Spend & contracts

Data as of 2026-09-14 06:00

$121,975 a year is leaking across 16 vendor lines — $104,411 to vendors charging above the best price the hospital already pays, $17,564 to contracts drifting above their negotiated rate.

Last 90 days of invoices, each paired to one item and priced per base unit so a box of 100 and a case of 1,000 compare honestly. Flagged only when the gap clears 8% (cross-vendor) or 4% (contract) and $750 a year.

Item pairing 98% accurate, 7 escalated to a humanContract terms 100% extracted from the documentsPlanted problems found 22/22, decoys resisted 3/3scorecard →

Price basisPrices compared are the invoiced and contracted list price per base unit. Rebates, freight, and admin fees are not netted, so a flagged gap may shrink once those are applied — confirm before acting.

Cross-vendor · consolidation

$104,411 / yr · 12 items

One vendor charges more than another already charges the hospital for the identical item — shift volume or renegotiate. Open a row for the reasoning and the invoices.

GapItemPairingVendorPaid vs bestUsage, 28dPer year

12 items

$104,411 a year

traces to invoice_lines.csv

Contract compliance · leakage

$17,564 / yr · 4 lines

The hospital already negotiated a price and is paying above it — a lapsed contract or a rate that drifted. Open a row for the contract clause and the invoices.

GapItemPairingVendorPaid vs bestUsage, 28dPer year

4 lines

$17,564 a year

traces to the contract price schedules

Checked, not flagged— 139 traps the engine resisted354

215 lines matched their contract or sat within the floor. The 139 below looked like variances — a sell price 10× higher, a tier-2 rate — and were cleared by unit conversion, a volume tier, or the dollar floor. A cleared trap is why the flags above are trustworthy.

