Page 105 - Inventory Report

Revisions $40 - revised unit cost Unit Cost Approved Unit Cost Approved
AA

Z $ 1,021,287.64

Extended

Y $ 120.35 $ 120.00 $ 119.57 $ 112.77 $ 112.41 $ 109.95 $ 108.86 $ 108.47 $ 107.36 $ 100.00 $ 98.80 $ 98.71 $ 90.63 $ 90.47 $ 86.95 $ 83.92 $ 74.32 $ 73.03

Unit
X Cost $ 1.49 $ 40.00 $ 59.78 $ 0.94 $ 1.25 $ 0.13 $ 0.10 $ 12.05 $ 0.49 $ 4.00 $ 0.29 $ 0.99 $ 0.91 $ 1.24 $ 1.26 $ 2.40 $ 4.65 $ 10.43

Package Cost

W $ 14.86 $ 40.00 $ 59.78 $ 56.39 $ 62.45 $ 63.27 $ 47.87 $ 60.26 $ 44.12 $ 120.00 $ 29.32 $ 98.71 $ 90.63 $ 37.18 $ 31.50 $ 71.93 $ 23.23 $ 52.16

V SOURCE 7300005794 MIS NADAC/UPD ATED 7300000201 MIS NADAC 7300010708 7300004008 7300004017 7300010061 7300010409 7300019042 7300003920 MIS NADAC 7300002407 7300004713 7300007392 7300010668 7300007752 7300011253

28080800-OPIATE AGONISTS 28081200-OPIATE PARTIAL AGONISTS 56080000- ANTIDIARRHEA AGENTS 28129200- 28240400- BARBITURATES 28080800-OPIATE AGONISTS 28080800-OPIATE AGONISTS 28129200- 28049200-GENERAL ANESTHETICS, MISCELLANEOUS 28080800-OPIATE AGONISTS 28160428- NOREPINEPHRINE- 28203200- RESPIRATORY AND CNS STIMULANTS 28080800-OPIATE AGONISTS 28240800- BENZODIAZEPINES 28081200-OPIATE PARTIAL AGONISTS 28080800-OPIATE AGONISTS 28080800-OPIATE AGONISTS

U AHFS 68080000-ANDROGENS ANTICONVULSANTS, ANTICONVULSANTS, ANTIDEPRESSANTS TRICYCLICS & OTHER REUPTAKE INHIBITORS (ANXIOLYTIC,SEDATIV/

DEA
T CLAS S II III IV V V IV II II V III II IV II II IV III II II

S GENER IC CODE 45122 10253 20351 65020 23047 12956 16410 19203 23039 16290 16683 15911 16060 33823 18974 19201 24635

MANUFACTURER Inc. LLC

R Hospira, West-Ward Pharmaceuticals Corp. West-Ward Pharmaceuticals Corp. West-Ward Pharmaceuticals Corp. Dr. Reddy's Laboratories, Inc. Par Pharmaceutical Companies, Inc. West-Ward Pharmaceuticals Corp. Mylan Pharmaceuticals Inc. Cipla USA Inc. Nephron Pharmaceuticals Corporation SpecGx LLC Mylan Inc. Camber Pharmaceutical, Inc. Precision Dose Inc. Fresenius Kabi USA, LLC SpecGx LLC Mylan Pharmaceuticals Inc. SpecGx

DOSE FORM TABLET, FILM Pharmaceuticals

Q INTRAMUSCU LAR/INTRAVE NOUS; INTRAMUSCU LAR INJECTION, NASAL SPRAY, METERED ORAL SOLUTION ORAL CAPSULE ORAL ELIXIR ORAL SOLUTION TRANSDERM AL PATCH ORAL CAPSULE SYRINGE ORAL TABLET ORAL COATED ORAL TABLET ORAL SOLUTION INTRAMUSCU LAR/INTRAVE NOUS SUBLINGUAL TABLET TRANSDERM AL PATCH TRANSDERM AL PATCH, EXTENDED

