Hospital Procedure Description Effective Date Amount Heritage Valley 2D ECHO WITH DOPPLER 8/30/18 592Heritage Valley ABACAVIR SULF LAMI ZIDO TAB 1/27/18 128Heritage Valley ABDOMEN SINGLE AP VIEW 12/13/18 319Heritage Valley ABDOMEN W/OBLIQUE & CONE VIEWS 12/19/18 332Heritage Valley ABG ANALYSIS 1/27/18 203.5Heritage Valley ACETAMINOPHEN 160MG/5ML SUS 10/6/18 8Heritage Valley ACETAMINOPHEN 325MG TAB 12/27/18 8Heritage Valley ACETAMINOPHEN 650MG SUP 4/24/18 8Heritage Valley ACETAMINOPHEN ASPIRIN CAFF TAB 8/20/18 8Heritage Valley ACETAMINOPHEN COD 300MG-30MG T 5/22/18 8Heritage Valley ACETAZOLAMIDE 250MG TAB 12/27/18 12Heritage Valley ACETAZOLAMIDE 500 MG PWD 12/27/18 202Heritage Valley ACETAZOLAMIDE 500MG INJ 1/27/18 218Heritage Valley ACETIC ACID 0.25% SOL 1/27/18 26Heritage Valley ACETYLCYSTEINE 20% SOL 3/12/18 61Heritage Valley ACID FAST BACILLI CULTURE 12/21/18 215Heritage Valley ACID FAST BACILLI SMEAR 12/21/18 85Heritage Valley ACYCLOVIR 200MG CAP 6/3/18 8Heritage Valley ACYCLOVIR 5% CRE 1/27/18 509Heritage Valley ACYCLOVIR 5% OIN 1/27/18 953Heritage Valley ACYCLOVIR 500MG INJ 1/27/18 25Heritage Valley ACYCLOVIR 800MG TAB 10/20/18 16Heritage Valley ADAPTER UROSTOMY DRAIN TUBE 12/4/18 8Heritage Valley ADENOSINE 3MG/ML INJ 1/27/18 83Heritage Valley ADVAIR 250-50 DSK 10/18/18 626Heritage Valley ADVAIR 500-50 DSK 8/5/18 1,021.00Heritage Valley AEROBIC ORGANISM ID 12/19/18 79Heritage Valley AEROCHAMBER PLUS W/FLOW SIG 12/3/18 18.12Heritage Valley AEROSOL/VAPOR INHALE INITIAL 12/24/18 189Heritage Valley AEROSOL/VAPOR INHALE SUBSEQ 12/26/18 158Heritage Valley AK-PENTOLATE 1% EYE SOL 11/14/18 191Heritage Valley ALBUMIN HUMAN 25% IVS 12/10/18 374Heritage Valley ALBUMIN SERUM 6/19/18 85Heritage Valley ALBUMIN, FLUID 1/27/18 41Heritage Valley ALBUTEROL SULF 0.83MG/ML SOL 12/25/18 8Heritage Valley ALBUTEROL SULF 1.25MG/3ML SOL 1/27/18 8Heritage Valley ALBUTEROL SULF 90MCG ARO 12/3/18 246Heritage Valley ALENDRONATE NA 10MG TAB 12/19/18 12Heritage Valley ALENDRONATE NA 70MG TAB 1/27/18 89Heritage Valley ALLOPURINOL 100MG TAB 12/5/18 8Heritage Valley ALLOPURINOL 300MG TAB 1/27/18 8Heritage Valley ALMACONE-2 SUS 1/27/18 8

Heritage Valley ALOE VERA/GLYCERIN GEL 10/18/18 12Heritage Valley ALPHA-1 PROTEINASE 1,000MG PDS 1/27/18 3,133.20Heritage Valley ALPRAZOLAM 0.25MG TAB 12/13/18 8Heritage Valley ALTEPLASE RECOMB 2MG INJ 11/9/18 636Heritage Valley ALUMINA MAGNESIA SIM LIQ 11/14/18 8Heritage Valley ALUMINUM HYDROXIDE 320MG/5ML S 1/27/18 8Heritage Valley AMANTADINE HCL 50MG LIQ 1/27/18 8Heritage Valley AMANTADINE HCL 50MG/5ML LIQ 1/27/18 10Heritage Valley AMIKACIN 1/27/18 467Heritage Valley AMIKACIN SULF 250MG/ML INJ 1/27/18 47Heritage Valley AMINOPHYLLINE 500MG/20ML INJ 1/27/18 40Heritage Valley AMIODARONE HCL 100MG TAB 1/27/18 49Heritage Valley AMIODARONE HCL 150MG/3ML INJ 1/27/18 25Heritage Valley AMIODARONE HCL 200MG TAB 12/27/18 15Heritage Valley AMIODARONE HCL 360MG/200ML SOL 1/27/18 212Heritage Valley AMITRIPTYLINE HCL 10MG TAB 8/23/18 8Heritage Valley AMLODIPINE BESYLATE 10MG TAB 12/7/18 8Heritage Valley AMLODIPINE BESYLATE 5MG TAB 12/27/18 8Heritage Valley AMMONIA 11/19/18 145Heritage Valley AMMONIUM LACTATE 12% LOT 3/31/18 90Heritage Valley AMOXICILLIN 250MG CAP 11/16/18 8Heritage Valley AMOXICILLIN CLV K 500-125MG TA 1/27/18 15Heritage Valley AMOXICILLIN CLV K 875-125MG TA 9/25/18 20Heritage Valley AMPICILLIN NA 2GM INJ 10/4/18 41Heritage Valley AMPICILLIN-SULBACTAM 1.5GM INJ 10/9/18 25Heritage Valley AMPICILLIN-SULBACTAM 3GM INJ 12/19/18 47Heritage Valley AMYLASE 7/16/18 96Heritage Valley AMYLASE/LIPASE/PROTEASE ECC 1/27/18 25Heritage Valley ANA SCREEN 7/16/18 172Heritage Valley ANASTROZOLE 1MG TAB 1/27/18 8Heritage Valley ANGIO VISCERAL SELECT 4/6/18 4,656.00Heritage Valley ANKLE 3+ VIEWS BILATERAL 2/19/18 183Heritage Valley ANTIBODY IDENT EACH PANEL 7/4/18 230Heritage Valley ANTIBODY SCREEN 12/18/18 126Heritage Valley ANTIGEN SCREENING (REAGENT) 10/23/18 112Heritage Valley ARFORMOTEROL TARTRATE 15MCG SO 1/27/18 65Heritage Valley ARIPIPRAZOLE 10MG TAB 10/28/18 89Heritage Valley ARIPIPRAZOLE 5MG TAB 1/27/18 144Heritage Valley ARMODAFINIL 250MG TAB 1/27/18 48.9Heritage Valley ARTERIAL BLOOD GAS 12/24/18 225Heritage Valley ARTIFICIAL TEARS 1.4% SOL 12/10/18 19Heritage Valley ASCORBIC ACID 500MG TAB 12/27/18 8Heritage Valley ASPIRIN 325MG ECT 12/27/18 8

Heritage Valley ASPIRIN 325MG TAB 10/17/18 8Heritage Valley ASPIRIN 81MG CTB 12/27/18 8Heritage Valley ASPIRIN 81MG ECT 12/19/18 8Heritage Valley ASPIRIN 81MG TAB 6/16/18 8Heritage Valley ATENOLOL 25MG TAB 10/16/18 8Heritage Valley ATENOLOL 50MG TAB 11/2/18 8Heritage Valley ATORVASTATIN CALCIUM 10MG TAB 12/21/18 16Heritage Valley ATORVASTATIN CALCIUM 20MG TAB 12/27/18 23Heritage Valley ATORVASTATIN CALCIUM 40MG TAB 1/27/18 31Heritage Valley ATROPINE 0.1 MG/ML SYRINGE 1/27/18 25Heritage Valley ATROPINE SULF 0.1MG/ML INJ 10/6/18 38Heritage Valley ATROPINE SULF 1% EYE SOL 3/6/18 151Heritage Valley ATROPINE SULF 1MG/ML INJ 7/21/18 27Heritage Valley AVYCAZ 2GM/0.5GM INJ 12/27/18 1,454.00Heritage Valley AZELASTINE HCL 137MCG NASAL SP 3/3/18 407Heritage Valley AZITHROMYCIN 250MG TAB 11/29/18 17Heritage Valley AZITHROMYCIN 500MG INJ 2/17/18 33Heritage Valley BACITRACIN 500U/GM OIN 12/15/18 34Heritage Valley BACITRACIN/POLYMYXIN B OIN 1/27/18 43Heritage Valley BACLOFEN 10MG TAB 12/27/18 8Heritage Valley BAG LEG URINARY 20OZ MD 1/27/18 8Heritage Valley BAG URINARY DRAINAGE 2000ML 12/10/18 8Heritage Valley BARRIER SKIN FLAT DURAHES 1.75 10/15/18 9Heritage Valley BARRIER SKIN MOLD DURAHES 2.25 11/1/18 11Heritage Valley BARRIER SUR HYDROCOL70MMXL2.75 11/3/18 11Heritage Valley BENZOCAINE MENTHOL 15-2.5MG LO 6/28/18 8Heritage Valley BENZOCAINE MENTHOL 15-4MG LOZ 9/26/18 8Heritage Valley BENZONATATE 100MG SGL 4/3/18 8Heritage Valley BENZTROPINE MESYLATE 0.5MG TAB 10/26/18 8Heritage Valley BENZTROPINE MESYLATE 2MG/2ML I 2/27/18 565Heritage Valley BETHANECHOL CL 10MG TAB 1/27/18 8Heritage Valley BETHANECHOL CL 25MG TAB 11/20/18 9Heritage Valley Bevespi Aerosphere Inhaler 1/27/18 2,071.94Heritage Valley BICALUTAMIDE 50MG TAB 1/27/18 82Heritage Valley BILE BAG 1/27/18 17.1Heritage Valley BILIRUBIN DIRECT 11/16/18 74Heritage Valley BILIRUBIN TOTAL 1/27/18 68Heritage Valley BIMATOPROST 0.03% SOL 1/27/18 471Heritage Valley BINDER ABDOMINAL 12 UNIVERSAL 12/18/18 17.01Heritage Valley BINDER ABDOMINAL 14IN XL 8/15/18 31.17Heritage Valley BIOTIN 5MG CAP 12/27/18 8Heritage Valley BIPAP DAILY 12/26/18 1,696.00Heritage Valley BISACODYL 10MG SUP 12/18/18 8

Heritage Valley BISACODYL 5MG ECT 7/19/18 8Heritage Valley BISMUTH SUBSALICYLATE 262MG LI 2/8/18 8Heritage Valley BISOPROLOL FUMARATE 5MG TAB 6/14/18 8Heritage Valley BIVONA HYPERFLEX ADJUST TRACH 1/27/18 332Heritage Valley BLADE LARYN KIING VIS CHAN DIS 1/27/18 77.35Heritage Valley BLANKET HYPOTHERM 25X64 12/10/18 82.02Heritage Valley BLOOD TYPING ABO 12/18/18 51Heritage Valley BNP (B NATRIURETIC PEPTIDE) 11/12/18 259Heritage Valley BREO ELLIPTA 100MCG/25MCG AER 12/14/18 558Heritage Valley BRIMONIDINE TARTRATE 0.15% SOL 6/25/18 591Heritage Valley BRIMONIDINE TIMOLOL 0.2-0.5% S 7/22/18 653Heritage Valley BROMOCRIPTINE MESYLATE 2.5MG T 1/27/18 21Heritage Valley BRONCHOSCOPY 12/17/18 7,350.00Heritage Valley BRONCHOSCOPY DIAGNOSTIC 1/27/18 640Heritage Valley BRONCHOSCOPY PRO 4/17/18 2,307.00Heritage Valley BUDESONIDE 0.5MG/2ML SUS 12/27/18 45Heritage Valley BUDESONIDE 3MG ECC 1/27/18 92Heritage Valley BUDESONIDE FORMOTRL 160/4.5 AE 10/19/18 962Heritage Valley BUDESONIDE FORMOTRL 80/4.5 AER 9/20/18 836Heritage Valley BUMETANIDE 0.25MG/ML INJ 12/25/18 25Heritage Valley BUMETANIDE 0.5MG TAB 1/27/18 8Heritage Valley BUMETANIDE 1MG TAB 12/27/18 8Heritage Valley BUMETANIDE 2MG TAB 1/27/18 8Heritage Valley BUN (UREANITROGEN) 10/15/18 65Heritage Valley BUPRENORPHINE 8MG TAB 4/4/18 31Heritage Valley BUPROPION HCL 100 MG TABLET 12/19/18 8Heritage Valley BUPROPION HCL 100MG TAB 6/26/18 8Heritage Valley BUPROPION HCL 150MG T12 1/27/18 24Heritage Valley BUPROPION HCL 150MG T24 10/31/18 25Heritage Valley BUPROPION HCL 75MG TAB 1/27/18 8Heritage Valley BUSPIRONE HCL 10MG TAB 12/6/18 8Heritage Valley BUSPIRONE HCL 5MG TAB 11/30/18 8Heritage Valley BUTRANS 5MCG/HR ER TDM 1/27/18 272Heritage Valley C DIFFICILE AMP PROBE 12/18/18 267Heritage Valley C DIFFICILE TOXIN A/B 10/31/18 105Heritage Valley CA CL/DEX/MGCL/NACL/NALACT SOL 10/6/18 285.6Heritage Valley CALCITONIN 200U SPR 7/12/18 458Heritage Valley CALCITONIN 200U/ML INJ 6/21/18 9,659.00Heritage Valley CALCITRIOL 0.25MCG SGL 10/4/18 8Heritage Valley CALCITRIOL 1MCG/ML SOL 1/27/18 53Heritage Valley CALCIUM (IONIZED) 12/19/18 125Heritage Valley CALCIUM ACETATE 667MG CAP 10/5/18 8Heritage Valley CALCIUM CARB 250 W/D 125U TAB 1/27/18 8

