Page 5 - SGMC Inventory 22

4.20 2.66 2.54 1.41 1.23 1.12 7,089.04 54.02 17.94 11.78 11.76 2.82 2.51 423.00 266.30 28.57 15.60 14.09 11.50 7.27 4.36
Extended $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

Unit Cost 0.42 $ 0.67 $ 2.54 $ 0.70 $ 1.23 $ 1.12 $ 1,772.26 $ 10.80 $ 8.97 $ 2.36 $ 5.88 $ 0.70 $ 0.63 $ 35.25 $ 13.32 $ 7.14 $ 2.60 $ 2.35 $ 5.75 $ 1.82 $ 2.18 $

Package Cost 12.60 $ 16.64 $ 25.43 $ 17.62 $ 44.29 $ 40.26 $ 1,772.26 $ 108.04 $ 89.69 $ 23.56 $ 58.81 $ 17.62 $ 15.71 $ 35.25 $ 133.15 $ 178.54 $ 64.98 $ 58.69 $ 143.71 $ 45.45 $ 54.53 $

B: SMITH NORTHVIEW HOSP C: McKesson Catalog SMITH B: SMITH NORTHVIEW HOSP Purchase History 387496 B: SMITH NORTHVIEW HOSP C: McKesson Catalog SMITH NORTHVIEW HOSP 387496 C: McKesson Catalog SMITH 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 B: SMITH NORTHVIEW HOSP C: McKesson Catalog SMITH B: SMITH NORTHVIEW HOSP B: SMITH NORTHVIEW HOSP B: SMITH NORTHVIEW HOSP Purchase History 387496 B: SMITH NOR

SOURCE

AHFS 401200 - REPLACEMENT PREPARATIONS Purchase History 387496 40280800-LOOP DIURETICS NORTHVIEW HOSP 387496 28920000-CENTRAL NERVOUS SYSTEM AGENTS, MISC. 96000000- PHARMACEUTICAL AIDS Purchase History 387496 40200000-CALORIC AGENTS 40120000- REPLACEMENT PREPARATIONS NORTHVIEW HOSP 387496 12200800-DIRECT- ACTING SKELETAL MUSCLE RELAXANTS 40080000-ALKALINIZING AGENTS 40200000-CALORIC AGENTS 24040408- ANTIARRHYTHMIC AGENTS, CLASS Ib ANTIAR

DEA CLASS

Inventory Date 9/16/20 MANUFACTURER BD MEDICAL SURG Hospira, Inc. West-Ward Pharmaceuticals Corp Fresenius Kabi USA, LLC Baxter Healthcare Corporation Baxter Healthcare Corporation Eagle Pharmaceuticals, Inc. International Medication Systems, Limited International Medication Systems, Limited Hospira, Inc. Hospira, Inc. Fresenius Kabi USA, LLC Hospira, Inc. Amneal Pharmaceuticals LLC GE Healthcare Inc. Fresenius Kabi USA, Somerset Therapeutics, LLC Fresenius Kabi USA, LLC Fresenius Kabi USA, Hospira, Inc. AuroMedics Pharma LLC

STRENGTH 0.9% 10mg/mL 0.1mg/mL 1mL/mL 50g/1000mL 9g/1000mL 250mg/5mL 84mg/mL 500mg/mL 20mg/mL 100mg/mL 1mL/mL 10mg/mL 200mg/5mL 300mg/mL 2.5; .005mg/m LLC 10mg/mL 10mg/mL 5; .005mg/mLLLC 10mg/mL 5mg/mL

SGMC Smith Northview Med Desc Sodium Chloride 0.9% 10ml syringe Lasix 40mg/4ml (4ml) Romazicon 0.1mg/ml (5ml) Sterile Water 10ml D5W 250ml Bag NS 250ml Bag Ryanodex 250mg vial Sodium Bicarbonate 8.4% 50ml syringe Dextrose 25gm/50ml syringe Lidocaine 2% syringe Calcium Chloride 10mg vial/syringe Sterile Water for Injection 10ml vial Furosemide 40mg/4ml vial Kenalog 40mg/ml 5ml Omnipaque 300 10ml Marcaine 0.25% w/epi 30ml Dexamethasone 10 mg/ml vial PF Lidocaine 1% 5 ml SDV Marcaine 0.5% w/epi 30ml Lidocaine 1% 30ml Marcaine 0.5% PLAIN 30ml

Meridian Divisor 30 25 10 25 36 36 1 10 10 10 10 25 25 1 10 25 25 25 25 25 25

QTY 10.00 4.00 1.00 2.00 1.00 1.00 4.00 5.00 2.00 5.00 2.00 4.00 4.00 12.00 20.00 4.00 6.00 6.00 2.00 4.00 2.00

08290306547 00409610204 00143968410 63323018510 00338001702 00338004902 42367054032 76329335201 76329330101 00409132305 00409163110 63323018510 00409610202 70121116801 00407141310 63323046837 70069002125 63323049257 63323046237 00409427902 55150017030

NDC

0096 - SMITH NORTHVIEW HOSPITAL CODE BLUE BOX 0096 - SMITH NORTHVIEW HOSPITAL CODE BLUE BOX 0096 - SMITH NORTHVIEW HOSPITAL CODE BLUE BOX 0096 - SMITH NORTHVIEW HOSPITAL CODE BLUE BOX 0096 - SMITH NORTHVIEW HOSPITAL CODE BLUE BOX 0096 - SMITH NORTHVIEW HOSPITAL CODE BLUE BOX 0096 - SMITH NORTHVIEW HOSPITAL MALIGNANT HYPERTHERMIA 0096 - SMITH NORTHVIEW HOSPITAL MALIGNANT HYPERTHERMIA 0096 - SMITH NORTHVIEW HOSPITAL MALIGNANT HYPERTHERMIA 0096 - SMITH NORTHVIEW HOSPITAL MALIGNANT HYPERTHERMIA 0096 - SMITH NORTHVIEW HOSPITAL MALIGNANT HYPERTHERMIA 0096 - SMITH NORTHVIEW H

LOC