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Extended 40.07 $ 38.82 $ 38.81 $ 38.18 $ 37.99 $ 37.51 $ 37.01 $ 36.90 $ 36.85 $ 36.18 $ 36.04 $ 35.48 $ 34.64 $ 34.32 $ 34.25 $ 33.83 $ 33.40 $ 33.27 $ 32.90 $ 32.87 $ 32.74 $

Unit Cost 20.03 $ 5.55 $ 0.43 $ 1.82 $ 0.47 $ 2.08 $ 0.82 $ 4.61 $ 0.37 $ 1.21 $ 2.40 $ 0.39 $ 34.64 $ 8.58 $ 1.14 $ 0.34 $ 0.86 $ 4.16 $ 3.66 $ 2.35 $ 2.98 $

Package Cost 240.41 $ 55.46 $ 43.12 $ 45.45 $ 47.49 $ 41.68 $ 20.56 $ 138.39 $ 36.85 $ 36.18 $ 57.67 $ 38.99 $ 34.64 $ 8.58 $ 114.17 $ 33.83 $ 85.65 $ 41.59 $ 36.56 $ 58.69 $ 74.40 $

B: SMITH NORTHVIEW HOSP B: SMITH NORTHVIEW HOSP Purchase History 387496 C: McKesson Catalog SMITH B: SMITH NORTHVIEW HOSP Purchase History 387496 B: SMITH NORTHVIEW HOSP Purchase History 387496 B: SMITH NORTHVIEW HOSP Purchase History 387496 C: McKesson Catalog SMITH NORTHVIEW HOSP 387496 C: McKesson Catalog SMITH NORTHVIEW HOSP 387496 C: McKesson Catalog SMITH NORTHVIEW HOSP 387496 C: McKesson Catalog SMITH C: McKesson Catalog SMITH NORTHVIEW HOSP 387496 B: SMITH NORTHVIEW HOSP B: SMITH NORTHVIEW HOSP Purchase History 387496 C: McKesson Catalog SMITH NORTHVIEW HOSP 387496 C:

SOURCE

AHFS ROENTGENOGRAPHY Purchase History 387496 24040800-CARDIOTONIC AGENTS ANTIDIARRHEA AGENTS NORTHVIEW HOSP 387496 72000000-LOCAL (PARENTERAL) 84280000-KERATOLYTIC AGENTS 40080000-ALKALINIZING AGENTS 56281200-HISTAMINE H2- ANTAGONISTS PREPARATIONS D: MIS NADAC PARASYMPATHOMIMETI C (CHOLINERGIC ANTIDEPRESSANTS, MISCELLANEOUS 08121800-QUINOLONES NORTHVIEW HOSP 387496 DERIVATIVE SKELETAL MUSCLE RELAXANT 68040000-ADRENALS Purchase History 387496 52049200-EENT ANTI-

36680000- 56080000- ANESTHETICS 40120000- REPLACEMENT 12040000- AGENTS) 28160492- 12201200-GABA- INFECTIVES, 04040400- ETHANOLAMINE MISC. 12040000- AGENTS) 08121608- ANESTHETICS 08120200-

DEA CLASS

Inventory Date 9/16/20 MANUFACTURER Liebel-Flarsheim Company LLC Sandoz Inc American Health Packaging Hospira, Inc. Arzol Chemical American Health Packaging Fresenius Kabi USA, LLC Baxter Healthcare Upsher-Smith Laboratories, LLC Actavis Pharma, Inc. Hospira, Inc. Major Pharmaceuticals Merck Sharp & Dohme Alcon Laboratories, Inc. Major Pharmaceuticals Major Pharmaceuticals, Inc. Precision Dose, Inc. West-Ward Pharmaceuticals Corp. Mylan Institutional LLC Fresenius Kabi USA, LLC Fresenius Kabi USA, LLC

STRENGTH 172mg/mL 250ug/mL 2mg/1 10mg/mL 25; 75mg/100Company 10meq/1 10mg/mL 900mg/100mL Corporation 25mg/1 150mg/1 5mg/mL 10mg/1 3mg/ml; 3mg/Corp. 5mg/mL 25mg/10mL 100mg/1 160mg/5mL 1mg/mL 2; 1g/1; g/1 10mg/mL 40mg/mL

SGMC Smith Northview Med Desc CYSTO-CONRAY II 17.2% VIAL 12 DIGOXIN 500 MCG/2 ML AMPULE 10 LOPERAM HCL CAP 2MG UDAHP100@ LIDOCAINE HCL 1% VIAL 25 SILVER NITRATE APPLICATOR 100 POTASSIUM CITRATE ER 10 MEQ TB 20 FAMOTID SDV 20MG/2ML 2ML FRE25 SOD CHL.9 100ML/30 BG EZPB0043 BETHANECHOL TB 25MG UD U/S 1C@ BUPROPIO XL TB 150MG WAT 30@ LEVOFLO/5%DEXTR5MG/MLPFI150ML@ BACLOFEN TAB 10MG UD MMP10X10@ CELESTONE SOLUSPAN 30 MG/5 ML 1 BETADINE 5% EYE SOLUTION 1 DIPHENH OS UD25MG/10ML MAJ100@ BENZONATATE CP 100MG UDMMP100@ APAP CH DF AF 160MG/5ML 100 NEOST METH MDV10MG/10ML HIK 10 AMPICIL+SULB VL 3GM

Meridian Divisor 12 10 100 25 100 20 25 30 100 30 24 100 1 1 100 100 100 10 10 25 25

QTY 2.00 7.00 90.00 21.00 80.00 18.00 45.00 8.00 100.00 30.00 15.00 91.00 1.00 4.00 30.00 100.00 39.00 8.00 9.00 14.00 11.00

00019086250 00781305995 60687022901 00409427902 12870000101 68084085032 63323073912 00338915930 00832051201 00591333130 00409052835 00904647561 00085432001 00065041130 00904674172 00904656461 68094001561 00641614910 67457034910 63323049257 63323001002

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