Heritage Valley CALCIUM CARB 500 W/D 200U TAB 1/27/18 8Heritage Valley CALCIUM CARB 500MG CTB 10/13/18 8Heritage Valley CALCIUM CARB 500MG TAB 11/8/18 8Heritage Valley CALCIUM CL 10% INJ 7/7/18 30Heritage Valley CALCIUM GLUCONATE 10% INJ 9/7/18 25Heritage Valley CALCIUM SERUM 4/13/18 71Heritage Valley CALCIUM W/D 500MG-200U TAB 11/30/18 8Heritage Valley CAMPHOR MENTHOL 0.5%-0.5% LOT 12/20/18 20Heritage Valley CANISTER SIMPLICITY W GEL 10/26/18 281Heritage Valley CANN INN 6.0 PORTEX GREEN 12/13/18 8Heritage Valley CANN INN 6.0 SHILEY 9/11/18 9Heritage Valley CANN INN 7.0 PORTEX WHITE 11/21/18 8Heritage Valley CANN INN 8.0 PORTEX BLUE 1/29/18 8Heritage Valley CANN INN 8.0 SHILEY 12/27/18 9Heritage Valley CANNULA INNER DISP 6.0MMID 10/9/18 16.56Heritage Valley CANNULA INNER DISP 8.0MMID 12/10/18 16.56Heritage Valley CANNULA INNER PERC-8MM TRACH 1/27/18 14Heritage Valley CAPSAICIN 0.075% CRE 1/27/18 89Heritage Valley CARBAMAZEPINE 100MG/5ML SUS 1/27/18 8Heritage Valley CARBAMAZEPINE 200MG TAB 9/4/18 8Heritage Valley CARBAMIDE PEROXIDE 6.5% EAR SO 6/12/18 11Heritage Valley CARBIDOPA/LEVO 25/100 TAB 11/30/18 8Heritage Valley CARBON DIOXIDE-EXPIRED GAS 2/21/18 236Heritage Valley CARBOXYMETHYLCELL NA 0.5% SOL 7/22/18 8Heritage Valley CARBOXYMETHYLCELLULOSE NA 1% S 6/28/18 8Heritage Valley CARDIOPULMONARY RESUSCITATION 12/10/18 1,199.00Heritage Valley CARISOPRODOL 350MG TAB 1/27/18 8Heritage Valley CARVEDILOL 12.5MG TAB 12/27/18 8Heritage Valley CARVEDILOL 3.125MG TAB 12/16/18 8Heritage Valley CARVEDILOL 6.25MG TAB 12/8/18 8Heritage Valley CATH FOLEY 2WAY 14FR 5CC 1/27/18 23.07Heritage Valley CATH FOLEY 2WAY 22FR 5CC 11/26/18 23.07Heritage Valley CATH FOLEY IC SLV CTD 20FR5CC 1/27/18 23.07Heritage Valley CATH MALE EXT SELFADH MED 11/8/18 8Heritage Valley CATH MUSHROOM PEZZAR 30FR 9/10/18 57Heritage Valley CATHETER INSERTION (VENOUS) 5/8/18 377Heritage Valley CBC, AUTO W/O DIFF 12/26/18 98Heritage Valley CBC, W/ AUTO DIFF 12/20/18 89Heritage Valley CEFAZOLIN 1GM A-V INJ 10/13/18 25Heritage Valley CEFAZOLIN 1GM INJ 12/22/18 25Heritage Valley CEFEPIME HCL 1GM INJ 12/17/18 58Heritage Valley CEFEPIME HCL 2GM INJ 11/15/18 112Heritage Valley CEFTRIAXONE NA 1GM INJ 12/25/18 33

Heritage Valley CEFTRIAXONE NA 1GM/D5W INJ 1/27/18 56Heritage Valley CEFTRIAXONE NA 2GM INJ 12/7/18 106Heritage Valley CEFUROXIME AXETIL 500MG TAB 12/6/18 33.1Heritage Valley CEFUROXIME NA 1.5GM INJ 5/8/18 25Heritage Valley CELECOXIB 100MG CAP 2/28/18 30Heritage Valley CELL COUNT FLUIDS W/ DIFF 7/16/18 97Heritage Valley CELL COUNT FLUIDS W/O DIFF 12/10/18 85Heritage Valley CELLULOSE TALC 71GM POW 1/27/18 14Heritage Valley CEPHALEXIN 250MG CAP 8/8/18 8Heritage Valley CERTAROLINE FOSAMIL 400MG INJ 11/8/18 742Heritage Valley CERTAROLINE FOSAMIL 600MG INJ 11/13/18 742Heritage Valley CERVICAL SP 2 OR 3 VIEWS 11/7/18 169Heritage Valley CHEST 1 VIEW FRONTAL 12/26/18 782Heritage Valley CHEST 2 VIEWS FRONTAL & LAT 12/24/18 408Heritage Valley CHEST SPECIAL VIEWS 10/19/18 282Heritage Valley CHEST WALL MANIPULATION INIT 12/4/18 208Heritage Valley CHEST WALL MANIPULATION SUBSEQ 12/10/18 133Heritage Valley CHLORHEXIDINE GLUC 0.12% LIQ 12/23/18 44Heritage Valley CHLORHEXIDINE GLUC 0.12% SOL 1/27/18 43Heritage Valley CHLORPROMAZINE HCL 25MG TAB 1/27/18 29Heritage Valley CHOLECALCIFEROL 1,000U TAB 12/27/18 8Heritage Valley CHOLECALCIFEROL 50,000U CAP 6/16/18 8Heritage Valley CHOLESTYRAMINE 4GM/5.5GM PDR 1/27/18 21Heritage Valley CHOLESTYRAMINE 4GM/9GM PDR 6/9/18 14Heritage Valley CINACALCET HCL 30MG TAB 7/28/18 112Heritage Valley CIPROFLOXACIN 0.3% SOL 1/27/18 98Heritage Valley CIPROFLOXACIN 250MG TAB 10/22/18 22Heritage Valley CIPROFLOXACIN 400MG/200ML INJ 1/27/18 25Heritage Valley CIPROFLOXACIN DEX 0.3%-0.1% SU 1/27/18 937Heritage Valley CITALOPRAM HBR 20MG TAB 11/22/18 10Heritage Valley CITRIC ACID NA CITRATE SOL 1/27/18 8Heritage Valley CK-MB PANEL 1/27/18 148Heritage Valley CLINDAMYCIN HCL 150MG CAP 8/13/18 8Heritage Valley CLINDAMYCIN PHOS 150MG/ML INJ 1/27/18 25Heritage Valley CLOBETASOL PROP 0.05% GEL 1/27/18 674Heritage Valley CLONAZEPAM 0.5MG TAB 12/6/18 8Heritage Valley CLONIDINE 0.3MG/DAY TDM 2/6/18 308Heritage Valley CLONIDINE HCL 0.1MG TAB 11/29/18 8Heritage Valley CLONIDINE HCL 0.1MG TDM 12/25/18 155Heritage Valley CLONIDINE HCL 0.2MG TAB 1/27/18 8Heritage Valley CLONIDINE HCL 0.2MG TDM 12/25/18 277Heritage Valley CLOPIDOGREL HSO4 75MG TAB 12/27/18 23Heritage Valley CLOTRIMAZOLE 1% CRE 12/21/18 42

Heritage Valley CLOTRIMAZOLE 10MG LOZ 9/25/18 8Heritage Valley CLOTRIMAZOLE BETAMETH 1-0.05 C 11/22/18 319Heritage Valley CLOZAPINE 100MG TAB 11/3/18 20Heritage Valley CLOZAPINE 25MG TAB 10/26/18 8Heritage Valley COLCHICINE 0.6MG TAB 10/20/18 8Heritage Valley COLESTIPOL HCL 1GM TAB 1/27/18 8Heritage Valley COLISTIMETHATE NA 150MG INJ 1/27/18 152Heritage Valley COLLAGENASE 250U/GM OIN 12/20/18 995Heritage Valley COLLECTOR FECAL FLEXSEAL 4/23/18 10.86Heritage Valley COLLECTOR FECAL INCONTINENCE 1/27/18 14.21Heritage Valley COMPREHEN METABOLIC PANEL 12/26/18 357Heritage Valley COOMBS DIRECT 9/29/18 83Heritage Valley CORTISOL TOTAL 4/2/18 190Heritage Valley CPAP DAILY 1/27/18 1,483.00Heritage Valley CPK-TOTAL 11/26/18 85Heritage Valley CRANBERRY 405MG CAP 4/17/18 8Heritage Valley C-REACTIVE PROTEIN 10/23/18 98Heritage Valley CREAM MULTI INGREDIENT CRE 2/2/18 39Heritage Valley CREAM SWEEN 24 5OZ 12/26/18 8.94Heritage Valley CREAM SWEEN ANTIFUNG 2OZ TUBE 12/27/18 9.12Heritage Valley CREATININE RANDOM URINE 7/12/18 83Heritage Valley CREATININE, BLOOD 8/8/18 65Heritage Valley CREON 15000-3000-9500U DR CAP 10/29/18 8Heritage Valley CRITIC AID 1/27/18 15.87Heritage Valley CRITIC AID CLEAR 6 OZ 1/27/18 20.88Heritage Valley CROSSMATCH ANTIGLOBIN 10/23/18 210Heritage Valley CROSSMATCH ELECTRONIC 11/21/18 143Heritage Valley CRP (HIGH SENSITIVITY) 1/27/18 87Heritage Valley CRYPTOSPORIDIUM ANTIGEN 4/10/18 99Heritage Valley CT ABD & PELVIS W/CONTRAST 12/20/18 3,549.00Heritage Valley CT ABD & PELVIS WO CONTRAST 11/15/18 2,848.00Heritage Valley CT ABDOMEN W/O CONTRAST 1/27/18 1,380.00Heritage Valley CT BRAIN/HEAD W/WO CONTRAST 1/27/18 4,973.00Heritage Valley CT BRAIN/HEAD WO CONTRAST 11/19/18 2,141.00Heritage Valley CT CERVICAL SPINE W/O CONTRAST 1/27/18 5,731.00Heritage Valley CT LOWER EXT W/O CONTRAST LT 5/15/18 1,275.00Heritage Valley CT LOWER EXT W/O CONTRAST RT 1/27/18 1,181.00Heritage Valley CT MAXILLOFACIAL W/O CONTRAST 1/27/18 3,681.00Heritage Valley CT PELVIS W/CONTRAST 7/11/18 2,091.00Heritage Valley CT PELVIS W/O CONTRAST 7/16/18 1,372.00Heritage Valley CT THORAX W/CONTRAST 9/25/18 3,006.00Heritage Valley CT THORAX W/O CONTRAST 12/6/18 2,211.00Heritage Valley CT UPPER EXT W/WO CONTRAST RT 1/27/18 2,041.00

Heritage Valley CTA CHEST (NONCORONARY) WO/W 1/27/18 3,235.00Heritage Valley CULTURE BLOOD 11/6/18 148Heritage Valley CULTURE CAMPY 12/4/18 95Heritage Valley CULTURE CSF 1/27/18 98Heritage Valley CULTURE ECOLI 0157 12/4/18 151Heritage Valley CULTURE SCREEN MRSA 5/10/18 97Heritage Valley CULTURE STOOL 12/4/18 163Heritage Valley CULTURE URINE W/COLONY COUNT 12/20/18 98Heritage Valley CULTURE VIRAL 10/24/18 166.95Heritage Valley CULTURE VRE SCREEN 12/21/18 90Heritage Valley CULTURE-FUNGUS-OTHER SOURCE 12/21/18 177Heritage Valley CULTURE-ROUTINE 12/21/18 142Heritage Valley CYANOCABALAMIN 1,000MCG TAB 1/27/18 8Heritage Valley CYANOCABALAMIN 500MCG TAB 12/27/18 8Heritage Valley CYANOCOBALAMIN 1,000MCG/ML INJ 12/9/18 38Heritage Valley CYCLOBENZAPRINE HCL 10MG TAB 12/27/18 8Heritage Valley CYCLOSPORINE 0.05% EYE EMU 11/20/18 35Heritage Valley CYCLOSPORINE 100MG/ML SOL 11/24/18 47Heritage Valley CYCLOSPORINE 25 MG CAP 11/30/18 8Heritage Valley CYTOPATH NON-GYN CELL PREP 12/10/18 273Heritage Valley D5W/KCL 5%/20MEQ IVS 10/30/18 39Heritage Valley D5W/NACL 0.45%/KCL 20MEQ IVS 10/30/18 25Heritage Valley D5W/NACL 0.9%/KCL 20MEQ IVS 1/27/18 37Heritage Valley D5W-1/2NS/KCL 10MEQ/L IVS 9/19/18 37Heritage Valley DAKINS 0.125% SOL 9/24/18 44Heritage Valley DAKINS 0.25% SOL 11/17/18 44Heritage Valley DAKINS 0.5% SOL 1/27/18 44Heritage Valley DANTROLENE NA 25MG CAP 1/27/18 8Heritage Valley DAPTOMYCIN 500MG INJ 10/31/18 1,363.00Heritage Valley DARBEPOETIN A 100MCG/0.5ML INJ 9/18/18 3,620.00Heritage Valley DARBEPOETIN A 150MCG/0.3ML INJ 1/27/18 5,430.00Heritage Valley DARBEPOETIN A 25MCG/0.42ML INJ 7/31/18 2,533.00Heritage Valley DARBEPOETIN A 40MCG/0.4ML INJ 7/12/18 1,448.00Heritage Valley DARBEPOETIN A 60MCG/0.3ML INJ 11/27/18 2,172.00Heritage Valley DARUNAVIR ETHANOLATE 600MG TAB 1/27/18 110Heritage Valley D-DIMER SEMI QUANT 7/2/18 113Heritage Valley DEBRIDE MUSC/FASC 20 SQ CM/< 1/27/18 2,203.00Heritage Valley DEBRIDE SQ TISS 20 SQ CM/< 8/8/18 2,206.00Heritage Valley DECLOGGER G-TUBE 12-14FR 11/6/18 14Heritage Valley DERIDEMENT SNGL DECUBITUS ULCE 9/11/18 2,098.00Heritage Valley DESMOPRESSIN ACET 0.1MG TAB 1/27/18 18Heritage Valley DESMOPRESSIN ACET 0.1MG/ML SPR 1/27/18 1,028.00Heritage Valley DETECTOR CO2 EASYCAP 24 1/27/18 28

