Page 109 - Inventory Report

Revisions $15.69 - unit cost $30.91 - revised unit cost
AA

Z $ 1,021,287.64

Extended

Y $ 454.70 $ 346.18 $ 325.05 $ 315.80 $ 282.03 $ 276.81 $ 275.20 $ 235.35 $ 230.88 $ 215.02 $ 206.56 $ 192.56 $ 179.70 $ 174.53 $ 156.62 $ 154.55 $ 146.55 $ 133.98 $ 131.48 $ 129.79 $ 129.44 $ 128.05

Unit
X Cost $ 56.84 $ 24.73 $ 36.12 $ 17.54 $ 56.41 $ 55.36 $ 27.52 $ 15.69 $ 38.48 $ 23.89 $ 51.64 $ 96.28 $ 35.94 $ 14.54 $ 9.21 $ 30.91 $ 29.31 $ 4.79 $181.10 $ 14.42 $ 8.63 $ 21.34

Package Cost

W ######## $ 247.27 ######## $ 438.61 ######## $ 553.61 ######## $ 15.69 ######## $ 95.56 $ 516.39 $ 96.28 $ 898.49 $ 145.44 $ 552.78 $ 309.10 $ 293.10 $ 47.85 $ 181.10 $ 432.63 $ 258.89 $ 213.42

V SOURCE 7300010414 7300006427 7300010618 7300008680 7300012126 7300008856 7300006307 UPDATED PRICE 7300011213 7300009520 7300011128 7300010862 7300008684 7300001404 7300011057 MIS NADAC/UPD ATED 7300002184 7300000372 7300011120 7300010242 7300000493 7300008950

U AHFS ANTIRETROVIRALS, HIV NUCLEOSIDE & MONOBACTAMS, 68040000-ADRENALS ANTIRETROVIRALS, ANTIARRHYTHMIC AGENTS, CLASS Ia ANTIARRHYTHMICS ANTIPROTOZOALS, MISCELLANEOUS ANTIBACTERIALS, 28080800-OPIATE ANTICONVULSANTS, 88240000-VITAMIN K ANTICOAGULANTS, ANTICONVULSANTS, ROENTGENOGRAPHY AND OTHER IMAGING 08121616-EXTENDED- 68200816-INSULINS, ANTIPARATHYROID
08180820- NUCLEOTIDE 08120716- 08180812- 24040404- 08309200- 08122830- RIFAMYCINS AGONISTS 28129200- 08141600- ECHINOCANDIN ACTIVITY 20120416- 28129200- 36680000- 20040400-IRON PREPARATIONS SPECTRUM PENICILLINS LONG-ACTING 68240400- AGENTS 56283200- PROTECTANTS 08122400- TETRACYCLINE

DEA
T CLAS S II V V

S GENER IC CODE 23152 41911 27354 35079 1101 34490 28530 70742 14344 97472 94725 62771 14338 25520 86371 13072 21497 40340

MANUFACTURER

R TABLET, FILM Gilead Sciences, Inc E.R. Squibb & Sons, L.L.C. Zydus Pharmaceuticals Inc. Mylan Institutional Inc. ViiV Healthcare Nexus Pharmaceuticals Inc VistaPharm, Inc. Salix Pharmaceuticals, Inc. Paddock Laboratories, LLC UCB, Inc. Astellas Pharma US, Inc. Hospira, Inc. Sanofi-Aventis U.S. LLC GE Healthcare Inc. American Regent, Inc. Apotex Corporation Sanofi-Aventis U.S. LLC Packaging Precision Dose Inc. Fresenius Kabi USA, LLC

DOSE FORM TABLET, FILM Company S INJECTION, TABLET, FILM UCB, Inc. S INJECTION, TABLET, FILM American Health S INJECTION,

