 9 026 07/08/10 4 026 07/01/10 9 + __________ TOTAL ORDERED 29 138.09 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 652294 OXYCOD-APAP 10-325 TAB (WAT) +100 30591093201 00591093201 20 3.0 60.0 0 DC DATE ORDERED QUANTITY 026 12/30/10 9 026 12/23/10 12 026 12/16/10 7 026 12/09/10 19 026 12/02/10 16 + __________ TOTAL ORDERED 63 105.00 % 026 10/28/10 28 026 10/21/10 16 026 10/14/10 8 026 10/07/10 9 + __________ TOTAL ORDERED 61 101.66 % 026 09/30/10 18 026 09/23/10 11 026 09/16/10 17 026 09/09/10 8 026 09/02/10 17 + __________ TOTAL ORDERED 71 118.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 296 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 012 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 529634 VYVANSE 40MG CAPS + 100 35941710410 59417010410 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 026 12/03/10 4 + __________ TOTAL ORDERED 4 133.33 % 026 10/29/10 1 026 10/01/10 3 + __________ TOTAL ORDERED 4 133.33 % 026 09/24/10 2 026 09/10/10 1 026 09/03/10 1 + __________ 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 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 026 12/27/10 3 026 12/17/10 7 026 12/10/10 9 + __________ TOTAL ORDERED 19 158.33 % 026 10/29/10 3 026 10/22/10 2 026 10/15/10 6 026 10/01/10 9 + __________ TOTAL ORDERED 20 166.66 % 026 09/24/10 7 026 09/17/10 3 026 09/10/10 2 026 09/03/10 5 + __________ TOTAL ORDERED 17 141.66 % 026 08/27/10 2 026 08/20/10 4 026 08/13/10 7 026 08/06/10 8 + __________ TOTAL ORDERED 21 175.00 % 026 07/30/10 3 026 07/23/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 297 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 012 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 07/16/10 1 026 07/09/10 3 026 07/02/10 4 + __________ TOTAL ORDERED 13 108.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06534 BW7452028 20631 N SCOTTSDL SCOTTSDALE A 85255 +_________________________________________________________________________________________________________________________________________________ 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 012 12/29/10 2 012 12/17/10 6 012 12/03/10 3 + __________ TOTAL ORDERED 11 122.22 % 012 11/18/10 3 012 11/11/10 3 012 11/08/10 2 012 11/04/10 2 + __________ TOTAL ORDERED 10 111.11 % 012 09/30/10 3 012 09/27/10 1 012 09/16/10 4 012 09/13/10 2 + __________ TOTAL ORDERED 10 111.11 % 012 07/29/10 1 012 07/22/10 2 012 07/20/10 3 012 07/15/10 1 012 07/13/10 3 012 07/06/10 2 + __________ TOTAL ORDERED 12 133.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 298 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 012 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06534 BW7452028 20631 N SCOTTSDL SCOTTSDALE A 85255 +_________________________________________________________________________________________________________________________________________________ 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 012 12/29/10 1 012 12/21/10 1 012 12/10/10 3 012 12/07/10 2 + __________ TOTAL ORDERED 7 233.33 % 012 11/26/10 1 012 11/15/10 2 012 11/01/10 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 12/29/10 1 012 12/23/10 3 012 12/21/10 2 012 12/16/10 2 012 12/14/10 1 012 12/09/10 5 012 12/07/10 3 012 12/02/10 1 + __________ TOTAL ORDERED 18 200.00 % 012 11/30/10 3 012 11/24/10 1 012 11/22/10 1 012 11/17/10 1 012 11/10/10 2 012 11/08/10 1 012 11/03/10 1 + __________ TOTAL ORDERED 10 111.11 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 299 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 012 12/30/10 4 012 12/27/10 3 012 12/22/10 5 012 12/17/10 3 012 12/15/10 3 012 12/10/10 4 012 12/08/10 5 012 12/03/10 6 012 12/01/10 2 + __________ TOTAL ORDERED 35 129.62 % 012 11/26/10 5 012 11/23/10 3 012 11/18/10 5 012 11/16/10 3 012 11/11/10 4 012 11/09/10 1 012 11/04/10 5 012 11/02/10 2 + __________ TOTAL ORDERED 28 103.70 % 012 10/28/10 4 012 10/26/10 3 012 10/21/10 5 012 10/19/10 2 012 10/14/10 4 012 10/12/10 2 012 10/07/10 8 012 10/05/10 1 + __________ TOTAL ORDERED 29 107.40 % 012 08/31/10 6 012 08/27/10 7 012 08/24/10 2 012 08/20/10 4 012 08/17/10 2 012 08/13/10 6 012 08/10/10 3 012 08/06/10 6 012 08/03/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 300 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 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 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 012 12/30/10 3 012 12/27/10 4 012 12/22/10 6 012 12/17/10 4 012 12/15/10 5 012 12/10/10 3 012 12/08/10 2 012 12/03/10 3 012 12/01/10 2 + __________ TOTAL ORDERED 32 152.38 % 012 11/26/10 3 012 11/23/10 4 012 11/18/10 2 012 11/16/10 2 012 11/11/10 3 012 11/09/10 3 012 11/04/10 6 012 11/02/10 2 + __________ TOTAL ORDERED 25 119.04 % 012 10/28/10 3 012 10/26/10 2 012 10/21/10 4 012 10/19/10 2 012 10/14/10 2 012 10/12/10 1 012 10/07/10 4 012 10/05/10 4 + __________ TOTAL ORDERED 22 104.76 % 012 09/30/10 4 012 09/28/10 2 012 09/23/10 7 012 09/21/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 301 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 012 09/16/10 2 012 09/14/10 3 012 09/09/10 2 012 09/07/10 1 + __________ TOTAL ORDERED 24 114.28 % 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 012 12/30/10 2 012 12/22/10 5 012 12/10/10 2 012 12/08/10 3 012 12/03/10 2 + __________ TOTAL ORDERED 14 116.66 % 012 11/26/10 4 012 11/18/10 2 012 11/16/10 2 012 11/11/10 1 012 11/04/10 4 + __________ TOTAL ORDERED 13 108.33 % 012 07/30/10 1 012 07/23/10 3 012 07/20/10 1 012 07/16/10 3 012 07/09/10 7 + __________ TOTAL ORDERED 15 125.00 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 302 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 013 11/30/10 6 013 11/22/10 6 013 11/15/10 6 013 11/08/10 5 013 11/01/10 7 + __________ TOTAL ORDERED 30 166.66 % 013 09/07/10 9 013 09/27/10 6 013 09/20/10 9 013 09/02/10 14 + __________ TOTAL ORDERED 38 211.11 % 013 08/26/10 5 013 08/19/10 6 013 08/12/10 3 013 08/05/10 7 + __________ TOTAL ORDERED 21 116.66 % 013 07/29/10 5 013 07/22/10 8 013 07/15/10 6 013 07/08/10 9 + __________ TOTAL ORDERED 28 155.55 % 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 013 12/21/10 4 013 12/14/10 12 013 12/07/10 6 + __________ TOTAL ORDERED 22 104.76 % 013 11/30/10 7 013 11/22/10 5 013 11/15/10 12 013 11/08/10 5 013 11/01/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 303 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 7 3.0 21.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 34 161.90 % 013 09/27/10 7 013 09/20/10 6 013 09/13/10 8 013 09/02/10 10 + __________ TOTAL ORDERED 31 147.61 % 013 08/26/10 8 013 08/19/10 6 013 08/12/10 7 013 08/05/10 11 + __________ TOTAL ORDERED 32 152.38 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679796 METHADONE 10MG TAB (ROX) + 100 30054457125 00054457125 13 3.0 39.0 0 DC DATE ORDERED QUANTITY 013 12/21/10 9 013 12/14/10 12 013 12/07/10 22 + __________ TOTAL ORDERED 43 110.25 % 013 10/25/10 5 013 10/18/10 12 013 10/11/10 18 013 10/04/10 8 + __________ TOTAL ORDERED 43 110.25 % 013 09/27/10 3 013 09/20/10 13 013 09/13/10 26 013 09/02/10 11 + __________ TOTAL ORDERED 53 135.89 % 013 08/26/10 4 013 08/19/10 8 013 08/12/10 22 013 08/05/10 14 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 304 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 679796 METHADONE 10MG TAB (ROX) + 100 30054457125 00054457125 13 3.0 39.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 48 123.07 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 00274 AW2820303 3822 PAXTON CINCINNATI OH 45209 +_________________________________________________________________________________________________________________________________________________ 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 09/30/10 5 013 09/23/10 5 013 09/16/10 3 013 09/09/10 3 + __________ TOTAL ORDERED 16 106.66 % 013 08/31/10 6 013 08/24/10 3 013 08/17/10 3 013 08/10/10 4 013 08/03/10 2 + __________ TOTAL ORDERED 18 120.00 % 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 11/19/10 11 011 11/12/10 10 011 11/05/10 17 + __________ TOTAL ORDERED 38 115.15 % 011 08/30/10 4 011 08/25/10 3 011 08/23/10 2 011 08/18/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 305 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 08/16/10 13 011 08/11/10 4 011 08/09/10 7 011 08/04/10 11 011 08/02/10 5 + __________ TOTAL ORDERED 50 151.51 % 011 07/28/10 7 011 07/26/10 1 011 07/21/10 3 011 07/19/10 10 011 07/14/10 4 011 07/12/10 12 011 07/07/10 10 011 07/01/10 14 + __________ TOTAL ORDERED 61 184.84 % 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 451025 DIAZEPAM RECT GEL 10MG (TEV) + 1 30093613832 00093613832 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 011 11/30/10 25 011 11/24/10 6 + __________ TOTAL ORDERED 31 516.66 % 011 10/25/10 15 011 10/04/10 12 + __________ TOTAL ORDERED 27 450.00 % 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 013 10/15/10 6 013 10/08/10 1 013 10/01/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 306 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 12 133.33 % 013 09/24/10 5 013 09/17/10 7 013 09/10/10 5 + __________ TOTAL ORDERED 17 188.88 % 013 08/25/10 1 013 08/18/10 2 013 08/11/10 4 013 08/04/10 7 + __________ TOTAL ORDERED 14 155.55 % 013 07/21/10 1 013 07/14/10 3 013 07/07/10 7 + __________ TOTAL ORDERED 11 122.22 % 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 12/29/10 3 011 12/23/10 2 011 12/16/10 2 011 12/07/10 3 + __________ TOTAL ORDERED 10 111.11 % 011 11/24/10 2 011 11/22/10 3 011 11/17/10 2 011 11/03/10 2 011 11/01/10 1 + __________ TOTAL ORDERED 10 111.11 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 307 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 013 11/29/10 2 013 11/19/10 8 013 11/12/10 6 013 11/05/10 4 + __________ TOTAL ORDERED 20 111.11 % 013 10/22/10 4 013 10/15/10 6 013 10/08/10 5 013 10/01/10 5 + __________ TOTAL ORDERED 20 111.11 % 013 08/25/10 4 013 08/18/10 6 013 08/11/10 6 013 08/04/10 4 + __________ TOTAL ORDERED 20 111.11 % 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 08/30/10 1 011 08/26/10 1 011 08/19/10 4 011 08/16/10 5 + __________ TOTAL ORDERED 11 183.33 % 011 07/29/10 3 011 07/26/10 8 011 07/08/10 2 011 07/01/10 11 + __________ TOTAL ORDERED 24 400.00 % 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 011 08/26/10 1 011 08/23/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 308 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 603807 LYRICA 100MG CAP + 90 30071101568 00071101568 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 011 08/16/10 3 011 08/09/10 2 011 08/05/10 1 011 08/02/10 1 + __________ TOTAL ORDERED 10 111.11 % 011 07/29/10 1 011 07/26/10 2 011 07/19/10 1 011 07/15/10 2 011 07/12/10 3 011 07/08/10 1 011 07/01/10 2 + __________ TOTAL ORDERED 12 133.33 % 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 12/29/10 2 011 12/16/10 3 011 12/07/10 3 011 12/02/10 3 + __________ TOTAL ORDERED 11 122.22 % 011 11/24/10 2 011 11/17/10 2 011 11/15/10 2 011 11/10/10 1 011 11/08/10 1 011 11/01/10 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 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 013 12/28/10 2 013 12/20/10 12 013 12/13/10 14 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 309 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 013 12/06/10 5 + __________ TOTAL ORDERED 33 157.14 % 013 11/19/10 15 013 11/12/10 2 013 11/05/10 9 + __________ TOTAL ORDERED 26 123.80 % 013 10/22/10 8 013 10/15/10 11 013 10/08/10 5 013 10/01/10 1 + __________ TOTAL ORDERED 25 119.04 % 013 09/24/10 11 013 09/17/10 2 013 09/10/10 8 013 09/01/10 7 + __________ TOTAL ORDERED 28 133.33 % 013 08/25/10 8 013 08/18/10 6 013 08/11/10 9 013 08/04/10 12 + __________ TOTAL ORDERED 35 166.66 % 013 07/28/10 9 013 07/21/10 2 013 07/14/10 12 013 07/07/10 4 + __________ TOTAL ORDERED 27 128.57 % 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 12/28/10 9 013 12/20/10 7 013 12/13/10 17 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 310 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 651382 FENTANYL 100MCG/HR TS (MYL) 5 30378912498 00378912498 7 3.0 21.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 33 157.14 % 013 09/24/10 18 013 09/17/10 3 013 09/10/10 4 013 09/01/10 12 + __________ TOTAL ORDERED 37 176.19 % 013 07/28/10 10 013 07/21/10 5 013 07/14/10 2 013 07/07/10 8 + __________ 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 09/10/10 20 + __________ TOTAL ORDERED 20 111.11 % 013 08/11/10 2 013 08/04/10 18 + __________ TOTAL ORDERED 20 111.11 % 013 07/14/10 2 013 07/07/10 18 + __________ TOTAL ORDERED 20 111.11 % 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 12/28/10 5 013 12/20/10 6 013 12/13/10 11 013 12/06/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 311 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 25 138.88 % 013 11/29/10 5 013 11/12/10 10 013 11/05/10 5 + __________ TOTAL ORDERED 20 111.11 % 013 08/25/10 13 013 08/18/10 8 013 08/11/10 2 013 08/04/10 2 + __________ TOTAL ORDERED 25 138.88 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 652294 OXYCOD-APAP 10-325 TAB (WAT) +100 30591093201 00591093201 17 3.0 51.0 0 DC DATE ORDERED QUANTITY 013 12/28/10 48 013 12/20/10 31 013 12/13/10 42 013 12/06/10 24 + __________ TOTAL ORDERED 145 284.31 % 013 11/29/10 13 013 11/19/10 38 013 11/12/10 29 013 11/05/10 17 + __________ TOTAL ORDERED 97 190.19 % 013 10/22/10 25 013 10/15/10 35 013 10/08/10 18 013 10/01/10 30 + __________ TOTAL ORDERED 108 211.76 % 013 09/24/10 20 013 09/17/10 23 013 09/10/10 31 013 09/01/10 26 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 312 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 17 3.0 51.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 100 196.07 % 013 08/25/10 21 013 08/18/10 30 013 08/11/10 16 013 08/04/10 21 + __________ TOTAL ORDERED 88 172.54 % 013 07/28/10 24 013 07/21/10 22 013 07/14/10 29 013 07/07/10 10 + __________ TOTAL ORDERED 85 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (ACT)+ 100 35215221502 52152021502 10 3.0 30.0 0 DC DATE ORDERED QUANTITY 013 12/28/10 20 013 12/20/10 17 013 12/13/10 34 + __________ TOTAL ORDERED 71 236.66 % 013 11/29/10 14 013 11/19/10 21 013 11/12/10 20 013 11/05/10 30 + __________ TOTAL ORDERED 85 283.33 % 013 10/22/10 9 013 10/15/10 12 013 10/08/10 19 013 10/01/10 29 + __________ TOTAL ORDERED 69 230.00 % 013 09/24/10 9 013 09/17/10 9 013 09/10/10 29 013 09/01/10 16 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 313 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 (ACT)+ 100 35215221502 52152021502 10 3.0 30.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 63 210.00 % 013 08/25/10 12 013 08/18/10 16 013 08/11/10 16 013 08/04/10 12 + __________ TOTAL ORDERED 56 186.66 % 013 07/28/10 20 013 07/21/10 14 013 07/14/10 16 013 07/07/10 7 + __________ TOTAL ORDERED 57 190.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682972 OXYCODONE HCL 15MG TAB (ACT) +100 35215221402 52152021402 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 013 12/28/10 4 013 12/20/10 17 013 12/13/10 18 013 12/06/10 9 + __________ TOTAL ORDERED 48 177.77 % 013 11/29/10 4 013 11/19/10 12 013 11/12/10 9 013 11/05/10 4 + __________ TOTAL ORDERED 29 107.40 % 013 10/22/10 5 013 10/15/10 24 013 10/08/10 9 013 10/01/10 10 + __________ TOTAL ORDERED 48 177.77 % 013 09/24/10 3 013 09/17/10 21 013 09/10/10 10 013 09/01/10 9 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 314 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 9 3.0 27.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 43 159.25 % 013 08/25/10 11 013 08/18/10 16 013 08/11/10 14 013 08/04/10 7 + __________ TOTAL ORDERED 48 177.77 % 013 07/28/10 12 013 07/21/10 15 013 07/14/10 16 + __________ TOTAL ORDERED 43 159.25 % 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 12/29/10 1 011 12/23/10 1 011 12/16/10 1 011 12/14/10 1 011 12/09/10 1 011 12/07/10 1 011 12/02/10 2 + __________ TOTAL ORDERED 8 133.33 % 011 11/24/10 2 011 11/22/10 1 011 11/17/10 1 011 11/10/10 1 011 11/08/10 1 011 11/03/10 1 + __________ TOTAL ORDERED 7 116.66 % 011 10/27/10 2 011 10/25/10 1 011 10/13/10 1 011 10/06/10 2 011 10/04/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 315 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 684341 TEMAZEPAM 15MG CAP + 100 30781220101 00781220101 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 7 116.66 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04082 BW5410282 606 BUTTERMILK PK CRESCENT SPR KY41017 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 582167 DAYTRANA 15MG TRANSDERMAL PTCH 30 35409255330 54092055330 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 013 11/18/10 3 013 11/11/10 2 + __________ TOTAL ORDERED 5 166.66 % 013 10/21/10 2 013 10/07/10 2 + __________ TOTAL ORDERED 4 133.33 % 013 08/19/10 2 013 08/17/10 1 013 08/10/10 3 + __________ TOTAL ORDERED 6 200.00 % 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 455516 OXYCONTIN 60MG TAB (REFORM) 100 35901146010 59011046010 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 12/22/10 3 013 12/15/10 3 013 12/01/10 6 + __________ TOTAL ORDERED 12 200.00 % 013 11/16/10 2 013 11/02/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 316 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 455516 OXYCONTIN 60MG TAB (REFORM) 100 35901146010 59011046010 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 7 116.66 % 013 10/26/10 3 013 10/19/10 5 013 10/05/10 2 + __________ TOTAL ORDERED 10 166.66 % 013 09/28/10 2 013 09/21/10 4 013 09/07/10 3 + __________ TOTAL ORDERED 9 150.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 484847 OXYCODONE 5MG TABS (QUA) + 100 30603499021 00603499021 10 3.0 30.0 0 DC DATE ORDERED QUANTITY 013 09/28/10 12 013 09/21/10 14 013 09/14/10 26 + __________ TOTAL ORDERED 52 173.33 % 013 08/27/10 20 013 08/20/10 13 013 08/13/10 14 013 08/06/10 8 + __________ TOTAL ORDERED 55 183.33 % 013 07/23/10 10 013 07/16/10 14 013 07/09/10 8 + __________ TOTAL ORDERED 32 106.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 496179 CLONAZEPAM 0.5MG TAB (MYL)+ 1000 30378191010 00378191010 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 011 10/29/10 1 011 10/22/10 1 011 10/15/10 1 011 10/01/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 317 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 496179 CLONAZEPAM 0.5MG TAB (MYL)+ 1000 30378191010 00378191010 1 3.0 3.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 4 133.33 % 011 09/29/10 1 011 09/22/10 1 011 09/17/10 1 011 09/01/10 1 + __________ TOTAL ORDERED 4 133.33 % 011 08/30/10 1 011 08/18/10 1 011 08/11/10 1 011 08/04/10 1 + __________ 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 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 013 11/23/10 4 013 11/16/10 4 013 11/02/10 7 + __________ TOTAL ORDERED 15 125.00 % 013 10/19/10 6 013 10/12/10 5 013 10/05/10 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 013 12/22/10 11 013 12/15/10 14 013 12/08/10 6 013 12/01/10 6 + __________ TOTAL ORDERED 37 176.19 % 013 11/23/10 1 013 11/16/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 318 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 544543 FENTANYL 50MCG/HR TS (WAT) + 5 30591321272 00591321272 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 013 11/09/10 5 013 11/02/10 12 + __________ TOTAL ORDERED 22 104.76 % 013 09/28/10 1 013 09/21/10 9 013 09/14/10 8 013 09/07/10 6 + __________ TOTAL ORDERED 24 114.28 % 013 07/23/10 12 013 07/16/10 8 013 07/09/10 3 + __________ TOTAL ORDERED 23 109.52 % 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 08/30/10 2 011 08/23/10 7 011 08/18/10 4 011 08/16/10 4 011 08/11/10 3 011 08/09/10 6 011 08/04/10 5 011 08/02/10 5 + __________ TOTAL ORDERED 36 109.09 % 011 07/28/10 3 011 07/26/10 1 011 07/21/10 1 011 07/19/10 8 011 07/14/10 4 011 07/12/10 7 011 07/07/10 6 011 07/01/10 5 + __________ TOTAL ORDERED 35 106.06 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 319 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 14 3.0 42.0 0 DC DATE ORDERED QUANTITY 011 12/28/10 6 011 12/22/10 8 011 12/20/10 5 011 12/16/10 3 011 12/13/10 5 011 12/09/10 4 011 12/06/10 8 011 12/02/10 7 + __________ TOTAL ORDERED 46 109.52 % 011 10/29/10 6 011 10/27/10 7 011 10/22/10 7 011 10/20/10 3 011 10/15/10 6 011 10/13/10 5 011 10/08/10 6 011 10/06/10 4 011 10/01/10 5 + __________ TOTAL ORDERED 49 116.66 % 011 09/29/10 4 011 09/24/10 7 011 09/22/10 6 011 09/17/10 5 011 09/15/10 9 011 09/10/10 7 011 09/08/10 1 011 09/01/10 7 + __________ TOTAL ORDERED 46 109.52 % 011 08/30/10 4 011 08/25/10 6 011 08/23/10 6 011 08/18/10 5 011 08/16/10 8 011 08/11/10 5 011 08/09/10 4 011 08/04/10 4 011 08/02/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 320 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 14 3.0 42.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 45 107.14 % 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 12/22/10 10 013 12/15/10 8 013 12/08/10 8 013 12/01/10 9 + __________ TOTAL ORDERED 35 194.44 % 013 11/23/10 11 013 11/16/10 10 013 11/09/10 3 013 11/02/10 11 + __________ TOTAL ORDERED 35 194.44 % 013 10/26/10 7 013 10/19/10 10 013 10/12/10 7 013 10/05/10 8 + __________ TOTAL ORDERED 32 177.77 % 013 09/28/10 9 013 09/21/10 7 013 09/14/10 9 013 09/07/10 5 + __________ TOTAL ORDERED 30 166.66 % 013 08/27/10 12 013 08/20/10 7 013 08/13/10 6 013 08/06/10 6 + __________ TOTAL ORDERED 31 172.22 % 013 07/23/10 8 013 07/16/10 8 013 07/09/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 321 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 21 116.66 % 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 12/28/10 4 011 12/09/10 4 011 12/02/10 2 + __________ TOTAL ORDERED 10 111.11 % 011 11/29/10 2 011 11/24/10 3 011 11/12/10 2 011 11/05/10 3 011 11/03/10 2 + __________ TOTAL ORDERED 12 133.33 % 011 09/29/10 2 011 09/24/10 1 011 09/22/10 3 011 09/17/10 1 011 09/15/10 1 011 09/10/10 2 011 09/08/10 1 011 09/01/10 1 + __________ TOTAL ORDERED 12 133.33 % 011 08/30/10 2 011 08/25/10 1 011 08/23/10 2 011 08/18/10 1 011 08/09/10 1 011 08/04/10 3 + __________ TOTAL ORDERED 10 111.11 % 011 07/28/10 3 011 07/26/10 2 011 07/21/10 1 011 07/14/10 1 011 07/07/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 322 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 07/01/10 2 + __________ TOTAL ORDERED 11 122.22 % 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 12/28/10 6 011 12/16/10 2 011 12/09/10 2 011 12/02/10 2 + __________ TOTAL ORDERED 12 133.33 % 011 11/19/10 3 011 11/17/10 3 011 11/12/10 3 011 11/10/10 3 011 11/05/10 2 + __________ TOTAL ORDERED 14 155.55 % 011 10/22/10 3 011 10/20/10 1 011 10/13/10 2 011 10/08/10 2 011 10/01/10 2 + __________ TOTAL ORDERED 10 111.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 604028 CLONAZEPAM ODT 0.25MG TAB+(PAR)60 34988430702 49884030702 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 011 10/29/10 1 011 10/27/10 1 011 10/13/10 3 + __________ TOTAL ORDERED 5 166.66 % 011 08/25/10 1 011 08/18/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 323 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 604028 CLONAZEPAM ODT 0.25MG TAB+(PAR)60 34988430702 49884030702 1 3.0 3.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 4 133.33 % 011 07/26/10 1 011 07/12/10 3 + __________ TOTAL ORDERED 4 133.33 % 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 013 12/22/10 8 013 12/15/10 8 013 12/08/10 6 013 12/01/10 8 + __________ TOTAL ORDERED 30 142.85 % 013 10/26/10 10 013 10/19/10 3 013 10/12/10 5 013 10/05/10 12 + __________ TOTAL ORDERED 30 142.85 % 013 09/28/10 11 013 09/21/10 10 013 09/14/10 4 013 09/07/10 2 + __________ TOTAL ORDERED 27 128.57 % 013 08/27/10 12 013 08/20/10 5 013 08/13/10 4 013 08/06/10 5 + __________ TOTAL ORDERED 26 123.80 % 013 07/23/10 12 013 07/16/10 3 013 07/09/10 10 + __________ TOTAL ORDERED 25 119.04 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 324 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 17 3.0 51.0 0 DC DATE ORDERED QUANTITY 013 12/22/10 41 013 12/15/10 27 013 12/08/10 22 013 12/01/10 32 + __________ TOTAL ORDERED 122 239.21 % 013 11/23/10 22 013 11/16/10 27 013 11/09/10 28 013 11/02/10 47 + __________ TOTAL ORDERED 124 243.13 % 013 10/26/10 27 013 10/19/10 29 013 10/12/10 19 013 10/05/10 27 + __________ TOTAL ORDERED 102 200.00 % 013 09/28/10 28 013 09/21/10 23 013 09/14/10 26 013 09/07/10 21 + __________ TOTAL ORDERED 98 192.15 % 013 08/27/10 57 013 08/20/10 32 013 08/13/10 27 013 08/06/10 31 + __________ TOTAL ORDERED 147 288.23 % 013 07/23/10 18 013 07/16/10 45 013 07/09/10 23 + __________ TOTAL ORDERED 86 168.62 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 654392 OXYCONTIN 80MG TAB (REFORM) 100 35901148010 59011048010 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 12/22/10 6 013 12/08/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 325 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 654392 OXYCONTIN 80MG TAB (REFORM) 100 35901148010 59011048010 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 12/01/10 3 + __________ TOTAL ORDERED 14 233.33 % 013 11/23/10 5 013 11/09/10 3 013 11/02/10 4 + __________ TOTAL ORDERED 12 200.00 % 013 09/28/10 7 013 09/21/10 2 + __________ TOTAL ORDERED 9 150.00 % 013 08/27/10 8 013 08/13/10 1 + __________ TOTAL ORDERED 9 150.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 654393 OXYCONTIN 40MG TAB (REFORM) 100 35901144010 59011044010 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 12/15/10 8 013 12/08/10 4 + __________ TOTAL ORDERED 12 133.33 % 013 11/23/10 5 013 11/09/10 5 013 11/02/10 3 + __________ TOTAL ORDERED 13 144.44 % 013 10/19/10 5 013 10/12/10 4 013 10/05/10 3 + __________ TOTAL ORDERED 12 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 654394 OXYCONTIN 20MG TAB (REFORM) 100 35901142010 59011042010 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 12/22/10 8 013 12/08/10 8 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 326 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 654394 OXYCONTIN 20MG TAB (REFORM) 100 35901142010 59011042010 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 16 177.77 % 013 11/23/10 7 013 11/16/10 4 013 11/09/10 7 + __________ TOTAL ORDERED 18 200.00 % 013 10/26/10 9 013 10/12/10 6 013 10/05/10 5 + __________ TOTAL ORDERED 20 222.22 % 013 09/28/10 4 013 09/21/10 3 013 09/07/10 3 + __________ TOTAL ORDERED 10 111.11 % 013 08/27/10 6 013 08/20/10 5 + __________ TOTAL ORDERED 11 122.22 % 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 12/28/10 1 011 12/22/10 3 011 12/20/10 1 011 12/09/10 2 011 12/06/10 3 + __________ TOTAL ORDERED 10 111.11 % 011 10/29/10 1 011 10/22/10 2 011 10/20/10 3 011 10/15/10 1 011 10/08/10 3 011 10/01/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 327 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 672651 ACETAMIN/CODIENE 300/60 TAB + 100 30603233921 00603233921 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 11 122.22 % 011 09/24/10 4 011 09/17/10 1 011 09/15/10 1 011 09/10/10 2 011 09/08/10 2 011 09/01/10 3 + __________ TOTAL ORDERED 13 144.44 % 011 07/28/10 2 011 07/21/10 3 011 07/14/10 2 011 07/07/10 1 011 07/01/10 5 + __________ TOTAL ORDERED 13 144.44 % 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 12/28/10 9 011 12/22/10 6 011 12/20/10 3 011 12/16/10 4 011 12/13/10 6 011 12/09/10 3 011 12/06/10 7 011 12/02/10 5 + __________ TOTAL ORDERED 43 119.44 % 011 11/29/10 3 011 11/24/10 5 011 11/19/10 7 011 11/17/10 3 011 11/12/10 5 011 11/05/10 6 011 11/03/10 9 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 328 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 38 105.55 % 011 10/29/10 6 011 10/27/10 5 011 10/22/10 7 011 10/20/10 2 011 10/15/10 4 011 10/13/10 4 011 10/08/10 5 011 10/06/10 4 011 10/01/10 4 + __________ TOTAL ORDERED 41 113.88 % 011 09/29/10 4 011 09/24/10 4 011 09/22/10 5 011 09/17/10 4 011 09/15/10 7 011 09/10/10 7 011 09/01/10 7 + __________ TOTAL ORDERED 38 105.55 % 011 08/30/10 5 011 08/25/10 3 011 08/23/10 6 011 08/18/10 4 011 08/16/10 4 011 08/11/10 5 011 08/09/10 5 011 08/04/10 4 011 08/02/10 5 + __________ TOTAL ORDERED 41 113.88 % 011 07/28/10 5 011 07/26/10 7 011 07/21/10 4 011 07/19/10 5 011 07/14/10 4 011 07/12/10 7 011 07/07/10 7 011 07/01/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 329 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 45 125.00 % 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 11/23/10 2 013 11/16/10 1 013 11/02/10 1 + __________ TOTAL ORDERED 4 133.33 % 013 09/21/10 1 013 09/14/10 2 013 09/07/10 1 + __________ TOTAL ORDERED 4 133.33 % 013 08/27/10 2 013 08/20/10 1 013 08/13/10 2 013 08/06/10 1 + __________ 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 09/28/10 3 013 09/21/10 1 013 09/14/10 1 013 09/07/10 2 + __________ TOTAL ORDERED 7 116.66 % 013 08/27/10 3 013 08/20/10 2 013 08/06/10 2 + __________ TOTAL ORDERED 7 116.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 330 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 013 12/22/10 5 013 12/08/10 5 013 12/01/10 5 + __________ TOTAL ORDERED 15 250.00 % 013 11/16/10 3 013 11/02/10 7 + __________ TOTAL ORDERED 10 166.66 % 013 10/26/10 4 013 10/19/10 5 013 10/05/10 3 + __________ TOTAL ORDERED 12 200.00 % 013 09/28/10 2 013 09/21/10 4 013 09/14/10 1 013 09/07/10 1 + __________ TOTAL ORDERED 8 133.33 % 013 08/27/10 6 013 08/20/10 2 013 08/13/10 4 013 08/06/10 1 + __________ TOTAL ORDERED 13 216.66 % 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 12/28/10 1 011 12/22/10 2 011 12/16/10 1 011 12/13/10 1 011 12/09/10 2 + __________ TOTAL ORDERED 7 116.66 % 011 11/29/10 1 011 11/24/10 1 011 11/19/10 1 011 11/17/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 331 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 11/12/10 1 011 11/10/10 1 011 11/05/10 1 011 11/03/10 1 + __________ TOTAL ORDERED 8 133.33 % 011 10/29/10 1 011 10/27/10 1 011 10/22/10 1 011 10/15/10 1 011 10/13/10 1 011 10/08/10 1 011 10/01/10 2 + __________ TOTAL ORDERED 8 133.33 % 011 07/28/10 1 011 07/21/10 1 011 07/19/10 1 011 07/14/10 1 011 07/07/10 1 011 07/01/10 2 + __________ TOTAL ORDERED 7 116.66 % 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 12/28/10 2 011 12/22/10 1 011 12/20/10 1 011 12/16/10 1 011 12/13/10 2 011 12/09/10 1 011 12/06/10 3 + __________ TOTAL ORDERED 11 122.22 % 011 11/29/10 2 011 11/24/10 3 011 11/19/10 2 011 11/17/10 1 011 11/12/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 332 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 011 11/05/10 1 011 11/03/10 1 + __________ TOTAL ORDERED 12 133.33 % 011 10/29/10 2 011 10/27/10 2 011 10/22/10 1 011 10/20/10 2 011 10/15/10 2 011 10/13/10 1 011 10/08/10 1 011 10/06/10 1 011 10/01/10 1 + __________ TOTAL ORDERED 13 144.44 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679796 METHADONE 10MG TAB (ROX) + 100 30054457125 00054457125 13 3.0 39.0 0 DC DATE ORDERED QUANTITY 013 11/23/10 14 013 11/16/10 8 013 11/09/10 10 013 11/02/10 16 + __________ TOTAL ORDERED 48 123.07 % 013 10/26/10 9 013 10/19/10 6 013 10/12/10 16 013 10/05/10 15 + __________ TOTAL ORDERED 46 117.94 % 013 09/28/10 13 013 09/21/10 6 013 09/14/10 11 013 09/07/10 10 + __________ TOTAL ORDERED 40 102.56 % 013 08/27/10 16 013 08/20/10 16 013 08/13/10 17 013 08/06/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 333 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 679796 METHADONE 10MG TAB (ROX) + 100 30054457125 00054457125 13 3.0 39.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 56 143.58 % 013 07/23/10 4 013 07/16/10 20 013 07/09/10 16 + __________ TOTAL ORDERED 40 102.56 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (ACT)+ 100 35215221502 52152021502 10 3.0 30.0 0 DC DATE ORDERED QUANTITY 013 12/22/10 25 013 12/15/10 19 013 12/08/10 20 013 12/01/10 6 + __________ TOTAL ORDERED 70 233.33 % 013 11/23/10 10 013 11/16/10 30 013 11/09/10 14 013 11/02/10 18 + __________ TOTAL ORDERED 72 240.00 % 013 10/26/10 10 013 10/19/10 15 013 10/12/10 20 013 10/05/10 9 + __________ TOTAL ORDERED 54 180.00 % 013 09/28/10 17 013 09/21/10 14 013 09/14/10 11 013 09/07/10 3 + __________ TOTAL ORDERED 45 150.00 % 013 08/27/10 19 013 08/20/10 18 013 08/13/10 26 013 08/06/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 334 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 (ACT)+ 100 35215221502 52152021502 10 3.0 30.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 66 220.00 % 013 07/23/10 5 013 07/16/10 29 013 07/09/10 7 + __________ TOTAL ORDERED 41 136.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682972 OXYCODONE HCL 15MG TAB (ACT) +100 35215221402 52152021402 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 013 12/22/10 21 013 12/15/10 23 013 12/08/10 17 013 12/01/10 14 + __________ TOTAL ORDERED 75 277.77 % 013 11/23/10 28 013 11/16/10 7 013 11/09/10 8 013 11/02/10 36 + __________ TOTAL ORDERED 79 292.59 % 013 10/26/10 22 013 10/19/10 19 013 10/12/10 9 013 10/05/10 11 + __________ TOTAL ORDERED 61 225.92 % 013 09/28/10 18 013 09/21/10 21 013 09/14/10 3 + __________ TOTAL ORDERED 42 155.55 % 013 08/27/10 31 013 08/20/10 21 013 08/13/10 21 013 08/06/10 11 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 335 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 9 3.0 27.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 84 311.11 % 013 07/23/10 23 013 07/16/10 15 013 07/09/10 12 + __________ TOTAL ORDERED 50 185.18 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684106 OXYCODONE HCL 5MG TAB (MKT) + 100 30406055201 00406055201 10 3.0 30.0 0 DC DATE ORDERED QUANTITY 013 12/22/10 3 013 12/08/10 13 013 12/01/10 18 + __________ TOTAL ORDERED 34 113.33 % 013 11/23/10 27 013 11/16/10 2 013 11/09/10 19 013 11/02/10 14 + __________ TOTAL ORDERED 62 206.66 % 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 011 12/28/10 2 011 12/22/10 1 011 12/16/10 1 011 12/13/10 1 011 12/09/10 1 011 12/06/10 1 011 12/02/10 1 + __________ TOTAL ORDERED 8 133.33 % 011 11/29/10 1 011 11/24/10 1 011 11/19/10 1 011 11/17/10 1 011 11/12/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 336 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 011 11/10/10 1 011 11/05/10 4 + __________ TOTAL ORDERED 10 166.66 % 011 09/29/10 1 011 09/24/10 2 011 09/22/10 1 011 09/17/10 2 011 09/10/10 1 011 09/08/10 3 + __________ TOTAL ORDERED 10 166.66 % 011 07/26/10 3 011 07/21/10 1 011 07/14/10 1 011 07/07/10 1 011 07/01/10 1 + __________ 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 517272 LYRICA 25MG CAP + 90 30071101268 00071101268 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 011 12/06/10 4 + __________ TOTAL ORDERED 4 133.33 % 011 11/09/10 4 + __________ TOTAL ORDERED 4 133.33 % 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 09/14/10 4 011 09/10/10 11 011 09/07/10 8 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 337 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 09/01/10 15 + __________ TOTAL ORDERED 38 115.15 % 011 08/27/10 11 011 08/25/10 13 011 08/20/10 7 011 08/18/10 6 011 08/13/10 11 011 08/11/10 5 011 08/06/10 9 011 08/04/10 10 + __________ TOTAL ORDERED 72 218.18 % 011 07/28/10 6 011 07/23/10 3 011 07/21/10 5 011 07/16/10 5 011 07/14/10 8 011 07/09/10 12 + __________ TOTAL ORDERED 39 118.18 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 652294 OXYCOD-APAP 10-325 TAB (WAT) +100 30591093201 00591093201 17 3.0 51.0 0 DC DATE ORDERED QUANTITY 013 12/27/10 18 013 12/17/10 9 013 12/10/10 24 013 12/03/10 10 + __________ TOTAL ORDERED 61 119.60 % 013 11/26/10 11 013 11/18/10 14 013 11/11/10 8 013 11/04/10 21 + __________ TOTAL ORDERED 54 105.88 % 013 09/30/10 13 013 09/23/10 25 013 09/16/10 13 013 09/09/10 17 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 338 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 652294 OXYCOD-APAP 10-325 TAB (WAT) +100 30591093201 00591093201 17 3.0 51.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 68 133.33 % 013 08/31/10 15 013 08/24/10 12 013 08/17/10 7 013 08/10/10 13 013 08/03/10 15 + __________ TOTAL ORDERED 62 121.56 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 654392 OXYCONTIN 80MG TAB (REFORM) 100 35901148010 59011048010 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 12/27/10 3 013 12/10/10 3 013 12/03/10 2 + __________ TOTAL ORDERED 8 133.33 % 013 11/18/10 2 013 11/04/10 5 + __________ TOTAL ORDERED 7 116.66 % 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 513951 CLORAZ DIPOT 7.5MG TAB (TAR) +100 35167240431 51672404301 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 011 12/09/10 5 + __________ TOTAL ORDERED 5 166.66 % 011 10/13/10 1 011 10/11/10 3 011 10/06/10 1 011 10/04/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 339 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 513951 CLORAZ DIPOT 7.5MG TAB (TAR) +100 35167240431 51672404301 1 3.0 3.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 6 200.00 % 011 07/15/10 4 011 07/01/10 1 + __________ TOTAL ORDERED 5 166.66 % 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 10/15/10 2 013 10/08/10 1 013 10/01/10 1 + __________ TOTAL ORDERED 4 133.33 % 013 09/24/10 2 013 09/01/10 2 013 09/17/10 1 + __________ TOTAL ORDERED 5 166.66 % 013 07/28/10 1 013 07/21/10 2 013 07/14/10 1 + __________ TOTAL ORDERED 4 133.33 % 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 12/28/10 3 013 12/13/10 6 + __________ TOTAL ORDERED 9 150.00 % 013 11/19/10 5 013 11/05/10 4 + __________ TOTAL ORDERED 9 150.00 % 013 10/22/10 2 013 10/15/10 2 013 10/08/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 340 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 013 10/01/10 3 + __________ TOTAL ORDERED 9 150.00 % 013 09/24/10 1 013 09/01/10 4 013 09/17/10 1 013 09/10/10 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 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 011 12/16/10 17 011 12/09/10 17 011 12/07/10 11 + __________ TOTAL ORDERED 45 136.36 % 011 11/24/10 14 011 11/17/10 21 011 11/10/10 13 011 11/08/10 2 011 11/03/10 15 + __________ TOTAL ORDERED 65 196.96 % 011 10/27/10 19 011 10/20/10 20 011 10/13/10 10 011 10/06/10 25 + __________ TOTAL ORDERED 74 224.24 % 011 09/29/10 16 011 09/15/10 2 011 09/13/10 16 011 09/08/10 19 011 09/02/10 13 + __________ TOTAL ORDERED 66 200.00 % 011 08/30/10 12 011 08/26/10 4 011 08/23/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 341 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 08/19/10 8 011 08/16/10 12 011 08/12/10 3 011 08/09/10 9 011 08/05/10 14 011 08/02/10 1 + __________ TOTAL ORDERED 66 200.00 % 011 07/29/10 11 011 07/26/10 10 011 07/22/10 16 011 07/19/10 11 011 07/15/10 3 011 07/12/10 5 011 07/08/10 14 011 07/01/10 22 + __________ TOTAL ORDERED 92 278.78 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 553697 ZOLPIDEM 10MG TABS (TEV) + 100 30093007401 00093007401 14 3.0 42.0 0 DC DATE ORDERED QUANTITY 011 12/29/10 6 011 12/23/10 10 011 12/21/10 6 011 12/16/10 5 011 12/14/10 6 011 12/09/10 5 011 12/07/10 3 011 12/02/10 4 + __________ TOTAL ORDERED 45 107.14 % 011 11/30/10 3 011 11/24/10 6 011 11/22/10 8 011 11/17/10 4 011 11/15/10 5 011 11/10/10 2 011 11/08/10 5 011 11/03/10 5 011 11/01/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 342 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 14 3.0 42.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 44 104.76 % 011 09/29/10 4 011 09/27/10 7 011 09/22/10 3 011 09/20/10 9 011 09/15/10 1 011 09/13/10 4 011 09/08/10 9 011 09/02/10 8 + __________ TOTAL ORDERED 45 107.14 % 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 12/23/10 3 011 12/16/10 2 011 12/09/10 2 011 12/07/10 3 + __________ TOTAL ORDERED 10 111.11 % 011 11/30/10 2 011 11/15/10 4 011 11/08/10 3 011 11/03/10 2 011 11/01/10 2 + __________ TOTAL ORDERED 13 144.44 % 011 09/27/10 3 011 09/22/10 2 011 09/13/10 1 011 09/08/10 2 011 09/02/10 2 + __________ TOTAL ORDERED 10 111.11 % 011 07/26/10 3 011 07/22/10 3 011 07/19/10 3 011 07/15/10 1 011 07/08/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 343 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 553889 ANDROGEL 1% PUMP (UNI) +150GM 30051848888 00051848888 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 011 07/01/10 2 + __________ TOTAL ORDERED 14 155.55 % 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 12/28/10 7 013 12/20/10 5 013 12/13/10 7 013 12/06/10 6 + __________ TOTAL ORDERED 25 138.88 % 013 11/29/10 9 013 11/19/10 7 013 11/12/10 6 013 11/05/10 6 + __________ TOTAL ORDERED 28 155.55 % 013 10/22/10 6 013 10/15/10 6 013 10/08/10 6 013 10/01/10 8 + __________ TOTAL ORDERED 26 144.44 % 013 09/24/10 3 013 09/01/10 9 013 09/17/10 6 013 09/10/10 6 + __________ TOTAL ORDERED 24 133.33 % 013 08/25/10 6 013 08/18/10 6 013 08/11/10 6 013 08/04/10 9 + __________ TOTAL ORDERED 27 150.00 % 013 07/28/10 7 013 07/21/10 4 013 07/14/10 7 013 07/07/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 344 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 24 133.33 % 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 013 12/28/10 4 013 12/20/10 4 013 12/13/10 7 013 12/06/10 13 + __________ TOTAL ORDERED 28 133.33 % 013 11/29/10 5 013 11/19/10 6 013 11/12/10 7 013 11/05/10 9 + __________ TOTAL ORDERED 27 128.57 % 013 09/24/10 8 013 09/01/10 10 013 09/17/10 8 013 09/10/10 7 + __________ TOTAL ORDERED 33 157.14 % 013 08/25/10 1 013 08/18/10 3 013 08/11/10 12 013 08/04/10 7 + __________ TOTAL ORDERED 23 109.52 % 013 07/28/10 5 013 07/21/10 4 013 07/14/10 10 013 07/07/10 6 + __________ TOTAL ORDERED 25 119.04 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 345 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 651384 FENTANYL 50MCG/HR TS (MYL) 5 30378912298 00378912298 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 12/28/10 14 013 12/20/10 7 013 12/13/10 4 013 12/06/10 2 + __________ TOTAL ORDERED 27 150.00 % 013 11/29/10 8 013 11/19/10 11 013 11/12/10 3 + __________ 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 17 3.0 51.0 0 DC DATE ORDERED QUANTITY 013 12/28/10 25 013 12/20/10 41 013 12/13/10 25 013 12/06/10 28 + __________ TOTAL ORDERED 119 233.33 % 013 11/29/10 15 013 11/19/10 36 013 11/12/10 18 013 11/05/10 37 + __________ TOTAL ORDERED 106 207.84 % 013 10/22/10 40 013 10/15/10 16 013 10/08/10 31 013 10/01/10 25 + __________ TOTAL ORDERED 112 219.60 % 013 09/24/10 25 013 09/01/10 22 013 09/17/10 20 013 09/10/10 26 + __________ TOTAL ORDERED 93 182.35 % 013 08/25/10 21 013 08/18/10 37 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 346 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 17 3.0 51.0 0 DC DATE ORDERED QUANTITY 013 08/11/10 22 013 08/04/10 27 + __________ TOTAL ORDERED 107 209.80 % 013 07/28/10 32 013 07/21/10 32 013 07/14/10 18 013 07/07/10 16 + __________ TOTAL ORDERED 98 192.15 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 654393 OXYCONTIN 40MG TAB (REFORM) 100 35901144010 59011044010 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 12/02/10 2 013 12/28/10 4 013 12/13/10 6 013 12/06/10 5 + __________ TOTAL ORDERED 17 188.88 % 013 11/19/10 7 013 11/05/10 3 + __________ 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 12 3.0 36.0 0 DC DATE ORDERED QUANTITY 011 11/30/10 4 011 11/24/10 4 011 11/22/10 5 011 11/17/10 4 011 11/15/10 6 011 11/10/10 4 011 11/08/10 3 011 11/03/10 3 011 11/01/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 347 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 38 105.55 % 011 08/30/10 5 011 08/26/10 4 011 08/23/10 5 011 08/19/10 4 011 08/16/10 5 011 08/12/10 3 011 08/09/10 4 011 08/05/10 3 011 08/02/10 5 + __________ TOTAL ORDERED 38 105.55 % 011 07/29/10 3 011 07/26/10 4 011 07/22/10 4 011 07/19/10 5 011 07/15/10 5 011 07/12/10 6 011 07/08/10 5 011 07/01/10 7 + __________ TOTAL ORDERED 39 108.33 % 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 011 12/23/10 5 011 12/21/10 6 011 12/16/10 2 011 12/09/10 2 + __________ TOTAL ORDERED 15 166.66 % 011 11/24/10 2 011 11/22/10 3 011 11/17/10 1 011 11/10/10 2 011 11/03/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 348 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 10 111.11 % 011 09/29/10 2 011 09/27/10 1 011 09/22/10 2 011 09/20/10 1 011 09/15/10 3 011 09/02/10 2 + __________ TOTAL ORDERED 11 122.22 % 011 08/23/10 1 011 08/19/10 2 011 08/16/10 1 011 08/12/10 2 011 08/05/10 7 011 08/02/10 3 + __________ TOTAL ORDERED 16 177.77 % 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 12/29/10 1 011 12/23/10 3 011 12/21/10 2 011 12/16/10 3 011 12/14/10 2 011 12/09/10 2 011 12/02/10 3 + __________ TOTAL ORDERED 16 133.33 % 011 11/24/10 2 011 11/22/10 2 011 11/17/10 3 011 11/15/10 1 011 11/10/10 2 011 11/08/10 2 011 11/03/10 2 011 11/01/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 349 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 15 125.00 % 011 09/29/10 3 011 09/27/10 1 011 09/22/10 1 011 09/20/10 2 011 09/15/10 4 011 09/08/10 1 011 09/02/10 2 + __________ TOTAL ORDERED 14 116.66 % 011 08/30/10 2 011 08/26/10 1 011 08/23/10 2 011 08/19/10 3 011 08/16/10 2 011 08/12/10 2 011 08/09/10 1 011 08/02/10 2 + __________ TOTAL ORDERED 15 125.00 % 011 07/29/10 1 011 07/26/10 2 011 07/22/10 2 011 07/19/10 3 011 07/15/10 2 011 07/12/10 1 011 07/01/10 5 + __________ TOTAL ORDERED 16 133.33 % 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 12/23/10 2 011 12/16/10 12 011 12/14/10 1 011 12/09/10 4 011 12/02/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 350 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 6 3.0 18.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 26 144.44 % 011 11/24/10 2 011 11/22/10 4 011 11/17/10 2 011 11/10/10 6 011 11/08/10 2 011 11/03/10 3 011 11/01/10 2 + __________ TOTAL ORDERED 21 116.66 % 011 10/27/10 2 011 10/25/10 2 011 10/20/10 4 011 10/13/10 3 011 10/11/10 3 011 10/06/10 2 011 10/04/10 5 + __________ TOTAL ORDERED 21 116.66 % 011 09/29/10 5 011 09/27/10 4 011 09/22/10 2 011 09/20/10 3 011 09/15/10 3 011 09/08/10 2 011 09/02/10 6 + __________ TOTAL ORDERED 25 138.88 % 011 08/30/10 1 011 08/26/10 5 011 08/23/10 2 011 08/19/10 1 011 08/16/10 1 011 08/12/10 6 011 08/09/10 3 011 08/05/10 3 011 08/02/10 1 + __________ TOTAL ORDERED 23 127.77 % 011 07/26/10 2 011 07/22/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 351 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 011 07/19/10 2 011 07/12/10 1 011 07/08/10 3 011 07/01/10 10 + __________ TOTAL ORDERED 19 105.55 % 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 011 09/29/10 3 011 09/22/10 2 + __________ TOTAL ORDERED 5 166.66 % 011 08/23/10 1 011 08/12/10 2 011 08/09/10 1 + __________ TOTAL ORDERED 4 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675756 HYDROCOD-APAP 10-500 TB (WT)+500 30591054005 00591054005 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 011 12/29/10 2 011 12/23/10 5 011 12/16/10 1 011 12/14/10 1 011 12/09/10 1 011 12/07/10 1 011 12/02/10 2 + __________ TOTAL ORDERED 13 108.33 % 011 11/30/10 1 011 11/24/10 3 011 11/22/10 2 011 11/17/10 1 011 11/15/10 1 011 11/10/10 1 011 11/08/10 1 011 11/03/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 352 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 011 11/01/10 2 + __________ TOTAL ORDERED 13 108.33 % 011 07/29/10 1 011 07/26/10 2 011 07/22/10 2 011 07/19/10 2 011 07/12/10 1 011 07/08/10 2 011 07/01/10 5 + __________ TOTAL ORDERED 15 125.00 % 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 12/29/10 1 011 12/23/10 2 011 12/16/10 1 011 12/09/10 3 011 12/07/10 2 + __________ TOTAL ORDERED 9 150.00 % 011 11/30/10 1 011 11/24/10 1 011 11/22/10 1 011 11/17/10 1 011 11/10/10 1 011 11/08/10 1 011 11/03/10 1 011 11/01/10 1 + __________ TOTAL ORDERED 8 133.33 % 011 10/27/10 1 011 10/20/10 1 011 10/18/10 1 011 10/13/10 1 011 10/11/10 1 011 10/06/10 1 011 10/04/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 353 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 % 011 09/29/10 1 011 09/22/10 1 011 09/20/10 2 011 09/15/10 1 011 09/13/10 3 011 09/02/10 3 + __________ TOTAL ORDERED 11 183.33 % 011 07/29/10 2 011 07/26/10 1 011 07/22/10 1 011 07/19/10 1 011 07/12/10 1 011 07/01/10 2 + __________ 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 12/23/10 1 011 12/21/10 1 011 12/14/10 1 011 12/09/10 2 011 12/07/10 1 011 12/02/10 2 + __________ TOTAL ORDERED 8 133.33 % 011 09/29/10 2 011 09/22/10 1 011 09/15/10 1 011 09/13/10 2 011 09/02/10 2 + __________ TOTAL ORDERED 8 133.33 % 011 08/30/10 2 011 08/19/10 1 011 08/16/10 1 011 08/12/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 354 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 011 08/09/10 1 011 08/05/10 2 011 08/02/10 2 + __________ TOTAL ORDERED 10 166.66 % 011 07/26/10 1 011 07/15/10 1 011 07/12/10 2 011 07/08/10 1 011 07/01/10 2 + __________ 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 12/29/10 1 011 12/23/10 2 011 12/21/10 1 011 12/16/10 2 011 12/14/10 1 011 12/09/10 2 011 12/07/10 1 011 12/02/10 1 + __________ TOTAL ORDERED 11 183.33 % 011 11/30/10 1 011 11/24/10 1 011 11/22/10 2 011 11/15/10 2 011 11/10/10 1 011 11/08/10 1 011 11/03/10 1 011 11/01/10 1 + __________ TOTAL ORDERED 10 166.66 % 011 10/27/10 1 011 10/25/10 1 011 10/20/10 1 011 10/18/10 1 011 10/13/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 355 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 011 10/11/10 2 011 10/06/10 1 011 10/04/10 2 + __________ TOTAL ORDERED 10 166.66 % 011 09/29/10 1 011 09/22/10 1 011 09/20/10 1 011 09/15/10 2 011 09/13/10 1 011 09/08/10 1 011 09/02/10 2 + __________ TOTAL ORDERED 9 150.00 % 011 08/30/10 1 011 08/26/10 1 011 08/23/10 2 011 08/16/10 1 011 08/12/10 1 011 08/09/10 1 011 08/05/10 2 011 08/02/10 1 + __________ TOTAL ORDERED 10 166.66 % 011 07/26/10 1 011 07/19/10 2 011 07/15/10 1 011 07/12/10 1 011 07/08/10 1 011 07/01/10 3 + __________ TOTAL ORDERED 9 150.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679796 METHADONE 10MG TAB (ROX) + 100 30054457125 00054457125 13 3.0 39.0 0 DC DATE ORDERED QUANTITY 013 11/29/10 21 013 11/19/10 20 013 11/12/10 4 013 11/05/10 10 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 356 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 679796 METHADONE 10MG TAB (ROX) + 100 30054457125 00054457125 13 3.0 39.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 55 141.02 % 013 09/24/10 9 013 09/01/10 11 013 09/17/10 6 013 09/10/10 16 + __________ TOTAL ORDERED 42 107.69 % 013 08/25/10 18 013 08/18/10 8 013 08/11/10 20 013 08/04/10 19 + __________ TOTAL ORDERED 65 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (ACT)+ 100 35215221502 52152021502 10 3.0 30.0 0 DC DATE ORDERED QUANTITY 013 11/29/10 12 013 11/19/10 4 013 11/12/10 4 013 11/05/10 14 + __________ TOTAL ORDERED 34 113.33 % 013 09/24/10 2 013 09/01/10 15 013 09/17/10 6 013 09/10/10 8 + __________ TOTAL ORDERED 31 103.33 % 013 07/28/10 12 013 07/21/10 5 013 07/14/10 16 + __________ TOTAL ORDERED 33 110.00 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 357 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 013 12/28/10 4 013 12/20/10 15 013 12/13/10 11 013 12/06/10 4 + __________ TOTAL ORDERED 34 125.92 % 013 11/29/10 7 013 11/19/10 11 013 11/12/10 4 013 11/05/10 11 + __________ TOTAL ORDERED 33 122.22 % 013 10/22/10 7 013 10/15/10 11 013 10/08/10 16 013 10/01/10 1 + __________ TOTAL ORDERED 35 129.62 % 013 09/24/10 11 013 09/01/10 9 013 09/17/10 10 013 09/10/10 2 + __________ TOTAL ORDERED 32 118.51 % 013 08/25/10 14 013 08/18/10 12 013 08/11/10 7 013 08/04/10 6 + __________ TOTAL ORDERED 39 144.44 % 013 07/28/10 10 013 07/21/10 6 013 07/14/10 10 013 07/07/10 3 + __________ TOTAL ORDERED 29 107.40 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 358 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 013 12/28/10 4 013 12/20/10 4 013 12/13/10 5 013 12/06/10 2 + __________ TOTAL ORDERED 15 166.66 % 013 11/29/10 5 013 11/19/10 8 013 11/12/10 5 + __________ TOTAL ORDERED 18 200.00 % 013 10/22/10 4 013 10/15/10 3 013 10/08/10 5 013 10/01/10 4 + __________ TOTAL ORDERED 16 177.77 % 013 09/24/10 6 013 09/01/10 7 013 09/17/10 1 + __________ TOTAL ORDERED 14 155.55 % 013 08/25/10 10 013 08/18/10 4 013 08/11/10 2 013 08/04/10 5 + __________ TOTAL ORDERED 21 233.33 % 013 07/28/10 6 013 07/21/10 5 013 07/14/10 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 12/23/10 2 011 12/14/10 4 011 12/09/10 2 011 12/02/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 359 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 10 166.66 % 011 11/24/10 1 011 11/17/10 4 011 11/10/10 1 011 11/08/10 2 + __________ TOTAL ORDERED 8 133.33 % 011 09/29/10 1 011 09/27/10 1 011 09/20/10 4 011 09/13/10 1 011 09/08/10 2 + __________ TOTAL ORDERED 9 150.00 % 011 07/26/10 1 011 07/22/10 1 011 07/19/10 2 011 07/15/10 1 011 07/12/10 2 011 07/08/10 1 011 07/01/10 3 + __________ TOTAL ORDERED 11 183.33 % 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 11/30/10 1 011 11/17/10 1 011 11/03/10 1 011 11/01/10 1 + __________ TOTAL ORDERED 4 133.33 % 011 10/27/10 1 011 10/20/10 1 011 10/13/10 1 011 10/06/10 1 011 10/04/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 360 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 685301 TRIAZOLAM 0.25MG TAB (GRN)+ 10X10 35976237184 59762371804 1 3.0 3.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 5 166.66 % 011 08/26/10 1 011 08/23/10 1 011 08/16/10 1 011 08/12/10 1 011 08/02/10 1 + __________ TOTAL ORDERED 5 166.66 % 011 07/29/10 1 011 07/15/10 1 011 07/12/10 1 011 07/01/10 1 + __________ TOTAL ORDERED 4 133.33 % 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 529506 VYVANSE 60MG CAPS + 100 35941710610 59417010610 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 013 09/30/10 1 013 09/23/10 1 013 09/09/10 2 + __________ TOTAL ORDERED 4 133.33 % 013 08/31/10 1 013 08/24/10 1 013 08/17/10 1 013 08/03/10 1 + __________ TOTAL ORDERED 4 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 652294 OXYCOD-APAP 10-325 TAB (WAT) +100 30591093201 00591093201 17 3.0 51.0 0 DC DATE ORDERED QUANTITY 013 12/27/10 19 013 12/17/10 16 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 361 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 652294 OXYCOD-APAP 10-325 TAB (WAT) +100 30591093201 00591093201 17 3.0 51.0 0 DC DATE ORDERED QUANTITY 013 12/10/10 11 013 12/03/10 18 + __________ TOTAL ORDERED 64 125.49 % 013 11/30/10 8 013 11/18/10 18 013 11/11/10 9 013 11/04/10 22 + __________ TOTAL ORDERED 57 111.76 % 013 08/31/10 15 013 08/24/10 16 013 08/17/10 12 013 08/10/10 14 013 08/03/10 12 + __________ TOTAL ORDERED 69 135.29 % 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 12/22/10 2 011 12/15/10 1 011 12/13/10 1 011 12/08/10 1 011 12/06/10 1 011 12/01/10 2 + __________ TOTAL ORDERED 8 133.33 % 011 10/26/10 1 011 10/19/10 1 011 10/15/10 1 011 10/12/10 1 011 10/08/10 1 011 10/05/10 1 011 10/01/10 1 + __________ TOTAL ORDERED 7 116.66 % 011 09/28/10 1 011 09/24/10 2 011 09/21/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 362 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 09/14/10 1 011 09/01/10 2 + __________ TOTAL ORDERED 7 116.66 % 011 08/27/10 3 011 08/25/10 2 011 08/20/10 1 011 08/13/10 1 011 08/06/10 1 011 08/04/10 1 + __________ TOTAL ORDERED 9 150.00 % 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 563755 OXYCODONE-APAP 5-325 TAB(WAT)+500 30591074905 00591074905 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 12/29/10 5 013 12/21/10 5 013 12/14/10 5 013 12/07/10 4 + __________ TOTAL ORDERED 19 105.55 % 013 11/30/10 4 013 11/22/10 6 013 11/15/10 5 013 11/08/10 3 013 11/01/10 4 + __________ TOTAL ORDERED 22 122.22 % 013 09/27/10 5 013 09/20/10 3 013 09/13/10 4 013 09/02/10 7 + __________ TOTAL ORDERED 19 105.55 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 363 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 17 3.0 51.0 0 DC DATE ORDERED QUANTITY 013 12/29/10 12 013 12/21/10 19 013 12/14/10 18 013 12/07/10 18 + __________ TOTAL ORDERED 67 131.37 % 013 11/30/10 12 013 11/22/10 14 013 11/15/10 16 013 11/08/10 16 013 11/01/10 16 + __________ TOTAL ORDERED 74 145.09 % 013 10/25/10 17 013 10/18/10 21 013 10/11/10 20 013 10/04/10 16 + __________ TOTAL ORDERED 74 145.09 % 013 09/27/10 10 013 09/20/10 20 013 09/13/10 24 013 09/02/10 20 + __________ TOTAL ORDERED 74 145.09 % 013 08/26/10 13 013 08/19/10 10 013 08/12/10 22 013 08/05/10 14 + __________ TOTAL ORDERED 59 115.68 % 013 07/29/10 17 013 07/22/10 13 013 07/15/10 17 013 07/08/10 13 + __________ TOTAL ORDERED 60 117.64 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 364 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 672806 ADDERALL XR 20MG CAPS + 100 35409238701 54092038701 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 10/25/10 2 013 10/18/10 2 013 10/11/10 3 + __________ TOTAL ORDERED 7 116.66 % 013 09/27/10 1 013 09/20/10 3 013 09/13/10 1 013 09/02/10 2 + __________ TOTAL ORDERED 7 116.66 % 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 12/30/10 1 011 12/27/10 1 011 12/22/10 1 011 12/10/10 2 011 12/08/10 2 + __________ TOTAL ORDERED 7 116.66 % 011 11/26/10 2 011 11/18/10 1 011 11/11/10 1 011 11/09/10 1 011 11/04/10 1 011 11/02/10 1 + __________ TOTAL ORDERED 7 116.66 % 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 484847 OXYCODONE 5MG TABS (QUA) + 100 30603499021 00603499021 10 3.0 30.0 0 DC DATE ORDERED QUANTITY 013 09/28/10 7 013 09/21/10 11 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 365 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 484847 OXYCODONE 5MG TABS (QUA) + 100 30603499021 00603499021 10 3.0 30.0 0 DC DATE ORDERED QUANTITY 013 09/14/10 28 + __________ TOTAL ORDERED 46 153.33 % 013 08/20/10 24 013 08/13/10 8 013 08/06/10 13 + __________ TOTAL ORDERED 45 150.00 % 013 07/23/10 16 013 07/16/10 7 013 07/09/10 21 + __________ TOTAL ORDERED 44 146.66 % 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 11/24/10 17 011 11/17/10 7 011 11/05/10 12 + __________ TOTAL ORDERED 36 109.09 % 011 09/15/10 13 011 09/10/10 6 011 09/08/10 13 011 09/01/10 13 + __________ TOTAL ORDERED 45 136.36 % 011 08/30/10 2 011 08/25/10 3 011 08/23/10 9 011 08/18/10 3 011 08/16/10 12 011 08/11/10 2 011 08/09/10 13 011 08/04/10 7 011 08/02/10 10 + __________ TOTAL ORDERED 61 184.84 % 011 07/28/10 1 011 07/26/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 366 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 07/21/10 3 011 07/19/10 8 011 07/14/10 5 011 07/12/10 11 011 07/07/10 13 011 07/01/10 5 + __________ TOTAL ORDERED 50 151.51 % 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 12/21/10 8 013 12/15/10 7 013 12/08/10 5 013 12/01/10 4 + __________ TOTAL ORDERED 24 133.33 % 013 11/23/10 6 013 11/16/10 5 013 11/09/10 7 013 11/02/10 6 + __________ TOTAL ORDERED 24 133.33 % 013 10/26/10 8 013 10/19/10 5 013 10/12/10 6 013 10/05/10 6 + __________ TOTAL ORDERED 25 138.88 % 013 09/28/10 8 013 09/21/10 6 013 09/14/10 6 013 09/07/10 7 + __________ TOTAL ORDERED 27 150.00 % 013 08/27/10 10 013 08/20/10 7 013 08/13/10 6 013 08/06/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 367 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 27 150.00 % 013 07/23/10 7 013 07/16/10 6 013 07/09/10 6 + __________ TOTAL ORDERED 19 105.55 % 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 013 10/26/10 10 013 10/19/10 13 013 10/12/10 9 013 10/05/10 18 + __________ TOTAL ORDERED 50 238.09 % 013 09/30/10 8 013 09/14/10 8 013 09/07/10 17 + __________ TOTAL ORDERED 33 157.14 % 013 08/27/10 10 013 08/20/10 3 013 08/13/10 5 013 08/06/10 12 + __________ TOTAL ORDERED 30 142.85 % 013 07/23/10 7 013 07/16/10 13 013 07/09/10 6 + __________ TOTAL ORDERED 26 123.80 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 652294 OXYCOD-APAP 10-325 TAB (WAT) +100 30591093201 00591093201 17 3.0 51.0 0 DC DATE ORDERED QUANTITY 013 12/21/10 16 013 12/15/10 16 013 12/08/10 21 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 368 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 17 3.0 51.0 0 DC DATE ORDERED QUANTITY 013 12/01/10 20 + __________ TOTAL ORDERED 73 143.13 % 013 11/23/10 20 013 11/16/10 9 013 11/09/10 15 013 11/02/10 22 + __________ TOTAL ORDERED 66 129.41 % 013 10/26/10 23 013 10/19/10 19 013 10/12/10 22 013 10/05/10 14 + __________ TOTAL ORDERED 78 152.94 % 013 09/28/10 17 013 09/21/10 22 013 09/14/10 24 013 09/07/10 26 + __________ TOTAL ORDERED 89 174.50 % 013 08/27/10 21 013 08/20/10 32 013 08/13/10 18 013 08/06/10 14 + __________ TOTAL ORDERED 85 166.66 % 013 07/23/10 34 013 07/16/10 20 013 07/09/10 18 + __________ TOTAL ORDERED 72 141.17 % 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 12/28/10 9 011 12/22/10 6 011 12/20/10 5 011 12/16/10 4 011 12/13/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 369 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 12/09/10 4 011 12/06/10 5 011 12/02/10 4 + __________ TOTAL ORDERED 41 113.88 % 011 11/29/10 4 011 11/24/10 5 011 11/19/10 8 011 11/17/10 6 011 11/12/10 4 011 11/10/10 3 011 11/05/10 4 011 11/03/10 4 + __________ TOTAL ORDERED 38 105.55 % 011 10/29/10 5 011 10/27/10 5 011 10/22/10 6 011 10/20/10 5 011 10/15/10 5 011 10/13/10 4 011 10/08/10 4 011 10/06/10 4 011 10/01/10 4 + __________ TOTAL ORDERED 42 116.66 % 011 08/30/10 6 011 08/25/10 3 011 08/23/10 6 011 08/18/10 3 011 08/16/10 4 011 08/11/10 4 011 08/09/10 6 011 08/04/10 3 011 08/02/10 5 + __________ TOTAL ORDERED 40 111.11 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 370 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 011 12/28/10 3 011 12/22/10 3 011 12/20/10 2 011 12/16/10 4 011 12/13/10 4 011 12/09/10 8 011 12/06/10 2 + __________ TOTAL ORDERED 26 144.44 % 011 11/29/10 2 011 11/24/10 3 011 11/19/10 5 011 11/17/10 8 011 11/12/10 4 011 11/10/10 2 011 11/05/10 2 + __________ TOTAL ORDERED 26 144.44 % 011 10/29/10 4 011 10/27/10 2 011 10/22/10 9 011 10/20/10 1 011 10/15/10 3 011 10/08/10 5 011 10/06/10 2 011 10/01/10 4 + __________ TOTAL ORDERED 30 166.66 % 011 09/29/10 2 011 09/24/10 6 011 09/22/10 5 011 09/17/10 3 011 09/15/10 4 011 09/10/10 4 011 09/01/10 5 + __________ TOTAL ORDERED 29 161.11 % 011 08/30/10 1 011 08/25/10 3 011 08/23/10 3 011 08/18/10 4 011 08/16/10 8 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 371 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 011 08/11/10 3 011 08/09/10 2 011 08/04/10 3 011 08/02/10 3 + __________ TOTAL ORDERED 30 166.66 % 011 07/28/10 2 011 07/26/10 2 011 07/21/10 2 011 07/19/10 1 011 07/14/10 6 011 07/12/10 1 011 07/07/10 6 011 07/01/10 4 + __________ TOTAL ORDERED 24 133.33 % 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 12/28/10 4 011 12/22/10 3 011 12/20/10 1 011 12/16/10 3 011 12/13/10 3 011 12/09/10 1 + __________ TOTAL ORDERED 15 125.00 % 011 11/29/10 3 011 11/24/10 5 011 11/19/10 4 011 11/17/10 2 011 11/12/10 2 011 11/10/10 3 011 11/05/10 2 011 11/03/10 1 + __________ TOTAL ORDERED 22 183.33 % 011 10/29/10 1 011 10/27/10 3 011 10/22/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 372 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 10/20/10 3 011 10/15/10 2 011 10/13/10 3 011 10/08/10 1 011 10/06/10 2 011 10/01/10 2 + __________ TOTAL ORDERED 19 158.33 % 011 09/29/10 1 011 09/24/10 4 011 09/17/10 3 011 09/15/10 5 011 09/08/10 1 011 09/01/10 3 + __________ TOTAL ORDERED 17 141.66 % 011 08/25/10 4 011 08/23/10 2 011 08/18/10 3 011 08/16/10 2 011 08/11/10 2 011 08/09/10 3 011 08/04/10 1 011 08/02/10 1 + __________ TOTAL ORDERED 18 150.00 % 011 07/28/10 2 011 07/26/10 2 011 07/21/10 3 011 07/19/10 2 011 07/14/10 2 011 07/12/10 3 011 07/07/10 2 011 07/01/10 1 + __________ TOTAL ORDERED 17 141.