Heritage Valley DEVICE HRZ DRN/TUBE ATTACH 5/15/18 16Heritage Valley DEXAMETHASONE 0.5MG TAB 6/23/18 8Heritage Valley DEXAMETHASONE 4MG TAB 6/21/18 8Heritage Valley DEXAMETHASONE NA PH 4MG/ML INJ 12/6/18 25Heritage Valley DEXTRAN HYPROMELLOSE SOL 10/20/18 17Heritage Valley DEXTROAMPHETAMINE HBR QUIN CAP 11/3/18 58Heritage Valley DEXTROSE 10%/WATER IVS 11/27/18 28Heritage Valley DEXTROSE 5%/WATER IVS 11/10/18 25Heritage Valley DEXTROSE 5%-1/2NS IVS 12/15/18 25Heritage Valley DEXTROSE 5%-1/4NS IVS 3/28/18 25Heritage Valley DEXTROSE 5%-NS IVS 9/26/18 25Heritage Valley DEXTROSE 50 PCT/WATER SYRINGE 1/27/18 31Heritage Valley DEXTROSE 50%/WATER INJ 9/29/18 37Heritage Valley DIANEAL 2.5% PD-2 DEXTROSE IVS 10/13/18 110Heritage Valley DIAZEPAM 2MG TAB 1/27/18 8Heritage Valley DIAZEPAM 5MG TAB 3/23/18 8Heritage Valley DIAZEPAM 5MG/ML INJ 2/28/18 91Heritage Valley DIBUCAINE 1% OIN 1/27/18 24Heritage Valley DICLOFENAC NA 0.1% GEL 11/25/18 154Heritage Valley DICLOFENAC NA 0.1% SOL 1/27/18 196Heritage Valley DICLOXACILLIN NA 250MG CAP 1/27/18 8Heritage Valley DICYCLOMINE HCL 20MG TAB 1/27/18 8Heritage Valley DIGOXIN 12/19/18 126Heritage Valley DIGOXIN 0.25MG/ML INJ 11/4/18 27Heritage Valley DIGOXIN 125MCG TAB 12/18/18 8Heritage Valley DIGOXIN 250 MCG/ML INJ 1/27/18 27Heritage Valley DILTIAZEM HCL 120MG C24 12/18/18 8Heritage Valley DILTIAZEM HCL 120MG TAB 1/27/18 12Heritage Valley DILTIAZEM HCL 180MG C24 10/3/18 8Heritage Valley DILTIAZEM HCL 240MG C24 12/7/18 8Heritage Valley DILTIAZEM HCL 25MG/5ML INJ 1/27/18 25Heritage Valley DILTIAZEM HCL 300MG C24 9/19/18 11Heritage Valley DILTIAZEM HCL 30MG TAB 12/27/18 8Heritage Valley DILTIAZEM HCL 5MG/ML INJ 10/25/18 25Heritage Valley DILTIAZEM HCL 60MG TAB 12/27/18 8Heritage Valley DILTIAZEM HCL 90MG TAB 1/27/18 8Heritage Valley DIPHENHYDRAMINE HCL 12.5MG/5 E 12/20/18 8Heritage Valley DIPHENHYDRAMINE HCL 25MG CAP 1/27/18 8Heritage Valley DIPHENHYDRAMINE HCL 25MG TAB 12/18/18 8Heritage Valley DIPHENHYDRAMINE HCL 50MG/ML IN 10/12/18 25Heritage Valley DIPHENHYDRAMINE HCL Z ACE CRE 1/27/18 15Heritage Valley DIPHENOXYLATE HCL ATROPINE TAB 1/27/18 8Heritage Valley DIPYRIDAMOLE ASPIRIN 25-200 CE 1/27/18 38

Heritage Valley DIVALPROEX 250 MG TAB 10/24/18 8Heritage Valley DIVALPROEX NA 125MG ECC 11/15/18 8Heritage Valley DIVALPROEX NA 250MG TCP 5/24/18 8Heritage Valley DIVALPROEX NA 250MG TER 1/27/18 8Heritage Valley DOBUTAMINE HCL D5W 500-250ML I 8/12/18 141Heritage Valley DOCUSATE NA 100MG CAP 12/27/18 8Heritage Valley DOCUSATE NA 100MG SGL 1/27/18 8Heritage Valley DOCUSATE NA 150MG/15ML LIQ 12/26/18 8Heritage Valley DOCUSATE NA SENNA 50MG-8.6MG T 5/18/18 8Heritage Valley DOCUSATE NA SENNO A B 50-8.6 T 12/27/18 8Heritage Valley DONEPEZIL HCL 5MG TAB 11/30/18 42Heritage Valley DOPAMINE HCL 800MG/D5W 250ML I 8/2/18 74Heritage Valley DORZOLAMIDE HCL 2% SOL 1/27/18 343Heritage Valley DORZOLAMIDE HCL TIMOLOR MAL SO 1/27/18 475Heritage Valley DOXAZOSIN MESYLATE 1MG TAB 11/17/18 15Heritage Valley DOXAZOSIN MESYLATE 4MG TAB 1/27/18 16Heritage Valley DOXYCYCLINE HYCLATE 100MG INJ 7/30/18 80Heritage Valley DOXYCYCLINE HYCLATE 100MG TAB 12/27/18 8Heritage Valley DRAIN CHEST THORA-SEAL III 1/31/18 160.8Heritage Valley DRONABINOL 2.5MG CAP 12/7/18 53Heritage Valley DRONABINOL 2.5MG SGL 6/6/18 21Heritage Valley DRONEDARONE HCL 400MG TAB 6/9/18 46Heritage Valley DRSG ABDOMINAL PAD 5X9 3/8/18 8Heritage Valley DRSG ACRYLIC ABS CLR 3X3.75 12/17/18 8Heritage Valley DRSG ALGINATE ROPE 12IN 12/26/18 8Heritage Valley DRSG ALGINATE SEASORB SLV4X4 12/17/18 48Heritage Valley DRSG AQUACEL AG XTR HYDRO 6X6 1/27/18 212Heritage Valley DRSG AQUACEL HYDROFIBER 1/27/18 16Heritage Valley DRSG BIATAIN SIL BRDR FOAM 4X4 1/27/18 8Heritage Valley DRSG BIATAIN SIL BRDR FOAM 6X6 8/8/18 13.02Heritage Valley DRSG BIOPATCH 12/27/18 16.86Heritage Valley DRSG DRAWTEX HYDCONDUC 4X4 10/25/18 20Heritage Valley DRSG EXU-DRY 1/27/18 11.55Heritage Valley DRSG HYDROFIBER AQUACEL 5X5CM 12/19/18 13.02Heritage Valley DRSG HYDROGEL SILVASORB 1.5OZ 1/27/18 44.46Heritage Valley DRSG HYDROGEL SKINTEG 4OZ 8/14/18 17Heritage Valley DRSG MAXORB ALG AG 4X4.75IN 1/27/18 19.56Heritage Valley DRSG MAXORB SLV ALGIN 12IN 1/27/18 17.5Heritage Valley DRSG OPTIFOAM 4X4 12/18/18 12.63Heritage Valley DRSG TEGADERM 4.5X6.8 12/10/18 10.14Heritage Valley DRSG TEGADERM HP 2.375X2.75 12/26/18 8Heritage Valley DRSG TEGADERM HP 4X4.75 IV3000 12/26/18 8Heritage Valley DRSG TRAC PAD 4/17/18 53

Heritage Valley DRSG TRANSP 2X2-3/4 COMFEEL 1/27/18 8Heritage Valley DRSG ULCER CARE 4X4 COMFEEL + 11/29/18 8Heritage Valley DRSG VAC GRANUFOAM BRIDGE 6/19/18 249.26Heritage Valley DRSG VAC SOFT FOAM 10X15 4/12/18 32.32Heritage Valley DULERA INHALER 1/27/18 903Heritage Valley DULOXETINE 30MG DR CAP 1/27/18 26Heritage Valley DULOXETINE HCL 20MG CAP 12/6/18 31Heritage Valley DULOXETINE HCL 30MG CAP 11/30/18 34Heritage Valley DUREZOL 0.05% EYE SOL 1/27/18 720Heritage Valley ECHO 2-D&M-MODE W/DOPPLER 7/11/18 1,510.00Heritage Valley EEG, AWAKE AND ASLEEP 1/27/18 819Heritage Valley EEG, AWAKE AND DROWSY 1/27/18 558Heritage Valley EGD 10/4/18 2,307.00Heritage Valley EGD TRANSORAL INCL SPEC COLL 8/9/18 2,592.00Heritage Valley EKG TRACING ONLY 11/5/18 230Heritage Valley EKG TRACING ONLY (RAD) 10/8/18 225Heritage Valley ELBOW 2 VIEWS BILATERAL 1/27/18 161Heritage Valley ELBOW 3+ VIEWS BILATERAL 1/27/18 183Heritage Valley ELEC STIM NOT WOUND UNATTENDED 10/30/18 161Heritage Valley ELIQUIS 2.5MG TAB 12/18/18 29Heritage Valley ELIQUIS 5MG TAB 12/27/18 29Heritage Valley EMG 1 EXTERMITY 1/27/18 158Heritage Valley ENALAPRIL MALEATE 5MG TAB 1/27/18 8Heritage Valley ENALAPRILAT 1.25MG/ML INJ 2/24/18 25Heritage Valley ENOXAPARIN NA 100MG/ML INJ 6/14/18 329Heritage Valley ENOXAPARIN NA 30MG/0.3ML INJ 2/24/18 99Heritage Valley ENOXAPARIN NA 30MG/ML INJ 12/10/18 118Heritage Valley ENOXAPARIN NA 40MG/0.4ML INJ 1/27/18 132Heritage Valley ENOXAPARIN NA 40MG/ML INJ 11/30/18 142Heritage Valley ENOXAPARIN NA 60MG/ML INJ 11/14/18 231Heritage Valley ENOXAPARIN NA 80MG/0.8ML INJ 1/27/18 263Heritage Valley ENOXAPARIN NA 80MG/ML INJ 4/11/18 290Heritage Valley EPINEPHRINE 0.1 MG/ML SYRN 1/27/18 25Heritage Valley EPINEPHRINE HCL 0.1MG/ML INJ 12/11/18 26Heritage Valley EPINEPHRINE HCL 1MG/ML INJ 7/31/18 25Heritage Valley ERGOCALCIFEROL 50,000U CAP 1/27/18 8Heritage Valley ERGOCALCIFEROL 50,000U SGL 12/15/18 8Heritage Valley ERGOCALCIFEROL 8,000U/ML LIQ 12/11/18 13Heritage Valley ERYTHROMYCIN 2% GEL 1/27/18 673Heritage Valley ERYTHROMYCIN 5MG/GM OIN 1/27/18 51Heritage Valley ERYTHROMYCIN ES 200MG/5ML SUS 8/18/18 30Heritage Valley ERYTHROPOIETIN 7/23/18 206Heritage Valley ESCITALOPRAM OXALATE 10MG TAB 11/27/18 19

