Page 100 - Inventory Report

Revisions $4.81 - revised unit cost Unit Cost Approved $0.41 - unit cost $8.8 - unit cost Unit Cost Approved
AA

Z $ 1,021,287.64

Extended

Y $ 81.95 $ 72.15 $ 63.64 $ 427.78 $ 426.04 $ 393.49 $ 374.86 $ 321.36 $ 289.74 $ 266.98 $ 130.13 $ 124.54 $ 121.31 $ 72.31 $ 67.38 $ 64.81 $ 56.14 $ 39.36 $ - $ 8,587.93

Unit
X Cost $ 2.05 $ 4.81 $ 3.18 $ 10.69 $ 2.96 $ 2.46 $ 3.90 $ 4.02 $ 1.81 $ 6.67 $ 4.07 $ 3.89 $ 1.01 $ 0.90 $ 0.70 $ 0.27 $ 0.58 $ 0.41 $ 8.80 $178.92

Package Cost

W $ 20.49 $ 4.81 $ 31.82 $ 106.95 $ 29.59 $ 24.59 $ 97.62 $ 40.17 $ 18.11 $ 166.86 $ 40.67 $ 97.30 $ 25.27 $ 22.60 $ 17.55 $ 13.50 $ 14.62 $ 10.25 $ 264.00 ########

V SOURCE 7300008578 MIS NADAC/UPD ATED 7300007885 7300009415 7300000577 7300006405 7300012201 7300006508 7300002577 7300005283 7300006236 7300008694 7300001623 7300008690 7300008748 7300008680 UPDATED PRICE UPDATED PRICE 7300018720

72000000-LOCAL ANESTHETICS 52320000- 28920000-CENTRAL NERVOUS SYSTEM 56229200- ANTIEMETICS, 12202000- NEUROMUSCULAR 72000000-LOCAL ANESTHETICS 12202000- NEUROMUSCULAR 28049200-GENERAL ANESTHETICS, ACTING SKELETAL MUSCLE RELAXNT 28049200-GENERAL ANESTHETICS, 28080492-OTHER INFLAM. AGENTS 04041200- PHENOTHIAZINE 04040400- ETHANOLAMINE 52920000-EENT DRUGS, 56222000-5-HT3 RECEPTOR 122020

U AHFS (PARENTERAL) VASOCONSTRICTORS PRICE (PARENTERAL) 68040000-ADRENALS 12200400-CENTRALLY 68040000-ADRENALS NONSTEROIDAL ANTI- DERIVATIVES DERIVATIVES MISCELLANEOUS MIS NADAC 68040000-ADRENALS ANTAGONISTS 68280000-PITUITARY

DEA
T CLAS S

S GENER IC CODE 19768 34062 28021 18160 37201 26885 97837 19670 14021 17881 28143 35239 14981 46013 87031 27354 37407

MANUFACTURER Inc. AuroMedics Pharma Par Pharmaceutical,

R Hospira, Perrigo New York Inc Fresenius Kabi USA, LLC Baxter Healthcare Corporation Hospira, Inc. LLC Fresenius Kabi USA, LLC Fresenius Kabi USA, LLC Fresenius Kabi USA, LLC West-Ward Pharmaceuticals Corp. Mylan Institutional LLC Pharmacia and Upjohn Company LLC Fresenius Kabi USA, LLC West-Ward Pharmaceuticals Corp. Fresenius Kabi USA, LLC Allergan, Inc. Fresenius Kabi USA, LLC Heritage Pharmaceuticals Nephron Pharmaceuticals Corporation Inc.

DOSE FORM S INJECTION, S INJECTION, OPHTHALMIC

Q SUBARACHN OID 10X2ML INJECTION, NASAL SPRAY INTRAVENOU 10X5ML S INJECTION, TRANSDERM 10X1EA AL PATCH, INTRAVENOU 10X5ML S INJECTION, EPIDURAL; INFILTRATIO INTRAMUSCU LAR/INTRAVE INTRAVENOU 10X1EA S INJECTION, INTRAVENOU INTRAMUSCU LAR; INTRAVENOU INTRAVENOU INTRAMUSCU LAR/INTRAVE NOUS 25X1EA INJECTION, INTRAMUSCU LAR 25X1ML INJECTION, INTRAMUSCU LAR; INTRAVENOU 25X1ML S INJECTION INTRAMUSCU LAR/INTRAVE NOUS 25X1ML INJECTION, SOLUTION, DROPS INTRAMUSCU LAR/INTRAVE INTRAMUSCU LAR; INTRAVENOU S INJECTION SYRINGE INTRAVENOU 25X1ML S INJECTION