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 373 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 675756 HYDROCOD-APAP 10-500 TB (WT)+500 30591054005 00591054005 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 011 12/28/10 2 011 12/22/10 2 011 12/20/10 2 011 12/16/10 1 011 12/13/10 2 011 12/09/10 2 011 12/06/10 2 011 12/02/10 2 + __________ TOTAL ORDERED 15 125.00 % 011 11/29/10 1 011 11/24/10 2 011 11/19/10 2 011 11/17/10 1 011 11/12/10 2 011 11/10/10 1 011 11/05/10 3 011 11/03/10 1 + __________ TOTAL ORDERED 13 108.33 % 011 10/29/10 2 011 10/22/10 2 011 10/20/10 1 011 10/15/10 2 011 10/13/10 1 011 10/08/10 3 011 10/01/10 2 + __________ TOTAL ORDERED 13 108.33 % 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 12/28/10 2 011 12/22/10 1 011 12/20/10 1 011 12/16/10 1 011 12/13/10 2 011 12/09/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 374 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 8 133.33 % 011 10/29/10 1 011 10/27/10 1 011 10/22/10 2 011 10/15/10 1 011 10/13/10 1 011 10/08/10 1 011 10/01/10 1 + __________ TOTAL ORDERED 8 133.33 % 011 07/28/10 1 011 07/26/10 1 011 07/21/10 1 011 07/14/10 1 011 07/12/10 1 011 07/07/10 1 011 07/01/10 2 + __________ 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 12/28/10 1 011 12/22/10 1 011 12/16/10 1 011 12/13/10 2 011 12/09/10 2 + __________ TOTAL ORDERED 7 116.66 % 011 11/24/10 1 011 11/19/10 1 011 11/17/10 1 011 11/12/10 1 011 11/10/10 1 011 11/05/10 2 + __________ TOTAL ORDERED 7 116.66 % 011 09/29/10 2 011 09/17/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 375 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 09/15/10 2 011 09/01/10 1 + __________ TOTAL ORDERED 7 116.66 % 011 07/28/10 1 011 07/26/10 1 011 07/21/10 1 011 07/19/10 2 011 07/12/10 1 011 07/07/10 1 011 07/01/10 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 12/28/10 1 011 12/22/10 2 011 12/20/10 1 011 12/16/10 1 011 12/09/10 3 011 12/06/10 2 011 12/02/10 1 + __________ TOTAL ORDERED 11 183.33 % 011 11/24/10 1 011 11/19/10 2 011 11/17/10 1 011 11/12/10 2 011 11/05/10 3 011 11/03/10 1 + __________ TOTAL ORDERED 10 166.66 % 011 10/29/10 2 011 10/22/10 2 011 10/15/10 2 011 10/08/10 2 011 10/06/10 1 011 10/01/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 376 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 11 183.33 % 011 09/29/10 1 011 09/24/10 2 011 09/17/10 2 011 09/10/10 2 011 09/08/10 1 011 09/01/10 2 + __________ TOTAL ORDERED 10 166.66 % 011 08/25/10 2 011 08/18/10 2 011 08/11/10 1 011 08/09/10 2 011 08/04/10 2 011 08/02/10 1 + __________ TOTAL ORDERED 10 166.66 % 011 07/28/10 1 011 07/21/10 2 011 07/14/10 1 011 07/12/10 2 011 07/07/10 1 011 07/01/10 2 + __________ TOTAL ORDERED 9 150.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682972 OXYCODONE HCL 15MG TAB (ACT) +100 35215221402 52152021402 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 013 12/21/10 13 013 12/15/10 1 013 12/08/10 16 013 12/01/10 15 + __________ TOTAL ORDERED 45 166.66 % 013 11/23/10 8 013 11/16/10 7 013 11/09/10 13 013 11/02/10 18 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 377 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 682972 OXYCODONE HCL 15MG TAB (ACT) +100 35215221402 52152021402 9 3.0 27.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 46 170.37 % 013 10/26/10 5 013 10/19/10 2 013 10/12/10 7 013 10/05/10 15 + __________ TOTAL ORDERED 29 107.40 % 013 09/28/10 3 013 09/21/10 2 013 09/14/10 7 013 09/07/10 18 + __________ TOTAL ORDERED 30 111.11 % 013 08/27/10 8 013 08/20/10 3 013 08/13/10 12 013 08/06/10 8 + __________ TOTAL ORDERED 31 114.81 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684106 OXYCODONE HCL 5MG TAB (MKT) + 100 30406055201 00406055201 10 3.0 30.0 0 DC DATE ORDERED QUANTITY 013 11/23/10 9 013 11/16/10 19 013 11/09/10 18 013 11/02/10 11 + __________ TOTAL ORDERED 57 190.00 % 013 10/26/10 9 013 10/19/10 6 013 10/12/10 18 + __________ TOTAL ORDERED 33 110.00 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 378 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 684341 TEMAZEPAM 15MG CAP + 100 30781220101 00781220101 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 011 11/29/10 1 011 11/24/10 2 011 11/19/10 1 011 11/12/10 1 011 11/10/10 1 011 11/05/10 1 + __________ TOTAL ORDERED 7 116.66 % 011 08/30/10 2 011 08/25/10 2 011 08/23/10 2 011 08/18/10 1 + __________ TOTAL ORDERED 7 116.66 % 011 07/28/10 1 011 07/26/10 3 011 07/21/10 1 011 07/19/10 1 011 07/07/10 1 011 07/01/10 1 + __________ TOTAL ORDERED 8 133.33 % 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 11/24/10 1 011 11/19/10 3 011 11/17/10 1 011 11/12/10 1 011 11/05/10 4 + __________ TOTAL ORDERED 10 166.66 % 011 10/15/10 1 011 10/13/10 3 011 10/06/10 1 011 10/01/10 2 + __________ TOTAL ORDERED 7 116.66 % 011 09/24/10 2 011 09/22/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 379 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 684342 TEMAZEPAM 30MG CAPSULES + 100 30781220201 00781220201 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 011 09/17/10 1 011 09/10/10 1 011 09/08/10 3 + __________ TOTAL ORDERED 8 133.33 % 011 08/25/10 1 011 08/23/10 1 011 08/11/10 1 011 08/09/10 1 011 08/04/10 1 011 08/02/10 2 + __________ TOTAL ORDERED 7 116.66 % 011 07/28/10 1 011 07/26/10 1 011 07/21/10 1 011 07/14/10 1 011 07/07/10 2 011 07/01/10 1 + __________ TOTAL ORDERED 7 116.66 % 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 483652 LYRICA 300MG CAP + 90 30071101868 00071101868 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 011 12/21/10 2 011 12/17/10 1 011 12/14/10 1 011 12/07/10 1 + __________ TOTAL ORDERED 5 166.66 % 011 11/23/10 1 011 11/16/10 1 011 11/12/10 1 011 11/05/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 380 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 483652 LYRICA 300MG CAP + 90 30071101868 00071101868 1 3.0 3.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 4 133.33 % 011 08/31/10 2 011 08/17/10 1 011 08/06/10 1 011 08/03/10 1 + __________ TOTAL ORDERED 5 166.66 % 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 12/23/10 2 013 12/27/10 1 013 12/20/10 3 013 12/16/10 4 013 12/13/10 3 013 12/09/10 3 013 12/06/10 6 013 12/02/10 3 + __________ TOTAL ORDERED 25 138.88 % 013 11/29/10 3 013 11/22/10 5 013 11/18/10 2 013 11/15/10 5 013 11/11/10 1 013 11/08/10 5 013 11/04/10 3 013 11/01/10 4 + __________ TOTAL ORDERED 28 155.55 % 013 10/25/10 4 013 10/21/10 3 013 10/18/10 2 013 10/14/10 2 013 10/07/10 2 013 10/11/10 3 013 10/04/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 381 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 19 105.55 % 013 09/30/10 2 013 09/27/10 3 013 09/23/10 3 013 09/20/10 2 013 09/16/10 2 013 09/09/10 6 013 09/02/10 4 + __________ TOTAL ORDERED 22 122.22 % 013 08/30/10 3 013 08/26/10 4 013 08/23/10 3 013 08/19/10 2 013 08/16/10 2 013 08/12/10 4 013 08/09/10 2 013 08/05/10 3 013 08/02/10 3 + __________ TOTAL ORDERED 26 144.44 % 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 013 12/23/10 10 013 12/27/10 1 013 12/20/10 9 013 12/16/10 5 013 12/13/10 1 013 12/09/10 4 013 12/06/10 5 013 12/02/10 1 + __________ TOTAL ORDERED 36 171.42 % 013 11/29/10 1 013 11/22/10 14 013 11/18/10 2 013 11/15/10 8 013 11/11/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 382 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 013 11/08/10 4 013 11/04/10 3 013 11/01/10 3 + __________ TOTAL ORDERED 39 185.71 % 013 10/25/10 9 013 10/21/10 3 013 10/18/10 3 013 10/14/10 4 013 10/07/10 1 013 10/11/10 9 013 10/04/10 3 + __________ TOTAL ORDERED 32 152.38 % 013 09/30/10 6 013 09/27/10 8 013 09/23/10 4 013 09/20/10 3 013 09/16/10 2 013 09/09/10 8 013 09/02/10 9 + __________ TOTAL ORDERED 40 190.47 % 013 08/30/10 3 013 08/26/10 3 013 08/23/10 4 013 08/19/10 4 013 08/16/10 3 013 08/12/10 9 013 08/09/10 2 013 08/05/10 5 013 08/02/10 1 + __________ TOTAL ORDERED 34 161.90 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 652294 OXYCOD-APAP 10-325 TAB (WAT) +100 30591093201 00591093201 17 3.0 51.0 0 DC DATE ORDERED QUANTITY 013 12/23/10 7 013 12/27/10 5 013 12/20/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 383 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 17 3.0 51.0 0 DC DATE ORDERED QUANTITY 013 12/16/10 7 013 12/13/10 6 013 12/09/10 15 013 12/06/10 13 013 12/02/10 13 + __________ TOTAL ORDERED 73 143.13 % 013 11/29/10 9 013 11/22/10 23 013 11/18/10 4 013 11/15/10 4 013 11/11/10 9 013 11/08/10 25 013 11/04/10 18 013 11/01/10 16 + __________ TOTAL ORDERED 108 211.76 % 013 10/25/10 7 013 10/21/10 7 013 10/18/10 7 013 10/14/10 6 013 10/07/10 11 013 10/11/10 18 013 10/04/10 12 + __________ TOTAL ORDERED 68 133.33 % 013 09/30/10 10 013 09/27/10 11 013 09/23/10 5 013 09/20/10 5 013 09/16/10 8 013 09/13/10 9 013 09/09/10 27 013 09/02/10 22 + __________ TOTAL ORDERED 97 190.19 % 013 08/30/10 8 013 08/26/10 11 013 08/23/10 12 013 08/19/10 10 013 08/16/10 15 013 08/12/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 384 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 17 3.0 51.0 0 DC DATE ORDERED QUANTITY 013 08/09/10 18 013 08/05/10 12 013 08/02/10 11 + __________ TOTAL ORDERED 103 201.96 % 013 07/29/10 5 013 07/26/10 12 013 07/22/10 10 013 07/19/10 11 013 07/15/10 9 013 07/12/10 15 013 07/08/10 3 + __________ TOTAL ORDERED 65 127.45 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 654393 OXYCONTIN 40MG TAB (REFORM) 100 35901144010 59011044010 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 12/20/10 6 013 12/16/10 4 013 12/06/10 2 013 12/02/10 2 + __________ TOTAL ORDERED 14 155.55 % 013 11/22/10 2 013 11/15/10 4 013 11/08/10 4 + __________ 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 12 3.0 36.0 0 DC DATE ORDERED QUANTITY 011 12/28/10 10 011 12/21/10 8 011 12/17/10 6 011 12/14/10 5 011 12/10/10 4 011 12/07/10 4 011 12/03/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 385 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 672663 HYDROCODONE/APAP 5/500+TAB(WT)500 30591034905 00591034905 12 3.0 36.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 43 119.44 % 011 11/30/10 2 011 11/26/10 5 011 11/23/10 5 011 11/19/10 4 011 11/16/10 5 011 11/12/10 5 011 11/09/10 3 011 11/05/10 6 011 11/02/10 3 + __________ TOTAL ORDERED 38 105.55 % 011 08/31/10 8 011 08/27/10 6 011 08/24/10 3 011 08/20/10 6 011 08/17/10 4 011 08/13/10 4 011 08/10/10 5 011 08/06/10 6 011 08/03/10 3 + __________ TOTAL ORDERED 45 125.00 % 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 12/28/10 1 011 12/21/10 2 011 12/17/10 1 011 12/14/10 1 011 12/10/10 1 011 12/07/10 2 + __________ TOTAL ORDERED 8 133.33 % 011 11/26/10 1 011 11/23/10 1 011 11/16/10 1 011 11/12/10 1 011 11/09/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 386 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 676041 DIAZEPAM 5MG TAB (MYL) + 500 30378034505 00378034505 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 011 11/05/10 1 011 11/02/10 1 + __________ TOTAL ORDERED 8 133.33 % 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 09/28/10 9 013 09/21/10 13 013 09/14/10 2 013 09/07/10 4 + __________ TOTAL ORDERED 28 133.33 % 013 08/27/10 10 013 08/20/10 13 + __________ TOTAL ORDERED 23 109.52 % 013 07/23/10 14 013 07/16/10 11 013 07/09/10 2 + __________ TOTAL ORDERED 27 128.57 % 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 011 12/28/10 5 011 12/13/10 3 011 12/06/10 6 011 12/02/10 3 + __________ TOTAL ORDERED 17 141.66 % 011 11/24/10 2 011 11/12/10 3 011 11/10/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 387 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 603809 LYRICA 75MG CAP + 90 30071101468 00071101468 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 011 11/05/10 4 011 11/03/10 2 + __________ TOTAL ORDERED 13 108.33 % 011 10/22/10 4 011 10/20/10 2 011 10/15/10 3 011 10/13/10 3 011 10/06/10 2 011 10/01/10 3 + __________ TOTAL ORDERED 17 141.66 % 011 09/29/10 3 011 09/24/10 1 011 09/17/10 1 011 09/15/10 2 011 09/10/10 2 011 09/08/10 2 011 09/01/10 3 + __________ TOTAL ORDERED 14 116.66 % 011 08/30/10 2 011 08/25/10 1 011 08/23/10 3 011 08/18/10 1 011 08/16/10 1 011 08/11/10 2 011 08/09/10 4 011 08/04/10 1 011 08/02/10 1 + __________ 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 17 3.0 51.0 0 DC DATE ORDERED QUANTITY 013 12/22/10 20 013 12/15/10 13 013 12/08/10 13 013 12/01/10 10 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 388 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 652294 OXYCOD-APAP 10-325 TAB (WAT) +100 30591093201 00591093201 17 3.0 51.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 56 109.80 % 013 11/23/10 23 013 11/16/10 13 013 11/09/10 9 013 11/02/10 9 + __________ TOTAL ORDERED 54 105.88 % 013 09/28/10 15 013 09/21/10 16 013 09/14/10 16 013 09/07/10 13 + __________ TOTAL ORDERED 60 117.64 % 013 08/27/10 23 013 08/20/10 12 013 08/13/10 8 013 08/06/10 21 + __________ TOTAL ORDERED 64 125.49 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 683092 # TESTIM 1% GEL + 30X5 36688700105 66887000105 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 011 12/28/10 3 011 12/23/10 1 011 12/13/10 1 011 12/02/10 2 + __________ TOTAL ORDERED 7 116.66 % 011 11/29/10 1 011 11/17/10 3 011 11/12/10 1 011 11/10/10 1 011 11/05/10 1 + __________ TOTAL ORDERED 7 116.66 % 011 09/29/10 2 011 09/24/10 1 011 09/17/10 2 011 09/10/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 389 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 683092 # TESTIM 1% GEL + 30X5 36688700105 66887000105 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 011 09/01/10 1 + __________ TOTAL ORDERED 7 116.66 % 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 652294 OXYCOD-APAP 10-325 TAB (WAT) +100 30591093201 00591093201 17 3.0 51.0 0 DC DATE ORDERED QUANTITY 013 12/27/10 32 013 12/17/10 29 013 12/10/10 14 013 12/03/10 9 + __________ TOTAL ORDERED 84 164.70 % 013 11/26/10 25 013 11/18/10 15 013 11/11/10 14 013 11/04/10 15 + __________ TOTAL ORDERED 69 135.29 % 013 10/28/10 14 013 10/21/10 12 013 10/14/10 14 013 10/07/10 18 + __________ TOTAL ORDERED 58 113.72 % 013 09/30/10 23 013 09/23/10 15 013 09/16/10 13 013 09/09/10 11 + __________ TOTAL ORDERED 62 121.56 % 013 08/31/10 17 013 08/24/10 26 013 08/17/10 15 013 08/10/10 16 013 08/03/10 15 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 390 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 652294 OXYCOD-APAP 10-325 TAB (WAT) +100 30591093201 00591093201 17 3.0 51.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 89 174.50 % 013 07/27/10 15 013 07/20/10 18 013 07/13/10 15 013 07/06/10 12 + __________ TOTAL ORDERED 60 117.64 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682972 OXYCODONE HCL 15MG TAB (ACT) +100 35215221402 52152021402 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 013 12/27/10 14 013 12/17/10 2 013 12/10/10 5 013 12/03/10 13 + __________ TOTAL ORDERED 34 125.92 % 013 11/26/10 9 013 11/18/10 5 013 11/11/10 11 013 11/04/10 14 + __________ TOTAL ORDERED 39 144.44 % 013 09/30/10 6 013 09/23/10 6 013 09/16/10 11 013 09/09/10 5 + __________ TOTAL ORDERED 28 103.70 % 013 07/27/10 3 013 07/20/10 6 013 07/13/10 12 013 07/06/10 7 + __________ TOTAL ORDERED 28 103.70 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 391 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 684145 OXYCOD-APAP 10-650 TAB (WAT) +100 30591082501 00591082501 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 12/27/10 5 013 12/17/10 1 013 12/10/10 4 013 12/03/10 2 + __________ TOTAL ORDERED 12 133.33 % 013 11/26/10 4 013 11/18/10 4 013 11/04/10 3 + __________ TOTAL ORDERED 11 122.22 % 013 08/31/10 5 013 08/24/10 2 013 08/17/10 1 013 08/10/10 3 + __________ TOTAL ORDERED 11 122.22 % 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 654392 OXYCONTIN 80MG TAB (REFORM) 100 35901148010 59011048010 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 12/23/10 5 013 12/09/10 2 + __________ TOTAL ORDERED 7 116.66 % 013 11/24/10 5 013 11/17/10 2 013 11/10/10 2 013 11/03/10 4 + __________ TOTAL ORDERED 13 216.66 % 013 08/30/10 8 + __________ TOTAL ORDERED 8 133.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 392 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 12/28/10 3 011 12/20/10 2 011 12/16/10 2 011 12/09/10 5 011 12/06/10 3 + __________ TOTAL ORDERED 15 166.66 % 011 11/24/10 3 011 11/19/10 2 011 11/17/10 3 011 11/05/10 2 + __________ TOTAL ORDERED 10 111.11 % 011 10/29/10 3 011 10/22/10 4 011 10/20/10 1 011 10/01/10 2 + __________ TOTAL ORDERED 10 111.11 % 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 12/28/10 1 011 12/23/10 1 011 12/20/10 1 011 12/13/10 1 011 12/09/10 2 011 12/06/10 1 + __________ TOTAL ORDERED 7 116.66 % 011 09/24/10 2 011 09/17/10 2 011 09/10/10 1 011 09/01/10 2 + __________ TOTAL ORDERED 7 116.66 % 011 08/25/10 1 011 08/23/10 1 011 08/18/10 1 011 08/11/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 393 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 678961 LORAZEPAM 1MG TAB (PPC) +500 30228205950 00228205950 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 011 08/04/10 1 011 08/02/10 1 + __________ TOTAL ORDERED 7 116.66 % 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 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 011 12/28/10 1 011 12/22/10 3 011 12/20/10 1 011 12/15/10 2 011 12/13/10 1 011 12/08/10 2 011 12/06/10 1 011 12/01/10 2 + __________ TOTAL ORDERED 13 108.33 % 011 11/29/10 2 011 11/23/10 2 011 11/19/10 3 011 11/16/10 1 011 11/12/10 1 011 11/09/10 2 011 11/05/10 2 011 11/02/10 3 + __________ TOTAL ORDERED 16 133.33 % 011 10/29/10 2 011 10/26/10 1 011 10/22/10 2 011 10/19/10 3 011 10/12/10 2 011 10/08/10 1 011 10/05/10 2 011 10/01/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 394 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 4 3.0 12.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 16 133.33 % 011 09/28/10 1 011 09/24/10 2 011 09/21/10 2 011 09/17/10 2 011 09/14/10 2 011 09/10/10 2 011 09/01/10 3 + __________ TOTAL ORDERED 14 116.66 % 011 08/27/10 3 011 08/25/10 2 011 08/20/10 2 011 08/13/10 2 011 08/11/10 1 011 08/06/10 2 011 08/04/10 2 + __________ TOTAL ORDERED 14 116.66 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 10493 BW1175303 398 ANDERSON FERRY DELHI 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 12/23/10 8 013 12/16/10 4 013 12/09/10 3 013 12/02/10 5 + __________ TOTAL ORDERED 20 111.11 % 013 11/24/10 4 013 11/17/10 2 013 11/03/10 8 013 11/01/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 395 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 10493 BW1175303 398 ANDERSON FERRY DELHI 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 + __________ TOTAL ORDERED 20 111.11 % 013 08/30/10 5 013 08/23/10 5 013 08/16/10 4 013 08/09/10 3 013 08/02/10 4 + __________ TOTAL ORDERED 21 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 683092 # TESTIM 1% GEL + 30X5 36688700105 66887000105 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 011 12/29/10 2 011 12/27/10 1 011 12/21/10 2 011 12/03/10 2 + __________ TOTAL ORDERED 7 116.66 % 011 11/30/10 2 011 11/26/10 2 011 11/22/10 1 011 11/15/10 1 011 11/11/10 1 + __________ TOTAL ORDERED 7 116.66 % 011 09/30/10 2 011 09/27/10 2 011 09/20/10 1 011 09/16/10 1 011 09/02/10 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 011 12/29/10 1 011 12/27/10 1 011 12/21/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 396 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 015 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 10493 BW1175303 398 ANDERSON FERRY DELHI 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 011 12/17/10 1 011 12/14/10 2 011 12/03/10 1 + __________ TOTAL ORDERED 7 116.66 % 011 11/30/10 1 011 11/22/10 1 011 11/18/10 1 011 11/15/10 2 011 11/08/10 3 + __________ TOTAL ORDERED 8 133.33 % 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 448603 HYDROCODO/CHLORPHEN ER SUSP+473ML 36217549070 62175049070 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 010 12/29/10 5 010 12/23/10 4 010 12/21/10 1 010 12/14/10 3 010 12/09/10 1 010 12/07/10 3 010 12/02/10 3 + __________ TOTAL ORDERED 20 133.33 % 010 11/30/10 2 010 11/24/10 2 010 11/22/10 2 010 11/17/10 3 010 11/15/10 1 010 11/08/10 4 010 11/03/10 1 010 11/01/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 397 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 448603 HYDROCODO/CHLORPHEN ER SUSP+473ML 36217549070 62175049070 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 21 140.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 450485 CARISOPRODOL 350MG TAB (WAT) 100 30591551301 00591551301 19 3.0 57.0 0 DC DATE ORDERED QUANTITY 010 11/30/10 4 010 11/24/10 8 010 11/22/10 15 010 11/17/10 4 010 11/15/10 11 010 11/10/10 9 010 11/08/10 17 010 11/03/10 5 010 11/01/10 1 + __________ TOTAL ORDERED 74 129.82 % 010 10/27/10 6 010 10/25/10 6 010 10/20/10 11 010 10/18/10 18 010 10/11/10 20 010 10/06/10 10 + __________ TOTAL ORDERED 71 124.56 % 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 12/29/10 4 014 12/22/10 3 014 12/15/10 3 014 12/08/10 4 014 12/01/10 2 + __________ TOTAL ORDERED 16 177.77 % 014 10/27/10 5 014 10/20/10 6 014 10/06/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 398 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 14 155.55 % 014 09/29/10 3 014 09/22/10 2 014 09/15/10 2 014 09/08/10 1 014 09/01/10 2 + __________ TOTAL ORDERED 10 111.11 % 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 12/22/10 3 014 12/08/10 2 014 12/01/10 2 + __________ TOTAL ORDERED 7 116.66 % 014 11/10/10 5 014 11/03/10 4 + __________ TOTAL ORDERED 9 150.00 % 014 08/25/10 2 014 08/18/10 3 014 08/11/10 2 014 08/04/10 2 + __________ TOTAL ORDERED 9 150.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539150 D-AMPHET SALT COMBO 20MG TAB +100 36472013510 64720013510 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 014 10/27/10 5 014 10/20/10 5 014 10/13/10 4 014 10/06/10 9 + __________ TOTAL ORDERED 23 109.52 % 014 09/29/10 8 014 09/22/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 399 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 539150 D-AMPHET SALT COMBO 20MG TAB +100 36472013510 64720013510 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 014 09/15/10 6 014 09/08/10 3 014 09/01/10 6 + __________ TOTAL ORDERED 27 128.57 % 014 08/25/10 7 014 08/18/10 7 014 08/11/10 5 014 08/04/10 8 + __________ TOTAL ORDERED 27 128.57 % 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 11/10/10 4 014 11/03/10 3 + __________ TOTAL ORDERED 7 116.66 % 014 10/27/10 3 014 10/13/10 5 014 10/06/10 2 + __________ TOTAL ORDERED 10 166.66 % 014 09/29/10 2 014 09/22/10 2 014 09/15/10 3 014 09/08/10 1 014 09/01/10 3 + __________ TOTAL ORDERED 11 183.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 12/29/10 6 010 12/23/10 8 010 12/21/10 4 010 12/16/10 4 010 12/14/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 400 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 12/09/10 4 010 12/07/10 4 010 12/02/10 6 + __________ TOTAL ORDERED 38 115.15 % 010 11/30/10 2 010 11/24/10 5 010 11/22/10 3 010 11/17/10 3 010 11/15/10 5 010 11/10/10 3 010 11/08/10 6 010 11/03/10 3 010 11/01/10 4 + __________ TOTAL ORDERED 34 103.03 % 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 12/23/10 9 010 12/21/10 2 010 12/16/10 6 010 12/14/10 1 010 12/09/10 8 010 12/07/10 7 010 12/02/10 8 + __________ TOTAL ORDERED 41 124.24 % 010 11/30/10 1 010 11/24/10 9 010 11/22/10 5 010 11/17/10 3 010 11/15/10 6 010 11/10/10 5 010 11/08/10 2 010 11/03/10 2 010 11/01/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 401 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 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 10/27/10 3 010 10/25/10 6 010 10/20/10 6 010 10/18/10 9 010 10/13/10 4 010 10/11/10 9 010 10/06/10 3 010 10/04/10 8 + __________ TOTAL ORDERED 48 145.45 % 010 09/29/10 4 010 09/27/10 6 010 09/22/10 6 010 09/20/10 2 010 09/15/10 7 010 09/13/10 8 010 09/08/10 7 010 09/02/10 6 + __________ TOTAL ORDERED 46 139.39 % 010 08/30/10 4 010 08/26/10 1 010 08/23/10 6 010 08/19/10 12 010 08/16/10 8 010 08/12/10 4 010 08/09/10 7 010 08/05/10 7 010 08/02/10 4 + __________ TOTAL ORDERED 53 160.60 % 010 07/29/10 1 010 07/26/10 3 010 07/22/10 3 010 07/19/10 5 010 07/15/10 6 010 07/12/10 7 010 07/08/10 2 010 07/01/10 12 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 402 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 39 118.18 % 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 09/29/10 2 010 09/27/10 1 010 09/22/10 2 010 09/20/10 1 010 09/15/10 3 010 09/13/10 5 010 09/02/10 4 + __________ TOTAL ORDERED 18 120.00 % 010 08/26/10 2 010 08/23/10 1 010 08/19/10 3 010 08/16/10 2 010 08/12/10 1 010 08/09/10 2 010 08/05/10 4 010 08/02/10 2 + __________ TOTAL ORDERED 17 113.33 % 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 12/16/10 3 010 12/02/10 1 + __________ TOTAL ORDERED 4 133.33 % 010 11/24/10 1 010 11/22/10 1 010 11/17/10 1 010 11/15/10 1 010 11/10/10 1 010 11/08/10 1 010 11/03/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 403 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 674522 CHLORDIAZEPOXIDE 25MG CAP(BR)+100 30555015902 00555015902 1 3.0 3.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 7 233.33 % 010 10/20/10 1 010 10/18/10 1 010 10/13/10 1 010 10/06/10 1 + __________ TOTAL ORDERED 4 133.33 % 010 09/22/10 1 010 09/20/10 1 010 09/15/10 1 010 09/02/10 1 + __________ TOTAL ORDERED 4 133.33 % 010 08/30/10 1 010 08/19/10 3 010 08/16/10 1 010 08/12/10 1 + __________ TOTAL ORDERED 6 200.00 % 010 07/19/10 2 010 07/01/10 2 + __________ 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 12/29/10 2 010 12/23/10 2 010 12/21/10 1 010 12/16/10 2 010 12/14/10 1 010 12/09/10 2 010 12/02/10 2 + __________ TOTAL ORDERED 12 133.33 % 010 11/30/10 2 010 11/24/10 2 010 11/22/10 2 010 11/17/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 404 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 11/15/10 1 010 11/10/10 1 010 11/08/10 1 010 11/03/10 2 010 11/01/10 1 + __________ TOTAL ORDERED 13 144.44 % 010 10/27/10 1 010 10/25/10 2 010 10/20/10 1 010 10/18/10 1 010 10/13/10 2 010 10/06/10 2 010 10/04/10 2 + __________ TOTAL ORDERED 11 122.22 % 010 09/29/10 1 010 09/27/10 2 010 09/22/10 1 010 09/20/10 1 010 09/15/10 1 010 09/13/10 1 010 09/08/10 2 010 09/02/10 2 + __________ TOTAL ORDERED 11 122.22 % 010 07/29/10 1 010 07/26/10 2 010 07/22/10 1 010 07/19/10 2 010 07/15/10 1 010 07/12/10 1 010 07/08/10 1 010 07/01/10 4 + __________ TOTAL ORDERED 13 144.44 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 405 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 684809 TESTOSTERN CYP 200MG/ML(WAT)+10ML 30591322379 00364661054 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 12/23/10 4 010 12/21/10 2 010 12/16/10 1 010 12/09/10 3 010 12/02/10 1 + __________ TOTAL ORDERED 11 122.22 % 010 10/27/10 2 010 10/20/10 1 010 10/18/10 2 010 10/13/10 3 010 10/06/10 2 + __________ TOTAL ORDERED 10 111.11 % 010 09/29/10 1 010 09/22/10 1 010 09/20/10 2 010 09/15/10 2 010 09/13/10 1 010 09/08/10 3 + __________ TOTAL ORDERED 10 111.11 % 010 08/30/10 1 010 08/26/10 1 010 08/23/10 2 010 08/16/10 2 010 08/12/10 3 010 08/09/10 1 010 08/05/10 4 010 08/02/10 2 + __________ TOTAL ORDERED 16 177.77 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 406 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 12/28/10 8 010 12/23/10 8 010 12/20/10 6 010 12/16/10 4 010 12/13/10 6 010 12/09/10 7 010 12/06/10 13 010 12/02/10 5 + __________ TOTAL ORDERED 57 172.72 % 010 11/29/10 1 010 11/24/10 8 010 11/19/10 5 010 11/17/10 4 010 11/12/10 8 010 11/10/10 9 010 11/05/10 11 010 11/03/10 7 + __________ TOTAL ORDERED 53 160.60 % 010 10/22/10 6 010 10/20/10 5 010 10/15/10 5 010 10/13/10 2 010 10/08/10 14 010 10/06/10 9 010 10/01/10 7 + __________ TOTAL ORDERED 48 145.45 % 010 09/29/10 3 010 09/24/10 9 010 09/22/10 4 010 09/17/10 8 010 09/15/10 6 010 09/10/10 7 010 09/08/10 6 010 09/01/10 9 + __________ TOTAL ORDERED 52 157.57 % 010 08/30/10 6 010 08/25/10 7 010 08/23/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 407 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 08/18/10 5 010 08/16/10 5 010 08/11/10 5 010 08/09/10 7 010 08/04/10 6 010 08/02/10 7 + __________ TOTAL ORDERED 53 160.60 % 010 07/28/10 7 010 07/26/10 5 010 07/21/10 4 010 07/19/10 7 010 07/14/10 7 010 07/12/10 8 010 07/07/10 10 010 07/01/10 10 + __________ TOTAL ORDERED 58 175.75 % 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 672651 ACETAMIN/CODIENE 300/60 TAB + 100 30603233921 00603233921 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 12/27/10 1 010 12/22/10 1 010 12/10/10 4 010 12/08/10 5 010 12/03/10 1 + __________ TOTAL ORDERED 12 200.00 % 010 11/26/10 1 010 11/11/10 5 010 11/04/10 1 + __________ TOTAL ORDERED 7 116.66 % 010 10/28/10 1 010 10/21/10 1 010 10/14/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 408 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 672651 ACETAMIN/CODIENE 300/60 TAB + 100 30603233921 00603233921 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 10/12/10 3 010 10/07/10 2 + __________ TOTAL ORDERED 10 166.66 % 010 08/31/10 2 010 08/27/10 1 010 08/24/10 2 010 08/20/10 1 010 08/13/10 4 010 08/10/10 1 + __________ TOTAL ORDERED 11 183.33 % 010 07/23/10 1 010 07/20/10 1 010 07/16/10 3 010 07/13/10 2 010 07/09/10 1 + __________ TOTAL ORDERED 8 133.33 % 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 12/27/10 2 010 12/22/10 3 010 12/17/10 3 010 12/15/10 1 010 12/10/10 3 010 12/08/10 1 010 12/03/10 4 + __________ TOTAL ORDERED 17 188.88 % 010 11/26/10 3 010 11/23/10 2 010 11/18/10 3 010 11/16/10 1 010 11/11/10 3 010 11/09/10 2 010 11/04/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 409 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 18 200.00 % 010 10/28/10 3 010 10/21/10 3 010 10/19/10 2 010 10/14/10 4 010 10/12/10 2 010 10/07/10 4 010 10/05/10 1 + __________ TOTAL ORDERED 19 211.11 % 010 09/30/10 2 010 09/28/10 1 010 09/23/10 3 010 09/21/10 1 010 09/16/10 4 010 09/14/10 1 010 09/09/10 2 010 09/07/10 1 + __________ TOTAL ORDERED 15 166.66 % 010 08/31/10 4 010 08/27/10 2 010 08/24/10 1 010 08/20/10 1 010 08/17/10 2 010 08/13/10 3 010 08/10/10 1 010 08/06/10 4 010 08/03/10 2 + __________ TOTAL ORDERED 20 222.22 % 010 07/27/10 1 010 07/23/10 3 010 07/20/10 1 010 07/16/10 4 010 07/13/10 1 010 07/09/10 4 010 07/06/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 410 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 12/27/10 1 010 12/22/10 1 010 12/17/10 2 010 12/15/10 2 010 12/10/10 2 010 12/08/10 1 010 12/03/10 1 + __________ TOTAL ORDERED 10 111.11 % 010 11/26/10 2 010 11/23/10 2 010 11/18/10 2 010 11/16/10 1 010 11/11/10 2 010 11/09/10 1 010 11/04/10 2 010 11/02/10 1 + __________ TOTAL ORDERED 13 144.44 % 010 10/28/10 1 010 10/21/10 3 010 10/19/10 1 010 10/14/10 2 010 10/12/10 1 010 10/07/10 2 010 10/05/10 1 + __________ TOTAL ORDERED 11 122.22 % 010 09/30/10 2 010 09/23/10 3 010 09/21/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 411 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 09/16/10 2 010 09/09/10 2 + __________ TOTAL ORDERED 10 111.11 % 010 08/31/10 2 010 08/27/10 1 010 08/24/10 1 010 08/20/10 2 010 08/17/10 1 010 08/13/10 4 010 08/10/10 1 010 08/06/10 2 010 08/03/10 2 + __________ TOTAL ORDERED 16 177.77 % 010 07/27/10 1 010 07/23/10 1 010 07/20/10 1 010 07/16/10 3 010 07/13/10 1 010 07/09/10 2 010 07/06/10 1 + __________ 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 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 12/22/10 1 010 12/17/10 2 010 12/15/10 1 010 12/10/10 2 010 12/08/10 2 010 12/03/10 2 + __________ TOTAL ORDERED 10 111.11 % 010 10/28/10 3 010 10/21/10 4 010 10/14/10 1 010 10/07/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 412 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 679658 HYDROMET SYRUP (ALP) + 473ML 30472103016 00472103016 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 11 122.22 % 010 09/30/10 3 010 09/23/10 1 010 09/21/10 2 010 09/16/10 2 010 09/09/10 2 + __________ TOTAL ORDERED 10 111.11 % 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 12/29/10 1 010 12/27/10 1 010 12/21/10 2 010 12/17/10 1 010 12/14/10 1 010 12/10/10 3 010 12/07/10 2 010 12/03/10 1 + __________ TOTAL ORDERED 12 133.33 % 010 11/30/10 1 010 11/26/10 2 010 11/22/10 2 010 11/15/10 2 010 11/11/10 1 010 11/08/10 2 010 11/01/10 1 + __________ TOTAL ORDERED 11 122.22 % 010 10/28/10 1 010 10/25/10 2 010 10/21/10 1 010 10/18/10 2 010 10/14/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 413 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 10/11/10 2 010 10/07/10 1 010 10/04/10 3 + __________ TOTAL ORDERED 13 144.44 % 010 09/30/10 2 010 09/23/10 1 010 09/20/10 1 010 09/13/10 2 010 09/09/10 3 010 09/02/10 1 + __________ TOTAL ORDERED 10 111.11 % 010 08/31/10 2 010 08/26/10 2 010 08/24/10 1 010 08/19/10 2 010 08/17/10 1 010 08/12/10 1 010 08/10/10 1 010 08/05/10 2 010 08/03/10 1 + __________ TOTAL ORDERED 13 144.44 % 010 07/29/10 1 010 07/27/10 1 010 07/22/10 2 010 07/15/10 3 010 07/08/10 2 010 07/06/10 1 + __________ TOTAL ORDERED 10 111.11 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 414 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 468843 TRAMADOL/APAP 37.5/325MG+(AMN)500 36516261750 65162061750 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 010 12/29/10 1 010 12/27/10 1 010 12/14/10 1 010 12/10/10 1 + __________ TOTAL ORDERED 4 133.33 % 010 11/26/10 1 010 11/22/10 1 010 11/11/10 1 010 11/08/10 1 010 11/01/10 2 + __________ TOTAL ORDERED 6 200.00 % 010 10/25/10 1 010 10/21/10 1 010 10/14/10 1 010 10/11/10 1 010 10/04/10 2 + __________ TOTAL ORDERED 6 200.00 % 010 09/27/10 1 010 09/20/10 2 010 09/16/10 1 010 09/02/10 1 + __________ TOTAL ORDERED 5 166.66 % 010 08/31/10 1 010 08/26/10 2 010 08/19/10 1 + __________ TOTAL ORDERED 4 133.33 % 010 07/29/10 1 010 07/27/10 1 010 07/22/10 1 010 07/20/10 1 010 07/06/10 1 + __________ TOTAL ORDERED 5 166.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 415 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 539147 D-AMPHET SALT COMBO 30MG TAB +100 36472013610 64720013610 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 014 12/29/10 5 014 12/22/10 7 014 12/15/10 7 + __________ TOTAL ORDERED 19 158.33 % 014 11/24/10 7 014 11/17/10 6 014 11/10/10 2 + __________ TOTAL ORDERED 15 125.00 % 014 09/29/10 9 014 09/22/10 9 014 09/15/10 4 014 09/08/10 5 + __________ TOTAL ORDERED 27 225.00 % 014 08/25/10 7 014 08/18/10 4 014 08/11/10 2 014 08/04/10 1 + __________ TOTAL ORDERED 14 116.66 % 014 07/28/10 6 014 07/21/10 5 014 07/14/10 7 014 07/07/10 3 + __________ TOTAL ORDERED 21 175.00 % 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 010 12/21/10 3 010 12/10/10 4 010 12/03/10 3 + __________ TOTAL ORDERED 10 111.11 % 010 11/26/10 2 010 11/22/10 2 010 11/11/10 2 010 11/08/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 416 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 603807 LYRICA 100MG CAP + 90 30071101568 00071101568 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 11/01/10 2 + __________ TOTAL ORDERED 10 111.11 % 010 08/26/10 4 010 08/19/10 1 010 08/12/10 2 010 08/10/10 1 010 08/05/10 3 010 08/03/10 1 + __________ TOTAL ORDERED 12 133.33 % 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 11/26/10 2 010 11/15/10 1 010 11/11/10 3 010 11/01/10 1 + __________ TOTAL ORDERED 7 116.66 % 010 09/20/10 3 010 09/16/10 2 010 09/13/10 3 010 09/02/10 3 + __________ TOTAL ORDERED 11 183.33 % 010 08/26/10 1 010 08/19/10 2 010 08/17/10 1 010 08/12/10 2 010 08/10/10 1 010 08/05/10 4 + __________ TOTAL ORDERED 11 183.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 417 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 12/29/10 15 010 12/21/10 14 010 12/17/10 8 010 12/14/10 6 010 12/10/10 4 010 12/07/10 2 010 12/03/10 12 + __________ TOTAL ORDERED 61 184.84 % 010 11/30/10 2 010 11/26/10 7 010 11/22/10 14 010 11/18/10 4 010 11/15/10 6 010 11/11/10 6 010 11/08/10 2 010 11/04/10 1 010 11/01/10 1 + __________ TOTAL ORDERED 43 130.30 % 010 10/28/10 5 010 10/25/10 7 010 10/21/10 5 010 10/18/10 4 010 10/14/10 5 010 10/11/10 5 010 10/04/10 7 + __________ TOTAL ORDERED 38 115.15 % 010 09/30/10 4 010 09/20/10 12 010 09/16/10 8 010 09/13/10 7 010 09/09/10 10 + __________ TOTAL ORDERED 41 124.24 % 010 07/29/10 11 010 07/27/10 4 010 07/22/10 7 010 07/15/10 18 010 07/13/10 3 010 07/08/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 418 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 44 133.33 % 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 11/30/10 1 010 11/26/10 3 010 11/22/10 6 010 11/18/10 3 010 11/15/10 1 010 11/11/10 2 010 11/08/10 1 010 11/04/10 1 010 11/01/10 1 + __________ TOTAL ORDERED 19 211.11 % 010 10/28/10 2 010 10/25/10 1 010 10/21/10 3 010 10/18/10 1 010 10/11/10 2 010 10/07/10 2 010 10/04/10 1 + __________ TOTAL ORDERED 12 133.33 % 010 08/24/10 2 010 08/19/10 2 010 08/17/10 2 010 08/12/10 1 010 08/05/10 3 + __________ TOTAL ORDERED 10 111.11 % 010 07/29/10 5 010 07/22/10 1 010 07/20/10 1 010 07/15/10 2 010 07/13/10 1 010 07/08/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 419 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 672713 ACET-CODEINE 120-12/5 (PAI)+473ML 30121050416 00121050416 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 672940 ADIPEX-P 37.5MG TABLET (GAT) +100 35784400901 57844000901 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 12/29/10 2 010 12/27/10 1 010 12/21/10 2 010 12/17/10 1 010 12/10/10 1 + __________ TOTAL ORDERED 7 116.66 % 010 10/28/10 2 010 10/25/10 1 010 10/21/10 1 010 10/18/10 1 010 10/11/10 2 + __________ TOTAL ORDERED 7 116.66 % 010 09/27/10 1 010 09/20/10 2 010 09/16/10 1 010 09/13/10 2 010 09/09/10 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 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 010 12/29/10 5 010 12/21/10 10 010 12/17/10 1 010 12/14/10 5 010 12/10/10 5 010 12/07/10 3 010 12/03/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 420 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 9 3.0 27.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 34 125.92 % 010 11/30/10 1 010 11/26/10 1 010 11/22/10 5 010 11/18/10 1 010 11/15/10 6 010 11/11/10 7 010 11/08/10 5 010 11/04/10 3 010 11/01/10 2 + __________ TOTAL ORDERED 31 114.81 % 010 09/27/10 2 010 09/23/10 1 010 09/20/10 11 010 09/16/10 4 010 09/13/10 1 010 09/09/10 6 010 09/02/10 5 + __________ TOTAL ORDERED 30 111.11 % 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 12/29/10 3 010 12/27/10 4 010 12/21/10 4 010 12/17/10 4 010 12/14/10 2 010 12/10/10 5 010 12/07/10 2 010 12/03/10 3 + __________ TOTAL ORDERED 27 300.00 % 010 11/30/10 1 010 11/26/10 4 010 11/22/10 5 010 11/18/10 3 010 11/15/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 421 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 11/11/10 2 010 11/08/10 3 010 11/04/10 2 010 11/01/10 5 + __________ TOTAL ORDERED 29 322.22 % 010 10/28/10 1 010 10/25/10 5 010 10/21/10 2 010 10/18/10 4 010 10/14/10 3 010 10/11/10 3 010 10/07/10 2 010 10/04/10 3 + __________ TOTAL ORDERED 23 255.55 % 010 09/30/10 2 010 09/27/10 3 010 09/23/10 1 010 09/20/10 7 010 09/16/10 2 010 09/13/10 2 010 09/09/10 2 010 09/02/10 5 + __________ TOTAL ORDERED 24 266.66 % 010 08/31/10 3 010 08/26/10 3 010 08/24/10 3 010 08/19/10 6 010 08/17/10 2 010 08/12/10 4 010 08/10/10 2 010 08/05/10 4 010 08/03/10 1 + __________ TOTAL ORDERED 28 311.11 % 010 07/29/10 3 010 07/27/10 2 010 07/22/10 3 010 07/20/10 1 010 07/15/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 422 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 07/13/10 4 010 07/08/10 3 010 07/06/10 1 + __________ TOTAL ORDERED 24 266.66 % 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 12/27/10 2 010 12/10/10 1 010 12/08/10 1 010 12/03/10 1 + __________ TOTAL ORDERED 5 166.66 % 010 11/26/10 1 010 11/18/10 1 010 11/11/10 1 010 11/04/10 1 + __________ TOTAL ORDERED 4 133.33 % 010 10/21/10 1 010 10/14/10 2 010 10/07/10 2 + __________ TOTAL ORDERED 5 166.66 % 010 08/31/10 1 010 08/27/10 1 010 08/24/10 1 010 08/17/10 2 010 08/06/10 1 010 08/03/10 1 + __________ TOTAL ORDERED 7 233.33 % 010 07/23/10 1 010 07/16/10 1 010 07/13/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 423 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 07/06/10 1 + __________ TOTAL ORDERED 4 133.33 % 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 582982 DIASTAT 10MG ACUDIAL + 1 00187065820 00187065820 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 08/26/10 3 010 08/24/10 1 010 08/19/10 3 010 08/05/10 2 010 08/03/10 1 + __________ TOTAL ORDERED 10 166.66 % 010 07/29/10 1 010 07/27/10 1 010 07/15/10 2 010 07/13/10 1 010 07/06/10 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 12/21/10 9 010 12/17/10 10 010 12/14/10 6 010 12/10/10 7 010 12/07/10 4 010 12/03/10 7 + __________ TOTAL ORDERED 43 130.30 % 010 11/30/10 7 010 11/26/10 9 010 11/22/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 424 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 010 11/18/10 7 010 11/15/10 7 010 11/11/10 6 010 11/08/10 7 010 11/04/10 7 010 11/01/10 14 + __________ TOTAL ORDERED 68 206.06 % 010 10/25/10 6 010 10/21/10 2 010 10/18/10 6 010 10/14/10 6 010 10/11/10 4 010 10/07/10 10 010 10/04/10 9 + __________ TOTAL ORDERED 43 130.30 % 010 09/30/10 5 010 09/27/10 3 010 09/23/10 3 010 09/20/10 6 010 09/16/10 8 010 09/13/10 3 010 09/09/10 14 + __________ TOTAL ORDERED 42 127.27 % 010 08/26/10 3 010 08/24/10 1 010 08/19/10 7 010 08/12/10 6 010 08/10/10 7 010 08/05/10 9 010 08/03/10 5 + __________ TOTAL ORDERED 38 115.15 % 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 12/29/10 1 010 12/21/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 425 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 010 12/14/10 1 010 12/10/10 1 + __________ TOTAL ORDERED 4 133.33 % 010 11/26/10 3 010 11/22/10 1 010 11/01/10 1 + __________ TOTAL ORDERED 5 166.66 % 010 10/28/10 1 010 10/25/10 1 010 10/21/10 1 010 10/14/10 1 010 10/11/10 1 010 10/04/10 1 + __________ TOTAL ORDERED 6 200.00 % 010 09/30/10 1 010 09/23/10 1 010 09/13/10 1 010 09/02/10 2 + __________ TOTAL ORDERED 5 166.66 % 010 08/26/10 1 010 08/19/10 1 010 08/12/10 1 010 08/10/10 2 + __________ TOTAL ORDERED 5 166.66 % 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 12/21/10 9 010 12/14/10 2 010 12/10/10 7 010 12/07/10 3 + __________ TOTAL ORDERED 21 350.00 % 010 11/22/10 1 010 11/18/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 426 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 010 11/15/10 1 010 11/08/10 1 010 11/04/10 4 010 11/01/10 3 + __________ TOTAL ORDERED 15 250.00 % 010 10/28/10 1 010 10/25/10 5 010 10/21/10 1 010 10/07/10 1 + __________ TOTAL ORDERED 8 133.33 % 010 09/30/10 6 010 09/23/10 4 010 09/20/10 4 010 09/13/10 1 010 09/02/10 4 + __________ TOTAL ORDERED 19 316.66 % 010 08/26/10 1 010 08/19/10 6 010 08/12/10 5 + __________ TOTAL ORDERED 12 200.00 % 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 679658 HYDROMET SYRUP (ALP) + 473ML 30472103016 00472103016 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 12/27/10 5 010 12/22/10 3 010 12/10/10 3 010 12/08/10 3 010 12/03/10 2 + __________ TOTAL ORDERED 16 177.77 % 010 11/18/10 5 010 11/16/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 427 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 679658 HYDROMET SYRUP (ALP) + 473ML 30472103016 00472103016 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 11/11/10 3 010 11/09/10 1 010 11/04/10 2 + __________ TOTAL ORDERED 12 133.33 % 010 10/28/10 3 010 10/21/10 1 010 10/19/10 1 010 10/14/10 2 010 10/12/10 2 010 10/07/10 1 + __________ TOTAL ORDERED 10 111.11 % 010 09/30/10 2 010 09/23/10 3 010 09/21/10 1 010 09/16/10 3 010 09/09/10 1 010 09/07/10 5 + __________ TOTAL ORDERED 15 166.66 % 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 11/26/10 4 010 11/18/10 6 010 11/16/10 6 010 11/11/10 3 010 11/09/10 3 010 11/04/10 1 + __________ TOTAL ORDERED 23 109.52 % 010 10/28/10 6 010 10/26/10 3 010 10/21/10 6 010 10/14/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 428 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 10/12/10 7 010 10/07/10 6 + __________ TOTAL ORDERED 33 157.14 % 010 09/23/10 4 010 09/21/10 5 010 09/16/10 5 010 09/14/10 4 010 09/09/10 4 010 09/07/10 4 + __________ TOTAL ORDERED 26 123.80 % 010 08/31/10 6 010 08/27/10 3 010 08/24/10 3 010 08/20/10 3 010 08/17/10 2 010 08/13/10 5 010 08/10/10 1 010 08/06/10 5 010 08/03/10 3 + __________ TOTAL ORDERED 31 147.61 % 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 12/27/10 1 010 12/22/10 1 010 12/17/10 2 010 12/15/10 2 010 12/10/10 4 010 12/08/10 1 010 12/03/10 2 + __________ TOTAL ORDERED 13 144.44 % 010 11/26/10 3 010 11/23/10 2 010 11/18/10 1 010 11/11/10 3 010 11/09/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 429 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 11/04/10 1 + __________ TOTAL ORDERED 12 133.33 % 010 10/28/10 3 010 10/26/10 1 010 10/21/10 1 010 10/14/10 5 010 10/07/10 2 010 10/05/10 1 + __________ TOTAL ORDERED 13 144.44 % 010 09/30/10 3 010 09/23/10 2 010 09/16/10 5 010 09/09/10 2 + __________ TOTAL ORDERED 12 133.33 % 010 08/31/10 5 010 08/27/10 1 010 08/24/10 4 010 08/13/10 1 010 08/06/10 6 010 08/03/10 1 + __________ TOTAL ORDERED 18 200.00 % 010 07/27/10 3 010 07/23/10 3 010 07/20/10 1 010 07/16/10 2 010 07/13/10 2 010 07/09/10 2 010 07/06/10 1 + __________ TOTAL ORDERED 14 155.55 % 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 12/27/10 2 010 12/22/10 2 010 12/17/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 430 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 010 12/10/10 2 010 12/03/10 2 + __________ TOTAL ORDERED 10 166.66 % 010 11/26/10 1 010 11/18/10 2 010 11/16/10 1 010 11/11/10 1 010 11/04/10 3 + __________ TOTAL ORDERED 8 133.33 % 010 10/21/10 1 010 10/14/10 2 010 10/12/10 1 010 10/07/10 3 010 10/05/10 1 + __________ TOTAL ORDERED 8 133.33 % 010 09/30/10 2 010 09/16/10 2 010 09/09/10 3 + __________ TOTAL ORDERED 7 116.66 % 010 08/31/10 3 010 08/27/10 2 010 08/20/10 3 010 08/17/10 3 010 08/10/10 1 + __________ TOTAL ORDERED 12 200.00 % 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 10/26/10 7 014 10/19/10 2 014 10/12/10 4 + __________ TOTAL ORDERED 13 108.33 % 014 09/21/10 11 014 09/14/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 431 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 539147 D-AMPHET SALT COMBO 30MG TAB +100 36472013610 64720013610 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 014 09/07/10 3 + __________ TOTAL ORDERED 18 150.00 % 014 08/31/10 2 014 08/24/10 4 014 08/17/10 1 014 08/10/10 3 014 08/03/10 4 + __________ TOTAL ORDERED 14 116.66 % 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 11/23/10 8 014 11/16/10 1 014 11/09/10 4 014 11/02/10 7 + __________ TOTAL ORDERED 20 111.11 % 014 10/26/10 11 014 10/19/10 3 014 10/12/10 1 014 10/05/10 10 + __________ TOTAL ORDERED 25 138.88 % 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 12/28/10 2 014 12/21/10 2 014 12/07/10 3 + __________ TOTAL ORDERED 7 116.66 % 014 10/26/10 3 014 10/12/10 2 014 10/05/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 432 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 7 116.66 % 014 08/31/10 1 014 08/24/10 1 014 08/17/10 2 014 08/10/10 3 014 08/03/10 2 + __________ 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 12/27/10 3 010 12/22/10 16 010 12/17/10 17 010 12/15/10 9 010 12/10/10 8 010 12/08/10 2 010 12/03/10 11 + __________ TOTAL ORDERED 66 200.00 % 010 11/26/10 12 010 11/23/10 12 010 11/18/10 11 010 11/16/10 7 010 11/11/10 8 010 11/09/10 7 010 11/04/10 9 010 11/02/10 3 + __________ TOTAL ORDERED 69 209.09 % 010 10/28/10 9 010 10/26/10 5 010 10/21/10 17 010 10/19/10 11 010 10/14/10 16 010 10/12/10 3 010 10/07/10 11 010 10/05/10 8 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 433 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 80 242.42 % 010 09/30/10 8 010 09/23/10 16 010 09/21/10 9 010 09/16/10 15 010 09/14/10 3 010 09/09/10 8 010 09/07/10 13 + __________ TOTAL ORDERED 72 218.18 % 010 08/31/10 18 010 08/27/10 9 010 08/24/10 7 010 08/20/10 17 010 08/17/10 5 010 08/13/10 14 010 08/10/10 6 010 08/06/10 7 010 08/03/10 1 + __________ TOTAL ORDERED 84 254.54 % 010 07/27/10 9 010 07/23/10 15 010 07/20/10 6 010 07/16/10 16 010 07/13/10 3 010 07/09/10 8 010 07/06/10 8 + __________ TOTAL ORDERED 65 196.96 % 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 12/10/10 2 010 12/03/10 2 + __________ TOTAL ORDERED 4 133.33 % 010 10/28/10 2 010 10/14/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 434 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 010 10/07/10 1 + __________ TOTAL ORDERED 5 166.66 % 010 08/31/10 2 010 08/24/10 1 010 08/13/10 1 010 08/06/10 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 12/27/10 1 010 12/22/10 2 010 12/17/10 1 010 12/10/10 1 010 12/08/10 1 010 12/03/10 1 + __________ TOTAL ORDERED 7 116.66 % 010 11/26/10 1 010 11/23/10 1 010 11/18/10 1 010 11/09/10 2 010 11/02/10 2 + __________ TOTAL ORDERED 7 116.66 % 010 09/30/10 2 010 09/28/10 1 010 09/23/10 1 010 09/21/10 1 010 09/16/10 1 010 09/09/10 1 010 09/07/10 1 + __________ TOTAL ORDERED 8 133.33 % 010 08/31/10 1 010 08/27/10 2 010 08/20/10 1 010 08/17/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 435 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 08/13/10 1 010 08/10/10 1 010 08/06/10 1 + __________ 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 12/27/10 1 010 12/22/10 1 010 12/17/10 3 010 12/15/10 3 010 12/10/10 1 010 12/08/10 1 010 12/03/10 1 010 12/01/10 2 + __________ TOTAL ORDERED 13 144.44 % 010 11/26/10 1 010 11/23/10 3 010 11/18/10 3 010 11/11/10 1 010 11/09/10 2 010 11/04/10 1 010 11/02/10 2 + __________ TOTAL ORDERED 13 144.44 % 010 10/28/10 1 010 10/26/10 2 010 10/21/10 1 010 10/14/10 3 010 10/12/10 1 010 10/07/10 2 010 10/05/10 2 + __________ TOTAL ORDERED 12 133.33 % 010 09/30/10 1 010 09/28/10 1 010 09/23/10 1 010 09/21/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 436 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 010 09/16/10 1 010 09/14/10 2 010 09/09/10 1 010 09/07/10 1 + __________ TOTAL ORDERED 10 111.11 % 010 08/31/10 3 010 08/27/10 1 010 08/24/10 1 010 08/20/10 2 010 08/17/10 1 010 08/13/10 1 010 08/10/10 1 010 08/06/10 2 010 08/03/10 1 + __________ TOTAL ORDERED 13 144.44 % 010 07/27/10 1 010 07/23/10 2 010 07/20/10 1 010 07/16/10 2 010 07/13/10 1 010 07/09/10 2 010 07/06/10 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 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 010 12/27/10 6 010 12/22/10 4 010 12/17/10 7 010 12/15/10 3 010 12/10/10 7 010 12/08/10 2 010 12/03/10 3 010 12/01/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 437 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 9 3.0 27.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 33 122.22 % 010 10/28/10 5 010 10/21/10 7 010 10/19/10 3 010 10/14/10 8 010 10/12/10 1 010 10/07/10 4 010 10/05/10 1 + __________ TOTAL ORDERED 29 107.40 % 010 08/31/10 5 010 08/27/10 3 010 08/24/10 1 010 08/20/10 7 010 08/17/10 2 010 08/13/10 4 010 08/10/10 3 010 08/06/10 3 010 08/03/10 4 + __________ 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 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 12/17/10 5 010 12/15/10 1 010 12/10/10 2 010 12/03/10 6 010 12/01/10 1 + __________ TOTAL ORDERED 15 125.00 % 010 11/26/10 2 010 11/23/10 3 010 11/18/10 2 010 11/16/10 1 010 11/11/10 3 010 11/09/10 1 010 11/04/10 2 010 11/02/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 438 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 15 125.00 % 010 10/28/10 3 010 10/26/10 3 010 10/21/10 3 010 10/14/10 1 010 10/07/10 4 010 10/05/10 6 + __________ TOTAL ORDERED 20 166.66 % 010 09/30/10 5 010 09/28/10 6 010 09/23/10 3 010 09/21/10 2 010 09/16/10 4 010 09/09/10 1 + __________ TOTAL ORDERED 21 175.00 % 010 08/31/10 4 010 08/27/10 5 010 08/24/10 1 010 08/20/10 2 010 08/17/10 2 010 08/13/10 2 010 08/10/10 5 010 08/03/10 1 + __________ TOTAL ORDERED 22 183.33 % 010 07/27/10 1 010 07/23/10 3 010 07/20/10 1 010 07/16/10 4 010 07/13/10 1 010 07/09/10 5 010 07/06/10 2 + __________ TOTAL ORDERED 17 141.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 439 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 12/27/10 2 010 12/22/10 4 010 12/17/10 3 010 12/15/10 3 010 12/10/10 4 010 12/08/10 3 010 12/03/10 3 010 12/01/10 2 + __________ TOTAL ORDERED 24 266.66 % 010 11/26/10 4 010 11/23/10 4 010 11/18/10 3 010 11/16/10 2 010 11/11/10 3 010 11/09/10 3 010 11/04/10 3 010 11/02/10 2 + __________ TOTAL ORDERED 24 266.66 % 010 10/28/10 4 010 10/26/10 3 010 10/21/10 1 010 10/19/10 3 010 10/14/10 4 010 10/12/10 3 010 10/07/10 5 010 10/05/10 2 + __________ TOTAL ORDERED 25 277.77 % 010 09/30/10 3 010 09/28/10 2 010 09/23/10 3 010 09/21/10 1 010 09/16/10 3 010 09/14/10 3 010 09/09/10 2 010 09/07/10 2 + __________ TOTAL ORDERED 19 211.11 % 010 08/31/10 5 010 08/27/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 440 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 08/24/10 2 010 08/20/10 2 010 08/17/10 3 010 08/13/10 5 010 08/10/10 2 010 08/06/10 4 010 08/03/10 2 + __________ TOTAL ORDERED 29 322.22 % 010 07/27/10 3 010 07/23/10 3 010 07/20/10 2 010 07/16/10 2 010 07/13/10 3 010 07/09/10 4 010 07/06/10 3 + __________ TOTAL ORDERED 20 222.22 % 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 12/28/10 3 014 12/21/10 6 014 12/14/10 3 014 12/07/10 1 + __________ TOTAL ORDERED 13 144.44 % 014 11/30/10 3 014 11/23/10 3 014 11/16/10 4 014 11/09/10 6 014 11/02/10 4 + __________ TOTAL ORDERED 20 222.22 % 014 10/26/10 3 014 10/12/10 2 014 10/05/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 441 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 11 122.22 % 014 09/28/10 4 014 09/21/10 3 014 09/14/10 6 014 09/07/10 2 + __________ TOTAL ORDERED 15 166.66 % 014 08/31/10 6 014 08/24/10 2 014 08/17/10 1 014 08/10/10 3 014 08/03/10 6 + __________ TOTAL ORDERED 18 200.00 % 014 07/20/10 3 014 07/13/10 4 014 07/06/10 6 + __________ TOTAL ORDERED 13 144.44 % 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 10/28/10 3 010 10/26/10 1 010 10/21/10 1 010 10/19/10 2 010 10/14/10 2 010 10/12/10 2 010 10/07/10 2 010 10/05/10 3 + __________ TOTAL ORDERED 16 106.66 % 010 09/30/10 3 010 09/28/10 2 010 09/23/10 3 010 09/21/10 1 010 09/16/10 2 010 09/14/10 1 010 09/09/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 442 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 09/07/10 3 + __________ TOTAL ORDERED 17 113.33 % 010 08/31/10 5 010 08/27/10 2 010 08/24/10 2 010 08/20/10 3 010 08/17/10 2 010 08/13/10 3 010 08/10/10 1 010 08/06/10 4 010 08/03/10 1 + __________ TOTAL ORDERED 23 153.33 % 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 12/27/10 1 010 12/22/10 1 010 12/17/10 2 010 12/15/10 4 010 12/10/10 2 010 12/03/10 2 + __________ TOTAL ORDERED 12 133.33 % 010 10/28/10 2 010 10/21/10 2 010 10/14/10 1 010 10/12/10 3 010 10/07/10 4 + __________ TOTAL ORDERED 12 133.33 % 010 09/30/10 1 010 09/28/10 2 010 09/23/10 1 010 09/21/10 1 010 09/16/10 3 010 09/14/10 2 010 09/07/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 443 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 684341 TEMAZEPAM 15MG CAP + 100 30781220101 00781220101 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 684342 TEMAZEPAM 30MG CAPSULES + 100 30781220201 00781220201 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 12/27/10 2 010 12/22/10 2 010 12/17/10 1 010 12/15/10 3 010 12/10/10 1 010 12/03/10 2 010 12/01/10 1 + __________ TOTAL ORDERED 12 133.33 % 010 11/26/10 5 010 11/23/10 2 010 11/18/10 1 010 11/16/10 1 010 11/11/10 2 010 11/09/10 3 + __________ TOTAL ORDERED 14 155.55 % 010 09/30/10 4 010 09/23/10 1 010 09/21/10 1 010 09/16/10 2 010 09/09/10 5 + __________ TOTAL ORDERED 13 144.44 % 010 08/24/10 1 010 08/20/10 3 010 08/13/10 2 010 08/10/10 1 010 08/06/10 2 010 08/03/10 1 + __________ TOTAL ORDERED 10 111.11 % 010 07/27/10 1 010 07/23/10 1 010 07/20/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 444 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 010 07/16/10 2 010 07/13/10 1 010 07/09/10 1 010 07/06/10 3 + __________ TOTAL ORDERED 10 111.11 % 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 457754 BUTORPHANOL TART NS (ROX) + 2.5ML 30054309036 00054309036 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 12/23/10 12 010 12/16/10 6 010 12/09/10 1 010 12/02/10 2 + __________ TOTAL ORDERED 21 175.00 % 010 11/24/10 1 010 11/17/10 5 010 11/10/10 6 010 11/03/10 4 + __________ TOTAL ORDERED 16 133.33 % 010 08/30/10 12 010 08/23/10 1 010 08/16/10 2 010 08/09/10 2 010 08/02/10 7 + __________ TOTAL ORDERED 24 200.00 % 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 12/23/10 6 010 12/16/10 2 010 12/09/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 445 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 12/02/10 1 + __________ TOTAL ORDERED 15 166.66 % 010 11/24/10 5 010 11/17/10 2 010 11/10/10 4 010 11/03/10 3 + __________ TOTAL ORDERED 14 155.55 % 010 10/27/10 3 010 10/20/10 3 010 10/13/10 3 010 10/06/10 3 + __________ TOTAL ORDERED 12 133.33 % 010 09/29/10 3 010 09/22/10 5 010 09/15/10 4 010 09/08/10 3 + __________ TOTAL ORDERED 15 166.66 % 010 08/30/10 3 010 08/23/10 3 010 08/16/10 3 010 08/09/10 3 010 08/02/10 3 + __________ TOTAL ORDERED 15 166.66 % 010 07/26/10 4 010 07/19/10 3 010 07/12/10 4 010 07/01/10 5 + __________ TOTAL ORDERED 16 177.77 % 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 12/23/10 7 010 12/16/10 7 010 12/09/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 446 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 010 12/02/10 4 + __________ TOTAL ORDERED 24 266.66 % 010 11/24/10 5 010 11/17/10 7 010 11/10/10 6 010 11/03/10 5 + __________ TOTAL ORDERED 23 255.55 % 010 10/27/10 3 010 10/20/10 5 010 10/13/10 5 010 10/06/10 5 + __________ TOTAL ORDERED 18 200.00 % 010 09/29/10 5 010 09/22/10 6 010 09/15/10 5 010 09/08/10 3 + __________ TOTAL ORDERED 19 211.11 % 010 08/30/10 6 010 08/23/10 5 010 08/16/10 5 010 08/09/10 6 010 08/02/10 6 + __________ TOTAL ORDERED 28 311.11 % 010 07/26/10 5 010 07/19/10 5 010 07/12/10 5 010 07/01/10 8 + __________ TOTAL ORDERED 23 255.55 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 447 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 448603 HYDROCODO/CHLORPHEN ER SUSP+473ML 36217549070 62175049070 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 010 12/29/10 4 010 12/27/10 3 010 12/21/10 3 010 12/17/10 3 010 12/14/10 2 010 12/10/10 5 010 12/07/10 2 010 12/03/10 5 + __________ TOTAL ORDERED 27 180.00 % 010 11/30/10 2 010 11/26/10 5 010 11/22/10 3 010 11/18/10 2 010 11/15/10 2 010 11/11/10 2 010 11/08/10 1 010 11/04/10 1 010 11/01/10 2 + __________ TOTAL ORDERED 20 133.33 % 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 12/29/10 2 010 12/14/10 1 010 12/10/10 1 010 12/07/10 1 + __________ TOTAL ORDERED 5 166.66 % 010 09/23/10 1 010 09/20/10 1 010 09/16/10 1 010 09/02/10 1 + __________ TOTAL ORDERED 4 133.33 % 010 08/26/10 1 010 08/19/10 1 010 08/12/10 1 010 08/05/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 448 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 468843 TRAMADOL/APAP 37.5/325MG+(AMN)500 36516261750 65162061750 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 483575 PHENTERMINE 37.5MG TAB (LAN) +100 30527144501 00527144501 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 010 11/30/10 1 010 11/26/10 4 010 11/22/10 4 010 11/18/10 1 010 11/15/10 2 010 11/11/10 4 010 11/08/10 3 010 11/04/10 2 010 11/01/10 1 + __________ TOTAL ORDERED 22 104.76 % 010 10/28/10 2 010 10/25/10 3 010 10/21/10 1 010 10/18/10 4 010 10/14/10 1 010 10/11/10 5 010 10/07/10 7 + __________ TOTAL ORDERED 23 109.52 % 010 09/27/10 3 010 09/23/10 4 010 09/20/10 7 010 09/16/10 2 010 09/13/10 2 010 09/09/10 4 010 09/02/10 6 + __________ TOTAL ORDERED 28 133.33 % 010 08/31/10 2 010 08/26/10 4 010 08/24/10 1 010 08/19/10 3 010 08/17/10 3 010 08/12/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 449 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 08/10/10 4 010 08/05/10 4 010 08/03/10 3 + __________ TOTAL ORDERED 27 128.57 % 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 014 09/29/10 6 014 09/15/10 2 014 09/08/10 9 014 09/01/10 2 + __________ TOTAL ORDERED 19 211.11 % 014 08/25/10 5 014 08/18/10 5 + __________ TOTAL ORDERED 10 111.11 % 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 11/24/10 5 014 11/17/10 2 014 11/10/10 6 + __________ TOTAL ORDERED 13 108.33 % 014 09/29/10 2 014 09/22/10 7 014 09/08/10 9 014 09/01/10 5 + __________ TOTAL ORDERED 23 191.66 % 014 08/25/10 3 014 08/18/10 6 014 08/11/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 450 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 13 108.