SIZE
P TXT

UOI
O SIZE

PACK AGE 1 5 2.5 60 50 473 500 5 90 3 100 100 100 5 1 30 5 5
N SIZE

M STRENG TH 25mg/mL 200mg/m L 10mg/mL 2.5; .025mg/5 mL; mg/5mL 75mg/1 20mg/5m L 10mg/5m L 100ug/h 25mg/1 30MG/3M L 5mg/1 5; 14mg/1; mg/1 10mg/1 10mg/5m L 5mg/mL 8mg/1; 2mg/1 50ug/h 12.5ug/h

L GENERIC MEPERIDIN E HYDROCHL TESTOSTE RONE ENANTHAT BUTORPHA NOL TARTRATE DIPHENOXY LATE HYDROCHL ORIDE; ATROPINE SULFATE PREGABALI N PHENOBAR BITAL METHADON E HYDROCHL FENTANYL PREGABALI N KETAMINE HCL IN NACL, ISO- OXYCODON E HYDROCHL CHLORDIAZ EPOXIDE; AMITRIPTYL INE HYDROCHL ORIDE METHYLPH ENIDATE HYDROCHL ORIDE MORPHINE SULFATE M HYDROCHL BUPRENOR PHINE HYDROCHL ORIDE; NALOXONE HYDROCHL FENTANYL FENTANYL

K TRADE DEMEROL TESTOSTE RONE ENANTHAT BUTORPHA NOL TARTRATE DIPHENOXY LATE HYDROCHL ORIDE AND ATROPINE SULFATE PREGABALI N PHENOBAR BITAL METHADON E HYDROCHL FENTANYL PREGABALI N KETAMINE HCL-NACL OXYCODON E HYDROCHL CHLORDIAZ EPOXIDE AND AMITRIPTYL INE HYDROCHL METHYLPH ENIDATE HYDROCHL ORIDE MORPHINE SULFATE MIDAZOLAM MIDAZOLA HYDROCHL ORIDE BUPRENOR PHINE AND NALOXONE FENTANYL FENTANYL TRANSDER MAL

J MERIDIAN DESC MEPERIDINE HCL 25mg/Ml CARP package size 1 divisor 10 TESTOSTERONE ENANTHATE 200mg/Ml MDV 5 1 BUTORPHANOL TARTRATE 10mg/Ml SPIN package size 2.5 DIPHENOXYLATE/ATR OPINE 2.5-0.025mg/5ml LIQD 60 60 PREGABALIN ORAL CAPSULE 75 MG 75 PHENOBARBITAL 20mg/5ml ELIX package METHADONE HCL 10mg/5ml SOLN package size 500 divisor FENTANYL 100mcg/Hr PTCH package size 5 divisor 5 PREGABALIN ORAL CAPSULE 25 MG 25 Ketamine Hydrochloride Injection, USP 30 mg/3 mL package size 3 OXYCODONE HCL 5mg TABS package size 100 divisor 100 AMITRIP HCL/CHLORDIAZEPOXI DE 12.5-5 mg TABS 100 100 METHYLPHENIDATE HCL ORAL TABLET 1

Med Desc Meperidine 25mg/ml Testosterone 200mg/ml 1ML VIAL Butorphanol 2.5ml Nasal Sry Diphenoxylate/Atrop Soln. BULK PREGABALIN 75 PHENobarbital Elixir BULK BTL Methadone 10mg/5ml BULK BTL FENtanyl 100mcg/HR Patch PREGABALIN 25 Ketamine 30mg/3ml Oxycodone IR 5mg Amitrip/Chlordiazepo xide Tab Methylphenidate 10mg Tab MORphine UD LIQ 10mg/5ml Midazolam Hcl 5mg/1ml Buprenorphine/Nalox one 8mg/2mg FENtanyl 50mcg/HR FENTANYL 12.5mcg/HR Patch

I

Alert
H Vial MG MG Syr TAB Patch

1 2112 2113 2114 2115 2116 2117 2118 2119 2120 2121 2122 2123 2124 2125 2126 2127 2128 2129