| | WELIREG (BELZUTIFAN) 40 MG | MERCK SHARP & DOHME LLC | $22,508 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 325412Pharmaceutical Preparation Manufacturing | 6505DRUGS AND BIOLOGICALS | May 21, 2026 | May 21, 2026 | May 22, 2026 |
| | PATIENT MEDICATION OF BELZUTIFAN 40MG - ORDER PLACED FOR A PATIENT AT THE HUNTINGTON VA MEDICAL CENTER. | MERCK SHARP & DOHME LLC | $22,508 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 325412Pharmaceutical Preparation Manufacturing | 6505DRUGS AND BIOLOGICALS | May 11, 2026 | May 11, 2026 | May 13, 2026 |
| | WINREVAIR 45MG/VIAL INJ,LYPHL | MERCK SHARP & DOHME LLC | $342,254 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 325412Pharmaceutical Preparation Manufacturing | 6505DRUGS AND BIOLOGICALS | May 11, 2026 | Jun 1, 2026 | May 31, 2027 |
| | PHARMACY ORDER FOR VETERAN(S). | MERCK SHARP & DOHME LLC | $22,508 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 325412Pharmaceutical Preparation Manufacturing | 6505DRUGS AND BIOLOGICALS | May 8, 2026 | May 7, 2026 | May 8, 2026 |
| | WELIREG 40 MG | MERCK SHARP & DOHME LLC | $22,508 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 325412Pharmaceutical Preparation Manufacturing | 6505DRUGS AND BIOLOGICALS | Apr 15, 2026 | Apr 15, 2026 | Apr 16, 2026 |
| | WINREVAIR 45MG - EMERGENCY PHARMACEUTICAL | MERCK SHARP & DOHME LLC | $21,388 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 325412Pharmaceutical Preparation Manufacturing | 6505DRUGS AND BIOLOGICALS | Feb 27, 2026 | Feb 27, 2026 | Mar 13, 2026 |
| | MERCK TRAVEL VACCINES | MERCK SHARP & DOHME LLC | $18,000 | FEDERAL BUREAU OF INVESTIGATION | FEDERAL BUREAU OF INVESTIGATION | — | 325412Pharmaceutical Preparation Manufacturing | 6515MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES | Feb 12, 2026 | Feb 22, 2026 | Feb 21, 2027 |
| | EMERGENCY PHARMACEUTICAL - WINREVAIR 45MG/VIAL | MERCK SHARP & DOHME LLC | $21,391 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 325412Pharmaceutical Preparation Manufacturing | 6505DRUGS AND BIOLOGICALS | Feb 9, 2026 | Feb 9, 2026 | Sep 30, 2026 |
| | WINREVAIR 90 MG KIT | MERCK SHARP & DOHME LLC | $21,391 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 325412Pharmaceutical Preparation Manufacturing | 6505DRUGS AND BIOLOGICALS | Jan 21, 2026 | Jan 20, 2026 | Jan 22, 2026 |
| | EMERGENCY PHARMACEUTICAL - WINREVAIR 45MG | MERCK SHARP & DOHME LLC | $21,388 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 325412Pharmaceutical Preparation Manufacturing | 6505DRUGS AND BIOLOGICALS | Jan 16, 2026 | Jan 16, 2026 | Jan 30, 2026 |
| | WINREVAIR, SOTATERCEPT-CSRK 60MG/VIAL INJ,LYPHL NDC: 00006-5091-01 | MERCK SHARP & DOHME LLC | $96,218 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 325412Pharmaceutical Preparation Manufacturing | 6505DRUGS AND BIOLOGICALS | Jan 13, 2026 | Jan 13, 2026 | Oct 13, 2026 |
| | EMERGENCY PHARMACY WINREVAIR 45MG VIAL INJ LYPHL NDC 00006-5090-01 | MERCK SHARP & DOHME LLC | $20,994 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 325412Pharmaceutical Preparation Manufacturing | 6505DRUGS AND BIOLOGICALS | Dec 31, 2025 | Dec 31, 2025 | Jan 31, 2026 |