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539150 D-AMPHET SALT COMBO 20MG TAB +100 36472013510 64720013510 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 014 10/27/10 6 014 10/20/10 6 014 10/13/10 4 014 10/06/10 6 + __________ TOTAL ORDERED 22 104.76 % 014 09/29/10 6 014 09/22/10 3 014 09/08/10 11 014 09/01/10 7 + __________ TOTAL ORDERED 27 128.57 % 014 08/25/10 8 014 08/18/10 5 014 08/11/10 5 014 08/04/10 5 + __________ TOTAL ORDERED 23 109.52 % 014 07/28/10 6 014 07/21/10 4 014 07/14/10 12 014 07/07/10 2 + __________ TOTAL ORDERED 24 114.28 % 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 12/17/10 2 010 12/10/10 2 010 12/07/10 2 010 12/03/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 451 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 603807 LYRICA 100MG CAP + 90 30071101568 00071101568 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 10 111.11 % 010 09/30/10 5 010 09/27/10 1 010 09/23/10 1 010 09/20/10 6 010 09/02/10 2 + __________ TOTAL ORDERED 15 166.66 % 010 07/29/10 2 010 07/27/10 1 010 07/22/10 3 010 07/20/10 1 010 07/13/10 1 010 07/08/10 3 + __________ TOTAL ORDERED 11 122.22 % 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 014 12/29/10 3 014 12/22/10 7 014 12/15/10 4 014 12/08/10 4 014 12/01/10 7 + __________ TOTAL ORDERED 25 277.77 % 014 11/24/10 3 014 11/17/10 2 014 11/10/10 10 + __________ TOTAL ORDERED 15 166.66 % 014 10/27/10 3 014 10/20/10 6 014 10/13/10 7 014 10/06/10 10 + __________ TOTAL ORDERED 26 288.88 % 014 09/29/10 3 014 09/22/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 452 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 651942 HYDROMORPHONE 8MG TAB (MKT) + 100 30406324901 00406324901 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 09/08/10 13 014 09/01/10 5 + __________ TOTAL ORDERED 22 244.44 % 014 08/25/10 2 014 08/18/10 2 014 08/11/10 2 014 08/04/10 4 + __________ 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 12/29/10 5 010 12/27/10 5 010 12/21/10 10 010 12/17/10 2 010 12/14/10 3 010 12/10/10 12 010 12/07/10 7 010 12/03/10 7 + __________ TOTAL ORDERED 51 154.54 % 010 11/30/10 6 010 11/26/10 9 010 11/22/10 9 010 11/18/10 9 010 11/15/10 7 010 11/11/10 1 010 11/08/10 5 010 11/04/10 8 010 11/01/10 6 + __________ TOTAL ORDERED 60 181.81 % 010 10/28/10 2 010 10/25/10 9 010 10/21/10 1 010 10/18/10 9 010 10/14/10 8 010 10/11/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 453 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 10/07/10 7 010 10/04/10 10 + __________ TOTAL ORDERED 53 160.60 % 010 09/27/10 2 010 09/23/10 8 010 09/20/10 11 010 09/16/10 5 010 09/13/10 8 010 09/09/10 18 + __________ TOTAL ORDERED 52 157.57 % 010 08/31/10 5 010 08/26/10 5 010 08/24/10 2 010 08/19/10 10 010 08/17/10 1 010 08/12/10 12 010 08/10/10 8 010 08/05/10 9 010 08/03/10 7 + __________ TOTAL ORDERED 59 178.78 % 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 12/29/10 1 010 12/27/10 2 010 12/21/10 3 010 12/14/10 1 010 12/10/10 3 010 12/07/10 1 010 12/03/10 2 + __________ TOTAL ORDERED 13 144.44 % 010 11/30/10 2 010 11/22/10 2 010 11/18/10 1 010 11/15/10 2 010 11/11/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 454 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 673036 ALPRAZOLAM 1MG TAB (PPC) + 500 30228203150 00228203150 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 11/08/10 1 010 11/04/10 1 010 11/01/10 1 + __________ TOTAL ORDERED 11 122.22 % 010 10/28/10 1 010 10/25/10 2 010 10/21/10 1 010 10/18/10 2 010 10/14/10 2 010 10/11/10 2 010 10/07/10 2 010 10/04/10 2 + __________ TOTAL ORDERED 14 155.55 % 010 09/27/10 1 010 09/23/10 2 010 09/20/10 1 010 09/16/10 1 010 09/13/10 1 010 09/09/10 1 010 09/02/10 3 + __________ TOTAL ORDERED 10 111.11 % 010 08/31/10 1 010 08/26/10 2 010 08/24/10 2 010 08/19/10 1 010 08/17/10 1 010 08/12/10 2 010 08/05/10 2 + __________ TOTAL ORDERED 11 122.22 % 010 07/29/10 2 010 07/27/10 2 010 07/22/10 1 010 07/15/10 3 010 07/13/10 2 010 07/08/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 455 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 673036 ALPRAZOLAM 1MG TAB (PPC) + 500 30228203150 00228203150 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 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 010 12/29/10 6 010 12/27/10 7 010 12/21/10 5 010 12/17/10 1 010 12/10/10 4 010 12/07/10 2 010 12/03/10 4 + __________ TOTAL ORDERED 29 107.40 % 010 10/28/10 2 010 10/25/10 6 010 10/21/10 4 010 10/18/10 3 010 10/14/10 6 010 10/11/10 4 010 10/07/10 5 010 10/04/10 5 + __________ TOTAL ORDERED 35 129.62 % 010 08/31/10 5 010 08/26/10 4 010 08/24/10 2 010 08/19/10 3 010 08/12/10 6 010 08/10/10 3 010 08/05/10 7 010 08/03/10 4 + __________ TOTAL ORDERED 34 125.92 % 010 07/29/10 6 010 07/27/10 4 010 07/22/10 3 010 07/20/10 3 010 07/15/10 4 010 07/08/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 456 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 010 07/06/10 3 + __________ TOTAL ORDERED 28 103.70 % 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 09/30/10 1 010 09/27/10 1 010 09/09/10 2 + __________ TOTAL ORDERED 4 133.33 % 010 08/31/10 1 010 08/12/10 1 010 08/10/10 1 010 08/05/10 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 12/29/10 4 010 12/27/10 1 010 12/21/10 4 010 12/17/10 2 010 12/14/10 3 010 12/10/10 4 010 12/07/10 1 010 12/03/10 2 + __________ TOTAL ORDERED 21 233.33 % 010 11/30/10 1 010 11/26/10 3 010 11/22/10 4 010 11/18/10 2 010 11/15/10 2 010 11/11/10 2 010 11/08/10 2 010 11/04/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 457 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 11/01/10 3 + __________ TOTAL ORDERED 20 222.22 % 010 10/28/10 2 010 10/25/10 2 010 10/21/10 1 010 10/18/10 3 010 10/14/10 3 010 10/11/10 3 010 10/07/10 2 010 10/04/10 3 + __________ TOTAL ORDERED 19 211.11 % 010 09/30/10 2 010 09/27/10 2 010 09/23/10 1 010 09/20/10 4 010 09/16/10 1 010 09/13/10 2 010 09/09/10 3 010 09/02/10 3 + __________ TOTAL ORDERED 18 200.00 % 010 08/31/10 1 010 08/26/10 3 010 08/24/10 1 010 08/19/10 1 010 08/17/10 2 010 08/12/10 2 010 08/10/10 3 010 08/05/10 2 010 08/03/10 2 + __________ TOTAL ORDERED 17 188.88 % 010 07/29/10 2 010 07/27/10 2 010 07/22/10 2 010 07/20/10 1 010 07/15/10 4 010 07/13/10 2 010 07/08/10 2 010 07/06/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 458 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 16 177.77 % 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 014 12/15/10 6 014 12/01/10 1 + __________ TOTAL ORDERED 7 116.66 % 014 09/29/10 4 014 09/08/10 2 014 09/01/10 2 + __________ TOTAL ORDERED 8 133.33 % 014 08/25/10 4 014 08/11/10 2 014 08/04/10 4 + __________ TOTAL ORDERED 10 166.66 % 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 12/29/10 2 010 12/21/10 3 010 12/17/10 1 010 12/14/10 1 010 12/10/10 1 010 12/03/10 4 + __________ TOTAL ORDERED 12 133.33 % 010 11/30/10 1 010 11/26/10 1 010 11/22/10 1 010 11/18/10 1 010 11/15/10 2 010 11/11/10 3 010 11/08/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 459 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 14 155.55 % 010 09/30/10 1 010 09/27/10 3 010 09/23/10 1 010 09/20/10 4 010 09/13/10 2 010 09/09/10 4 + __________ TOTAL ORDERED 15 166.66 % 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 010 12/27/10 5 010 12/22/10 6 010 12/17/10 5 010 12/10/10 13 010 12/03/10 7 010 12/01/10 1 + __________ TOTAL ORDERED 37 112.12 % 010 11/26/10 6 010 11/23/10 2 010 11/18/10 8 010 11/16/10 5 010 11/11/10 7 010 11/09/10 2 010 11/04/10 4 + __________ TOTAL ORDERED 34 103.03 % 010 10/28/10 3 010 10/21/10 13 010 10/19/10 2 010 10/14/10 7 010 10/12/10 6 010 10/07/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 460 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 010 10/05/10 1 + __________ TOTAL ORDERED 38 115.15 % 010 09/30/10 4 010 09/28/10 2 010 09/23/10 9 010 09/21/10 3 010 09/16/10 11 010 09/14/10 7 010 09/09/10 8 010 09/07/10 4 + __________ TOTAL ORDERED 48 145.45 % 010 08/31/10 6 010 08/27/10 4 010 08/20/10 6 010 08/17/10 6 010 08/13/10 8 010 08/10/10 1 010 08/06/10 5 010 08/03/10 3 + __________ TOTAL ORDERED 39 118.18 % 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 10/28/10 7 010 10/26/10 2 010 10/21/10 1 010 10/14/10 4 010 10/12/10 2 010 10/07/10 6 + __________ TOTAL ORDERED 22 122.22 % 010 09/30/10 1 010 09/14/10 11 010 09/09/10 7 010 09/07/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 461 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 % 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 12/27/10 2 010 12/22/10 2 010 12/17/10 3 010 12/15/10 2 010 12/10/10 2 010 12/08/10 3 010 12/03/10 2 + __________ TOTAL ORDERED 16 177.77 % 010 11/26/10 2 010 11/23/10 2 010 11/18/10 1 010 11/16/10 1 010 11/11/10 2 010 11/09/10 2 010 11/04/10 2 + __________ TOTAL ORDERED 12 133.33 % 010 10/28/10 2 010 10/26/10 2 010 10/21/10 1 010 10/14/10 2 010 10/12/10 2 010 10/07/10 3 + __________ TOTAL ORDERED 12 133.33 % 010 09/30/10 2 010 09/23/10 3 010 09/21/10 1 010 09/16/10 3 010 09/14/10 1 010 09/09/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 462 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 14 155.55 % 010 08/31/10 3 010 08/27/10 2 010 08/24/10 1 010 08/20/10 2 010 08/17/10 2 010 08/13/10 3 010 08/10/10 1 010 08/06/10 1 010 08/03/10 2 + __________ TOTAL ORDERED 17 188.88 % 010 07/27/10 1 010 07/23/10 1 010 07/20/10 1 010 07/16/10 3 010 07/13/10 2 010 07/09/10 2 010 07/06/10 1 + __________ 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 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 12/27/10 4 010 12/22/10 3 010 12/17/10 2 010 12/15/10 2 010 12/10/10 1 010 12/08/10 1 + __________ TOTAL ORDERED 13 144.44 % 010 11/26/10 1 010 11/23/10 1 010 11/18/10 4 010 11/16/10 2 010 11/11/10 2 010 11/09/10 2 010 11/04/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 463 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 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 684342 TEMAZEPAM 30MG CAPSULES + 100 30781220201 00781220201 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 12/27/10 1 010 12/22/10 5 010 12/17/10 2 010 12/10/10 1 010 12/08/10 1 010 12/03/10 1 + __________ TOTAL ORDERED 11 122.22 % 010 11/26/10 4 010 11/23/10 2 010 11/18/10 2 010 11/11/10 1 010 11/09/10 5 + __________ TOTAL ORDERED 14 155.55 % 010 09/30/10 1 010 09/28/10 2 010 09/23/10 2 010 09/21/10 2 010 09/16/10 1 010 09/14/10 4 010 09/09/10 2 + __________ TOTAL ORDERED 14 155.55 % 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 499233 HYDROCO-APAP 10-660 TAB (WAT)+100 36203756701 62037056701 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 12/28/10 2 010 12/23/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 464 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 499233 HYDROCO-APAP 10-660 TAB (WAT)+100 36203756701 62037056701 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 12/20/10 4 010 12/09/10 1 010 12/06/10 1 010 12/02/10 1 + __________ TOTAL ORDERED 11 122.22 % 010 11/29/10 1 010 11/24/10 1 010 11/19/10 6 010 11/12/10 1 010 11/05/10 1 + __________ TOTAL ORDERED 10 111.11 % 010 09/24/10 2 010 09/22/10 2 010 09/17/10 2 010 09/10/10 3 010 09/01/10 2 + __________ TOTAL ORDERED 11 122.22 % 010 08/25/10 2 010 08/23/10 1 010 08/18/10 5 010 08/11/10 2 010 08/04/10 1 + __________ TOTAL ORDERED 11 122.22 % 010 07/28/10 2 010 07/26/10 1 010 07/21/10 2 010 07/19/10 1 010 07/14/10 2 010 07/07/10 2 010 07/01/10 3 + __________ TOTAL ORDERED 13 144.44 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 465 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 539147 D-AMPHET SALT COMBO 30MG TAB +100 36472013610 64720013610 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 014 12/29/10 4 014 12/22/10 9 014 12/15/10 6 + __________ TOTAL ORDERED 19 158.33 % 014 11/24/10 4 014 11/17/10 5 014 11/10/10 2 014 11/03/10 2 + __________ TOTAL ORDERED 13 108.33 % 014 09/15/10 6 014 09/08/10 4 014 09/01/10 4 + __________ TOTAL ORDERED 14 116.66 % 014 08/25/10 3 014 08/18/10 3 014 08/11/10 3 014 08/04/10 4 + __________ 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 12/28/10 2 010 12/23/10 1 010 12/20/10 2 010 12/16/10 1 010 12/13/10 1 010 12/09/10 1 010 12/06/10 1 010 12/02/10 1 + __________ TOTAL ORDERED 10 111.11 % 010 11/29/10 1 010 11/24/10 2 010 11/19/10 1 010 11/12/10 2 010 11/10/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 466 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 11/05/10 1 010 11/03/10 1 + __________ TOTAL ORDERED 10 111.11 % 010 10/27/10 1 010 10/22/10 3 010 10/15/10 1 010 10/13/10 3 010 10/08/10 1 010 10/06/10 1 010 10/01/10 1 + __________ TOTAL ORDERED 11 122.22 % 010 09/29/10 1 010 09/24/10 1 010 09/22/10 1 010 09/17/10 2 010 09/15/10 1 010 09/10/10 2 010 09/01/10 2 + __________ TOTAL ORDERED 10 111.11 % 010 08/30/10 1 010 08/25/10 1 010 08/23/10 3 010 08/18/10 1 010 08/16/10 1 010 08/11/10 1 010 08/09/10 1 010 08/04/10 1 010 08/02/10 1 + __________ TOTAL ORDERED 11 122.22 % 010 07/26/10 2 010 07/21/10 1 010 07/19/10 1 010 07/14/10 1 010 07/12/10 2 010 07/07/10 1 010 07/01/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 467 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 10 111.11 % 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 12/23/10 17 010 12/16/10 14 010 12/09/10 29 010 12/02/10 10 + __________ TOTAL ORDERED 70 212.12 % 010 11/24/10 9 010 11/17/10 14 010 11/10/10 12 010 11/03/10 15 + __________ TOTAL ORDERED 50 151.51 % 010 10/27/10 11 010 10/20/10 22 010 10/13/10 17 010 10/06/10 20 + __________ TOTAL ORDERED 70 212.12 % 010 09/29/10 6 010 09/22/10 11 010 09/15/10 24 010 09/08/10 16 + __________ TOTAL ORDERED 57 172.72 % 010 08/30/10 12 010 08/23/10 10 010 08/16/10 21 010 08/09/10 30 010 08/02/10 10 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 468 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 83 251.51 % 010 07/26/10 8 010 07/19/10 14 010 07/12/10 22 010 07/01/10 16 + __________ TOTAL ORDERED 60 181.81 % 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 12/23/10 3 010 12/16/10 2 010 12/09/10 2 010 12/02/10 3 + __________ TOTAL ORDERED 10 111.11 % 010 08/30/10 2 010 08/23/10 1 010 08/16/10 3 010 08/09/10 2 010 08/02/10 2 + __________ TOTAL ORDERED 10 111.11 % 010 07/26/10 2 010 07/19/10 3 010 07/12/10 2 010 07/01/10 4 + __________ TOTAL ORDERED 11 122.22 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 469 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 12/27/10 15 010 12/22/10 15 010 12/17/10 8 010 12/15/10 7 010 12/10/10 8 010 12/08/10 7 010 12/03/10 11 010 12/01/10 4 + __________ TOTAL ORDERED 75 227.27 % 010 11/26/10 11 010 11/23/10 12 010 11/18/10 7 010 11/16/10 4 010 11/11/10 10 010 11/09/10 13 010 11/04/10 5 010 11/02/10 6 + __________ TOTAL ORDERED 68 206.06 % 010 10/28/10 9 010 10/26/10 3 010 10/21/10 8 010 10/19/10 3 010 10/14/10 9 010 10/12/10 11 010 10/07/10 9 010 10/05/10 8 + __________ TOTAL ORDERED 60 181.81 % 010 09/30/10 7 010 09/28/10 11 010 09/23/10 1 010 09/21/10 5 010 09/16/10 8 010 09/09/10 8 010 09/07/10 6 + __________ TOTAL ORDERED 46 139.39 % 010 08/31/10 15 010 08/27/10 5 010 08/24/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 470 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 08/20/10 6 010 08/17/10 3 010 08/13/10 2 010 08/10/10 16 010 08/06/10 7 010 08/03/10 6 + __________ TOTAL ORDERED 63 190.90 % 010 07/27/10 3 010 07/23/10 3 010 07/20/10 3 010 07/16/10 5 010 07/13/10 6 010 07/09/10 7 010 07/06/10 13 + __________ TOTAL ORDERED 40 121.21 % 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 12/23/10 3 010 12/16/10 1 010 12/09/10 5 010 12/02/10 3 + __________ TOTAL ORDERED 12 133.33 % 010 08/30/10 4 010 08/23/10 2 010 08/16/10 2 010 08/09/10 4 010 08/02/10 3 + __________ TOTAL ORDERED 15 166.66 % 010 07/26/10 6 010 07/19/10 1 010 07/12/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 471 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 07/01/10 5 + __________ TOTAL ORDERED 15 166.66 % 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 10/27/10 3 010 10/13/10 4 010 10/06/10 1 + __________ TOTAL ORDERED 8 133.33 % 010 08/30/10 3 010 08/23/10 2 010 08/16/10 2 010 08/09/10 3 + __________ TOTAL ORDERED 10 166.66 % 010 07/26/10 4 010 07/19/10 2 010 07/12/10 2 010 07/01/10 1 + __________ TOTAL ORDERED 9 150.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 674485 CHERATUSSIN DAC SYRUP (QT) 16OZ 30603107858 00603107858 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 10/27/10 1 010 10/20/10 2 010 10/13/10 2 010 10/06/10 3 + __________ TOTAL ORDERED 8 133.33 % 010 09/29/10 4 010 09/22/10 1 010 09/15/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 472 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 674485 CHERATUSSIN DAC SYRUP (QT) 16OZ 30603107858 00603107858 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 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 09/29/10 2 010 09/22/10 2 010 09/15/10 4 010 09/08/10 3 + __________ TOTAL ORDERED 11 122.22 % 010 08/30/10 3 010 08/23/10 1 010 08/16/10 2 010 08/09/10 3 010 08/02/10 2 + __________ TOTAL ORDERED 11 122.22 % 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 12/23/10 2 010 12/16/10 4 010 12/09/10 2 010 12/02/10 2 + __________ TOTAL ORDERED 10 111.11 % 010 10/27/10 1 010 10/20/10 2 010 10/13/10 4 010 10/06/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 473 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 10 111.11 % 010 08/30/10 2 010 08/23/10 2 010 08/16/10 1 010 08/09/10 5 010 08/02/10 1 + __________ TOTAL ORDERED 11 122.22 % 010 07/26/10 2 010 07/19/10 4 010 07/12/10 3 010 07/01/10 3 + __________ 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 010 12/23/10 4 010 12/16/10 2 010 12/09/10 3 010 12/02/10 2 + __________ TOTAL ORDERED 11 122.22 % 010 11/24/10 3 010 11/17/10 2 010 11/10/10 3 010 11/03/10 2 + __________ TOTAL ORDERED 10 111.11 % 010 08/30/10 4 010 08/23/10 3 010 08/16/10 2 010 08/09/10 2 010 08/02/10 2 + __________ TOTAL ORDERED 13 144.44 % 010 07/26/10 3 010 07/19/10 2 010 07/12/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 474 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 010 07/01/10 3 + __________ 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 450485 CARISOPRODOL 350MG TAB (WAT) 100 30591551301 00591551301 19 3.0 57.0 0 DC DATE ORDERED QUANTITY 010 11/29/10 25 010 11/23/10 12 010 11/19/10 27 010 11/16/10 11 010 11/12/10 23 010 11/09/10 14 010 11/05/10 14 010 11/02/10 11 + __________ TOTAL ORDERED 137 240.35 % 010 10/26/10 8 010 10/22/10 22 010 10/19/10 8 010 10/12/10 15 010 10/08/10 20 010 10/05/10 20 + __________ TOTAL ORDERED 93 163.15 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 454492 MORPHINE SUL 30MG ER TAB+(WAT)100 30591374101 00591374101 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 014 12/30/10 9 014 12/23/10 8 014 12/16/10 1 + __________ TOTAL ORDERED 18 150.00 % 014 11/26/10 8 014 11/18/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 475 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 454492 MORPHINE SUL 30MG ER TAB+(WAT)100 30591374101 00591374101 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 014 11/11/10 1 014 11/04/10 2 + __________ TOTAL ORDERED 13 108.33 % 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 12/30/10 3 014 12/23/10 3 014 12/02/10 2 + __________ TOTAL ORDERED 8 133.33 % 014 10/28/10 3 014 10/07/10 4 + __________ TOTAL ORDERED 7 116.66 % 014 09/30/10 2 014 09/23/10 1 014 09/09/10 1 014 09/02/10 3 + __________ TOTAL ORDERED 7 116.66 % 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 014 12/30/10 10 014 12/23/10 12 014 12/16/10 5 014 12/02/10 5 + __________ TOTAL ORDERED 32 177.77 % 014 11/26/10 18 014 11/18/10 1 + __________ TOTAL ORDERED 19 105.55 % 014 10/28/10 16 014 10/21/10 3 014 10/14/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 476 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 24 133.33 % 014 09/30/10 7 014 09/23/10 6 014 09/16/10 8 014 09/02/10 2 + __________ TOTAL ORDERED 23 127.77 % 014 08/26/10 17 014 08/19/10 8 014 08/12/10 1 014 08/05/10 6 + __________ TOTAL ORDERED 32 177.77 % 014 07/29/10 7 014 07/22/10 5 014 07/08/10 5 014 07/01/10 4 + __________ TOTAL ORDERED 21 116.66 % 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 12/30/10 8 014 12/23/10 8 014 12/16/10 2 014 12/02/10 1 + __________ TOTAL ORDERED 19 126.66 % 014 11/26/10 2 014 11/18/10 13 014 11/04/10 1 + __________ TOTAL ORDERED 16 106.66 % 014 09/30/10 3 014 09/23/10 12 014 09/02/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 477 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 544541 FENTANYL 75MCG/HR TS (WAT) + 5 30591321372 00591321372 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 17 113.33 % 014 07/22/10 8 014 07/15/10 9 + __________ 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 12/16/10 10 014 12/09/10 22 014 12/02/10 2 + __________ TOTAL ORDERED 34 188.88 % 014 11/11/10 4 014 11/04/10 23 + __________ TOTAL ORDERED 27 150.00 % 014 10/21/10 4 014 10/14/10 7 014 10/07/10 12 + __________ TOTAL ORDERED 23 127.77 % 014 09/30/10 3 014 09/23/10 9 014 09/16/10 1 014 09/09/10 4 014 09/02/10 13 + __________ TOTAL ORDERED 30 166.66 % 014 08/26/10 4 014 08/19/10 15 014 08/12/10 5 014 08/05/10 2 + __________ TOTAL ORDERED 26 144.44 % 014 07/29/10 2 014 07/22/10 5 014 07/15/10 17 014 07/01/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 478 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 29 161.11 % 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 10/26/10 9 010 10/22/10 12 010 10/08/10 15 + __________ TOTAL ORDERED 36 133.33 % 010 08/27/10 5 010 08/25/10 2 010 08/20/10 3 010 08/18/10 4 010 08/13/10 3 010 08/11/10 7 010 08/06/10 9 010 08/04/10 5 + __________ TOTAL ORDERED 38 140.74 % 010 07/28/10 11 010 07/23/10 3 010 07/21/10 3 010 07/16/10 3 010 07/14/10 8 010 07/09/10 5 010 07/07/10 10 + __________ TOTAL ORDERED 43 159.25 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 12/28/10 3 010 12/22/10 7 010 12/20/10 8 010 12/15/10 4 010 12/13/10 8 010 12/08/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 479 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 12/06/10 11 010 12/01/10 3 + __________ TOTAL ORDERED 49 148.48 % 010 11/29/10 4 010 11/23/10 8 010 11/19/10 6 010 11/16/10 3 010 11/12/10 7 010 11/09/10 5 010 11/05/10 6 010 11/02/10 2 + __________ TOTAL ORDERED 41 124.24 % 010 10/26/10 3 010 10/22/10 7 010 10/19/10 2 010 10/15/10 8 010 10/12/10 4 010 10/08/10 5 010 10/05/10 5 010 10/01/10 8 + __________ TOTAL ORDERED 42 127.27 % 010 09/28/10 3 010 09/24/10 6 010 09/21/10 4 010 09/17/10 7 010 09/14/10 5 010 09/10/10 5 010 09/07/10 4 010 09/01/10 11 + __________ TOTAL ORDERED 45 136.36 % 010 08/27/10 6 010 08/25/10 3 010 08/20/10 7 010 08/18/10 4 010 08/13/10 7 010 08/11/10 5 010 08/06/10 4 010 08/04/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 480 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 11 3.0 33.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 41 124.24 % 010 07/28/10 4 010 07/23/10 7 010 07/21/10 3 010 07/16/10 6 010 07/14/10 6 010 07/09/10 7 010 07/07/10 2 + __________ TOTAL ORDERED 35 106.06 % 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 12/22/10 3 010 12/15/10 3 010 12/08/10 5 + __________ TOTAL ORDERED 11 122.22 % 010 11/23/10 3 010 11/19/10 3 010 11/12/10 3 010 11/09/10 4 010 11/02/10 3 + __________ TOTAL ORDERED 16 177.77 % 010 10/22/10 2 010 10/15/10 2 010 10/12/10 3 010 10/01/10 3 + __________ TOTAL ORDERED 10 111.11 % 010 09/24/10 1 010 09/17/10 3 010 09/14/10 2 010 09/07/10 3 010 09/01/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 481 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ 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 010 12/22/10 6 010 12/08/10 6 + __________ TOTAL ORDERED 12 133.33 % 010 11/23/10 5 010 11/16/10 3 010 11/12/10 5 010 11/09/10 3 + __________ TOTAL ORDERED 16 177.77 % 010 10/22/10 4 010 10/15/10 7 010 10/08/10 4 010 10/05/10 2 010 10/01/10 4 + __________ TOTAL ORDERED 21 233.33 % 010 09/28/10 1 010 09/24/10 1 010 09/17/10 5 010 09/14/10 2 010 09/10/10 1 010 09/07/10 6 010 09/01/10 2 + __________ TOTAL ORDERED 18 200.00 % 010 08/18/10 3 010 08/13/10 1 010 08/11/10 2 010 08/06/10 2 010 08/04/10 4 + __________ TOTAL ORDERED 12 133.33 % 010 07/23/10 5 010 07/21/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 482 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 07/16/10 3 010 07/14/10 2 010 07/09/10 1 010 07/07/10 3 + __________ TOTAL ORDERED 17 188.88 % 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 12/28/10 9 010 12/22/10 9 010 12/20/10 26 010 12/15/10 4 010 12/13/10 15 010 12/08/10 9 010 12/06/10 24 010 12/01/10 8 + __________ TOTAL ORDERED 104 315.15 % 010 11/29/10 20 010 11/23/10 14 010 11/19/10 27 010 11/16/10 7 010 11/12/10 17 010 11/09/10 15 010 11/05/10 18 010 11/02/10 13 + __________ TOTAL ORDERED 131 396.96 % 010 10/26/10 6 010 10/22/10 30 010 10/19/10 12 010 10/15/10 15 010 10/12/10 11 010 10/08/10 17 010 10/05/10 9 010 10/01/10 19 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 483 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 119 360.60 % 010 09/28/10 10 010 09/24/10 31 010 09/21/10 16 010 09/17/10 23 010 09/14/10 8 010 09/10/10 10 010 09/07/10 12 010 09/01/10 20 + __________ TOTAL ORDERED 130 393.93 % 010 08/27/10 17 010 08/25/10 9 010 08/20/10 16 010 08/18/10 20 010 08/13/10 13 010 08/11/10 9 010 08/06/10 18 010 08/04/10 11 + __________ TOTAL ORDERED 113 342.42 % 010 07/28/10 10 010 07/23/10 16 010 07/21/10 14 010 07/16/10 12 010 07/14/10 13 010 07/09/10 21 010 07/07/10 10 + __________ TOTAL ORDERED 96 290.90 % 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 09/28/10 2 010 09/24/10 4 010 09/21/10 3 010 09/17/10 3 010 09/14/10 3 010 09/10/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 484 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 010 09/07/10 7 + __________ TOTAL ORDERED 26 173.33 % 010 08/27/10 5 010 08/25/10 3 010 08/20/10 3 010 08/18/10 3 010 08/13/10 3 010 08/11/10 3 010 08/06/10 4 010 08/04/10 2 + __________ TOTAL ORDERED 26 173.33 % 010 07/28/10 2 010 07/23/10 5 010 07/21/10 2 010 07/16/10 4 010 07/14/10 3 010 07/09/10 5 010 07/07/10 1 + __________ TOTAL ORDERED 22 146.66 % 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 12/28/10 1 010 12/22/10 3 010 12/20/10 4 010 12/15/10 1 010 12/13/10 5 010 12/08/10 3 010 12/06/10 5 010 12/01/10 2 + __________ TOTAL ORDERED 24 266.66 % 010 11/29/10 3 010 11/23/10 5 010 11/19/10 3 010 11/16/10 2 010 11/12/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 485 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 11/09/10 1 010 11/05/10 4 010 11/02/10 2 + __________ TOTAL ORDERED 25 277.77 % 010 10/26/10 2 010 10/22/10 5 010 10/19/10 3 010 10/15/10 2 010 10/12/10 2 010 10/08/10 5 010 10/05/10 3 010 10/01/10 4 + __________ TOTAL ORDERED 26 288.88 % 010 09/28/10 3 010 09/24/10 3 010 09/21/10 3 010 09/17/10 3 010 09/14/10 3 010 09/10/10 5 010 09/07/10 4 010 09/01/10 7 + __________ TOTAL ORDERED 31 344.44 % 010 08/27/10 3 010 08/25/10 2 010 08/20/10 4 010 08/18/10 2 010 08/13/10 4 010 08/11/10 3 010 08/06/10 4 010 08/04/10 3 + __________ TOTAL ORDERED 25 277.77 % 010 07/28/10 2 010 07/23/10 3 010 07/21/10 3 010 07/16/10 4 010 07/14/10 5 010 07/09/10 3 010 07/07/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 486 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 21 233.33 % 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 12/28/10 4 010 12/22/10 2 010 12/20/10 1 010 12/13/10 4 010 12/08/10 1 010 12/06/10 4 010 12/01/10 2 + __________ TOTAL ORDERED 18 200.00 % 010 11/23/10 3 010 11/19/10 2 010 11/16/10 1 010 11/12/10 3 010 11/09/10 3 + __________ TOTAL ORDERED 12 133.33 % 010 09/28/10 1 010 09/24/10 2 010 09/21/10 1 010 09/17/10 1 010 09/14/10 2 010 09/10/10 5 + __________ TOTAL ORDERED 12 133.33 % 010 08/25/10 1 010 08/20/10 4 010 08/13/10 1 010 08/06/10 1 010 08/04/10 4 + __________ TOTAL ORDERED 11 122.22 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 487 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 450485 CARISOPRODOL 350MG TAB (WAT)+ 100 30591551301 00591551301 19 3.0 57.0 0 DC DATE ORDERED QUANTITY 010 11/24/10 24 010 11/17/10 25 010 11/10/10 27 010 11/03/10 21 + __________ TOTAL ORDERED 97 170.17 % 010 10/27/10 17 010 10/20/10 33 010 10/06/10 25 + __________ TOTAL ORDERED 75 131.57 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 457754 BUTORPHANOL TART NS (ROX) + 2.5ML 30054309036 00054309036 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 12/23/10 1 010 12/16/10 3 010 12/09/10 6 010 12/02/10 4 + __________ TOTAL ORDERED 14 116.66 % 010 10/27/10 7 010 10/20/10 2 010 10/13/10 4 010 10/06/10 5 + __________ TOTAL ORDERED 18 150.00 % 010 08/30/10 6 010 08/16/10 7 010 08/05/10 6 + __________ TOTAL ORDERED 19 158.33 % 010 07/29/10 1 010 07/15/10 12 + __________ TOTAL ORDERED 13 108.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 488 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 12/23/10 2 010 12/16/10 1 010 12/09/10 1 010 12/02/10 3 + __________ TOTAL ORDERED 7 116.66 % 010 09/29/10 2 010 09/22/10 1 010 09/15/10 4 + __________ TOTAL ORDERED 7 116.66 % 010 08/30/10 1 010 08/23/10 1 010 08/16/10 4 010 08/09/10 2 010 08/05/10 3 + __________ TOTAL ORDERED 11 183.33 % 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 12/23/10 25 010 12/16/10 38 010 12/09/10 45 010 12/02/10 19 + __________ TOTAL ORDERED 127 384.84 % 010 11/24/10 28 010 11/17/10 34 010 11/10/10 35 010 11/03/10 25 + __________ TOTAL ORDERED 122 369.69 % 010 10/27/10 17 010 10/20/10 24 010 10/13/10 33 010 10/06/10 31 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 489 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 105 318.18 % 010 09/29/10 16 010 09/22/10 24 010 09/15/10 31 010 09/08/10 18 + __________ TOTAL ORDERED 89 269.69 % 010 08/30/10 23 010 08/23/10 28 010 08/16/10 31 010 08/09/10 11 010 08/05/10 29 + __________ TOTAL ORDERED 122 369.69 % 010 07/29/10 23 010 07/22/10 28 010 07/15/10 17 010 07/08/10 23 + __________ TOTAL ORDERED 91 275.75 % 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 08/23/10 5 010 08/16/10 3 010 08/09/10 1 010 08/05/10 1 + __________ TOTAL ORDERED 10 111.11 % 010 07/29/10 3 010 07/22/10 1 010 07/15/10 1 010 07/08/10 5 + __________ TOTAL ORDERED 10 111.11 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 490 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 010 12/23/10 19 010 12/16/10 6 010 12/09/10 12 010 12/02/10 6 + __________ TOTAL ORDERED 43 159.25 % 010 11/24/10 12 010 11/17/10 7 010 11/10/10 11 010 11/03/10 6 + __________ TOTAL ORDERED 36 133.33 % 010 10/27/10 8 010 10/20/10 6 010 10/13/10 8 010 10/06/10 11 + __________ TOTAL ORDERED 33 122.22 % 010 08/30/10 9 010 08/23/10 4 010 08/16/10 4 010 08/09/10 3 010 08/05/10 8 + __________ TOTAL ORDERED 28 103.70 % 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 09/29/10 4 010 09/22/10 4 010 09/15/10 10 + __________ TOTAL ORDERED 18 120.00 % 010 08/30/10 6 010 08/23/10 3 010 08/16/10 4 010 08/09/10 2 010 08/05/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 491 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 674231 CARISOPRODOL 350MG TAB (QT)+ 500 30603258228 00603258228 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 21 140.00 % 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 010 11/24/10 3 010 11/17/10 3 010 11/10/10 4 010 11/03/10 1 + __________ TOTAL ORDERED 11 122.22 % 010 10/27/10 5 010 10/20/10 2 010 10/13/10 2 010 10/06/10 3 + __________ TOTAL ORDERED 12 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 680017 PENTAZOCINE/NALOXONE TAB (WT)+100 35254439501 00591039501 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 11/24/10 5 010 11/03/10 2 + __________ TOTAL ORDERED 7 116.66 % 010 10/27/10 3 010 10/20/10 1 010 10/13/10 1 010 10/06/10 2 + __________ TOTAL ORDERED 7 116.66 % 010 08/30/10 3 010 08/16/10 1 010 08/05/10 3 + __________ TOTAL ORDERED 7 116.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 492 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 016 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 12377 FW1281233 13631 TIDWELL RD HOUSTON TX 77044 +_________________________________________________________________________________________________________________________________________________ 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 12/27/10 2 010 12/03/10 9 + __________ TOTAL ORDERED 11 183.33 % 010 11/30/10 10 010 11/15/10 1 + __________ TOTAL ORDERED 11 183.33 % 010 07/27/10 7 010 07/13/10 3 010 07/08/10 2 + __________ TOTAL ORDERED 12 200.00 % 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 12/23/10 4 010 12/16/10 2 010 12/09/10 2 010 12/02/10 3 + __________ TOTAL ORDERED 11 122.22 % 010 11/24/10 3 010 11/17/10 3 010 11/10/10 2 010 11/03/10 2 + __________ TOTAL ORDERED 10 111.11 % 010 10/27/10 2 010 10/20/10 3 010 10/13/10 3 010 10/06/10 3 + __________ TOTAL ORDERED 11 122.22 % 010 09/29/10 3 010 09/22/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 493 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 010 09/15/10 3 010 09/08/10 1 + __________ TOTAL ORDERED 11 122.22 % 010 08/30/10 5 010 08/16/10 3 010 08/09/10 4 010 08/02/10 3 + __________ TOTAL ORDERED 15 166.66 % 010 07/26/10 3 010 07/19/10 2 010 07/12/10 2 010 07/01/10 4 + __________ TOTAL ORDERED 11 122.22 % 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 682586 PROMETH-COD 6.25-10 SYR(HIT)+16OZ 35038380416 50383080416 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 007 12/28/10 6 007 12/22/10 5 007 12/20/10 3 007 12/15/10 4 007 12/13/10 2 007 12/08/10 3 007 12/06/10 3 007 12/01/10 3 + __________ TOTAL ORDERED 29 161.11 % 007 11/29/10 3 007 11/23/10 3 007 11/16/10 2 007 11/12/10 2 007 11/09/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 494 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 682586 PROMETH-COD 6.25-10 SYR(HIT)+16OZ 35038380416 50383080416 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 007 11/05/10 5 007 11/02/10 4 + __________ TOTAL ORDERED 23 127.77 % 007 10/29/10 2 007 10/26/10 6 007 10/22/10 6 007 10/19/10 1 007 10/15/10 1 007 10/12/10 1 007 10/08/10 4 007 10/05/10 1 007 10/01/10 3 + __________ TOTAL ORDERED 25 138.88 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (ACT)+ 100 35215221502 52152021502 10 3.0 30.0 0 DC DATE ORDERED QUANTITY 013 12/10/10 9 013 12/28/10 26 013 12/20/10 12 013 12/13/10 30 + __________ TOTAL ORDERED 77 256.66 % 013 11/29/10 6 013 11/22/10 22 013 11/15/10 27 013 11/08/10 4 013 11/01/10 26 + __________ TOTAL ORDERED 85 283.33 % 013 10/25/10 13 013 10/18/10 13 013 10/11/10 14 013 10/04/10 21 + __________ TOTAL ORDERED 61 203.33 % 013 09/27/10 8 013 09/20/10 13 013 09/13/10 14 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 495 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 (ACT)+ 100 35215221502 52152021502 10 3.0 30.0 0 DC DATE ORDERED QUANTITY 013 09/07/10 7 + __________ TOTAL ORDERED 42 140.00 % 013 08/30/10 18 013 08/23/10 13 013 08/16/10 6 013 08/09/10 4 013 08/02/10 5 + __________ TOTAL ORDERED 46 153.33 % 013 07/26/10 9 013 07/19/10 3 013 07/06/10 19 + __________ TOTAL ORDERED 31 103.33 % 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 12/23/10 4 007 12/16/10 2 007 12/14/10 2 007 12/09/10 4 007 12/07/10 3 007 12/02/10 2 + __________ TOTAL ORDERED 17 188.88 % 007 11/30/10 1 007 11/24/10 5 007 11/22/10 1 007 11/17/10 3 007 11/10/10 3 007 11/08/10 3 007 11/03/10 2 007 11/01/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 496 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 20 222.22 % 007 10/27/10 2 007 10/25/10 1 007 10/20/10 2 007 10/18/10 2 007 10/13/10 2 007 10/06/10 4 + __________ TOTAL ORDERED 13 144.44 % 007 09/29/10 2 007 09/27/10 2 007 09/22/10 2 007 09/20/10 3 007 09/15/10 2 007 09/13/10 1 007 09/08/10 2 007 09/02/10 3 + __________ TOTAL ORDERED 17 188.88 % 007 08/30/10 4 007 08/26/10 2 007 08/23/10 3 007 08/19/10 1 007 08/16/10 1 007 08/12/10 1 007 08/09/10 3 007 08/05/10 4 007 08/02/10 2 + __________ TOTAL ORDERED 21 233.33 % 007 07/29/10 1 007 07/26/10 1 007 07/22/10 3 007 07/19/10 4 007 07/15/10 3 007 07/12/10 2 007 07/08/10 1 007 07/01/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 497 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 19 211.11 % 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 12/16/10 3 007 12/09/10 2 007 12/02/10 5 + __________ TOTAL ORDERED 10 111.11 % 007 10/27/10 1 007 10/25/10 3 007 10/20/10 2 007 10/13/10 1 007 10/06/10 2 007 10/04/10 1 + __________ TOTAL ORDERED 10 111.11 % 007 08/30/10 2 007 08/26/10 1 007 08/23/10 2 007 08/12/10 2 007 08/09/10 4 + __________ 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 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 007 12/29/10 3 007 12/23/10 7 007 12/21/10 1 007 12/16/10 2 007 12/14/10 2 007 12/09/10 6 007 12/07/10 2 007 12/02/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 498 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 28 155.55 % 007 11/30/10 3 007 11/24/10 3 007 11/22/10 1 007 11/17/10 2 007 11/15/10 3 007 11/10/10 1 007 11/08/10 5 007 11/03/10 4 007 11/01/10 2 + __________ TOTAL ORDERED 24 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (ACT)+ 100 35215221502 52152021502 10 3.0 30.0 0 DC DATE ORDERED QUANTITY 013 12/29/10 15 013 12/22/10 20 013 12/15/10 11 013 12/08/10 12 013 12/01/10 17 + __________ TOTAL ORDERED 75 250.00 % 013 11/24/10 7 013 11/17/10 5 013 11/10/10 13 013 11/03/10 13 + __________ TOTAL ORDERED 38 126.66 % 013 10/27/10 15 013 10/20/10 11 013 10/13/10 7 013 10/06/10 16 + __________ TOTAL ORDERED 49 163.33 % 013 09/29/10 3 013 09/22/10 15 013 09/15/10 6 013 09/08/10 6 013 09/01/10 9 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 499 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 682971 OXYCODONE HCL 30MG TAB (ACT)+ 100 35215221502 52152021502 10 3.0 30.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 39 130.00 % 013 08/25/10 4 013 08/18/10 11 013 08/11/10 11 013 08/04/10 7 + __________ TOTAL ORDERED 33 110.00 % 013 07/28/10 7 013 07/21/10 14 013 07/14/10 5 013 07/07/10 8 + __________ TOTAL ORDERED 34 113.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684544 VICODIN ES 7.5-750 (ABB) + 100 30074197314 00074197314 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 007 12/29/10 1 007 12/23/10 1 007 12/14/10 2 + __________ TOTAL ORDERED 4 133.33 % 007 11/22/10 2 007 11/17/10 1 007 11/03/10 1 + __________ TOTAL ORDERED 4 133.33 % 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 12/29/10 1 007 12/23/10 2 007 12/21/10 2 007 12/16/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 500 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 12/09/10 2 007 12/07/10 1 007 12/02/10 1 + __________ TOTAL ORDERED 11 122.22 % 007 11/30/10 1 007 11/24/10 2 007 11/22/10 1 007 11/17/10 1 007 11/15/10 2 007 11/10/10 1 007 11/08/10 3 007 11/03/10 2 007 11/01/10 2 + __________ TOTAL ORDERED 15 166.66 % 007 09/29/10 2 007 09/27/10 1 007 09/22/10 1 007 09/15/10 2 007 09/08/10 1 007 09/02/10 4 + __________ TOTAL ORDERED 11 122.22 % 007 07/29/10 3 007 07/26/10 1 007 07/22/10 1 007 07/19/10 2 007 07/12/10 2 007 07/08/10 1 007 07/01/10 4 + __________ TOTAL ORDERED 14 155.55 % 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 007 12/29/10 6 007 12/23/10 2 007 12/09/10 2 007 12/07/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 501 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 672873 ANDROGEL 1% GEL (UNI) + 30X5.0GM 30051845030 00051845030 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 11 122.22 % 007 11/30/10 1 007 11/24/10 2 007 11/22/10 2 007 11/17/10 3 007 11/15/10 1 007 11/08/10 1 007 11/01/10 1 + __________ TOTAL ORDERED 11 122.22 % 007 07/29/10 4 007 07/26/10 1 007 07/12/10 3 007 07/08/10 5 007 07/01/10 2 + __________ TOTAL ORDERED 15 166.66 % 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 007 11/24/10 2 007 11/22/10 3 007 11/17/10 2 007 11/15/10 2 007 11/10/10 2 007 11/03/10 1 + __________ TOTAL ORDERED 12 133.33 % 007 10/27/10 1 007 10/25/10 1 007 10/20/10 1 007 10/18/10 1 007 10/13/10 1 007 10/11/10 3 007 10/06/10 2 007 10/04/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 502 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 11 122.22 % 007 09/29/10 1 007 09/27/10 1 007 09/22/10 1 007 09/20/10 2 007 09/15/10 1 007 09/13/10 2 007 09/08/10 2 007 09/02/10 1 + __________ TOTAL ORDERED 11 122.22 % 007 08/26/10 1 007 08/23/10 1 007 08/19/10 1 007 08/16/10 2 007 08/12/10 1 007 08/09/10 4 + __________ 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 12/29/10 5 007 12/23/10 2 007 12/21/10 8 007 12/16/10 7 007 12/14/10 1 007 12/09/10 8 007 12/07/10 5 007 12/02/10 1 + __________ TOTAL ORDERED 37 205.55 % 007 11/30/10 1 007 11/24/10 5 007 11/22/10 3 007 11/17/10 2 007 11/15/10 3 007 11/10/10 4 007 11/08/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 503 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 11/03/10 4 007 11/01/10 4 + __________ TOTAL ORDERED 27 150.00 % 007 10/27/10 6 007 10/25/10 6 007 10/20/10 6 007 10/18/10 4 007 10/13/10 4 007 10/06/10 1 007 10/04/10 4 + __________ TOTAL ORDERED 31 172.22 % 007 09/29/10 2 007 09/27/10 5 007 09/22/10 3 007 09/20/10 1 007 09/15/10 3 007 09/13/10 2 007 09/08/10 1 007 09/02/10 2 + __________ TOTAL ORDERED 19 105.55 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (ACT)+ 100 35215221502 52152021502 10 3.0 30.0 0 DC DATE ORDERED QUANTITY 013 12/28/10 9 013 12/21/10 5 013 12/14/10 9 013 12/07/10 15 + __________ TOTAL ORDERED 38 126.66 % 013 11/30/10 11 013 11/23/10 4 013 11/16/10 16 013 11/09/10 14 013 11/02/10 8 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 504 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 682971 OXYCODONE HCL 30MG TAB (ACT)+ 100 35215221502 52152021502 10 3.0 30.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 53 176.66 % 013 10/26/10 6 013 10/19/10 14 013 10/12/10 9 013 10/05/10 5 + __________ TOTAL ORDERED 34 113.33 % 013 08/24/10 13 013 08/17/10 11 013 08/10/10 8 013 08/03/10 11 + __________ TOTAL ORDERED 43 143.33 % 013 07/27/10 8 013 07/20/10 12 013 07/13/10 17 + __________ TOTAL ORDERED 37 123.33 % 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 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 007 12/29/10 3 007 12/23/10 3 007 12/16/10 3 007 12/09/10 5 007 12/07/10 2 007 12/02/10 5 + __________ TOTAL ORDERED 21 116.66 % 007 11/24/10 4 007 11/17/10 4 007 11/15/10 2 007 11/10/10 4 007 11/08/10 1 007 11/03/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 505 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 6 3.0 18.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 19 105.55 % 007 10/27/10 3 007 10/20/10 3 007 10/18/10 2 007 10/13/10 4 007 10/11/10 2 007 10/06/10 5 007 10/04/10 7 + __________ TOTAL ORDERED 26 144.44 % 007 09/29/10 6 007 09/27/10 1 007 09/22/10 2 007 09/20/10 2 007 09/15/10 2 007 09/13/10 1 007 09/08/10 5 007 09/02/10 5 + __________ TOTAL ORDERED 24 133.33 % 007 08/30/10 1 007 08/26/10 2 007 08/23/10 2 007 08/19/10 2 007 08/16/10 2 007 08/12/10 5 007 08/09/10 2 007 08/05/10 4 007 08/02/10 1 + __________ TOTAL ORDERED 21 116.66 % 007 07/29/10 2 007 07/26/10 2 007 07/22/10 4 007 07/19/10 3 007 07/01/10 9 + __________ TOTAL ORDERED 20 111.11 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 506 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 (ACT)+ 100 35215221502 52152021502 10 3.0 30.0 0 DC DATE ORDERED QUANTITY 013 12/27/10 18 013 12/17/10 10 013 12/10/10 29 + __________ TOTAL ORDERED 57 190.00 % 013 11/29/10 3 013 11/19/10 17 013 11/12/10 22 013 11/05/10 14 + __________ TOTAL ORDERED 56 186.66 % 013 10/29/10 10 013 10/22/10 7 013 10/15/10 18 013 10/08/10 29 013 10/01/10 9 + __________ TOTAL ORDERED 73 243.33 % 013 09/24/10 7 013 09/17/10 26 013 09/10/10 24 + __________ TOTAL ORDERED 57 190.00 % 013 08/27/10 28 013 08/20/10 18 013 08/13/10 16 013 08/06/10 14 + __________ TOTAL ORDERED 76 253.33 % 013 07/30/10 20 013 07/23/10 8 013 07/16/10 13 013 07/09/10 9 013 07/01/10 5 + __________ TOTAL ORDERED 55 183.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 507 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 685928 XANAX 1MG TAB + 100 30009009001 00009009001 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 007 12/29/10 1 007 12/23/10 1 007 12/16/10 1 007 12/07/10 1 + __________ TOTAL ORDERED 4 133.33 % 007 09/29/10 1 007 09/08/10 1 007 09/02/10 2 + __________ TOTAL ORDERED 4 133.33 % 007 08/09/10 2 007 08/02/10 2 + __________ TOTAL ORDERED 4 133.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04545 BW6500513 17 GREEN ST WOODBRIDGE NJ 07095 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (ACT)+ 100 35215221502 52152021502 10 3.0 30.0 0 DC DATE ORDERED QUANTITY 013 12/28/10 6 013 12/21/10 3 013 12/14/10 16 013 12/07/10 9 + __________ TOTAL ORDERED 34 113.33 % 013 11/30/10 4 013 11/23/10 13 013 11/16/10 8 013 11/09/10 11 013 11/02/10 7 + __________ TOTAL ORDERED 43 143.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 508 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 017 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04545 BW6500513 17 GREEN ST WOODBRIDGE NJ 07095 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684544 VICODIN ES 7.5-750 (ABB) + 100 30074197314 00074197314 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 007 10/20/10 2 007 10/11/10 1 007 10/06/10 1 + __________ TOTAL ORDERED 4 133.33 % 007 08/19/10 1 007 08/16/10 1 007 08/09/10 2 007 08/05/10 1 + __________ TOTAL ORDERED 5 166.66 % 007 07/22/10 1 007 07/15/10 1 007 07/12/10 1 007 07/08/10 1 + __________ TOTAL ORDERED 4 133.33 % 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 682586 PROMETH-COD 6.25-10 SYR(HIT)+16OZ 35038380416 50383080416 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 007 12/28/10 3 007 12/22/10 1 007 12/20/10 10 007 12/15/10 1 007 12/13/10 2 007 12/08/10 2 007 12/06/10 1 007 12/01/10 2 + __________ TOTAL ORDERED 22 122.22 % 007 11/29/10 5 007 11/23/10 2 007 11/19/10 4 007 11/16/10 1 007 11/09/10 1 007 11/05/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 509 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 682586 PROMETH-COD 6.25-10 SYR(HIT)+16OZ 35038380416 50383080416 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 007 11/02/10 1 + __________ TOTAL ORDERED 20 111.11 % 007 10/29/10 6 007 10/26/10 1 007 10/22/10 3 007 10/19/10 5 007 10/15/10 2 007 10/12/10 1 007 10/08/10 2 007 10/05/10 1 007 10/01/10 2 + __________ TOTAL ORDERED 23 127.77 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (ACT)+ 100 35215221502 52152021502 10 3.0 30.0 0 DC DATE ORDERED QUANTITY 013 11/29/10 7 013 11/22/10 10 013 11/15/10 6 013 11/08/10 9 013 11/01/10 4 + __________ TOTAL ORDERED 36 120.00 % 013 09/27/10 3 013 09/20/10 12 013 09/13/10 8 013 09/07/10 10 + __________ TOTAL ORDERED 33 110.00 % 013 08/30/10 12 013 08/23/10 4 013 08/16/10 12 013 08/09/10 7 013 08/02/10 13 + __________ TOTAL ORDERED 48 160.00 % 013 07/26/10 7 013 07/19/10 13 013 07/12/10 9 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 510 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 (ACT)+ 100 35215221502 52152021502 10 3.0 30.0 0 DC DATE ORDERED QUANTITY 013 07/06/10 7 + __________ TOTAL ORDERED 36 120.00 % 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 674522 CHLORDIAZEPOXIDE 25MG CAP(BR)+100 30555015902 00555015902 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 007 12/23/10 2 007 12/14/10 1 007 12/07/10 1 + __________ TOTAL ORDERED 4 133.33 % 007 11/30/10 1 007 11/22/10 1 007 11/17/10 1 007 11/10/10 1 + __________ TOTAL ORDERED 4 133.33 % 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 007 12/29/10 1 007 12/23/10 3 007 12/21/10 2 007 12/16/10 1 007 12/09/10 3 007 12/02/10 3 + __________ TOTAL ORDERED 13 144.44 % 007 11/24/10 1 007 11/22/10 1 007 11/17/10 1 007 11/15/10 1 007 11/10/10 1 007 11/03/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 511 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 679658 HYDROMET SYRUP (ALP) + 473ML 30472103016 00472103016 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 007 11/01/10 5 + __________ TOTAL ORDERED 12 133.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 12593 FW1712579 1303 ST GEORGE AVE COLONIA NJ 07095 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (ACT)+ 100 35215221502 52152021502 10 3.0 30.0 0 DC DATE ORDERED QUANTITY 013 12/28/10 16 013 12/27/10 22 013 12/21/10 15 013 12/20/10 10 013 12/14/10 17 013 12/13/10 18 013 12/07/10 16 + __________ TOTAL ORDERED 114 380.00 % 013 11/30/10 16 013 11/29/10 15 013 11/23/10 15 013 11/22/10 14 013 11/16/10 17 013 11/15/10 14 013 11/09/10 15 013 11/08/10 16 013 11/02/10 14 013 11/01/10 14 + __________ TOTAL ORDERED 150 500.00 % 013 10/26/10 14 013 10/25/10 11 013 10/19/10 14 013 10/18/10 15 013 10/11/10 16 013 10/12/10 12 013 10/05/10 10 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 512 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 017 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 12593 FW1712579 1303 ST GEORGE AVE COLONIA NJ 07095 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (ACT)+ 100 35215221502 52152021502 10 3.0 30.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 92 306.66 % 013 09/28/10 16 013 09/27/10 25 013 09/21/10 12 013 09/20/10 19 013 09/14/10 9 013 09/13/10 11 013 09/08/10 4 + __________ TOTAL ORDERED 96 320.00 % 013 08/31/10 32 013 08/24/10 22 013 08/17/10 20 013 08/10/10 16 013 08/03/10 11 + __________ TOTAL ORDERED 101 336.66 % 013 07/27/10 18 013 07/13/10 9 013 07/12/10 24 + __________ TOTAL ORDERED 51 170.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682972 OXYCODONE HCL 15MG TAB (ACT) +100 35215221402 52152021402 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 013 12/28/10 11 013 12/21/10 11 013 12/20/10 11 013 12/14/10 12 013 12/13/10 16 013 12/07/10 10 + __________ TOTAL ORDERED 71 262.96 % 013 11/30/10 9 013 11/29/10 5 013 11/23/10 9 013 11/22/10 11 013 11/16/10 7 013 11/15/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 513 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 017 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 12593 FW1712579 1303 ST GEORGE AVE COLONIA NJ 07095 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682972 OXYCODONE HCL 15MG TAB (ACT) +100 35215221402 52152021402 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 013 11/09/10 7 013 11/08/10 3 013 11/02/10 7 013 11/01/10 2 + __________ TOTAL ORDERED 64 237.03 % 013 10/26/10 7 013 10/25/10 5 013 10/19/10 9 013 10/18/10 3 013 10/11/10 4 013 10/12/10 7 013 10/05/10 6 + __________ TOTAL ORDERED 41 151.85 % 013 09/28/10 7 013 09/27/10 6 013 09/21/10 5 013 09/20/10 3 013 09/14/10 6 013 09/08/10 3 + __________ TOTAL ORDERED 30 111.11 % 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 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 12/27/10 6 010 12/22/10 5 010 12/17/10 6 010 12/15/10 2 010 12/10/10 5 010 12/08/10 3 010 12/03/10 6 010 12/01/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 514 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 11 3.0 33.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 34 103.03 % 010 11/26/10 8 010 11/23/10 5 010 11/18/10 5 010 11/16/10 1 010 11/11/10 5 010 11/09/10 3 010 11/04/10 6 010 11/02/10 1 + __________ TOTAL ORDERED 34 103.03 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 010 12/27/10 5 010 12/22/10 6 010 12/17/10 4 010 12/15/10 1 010 12/10/10 7 010 12/08/10 5 010 12/03/10 5 + __________ TOTAL ORDERED 33 122.22 % 010 11/26/10 6 010 11/23/10 6 010 11/18/10 3 010 11/16/10 1 010 11/11/10 8 010 11/04/10 9 + __________ TOTAL ORDERED 33 122.22 % 010 10/28/10 10 010 10/26/10 4 010 10/21/10 6 010 10/19/10 3 010 10/14/10 6 010 10/12/10 2 010 10/07/10 10 010 10/05/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 515 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 9 3.0 27.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 48 177.77 % 010 09/30/10 5 010 09/28/10 2 010 09/23/10 10 010 09/21/10 3 010 09/16/10 4 010 09/09/10 5 010 09/07/10 3 + __________ TOTAL ORDERED 32 118.51 % 010 08/31/10 13 010 08/27/10 7 010 08/24/10 2 010 08/20/10 7 010 08/17/10 3 010 08/13/10 6 010 08/10/10 1 010 08/06/10 4 010 08/03/10 6 + __________ TOTAL ORDERED 49 181.48 % 010 07/30/10 4 010 07/27/10 3 010 07/23/10 4 010 07/20/10 3 010 07/16/10 9 010 07/13/10 2 010 07/09/10 6 010 07/06/10 5 + __________ TOTAL ORDERED 36 133.33 % 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 11/26/10 2 010 11/23/10 1 010 11/18/10 1 010 11/16/10 1 010 11/11/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 516 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 010 11/04/10 3 + __________ TOTAL ORDERED 10 111.11 % 010 10/28/10 1 010 10/26/10 1 010 10/21/10 1 010 10/19/10 2 010 10/14/10 1 010 10/12/10 1 010 10/07/10 1 010 10/05/10 2 + __________ TOTAL ORDERED 10 111.11 % 010 08/31/10 2 010 08/24/10 1 010 08/20/10 2 010 08/17/10 1 010 08/13/10 1 010 08/10/10 1 010 08/06/10 2 010 08/03/10 1 + __________ TOTAL ORDERED 11 122.22 % 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 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 014 09/29/10 8 014 09/22/10 6 014 09/15/10 6 014 09/01/10 5 + __________ TOTAL ORDERED 25 119.04 % 014 08/25/10 3 014 08/18/10 8 014 08/11/10 6 014 08/04/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 517 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 7 3.0 21.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 24 114.28 % 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 471202 FENTANYL 12MCG/HR TS (SAN) + 5 30781724055 00781724055 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 11/23/10 4 014 11/16/10 11 014 11/09/10 4 + __________ TOTAL ORDERED 19 211.11 % 014 09/28/10 3 014 09/14/10 3 014 09/07/10 4 + __________ TOTAL ORDERED 10 111.11 % 014 08/31/10 3 014 08/24/10 4 014 08/17/10 1 014 08/10/10 1 014 08/03/10 7 + __________ TOTAL ORDERED 16 177.77 % 014 07/27/10 4 014 07/13/10 9 014 07/06/10 2 + __________ TOTAL ORDERED 15 166.66 % 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 10/26/10 8 014 10/19/10 11 014 10/12/10 3 014 10/05/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 518 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 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 544541 FENTANYL 75MCG/HR TS (WAT) + 5 30591321372 00591321372 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 23 153.33 % 014 08/31/10 2 014 08/17/10 5 014 08/10/10 2 014 08/03/10 9 + __________ TOTAL ORDERED 18 120.00 % 014 07/27/10 11 014 07/20/10 3 014 07/13/10 8 014 07/06/10 3 + __________ TOTAL ORDERED 25 166.66 % 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 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 010 12/22/10 6 010 12/20/10 4 010 12/15/10 5 010 12/13/10 6 010 12/08/10 5 010 12/06/10 3 010 12/01/10 4 + __________ TOTAL ORDERED 33 122.22 % 010 11/29/10 2 010 11/23/10 6 010 11/19/10 5 010 11/16/10 3 010 11/12/10 5 010 11/09/10 1 010 11/05/10 5 010 11/02/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 519 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 9 3.0 27.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 31 114.81 % 010 10/26/10 5 010 10/22/10 4 010 10/19/10 3 010 10/15/10 4 010 10/12/10 4 010 10/08/10 2 010 10/05/10 5 010 10/01/10 7 + __________ TOTAL ORDERED 34 125.92 % 010 09/28/10 1 010 09/24/10 4 010 09/21/10 4 010 09/17/10 3 010 09/14/10 2 010 09/10/10 4 010 09/07/10 4 010 09/01/10 11 + __________ TOTAL ORDERED 33 122.22 % 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 468843 TRAMADOL/APAP 37.5/325MG+(AMN)500 36516261750 65162061750 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 010 12/27/10 1 010 12/15/10 1 010 12/08/10 1 010 12/03/10 1 + __________ TOTAL ORDERED 4 133.33 % 010 11/26/10 1 010 11/23/10 1 010 11/18/10 1 010 11/04/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 520 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 468843 TRAMADOL/APAP 37.5/325MG+(AMN)500 36516261750 65162061750 1 3.0 3.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 4 133.33 % 010 10/28/10 1 010 10/21/10 1 010 10/14/10 1 010 10/07/10 1 + __________ TOTAL ORDERED 4 133.33 % 010 09/23/10 1 010 09/16/10 2 010 09/09/10 1 + __________ TOTAL ORDERED 4 133.33 % 010 08/31/10 1 010 08/20/10 1 010 08/13/10 1 010 08/06/10 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 11/26/10 3 010 11/18/10 3 010 11/11/10 2 010 11/04/10 1 010 11/02/10 1 + __________ TOTAL ORDERED 10 111.11 % 010 09/30/10 1 010 09/23/10 2 010 09/16/10 2 010 09/14/10 5 010 09/09/10 1 + __________ TOTAL ORDERED 11 122.22 % 010 08/31/10 2 010 08/24/10 1 010 08/20/10 4 010 08/17/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 521 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 08/13/10 2 + __________ TOTAL ORDERED 11 122.22 % 010 07/30/10 2 010 07/27/10 3 010 07/23/10 3 010 07/16/10 1 010 07/06/10 2 + __________ TOTAL ORDERED 11 122.22 % 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 12/29/10 5 014 12/22/10 6 014 12/01/10 7 + __________ TOTAL ORDERED 18 200.00 % 014 11/24/10 4 014 11/17/10 3 014 11/03/10 3 + __________ TOTAL ORDERED 10 111.11 % 014 09/29/10 3 014 09/22/10 1 014 09/15/10 2 014 09/08/10 3 014 09/01/10 4 + __________ TOTAL ORDERED 13 144.44 % 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 12/27/10 4 010 12/22/10 4 010 12/17/10 3 010 12/15/10 1 010 12/10/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 522 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 010 12/08/10 3 010 12/03/10 5 010 12/01/10 2 + __________ TOTAL ORDERED 26 108.33 % 010 11/26/10 4 010 11/23/10 2 010 11/18/10 5 010 11/16/10 3 010 11/11/10 3 010 11/09/10 2 010 11/04/10 3 010 11/02/10 3 + __________ TOTAL ORDERED 25 104.16 % 010 08/31/10 4 010 08/27/10 3 010 08/24/10 1 010 08/20/10 4 010 08/17/10 2 010 08/13/10 3 010 08/10/10 3 010 08/06/10 3 010 08/03/10 2 + __________ 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 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 010 12/27/10 5 010 12/22/10 7 010 12/17/10 8 010 12/10/10 7 010 12/03/10 9 + __________ TOTAL ORDERED 36 133.33 % 010 11/26/10 12 010 11/23/10 11 010 11/18/10 6 010 11/11/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 523 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 010 11/09/10 4 010 11/04/10 7 010 11/02/10 4 + __________ TOTAL ORDERED 48 177.77 % 010 09/30/10 6 010 09/23/10 5 010 09/21/10 4 010 09/16/10 4 010 09/14/10 4 010 09/09/10 6 010 09/07/10 3 + __________ TOTAL ORDERED 32 118.51 % 010 08/31/10 7 010 08/27/10 9 010 08/24/10 6 010 08/20/10 5 010 08/17/10 3 010 08/13/10 5 010 08/10/10 2 010 08/06/10 4 010 08/03/10 2 + __________ TOTAL ORDERED 43 159.25 % 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 12/28/10 2 010 12/16/10 5 010 12/13/10 1 010 12/09/10 1 + __________ TOTAL ORDERED 9 150.00 % 010 11/19/10 3 010 11/17/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 524 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 11/12/10 2 010 11/10/10 1 + __________ TOTAL ORDERED 9 150.00 % 010 09/29/10 2 010 09/22/10 1 010 09/01/10 4 + __________ TOTAL ORDERED 7 116.66 % 010 07/28/10 4 010 07/21/10 2 010 07/19/10 3 010 07/01/10 1 + __________ TOTAL ORDERED 10 166.66 % 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 12/28/10 1 010 12/23/10 1 010 12/20/10 1 010 12/13/10 1 010 12/09/10 2 010 12/06/10 3 010 12/02/10 2 + __________ TOTAL ORDERED 11 122.22 % 010 10/27/10 1 010 10/22/10 2 010 10/15/10 2 010 10/13/10 2 010 10/08/10 1 010 10/06/10 1 010 10/01/10 1 + __________ TOTAL ORDERED 10 111.11 % 010 07/28/10 2 010 07/21/10 2 010 07/12/10 2 010 07/07/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 525 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 07/01/10 2 + __________ 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 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 010 12/28/10 6 010 12/23/10 6 010 12/20/10 3 010 12/16/10 1 010 12/13/10 2 010 12/09/10 9 010 12/06/10 6 010 12/02/10 5 + __________ TOTAL ORDERED 38 140.74 % 010 11/29/10 6 010 11/24/10 8 010 11/19/10 3 010 11/17/10 1 010 11/12/10 4 010 11/10/10 2 010 11/05/10 6 010 11/03/10 1 + __________ TOTAL ORDERED 31 114.81 % 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 010 08/18/10 1 010 08/04/10 4 + __________ TOTAL ORDERED 5 166.66 % 010 07/21/10 1 010 07/14/10 1 010 07/12/10 1 010 07/07/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 526 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 674547 CHLORDIAZEPOXIDE 10MG CAP(BR)+100 30555003302 00555003302 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 684810 TESTOST ENANTH 200MG/ML+(WAT) 5ML 30591322126 00364661754 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 010 08/25/10 1 010 08/18/10 1 010 08/16/10 1 010 08/11/10 1 010 08/09/10 2 010 08/02/10 1 + __________ TOTAL ORDERED 7 233.33 % 010 07/28/10 1 010 07/26/10 1 010 07/19/10 1 010 07/12/10 1 + __________ TOTAL ORDERED 4 133.33 % 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 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 010 12/28/10 4 010 12/23/10 2 010 12/20/10 6 010 12/16/10 2 010 12/13/10 2 010 12/09/10 3 010 12/06/10 8 010 12/02/10 2 + __________ TOTAL ORDERED 29 107.40 % 010 09/24/10 6 010 09/22/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 527 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 010 09/17/10 5 010 09/10/10 6 010 09/01/10 9 + __________ TOTAL ORDERED 29 107.40 % 010 08/30/10 2 010 08/25/10 6 010 08/18/10 4 010 08/16/10 1 010 08/11/10 9 010 08/09/10 2 010 08/04/10 4 010 08/02/10 2 + __________ TOTAL ORDERED 30 111.11 % 010 07/28/10 6 010 07/26/10 4 010 07/21/10 3 010 07/14/10 3 010 07/12/10 1 010 07/07/10 4 010 07/01/10 7 + __________ TOTAL ORDERED 28 103.70 % 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 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 010 12/29/10 2 010 12/23/10 9 010 12/16/10 8 010 12/14/10 2 010 12/09/10 4 010 12/07/10 3 010 12/02/10 10 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 528 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 9 3.0 27.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 38 140.74 % 010 11/30/10 1 010 11/24/10 7 010 11/22/10 2 010 11/17/10 3 010 11/15/10 4 010 11/10/10 4 010 11/08/10 8 010 11/03/10 4 010 11/01/10 9 + __________ TOTAL ORDERED 42 155.55 % 010 10/27/10 2 010 10/25/10 4 010 10/20/10 5 010 10/18/10 2 010 10/13/10 5 010 10/11/10 8 010 10/06/10 8 010 10/04/10 3 + __________ TOTAL ORDERED 37 137.03 % 010 09/29/10 7 010 09/27/10 5 010 09/22/10 7 010 09/20/10 1 010 09/15/10 5 010 09/13/10 7 010 09/08/10 9 010 09/02/10 11 + __________ TOTAL ORDERED 52 192.59 % 010 08/30/10 5 010 08/26/10 6 010 08/23/10 5 010 08/19/10 4 010 08/16/10 8 010 08/12/10 8 010 08/09/10 5 010 08/05/10 5 010 08/02/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 529 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 9 3.0 27.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 53 196.29 % 010 07/29/10 3 010 07/26/10 5 010 07/22/10 3 010 07/19/10 5 010 07/15/10 5 010 07/12/10 2 010 07/08/10 10 010 07/01/10 13 + __________ TOTAL ORDERED 46 170.37 % 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 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 010 12/28/10 8 010 12/23/10 9 010 12/20/10 3 010 12/16/10 5 010 12/13/10 5 010 12/09/10 6 010 12/06/10 6 010 12/02/10 7 + __________ TOTAL ORDERED 49 181.48 % 010 11/29/10 6 010 11/24/10 9 010 11/19/10 6 010 11/12/10 9 010 11/10/10 6 010 11/05/10 4 + __________ TOTAL ORDERED 40 148.14 % 010 10/22/10 13 010 10/15/10 8 010 10/08/10 8 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 530 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 010 10/06/10 5 010 10/01/10 4 + __________ TOTAL ORDERED 38 140.74 % 010 09/24/10 10 010 09/22/10 7 010 09/17/10 5 010 09/10/10 9 010 09/08/10 4 010 09/01/10 12 + __________ TOTAL ORDERED 47 174.07 % 010 08/25/10 6 010 08/23/10 4 010 08/18/10 4 010 08/16/10 1 010 08/11/10 6 010 08/09/10 9 010 08/04/10 8 010 08/02/10 1 + __________ TOTAL ORDERED 39 144.44 % 010 07/28/10 7 010 07/26/10 5 010 07/21/10 6 010 07/14/10 5 010 07/12/10 2 010 07/07/10 6 010 07/01/10 3 + __________ TOTAL ORDERED 34 125.92 % 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 010 08/18/10 4 010 08/11/10 12 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 531 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 010 08/09/10 7 010 08/04/10 1 + __________ TOTAL ORDERED 24 133.33 % 010 07/21/10 2 010 07/14/10 8 010 07/07/10 16 010 07/01/10 1 + __________ TOTAL ORDERED 27 150.00 % 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 457754 BUTORPHANOL TART NS (ROX) + 2.5ML 30054309036 00054309036 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 12/22/10 2 010 12/17/10 7 010 12/10/10 6 010 12/03/10 5 + __________ TOTAL ORDERED 20 166.66 % 010 09/30/10 2 010 09/23/10 3 010 09/21/10 4 010 09/16/10 4 010 09/14/10 1 010 09/09/10 2 + __________ TOTAL ORDERED 16 133.33 % 010 08/31/10 5 010 08/24/10 4 010 08/20/10 2 010 08/10/10 2 010 08/06/10 1 010 08/03/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 532 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 457754 BUTORPHANOL TART NS (ROX) + 2.5ML 30054309036 00054309036 4 3.0 12.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 16 133.33 % 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 12/27/10 2 010 12/22/10 1 010 12/17/10 1 010 12/03/10 3 + __________ TOTAL ORDERED 7 233.33 % 010 10/28/10 3 010 10/26/10 1 010 10/14/10 1 010 10/05/10 1 + __________ TOTAL ORDERED 6 200.00 % 010 08/31/10 1 010 08/27/10 2 010 08/24/10 1 010 08/10/10 1 010 08/06/10 2 010 08/03/10 1 + __________ TOTAL ORDERED 8 266.66 % 010 07/23/10 1 010 07/20/10 1 010 07/13/10 1 010 07/06/10 1 + __________ 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 12/27/10 3 014 12/10/10 4 014 12/03/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 533 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 507055 CONCERTA 36MG ER TAB 100 35045858601 50458058601 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 11 122.22 % 014 11/19/10 6 014 11/05/10 4 + __________ TOTAL ORDERED 10 111.11 % 014 10/22/10 5 014 10/08/10 6 014 10/01/10 2 + __________ TOTAL ORDERED 13 144.44 % 014 07/30/10 1 014 07/23/10 3 014 07/16/10 4 014 07/09/10 3 + __________ TOTAL ORDERED 11 122.22 % 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 12/17/10 3 014 12/03/10 4 + __________ TOTAL ORDERED 7 116.66 % 014 08/27/10 6 014 08/20/10 2 + __________ TOTAL ORDERED 8 133.33 % 014 07/30/10 5 014 07/23/10 3 + __________ TOTAL ORDERED 8 133.33 % 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 10/29/10 4 014 10/22/10 15 014 10/15/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 534 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 544540 FENTANYL 100MCG/HR TS (WAT) + 5 30591321472 00591321472 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 014 10/01/10 2 + __________ TOTAL ORDERED 23 127.77 % 014 08/27/10 10 014 08/13/10 8 014 08/06/10 4 + __________ TOTAL ORDERED 22 122.22 % 014 07/30/10 1 014 07/23/10 8 014 07/16/10 9 014 07/09/10 4 + __________ TOTAL ORDERED 22 122.22 % 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 12/27/10 13 014 12/10/10 2 014 12/03/10 5 + __________ TOTAL ORDERED 20 111.11 % 014 10/29/10 5 014 10/22/10 1 014 10/15/10 6 014 10/08/10 13 + __________ TOTAL ORDERED 25 138.88 % 014 07/30/10 3 014 07/23/10 7 014 07/16/10 12 014 07/09/10 12 + __________ TOTAL ORDERED 34 188.88 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 535 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 551686 VYVANSE 50MG CAPS + 100 35941710510 59417010510 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 11/26/10 2 014 11/12/10 2 014 11/05/10 3 + __________ TOTAL ORDERED 7 116.66 % 014 10/29/10 3 014 10/08/10 4 014 10/01/10 2 + __________ TOTAL ORDERED 9 150.00 % 014 09/24/10 3 014 09/17/10 1 014 09/10/10 3 + __________ 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 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 12/27/10 8 010 12/22/10 9 010 12/17/10 8 010 12/15/10 4 010 12/10/10 7 010 12/08/10 8 010 12/03/10 8 010 12/01/10 3 + __________ TOTAL ORDERED 55 166.66 % 010 11/26/10 8 010 11/23/10 5 010 11/18/10 8 010 11/16/10 6 010 11/11/10 7 010 11/09/10 7 010 11/04/10 8 010 11/02/10 6 + __________ TOTAL ORDERED 55 166.66 % 010 10/28/10 7 010 10/26/10 15 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 536 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 10/21/10 7 010 10/19/10 2 010 10/14/10 7 010 10/12/10 4 010 10/07/10 11 010 10/05/10 5 + __________ TOTAL ORDERED 58 175.75 % 010 09/30/10 7 010 09/28/10 3 010 09/23/10 6 010 09/21/10 6 010 09/16/10 9 010 09/14/10 5 010 09/09/10 9 010 09/07/10 7 + __________ TOTAL ORDERED 52 157.57 % 010 08/31/10 10 010 08/27/10 8 010 08/24/10 5 010 08/20/10 5 010 08/17/10 5 010 08/13/10 7 010 08/10/10 4 010 08/06/10 6 010 08/03/10 4 + __________ TOTAL ORDERED 54 163.63 % 010 07/30/10 8 010 07/27/10 5 010 07/23/10 7 010 07/20/10 5 010 07/16/10 7 010 07/13/10 3 010 07/09/10 9 010 07/06/10 2 + __________ TOTAL ORDERED 46 139.39 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 537 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 564864 HYDROCO-APAP 7.5-325 TAB(WAT)+100 30591320301 00591320301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 12/27/10 3 010 12/22/10 5 010 12/17/10 4 010 12/15/10 7 010 12/10/10 5 010 12/08/10 3 010 12/03/10 5 010 12/01/10 3 + __________ TOTAL ORDERED 35 106.06 % 010 10/28/10 5 010 10/26/10 6 010 10/21/10 5 010 10/19/10 4 010 10/14/10 2 010 10/12/10 7 010 10/07/10 5 + __________ TOTAL ORDERED 34 103.03 % 010 09/28/10 12 010 09/23/10 11 010 09/21/10 3 010 09/16/10 4 010 09/14/10 1 010 09/09/10 5 010 09/07/10 2 + __________ TOTAL ORDERED 38 115.15 % 010 08/31/10 7 010 08/27/10 4 010 08/24/10 3 010 08/20/10 2 010 08/17/10 3 010 08/13/10 7 010 08/10/10 2 010 08/06/10 3 010 08/03/10 3 + __________ TOTAL ORDERED 34 103.03 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 538 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 12/27/10 9 010 12/22/10 13 010 12/17/10 10 010 12/15/10 6 010 12/10/10 9 010 12/08/10 9 010 12/03/10 6 010 12/01/10 7 + __________ TOTAL ORDERED 69 209.09 % 010 11/26/10 10 010 11/23/10 10 010 11/18/10 5 010 11/16/10 4 010 11/11/10 8 010 11/09/10 4 010 11/04/10 5 010 11/02/10 3 + __________ TOTAL ORDERED 49 148.48 % 010 09/30/10 7 010 09/28/10 6 010 09/23/10 6 010 09/21/10 2 010 09/16/10 6 010 09/14/10 4 010 09/09/10 6 010 09/07/10 1 + __________ TOTAL ORDERED 38 115.15 % 010 08/31/10 10 010 08/27/10 4 010 08/24/10 3 010 08/20/10 5 010 08/17/10 3 010 08/13/10 3 010 08/10/10 2 010 08/06/10 2 010 08/03/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 539 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 11 3.0 33.