Nitrile Exam Gloves, Large, Powder-Free	Northwind Health Distribution	sell price looks 10.1x higher, but that is a unit-of-measure difference; per each the gap is 0.5%
Nitrile Exam Gloves, X-Large, Powder-Free	Northwind Health Distribution	within the 8% floor once compared per base unit
Nitrile Exam Gloves, X-Large, Powder-Free	Meridian Medical Supply	contract lists a tier-2 price of $7.18 above 2,090 BX/yr; trailing 12-month volume is 1,068, so tier 1 ($7.91) applies and invoices match it
Procedure Face Mask, Earloop, Level 2	Northwind Health Distribution	sell price looks 10.2x higher, but that is a unit-of-measure difference; per each the gap is 2.1%
Procedure Face Mask, Earloop, Level 2	Summit Clinical Products	within the 8% floor once compared per base unit
Isolation Gown, AAMI Level 2, Universal	Meridian Medical Supply	sell price looks 0.1x higher, but that is a unit-of-measure difference; per each the gap is 3.2%
Face Shield, Disposable, Full Length	Northwind Health Distribution	within the 8% floor once compared per base unit
IV Catheter, Safety, 20G x 1.16 in	Northwind Health Distribution	sell price looks 4.2x higher, but that is a unit-of-measure difference; per each the gap is 5.9%
IV Catheter, Safety, 24G x 0.75 in	Northwind Health Distribution	within the 8% floor once compared per base unit
IV Extension Set, 7 in, Needleless	Northwind Health Distribution	within the 8% floor once compared per base unit
Needleless Connector, Neutral Displacement	Meridian Medical Supply	within the 8% floor once compared per base unit
Needleless Connector, Neutral Displacement	Northwind Health Distribution	contract lists a tier-2 price of $133.81 above 1,400 BX/yr; trailing 12-month volume is 233, so tier 1 ($147.90) applies and invoices match it
Transparent IV Site Dressing, 2.375 x 2.75 in	Northwind Health Distribution	within the 8% floor once compared per base unit
Tourniquet, Disposable, Latex-Free	Summit Clinical Products	within the 8% floor once compared per base unit
Tourniquet, Disposable, Latex-Free	Meridian Medical Supply	contract lists a tier-2 price of $25.12 above 480 BX/yr; trailing 12-month volume is 245, so tier 1 ($26.98) applies and invoices match it
Alcohol Prep Pad, Medium, Sterile	Summit Clinical Products	sell price looks 20.0x higher, but that is a unit-of-measure difference; per each the gap is 0.0%
Alcohol Prep Pad, Medium, Sterile	Meridian Medical Supply	contract lists a tier-2 price of $3.36 above 8,990 BX/yr; trailing 12-month volume is 2,925, so tier 1 ($3.58) applies and invoices match it
Chlorhexidine Gluconate Applicator, 3 mL	Northwind Health Distribution	within the 8% floor once compared per base unit
Chlorhexidine Gluconate Applicator, 3 mL	Summit Clinical Products	within the 8% floor once compared per base unit
Syringe, 1 mL, Luer Lock	Meridian Medical Supply	within the 8% floor once compared per base unit
Syringe, 1 mL, Luer Lock	Meridian Medical Supply	contract lists a tier-2 price of $11.61 above 2,350 BX/yr; trailing 12-month volume is 1,020, so tier 1 ($12.63) applies and invoices match it
Syringe, 1 mL, Luer Lock	Northwind Health Distribution	contract lists a tier-2 price of $11.76 above 1,880 BX/yr; trailing 12-month volume is 439, so tier 1 ($12.50) applies and invoices match it
Syringe, 3 mL, Luer Lock	Meridian Medical Supply	contract lists a tier-2 price of $10.75 above 3,090 BX/yr; trailing 12-month volume is 2,175, so tier 1 ($11.88) applies and invoices match it
Syringe, 10 mL, Luer Lock	Northwind Health Distribution	within the 8% floor once compared per base unit
Syringe, 10 mL, Luer Lock	Summit Clinical Products	within the 8% floor once compared per base unit
Syringe, 20 mL, Luer Lock	Northwind Health Distribution	within the 8% floor once compared per base unit
Syringe, 60 mL, Luer Lock	Meridian Medical Supply	within the 8% floor once compared per base unit
Syringe, 60 mL, Luer Lock	Northwind Health Distribution	contract lists a tier-2 price of $18.29 above 540 BX/yr; trailing 12-month volume is 125, so tier 1 ($19.89) applies and invoices match it
Hypodermic Needle, 21G x 1 in, Safety	Summit Clinical Products	within the 8% floor once compared per base unit
