<?xml version="1.0"?>
<NyOpioidAssessmentReport xmlns:xs="http://www.w3.org/2001/XMLSchema"
   xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
   xsi:noNamespaceSchemaLocation="https://apps.health.ny.gov/pub/ctrldocs/bne/NyOpioidAssessmentReport.xsd"
   reporterDeaNumber="PP0000000"
   reporterNyControlledSubstanceLicense="0900100"
   transactionYear="2018"
   nyGrossOpioidReceipts="23000000"
   nyTotalMme="22500"
   nyGrossAssessableOpioidReceipts="19000000"
   sfsCustomerId="01231312"
   nyTotalAssessableMme="13800"
   billingContactName="John Doe"
   billingContactPhone="518-555-5555 Ext 2233"
   billingContactEmail="guesswho@nowhere.com"
   reportingContactName="Jane Doe"
   reportingContactPhone="5186665555"
   reportingContactEmail="guesswho@everywhere.com">
   <Comments><![CDATA[Sample comment sentence.  You can include various special characters like <> brackets 
   line feeds, tabs, & ampersands if wrapped in CDATA.]]></Comments>
   <ReporterAddress name="ACME PHARMACEUTICAL" address1="ONE BEAR HILL ROAD"
      city="CHESTNUT FALLING" state="NY" zip5="10999" nyCounty="Albany" />
   <BillingAddress name="ACME PHARMACEUTICAL" address1="TWO LAMB RIDGE ROAD" address2="SUITE 001"
      city="CHESTNUT VILLAGE" state="PA" zip5="13999" nyCounty="Not NY" />
   <NyTotalDistributedOpioidDrugList>
      <NyDistributedOpioidDrug
         ndcNumber="498120136**"
         packageSize="1"
         nyTotalPackages="5"
         nyTotalAssessablePackages="3"
         nyTotalNdcMme="15000"
         nyTotalAssessableNdcMme="9000" />
      <NyDistributedOpioidDrug
         ndcNumber="60760037792"
         packageSize="120"
         nyTotalPackages="10"
         nyTotalAssessablePackages="8"
         nyTotalNdcMme="6000"
         nyTotalAssessableNdcMme="4800" />
      <NyDistributedOpioidDrug
         ndcNumber="00406833062"
         nyTotalPackages="0.5"
         packageSize="100"
         nyTotalAssessablePackages="0"
         nyTotalNdcMme="1500"
         nyTotalAssessableNdcMme="0" />
   </NyTotalDistributedOpioidDrugList>
   <NyReceiver-AssociateDeaList>
      <NyReceiver-AssociateDea
         receiverDeaNumber="PX0000000"
         receiverNyControlledSubstanceLicense="0309999"
         receiverStatus="Reportable" />
      <NyReceiver-AssociateDea
         receiverDeaNumber="AZ9999999"
         receiverStatus="MentalHygiene32Exempt" />
      <NyReceiver-AssociateDea
         receiverDeaNumber="AX0000000"
         receiverStatus="PublicHealth40Exempt" />
      <NyReceiver-AssociateDea
         receiverDeaNumber="BX9999996"
         receiverStatus="Reportable" />
      <NyReceiver-AssociateDea
         receiverDeaNumber="BX9999998"
         receiverStatus="FinalPOSNonNYExempt" />         
      <NyReceiver-AssociateDea
         receiverDeaNumber="BX9999997"
         receiverStatus="VeterinarianExempt" />         
      <NyReceiver-AssociateDea
         receiverDeaNumber="BX9999993"
         receiverStatus="FederalVAExempt" />
      <NyReceiver-AssociateDea
         receiverDeaNumber="BX9999995"
         receiverStatus="OtherGovFedExempt" />                  
      <NyReceiver-AssociateDea
         receiverDeaNumber="BX9999994"
         receiverStatus="IndianReservationExempt" />         
   </NyReceiver-AssociateDeaList>
   <NyExemptOpioidDrugList>
      <NyExemptOpioidDrug ndcNumber="00406833062" />
   </NyExemptOpioidDrugList>
</NyOpioidAssessmentReport>