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 34 103.03 % 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 10/28/10 4 010 10/21/10 5 010 10/14/10 5 010 10/07/10 3 010 10/05/10 2 + __________ TOTAL ORDERED 19 211.11 % 010 09/30/10 1 010 09/28/10 3 010 09/23/10 1 010 09/16/10 1 010 09/14/10 2 010 09/09/10 3 010 09/07/10 1 + __________ TOTAL ORDERED 12 133.33 % 010 07/30/10 1 010 07/27/10 1 010 07/23/10 3 010 07/20/10 2 010 07/16/10 3 010 07/06/10 3 + __________ TOTAL ORDERED 13 144.44 % 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 08/20/10 2 010 08/17/10 3 010 08/13/10 9 010 08/10/10 6 010 08/06/10 1 010 08/03/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 540 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 645805 HYDROCOD-APAP ORAL SOL(PAI)+473ML 30121065516 00121065516 6 3.0 18.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 22 122.22 % 010 07/23/10 3 010 07/20/10 1 010 07/16/10 4 010 07/13/10 5 010 07/09/10 1 010 07/06/10 6 + __________ TOTAL ORDERED 20 111.11 % 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 12/27/10 3 010 12/22/10 5 010 12/17/10 2 010 12/15/10 3 010 12/10/10 3 010 12/08/10 3 010 12/03/10 4 010 12/01/10 3 + __________ TOTAL ORDERED 26 108.33 % 010 08/31/10 6 010 08/27/10 4 010 08/24/10 3 010 08/20/10 3 010 08/17/10 3 010 08/13/10 3 010 08/10/10 3 010 08/06/10 3 010 08/03/10 2 + __________ TOTAL ORDERED 30 125.00 % 010 07/30/10 4 010 07/27/10 4 010 07/23/10 3 010 07/20/10 3 010 07/16/10 4 010 07/13/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 541 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 07/09/10 4 010 07/06/10 2 + __________ TOTAL ORDERED 27 112.50 % 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 12/27/10 2 010 12/22/10 1 010 12/17/10 2 010 12/10/10 2 010 12/08/10 1 010 12/03/10 3 + __________ TOTAL ORDERED 11 122.22 % 010 11/26/10 2 010 11/23/10 1 010 11/18/10 1 010 11/16/10 1 010 11/11/10 1 010 11/04/10 2 010 11/02/10 3 + __________ TOTAL ORDERED 11 122.22 % 010 10/28/10 2 010 10/26/10 1 010 10/21/10 1 010 10/19/10 1 010 10/14/10 1 010 10/12/10 1 010 10/07/10 2 010 10/05/10 2 + __________ TOTAL ORDERED 11 122.22 % 010 08/31/10 2 010 08/27/10 1 010 08/24/10 1 010 08/20/10 1 010 08/13/10 2 010 08/10/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 542 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 08/06/10 1 010 08/03/10 2 + __________ TOTAL ORDERED 11 122.22 % 010 07/30/10 2 010 07/27/10 1 010 07/23/10 1 010 07/20/10 1 010 07/16/10 2 010 07/13/10 1 010 07/09/10 1 010 07/06/10 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 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 010 12/27/10 4 010 12/22/10 5 010 12/17/10 13 010 12/15/10 5 010 12/10/10 6 010 12/08/10 2 010 12/03/10 6 + __________ TOTAL ORDERED 41 151.85 % 010 11/26/10 7 010 11/23/10 6 010 11/18/10 7 010 11/16/10 3 010 11/11/10 5 010 11/09/10 5 010 11/04/10 5 010 11/02/10 4 + __________ TOTAL ORDERED 42 155.55 % 010 10/28/10 6 010 10/21/10 17 010 10/19/10 3 010 10/14/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 543 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 010 10/12/10 11 010 10/07/10 13 010 10/05/10 1 + __________ TOTAL ORDERED 58 214.81 % 010 09/30/10 6 010 09/28/10 11 010 09/23/10 4 010 09/16/10 7 010 09/14/10 5 010 09/09/10 5 + __________ TOTAL ORDERED 38 140.74 % 010 08/31/10 12 010 08/27/10 2 010 08/24/10 3 010 08/20/10 6 010 08/17/10 4 010 08/13/10 5 010 08/10/10 1 010 08/06/10 8 010 08/03/10 2 + __________ TOTAL ORDERED 43 159.25 % 010 07/30/10 13 010 07/27/10 4 010 07/23/10 3 010 07/20/10 2 010 07/16/10 4 010 07/13/10 3 010 07/09/10 6 010 07/06/10 4 + __________ TOTAL ORDERED 39 144.44 % 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 010 12/27/10 11 010 12/22/10 5 010 12/17/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 544 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 010 12/15/10 3 010 12/10/10 1 010 12/08/10 1 010 12/03/10 3 010 12/01/10 4 + __________ TOTAL ORDERED 31 172.22 % 010 11/26/10 5 010 11/23/10 10 010 11/18/10 4 010 11/16/10 1 010 11/11/10 2 010 11/09/10 2 010 11/04/10 4 010 11/02/10 4 + __________ TOTAL ORDERED 32 177.77 % 010 10/28/10 5 010 10/26/10 3 010 10/21/10 1 010 10/19/10 1 010 10/14/10 4 010 10/12/10 5 010 10/07/10 4 010 10/05/10 5 + __________ TOTAL ORDERED 28 155.55 % 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 09/24/10 10 014 09/17/10 6 + __________ TOTAL ORDERED 16 177.77 % 014 08/27/10 7 014 08/20/10 9 + __________ TOTAL ORDERED 16 177.77 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 545 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 677239 HYDROCOD/ACET 7.5-500 (QUA)+473ML 30603129558 00603129558 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 010 12/27/10 6 010 12/22/10 3 010 12/17/10 9 010 12/15/10 6 010 12/10/10 3 010 12/03/10 3 + __________ TOTAL ORDERED 30 166.66 % 010 11/26/10 4 010 11/18/10 4 010 11/11/10 5 010 11/09/10 4 010 11/04/10 2 + __________ TOTAL ORDERED 19 105.55 % 010 09/30/10 4 010 09/23/10 3 010 09/16/10 8 010 09/09/10 12 + __________ TOTAL ORDERED 27 150.00 % 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 010 12/27/10 4 010 12/22/10 3 010 12/17/10 1 010 12/10/10 1 010 12/03/10 1 010 12/01/10 1 + __________ TOTAL ORDERED 11 122.22 % 010 11/26/10 4 010 11/23/10 3 010 11/18/10 4 010 11/16/10 1 010 11/11/10 1 010 11/09/10 1 010 11/04/10 3 010 11/02/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 546 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 21 233.33 % 010 10/28/10 1 010 10/26/10 2 010 10/21/10 2 010 10/14/10 1 010 10/12/10 1 010 10/07/10 2 010 10/05/10 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 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 12/27/10 2 010 12/17/10 2 010 12/15/10 2 010 12/10/10 1 010 12/08/10 1 010 12/03/10 3 + __________ TOTAL ORDERED 11 122.22 % 010 09/09/10 10 + __________ TOTAL ORDERED 10 111.11 % 010 07/30/10 1 010 07/27/10 1 010 07/23/10 1 010 07/20/10 1 010 07/16/10 2 010 07/09/10 3 010 07/06/10 1 + __________ TOTAL ORDERED 10 111.11 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 547 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 478424 TESTOSTERN CYP 200MG/ML (PAD)+1ML 30574082001 00574082001 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 010 12/17/10 6 010 12/15/10 4 010 12/10/10 6 010 12/03/10 7 010 12/01/10 9 + __________ TOTAL ORDERED 32 177.77 % 010 11/26/10 6 010 11/23/10 4 010 11/18/10 1 010 11/11/10 5 010 11/04/10 6 + __________ TOTAL ORDERED 22 122.22 % 010 10/28/10 5 010 10/26/10 1 010 10/21/10 4 010 10/14/10 11 010 10/07/10 5 + __________ TOTAL ORDERED 26 144.44 % 010 09/30/10 1 010 09/23/10 7 010 09/21/10 10 010 09/16/10 4 010 09/14/10 7 010 09/09/10 5 010 09/07/10 8 + __________ TOTAL ORDERED 42 233.33 % 010 07/27/10 3 010 07/23/10 12 010 07/20/10 4 010 07/16/10 1 010 07/09/10 2 + __________ TOTAL ORDERED 22 122.22 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 548 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 532538 MORPHINE SULF 20MG/ML (LAN)+ 30ML 30527142536 00527142536 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 09/17/10 8 014 09/10/10 4 + __________ TOTAL ORDERED 12 133.33 % 014 08/27/10 2 014 08/20/10 5 014 08/13/10 1 014 08/06/10 2 + __________ TOTAL ORDERED 10 111.11 % 014 07/16/10 11 014 07/09/10 8 + __________ TOTAL ORDERED 19 211.11 % 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 10/29/10 21 014 10/22/10 6 014 10/08/10 22 014 10/01/10 3 + __________ TOTAL ORDERED 52 346.66 % 014 09/24/10 8 014 09/17/10 11 + __________ TOTAL ORDERED 19 126.66 % 014 08/27/10 9 014 08/20/10 20 014 08/13/10 4 014 08/06/10 6 + __________ TOTAL ORDERED 39 260.00 % 014 07/30/10 6 014 07/23/10 10 014 07/16/10 13 014 07/09/10 13 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 549 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 42 280.00 % 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 12/27/10 2 010 12/22/10 3 010 12/17/10 2 010 12/15/10 2 010 12/10/10 1 010 12/08/10 2 010 12/03/10 1 010 12/01/10 2 + __________ TOTAL ORDERED 15 125.00 % 010 09/30/10 2 010 09/28/10 1 010 09/23/10 2 010 09/21/10 2 010 09/16/10 2 010 09/14/10 2 010 09/09/10 2 010 09/07/10 2 + __________ TOTAL ORDERED 15 125.00 % 010 08/31/10 3 010 08/27/10 2 010 08/24/10 1 010 08/20/10 2 010 08/17/10 2 010 08/13/10 1 010 08/10/10 1 010 08/06/10 1 010 08/03/10 4 + __________ TOTAL ORDERED 17 141.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 550 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 014 12/27/10 6 014 12/17/10 2 014 12/10/10 7 014 12/03/10 1 + __________ TOTAL ORDERED 16 106.66 % 014 11/26/10 12 014 11/19/10 5 + __________ TOTAL ORDERED 17 113.33 % 014 10/29/10 8 014 10/22/10 4 014 10/08/10 14 014 10/01/10 6 + __________ TOTAL ORDERED 32 213.33 % 014 09/24/10 6 014 09/17/10 13 014 09/10/10 6 + __________ TOTAL ORDERED 25 166.66 % 014 08/05/10 6 014 08/27/10 6 014 08/13/10 5 014 08/06/10 4 + __________ TOTAL ORDERED 21 140.00 % 014 07/16/10 14 014 07/09/10 7 + __________ TOTAL ORDERED 21 140.00 % 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 10/29/10 17 014 10/22/10 3 014 10/15/10 8 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 551 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 28 155.55 % 014 09/16/10 6 014 09/24/10 3 014 09/17/10 9 014 09/10/10 6 + __________ TOTAL ORDERED 24 133.33 % 014 07/16/10 18 014 07/09/10 18 + __________ TOTAL ORDERED 36 200.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 12/27/10 11 010 12/22/10 10 010 12/17/10 11 010 12/15/10 9 010 12/10/10 8 010 12/08/10 6 010 12/03/10 11 010 12/01/10 6 + __________ TOTAL ORDERED 72 218.18 % 010 11/26/10 12 010 11/23/10 6 010 11/18/10 10 010 11/16/10 5 010 11/11/10 9 010 11/09/10 6 010 11/04/10 6 010 11/02/10 8 + __________ TOTAL ORDERED 62 187.87 % 010 10/28/10 10 010 10/26/10 5 010 10/21/10 8 010 10/19/10 7 010 10/14/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 552 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 10/12/10 6 010 10/07/10 7 010 10/05/10 5 + __________ TOTAL ORDERED 55 166.66 % 010 09/30/10 8 010 09/28/10 7 010 09/23/10 10 010 09/21/10 6 010 09/16/10 12 010 09/14/10 11 010 09/09/10 7 010 09/07/10 8 + __________ TOTAL ORDERED 69 209.09 % 010 08/31/10 14 010 08/27/10 5 010 08/24/10 5 010 08/20/10 6 010 08/17/10 6 010 08/13/10 10 010 08/10/10 7 010 08/06/10 10 010 08/03/10 3 + __________ TOTAL ORDERED 66 200.00 % 010 07/27/10 4 010 07/23/10 7 010 07/20/10 4 010 07/16/10 7 010 07/13/10 8 010 07/09/10 7 010 07/06/10 5 + __________ TOTAL ORDERED 42 127.27 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 564864 HYDROCO-APAP 7.5-325 TAB(WAT)+100 30591320301 00591320301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 12/27/10 5 010 12/22/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 553 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 12/17/10 6 010 12/15/10 3 010 12/10/10 4 010 12/08/10 1 010 12/03/10 9 010 12/01/10 5 + __________ TOTAL ORDERED 36 109.09 % 010 11/26/10 7 010 11/23/10 3 010 11/18/10 8 010 11/11/10 4 010 11/09/10 3 010 11/04/10 9 010 11/02/10 6 + __________ TOTAL ORDERED 40 121.21 % 010 08/31/10 8 010 08/27/10 8 010 08/24/10 5 010 08/20/10 9 010 08/17/10 5 010 08/13/10 3 010 08/10/10 2 010 08/06/10 1 010 08/03/10 2 + __________ TOTAL ORDERED 43 130.30 % 010 07/27/10 5 010 07/23/10 6 010 07/20/10 8 010 07/16/10 10 010 07/13/10 3 010 07/09/10 4 010 07/06/10 3 + __________ TOTAL ORDERED 39 118.18 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 554 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 12/27/10 8 010 12/22/10 13 010 12/17/10 12 010 12/15/10 7 010 12/10/10 8 010 12/08/10 3 010 12/03/10 6 010 12/01/10 2 + __________ TOTAL ORDERED 59 178.78 % 010 11/26/10 15 010 11/23/10 9 010 11/18/10 7 010 11/16/10 2 010 11/11/10 7 010 11/09/10 4 010 11/04/10 8 010 11/02/10 3 + __________ TOTAL ORDERED 55 166.66 % 010 10/28/10 8 010 10/26/10 6 010 10/21/10 15 010 10/19/10 5 010 10/14/10 9 010 10/12/10 4 010 10/07/10 9 010 10/05/10 1 + __________ TOTAL ORDERED 57 172.72 % 010 09/30/10 7 010 09/28/10 3 010 09/23/10 9 010 09/21/10 7 010 09/16/10 7 010 09/14/10 3 010 09/09/10 6 010 09/07/10 5 + __________ TOTAL ORDERED 47 142.42 % 010 08/31/10 17 010 08/27/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 555 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 08/24/10 3 010 08/20/10 5 010 08/17/10 3 010 08/13/10 5 010 08/10/10 7 010 08/06/10 5 010 08/03/10 2 + __________ TOTAL ORDERED 49 148.48 % 010 07/27/10 7 010 07/23/10 8 010 07/20/10 6 010 07/16/10 6 010 07/13/10 5 010 07/09/10 8 010 07/06/10 3 + __________ TOTAL ORDERED 43 130.30 % 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 11/26/10 2 010 11/23/10 2 010 11/18/10 3 010 11/11/10 2 010 11/04/10 2 + __________ TOTAL ORDERED 11 122.22 % 010 10/28/10 2 010 10/19/10 1 010 10/14/10 3 010 10/12/10 2 010 10/07/10 3 + __________ TOTAL ORDERED 11 122.22 % 010 08/31/10 1 010 08/27/10 3 010 08/24/10 1 010 08/20/10 2 010 08/17/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 556 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 08/13/10 4 010 08/10/10 2 010 08/06/10 2 010 08/03/10 2 + __________ TOTAL ORDERED 18 200.00 % 010 07/13/10 6 010 07/09/10 1 010 07/06/10 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 08/31/10 1 010 08/27/10 2 010 08/24/10 3 010 08/17/10 4 010 08/13/10 3 010 08/10/10 1 010 08/03/10 1 + __________ TOTAL ORDERED 15 125.00 % 010 07/27/10 1 010 07/23/10 4 010 07/20/10 1 010 07/13/10 5 010 07/09/10 2 010 07/06/10 1 + __________ TOTAL ORDERED 14 116.66 % 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 010 12/27/10 5 010 12/22/10 1 010 12/17/10 2 010 12/15/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 557 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 010 12/10/10 3 010 12/08/10 6 010 12/03/10 3 010 12/01/10 4 + __________ TOTAL ORDERED 26 144.44 % 010 11/26/10 5 010 11/23/10 4 010 11/18/10 2 010 11/16/10 7 010 11/11/10 5 010 11/09/10 3 010 11/04/10 3 010 11/02/10 2 + __________ TOTAL ORDERED 31 172.22 % 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 010 12/22/10 2 010 12/17/10 1 010 12/03/10 1 + __________ TOTAL ORDERED 4 133.33 % 010 11/26/10 2 010 11/23/10 1 010 11/18/10 1 010 11/11/10 1 010 11/04/10 1 + __________ TOTAL ORDERED 6 200.00 % 010 10/14/10 2 010 10/12/10 1 010 10/07/10 1 + __________ TOTAL ORDERED 4 133.33 % 010 09/07/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 558 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 674547 CHLORDIAZEPOXIDE 10MG CAP(BR)+100 30555003302 00555003302 1 3.0 3.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 4 133.33 % 010 08/31/10 2 010 08/13/10 2 010 08/10/10 1 010 08/03/10 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 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 11/26/10 6 010 11/18/10 2 010 11/11/10 3 010 11/09/10 1 010 11/04/10 3 + __________ TOTAL ORDERED 15 125.00 % 010 10/28/10 3 010 10/26/10 5 010 10/21/10 3 010 10/19/10 2 010 10/14/10 2 010 10/07/10 6 010 10/05/10 1 + __________ TOTAL ORDERED 22 183.33 % 010 09/30/10 2 010 09/28/10 1 010 09/23/10 4 010 09/16/10 4 010 09/09/10 2 010 09/07/10 1 + __________ TOTAL ORDERED 14 116.66 % 010 08/31/10 5 010 08/24/10 1 010 08/20/10 3 010 08/17/10 3 010 08/13/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 559 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 08/10/10 7 010 08/03/10 1 + __________ TOTAL ORDERED 22 183.33 % 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 12/27/10 1 010 12/17/10 1 010 12/10/10 1 010 12/08/10 1 + __________ TOTAL ORDERED 4 133.33 % 010 08/31/10 2 010 08/13/10 1 010 08/03/10 1 + __________ TOTAL ORDERED 4 133.33 % 010 07/27/10 1 010 07/16/10 1 010 07/09/10 1 010 07/06/10 1 + __________ TOTAL ORDERED 4 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679796 METHADONE 10MG TAB (ROX) + 100 30054457125 00054457125 14 3.0 42.0 0 DC DATE ORDERED QUANTITY 014 11/26/10 15 014 11/19/10 20 014 11/12/10 10 + __________ TOTAL ORDERED 45 107.14 % 014 10/29/10 18 014 10/22/10 10 014 10/08/10 17 014 10/01/10 12 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 560 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 679796 METHADONE 10MG TAB (ROX) + 100 30054457125 00054457125 14 3.0 42.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 57 135.71 % 014 07/30/10 10 014 07/23/10 9 014 07/16/10 24 014 07/09/10 20 + __________ TOTAL ORDERED 63 150.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679799 METHADONE 5MG TAB (ROX) + 100 30054457025 00054457025 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 11/26/10 1 014 11/19/10 6 + __________ TOTAL ORDERED 7 116.66 % 014 09/24/10 2 014 09/17/10 5 014 09/10/10 1 + __________ TOTAL ORDERED 8 133.33 % 014 08/27/10 2 014 08/20/10 4 014 08/06/10 1 + __________ TOTAL ORDERED 7 116.66 % 014 07/30/10 2 014 07/23/10 6 014 07/16/10 3 + __________ TOTAL ORDERED 11 183.33 % 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 12/27/10 6 010 12/22/10 8 010 12/17/10 4 010 12/15/10 3 010 12/10/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 561 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 12/08/10 3 010 12/03/10 5 010 12/01/10 3 + __________ TOTAL ORDERED 34 226.66 % 010 11/26/10 4 010 11/23/10 3 010 11/18/10 3 010 11/16/10 2 010 11/11/10 2 010 11/09/10 3 010 11/04/10 4 010 11/02/10 2 + __________ TOTAL ORDERED 23 153.33 % 010 09/30/10 5 010 09/28/10 2 010 09/23/10 4 010 09/16/10 4 010 09/09/10 3 010 09/07/10 1 + __________ TOTAL ORDERED 19 126.66 % 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 12/27/10 2 010 12/22/10 3 010 12/17/10 2 010 12/10/10 1 010 12/08/10 1 010 12/03/10 2 + __________ TOTAL ORDERED 11 122.22 % 010 11/16/10 6 010 11/11/10 1 010 11/09/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 562 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 10 111.11 % 010 09/30/10 1 010 09/23/10 3 010 09/21/10 1 010 09/16/10 1 010 09/14/10 2 010 09/09/10 4 + __________ TOTAL ORDERED 12 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 685301 TRIAZOLAM 0.25MG TAB (GRN)+ 10X10 35976237184 59762371804 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 11/26/10 1 010 11/18/10 4 010 11/11/10 1 010 11/04/10 1 + __________ TOTAL ORDERED 7 116.66 % 010 10/28/10 3 010 10/21/10 1 010 10/07/10 4 010 10/05/10 1 + __________ TOTAL ORDERED 9 150.00 % 010 08/31/10 3 010 08/20/10 2 010 08/06/10 1 010 08/03/10 1 + __________ TOTAL ORDERED 7 116.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 563 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 675773 HYDROCOD-APAP 7.5-500 TAB(WT)+500 30591038505 00591038505 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 010 08/30/10 4 010 08/23/10 3 010 08/16/10 4 010 08/09/10 4 010 08/02/10 5 + __________ TOTAL ORDERED 20 111.11 % 010 07/26/10 3 010 07/19/10 7 010 07/12/10 1 010 07/01/10 10 + __________ TOTAL ORDERED 21 116.66 % 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 683092 # TESTIM 1% GEL + 30X5 36688700105 66887000105 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 12/21/10 6 010 12/17/10 3 010 12/07/10 2 + __________ TOTAL ORDERED 11 122.22 % 010 11/26/10 3 010 11/22/10 5 010 11/11/10 3 010 11/04/10 5 + __________ TOTAL ORDERED 16 177.77 % 010 08/12/10 3 010 08/10/10 3 010 08/05/10 4 010 08/03/10 4 + __________ TOTAL ORDERED 14 155.55 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 564 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 448603 HYDROCODO/CHLORPHEN ER SUSP+473ML 36217549070 62175049070 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 010 12/23/10 20 010 12/16/10 8 010 12/09/10 7 010 12/02/10 4 + __________ TOTAL ORDERED 39 260.00 % 010 11/24/10 7 010 11/17/10 2 010 11/10/10 2 010 11/03/10 10 + __________ TOTAL ORDERED 21 140.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 450485 CARISOPRODOL 350MG TAB (WAT)+ 100 30591551301 00591551301 19 3.0 57.0 0 DC DATE ORDERED QUANTITY 010 11/24/10 69 010 11/17/10 69 010 11/10/10 92 010 11/03/10 65 + __________ TOTAL ORDERED 295 517.54 % 010 10/27/10 54 010 10/20/10 4 010 10/13/10 80 010 10/06/10 45 + __________ TOTAL ORDERED 183 321.05 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 457754 BUTORPHANOL TART NS (ROX) + 2.5ML 30054309036 00054309036 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 12/23/10 10 010 12/09/10 8 010 12/02/10 4 + __________ TOTAL ORDERED 22 183.33 % 010 11/24/10 6 010 11/17/10 6 010 11/10/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 565 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 457754 BUTORPHANOL TART NS (ROX) + 2.5ML 30054309036 00054309036 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 11/03/10 3 + __________ TOTAL ORDERED 16 133.33 % 010 09/29/10 6 010 09/22/10 4 010 09/15/10 1 010 09/08/10 2 + __________ TOTAL ORDERED 13 108.33 % 010 08/30/10 4 010 08/23/10 4 010 08/16/10 6 010 08/02/10 8 + __________ TOTAL ORDERED 22 183.33 % 010 07/12/10 16 + __________ TOTAL ORDERED 16 133.33 % 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 12/08/10 4 014 12/30/10 5 014 12/09/10 6 + __________ TOTAL ORDERED 15 250.00 % 014 11/26/10 5 014 11/18/10 6 014 11/04/10 4 + __________ TOTAL ORDERED 15 250.00 % 014 10/28/10 7 014 10/21/10 4 014 10/14/10 5 + __________ TOTAL ORDERED 16 266.66 % 014 09/30/10 6 014 09/23/10 5 014 09/16/10 2 014 09/09/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 566 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 014 09/02/10 5 + __________ TOTAL ORDERED 19 316.66 % 014 08/26/10 4 014 08/19/10 3 014 08/12/10 1 014 08/05/10 3 + __________ TOTAL ORDERED 11 183.33 % 014 07/29/10 5 014 07/22/10 2 014 07/15/10 1 014 07/08/10 1 014 07/01/10 4 + __________ TOTAL ORDERED 13 216.66 % 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 12/23/10 5 014 12/16/10 7 014 12/09/10 7 + __________ TOTAL ORDERED 19 211.11 % 014 11/26/10 4 014 11/18/10 6 014 11/04/10 9 + __________ TOTAL ORDERED 19 211.11 % 014 10/28/10 5 014 10/21/10 7 014 10/07/10 5 + __________ TOTAL ORDERED 17 188.88 % 014 09/30/10 6 014 09/23/10 6 014 09/16/10 6 014 09/09/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 567 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 21 233.33 % 014 08/26/10 5 014 08/12/10 4 014 08/05/10 8 + __________ TOTAL ORDERED 17 188.88 % 014 07/29/10 4 014 07/15/10 7 014 07/08/10 5 014 07/01/10 2 + __________ TOTAL ORDERED 18 200.00 % 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 12/16/10 4 014 12/09/10 3 + __________ TOTAL ORDERED 7 116.66 % 014 11/26/10 4 014 11/18/10 2 014 11/04/10 2 + __________ TOTAL ORDERED 8 133.33 % 014 09/30/10 3 014 09/23/10 2 014 09/16/10 2 014 09/09/10 1 + __________ TOTAL ORDERED 8 133.33 % 014 08/26/10 1 014 08/19/10 2 014 08/12/10 3 014 08/05/10 1 + __________ TOTAL ORDERED 7 116.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 568 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 11/26/10 6 014 11/11/10 3 014 11/04/10 4 + __________ TOTAL ORDERED 13 216.66 % 014 10/21/10 3 014 10/14/10 4 + __________ TOTAL ORDERED 7 116.66 % 014 09/30/10 3 014 09/23/10 5 014 09/09/10 2 014 09/02/10 2 + __________ TOTAL ORDERED 12 200.00 % 014 08/26/10 2 014 08/19/10 4 014 08/05/10 1 + __________ TOTAL ORDERED 7 116.66 % 014 07/29/10 3 014 07/22/10 2 014 07/15/10 1 014 07/08/10 2 014 07/01/10 2 + __________ TOTAL ORDERED 10 166.66 % 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 12/30/10 2 014 12/23/10 1 014 12/16/10 9 014 12/09/10 4 014 12/02/10 7 + __________ TOTAL ORDERED 23 153.33 % 014 10/21/10 3 014 10/14/10 10 014 10/07/10 8 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 569 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 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 09/23/10 4 014 09/16/10 9 014 09/09/10 4 014 09/02/10 10 + __________ TOTAL ORDERED 27 180.00 % 014 08/26/10 1 014 08/19/10 1 014 08/12/10 17 + __________ TOTAL ORDERED 19 126.66 % 014 07/22/10 1 014 07/15/10 14 014 07/08/10 6 + __________ TOTAL ORDERED 21 140.00 % 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 12/23/10 4 014 12/16/10 6 014 12/09/10 9 014 12/02/10 3 + __________ TOTAL ORDERED 22 122.22 % 014 11/26/10 7 014 11/11/10 1 014 11/04/10 12 + __________ TOTAL ORDERED 20 111.11 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 550609 DEXMETHYLPHENIDATE 10MG TAB +100 30093527701 00093527701 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 12/23/10 1 014 12/16/10 1 014 12/09/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 570 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 550609 DEXMETHYLPHENIDATE 10MG TAB +100 30093527701 00093527701 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 8 133.33 % 014 11/18/10 5 014 11/11/10 3 014 11/04/10 1 + __________ TOTAL ORDERED 9 150.00 % 014 10/28/10 4 014 10/21/10 1 014 10/14/10 2 014 10/07/10 3 + __________ TOTAL ORDERED 10 166.66 % 014 09/30/10 2 014 09/23/10 3 014 09/16/10 1 014 09/09/10 3 014 09/02/10 3 + __________ TOTAL ORDERED 12 200.00 % 014 08/26/10 2 014 08/19/10 3 014 08/12/10 4 + __________ TOTAL ORDERED 9 150.00 % 014 07/22/10 3 014 07/15/10 4 014 07/08/10 1 014 07/01/10 1 + __________ TOTAL ORDERED 9 150.00 % 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 12/23/10 3 014 12/09/10 6 014 12/02/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 571 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 11/18/10 4 014 11/11/10 3 + __________ TOTAL ORDERED 7 116.66 % 014 10/19/10 1 014 10/28/10 3 014 10/21/10 6 014 10/07/10 3 + __________ TOTAL ORDERED 13 216.66 % 014 09/30/10 3 014 09/23/10 5 014 09/16/10 3 014 09/02/10 3 + __________ TOTAL ORDERED 14 233.33 % 014 08/23/10 2 014 08/26/10 5 014 08/19/10 1 014 08/05/10 2 + __________ TOTAL ORDERED 10 166.66 % 014 07/29/10 4 014 07/22/10 1 014 07/15/10 1 014 07/08/10 1 014 07/01/10 3 + __________ TOTAL ORDERED 10 166.66 % 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 12/23/10 6 014 12/09/10 10 + __________ TOTAL ORDERED 16 266.66 % 014 11/26/10 7 014 11/18/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 572 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 014 11/11/10 6 + __________ TOTAL ORDERED 17 283.33 % 014 10/28/10 7 014 10/14/10 6 014 10/07/10 7 + __________ TOTAL ORDERED 20 333.33 % 014 09/30/10 4 014 09/23/10 5 014 09/16/10 5 014 09/09/10 4 014 09/02/10 3 + __________ TOTAL ORDERED 21 350.00 % 014 08/26/10 3 014 08/19/10 3 014 08/12/10 4 014 08/05/10 1 + __________ TOTAL ORDERED 11 183.33 % 014 07/29/10 4 014 07/22/10 1 014 07/15/10 1 014 07/08/10 1 014 07/01/10 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 12/23/10 4 014 12/09/10 5 014 12/02/10 6 + __________ TOTAL ORDERED 15 166.66 % 014 10/19/10 1 014 10/28/10 4 014 10/21/10 6 014 10/07/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 573 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 17 188.88 % 014 09/01/10 4 014 09/30/10 3 014 09/23/10 4 014 09/16/10 4 014 09/09/10 2 014 09/02/10 1 + __________ TOTAL ORDERED 18 200.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 12/23/10 13 010 12/16/10 13 010 12/09/10 10 010 12/02/10 11 + __________ TOTAL ORDERED 47 142.42 % 010 11/24/10 6 010 11/17/10 10 010 11/10/10 13 010 11/03/10 12 + __________ TOTAL ORDERED 41 124.24 % 010 10/27/10 8 010 10/20/10 6 010 10/13/10 10 010 10/06/10 12 + __________ TOTAL ORDERED 36 109.09 % 010 08/30/10 10 010 08/23/10 7 010 08/16/10 10 010 08/09/10 10 010 08/02/10 8 + __________ TOTAL ORDERED 45 136.36 % 010 07/26/10 8 010 07/19/10 12 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 574 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 07/12/10 8 010 07/01/10 11 + __________ TOTAL ORDERED 39 118.18 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 564864 HYDROCO-APAP 7.5-325 TAB(WAT)+100 30591320301 00591320301 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 12/23/10 31 010 12/16/10 9 010 12/09/10 28 010 12/02/10 12 + __________ TOTAL ORDERED 80 242.42 % 010 11/24/10 19 010 11/17/10 10 010 11/10/10 20 010 11/03/10 13 + __________ TOTAL ORDERED 62 187.87 % 010 10/27/10 14 010 10/20/10 13 010 10/13/10 19 010 10/06/10 17 + __________ TOTAL ORDERED 63 190.90 % 010 09/29/10 9 010 09/22/10 10 010 09/15/10 19 010 09/08/10 9 + __________ TOTAL ORDERED 47 142.42 % 010 08/30/10 14 010 08/23/10 17 010 08/16/10 14 010 08/09/10 14 010 08/02/10 14 + __________ TOTAL ORDERED 73 221.21 % 010 07/26/10 15 010 07/19/10 18 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 575 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 07/12/10 14 010 07/01/10 19 + __________ TOTAL ORDERED 66 200.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 12/23/10 28 010 12/16/10 30 010 12/09/10 29 010 12/02/10 20 + __________ TOTAL ORDERED 107 324.24 % 010 11/24/10 17 010 11/17/10 23 010 11/10/10 15 010 11/03/10 10 + __________ TOTAL ORDERED 65 196.96 % 010 10/27/10 8 010 10/20/10 8 010 10/13/10 12 010 10/06/10 21 + __________ TOTAL ORDERED 49 148.48 % 010 09/29/10 10 010 09/22/10 18 010 09/15/10 26 010 09/08/10 14 + __________ TOTAL ORDERED 68 206.06 % 010 08/30/10 19 010 08/23/10 10 010 08/16/10 9 010 08/09/10 16 010 08/02/10 14 + __________ TOTAL ORDERED 68 206.06 % 010 07/26/10 10 010 07/19/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 576 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 07/12/10 12 010 07/01/10 22 + __________ TOTAL ORDERED 50 151.51 % 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 11/24/10 3 010 11/10/10 3 010 11/03/10 4 + __________ TOTAL ORDERED 10 111.11 % 010 09/22/10 3 010 09/15/10 4 010 09/08/10 5 + __________ TOTAL ORDERED 12 133.33 % 010 08/30/10 1 010 08/23/10 2 010 08/16/10 1 010 08/09/10 4 010 08/02/10 5 + __________ TOTAL ORDERED 13 144.44 % 010 07/26/10 1 010 07/19/10 1 010 07/12/10 3 010 07/01/10 6 + __________ TOTAL ORDERED 11 122.22 % 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 11/26/10 4 014 11/18/10 3 014 11/11/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 577 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 11 183.33 % 014 10/19/10 4 014 10/21/10 3 014 10/14/10 3 + __________ TOTAL ORDERED 10 166.66 % 014 09/30/10 1 014 09/23/10 5 014 09/02/10 4 + __________ TOTAL ORDERED 10 166.66 % 014 08/26/10 3 014 08/19/10 2 014 08/12/10 1 014 08/05/10 1 + __________ TOTAL ORDERED 7 116.66 % 014 07/29/10 2 014 07/22/10 5 014 07/15/10 1 014 07/08/10 1 014 07/01/10 3 + __________ TOTAL ORDERED 12 200.00 % 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 12/23/10 11 010 12/16/10 8 010 12/09/10 7 010 12/02/10 6 + __________ TOTAL ORDERED 32 133.33 % 010 11/24/10 6 010 11/17/10 4 010 11/10/10 8 010 11/03/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 578 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 672663 HYDROCODONE/APAP 5/500+TAB(WT)500 30591034905 00591034905 8 3.0 24.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 25 104.16 % 010 09/29/10 6 010 09/22/10 7 010 09/15/10 6 010 09/08/10 6 + __________ TOTAL ORDERED 25 104.16 % 010 08/30/10 7 010 08/23/10 5 010 08/16/10 5 010 08/09/10 4 010 08/02/10 6 + __________ TOTAL ORDERED 27 112.50 % 010 07/26/10 5 010 07/19/10 7 010 07/12/10 7 010 07/01/10 9 + __________ TOTAL ORDERED 28 116.66 % 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 014 12/30/10 2 014 12/09/10 5 + __________ TOTAL ORDERED 7 116.66 % 014 10/28/10 3 014 10/07/10 5 + __________ TOTAL ORDERED 8 133.33 % 014 09/30/10 2 014 09/23/10 2 014 09/16/10 1 014 09/09/10 2 + __________ TOTAL ORDERED 7 116.66 % 014 08/16/10 2 014 08/19/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 579 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 672805 ADDERALL XR 30MG CAPS + 100 35409239101 54092039101 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 08/12/10 1 014 08/05/10 2 + __________ TOTAL ORDERED 8 133.33 % 014 07/22/10 2 014 07/15/10 2 014 07/08/10 3 014 07/01/10 2 + __________ TOTAL ORDERED 9 150.00 % 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 12/23/10 4 010 12/16/10 3 010 12/09/10 5 010 12/02/10 1 + __________ TOTAL ORDERED 13 144.44 % 010 11/24/10 3 010 11/17/10 3 010 11/10/10 4 010 11/03/10 1 + __________ TOTAL ORDERED 11 122.22 % 010 09/29/10 3 010 09/22/10 3 010 09/15/10 3 010 09/08/10 2 + __________ TOTAL ORDERED 11 122.22 % 010 08/30/10 1 010 08/23/10 3 010 08/16/10 3 010 08/09/10 3 010 08/02/10 3 + __________ TOTAL ORDERED 13 144.44 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 580 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 010 09/29/10 10 010 09/22/10 12 010 09/15/10 16 010 09/08/10 12 + __________ TOTAL ORDERED 50 333.33 % 010 08/30/10 12 010 08/23/10 12 010 08/16/10 11 010 08/09/10 17 010 08/02/10 10 + __________ TOTAL ORDERED 62 413.33 % 010 07/26/10 10 010 07/19/10 11 010 07/12/10 18 010 07/01/10 15 + __________ TOTAL ORDERED 54 360.00 % 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 010 12/23/10 18 010 12/16/10 7 010 12/09/10 15 010 12/02/10 11 + __________ TOTAL ORDERED 51 283.33 % 010 11/24/10 7 010 11/17/10 3 010 11/10/10 10 010 11/03/10 10 + __________ TOTAL ORDERED 30 166.66 % 010 10/27/10 11 010 10/20/10 19 010 10/13/10 7 010 10/06/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 581 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 674484 CHERATUSSIN AC SYRUP (QT) + 473ML 30603107558 00603107558 6 3.0 18.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 44 244.44 % 010 09/29/10 9 010 09/22/10 5 010 09/15/10 3 010 09/08/10 6 + __________ TOTAL ORDERED 23 127.77 % 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 11/26/10 3 014 11/11/10 2 014 11/04/10 2 + __________ TOTAL ORDERED 7 116.66 % 014 10/28/10 1 014 10/14/10 3 014 10/07/10 4 + __________ TOTAL ORDERED 8 133.33 % 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 12/23/10 27 010 12/16/10 14 010 12/09/10 18 010 12/02/10 16 + __________ TOTAL ORDERED 75 312.50 % 010 11/24/10 22 010 11/17/10 15 010 11/10/10 16 010 11/03/10 19 + __________ TOTAL ORDERED 72 300.00 % 010 10/27/10 19 010 10/20/10 12 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 582 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 10/13/10 18 010 10/06/10 17 + __________ TOTAL ORDERED 66 275.00 % 010 09/29/10 16 010 09/22/10 14 010 09/15/10 17 010 09/08/10 13 + __________ TOTAL ORDERED 60 250.00 % 010 08/30/10 20 010 08/23/10 17 010 08/16/10 17 010 08/09/10 22 010 08/02/10 16 + __________ TOTAL ORDERED 92 383.33 % 010 07/26/10 17 010 07/19/10 15 010 07/12/10 18 010 07/01/10 24 + __________ TOTAL ORDERED 74 308.33 % 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 12/23/10 31 010 12/16/10 21 010 12/09/10 20 010 12/02/10 10 + __________ TOTAL ORDERED 82 455.55 % 010 11/24/10 20 010 11/17/10 18 010 11/10/10 23 010 11/03/10 18 + __________ TOTAL ORDERED 79 438.88 % 010 10/27/10 16 010 10/20/10 26 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 583 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 10/13/10 22 010 10/06/10 9 + __________ TOTAL ORDERED 73 405.55 % 010 09/29/10 17 010 09/22/10 12 010 09/15/10 12 010 09/08/10 12 + __________ TOTAL ORDERED 53 294.44 % 010 08/30/10 12 010 08/23/10 12 010 08/16/10 12 010 08/09/10 12 010 08/02/10 12 + __________ TOTAL ORDERED 60 333.33 % 010 07/26/10 12 010 07/19/10 12 010 07/12/10 12 010 07/01/10 12 + __________ TOTAL ORDERED 48 266.66 % 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 12/23/10 2 010 12/09/10 2 + __________ TOTAL ORDERED 4 133.33 % 010 10/27/10 1 010 10/20/10 1 010 10/13/10 1 010 10/06/10 2 + __________ TOTAL ORDERED 5 166.66 % 010 08/30/10 2 010 08/16/10 2 010 08/02/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 584 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 5 166.66 % 010 07/26/10 1 010 07/12/10 2 010 07/01/10 1 + __________ TOTAL ORDERED 4 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 677239 HYDROCOD/ACET 7.5-500 (QUA)+473ML 30603129558 00603129558 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 010 11/24/10 6 010 11/17/10 11 010 11/10/10 10 010 11/03/10 4 + __________ TOTAL ORDERED 31 172.22 % 010 10/27/10 9 010 10/20/10 4 010 10/13/10 9 + __________ TOTAL ORDERED 22 122.22 % 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 12/23/10 2 010 12/16/10 2 010 12/09/10 1 010 12/02/10 3 + __________ TOTAL ORDERED 8 133.33 % 010 10/27/10 2 010 10/20/10 2 010 10/13/10 1 010 10/06/10 3 + __________ TOTAL ORDERED 8 133.33 % 010 08/30/10 3 010 08/23/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 585 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 010 08/16/10 1 010 08/09/10 1 010 08/02/10 2 + __________ TOTAL ORDERED 9 150.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679796 METHADONE 10MG TAB (ROX) + 100 30054457125 00054457125 14 3.0 42.0 0 DC DATE ORDERED QUANTITY 014 12/30/10 19 014 12/23/10 34 014 12/16/10 17 014 12/09/10 23 014 12/02/10 22 + __________ TOTAL ORDERED 115 273.80 % 014 11/26/10 39 014 11/18/10 28 014 11/11/10 13 014 11/04/10 28 + __________ TOTAL ORDERED 108 257.14 % 014 10/28/10 27 014 10/21/10 37 014 10/14/10 22 014 10/07/10 28 + __________ TOTAL ORDERED 114 271.42 % 014 09/30/10 8 014 09/23/10 25 014 09/16/10 21 014 09/09/10 37 014 09/02/10 11 + __________ TOTAL ORDERED 102 242.85 % 014 08/26/10 25 014 08/19/10 20 014 08/12/10 39 014 08/05/10 37 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 586 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 679796 METHADONE 10MG TAB (ROX) + 100 30054457125 00054457125 14 3.0 42.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 121 288.09 % 014 07/29/10 26 014 07/22/10 19 014 07/15/10 22 014 07/08/10 63 014 07/01/10 25 + __________ TOTAL ORDERED 155 369.04 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679799 METHADONE 5MG TAB (ROX) + 100 30054457025 00054457025 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 10/21/10 7 014 10/14/10 4 014 10/07/10 1 + __________ TOTAL ORDERED 12 200.00 % 014 09/30/10 1 014 09/23/10 4 014 09/16/10 2 014 09/09/10 1 014 09/02/10 3 + __________ TOTAL ORDERED 11 183.33 % 014 08/26/10 8 014 08/19/10 2 014 08/12/10 2 + __________ TOTAL ORDERED 12 200.00 % 014 07/29/10 2 014 07/22/10 7 014 07/15/10 1 014 07/08/10 1 014 07/01/10 4 + __________ TOTAL ORDERED 15 250.00 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 587 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 010 10/27/10 3 010 10/20/10 4 010 10/13/10 5 010 10/06/10 4 + __________ TOTAL ORDERED 16 106.66 % 010 08/30/10 5 010 08/23/10 5 010 08/16/10 4 010 08/09/10 4 010 08/02/10 3 + __________ TOTAL ORDERED 21 140.00 % 010 07/26/10 3 010 07/19/10 4 010 07/12/10 5 010 07/01/10 4 + __________ 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 12/23/10 20 010 12/16/10 9 010 12/09/10 16 010 12/02/10 11 + __________ TOTAL ORDERED 56 373.33 % 010 11/24/10 6 010 11/17/10 4 010 11/10/10 2 010 11/03/10 15 + __________ TOTAL ORDERED 27 180.00 % 010 10/27/10 5 010 10/20/10 7 010 10/13/10 7 010 10/06/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 588 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 23 153.33 % 010 09/29/10 5 010 09/22/10 7 010 09/15/10 5 010 09/08/10 6 + __________ TOTAL ORDERED 23 153.33 % 010 08/30/10 2 010 08/23/10 4 010 08/09/10 6 010 08/02/10 4 + __________ TOTAL ORDERED 16 106.66 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07308 BW8408723 4351 THOUSAND OAKS SAN ANTONIO TX78247 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 010 12/22/10 6 010 12/15/10 4 010 12/13/10 2 010 12/08/10 2 010 12/06/10 9 010 12/01/10 5 + __________ TOTAL ORDERED 28 103.70 % 010 10/26/10 2 010 10/22/10 3 010 10/19/10 2 010 10/15/10 3 010 10/12/10 3 010 10/08/10 6 010 10/05/10 3 010 10/01/10 8 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 589 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07308 BW8408723 4351 THOUSAND OAKS SAN ANTONIO TX78247 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 9 3.0 27.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 30 111.11 % 010 09/28/10 1 010 09/24/10 4 010 09/21/10 1 010 09/17/10 7 010 09/14/10 1 010 09/10/10 4 010 09/07/10 3 010 09/01/10 8 + __________ TOTAL ORDERED 29 107.40 % 010 08/27/10 3 010 08/25/10 3 010 08/20/10 5 010 08/18/10 2 010 08/13/10 4 010 08/11/10 3 010 08/06/10 7 010 08/04/10 2 + __________ TOTAL ORDERED 29 107.40 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 10393 BW9996630 1610 HWY 46W NEW BRAUNFELS 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 08/31/10 2 014 08/24/10 7 014 08/17/10 6 014 08/10/10 1 014 08/03/10 1 + __________ TOTAL ORDERED 17 113.33 % 014 07/27/10 3 014 07/20/10 6 014 07/13/10 5 014 07/06/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 590 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 018 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 10393 BW9996630 1610 HWY 46W NEW BRAUNFELS 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 + __________ TOTAL ORDERED 17 113.33 % 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 08/13/10 2 010 08/10/10 3 010 08/03/10 4 + __________ TOTAL ORDERED 9 150.00 % 010 07/23/10 4 010 07/13/10 4 010 07/06/10 4 + __________ TOTAL ORDERED 12 200.00 % 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 529634 VYVANSE 40MG CAPS + 100 35941710410 59417010410 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 026 12/23/10 2 026 12/16/10 1 026 12/09/10 1 + __________ TOTAL ORDERED 4 133.33 % 026 11/26/10 1 026 11/18/10 1 026 11/11/10 1 026 11/04/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 591 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 529634 VYVANSE 40MG CAPS + 100 35941710410 59417010410 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 675773 HYDROCOD-APAP 7.5-500 TAB(WT)+500 30591038505 00591038505 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 006 12/22/10 4 006 12/21/10 3 006 12/17/10 3 006 12/14/10 1 006 12/10/10 1 006 12/03/10 2 + __________ TOTAL ORDERED 14 155.55 % 006 11/26/10 2 006 11/23/10 1 006 11/19/10 2 006 11/16/10 1 006 11/12/10 1 006 11/09/10 1 006 11/05/10 1 006 11/02/10 2 + __________ TOTAL ORDERED 11 122.22 % 006 10/29/10 2 006 10/26/10 1 006 10/22/10 1 006 10/19/10 1 006 10/15/10 1 006 10/12/10 1 006 10/08/10 2 006 10/05/10 1 006 10/01/10 3 + __________ TOTAL ORDERED 13 144.44 % 006 09/24/10 1 006 09/21/10 2 006 09/17/10 1 006 09/14/10 1 006 09/10/10 1 006 09/07/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 592 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 006 09/03/10 2 + __________ TOTAL ORDERED 10 111.11 % 006 08/31/10 1 006 08/27/10 2 006 08/24/10 1 006 08/20/10 1 006 08/17/10 1 006 08/13/10 2 006 08/10/10 1 006 08/06/10 2 006 08/03/10 1 + __________ TOTAL ORDERED 12 133.33 % 006 07/30/10 1 006 07/27/10 1 006 07/23/10 2 006 07/20/10 1 006 07/16/10 2 006 07/13/10 1 006 07/09/10 1 006 07/02/10 3 + __________ TOTAL ORDERED 12 133.33 % 0 SALES DISTRICT 020 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03233 AW1858147 28426 TOMBALL TOMBALL TX 77375 +_________________________________________________________________________________________________________________________________________________ 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 12/15/10 5 014 12/08/10 2 014 12/01/10 3 + __________ TOTAL ORDERED 10 111.11 % 014 10/27/10 4 014 10/06/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 593 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 020 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03233 AW1858147 28426 TOMBALL TOMBALL TX 77375 +_________________________________________________________________________________________________________________________________________________ 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 10 111.11 % 014 09/22/10 2 014 09/15/10 3 014 09/08/10 2 014 09/01/10 3 + __________ TOTAL ORDERED 10 111.11 % 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 12/29/10 3 014 12/22/10 2 014 12/15/10 9 + __________ TOTAL ORDERED 14 116.66 % 014 09/29/10 4 014 09/22/10 6 014 09/15/10 3 014 09/08/10 3 014 09/01/10 2 + __________ TOTAL ORDERED 18 150.00 % 014 08/25/10 8 014 08/11/10 4 014 08/04/10 2 + __________ TOTAL ORDERED 14 116.66 % 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 551686 VYVANSE 50MG CAPS + 100 35941710510 59417010510 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 12/22/10 2 014 12/15/10 1 014 12/08/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 594 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 551686 VYVANSE 50MG CAPS + 100 35941710510 59417010510 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 12/01/10 3 + __________ TOTAL ORDERED 8 133.33 % 014 09/29/10 1 014 09/22/10 1 014 09/15/10 2 014 09/08/10 2 014 09/01/10 1 + __________ TOTAL ORDERED 7 116.66 % 014 07/28/10 3 014 07/21/10 1 014 07/14/10 2 014 07/07/10 2 + __________ TOTAL ORDERED 8 133.33 % 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 12/27/10 2 010 12/22/10 2 010 12/17/10 2 010 12/10/10 2 010 12/08/10 1 010 12/03/10 2 010 12/01/10 2 + __________ TOTAL ORDERED 13 144.44 % 010 11/26/10 2 010 11/18/10 2 010 11/11/10 2 010 11/09/10 1 010 11/04/10 4 + __________ TOTAL ORDERED 11 122.22 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 595 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 604029 CLONAZEPAM ODT 0.125MGTAB(PAR)+60 34988430602 49884030602 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 09/30/10 3 010 09/23/10 1 010 09/16/10 1 010 09/09/10 2 + __________ TOTAL ORDERED 7 116.66 % 010 08/27/10 2 010 08/24/10 1 010 08/20/10 3 010 08/03/10 1 + __________ TOTAL ORDERED 7 116.66 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03449 AW2347727 12025 HUFFMEISTER CYPRESS TX 77429 +_________________________________________________________________________________________________________________________________________________ 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 010 12/29/10 1 010 12/23/10 1 010 12/21/10 1 010 12/16/10 2 010 12/09/10 3 010 12/07/10 1 010 12/02/10 2 + __________ TOTAL ORDERED 11 122.22 % 010 11/24/10 1 010 11/22/10 2 010 11/17/10 1 010 11/15/10 1 010 11/10/10 1 010 11/08/10 1 010 11/03/10 1 010 11/01/10 2 + __________ TOTAL ORDERED 10 111.11 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 596 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 478424 TESTOSTERN CYP 200MG/ML (PAD)+1ML 30574082001 00574082001 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 010 12/21/10 7 010 12/16/10 9 010 12/09/10 3 010 12/02/10 5 + __________ TOTAL ORDERED 24 133.33 % 010 11/24/10 5 010 11/22/10 7 010 11/17/10 3 010 11/15/10 3 010 11/10/10 2 + __________ TOTAL ORDERED 20 111.11 % 010 07/29/10 2 010 07/26/10 2 010 07/22/10 7 010 07/19/10 6 010 07/08/10 2 010 07/01/10 5 + __________ TOTAL ORDERED 24 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 497511 D-AMPHET SALT COM XR+15MG CAP 100 30555079102 00555079102 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 014 10/29/10 1 014 10/22/10 1 014 10/08/10 1 014 10/01/10 1 + __________ TOTAL ORDERED 4 133.33 % 014 09/24/10 2 014 09/10/10 2 + __________ TOTAL ORDERED 4 133.33 % 014 07/23/10 1 014 07/16/10 2 014 07/09/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 597 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 497511 D-AMPHET SALT COM XR+15MG CAP 100 30555079102 00555079102 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 539150 D-AMPHET SALT COMBO 20MG TAB +100 36472013510 64720013510 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 014 12/22/10 8 014 12/17/10 17 + __________ TOTAL ORDERED 25 119.04 % 014 11/19/10 4 014 11/12/10 12 014 11/05/10 6 + __________ TOTAL ORDERED 22 104.76 % 014 10/06/10 8 014 10/29/10 10 014 10/15/10 14 014 10/08/10 2 014 10/01/10 4 + __________ TOTAL ORDERED 38 180.95 % 014 08/27/10 16 014 08/20/10 7 014 08/13/10 4 014 08/06/10 5 + __________ TOTAL ORDERED 32 152.38 % 014 07/23/10 10 014 07/16/10 12 014 07/09/10 6 + __________ TOTAL ORDERED 28 133.33 % 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 014 10/29/10 6 014 10/15/10 12 014 10/08/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 598 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 539151 D-AMPHET SALT COMBO 10MG TAB +100 36472013210 64720013210 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 014 10/01/10 4 + __________ TOTAL ORDERED 24 160.00 % 014 09/17/10 12 014 09/10/10 4 + __________ TOTAL ORDERED 16 106.66 % 014 08/27/10 9 014 08/20/10 2 014 08/13/10 4 014 08/06/10 2 + __________ TOTAL ORDERED 17 113.33 % 014 07/23/10 16 + __________ TOTAL ORDERED 16 106.66 % 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 010 12/21/10 3 010 12/02/10 1 + __________ TOTAL ORDERED 4 133.33 % 010 11/30/10 1 010 11/10/10 1 010 11/08/10 1 010 11/03/10 1 + __________ TOTAL ORDERED 4 133.33 % 010 10/20/10 1 010 10/11/10 1 010 10/04/10 2 + __________ TOTAL ORDERED 4 133.33 % 010 08/19/10 2 010 08/09/10 1 010 08/02/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 599 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 668698 XANAX 0.25MG TAB 100 + (PZ) 30009002901 00009002901 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 672873 ANDROGEL 1% GEL (UNI) + 30X5.0GM 30051845030 00051845030 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 12/23/10 4 010 12/21/10 8 010 12/14/10 3 010 12/02/10 6 + __________ TOTAL ORDERED 21 175.00 % 010 11/30/10 3 010 11/22/10 4 010 11/15/10 2 010 11/10/10 5 010 11/03/10 3 + __________ TOTAL ORDERED 17 141.66 % 010 10/27/10 5 010 10/13/10 4 010 10/06/10 4 010 10/04/10 3 + __________ TOTAL ORDERED 16 133.33 % 010 09/29/10 1 010 09/27/10 1 010 09/22/10 2 010 09/20/10 5 010 09/15/10 1 010 09/13/10 3 010 09/08/10 2 010 09/02/10 5 + __________ TOTAL ORDERED 20 166.66 % 010 08/30/10 1 010 08/23/10 2 010 08/19/10 4 010 08/16/10 3 010 08/12/10 3 010 08/09/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 600 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 010 08/05/10 5 + __________ TOTAL ORDERED 22 183.33 % 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 08/30/10 2 010 08/23/10 2 010 08/19/10 2 010 08/16/10 2 010 08/12/10 2 + __________ TOTAL ORDERED 10 111.11 % 010 07/29/10 3 010 07/26/10 1 010 07/19/10 2 010 07/15/10 5 010 07/12/10 3 010 07/08/10 1 010 07/01/10 1 + __________ TOTAL ORDERED 16 177.77 % 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 12/23/10 2 010 12/21/10 5 010 12/16/10 2 010 12/14/10 1 010 12/09/10 1 010 12/02/10 3 + __________ TOTAL ORDERED 14 155.55 % 010 09/29/10 2 010 09/22/10 2 010 09/20/10 2 010 09/15/10 1 010 09/13/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 601 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 684809 TESTOSTERN CYP 200MG/ML(WAT)+10ML 30591322379 00364661054 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 09/08/10 5 + __________ TOTAL ORDERED 15 166.66 % 010 07/22/10 2 010 07/19/10 3 010 07/08/10 2 010 07/01/10 3 + __________ TOTAL ORDERED 10 111.11 % 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 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 014 11/09/10 14 014 11/02/10 12 + __________ TOTAL ORDERED 26 123.80 % 014 09/28/10 7 014 09/14/10 12 014 09/07/10 6 + __________ TOTAL ORDERED 25 119.04 % 014 08/31/10 3 014 08/24/10 6 014 08/10/10 12 014 08/03/10 6 + __________ TOTAL ORDERED 27 128.57 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 683092 # TESTIM 1% GEL + 30X5 36688700105 66887000105 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 12/17/10 3 010 12/14/10 4 010 12/10/10 6 010 12/07/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 602 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + 30X5 36688700105 66887000105 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 12/03/10 2 + __________ TOTAL ORDERED 17 188.88 % 010 11/26/10 3 010 11/18/10 4 010 11/15/10 3 010 11/11/10 3 010 11/08/10 2 010 11/04/10 3 + __________ TOTAL ORDERED 18 200.00 % 010 08/26/10 4 010 08/12/10 2 010 08/10/10 2 010 08/05/10 4 + __________ TOTAL ORDERED 12 133.33 % 010 07/29/10 4 010 07/20/10 2 010 07/15/10 2 010 07/13/10 2 010 07/06/10 2 + __________ TOTAL ORDERED 12 133.33 % 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 12/28/10 9 014 12/21/10 8 014 12/14/10 4 + __________ TOTAL ORDERED 21 140.00 % 014 10/26/10 7 014 10/19/10 6 014 10/12/10 9 014 10/05/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 603 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 23 153.33 % 014 08/31/10 2 014 08/24/10 9 014 08/17/10 11 014 08/10/10 5 014 08/03/10 2 + __________ TOTAL ORDERED 29 193.33 % 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 12/21/10 2 014 12/14/10 3 014 12/07/10 2 + __________ TOTAL ORDERED 7 116.66 % 014 09/28/10 2 014 09/21/10 2 014 09/14/10 2 014 09/07/10 1 + __________ TOTAL ORDERED 7 116.66 % 014 08/24/10 4 014 08/17/10 2 014 08/10/10 1 + __________ 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 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 11/23/10 2 010 11/16/10 2 010 11/12/10 1 010 11/09/10 1 010 11/05/10 1 010 11/02/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 604 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 11 122.22 % 010 10/29/10 1 010 10/26/10 1 010 10/22/10 2 010 10/15/10 2 010 10/12/10 2 010 10/08/10 2 010 10/05/10 1 010 10/01/10 1 + __________ TOTAL ORDERED 12 133.33 % 010 08/27/10 2 010 08/25/10 1 010 08/20/10 1 010 08/13/10 4 010 08/11/10 2 010 08/06/10 1 010 08/04/10 1 + __________ TOTAL ORDERED 12 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 604029 CLONAZEPAM ODT 0.125MGTAB(PAR)+60 34988430602 49884030602 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 10/19/10 1 010 10/15/10 12 010 10/12/10 3 010 10/08/10 2 + __________ TOTAL ORDERED 18 300.00 % 010 09/24/10 1 010 09/21/10 1 010 09/17/10 1 010 09/14/10 2 010 09/10/10 1 010 09/01/10 1 + __________ TOTAL ORDERED 7 116.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 605 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 014 12/21/10 1 014 12/14/10 5 014 12/07/10 4 + __________ TOTAL ORDERED 10 166.66 % 014 11/30/10 1 014 11/23/10 3 014 11/16/10 1 014 11/09/10 5 014 11/02/10 1 + __________ TOTAL ORDERED 11 183.33 % 014 10/12/10 5 014 10/05/10 6 + __________ TOTAL ORDERED 11 183.33 % 014 08/10/10 7 014 08/03/10 2 + __________ TOTAL ORDERED 9 150.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 683092 # TESTIM 1% GEL + 30X5 36688700105 66887000105 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 12/22/10 5 010 12/20/10 2 010 12/15/10 3 010 12/13/10 3 010 12/08/10 3 + __________ TOTAL ORDERED 16 177.77 % 010 11/23/10 4 010 11/16/10 3 010 11/12/10 3 010 11/05/10 4 + __________ TOTAL ORDERED 14 155.55 % 010 09/24/10 1 010 09/21/10 1 010 09/17/10 6 010 09/14/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 606 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + 30X5 36688700105 66887000105 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 09/10/10 3 010 09/07/10 2 010 09/01/10 5 + __________ TOTAL ORDERED 19 211.11 % 010 08/27/10 2 010 08/25/10 1 010 08/20/10 1 010 08/18/10 5 010 08/06/10 2 + __________ TOTAL ORDERED 11 122.22 % 010 07/28/10 3 010 07/23/10 2 010 07/21/10 3 010 07/16/10 4 010 07/14/10 1 010 07/07/10 5 + __________ TOTAL ORDERED 18 200.00 % 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 014 11/26/10 2 014 11/12/10 3 014 11/05/10 2 + __________ TOTAL ORDERED 7 116.66 % 014 10/22/10 2 014 10/08/10 3 014 10/01/10 2 + __________ TOTAL ORDERED 7 116.66 % 014 08/27/10 6 014 08/13/10 6 014 08/06/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 607 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 15 250.00 % 014 07/30/10 1 014 07/23/10 3 014 07/16/10 3 014 07/09/10 1 + __________ TOTAL ORDERED 8 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 654394 OXYCONTIN 20MG TAB (REFORM) 100 35901142010 59011042010 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 12/27/10 3 014 12/03/10 8 + __________ TOTAL ORDERED 11 183.33 % 014 10/29/10 6 014 10/22/10 4 014 10/08/10 2 + __________ TOTAL ORDERED 12 200.00 % 014 09/24/10 1 014 09/10/10 8 + __________ TOTAL ORDERED 9 150.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 676915 HYDROMORPHONE HCL 4MG (MK) + 100 30406324401 00406324401 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 014 12/27/10 1 014 12/17/10 11 014 12/03/10 3 + __________ TOTAL ORDERED 15 125.00 % 014 10/29/10 1 014 10/22/10 6 014 10/15/10 2 014 10/08/10 3 014 10/01/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 608 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 676915 HYDROMORPHONE HCL 4MG (MK) + 100 30406324401 00406324401 4 3.0 12.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 14 116.66 % 014 09/24/10 4 014 09/17/10 8 014 09/10/10 1 + __________ TOTAL ORDERED 13 108.33 % 014 08/27/10 10 014 08/20/10 1 014 08/13/10 2 014 08/06/10 4 + __________ 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 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 12/29/10 3 010 12/27/10 4 010 12/21/10 5 010 12/17/10 2 010 12/07/10 1 010 12/03/10 2 + __________ TOTAL ORDERED 17 188.88 % 010 11/26/10 4 010 11/22/10 2 010 11/18/10 2 010 11/15/10 2 010 11/08/10 1 010 11/01/10 1 + __________ TOTAL ORDERED 12 133.33 % 010 10/25/10 2 010 10/21/10 2 010 10/18/10 3 010 10/14/10 3 010 10/11/10 2 010 10/07/10 1 010 10/04/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 609 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 679658 HYDROMET SYRUP (ALP) + 473ML 30472103016 00472103016 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 16 177.77 % 010 09/30/10 6 010 09/27/10 2 010 09/23/10 3 010 09/20/10 1 010 09/16/10 3 010 09/13/10 2 010 09/02/10 2 + __________ TOTAL ORDERED 19 211.11 % 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 454492 MORPHINE SUL 30MG ER TAB+(WAT)100 30591374101 00591374101 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 014 12/28/10 3 014 12/21/10 3 014 12/14/10 6 014 12/07/10 4 + __________ TOTAL ORDERED 16 133.33 % 014 11/30/10 3 014 11/23/10 4 014 11/16/10 5 014 11/09/10 3 014 11/02/10 2 + __________ TOTAL ORDERED 17 141.66 % 014 10/26/10 5 014 10/19/10 5 014 10/12/10 1 014 10/05/10 6 + __________ TOTAL ORDERED 17 141.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 610 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 474280 BUPRENORPHINE 8MG SL TAB (ROX)+30 30054017713 00054017713 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 010 11/26/10 2 010 11/18/10 6 010 11/16/10 4 010 11/11/10 4 010 11/04/10 5 010 11/02/10 2 + __________ TOTAL ORDERED 23 153.33 % 010 09/23/10 8 010 09/16/10 2 010 09/09/10 6 010 09/07/10 6 + __________ TOTAL ORDERED 22 146.66 % 010 08/30/10 7 010 08/25/10 3 010 08/18/10 2 010 08/11/10 3 010 08/09/10 7 010 08/04/10 2 010 08/02/10 2 + __________ TOTAL ORDERED 26 173.33 % 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 12/06/10 8 014 12/21/10 3 + __________ TOTAL ORDERED 11 122.22 % 014 11/26/10 4 014 11/09/10 5 014 11/02/10 2 + __________ TOTAL ORDERED 11 122.22 % 014 08/31/10 4 014 08/03/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 611 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ 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 11/30/10 4 014 11/23/10 3 014 11/16/10 5 014 11/09/10 2 014 11/02/10 4 + __________ TOTAL ORDERED 18 200.00 % 014 09/28/10 2 014 09/14/10 6 014 09/07/10 2 + __________ TOTAL ORDERED 10 111.11 % 014 08/31/10 1 014 08/24/10 3 014 08/17/10 4 014 08/10/10 1 014 08/03/10 1 + __________ TOTAL ORDERED 10 111.11 % 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 11/26/10 4 014 11/23/10 3 014 11/09/10 2 + __________ TOTAL ORDERED 9 150.00 % 014 10/19/10 6 014 10/12/10 3 + __________ TOTAL ORDERED 9 150.00 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 612 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 12/28/10 1 014 12/21/10 6 014 12/14/10 7 + __________ TOTAL ORDERED 14 116.66 % 014 11/23/10 7 014 11/16/10 7 014 11/09/10 6 014 11/02/10 2 + __________ TOTAL ORDERED 22 183.33 % 014 10/26/10 4 014 10/19/10 3 014 10/12/10 4 014 10/05/10 3 + __________ TOTAL ORDERED 14 116.66 % 014 09/28/10 4 014 09/21/10 5 014 09/14/10 10 014 09/07/10 3 + __________ TOTAL ORDERED 22 183.33 % 014 08/31/10 1 014 08/24/10 5 014 08/03/10 9 + __________ TOTAL ORDERED 15 125.00 % 014 07/27/10 7 014 07/20/10 3 014 07/13/10 1 014 07/06/10 4 + __________ TOTAL ORDERED 15 125.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 539150 D-AMPHET SALT COMBO 20MG TAB +100 36472013510 64720013510 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 014 12/22/10 8 014 12/21/10 15 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 613 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 7 3.0 21.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 23 109.52 % 014 11/23/10 8 014 11/16/10 4 014 11/09/10 5 014 11/02/10 8 + __________ TOTAL ORDERED 25 119.04 % 014 10/26/10 7 014 10/19/10 8 014 10/12/10 7 014 10/05/10 7 + __________ TOTAL ORDERED 29 138.09 % 014 08/31/10 8 014 08/24/10 7 014 08/17/10 3 014 08/03/10 15 + __________ TOTAL ORDERED 33 157.14 % 014 07/27/10 10 014 07/20/10 9 014 07/13/10 7 014 07/06/10 7 + __________ TOTAL ORDERED 33 157.14 % 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 010 09/30/10 1 010 09/23/10 2 010 09/09/10 1 + __________ TOTAL ORDERED 4 133.33 % 010 08/30/10 2 010 08/23/10 1 010 08/18/10 2 010 08/04/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 614 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 541895 SOMA 250MG TAB + 100 30037225010 00037225010 1 3.0 3.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 7 233.33 % 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 12/21/10 3 014 12/14/10 12 014 12/07/10 10 + __________ TOTAL ORDERED 25 138.88 % 014 11/30/10 8 014 11/16/10 6 014 11/09/10 11 014 11/02/10 2 + __________ TOTAL ORDERED 27 150.00 % 014 08/31/10 4 014 08/24/10 5 014 08/17/10 10 014 08/10/10 3 014 08/03/10 8 + __________ TOTAL ORDERED 30 166.66 % 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 11/26/10 4 014 11/16/10 3 014 11/02/10 2 + __________ TOTAL ORDERED 9 150.00 % 014 09/28/10 3 014 09/21/10 1 014 09/14/10 3 014 09/07/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 615 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 551685 VYVANSE 70MG CAPS + 100 35941710710 59417010710 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 9 150.00 % 014 08/31/10 3 014 08/03/10 4 + __________ 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 12/21/10 7 014 12/07/10 7 + __________ TOTAL ORDERED 14 233.33 % 014 11/23/10 5 014 11/16/10 4 014 11/09/10 7 + __________ TOTAL ORDERED 16 266.66 % 014 10/26/10 6 014 10/12/10 3 014 10/05/10 3 + __________ TOTAL ORDERED 12 200.00 % 014 08/31/10 4 014 08/24/10 4 014 08/03/10 5 + __________ TOTAL ORDERED 13 216.66 % 014 07/27/10 2 014 07/20/10 2 014 07/13/10 2 014 07/06/10 1 + __________ TOTAL ORDERED 7 116.