Heritage Valley ESOPHAGUS 1/27/18 524Heritage Valley ETHAMBUTOL HCL 100MG TAB 1/27/18 8Heritage Valley ETHAMBUTOL HCL 400MG TAB 1/27/18 8Heritage Valley EUCERIN CRE 11/22/18 26Heritage Valley EVAL OF PROSTH COMM DEVICE 6/21/18 303Heritage Valley EVAL OF SWALLOWING BLUE DYE 12/17/18 478Heritage Valley EVAL OF SWALLOWING-RADIO-OPA 11/12/18 587Heritage Valley EVAL SOUND PROD/LANG COMP EXP 12/25/18 495Heritage Valley EVAL SWALLOW/ORAL FUNCTION 11/27/18 502Heritage Valley EXELON ER 13.3MG/24HR TDM 1/27/18 80Heritage Valley EXT VEIN DUPLEX STUDY LIMIT LT 9/3/18 741Heritage Valley EXT VEIN DUPLEX STUDY LIMIT RT 11/6/18 741Heritage Valley EZETIMIBE 10MG TAB 1/30/18 42Heritage Valley FAMOTIDINE 10MG/ML INJ 12/3/18 25Heritage Valley FAMOTIDINE 20MG TAB 12/12/18 8Heritage Valley FAMOTIDINE 40MG TAB 1/27/18 14Heritage Valley FDP (FSP) 7/5/18 45Heritage Valley FEBUXOSTAT 40MG TAB 10/20/18 44Heritage Valley FEMUR 2+ VIEWS BILATERAL 1/27/18 161Heritage Valley FEMUR 2+ VIEWS LT 1/27/18 150.15Heritage Valley FEMUR 2+ VIEWS RT 10/15/18 150.15Heritage Valley FENOFIBRATE 145MG TAB 10/5/18 8Heritage Valley FENOFIBRATE 48MG TAB 1/27/18 8Heritage Valley FENOFIBRATE 54MG TAB 1/27/18 8Heritage Valley FENTANYL 100MCG/HR TDM 1/27/18 216Heritage Valley FENTANYL 12MCG/HR TDM 10/8/18 77Heritage Valley FENTANYL 25MCG/HR TDM 12/25/18 58Heritage Valley FENTANYL 50MCG/HR TDM 12/25/18 126Heritage Valley FENTANYL 50MCG/ML INJ 5/19/18 25Heritage Valley FENTANYL 75MCG/HR TDM 1/27/18 173Heritage Valley FERRITIN 11/21/18 179Heritage Valley FERRLECIT 62.5MG/5ML INJ 11/13/18 155Heritage Valley FERROUS GLUCONATE 324MG TAB 5/26/18 8Heritage Valley FERROUS SULF 300MG/5ML ELI 12/27/18 8Heritage Valley FERROUS SULF 325MG ECT 1/27/18 8Heritage Valley FERROUS SULF 325MG TAB 12/4/18 8Heritage Valley FFP 8-24HRS-PROC ONLY 1/27/18 381Heritage Valley FIBEROPTIC EVAL SWALLOWING 8/4/18 375Heritage Valley FIBRINOGEN 10/4/18 117Heritage Valley FIDAXOMICIN 200MG TAB 1/27/18 848Heritage Valley FILGRASTIM 300MCG/ML INJ 11/15/18 1,487.00Heritage Valley FILGRASTIM 480MCG/0.8ML INJ 1/27/18 2,510.00Heritage Valley FILGRASTIM 480MCG/1.6ML INJ 1/27/18 2,368.00

Heritage Valley FINASTERIDE 5MG TAB 12/6/18 13Heritage Valley FINGER(S) 2+ VIEWS BILATERAL 1/27/18 161Heritage Valley FISH OIL 1,000MG SGL 10/8/18 8Heritage Valley FLECAINIDE ACETATE 100MG TAB 7/10/18 14Heritage Valley FLUARIX QUADRIVALENT 2014-2015 11/7/18 76.4Heritage Valley FLUCONAZOLE 100MG TAB 12/12/18 35Heritage Valley FLUCONAZOLE 200MG/100ML INJ 12/15/18 44Heritage Valley FLUCONAZOLE 400MG/200ML INJ 11/14/18 68Heritage Valley FLUDROCORTISONE ACET 0.1MG TAB 1/27/18 8Heritage Valley FLUORESCENT AB SCREEN 11/5/18 154Heritage Valley FLUORO GUIDANCE NEEDLE PLACE 12/3/18 765Heritage Valley FLUORO GUIDE FOR CV ACCESS 10/18/18 550Heritage Valley FLUOROSCOPY 1HR OR LESS 5/15/18 558Heritage Valley FLUOXETINE HCL 10MG TAB 12/5/18 11Heritage Valley FLUOXETINE HCL 20MG CAP 1/27/18 11Heritage Valley FLUTICASONE PROP 220MCG ARO 1/27/18 1,604.00Heritage Valley FLUTICASONE PROP 50MCG NASAL S 11/30/18 307Heritage Valley FOLIC ACID 12/7/18 138Heritage Valley FOLIC ACID 1MG TAB 12/27/18 8Heritage Valley FONDAPARINUX NA 10MG INJ 1/27/18 618Heritage Valley FOOT 2 VIEWS RT 1/27/18 173Heritage Valley FOOT 3+ VIEWS BILATERAL 2/19/18 183Heritage Valley FOREARM 2 VIEWS BILATERAL 1/27/18 161Heritage Valley FORMOTEROL FUM 20MCG/2ML SOL 12/6/18 68Heritage Valley FOSPHENYTOIN NA 50MG/ML INJ 1/27/18 28Heritage Valley FREE DILANTIN 7/4/18 113Heritage Valley FUROSEMIDE 10MG/ML INJ 12/27/18 25Heritage Valley FUROSEMIDE 20MG TAB 12/14/18 8Heritage Valley FUROSEMIDE 40MG TAB 12/18/18 8Heritage Valley FUROSEMIDE 80MG TAB 1/27/18 8Heritage Valley GABAPENTIN 100MG CAP 12/27/18 8Heritage Valley GABAPENTIN 300MG CAP 12/17/18 8Heritage Valley GABAPENTIN 400MG CAP 6/21/18 8Heritage Valley GAIT TRAINING 15 MIN 12/25/18 130Heritage Valley GAUZE XEROFORM CURAD 2X2 11/28/18 8Heritage Valley GEL IODOSORB CADEX IODINE 40GM 1/27/18 318Heritage Valley GEMFIBROZIL 600MG TAB 1/27/18 9Heritage Valley GENTAMICIN 1/27/18 163Heritage Valley GENTAMICIN 100MG/NS 100ML INJ 1/27/18 25Heritage Valley GENTAMICIN SULF 0.1% OIN 10/4/18 98Heritage Valley GENTAMICIN SULF 3MG/ML SOL 3/8/18 113Heritage Valley GENTAMICIN SULF 40MG/ML INJ 11/15/18 25Heritage Valley GI TUBE PLACEMENT RAD GUIDANCE 7/18/18 644

Heritage Valley GLIMEPIRIDE 2MG TAB 1/27/18 8Heritage Valley GLIPIZIDE 5MG TAB 12/15/18 8Heritage Valley GLUC BLOOD NOVA STAT STRIP 12/27/18 74Heritage Valley GLUCOSE BLOOD, REAGENT STRIP 1/27/18 49Heritage Valley GLUCOSE, BODY FLUID 12/10/18 49Heritage Valley GLUCOSE, QUANTITATIVE 6/18/18 61Heritage Valley GLYBURIDE 2.5MG TAB 6/22/18 8Heritage Valley GLYCERIN SUP 11/30/18 8Heritage Valley GLYCOHEMOGLOBIN (HGB A1) 6/14/18 112Heritage Valley GLYCOPYRROLATE 0.2MG/ML INJ 1/27/18 92Heritage Valley GLYCOPYRROLATE 1MG TAB 1/27/18 8Heritage Valley GRAM/GIESMA SMEAR 12/21/18 70Heritage Valley GUAIFENESIN 100MG/5ML LIQ 1/27/18 8Heritage Valley GUAIFENESIN 100MG/5ML SOL 1/27/18 8Heritage Valley GUAIFENESIN 600MG TER 12/8/18 8Heritage Valley GUAIFENESIN DM 100-10MG/5ML SY 7/17/18 8Heritage Valley GUAIFENESIN DM 600MG-30MG TAB 8/11/18 8Heritage Valley GUIDE WIRE TSHF SERIES 1/27/18 173Heritage Valley HALOPERIDOL 0.5MG TAB 9/27/18 8Heritage Valley HALOPERIDOL 1MG TAB 10/5/18 8Heritage Valley HALOPERIDOL 5MG TAB 1/27/18 8Heritage Valley HALOPERIDOL LAC 5MG/ML INJ 11/30/18 29Heritage Valley HALOPERIDOL LACTATE 5MG/ML 1/27/18 25Heritage Valley HAND 3+ VIEWS BILATERAL 11/12/18 192Heritage Valley HAPTOGLOBIN 11/16/18 126Heritage Valley HARVONI 90 MG-400MG TAB 1/27/18 5,468.00Heritage Valley HCTZ 25MG TAB 12/27/18 8Heritage Valley HCTZ TRIAMTERENE 25-37.5MG TAB 1/27/18 8Heritage Valley HCTZ TRIAMTERENE 37.5-25MG CAP 12/19/18 8Heritage Valley HEEL LIFT 1/27/18 86Heritage Valley HEMATOCRIT 11/5/18 47Heritage Valley HEMOGLOBIN 11/5/18 61Heritage Valley HEPARIN 1,000U/ML INJ 11/29/18 25Heritage Valley HEPARIN 25,000U/D5W 250ML INJ 1/27/18 40Heritage Valley HEPARIN 25,000U-1/2NS 250ML IN 9/18/18 41Heritage Valley HEPARIN 5,000U/ML INJ 12/27/18 25Heritage Valley HEPARIN FLUSH 100U/ML INJ 5/9/18 25Heritage Valley HEPARIN INDUCED ANTIBODY 1/27/18 478Heritage Valley HEPATIC FUNCTION PANEL 11/23/18 190Heritage Valley HEPATITIS A ANTIBODY 3/15/18 118Heritage Valley HEPATITIS B SURFACE AB 8/20/18 117Heritage Valley HEPATITIS B SURFACE AG (HBSAG) 1/27/18 116Heritage Valley HEPATITIS C AB 1/27/18 179

Heritage Valley HEPATITIS PANEL (ACUTE) 11/20/18 524Heritage Valley HETEROPHILE ANTIBODY SCREEN 2/20/18 46Heritage Valley HIP 2+ VIEWS UNILATERAL RT 1/27/18 312Heritage Valley HOLDER LIMB SECURE ALL 10/29/18 8Heritage Valley HOMATROP HYDROCODONE BIT SYR 2/16/18 8Heritage Valley HOME MGT TRAINING 15 MIN 11/1/18 96Heritage Valley HOT/COLD PACKS APPLICATION 11/1/18 35Heritage Valley HUMERUS 2+ VIEWS BILATERAL 4/10/18 531Heritage Valley HUMIDIF PREF'LD 500ML W/ADAPT 1/27/18 8Heritage Valley HYDRALAZINE HCL 10MG TAB 6/23/18 8Heritage Valley HYDRALAZINE HCL 20MG/ML INJ 5/24/18 58Heritage Valley HYDRALAZINE HCL 25MG TAB 12/27/18 8Heritage Valley HYDRALAZINE HCL 50MG TAB 12/19/18 8Heritage Valley HYDROCODONE APAP 5-325MG TAB 11/26/18 8Heritage Valley HYDROCODONE APAP 7.5-325MG TAB 1/27/18 8Heritage Valley HYDROCORTISONE 0.5% OIN 1/27/18 16Heritage Valley HYDROCORTISONE 1% CRE 2/8/18 70Heritage Valley HYDROCORTISONE 1% OIN 1/27/18 25Heritage Valley HYDROCORTISONE 100MG/60ML NMA 1/27/18 49Heritage Valley HYDROCORTISONE 10MG TAB 1/27/18 8Heritage Valley HYDROCORTISONE 2.5% CRE 12/24/18 383Heritage Valley HYDROCORTISONE ACET 1% OIN 11/22/18 16Heritage Valley HYDROCORTISONE ACET 25MG SUP 5/21/18 58Heritage Valley HYDROCORTISONE NA SUCC 100MG I 11/22/18 40Heritage Valley HYDROGEN PEROXIDE 3% SOL 12/25/18 66Heritage Valley HYDROMORPHONE 2MG TAB 6/14/18 8Heritage Valley HYDROMORPHONE 2MG/ML INJ 1/27/18 25Heritage Valley HYDROXYCHLOROQUINE 200MG TAB 6/21/18 18Heritage Valley HYDROXYUREA 500MG CAP 5/31/18 8Heritage Valley HYDROXYZINE HCL 25MG TAB 11/28/18 8Heritage Valley HYDROXYZINE PAM 25MG CAP 6/2/18 8Heritage Valley IBUPROFEN 200MG TAB 4/7/18 8Heritage Valley IBUPROFEN 600MG TAB 7/9/18 8Heritage Valley IMATINIB MESYLATE 400MG TAB 5/29/18 943Heritage Valley IMIPENEM CILASTATIN NA 500MG I 1/27/18 136Heritage Valley IMMUNOELEC SERUM 1/27/18 132Heritage Valley IMMUNOFIX ELECTROPHOR-FLUID 6/5/18 282Heritage Valley INCRUSE ELLIPTA 62.5 MCG/ACTU 10/25/18 306Heritage Valley INFLUENZA VACC 2011-2012 SUS 1/27/18 47Heritage Valley INNER CANNULA 5.0 PORTEX 11/6/18 8Heritage Valley INSERTION MID LINE CATH 8/14/18 850Heritage Valley INSULIN AS/AS PROT 70-30U/ML I 1/27/18 1,193.00Heritage Valley INSULIN ASPART RECMB 100U/ML I 12/19/18 1,150.00