Hypodermic Needle, 25G x 1 in, Safety	Northwind Health Distribution	within the 8% floor once compared per base unit
Hypodermic Needle, 25G x 1 in, Safety	Meridian Medical Supply	contract lists a tier-2 price of $5.90 above 1,700 BX/yr; trailing 12-month volume is 930, so tier 1 ($6.31) applies and invoices match it
Blood Collection Needle, Safety, 21G	Meridian Medical Supply	contract lists a tier-2 price of $13.63 above 2,570 BX/yr; trailing 12-month volume is 1,450, so tier 1 ($14.48) applies and invoices match it
Sharps Container, 5 qt, Red	Northwind Health Distribution	within the 8% floor once compared per base unit
Insulin Syringe, 0.5 mL, 31G	Northwind Health Distribution	within the 8% floor once compared per base unit
Blood Collection Tube, Lavender (K2 EDTA), 4 mL	Northwind Health Distribution	within the 8% floor once compared per base unit
Blood Collection Tube, Lavender (K2 EDTA), 4 mL	Meridian Medical Supply	contract lists a tier-2 price of $14.55 above 2,400 BX/yr; trailing 12-month volume is 1,354, so tier 1 ($15.64) applies and invoices match it
Blood Collection Tube, Light Blue (Citrate), 2.7 mL	Northwind Health Distribution	within the 8% floor once compared per base unit
Blood Collection Tube, Gold SST, 5 mL	Northwind Health Distribution	within the 8% floor once compared per base unit
Blood Culture Bottle Set, Aerobic/Anaerobic	Northwind Health Distribution	within the 8% floor once compared per base unit
Blood Culture Bottle Set, Aerobic/Anaerobic	Summit Clinical Products	within the 8% floor once compared per base unit
Rapid Influenza A/B + COVID-19 Antigen Test Kit	Meridian Medical Supply	within the 8% floor once compared per base unit
Rapid Influenza A/B + COVID-19 Antigen Test Kit	Summit Clinical Products	within the 8% floor once compared per base unit
Safety Lancet, 28G	Meridian Medical Supply	within the 8% floor once compared per base unit
Safety Lancet, 28G	Northwind Health Distribution	contract lists a tier-2 price of $13.49 above 2,040 BX/yr; trailing 12-month volume is 365, so tier 1 ($14.94) applies and invoices match it
Abdominal (ABD) Pad, 8 x 10 in, Sterile	Northwind Health Distribution	sell price looks 16.7x higher, but that is a unit-of-measure difference; per each the gap is 4.6%
Silicone Border Dressing, 6 x 6 in	Meridian Medical Supply	contract lists a tier-2 price of $29.79 above 3,710 BX/yr; trailing 12-month volume is 2,051, so tier 1 ($31.60) applies and invoices match it
Transparent Film Dressing, 6 x 8 in	Northwind Health Distribution	within the 8% floor once compared per base unit
Transparent Film Dressing, 6 x 8 in	Summit Clinical Products	within the 8% floor once compared per base unit
Silicone Tape, 1 in x 5.5 yd	Summit Clinical Products	within the 8% floor once compared per base unit
Silicone Tape, 1 in x 5.5 yd	Summit Clinical Products	contract lists a tier-2 price of $30.98 above 1,280 BX/yr; trailing 12-month volume is 105, so tier 1 ($33.99) applies and invoices match it
Paper Tape, 1 in x 10 yd	Northwind Health Distribution	within the 8% floor once compared per base unit
Paper Tape, 1 in x 10 yd	Northwind Health Distribution	contract lists a tier-2 price of $5.83 above 3,410 BX/yr; trailing 12-month volume is 678, so tier 1 ($6.18) applies and invoices match it
Saline Wound Wash, 100 mL Spray	Meridian Medical Supply	contract lists a tier-2 price of $17.75 above 1,890 CS/yr; trailing 12-month volume is 1,246, so tier 1 ($19.30) applies and invoices match it
Negative Pressure Wound Therapy Dressing Kit, Medium	Apex Surgical Direct	contract lists a tier-2 price of $181.07 above 500 CS/yr; trailing 12-month volume is 284, so tier 1 ($197.57) applies and invoices match it
Suture, Silk Ties, 2-0, 12 x 30 in	Summit Clinical Products	annualized impact $489 is under the $750 floor
Skin Stapler, 35 Wide, Disposable	Northwind Health Distribution	within the 8% floor once compared per base unit
Surgical Gown, Sterile, Reinforced, Large	Summit Clinical Products	within the 8% floor once compared per base unit
Surgical Gloves, Sterile, Latex-Free, 7.0	Northwind Health Distribution	sell price looks 4.2x higher, but that is a unit-of-measure difference; per pair the gap is 4.1%