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 616 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 010 08/30/10 1 010 08/25/10 3 010 08/23/10 2 010 08/18/10 3 010 08/11/10 2 010 08/09/10 7 010 08/04/10 5 010 08/02/10 7 + __________ TOTAL ORDERED 30 111.11 % 010 07/28/10 3 010 07/26/10 8 010 07/21/10 2 010 07/19/10 6 010 07/14/10 3 010 07/12/10 3 010 07/07/10 2 010 07/01/10 6 + __________ TOTAL ORDERED 33 122.22 % 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 12/06/10 3 014 12/21/10 2 014 12/14/10 1 + __________ TOTAL ORDERED 6 200.00 % 014 10/29/10 1 014 10/26/10 1 014 10/12/10 1 014 10/05/10 1 + __________ TOTAL ORDERED 4 133.33 % 014 08/31/10 2 014 08/03/10 2 + __________ TOTAL ORDERED 4 133.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 617 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 672807 ADDERALL XR 10MG CAPS + 100 35409238301 54092038301 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 014 11/30/10 2 014 11/16/10 3 + __________ TOTAL ORDERED 5 166.66 % 014 10/26/10 3 014 10/19/10 1 014 10/05/10 1 + __________ TOTAL ORDERED 5 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 010 12/30/10 1 010 12/27/10 6 010 12/22/10 8 010 12/17/10 9 010 12/15/10 1 010 12/10/10 8 010 12/08/10 1 010 12/03/10 2 + __________ TOTAL ORDERED 36 133.33 % 010 11/26/10 6 010 11/23/10 4 010 11/18/10 6 010 11/16/10 5 010 11/11/10 4 010 11/04/10 6 010 11/02/10 1 + __________ TOTAL ORDERED 32 118.51 % 010 09/30/10 5 010 09/28/10 2 010 09/23/10 4 010 09/21/10 2 010 09/16/10 10 010 09/14/10 1 010 09/09/10 4 010 09/01/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 618 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 9 3.0 27.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 34 125.92 % 010 08/30/10 5 010 08/25/10 1 010 08/23/10 8 010 08/18/10 3 010 08/16/10 3 010 08/11/10 3 010 08/09/10 3 010 08/04/10 4 + __________ TOTAL ORDERED 30 111.11 % 010 07/28/10 6 010 07/26/10 3 010 07/21/10 3 010 07/19/10 1 010 07/14/10 4 010 07/12/10 1 010 07/07/10 2 010 07/01/10 11 + __________ TOTAL ORDERED 31 114.81 % 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 010 12/30/10 3 010 12/27/10 2 010 12/22/10 3 010 12/17/10 2 010 12/15/10 1 010 12/10/10 3 010 12/08/10 3 010 12/03/10 2 + __________ TOTAL ORDERED 19 211.11 % 010 11/26/10 3 010 11/23/10 1 010 11/18/10 2 010 11/16/10 3 010 11/11/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 619 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 11/09/10 1 010 11/04/10 3 + __________ TOTAL ORDERED 15 166.66 % 010 10/28/10 2 010 10/26/10 4 010 10/21/10 1 010 10/14/10 2 010 10/07/10 2 + __________ TOTAL ORDERED 11 122.22 % 010 09/30/10 3 010 09/23/10 2 010 09/21/10 1 010 09/16/10 2 010 09/14/10 2 010 09/09/10 1 010 09/01/10 1 + __________ TOTAL ORDERED 12 133.33 % 010 08/25/10 2 010 08/18/10 4 010 08/16/10 1 010 08/11/10 1 010 08/04/10 3 + __________ TOTAL ORDERED 11 122.22 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679799 METHADONE 5MG TAB (ROX) + 100 30054457025 00054457025 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 11/30/10 2 014 11/23/10 1 014 11/16/10 2 014 11/09/10 1 014 11/02/10 5 + __________ TOTAL ORDERED 11 183.33 % 014 10/26/10 2 014 10/19/10 6 014 10/05/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 620 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 679799 METHADONE 5MG TAB (ROX) + 100 30054457025 00054457025 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 9 150.00 % 014 08/31/10 3 014 08/24/10 2 014 08/03/10 4 + __________ TOTAL ORDERED 9 150.00 % 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 472540 TRAMADOL HCL ER 100MG TB (PAT)+30 31014709013 10147090103 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 08/26/10 1 010 08/19/10 1 010 08/12/10 3 010 08/10/10 3 + __________ TOTAL ORDERED 8 133.33 % 010 07/22/10 4 010 07/13/10 2 010 07/08/10 3 + __________ TOTAL ORDERED 9 150.00 % 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 08/27/10 5 014 08/20/10 1 014 08/13/10 3 014 08/06/10 1 + __________ TOTAL ORDERED 10 166.66 % 014 07/23/10 4 014 07/16/10 2 014 07/09/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 621 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 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 % 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 08/27/10 3 014 08/06/10 5 + __________ TOTAL ORDERED 8 133.33 % 014 07/08/10 4 014 07/30/10 4 014 07/09/10 1 + __________ TOTAL ORDERED 9 150.00 % 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 014 08/27/10 2 014 08/13/10 6 014 08/06/10 5 + __________ TOTAL ORDERED 13 144.44 % 014 07/08/10 4 014 07/30/10 2 014 07/09/10 5 + __________ 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 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 014 12/17/10 22 + __________ TOTAL ORDERED 22 104.76 % 014 11/19/10 9 014 11/12/10 15 014 11/05/10 13 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 622 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 7 3.0 21.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 37 176.19 % 014 10/29/10 9 014 10/22/10 12 014 10/15/10 11 014 10/08/10 7 014 10/01/10 12 + __________ TOTAL ORDERED 51 242.85 % 014 09/24/10 3 014 09/17/10 21 014 09/10/10 12 + __________ TOTAL ORDERED 36 171.42 % 014 08/27/10 21 014 08/20/10 2 014 08/06/10 21 + __________ TOTAL ORDERED 44 209.52 % 014 07/30/10 20 014 07/23/10 14 014 07/16/10 4 014 07/09/10 9 + __________ TOTAL ORDERED 47 223.80 % 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 12/27/10 12 014 12/17/10 9 + __________ TOTAL ORDERED 21 140.00 % 014 10/29/10 4 014 10/22/10 10 014 10/15/10 4 014 10/08/10 11 + __________ TOTAL ORDERED 29 193.33 % 014 09/17/10 13 014 09/10/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 623 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 18 120.00 % 014 08/27/10 13 014 08/06/10 15 + __________ TOTAL ORDERED 28 186.66 % 014 07/08/10 4 014 07/30/10 15 014 07/23/10 9 014 07/16/10 2 014 07/09/10 9 + __________ TOTAL ORDERED 39 260.00 % 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 10/29/10 3 014 10/22/10 3 014 10/01/10 3 + __________ TOTAL ORDERED 9 150.00 % 014 08/27/10 8 014 08/20/10 1 014 08/13/10 3 + __________ TOTAL ORDERED 12 200.00 % 014 07/08/10 1 014 07/23/10 4 014 07/16/10 4 014 07/09/10 1 + __________ TOTAL ORDERED 10 166.66 % 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 12/27/10 3 014 12/17/10 3 014 12/10/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 624 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 12/03/10 2 + __________ TOTAL ORDERED 12 133.33 % 014 10/29/10 5 014 10/22/10 2 014 10/08/10 4 + __________ TOTAL ORDERED 11 122.22 % 014 08/27/10 6 014 08/20/10 1 014 08/13/10 1 014 08/06/10 3 + __________ TOTAL ORDERED 11 122.22 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 553889 ANDROGEL 1% PUMP (UNI) +150GM 30051848888 00051848888 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 010 12/29/10 8 010 12/21/10 6 010 12/17/10 4 010 12/10/10 7 010 12/03/10 3 + __________ TOTAL ORDERED 28 186.66 % 010 11/30/10 2 010 11/22/10 3 010 11/11/10 7 010 11/08/10 3 010 11/04/10 2 010 11/01/10 4 + __________ TOTAL ORDERED 21 140.00 % 010 08/31/10 3 010 08/26/10 4 010 08/12/10 5 010 08/10/10 1 010 08/03/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 625 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 553889 ANDROGEL 1% PUMP (UNI) +150GM 30051848888 00051848888 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 604028 CLONAZEPAM ODT 0.25MG TAB+(PAR)60 34988430702 49884030702 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 12/29/10 2 010 12/21/10 1 010 12/14/10 1 010 12/10/10 2 010 12/03/10 2 + __________ TOTAL ORDERED 8 133.33 % 010 11/30/10 2 010 11/26/10 3 010 11/22/10 3 010 11/18/10 1 010 11/15/10 1 + __________ TOTAL ORDERED 10 166.66 % 010 10/28/10 4 010 10/25/10 1 010 10/11/10 1 010 10/07/10 4 010 10/04/10 2 + __________ TOTAL ORDERED 12 200.00 % 010 07/22/10 1 010 07/20/10 3 010 07/15/10 2 010 07/06/10 1 + __________ 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 12/29/10 3 010 12/21/10 5 010 12/10/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 626 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 010 12/03/10 3 + __________ TOTAL ORDERED 14 116.66 % 010 11/30/10 4 010 11/22/10 3 010 11/15/10 6 010 11/08/10 2 010 11/01/10 4 + __________ TOTAL ORDERED 19 158.33 % 010 08/31/10 1 010 08/17/10 3 010 08/12/10 3 010 08/10/10 5 010 08/05/10 3 010 08/03/10 2 + __________ TOTAL ORDERED 17 141.66 % 010 07/20/10 3 010 07/15/10 6 010 07/08/10 2 010 07/06/10 4 + __________ TOTAL ORDERED 15 125.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 683092 # TESTIM 1% GEL + 30X5 36688700105 66887000105 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 12/29/10 3 010 12/21/10 3 010 12/17/10 2 010 12/10/10 2 010 12/03/10 2 + __________ TOTAL ORDERED 12 133.33 % 010 11/22/10 4 010 11/18/10 2 010 11/15/10 2 010 11/11/10 3 010 11/04/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 627 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + 30X5 36688700105 66887000105 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 15 166.66 % 010 08/12/10 5 010 08/10/10 3 010 08/05/10 3 010 08/03/10 7 + __________ TOTAL ORDERED 18 200.00 % 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 679658 HYDROMET SYRUP (ALP) + 473ML 30472103016 00472103016 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 12/29/10 2 010 12/27/10 2 010 12/21/10 1 010 12/14/10 1 010 12/10/10 2 010 12/07/10 1 010 12/03/10 2 + __________ TOTAL ORDERED 11 122.22 % 010 11/30/10 1 010 11/26/10 2 010 11/22/10 1 010 11/15/10 2 010 11/11/10 1 010 11/08/10 3 010 11/04/10 2 010 11/01/10 2 + __________ TOTAL ORDERED 14 155.55 % 010 10/25/10 2 010 10/21/10 1 010 10/18/10 1 010 10/14/10 2 010 10/07/10 3 010 10/04/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 628 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 679658 HYDROMET SYRUP (ALP) + 473ML 30472103016 00472103016 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 10 111.11 % 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 457754 BUTORPHANOL TART NS (ROX) + 2.5ML 30054309036 00054309036 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 010 12/22/10 2 010 12/20/10 1 010 12/15/10 1 010 12/13/10 5 010 12/08/10 8 + __________ TOTAL ORDERED 17 141.66 % 010 11/23/10 2 010 11/12/10 4 010 11/09/10 6 010 11/05/10 2 + __________ TOTAL ORDERED 14 116.66 % 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 478424 TESTOSTERN CYP 200MG/ML (PAD)+1ML 30574082001 00574082001 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 010 12/17/10 8 010 12/15/10 4 010 12/10/10 3 010 12/08/10 6 010 12/03/10 8 + __________ TOTAL ORDERED 29 161.11 % 010 11/26/10 4 010 11/23/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 629 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 478424 TESTOSTERN CYP 200MG/ML (PAD)+1ML 30574082001 00574082001 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 010 11/18/10 2 010 11/11/10 9 010 11/09/10 10 010 11/04/10 6 010 11/02/10 5 + __________ TOTAL ORDERED 37 205.55 % 010 09/30/10 3 010 09/28/10 2 010 09/23/10 8 010 09/21/10 5 010 09/16/10 1 010 09/09/10 6 010 09/07/10 7 + __________ TOTAL ORDERED 32 177.77 % 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 12/23/10 2 014 12/16/10 3 014 12/09/10 3 + __________ TOTAL ORDERED 8 133.33 % 014 11/26/10 2 014 11/18/10 4 014 11/04/10 3 + __________ TOTAL ORDERED 9 150.00 % 014 10/28/10 2 014 10/21/10 2 014 10/07/10 4 + __________ TOTAL ORDERED 8 133.33 % 014 09/30/10 2 014 09/23/10 1 014 09/16/10 2 014 09/09/10 2 014 09/02/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 630 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 551686 VYVANSE 50MG CAPS + 100 35941710510 59417010510 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 9 150.00 % 014 07/29/10 3 014 07/22/10 3 014 07/15/10 1 014 07/08/10 2 + __________ TOTAL ORDERED 9 150.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 683092 # TESTIM 1% GEL + 30X5 36688700105 66887000105 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 12/17/10 3 010 12/15/10 2 010 12/08/10 2 010 12/01/10 4 + __________ TOTAL ORDERED 11 122.22 % 010 09/28/10 1 010 09/23/10 2 010 09/14/10 6 010 09/09/10 2 010 09/07/10 2 + __________ TOTAL ORDERED 13 144.44 % 010 08/24/10 4 010 08/20/10 4 010 08/17/10 1 010 08/13/10 1 010 08/10/10 1 + __________ TOTAL ORDERED 11 122.22 % 010 07/27/10 2 010 07/23/10 4 010 07/20/10 1 010 07/16/10 1 010 07/13/10 1 010 07/06/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 631 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + 30X5 36688700105 66887000105 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 10 111.11 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 09946 BW9919587 14127 CYPRESS ROSHL CYPRESSTX 77429 +_________________________________________________________________________________________________________________________________________________ 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 10/29/10 5 014 10/15/10 2 + __________ TOTAL ORDERED 7 116.66 % 014 08/27/10 4 014 08/13/10 4 + __________ TOTAL ORDERED 8 133.33 % 014 07/23/10 2 014 07/16/10 3 014 07/09/10 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 12/27/10 2 014 12/17/10 4 014 12/03/10 2 + __________ TOTAL ORDERED 8 133.33 % 014 10/29/10 5 014 10/22/10 3 + __________ TOTAL ORDERED 8 133.33 % 014 08/27/10 2 014 08/13/10 4 014 08/06/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 632 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 020 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 09946 BW9919587 14127 CYPRESS ROSHL CYPRESSTX 77429 +_________________________________________________________________________________________________________________________________________________ 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 % 0 SALES DISTRICT 021 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 00456 AW0201272 1723 E YOUNG CIRCLE HOLLYWOOD FL 33020 +_________________________________________________________________________________________________________________________________________________ 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 12/23/10 3 001 12/09/10 5 + __________ TOTAL ORDERED 8 133.33 % 001 08/26/10 4 001 08/23/10 2 001 08/09/10 1 + __________ TOTAL ORDERED 7 116.66 % 001 07/29/10 5 001 07/26/10 2 001 07/19/10 1 001 07/15/10 1 + __________ TOTAL ORDERED 9 150.00 % 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 (ACT)+ 100 35215221502 52152021502 22 3.0 66.0 0 DC DATE ORDERED QUANTITY 014 12/23/10 93 014 12/16/10 5 014 12/09/10 70 014 12/02/10 20 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 633 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 (ACT)+ 100 35215221502 52152021502 22 3.0 66.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 188 284.84 % 014 11/24/10 25 014 11/17/10 30 014 11/10/10 20 014 11/03/10 15 + __________ TOTAL ORDERED 90 136.36 % 014 10/27/10 5 014 10/20/10 86 014 10/13/10 15 014 10/06/10 75 + __________ TOTAL ORDERED 181 274.24 % 014 09/29/10 30 014 09/22/10 35 014 09/15/10 35 014 09/08/10 40 + __________ TOTAL ORDERED 140 212.12 % 014 08/30/10 25 014 08/23/10 30 014 08/16/10 20 014 08/09/10 20 014 08/02/10 8 + __________ TOTAL ORDERED 103 156.06 % 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 11/24/10 3 014 11/17/10 3 014 11/10/10 4 014 11/03/10 6 + __________ TOTAL ORDERED 16 106.66 % 014 08/30/10 8 014 08/23/10 5 014 08/16/10 2 014 08/02/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 634 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 684145 OXYCOD-APAP 10-650 TAB (WAT) +100 30591082501 00591082501 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 18 120.00 % 014 07/26/10 5 014 07/19/10 7 014 07/12/10 1 014 07/01/10 3 + __________ TOTAL ORDERED 16 106.66 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 01508 BW0162557 2855 STIRLING RD FT LAUDERDALE FL33312 +_________________________________________________________________________________________________________________________________________________ 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 12/30/10 4 001 12/27/10 2 001 12/22/10 3 001 12/17/10 1 001 12/03/10 1 001 12/01/10 2 + __________ TOTAL ORDERED 13 108.33 % 001 11/26/10 1 001 11/23/10 2 001 11/18/10 2 001 11/16/10 4 001 11/11/10 1 001 11/04/10 2 001 11/02/10 3 + __________ TOTAL ORDERED 15 125.00 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 635 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 021 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 02443 BW2738384 3705 HOLLYWOOD BLV HOLLYWOOD FL 33021 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 552568 SUBOXONE 2-0.5MG SL TAB (REC)+30 31249612832 12496128302 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 001 12/15/10 2 001 12/03/10 3 001 12/01/10 5 + __________ TOTAL ORDERED 10 111.11 % 001 11/18/10 8 001 11/11/10 4 + __________ TOTAL ORDERED 12 133.33 % 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 469130 OXYCODONE 80MG ER TAB (APO) + 100 36050535401 60505354001 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 014 12/28/10 9 014 12/20/10 2 014 12/06/10 4 + __________ TOTAL ORDERED 15 125.00 % 014 11/29/10 8 014 11/12/10 5 014 11/05/10 1 + __________ TOTAL ORDERED 14 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563755 OXYCODONE-APAP 5-325 TAB(WAT)+500 30591074905 00591074905 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 014 11/29/10 5 014 11/19/10 5 014 11/12/10 6 + __________ TOTAL ORDERED 16 133.33 % 014 10/22/10 3 014 10/15/10 3 014 10/08/10 4 014 10/01/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 636 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 563755 OXYCODONE-APAP 5-325 TAB(WAT)+500 30591074905 00591074905 4 3.0 12.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 14 116.66 % 014 09/24/10 5 014 09/17/10 2 014 09/10/10 3 014 09/01/10 5 + __________ TOTAL ORDERED 15 125.00 % 014 07/28/10 3 014 07/21/10 4 014 07/14/10 3 014 07/07/10 4 + __________ TOTAL ORDERED 14 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 652294 OXYCOD-APAP 10-325 TAB (WAT) +100 30591093201 00591093201 17 3.0 51.0 0 DC DATE ORDERED QUANTITY 014 12/28/10 30 014 12/20/10 13 014 12/13/10 18 014 12/06/10 26 + __________ TOTAL ORDERED 87 170.58 % 014 11/29/10 22 014 11/19/10 19 014 11/12/10 25 + __________ TOTAL ORDERED 66 129.41 % 014 10/22/10 24 014 10/15/10 14 014 10/08/10 24 014 10/01/10 16 + __________ TOTAL ORDERED 78 152.94 % 014 09/24/10 14 014 09/17/10 17 014 09/10/10 11 014 09/01/10 15 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 637 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 652294 OXYCOD-APAP 10-325 TAB (WAT) +100 30591093201 00591093201 17 3.0 51.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 57 111.76 % 014 08/25/10 17 014 08/18/10 17 014 08/11/10 19 014 08/04/10 22 + __________ TOTAL ORDERED 75 147.05 % 014 07/28/10 29 014 07/21/10 16 014 07/14/10 22 014 07/07/10 10 + __________ TOTAL ORDERED 77 150.98 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 14 3.0 42.0 0 DC DATE ORDERED QUANTITY 001 12/29/10 12 001 12/23/10 16 001 12/21/10 11 001 12/16/10 11 001 12/14/10 6 001 12/09/10 28 001 12/07/10 11 001 12/02/10 18 + __________ TOTAL ORDERED 113 269.04 % 001 11/30/10 3 001 11/24/10 10 001 11/22/10 12 001 11/17/10 13 001 11/15/10 23 001 11/10/10 14 001 11/08/10 13 001 11/03/10 8 001 11/01/10 16 + __________ TOTAL ORDERED 112 266.66 % 001 10/25/10 24 001 10/20/10 12 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 638 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 14 3.0 42.0 0 DC DATE ORDERED QUANTITY 001 10/18/10 9 001 10/13/10 9 001 10/11/10 7 001 10/06/10 11 001 10/04/10 4 + __________ TOTAL ORDERED 76 180.95 % 001 09/29/10 5 001 09/27/10 14 001 09/22/10 8 001 09/20/10 13 001 09/15/10 4 001 09/13/10 5 001 09/08/10 6 001 09/02/10 10 + __________ TOTAL ORDERED 65 154.76 % 001 08/30/10 8 001 08/26/10 9 001 08/23/10 7 001 08/19/10 10 001 08/16/10 8 001 08/12/10 8 001 08/09/10 12 001 08/05/10 4 001 08/02/10 5 + __________ TOTAL ORDERED 71 169.04 % 001 07/29/10 10 001 07/26/10 9 001 07/22/10 8 001 07/19/10 7 001 07/15/10 6 001 07/12/10 10 001 07/08/10 8 001 07/01/10 11 + __________ TOTAL ORDERED 69 164.28 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 639 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 11/24/10 1 001 11/22/10 3 001 11/17/10 1 001 11/15/10 5 001 11/08/10 1 001 11/03/10 2 001 11/01/10 2 + __________ TOTAL ORDERED 15 125.00 % 001 10/27/10 3 001 10/20/10 2 001 10/18/10 2 001 10/13/10 2 001 10/11/10 2 001 10/06/10 2 001 10/04/10 3 + __________ TOTAL ORDERED 16 133.33 % 001 09/29/10 1 001 09/27/10 3 001 09/22/10 1 001 09/20/10 5 001 09/15/10 1 001 09/13/10 4 001 09/02/10 2 + __________ TOTAL ORDERED 17 141.66 % 001 08/30/10 1 001 08/26/10 3 001 08/23/10 4 001 08/19/10 4 001 08/12/10 2 001 08/09/10 6 + __________ TOTAL ORDERED 20 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (ACT)+ 100 35215221502 52152021502 22 3.0 66.0 0 DC DATE ORDERED QUANTITY 014 12/28/10 216 014 12/20/10 238 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 640 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 682971 OXYCODONE HCL 30MG TAB (ACT)+ 100 35215221502 52152021502 22 3.0 66.0 0 DC DATE ORDERED QUANTITY 014 12/13/10 273 + __________ TOTAL ORDERED 727 1101.51 % 014 11/29/10 185 014 11/19/10 150 014 11/12/10 150 014 11/05/10 135 + __________ TOTAL ORDERED 620 939.39 % 014 10/22/10 100 014 10/15/10 93 014 10/08/10 149 014 10/01/10 61 + __________ TOTAL ORDERED 403 610.60 % 014 09/24/10 116 014 09/17/10 50 014 09/10/10 79 014 09/01/10 70 + __________ TOTAL ORDERED 315 477.27 % 014 08/25/10 40 014 08/18/10 92 014 08/11/10 79 014 08/04/10 72 + __________ TOTAL ORDERED 283 428.78 % 014 07/21/10 51 014 07/14/10 40 014 07/07/10 37 + __________ TOTAL ORDERED 128 193.93 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682972 OXYCODONE HCL 15MG TAB (ACT) +100 35215221402 52152021402 10 3.0 30.0 0 DC DATE ORDERED QUANTITY 014 12/28/10 37 014 12/20/10 15 014 12/13/10 14 014 12/06/10 24 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 641 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 682972 OXYCODONE HCL 15MG TAB (ACT) +100 35215221402 52152021402 10 3.0 30.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 90 300.00 % 014 11/29/10 12 014 11/12/10 32 014 11/05/10 33 + __________ TOTAL ORDERED 77 256.66 % 014 10/22/10 25 014 10/15/10 22 014 10/08/10 11 014 10/01/10 8 + __________ TOTAL ORDERED 66 220.00 % 014 09/24/10 35 014 09/17/10 16 014 09/10/10 10 014 09/01/10 38 + __________ TOTAL ORDERED 99 330.00 % 014 08/25/10 26 014 08/18/10 22 014 08/11/10 26 014 08/04/10 23 + __________ TOTAL ORDERED 97 323.33 % 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 12/28/10 6 014 12/20/10 6 014 12/13/10 9 014 12/06/10 8 + __________ TOTAL ORDERED 29 193.33 % 014 11/29/10 5 014 11/19/10 5 014 11/12/10 13 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 642 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 23 153.33 % 014 10/22/10 1 014 10/15/10 11 014 10/08/10 4 014 10/01/10 3 + __________ TOTAL ORDERED 19 126.66 % 014 09/24/10 5 014 09/17/10 5 014 09/10/10 7 014 09/01/10 7 + __________ TOTAL ORDERED 24 160.00 % 014 08/25/10 6 014 08/18/10 6 014 08/11/10 4 014 08/04/10 5 + __________ TOTAL ORDERED 21 140.00 % 014 07/28/10 3 014 07/21/10 5 014 07/14/10 6 014 07/07/10 4 + __________ TOTAL ORDERED 18 120.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684285 OXYCONTIN 80MG TAB (PUR) 100 35901110710 59011010710 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 08/18/10 4 014 08/11/10 2 014 08/04/10 3 + __________ TOTAL ORDERED 9 150.00 % 014 07/28/10 3 014 07/21/10 2 014 07/14/10 2 014 07/07/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 643 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 684285 OXYCONTIN 80MG TAB (PUR) 100 35901110710 59011010710 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 9 150.00 % 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 553889 ANDROGEL 1% PUMP (UNI) +150GM 30051848888 00051848888 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 001 10/28/10 4 001 10/21/10 4 001 10/14/10 2 001 10/11/10 2 001 10/04/10 1 + __________ TOTAL ORDERED 13 108.33 % 001 09/30/10 2 001 09/27/10 1 001 09/23/10 1 001 09/20/10 1 001 09/13/10 3 001 09/02/10 6 + __________ TOTAL ORDERED 14 116.66 % 001 08/31/10 2 001 08/12/10 5 001 08/10/10 3 001 08/05/10 2 001 08/03/10 3 + __________ TOTAL ORDERED 15 125.00 % 001 07/27/10 1 001 07/22/10 2 001 07/20/10 2 001 07/15/10 1 001 07/13/10 3 001 07/08/10 2 001 07/06/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 644 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 553889 ANDROGEL 1% PUMP (UNI) +150GM 30051848888 00051848888 4 3.0 12.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 13 108.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04324 BW5800710 15911 PINES PEMBROKE PINES FL 33027 +_________________________________________________________________________________________________________________________________________________ 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 12/28/10 7 014 12/20/10 6 014 12/13/10 1 014 12/06/10 3 + __________ TOTAL ORDERED 17 113.33 % 014 10/26/10 3 014 10/19/10 5 014 10/12/10 7 014 10/05/10 5 + __________ TOTAL ORDERED 20 133.33 % 014 09/28/10 9 014 09/21/10 8 014 09/07/10 4 + __________ TOTAL ORDERED 21 140.00 % 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 11/29/10 2 014 11/23/10 6 014 11/09/10 6 014 11/02/10 10 + __________ TOTAL ORDERED 24 133.33 % 014 10/26/10 9 014 10/19/10 6 014 10/05/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 645 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 021 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04324 BW5800710 15911 PINES PEMBROKE PINES FL 33027 +_________________________________________________________________________________________________________________________________________________ 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 + __________ TOTAL ORDERED 19 105.55 % 014 09/28/10 7 014 09/21/10 6 014 09/14/10 3 014 09/07/10 4 + __________ TOTAL ORDERED 20 111.11 % 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 469130 OXYCODONE 80MG ER TAB (APO) + 100 36050535401 60505354001 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 014 12/28/10 6 014 12/20/10 6 014 12/13/10 7 014 12/03/10 7 + __________ TOTAL ORDERED 26 216.66 % 014 11/26/10 7 014 11/19/10 1 014 11/12/10 5 014 11/05/10 5 + __________ TOTAL ORDERED 18 150.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563755 OXYCODONE-APAP 5-325 TAB(WAT)+500 30591074905 00591074905 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 014 12/28/10 6 014 12/20/10 2 014 12/13/10 3 014 12/03/10 5 + __________ TOTAL ORDERED 16 133.33 % 014 10/22/10 3 014 10/15/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 646 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 563755 OXYCODONE-APAP 5-325 TAB(WAT)+500 30591074905 00591074905 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 014 10/08/10 3 014 10/01/10 3 + __________ TOTAL ORDERED 13 108.33 % 014 08/30/10 4 014 08/23/10 4 014 08/16/10 2 014 08/09/10 6 014 08/02/10 3 + __________ TOTAL ORDERED 19 158.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 652294 OXYCOD-APAP 10-325 TAB (WAT) +100 30591093201 00591093201 17 3.0 51.0 0 DC DATE ORDERED QUANTITY 014 12/28/10 32 014 12/20/10 7 014 12/13/10 2 014 12/03/10 16 + __________ TOTAL ORDERED 57 111.76 % 014 10/22/10 16 014 10/15/10 10 014 10/08/10 14 014 10/01/10 12 + __________ TOTAL ORDERED 52 101.96 % 014 08/30/10 13 014 08/23/10 9 014 08/16/10 7 014 08/09/10 12 014 08/02/10 17 + __________ TOTAL ORDERED 58 113.72 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 14 3.0 42.0 0 DC DATE ORDERED QUANTITY 001 11/30/10 4 001 11/26/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 647 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 14 3.0 42.0 0 DC DATE ORDERED QUANTITY 001 11/22/10 7 001 11/18/10 4 001 11/15/10 7 001 11/11/10 3 001 11/08/10 5 001 11/04/10 4 001 11/01/10 7 + __________ TOTAL ORDERED 44 104.76 % 001 09/30/10 4 001 09/27/10 7 001 09/23/10 3 001 09/20/10 1 001 09/13/10 13 001 09/09/10 7 001 09/02/10 10 + __________ TOTAL ORDERED 45 107.14 % 001 08/31/10 2 001 08/26/10 8 001 08/24/10 2 001 08/19/10 5 001 08/17/10 1 001 08/12/10 8 001 08/10/10 7 001 08/05/10 9 001 08/03/10 6 + __________ TOTAL ORDERED 48 114.28 % 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 12/20/10 7 014 12/13/10 3 + __________ TOTAL ORDERED 10 111.11 % 014 11/26/10 6 014 11/12/10 5 014 11/05/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 648 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 679543 METHYLPHENIDATE 20MG TAB (WT)+100 30591588401 00591588401 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 12 133.33 % 014 10/22/10 5 014 10/01/10 6 + __________ TOTAL ORDERED 11 122.22 % 014 08/30/10 7 014 08/23/10 5 014 08/16/10 2 014 08/02/10 1 + __________ 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 12/28/10 8 014 12/20/10 3 014 12/13/10 8 014 12/03/10 4 + __________ TOTAL ORDERED 23 153.33 % 014 10/22/10 9 014 10/15/10 7 014 10/08/10 3 014 10/01/10 7 + __________ TOTAL ORDERED 26 173.33 % 014 09/24/10 8 014 09/17/10 10 014 09/08/10 6 + __________ TOTAL ORDERED 24 160.00 % 014 08/30/10 5 014 08/23/10 4 014 08/16/10 4 014 08/09/10 4 014 08/02/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 649 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 684145 OXYCOD-APAP 10-650 TAB (WAT) +100 30591082501 00591082501 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 22 146.66 % 014 07/26/10 6 014 07/19/10 5 014 07/12/10 6 + __________ 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 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 001 12/29/10 4 001 12/21/10 8 001 12/17/10 5 001 12/14/10 1 001 12/10/10 5 001 12/07/10 2 001 12/03/10 3 + __________ TOTAL ORDERED 28 155.55 % 001 11/30/10 2 001 11/26/10 1 001 11/22/10 3 001 11/18/10 4 001 11/15/10 1 001 11/08/10 4 001 11/04/10 6 + __________ TOTAL ORDERED 21 116.66 % 001 09/30/10 1 001 09/27/10 3 001 09/23/10 3 001 09/20/10 1 001 09/13/10 6 001 09/09/10 6 + __________ TOTAL ORDERED 20 111.11 % 001 08/26/10 3 001 08/24/10 2 001 08/17/10 3 001 08/12/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 650 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 08/10/10 4 001 08/05/10 2 001 08/03/10 4 + __________ TOTAL ORDERED 20 111.11 % 001 07/29/10 2 001 07/27/10 2 001 07/22/10 3 001 07/20/10 1 001 07/15/10 4 001 07/13/10 1 001 07/08/10 5 001 07/06/10 5 + __________ TOTAL ORDERED 23 127.77 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04591 BW1179375 509 W HALLANDALE BEACH BLVD HALLA33009 +_________________________________________________________________________________________________________________________________________________ 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 014 12/21/10 7 014 12/07/10 5 + __________ TOTAL ORDERED 12 133.33 % 014 11/15/10 2 014 11/08/10 4 014 11/01/10 5 + __________ TOTAL ORDERED 11 122.22 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 651 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 021 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04766 BW7214682 9005 PINES BLVD PEMBROKE PINES FL33024 +_________________________________________________________________________________________________________________________________________________ 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 12/29/10 3 001 12/27/10 4 001 12/21/10 4 001 12/14/10 1 001 12/07/10 2 001 12/03/10 2 + __________ TOTAL ORDERED 16 106.66 % 001 11/30/10 1 001 11/26/10 2 001 11/22/10 2 001 11/18/10 2 001 11/15/10 3 001 11/11/10 1 001 11/08/10 2 001 11/04/10 1 001 11/01/10 2 + __________ TOTAL ORDERED 16 106.66 % 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 469130 OXYCODONE 80MG ER TAB (APO) + 100 36050535401 60505354001 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 014 12/28/10 6 014 12/20/10 9 014 12/03/10 5 + __________ TOTAL ORDERED 20 166.66 % 014 11/26/10 3 014 11/19/10 8 014 11/12/10 8 014 11/05/10 6 + __________ TOTAL ORDERED 25 208.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 652 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 474146 OXYCODONE ER 80MG TABS (ETH)+ 100 35817768304 58177068304 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 09/24/10 1 014 09/17/10 6 014 09/08/10 3 + __________ TOTAL ORDERED 10 111.11 % 014 08/30/10 2 014 08/23/10 4 014 08/16/10 3 014 08/09/10 5 014 08/02/10 1 + __________ TOTAL ORDERED 15 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 654392 OXYCONTIN 80MG TAB (REFORM) 100 35901148010 59011048010 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 11/19/10 2 014 11/12/10 2 014 11/05/10 3 + __________ TOTAL ORDERED 7 116.66 % 014 09/24/10 3 014 09/08/10 4 + __________ TOTAL ORDERED 7 116.66 % 014 08/30/10 4 014 08/23/10 3 + __________ TOTAL ORDERED 7 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 654393 OXYCONTIN 40MG TAB (REFORM) 100 35901144010 59011044010 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 12/20/10 6 014 12/03/10 2 + __________ TOTAL ORDERED 8 133.33 % 014 11/26/10 3 014 11/12/10 3 014 11/05/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 653 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 654393 OXYCONTIN 40MG TAB (REFORM) 100 35901144010 59011044010 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 673028 AMBIEN 10MG TAB (SNF) 100 30024542131 00024542131 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 001 12/27/10 1 001 12/17/10 1 001 12/10/10 1 001 12/03/10 1 + __________ TOTAL ORDERED 4 133.33 % 001 09/30/10 1 001 09/27/10 1 001 09/13/10 1 001 09/09/10 1 + __________ TOTAL ORDERED 4 133.33 % 001 07/22/10 2 001 07/08/10 2 + __________ TOTAL ORDERED 4 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 14 3.0 42.0 0 DC DATE ORDERED QUANTITY 001 12/29/10 10 001 12/27/10 5 001 12/21/10 9 001 12/17/10 7 001 12/14/10 2 001 12/10/10 7 001 12/07/10 7 001 12/03/10 9 + __________ TOTAL ORDERED 56 133.33 % 001 11/30/10 2 001 11/26/10 5 001 11/22/10 9 001 11/18/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 654 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 14 3.0 42.0 0 DC DATE ORDERED QUANTITY 001 11/15/10 4 001 11/11/10 8 001 11/08/10 9 001 11/04/10 5 001 11/01/10 4 + __________ TOTAL ORDERED 48 114.28 % 001 09/30/10 12 001 09/27/10 6 001 09/23/10 2 001 09/20/10 5 001 09/16/10 9 001 09/13/10 4 001 09/09/10 6 001 09/02/10 12 + __________ TOTAL ORDERED 56 133.33 % 001 08/31/10 6 001 08/26/10 5 001 08/24/10 3 001 08/19/10 8 001 08/17/10 6 001 08/12/10 5 001 08/10/10 4 001 08/05/10 4 001 08/03/10 2 + __________ TOTAL ORDERED 43 102.38 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 678962 LORAZEPAM 2MG TAB (PPC) + 500 30228206350 00228206350 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 001 12/29/10 1 001 12/21/10 1 001 12/14/10 1 001 12/07/10 1 + __________ TOTAL ORDERED 4 133.33 % 001 11/30/10 1 001 11/26/10 1 001 11/22/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 655 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 678962 LORAZEPAM 2MG TAB (PPC) + 500 30228206350 00228206350 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 001 11/04/10 1 + __________ TOTAL ORDERED 4 133.33 % 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 12/29/10 2 001 12/21/10 2 001 12/17/10 1 001 12/14/10 2 001 12/10/10 4 001 12/07/10 1 001 12/03/10 3 + __________ TOTAL ORDERED 15 125.00 % 001 11/30/10 1 001 11/26/10 3 001 11/22/10 1 001 11/18/10 5 001 11/15/10 3 001 11/11/10 1 001 11/08/10 1 001 11/04/10 2 001 11/01/10 1 + __________ TOTAL ORDERED 18 150.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (ACT)+ 100 35215221502 52152021502 22 3.0 66.0 0 DC DATE ORDERED QUANTITY 014 12/28/10 123 014 12/20/10 128 + __________ TOTAL ORDERED 251 380.30 % 014 11/26/10 67 014 11/19/10 66 014 11/12/10 66 014 11/05/10 65 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 656 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 (ACT)+ 100 35215221502 52152021502 22 3.0 66.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 264 400.00 % 014 10/22/10 50 014 10/15/10 52 014 10/08/10 110 014 10/01/10 97 + __________ TOTAL ORDERED 309 468.18 % 014 09/24/10 88 014 09/17/10 25 014 09/08/10 40 + __________ TOTAL ORDERED 153 231.81 % 014 08/30/10 40 014 08/23/10 75 014 08/16/10 25 014 08/09/10 25 014 08/02/10 30 + __________ TOTAL ORDERED 195 295.45 % 014 07/26/10 40 014 07/19/10 47 014 07/12/10 64 + __________ TOTAL ORDERED 151 228.78 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682972 OXYCODONE HCL 15MG TAB (ACT) +100 35215221402 52152021402 10 3.0 30.0 0 DC DATE ORDERED QUANTITY 014 12/28/10 19 014 12/20/10 31 014 12/03/10 16 + __________ TOTAL ORDERED 66 220.00 % 014 11/26/10 15 014 11/19/10 22 014 11/12/10 16 014 11/05/10 23 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 657 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 682972 OXYCODONE HCL 15MG TAB (ACT) +100 35215221402 52152021402 10 3.0 30.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 76 253.33 % 014 10/22/10 6 014 10/15/10 15 014 10/08/10 27 014 10/01/10 22 + __________ TOTAL ORDERED 70 233.33 % 014 09/24/10 4 014 09/17/10 25 014 09/08/10 12 + __________ TOTAL ORDERED 41 136.66 % 014 08/23/10 24 014 08/16/10 18 014 08/09/10 13 014 08/02/10 6 + __________ TOTAL ORDERED 61 203.33 % 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 12/14/10 10 001 12/10/10 8 001 12/07/10 2 001 12/03/10 9 + __________ TOTAL ORDERED 29 161.11 % 001 09/16/10 12 001 09/09/10 8 + __________ TOTAL ORDERED 20 111.11 % 001 07/22/10 3 001 07/20/10 6 001 07/15/10 6 001 07/13/10 2 001 07/08/10 1 001 07/06/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 658 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 19 105.55 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06403 AW2817748 199 WESTON RD SUNRISE FL 33326 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 654393 OXYCONTIN 40MG TAB (REFORM) 100 35901144010 59011044010 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 12/28/10 3 014 12/13/10 5 + __________ TOTAL ORDERED 8 133.33 % 014 11/24/10 4 014 11/10/10 1 014 11/16/10 2 014 11/02/10 2 + __________ TOTAL ORDERED 9 150.00 % 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 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 001 07/28/10 14 001 07/21/10 21 001 07/14/10 45 001 07/07/10 2 + __________ TOTAL ORDERED 82 341.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 659 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 001 07/28/10 5 001 07/21/10 13 001 07/14/10 22 001 07/07/10 9 + __________ TOTAL ORDERED 49 544.44 % 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 478424 TESTOSTERN CYP 200MG/ML (PAD)+1ML 30574082001 00574082001 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 001 12/22/10 17 001 12/15/10 14 001 12/01/10 18 + __________ TOTAL ORDERED 49 204.16 % 001 11/24/10 7 001 11/17/10 12 001 11/10/10 3 001 11/03/10 9 + __________ TOTAL ORDERED 31 129.16 % 001 10/20/10 5 001 10/13/10 2 001 10/06/10 24 + __________ TOTAL ORDERED 31 129.16 % 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 12/29/10 4 001 12/22/10 4 001 12/15/10 1 001 12/08/10 3 001 12/01/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 660 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 021 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 + __________ TOTAL ORDERED 14 155.55 % 001 11/24/10 6 001 11/17/10 3 001 11/10/10 1 001 11/03/10 1 + __________ TOTAL ORDERED 11 122.22 % 001 09/29/10 6 001 09/22/10 3 001 09/08/10 9 + __________ TOTAL ORDERED 18 200.00 % 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 682971 OXYCODONE HCL 30MG TAB (ACT)+ 100 35215221502 52152021502 22 3.0 66.0 0 DC DATE ORDERED QUANTITY 014 12/22/10 20 014 12/15/10 10 014 12/08/10 25 014 12/01/10 30 + __________ TOTAL ORDERED 85 128.78 % 014 11/23/10 18 014 11/16/10 15 014 11/09/10 20 014 11/02/10 40 + __________ TOTAL ORDERED 93 140.90 % 014 10/26/10 40 014 10/19/10 40 014 10/12/10 40 014 10/05/10 40 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 661 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 682971 OXYCODONE HCL 30MG TAB (ACT)+ 100 35215221502 52152021502 22 3.0 66.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 160 242.42 % 014 09/28/10 35 014 09/21/10 35 014 09/14/10 34 014 09/07/10 20 + __________ TOTAL ORDERED 124 187.87 % 014 08/30/10 9 014 08/25/10 9 014 08/19/10 6 014 08/12/10 9 014 08/27/10 25 014 08/20/10 25 014 08/13/10 25 014 08/06/10 25 + __________ TOTAL ORDERED 133 201.51 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 01761 BW0969610 6770 FOREST HILL W PALM BCH FL 33413 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (ACT)+ 100 35215221502 52152021502 22 3.0 66.0 0 DC DATE ORDERED QUANTITY 014 12/07/10 6 014 12/20/10 49 014 12/13/10 53 + __________ TOTAL ORDERED 108 163.63 % 014 11/29/10 42 014 11/19/10 47 014 11/05/10 35 + __________ TOTAL ORDERED 124 187.87 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 662 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 682971 OXYCODONE HCL 30MG TAB (ACT)+ 100 35215221502 52152021502 22 3.0 66.0 0 DC DATE ORDERED QUANTITY 014 12/27/10 28 014 12/17/10 12 014 12/10/10 34 + __________ TOTAL ORDERED 74 112.12 % 014 11/26/10 19 014 11/18/10 25 014 11/11/10 5 014 11/04/10 25 + __________ TOTAL ORDERED 74 112.12 % 014 08/31/10 16 014 08/24/10 20 014 08/17/10 21 014 08/10/10 11 014 08/03/10 10 + __________ TOTAL ORDERED 78 118.18 % 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 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 14 3.0 42.0 0 DC DATE ORDERED QUANTITY 001 12/28/10 11 001 12/22/10 8 001 12/20/10 13 001 12/15/10 3 001 12/13/10 10 001 12/08/10 5 001 12/06/10 14 001 12/01/10 2 + __________ TOTAL ORDERED 66 157.14 % 001 11/29/10 5 001 11/23/10 7 001 11/19/10 16 001 11/16/10 4 001 11/12/10 9 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 663 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 14 3.0 42.0 0 DC DATE ORDERED QUANTITY 001 11/09/10 3 001 11/05/10 6 001 11/02/10 1 + __________ TOTAL ORDERED 51 121.42 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (ACT)+ 100 35215221502 52152021502 22 3.0 66.0 0 DC DATE ORDERED QUANTITY 014 12/27/10 233 014 12/17/10 78 014 12/10/10 184 + __________ TOTAL ORDERED 495 750.00 % 014 11/26/10 144 014 11/18/10 90 014 11/11/10 113 014 11/04/10 70 + __________ TOTAL ORDERED 417 631.81 % 014 10/21/10 71 014 10/14/10 50 014 10/07/10 40 + __________ TOTAL ORDERED 161 243.93 % 014 09/23/10 45 014 09/16/10 40 014 09/09/10 30 014 09/01/10 30 + __________ TOTAL ORDERED 145 219.69 % 014 08/25/10 39 014 08/18/10 20 014 08/11/10 19 014 08/04/10 17 + __________ TOTAL ORDERED 95 143.93 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 664 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 682972 OXYCODONE HCL 15MG TAB (ACT) +100 35215221402 52152021402 10 3.0 30.0 0 DC DATE ORDERED QUANTITY 014 12/27/10 31 014 12/17/10 7 014 12/10/10 21 014 12/03/10 10 + __________ TOTAL ORDERED 69 230.00 % 014 11/26/10 14 014 11/18/10 24 014 11/11/10 15 014 11/04/10 9 + __________ TOTAL ORDERED 62 206.66 % 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 12/27/10 6 014 12/17/10 6 014 12/10/10 8 014 12/03/10 2 + __________ TOTAL ORDERED 22 146.66 % 014 11/26/10 8 014 11/18/10 2 014 11/11/10 1 014 11/04/10 5 + __________ TOTAL ORDERED 16 106.66 % 014 09/23/10 1 014 09/16/10 3 014 09/09/10 6 014 09/01/10 6 + __________ TOTAL ORDERED 16 106.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 665 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 014 11/30/10 3 014 11/22/10 3 014 11/15/10 4 014 11/08/10 4 014 11/01/10 2 + __________ TOTAL ORDERED 16 133.33 % 014 10/25/10 2 014 10/18/10 3 014 10/11/10 5 014 10/04/10 6 + __________ TOTAL ORDERED 16 133.33 % 014 08/27/10 12 014 08/20/10 4 014 08/13/10 3 014 08/06/10 6 + __________ TOTAL ORDERED 25 208.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 001 12/27/10 5 001 12/22/10 4 001 12/17/10 4 001 12/15/10 1 001 12/10/10 5 001 12/08/10 5 001 12/03/10 8 001 12/01/10 1 + __________ TOTAL ORDERED 33 157.14 % 001 10/28/10 4 001 10/21/10 4 001 10/19/10 1 001 10/14/10 6 001 10/07/10 9 001 10/05/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 666 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 7 3.0 21.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 25 119.04 % 001 09/30/10 5 001 09/23/10 5 001 09/21/10 6 001 09/16/10 4 001 09/14/10 1 001 09/09/10 5 001 09/07/10 4 001 09/01/10 5 + __________ TOTAL ORDERED 35 166.66 % 001 08/30/10 1 001 08/25/10 2 001 08/23/10 3 001 08/18/10 2 001 08/16/10 7 001 08/11/10 4 001 08/09/10 8 001 08/04/10 3 + __________ TOTAL ORDERED 30 142.85 % 001 07/28/10 2 001 07/26/10 2 001 07/21/10 2 001 07/19/10 4 001 07/14/10 2 001 07/12/10 4 001 07/07/10 7 001 07/01/10 2 + __________ TOTAL ORDERED 25 119.04 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 14 3.0 42.0 0 DC DATE ORDERED QUANTITY 001 12/27/10 9 001 12/22/10 11 001 12/17/10 10 001 12/15/10 3 001 12/10/10 9 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 667 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 14 3.0 42.0 0 DC DATE ORDERED QUANTITY 001 12/08/10 4 001 12/03/10 6 + __________ TOTAL ORDERED 52 123.80 % 001 11/26/10 8 001 11/23/10 3 001 11/18/10 11 001 11/16/10 4 001 11/11/10 6 001 11/09/10 5 001 11/04/10 9 001 11/02/10 3 + __________ TOTAL ORDERED 49 116.66 % 001 10/28/10 6 001 10/26/10 2 001 10/21/10 4 001 10/19/10 2 001 10/14/10 9 001 10/12/10 5 001 10/07/10 12 001 10/05/10 5 + __________ TOTAL ORDERED 45 107.14 % 001 09/30/10 8 001 09/23/10 1 001 09/21/10 3 001 09/16/10 7 001 09/14/10 9 001 09/09/10 15 001 09/07/10 4 001 09/01/10 9 + __________ TOTAL ORDERED 56 133.33 % 001 08/30/10 3 001 08/25/10 4 001 08/23/10 6 001 08/18/10 8 001 08/16/10 15 001 08/09/10 8 001 08/04/10 4 001 08/02/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 668 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 14 3.0 42.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 50 119.04 % 001 07/28/10 4 001 07/26/10 9 001 07/21/10 5 001 07/19/10 7 001 07/14/10 10 001 07/12/10 10 001 07/07/10 6 001 07/01/10 5 + __________ TOTAL ORDERED 56 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679796 METHADONE 10MG TAB (ROX) + 100 30054457125 00054457125 14 3.0 42.0 0 DC DATE ORDERED QUANTITY 014 11/30/10 8 014 11/22/10 16 014 11/15/10 11 014 11/08/10 14 014 11/01/10 9 + __________ TOTAL ORDERED 58 138.09 % 014 10/25/10 18 014 10/18/10 15 014 10/11/10 12 014 10/04/10 20 + __________ TOTAL ORDERED 65 154.76 % 014 09/27/10 18 014 09/20/10 18 014 09/13/10 20 + __________ TOTAL ORDERED 56 133.33 % 014 08/27/10 20 014 08/20/10 12 014 08/13/10 18 014 08/06/10 16 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 669 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 679796 METHADONE 10MG TAB (ROX) + 100 30054457125 00054457125 14 3.0 42.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 66 157.14 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (ACT)+ 100 35215221502 52152021502 22 3.0 66.0 0 DC DATE ORDERED QUANTITY 014 12/21/10 81 014 12/14/10 50 014 12/07/10 95 + __________ TOTAL ORDERED 226 342.42 % 014 11/30/10 45 014 11/22/10 39 014 11/15/10 42 014 11/08/10 80 014 11/01/10 55 + __________ TOTAL ORDERED 261 395.45 % 014 10/18/10 47 014 10/11/10 69 014 10/04/10 35 + __________ TOTAL ORDERED 151 228.78 % 014 09/27/10 70 014 09/20/10 30 014 09/13/10 76 + __________ TOTAL ORDERED 176 266.66 % 014 08/27/10 25 014 08/20/10 50 014 08/13/10 50 014 08/06/10 50 + __________ TOTAL ORDERED 175 265.15 % 014 07/09/10 72 + __________ TOTAL ORDERED 72 109.09 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 670 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 552577 SUBOXONE 8-2MG SL TAB + 30 31249613062 12496130602 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 001 08/30/10 5 001 08/26/10 3 001 08/23/10 4 001 08/19/10 3 001 08/16/10 7 001 08/09/10 6 001 08/02/10 7 + __________ TOTAL ORDERED 35 166.66 % 001 07/29/10 2 001 07/19/10 14 001 07/12/10 3 001 07/08/10 2 001 07/01/10 5 + __________ TOTAL ORDERED 26 123.80 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (ACT)+ 100 35215221502 52152021502 22 3.0 66.0 0 DC DATE ORDERED QUANTITY 014 12/27/10 62 014 12/17/10 20 014 12/10/10 45 + __________ TOTAL ORDERED 127 192.42 % 014 09/21/10 9 014 09/23/10 53 014 09/16/10 10 014 09/09/10 20 014 09/01/10 33 + __________ TOTAL ORDERED 125 189.39 % 014 08/25/10 34 014 08/18/10 29 014 08/11/10 24 014 08/04/10 20 + __________ TOTAL ORDERED 107 162.12 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 671 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 603807 LYRICA 100MG CAP + 90 30071101568 00071101568 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 001 07/26/10 1 001 07/22/10 2 001 07/12/10 2 001 07/01/10 3 + __________ 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 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 001 07/26/10 1 001 07/19/10 2 001 07/15/10 4 001 07/08/10 1 001 07/01/10 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 001 07/29/10 2 001 07/15/10 4 001 07/12/10 2 001 07/08/10 2 001 07/01/10 4 + __________ TOTAL ORDERED 14 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682600 PROVIGIL 200MG TAB + 100 36345920101 63459020101 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 001 07/26/10 1 001 07/19/10 2 001 07/12/10 1 + __________ TOTAL ORDERED 4 133.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 672 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 014 12/23/10 7 014 12/16/10 1 014 12/09/10 4 014 12/02/10 3 + __________ TOTAL ORDERED 15 166.66 % 014 11/26/10 1 014 11/18/10 1 014 11/11/10 7 014 11/04/10 3 + __________ TOTAL ORDERED 12 133.33 % 014 10/28/10 3 014 10/14/10 7 014 10/07/10 1 + __________ TOTAL ORDERED 11 122.22 % 014 09/30/10 4 014 09/16/10 4 014 09/09/10 5 + __________ TOTAL ORDERED 13 144.44 % 014 08/31/10 5 014 08/24/10 3 014 08/17/10 1 014 08/10/10 3 014 08/03/10 5 + __________ TOTAL ORDERED 17 188.88 % 014 07/27/10 3 014 07/20/10 6 014 07/13/10 3 014 07/06/10 2 + __________ TOTAL ORDERED 14 155.55 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 652294 OXYCOD-APAP 10-325 TAB (WAT) +100 30591093201 00591093201 17 3.0 51.0 0 DC DATE ORDERED QUANTITY 014 12/23/10 25 014 12/16/10 11 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 673 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 652294 OXYCOD-APAP 10-325 TAB (WAT) +100 30591093201 00591093201 17 3.0 51.0 0 DC DATE ORDERED QUANTITY 014 12/09/10 24 014 12/02/10 6 + __________ TOTAL ORDERED 66 129.41 % 014 10/28/10 10 014 10/21/10 22 014 10/14/10 15 014 10/07/10 8 + __________ TOTAL ORDERED 55 107.84 % 014 08/31/10 13 014 08/24/10 8 014 08/17/10 16 014 08/10/10 10 014 08/03/10 8 + __________ TOTAL ORDERED 55 107.84 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (ACT)+ 100 35215221502 52152021502 22 3.0 66.0 0 DC DATE ORDERED QUANTITY 014 10/28/10 42 014 10/21/10 20 014 10/14/10 20 014 10/07/10 10 + __________ TOTAL ORDERED 92 139.39 % 014 09/30/10 10 014 09/23/10 15 014 09/16/10 10 014 09/09/10 34 + __________ TOTAL ORDERED 69 104.54 % 014 08/24/10 41 014 08/17/10 35 014 08/10/10 44 014 08/03/10 48 + __________ TOTAL ORDERED 168 254.54 % 014 07/20/10 43 014 07/13/10 22 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 674 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 (ACT)+ 100 35215221502 52152021502 22 3.0 66.0 0 DC DATE ORDERED QUANTITY 014 07/06/10 19 + __________ TOTAL ORDERED 84 127.27 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682972 OXYCODONE HCL 15MG TAB (ACT) +100 35215221402 52152021402 10 3.0 30.0 0 DC DATE ORDERED QUANTITY 014 08/24/10 8 014 08/17/10 5 014 08/10/10 5 014 08/03/10 19 + __________ TOTAL ORDERED 37 123.33 % 014 07/20/10 12 014 07/13/10 14 014 07/06/10 10 + __________ TOTAL ORDERED 36 120.00 % 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 471202 FENTANYL 12MCG/HR TS (SAN) + 5 30781724055 00781724055 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 11/23/10 8 014 11/16/10 4 + __________ TOTAL ORDERED 12 133.33 % 014 10/12/10 6 014 10/05/10 9 + __________ TOTAL ORDERED 15 166.66 % 014 08/27/10 5 014 08/20/10 5 014 08/13/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 675 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 471202 FENTANYL 12MCG/HR TS (SAN) + 5 30781724055 00781724055 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 15 166.66 % 014 07/23/10 4 014 07/16/10 11 + __________ TOTAL ORDERED 15 166.66 % 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 12/15/10 19 014 12/08/10 8 + __________ TOTAL ORDERED 27 150.00 % 014 10/12/10 13 014 10/05/10 13 + __________ TOTAL ORDERED 26 144.44 % 014 08/27/10 9 014 08/06/10 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 12/15/10 18 014 12/08/10 3 + __________ TOTAL ORDERED 21 116.66 % 014 10/19/10 2 014 10/12/10 11 014 10/05/10 10 + __________ TOTAL ORDERED 23 127.77 % 014 08/27/10 5 014 08/20/10 5 014 08/13/10 10 014 08/06/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 676 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 544544 FENTANYL 25MCG/HR TS (WAT) + 5 30591319872 00591319872 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 651942 HYDROMORPHONE 8MG TAB (MKT) + 100 30406324901 00406324901 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 11/23/10 5 014 11/16/10 7 014 11/09/10 4 + __________ TOTAL ORDERED 16 177.77 % 014 10/19/10 4 014 10/12/10 5 014 10/05/10 1 + __________ TOTAL ORDERED 10 111.11 % 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 10/27/10 3 001 10/22/10 1 001 10/20/10 1 001 10/15/10 1 001 10/08/10 1 001 10/06/10 2 + __________ TOTAL ORDERED 9 150.00 % 001 08/30/10 1 001 08/25/10 1 001 08/23/10 2 001 08/18/10 1 001 08/16/10 1 001 08/09/10 1 001 08/04/10 1 + __________ TOTAL ORDERED 8 133.33 % 001 07/28/10 1 001 07/26/10 2 001 07/19/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 677 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 001 07/12/10 1 001 07/01/10 1 + __________ TOTAL ORDERED 7 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (ACT)+ 100 35215221502 52152021502 22 3.0 66.0 0 DC DATE ORDERED QUANTITY 014 12/15/10 57 014 12/08/10 43 + __________ TOTAL ORDERED 100 151.51 % 014 11/23/10 56 014 11/16/10 28 014 11/02/10 11 + __________ TOTAL ORDERED 95 143.93 % 014 10/26/10 44 014 10/19/10 50 014 10/12/10 48 014 10/05/10 30 + __________ TOTAL ORDERED 172 260.60 % 014 09/28/10 20 014 09/14/10 30 014 09/07/10 43 + __________ TOTAL ORDERED 93 140.90 % 014 08/27/10 46 014 08/20/10 45 014 08/13/10 25 014 08/06/10 28 + __________ TOTAL ORDERED 144 218.18 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 683092 # TESTIM 1% GEL + 30X5 36688700105 66887000105 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 001 12/28/10 7 001 12/20/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 678 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + 30X5 36688700105 66887000105 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 001 12/13/10 3 + __________ TOTAL ORDERED 12 133.33 % 001 11/29/10 5 001 11/24/10 5 001 11/17/10 4 001 11/10/10 5 001 11/03/10 2 + __________ TOTAL ORDERED 21 233.33 % 001 09/29/10 4 001 09/24/10 2 001 09/22/10 3 001 09/17/10 3 + __________ TOTAL ORDERED 12 133.33 % 001 08/30/10 5 001 08/16/10 4 001 08/11/10 5 001 08/09/10 4 001 08/02/10 1 + __________ TOTAL ORDERED 19 211.11 % 001 07/26/10 4 001 07/19/10 3 001 07/12/10 2 001 07/07/10 4 001 07/01/10 2 + __________ TOTAL ORDERED 15 166.66 % 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 532538 MORPHINE SULF 20MG/ML (LAN)+ 30ML 30527142536 00527142536 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 09/28/10 10 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 679 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 532538 MORPHINE SULF 20MG/ML (LAN)+ 30ML 30527142536 00527142536 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 10 111.11 % 014 08/27/10 5 014 08/20/10 5 014 08/13/10 3 + __________ TOTAL ORDERED 13 144.44 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563755 OXYCODONE-APAP 5-325 TAB(WAT)+500 30591074905 00591074905 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 014 12/06/10 5 014 12/22/10 4 014 12/01/10 5 + __________ TOTAL ORDERED 14 116.66 % 014 11/23/10 4 014 11/16/10 3 014 11/09/10 2 014 11/02/10 4 + __________ TOTAL ORDERED 13 108.33 % 014 09/28/10 5 014 09/21/10 4 014 09/14/10 3 014 09/07/10 1 + __________ TOTAL ORDERED 13 108.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 001 12/28/10 3 001 12/23/10 4 001 12/20/10 4 001 12/16/10 4 001 12/13/10 1 001 12/09/10 4 001 12/06/10 2 001 12/02/10 9 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 680 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 7 3.0 21.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 31 147.61 % 001 11/29/10 2 001 11/24/10 5 001 11/19/10 3 001 11/17/10 3 001 11/12/10 2 001 11/10/10 2 001 11/05/10 2 001 11/03/10 3 + __________ TOTAL ORDERED 22 104.76 % 001 09/24/10 5 001 09/17/10 4 001 09/15/10 3 001 09/10/10 3 001 09/08/10 8 + __________ TOTAL ORDERED 23 109.52 % 001 08/30/10 7 001 08/25/10 3 001 08/23/10 6 001 08/18/10 4 001 08/16/10 3 001 08/11/10 3 001 08/09/10 1 001 08/04/10 1 001 08/02/10 4 + __________ TOTAL ORDERED 32 152.38 % 001 07/28/10 2 001 07/26/10 5 001 07/21/10 4 001 07/19/10 6 001 07/14/10 6 001 07/12/10 3 001 07/01/10 4 + __________ TOTAL ORDERED 30 142.85 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 681 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 478424 TESTOSTERN CYP 200MG/ML (PAD)+1ML 30574082001 00574082001 8 3.0 24.0 0 DC DATE ORDERED QUANTITY 001 11/29/10 1 001 11/24/10 10 001 11/19/10 11 001 11/17/10 3 + __________ TOTAL ORDERED 25 104.16 % 001 10/27/10 9 001 10/22/10 10 001 10/15/10 3 001 10/13/10 3 + __________ TOTAL ORDERED 25 104.16 % 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 11/29/10 1 001 11/24/10 3 001 11/19/10 2 001 11/17/10 1 001 11/12/10 1 001 11/10/10 1 001 11/05/10 1 001 11/03/10 1 + __________ TOTAL ORDERED 11 122.22 % 001 09/24/10 4 001 09/22/10 1 001 09/17/10 1 001 09/10/10 2 001 09/08/10 2 001 09/01/10 2 + __________ TOTAL ORDERED 12 133.33 % 001 08/30/10 3 001 08/25/10 1 001 08/23/10 2 001 08/18/10 1 001 08/09/10 2 001 08/04/10 1 001 08/02/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 682 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 11 122.22 % 001 07/28/10 1 001 07/26/10 1 001 07/21/10 1 001 07/19/10 1 001 07/14/10 2 001 07/12/10 2 001 07/07/10 3 001 07/01/10 3 + __________ TOTAL ORDERED 14 155.55 % 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 12/15/10 2 014 12/08/10 6 014 12/01/10 13 + __________ TOTAL ORDERED 21 116.66 % 014 10/26/10 2 014 10/19/10 9 014 10/12/10 12 014 10/05/10 1 + __________ TOTAL ORDERED 24 133.33 % 014 08/27/10 6 014 08/20/10 8 014 08/13/10 4 014 08/06/10 1 + __________ TOTAL ORDERED 19 105.55 % 014 07/23/10 11 014 07/16/10 7 014 07/09/10 1 + __________ TOTAL ORDERED 19 105.55 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 683 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 552577 SUBOXONE 8-2MG SL TAB + 30 31249613062 12496130602 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 001 08/30/10 7 001 08/25/10 4 001 08/23/10 4 001 08/18/10 5 001 08/16/10 7 001 08/11/10 2 001 08/09/10 9 001 08/04/10 4 001 08/02/10 6 + __________ TOTAL ORDERED 48 228.57 % 001 07/28/10 2 001 07/26/10 4 001 07/21/10 5 001 07/19/10 3 001 07/14/10 3 001 07/12/10 4 001 07/07/10 5 001 07/01/10 8 + __________ TOTAL ORDERED 34 161.90 % 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 10/27/10 1 001 10/15/10 1 001 10/13/10 2 001 10/06/10 1 001 10/01/10 2 + __________ TOTAL ORDERED 7 116.66 % 001 09/24/10 2 001 09/17/10 1 001 09/15/10 2 001 09/08/10 2 001 09/01/10 1 + __________ TOTAL ORDERED 8 133.33 % 001 08/30/10 1 001 08/23/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 684 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 654427 LUNESTA 3MG TAB (SEP) + 100 36340219310 63402019310 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 001 08/16/10 3 001 08/09/10 2 001 08/02/10 2 + __________ TOTAL ORDERED 9 150.00 % 001 07/28/10 1 001 07/26/10 1 001 07/21/10 1 001 07/14/10 1 001 07/12/10 1 001 07/07/10 1 001 07/01/10 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 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 001 12/28/10 6 001 12/23/10 9 001 12/20/10 2 001 12/16/10 4 001 12/13/10 2 001 12/09/10 4 001 12/06/10 3 001 12/02/10 2 + __________ TOTAL ORDERED 32 152.38 % 001 11/29/10 8 001 11/24/10 11 001 11/19/10 6 001 11/12/10 5 001 11/10/10 3 + __________ TOTAL ORDERED 33 157.14 % 001 10/27/10 1 001 10/22/10 5 001 10/15/10 6 001 10/13/10 7 001 10/08/10 9 001 10/06/10 8 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 685 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 001 10/01/10 6 + __________ TOTAL ORDERED 42 200.00 % 001 09/29/10 1 001 09/24/10 7 001 09/22/10 2 001 09/17/10 6 001 09/15/10 4 001 09/10/10 8 001 09/08/10 8 + __________ TOTAL ORDERED 36 171.42 % 001 08/30/10 10 001 08/25/10 4 001 08/23/10 9 001 08/18/10 2 001 08/16/10 9 001 08/11/10 3 001 08/09/10 11 001 08/04/10 2 001 08/02/10 6 + __________ TOTAL ORDERED 56 266.66 % 001 07/28/10 4 001 07/26/10 8 001 07/21/10 3 001 07/19/10 8 001 07/14/10 5 001 07/12/10 3 001 07/07/10 3 001 07/01/10 8 + __________ TOTAL ORDERED 42 200.00 % 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 10/26/10 2 014 10/19/10 2 014 10/05/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 686 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 679543 METHYLPHENIDATE 20MG TAB (WT)+100 30591588401 00591588401 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 11 122.22 % 014 09/28/10 5 014 09/21/10 1 014 09/07/10 7 + __________ TOTAL ORDERED 13 144.44 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (ACT)+ 100 35215221502 52152021502 22 3.0 66.0 0 DC DATE ORDERED QUANTITY 014 12/22/10 30 014 12/15/10 25 014 12/08/10 17 014 12/01/10 52 + __________ TOTAL ORDERED 124 187.87 % 014 11/23/10 25 014 11/16/10 20 014 11/09/10 25 014 11/02/10 25 + __________ TOTAL ORDERED 95 143.93 % 014 10/26/10 25 014 10/19/10 25 014 10/12/10 30 014 10/05/10 25 + __________ TOTAL ORDERED 105 159.09 % 014 09/28/10 25 014 09/21/10 30 014 09/14/10 30 014 09/07/10 43 + __________ TOTAL ORDERED 128 193.93 % 014 08/27/10 25 014 08/20/10 30 014 08/13/10 30 014 08/06/10 15 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 687 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 682971 OXYCODONE HCL 30MG TAB (ACT)+ 100 35215221502 52152021502 22 3.0 66.