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Extended 108.19 $ 106.59 $ 106.33 $ 105.70 $ 105.05 $ 104.34 $ 102.95 $ 102.26 $ 100.77 $ 100.20 $ 99.62 $ 96.32 $ 96.25 $ 95.30 $ 94.27 $ 91.65 $ 91.61 $ 91.20 $ 88.50 $ 88.37 $ 87.34 $ 86.00 $

Unit Cost 1.80 $ 1.33 $ 7.09 $ 1.06 $ 0.22 $ 4.17 $ 1.74 $ 2.92 $ 7.20 $ 33.40 $ 0.91 $ 5.35 $ 3.85 $ 4.54 $ 7.86 $ 30.55 $ 2.18 $ 0.05 $ 4.21 $ 2.60 $ 0.97 $ 4.30 $

Package Cost 180.31 $ 119.91 $ 177.22 $ 105.70 $ 105.05 $ 104.34 $ 174.49 $ 73.04 $ 71.98 $ 200.40 $ 22.64 $ 128.43 $ 115.50 $ 113.45 $ 188.54 $ 305.51 $ 54.53 $ 1.52 $ 105.36 $ 64.98 $ 97.04 $ 129.00 $

C: McKesson Catalog SMITH NORTHVIEW HOSP 387496 C: McKesson Catalog SMITH NORTHVIEW HOSP 387496 C: McKesson Catalog SMITH 68040000-ADRENALS NORTHVIEW HOSP 387496 08183200-NUCLEOSIDES C: McKesson Catalog SMITH AND NUCLEOTIDES NORTHVIEW HOSP 387496 C: McKesson Catalog SMITH NORTHVIEW HOSP 387496 B: SMITH NORTHVIEW HOSP B: SMITH NORTHVIEW HOSP B: SMITH NORTHVIEW HOSP Purchase History 387496 C: McKesson Catalog SMITH NORTHVIEW HOSP 387496 C: McKesson Catalog SMITH 940000 - DEVICES NORTHVIEW HOSP 387496 B: SMITH NORTHVIEW HOSP Purchase History 387496 C:

SOURCE

56120000-CATHARTICS II RECEPTOR ANTAGONISTS 12080800- SPASMODICS 52160000-LOCAL 56040000-ANTACIDS 12120400-ALPHA- ADRENERGIC AGONISTS 08120604- CEPHALOSPORINS, FIRST GENERATION 28080492-OTHER NONSTEROIDAL ANTI- INFLAM. AGENTS 28129200- ANTICONVULSANTS, MISCELLANEOUS 121204 72000000-LOCAL ANESTHETICS (PARENTERAL) 28129200- ANTICONVULSANTS, MISCELLANEOUS 72000000-LOCAL ANESTHETICS (PARENTERAL) 56100000- 12080800- SPASMODICS 28160804-ATYPICAL ANTIPSYCHOTIC AGENTS

AHFS AND LAXATIVES 24320800-ANGIOTENSIN ANTIMUSCARINICS/ANTI ANESTHETICS (EENT) Purchase History 387496 AND ADSORBENTS Purchase History 387496 80080000-TOXOIDS Purchase History 387496 ANTIFLATULENTS Purchase History 387496 ANTIMUSCARINICS/ANTI 68040000-ADRENALS Purchase History 387496

DEA CLASS

Inventory Date 9/16/20 MANUFACTURER Pharmaceutical Associates, Inc. Alembic Pharmaceuticals Inc. Pharmacia and Upjohn Company LLC McKesson Corporation dba SKY Packaging Par Pharmaceutical International Medication Systems, Limited Pharmaceutical Associates, Inc. Avadel Legacy Pharmaceuticals, LLC Sandoz Inc ETHICON Fresenius Kabi USA, LLC Hospira, Inc. Fresenius Kabi USA, LLC WG Critical Care, LLC 5; 2[Lf]/.5mL; Sanofi Pasteur Inc. AuroMedics Pharma LLC MAJOR Pharmaceuticals Inc. American Regent, Inc. Somerset Therapeutics, LLC American Health Packaging Nep

STRENGTH 400mg/5mL 40mg/1 125mg/2mL 500mg/1 10mg/5mL 20mg/mL 200; 200; 20m 10mg/mL 500mg/1 100 30mg/mL 80mg/mL 1000MCG/10 NEPHRON 7.5mg/mL 2g/50mL 5mg/mL 20mg/.3mL 0.4mg/mL 10mg/mL 200mg/1 0.5mg/2mL

SGMC Smith Northview Med Desc MILK OF MAG 30ML UD P/A 100@ VALSARTAN TAB 40MG ALEM 90 SOLU-MEDROL A-O-V 125MG 2ML 25 VALACYCL TAB 500MG UD SKY 100@ DICYCLOM O/S 10MG/5ML PAR 16Z@ LIDOCAINE HCL 2% JELLY URO-JET 25 MAG-AL PLUS SUSPENSION 100 VAZCULEP 10 MG/ML VIAL 25 CEFAZOL VL 5CMG 10ML SAN 10@ SURGIFOAM SPNG 8X12.5X1CM CS6 KETOROLAC 60 MG/2 ML VIAL 25 MAGNES SUL 80MG/ML 50MLPFIZ24@ PHENYLEPHRINE HCL-0.9% NACL SYRINGE 1000MCG/10 10 SENSOR SDV 0.75% MPF 30MLFRE25 MAG SUL INJ 2G/50ML WG 24 TENIVAC SYRINGE 10 BUPIVAC SDV 0.5% 30ML AUR/M25@ INF GAS REL 20 MG/0.3 ML DROP 30 ATROP S

Meridian Divisor 100 90 25 100 473 25 100 25 10 6 25 24 30 25 24 10 25 30 25 25 100 30

QTY 60.00 80.00 15.00 100.00 473.00 25.00 59.00 35.00 14.00 3.00 110.00 18.00 25.00 21.00 12.00 3.00 42.00 1800.00 21.00 34.00 90.00 20.00

00121043130 62332004490 00009004722 63739052510 00603116158 76329301205 00121176130 76014000425 00781345095 63713001974 63323016214 00409673013 69374030210 63323047237 44567042024 49281021515 55150017030 00904589430 00517040125 70069002125 60687036001 00487970101

NDC

LOC
0096 - OPP Pharmacy 0096 - OPP Pharmacy 0096 - OPP Pharmacy 0096 - OPP Pharmacy 0096 - OPP Pharmacy 0096 - OPP Pharmacy 0096 - OPP Pharmacy 0096 - OPP Pharmacy 0096 - OPP Pharmacy 0096 - OPP Pharmacy 0096 - OPP Pharmacy 0096 - OPP Pharmacy 0096 - OPP Pharmacy 0096 - OPP Pharmacy 0096 - OPP Pharmacy 0096 - OPP Pharmacy 0096 - OPP Pharmacy 0096 - OPP Pharmacy 0096 - OPP Pharmacy 0096 - OPP Pharmacy 0096 - OPP Pharmacy 0096 - OPP Pharmacy