Surgical Gloves, Sterile, Latex-Free, 7.0	Summit Clinical Products	within the 8% floor once compared per base unit
Electrosurgical Pencil, Hand-Switch, Disposable	Northwind Health Distribution	within the 8% floor once compared per base unit
Yankauer Suction Tip, Bulb, Sterile	Northwind Health Distribution	within the 8% floor once compared per base unit
Nasal Cannula, Adult, 7 ft Tubing	Northwind Health Distribution	within the 8% floor once compared per base unit
Non-Rebreather Mask, Adult, with Reservoir	Meridian Medical Supply	within the 8% floor once compared per base unit
Non-Rebreather Mask, Adult, with Reservoir	Summit Clinical Products	within the 8% floor once compared per base unit
Non-Rebreather Mask, Adult, with Reservoir	Meridian Medical Supply	contract lists a tier-2 price of $57.90 above 520 CS/yr; trailing 12-month volume is 207, so tier 1 ($62.90) applies and invoices match it
Non-Rebreather Mask, Adult, with Reservoir	Summit Clinical Products	contract lists a tier-2 price of $57.30 above 570 CS/yr; trailing 12-month volume is 36, so tier 1 ($63.56) applies and invoices match it
Endotracheal Tube, Cuffed, 7.5 mm	Northwind Health Distribution	within the 8% floor once compared per base unit
Endotracheal Tube, Cuffed, 8.0 mm	Meridian Medical Supply	contract lists a tier-2 price of $23.33 above 460 BX/yr; trailing 12-month volume is 250, so tier 1 ($25.23) applies and invoices match it
Suction Catheter, 14 Fr, Closed System	Meridian Medical Supply	within the 8% floor once compared per base unit
Suction Catheter, 14 Fr, Closed System	Meridian Medical Supply	contract lists a tier-2 price of $28.74 above 890 CS/yr; trailing 12-month volume is 423, so tier 1 ($31.01) applies and invoices match it
Suction Catheter, 14 Fr, Closed System	Northwind Health Distribution	contract lists a tier-2 price of $27.92 above 910 CS/yr; trailing 12-month volume is 179, so tier 1 ($30.64) applies and invoices match it
Incentive Spirometer, 4000 mL	Northwind Health Distribution	within the 8% floor once compared per base unit
Pulse Oximeter Sensor, Adult, Disposable	Northwind Health Distribution	within the 8% floor once compared per base unit
Pulse Oximeter Sensor, Adult, Disposable	Meridian Medical Supply	contract lists a tier-2 price of $171.18 above 610 BX/yr; trailing 12-month volume is 230, so tier 1 ($186.42) applies and invoices match it
Pulse Oximeter Sensor, Adult, Disposable	Northwind Health Distribution	contract lists a tier-2 price of $168.88 above 520 BX/yr; trailing 12-month volume is 97, so tier 1 ($186.99) applies and invoices match it
Disposable Underpad, 30 x 36 in	Northwind Health Distribution	sell price looks 10.1x higher, but that is a unit-of-measure difference; per each the gap is 1.5%
Disposable Underpad, 30 x 36 in	Summit Clinical Products	sell price looks 10.5x higher, but that is a unit-of-measure difference; per each the gap is 4.7%
Disinfectant Wipes, Canister, 160 ct	Northwind Health Distribution	within the 8% floor once compared per base unit
Disinfectant Wipes, Canister, 160 ct	Meridian Medical Supply	contract lists a tier-2 price of $70.44 above 2,510 CS/yr; trailing 12-month volume is 963, so tier 1 ($75.17) applies and invoices match it
Blood Pressure Cuff, Disposable, Adult	Northwind Health Distribution	within the 8% floor once compared per base unit
Emesis Bag, 1000 mL, Graduated	Northwind Health Distribution	within the 8% floor once compared per base unit
Foley Catheter Insertion Kit, 16 Fr, Silicone	Northwind Health Distribution	within the 8% floor once compared per base unit
Straight Catheter, 14 Fr, Intermittent	Northwind Health Distribution	within the 8% floor once compared per base unit
Vancomycin HCl for Injection, 1 g Vial	Cobalt Rx Distributors	sell price looks 10.4x higher, but that is a unit-of-measure difference; per vial the gap is 4.0%
Cefazolin for Injection, 1 g Vial	Cobalt Rx Distributors	contract lists a tier-2 price of $2.13 above 91,360 EA/yr; trailing 12-month volume is 19,894, so tier 1 ($2.34) applies and invoices match it
Piperacillin-Tazobactam for Injection, 3.375 g Vial	Cobalt Rx Distributors	sell price looks 10.4x higher, but that is a unit-of-measure difference; per vial the gap is 4.4%
