Net sales for the year ended December 31, 2018 were $5,492,524, a $1,007,294, or 22 percent increase, compared to $4,485,230 for the year ended December 31, 2017. This increase was primarily the result of approximately $788,000 of net sales from our recent acquisitions and approximately $284,000 from the impact of manufacturer price increases.
These increases were partially offset by reimbursement compression and by a decrease in volume primarily in our immunology, hepatitis C, and multiple sclerosis business categories, as well as other lower margin business categories, including human immunodeficiency virus and osteoporosis, versus the prior year.
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