Heritage Valley INSULIN DETEMIR 100U/ML INJ 12/4/18 1,307.00Heritage Valley INSULIN HUM ISOP 100U/ML INJ 12/9/18 621Heritage Valley INSULIN HUM ISOP/REG 50U-50U I 8/2/18 198Heritage Valley INSULIN HUM ISOP/REG 70U-30U I 1/27/18 621Heritage Valley INSULIN HUM REGULAR 100U/ML IN 10/21/18 620Heritage Valley INSULIN LISPRO RCMB 100U/ML IN 1/27/18 1,152.00Heritage Valley INSULIN LISPRO RCMB 75/25U INJ 6/9/18 1,194.00Heritage Valley INTRODUCER 5FR UNIV MICRO SFTY 1/27/18 99Heritage Valley INTUBATION 7/31/18 1,160.00Heritage Valley IPRATR-ALBUTEROL 0.5-3MG/3ML S 12/27/18 9Heritage Valley IPRATROPIUM BR 0.02% SOL 10/11/18 8Heritage Valley IPRATROPIUM BR 0.03% SPR 2/13/18 279Heritage Valley IRON BINDING CAPACITY 12/7/18 85Heritage Valley IRON,SERUM,CHEMICAL 3/8/18 95Heritage Valley ISONIAZID 300MG TAB 1/27/18 8Heritage Valley ISOSORBIDE DN 10MG TAB 1/27/18 8Heritage Valley ISOSORBIDE DN 30MG TAB 1/27/18 8Heritage Valley ISOSORBIDE MN 30MG TER 12/27/18 8Heritage Valley K PHOS/NA PH DB/NA PH MONO TAB 1/27/18 8Heritage Valley KCL 20MEQ/NS 1,000ML IVS 7/30/18 27Heritage Valley KETOCONAZOLE 2% SHA 1/27/18 113Heritage Valley KETOROLAC 0.5% SOL 1/27/18 979Heritage Valley KETOROLAC 30MG/ML INJ 9/30/18 25Heritage Valley KIT ADAPT/STER WATR 1000ML 12/26/18 9Heritage Valley KIT CENT LINE DRSG STD 12/27/18 21Heritage Valley KIT DRESSING MED VAC 10/29/18 125Heritage Valley KIT FECAL MGT SYS FLEXSEAL FMS 6/11/18 295Heritage Valley KIT FULL CATH PWRGLD ML 8CM 1/27/18 246Heritage Valley KIT HUMID 500ML 12/17/18 8Heritage Valley KIT NDL GD 96 IN PROBE CVR 21G 1/27/18 60Heritage Valley KIT TRACH CLS T-PC 14FR 21.3IN 1/27/18 18.5Heritage Valley KNEE 1-2 VIEWS BILATERAL 1/27/18 447Heritage Valley KNEE 1-2 VIEWS RT 1/27/18 306Heritage Valley KNEE 3 VIEWS BILATERAL 1/27/18 183Heritage Valley LABETALOL HCL 200MG TAB 12/27/18 9Heritage Valley LABETALOL HCL 5MG/ML INJ 1/27/18 34Heritage Valley LACOSAMIDE 100MG TAB 1/27/18 56Heritage Valley LACTASE 30MG TAB 8/22/18 8Heritage Valley LACTATED RINGERS D5W IVS 9/5/18 25Heritage Valley LACTATED RINGERS IVS 12/27/18 25Heritage Valley LACTIC ACID 10/8/18 112Heritage Valley LACTO ACIDOPH/LACTO BULG CTB 12/27/18 8Heritage Valley LACTO ACIDOPH/PECTIN 25MMU TAB 2/17/18 8

Heritage Valley LACTOBACILLUS 5MG GRA 8/15/18 8Heritage Valley LACTULOSE 10GM/15ML SOL 11/21/18 8Heritage Valley LAMOTRIGINE 100MG TAB 11/10/18 19Heritage Valley LAMOTRIGINE 25MG TAB 5/10/18 8Heritage Valley LATANOPROST 0.005% SOL 4/23/18 698Heritage Valley LDH 12/10/18 75Heritage Valley LEFLUNOMIDE 20MG TAB 9/24/18 130Heritage Valley LEUKOCYTE COUNT, FECAL 12/4/18 81Heritage Valley LEVALBUTEROL 0.63MG/3ML SOL 12/27/18 40Heritage Valley LEVALBUTEROL HCL 0.63MG/3ML IN 1/27/18 27Heritage Valley LEVALBUTEROL HCL 1.25MG/3ML IN 9/19/18 27Heritage Valley LEVETIRACETAM 100MG/ML SOL 1/27/18 18Heritage Valley LEVETIRACETAM 250MG TAB 11/7/18 8Heritage Valley LEVETIRACETAM 500MG TAB 1/27/18 8Heritage Valley LEVETIRACETAM 500MG/5ML INJ 11/23/18 140Heritage Valley LEVETIRACETAM 500MG/5ML SOL 12/22/18 38Heritage Valley LEVOFLOXACIN 250MG/50ML D5W IN 1/27/18 89Heritage Valley LEVOFLOXACIN 500MG TAB 11/11/18 60Heritage Valley LEVOFLOXACIN 500MG/100ML D5W I 5/8/18 177Heritage Valley LEVOFLOXACIN 750MG/150ML D5W I 12/27/18 236Heritage Valley LEVOFLOXACIN D5W 500MG/100ML I 7/24/18 102Heritage Valley LEVOTHYROXINE 100 MCG TAB 11/22/18 8Heritage Valley LEVOTHYROXINE 112 MCG TAB 11/3/18 8Heritage Valley LEVOTHYROXINE 125 MCG TAB 12/26/18 8Heritage Valley LEVOTHYROXINE 150 MCG TAB 4/19/18 8Heritage Valley LEVOTHYROXINE 175 MCG TAB 4/19/18 8Heritage Valley LEVOTHYROXINE 25 MCG TAB 11/17/18 8Heritage Valley LEVOTHYROXINE 50 MCG TAB 12/27/18 8Heritage Valley LEVOTHYROXINE 75 MCG TAB 12/27/18 8Heritage Valley LEVOTHYROXINE 88 MCG TAB 11/30/18 8Heritage Valley LEVOTHYROXINE NA 0.2MG INJ 7/10/18 206Heritage Valley LEVOTHYROXINE NA 100MCG INJ 9/27/18 513Heritage Valley LIDOCAINE 1%/EPI 1:100,000 INJ 8/21/18 25Heritage Valley LIDOCAINE 5% TDM 1/27/18 38Heritage Valley LIDOCAINE HCL 1% INJ 12/20/18 25Heritage Valley LIDOCAINE HCL 2% GEL 12/20/18 68Heritage Valley LIDOCAINE HCL 2% INJ 4/2/18 25Heritage Valley LIDOCAINE HCL 2% VISCOUS SOL 10/16/18 14Heritage Valley LIDOCAINE HCL 4% SOL 1/27/18 74Heritage Valley LIDOCAINE HCL 5% OIN 1/27/18 1,215.00Heritage Valley LIDOCAINE HCL 5% TDM 11/30/18 58Heritage Valley LINEZOLID 2 MG/ML IV 9/24/18 331Heritage Valley LINZESS 145MCG CAP 1/27/18 52

Heritage Valley LINZOLID 600MG TAB 12/22/18 18.21Heritage Valley LIPASE 7/16/18 91Heritage Valley LIPID PANEL 12/11/18 191Heritage Valley LISINOPRIL 10MG TAB 12/21/18 8Heritage Valley LISINOPRIL 2.5MG TAB 12/27/18 8Heritage Valley LISINOPRIL 20MG TAB 12/27/18 8Heritage Valley LISINOPRIL 5MG TAB 11/30/18 8Heritage Valley LOPERAMIDE HCL 1MG/5ML LIQ 7/18/18 8Heritage Valley LOPERAMIDE HCL 1MG/5ML SOL 9/17/18 8Heritage Valley LOPERAMIDE HCL 2MG CAP 11/24/18 8Heritage Valley LOPERAMIDE HCL 2MG TAB 1/27/18 8Heritage Valley LORATADINE 10MG TAB 12/22/18 8Heritage Valley LORAZEPAM 0.5MG TAB 12/27/18 8Heritage Valley LORAZEPAM 2MG/ML INJ 11/27/18 25Heritage Valley LOSARTAN POTASSIUM 25MG TAB 12/16/18 8Heritage Valley LOSARTAN POTASSIUM 50MG TAB 1/27/18 9Heritage Valley LOW EXT ART DUPLEX COMP LT 10/10/18 289Heritage Valley LUBIPROSTONE 24MCG SGL 1/27/18 27Heritage Valley LUBIPROSTONE 8MCG SGL 1/27/18 27Heritage Valley LUBRIDERM LOTION 4/11/18 27Heritage Valley LUMBOSACRAL SP 2-3 VIEWS 11/7/18 369Heritage Valley MAGNESIUM 12/26/18 85Heritage Valley MAGNESIUM CITR 1.75GM/30ML LIQ 12/18/18 8Heritage Valley MAGNESIUM HYDROXIDE 1,200MG SU 9/26/18 8Heritage Valley MAGNESIUM HYDROXIDE 400MG SUS 9/17/18 8Heritage Valley MAGNESIUM OXIDE 400MG TAB 11/30/18 8Heritage Valley MAGNESIUM SULF 1GM/100ML INJ 12/16/18 36Heritage Valley MAGNESIUM SULF 50% INJ 1/27/18 25Heritage Valley MANNITOL 25% INJ 11/30/18 25Heritage Valley MASK TRACH 11/30/18 8Heritage Valley MAX BREATHING CAPACITY 12/10/18 162Heritage Valley MECLIZINE HCL 25MG TAB 8/25/18 8Heritage Valley MEGESTROL ACET 40MG/ML SUS 6/28/18 18Heritage Valley MELATONIN 1MG TAB 5/12/18 8Heritage Valley MELATONIN 3 MG TAB 1/27/18 8Heritage Valley MELATONIN 3MG TAB 12/27/18 8Heritage Valley MELATONIN 5MG TAB 12/21/18 8Heritage Valley MEMANTINE HCL 10MG TAB 1/27/18 30Heritage Valley MEMANTINE HCL 5MG TAB 1/27/18 30Heritage Valley MENTHOL METHYL SALICYL 10-15 C 9/23/18 19Heritage Valley MENTHOL METHYL SALICYL 8-30% C 1/27/18 19Heritage Valley MENTHOL Z OXIDE .44%-20.625% O 9/22/18 18Heritage Valley MENTOHO 5.4MG LOZ 1/27/18 8

Heritage Valley MEROPENEM 1GM INJ 12/27/18 142Heritage Valley MEROPENEM 500MG INJ 12/20/18 71Heritage Valley METABOLIC PANEL IONIZED CA 1/27/18 184Heritage Valley METABOLIC PANEL TOTAL CA 12/27/18 236Heritage Valley METFORMIN HCL 500MG TAB 11/30/18 8Heritage Valley METFORMIN HCL 500MG TER 5/12/18 8Heritage Valley METHADONE HCL 10MG TAB 7/3/18 8Heritage Valley METHADONE HCL 5MG TAB 1/27/18 8Heritage Valley METHADONE INTENSOL 10MG/ML SOL 1/27/18 8Heritage Valley METHENAMINE HIPP 1GM TAB 8/25/18 10Heritage Valley METHIMAZOLE 5MG TAB 1/27/18 8Heritage Valley METHOCARBAMOL 500MG TAB 1/27/18 8Heritage Valley METHYLPHENIDATE HCL 5MG TAB 10/12/18 8Heritage Valley METHYLPREDNISOLONE 125MG INJ 1/27/18 25Heritage Valley METHYLPREDNISOLONE 40MG INJ 12/27/18 25Heritage Valley METHYLPREDNISOLONE 40MG/ML INJ 1/27/18 40Heritage Valley METHYLPREDNISOLONE NA 125MG IN 11/5/18 38Heritage Valley METHYPREDNISOLONE 4MG TAB 5/17/18 9Heritage Valley METOCLOPRAMIDE 10MG/10ML SOL 8/12/18 8Heritage Valley METOCLOPRAMIDE 5MG TAB 9/8/18 8Heritage Valley METOCLOPRAMIDE 5MG/ML INJ 11/2/18 25Heritage Valley METOLAZONE 2.5MG TAB 12/24/18 13Heritage Valley METOLAZONE 5MG TAB 1/27/18 15Heritage Valley METOPROLOL SUCC 25MG TAB 1/27/18 8Heritage Valley METOPROLOL SUCC 50MG TER 1/27/18 8Heritage Valley METOPROLOL TART 25MG TAB 12/27/18 8Heritage Valley METOPROLOL TART 50MG TAB 12/27/18 8Heritage Valley METOPROLOL TART 5MG/5ML INJ 7/13/18 25Heritage Valley METRONIDAZOLE 1% GEL 5/31/18 1,759.00Heritage Valley METRONIDAZOLE 250MG TAB 12/27/18 8Heritage Valley METRONIDAZOLE 500MG TAB 5/10/18 8Heritage Valley METRONIDAZOLE 500MG/100ML INJ 12/19/18 25Heritage Valley MICAFUNGIN NA 100MG INJ 10/3/18 909Heritage Valley MICONAZOLE NITRATE 2% CRE 1/27/18 13Heritage Valley MICONAZOLE NITRATE 2% POW 12/9/18 30Heritage Valley MICONAZOLE NITRATE 400MG KIT 1/27/18 48Heritage Valley MICROSOMAL ANTIBODIES 2/20/18 133Heritage Valley MIDAZOLAM HCL 1MG/ML INJ 12/20/18 25Heritage Valley MIDODRINE HCL 10MG TAB 1/27/18 21Heritage Valley MIDODRINE HCL 5MG TAB 11/29/18 18Heritage Valley MILRINONE D5W 0.2MG/ML INJ 1/27/18 59Heritage Valley MINERAL OIL 9/23/18 19Heritage Valley MINERAL OIL NMA 1/27/18 8