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 100 151.51 % 014 07/23/10 36 014 07/16/10 39 014 07/09/10 28 + __________ TOTAL ORDERED 103 156.06 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 683092 # TESTIM 1% GEL + 30X5 36688700105 66887000105 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 001 12/28/10 4 001 12/23/10 6 001 12/20/10 4 001 12/13/10 4 001 12/09/10 5 001 12/06/10 2 + __________ TOTAL ORDERED 25 277.77 % 001 11/29/10 3 001 11/24/10 5 001 11/12/10 4 001 11/10/10 4 + __________ TOTAL ORDERED 16 177.77 % 001 10/27/10 4 001 10/22/10 4 001 10/15/10 4 001 10/13/10 3 001 10/06/10 4 001 10/01/10 1 + __________ TOTAL ORDERED 20 222.22 % 001 09/29/10 5 001 09/24/10 3 001 09/17/10 3 001 09/08/10 2 001 09/01/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 688 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + 30X5 36688700105 66887000105 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 15 166.66 % 001 08/30/10 3 001 08/25/10 5 001 08/18/10 2 001 08/16/10 4 001 08/09/10 4 + __________ TOTAL ORDERED 18 200.00 % 001 07/26/10 6 001 07/19/10 5 001 07/07/10 1 001 07/01/10 3 + __________ 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 12/22/10 9 014 12/15/10 2 014 12/08/10 3 014 12/01/10 3 + __________ TOTAL ORDERED 17 113.33 % 014 11/23/10 6 014 11/16/10 3 014 11/09/10 3 014 11/02/10 5 + __________ TOTAL ORDERED 17 113.33 % 014 10/26/10 4 014 10/19/10 4 014 10/12/10 7 014 10/05/10 4 + __________ TOTAL ORDERED 19 126.66 % 014 08/27/10 5 014 08/20/10 1 014 08/13/10 6 014 08/06/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 689 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 684145 OXYCOD-APAP 10-650 TAB (WAT) +100 30591082501 00591082501 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 19 126.66 % 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 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 001 12/28/10 4 001 12/23/10 8 001 12/20/10 1 001 12/16/10 8 001 12/13/10 5 001 12/09/10 6 001 12/06/10 2 001 12/02/10 5 + __________ TOTAL ORDERED 39 260.00 % 001 11/29/10 3 001 11/24/10 6 001 11/19/10 5 001 11/17/10 8 001 11/12/10 5 001 11/05/10 7 001 11/03/10 2 + __________ TOTAL ORDERED 36 240.00 % 001 10/27/10 6 001 10/22/10 3 001 10/20/10 5 001 10/15/10 3 001 10/13/10 5 001 10/08/10 3 001 10/06/10 1 001 10/01/10 3 + __________ TOTAL ORDERED 29 193.33 % 001 09/29/10 6 001 09/24/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 690 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 001 09/22/10 4 001 09/17/10 2 001 09/15/10 1 001 09/10/10 5 001 09/08/10 3 001 09/01/10 4 + __________ TOTAL ORDERED 29 193.33 % 001 08/30/10 7 001 08/25/10 4 001 08/23/10 5 001 08/18/10 5 001 08/16/10 3 001 08/11/10 2 001 08/09/10 7 001 08/04/10 5 001 08/02/10 7 + __________ TOTAL ORDERED 45 300.00 % 001 07/26/10 1 001 07/21/10 3 001 07/19/10 8 001 07/14/10 4 001 07/12/10 5 001 07/07/10 1 001 07/01/10 8 + __________ TOTAL ORDERED 30 200.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (ACT)+ 100 35215221502 52152021502 22 3.0 66.0 0 DC DATE ORDERED QUANTITY 014 10/19/10 51 014 10/05/10 20 + __________ TOTAL ORDERED 71 107.57 % 014 08/27/10 20 014 08/20/10 30 014 08/13/10 30 014 08/06/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 691 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 682971 OXYCODONE HCL 30MG TAB (ACT)+ 100 35215221502 52152021502 22 3.0 66.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 85 128.78 % 014 07/23/10 10 014 07/16/10 100 014 07/09/10 70 014 07/12/10 30 + __________ TOTAL ORDERED 210 318.18 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682972 OXYCODONE HCL 15MG TAB (ACT) +100 35215221402 52152021402 10 3.0 30.0 0 DC DATE ORDERED QUANTITY 014 08/20/10 2 014 08/06/10 37 + __________ TOTAL ORDERED 39 130.00 % 014 07/16/10 20 014 07/09/10 30 014 07/12/10 20 + __________ TOTAL ORDERED 70 233.33 % 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 682972 OXYCODONE HCL 15MG TAB (ACT) +100 35215221402 52152021402 10 3.0 30.0 0 DC DATE ORDERED QUANTITY 014 12/22/10 5 014 12/15/10 5 014 12/08/10 15 014 12/01/10 15 + __________ TOTAL ORDERED 40 133.33 % 014 10/26/10 10 014 10/19/10 8 014 10/12/10 5 014 10/05/10 13 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 692 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 682972 OXYCODONE HCL 15MG TAB (ACT) +100 35215221402 52152021402 10 3.0 30.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 36 120.00 % 014 09/28/10 21 014 09/21/10 10 014 09/07/10 8 + __________ TOTAL ORDERED 39 130.00 % 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 (ACT)+ 100 35215221502 52152021502 22 3.0 66.0 0 DC DATE ORDERED QUANTITY 014 12/27/10 85 014 12/17/10 30 014 12/10/10 30 + __________ TOTAL ORDERED 145 219.69 % 014 11/26/10 65 014 11/18/10 45 014 11/11/10 30 014 11/04/10 30 + __________ TOTAL ORDERED 170 257.57 % 014 10/21/10 25 014 10/14/10 30 014 10/07/10 25 + __________ TOTAL ORDERED 80 121.21 % 014 08/31/10 10 014 08/24/10 25 014 08/17/10 18 014 08/10/10 15 014 08/03/10 12 + __________ TOTAL ORDERED 80 121.21 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 693 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 001 11/23/10 1 001 11/19/10 1 001 11/16/10 3 001 11/05/10 4 001 11/02/10 1 + __________ TOTAL ORDERED 10 111.11 % 001 10/19/10 1 001 10/08/10 3 001 10/01/10 8 + __________ TOTAL ORDERED 12 133.33 % 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 469130 OXYCODONE 80MG ER TAB (APO) + 100 36050535401 60505354001 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 014 12/22/10 6 014 12/15/10 3 014 12/08/10 7 + __________ TOTAL ORDERED 16 133.33 % 014 11/30/10 2 014 11/23/10 5 014 11/16/10 5 014 11/09/10 1 + __________ TOTAL ORDERED 13 108.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 474280 BUPRENORPHINE 8MG SL TAB (ROX)+30 30054017713 00054017713 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 001 12/28/10 3 001 12/23/10 4 001 12/20/10 2 001 12/16/10 2 001 12/06/10 10 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 694 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 474280 BUPRENORPHINE 8MG SL TAB (ROX)+30 30054017713 00054017713 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 001 12/02/10 1 + __________ TOTAL ORDERED 22 146.66 % 001 11/17/10 6 001 11/12/10 4 001 11/03/10 6 + __________ TOTAL ORDERED 16 106.66 % 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 12/22/10 3 014 12/15/10 3 014 12/08/10 4 + __________ TOTAL ORDERED 10 111.11 % 014 11/30/10 1 014 11/23/10 3 014 11/16/10 4 014 11/09/10 3 + __________ TOTAL ORDERED 11 122.22 % 014 09/28/10 3 014 09/21/10 7 014 09/14/10 1 014 09/07/10 2 + __________ TOTAL ORDERED 13 144.44 % 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 11/30/10 1 014 11/23/10 6 014 11/16/10 7 014 11/09/10 2 014 11/02/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 695 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 532549 OXYCODONE 20MG/ML SOLN (LAN)+30ML 30527142636 00527142636 4 3.0 12.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 18 150.00 % 014 10/07/10 2 014 10/19/10 7 014 10/05/10 5 + __________ TOTAL ORDERED 14 116.66 % 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 10/26/10 13 014 10/19/10 8 014 10/12/10 5 014 10/05/10 7 + __________ TOTAL ORDERED 33 183.33 % 014 09/28/10 3 014 09/21/10 12 014 09/14/10 7 014 09/07/10 11 + __________ TOTAL ORDERED 33 183.33 % 014 08/30/10 11 014 08/16/10 8 014 08/09/10 16 + __________ TOTAL ORDERED 35 194.44 % 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 11/29/10 12 001 11/24/10 2 001 11/19/10 5 001 11/12/10 1 001 11/05/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 696 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 23 191.66 % 001 10/29/10 2 001 10/22/10 2 001 10/15/10 3 001 10/13/10 4 001 10/08/10 1 001 10/01/10 4 + __________ TOTAL ORDERED 16 133.33 % 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 10/22/10 3 001 10/15/10 4 001 10/06/10 4 001 10/01/10 3 + __________ TOTAL ORDERED 14 116.66 % 001 08/31/10 3 001 08/19/10 4 001 08/17/10 1 001 08/10/10 3 001 08/05/10 4 001 08/03/10 1 + __________ TOTAL ORDERED 16 133.33 % 001 07/29/10 3 001 07/27/10 2 001 07/22/10 3 001 07/20/10 1 001 07/13/10 2 001 07/08/10 3 001 07/06/10 1 + __________ TOTAL ORDERED 15 125.00 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 697 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 651942 HYDROMORPHONE 8MG TAB (MKT) + 100 30406324901 00406324901 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 12/22/10 9 014 12/15/10 11 014 12/08/10 4 + __________ TOTAL ORDERED 24 266.66 % 014 11/30/10 3 014 11/23/10 3 014 11/16/10 3 014 11/09/10 3 014 11/02/10 5 + __________ TOTAL ORDERED 17 188.88 % 014 09/28/10 3 014 09/21/10 7 014 09/14/10 3 014 09/07/10 8 + __________ TOTAL ORDERED 21 233.33 % 014 08/30/10 4 014 08/23/10 6 014 08/16/10 4 014 08/09/10 4 014 08/02/10 2 + __________ TOTAL ORDERED 20 222.22 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 652294 OXYCOD-APAP 10-325 TAB (WAT) +100 30591093201 00591093201 17 3.0 51.0 0 DC DATE ORDERED QUANTITY 014 12/22/10 26 014 12/15/10 15 014 12/08/10 16 + __________ TOTAL ORDERED 57 111.76 % 014 11/30/10 13 014 11/23/10 24 014 11/16/10 25 014 11/02/10 16 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 698 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 17 3.0 51.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 78 152.94 % 014 09/28/10 11 014 09/21/10 11 014 09/14/10 18 014 09/07/10 28 + __________ TOTAL ORDERED 68 133.33 % 014 08/30/10 15 014 08/23/10 10 014 08/16/10 10 014 08/09/10 18 014 08/02/10 18 + __________ TOTAL ORDERED 71 139.21 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 654393 OXYCONTIN 40MG TAB (REFORM) 100 35901144010 59011044010 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 12/08/10 2 014 12/22/10 3 014 12/08/10 2 + __________ TOTAL ORDERED 7 116.66 % 014 11/16/10 4 014 11/09/10 2 014 11/02/10 1 + __________ TOTAL ORDERED 7 116.66 % 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 12/28/10 3 001 12/23/10 2 001 12/02/10 3 + __________ TOTAL ORDERED 8 133.33 % 001 10/29/10 2 001 10/27/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 699 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 654427 LUNESTA 3MG TAB (SEP) + 100 36340219310 63402019310 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 001 10/22/10 1 001 10/20/10 1 001 10/15/10 1 001 10/13/10 1 001 10/01/10 3 + __________ TOTAL ORDERED 10 166.66 % 001 08/31/10 1 001 08/26/10 1 001 08/19/10 1 001 08/12/10 1 001 08/10/10 2 001 08/05/10 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 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 001 12/28/10 3 001 12/23/10 3 001 12/20/10 4 001 12/16/10 5 001 12/13/10 2 001 12/02/10 6 + __________ TOTAL ORDERED 23 109.52 % 001 11/24/10 3 001 11/19/10 7 001 11/12/10 6 001 11/10/10 6 001 11/05/10 3 + __________ TOTAL ORDERED 25 119.04 % 001 10/29/10 2 001 10/22/10 3 001 10/20/10 3 001 10/15/10 5 001 10/01/10 10 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 700 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 7 3.0 21.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 23 109.52 % 001 08/26/10 3 001 08/19/10 8 001 08/17/10 4 001 08/12/10 4 001 08/05/10 4 + __________ TOTAL ORDERED 23 109.52 % 001 07/22/10 5 001 07/20/10 2 001 07/15/10 7 001 07/13/10 2 001 07/08/10 5 001 07/06/10 2 + __________ TOTAL ORDERED 23 109.52 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 14 3.0 42.0 0 DC DATE ORDERED QUANTITY 001 12/28/10 12 001 12/23/10 8 001 12/20/10 4 001 12/16/10 6 001 12/13/10 6 001 12/09/10 6 001 12/06/10 7 001 12/02/10 8 + __________ TOTAL ORDERED 57 135.71 % 001 11/29/10 6 001 11/24/10 6 001 11/19/10 5 001 11/17/10 4 001 11/12/10 3 001 11/10/10 8 001 11/05/10 10 001 11/03/10 9 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 701 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 14 3.0 42.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 51 121.42 % 001 10/29/10 8 001 10/27/10 3 001 10/22/10 5 001 10/20/10 1 001 10/15/10 11 001 10/13/10 11 001 10/08/10 7 001 10/06/10 5 001 10/01/10 9 + __________ TOTAL ORDERED 60 142.85 % 001 09/29/10 5 001 09/24/10 6 001 09/22/10 1 001 09/17/10 6 001 09/15/10 7 001 09/10/10 8 001 09/08/10 6 001 09/02/10 9 + __________ TOTAL ORDERED 48 114.28 % 001 07/29/10 9 001 07/27/10 6 001 07/22/10 10 001 07/20/10 1 001 07/15/10 13 001 07/13/10 6 001 07/08/10 6 001 07/06/10 3 + __________ TOTAL ORDERED 54 128.57 % 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 12/28/10 7 001 12/23/10 9 001 12/20/10 3 001 12/16/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 702 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 12/13/10 1 001 12/09/10 1 001 12/06/10 3 + __________ TOTAL ORDERED 27 225.00 % 001 11/29/10 4 001 11/24/10 6 001 11/19/10 3 001 11/12/10 2 001 11/10/10 1 001 11/05/10 1 001 11/03/10 6 + __________ TOTAL ORDERED 23 191.66 % 001 10/29/10 2 001 10/22/10 1 001 10/15/10 3 001 10/13/10 1 001 10/01/10 6 + __________ TOTAL ORDERED 13 108.33 % 001 09/29/10 1 001 09/24/10 1 001 09/22/10 1 001 09/17/10 1 001 09/10/10 6 001 09/08/10 3 + __________ TOTAL ORDERED 13 108.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679796 METHADONE 10MG TAB (ROX) + 100 30054457125 00054457125 14 3.0 42.0 0 DC DATE ORDERED QUANTITY 014 12/22/10 29 014 12/15/10 12 014 12/08/10 19 + __________ TOTAL ORDERED 60 142.85 % 014 11/30/10 21 014 11/23/10 21 014 11/16/10 15 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 703 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 679796 METHADONE 10MG TAB (ROX) + 100 30054457125 00054457125 14 3.0 42.0 0 DC DATE ORDERED QUANTITY 014 11/02/10 32 + __________ TOTAL ORDERED 89 211.90 % 014 10/26/10 19 014 10/19/10 4 014 10/12/10 7 014 10/05/10 30 + __________ TOTAL ORDERED 60 142.85 % 014 09/28/10 12 014 09/21/10 6 014 09/14/10 11 014 09/07/10 24 + __________ TOTAL ORDERED 53 126.19 % 014 08/30/10 16 014 08/23/10 10 014 08/16/10 12 014 08/09/10 20 014 08/02/10 12 + __________ TOTAL ORDERED 70 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682600 PROVIGIL 200MG TAB + 100 36345920101 63459020101 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 001 11/29/10 3 001 11/17/10 1 001 11/10/10 1 001 11/05/10 1 001 11/03/10 1 + __________ TOTAL ORDERED 7 233.33 % 001 08/31/10 1 001 08/12/10 1 001 08/10/10 1 001 08/03/10 1 + __________ TOTAL ORDERED 4 133.33 % 001 07/27/10 1 001 07/22/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 704 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 682600 PROVIGIL 200MG TAB + 100 36345920101 63459020101 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 001 07/15/10 1 001 07/08/10 1 + __________ TOTAL ORDERED 4 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (ACT)+ 100 35215221502 52152021502 22 3.0 66.0 0 DC DATE ORDERED QUANTITY 014 12/22/10 48 014 12/15/10 119 014 12/08/10 24 + __________ TOTAL ORDERED 191 289.39 % 014 11/30/10 79 014 11/23/10 69 014 11/16/10 102 014 11/09/10 36 + __________ TOTAL ORDERED 286 433.33 % 014 10/26/10 77 014 10/19/10 100 014 10/12/10 40 014 10/05/10 92 + __________ TOTAL ORDERED 309 468.18 % 014 09/28/10 24 014 09/21/10 57 014 09/14/10 48 014 09/07/10 30 + __________ TOTAL ORDERED 159 240.90 % 014 08/30/10 36 014 08/16/10 24 014 08/09/10 24 + __________ TOTAL ORDERED 84 127.27 % 014 07/12/10 88 + __________ TOTAL ORDERED 88 133.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 705 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 10 3.0 30.0 0 DC DATE ORDERED QUANTITY 014 12/22/10 6 014 12/15/10 31 014 12/08/10 12 + __________ TOTAL ORDERED 49 163.33 % 014 11/30/10 16 014 11/23/10 33 014 11/16/10 29 014 11/02/10 21 + __________ TOTAL ORDERED 99 330.00 % 014 10/26/10 13 014 10/19/10 17 014 10/12/10 20 014 10/05/10 25 + __________ TOTAL ORDERED 75 250.00 % 014 09/28/10 12 014 09/21/10 10 014 09/14/10 24 014 09/07/10 11 + __________ TOTAL ORDERED 57 190.00 % 014 08/23/10 6 014 08/16/10 6 014 08/09/10 12 014 08/02/10 12 + __________ TOTAL ORDERED 36 120.00 % 014 07/12/10 37 + __________ TOTAL ORDERED 37 123.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 683092 # TESTIM 1% GEL + 30X5 36688700105 66887000105 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 001 12/23/10 2 001 12/20/10 3 001 12/13/10 1 001 12/09/10 2 001 12/02/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 706 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 683092 # TESTIM 1% GEL + 30X5 36688700105 66887000105 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 10 111.11 % 001 11/24/10 2 001 11/19/10 2 001 11/05/10 6 001 11/03/10 2 + __________ TOTAL ORDERED 12 133.33 % 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 11/30/10 4 014 11/23/10 2 014 11/16/10 1 014 11/09/10 3 014 11/02/10 6 + __________ TOTAL ORDERED 16 106.66 % 014 10/26/10 4 014 10/19/10 1 014 10/12/10 6 014 10/05/10 6 + __________ TOTAL ORDERED 17 113.33 % 014 08/30/10 3 014 08/23/10 2 014 08/16/10 1 014 08/09/10 8 014 08/02/10 3 + __________ TOTAL ORDERED 17 113.33 % 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 11/29/10 1 001 11/24/10 5 001 11/19/10 2 001 11/17/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 707 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 684809 TESTOSTERN CYP 200MG/ML(WAT)+10ML 30591322379 00364661054 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 001 11/12/10 2 001 11/10/10 1 001 11/05/10 3 001 11/03/10 1 + __________ TOTAL ORDERED 16 177.77 % 001 10/29/10 3 001 10/27/10 2 001 10/22/10 2 001 10/15/10 3 001 10/13/10 2 001 10/01/10 1 + __________ TOTAL ORDERED 13 144.44 % 001 09/24/10 1 001 09/22/10 5 001 09/10/10 1 001 09/08/10 4 + __________ TOTAL ORDERED 11 122.22 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07098 BW8171718 2187 W MILITARY TR W PALM BCH FL 33415 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (ACT)+ 100 35215221502 52152021502 22 3.0 66.0 0 DC DATE ORDERED QUANTITY 014 10/25/10 31 014 10/18/10 10 014 10/11/10 31 014 10/04/10 2 + __________ TOTAL ORDERED 74 112.12 % 014 08/27/10 30 014 08/20/10 23 014 08/13/10 9 014 08/06/10 16 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 708 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07098 BW8171718 2187 W MILITARY TR W PALM BCH FL 33415 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (ACT)+ 100 35215221502 52152021502 22 3.0 66.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 78 118.18 % 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 (ACT)+ 100 35215221502 52152021502 22 3.0 66.0 0 DC DATE ORDERED QUANTITY 014 12/08/10 18 014 12/27/10 69 014 12/17/10 30 014 12/10/10 30 + __________ TOTAL ORDERED 147 222.72 % 014 11/26/10 48 014 11/18/10 25 014 11/11/10 18 014 11/04/10 20 + __________ TOTAL ORDERED 111 168.18 % 014 09/23/10 38 014 09/09/10 35 014 09/01/10 8 + __________ TOTAL ORDERED 81 122.72 % 014 07/21/10 25 014 07/14/10 33 014 07/07/10 15 + __________ TOTAL ORDERED 73 110.60 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 709 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 682971 OXYCODONE HCL 30MG TAB (ACT)+ 100 35215221502 52152021502 22 3.0 66.0 0 DC DATE ORDERED QUANTITY 014 11/26/10 26 014 11/11/10 33 014 11/04/10 12 + __________ TOTAL ORDERED 71 107.57 % 014 10/22/10 18 014 10/21/10 5 014 10/14/10 25 014 10/07/10 36 + __________ TOTAL ORDERED 84 127.27 % 014 09/23/10 31 014 09/16/10 26 014 09/09/10 23 + __________ TOTAL ORDERED 80 121.21 % 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 (ACT)+ 100 35215221502 52152021502 22 3.0 66.0 0 DC DATE ORDERED QUANTITY 014 07/20/10 30 014 07/13/10 25 014 07/06/10 25 + __________ TOTAL ORDERED 80 121.21 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 13451 FW1260619 3401 PGA BLVD, S-110 PALM BCH FL 33410 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 14 3.0 42.0 0 DC DATE ORDERED QUANTITY 001 12/29/10 3 001 12/22/10 5 001 12/15/10 15 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 710 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 13451 FW1260619 3401 PGA BLVD, S-110 PALM BCH FL 33410 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 14 3.0 42.0 0 DC DATE ORDERED QUANTITY 001 12/08/10 23 001 12/01/10 9 + __________ TOTAL ORDERED 55 130.95 % 001 10/27/10 9 001 10/20/10 14 001 10/13/10 21 001 10/06/10 10 + __________ TOTAL ORDERED 54 128.57 % 001 09/29/10 5 001 09/22/10 6 001 09/15/10 12 001 09/08/10 18 001 09/01/10 7 + __________ TOTAL ORDERED 48 114.28 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (ACT)+ 100 35215221502 52152021502 22 3.0 66.0 0 DC DATE ORDERED QUANTITY 014 12/28/10 18 014 12/21/10 48 014 12/14/10 84 014 12/07/10 68 + __________ TOTAL ORDERED 218 330.30 % 014 11/30/10 84 014 11/23/10 40 014 11/16/10 102 014 11/09/10 48 014 11/02/10 56 + __________ TOTAL ORDERED 330 500.00 % 014 10/26/10 49 014 10/19/10 71 014 10/12/10 99 014 10/05/10 46 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 711 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 022 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 13451 FW1260619 3401 PGA BLVD, S-110 PALM BCH FL 33410 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (ACT)+ 100 35215221502 52152021502 22 3.0 66.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 265 401.51 % 014 09/07/10 48 014 09/28/10 61 014 09/21/10 82 014 09/14/10 68 014 09/07/10 14 + __________ TOTAL ORDERED 273 413.63 % 014 08/19/10 24 014 08/31/10 25 014 08/24/10 41 014 08/17/10 29 014 08/10/10 32 014 08/03/10 23 + __________ TOTAL ORDERED 174 263.63 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682972 OXYCODONE HCL 15MG TAB (ACT) +100 35215221402 52152021402 10 3.0 30.0 0 DC DATE ORDERED QUANTITY 014 12/28/10 5 014 12/21/10 21 014 12/14/10 22 014 12/07/10 21 + __________ TOTAL ORDERED 69 230.00 % 014 10/26/10 15 014 10/19/10 10 014 10/12/10 15 014 10/05/10 5 + __________ TOTAL ORDERED 45 150.00 % 014 09/28/10 11 014 09/21/10 18 014 09/14/10 17 014 09/07/10 13 + __________ TOTAL ORDERED 59 196.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 712 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 17 3.0 51.0 0 DC DATE ORDERED QUANTITY 014 12/22/10 22 014 12/15/10 31 014 12/08/10 12 014 12/01/10 40 + __________ TOTAL ORDERED 105 205.88 % 014 11/23/10 15 014 11/16/10 17 014 11/09/10 12 014 11/02/10 10 + __________ TOTAL ORDERED 54 105.88 % 014 10/26/10 15 014 10/19/10 46 014 10/05/10 20 + __________ TOTAL ORDERED 81 158.82 % 014 09/28/10 15 014 09/21/10 24 014 09/14/10 40 014 09/07/10 7 + __________ TOTAL ORDERED 86 168.62 % 014 08/20/10 20 014 08/06/10 35 + __________ TOTAL ORDERED 55 107.84 % 014 07/23/10 22 014 07/16/10 15 014 07/09/10 30 + __________ TOTAL ORDERED 67 131.37 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 654394 OXYCONTIN 20MG TAB (REFORM) 100 35901142010 59011042010 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 12/22/10 3 014 12/08/10 3 014 12/01/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 713 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 654394 OXYCONTIN 20MG TAB (REFORM) 100 35901142010 59011042010 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 9 150.00 % 014 11/23/10 3 014 11/16/10 4 014 11/02/10 4 + __________ TOTAL ORDERED 11 183.33 % 014 10/19/10 5 014 10/05/10 3 + __________ TOTAL ORDERED 8 133.33 % 014 09/28/10 5 014 09/21/10 4 + __________ TOTAL ORDERED 9 150.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675041 HC-IBUPRO 7.5-200 TABS (TEV)+ 100 30093516101 00093516101 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 001 11/24/10 8 001 11/17/10 4 001 11/10/10 4 001 11/03/10 11 + __________ TOTAL ORDERED 27 225.00 % 001 10/27/10 7 001 10/20/10 5 001 10/13/10 4 001 10/06/10 7 + __________ TOTAL ORDERED 23 191.66 % 001 09/22/10 7 001 09/15/10 17 001 09/08/10 9 + __________ TOTAL ORDERED 33 275.00 % 001 08/30/10 10 001 08/23/10 6 001 08/16/10 12 001 08/09/10 15 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 714 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 43 358.33 % 001 07/26/10 10 001 07/19/10 5 001 07/12/10 11 001 07/01/10 6 + __________ TOTAL ORDERED 32 266.66 % 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 014 08/27/10 10 014 08/06/10 4 + __________ TOTAL ORDERED 14 233.33 % 014 07/23/10 7 014 07/09/10 2 + __________ TOTAL ORDERED 9 150.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679796 METHADONE 10MG TAB (ROX) + 100 30054457125 00054457125 14 3.0 42.0 0 DC DATE ORDERED QUANTITY 014 08/27/10 29 014 08/20/10 10 014 08/06/10 17 + __________ TOTAL ORDERED 56 133.33 % 014 07/23/10 20 014 07/16/10 5 014 07/09/10 24 + __________ TOTAL ORDERED 49 116.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 715 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 682971 OXYCODONE HCL 30MG TAB (ACT)+ 100 35215221502 52152021502 22 3.0 66.0 0 DC DATE ORDERED QUANTITY 014 12/22/10 23 014 12/15/10 18 014 12/08/10 10 014 12/01/10 35 + __________ TOTAL ORDERED 86 130.30 % 014 11/23/10 15 014 11/16/10 31 014 11/09/10 15 014 11/02/10 15 + __________ TOTAL ORDERED 76 115.15 % 014 07/23/10 31 014 07/16/10 5 014 07/09/10 34 + __________ TOTAL ORDERED 70 106.06 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682972 OXYCODONE HCL 15MG TAB (ACT) +100 35215221402 52152021402 10 3.0 30.0 0 DC DATE ORDERED QUANTITY 014 12/22/10 2 014 12/15/10 21 014 12/08/10 10 014 12/01/10 14 + __________ TOTAL ORDERED 47 156.66 % 014 11/23/10 9 014 11/16/10 8 014 11/09/10 9 014 11/02/10 12 + __________ TOTAL ORDERED 38 126.66 % 014 10/26/10 11 014 10/19/10 26 014 10/05/10 16 + __________ TOTAL ORDERED 53 176.66 % 014 09/28/10 10 014 09/21/10 10 014 09/14/10 29 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 716 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 10 3.0 30.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 49 163.33 % 014 08/06/10 31 + __________ TOTAL ORDERED 31 103.33 % 014 07/09/10 31 + __________ TOTAL ORDERED 31 103.33 % 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 12/22/10 4 014 12/15/10 1 014 12/08/10 5 014 12/01/10 7 + __________ TOTAL ORDERED 17 113.33 % 014 11/23/10 6 014 11/16/10 2 014 11/09/10 6 014 11/02/10 3 + __________ TOTAL ORDERED 17 113.33 % 014 09/28/10 6 014 09/21/10 2 014 09/14/10 9 014 09/07/10 2 + __________ TOTAL ORDERED 19 126.66 % 014 08/27/10 16 014 08/06/10 5 + __________ TOTAL ORDERED 21 140.00 % 014 07/23/10 10 014 07/09/10 9 + __________ TOTAL ORDERED 19 126.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 717 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 474146 OXYCODONE ER 80MG TABS (ETH)+ 100 35817768304 58177068304 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 09/23/10 8 014 09/09/10 5 + __________ TOTAL ORDERED 13 144.44 % 014 08/24/10 5 014 08/17/10 2 014 08/03/10 5 + __________ TOTAL ORDERED 12 133.33 % 014 07/27/10 4 014 07/20/10 5 014 07/13/10 2 014 07/06/10 2 + __________ TOTAL ORDERED 13 144.44 % 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 12/28/10 2 001 12/22/10 5 001 12/20/10 2 001 12/13/10 8 001 12/08/10 4 001 12/06/10 5 001 12/01/10 3 + __________ TOTAL ORDERED 29 161.11 % 001 11/29/10 3 001 11/23/10 6 001 11/19/10 1 001 11/16/10 1 001 11/12/10 5 001 11/09/10 3 001 11/05/10 8 + __________ TOTAL ORDERED 27 150.00 % 001 09/28/10 2 001 09/24/10 6 001 09/21/10 1 001 09/17/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 718 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 09/14/10 3 001 09/10/10 5 001 09/07/10 7 + __________ TOTAL ORDERED 28 155.55 % 001 08/20/10 4 001 08/18/10 2 001 08/13/10 2 001 08/11/10 3 001 08/06/10 4 001 08/04/10 4 + __________ TOTAL ORDERED 19 105.55 % 001 07/30/10 2 001 07/28/10 1 001 07/23/10 5 001 07/21/10 1 001 07/16/10 1 001 07/14/10 3 001 07/09/10 5 001 07/07/10 1 + __________ TOTAL ORDERED 19 105.55 % 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 470462 MORPHINE SUL 20MG/ML SOL + 30ML 30054035244 00054035244 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 12/21/10 9 014 12/14/10 2 014 12/06/10 3 + __________ TOTAL ORDERED 14 155.55 % 014 11/29/10 3 014 11/22/10 8 014 11/15/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 719 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 470462 MORPHINE SUL 20MG/ML SOL + 30ML 30054035244 00054035244 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 18 200.00 % 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 014 10/25/10 1 014 10/18/10 1 014 10/11/10 5 014 10/04/10 3 + __________ TOTAL ORDERED 10 111.11 % 014 09/27/10 4 014 09/20/10 3 014 09/13/10 4 + __________ TOTAL ORDERED 11 122.22 % 014 08/27/10 11 014 08/23/10 2 014 08/16/10 9 014 08/09/10 3 014 08/02/10 2 + __________ TOTAL ORDERED 27 300.00 % 014 07/26/10 5 014 07/19/10 3 014 07/12/10 6 + __________ TOTAL ORDERED 14 155.55 % 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 014 11/08/10 6 014 11/01/10 6 + __________ TOTAL ORDERED 12 133.33 % 014 10/25/10 5 014 10/18/10 2 014 10/11/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 720 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 10/04/10 6 + __________ TOTAL ORDERED 15 166.66 % 014 08/27/10 17 014 08/16/10 1 014 08/09/10 16 014 08/02/10 2 + __________ TOTAL ORDERED 36 400.00 % 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 12/27/10 1 001 12/22/10 1 001 12/17/10 3 001 12/15/10 1 001 12/10/10 2 001 12/08/10 1 001 12/03/10 1 + __________ TOTAL ORDERED 10 111.11 % 001 11/26/10 2 001 11/18/10 3 001 11/16/10 1 001 11/11/10 2 001 11/09/10 2 001 11/04/10 2 001 11/02/10 1 + __________ TOTAL ORDERED 13 144.44 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (ACT)+ 100 35215221502 52152021502 22 3.0 66.0 0 DC DATE ORDERED QUANTITY 014 11/29/10 13 014 11/22/10 10 014 11/15/10 15 014 11/08/10 5 014 11/01/10 26 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 721 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 682971 OXYCODONE HCL 30MG TAB (ACT)+ 100 35215221502 52152021502 22 3.0 66.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 69 104.54 % 014 08/16/10 44 014 08/09/10 41 014 08/02/10 39 + __________ TOTAL ORDERED 124 187.87 % 014 07/26/10 40 014 07/19/10 36 014 07/12/10 25 + __________ TOTAL ORDERED 101 153.03 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03371 AW0201171 7910 NW 27TH AVE MIAMI FL 33147 +_________________________________________________________________________________________________________________________________________________ 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 014 07/26/10 4 014 07/19/10 5 014 07/12/10 3 + __________ TOTAL ORDERED 12 133.33 % 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 532538 MORPHINE SULF 20MG/ML (LAN)+ 30ML 30527142536 00527142536 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 10/22/10 3 014 10/15/10 1 014 10/08/10 5 014 10/01/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 722 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 532538 MORPHINE SULF 20MG/ML (LAN)+ 30ML 30527142536 00527142536 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 10 111.11 % 014 09/17/10 5 014 09/10/10 7 014 09/01/10 4 + __________ TOTAL ORDERED 16 177.77 % 014 07/28/10 3 014 07/21/10 4 014 07/14/10 3 014 07/07/10 6 + __________ TOTAL ORDERED 16 177.77 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563755 OXYCODONE-APAP 5-325 TAB(WAT)+500 30591074905 00591074905 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 014 12/28/10 3 014 12/20/10 4 014 12/13/10 4 014 12/06/10 3 + __________ TOTAL ORDERED 14 116.66 % 014 09/24/10 2 014 09/17/10 4 014 09/10/10 3 014 09/01/10 5 + __________ TOTAL ORDERED 14 116.66 % 014 07/28/10 4 014 07/21/10 4 014 07/14/10 3 014 07/07/10 2 + __________ TOTAL ORDERED 13 108.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 723 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 672651 ACETAMIN/CODIENE 300/60 TAB + 100 30603233921 00603233921 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 001 12/23/10 3 001 12/16/10 4 001 12/09/10 4 001 12/07/10 1 001 12/02/10 2 + __________ TOTAL ORDERED 14 233.33 % 001 11/24/10 2 001 11/17/10 1 001 11/10/10 2 001 11/08/10 2 001 11/03/10 2 001 11/01/10 1 + __________ TOTAL ORDERED 10 166.66 % 001 09/29/10 2 001 09/22/10 2 001 09/20/10 3 001 09/15/10 1 001 09/08/10 2 001 09/02/10 2 + __________ TOTAL ORDERED 12 200.00 % 001 08/26/10 1 001 08/19/10 2 001 08/12/10 2 001 08/05/10 2 001 08/02/10 3 + __________ TOTAL ORDERED 10 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 675041 HC-IBUPRO 7.5-200 TABS (TEV)+ 100 30093516101 00093516101 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 001 08/30/10 2 001 08/23/10 1 001 08/19/10 4 001 08/16/10 1 001 08/12/10 1 001 08/09/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 724 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 16 133.33 % 001 07/26/10 5 001 07/22/10 1 001 07/19/10 2 001 07/15/10 2 001 07/12/10 3 001 07/08/10 2 001 07/01/10 3 + __________ TOTAL ORDERED 18 150.00 % 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 532549 OXYCODONE 20MG/ML SOLN (LAN)+30ML 30527142636 00527142636 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 014 12/27/10 8 014 12/17/10 1 014 12/10/10 11 + __________ TOTAL ORDERED 20 166.66 % 014 11/26/10 24 014 11/11/10 10 + __________ TOTAL ORDERED 34 283.33 % 014 10/28/10 15 014 10/21/10 10 014 10/14/10 19 014 10/07/10 27 + __________ TOTAL ORDERED 71 591.66 % 014 08/31/10 15 014 08/17/10 16 + __________ TOTAL ORDERED 31 258.33 % 014 07/27/10 1 014 07/13/10 18 014 07/06/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 725 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 532549 OXYCODONE 20MG/ML SOLN (LAN)+30ML 30527142636 00527142636 4 3.0 12.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 20 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 651382 FENTANYL 100MCG/HR TS (MYL) 5 30378912498 00378912498 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 014 12/27/10 15 014 12/03/10 17 + __________ TOTAL ORDERED 32 177.77 % 014 10/14/10 9 014 10/21/10 12 014 10/14/10 6 + __________ TOTAL ORDERED 27 150.00 % 014 09/30/10 6 014 09/23/10 8 014 09/16/10 6 014 09/09/10 10 + __________ TOTAL ORDERED 30 166.66 % 014 08/18/10 9 014 08/10/10 9 014 08/31/10 6 014 08/17/10 12 + __________ TOTAL ORDERED 36 200.00 % 014 07/19/10 18 014 07/27/10 10 + __________ 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 17 3.0 51.0 0 DC DATE ORDERED QUANTITY 014 12/27/10 26 014 12/17/10 17 014 12/10/10 21 014 12/03/10 9 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 726 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 17 3.0 51.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 73 143.13 % 014 11/23/10 9 014 11/26/10 20 014 11/18/10 5 014 11/11/10 16 014 11/04/10 13 + __________ TOTAL ORDERED 63 123.52 % 014 08/31/10 17 014 08/24/10 14 014 08/17/10 4 014 08/10/10 11 014 08/03/10 10 + __________ TOTAL ORDERED 56 109.80 % 014 07/27/10 24 014 07/20/10 3 014 07/13/10 12 014 07/06/10 13 + __________ TOTAL ORDERED 52 101.96 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 654393 OXYCONTIN 40MG TAB (REFORM) 100 35901144010 59011044010 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 12/27/10 5 014 12/17/10 2 014 12/10/10 3 + __________ TOTAL ORDERED 10 166.66 % 014 11/18/10 5 014 11/04/10 6 + __________ TOTAL ORDERED 11 183.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 727 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 675756 HYDROCOD-APAP 10-500 TB (WT)+500 30591054005 00591054005 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 001 11/29/10 6 001 11/19/10 7 001 11/05/10 3 + __________ TOTAL ORDERED 16 106.66 % 001 10/29/10 4 001 10/22/10 1 001 10/15/10 3 001 10/08/10 4 001 10/01/10 7 + __________ TOTAL ORDERED 19 126.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (ACT)+ 100 35215221502 52152021502 22 3.0 66.0 0 DC DATE ORDERED QUANTITY 014 12/27/10 37 014 12/17/10 12 014 12/10/10 30 + __________ TOTAL ORDERED 79 119.69 % 014 11/26/10 36 014 11/18/10 13 014 11/11/10 25 014 11/04/10 12 + __________ TOTAL ORDERED 86 130.30 % 014 08/10/10 9 014 08/31/10 27 014 08/24/10 7 014 08/17/10 1 014 08/10/10 17 014 08/03/10 17 + __________ TOTAL ORDERED 78 118.18 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 728 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 10 3.0 30.0 0 DC DATE ORDERED QUANTITY 014 12/27/10 31 014 12/17/10 12 014 12/10/10 19 014 12/03/10 13 + __________ TOTAL ORDERED 75 250.00 % 014 11/23/10 9 014 11/26/10 20 014 11/18/10 4 014 11/11/10 13 014 11/04/10 23 + __________ TOTAL ORDERED 69 230.00 % 014 10/28/10 25 014 10/21/10 12 014 10/14/10 9 014 10/07/10 18 + __________ TOTAL ORDERED 64 213.33 % 014 09/30/10 13 014 09/23/10 3 014 09/16/10 20 014 09/09/10 27 + __________ TOTAL ORDERED 63 210.00 % 014 08/10/10 9 014 08/24/10 8 014 08/10/10 21 014 08/03/10 9 + __________ TOTAL ORDERED 47 156.66 % 014 07/20/10 11 014 07/13/10 20 014 07/06/10 6 + __________ TOTAL ORDERED 37 123.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 729 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 563755 OXYCODONE-APAP 5-325 TAB(WAT)+500 30591074905 00591074905 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 014 10/22/10 6 014 10/15/10 3 014 10/08/10 3 014 10/01/10 4 + __________ TOTAL ORDERED 16 133.33 % 014 09/24/10 6 014 09/17/10 4 014 09/10/10 3 014 09/01/10 6 + __________ TOTAL ORDERED 19 158.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (ACT)+ 100 35215221502 52152021502 22 3.0 66.0 0 DC DATE ORDERED QUANTITY 014 12/28/10 60 014 12/20/10 20 014 12/13/10 56 + __________ TOTAL ORDERED 136 206.06 % 014 11/29/10 20 014 11/19/10 15 014 11/05/10 59 + __________ TOTAL ORDERED 94 142.42 % 014 10/22/10 41 014 10/15/10 32 014 10/08/10 15 014 10/01/10 10 + __________ TOTAL ORDERED 98 148.48 % 014 08/25/10 30 014 08/18/10 25 014 08/11/10 20 014 08/04/10 10 + __________ TOTAL ORDERED 85 128.78 % 014 07/21/10 30 014 07/14/10 42 014 07/07/10 32 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 730 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 (ACT)+ 100 35215221502 52152021502 22 3.0 66.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 104 157.57 % 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 12/20/10 6 014 12/13/10 9 014 12/06/10 8 + __________ TOTAL ORDERED 23 153.33 % 014 11/29/10 4 014 11/19/10 10 014 11/12/10 6 + __________ TOTAL ORDERED 20 133.33 % 014 10/22/10 8 014 10/15/10 4 014 10/08/10 10 014 10/01/10 12 + __________ TOTAL ORDERED 34 226.66 % 014 09/17/10 5 014 09/10/10 9 014 09/01/10 5 + __________ TOTAL ORDERED 19 126.66 % 014 08/25/10 4 014 08/18/10 6 014 08/04/10 8 + __________ TOTAL ORDERED 18 120.00 % 014 07/28/10 4 014 07/21/10 5 014 07/14/10 7 014 07/07/10 8 + __________ TOTAL ORDERED 24 160.00 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 731 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 12/29/10 1 001 12/21/10 7 001 12/14/10 5 001 12/07/10 5 + __________ TOTAL ORDERED 18 150.00 % 001 11/30/10 1 001 11/22/10 5 001 11/15/10 6 001 11/05/10 3 + __________ TOTAL ORDERED 15 125.00 % 001 10/29/10 2 001 10/22/10 2 001 10/15/10 9 001 10/01/10 6 + __________ TOTAL ORDERED 19 158.33 % 001 08/25/10 6 001 08/18/10 4 001 08/04/10 6 + __________ TOTAL ORDERED 16 133.33 % 001 07/28/10 5 001 07/21/10 3 001 07/14/10 3 001 07/07/10 4 + __________ TOTAL ORDERED 15 125.00 % 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 11/29/10 1 018 11/26/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 732 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 472540 TRAMADOL HCL ER 100MG TB (PAT)+30 31014709013 10147090103 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 018 11/18/10 1 018 11/08/10 1 018 11/01/10 2 + __________ TOTAL ORDERED 11 183.33 % 018 09/30/10 7 018 09/23/10 1 018 09/20/10 3 018 09/09/10 6 + __________ TOTAL ORDERED 17 283.33 % 018 07/08/10 4 018 07/01/10 4 + __________ TOTAL ORDERED 8 133.33 % 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 12/27/10 4 018 12/22/10 1 018 12/20/10 2 018 12/16/10 2 018 12/13/10 3 018 12/09/10 1 018 12/06/10 6 018 12/02/10 4 + __________ TOTAL ORDERED 23 153.33 % 018 11/26/10 2 018 11/22/10 5 018 11/15/10 3 018 11/11/10 3 018 11/08/10 4 018 11/01/10 3 + __________ TOTAL ORDERED 20 133.33 % 018 10/28/10 3 018 10/25/10 2 018 10/21/10 2 018 10/18/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 733 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 10/14/10 2 018 10/11/10 5 018 10/07/10 7 + __________ TOTAL ORDERED 24 160.00 % 018 09/27/10 4 018 09/23/10 2 018 09/20/10 2 018 09/16/10 3 018 09/13/10 3 018 09/09/10 3 018 09/02/10 6 + __________ TOTAL ORDERED 23 153.33 % 018 08/30/10 2 018 08/23/10 2 018 08/19/10 3 018 08/16/10 4 018 08/12/10 1 018 08/09/10 2 018 08/05/10 2 018 08/02/10 3 + __________ TOTAL ORDERED 19 126.66 % 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 12/22/10 7 018 12/13/10 5 018 12/06/10 5 018 12/02/10 4 + __________ TOTAL ORDERED 21 175.00 % 018 11/26/10 6 018 11/18/10 4 018 11/11/10 7 018 11/08/10 4 018 11/01/10 8 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 734 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 29 241.66 % 018 10/28/10 6 018 10/14/10 4 018 10/11/10 4 018 10/07/10 2 018 10/04/10 3 + __________ TOTAL ORDERED 19 158.33 % 018 09/30/10 2 018 09/27/10 7 018 09/23/10 1 018 09/16/10 1 018 09/13/10 4 018 09/09/10 2 + __________ TOTAL ORDERED 17 141.66 % 018 07/29/10 6 018 07/22/10 7 018 07/12/10 3 + __________ TOTAL ORDERED 16 133.33 % 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 018 09/16/10 2 018 09/13/10 2 018 09/09/10 3 018 09/02/10 3 + __________ TOTAL ORDERED 10 111.11 % 018 08/30/10 3 018 08/26/10 2 018 08/23/10 4 018 08/19/10 2 018 08/16/10 3 018 08/12/10 4 018 08/09/10 3 018 08/05/10 1 018 08/02/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 735 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 23 255.55 % 018 07/26/10 4 018 07/22/10 3 018 07/19/10 5 018 07/15/10 4 018 07/12/10 4 018 07/08/10 1 018 07/01/10 3 + __________ TOTAL ORDERED 24 266.66 % 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 018 11/26/10 2 018 11/22/10 1 018 11/18/10 1 018 11/11/10 2 018 11/08/10 3 018 11/01/10 2 + __________ TOTAL ORDERED 11 183.33 % 018 10/28/10 1 018 10/25/10 1 018 10/21/10 3 018 10/18/10 1 018 10/07/10 1 + __________ TOTAL ORDERED 7 116.66 % 018 09/30/10 1 018 09/27/10 1 018 09/20/10 1 018 09/16/10 2 018 09/13/10 3 018 09/09/10 1 018 09/02/10 2 + __________ TOTAL ORDERED 11 183.33 % 018 08/30/10 2 018 08/26/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 736 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 654427 LUNESTA 3MG TAB (SEP) + 100 36340219310 63402019310 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 018 08/23/10 3 018 08/19/10 1 018 08/16/10 1 018 08/02/10 2 + __________ TOTAL ORDERED 10 166.66 % 018 07/29/10 2 018 07/26/10 2 018 07/22/10 3 018 07/12/10 3 018 07/08/10 3 + __________ TOTAL ORDERED 13 216.66 % 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 12/22/10 5 018 12/20/10 6 018 12/16/10 4 018 12/13/10 3 018 12/02/10 4 + __________ TOTAL ORDERED 22 244.44 % 018 11/26/10 2 018 11/22/10 3 018 11/15/10 2 018 11/11/10 6 018 11/08/10 4 + __________ TOTAL ORDERED 17 188.88 % 018 09/30/10 6 018 09/27/10 2 018 09/23/10 5 018 09/13/10 1 018 09/09/10 3 018 09/02/10 4 + __________ TOTAL ORDERED 21 233.33 % 018 08/30/10 6 018 08/23/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 737 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 018 08/12/10 7 018 08/09/10 5 018 08/02/10 1 + __________ TOTAL ORDERED 20 222.22 % 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 12/22/10 3 018 12/16/10 3 018 12/13/10 1 018 12/09/10 2 + __________ TOTAL ORDERED 9 150.00 % 018 11/22/10 3 018 11/18/10 2 018 11/11/10 2 018 11/04/10 2 + __________ TOTAL ORDERED 9 150.00 % 018 10/25/10 4 018 10/14/10 4 018 10/11/10 1 018 10/04/10 2 + __________ TOTAL ORDERED 11 183.33 % 018 09/30/10 1 018 09/27/10 1 018 09/20/10 2 018 09/16/10 1 018 09/13/10 1 018 09/09/10 3 + __________ TOTAL ORDERED 9 150.00 % 018 08/30/10 1 018 08/26/10 1 018 08/23/10 2 018 08/19/10 4 018 08/16/10 1 018 08/12/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 738 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 08/05/10 1 018 08/02/10 1 + __________ TOTAL ORDERED 12 200.00 % 018 07/19/10 1 018 07/15/10 3 018 07/12/10 3 018 07/01/10 2 + __________ TOTAL ORDERED 9 150.00 % 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 11/29/10 1 018 11/18/10 6 018 11/15/10 4 018 11/11/10 1 018 11/08/10 5 018 11/04/10 1 018 11/01/10 4 + __________ TOTAL ORDERED 22 146.66 % 018 10/28/10 2 018 10/25/10 4 018 10/21/10 1 018 10/18/10 5 018 10/14/10 1 018 10/11/10 4 018 10/07/10 5 + __________ TOTAL ORDERED 22 146.66 % 018 09/27/10 3 018 09/23/10 1 018 09/20/10 3 018 09/16/10 1 018 09/13/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 739 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 09/09/10 2 018 09/02/10 6 + __________ TOTAL ORDERED 20 133.33 % 018 08/30/10 5 018 08/26/10 3 018 08/23/10 4 018 08/19/10 1 018 08/16/10 2 018 08/12/10 4 018 08/09/10 2 018 08/05/10 1 018 08/02/10 5 + __________ TOTAL ORDERED 27 180.00 % 018 07/29/10 3 018 07/26/10 1 018 07/22/10 7 018 07/01/10 5 + __________ TOTAL ORDERED 16 106.66 % 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 12/27/10 4 018 12/23/10 4 018 12/20/10 3 018 12/16/10 4 018 12/13/10 2 018 12/09/10 3 018 12/06/10 4 018 12/02/10 1 + __________ TOTAL ORDERED 25 119.04 % 018 11/23/10 1 018 11/22/10 7 018 11/18/10 5 018 11/15/10 3 018 11/11/10 2 018 11/08/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 740 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 11/04/10 2 018 11/01/10 2 + __________ TOTAL ORDERED 24 114.28 % 018 10/28/10 1 018 10/25/10 4 018 10/21/10 4 018 10/18/10 4 018 10/14/10 2 018 10/11/10 1 018 10/07/10 1 018 10/04/10 5 + __________ TOTAL ORDERED 22 104.76 % 018 09/30/10 4 018 09/27/10 1 018 09/23/10 4 018 09/20/10 3 018 09/13/10 4 018 09/09/10 6 + __________ TOTAL ORDERED 22 104.76 % 018 08/30/10 8 018 08/26/10 1 018 08/23/10 3 018 08/19/10 2 018 08/16/10 2 018 08/12/10 1 018 08/09/10 2 018 08/05/10 7 018 08/02/10 4 + __________ TOTAL ORDERED 30 142.85 % 018 07/29/10 2 018 07/26/10 6 018 07/22/10 6 018 07/19/10 5 018 07/15/10 1 018 07/12/10 2 018 07/01/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 741 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 26 123.80 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673155 ANDRODERM 5MG TRANSDERMAL(WT) 30 35254447030 52544047030 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 018 12/23/10 1 018 12/09/10 2 018 12/02/10 1 + __________ TOTAL ORDERED 4 133.33 % 018 10/28/10 1 018 10/18/10 2 018 10/14/10 1 018 10/11/10 2 + __________ TOTAL ORDERED 6 200.00 % 018 09/23/10 1 018 09/13/10 2 018 09/02/10 1 + __________ TOTAL ORDERED 4 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679658 HYDROMET SYRUP (ALP) + 473ML 30472103016 00472103016 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 018 12/27/10 4 018 12/23/10 6 018 12/20/10 8 018 12/16/10 8 018 12/09/10 6 018 12/06/10 5 + __________ TOTAL ORDERED 37 205.55 % 018 11/22/10 6 018 11/18/10 4 018 11/11/10 7 018 11/08/10 9 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 742 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 6 3.0 18.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 26 144.44 % 018 10/28/10 3 018 10/25/10 5 018 10/21/10 6 018 10/18/10 2 018 10/14/10 3 018 10/11/10 4 018 10/07/10 4 018 10/04/10 5 + __________ TOTAL ORDERED 32 177.77 % 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 478424 TESTOSTERN CYP 200MG/ML (PAD)+1ML 30574082001 00574082001 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 004 11/22/10 5 004 11/15/10 1 004 11/08/10 7 004 11/04/10 9 + __________ TOTAL ORDERED 22 122.22 % 004 09/30/10 3 004 09/27/10 4 004 09/23/10 1 004 09/20/10 5 004 09/16/10 1 004 09/13/10 2 004 09/02/10 4 + __________ TOTAL ORDERED 20 111.11 % 004 07/29/10 6 004 07/26/10 6 004 07/15/10 1 004 07/08/10 9 004 07/01/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 743 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 478424 TESTOSTERN CYP 200MG/ML (PAD)+1ML 30574082001 00574082001 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 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 004 12/29/10 4 004 12/22/10 4 004 12/16/10 1 004 12/13/10 1 004 12/09/10 2 004 12/06/10 1 + __________ TOTAL ORDERED 13 108.33 % 004 11/22/10 3 004 11/18/10 2 004 11/11/10 6 004 11/08/10 3 004 11/04/10 1 + __________ TOTAL ORDERED 15 125.00 % 004 10/28/10 1 004 10/21/10 3 004 10/14/10 7 004 10/11/10 3 + __________ TOTAL ORDERED 14 116.66 % 004 07/29/10 2 004 07/26/10 3 004 07/19/10 1 004 07/15/10 1 004 07/08/10 2 004 07/01/10 5 + __________ TOTAL ORDERED 14 116.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 744 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 018 12/23/10 12 018 12/16/10 5 018 12/14/10 5 018 12/09/10 6 + __________ TOTAL ORDERED 28 311.11 % 018 11/26/10 10 018 11/18/10 15 018 11/16/10 6 018 11/04/10 1 + __________ TOTAL ORDERED 32 355.55 % 018 09/30/10 7 018 09/23/10 9 018 09/21/10 3 018 09/14/10 6 018 09/09/10 2 018 09/07/10 1 + __________ TOTAL ORDERED 28 311.11 % 018 08/26/10 12 018 08/24/10 5 018 08/17/10 17 018 08/12/10 2 018 08/10/10 6 + __________ TOTAL ORDERED 42 466.66 % 018 07/22/10 5 018 07/20/10 6 018 07/13/10 12 + __________ TOTAL ORDERED 23 255.55 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 745 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 024 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 553889 ANDROGEL 1% PUMP (UNI) +150GM 30051848888 00051848888 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 010 12/21/10 12 010 12/02/10 12 + __________ TOTAL ORDERED 24 160.00 % 010 11/23/10 12 010 11/11/10 10 010 11/04/10 3 + __________ TOTAL ORDERED 25 166.66 % 010 10/28/10 4 010 10/14/10 5 010 10/12/10 5 010 10/05/10 4 + __________ TOTAL ORDERED 18 120.00 % 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 10/01/10 2 013 10/21/10 4 013 10/14/10 4 + __________ TOTAL ORDERED 10 111.11 % 013 09/16/10 11 + __________ TOTAL ORDERED 11 122.22 % 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 010 10/21/10 4 010 10/07/10 6 + __________ TOTAL ORDERED 10 166.66 % 010 09/21/10 3 010 09/14/10 3 010 09/02/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 746 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 024 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 682600 PROVIGIL 200MG TAB + 100 36345920101 63459020101 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 7 116.66 % 010 07/27/10 6 010 07/13/10 2 + __________ TOTAL ORDERED 8 133.33 % 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 12/16/10 6 010 12/14/10 6 010 12/09/10 1 + __________ TOTAL ORDERED 13 144.44 % 010 11/09/10 12 + __________ TOTAL ORDERED 12 133.33 % 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 12/14/10 6 010 12/09/10 6 010 12/03/10 1 + __________ TOTAL ORDERED 13 144.44 % 010 11/30/10 2 010 11/23/10 3 010 11/11/10 3 010 11/09/10 1 010 11/04/10 7 + __________ TOTAL ORDERED 16 177.77 % 010 10/28/10 4 010 10/21/10 3 010 10/07/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 747 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 024 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 684809 TESTOSTERN CYP 200MG/ML(WAT)+10ML 30591322379 00364661054 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 10 111.11 % 010 09/16/10 9 010 09/07/10 3 + __________ TOTAL ORDERED 12 133.33 % 010 08/31/10 3 010 08/24/10 6 010 08/03/10 3 + __________ TOTAL ORDERED 12 133.33 % 010 07/29/10 1 010 07/22/10 9 010 07/06/10 2 + __________ 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 12/29/10 7 010 12/21/10 10 010 12/17/10 9 010 12/14/10 7 010 12/10/10 4 010 12/03/10 8 + __________ TOTAL ORDERED 45 136.36 % 010 11/26/10 5 010 11/22/10 2 010 11/18/10 4 010 11/11/10 9 010 11/08/10 11 010 11/04/10 5 010 11/01/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 748 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 41 124.24 % 010 08/26/10 11 010 08/24/10 6 010 08/19/10 3 010 08/12/10 8 010 08/05/10 4 010 08/03/10 2 + __________ TOTAL ORDERED 34 103.03 % 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 12/28/10 2 010 12/23/10 1 010 12/20/10 2 010 12/16/10 2 010 12/13/10 3 010 12/06/10 1 010 12/02/10 2 + __________ TOTAL ORDERED 13 216.66 % 010 11/29/10 1 010 11/24/10 1 010 11/19/10 2 010 11/12/10 2 010 11/10/10 1 010 11/05/10 2 010 11/03/10 1 + __________ TOTAL ORDERED 10 166.66 % 010 10/22/10 1 010 10/20/10 2 010 10/15/10 2 010 10/13/10 2 010 10/08/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 749 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 10/06/10 3 010 10/01/10 1 + __________ TOTAL ORDERED 12 200.00 % 010 09/29/10 2 010 09/24/10 2 010 09/17/10 2 010 09/10/10 1 010 09/08/10 1 010 09/01/10 3 + __________ TOTAL ORDERED 11 183.33 % 010 08/30/10 1 010 08/25/10 1 010 08/18/10 2 010 08/16/10 1 010 08/11/10 1 010 08/09/10 2 010 08/04/10 1 010 08/02/10 1 + __________ TOTAL ORDERED 10 166.66 % 010 07/28/10 2 010 07/21/10 3 010 07/14/10 3 010 07/07/10 2 010 07/01/10 2 + __________ TOTAL ORDERED 12 200.00 % 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 12/28/10 10 010 12/23/10 12 010 12/20/10 4 010 12/16/10 13 010 12/13/10 17 010 12/09/10 5 010 12/06/10 13 010 12/02/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 750 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 76 230.30 % 010 11/29/10 14 010 11/24/10 12 010 11/19/10 6 010 11/17/10 17 010 11/12/10 10 010 11/10/10 5 010 11/05/10 6 010 11/03/10 7 + __________ TOTAL ORDERED 77 233.33 % 010 10/27/10 9 010 10/22/10 7 010 10/20/10 8 010 10/15/10 8 010 10/13/10 7 010 10/08/10 6 010 10/06/10 5 010 10/01/10 12 + __________ TOTAL ORDERED 62 187.87 % 010 09/29/10 14 010 09/24/10 18 010 09/15/10 12 010 09/10/10 8 010 09/08/10 8 010 09/01/10 9 + __________ TOTAL ORDERED 69 209.09 % 010 08/30/10 6 010 08/25/10 7 010 08/23/10 8 010 08/18/10 5 010 08/16/10 10 010 08/11/10 11 010 08/09/10 11 010 08/04/10 7 010 08/02/10 9 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 751 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 74 224.24 % 010 07/28/10 4 010 07/26/10 12 010 07/21/10 4 010 07/19/10 15 010 07/14/10 5 010 07/12/10 11 010 07/07/10 11 010 07/01/10 8 + __________ TOTAL ORDERED 70 212.12 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 010 11/29/10 1 010 11/24/10 7 010 11/19/10 3 010 11/12/10 7 010 11/10/10 5 010 11/05/10 6 + __________ TOTAL ORDERED 29 107.40 % 010 08/30/10 1 010 08/25/10 2 010 08/23/10 3 010 08/18/10 3 010 08/16/10 7 010 08/11/10 5 010 08/09/10 1 010 08/04/10 4 010 08/02/10 3 + __________ TOTAL ORDERED 29 107.40 % 010 07/28/10 6 010 07/26/10 1 010 07/21/10 4 010 07/19/10 5 010 07/14/10 5 010 07/12/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 752 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 010 07/07/10 2 010 07/01/10 6 + __________ TOTAL ORDERED 32 118.51 % 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 12/22/10 2 010 12/20/10 1 010 12/15/10 1 010 12/13/10 2 010 12/08/10 1 010 12/06/10 2 010 12/01/10 1 + __________ TOTAL ORDERED 10 166.66 % 010 11/23/10 1 010 11/19/10 1 010 11/16/10 2 010 11/09/10 1 010 11/05/10 2 + __________ TOTAL ORDERED 7 116.66 % 010 10/26/10 1 010 10/22/10 1 010 10/19/10 1 010 10/15/10 3 010 10/12/10 1 010 10/08/10 2 010 10/05/10 1 010 10/01/10 1 + __________ TOTAL ORDERED 11 183.33 % 010 08/27/10 2 010 08/13/10 5 010 08/11/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 753 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 08/06/10 2 + __________ TOTAL ORDERED 10 166.66 % 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 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 12/28/10 1 010 12/22/10 14 010 12/20/10 11 010 12/15/10 8 010 12/13/10 5 010 12/08/10 13 010 12/06/10 3 010 12/01/10 13 + __________ TOTAL ORDERED 68 206.06 % 010 11/29/10 1 010 11/23/10 10 010 11/19/10 5 010 11/16/10 8 010 11/12/10 4 010 11/09/10 4 010 11/05/10 6 010 11/02/10 3 + __________ TOTAL ORDERED 41 124.24 % 010 10/26/10 5 010 10/22/10 13 010 10/19/10 1 010 10/15/10 5 010 10/12/10 3 010 10/08/10 12 010 10/05/10 9 010 10/01/10 9 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 754 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 11 3.0 33.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 57 172.72 % 010 09/28/10 4 010 09/24/10 15 010 09/21/10 12 010 09/17/10 8 010 09/14/10 2 010 09/10/10 10 010 09/07/10 2 010 09/01/10 10 + __________ TOTAL ORDERED 63 190.90 % 010 08/27/10 14 010 08/25/10 7 010 08/20/10 15 010 08/18/10 3 010 08/13/10 8 010 08/11/10 4 010 08/06/10 8 010 08/04/10 6 + __________ TOTAL ORDERED 65 196.96 % 010 07/28/10 2 010 07/23/10 9 010 07/21/10 1 010 07/16/10 6 010 07/14/10 4 010 07/09/10 11 010 07/07/10 12 + __________ TOTAL ORDERED 45 136.36 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03660 AW9138012 3287 E BROADWAY PEARLAND TX 77581 +_________________________________________________________________________________________________________________________________________________ 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 12/27/10 5 014 12/20/10 8 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 755 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03660 AW9138012 3287 E BROADWAY PEARLAND TX 77581 +_________________________________________________________________________________________________________________________________________________ 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 13 108.33 % 014 11/29/10 5 014 11/22/10 1 014 11/15/10 3 014 11/08/10 1 014 11/01/10 6 + __________ TOTAL ORDERED 16 133.33 % 014 08/30/10 7 014 08/23/10 1 014 08/16/10 1 014 08/02/10 5 + __________ TOTAL ORDERED 14 116.66 % 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 12/28/10 1 010 12/16/10 1 010 12/13/10 1 010 12/09/10 1 010 12/06/10 4 + __________ TOTAL ORDERED 8 133.33 % 010 10/01/10 8 + __________ TOTAL ORDERED 8 133.33 % 010 07/14/10 5 010 07/12/10 2 010 07/07/10 1 + __________ TOTAL ORDERED 8 133.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 756 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 681627 OXAZEPAM 15MG CAP (PPC) + 100 30228206910 00228206910 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 010 11/26/10 2 010 11/18/10 2 + __________ TOTAL ORDERED 4 133.33 % 010 10/28/10 1 010 10/21/10 2 010 10/11/10 1 010 10/07/10 1 + __________ TOTAL ORDERED 5 166.66 % 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 10/20/10 5 014 10/13/10 4 + __________ TOTAL ORDERED 9 150.00 % 014 09/29/10 2 014 09/22/10 1 014 09/15/10 1 014 09/08/10 1 014 09/01/10 4 + __________ TOTAL ORDERED 9 150.00 % 014 08/25/10 1 014 08/18/10 3 014 08/11/10 2 014 08/04/10 2 + __________ TOTAL ORDERED 8 133.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 757 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 014 12/29/10 6 014 12/22/10 4 014 12/15/10 6 + __________ TOTAL ORDERED 16 133.33 % 014 10/20/10 7 014 10/13/10 4 014 10/06/10 5 + __________ TOTAL ORDERED 16 133.33 % 014 09/29/10 5 014 09/22/10 7 014 09/15/10 6 014 09/08/10 4 014 09/01/10 5 + __________ TOTAL ORDERED 27 225.00 % 014 07/28/10 4 014 07/21/10 4 014 07/14/10 6 014 07/07/10 4 + __________ TOTAL ORDERED 18 150.00 % 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 12/29/10 3 014 12/22/10 2 014 12/15/10 2 014 12/08/10 3 + __________ TOTAL ORDERED 10 166.66 % 014 11/17/10 5 014 11/10/10 2 014 11/03/10 2 + __________ TOTAL ORDERED 9 150.00 % 014 10/20/10 3 014 10/13/10 2 014 10/06/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 758 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 8 133.33 % 014 09/29/10 1 014 09/22/10 2 014 09/15/10 1 014 09/08/10 1 014 09/01/10 3 + __________ TOTAL ORDERED 8 133.33 % 014 07/28/10 2 014 07/21/10 2 014 07/14/10 1 014 07/07/10 2 + __________ 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 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 014 12/29/10 4 014 12/15/10 4 014 12/08/10 3 + __________ TOTAL ORDERED 11 122.22 % 014 11/24/10 3 014 11/10/10 3 014 11/03/10 4 + __________ TOTAL ORDERED 10 111.11 % 014 10/27/10 3 014 10/20/10 4 014 10/06/10 4 + __________ TOTAL ORDERED 11 122.22 % 014 09/29/10 1 014 09/22/10 2 014 09/15/10 2 014 09/08/10 2 014 09/01/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 759 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 551687 VYVANSE 30MG CAPS (SHI) 100 35941710310 59417010310 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 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 12/28/10 11 010 12/23/10 5 010 12/20/10 8 010 12/16/10 5 010 12/13/10 8 010 12/09/10 4 010 12/06/10 8 010 12/02/10 4 + __________ TOTAL ORDERED 53 160.60 % 010 11/29/10 6 010 11/24/10 9 010 11/19/10 5 010 11/17/10 6 010 11/12/10 6 010 11/10/10 7 010 11/05/10 7 010 11/03/10 6 + __________ TOTAL ORDERED 52 157.57 % 010 10/27/10 3 010 10/22/10 4 010 10/20/10 4 010 10/15/10 5 010 10/13/10 6 010 10/08/10 6 010 10/06/10 6 010 10/01/10 5 + __________ TOTAL ORDERED 39 118.18 % 010 09/29/10 6 010 09/24/10 6 010 09/22/10 4 010 09/17/10 7 010 09/15/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 760 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 09/10/10 6 010 09/08/10 4 010 09/01/10 8 + __________ TOTAL ORDERED 47 142.42 % 010 08/30/10 7 010 08/25/10 4 010 08/23/10 8 010 08/18/10 3 010 08/16/10 7 010 08/11/10 3 010 08/09/10 9 010 08/04/10 5 010 08/02/10 6 + __________ TOTAL ORDERED 52 157.57 % 010 07/28/10 3 010 07/26/10 8 010 07/21/10 4 010 07/19/10 6 010 07/14/10 5 010 07/12/10 7 010 07/07/10 7 010 07/01/10 7 + __________ TOTAL ORDERED 47 142.42 % 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 12/28/10 1 010 12/20/10 2 010 12/16/10 1 010 12/13/10 1 010 12/09/10 2 + __________ TOTAL ORDERED 7 116.66 % 010 11/29/10 1 010 11/24/10 2 010 11/19/10 2 010 11/17/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 761 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 11/12/10 1 010 11/10/10 1 010 11/05/10 1 010 11/03/10 1 + __________ TOTAL ORDERED 10 166.66 % 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 12/29/10 4 014 12/22/10 3 014 12/15/10 1 014 12/01/10 2 + __________ TOTAL ORDERED 10 111.11 % 014 09/29/10 5 014 09/22/10 3 014 09/15/10 4 014 09/01/10 1 + __________ TOTAL ORDERED 13 144.44 % 014 07/28/10 2 014 07/21/10 2 014 07/14/10 9 + __________ 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 010 12/28/10 2 010 12/23/10 2 010 12/20/10 1 010 12/16/10 2 010 12/13/10 1 010 12/09/10 1 010 12/06/10 1 010 12/02/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 762 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 12 133.33 % 010 08/25/10 2 010 08/23/10 1 010 08/18/10 1 010 08/16/10 1 010 08/11/10 1 010 08/09/10 2 010 08/04/10 1 010 08/02/10 1 + __________ TOTAL ORDERED 10 111.11 % 010 07/28/10 1 010 07/26/10 2 010 07/21/10 2 010 07/19/10 1 010 07/14/10 1 010 07/12/10 1 010 07/07/10 1 010 07/01/10 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 10/22/10 1 010 10/15/10 1 010 10/08/10 1 010 10/01/10 1 + __________ TOTAL ORDERED 4 133.33 % 010 08/30/10 1 010 08/18/10 1 010 08/11/10 1 010 08/04/10 1 + __________ TOTAL ORDERED 4 133.33 % 010 07/28/10 1 010 07/19/10 1 010 07/14/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 763 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 676041 DIAZEPAM 5MG TAB (MYL) + 500 30378034505 00378034505 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 010 07/01/10 2 + __________ 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 12/28/10 2 010 12/16/10 1 010 12/09/10 1 + __________ TOTAL ORDERED 4 133.33 % 010 11/29/10 1 010 11/24/10 1 010 11/19/10 1 010 11/05/10 1 + __________ TOTAL ORDERED 4 133.33 % 010 10/27/10 1 010 10/15/10 1 010 10/08/10 1 010 10/01/10 1 + __________ TOTAL ORDERED 4 133.33 % 010 08/30/10 1 010 08/18/10 1 010 08/11/10 1 010 08/09/10 1 + __________ TOTAL ORDERED 4 133.33 % 010 07/28/10 1 010 07/14/10 1 010 07/07/10 1 010 07/01/10 1 + __________ TOTAL ORDERED 4 133.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 764 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 478424 TESTOSTERN CYP 200MG/ML (PAD)+1ML 30574082001 00574082001 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 010 12/20/10 7 010 12/15/10 4 010 12/08/10 11 010 12/06/10 1 010 12/01/10 1 + __________ TOTAL ORDERED 24 133.33 % 010 11/23/10 21 010 11/19/10 4 010 11/12/10 1 010 11/05/10 1 + __________ TOTAL ORDERED 27 150.00 % 010 10/29/10 3 010 10/26/10 7 010 10/22/10 2 010 10/19/10 3 010 10/15/10 3 010 10/01/10 19 + __________ TOTAL ORDERED 37 205.55 % 010 09/28/10 7 010 09/24/10 9 010 09/21/10 2 010 09/17/10 9 010 09/14/10 7 010 09/07/10 9 + __________ TOTAL ORDERED 43 238.88 % 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 12/29/10 2 014 12/22/10 2 014 12/15/10 2 014 12/01/10 2 + __________ TOTAL ORDERED 8 133.33 % 014 11/24/10 2 014 11/17/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 765 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 551686 VYVANSE 50MG CAPS + 100 35941710510 59417010510 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 11/03/10 3 + __________ TOTAL ORDERED 7 116.66 % 014 08/25/10 3 014 08/18/10 4 014 08/11/10 1 014 08/04/10 1 + __________ TOTAL ORDERED 9 150.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 677239 HYDROCOD/ACET 7.5-500 (QUA)+473ML 30603129558 00603129558 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 010 12/22/10 2 010 12/20/10 10 010 12/15/10 6 010 12/08/10 2 010 12/06/10 2 010 12/01/10 1 + __________ TOTAL ORDERED 23 127.77 % 010 11/23/10 8 010 11/19/10 4 010 11/16/10 4 010 11/12/10 2 010 11/09/10 1 010 11/05/10 1 + __________ TOTAL ORDERED 20 111.11 % 010 10/29/10 5 010 10/22/10 1 010 10/19/10 3 010 10/15/10 1 010 10/12/10 5 010 10/08/10 3 010 10/05/10 3 + __________ TOTAL ORDERED 21 116.