Piperacillin-Tazobactam for Injection, 3.375 g Vial	Harborline Pharmaceuticals	contract lists a tier-2 price of $5.55 above 44,980 EA/yr; trailing 12-month volume is 18,862, so tier 1 ($6.10) applies and invoices match it
Ceftriaxone for Injection, 1 g Vial	Cobalt Rx Distributors	sell price looks 10.5x higher, but that is a unit-of-measure difference; per vial the gap is 4.9%
Ceftriaxone for Injection, 1 g Vial	Harborline Pharmaceuticals	contract lists a tier-2 price of $1.58 above 58,140 EA/yr; trailing 12-month volume is 22,824, so tier 1 ($1.67) applies and invoices match it
Ceftriaxone for Injection, 1 g Vial	Cobalt Rx Distributors	contract lists a tier-2 price of $16.21 above 5,360 PK/yr; trailing 12-month volume is 963, so tier 1 ($17.54) applies and invoices match it
Azithromycin for Injection, 500 mg Vial	Cobalt Rx Distributors	within the 8% floor once compared per base unit
Levofloxacin in Dextrose, 750 mg/150 mL Bag	Cobalt Rx Distributors	within the 8% floor once compared per base unit
Metronidazole in NaCl, 500 mg/100 mL Bag	Cobalt Rx Distributors	sell price looks 25.0x higher, but that is a unit-of-measure difference; per bag the gap is 4.3%
Metronidazole in NaCl, 500 mg/100 mL Bag	Cobalt Rx Distributors	contract lists a tier-2 price of $35.57 above 920 CS/yr; trailing 12-month volume is 188, so tier 1 ($37.52) applies and invoices match it
Fluconazole in NaCl, 200 mg/100 mL Bag	Cobalt Rx Distributors	within the 8% floor once compared per base unit
Fluconazole in NaCl, 200 mg/100 mL Bag	Summit Clinical Products	annualized impact $199 is under the $750 floor
Fluconazole in NaCl, 200 mg/100 mL Bag	Harborline Pharmaceuticals	contract lists a tier-2 price of $3.10 above 9,980 EA/yr; trailing 12-month volume is 3,938, so tier 1 ($3.34) applies and invoices match it
Oseltamivir Phosphate, 75 mg Capsule	Cobalt Rx Distributors	sell price looks 10.3x higher, but that is a unit-of-measure difference; per capsule the gap is 3.3%
Morphine Sulfate Injection, 4 mg/mL, 1 mL Vial	Summit Clinical Products	within the 8% floor once compared per base unit
Hydromorphone HCl Injection, 1 mg/mL, 1 mL Vial	Cobalt Rx Distributors	within the 8% floor once compared per base unit
Hydromorphone HCl Injection, 1 mg/mL, 1 mL Vial	Cobalt Rx Distributors	contract lists a tier-2 price of $1.15 above 56,940 EA/yr; trailing 12-month volume is 10,644, so tier 1 ($1.24) applies and invoices match it
Midazolam Injection, 5 mg/5 mL Vial	Cobalt Rx Distributors	within the 8% floor once compared per base unit
Midazolam Injection, 5 mg/5 mL Vial	Harborline Pharmaceuticals	contract lists a tier-2 price of $1.06 above 39,140 EA/yr; trailing 12-month volume is 15,781, so tier 1 ($1.15) applies and invoices match it
Midazolam Injection, 5 mg/5 mL Vial	Cobalt Rx Distributors	contract lists a tier-2 price of $1.11 above 34,660 EA/yr; trailing 12-month volume is 6,600, so tier 1 ($1.17) applies and invoices match it
Propofol Injectable Emulsion, 1%, 20 mL Vial	Cobalt Rx Distributors	sell price looks 26.1x higher, but that is a unit-of-measure difference; per vial the gap is 4.1%
Rocuronium Bromide Injection, 50 mg/5 mL Vial	Cobalt Rx Distributors	within the 8% floor once compared per base unit
Lidocaine HCl Injection, 1%, 20 mL Vial	Cobalt Rx Distributors	within the 8% floor once compared per base unit
Bupivacaine HCl Injection, 0.5%, 30 mL Vial	Cobalt Rx Distributors	sell price looks 25.2x higher, but that is a unit-of-measure difference; per vial the gap is 0.7%
Epinephrine Injection, 0.1 mg/mL, 10 mL Prefilled Syringe	Harborline Pharmaceuticals	contract lists a tier-2 price of $7.92 above 630 EA/yr; trailing 12-month volume is 432, so tier 1 ($8.36) applies and invoices match it
Amiodarone HCl Injection, 150 mg/3 mL Vial	Cobalt Rx Distributors	within the 8% floor once compared per base unit
Metoprolol Tartrate Injection, 5 mg/5 mL Vial	Cobalt Rx Distributors	sell price looks 10.2x higher, but that is a unit-of-measure difference; per vial the gap is 1.9%
Heparin Sodium Injection, 5,000 units/mL, 1 mL Vial	Harborline Pharmaceuticals	sell price looks 0.0x higher, but that is a unit-of-measure difference; per vial the gap is 0.2%
