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Extended 214.13 $ 183.00 $ 174.48 $ 106.66 $ 103.98 $ 93.16 $ 92.14 $ 89.81 $ 86.29 $ 76.30 $ 69.57 $ 65.76 $ 59.33 $ 50.56 $ 45.28 $ 40.84 $ 38.82 $ 32.26 $ 31.67 $ 30.74 $ 27.45 $ 24.50 $ 17.86 $ 13.78 $ 13.27 $

Unit Cost 0.88 $ 3.66 $ 1.74 $ 5.33 $ 1.39 $ 5.18 $ 1.02 $ 1.91 $ 12.33 $ 1.96 $ 23.19 $ 3.29 $ 1.98 $ 16.85 $ 0.41 $ 0.41 $ 0.78 $ 0.81 $ 1.58 $ 0.38 $ 0.34 $ 0.41 $ 0.22 $ 0.15 $ 0.15 $

Package Cost 22.03 $ 91.50 $ 43.62 $ 53.33 $ 34.66 $ 103.51 $ 102.38 $ 47.77 $ 123.27 $ 48.91 $ 278.27 $ 65.76 $ 49.44 $ 168.54 $ 41.16 $ 40.84 $ 77.64 $ 80.64 $ 47.50 $ 19.21 $ 34.31 $ 40.84 $ 22.33 $ 15.31 $ 14.74 $

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

SOURCE

28080800-OPIATE 28080800-OPIATE 28080800-OPIATE 28080800-OPIATE 28080800-OPIATE 28049200-GENERAL ANESTHETICS, MISCELLANEOUS 28080800-OPIATE 28080800-OPIATE 28049200-GENERAL ANESTHETICS, MISCELLANEOUS 28080800-OPIATE 28080800-OPIATE 28080800-OPIATE 28080800-OPIATE 28080800-OPIATE 28080800-OPIATE 28080800-OPIATE 28129200- ANTICONVULSANTS, 28080800-OPIATE 280808 28080800-OPIATE 28129200- ANTICONVULSANTS, 28080800-OPIATE 28080800-OPIATE 28080800-OPIATE
AHFS AGONISTS AGONISTS AGONISTS AGONISTS AGONISTS AGONISTS AGONISTS AGONISTS AGONISTS AGONISTS AGONISTS AGONISTS AGONISTS AGONISTS MISCELLANEOUS AGONISTS AGONISTS MISCELLANEOUS

DEA CLASS

II II II II II II II III II II II II II II II V II II II V V II II III

Inventory Date 9/16/20 MANUFACTURER Hospira, Inc. Hospira, Inc. West-Ward Pharmaceuticals Corp. Hospira, Inc. Fresenius Kabi USA, LLC Fresenius Kabi USA, LLC West-Ward Pharmaceuticals Corp. Par Pharmaceutical, Inc. West-Ward Pharmaceuticals Corp. Paddock Laboratories, LLC Purdue Pharma LP West-Ward Pharmaceuticals Corp. West-Ward Pharmaceuticals Corp. SpecGx LLC Major Pharmaceuticals Major Pharmaceuticals NEPHRON American Health Packaging Pharmaceutical Associates, Inc. SpecGx LLC Rhodes Pharmaceuticals L.P. American Health

STRENGTH 2mg/mL 100mg/2mL 4mg/mL 50mg/mL 2mg/mL 10mg/mL 10; 325mg/1; SpecGx LLC 25mg/mL 100mg/mL 10mg/mL 16.2mg/1; 60m 10mg/1 50mg/mL 1mg/mL 15mg/1 5; 325mg/1; m SpecGx LLC 100mg/1 30mg/1 1 MG/ML 10; 325mg/1; AvPAK 75mg/1 100; 10mg/5m 7.5; 325mg/1 5mg/1 300; 30mg/1; Packaging

SGMC Smith Northview Med Desc HYDROMORPHONE 2 MG/ML VIAL 25 DEMEROL AMP 50MG/ML 2MLUA HW25 MORPHINE SULFATE 4 MG/ML VIAL 25 DEMEROL 50MG/ML 1ML LD73T 10 MORPHINE SUL 1ML 2MG/ML FRE25 DIPRIVAN EM VL 500MG50ML FRE20 OXYCODONE-ACETAMINOPHEN 10-325 100 MEPERIDINE 25 MG/ML VIAL 25 KETALAR VIAL 500MG 5ML 10 MORPHINE SULFATE 10 MG/ML VIAL 25 BELLADONNA-OPIUM 16.2-60 SUPP 12 OXYCONTIN CR TB 10MG UD REF 20 MEPERID SDV 50MG/ML 1ML WEST25 DURAMORPH 10 MG/10 ML AMPUL 10 MORPH SU ER TB 15MG UDMALL100@ HYDROCODONE-ACETAMIN 5-325 MG 100 PREGABALIN CP100MG MAJ10X10UD@ MORPH SUL TB ER 30MG UDMAJ100@ Morphin

Meridian Divisor 25 25 25 10 25 20 100 25 10 25 12 20 25 10 100 100 100 100 Pharma 30 50 100 100 100 100 100

QTY 243.00 50.00 100.00 20.00 75.00 18.00 90.00 47.00 7.00 39.00 3.00 20.00 30.00 3.00 110.00 100.00 50.00 40.00 20.00 80.00 80.00 60.00 80.00 90.00 90.00

00409336501 00409125502 00641612525 00409117830 63323045201 63323026950 00406052362 00641605225 42023011510 00641612725 00574704012 59011041020 00641605325 00641601910 00406831562 00406012362 00904700161 00904655861 69374097950 50268040215 60687049501 00121177500 00406012462 42858000110 68084037201

NDC

LOC
0097 - OPP Narcotics 0097 - OPP Narcotics 0097 - OPP Narcotics 0097 - OPP Narcotics 0097 - OPP Narcotics 0097 - OPP Narcotics 0097 - OPP Narcotics 0097 - OPP Narcotics 0097 - OPP Narcotics 0097 - OPP Narcotics 0097 - OPP Narcotics 0097 - OPP Narcotics 0097 - OPP Narcotics 0097 - OPP Narcotics 0097 - OPP Narcotics 0097 - OPP Narcotics 0097 - OPP Narcotics 0097 - OPP Narcotics 0097 - OPP Narcotics 0097 - OPP Narcotics 0097 - OPP Narcotics 0097 - OPP Narcotics 0097 - OPP Narcotics 0097 - OPP Narcotics 0097 - OPP Narcotics