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 766 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 672651 ACETAMIN/CODIENE 300/60 TAB + 100 30603233921 00603233921 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 12/28/10 3 010 12/23/10 2 010 12/20/10 2 010 12/16/10 2 010 12/09/10 2 010 12/02/10 3 + __________ TOTAL ORDERED 14 233.33 % 010 11/29/10 1 010 11/19/10 3 010 11/12/10 2 010 11/10/10 1 010 11/05/10 3 + __________ TOTAL ORDERED 10 166.66 % 010 10/27/10 2 010 10/22/10 1 010 10/15/10 1 010 10/08/10 3 010 10/01/10 3 + __________ TOTAL ORDERED 10 166.66 % 010 09/24/10 3 010 09/17/10 2 010 09/10/10 4 010 09/08/10 6 010 09/01/10 3 + __________ TOTAL ORDERED 18 300.00 % 010 08/16/10 2 010 08/11/10 2 010 08/09/10 1 010 08/04/10 2 010 08/02/10 1 + __________ TOTAL ORDERED 8 133.33 % 010 07/28/10 2 010 07/26/10 5 010 07/21/10 1 010 07/14/10 1 010 07/12/10 1 010 07/07/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 767 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 672651 ACETAMIN/CODIENE 300/60 TAB + 100 30603233921 00603233921 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 07/01/10 2 + __________ TOTAL ORDERED 13 216.66 % 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 12/28/10 8 010 12/23/10 10 010 12/20/10 8 010 12/16/10 8 010 12/13/10 2 010 12/09/10 5 010 12/06/10 7 010 12/02/10 3 + __________ TOTAL ORDERED 51 154.54 % 010 11/29/10 2 010 11/24/10 8 010 11/19/10 5 010 11/17/10 6 010 11/12/10 3 010 11/10/10 3 010 11/05/10 9 010 11/03/10 12 + __________ TOTAL ORDERED 48 145.45 % 010 10/22/10 11 010 10/20/10 2 010 10/15/10 4 010 10/13/10 3 010 10/08/10 12 010 10/06/10 13 010 10/01/10 6 + __________ TOTAL ORDERED 51 154.54 % 010 09/29/10 1 010 09/24/10 11 010 09/22/10 6 010 09/17/10 7 010 09/15/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 768 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 09/10/10 10 010 09/01/10 9 + __________ TOTAL ORDERED 45 136.36 % 010 08/30/10 5 010 08/25/10 4 010 08/23/10 8 010 08/18/10 5 010 08/16/10 4 010 08/11/10 4 010 08/09/10 6 010 08/04/10 5 010 08/02/10 6 + __________ TOTAL ORDERED 47 142.42 % 010 07/28/10 5 010 07/26/10 6 010 07/21/10 5 010 07/19/10 8 010 07/14/10 3 010 07/12/10 12 010 07/07/10 7 010 07/01/10 6 + __________ TOTAL ORDERED 52 157.57 % 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 478424 TESTOSTERN CYP 200MG/ML (PAD)+1ML 30574082001 00574082001 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 010 09/24/10 2 010 09/21/10 8 010 09/10/10 8 010 09/07/10 8 + __________ TOTAL ORDERED 26 144.44 % 010 08/27/10 9 010 08/20/10 16 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 769 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 478424 TESTOSTERN CYP 200MG/ML (PAD)+1ML 30574082001 00574082001 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 010 08/13/10 4 010 08/11/10 2 010 08/06/10 7 010 08/04/10 2 + __________ TOTAL ORDERED 40 222.22 % 010 07/16/10 5 010 07/14/10 7 010 07/09/10 5 010 07/07/10 7 + __________ TOTAL ORDERED 24 133.33 % 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 08/31/10 4 010 08/10/10 1 010 08/06/10 4 010 08/03/10 3 + __________ TOTAL ORDERED 12 133.33 % 010 07/27/10 3 010 07/13/10 1 010 07/06/10 6 + __________ TOTAL ORDERED 10 111.11 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 770 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 675738 METHYLPHENIDATE 5MG TAB (WAT)+100 30591588201 00591588201 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 12/27/10 2 014 12/17/10 4 014 12/10/10 2 + __________ TOTAL ORDERED 8 133.33 % 014 10/29/10 3 014 10/22/10 4 014 10/15/10 1 + __________ TOTAL ORDERED 8 133.33 % 014 08/27/10 3 014 08/20/10 2 014 08/06/10 2 + __________ TOTAL ORDERED 7 116.66 % 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 12/10/10 2 014 12/03/10 7 + __________ TOTAL ORDERED 9 150.00 % 014 11/26/10 7 014 11/19/10 2 014 11/12/10 2 + __________ TOTAL ORDERED 11 183.33 % 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 12/27/10 1 010 12/22/10 1 010 12/17/10 1 010 12/10/10 1 + __________ TOTAL ORDERED 4 133.33 % 010 10/28/10 2 010 10/07/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 771 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 681627 OXAZEPAM 15MG CAP (PPC) + 100 30228206910 00228206910 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 010 10/05/10 1 + __________ TOTAL ORDERED 5 166.66 % 010 08/31/10 2 010 08/27/10 1 010 08/24/10 1 + __________ TOTAL ORDERED 4 133.33 % 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 460039 BUTAL/ASA/CAF/CODEINE 30MG CP+100 30527131201 00527131201 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 09/30/10 1 010 09/27/10 4 010 09/23/10 3 010 09/20/10 2 010 09/16/10 1 010 09/13/10 3 010 09/09/10 1 010 09/02/10 2 + __________ TOTAL ORDERED 17 283.33 % 010 08/24/10 1 010 08/19/10 3 010 08/17/10 2 010 08/10/10 1 010 08/03/10 1 + __________ TOTAL ORDERED 8 133.33 % 010 07/29/10 3 010 07/27/10 1 010 07/22/10 2 010 07/20/10 1 010 07/13/10 1 010 07/08/10 2 010 07/06/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 772 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 460039 BUTAL/ASA/CAF/CODEINE 30MG CP+100 30527131201 00527131201 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 13 216.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 471606 ULTRACET 37.5MG/325MG TAB + 100 35045865060 50458065060 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 010 12/29/10 1 010 12/14/10 2 010 12/10/10 1 010 12/07/10 1 + __________ TOTAL ORDERED 5 166.66 % 010 11/22/10 2 010 11/11/10 1 010 11/04/10 1 + __________ TOTAL ORDERED 4 133.33 % 010 08/31/10 2 010 08/17/10 2 + __________ TOTAL ORDERED 4 133.33 % 010 07/22/10 2 010 07/06/10 4 + __________ TOTAL ORDERED 6 200.00 % 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 08/31/10 2 010 08/26/10 4 010 08/19/10 11 010 08/12/10 2 010 08/10/10 10 010 08/05/10 4 010 08/03/10 10 + __________ TOTAL ORDERED 43 159.25 % 010 07/29/10 4 010 07/27/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 773 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 010 07/22/10 10 010 07/15/10 12 010 07/13/10 4 010 07/08/10 3 010 07/06/10 4 + __________ TOTAL ORDERED 39 144.44 % 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 12/29/10 2 010 12/21/10 3 010 12/17/10 2 + __________ TOTAL ORDERED 7 116.66 % 010 09/23/10 1 010 09/20/10 4 010 09/16/10 4 + __________ TOTAL ORDERED 9 150.00 % 010 08/26/10 3 010 08/24/10 1 010 08/12/10 1 010 08/05/10 2 + __________ 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 12/29/10 2 010 12/27/10 2 010 12/21/10 1 010 12/03/10 2 + __________ TOTAL ORDERED 7 233.33 % 010 11/26/10 1 010 11/22/10 1 010 11/18/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 774 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 010 11/11/10 2 + __________ TOTAL ORDERED 5 166.66 % 010 09/23/10 2 010 09/20/10 3 010 09/16/10 1 010 09/02/10 1 + __________ TOTAL ORDERED 7 233.33 % 010 08/26/10 2 010 08/24/10 1 010 08/19/10 2 010 08/12/10 1 010 08/05/10 1 + __________ TOTAL ORDERED 7 233.33 % 010 07/29/10 1 010 07/27/10 1 010 07/22/10 3 010 07/15/10 1 + __________ TOTAL ORDERED 6 200.00 % 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 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 010 11/29/10 6 010 11/23/10 16 010 11/19/10 6 010 11/12/10 5 010 11/09/10 2 010 11/05/10 5 + __________ TOTAL ORDERED 40 222.22 % 010 10/26/10 1 010 10/22/10 2 010 10/19/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 775 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 010 10/15/10 3 010 10/12/10 3 010 10/08/10 3 010 10/05/10 3 010 10/01/10 2 + __________ TOTAL ORDERED 20 111.11 % 010 09/28/10 9 010 09/24/10 11 010 09/21/10 1 010 09/17/10 4 010 09/14/10 1 010 09/10/10 3 010 09/07/10 6 + __________ TOTAL ORDERED 35 194.44 % 010 08/27/10 12 010 08/20/10 3 010 08/13/10 3 010 08/06/10 4 + __________ TOTAL ORDERED 22 122.22 % 010 07/16/10 7 010 07/14/10 1 010 07/09/10 4 010 07/07/10 12 + __________ TOTAL ORDERED 24 133.33 % 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 10/28/10 4 014 10/14/10 2 014 10/07/10 3 + __________ TOTAL ORDERED 9 150.00 % 014 09/30/10 2 014 09/23/10 1 014 09/16/10 1 014 09/09/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 776 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 551686 VYVANSE 50MG CAPS + 100 35941710510 59417010510 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 09/02/10 1 + __________ TOTAL ORDERED 7 116.66 % 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 499233 HYDROCO-APAP 10-660 TAB (WAT)+100 36203756701 62037056701 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 010 08/30/10 2 010 08/25/10 1 010 08/23/10 2 010 08/18/10 2 010 08/11/10 1 010 08/09/10 1 010 08/04/10 1 + __________ TOTAL ORDERED 10 111.11 % 010 07/28/10 1 010 07/26/10 3 010 07/21/10 3 010 07/14/10 1 010 07/01/10 4 + __________ TOTAL ORDERED 12 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679799 METHADONE 5MG TAB (ROX) + 100 30054457025 00054457025 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 11/30/10 1 014 11/23/10 7 014 11/16/10 3 014 11/09/10 2 + __________ TOTAL ORDERED 13 216.66 % 014 08/02/10 11 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 777 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 679799 METHADONE 5MG TAB (ROX) + 100 30054457025 00054457025 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 11 183.33 % 014 07/26/10 9 + __________ TOTAL ORDERED 9 150.00 % 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 460039 BUTAL/ASA/CAF/CODEINE 30MG CP+100 30527131201 00527131201 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 010 09/17/10 1 010 09/10/10 3 010 09/07/10 3 + __________ TOTAL ORDERED 7 116.66 % 010 08/20/10 4 010 08/18/10 1 010 08/13/10 2 + __________ TOTAL ORDERED 7 116.66 % 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 11/19/10 1 010 11/16/10 1 010 11/12/10 4 010 11/02/10 2 + __________ TOTAL ORDERED 8 133.33 % 010 10/26/10 1 010 10/15/10 1 010 10/12/10 2 010 10/08/10 3 010 10/05/10 1 010 10/01/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 778 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 9 150.00 % 010 09/28/10 3 010 09/24/10 1 010 09/17/10 2 010 09/10/10 2 010 09/01/10 3 + __________ TOTAL ORDERED 11 183.33 % 010 08/20/10 2 010 08/13/10 3 010 08/11/10 3 010 08/06/10 1 + __________ TOTAL ORDERED 9 150.00 % 010 07/23/10 1 010 07/16/10 3 010 07/14/10 4 010 07/09/10 2 010 07/07/10 1 + __________ TOTAL ORDERED 11 183.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 12/28/10 1 010 12/22/10 10 010 12/20/10 6 010 12/15/10 7 010 12/13/10 4 010 12/08/10 6 010 12/06/10 5 010 12/01/10 9 + __________ TOTAL ORDERED 48 145.45 % 010 11/29/10 6 010 11/23/10 9 010 11/19/10 7 010 11/16/10 2 010 11/12/10 8 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 779 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 11/09/10 5 010 11/05/10 10 010 11/02/10 6 + __________ TOTAL ORDERED 53 160.60 % 010 10/26/10 3 010 10/22/10 5 010 10/19/10 4 010 10/15/10 5 010 10/12/10 8 010 10/08/10 8 010 10/05/10 11 010 10/01/10 5 + __________ TOTAL ORDERED 49 148.48 % 010 09/28/10 7 010 09/24/10 9 010 09/21/10 7 010 09/17/10 8 010 09/14/10 6 010 09/10/10 8 010 09/07/10 1 010 09/01/10 14 + __________ TOTAL ORDERED 60 181.81 % 010 08/27/10 9 010 08/25/10 7 010 08/20/10 13 010 08/18/10 7 010 08/13/10 9 010 08/11/10 1 010 08/06/10 14 010 08/04/10 8 + __________ TOTAL ORDERED 68 206.06 % 010 07/28/10 4 010 07/23/10 11 010 07/21/10 5 010 07/16/10 6 010 07/14/10 2 010 07/09/10 5 010 07/07/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 780 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 11 3.0 33.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 34 103.03 % 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 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 010 10/27/10 3 010 10/20/10 1 010 10/13/10 5 010 10/06/10 9 010 10/04/10 2 + __________ TOTAL ORDERED 20 111.11 % 010 08/30/10 4 010 08/26/10 2 010 08/05/10 16 010 08/02/10 9 + __________ TOTAL ORDERED 31 172.22 % 010 07/29/10 2 010 07/19/10 4 010 07/15/10 3 010 07/12/10 4 010 07/08/10 5 010 07/01/10 6 + __________ TOTAL ORDERED 24 133.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 781 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 11/24/10 1 010 11/17/10 2 010 11/10/10 2 010 11/03/10 3 + __________ TOTAL ORDERED 8 133.33 % 010 09/29/10 3 010 09/22/10 2 010 09/15/10 2 010 09/08/10 1 + __________ TOTAL ORDERED 8 133.33 % 010 08/23/10 3 010 08/16/10 2 010 08/09/10 1 010 08/02/10 2 + __________ TOTAL ORDERED 8 133.33 % 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 675801 DEXTROAMPHETAMINE 10MG TB(BAR)100 30555095302 00555095302 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 014 10/22/10 6 014 10/15/10 2 014 10/01/10 1 + __________ TOTAL ORDERED 9 150.00 % 014 09/24/10 6 014 09/17/10 1 + __________ TOTAL ORDERED 7 116.66 % 014 07/30/10 9 014 07/23/10 4 014 07/16/10 1 014 07/09/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 782 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 675801 DEXTROAMPHETAMINE 10MG TB(BAR)100 30555095302 00555095302 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 15 250.00 % 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 12/27/10 3 010 12/22/10 1 010 12/17/10 4 010 12/10/10 1 010 12/08/10 1 010 12/03/10 1 + __________ TOTAL ORDERED 11 122.22 % 010 08/31/10 4 010 08/27/10 1 010 08/20/10 1 010 08/17/10 1 010 08/06/10 2 010 08/03/10 3 + __________ TOTAL ORDERED 12 133.33 % 010 07/27/10 1 010 07/23/10 1 010 07/20/10 2 010 07/16/10 1 010 07/09/10 4 010 07/06/10 1 + __________ 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 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 12/27/10 4 010 12/22/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 783 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 12/17/10 7 010 12/15/10 3 010 12/10/10 9 010 12/08/10 6 010 12/03/10 8 + __________ TOTAL ORDERED 44 133.33 % 010 11/26/10 6 010 11/23/10 3 010 11/18/10 11 010 11/16/10 5 010 11/11/10 7 010 11/09/10 4 010 11/04/10 6 010 11/02/10 2 + __________ TOTAL ORDERED 44 133.33 % 010 10/28/10 8 010 10/26/10 3 010 10/21/10 7 010 10/19/10 3 010 10/14/10 7 010 10/12/10 2 010 10/07/10 7 010 10/05/10 4 + __________ TOTAL ORDERED 41 124.24 % 010 09/30/10 7 010 09/28/10 4 010 09/23/10 7 010 09/21/10 3 010 09/16/10 7 010 09/14/10 3 010 09/09/10 6 010 09/07/10 3 + __________ TOTAL ORDERED 40 121.21 % 010 08/31/10 11 010 08/27/10 7 010 08/24/10 3 010 08/20/10 6 010 08/17/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 784 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 08/13/10 10 010 08/10/10 3 010 08/06/10 7 010 08/03/10 5 + __________ TOTAL ORDERED 53 160.60 % 010 07/27/10 4 010 07/23/10 6 010 07/20/10 3 010 07/16/10 5 010 07/13/10 4 010 07/09/10 6 010 07/06/10 8 + __________ TOTAL ORDERED 36 109.09 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 12/27/10 6 010 12/22/10 9 010 12/17/10 11 010 12/15/10 3 010 12/10/10 6 010 12/08/10 7 010 12/03/10 12 010 12/01/10 4 + __________ TOTAL ORDERED 58 175.75 % 010 11/26/10 12 010 11/23/10 2 010 11/18/10 14 010 11/16/10 5 010 11/11/10 8 010 11/09/10 4 010 11/04/10 6 010 11/02/10 2 + __________ TOTAL ORDERED 53 160.60 % 010 10/28/10 13 010 10/26/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 785 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 010 10/21/10 8 010 10/19/10 3 010 10/14/10 7 010 10/12/10 5 010 10/07/10 6 010 10/05/10 5 + __________ TOTAL ORDERED 49 148.48 % 010 09/30/10 9 010 09/28/10 4 010 09/23/10 7 010 09/21/10 2 010 09/16/10 12 010 09/14/10 10 010 09/09/10 10 010 09/07/10 4 + __________ TOTAL ORDERED 58 175.75 % 010 08/31/10 14 010 08/27/10 4 010 08/24/10 6 010 08/20/10 4 010 08/17/10 4 010 08/13/10 7 010 08/10/10 2 010 08/06/10 9 010 08/03/10 7 + __________ TOTAL ORDERED 57 172.72 % 010 07/27/10 5 010 07/23/10 10 010 07/20/10 1 010 07/16/10 6 010 07/13/10 3 010 07/09/10 14 010 07/06/10 2 + __________ TOTAL ORDERED 41 124.24 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 786 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 12/27/10 10 010 12/22/10 7 010 12/17/10 8 010 12/15/10 2 010 12/10/10 6 010 12/08/10 1 010 12/03/10 7 010 12/01/10 3 + __________ TOTAL ORDERED 44 133.33 % 010 11/26/10 11 010 11/23/10 3 010 11/18/10 7 010 11/16/10 8 010 11/11/10 5 010 11/09/10 7 010 11/04/10 2 010 11/02/10 3 + __________ TOTAL ORDERED 46 139.39 % 010 10/28/10 8 010 10/26/10 1 010 10/21/10 4 010 10/19/10 4 010 10/14/10 7 010 10/12/10 4 010 10/07/10 6 010 10/05/10 4 + __________ TOTAL ORDERED 38 115.15 % 010 09/30/10 5 010 09/23/10 9 010 09/21/10 4 010 09/16/10 8 010 09/14/10 2 010 09/09/10 8 010 09/07/10 3 + __________ TOTAL ORDERED 39 118.18 % 010 08/31/10 6 010 08/27/10 1 010 08/24/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 787 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 08/20/10 11 010 08/17/10 5 010 08/13/10 4 010 08/10/10 6 010 08/06/10 8 010 08/03/10 1 + __________ TOTAL ORDERED 45 136.36 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 676915 HYDROMORPHONE HCL 4MG (MK) + 100 30406324401 00406324401 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 014 11/29/10 4 014 11/22/10 5 014 11/15/10 4 014 11/08/10 5 014 11/01/10 1 + __________ TOTAL ORDERED 19 158.33 % 014 10/25/10 2 014 10/18/10 5 014 10/11/10 4 014 10/04/10 5 + __________ TOTAL ORDERED 16 133.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11465 AW8812679 3822 OLD SPANISH TRL HOUSTON TX 77021 +_________________________________________________________________________________________________________________________________________________ 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 014 08/04/10 7 + __________ TOTAL ORDERED 7 116.66 % 014 07/19/10 2 014 07/28/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 788 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 025 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11465 AW8812679 3822 OLD SPANISH TRL HOUSTON TX 77021 +_________________________________________________________________________________________________________________________________________________ 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 7 116.66 % 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 672806 ADDERALL XR 20MG CAPS + 100 35409238701 54092038701 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 12/29/10 2 013 12/15/10 3 013 12/08/10 2 013 12/01/10 2 + __________ TOTAL ORDERED 9 150.00 % 013 11/11/10 3 013 11/24/10 2 013 11/10/10 2 + __________ TOTAL ORDERED 7 116.66 % 013 09/15/10 4 013 09/01/10 3 + __________ TOTAL ORDERED 7 116.66 % 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 008 10/21/10 3 008 10/14/10 2 008 10/07/10 5 + __________ TOTAL ORDERED 10 111.11 % 008 09/30/10 1 008 09/23/10 3 008 09/16/10 1 008 09/09/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 789 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 10 111.11 % 008 08/31/10 2 008 08/27/10 2 008 08/24/10 1 008 08/13/10 4 008 08/10/10 1 008 08/06/10 4 + __________ 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 684556 VICODIN 5/500 TAB (ABB) + 100 30074194914 00074194914 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 008 11/23/10 1 008 11/18/10 2 008 11/04/10 1 + __________ TOTAL ORDERED 4 133.33 % 008 10/26/10 2 008 10/21/10 1 008 10/12/10 1 008 10/05/10 2 + __________ TOTAL ORDERED 6 200.00 % 008 08/17/10 2 008 08/13/10 2 + __________ TOTAL ORDERED 4 133.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 790 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 472543 TRAMADOL HCL ER 200MG TB (PAT)+30 31014709023 10147090203 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 008 09/30/10 2 008 09/16/10 1 008 09/14/10 3 008 09/07/10 4 + __________ TOTAL ORDERED 10 166.66 % 008 08/31/10 2 008 08/17/10 2 008 08/13/10 3 008 08/06/10 2 + __________ TOTAL ORDERED 9 150.00 % 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 12/27/10 1 008 12/22/10 1 008 12/17/10 1 008 12/10/10 3 008 12/08/10 1 008 12/03/10 2 + __________ TOTAL ORDERED 9 150.00 % 008 11/26/10 2 008 11/18/10 2 008 11/16/10 1 008 11/11/10 3 008 11/04/10 2 + __________ TOTAL ORDERED 10 166.66 % 008 10/28/10 2 008 10/21/10 1 008 10/14/10 2 008 10/12/10 1 008 10/07/10 1 008 10/05/10 1 + __________ TOTAL ORDERED 8 133.33 % 008 09/30/10 1 008 09/23/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 791 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 678960 LORAZEPAM 0.5MG TAB (PPC) + 500 30228205750 00228205750 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 008 09/16/10 2 008 09/09/10 2 008 09/07/10 1 + __________ TOTAL ORDERED 8 133.33 % 008 08/31/10 2 008 08/24/10 3 008 08/20/10 2 008 08/17/10 1 008 08/10/10 1 008 08/06/10 1 008 08/03/10 1 + __________ TOTAL ORDERED 11 183.33 % 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 448603 HYDROCODO/CHLORPHEN ER SUSP+473ML 36217549070 62175049070 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 003 12/29/10 2 003 12/23/10 1 003 12/14/10 3 003 12/09/10 1 003 12/07/10 1 003 12/02/10 1 + __________ TOTAL ORDERED 9 150.00 % 003 11/30/10 4 003 11/24/10 1 003 11/22/10 4 003 11/17/10 2 003 11/15/10 3 + __________ TOTAL ORDERED 14 233.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 792 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 12/23/10 3 003 12/21/10 1 003 12/16/10 2 003 12/14/10 3 003 12/09/10 1 003 12/02/10 2 + __________ TOTAL ORDERED 12 133.33 % 003 11/30/10 1 003 11/24/10 1 003 11/22/10 3 003 11/17/10 2 003 11/15/10 2 003 11/10/10 1 003 11/08/10 1 003 11/03/10 1 003 11/01/10 1 + __________ TOTAL ORDERED 13 144.44 % 003 10/27/10 1 003 10/25/10 1 003 10/20/10 1 003 10/18/10 4 003 10/13/10 1 003 10/11/10 1 003 10/06/10 2 003 10/04/10 1 + __________ TOTAL ORDERED 12 133.33 % 003 09/29/10 1 003 09/27/10 1 003 09/22/10 2 003 09/20/10 2 003 09/15/10 2 003 09/13/10 2 003 09/08/10 2 003 09/02/10 1 + __________ TOTAL ORDERED 13 144.44 % 003 08/30/10 2 003 08/26/10 1 003 08/23/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 793 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 08/19/10 1 003 08/16/10 2 003 08/12/10 2 003 08/09/10 2 003 08/05/10 1 003 08/02/10 2 + __________ TOTAL ORDERED 15 166.66 % 003 07/29/10 2 003 07/26/10 2 003 07/15/10 3 003 07/12/10 2 003 07/08/10 1 003 07/01/10 3 + __________ TOTAL ORDERED 13 144.44 % 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 12/27/10 7 013 12/10/10 7 013 12/03/10 4 + __________ TOTAL ORDERED 18 200.00 % 013 10/29/10 5 013 10/15/10 7 013 10/01/10 2 + __________ TOTAL ORDERED 14 155.55 % 013 08/27/10 7 013 08/20/10 4 013 08/13/10 2 013 08/06/10 5 + __________ TOTAL ORDERED 18 200.00 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 794 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 12/27/10 7 013 12/10/10 7 013 12/03/10 4 + __________ TOTAL ORDERED 18 150.00 % 013 10/29/10 6 013 10/15/10 4 013 10/08/10 4 013 10/01/10 5 + __________ TOTAL ORDERED 19 158.33 % 013 08/27/10 7 013 08/13/10 3 013 08/06/10 5 + __________ TOTAL ORDERED 15 125.00 % 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 12/27/10 3 013 12/10/10 3 013 12/03/10 2 + __________ TOTAL ORDERED 8 133.33 % 013 10/29/10 2 013 10/22/10 2 013 10/08/10 2 013 10/01/10 3 + __________ TOTAL ORDERED 9 150.00 % 013 08/27/10 3 013 08/20/10 3 013 08/13/10 1 013 08/06/10 1 + __________ TOTAL ORDERED 8 133.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 795 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 12/27/10 5 013 12/10/10 3 + __________ TOTAL ORDERED 8 133.33 % 013 11/19/10 4 013 11/12/10 2 013 11/05/10 3 + __________ TOTAL ORDERED 9 150.00 % 013 10/22/10 2 013 10/15/10 4 013 10/01/10 3 + __________ TOTAL ORDERED 9 150.00 % 013 08/27/10 6 013 08/20/10 3 013 08/13/10 2 013 08/06/10 2 + __________ TOTAL ORDERED 13 216.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 523789 PHENTERMINE HCL 30MG CAP(LAN)+100 30527130801 00527130801 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 003 12/29/10 1 003 12/23/10 1 003 12/16/10 1 003 12/14/10 3 003 12/09/10 1 003 12/02/10 2 + __________ TOTAL ORDERED 9 300.00 % 003 11/24/10 1 003 11/22/10 1 003 11/17/10 1 003 11/15/10 2 003 11/10/10 1 003 11/08/10 1 003 11/03/10 1 003 11/01/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 796 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 1 3.0 3.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 9 300.00 % 003 10/20/10 2 003 10/13/10 1 003 10/11/10 2 003 10/06/10 1 003 10/04/10 2 + __________ TOTAL ORDERED 8 266.66 % 003 09/29/10 1 003 09/22/10 2 003 09/15/10 1 003 09/08/10 1 + __________ TOTAL ORDERED 5 166.66 % 003 08/30/10 1 003 08/26/10 1 003 08/23/10 1 003 08/19/10 1 003 08/16/10 2 003 08/09/10 1 + __________ TOTAL ORDERED 7 233.33 % 003 07/29/10 2 003 07/26/10 2 003 07/19/10 1 003 07/15/10 2 003 07/08/10 1 003 07/01/10 2 + __________ TOTAL ORDERED 10 333.33 % 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 12/29/10 3 003 12/23/10 4 003 12/21/10 3 003 12/14/10 5 003 12/09/10 3 003 12/07/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 797 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 12/02/10 4 + __________ TOTAL ORDERED 24 200.00 % 003 11/24/10 4 003 11/22/10 2 003 11/17/10 2 003 11/15/10 3 003 11/10/10 1 003 11/08/10 3 003 11/03/10 1 003 11/01/10 3 + __________ TOTAL ORDERED 19 158.33 % 003 10/27/10 1 003 10/25/10 2 003 10/20/10 1 003 10/18/10 4 003 10/13/10 1 003 10/11/10 3 003 10/06/10 2 003 10/04/10 3 + __________ TOTAL ORDERED 17 141.66 % 003 09/29/10 1 003 09/27/10 3 003 09/22/10 1 003 09/20/10 3 003 09/15/10 1 003 09/13/10 6 + __________ TOTAL ORDERED 15 125.00 % 003 08/30/10 2 003 08/26/10 3 003 08/23/10 4 003 08/19/10 2 003 08/16/10 1 003 08/12/10 2 003 08/09/10 3 003 08/05/10 2 003 08/02/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 798 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 26 216.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 003 12/29/10 2 003 12/16/10 4 003 12/14/10 6 003 12/09/10 5 003 12/07/10 3 003 12/02/10 3 + __________ TOTAL ORDERED 23 109.52 % 003 11/30/10 1 003 11/24/10 3 003 11/22/10 3 003 11/17/10 2 003 11/15/10 3 003 11/10/10 3 003 11/08/10 3 003 11/03/10 3 003 11/01/10 1 + __________ TOTAL ORDERED 22 104.76 % 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 003 08/30/10 2 003 08/26/10 2 003 08/23/10 1 003 08/19/10 2 003 08/16/10 1 003 08/12/10 1 003 08/09/10 2 003 08/05/10 1 003 08/02/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 799 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 603810 LYRICA 50MG CAP + 90 30071101368 00071101368 4 3.0 12.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 13 108.33 % 003 07/29/10 3 003 07/26/10 1 003 07/19/10 2 003 07/15/10 1 003 07/12/10 1 003 07/08/10 2 003 07/01/10 3 + __________ TOTAL ORDERED 13 108.33 % 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 013 12/27/10 3 013 12/03/10 1 + __________ TOTAL ORDERED 4 133.33 % 013 10/29/10 3 013 10/22/10 1 013 10/08/10 3 + __________ TOTAL ORDERED 7 233.33 % 013 08/27/10 3 013 08/20/10 1 + __________ 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 10 3.0 30.0 0 DC DATE ORDERED QUANTITY 003 12/29/10 6 003 12/23/10 6 003 12/16/10 4 003 12/14/10 9 003 12/09/10 5 003 12/07/10 5 003 12/02/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 800 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 10 3.0 30.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 40 133.33 % 003 11/30/10 3 003 11/24/10 5 003 11/22/10 5 003 11/17/10 3 003 11/15/10 6 003 11/10/10 4 003 11/08/10 6 003 11/03/10 3 003 11/01/10 6 + __________ TOTAL ORDERED 41 136.66 % 003 10/27/10 2 003 10/25/10 6 003 10/20/10 5 003 10/18/10 5 003 10/13/10 3 003 10/11/10 5 003 10/06/10 3 003 10/04/10 4 + __________ TOTAL ORDERED 33 110.00 % 003 09/29/10 3 003 09/27/10 6 003 09/22/10 4 003 09/20/10 5 003 09/15/10 3 003 09/13/10 5 003 09/08/10 5 003 09/02/10 6 + __________ TOTAL ORDERED 37 123.33 % 003 08/30/10 5 003 08/26/10 5 003 08/23/10 4 003 08/19/10 4 003 08/16/10 5 003 08/12/10 4 003 08/09/10 4 003 08/05/10 4 003 08/02/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 801 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 10 3.0 30.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 40 133.33 % 003 07/29/10 4 003 07/26/10 5 003 07/22/10 4 003 07/19/10 5 003 07/15/10 3 003 07/12/10 7 003 07/08/10 5 003 07/01/10 8 + __________ TOTAL ORDERED 41 136.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672672 ACETAMIN/CODEINE 300/15 TAB + 100 30603233721 00603233721 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 003 12/23/10 1 003 12/21/10 2 003 12/02/10 1 + __________ TOTAL ORDERED 4 133.33 % 003 11/30/10 1 003 11/24/10 1 003 11/10/10 1 003 11/03/10 1 + __________ TOTAL ORDERED 4 133.33 % 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 003 11/30/10 2 003 11/24/10 1 003 11/22/10 4 003 11/17/10 2 003 11/15/10 1 003 11/10/10 2 003 11/03/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 802 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 13 144.44 % 003 10/27/10 1 003 10/25/10 2 003 10/20/10 1 003 10/18/10 2 003 10/13/10 2 003 10/11/10 1 003 10/06/10 2 + __________ TOTAL ORDERED 11 122.22 % 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 003 12/23/10 2 003 12/16/10 2 003 12/02/10 1 + __________ TOTAL ORDERED 5 166.66 % 003 09/29/10 1 003 09/27/10 1 003 09/20/10 1 003 09/02/10 1 + __________ TOTAL ORDERED 4 133.33 % 003 08/30/10 1 003 08/19/10 1 003 08/16/10 1 003 08/09/10 1 + __________ TOTAL ORDERED 4 133.33 % 003 07/22/10 1 003 07/12/10 2 003 07/01/10 1 + __________ TOTAL ORDERED 4 133.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 803 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 12/14/10 4 003 12/09/10 4 003 12/02/10 8 + __________ TOTAL ORDERED 16 177.77 % 003 11/30/10 2 003 11/24/10 3 003 11/17/10 2 003 11/15/10 1 003 11/10/10 3 003 11/08/10 1 003 11/03/10 1 003 11/01/10 3 + __________ TOTAL ORDERED 16 177.77 % 003 10/27/10 2 003 10/25/10 1 003 10/20/10 2 003 10/18/10 1 003 10/13/10 3 003 10/11/10 4 003 10/06/10 1 003 10/04/10 2 + __________ TOTAL ORDERED 16 177.77 % 003 09/29/10 3 003 09/27/10 5 003 09/22/10 2 003 09/15/10 4 003 09/02/10 6 + __________ TOTAL ORDERED 20 222.22 % 003 08/30/10 3 003 08/26/10 1 003 08/23/10 1 003 08/19/10 3 003 08/16/10 1 003 08/12/10 4 003 08/05/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 804 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 18 200.00 % 003 07/29/10 1 003 07/26/10 1 003 07/22/10 1 003 07/19/10 2 003 07/15/10 3 003 07/12/10 2 003 07/01/10 6 + __________ TOTAL ORDERED 16 177.77 % 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 12/27/10 2 013 12/10/10 4 013 12/03/10 4 + __________ TOTAL ORDERED 10 111.11 % 013 11/29/10 3 013 11/19/10 2 013 11/12/10 4 013 11/05/10 2 + __________ TOTAL ORDERED 11 122.22 % 013 10/29/10 2 013 10/22/10 3 013 10/15/10 5 013 10/08/10 2 013 10/01/10 2 + __________ TOTAL ORDERED 14 155.55 % 013 08/27/10 6 013 08/20/10 6 013 08/13/10 3 013 08/06/10 1 + __________ TOTAL ORDERED 16 177.77 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 805 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 12/29/10 2 003 12/23/10 3 003 12/14/10 4 003 12/09/10 3 003 12/07/10 2 003 12/02/10 1 + __________ TOTAL ORDERED 15 250.00 % 003 11/24/10 4 003 11/22/10 1 003 11/17/10 3 003 11/15/10 3 003 11/10/10 2 003 11/08/10 2 003 11/03/10 1 003 11/01/10 1 + __________ TOTAL ORDERED 17 283.33 % 003 10/27/10 2 003 10/25/10 2 003 10/20/10 1 003 10/18/10 1 003 10/13/10 2 003 10/11/10 3 003 10/06/10 1 003 10/04/10 2 + __________ TOTAL ORDERED 14 233.33 % 003 09/29/10 2 003 09/27/10 5 003 09/15/10 1 003 09/13/10 2 003 09/08/10 1 003 09/02/10 2 + __________ TOTAL ORDERED 13 216.66 % 003 08/30/10 3 003 08/26/10 2 003 08/23/10 1 003 08/19/10 3 003 08/16/10 2 003 08/12/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 806 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 08/09/10 1 003 08/05/10 3 003 08/02/10 1 + __________ TOTAL ORDERED 17 283.33 % 003 07/29/10 4 003 07/26/10 2 003 07/22/10 1 003 07/19/10 3 003 07/15/10 1 003 07/12/10 1 003 07/08/10 1 003 07/01/10 5 + __________ TOTAL ORDERED 18 300.00 % 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 12/27/10 5 013 12/17/10 4 013 12/10/10 6 013 12/03/10 5 + __________ TOTAL ORDERED 20 133.33 % 013 10/29/10 2 013 10/22/10 6 013 10/15/10 4 013 10/08/10 3 013 10/01/10 4 + __________ TOTAL ORDERED 19 126.66 % 013 08/27/10 11 013 08/20/10 1 013 08/13/10 3 013 08/06/10 2 + __________ TOTAL ORDERED 17 113.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 807 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 003 12/29/10 1 003 12/23/10 1 003 12/16/10 3 003 12/14/10 2 003 12/09/10 2 003 12/02/10 3 + __________ TOTAL ORDERED 12 133.33 % 003 11/30/10 2 003 11/24/10 2 003 11/22/10 2 003 11/17/10 2 003 11/15/10 1 003 11/10/10 1 003 11/08/10 2 003 11/03/10 1 003 11/01/10 1 + __________ TOTAL ORDERED 14 155.55 % 003 10/27/10 1 003 10/25/10 2 003 10/20/10 2 003 10/18/10 1 003 10/13/10 2 003 10/06/10 2 003 10/04/10 1 + __________ TOTAL ORDERED 11 122.22 % 003 09/29/10 3 003 09/27/10 1 003 09/22/10 1 003 09/20/10 1 003 09/15/10 2 003 09/13/10 1 003 09/08/10 1 003 09/02/10 3 + __________ TOTAL ORDERED 13 144.44 % 003 08/30/10 1 003 08/26/10 2 003 08/23/10 2 003 08/16/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 808 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 003 08/12/10 1 003 08/09/10 1 003 08/05/10 1 003 08/02/10 1 + __________ TOTAL ORDERED 10 111.11 % 003 07/29/10 3 003 07/26/10 1 003 07/22/10 2 003 07/19/10 2 003 07/15/10 1 003 07/12/10 1 003 07/08/10 1 003 07/01/10 3 + __________ TOTAL ORDERED 14 155.55 % 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 12/29/10 1 003 12/23/10 1 003 12/09/10 1 003 12/07/10 1 + __________ TOTAL ORDERED 4 133.33 % 003 11/24/10 1 003 11/22/10 2 003 11/10/10 1 003 11/08/10 1 003 11/03/10 1 + __________ TOTAL ORDERED 6 200.00 % 003 10/25/10 1 003 10/20/10 1 003 10/13/10 1 003 10/11/10 1 003 10/04/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 809 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 09/29/10 1 003 09/20/10 1 003 09/15/10 1 003 09/13/10 2 + __________ TOTAL ORDERED 5 166.66 % 003 08/26/10 1 003 08/16/10 2 003 08/12/10 1 003 08/02/10 1 + __________ TOTAL ORDERED 5 166.66 % 003 07/29/10 1 003 07/22/10 1 003 07/19/10 2 003 07/12/10 1 003 07/01/10 2 + __________ TOTAL ORDERED 7 233.33 % 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 12/29/10 3 003 12/16/10 7 003 12/09/10 2 003 12/02/10 6 + __________ TOTAL ORDERED 18 150.00 % 003 11/24/10 4 003 11/17/10 4 003 11/15/10 2 003 11/10/10 2 003 11/08/10 9 003 11/03/10 3 + __________ TOTAL ORDERED 24 200.00 % 003 10/27/10 4 003 10/20/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 810 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 10/18/10 3 003 10/13/10 5 003 10/06/10 1 + __________ TOTAL ORDERED 17 141.66 % 003 09/29/10 1 003 09/22/10 4 003 09/15/10 6 003 09/13/10 4 + __________ TOTAL ORDERED 15 125.00 % 003 08/30/10 1 003 08/26/10 3 003 08/19/10 4 003 08/16/10 4 003 08/12/10 1 003 08/05/10 2 + __________ TOTAL ORDERED 15 125.00 % 003 07/26/10 1 003 07/22/10 2 003 07/19/10 3 003 07/15/10 3 003 07/01/10 11 + __________ 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 12/29/10 2 003 12/23/10 3 003 12/21/10 1 003 12/16/10 1 003 12/14/10 3 003 12/09/10 1 003 12/07/10 2 003 12/02/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 811 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 14 155.55 % 003 11/24/10 2 003 11/22/10 1 003 11/17/10 2 003 11/10/10 2 003 11/08/10 1 003 11/03/10 2 003 11/01/10 1 + __________ TOTAL ORDERED 11 122.22 % 003 10/27/10 1 003 10/25/10 1 003 10/20/10 1 003 10/18/10 1 003 10/13/10 2 003 10/11/10 1 003 10/06/10 1 003 10/04/10 2 + __________ TOTAL ORDERED 10 111.11 % 003 09/29/10 2 003 09/27/10 2 003 09/22/10 1 003 09/20/10 1 003 09/15/10 2 003 09/13/10 3 003 09/08/10 2 003 09/02/10 2 + __________ TOTAL ORDERED 15 166.66 % 003 08/30/10 2 003 08/26/10 2 003 08/23/10 2 003 08/19/10 1 003 08/16/10 1 003 08/12/10 1 003 08/09/10 1 003 08/05/10 1 003 08/02/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 812 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 13 144.44 % 003 07/29/10 1 003 07/26/10 2 003 07/22/10 2 003 07/19/10 1 003 07/15/10 1 003 07/12/10 2 003 07/08/10 1 003 07/01/10 2 + __________ TOTAL ORDERED 12 133.33 % 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 09/29/10 1 003 09/27/10 1 003 09/22/10 1 003 09/13/10 1 003 09/02/10 2 + __________ TOTAL ORDERED 6 200.00 % 003 08/26/10 1 003 08/19/10 1 003 08/09/10 1 003 08/05/10 1 003 08/02/10 1 + __________ TOTAL ORDERED 5 166.66 % 003 07/29/10 1 003 07/26/10 1 003 07/22/10 2 003 07/15/10 1 003 07/12/10 1 003 07/01/10 1 + __________ TOTAL ORDERED 7 233.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 813 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 003 11/17/10 2 003 11/15/10 5 003 11/10/10 2 003 11/08/10 4 003 11/03/10 2 003 11/01/10 5 + __________ TOTAL ORDERED 20 222.22 % 003 10/27/10 2 003 10/25/10 3 003 10/20/10 2 003 10/18/10 4 003 10/13/10 2 003 10/11/10 4 003 10/06/10 4 003 10/04/10 5 + __________ TOTAL ORDERED 26 288.88 % 003 09/29/10 3 003 09/27/10 5 003 09/22/10 2 003 09/20/10 5 003 09/15/10 3 003 09/13/10 3 003 09/08/10 5 003 09/02/10 4 + __________ TOTAL ORDERED 30 333.33 % 003 08/30/10 4 003 08/26/10 3 003 08/23/10 4 003 08/19/10 2 003 08/16/10 4 003 08/12/10 1 003 08/09/10 5 003 08/05/10 2 003 08/02/10 3 + __________ TOTAL ORDERED 28 311.11 % 003 07/29/10 4 003 07/26/10 2 003 07/22/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 814 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 003 07/19/10 4 003 07/15/10 4 003 07/12/10 4 003 07/08/10 4 003 07/01/10 5 + __________ TOTAL ORDERED 29 322.22 % 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 507053 CONCERTA 54MG ER TAB 100 35045858701 50458058701 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 013 12/29/10 3 013 12/15/10 3 013 12/01/10 7 + __________ TOTAL ORDERED 13 144.44 % 013 11/24/10 5 013 11/17/10 2 013 11/03/10 4 + __________ TOTAL ORDERED 11 122.22 % 013 09/29/10 2 013 09/22/10 3 013 09/15/10 3 013 09/08/10 1 013 09/01/10 2 + __________ TOTAL ORDERED 11 122.22 % 013 08/25/10 4 013 08/18/10 3 013 08/04/10 3 + __________ TOTAL ORDERED 10 111.11 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 815 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 12/28/10 3 008 12/23/10 3 008 12/20/10 3 008 12/16/10 2 008 12/13/10 3 008 12/09/10 2 008 12/06/10 4 008 12/02/10 2 + __________ TOTAL ORDERED 22 146.66 % 008 11/29/10 3 008 11/24/10 5 008 11/19/10 3 008 11/17/10 3 008 11/12/10 2 008 11/10/10 2 008 11/05/10 2 008 11/03/10 2 + __________ TOTAL ORDERED 22 146.66 % 008 10/27/10 3 008 10/22/10 2 008 10/20/10 2 008 10/15/10 3 008 10/13/10 3 008 10/08/10 2 008 10/06/10 3 008 10/01/10 2 + __________ TOTAL ORDERED 20 133.33 % 008 09/29/10 3 008 09/24/10 2 008 09/22/10 2 008 09/17/10 2 008 09/15/10 2 008 09/10/10 3 008 09/08/10 2 008 09/01/10 3 + __________ TOTAL ORDERED 19 126.66 % 008 08/30/10 2 008 08/25/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 816 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 08/23/10 2 008 08/18/10 2 008 08/16/10 3 008 08/11/10 2 008 08/09/10 2 008 08/04/10 3 008 08/02/10 5 + __________ TOTAL ORDERED 23 153.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 14 3.0 42.0 0 DC DATE ORDERED QUANTITY 008 12/28/10 13 008 12/23/10 9 008 12/20/10 6 008 12/16/10 3 008 12/13/10 6 008 12/09/10 3 008 12/06/10 5 008 12/02/10 3 + __________ TOTAL ORDERED 48 114.28 % 008 11/29/10 9 008 11/24/10 9 008 11/19/10 5 008 11/17/10 3 008 11/12/10 8 008 11/10/10 1 008 11/05/10 8 + __________ TOTAL ORDERED 43 102.38 % 008 10/27/10 5 008 10/22/10 9 008 10/20/10 6 008 10/15/10 10 008 10/13/10 3 008 10/08/10 6 008 10/06/10 3 008 10/01/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 817 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 14 3.0 42.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 48 114.28 % 008 09/29/10 1 008 09/24/10 10 008 09/22/10 8 008 09/17/10 5 008 09/15/10 6 008 09/10/10 4 008 09/08/10 3 008 09/01/10 6 + __________ TOTAL ORDERED 43 102.38 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 603809 LYRICA 75MG CAP + 90 30071101468 00071101468 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 008 11/24/10 5 008 11/12/10 5 008 11/10/10 2 008 11/05/10 3 008 11/03/10 1 + __________ TOTAL ORDERED 16 106.66 % 008 08/30/10 5 008 08/25/10 1 008 08/23/10 2 008 08/11/10 3 008 08/09/10 2 008 08/04/10 1 008 08/02/10 4 + __________ TOTAL ORDERED 18 120.00 % 008 07/28/10 5 008 07/26/10 1 008 07/21/10 1 008 07/14/10 1 008 07/12/10 4 008 07/07/10 4 008 07/01/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 818 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 603809 LYRICA 75MG CAP + 90 30071101468 00071101468 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 17 113.33 % 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 11/24/10 6 008 11/19/10 3 008 11/12/10 4 008 11/05/10 2 008 11/03/10 3 + __________ TOTAL ORDERED 18 200.00 % 008 10/27/10 1 008 10/22/10 3 008 10/06/10 2 008 10/01/10 4 + __________ TOTAL ORDERED 10 111.11 % 008 09/29/10 1 008 09/24/10 2 008 09/22/10 1 008 09/17/10 1 008 09/15/10 1 008 09/10/10 1 008 09/01/10 6 + __________ TOTAL ORDERED 13 144.44 % 008 07/28/10 1 008 07/21/10 4 008 07/19/10 1 008 07/14/10 1 008 07/12/10 1 008 07/07/10 3 008 07/01/10 1 + __________ TOTAL ORDERED 12 133.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 819 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 607188 FOCALIN XR 5MG CAP 100 30078043005 00078043005 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 013 10/27/10 1 013 10/20/10 1 013 10/06/10 2 + __________ TOTAL ORDERED 4 133.33 % 013 09/22/10 1 013 09/08/10 1 013 09/01/10 2 + __________ TOTAL ORDERED 4 133.33 % 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 09/22/10 7 013 09/08/10 8 013 09/01/10 14 + __________ TOTAL ORDERED 29 161.11 % 013 08/25/10 10 013 08/18/10 8 013 08/04/10 1 + __________ TOTAL ORDERED 19 105.55 % 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 08/25/10 8 013 08/18/10 12 013 08/04/10 5 + __________ TOTAL ORDERED 25 138.88 % 013 07/21/10 12 013 07/14/10 4 013 07/07/10 15 + __________ TOTAL ORDERED 31 172.22 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 820 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 672663 HYDROCODONE/APAP 5/500+TAB(WT)500 30591034905 00591034905 11 3.0 33.0 0 DC DATE ORDERED QUANTITY 008 12/28/10 6 008 12/23/10 7 008 12/20/10 5 008 12/16/10 4 008 12/13/10 7 008 12/09/10 3 008 12/06/10 7 008 12/02/10 5 + __________ TOTAL ORDERED 44 133.33 % 008 09/29/10 3 008 09/24/10 4 008 09/22/10 4 008 09/17/10 6 008 09/15/10 5 008 09/10/10 5 008 09/08/10 1 008 09/01/10 6 + __________ TOTAL ORDERED 34 103.03 % 008 08/30/10 6 008 08/25/10 3 008 08/23/10 4 008 08/18/10 4 008 08/16/10 5 008 08/11/10 3 008 08/09/10 4 008 08/04/10 3 008 08/02/10 4 + __________ TOTAL ORDERED 36 109.09 % 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 12/22/10 4 013 12/01/10 6 + __________ TOTAL ORDERED 10 166.66 % 013 11/24/10 2 013 11/17/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 821 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 672805 ADDERALL XR 30MG CAPS + 100 35409239101 54092039101 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 11/03/10 3 + __________ TOTAL ORDERED 8 133.33 % 013 10/27/10 4 013 10/20/10 3 013 10/06/10 1 + __________ TOTAL ORDERED 8 133.33 % 013 09/29/10 3 013 09/22/10 2 013 09/15/10 1 013 09/08/10 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 12/29/10 3 013 12/15/10 2 013 12/01/10 3 + __________ TOTAL ORDERED 8 133.33 % 013 11/24/10 2 013 11/17/10 2 013 11/10/10 3 + __________ TOTAL ORDERED 7 116.66 % 013 10/27/10 2 013 10/20/10 2 013 10/13/10 2 013 10/06/10 1 + __________ TOTAL ORDERED 7 116.66 % 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 008 11/24/10 3 008 11/19/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 822 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 675041 HC-IBUPRO 7.5-200 TABS (TEV)+ 100 30093516101 00093516101 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 008 11/12/10 1 008 11/05/10 3 008 11/03/10 2 + __________ TOTAL ORDERED 10 111.11 % 008 10/22/10 3 008 10/20/10 2 008 10/15/10 2 008 10/13/10 1 008 10/08/10 2 008 10/01/10 2 + __________ TOTAL ORDERED 12 133.33 % 008 09/29/10 4 008 09/24/10 3 008 09/22/10 1 008 09/17/10 2 008 09/10/10 2 008 09/08/10 1 008 09/01/10 1 + __________ TOTAL ORDERED 14 155.55 % 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 12/29/10 1 013 12/22/10 8 013 12/15/10 7 013 12/01/10 4 + __________ TOTAL ORDERED 20 133.33 % 013 11/24/10 2 013 11/17/10 6 013 11/10/10 6 013 11/03/10 3 + __________ TOTAL ORDERED 17 113.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 823 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 008 12/28/10 2 008 12/23/10 1 008 12/20/10 2 008 12/16/10 3 008 12/13/10 2 008 12/09/10 1 008 12/06/10 2 + __________ TOTAL ORDERED 13 144.44 % 008 11/29/10 1 008 11/24/10 2 008 11/19/10 2 008 11/17/10 2 008 11/12/10 2 008 11/10/10 1 008 11/05/10 2 008 11/03/10 1 + __________ TOTAL ORDERED 13 144.44 % 008 10/27/10 1 008 10/22/10 1 008 10/20/10 2 008 10/15/10 2 008 10/13/10 2 008 10/08/10 2 008 10/06/10 1 008 10/01/10 1 + __________ TOTAL ORDERED 12 133.33 % 008 09/24/10 3 008 09/22/10 1 008 09/17/10 3 008 09/15/10 1 008 09/10/10 2 008 09/01/10 4 + __________ TOTAL ORDERED 14 155.55 % 008 08/30/10 2 008 08/25/10 2 008 08/18/10 2 008 08/16/10 1 008 08/11/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 824 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 008 08/09/10 2 008 08/04/10 1 + __________ TOTAL ORDERED 12 133.33 % 008 07/26/10 2 008 07/21/10 3 008 07/19/10 2 008 07/14/10 2 008 07/12/10 3 008 07/07/10 2 008 07/01/10 3 + __________ TOTAL ORDERED 17 188.88 % 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 12/28/10 2 008 12/23/10 1 008 12/20/10 2 008 12/16/10 1 008 12/13/10 1 008 12/09/10 2 008 12/06/10 2 008 12/02/10 1 + __________ TOTAL ORDERED 12 200.00 % 008 11/29/10 1 008 11/24/10 2 008 11/19/10 2 008 11/17/10 1 008 11/12/10 2 008 11/10/10 1 008 11/05/10 3 + __________ TOTAL ORDERED 12 200.00 % 008 10/27/10 1 008 10/22/10 2 008 10/20/10 1 008 10/15/10 2 008 10/13/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 825 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 008 10/08/10 3 008 10/06/10 1 008 10/01/10 1 + __________ TOTAL ORDERED 12 200.00 % 008 09/24/10 2 008 09/22/10 2 008 09/17/10 1 008 09/10/10 3 008 09/08/10 1 008 09/01/10 3 + __________ TOTAL ORDERED 12 200.00 % 008 08/30/10 1 008 08/25/10 2 008 08/23/10 1 008 08/18/10 1 008 08/16/10 1 008 08/11/10 1 008 08/09/10 2 008 08/04/10 1 008 08/02/10 2 + __________ TOTAL ORDERED 12 200.00 % 008 07/28/10 2 008 07/26/10 2 008 07/21/10 1 008 07/19/10 2 008 07/14/10 1 008 07/12/10 2 008 07/07/10 1 008 07/01/10 2 + __________ TOTAL ORDERED 13 216.66 % 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 008 12/28/10 2 008 12/23/10 2 008 12/20/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 826 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 008 12/16/10 1 008 12/13/10 1 008 12/09/10 1 008 12/06/10 1 008 12/02/10 1 + __________ TOTAL ORDERED 10 111.11 % 008 09/29/10 1 008 09/24/10 1 008 09/17/10 2 008 09/15/10 1 008 09/10/10 2 008 09/01/10 3 + __________ TOTAL ORDERED 10 111.11 % 008 08/25/10 1 008 08/18/10 1 008 08/16/10 3 008 08/11/10 1 008 08/09/10 2 008 08/04/10 2 008 08/02/10 1 + __________ TOTAL ORDERED 11 122.22 % 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 10/27/10 2 008 10/22/10 3 008 10/20/10 1 008 10/15/10 2 008 10/13/10 3 008 10/08/10 2 008 10/01/10 3 + __________ TOTAL ORDERED 16 106.66 % 008 08/30/10 3 008 08/25/10 2 008 08/23/10 2 008 08/18/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 827 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 08/16/10 3 008 08/11/10 2 008 08/09/10 2 008 08/04/10 2 008 08/02/10 2 + __________ TOTAL ORDERED 20 133.33 % 008 07/28/10 1 008 07/26/10 2 008 07/21/10 1 008 07/19/10 4 008 07/14/10 3 008 07/12/10 4 008 07/07/10 1 008 07/01/10 2 + __________ TOTAL ORDERED 18 120.00 % 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 008 12/28/10 1 008 12/23/10 3 008 12/20/10 1 008 12/16/10 1 008 12/13/10 2 + __________ TOTAL ORDERED 8 133.33 % 008 08/30/10 1 008 08/25/10 1 008 08/23/10 1 008 08/18/10 1 008 08/11/10 1 008 08/09/10 1 008 08/04/10 3 008 08/02/10 3 + __________ TOTAL ORDERED 12 200.00 % 008 07/28/10 3 008 07/07/10 1 008 07/01/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 828 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 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 05088 BB6213487 300 N MAIN ST EAST PEORIA IL 61611 +_________________________________________________________________________________________________________________________________________________ 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 008 12/22/10 1 008 12/20/10 1 008 12/13/10 1 008 12/08/10 1 008 12/01/10 1 + __________ TOTAL ORDERED 5 166.66 % 008 09/28/10 1 008 09/24/10 1 008 09/17/10 1 008 09/07/10 1 + __________ TOTAL ORDERED 4 133.33 % 008 08/27/10 1 008 08/20/10 1 008 08/13/10 1 008 08/04/10 1 + __________ TOTAL ORDERED 4 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 471202 FENTANYL 12MCG/HR TS (SAN) + 5 30781724055 00781724055 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 013 12/28/10 9 013 12/21/10 5 013 12/14/10 1 + __________ TOTAL ORDERED 15 125.00 % 013 11/30/10 7 013 11/23/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 829 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 471202 FENTANYL 12MCG/HR TS (SAN) + 5 30781724055 00781724055 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 013 11/02/10 7 + __________ TOTAL ORDERED 15 125.00 % 013 09/28/10 2 013 09/21/10 6 013 09/14/10 6 013 09/08/10 1 + __________ TOTAL ORDERED 15 125.00 % 013 08/31/10 9 013 08/24/10 1 013 08/17/10 4 013 08/03/10 2 + __________ TOTAL ORDERED 16 133.33 % 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 10/26/10 3 013 10/19/10 6 013 10/05/10 4 + __________ TOTAL ORDERED 13 144.44 % 013 08/31/10 5 013 08/24/10 4 013 08/17/10 2 013 08/10/10 2 013 08/03/10 1 + __________ TOTAL ORDERED 14 155.55 % 013 07/27/10 3 013 07/20/10 3 013 07/13/10 2 013 07/07/10 2 + __________ TOTAL ORDERED 10 111.11 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 830 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 507606 CONCERTA 18MG ER TAB 100 35045858501 50458058501 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 12/28/10 3 013 12/21/10 2 013 12/07/10 3 + __________ TOTAL ORDERED 8 133.33 % 013 11/23/10 4 013 11/09/10 3 + __________ TOTAL ORDERED 7 116.66 % 013 08/31/10 3 013 08/24/10 2 013 08/17/10 1 013 08/10/10 1 013 08/03/10 2 + __________ TOTAL ORDERED 9 150.00 % 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 008 12/22/10 1 008 12/20/10 1 008 12/08/10 1 008 12/01/10 1 + __________ TOTAL ORDERED 4 133.33 % 008 09/24/10 1 008 09/21/10 1 008 09/17/10 1 008 09/01/10 1 + __________ TOTAL ORDERED 4 133.33 % 008 07/28/10 2 008 07/16/10 1 008 07/07/10 1 + __________ TOTAL ORDERED 4 133.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 831 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 008 12/28/10 2 008 12/22/10 3 008 12/20/10 4 008 12/15/10 4 008 12/13/10 4 008 12/08/10 2 008 12/06/10 4 008 12/01/10 2 + __________ TOTAL ORDERED 25 166.66 % 008 11/29/10 4 008 11/23/10 3 008 11/19/10 4 008 11/16/10 2 008 11/12/10 3 008 11/09/10 3 008 11/05/10 3 008 11/02/10 2 + __________ TOTAL ORDERED 24 160.00 % 008 10/26/10 2 008 10/22/10 3 008 10/19/10 2 008 10/15/10 4 008 10/12/10 2 008 10/08/10 3 008 10/05/10 1 008 10/01/10 4 + __________ TOTAL ORDERED 21 140.00 % 008 09/28/10 2 008 09/24/10 4 008 09/21/10 3 008 09/17/10 4 008 09/14/10 1 008 09/10/10 2 008 09/07/10 2 008 09/01/10 5 + __________ TOTAL ORDERED 23 153.33 % 008 08/27/10 2 008 08/25/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 832 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 008 08/20/10 2 008 08/18/10 3 008 08/13/10 3 008 08/06/10 4 008 08/04/10 4 + __________ TOTAL ORDERED 23 153.33 % 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 12/28/10 9 013 12/21/10 5 013 12/14/10 17 013 12/07/10 4 + __________ TOTAL ORDERED 35 166.66 % 013 11/30/10 6 013 11/23/10 10 013 11/16/10 4 013 11/09/10 14 013 11/02/10 2 + __________ TOTAL ORDERED 36 171.42 % 013 10/26/10 6 013 10/19/10 1 013 10/12/10 14 013 10/05/10 7 + __________ TOTAL ORDERED 28 133.33 % 013 09/28/10 3 013 09/21/10 7 013 09/14/10 9 013 09/08/10 12 + __________ TOTAL ORDERED 31 147.61 % 013 08/31/10 6 013 08/24/10 3 013 08/17/10 7 013 08/10/10 5 013 08/03/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 833 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 28 133.33 % 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 12/28/10 7 013 12/21/10 7 013 12/14/10 10 013 12/07/10 7 + __________ TOTAL ORDERED 31 147.61 % 013 11/30/10 5 013 11/23/10 3 013 11/16/10 10 013 11/09/10 6 013 11/02/10 10 + __________ TOTAL ORDERED 34 161.90 % 013 10/26/10 2 013 10/19/10 6 013 10/12/10 11 013 10/05/10 5 + __________ TOTAL ORDERED 24 114.28 % 013 09/28/10 11 013 09/21/10 10 013 09/14/10 1 + __________ TOTAL ORDERED 22 104.76 % 013 08/31/10 16 013 08/24/10 11 013 08/17/10 10 013 08/10/10 5 013 08/03/10 2 + __________ TOTAL ORDERED 44 209.52 % 013 07/27/10 11 013 07/20/10 19 013 07/13/10 5 013 07/07/10 8 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 834 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 43 204.76 % 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 12/28/10 2 013 12/14/10 1 013 12/07/10 1 + __________ TOTAL ORDERED 4 133.33 % 013 11/30/10 1 013 11/23/10 2 013 11/02/10 1 + __________ TOTAL ORDERED 4 133.33 % 013 08/31/10 3 013 08/24/10 2 013 08/03/10 1 + __________ TOTAL ORDERED 6 200.00 % 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 008 10/26/10 1 008 10/22/10 3 008 10/19/10 1 008 10/15/10 1 008 10/05/10 1 008 10/01/10 3 + __________ TOTAL ORDERED 10 111.11 % 008 09/28/10 1 008 09/24/10 2 008 09/21/10 1 008 09/17/10 2 008 09/10/10 2 008 09/07/10 2 008 09/01/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 835 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 553698 ZOLPIDEM 5MG TABS (TEV) + 100 30093007301 00093007301 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 563756 HYDROCOD-APAP 10-325 TAB(WAT)+500 30591085305 00591085305 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 008 12/28/10 1 008 12/22/10 5 008 12/20/10 2 008 12/15/10 3 008 12/13/10 3 008 12/08/10 3 008 12/06/10 1 008 12/01/10 2 + __________ TOTAL ORDERED 20 111.11 % 008 11/29/10 4 008 11/23/10 3 008 11/19/10 3 008 11/16/10 1 008 11/12/10 4 008 11/09/10 2 008 11/05/10 3 008 11/02/10 2 + __________ TOTAL ORDERED 22 122.22 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 564864 HYDROCO-APAP 7.5-325 TAB(WAT)+100 30591320301 00591320301 9 3.0 27.0 0 DC DATE ORDERED QUANTITY 008 12/22/10 3 008 12/20/10 2 008 12/15/10 4 008 12/13/10 8 008 12/08/10 5 008 12/06/10 6 008 12/01/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 836 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 564864 HYDROCO-APAP 7.5-325 TAB(WAT)+100 30591320301 00591320301 9 3.0 27.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 29 107.40 % 008 11/29/10 3 008 11/23/10 3 008 11/19/10 10 008 11/16/10 4 008 11/12/10 5 008 11/09/10 2 008 11/05/10 7 008 11/02/10 1 + __________ TOTAL ORDERED 35 129.62 % 008 10/26/10 3 008 10/22/10 6 008 10/19/10 1 008 10/15/10 7 008 10/12/10 6 008 10/08/10 4 008 10/05/10 1 008 10/01/10 1 + __________ TOTAL ORDERED 29 107.40 % 008 09/28/10 1 008 09/24/10 6 008 09/21/10 1 008 09/17/10 6 008 09/14/10 4 008 09/10/10 2 008 09/07/10 5 008 09/01/10 7 + __________ TOTAL ORDERED 32 118.51 % 008 08/27/10 5 008 08/25/10 2 008 08/20/10 2 008 08/18/10 2 008 08/13/10 6 008 08/11/10 3 008 08/06/10 6 008 08/04/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 837 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 564864 HYDROCO-APAP 7.5-325 TAB(WAT)+100 30591320301 00591320301 9 3.0 27.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 28 103.70 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 14 3.0 42.0 0 DC DATE ORDERED QUANTITY 008 12/28/10 9 008 12/22/10 16 008 12/20/10 14 008 12/15/10 10 008 12/13/10 19 008 12/08/10 8 008 12/06/10 17 008 12/01/10 10 + __________ TOTAL ORDERED 103 245.23 % 008 11/29/10 12 008 11/23/10 17 008 11/19/10 10 008 11/16/10 6 008 11/12/10 7 008 11/09/10 8 008 11/05/10 3 008 11/02/10 5 + __________ TOTAL ORDERED 68 161.90 % 008 10/26/10 7 008 10/22/10 9 008 10/19/10 7 008 10/15/10 8 008 10/12/10 8 008 10/08/10 11 008 10/05/10 7 008 10/01/10 5 + __________ TOTAL ORDERED 62 147.61 % 008 09/28/10 7 008 09/24/10 10 008 09/21/10 6 008 09/17/10 9 008 09/14/10 10 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 838 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 14 3.0 42.0 0 DC DATE ORDERED QUANTITY 008 09/10/10 13 008 09/07/10 8 008 09/01/10 13 + __________ TOTAL ORDERED 76 180.95 % 008 08/27/10 13 008 08/25/10 5 008 08/20/10 6 008 08/18/10 3 008 08/13/10 8 008 08/11/10 7 008 08/06/10 10 008 08/04/10 4 + __________ TOTAL ORDERED 56 133.33 % 008 07/28/10 6 008 07/23/10 9 008 07/21/10 6 008 07/16/10 9 008 07/14/10 12 008 07/09/10 14 008 07/07/10 13 + __________ TOTAL ORDERED 69 164.28 % 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 11/19/10 2 008 11/16/10 3 008 11/09/10 2 008 11/05/10 2 008 11/02/10 3 + __________ TOTAL ORDERED 12 133.33 % 008 09/28/10 1 008 09/21/10 1 008 09/17/10 2 008 09/01/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 839 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 603807 LYRICA 100MG CAP + 90 30071101568 00071101568 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 10 111.11 % 008 08/27/10 2 008 08/20/10 3 008 08/18/10 1 008 08/06/10 6 + __________ TOTAL ORDERED 12 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 603809 LYRICA 75MG CAP + 90 30071101468 00071101468 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 008 11/23/10 6 008 11/19/10 3 008 11/16/10 4 008 11/05/10 3 008 11/02/10 3 + __________ TOTAL ORDERED 19 126.66 % 008 09/28/10 3 008 09/24/10 1 008 09/21/10 2 008 09/17/10 2 008 09/14/10 3 008 09/07/10 4 008 09/01/10 5 + __________ TOTAL ORDERED 20 133.33 % 008 07/28/10 6 008 07/23/10 3 008 07/21/10 2 008 07/16/10 1 008 07/09/10 3 008 07/07/10 1 + __________ TOTAL ORDERED 16 106.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 840 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 12/22/10 3 008 12/20/10 1 008 12/08/10 3 008 12/06/10 1 008 12/01/10 2 + __________ TOTAL ORDERED 10 111.11 % 008 11/23/10 3 008 11/19/10 2 008 11/05/10 4 008 11/02/10 2 + __________ TOTAL ORDERED 11 122.22 % 008 10/26/10 2 008 10/19/10 4 008 10/05/10 6 + __________ TOTAL ORDERED 12 133.33 % 008 09/28/10 3 008 09/21/10 2 008 09/17/10 3 008 09/14/10 1 008 09/10/10 3 + __________ TOTAL ORDERED 12 133.33 % 008 08/27/10 1 008 08/25/10 6 008 08/11/10 6 + __________ TOTAL ORDERED 13 144.44 % 008 07/28/10 6 008 07/23/10 2 008 07/16/10 1 008 07/09/10 3 008 07/07/10 3 + __________ TOTAL ORDERED 15 166.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 841 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 668712 XANAX 0.5MG TAB 100 + (PZ) 30009005501 00009005501 1 3.0 3.0 0 DC DATE ORDERED QUANTITY 008 12/22/10 2 008 12/15/10 1 008 12/13/10 1 + __________ TOTAL ORDERED 4 133.33 % 008 11/29/10 1 008 11/23/10 1 008 11/19/10 1 008 11/16/10 1 + __________ TOTAL ORDERED 4 133.33 % 008 10/26/10 1 008 10/19/10 2 008 10/05/10 1 + __________ 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 12/28/10 3 008 12/22/10 5 008 12/20/10 4 008 12/15/10 6 008 12/13/10 7 008 12/08/10 3 008 12/06/10 8 008 12/01/10 4 + __________ TOTAL ORDERED 40 121.21 % 008 11/29/10 6 008 11/23/10 6 008 11/19/10 6 008 11/16/10 3 008 11/12/10 5 008 11/09/10 4 008 11/05/10 7 008 11/02/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 842 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 + __________ TOTAL ORDERED 41 124.24 % 008 10/26/10 4 008 10/22/10 5 008 10/19/10 4 008 10/15/10 4 008 10/12/10 3 008 10/08/10 5 008 10/05/10 3 008 10/01/10 6 + __________ TOTAL ORDERED 34 103.03 % 008 09/28/10 3 008 09/24/10 5 008 09/21/10 3 008 09/17/10 5 008 09/14/10 4 008 09/10/10 5 008 09/07/10 4 008 09/01/10 6 + __________ TOTAL ORDERED 35 106.06 % 008 08/27/10 5 008 08/25/10 4 008 08/20/10 6 008 08/18/10 4 008 08/13/10 4 008 08/11/10 3 008 08/06/10 4 008 08/04/10 5 + __________ TOTAL ORDERED 35 106.06 % 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 10/26/10 2 013 10/19/10 2 013 10/05/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 843 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 672805 ADDERALL XR 30MG CAPS + 100 35409239101 54092039101 2 3.0 6.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 8 133.33 % 013 08/31/10 3 013 08/24/10 2 013 08/17/10 3 013 08/10/10 1 013 08/03/10 1 + __________ TOTAL ORDERED 10 166.66 % 013 07/27/10 1 013 07/20/10 2 013 07/13/10 2 013 07/07/10 2 + __________ TOTAL ORDERED 7 116.66 % 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 11/23/10 3 013 11/09/10 2 013 11/02/10 2 + __________ TOTAL ORDERED 7 116.66 % 013 10/19/10 2 013 10/12/10 2 013 10/05/10 3 + __________ TOTAL ORDERED 7 116.66 % 013 08/31/10 3 013 08/24/10 2 013 08/17/10 1 013 08/10/10 2 013 08/03/10 1 + __________ TOTAL ORDERED 9 150.00 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 844 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 008 12/28/10 5 008 12/22/10 3 008 12/08/10 4 008 12/06/10 2 + __________ TOTAL ORDERED 14 116.66 % 008 11/29/10 2 008 11/23/10 4 008 11/16/10 2 008 11/05/10 3 008 11/02/10 2 + __________ TOTAL ORDERED 13 108.33 % 008 09/17/10 6 008 09/14/10 3 008 09/07/10 6 008 09/01/10 3 + __________ TOTAL ORDERED 18 150.00 % 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 008 12/28/10 1 008 12/22/10 1 008 12/20/10 2 008 12/15/10 2 008 12/13/10 3 008 12/08/10 1 008 12/06/10 3 008 12/01/10 2 + __________ TOTAL ORDERED 15 166.66 % 008 11/29/10 1 008 11/23/10 2 008 11/19/10 2 008 11/16/10 1 008 11/12/10 2 008 11/09/10 1 008 11/05/10 2 008 11/02/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 845 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 12 133.33 % 008 10/26/10 1 008 10/22/10 1 008 10/19/10 1 008 10/15/10 3 008 10/12/10 2 008 10/08/10 2 008 10/05/10 1 008 10/01/10 3 + __________ TOTAL ORDERED 14 155.55 % 008 09/28/10 1 008 09/24/10 2 008 09/21/10 1 008 09/17/10 1 008 09/14/10 1 008 09/10/10 2 008 09/07/10 2 008 09/01/10 2 + __________ TOTAL ORDERED 12 133.33 % 008 08/27/10 2 008 08/25/10 2 008 08/20/10 1 008 08/18/10 2 008 08/06/10 4 008 08/04/10 1 + __________ TOTAL ORDERED 12 133.33 % 008 07/28/10 1 008 07/23/10 2 008 07/21/10 2 008 07/16/10 2 008 07/09/10 2 008 07/07/10 1 + __________ TOTAL ORDERED 10 111.11 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 846 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 676927 METHYLIN 20MG ER TAB (MRT) + 100 30406145101 00406145101 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 013 12/28/10 1 013 12/21/10 3 013 12/14/10 4 + __________ TOTAL ORDERED 8 133.33 % 013 08/31/10 2 013 08/24/10 1 013 08/17/10 1 013 08/10/10 2 013 08/03/10 2 + __________ TOTAL ORDERED 8 133.33 % 013 07/27/10 1 013 07/20/10 4 013 07/13/10 2 013 07/07/10 1 + __________ TOTAL ORDERED 8 133.33 % 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 12/22/10 3 008 12/20/10 1 008 12/15/10 2 008 12/13/10 3 008 12/08/10 1 008 12/06/10 2 008 12/01/10 3 + __________ TOTAL ORDERED 15 250.00 % 008 11/29/10 1 008 11/23/10 3 008 11/19/10 3 008 11/16/10 1 008 11/12/10 2 008 11/09/10 2 008 11/05/10 1 008 11/02/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 847 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 15 250.00 % 008 10/26/10 1 008 10/22/10 3 008 10/19/10 1 008 10/15/10 2 008 10/08/10 2 008 10/05/10 1 008 10/01/10 3 + __________ TOTAL ORDERED 13 216.66 % 008 09/28/10 2 008 09/24/10 3 008 09/21/10 1 008 09/17/10 2 008 09/14/10 1 008 09/10/10 2 008 09/07/10 1 008 09/01/10 4 + __________ TOTAL ORDERED 16 266.66 % 008 08/27/10 2 008 08/25/10 2 008 08/20/10 2 008 08/18/10 1 008 08/13/10 1 008 08/06/10 6 + __________ TOTAL ORDERED 14 233.33 % 008 07/28/10 2 008 07/23/10 3 008 07/21/10 1 008 07/16/10 2 008 07/09/10 2 008 07/07/10 1 + __________ TOTAL ORDERED 11 183.