Enoxaparin Sodium Injection, 40 mg/0.4 mL Prefilled Syringe	Harborline Pharmaceuticals	within the 8% floor once compared per base unit
Adenosine Injection, 6 mg/2 mL Vial	Cobalt Rx Distributors	within the 8% floor once compared per base unit
Atropine Sulfate Injection, 1 mg/10 mL Prefilled Syringe	Cobalt Rx Distributors	sell price looks 10.4x higher, but that is a unit-of-measure difference; per syringe the gap is 3.6%
Atropine Sulfate Injection, 1 mg/10 mL Prefilled Syringe	Summit Clinical Products	annualized impact $56 is under the $750 floor
Calcium Gluconate Injection, 1 g/10 mL Vial	Cobalt Rx Distributors	within the 8% floor once compared per base unit
Calcium Gluconate Injection, 1 g/10 mL Vial	Cobalt Rx Distributors	contract lists a tier-2 price of $2.57 above 11,670 EA/yr; trailing 12-month volume is 2,627, so tier 1 ($2.77) applies and invoices match it
Alteplase for Injection, 100 mg Vial	Cobalt Rx Distributors	within the 8% floor once compared per base unit
Alteplase for Injection, 100 mg Vial	Harborline Pharmaceuticals	contract lists a tier-2 price of $7,713.27 above 90 EA/yr; trailing 12-month volume is 49, so tier 1 ($8,284.65) applies and invoices match it
Nitroglycerin Injection, 50 mg/10 mL Vial	Cobalt Rx Distributors	within the 8% floor once compared per base unit
Furosemide Injection, 40 mg/4 mL Vial	Harborline Pharmaceuticals	within the 8% floor once compared per base unit
Furosemide Injection, 40 mg/4 mL Vial	Harborline Pharmaceuticals	contract lists a tier-2 price of $0.91 above 70,460 EA/yr; trailing 12-month volume is 26,778, so tier 1 ($0.98) applies and invoices match it
Dextrose Injection, 50%, 50 mL Prefilled Syringe	Cobalt Rx Distributors	sell price looks 10.1x higher, but that is a unit-of-measure difference; per syringe the gap is 0.8%
Dextrose Injection, 50%, 50 mL Prefilled Syringe	Cobalt Rx Distributors	contract lists a tier-2 price of $65.16 above 590 PK/yr; trailing 12-month volume is 142, so tier 1 ($71.26) applies and invoices match it
Naloxone HCl Injection, 0.4 mg/mL, 1 mL Vial	Cobalt Rx Distributors	sell price looks 10.4x higher, but that is a unit-of-measure difference; per vial the gap is 3.7%
Lactated Ringer's Injection, 1000 mL Bag	Cobalt Rx Distributors	sell price looks 12.3x higher, but that is a unit-of-measure difference; per bag the gap is 2.4%
Lactated Ringer's Injection, 1000 mL Bag	Harborline Pharmaceuticals	contract lists a tier-2 price of $1.55 above 161,920 EA/yr; trailing 12-month volume is 62,652, so tier 1 ($1.71) applies and invoices match it
Potassium Chloride in NaCl, 20 mEq/100 mL Bag	Cobalt Rx Distributors	within the 8% floor once compared per base unit
Magnesium Sulfate in Water, 2 g/50 mL Bag	Cobalt Rx Distributors	sell price looks 25.6x higher, but that is a unit-of-measure difference; per bag the gap is 6.6%
Magnesium Sulfate in Water, 2 g/50 mL Bag	Cobalt Rx Distributors	contract lists a tier-2 price of $69.88 above 930 CS/yr; trailing 12-month volume is 187, so tier 1 ($73.73) applies and invoices match it
Sterile Water for Injection, 10 mL Vial	Cobalt Rx Distributors	within the 8% floor once compared per base unit
Pantoprazole Sodium for Injection, 40 mg Vial	Harborline Pharmaceuticals	within the 8% floor once compared per base unit
Dexamethasone Sodium Phosphate Injection, 10 mg/mL Vial	Summit Clinical Products	within the 8% floor once compared per base unit
Methylprednisolone Sodium Succinate for Injection, 125 mg Vial	Summit Clinical Products	sell price looks 26.4x higher, but that is a unit-of-measure difference; per vial the gap is 5.5%
Albuterol Sulfate Inhalation Solution, 2.5 mg/3 mL Nebule	Cobalt Rx Distributors	sell price looks 12.3x higher, but that is a unit-of-measure difference; per nebule the gap is 2.2%
Influenza Vaccine, 0.5 mL Prefilled Syringe	Cobalt Rx Distributors	within the 8% floor once compared per base unit
Filgrastim Injection, 480 mcg/0.8 mL Prefilled Syringe	Summit Clinical Products	within the 8% floor once compared per base unit
Tranexamic Acid Injection, 1 g/10 mL Vial	Cobalt Rx Distributors	sell price looks 10.5x higher, but that is a unit-of-measure difference; per vial the gap is 5.1%