| | WINREVAIR 90 MG KIT | MERCK SHARP & DOHME LLC | $21,042 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 325412Pharmaceutical Preparation Manufacturing | 6505DRUGS AND BIOLOGICALS | Dec 11, 2025 | Dec 11, 2025 | Dec 12, 2025 |
| | WINREVAIR 45MG INJ | MERCK SHARP & DOHME LLC | $20,994 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 325412Pharmaceutical Preparation Manufacturing | 6505DRUGS AND BIOLOGICALS | Dec 9, 2025 | Dec 9, 2025 | Jan 9, 2026 |
| | WINREVAIR | MERCK SHARP & DOHME LLC | $20,994 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 325412Pharmaceutical Preparation Manufacturing | 6505DRUGS AND BIOLOGICALS | Nov 19, 2025 | Nov 19, 2025 | Jan 19, 2026 |
| | 3 BTS WELIREG 40MG TAB | MERCK SHARP & DOHME LLC | $22,051 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 325412Pharmaceutical Preparation Manufacturing | 6505DRUGS AND BIOLOGICALS | Oct 15, 2025 | Oct 20, 2025 | Dec 31, 2025 |
| | WINREVAIR 45 MG | MERCK SHARP & DOHME LLC | $10,497 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 325412Pharmaceutical Preparation Manufacturing | 6505DRUGS AND BIOLOGICALS | Oct 2, 2025 | Oct 2, 2025 | Oct 7, 2025 |
| | WINREVAIR | MERCK SHARP & DOHME LLC | $0 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 325412Pharmaceutical Preparation Manufacturing | 6505DRUGS AND BIOLOGICALS | Sep 24, 2025 | Sep 23, 2025 | Oct 23, 2025 |
| | 678 EMERGENCY WINREVAIR | MERCK SHARP & DOHME LLC | $10,497 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 325412Pharmaceutical Preparation Manufacturing | 6505DRUGS AND BIOLOGICALS | Sep 18, 2025 | Sep 18, 2025 | Oct 31, 2025 |
| | WINREVAIR 45 MG | MERCK SHARP & DOHME LLC | $10,497 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 325412Pharmaceutical Preparation Manufacturing | 6505DRUGS AND BIOLOGICALS | Sep 15, 2025 | Sep 15, 2025 | Sep 17, 2025 |
| | SOTATERCEPT | MERCK SHARP & DOHME LLC | $10,497 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 325412Pharmaceutical Preparation Manufacturing | 6505DRUGS AND BIOLOGICALS | Sep 4, 2025 | Sep 4, 2025 | Oct 6, 2025 |
| | WINREVAIR 45 MG | MERCK SHARP & DOHME LLC | $10,497 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 325412Pharmaceutical Preparation Manufacturing | 6505DRUGS AND BIOLOGICALS | Aug 20, 2025 | Aug 20, 2025 | Aug 27, 2025 |
| | BELZUTIFAN (WELIREG) 40 MG | MERCK SHARP & DOHME LLC | $22,051 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 325412Pharmaceutical Preparation Manufacturing | 6505DRUGS AND BIOLOGICALS | Aug 3, 2025 | Aug 3, 2025 | Aug 6, 2025 |
| | WINREVAIR 45 MG | MERCK SHARP & DOHME LLC | $10,497 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 325412Pharmaceutical Preparation Manufacturing | 6505DRUGS AND BIOLOGICALS | Jul 30, 2025 | Jul 30, 2025 | Aug 5, 2025 |
| | WINREVAIR 45 MG | MERCK SHARP & DOHME LLC | $10,497 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 325412Pharmaceutical Preparation Manufacturing | 6505DRUGS AND BIOLOGICALS | Jul 10, 2025 | Jul 10, 2025 | Jul 14, 2025 |