Heritage Valley MINERAL OIL PRAMOX HCL ZINC OI 3/3/18 17Heritage Valley MINOXIDIL 2.5MG TAB 1/27/18 8Heritage Valley MIRTAZAPINE 15MG ODT 12/4/18 11Heritage Valley MIRTAZAPINE 15MG TAB 10/20/18 8Heritage Valley MITT DIVERSN FINGER OPEN 11/26/18 44Heritage Valley MOD OF PROSTH COMMUN DEVICE 10/31/18 270Heritage Valley MONTELUKAST NA 10MG TAB 12/22/18 25Heritage Valley MONTELUKAST SOD 10MG TAB 1/27/18 23Heritage Valley MORPHINE 10MG/5ML SOL 1/27/18 8Heritage Valley MORPHINE 15MG TAB 1/27/18 8Heritage Valley MORPHINE 15MG TER 10/12/18 8Heritage Valley MORPHINE 10MG/ML INJ 5/31/18 25Heritage Valley MORPHINE 2MG/ML INJ 3/8/18 25Heritage Valley MORPHINE 4MG/ML INJ 11/30/18 25Heritage Valley MORPHINE 5MG/ML INJ 5/28/18 46Heritage Valley MORPHINE SULFATE 2MG/ML INJ 12/27/18 25Heritage Valley MOUTHWASH SOL 12/10/18 21Heritage Valley MRI BRAIN W/O CONTRAST 1/27/18 8,215.00Heritage Valley MRI BRAIN W/WO CONTRAST 10/18/18 6,636.00Heritage Valley MRI LOW EXT JNT W/WO CONT BIL 2/8/18 276Heritage Valley MRI LOW EXT JNT W/WO CONT LT 2/28/18 1,100.00Heritage Valley MRI LOW EXT JOINT W/O CONT RT 9/3/18 2,120.00Heritage Valley MRI LUMBAR SPINE WO CONTRAST 1/27/18 3,490.00Heritage Valley MRI PELVIS W/O CONTRAST 1/27/18 2,040.00Heritage Valley MULTIVATAMIN 10 ML INJ 7/7/18 86Heritage Valley MULTIVITAMIN MINERALS CAP 1/27/18 8Heritage Valley MULTIVITAMIN MINERALS TAB 11/7/18 8Heritage Valley MULTIVITAMIN MULTIMINERAL TAB 1/27/18 8Heritage Valley MULTIVITAMIN TAB 12/27/18 8Heritage Valley MUPIROCIN 2% OIN 12/15/18 87Heritage Valley MYCOPHENOLATE 1,000MG SUS 12/22/18 178Heritage Valley MYCOPHENOLATE 180MG ECT 7/17/18 22Heritage Valley MYCOPHENOLATE 250MG CAP 1/27/18 8Heritage Valley MYCOPHENOLATE 500MG TAB 6/7/18 18Heritage Valley NA PHOS DIBASIC/MONOBASIC NMA 1/27/18 195Heritage Valley NAFCILLIN 2GM INJ 1/27/18 151Heritage Valley NALOXONE HCL 0.4MG/ML INJ 1/27/18 75Heritage Valley NAPROXEN 250MG TAB 12/7/18 8Heritage Valley NATURE'S BLEND VIT D3 5000IU/M 1/27/18 8Heritage Valley NEB DSP W/TUBE & MOUTHPIECE 12/26/18 8Heritage Valley NEB PREF'LD 1000ML WATER ONLY 11/16/18 10Heritage Valley NEBIVOLOL HCL 10MG TAB 1/27/18 16Heritage Valley NEBUSAL 3% SOL 1/27/18 8

Heritage Valley NEOMYCIN SULF 500MG TAB 1/27/18 8Heritage Valley NEOMYCIN SULF/POLYMYX B/HC SOL 6/14/18 75Heritage Valley NEOSTIGMINE BR 15MG TAB 1/27/18 9.2Heritage Valley NEUROMUSCULAR RE-ED 15 MIN 1/27/18 138Heritage Valley NIACIN 100MG TER 1/27/18 24Heritage Valley NIACIN 500MG CER 1/27/18 8Heritage Valley NIACIN 500MG TER 9/8/18 25Heritage Valley NICOTINE 14MG/24 HR TDM 11/17/18 9Heritage Valley NICOTINE 14MG/24HR TDM 1/27/18 10Heritage Valley NICOTINE 21MG/24HR TDM 12/27/18 10Heritage Valley NICOTINE 7MG/24 HR TDM 5/10/18 9Heritage Valley NICOTINE POLACRILEX 2MG GUM 1/27/18 8Heritage Valley NIFEDIPINE 30MG TER 6/6/18 8Heritage Valley NITAZOXANIDE 500MG TAB 9/20/18 243Heritage Valley NITROFURAN MONO/MCR 100MG CAP 12/7/18 21Heritage Valley NITROFURANTOIN MCR 100MG CAP 12/6/18 9Heritage Valley NITROGLYCERIN 0.2MG/HR TDM 12/4/18 8Heritage Valley NITROGLYCERIN 0.4MG TAB 5/14/18 100Heritage Valley NITROGLYCERIN 0.4MG/HR TDM 7/30/18 8Heritage Valley NITROGLYCERIN 2% OIN 12/20/18 157Heritage Valley NOREPINEPHRINE BIT 1MG/ML INJ 10/12/18 87Heritage Valley NORTRIPTYLINE HCL 10MG CAP 1/27/18 8Heritage Valley NORTRIPTYLINE HCL 25MG CAP 4/17/18 8Heritage Valley NYSTATIN 100,000U/GM CRE 11/24/18 83Heritage Valley NYSTATIN 100,000U/GM POW 12/22/18 112Heritage Valley NYSTATIN 100,000U/ML SUS 5/24/18 8Heritage Valley NYSTATIN SUSPENSION 12/17/18 8Heritage Valley NYSTATIN/TRIAMCINOLONE CRE 1/27/18 646Heritage Valley OCCULT BLOOD 1-3 DETERM 11/19/18 44Heritage Valley OCCULT BLOOD, FECAL 10/31/18 42Heritage Valley OCCUPAT THERAPY EVALUATION 1/27/18 384Heritage Valley OCCUPAT THERAPY RE-EVAL 2/21/18 192Heritage Valley OCTREOTIDE ACET 100MCG/ML INJ 12/19/18 38Heritage Valley OINTMENT BASE OIN 12/22/18 17Heritage Valley OLANZAPINE 10MG INJ 11/25/18 189Heritage Valley OLANZAPINE 10MG ODT 1/27/18 94Heritage Valley OLANZAPINE 10MG TAB 12/27/18 85Heritage Valley OLANZAPINE 2.5MG TAB 11/7/18 47Heritage Valley OLOPATADINE HCL 0.1% SOL 1/27/18 1,154.00Heritage Valley OMEPRAZOLE 20MG ECC 1/27/18 8Heritage Valley ONDANSETRON HCL 2MG/ML INJ 12/27/18 25Heritage Valley ONDANSETRON HCL 4MG ODT 1/27/18 90Heritage Valley ONDANSETRON HCL 4MG TAB 11/18/18 100

Heritage Valley OPTHALMIC LUBRICANT 3.5GM OIN 1/27/18 31Heritage Valley ORALS 01 1/27/18 664Heritage Valley OSELTAMIVIR PHOSPHATE 75MG CAP 2/22/18 64Heritage Valley OSMOLALITY SERUM 1/27/18 79Heritage Valley OT EVALUATION HIGH COMPLEXITY 12/27/18 384Heritage Valley OT EVALUATION LOW COMPLEXITY 12/21/18 384Heritage Valley OT EVALUATION MOD COMPLEXITY 12/25/18 384Heritage Valley OXCARBAZEPINE 300MG TAB 1/27/18 11Heritage Valley OXYBUTYNIN CL 5MG TAB 12/15/18 8Heritage Valley OXYCODONE APAP 5-325MG TAB 12/27/18 8Heritage Valley OXYCODONE HCL 10MG TER 10/21/18 15Heritage Valley OXYCODONE HCL 20MG TER 10/21/18 28Heritage Valley OXYCODONE HCL 40MG TER 1/27/18 49Heritage Valley OXYCODONE HCL 5MG TAB 12/27/18 8Heritage Valley OXYGEN PER HR 1/27/18 22Heritage Valley OXYMETAZOLINE HCL 0.05% SPR 1/29/18 12Heritage Valley PAMIDRONATE DISOD 30MG INJ 1/27/18 194Heritage Valley PAMIDRONATE DISOD 90MG INJ 1/27/18 583Heritage Valley PAMIDRONATE DISOD 9MG/ML INJ 1/27/18 350Heritage Valley PANTOPRAZOLE NA 40MG ECT 12/27/18 13Heritage Valley PANTOPRAZOLE NA 40MG INJ 11/14/18 25Heritage Valley PANTOPRAZOLE NA 40MG PKT 12/27/18 53Heritage Valley PANTOPRAZOLE NA 40MG TAB 1/27/18 26Heritage Valley PARACENTESIS 7/11/18 358Heritage Valley PARACENTESIS W IMAGE GUIDANCE 12/10/18 1,350.00Heritage Valley PARAFFIN BATH 12/21/18 95Heritage Valley PARATHYROID HORMONE 8/21/18 303Heritage Valley PAROEX 0.12% SOL 1/27/18 36Heritage Valley PAROXETINE HCL 10MG TAB 10/5/18 11Heritage Valley PAROXETINE HCL 20MG TAB 1/27/18 11Heritage Valley PASSY MUIR VALVE ASSIST 12/19/18 161Heritage Valley PASTE 2OZ OSTOMY 12/20/18 16Heritage Valley PCH DRAIN FILTER NATURA 2.25 10/11/18 8Heritage Valley PCH DRAIN NATURA FLTR 1.75IN 10/15/18 8Heritage Valley PCH DRAIN NATURA FLTR 2.75IN 9/27/18 8Heritage Valley PCH DRN EST 1PC TRAN 2.25-2.75 10/16/18 8Heritage Valley PEG ELCTROLYTE LAVAGE SOL 1/27/18 93Heritage Valley PEG TUBE INSERTION - NOT OR 12/27/18 1,812.00Heritage Valley PENICILLIN GK 5MMU INJ 9/25/18 94Heritage Valley PENICILLIN VK 250MG TAB 10/30/18 8Heritage Valley PERITONEAL DIALYSIS 10/17/18 1,148.00Heritage Valley PETROLATUM 41%OIN 1/27/18 52Heritage Valley PETROLATUM OIN 1/27/18 10

Heritage Valley PH,OTHER BODY FLUIDS 3/13/18 57Heritage Valley PHENAZOPYRIDINE 100MG TAB 12/20/18 8Heritage Valley PHENOBARBITAL 32.4MG TAB 11/5/18 8Heritage Valley PHENOL 1.4% SPR 11/30/18 17Heritage Valley PHENYLEPHRINE 10MG/ML INJ 1/27/18 25Heritage Valley PHENYLEPHRINE HCL 0.25% SUP 5/31/18 8Heritage Valley PHENYLEPHRINE HCL 0.25%-3% OIN 1/27/18 53Heritage Valley PHENYLEPHRINE HCL 10MG/ML INJ 12/24/18 25Heritage Valley PHENYTOIN NA 100MG CER 9/8/18 8Heritage Valley PHENYTOIN NA 100MG/2ML INJ 7/12/18 25Heritage Valley PHENYTOIN NA 50MG/ML INJ 1/27/18 25Heritage Valley PHOS K NA PDR 12/24/18 8Heritage Valley PHOS-NAK . PDR 1/27/18 8Heritage Valley PHOSPHATE 133ML NMA 12/27/18 8Heritage Valley PHOSPHOROUS SERUM 12/26/18 63Heritage Valley PHYSICAL THERAPY EVAL 1/27/18 446Heritage Valley PHYSICAL THERAPY RE-EVALUATION 1/27/18 242Heritage Valley PHYTONADIONE 10MG/ML INJ 9/9/18 184Heritage Valley PIC LINE INSERTION 12/20/18 2,138.00Heritage Valley PIOGLITAZONE HCL 15MG TAB 1/27/18 47Heritage Valley PIPERACIL TAZOBACT 2.25GM INJ 10/31/18 39Heritage Valley PIPERACIL TAZOBACT 3.375GM INJ 12/5/18 64Heritage Valley PIPERACIL TAZOBACT 4.5/0.5GM I 11/14/18 83Heritage Valley PLATELETS-PROC ONLY 7/24/18 386Heritage Valley PLUG DECANNULATION CAP 11/26/18 8Heritage Valley PNEUMOVAX 23 INJ 11/8/18 383Heritage Valley POLYETH GLYCOL 17 GM/DOSE PWD 1/27/18 8Heritage Valley POLYETHYLENE GLYCOL 3350 PDS 12/27/18 8Heritage Valley POLYMYXIN B/TMP 10,000U/1MG SO 2/27/18 136Heritage Valley POLYVINYL ALCOHOL POVIDONE SOL 1/27/18 8Heritage Valley POTASSIUM CL 10MEQ TER 12/21/18 8Heritage Valley POTASSIUM CL 10MEQ/100ML INJ 11/10/18 25Heritage Valley POTASSIUM CL 10MEQ/50ML INJ 1/27/18 25Heritage Valley POTASSIUM CL 20MEQ PDS 12/25/18 28Heritage Valley POTASSIUM CL 20MEQ TER 12/27/18 8Heritage Valley POTASSIUM CL 2MEQ/ML INJ 12/3/18 25Heritage Valley POTASSIUM PH 3MM/ML INJ 12/16/18 25Heritage Valley POTASSIUM SERUM 11/12/18 63Heritage Valley POTASSIUM URINE 5/15/18 80Heritage Valley POUCH UROSTOMY 12/4/18 8Heritage Valley POWDER STOMAHESIVE 1OZ 3/5/18 10.89Heritage Valley PRAMIPEXOLE DIHCL 0.25MG TAB 10/5/18 19Heritage Valley PRASUGREL HCL 10MG TAB 1/27/18 41