SIZE 10X5ML N; 25X1ML NOUS 25X1ML NOUS
P TXT 30 ML 10X20M L 25X10M L 10X20M L 50X0.4 ML

UOI
O SIZE

PACK AGE 2 30 5 10 5 5 1 1 20 10 20 1 1 1 1 0.4 1 5 1
N SIZE

M STRENG TH 7.5mg/mL 0.05g/100 mL 0.1mg/mL 1mg/3d 10mg/mL 20mg/mL 10mg/mL 1mg/mL 10mg/mL 100mg/m L 2mg/mL 125mg/2 mL 30mg/mL 25mg/mL 50mg/mL 14; 6mg/mL; mg/mL 4mg/mL 2mg/mL 20 MG/ML 20[USP'U ]/mL

L GENERIC BUPIVACAI NE HYDROCHL OXYMETAZ OLINE HYDROCHL ORIDE FLUMAZENI L SCOPOLAM INE ROCURONI UM LIDOCAINE HYDROCHL ORIDE DEXAMETH ASONE SODIUM VECURONI UM PROPOFOL METHOCAR BAMOL ETOMIDATE METHYLPR EDNISOLON E SODIUM SUCCINATE KETOROLA C TROMETHA PROMETHA ZINE HYDROCHL ORIDE DIPHENHYD RAMINE HYDROCHL ORIDE POLYVINYL ALCOHOL; POVIDONE DEXAMETH ASONE SODIUM ONDANSET RON HYDROCHL ORIDE SUCCINYLC HOLINE/SO D CLR,ISO/PF VASOPRES SIN

K TRADE BUPIVACAI NE Spinal OXYMETAZ OLINE HYDROCHL ORIDE FLUMAZENI L TRANSDER M SCOP ROCURONI UM LIDOCAINE HYDROCHL ORIDE DEXAMETH ASONE SODIUM VECURONIU M BROMIDE DIPRIVAN ROBAXIN ETOMIDATE SOLU- MEDROL KETOROLA C TROMETHA PROMETHA ZINE HYDROCHL ORIDE DIPHENHYD RAMINE HYDROCHL ORIDE REFRESH CLASSIC DEXAMETH ASONE SODIUM ONDANSET RON HYDROCHL ORIDE SUCCINYLC HOLINE CHLORIDE- NACL VASOSTRIC T

J MERIDIAN DESC BUPIVACAINE- DEXTROSE AMPUL 0.75 % 2 NASAL SPRAY SPRAY 0.05 % 30 FLUMAZENIL VIAL 0.1 MG/ML 5 TRANSDERM-SCOP PATCH TD 3 BROMIDE VIAL 10 LIDOCAINE HCL 2% LIDOCAINE HCL VIAL 20 MG/ML 5 DEXAMETHASONE SODIUM PHOSPHATE VIAL 10 MG/ML 1 VECURONIUM BROMIDE VIAL 10 MG DIPRIVAN VIAL 10 MG/ML 20 ROBAXIN VIAL 100 MG/ML 10 ETOMIDATE VIAL 2 MG/ML 20 SOLU-MEDROL VIAL 125 MG/2ML 1 KETOROLAC TROMETHAMINE VIAL 30MG/ML(1) 1 PROMETHAZINE HCL VIAL 25 MG/ML 1 HCL VIAL 50 MG/ML 1 REFRESH CLASSIC DROPERETTE 1.4 %- 0.6% 1 DEXAMETHASONE SODIUM PHOSPHATE VIAL 4 MG/ML 1 ONDANSETRON HCL 4 MG/2 ML VIAL SUCCINYLCHOLINE CHLO

Med Desc Bupivacaine W/Dextrose 7.5mg/Ml AMPS OXYMETAZOLINE 0.05% 30ML FLUMAZENIL 0.1MG/ML 10X5ML Transderm Scop 1mg/72hr PTCH 10mg/Ml MDV 10X5ML MPF Dexamethasone Sodium Phosphate 10mg/Ml SDPF 10mg PWVL Diprivan 10mg/Ml SDPF 10X20ML Robaxin 100mg/Ml SDV 25X10ML ETOMIDATE 2MG/ML 10X20ML Solu-Medrol 125mg PWVL 25X1EA Ketorolac Tromethamine 30mg/Ml SDV Promethazine Hcl 25mg/Ml SDV 25X1ML DIPHENHYDRAMIN 25PK-FK REFRESH 0.6-1.4% 50X0.4MLUD PF Dexamethasone Sodium Phosphate 4mg/Ml SDV ONDANSETRON HCL 2MG/ML 25X2ML Succinylcholine Chloride Injection, USP 100 mg/5 mL (20 mg/mL) - Vasostrict 20u/Ml

I Rocuronium Bromide ROCURONIUM Vecuronium Bromide E HCL INJ 50MG/ML DIPHENHYDRAMINE

Alert /Ext/ Pkg
H

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