In a meeting mgh outpatient pharmacy number The Dow Jones industrial average was down 63.56points, or 0.41 percent, at 15,434.76. The Standard & Poor's 500Index was down 4.45 points, or 0.26 percent, at 1,693.03.The Nasdaq Composite Index was down 4.89 points, or 0.13percent, at 3,664.23.