Heritage Valley PRAVASTATIN NA 20MG TAB 12/7/18 13Heritage Valley PRAVASTATIN NA 40MG TAB 1/27/18 19Heritage Valley PREALBUMIN 12/24/18 125Heritage Valley PREDNISOLONE ACETATE 1% SUS 3/10/18 601Heritage Valley PREDNISONE 10MG TAB 12/22/18 8Heritage Valley PREDNISONE 1MG TAB 1/27/18 8Heritage Valley PREDNISONE 2.5MG TAB 8/2/18 8Heritage Valley PREDNISONE 20MG TAB 12/16/18 8Heritage Valley PREDNISONE 5MG TAB 12/21/18 8Heritage Valley PREGABALIN 100MG CAP 1/27/18 28Heritage Valley PREGABALIN 150MG CAP 1/27/18 28Heritage Valley PREGABALIN 25MG CAP 5/26/18 28Heritage Valley PREGABALIN 50MG CAP 5/26/18 31Heritage Valley PRESERVISION EYE VITAMIN 12/4/18 9Heritage Valley PREVNAR 13 INJ 11/7/18 772Heritage Valley PRIMAXIN I.V. 500 MG VIAL 1/27/18 88.84Heritage Valley PRIMIDONE 250MG TAB 1/27/18 8Heritage Valley PRIMIDONE 50MG TAB 10/4/18 8Heritage Valley PROCHLORPERAZINE EDI 5MG/ML IN 6/5/18 25Heritage Valley PROCHLORPERAZINE MAL 10MG TAB 1/27/18 8Heritage Valley PROMETHAZINE HCL 25MG TAB 1/27/18 8Heritage Valley PROPOFOL 1% EMULSION INJ 1/27/18 139Heritage Valley PROPRANOLOL HCL 20MG TAB 1/27/18 8Heritage Valley PROTECTOR ARM SLEEVE 1/27/18 24.33Heritage Valley PROTECTOR HEEL QULT PASTEL PLD 1/27/18 38Heritage Valley PROTECTOR SKINSLEEVE ARM LG 4/24/18 8Heritage Valley PROTEIN TOTAL 4/5/18 68Heritage Valley PROTEIN URINE 11/19/18 62Heritage Valley PROTEIN, TOTAL, OTHER SOURCE 12/10/18 68Heritage Valley PROTHROMBIN TIME 12/24/18 76Heritage Valley PT EVALUATION HIGH COMPLEXITY 5/30/18 446Heritage Valley PT EVALUATION LOW COMPLEXITY 5/23/18 446Heritage Valley PT EVALUATION MOD COMPLEXITY 12/25/18 446Heritage Valley PTT 12/24/18 105Heritage Valley PULSE OXIMETRY-CONTINUOUS 12/26/18 263Heritage Valley PULSE OXIMETRY-MULTI CHECKS 1/27/18 124Heritage Valley PULSE OXIMETRY-SINGLE 12/26/18 121Heritage Valley PURE TONE AIR TESTING 6/19/18 46Heritage Valley PYRAZINAMIDE 500MG TAB 1/27/18 24Heritage Valley PYRIDOSTIBMINE BR 60MG TAB 8/21/18 18Heritage Valley PYRIDOXINE 100MG TAB 1/27/18 8Heritage Valley PYSLLIUM 3.4GM PDR 12/6/18 8Heritage Valley QUETIAPINE FUMARATE 100MG TAB 6/8/18 26

Heritage Valley QUETIAPINE FUMARATE 25MG TAB 12/5/18 18Heritage Valley QUETIAPINE FUMARATE 300MG TAB 1/27/18 69Heritage Valley QUETIAPINE FUMARATE 50MG TAB 10/12/18 27Heritage Valley RANOLAZINE 500MG TER 1/27/18 20Heritage Valley RBC LEUKOREDUCED-PROC ONLY 12/18/18 1,040.00Heritage Valley RBC LR IRRADIATED-PROC ONLY 9/29/18 939Heritage Valley RECEPINEPHRINE HCL 2.25% SOL 1/27/18 8Heritage Valley RENAL FUNCTION PANEL 12/18/18 200Heritage Valley RENAL-HEMODIALYSIS 11/29/18 1,890.00Heritage Valley RENTAL VAC ATS WOUND 1/27/18 291Heritage Valley REPAGLINIDE 0.5MG TAB 10/13/18 24Heritage Valley REPAGLINIDE 1MG TAB 1/27/18 22Heritage Valley RESTRAINT MITTS SMALL 12/3/18 31.53Heritage Valley RESTRAINT-LIMB HOLDER W/TIES 10/29/18 8Heritage Valley RESTRAINT-MITTS ECON 5/7/18 30Heritage Valley RESUS MAN ADULT W/PEEP,MASK 1/27/18 35Heritage Valley RETICULATED PLT ASSAY 8/20/18 119Heritage Valley RETICULOCYTE (AUTO) 11/12/18 64Heritage Valley RH TYPING 12/18/18 62Heritage Valley RIFAMPIN 300MG CAP 12/27/18 9Heritage Valley RIFAXIMIN 200MG TAB 1/27/18 78Heritage Valley RIFAXIN 550MG TAB 11/21/18 148Heritage Valley RISPERIDONE 0.25MG TAB 11/26/18 14Heritage Valley RISPERIDONE 0.5MG TAB 8/18/18 16Heritage Valley RISPERIDONE 1MG TAB 1/27/18 20Heritage Valley RISPERIDONE 1MG/ML SOL 6/29/18 30Heritage Valley RIVAROXABAN 15MG TAB 11/28/18 58Heritage Valley RIVAROXABAN 20MG TAB 9/17/18 58Heritage Valley RIVASTIGMINE 4.6MG/24HR TDM 1/27/18 80Heritage Valley RIZATRIPTAN BENZOATE 10MG TAB 1/27/18 120Heritage Valley ROFLUMILAST 500MCG TAB 8/11/18 42Heritage Valley ROPINIROLE HCL 0.25MG TAB 6/28/18 8Heritage Valley ROPINIROLE HCL 0.5MG TAB 12/27/18 8Heritage Valley ROPINIROLE HCL 1MG TAB 6/25/18 8Heritage Valley ROSUVASTATIN CA 20MG TAB 4/7/18 40Heritage Valley SACCHAROMYCES BOULARDI 250MG C 1/27/18 8Heritage Valley SALIVA SUBSTITUTE . SOL 3/7/18 20Heritage Valley SALSALATE 500MG TAB 1/27/18 8Heritage Valley SCOPOLAMINE 0.33MG/24HR TDM 12/25/18 103Heritage Valley SED RATE (MANUAL) 10/23/18 83Heritage Valley SELF CARE HOME MANAGEMENT 11/26/18 202Heritage Valley SELF CARE/HOME MGT 15 MIN 12/25/18 151Heritage Valley SEMI PRIVATE ROOM 12/27/18 2,100.00

Heritage Valley SENNA 8.6 MG TAB 1/27/18 8Heritage Valley SENNOSIDES A B 8.6MG TAB 12/5/18 8Heritage Valley SENSITIVITY (MIC) 12/19/18 98Heritage Valley SERTRALINE HCL 100MG TAB 1/27/18 8Heritage Valley SERTRALINE HCL 25MG TAB 12/16/18 8Heritage Valley SERTRALINE HCL 50MG TAB 11/30/18 14Heritage Valley SET EPUMP FEED FLUSH 1000ML 11/30/18 15Heritage Valley SET SAF-T SCRS SPIKE EPUMP 12/27/18 10.32Heritage Valley SEVELAMER CARBONATE 800MG TAB 8/20/18 26Heritage Valley SEVELAMER HCL 800MG TAB 6/21/18 34Heritage Valley SGOT (AST) 1/27/18 69Heritage Valley SGPT (ALT) 12/10/18 69Heritage Valley SHOULDER 2+ VIEWS BILATERAL 4/10/18 492Heritage Valley SHOULDER 2+ VIEWS LT 1/27/18 362Heritage Valley SHOULDER 2+ VIEWS RT 1/27/18 161Heritage Valley SILDENAFIL CITRATE 20MG TAB 1/27/18 162Heritage Valley SILVER NITRATE KNO3 75-25% SWA 4/2/18 8Heritage Valley SILVER SULFADIAZINE 1% CRE 12/25/18 101Heritage Valley SIMETHICONE 80MG CTB 12/3/18 8Heritage Valley SIMVASTATIN 20MG TAB 1/27/18 20Heritage Valley SITAGLIPTIN PHOSPHATE 25MG TAB 11/15/18 59Heritage Valley SITAGLIPTIN PHOSPHATE 50MG TAB 12/13/18 59Heritage Valley SLEEP STUDY UNATTENDED 1/27/18 1,268.00Heritage Valley SLEEVE DVT CALF LG TO 23IN 1/27/18 135.45Heritage Valley SLEEVE FLOWTRON CALF UP TO 17I 1/27/18 115.74Heritage Valley SLEEVE PRESSURE CALF MEDIUM 10/8/18 44.55Heritage Valley SLEEVE SCD KNEE LENGTH 4/2/18 70.41Heritage Valley SLEEVE SKIN ARM REG MED 12/3/18 15Heritage Valley SODIUM BICARB 650MG TAB 11/30/18 8Heritage Valley SODIUM BICARB 8.4% INJ 10/11/18 42Heritage Valley SODIUM BICARB 8.4PCT ABBOJECT 1/27/18 32Heritage Valley SODIUM BICARBONATE 4.2% IV SOL 1/27/18 25Heritage Valley SODIUM CL 0.45% IVS 12/7/18 25Heritage Valley SODIUM CL 0.65% NASAL SPR 12/4/18 9Heritage Valley SODIUM CL 0.9% INJ 12/20/18 25Heritage Valley SODIUM CL 0.9% IVS 12/27/18 25Heritage Valley SODIUM CL 0.9% SOL 12/4/18 38Heritage Valley SODIUM CL 1GM TAB 1/27/18 8Heritage Valley SODIUM CL 3% INH SOL 1/27/18 8Heritage Valley SODIUM CL 4MEQ/ML INJ 11/17/18 25Heritage Valley SODIUM CL 5% EYE SOL 7/22/18 67Heritage Valley SODIUM CL 7% INH SOL 12/3/18 8Heritage Valley SODIUM PHOSPHATE 3MM/ML INJ 12/18/18 104

Heritage Valley SODIUM POLYSTYRENE SULF SUS 9/3/18 46Heritage Valley SODIUM, URINE 11/19/18 68Heritage Valley SOTALOL HCL 80MG TAB 1/27/18 11Heritage Valley SPECIAL STAIN GROUP-1 8/10/18 258Heritage Valley SPEECH LANGUAGE TREATMENT 12/27/18 279Heritage Valley SPIROMETR INCEN 2500ML 1WY VLV 12/27/18 8Heritage Valley SPIRONOLACTONE 25MG TAB 12/19/18 8Heritage Valley SPLINT FREEDOM LG 3/29/18 37.08Heritage Valley SPLINT FREEDOM MED 3/27/18 37.08Heritage Valley SPLINT FREEDOM SMALL 5/29/18 37.08Heritage Valley STATLOCK PICC LN SECURE DEVC 12/13/18 9Heritage Valley STATLOCK PICC PLUS 12/27/18 12.5Heritage Valley STOCKING ANTI EM KNEE HI LG. 5/25/18 8Heritage Valley STOCKING ANTI EM KNEE HI XL RE 9/12/18 8Heritage Valley STOCKING ANTI EM KNEE LG REG 2/21/18 8Heritage Valley STOCKING ANTI EM KNEE REG 10/24/18 8Heritage Valley STOCKING ANTIEMB KNEEHI SM-LNG 1/27/18 16.08Heritage Valley SUCRALFATE 1 GM/10 ML SOL 12/15/18 35Heritage Valley SUCRALFATE 1GM TAB 10/6/18 8Heritage Valley SULFACETAMIDE NA 10% SOL 4/15/18 251Heritage Valley SULFAMETHOXAZOLE/TMP 800/160 T 12/20/18 8Heritage Valley SULFAMETHOXAZOLE/TMP SUS 1/27/18 16Heritage Valley SULFASALAZINE 500MG TAB 7/24/18 8Heritage Valley SUMATRIPTAN SUCC 25MG TAB 1/27/18 8Heritage Valley SURGICAL PATH LEVEL IV 12/10/18 298Heritage Valley SUT SILK 2-0 BLK BR 30" 1/27/18 8Heritage Valley SWALLOW FUNCTION W/VIDEORAD 12/24/18 712Heritage Valley SYNTHROID 150 MCG TAB 1/27/18 8Heritage Valley SYSTEM WOUND MGT FISTULA 1/27/18 248Heritage Valley T3 FREE 7/16/18 169Heritage Valley T-3 UPTAKE 12/5/18 133Heritage Valley T4 FREE (THYROXINE) 12/11/18 142Heritage Valley T-4 TOTAL (THYROXINE) 12/5/18 99Heritage Valley TACROLIMUS 0.5MG CAP 4/14/18 10Heritage Valley TACROLIMUS 1MG CAP 3/28/18 22Heritage Valley TAMIFLU 30MG CAP 3/6/18 59Heritage Valley TAMSULOSIN HCL 0.4MG CAP 12/27/18 11Heritage Valley TELMISARTAN 80MG TAB 1/27/18 29Heritage Valley TEMAZEPAM 15MG CAP 1/27/18 8Heritage Valley TEMAZEPAM 7.5MG CAP 3/12/18 62Heritage Valley TERAZOSIN HCL 1MG CAP 8/21/18 8Heritage Valley TERAZOSIN HCL 5MG CAP 9/23/18 8Heritage Valley TERIPARATIDE 600MCG/2.4ML SOL 3/10/18 11,284.00

