Page 37 - SGMC Inventory 22

Extended 32.34 $ 30.18 $ 27.75 $ 25.98 $ 25.95 $ 24.91 $ 24.46 $ 24.07 $ 23.09 $ 19.95 $ 18.41 $ 18.19 $ 18.02 $ 17.45 $ 14.76 $ 14.41 $ 14.25 $ 13.31 $ 11.45 $ 11.19 $ 9.89 $ 9.46 $

Unit Cost 5.39 $ 3.02 $ 13.88 $ 12.99 $ 8.65 $ 24.91 $ 1.44 $ 4.01 $ 11.54 $ 2.22 $ 4.60 $ 2.60 $ 1.06 $ 1.74 $ 7.38 $ 2.40 $ 0.95 $ 1.48 $ 3.82 $ 3.73 $ 1.98 $ 2.37 $

Package Cost 64.67 $ 30.18 $ 346.89 $ 12.99 $ 8.65 $ 24.91 $ 14.39 $ 40.11 $ 277.04 $ 55.42 $ 55.23 $ 64.98 $ 1.06 $ 174.49 $ 7.38 $ 12.01 $ 95.02 $ 44.36 $ 19.08 $ 3.73 $ 49.44 $ 189.20 $

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 C: McKesson Catalog SMITH 68040000-ADRENALS NORTHVIEW HOSP 387496 B: SMITH NORTHVIEW HOSP Purchase History 387496 B: SMITH NORTHVIEW HOSP Purchase History 387496 B: SMITH NORTHVIEW HOSP C: McKesson Catalog SMITH 08121800-QUINOLONES NORTHVIEW HOSP 387496 B: SMITH NORTHVIEW HOSP B: SMITH NORTHVIEW HOSP B: SMITH NORTHVIEW HOSP B: SMITH NORTHVIEW HOSP Purchase History 387496 B: SMI

SOURCE

AHFS PHENOTHIAZINE DERIVATIVES 12209200-SKELETAL MUSCLE RELAXANTS, MISCELLANEOUS 12121200-ALPHA- AND BETA-ADRENERGIC ANTIBACTERIALS (EENT) 840800 - ANTIPRURITICS ANESTHETICS 72000000-LOCAL (PARENTERAL) 28100000-OPIATE ANTAGONISTS Purchase History 387496 68040000-ADRENALS Purchase History 387496 52160000-LOCAL ANESTHETICS (EENT) Purchase History 387496 68040000-ADRENALS Purchase History 387496 84049200-LOCAL ANTI- MISCELLANEOUS 56040000-ANTACIDS AND ADSORBENTS Purchase Histor

04041200- AGONISTS 52040400- AND LOCAL ANESTHETICS INFECTIVES, INFECTIVES, 04040400- ETHANOLAMINE 84080000- 840404 40120000- REPLACEMENT

DEA CLASS

II

Inventory Date 9/16/20 MANUFACTURER Perrigo New York Inc Akorn, Inc. Par Pharmaceutical, Inc. Bausch & Lomb Incorporated E.R. Squibb & Sons, L.L.C. GEBAUER CO. AuroMedics Pharma LLC Mylan Institutional LLC Fresenius Kabi USA, LLC Fresenius Kabi USA, LLC Alcon Laboratories, Inc. Somerset Therapeutics, LLC Avrio Health L.P. Pharmaceutical Associates, Inc. Pfizer Laboratories Div Pfizer Inc Mylan Institutional LLC Precision Dose Inc. Precision Dose, Inc. Amneal Pharmaceuticals of 25; 25mg/g; m New York LLC J&J CONS PROD West-Ward Pharmaceuticals Corp. Baxter Heal

STRENGTH 12.5mg/1 30mg/mL 1mg/mL 5mg/g 40mg/mL 100 % 10mg/mL 0.4mg/mL 5mg/mL 4mg/mL 5mg/mL 10mg/mL 10mg/mL 200; 200; 20m 10mg/g 6mg/.5mL 200mg/10mL 12.5mg/5mL 500-10K/G 50mg/mL 900mg/100mL Corporation

SGMC Smith Northview Med Desc promethazine 12.5mg SUPP orphenadrine 60mg/2mL 2mL SOLN EPINEPHrine 1mg/1mL 1mL SOLN erythromycin 5mg/1g 3.5g OINT triamcinolone acetonide 40mg/1mL 1mL SUSP ethyl chloride 103.5mL aerosol lidocaine PF 1% 5mL SOLN naloxone 0.4mg/1mL 1mL SOLN levofloxacin 500mg/100mL 100mL IVPB dexamethasone 4mg/1mL 1mL SOLN tetracaine 0.5% 4mL OP SOLN dexamethasone 10mg/1mL 1mL SOLN povidone-iodine 10% 15mL SOLN alum- mag- simeth 40-40-4mg 30mL SUSP silver sulfadiazine 1%/1 20g Cream SUMAtriptan 6mg/0.5mL 0.5mL SOLN ibuprofen 200mg/10mL SUSP diphenhydrAMINE 12.5mg/5mL 5mL elixir l

Meridian Divisor 12 10 25 1 1 1 10 10 24 25 12 25 1 100 1 5 100 30 5 1 25 80

QTY 6.00 10.00 2.00 2.00 3.00 1.00 17.00 6.00 2.00 9.00 4.00 7.00 17.00 10.00 2.00 6.00 15.00 9.00 3.00 3.00 5.00 4.00

45802075830 17478053802 42023015925 24208091055 00003029305 00386000102 55150016205 67457029202 63323035565 63323016501 00065074114 70069002125 67618015005 00121176130 61570013120 67457088005 68094050361 68094002262 00115146860 00501379805 00641605325 00338055311

NDC

LOC

0106 - SN6EO 0106 - SN6EO 0106 - SN6EO 0106 - SN6EO 0106 - SN6EO 0106 - SN6EO 0106 - SN6EO 0106 - SN6EO 0106 - SN6EO 0106 - SN6EO 0106 - SN6EO 0106 - SN6EO 0106 - SN6EO 0106 - SN6EO 0106 - SN6EO 0106 - SN6EO 0106 - SN6EO 0106 - SN6EO 0106 - SN6EO 0106 - SN6EO 0106 - SN6EO 0106 - SN6EO