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Extended 61.33 $ 58.81 $ 44.08 $ 31.76 $ 17.94 $ 14.79 $ 4.02 $ 2.36 $ 1,163.24 $ 397.16 $ 319.52 $ 224.00 $ 78.25 $ 62.27 $ 59.26 $ 49.40 $ 47.43 $ 42.94 $ 38.68 $ 36.97 $

Unit Cost 8.76 $ 5.88 $ 4.41 $ 7.94 $ 8.97 $ 14.79 $ 4.02 $ 2.36 $ 116.32 $ 30.55 $ 31.95 $ 6.40 $ 7.11 $ 18.87 $ 29.63 $ 0.10 $ 23.71 $ 8.59 $ 0.90 $ 2.31 $

Package Cost 87.61 $ 58.81 $ 44.08 $ 79.39 $ 89.69 $ 147.87 $ 40.16 $ 23.56 $ 1,163.24 $ 305.51 $ 319.52 $ 6.40 $ 177.85 $ 18.87 $ 29.63 $ 12.35 $ 237.14 $ 257.62 $ 22.49 $ 57.76 $

C: McKesson Catalog SMITH NORTHVIEW HOSP 387496 C: McKesson Catalog SMITH PREPARATIONS 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 B: SMITH NORTHVIEW HOSP Purchase History 387496 B: SMITH NORTHVIEW HOSP Purchase History 387496 B: SMITH NORTHVIEW HOSP B: SMITH NORTHVIEW HOSP B: SMITH NORTHVIEW HOSP C: McKesson Catalog SMITH 68040000-ADRENALS NORTHVIEW HOSP 387496 B: SMITH NORTHVIEW HOSP

SOURCE

AHFS ANTIMUSCARINICS/ANTI SPASMODICS ANTIARRHYTHMIC AGENTS, CLASS Ib ANTIARRHYTHMICS 40200000-CALORIC AGENTS 40200000-CALORIC AGENTS ANTIARRHYTHMIC AGENTS, CLASS IV ANTIARRHYTHMICS 12121200-ALPHA- AND BETA-ADRENERGIC ANTIARRHYTHMIC AGENTS, CLASS Ib ANTIARRHYTHMICS 08121604-NATURAL PENICILLINS Purchase History 387496 80080000-TOXOIDS Purchase History 387496 80080000-TOXOIDS Purchase History 387496 68040000-ADRENALS Purchase History 387496 12120812-ALPHA- & BETA-A

12080800- 40120000- REPLACEMENT 24040408- 24040424- AGONISTS 24040408- 84040400- 28240800- YP) AGENTS 08120612-

DEA CLASS

IV

Inventory Date 9/16/20 MANUFACTURER Hospira, Inc. Hospira, Inc. International Medication Systems, Limited Hospira, Inc. International Medication Systems, Limited Sagent Pharmaceuticals Hospira, Inc. Hospira, Inc. Pfizer Laboratories Div 5; 2[Lf]/.5mL; Sanofi Pasteur Inc. GlaxoSmithKline 5; 2.5; 8; 8; 2.Biologicals SA Pharmacia and Upjohn Company LLC Pharmacia and Upjohn Company LLC GlaxoSmithKline LLC Teva Pharmaceuticals USA, Inc. Paddock Laboratories, Hospira, Inc. MYLAN INSTITUTIONAL INC Alvogen Inc. West-Ward Pharmaceuticals Corp

STRENGTH 0.1mg/mL 100mg/mL 20mg/mL 250mg/mL 500mg/mL 3mg/mL 0.1mg/mL 20mg/mL 600000; 6000Pfizer Inc 40mg/mL 125mg/2mL 90mcg/1 20mg/g 25g/120mL; 4LLC 5mg/mL 0.6MG 30mg/mL 1g/1

SGMC Smith Northview Med Desc ATROP SYR 10ML LFSH+NDLE HW 10 CALC CHL ANSYR 10% 10ML HW 10 LIDOCA IN LL 2% 20MG 5ML IMS10 DEXTR ANSYR 25% 10ML HW 10 DEXTROSE 50%-WATER SYRINGE 10 ADENOSINESYR MG/ML 2ML SAGE10@ EPINEPHRINE 1 MG/10 ML ABBOJCT 10 LIDOCAINE HCL 2% SYRINGE 10 penicillin G procaine-penicillin G benzathine 1200000Units/2mL 2mL SUSP tetanus-diphtheria toxoids (Td) 5-2mg INJ BOOSTRIX Tdap 5-2.5-18.5 LF-MC 0.5mL methylPREDNISolone acetate 40mg/1mL 1mL methylPREDNISolone sodium succinate 125mg SOLN albuterol HFA 90mcg aerosol mupirocin 2% 22g oint activated charcoal- sorbitol 50g

Meridian Divisor 10 10 10 10 10 10 10 10 10 10 SUSP 10 SUSP 1 25 1 1 liqd 120 10 30 25 25

QTY 7.00 10.00 10.00 4.00 2.00 1.00 1.00 1.00 10.00 13.00 10.00 35.00 11.00 3.30 2.00 480.00 2.00 5.00 43.00 16.00

00409491134 00409163110 76329339001 00409177510 76329330101 25021030167 00409492134 00409132305 60793060010 49281021515 58160084252 00009307301 00009004726 00173068224 00093101042 00574012074 00409127332 42292005403 47781058568 00143985725

NDC

0099 - OPP Crash Cart Drugs 0099 - OPP Crash Cart Drugs 0099 - OPP Crash Cart Drugs 0099 - OPP Crash Cart Drugs 0099 - OPP Crash Cart Drugs 0099 - OPP Crash Cart Drugs 0099 - OPP Crash Cart Drugs 0099 - OPP Crash Cart Drugs 0106 - SN6EO 0106 - SN6EO 0106 - SN6EO 0106 - SN6EO 0106 - SN6EO 0106 - SN6EO 0106 - SN6EO 0106 - SN6EO 0106 - SN6EO 0106 - SN6EO 0106 - SN6EO 0106 - SN6EO
LOC