Page 31 - SGMC Inventory 22

0.15 0.12 149.04 122.44 69.81 50.13 44.52 35.60 35.22 32.01 15.86 36.36 26.11 7.42 438.29 282.03 250.16 224.47 223.50
Extended $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

Unit Cost 0.15 $ 0.01 $ 2.07 $ 10.20 $ 1.45 $ 1.04 $ 3.71 $ 1.98 $ 1.96 $ 1.07 $ 0.88 $ 1.45 $ 1.04 $ 3.71 $ 18.26 $ 3.32 $ 1.45 $ 10.20 $ 1.04 $

Package Cost 13.86 $ 11.50 $ 20.70 $ 102.03 $ 36.36 $ 26.11 $ 92.75 $ 49.44 $ 48.91 $ 10.67 $ 22.03 $ 36.36 $ 26.11 $ 92.75 $ 456.55 $ 82.95 $ 36.36 $ 102.03 $ 26.11 $

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

SOURCE

AHFS 24320400-ANGIOTENSIN- CONVERTING ENZYME INHIBITORS 04040400- ETHANOLAMINE DERIVATIVES 28049200-GENERAL ANESTHETICS, MISCELLANEOUS 12121200-ALPHA- AND BETA-ADRENERGIC AGONISTS 28080800-OPIATE AGONISTS 28240800- BENZODIAZEPINES (ANXIOLYTIC,SEDATIV/H 28100000-OPIATE ANTAGONISTS Purchase History 387496 28080800-OPIATE AGONISTS 28080800-OPIATE AGONISTS 28049200-GENERAL ANESTHETICS, MISCELLANEOUS 28080800-OPIATE AGONISTS

DEA CLASS YP) YP) YP)

II IV II II II II IV IV II II IV

Inventory Date 9/16/20 MANUFACTURER Aurobindo Pharma Limited Major Pharmaceuticals Fresenius Kabi USA, LLC Sandoz Inc Hikma Pharmaceuticals USA Inc. Fresenius Kabi USA, LLC West-Ward Pharmaceuticals Corp. West-Ward Pharmaceuticals Corp. West-Ward Pharmaceuticals Corp. Fresenius Kabi USA, LLC Hospira, Inc. Hikma Pharmaceuticals USA Inc. Fresenius Kabi USA, LLC West-Ward Pharmaceuticals Corp. West-Ward Pharmaceuticals Corp. Fresenius Kabi USA, LLC Hikma Pharmaceuticals USA Inc. Sandoz Inc Fresenius Kabi USA, LLC

STRENGTH 20mg/1 25mg/1 10mg/mL 50mg/mL 50ug/mL 1mg/mL 0.4mg/mL 50mg/mL 10mg/mL 10mg/mL 2mg/mL 50ug/mL 1mg/mL 0.4mg/mL 65mg/mL 1mg/mL 50ug/mL 50mg/mL 1mg/mL

SGMC Smith Northview Med Desc QUINAP TAB 20MG AURO 90@ BANOPHEN 25 MG CAPSULE 1000 Diprivan 200mg/20ml Ephedrine 50mg/ml Fentanyl 100mcg/2ml Versed 2mg/2ml Narcan 0.4mg/ml 1ml Meperidine 50mg/ml Morphine 10mg/ml Diprivan 100mg/10ml Dilaudid 2mg/ml Fentanyl 100mcg/2ml Versed 2mg/2ml Narcan 0.4mg/ml PHENOB SOD VL 65MG 1ML WEST 25 HYDROMORPH HCI INJ1MG/ML FRE25 FENTANYL 100 MCG/2 ML VIAL 25 EPHEDRINE SULFATE 50 MG/ML VL 10 MIDAZ MDV 1MG/ML 2ML FRE 25

Meridian Divisor 90 1000 10 10 25 25 25 25 25 10 25 25 25 25 25 25 25 10 25

QTY 1.00 10.00 72.00 12.00 48.00 48.00 12.00 18.00 18.00 30.00 18.00 25.00 25.00 2.00 24.00 85.00 172.00 22.00 214.00

65862061990 00904530680 63323026929 00781326995 00641602725 63323041112 00641613225 00641605325 00641612725 63323026910 00409336501 00641602725 63323041112 00641613225 00641047625 63323085225 00641602725 00781326995 63323041112

NDC

LOC 0097 - SMITH NORTHVIEW HOSPITAL 0097 - SMITH NORTHVIEW HOSPITAL 0097 - SMITH NORTHVIEW HOSPITAL 0097 - SMITH NORTHVIEW HOSPITAL 0097 - SMITH NORTHVIEW HOSPITAL 0097 - SMITH NORTHVIEW HOSPITAL 0097 - SMITH NORTHVIEW HOSPITAL 0097 - SMITH NORTHVIEW HOSPITAL 0097 - SMITH NORTHVIEW HOSPITAL 0097 - SMITH NORTHVIEW SPECIAL PROCEDURES NARCOTIC BOX 0097 - SMITH NORTHVIEW SPECIAL PROCEDURES NARCOTIC BOX 0097 - SMITH NORTHVIEW SPECIAL PROCEDURES NARCOTIC BOX
0096 - OPP Pharmacy 0096 - OPP Pharmacy ANESTHESIA NARCOTIC BOX ANESTHESIA NARCOTIC BOX ANESTHESIA NARCOTIC BOX ANESTHESIA NARCOTIC BOX ANESTHESIA NARCOTIC BOX ANESTHESIA NARCOTIC BOX ANESTHESIA NARCOTIC BOX ANESTHESIA NARCOTIC BOX ANESTHESIA NARCOTIC BOX 0097 - OPP Narcotics 0097 - OPP Narcotics 0097 - OPP Narcotics 0097 - OPP Narcotics 0097 - OPP Narcotics