Heritage Valley TESTOSTERONE 4MG/24HR TDM 4/7/18 76Heritage Valley TESTOSTERONE CYPI 200MG/ML OIL 6/16/18 112Heritage Valley TESTOSTERONE TOTAL 1/27/18 73Heritage Valley THEOPHYLLINE 1/27/18 144Heritage Valley THEOPHYLLINE 100MG T12 11/20/18 8Heritage Valley THEOPHYLLINE 80MG/15ML LIQ 8/18/18 20Heritage Valley THER ACT DIRECT 15 MIN 12/27/18 140Heritage Valley THERAPEUTIC EXERCISE 15 MIN 12/27/18 159Heritage Valley THIAMINE 100MG TAB 11/7/18 8Heritage Valley THIAMINE 100MG/ML INJ 6/21/18 48Heritage Valley THORACENTESIS 12/20/18 1,332.00Heritage Valley THORACENTESIS W/IMG GD 10/31/18 4,697.00Heritage Valley THORACENTESIS WO IMG GD 11/13/18 851Heritage Valley THORACIC SP 2 VIEWS 6/26/18 492Heritage Valley TIBIA/FIBULA BILATERAL 1/27/18 244Heritage Valley TIBIA/FIBULA RT 2/19/18 250Heritage Valley TIGECYCLINE 50MG INJ 10/26/18 588Heritage Valley TIMOLOL MALEATE 0.5% SOL 7/14/18 131Heritage Valley TIOTROPIUM BROMIDE 18MCG CAP 12/16/18 77Heritage Valley TIZANIDINE HCL 4MG TAB 4/13/18 9Heritage Valley TOBI 300 MG/5 ML INH 12/27/18 609Heritage Valley TOBRAMYCIN 0.3% SOL 1/27/18 130Heritage Valley TOBRAMYCIN 1.2GM INJ 8/4/18 413Heritage Valley TOBRAMYCIN DEX 0.3-0.1% OIN 1/27/18 952Heritage Valley TOBRAMYCIN DEX 0.3-0.1% SUS 7/22/18 284Heritage Valley TOLTERODINE TARTRATE 2MG CER 12/6/18 50Heritage Valley TOPIRAMATE 25MG CAP 1/27/18 12Heritage Valley TOPIRAMATE 25MG TAB 11/10/18 9Heritage Valley TPN - CUSTOM 2 ( 1000 ML - 200 12/22/18 487.5Heritage Valley TPN - CUSTOM 3 ( > 2000 ML ) I 5/19/18 650Heritage Valley TPN/TNA 2 1/27/18 255Heritage Valley TRACH CHANGE 12/19/18 371Heritage Valley TRACH STINT REPLACEMENT 12/17/18 158Heritage Valley TRACH SUCT 14FR-12 W/DBL SWV 12/26/18 30.54Heritage Valley TRACH VALVE PASSY MUIR INLINE 9/20/18 228.36Heritage Valley TRACH VALVE PASSY MUIR NONVENT 11/8/18 228.36Heritage Valley TRAMADOL HCL 50MG TAB 12/26/18 8Heritage Valley TRANSDERM SCOP 0.33MG/24HR TDM 1/27/18 90Heritage Valley TRANSFERRIN SERUM 11/7/18 131Heritage Valley TRANSFUSION BLOOD/COMPONENT 1/27/18 856Heritage Valley TRAVOPROST 0.004% EYE SOL 7/22/18 729Heritage Valley TRAY CATH PWRPIC DL MX BAR 5FR 1/27/18 571.95Heritage Valley TRAY F CATH 16FR-5CC ULTRAM 1/27/18 15

Heritage Valley TRAY F TRNBG ANTIBAC SYS 16FR 12/5/18 42Heritage Valley TRAY FOLEY CATH 18FR LTX FREE 12/19/18 21Heritage Valley TRAY IRRIGATION PISTON SYRINGE 12/3/18 8Heritage Valley TRAY P.I.C.C. LINE 1/27/18 294Heritage Valley TRAY PARACENTESIS 12/7/18 110.56Heritage Valley TRAY SUT REMV IRIS SC/ADSN FCP 12/10/18 8Heritage Valley TRAY THORACENTESIS 16X3 1/27/18 52Heritage Valley TRAY TRACH CARE CLEANING 12/10/18 8Heritage Valley TRAY URETH CATH W/14FR CATH 12/6/18 8Heritage Valley TRAY URETH CATH W/15FR CATH 1/27/18 8Heritage Valley TRAZODONE HCL 50MG TAB 11/27/18 8Heritage Valley TRIAMCINOLONE 0.1% CRE 12/2/18 56Heritage Valley TRIAMCINOLONE 0.1% OIN 1/27/18 53Heritage Valley TRIAMCINOLONE 0.5% CRE 1/27/18 44Heritage Valley TRIAMCINOLONE 0.5% OIN 1/27/18 41Heritage Valley TRIGLYCERIDES 12/19/18 80Heritage Valley TRIHEXYPHENIDYL HCL 2MG TAB 1/27/18 8Heritage Valley TRIPLE ANTIBIOTIC OIN 11/24/18 30Heritage Valley TROPONIN (QUANTITATIVE) 10/23/18 189Heritage Valley TSH 12/14/18 215Heritage Valley TUBE ENDOTREAL 7.0 BLUELINE 1/27/18 134.4Heritage Valley TUBE ENDOTREAL 7.5 BLUELINE 1/27/18 10Heritage Valley TUBE GAST FDG NONWT 14FR 36IN 11/28/18 14.07Heritage Valley TUBE GASTRO 14FR MAG-PT FLXFL 1/27/18 278Heritage Valley TUBE GASTRO 20FR MAG-PT FLXFL 1/27/18 278Heritage Valley TUBE NG FEEDING 8FR 11/27/18 26Heritage Valley TUBE SALEM SUMP 18FR W/ANTI-R 9/10/18 13Heritage Valley TUBE TRACH CFFD FENES 6.0 3/8/18 77.91Heritage Valley TUBE TRACH CFFD FENES 8.0 1/27/18 84.84Heritage Valley TUBE TRACH CFFD SINGLE 6.0 8/13/18 76.8Heritage Valley TUBE TRACH CFFD SINGLE 7.0 12/14/18 76.8Heritage Valley TUBE TRACH CFFD SINGLE 8.0 7/23/18 76.8Heritage Valley TUBE TRACH CFFD SINGLE 9.0 1/27/18 76.8Heritage Valley TUBE TRACH FLX UNCFD 6.0 2/26/18 88.8Heritage Valley TUBE TRACH UNCFFD FENES 6.0 1/27/18 52.2Heritage Valley TUBE TRACH UNCFFD FENES 7.0 1/27/18 52.2Heritage Valley TUBE TRACH UNCFFD FENES 8.0 1/27/18 52.2Heritage Valley TUBE TRACHEAL UNCFFD 6.0 5/16/18 44.79Heritage Valley TUBE TRACHEAL UNCFFD 7.0 11/20/18 44.79Heritage Valley TUBE TRACHEAL UNCFFD 8.0 9/28/18 44.79Heritage Valley TX SWALLOWING/ORAL DYSFUN 12/27/18 352Heritage Valley UPPER GI STOMACH W/O KUB 1/27/18 380Heritage Valley UPPER GI W/ SMALL BOWEL 8/20/18 1,328.00

Heritage Valley UREA 20% CRE 6/6/18 49Heritage Valley UREA NITROGEN (URINE) 1/27/18 62Heritage Valley URIC ACID, BLOOD 8/10/18 76Heritage Valley URINALYSIS AUTO W/O MICRO 11/12/18 49Heritage Valley US ABDOMEN LIMITED 11/19/18 759Heritage Valley US DOPPLER COLOR FLOW ADD-ON 1/27/18 529Heritage Valley US DOPPLER ECHO HEART COMP ADD 1/27/18 972Heritage Valley US ECHO TRANSTHORACIC 2D COMPL 8/20/18 1,196.00Heritage Valley US ECHO TRANSTHORACIC 2D LIMIT 1/27/18 652Heritage Valley US EXT ARTERY COMPLETE BIL 6/22/18 734Heritage Valley US EXT VEIN DUPLEX COMPLETE BI 11/26/18 1,127.00Heritage Valley US GUIDE FOR NEEDLE PLACEMENT 4/6/18 1,088.00Heritage Valley US GUIDE FOR VASCULAR ACCESS 12/3/18 268Heritage Valley US LOW EXT ART DUPLEX COMP BIL 9/3/18 229Heritage Valley US PELVIS LIMITED OR FOLLOWUP 1/27/18 637Heritage Valley US RETROPERITONEAL COMPLETE 1/27/18 475Heritage Valley US RETROPERITONEAL LIMITED 12/21/18 712Heritage Valley VALGANCICLOVIR HCL 450MG TAB 3/31/18 368Heritage Valley VALPROATE NA 500MG INJ 1/27/18 50Heritage Valley VALPROIC ACID 5/3/18 159Heritage Valley VALPROIC ACID 250MG/5ML SYR 3/22/18 8Heritage Valley VALPROIC ACID 500MG/10ML SYR 1/27/18 8Heritage Valley VALSARTAN 160MG TAB 7/7/18 16Heritage Valley VALSARTAN 80MG TAB 1/27/18 28Heritage Valley VALVE BIOSPY 1/27/18 12Heritage Valley VALVE CHEST 1/27/18 10.5Heritage Valley VANCOMYCIN 12/26/18 174Heritage Valley VANCOMYCIN HCL 10GM INJ 1/27/18 34Heritage Valley VANCOMYCIN HCL 1G/200 ML BAG 1/27/18 145Heritage Valley VANCOMYCIN HCL 1GM INJ 12/27/18 63Heritage Valley VANCOMYCIN HCL 500MG INJ 12/20/18 34Heritage Valley VANCOMYCIN HCL 5GM INJ 11/29/18 347Heritage Valley VANCOMYCIN HCL 750MG INJ 10/13/18 50Heritage Valley VARENICLINE 0.5MG TAB 2/13/18 27Heritage Valley VASOPRESSIN 20U/ML INJ 3/20/18 95Heritage Valley VECURONIUM BROMIDE 10MG INJ 3/20/18 25Heritage Valley VENIPUNCTURE 12/27/18 41Heritage Valley VENLAFAXINE HCL 150MG TER 1/27/18 20Heritage Valley VENLAFAXINE HCL 37.5MG CER 1/27/18 15Heritage Valley VENLAFAXINE HCL 37.5MG TAB 1/27/18 8Heritage Valley VENLAFAXINE HCL 75MG CER 12/4/18 17Heritage Valley VENLAFAXINE HCL 75MG TER 1/27/18 20Heritage Valley VENOUS BLOOD GAS 1/27/18 445

Heritage Valley VENTILATOR INITIAL DAILY 12/24/18 2,625.00Heritage Valley VENTILATOR SUBSEQUENT DAILY 12/26/18 2,468.00Heritage Valley VERAPAMIL HCL 120MG TAB 1/27/18 8Heritage Valley VERAPAMIL HCL 120MG TER 8/14/18 9Heritage Valley VERAPAMIL HCL 80MG TAB 12/12/18 8Heritage Valley VICODIN 300-5MG TAB 1/27/18 8Heritage Valley VICTOZA 6MG/ML INJ 1/27/18 1,122.00Heritage Valley VITAMIN A 10,000U CAP 1/27/18 8Heritage Valley VITAMIN A/D OIN 1/27/18 22Heritage Valley VITAMIN B COMPLEX W/C CAP 1/27/18 8Heritage Valley VITAMIN B COMPLEX W/C TAB 12/19/18 8Heritage Valley VITAMIN B1 (THIAMINE) 1/27/18 176Heritage Valley VITAMIN B-12 12/24/18 147Heritage Valley VITAMIN D, 25 HYDROXY 12/11/18 228Heritage Valley VITAMIN E 400U SGL 1/27/18 8Heritage Valley VORICONAZOLE 200MG TAB 8/11/18 376Heritage Valley WARFARIN NA 1MG TAB 9/2/18 8Heritage Valley WARFARIN NA 2.5MG TAB 10/30/18 8Heritage Valley WARFARIN NA 2MG TAB 10/24/18 8Heritage Valley WARFARIN NA 3MG TAB 10/23/18 8Heritage Valley WARFARIN NA 5MG TAB 11/6/18 8Heritage Valley WARFARIN NA 7.5MG TAB 10/31/18 8Heritage Valley WATER STERILE INJ 11/17/18 32Heritage Valley WATER STERILE SOL 1/27/18 14Heritage Valley WRIST 3+ VIEWS BILATERAL 1/27/18 192Heritage Valley YERSINIA CULT 12/4/18 83Heritage Valley ZAFIRLUKAST 10MG TAB 1/27/18 9.1Heritage Valley ZERBAXA 1 GM-0.5 GM PDS 12/20/18 423Heritage Valley ZINC OXIDE 20% OIN 9/11/18 12Heritage Valley ZINC OXIDE MENTHOL OIN 1/27/18 30Heritage Valley ZINC SULF 220MG CAP 6/16/18 8Heritage Valley ZIPRASIDONE HCL 20MG CAP 2/13/18 52Heritage Valley ZIPRASIDONE HCL 20MG INJ 10/28/18 184Heritage Valley ZOLPIDEM TARTRATE 5MG TAB 11/28/18 14