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9.10 9.00 7.92 7.65 7.64 7.19 7.17 7.14 7.03 6.96 6.84 6.68 6.62 5.90 5.66 5.44 5.42 5.36 4.94 4.75 4.66
Extended $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

Unit Cost 0.76 $ 0.90 $ 1.32 $ 0.42 $ 1.91 $ 3.59 $ 1.79 $ 2.38 $ 0.28 $ 1.39 $ 6.84 $ 0.84 $ 0.60 $ 0.59 $ 1.13 $ 1.36 $ 1.08 $ 0.32 $ 0.82 $ 0.47 $ 0.06 $

Package Cost 18.95 $ 22.49 $ 33.02 $ 10.62 $ 47.77 $ 179.74 $ 44.79 $ 2.38 $ 28.13 $ 41.74 $ 82.10 $ 33.42 $ 60.22 $ 58.99 $ 28.31 $ 1.36 $ 32.54 $ 18.92 $ 8.23 $ 47.49 $ 14.74 $

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 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 B: SMITH NORTHVIEW HOSP Purchase History 387496 C: McKesson Catalog SMITH 940000 - DEVICES NORTHVIEW HOSP 387496 B: SMITH NORTHVIEW HOSP C

SOURCE

28080492-OTHER INFLAM. AGENTS 72000000-LOCAL ANESTHETICS (PARENTERAL) 08120604- CEPHALOSPORINS, FIRST GENERATION 56222000-5-HT3 RECEPTOR 28080800-OPIATE 28080800-OPIATE INFECTIVES, MISCELLANEOUS 24120800-NITRATES BETA-ADRENERGIC AGONISTS 52160000-LOCAL MISC. 84080000- 72000000-LOCAL ANESTHETICS (PARENTERAL) INFECTIVES, MISCELLANEOUS 12120812-ALPHA- & BETA-ADRENERGIC AGONISTS 08120612- CEPHALOSPORINS, THIRD GENERATION
AHFS NONSTEROIDAL ANTI- ANTAGONISTS AGONISTS AGONISTS 56320000-PROKINETIC AGENTS 84049200-LOCAL ANTI- AND NITRITES 12121200-ALPHA- AND ANESTHETICS (EENT) Purchase History 387496 28089200-ANALGESICS AND ANTIPYRETICS, ANTIPRURITICS AND LOCAL ANESTHETICS 84049200-LOCAL ANTI- 401200 - REPLACEMENT PREPARATIONS Purchase History 387496 84280000-KERATOLYTIC AGENTS 68040000-ADRENALS Purchase History 387496

DEA CLASS

II II

Inventory Date 9/16/20 MANUFACTURER Fresenius Kabi USA, LLC West-Ward Pharmaceuticals Corp Apotex Corp. Athenex Pharmaceutical Division, LLC. West-Ward Pharmaceuticals Corp. 7.5; 325mg/15 VistaPharm, Inc. Teva Parenteral Medicines, Inc. 213g/1000mLMolnlycke Health Care Glenmark Pharmaceuticals Inc., USA 11.25mg/.5mL Nephron SC, Inc. ETHICON Hi-Tech Pharmacal Co., Inc. Precision Dose Inc. Marlex Pharmaceuticals Inc Avrio Health L.P. Ritedose Pharmaceuticals, LLC MEDEFIL INCORP. Hospira, Inc Arzol Chemical Pharmaceutical Associates, Inc.

STRENGTH 30mg/mL 20mg/mL 1g/1 2mg/mL 25mg/mL 5mg/mL 0.4mg/1 12-7MM 20mg/mL 160mg/5mL 100mg/1 10; 10mg/mL;Hospira, Inc. 10mg/mL 1.25mg/3mL 0.9% 500mg/1 25; 75mg/100Company 15mg/5mL

SGMC Smith Northview Med Desc ketorolac 30mg/1mL 1mL SOLN LIDOCAINE PF 2% 5mL SOLN ceFAZolin 1g VIAL ondansetron 4mg/2mL 2mL SOLN meperidine 25mg/1mL 1mL SOLN HYDROcodone-APAP 7.5-325MG 15mL metoclopramide 5mg/1mL 2mL SOLN chlorhexidine 4% 118ml liquid nitroglycerin 0.4mg subling racemic epinephrine 2.25%/0.5mL SOLN gelatin adsorbable 12-7MM sponge lidocaine VISCOUS 2% 15mL UD_LIQ acetaminophen 160mg/5mL LIQD phenazopyridine 100mg tablet lidocaine-EPINEPHrine 1% 20mL SOLN povidone-iodine 10% 118mL SOLN levalbuterol 1.25mg/3mL 3mL nebuliz sodium chloride 0.9% 10mL FLUSH cefTRIAXone 500mg SO

Meridian Divisor 25 25 25 25 25 50 25 1 100 30 12 40 100 100 25 1 30 60 10 100 237

QTY 12.00 10.00 6.00 18.00 4.00 2.00 4.00 3.00 25.00 5.00 1.00 8.00 11.00 10.00 5.00 4.00 5.00 17.00 6.00 10.00 75.00

63323016201 00143959425 60505614205 70860077602 00641605225 66689002350 00703450204 00234057504 68462063945 00487590199 63713001972 50383077517 68094058761 10135062001 00409317801 67618015004 76204090001 64253011130 00409733820 12870000101 00121075908

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