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 848 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 682432 PROPOXY N-APAP 100/650 WT TB +500 30603546728 00603546732 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 008 10/26/10 2 008 10/22/10 3 008 10/19/10 2 008 10/15/10 3 008 10/12/10 1 008 10/08/10 4 008 10/05/10 3 008 10/01/10 3 + __________ TOTAL ORDERED 21 140.00 % 008 09/28/10 1 008 09/24/10 3 008 09/21/10 3 008 09/17/10 3 008 09/14/10 2 008 09/10/10 3 008 09/07/10 2 008 09/01/10 3 + __________ TOTAL ORDERED 20 133.33 % 008 08/27/10 2 008 08/25/10 3 008 08/20/10 3 008 08/18/10 2 008 08/13/10 2 008 08/06/10 4 + __________ TOTAL ORDERED 16 106.66 % 008 07/28/10 2 008 07/23/10 4 008 07/21/10 1 008 07/16/10 4 008 07/14/10 2 008 07/09/10 5 008 07/07/10 1 + __________ TOTAL ORDERED 19 126.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 849 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 683092 # TESTIM 1% GEL + 30X5 36688700105 66887000105 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 008 12/22/10 6 008 12/20/10 5 008 12/13/10 6 008 12/01/10 8 + __________ TOTAL ORDERED 25 277.77 % 008 11/23/10 8 008 11/19/10 4 008 11/16/10 7 008 11/05/10 5 + __________ TOTAL ORDERED 24 266.66 % 008 10/26/10 6 008 10/15/10 10 008 10/05/10 6 008 10/01/10 5 + __________ TOTAL ORDERED 27 300.00 % 008 09/28/10 3 008 09/24/10 2 008 09/21/10 2 008 09/14/10 7 008 09/10/10 1 008 09/07/10 4 + __________ TOTAL ORDERED 19 211.11 % 008 08/25/10 6 008 08/20/10 3 008 08/18/10 7 008 08/13/10 2 008 08/11/10 4 008 08/06/10 10 + __________ TOTAL ORDERED 32 355.55 % 008 07/28/10 6 008 07/23/10 1 008 07/14/10 12 008 07/09/10 4 008 07/07/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 850 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 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 683092 # TESTIM 1% GEL + 30X5 36688700105 66887000105 3 3.0 9.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 29 322.22 % 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 008 12/22/10 3 008 12/15/10 2 008 12/13/10 1 008 12/08/10 2 008 12/06/10 3 008 12/01/10 2 + __________ TOTAL ORDERED 13 216.66 % 008 10/22/10 3 008 10/19/10 2 008 10/15/10 2 008 10/08/10 2 008 10/05/10 1 008 10/01/10 1 + __________ TOTAL ORDERED 11 183.33 % 008 07/23/10 6 008 07/14/10 3 008 07/07/10 5 + __________ TOTAL ORDERED 14 233.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05188 BB6227474 1525 N VETERANS BLOOMINGTON IL 61704 +_________________________________________________________________________________________________________________________________________________ 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 12/29/10 5 013 12/22/10 4 013 12/01/10 10 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 851 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05188 BB6227474 1525 N VETERANS BLOOMINGTON IL 61704 +_________________________________________________________________________________________________________________________________________________ 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 19 158.33 % 013 09/29/10 5 013 09/22/10 3 013 09/15/10 3 013 09/08/10 3 013 09/01/10 5 + __________ TOTAL ORDERED 19 158.33 % 013 07/28/10 3 013 07/21/10 7 013 07/14/10 5 013 07/07/10 4 + __________ TOTAL ORDERED 19 158.33 % 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 12/22/10 5 013 12/15/10 1 013 12/08/10 3 + __________ TOTAL ORDERED 9 150.00 % 013 11/24/10 3 013 11/17/10 2 013 11/03/10 6 + __________ TOTAL ORDERED 11 183.33 % 013 09/29/10 3 013 09/22/10 3 013 09/08/10 2 013 09/01/10 3 + __________ TOTAL ORDERED 11 183.33 % 013 07/28/10 4 013 07/21/10 2 013 07/14/10 2 013 07/07/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 852 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05188 BB6227474 1525 N VETERANS BLOOMINGTON IL 61704 +_________________________________________________________________________________________________________________________________________________ 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 10 166.66 % 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 12/22/10 5 013 12/08/10 2 013 12/01/10 2 + __________ TOTAL ORDERED 9 150.00 % 013 09/29/10 3 013 09/22/10 2 013 09/15/10 1 013 09/08/10 1 013 09/01/10 1 + __________ TOTAL ORDERED 8 133.33 % 013 07/28/10 3 013 07/21/10 3 013 07/14/10 1 013 07/07/10 3 + __________ TOTAL ORDERED 10 166.66 % 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 12/15/10 7 013 12/08/10 12 013 12/01/10 4 + __________ TOTAL ORDERED 23 109.52 % 013 10/27/10 4 013 10/20/10 4 013 10/13/10 17 + __________ TOTAL ORDERED 25 119.04 % 013 09/29/10 2 013 09/22/10 10 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 853 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05188 BB6227474 1525 N VETERANS BLOOMINGTON IL 61704 +_________________________________________________________________________________________________________________________________________________ 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 09/15/10 11 013 09/08/10 1 013 09/01/10 8 + __________ TOTAL ORDERED 32 152.38 % 013 08/25/10 2 013 08/18/10 11 013 08/11/10 6 013 08/04/10 12 + __________ TOTAL ORDERED 31 147.61 % 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 11/24/10 2 013 11/17/10 3 + __________ TOTAL ORDERED 5 166.66 % 013 10/27/10 1 013 10/13/10 1 013 10/06/10 2 + __________ TOTAL ORDERED 4 133.33 % 013 08/25/10 1 013 08/18/10 1 013 08/04/10 2 + __________ TOTAL ORDERED 4 133.33 % 013 07/28/10 1 013 07/14/10 1 013 07/07/10 2 + __________ 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 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 008 12/28/10 8 008 12/23/10 8 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 854 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05188 BB6227474 1525 N VETERANS BLOOMINGTON IL 61704 +_________________________________________________________________________________________________________________________________________________ 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 12/20/10 5 008 12/16/10 6 008 12/13/10 7 008 12/09/10 2 008 12/06/10 4 008 12/02/10 5 + __________ TOTAL ORDERED 45 214.28 % 008 11/29/10 5 008 11/24/10 3 008 11/19/10 7 008 11/17/10 3 008 11/12/10 7 008 11/10/10 6 008 11/05/10 6 008 11/03/10 3 + __________ TOTAL ORDERED 40 190.47 % 008 09/29/10 1 008 09/24/10 5 008 09/22/10 2 008 09/17/10 4 008 09/15/10 3 008 09/10/10 5 008 09/08/10 1 008 09/01/10 8 + __________ TOTAL ORDERED 29 138.09 % 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 12/29/10 7 013 12/22/10 4 013 12/15/10 2 013 12/08/10 3 013 12/01/10 3 + __________ TOTAL ORDERED 19 126.66 % 013 09/29/10 2 013 09/22/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 855 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05188 BB6227474 1525 N VETERANS BLOOMINGTON IL 61704 +_________________________________________________________________________________________________________________________________________________ 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 09/08/10 6 013 09/01/10 7 + __________ TOTAL ORDERED 17 113.33 % 013 08/18/10 6 013 08/11/10 8 013 08/04/10 4 + __________ TOTAL ORDERED 18 120.00 % 013 07/28/10 7 013 07/21/10 2 013 07/14/10 7 013 07/07/10 2 + __________ TOTAL ORDERED 18 120.00 % 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 12/22/10 2 013 12/15/10 8 + __________ TOTAL ORDERED 10 166.66 % 013 11/24/10 2 013 11/17/10 3 013 11/10/10 3 013 11/03/10 2 + __________ TOTAL ORDERED 10 166.66 % 013 10/27/10 2 013 10/20/10 2 013 10/13/10 1 013 10/06/10 3 + __________ TOTAL ORDERED 8 133.33 % 013 09/22/10 1 013 09/15/10 3 013 09/08/10 3 013 09/01/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 856 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05188 BB6227474 1525 N VETERANS BLOOMINGTON IL 61704 +_________________________________________________________________________________________________________________________________________________ 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 + __________ TOTAL ORDERED 8 133.33 % 013 08/25/10 1 013 08/18/10 2 013 08/11/10 6 013 08/04/10 2 + __________ TOTAL ORDERED 11 183.33 % 013 07/21/10 2 013 07/14/10 2 013 07/07/10 5 + __________ TOTAL ORDERED 9 150.00 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05460 BB6623210 1001 W REYNOLDS ST PONTIAC IL 61764 +_________________________________________________________________________________________________________________________________________________ 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 008 12/28/10 3 008 12/23/10 3 008 12/20/10 2 008 12/16/10 4 008 12/13/10 1 008 12/09/10 4 008 12/06/10 3 008 12/02/10 3 + __________ TOTAL ORDERED 23 127.77 % 008 11/29/10 2 008 11/24/10 3 008 11/19/10 2 008 11/17/10 3 008 11/12/10 3 008 11/10/10 2 008 11/05/10 3 008 11/03/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 857 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05460 BB6623210 1001 W REYNOLDS ST PONTIAC IL 61764 +_________________________________________________________________________________________________________________________________________________ 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 % 008 09/24/10 4 008 09/22/10 1 008 09/17/10 2 008 09/15/10 2 008 09/10/10 4 008 09/08/10 1 008 09/01/10 5 + __________ TOTAL ORDERED 19 105.55 % 008 07/28/10 2 008 07/26/10 2 008 07/21/10 3 008 07/19/10 1 008 07/14/10 3 008 07/12/10 1 008 07/07/10 2 008 07/01/10 5 + __________ TOTAL ORDERED 19 105.55 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 14 3.0 42.0 0 DC DATE ORDERED QUANTITY 008 12/28/10 13 008 12/23/10 5 008 12/20/10 6 008 12/16/10 5 008 12/13/10 6 008 12/09/10 7 008 12/06/10 12 008 12/02/10 7 + __________ TOTAL ORDERED 61 145.23 % 008 11/29/10 9 008 11/24/10 9 008 11/19/10 8 008 11/17/10 3 008 11/12/10 12 008 11/10/10 10 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 858 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05460 BB6623210 1001 W REYNOLDS ST PONTIAC IL 61764 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 14 3.0 42.0 0 DC DATE ORDERED QUANTITY 008 11/05/10 11 008 11/03/10 2 + __________ TOTAL ORDERED 64 152.38 % 008 09/29/10 2 008 09/24/10 9 008 09/17/10 8 008 09/15/10 6 008 09/10/10 8 008 09/08/10 2 008 09/01/10 9 + __________ TOTAL ORDERED 44 104.76 % 008 08/30/10 11 008 08/25/10 4 008 08/23/10 13 008 08/18/10 5 008 08/16/10 3 008 08/11/10 3 008 08/09/10 7 008 08/04/10 6 008 08/02/10 5 + __________ TOTAL ORDERED 57 135.71 % 008 07/28/10 4 008 07/26/10 12 008 07/21/10 4 008 07/19/10 4 008 07/14/10 3 008 07/12/10 6 008 07/07/10 5 008 07/01/10 6 + __________ TOTAL ORDERED 44 104.76 % 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 09/29/10 1 008 09/24/10 3 008 09/17/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 859 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05460 BB6623210 1001 W REYNOLDS ST PONTIAC IL 61764 +_________________________________________________________________________________________________________________________________________________ 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 09/10/10 2 008 09/08/10 2 008 09/01/10 1 + __________ TOTAL ORDERED 10 111.11 % 008 08/30/10 1 008 08/25/10 1 008 08/23/10 1 008 08/16/10 1 008 08/11/10 1 008 08/09/10 3 008 08/04/10 1 008 08/02/10 1 + __________ TOTAL ORDERED 10 111.11 % 008 07/28/10 1 008 07/19/10 1 008 07/14/10 1 008 07/12/10 3 008 07/07/10 2 008 07/01/10 2 + __________ TOTAL ORDERED 10 111.11 % 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 12/30/10 8 013 12/20/10 9 013 12/08/10 8 + __________ TOTAL ORDERED 25 138.88 % 013 11/30/10 4 013 11/15/10 4 013 11/08/10 8 013 11/02/10 8 + __________ TOTAL ORDERED 24 133.33 % 013 07/20/10 8 013 07/12/10 12 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 860 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05460 BB6623210 1001 W REYNOLDS ST PONTIAC IL 61764 +_________________________________________________________________________________________________________________________________________________ 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 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05544 AW3214854 1200 E WAR MEMORIAL PEORIA HTS IL61616 +_________________________________________________________________________________________________________________________________________________ 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 008 10/28/10 3 008 10/14/10 2 008 10/12/10 2 + __________ TOTAL ORDERED 7 116.66 % 008 09/23/10 3 008 09/16/10 1 008 09/09/10 1 008 09/07/10 2 + __________ TOTAL ORDERED 7 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544541 FENTANYL 75MCG/HR TS (WAT) + 5 30591321372 00591321372 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 12/28/10 13 013 12/21/10 9 013 12/14/10 1 + __________ TOTAL ORDERED 23 127.77 % 013 11/30/10 4 013 11/23/10 8 013 11/16/10 6 013 11/09/10 3 + __________ TOTAL ORDERED 21 116.66 % 013 10/26/10 5 013 10/19/10 4 013 10/12/10 6 013 10/05/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 861 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05544 AW3214854 1200 E WAR MEMORIAL PEORIA HTS IL61616 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544541 FENTANYL 75MCG/HR TS (WAT) + 5 30591321372 00591321372 6 3.0 18.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 20 111.11 % 013 08/24/10 4 013 08/17/10 7 013 08/10/10 4 013 08/03/10 8 + __________ TOTAL ORDERED 23 127.77 % 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 12/28/10 1 013 12/21/10 7 013 12/14/10 10 013 12/07/10 13 + __________ TOTAL ORDERED 31 147.61 % 013 11/30/10 1 013 11/23/10 2 013 11/16/10 12 013 11/09/10 7 013 11/02/10 8 + __________ TOTAL ORDERED 30 142.85 % 013 09/28/10 4 013 09/21/10 5 013 09/14/10 11 013 09/08/10 4 + __________ TOTAL ORDERED 24 114.28 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 14 3.0 42.0 0 DC DATE ORDERED QUANTITY 008 12/27/10 11 008 12/22/10 10 008 12/17/10 7 008 12/15/10 5 008 12/10/10 9 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 862 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05544 AW3214854 1200 E WAR MEMORIAL PEORIA HTS IL61616 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 14 3.0 42.0 0 DC DATE ORDERED QUANTITY 008 12/08/10 9 008 12/03/10 7 008 12/01/10 7 + __________ TOTAL ORDERED 65 154.76 % 008 11/26/10 8 008 11/23/10 4 008 11/18/10 4 008 11/16/10 5 008 11/11/10 10 008 11/09/10 6 008 11/04/10 10 008 11/02/10 8 + __________ TOTAL ORDERED 55 130.95 % 008 10/28/10 5 008 10/26/10 6 008 10/21/10 5 008 10/19/10 6 008 10/14/10 7 008 10/12/10 7 008 10/07/10 5 008 10/05/10 7 + __________ TOTAL ORDERED 48 114.28 % 008 09/30/10 9 008 09/28/10 8 008 09/23/10 4 008 09/21/10 7 008 09/16/10 11 008 09/14/10 6 008 09/09/10 6 008 09/07/10 4 + __________ TOTAL ORDERED 55 130.95 % 008 08/31/10 10 008 08/27/10 7 008 08/24/10 6 008 08/20/10 7 008 08/17/10 5 008 08/13/10 7 008 08/10/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 863 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05544 AW3214854 1200 E WAR MEMORIAL PEORIA HTS IL61616 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 14 3.0 42.0 0 DC DATE ORDERED QUANTITY 008 08/06/10 5 008 08/03/10 4 + __________ TOTAL ORDERED 54 128.57 % 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 11/23/10 4 013 11/16/10 4 013 11/09/10 2 + __________ TOTAL ORDERED 10 111.11 % 013 10/26/10 3 013 10/19/10 5 013 10/12/10 2 013 10/05/10 2 + __________ TOTAL ORDERED 12 133.33 % 013 09/28/10 4 013 09/21/10 7 013 09/08/10 1 + __________ TOTAL ORDERED 12 133.33 % 013 07/27/10 6 013 07/20/10 4 013 07/13/10 1 013 07/07/10 1 + __________ TOTAL ORDERED 12 133.33 % 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 12/28/10 10 013 12/21/10 4 013 12/14/10 4 013 12/07/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 864 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05544 AW3214854 1200 E WAR MEMORIAL PEORIA HTS IL61616 +_________________________________________________________________________________________________________________________________________________ 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 20 133.33 % 013 11/30/10 3 013 11/23/10 5 013 11/16/10 10 013 11/09/10 8 013 11/02/10 3 + __________ TOTAL ORDERED 29 193.33 % 013 10/26/10 3 013 10/19/10 5 013 10/12/10 6 013 10/05/10 4 + __________ TOTAL ORDERED 18 120.00 % 013 09/28/10 7 013 09/21/10 8 013 09/14/10 9 013 09/08/10 3 + __________ TOTAL ORDERED 27 180.00 % 013 08/31/10 3 013 08/24/10 2 013 08/17/10 9 013 08/10/10 2 + __________ 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 008 12/27/10 2 008 12/22/10 3 008 12/17/10 1 008 12/10/10 3 008 12/08/10 1 008 12/03/10 3 + __________ TOTAL ORDERED 13 144.44 % 008 11/26/10 1 008 11/23/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 865 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05544 AW3214854 1200 E WAR MEMORIAL PEORIA HTS IL61616 +_________________________________________________________________________________________________________________________________________________ 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 008 11/18/10 2 008 11/16/10 1 008 11/11/10 2 008 11/09/10 1 008 11/04/10 1 008 11/02/10 2 + __________ TOTAL ORDERED 12 133.33 % 008 10/28/10 2 008 10/26/10 1 008 10/21/10 2 008 10/19/10 1 008 10/14/10 2 008 10/07/10 3 008 10/05/10 2 + __________ TOTAL ORDERED 13 144.44 % 008 09/30/10 2 008 09/23/10 3 008 09/16/10 2 008 09/09/10 2 008 09/07/10 1 + __________ TOTAL ORDERED 10 111.11 % 008 08/31/10 3 008 08/27/10 2 008 08/24/10 1 008 08/20/10 2 008 08/17/10 1 008 08/13/10 2 008 08/10/10 1 008 08/06/10 3 008 08/03/10 1 + __________ TOTAL ORDERED 16 177.77 % 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 12/27/10 2 008 12/22/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 866 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05544 AW3214854 1200 E WAR MEMORIAL PEORIA HTS IL61616 +_________________________________________________________________________________________________________________________________________________ 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 12/17/10 2 008 12/15/10 2 008 12/10/10 1 008 12/08/10 1 008 12/03/10 2 + __________ TOTAL ORDERED 13 216.66 % 008 11/26/10 2 008 11/23/10 2 008 11/18/10 2 008 11/16/10 1 008 11/11/10 2 008 11/09/10 3 008 11/04/10 1 008 11/02/10 1 + __________ TOTAL ORDERED 14 233.33 % 008 10/28/10 1 008 10/26/10 2 008 10/21/10 1 008 10/19/10 1 008 10/14/10 2 008 10/12/10 2 008 10/07/10 1 + __________ TOTAL ORDERED 10 166.66 % 008 09/30/10 2 008 09/28/10 1 008 09/23/10 3 008 09/21/10 1 008 09/16/10 3 008 09/14/10 1 008 09/09/10 1 008 09/07/10 1 + __________ TOTAL ORDERED 13 216.66 % 008 08/31/10 3 008 08/27/10 2 008 08/24/10 2 008 08/20/10 2 008 08/13/10 3 008 08/10/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 867 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 05544 AW3214854 1200 E WAR MEMORIAL PEORIA HTS IL61616 +_________________________________________________________________________________________________________________________________________________ 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 08/06/10 2 008 08/03/10 1 + __________ TOTAL ORDERED 16 266.66 % 008 07/27/10 1 008 07/23/10 1 008 07/20/10 2 008 07/16/10 1 008 07/13/10 1 008 07/09/10 1 008 07/06/10 2 + __________ TOTAL ORDERED 9 150.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679796 METHADONE 10MG TAB (ROX) + 100 30054457125 00054457125 13 3.0 39.0 0 DC DATE ORDERED QUANTITY 013 12/28/10 7 013 12/21/10 5 013 12/14/10 23 013 12/07/10 5 + __________ TOTAL ORDERED 40 102.56 % 013 11/30/10 6 013 11/23/10 9 013 11/16/10 7 013 11/09/10 12 013 11/02/10 9 + __________ TOTAL ORDERED 43 110.25 % 013 08/31/10 3 013 08/24/10 13 013 08/17/10 10 013 08/10/10 10 013 08/03/10 11 + __________ TOTAL ORDERED 47 120.51 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 868 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06079 BW6860705 4814 N SHERIDAN PEORIA IL 61614 +_________________________________________________________________________________________________________________________________________________ 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 11/26/10 2 008 11/18/10 2 008 11/11/10 1 008 11/04/10 2 + __________ TOTAL ORDERED 7 116.66 % 008 10/28/10 2 008 10/21/10 2 008 10/14/10 1 008 10/07/10 3 + __________ TOTAL ORDERED 8 133.33 % 008 09/30/10 1 008 09/23/10 2 008 09/16/10 2 008 09/09/10 2 + __________ TOTAL ORDERED 7 116.66 % 008 08/31/10 1 008 08/27/10 1 008 08/20/10 2 008 08/13/10 1 008 08/10/10 1 008 08/06/10 2 008 08/03/10 1 + __________ TOTAL ORDERED 9 150.00 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06408 AW6314796 2324 W WAR MEMORIAL PEORIA IL 61615 +_________________________________________________________________________________________________________________________________________________ 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 10/27/10 5 013 10/20/10 4 013 10/13/10 6 013 10/06/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 869 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06408 AW6314796 2324 W WAR MEMORIAL PEORIA IL 61615 +_________________________________________________________________________________________________________________________________________________ 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 + __________ TOTAL ORDERED 16 177.77 % 013 09/22/10 2 013 09/15/10 2 013 09/08/10 5 013 09/01/10 1 + __________ TOTAL ORDERED 10 111.11 % 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 12/28/10 3 008 12/23/10 1 008 12/20/10 3 008 12/16/10 3 008 12/13/10 2 008 12/09/10 2 008 12/06/10 3 008 12/02/10 3 + __________ TOTAL ORDERED 20 133.33 % 008 11/29/10 2 008 11/26/10 2 008 11/23/10 2 008 11/18/10 2 008 11/16/10 2 008 11/11/10 2 008 11/09/10 1 008 11/04/10 3 008 11/02/10 1 + __________ TOTAL ORDERED 17 113.33 % 008 10/28/10 3 008 10/26/10 2 008 10/21/10 2 008 10/19/10 2 008 10/14/10 2 008 10/12/10 1 008 10/07/10 2 008 10/05/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 870 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06408 AW6314796 2324 W WAR MEMORIAL PEORIA IL 61615 +_________________________________________________________________________________________________________________________________________________ 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 16 106.66 % 008 08/31/10 4 008 08/27/10 2 008 08/24/10 1 008 08/19/10 2 008 08/17/10 2 008 08/13/10 2 008 08/10/10 2 008 08/06/10 5 008 08/03/10 2 + __________ TOTAL ORDERED 22 146.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 544541 FENTANYL 75MCG/HR TS (WAT) + 5 30591321372 00591321372 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 013 10/27/10 13 013 10/20/10 6 013 10/06/10 1 + __________ TOTAL ORDERED 20 111.11 % 013 09/29/10 5 013 09/15/10 11 013 09/08/10 4 013 09/01/10 4 + __________ TOTAL ORDERED 24 133.33 % 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 12/29/10 2 013 12/22/10 6 013 12/15/10 2 013 12/08/10 2 013 12/01/10 15 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 871 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06408 AW6314796 2324 W WAR MEMORIAL PEORIA IL 61615 +_________________________________________________________________________________________________________________________________________________ 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 27 128.57 % 013 10/27/10 17 013 10/20/10 8 013 10/13/10 5 013 10/06/10 1 + __________ TOTAL ORDERED 31 147.61 % 013 08/18/10 10 013 08/11/10 11 013 08/04/10 6 + __________ TOTAL ORDERED 27 128.57 % 013 07/28/10 6 013 07/21/10 2 013 07/14/10 11 013 07/07/10 7 + __________ TOTAL ORDERED 26 123.80 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 14 3.0 42.0 0 DC DATE ORDERED QUANTITY 008 12/28/10 11 008 12/23/10 10 008 12/20/10 7 008 12/16/10 11 008 12/13/10 7 008 12/09/10 11 008 12/06/10 8 008 12/02/10 8 + __________ TOTAL ORDERED 73 173.80 % 008 11/29/10 5 008 11/26/10 7 008 11/23/10 3 008 11/18/10 8 008 11/16/10 8 008 11/11/10 6 008 11/09/10 3 008 11/04/10 8 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 872 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06408 AW6314796 2324 W WAR MEMORIAL PEORIA IL 61615 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 14 3.0 42.0 0 DC DATE ORDERED QUANTITY 008 11/02/10 1 + __________ TOTAL ORDERED 49 116.66 % 008 09/30/10 8 008 09/28/10 3 008 09/23/10 7 008 09/21/10 4 008 09/16/10 9 008 09/14/10 7 008 09/09/10 5 008 09/07/10 2 + __________ TOTAL ORDERED 45 107.14 % 008 08/31/10 13 008 08/27/10 6 008 08/24/10 3 008 08/19/10 8 008 08/17/10 7 008 08/13/10 13 008 08/10/10 4 008 08/06/10 8 008 08/03/10 4 + __________ TOTAL ORDERED 66 157.14 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 603809 LYRICA 75MG CAP + 90 30071101468 00071101468 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 008 12/28/10 6 008 12/09/10 6 008 12/02/10 6 + __________ TOTAL ORDERED 18 120.00 % 008 11/29/10 2 008 11/26/10 5 008 11/11/10 4 008 11/04/10 4 008 11/02/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 873 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06408 AW6314796 2324 W WAR MEMORIAL PEORIA IL 61615 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 603809 LYRICA 75MG CAP + 90 30071101468 00071101468 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 17 113.33 % 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 11/29/10 1 008 11/26/10 1 008 11/23/10 1 008 11/18/10 2 008 11/11/10 2 008 11/02/10 4 + __________ TOTAL ORDERED 11 122.22 % 008 09/30/10 1 008 09/28/10 3 008 09/23/10 3 008 09/16/10 1 008 09/14/10 1 008 09/09/10 1 008 09/07/10 2 + __________ TOTAL ORDERED 12 133.33 % 008 08/31/10 3 008 08/27/10 1 008 08/24/10 1 008 08/13/10 3 008 08/10/10 1 008 08/03/10 1 + __________ TOTAL ORDERED 10 111.11 % 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 09/29/10 1 013 09/22/10 1 013 09/15/10 1 013 09/08/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 874 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06408 AW6314796 2324 W WAR MEMORIAL PEORIA IL 61615 +_________________________________________________________________________________________________________________________________________________ 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 % 013 08/25/10 1 013 08/18/10 1 013 08/11/10 2 + __________ 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 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 008 12/28/10 5 008 12/23/10 6 008 12/20/10 3 008 12/16/10 4 008 12/13/10 3 008 12/09/10 6 008 12/06/10 3 008 12/02/10 6 + __________ TOTAL ORDERED 36 171.42 % 008 11/29/10 4 008 11/26/10 2 008 11/23/10 2 008 11/18/10 4 008 11/16/10 3 008 11/11/10 3 008 11/09/10 3 008 11/04/10 2 + __________ TOTAL ORDERED 23 109.52 % 008 10/28/10 5 008 10/26/10 12 008 10/21/10 3 008 10/19/10 3 008 10/14/10 5 008 10/12/10 3 008 10/07/10 2 008 10/05/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 875 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06408 AW6314796 2324 W WAR MEMORIAL PEORIA IL 61615 +_________________________________________________________________________________________________________________________________________________ 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 35 166.66 % 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 10/27/10 5 013 10/20/10 2 013 10/13/10 3 + __________ TOTAL ORDERED 10 111.11 % 013 09/29/10 1 013 09/22/10 4 013 09/15/10 5 013 09/08/10 2 + __________ TOTAL ORDERED 12 133.33 % 013 08/25/10 1 013 08/18/10 3 013 08/11/10 4 013 08/04/10 2 + __________ 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 12/29/10 3 013 12/22/10 4 013 12/15/10 5 013 12/08/10 5 013 12/01/10 2 + __________ TOTAL ORDERED 19 126.66 % 013 11/24/10 5 013 11/17/10 7 013 11/03/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 876 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06408 AW6314796 2324 W WAR MEMORIAL PEORIA IL 61615 +_________________________________________________________________________________________________________________________________________________ 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 17 113.33 % 013 10/27/10 11 013 10/20/10 3 013 10/06/10 4 + __________ TOTAL ORDERED 18 120.00 % 013 09/29/10 4 013 09/22/10 6 013 09/15/10 7 013 09/08/10 5 013 09/01/10 8 + __________ TOTAL ORDERED 30 200.00 % 013 08/18/10 3 013 08/11/10 4 013 08/04/10 9 + __________ TOTAL ORDERED 16 106.66 % 013 07/28/10 8 013 07/21/10 3 013 07/14/10 3 013 07/07/10 7 + __________ TOTAL ORDERED 21 140.00 % 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 08/31/10 4 008 08/27/10 9 008 08/19/10 3 008 08/06/10 2 + __________ TOTAL ORDERED 18 120.00 % 008 07/27/10 9 008 07/23/10 7 008 07/20/10 2 008 07/16/10 1 008 07/13/10 1 008 07/09/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 877 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06408 AW6314796 2324 W WAR MEMORIAL PEORIA IL 61615 +_________________________________________________________________________________________________________________________________________________ 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 + __________ TOTAL ORDERED 23 153.33 % 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 12/28/10 3 008 12/23/10 1 008 12/20/10 1 008 12/16/10 2 008 12/13/10 2 008 12/09/10 2 008 12/06/10 1 008 12/02/10 1 + __________ TOTAL ORDERED 13 216.66 % 008 11/29/10 1 008 11/26/10 2 008 11/23/10 2 008 11/18/10 2 008 11/16/10 1 008 11/11/10 2 008 11/04/10 2 008 11/02/10 1 + __________ TOTAL ORDERED 13 216.66 % 008 10/28/10 1 008 10/26/10 1 008 10/21/10 3 008 10/14/10 4 008 10/12/10 2 008 10/07/10 2 008 10/05/10 1 + __________ TOTAL ORDERED 14 233.33 % 008 09/30/10 3 008 09/28/10 2 008 09/23/10 1 008 09/16/10 3 008 09/09/10 2 008 09/07/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 878 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06408 AW6314796 2324 W WAR MEMORIAL PEORIA IL 61615 +_________________________________________________________________________________________________________________________________________________ 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 12 200.00 % 008 08/31/10 5 008 08/27/10 1 008 08/24/10 1 008 08/19/10 1 008 08/17/10 2 008 08/13/10 1 008 08/10/10 1 008 08/06/10 2 008 08/03/10 1 + __________ TOTAL ORDERED 15 250.00 % 008 07/27/10 2 008 07/23/10 2 008 07/20/10 1 008 07/16/10 3 008 07/13/10 1 008 07/09/10 1 008 07/06/10 1 + __________ TOTAL ORDERED 11 183.33 % 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 09/30/10 2 008 09/23/10 4 008 09/21/10 2 008 09/16/10 3 008 09/14/10 3 008 09/09/10 1 008 09/07/10 1 + __________ TOTAL ORDERED 16 106.66 % 008 08/31/10 4 008 08/27/10 1 008 08/24/10 2 008 08/19/10 1 008 08/17/10 1 008 08/13/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 879 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06408 AW6314796 2324 W WAR MEMORIAL PEORIA IL 61615 +_________________________________________________________________________________________________________________________________________________ 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 08/10/10 2 008 08/06/10 1 008 08/03/10 2 + __________ TOTAL ORDERED 17 113.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06604 BW0309422 1919 W PIONEER PEORIA IL 61615 +_________________________________________________________________________________________________________________________________________________ 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 12/23/10 3 008 12/20/10 2 008 12/09/10 2 008 12/06/10 3 + __________ TOTAL ORDERED 10 111.11 % 008 11/23/10 3 008 11/18/10 4 008 11/16/10 1 008 11/11/10 2 + __________ TOTAL ORDERED 10 111.11 % 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 12/28/10 2 008 12/23/10 2 008 12/16/10 1 008 12/13/10 1 008 12/09/10 2 008 12/06/10 1 008 12/02/10 1 + __________ TOTAL ORDERED 10 166.66 % 008 11/29/10 1 008 11/26/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 880 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06604 BW0309422 1919 W PIONEER PEORIA IL 61615 +_________________________________________________________________________________________________________________________________________________ 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 11/18/10 3 008 11/16/10 1 008 11/11/10 1 008 11/09/10 1 008 11/04/10 2 + __________ TOTAL ORDERED 10 166.66 % 008 10/28/10 1 008 10/26/10 1 008 10/21/10 1 008 10/14/10 2 008 10/12/10 1 008 10/07/10 1 008 10/05/10 1 + __________ TOTAL ORDERED 8 133.33 % 008 09/30/10 2 008 09/28/10 1 008 09/23/10 2 008 09/16/10 1 008 09/09/10 2 008 09/07/10 3 + __________ TOTAL ORDERED 11 183.33 % 008 08/31/10 3 008 08/27/10 1 008 08/24/10 1 008 08/20/10 1 008 08/17/10 1 008 08/13/10 1 008 08/10/10 1 008 08/06/10 2 008 08/03/10 2 + __________ TOTAL ORDERED 13 216.66 % 008 07/27/10 1 008 07/23/10 1 008 07/20/10 1 008 07/16/10 1 008 07/13/10 1 008 07/09/10 1 008 07/06/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 881 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 06604 BW0309422 1919 W PIONEER PEORIA IL 61615 +_________________________________________________________________________________________________________________________________________________ 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 7 116.66 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07216 BW8244991 1057 E MAIN 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 11/24/10 4 003 11/17/10 1 003 11/10/10 2 003 11/08/10 1 003 11/03/10 3 003 11/01/10 2 + __________ TOTAL ORDERED 13 144.44 % 003 09/29/10 2 003 09/27/10 1 003 09/22/10 2 003 09/15/10 3 003 09/02/10 8 + __________ TOTAL ORDERED 16 177.77 % 003 08/30/10 1 003 08/23/10 1 003 08/19/10 1 003 08/16/10 2 003 08/09/10 3 003 08/05/10 3 003 08/02/10 4 + __________ TOTAL ORDERED 15 166.66 % 003 07/22/10 3 003 07/19/10 1 003 07/12/10 1 003 07/08/10 8 003 07/01/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 882 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07216 BW8244991 1057 E MAIN 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 16 177.77 % 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 11/17/10 3 003 11/15/10 2 003 11/10/10 2 003 11/03/10 2 003 11/01/10 1 + __________ TOTAL ORDERED 10 111.11 % 003 10/27/10 1 003 10/25/10 1 003 10/20/10 1 003 10/18/10 2 003 10/13/10 2 003 10/11/10 1 003 10/06/10 1 003 10/04/10 1 + __________ TOTAL ORDERED 10 111.11 % 003 09/29/10 2 003 09/27/10 1 003 09/22/10 1 003 09/20/10 2 003 09/15/10 1 003 09/13/10 1 003 09/08/10 1 003 09/02/10 1 + __________ TOTAL ORDERED 10 111.11 % 003 08/30/10 1 003 08/26/10 1 003 08/23/10 1 003 08/19/10 2 003 08/16/10 2 003 08/12/10 1 003 08/09/10 1 003 08/05/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 883 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 07216 BW8244991 1057 E MAIN 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 003 08/02/10 1 + __________ TOTAL ORDERED 11 122.22 % 003 07/29/10 1 003 07/26/10 1 003 07/22/10 1 003 07/12/10 4 003 07/01/10 3 + __________ TOTAL ORDERED 10 111.11 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 09508 AW3097208 221 N WESTERN W PEORIA IL 61604 +_________________________________________________________________________________________________________________________________________________ 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 12/28/10 1 008 12/22/10 2 008 12/20/10 1 008 12/15/10 1 008 12/08/10 1 008 12/01/10 1 + __________ TOTAL ORDERED 7 116.66 % 008 11/29/10 1 008 11/23/10 1 008 11/19/10 1 008 11/16/10 1 008 11/12/10 1 008 11/09/10 1 008 11/05/10 1 + __________ TOTAL ORDERED 7 116.66 % 008 09/28/10 1 008 09/24/10 1 008 09/21/10 1 008 09/17/10 1 008 09/14/10 1 008 09/10/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 884 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 09508 AW3097208 221 N WESTERN W PEORIA IL 61604 +_________________________________________________________________________________________________________________________________________________ 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 09/07/10 1 008 09/01/10 1 + __________ TOTAL ORDERED 8 133.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 09920 BB2158930 555 N MAIN ST CANTON IL 61520 +_________________________________________________________________________________________________________________________________________________ 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 08/31/10 8 008 08/27/10 4 008 08/24/10 1 008 08/20/10 2 008 08/06/10 8 008 08/03/10 2 + __________ TOTAL ORDERED 25 166.66 % 008 07/23/10 6 008 07/20/10 6 008 07/16/10 1 008 07/09/10 5 + __________ TOTAL ORDERED 18 120.00 % 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 12/27/10 1 008 12/22/10 2 008 12/17/10 1 008 12/15/10 1 008 12/10/10 1 008 12/08/10 1 008 12/03/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 885 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 09920 BB2158930 555 N MAIN ST CANTON IL 61520 +_________________________________________________________________________________________________________________________________________________ 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 8 133.33 % 008 11/26/10 3 008 11/23/10 1 008 11/18/10 1 008 11/11/10 2 008 11/09/10 1 008 11/04/10 2 + __________ TOTAL ORDERED 10 166.66 % 008 10/28/10 1 008 10/21/10 2 008 10/19/10 1 008 10/14/10 2 008 10/07/10 2 + __________ TOTAL ORDERED 8 133.33 % 008 09/30/10 2 008 09/23/10 3 008 09/16/10 1 008 09/14/10 1 008 09/09/10 2 + __________ TOTAL ORDERED 9 150.00 % 008 08/31/10 3 008 08/27/10 2 008 08/24/10 1 008 08/20/10 1 008 08/17/10 2 008 08/13/10 1 008 08/10/10 1 008 08/06/10 1 008 08/03/10 1 + __________ TOTAL ORDERED 13 216.66 % 008 07/27/10 2 008 07/23/10 1 008 07/20/10 1 008 07/16/10 1 008 07/13/10 1 008 07/09/10 2 008 07/06/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 886 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 09920 BB2158930 555 N MAIN ST CANTON IL 61520 +_________________________________________________________________________________________________________________________________________________ 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 9 150.00 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 09983 BW1840138 1408 MAIN ST BLOOMINGTON IL 61701 +_________________________________________________________________________________________________________________________________________________ 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 12/06/10 2 013 12/22/10 3 013 12/15/10 2 + __________ TOTAL ORDERED 7 116.66 % 013 11/24/10 2 013 11/17/10 2 013 11/03/10 3 + __________ TOTAL ORDERED 7 116.66 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11493 BB1792212 1400 BROADWAY ST PEKIN IL 61554 +_________________________________________________________________________________________________________________________________________________ 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 008 11/24/10 6 008 11/12/10 2 008 11/05/10 5 008 11/03/10 4 + __________ TOTAL ORDERED 17 113.33 % 008 10/08/10 11 008 10/01/10 9 + __________ TOTAL ORDERED 20 133.33 % 008 09/29/10 6 008 09/24/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 887 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11493 BB1792212 1400 BROADWAY ST PEKIN IL 61554 +_________________________________________________________________________________________________________________________________________________ 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 008 09/15/10 8 008 09/10/10 6 008 09/01/10 3 + __________ TOTAL ORDERED 27 180.00 % 008 07/28/10 3 008 07/26/10 5 008 07/21/10 2 008 07/14/10 2 008 07/12/10 1 008 07/07/10 1 008 07/01/10 3 + __________ TOTAL ORDERED 17 113.33 % 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 008 09/22/10 7 008 09/17/10 2 008 09/01/10 2 + __________ TOTAL ORDERED 11 122.22 % 008 08/30/10 1 008 08/23/10 4 008 08/18/10 1 008 08/16/10 1 008 08/11/10 1 008 08/02/10 2 + __________ TOTAL ORDERED 10 111.11 % 008 07/28/10 2 008 07/26/10 1 008 07/21/10 1 008 07/19/10 1 008 07/14/10 1 008 07/12/10 1 008 07/07/10 3 008 07/01/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 888 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11493 BB1792212 1400 BROADWAY ST PEKIN IL 61554 +_________________________________________________________________________________________________________________________________________________ 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 675772 HYDROCOD-APAP 7.5-750 TAB(WT)+500 30591038705 00591038705 3 3.0 9.0 0 DC DATE ORDERED QUANTITY 008 12/28/10 2 008 12/23/10 1 008 12/20/10 2 008 12/16/10 1 008 12/13/10 1 008 12/09/10 1 008 12/06/10 1 008 12/02/10 1 + __________ TOTAL ORDERED 10 111.11 % 008 11/29/10 2 008 11/24/10 1 008 11/19/10 1 008 11/17/10 2 008 11/12/10 2 008 11/10/10 1 008 11/05/10 2 008 11/03/10 2 + __________ TOTAL ORDERED 13 144.44 % 008 07/28/10 1 008 07/26/10 1 008 07/21/10 1 008 07/19/10 1 008 07/14/10 2 008 07/12/10 1 008 07/07/10 1 008 07/01/10 2 + __________ TOTAL ORDERED 10 111.11 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 889 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 028 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 11493 BB1792212 1400 BROADWAY 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 09/29/10 2 008 09/24/10 3 008 09/22/10 1 008 09/17/10 3 008 09/15/10 1 008 09/10/10 2 008 09/08/10 4 + __________ TOTAL ORDERED 16 106.66 % 008 08/30/10 3 008 08/25/10 1 008 08/23/10 1 008 08/18/10 2 008 08/16/10 2 008 08/11/10 1 008 08/09/10 3 008 08/04/10 1 008 08/02/10 2 + __________ TOTAL ORDERED 16 106.66 % 0 SALES DISTRICT 030 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03093 BW4100715 311 E MEMORIAL BLVD LAKELAND FL 33801 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 645920 OXYCOD-APAP 7.5-325 TAB (WAT)+100 30591093301 00591093301 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 014 12/28/10 4 014 12/20/10 2 014 12/13/10 8 014 12/06/10 5 + __________ TOTAL ORDERED 19 126.66 % 014 11/29/10 8 014 11/19/10 2 014 11/12/10 6 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 890 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 030 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03093 BW4100715 311 E MEMORIAL BLVD LAKELAND FL 33801 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 645920 OXYCOD-APAP 7.5-325 TAB (WAT)+100 30591093301 00591093301 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 16 106.66 % 014 10/22/10 4 014 10/15/10 9 014 10/01/10 6 + __________ TOTAL ORDERED 19 126.66 % 014 09/24/10 3 014 09/17/10 7 014 09/10/10 4 014 09/01/10 3 + __________ TOTAL ORDERED 17 113.33 % 014 08/25/10 2 014 08/18/10 4 014 08/11/10 3 014 08/04/10 7 + __________ TOTAL ORDERED 16 106.66 % 014 07/28/10 6 014 07/21/10 3 014 07/14/10 5 014 07/07/10 7 014 07/01/10 3 + __________ TOTAL ORDERED 24 160.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672940 ADIPEX-P 37.5MG TABLET (GAT) +100 35784400901 57844000901 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 001 10/27/10 2 001 10/25/10 1 001 10/13/10 2 001 10/06/10 1 001 10/04/10 1 + __________ TOTAL ORDERED 7 116.66 % 001 09/29/10 1 001 09/27/10 1 001 09/22/10 1 001 09/20/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 891 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 030 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 03093 BW4100715 311 E MEMORIAL BLVD LAKELAND FL 33801 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672940 ADIPEX-P 37.5MG TABLET (GAT) +100 35784400901 57844000901 2 3.0 6.0 0 DC DATE ORDERED QUANTITY 001 09/15/10 2 001 09/13/10 2 + __________ TOTAL ORDERED 8 133.33 % 001 08/30/10 2 001 08/26/10 2 001 08/16/10 2 001 08/12/10 1 001 08/09/10 1 001 08/05/10 2 001 08/02/10 1 + __________ TOTAL ORDERED 11 183.33 % 001 07/29/10 1 001 07/26/10 2 001 07/22/10 1 001 07/19/10 2 001 07/15/10 1 001 07/08/10 1 + __________ TOTAL ORDERED 8 133.33 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04005 AW4380995 705 1ST ST S., WINTER HAVEN FL 33880 +_________________________________________________________________________________________________________________________________________________ 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 014 09/23/10 14 014 09/14/10 3 + __________ TOTAL ORDERED 17 188.88 % 014 08/24/10 3 014 08/17/10 5 014 08/10/10 2 014 08/03/10 2 + __________ TOTAL ORDERED 12 133.33 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 892 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 030 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04005 AW4380995 705 1ST ST S., WINTER HAVEN FL 33880 +_________________________________________________________________________________________________________________________________________________ 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 001 08/27/10 2 001 08/20/10 4 001 08/18/10 1 001 08/11/10 1 + __________ TOTAL ORDERED 8 133.33 % 001 07/30/10 3 001 07/23/10 3 001 07/09/10 1 + __________ TOTAL ORDERED 7 116.66 % 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 11/29/10 2 001 11/23/10 4 001 11/19/10 3 001 11/16/10 1 001 11/05/10 3 001 11/02/10 1 + __________ TOTAL ORDERED 14 155.55 % 001 10/26/10 1 001 10/19/10 1 001 10/15/10 3 001 10/12/10 2 001 10/08/10 1 001 10/05/10 2 001 10/01/10 2 + __________ TOTAL ORDERED 12 133.33 % 001 09/28/10 1 001 09/24/10 3 001 09/21/10 2 001 09/17/10 3 001 09/14/10 2 001 09/10/10 1 001 09/07/10 1 001 09/01/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 893 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 030 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04005 AW4380995 705 1ST ST S., WINTER HAVEN FL 33880 +_________________________________________________________________________________________________________________________________________________ 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 17 188.88 % 001 08/27/10 1 001 08/25/10 2 001 08/20/10 2 001 08/18/10 2 001 08/13/10 2 001 08/06/10 1 001 08/04/10 3 + __________ TOTAL ORDERED 13 144.44 % 001 07/30/10 2 001 07/28/10 3 001 07/23/10 3 001 07/21/10 1 001 07/16/10 2 001 07/14/10 2 001 07/09/10 2 001 07/07/10 1 + __________ TOTAL ORDERED 16 177.77 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563755 OXYCODONE-APAP 5-325 TAB(WAT)+500 30591074905 00591074905 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 014 12/27/10 8 014 12/17/10 2 014 12/10/10 2 014 12/03/10 3 + __________ TOTAL ORDERED 15 125.00 % 014 11/26/10 5 014 11/18/10 2 014 11/11/10 4 014 11/04/10 3 + __________ TOTAL ORDERED 14 116.66 % 014 09/23/10 11 014 09/14/10 5 014 09/01/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 894 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 030 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04005 AW4380995 705 1ST ST S., WINTER HAVEN FL 33880 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 563755 OXYCODONE-APAP 5-325 TAB(WAT)+500 30591074905 00591074905 4 3.0 12.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 18 150.00 % 014 08/31/10 2 014 08/24/10 4 014 08/17/10 4 014 08/10/10 3 014 08/03/10 6 + __________ TOTAL ORDERED 19 158.33 % 014 07/20/10 6 014 07/13/10 4 014 07/06/10 4 + __________ TOTAL ORDERED 14 116.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 645920 OXYCOD-APAP 7.5-325 TAB (WAT)+100 30591093301 00591093301 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 014 11/26/10 10 014 11/04/10 10 + __________ TOTAL ORDERED 20 133.33 % 014 10/21/10 15 014 10/14/10 1 014 10/07/10 2 + __________ TOTAL ORDERED 18 120.00 % 014 07/06/10 9 014 07/28/10 9 014 07/20/10 2 + __________ TOTAL ORDERED 20 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 652294 OXYCOD-APAP 10-325 TAB (WAT) +100 30591093201 00591093201 17 3.0 51.0 0 DC DATE ORDERED QUANTITY 014 12/27/10 23 014 12/17/10 15 014 12/10/10 20 014 12/03/10 16 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 895 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 030 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04005 AW4380995 705 1ST ST S., WINTER HAVEN FL 33880 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 652294 OXYCOD-APAP 10-325 TAB (WAT) +100 30591093201 00591093201 17 3.0 51.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 74 145.09 % 014 11/26/10 26 014 11/18/10 10 014 11/11/10 26 014 11/04/10 27 + __________ TOTAL ORDERED 89 174.50 % 014 09/23/10 52 014 09/14/10 33 014 09/07/10 8 014 09/01/10 17 + __________ TOTAL ORDERED 110 215.68 % 014 08/24/10 26 014 08/17/10 12 014 08/10/10 12 014 08/03/10 37 + __________ TOTAL ORDERED 87 170.58 % 014 07/06/10 9 014 07/28/10 15 014 07/20/10 12 014 07/13/10 25 014 07/06/10 22 + __________ TOTAL ORDERED 83 162.74 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 7 3.0 21.0 0 DC DATE ORDERED QUANTITY 001 11/23/10 6 001 11/19/10 3 001 11/16/10 1 001 11/12/10 1 001 11/09/10 4 001 11/05/10 5 001 11/02/10 4 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 896 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 030 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04005 AW4380995 705 1ST ST S., WINTER HAVEN FL 33880 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 672664 HYDROCODONE/APAP 10/650 TAB +100 30591050301 00591050301 7 3.0 21.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 24 114.28 % 001 10/22/10 3 001 10/19/10 1 001 10/15/10 4 001 10/12/10 2 001 10/08/10 4 001 10/05/10 5 001 10/01/10 3 + __________ TOTAL ORDERED 22 104.76 % 001 09/24/10 6 001 09/17/10 2 001 09/14/10 1 001 09/10/10 7 001 09/07/10 9 + __________ TOTAL ORDERED 25 119.04 % 001 07/30/10 4 001 07/28/10 3 001 07/23/10 4 001 07/21/10 1 001 07/16/10 7 001 07/09/10 4 001 07/07/10 1 + __________ TOTAL ORDERED 24 114.28 % 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 12/27/10 10 + __________ TOTAL ORDERED 10 111.11 % 014 10/21/10 8 014 10/07/10 3 + __________ TOTAL ORDERED 11 122.22 % 014 07/06/10 9 014 07/28/10 9 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 897 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 030 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04005 AW4380995 705 1ST ST S., WINTER HAVEN FL 33880 +_________________________________________________________________________________________________________________________________________________ 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 + __________ TOTAL ORDERED 18 200.00 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04023 AW1507992 501 S HAVENDALE AUBURNDALE FL 33823 +_________________________________________________________________________________________________________________________________________________ 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 09/27/10 4 001 09/22/10 2 001 09/15/10 3 001 09/13/10 3 001 09/02/10 3 + __________ TOTAL ORDERED 15 166.66 % 001 08/30/10 1 001 08/26/10 3 001 08/23/10 1 001 08/16/10 2 001 08/09/10 2 001 08/05/10 3 + __________ TOTAL ORDERED 12 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 645920 OXYCOD-APAP 7.5-325 TAB (WAT)+100 30591093301 00591093301 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 014 12/28/10 4 014 12/20/10 9 014 12/13/10 6 + __________ TOTAL ORDERED 19 126.66 % 014 11/29/10 10 014 11/19/10 5 014 11/12/10 3 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 898 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 030 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04023 AW1507992 501 S HAVENDALE AUBURNDALE FL 33823 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 645920 OXYCOD-APAP 7.5-325 TAB (WAT)+100 30591093301 00591093301 5 3.0 15.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 18 120.00 % 014 10/22/10 12 014 10/15/10 3 014 10/01/10 9 + __________ TOTAL ORDERED 24 160.00 % 014 09/24/10 5 014 09/17/10 4 014 09/10/10 1 014 09/01/10 6 + __________ TOTAL ORDERED 16 106.66 % 014 08/25/10 4 014 08/18/10 6 014 08/11/10 3 014 08/04/10 5 + __________ TOTAL ORDERED 18 120.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 652294 OXYCOD-APAP 10-325 TAB (WAT) +100 30591093201 00591093201 17 3.0 51.0 0 DC DATE ORDERED QUANTITY 014 12/28/10 10 014 12/20/10 16 014 12/13/10 22 014 12/06/10 24 + __________ TOTAL ORDERED 72 141.17 % 014 10/22/10 12 014 10/15/10 18 014 10/08/10 4 014 10/01/10 25 + __________ TOTAL ORDERED 59 115.68 % 014 09/24/10 16 014 09/17/10 10 014 09/10/10 12 014 09/01/10 16 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 899 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 030 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04023 AW1507992 501 S HAVENDALE AUBURNDALE FL 33823 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 652294 OXYCOD-APAP 10-325 TAB (WAT) +100 30591093201 00591093201 17 3.0 51.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 54 105.88 % 014 08/25/10 15 014 08/18/10 15 014 08/11/10 18 014 08/04/10 10 + __________ TOTAL ORDERED 58 113.72 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 14 3.0 42.0 0 DC DATE ORDERED QUANTITY 001 11/24/10 2 001 11/22/10 7 001 11/17/10 6 001 11/15/10 1 001 11/10/10 8 001 11/08/10 9 001 11/03/10 7 001 11/01/10 8 + __________ TOTAL ORDERED 48 114.28 % 001 10/27/10 5 001 10/25/10 5 001 10/20/10 3 001 10/18/10 9 001 10/13/10 3 001 10/11/10 9 001 10/06/10 6 001 10/04/10 5 + __________ TOTAL ORDERED 45 107.14 % 001 09/29/10 7 001 09/27/10 7 001 09/22/10 3 001 09/20/10 11 001 09/15/10 3 001 09/13/10 9 001 09/08/10 4 001 09/02/10 8 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 900 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 030 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04023 AW1507992 501 S HAVENDALE AUBURNDALE FL 33823 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 673037 ALPRAZOLAM 2MG TAB (PPC) + 100 30228203910 00228203910 14 3.0 42.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 52 123.80 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682972 OXYCODONE HCL 15MG TAB (ACT) +100 35215221402 52152021402 10 3.0 30.0 0 DC DATE ORDERED QUANTITY 014 12/28/10 7 014 12/20/10 15 014 12/13/10 10 014 12/06/10 6 + __________ TOTAL ORDERED 38 126.66 % 014 11/29/10 8 014 11/19/10 13 014 11/12/10 15 014 11/05/10 2 + __________ TOTAL ORDERED 38 126.66 % 014 10/22/10 14 014 10/15/10 3 014 10/01/10 14 + __________ TOTAL ORDERED 31 103.33 % 014 08/25/10 7 014 08/18/10 7 014 08/11/10 14 014 08/04/10 8 + __________ TOTAL ORDERED 36 120.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684106 OXYCODONE HCL 5MG TAB (MKT) + 100 30406055201 00406055201 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 014 12/28/10 12 014 12/20/10 7 014 12/06/10 8 + __________ TOTAL ORDERED 27 150.00 % 014 11/29/10 10 014 11/19/10 5 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 901 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 030 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04023 AW1507992 501 S HAVENDALE AUBURNDALE FL 33823 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 684106 OXYCODONE HCL 5MG TAB (MKT) + 100 30406055201 00406055201 6 3.0 18.0 0 DC DATE ORDERED QUANTITY 014 11/12/10 4 014 11/05/10 4 + __________ TOTAL ORDERED 23 127.77 % 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04093 BW5258404 701 SR 50 CLERMONT FL 34711 +_________________________________________________________________________________________________________________________________________________ 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 12/23/10 5 014 12/16/10 4 014 12/02/10 3 + __________ TOTAL ORDERED 12 133.33 % 014 11/24/10 5 014 11/17/10 4 014 11/10/10 2 014 11/03/10 2 + __________ TOTAL ORDERED 13 144.44 % 014 10/20/10 6 014 10/13/10 3 014 10/06/10 6 + __________ TOTAL ORDERED 15 166.66 % 014 08/23/10 5 014 08/16/10 2 014 08/09/10 2 014 08/02/10 1 + __________ TOTAL ORDERED 10 111.11 % 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 001 11/30/10 1 001 11/26/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 902 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 030 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04093 BW5258404 701 SR 50 CLERMONT FL 34711 +_________________________________________________________________________________________________________________________________________________ 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 001 11/11/10 1 + __________ TOTAL ORDERED 4 133.33 % 001 10/28/10 2 001 10/25/10 1 001 10/21/10 1 + __________ TOTAL ORDERED 4 133.33 % 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 11/24/10 2 014 11/17/10 8 014 11/03/10 11 + __________ TOTAL ORDERED 21 116.66 % 014 10/27/10 12 014 10/20/10 9 014 10/13/10 10 014 10/06/10 2 + __________ TOTAL ORDERED 33 183.33 % 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 12/29/10 1 001 12/27/10 4 001 12/21/10 5 001 12/17/10 3 001 12/14/10 3 001 12/10/10 2 001 12/03/10 2 + __________ TOTAL ORDERED 20 166.66 % 001 11/26/10 4 001 11/22/10 2 001 11/18/10 1 001 11/15/10 2 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 903 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 030 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04093 BW5258404 701 SR 50 CLERMONT FL 34711 +_________________________________________________________________________________________________________________________________________________ 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 11/11/10 1 001 11/04/10 2 001 11/01/10 2 + __________ TOTAL ORDERED 14 116.66 % 001 09/30/10 1 001 09/27/10 4 001 09/23/10 1 001 09/16/10 6 001 09/13/10 1 001 09/09/10 5 + __________ TOTAL ORDERED 18 150.00 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 001 12/29/10 6 001 12/27/10 6 001 12/21/10 7 001 12/17/10 1 001 12/14/10 1 001 12/10/10 3 001 12/03/10 5 + __________ TOTAL ORDERED 29 193.33 % 001 10/28/10 4 001 10/25/10 3 001 10/21/10 3 001 10/18/10 1 001 10/14/10 4 001 10/07/10 1 001 10/04/10 2 + __________ TOTAL ORDERED 18 120.00 % 001 09/30/10 3 001 09/27/10 3 001 09/23/10 4 001 09/20/10 2 001 09/16/10 2 001 09/13/10 1 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 904 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 030 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04093 BW5258404 701 SR 50 CLERMONT FL 34711 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 592947 HYDROCO-APAP 5-325 TAB (WAT)+ 100 30591320201 00591320201 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 001 09/09/10 5 + __________ TOTAL ORDERED 20 133.33 % 001 08/31/10 5 001 08/26/10 2 001 08/24/10 2 001 08/19/10 5 001 08/12/10 3 001 08/10/10 1 001 08/05/10 4 + __________ TOTAL ORDERED 22 146.66 % 001 07/29/10 3 001 07/27/10 3 001 07/22/10 3 001 07/20/10 2 001 07/15/10 4 001 07/13/10 1 001 07/08/10 2 001 07/06/10 2 + __________ TOTAL ORDERED 20 133.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 645920 OXYCOD-APAP 7.5-325 TAB (WAT)+100 30591093301 00591093301 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 014 12/23/10 18 014 12/16/10 5 014 12/09/10 3 014 12/02/10 6 + __________ TOTAL ORDERED 32 213.33 % 014 11/24/10 16 014 11/17/10 6 014 11/10/10 11 014 11/03/10 6 + __________ TOTAL ORDERED 39 260.00 % 014 10/27/10 6 014 10/20/10 13 014 10/13/10 8 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 905 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 030 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04093 BW5258404 701 SR 50 CLERMONT FL 34711 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 645920 OXYCOD-APAP 7.5-325 TAB (WAT)+100 30591093301 00591093301 5 3.0 15.0 0 DC DATE ORDERED QUANTITY 014 10/06/10 4 + __________ TOTAL ORDERED 31 206.66 % 014 09/29/10 14 014 09/22/10 15 014 09/15/10 5 014 09/08/10 12 + __________ TOTAL ORDERED 46 306.66 % 014 08/30/10 11 014 08/23/10 4 014 08/16/10 14 014 08/09/10 8 014 08/02/10 10 + __________ TOTAL ORDERED 47 313.33 % 014 07/26/10 12 014 07/19/10 9 014 07/12/10 13 014 07/01/10 13 + __________ TOTAL ORDERED 47 313.33 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 652294 OXYCOD-APAP 10-325 TAB (WAT) +100 30591093201 00591093201 17 3.0 51.0 0 DC DATE ORDERED QUANTITY 014 12/23/10 39 014 12/16/10 17 014 12/09/10 13 014 12/02/10 22 + __________ TOTAL ORDERED 91 178.43 % 014 11/24/10 15 014 11/17/10 11 014 11/10/10 12 014 11/03/10 14 + __________ TOTAL ORDERED 52 101.96 % 014 10/27/10 17 014 10/20/10 27 014 10/13/10 11 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 906 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 030 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04093 BW5258404 701 SR 50 CLERMONT FL 34711 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 652294 OXYCOD-APAP 10-325 TAB (WAT) +100 30591093201 00591093201 17 3.0 51.0 0 DC DATE ORDERED QUANTITY 014 10/06/10 19 + __________ TOTAL ORDERED 74 145.09 % 014 09/29/10 20 014 09/22/10 14 014 09/15/10 15 014 09/08/10 12 + __________ TOTAL ORDERED 61 119.60 % 014 08/30/10 23 014 08/23/10 12 014 08/16/10 24 014 08/09/10 14 014 08/02/10 17 + __________ TOTAL ORDERED 90 176.47 % 014 07/26/10 17 014 07/19/10 21 014 07/12/10 23 014 07/01/10 19 + __________ TOTAL ORDERED 80 156.86 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 676915 HYDROMORPHONE HCL 4MG (MK) + 100 30406324401 00406324401 4 3.0 12.0 0 DC DATE ORDERED QUANTITY 014 08/30/10 5 014 08/23/10 2 014 08/16/10 6 014 08/09/10 3 014 08/02/10 4 + __________ TOTAL ORDERED 20 166.66 % 014 07/26/10 3 014 07/19/10 4 014 07/12/10 3 014 07/01/10 4 + __________ TOTAL ORDERED 14 116.66 % 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 907 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 030 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04093 BW5258404 701 SR 50 CLERMONT FL 34711 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 679796 METHADONE 10MG TAB (ROX) + 100 30054457125 00054457125 14 3.0 42.0 0 DC DATE ORDERED QUANTITY 014 12/23/10 9 014 12/16/10 8 014 12/09/10 7 014 12/02/10 19 + __________ TOTAL ORDERED 43 102.38 % 014 09/29/10 9 014 09/22/10 18 014 09/15/10 23 014 09/08/10 2 + __________ TOTAL ORDERED 52 123.80 % 014 08/30/10 17 014 08/23/10 3 014 08/16/10 13 014 08/09/10 4 014 08/02/10 9 + __________ TOTAL ORDERED 46 109.52 % 014 07/26/10 8 014 07/19/10 16 014 07/12/10 5 014 07/01/10 22 + __________ TOTAL ORDERED 51 121.42 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (ACT)+ 100 35215221502 52152021502 22 3.0 66.0 0 DC DATE ORDERED QUANTITY 014 12/23/10 49 014 12/16/10 29 014 12/09/10 45 014 12/02/10 41 + __________ TOTAL ORDERED 164 248.48 % 014 11/24/10 22 014 11/17/10 10 014 11/10/10 19 014 11/03/10 29 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 908 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 030 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04093 BW5258404 701 SR 50 CLERMONT FL 34711 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682971 OXYCODONE HCL 30MG TAB (ACT)+ 100 35215221502 52152021502 22 3.0 66.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 80 121.21 % 014 10/20/10 12 014 10/13/10 40 014 10/06/10 30 + __________ TOTAL ORDERED 82 124.24 % 014 09/29/10 38 014 09/22/10 31 014 09/15/10 39 014 09/08/10 26 + __________ TOTAL ORDERED 134 203.03 % 014 08/19/10 20 014 08/30/10 30 014 08/23/10 28 014 08/09/10 16 014 08/02/10 19 + __________ TOTAL ORDERED 113 171.21 % 014 07/26/10 20 014 07/12/10 35 014 07/13/10 30 014 07/01/10 25 + __________ TOTAL ORDERED 110 166.66 % 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682972 OXYCODONE HCL 15MG TAB (ACT) +100 35215221402 52152021402 10 3.0 30.0 0 DC DATE ORDERED QUANTITY 014 11/24/10 9 014 11/17/10 8 014 11/10/10 7 014 11/03/10 7 + __________ TOTAL ORDERED 31 103.33 % 014 09/29/10 11 014 09/22/10 15 014 09/15/10 12 014 09/08/10 7 1REPORT NO. CD5002R1 WALGREEN COMPANY PAGE 909 DATE 01/03/11 SUSPICIOUS CONTROL DRUG ORDERS FOR MONTH OF 12/2010 MANAGEMENT REPORT 0 SALES DISTRICT 030 0 WALGREEN STORE NO DEA NO. STORE ADDRESS 04093 BW5258404 701 SR 50 CLERMONT FL 34711 +_________________________________________________________________________________________________________________________________________________ 0WALGREEN ITEM NO. DESCRIPTION: UPC NUMBER NDC NUMBER AVE ORDER * DEA FACTOR = TRIGGER 682972 OXYCODONE HCL 15MG TAB (ACT) +100 35215221402 52152021402 10 3.0 30.0 0 DC DATE ORDERED QUANTITY + __________ TOTAL ORDERED 45 150.00 % 014 08/23/10 4 014 08/16/10 9 014 08/09/10 7