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4.64 4.60 4.56 4.55 4.55 4.47 4.29 4.29 4.16 4.11 4.10 4.08 4.08 4.07 3.90 3.88 3.87 3.84 3.84 3.75
Extended $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

Unit Cost 0.46 $ 0.12 $ 0.05 $ 0.76 $ 0.11 $ 0.06 $ 0.09 $ 0.48 $ 4.16 $ 0.82 $ 4.10 $ 0.68 $ 0.08 $ 4.07 $ 0.65 $ 0.65 $ 0.06 $ 0.06 $ 1.92 $ 0.05 $

Package Cost 13.91 $ 11.51 $ 4.56 $ 75.88 $ 11.37 $ 6.38 $ 9.32 $ 47.63 $ 4.16 $ 20.56 $ 4.10 $ 4.08 $ 8.15 $ 40.66 $ 7.80 $ 3.88 $ 5.53 $ 3.84 $ 1.92 $ 4.69 $

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

SOURCE

AHFS ANTIMUSCARINICS/ANTI SPASMODICS 68040000-ADRENALS NORTHVIEW HOSP 387496 BLOCKING AGENTS BLOCKING AGENTS 28361600-DOPAMINE 28080492-OTHER NONSTEROIDAL ANTI- INFLAM. AGENTS PHENOTHIAZINE DERIVATIVES DERIVATIVE SKELETAL MUSCLE RELAXANT CORTICOSTEROIDS 68040000-ADRENALS Purchase History 387496 84040808-ANTIFUNGALS MEMBRANE), AZOLES 08121292-OTHER MACROLIDES NORTHVIEW HOSP 387496 28080492-OTHER NONSTEROIDAL ANTI- INFLAM. AGENTS 08140800-AZOLES NORTHVIEW HOSP 387496 28089200-ANALGESIC

12080800- 24240000-BETA- ADRENERGIC 24240000-BETA- ADRENERGIC PRECURSORS 04041200- 12201200-GABA- 84060800- (SKIN, MUCOUS MEMBRANE) (SKIN, MUCOUS MISC. MISC. 28160420- 24240000-BETA- ADRENERGIC

DEA CLASS

Inventory Date 9/16/20 MANUFACTURER Nephron SC Inc. West-Ward Pharmaceuticals Corp. Major Pharmaceuticals American Health Packaging Major Pharmaceuticals Major Pharmaceuticals Major Pharmaceuticals McKesson Corporation dba SKY Packaging Perrigo New York Inc West-Ward Pharmaceuticals Corp. 0.5mg/g; 10mNORTHSTAR RX LLC Bionpharma Inc. Glenmark Pharmaceuticals Inc., USA Sagent Pharmaceuticals Cosette Pharmaceuticals, Inc. Taro Pharmaceuticals U.S.A. Inc. Major Pharmaceuticals Morton Grove Pharmaceuticals, Inc. C.B. Fleet Company, Inc. Mylan Institutional I

STRENGTH 0.5mg/3ml; 3m 20mg/1 50mg/1 80mg/1 25mg/1; 100m 400mg/1 25mg/1 20mg/1 0.25mg/g 10mg/mL 250mg/1 50mg/1 2mg/mL 650mg/1 325mg/1 20mg/1 100000[USP' 10mg/30mL 25mg/1

SGMC Smith Northview Med Desc IPRAT-ALBUT 0.5-3(2.5) MG/3 ML 30 PREDNISON TAB 20MG UD HIK 100@ METOPROLOL TARTRATE 50 MG TAB 100 SOTALO HCL TB 80MG UD AHP 100@ CARBID+LEV TB 25/100 MMP10X10@ IBUPROF TB 400MG UD MMP 10X10@ PROMETHAZINE 25 MG TABLET 100 BACLOFEN TB 20MG UD SKY 10X10@ TRIAMCIN CRM 0.025% PERR 80GM@ DEXAMETHASONE 10 MG/ML VIAL 25 CLOTR+BETA CRM 1/.05% 15GNSTR@ AZITHROMY TB 250MG BIO BP1X6 INDOMET CAP 50MG GLEN 100@ FLUCONAZ SOD CH2MG/200MLSAG10@ ACEPHEN SUPP.RECT 650 MG 12 FEVERALL SUPP 325 MG 6 FLUOXET CAP 20MG UD MMP 100@ NYSTATIN O/S 100MU MOR 60ML@ FLEET BI

Meridian Divisor 30 100 100 100 100 100 100 100 1 25 1 6 100 10 12 6 100 60 1 100

QTY 10.00 40.00 100.00 6.00 40.00 70.00 46.00 9.00 1.00 5.00 1.00 6.00 50.00 1.00 6.00 6.00 70.00 60.00 2.00 80.00

00487020101 00054001820 00904634161 68084065401 00904623761 00904585361 00904646161 63739048010 45802006336 00641036725 16714049601 69452017104 68462030201 25021018487 51672211602 51672211602 00904578561 60432053760 00132070336 51079025520

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