Q ORAL COATED INTRAMUSCU LAR/INTRAVE Rectal Suppository INTRA- ARTICULAR; INTRALESION ORAL INTRAMUSCU LAR; INTRAVENOU S INJECTION ORAL SUSPENSION , SACHETS, ORAL TABLET RECTAL SUPPOSITOR INTRAVENOU S INJECTION INTRAVENOU EMULSION INTRAMUSCU SUBCUTANE OUS ORAL INTRAVENOU S INJECTION INTRAVENOU SOLUTION VIAL SUBCUTANE OUS INJECTION, ORAL COATED ORAL SUSPENSION INTRAVENOU

SIZE Y
P TXT

UOI
O SIZE

PACK AGE 30 1 30 30 30 2 5 60 4 20 1 1 0.6 60 50 5 1 10 30 10 1
N SIZE

M STRENG TH 200; mg/1 1g/1 1000mg/1 4mg/mL 50mg/1 500mg/m L 750mg/5 mL 550mg/1 16.2mg/1; 60mg/1 10mg/mL 20mg/mL 10 mg/mL 60mg/.6m L 50mg/1 240mg/m L 20mg/mL 4.5 G 100[iU]/m L 30mg/1 1GM/10M 100mg/10 mL

L GENERIC EMTRICITA BINE; TENOFOVIR 300mg/1; DISOPROXI AZTREONA M Mesalamine DEXAMETH ASONE SODIUM DOLUTEGR AVIR PROCAINA MIDE HYDROCHL ORIDE ATOVAQUO NE RIFAXIMIN ATROPA BELLADON NA; OPIUM LACOSAMID E MICAFUNGI N SODIUM PHYTONADI ONE ENOXAPARI N SODIUM LACOSAMID E IOHEXOL IRON SUCROSE PIPERACILL IN SODIUM/TA INSULIN GLARGINE CINACALCE T HYDROCHL SUCRALFA TE L DOXYCYCLI NE

K TRADE TRUVADA AZACTAM Mesalamine DEXAMETH ASONE SODIUM TIVICAY PROCAINA MIDE HYDROCHL ORIDE ATOVAQUO NE XIFAXAN BELLADON NA AND OPIUM VIMPAT MYCAMINE K1 VITAMIN LOVENOX VIMPAT OMNIPAQU E VENOFER PIPERACILL IN- TAZOBACT LANTUS CINACALCE T HYDROCHL SUCRALFAT E

J MERIDIAN DESC EMTRICITABINE/TENO FOVIR DP FUM 200- size 30 divisor 30 AZTREONAM 1gm PWVL package size 1 MESALAMINE RECTAL SUPP.RECT 1000 MG 1000 mg SUP package DEXAMETHASONE SOD PHOS 4mg/Ml MDV package size 30 DOLUTEGRAVIR 50mg TABS package size 30 PROCAINAMIDE HCL 500mg/Ml MDV package size 2 divisor 10 ATOVAQUONE ORAL ORAL SUSP 750 MG/5ML 750 SUS RIFAXIMIN 550mg TABS package size 60 divisor 60 OPIUM/BELLADONNA ALK 60-16.2mg SUPP package size 4 divisor 4 LACOSAMIDE 10mg/Ml SDV package size 20 MICAFUNGIN SODIUM 100mg PWVL package VITAMIN K (PHYTONIDIONE) ENOXAPARIN SODIUM 60mg/0.6ml SYRN LACOSAMIDE 50mg TABS package

Med Desc emtricitabine- tenofovir mg (Truvada) Tab aztreonam (Azactam) 1 gm mesalamine (Canasa) 1000 mg/1 suppository Supp dexamethasone sodium phosphate (Decadron) 4 mg/1 50 mg Tab procainamide HCl (Pronestyl) 1000 mg/2 mL Injection atovaquone (Mepron) 750 mg/5 mL Oral Suspension influenza virus vaccine (6 mo and older) (Fluarix Quadrivalent) (0.5 rifaximin (Xifaxan) 550 mg Tab belladonna-opium #16-A (16.2 mg-60 mg) (B&O #16 A) lacosamide (Vimpat) 200 mg/20 mL micafungin (Mycamine) 100 phytonadione (Vitamin K) 10 mg/1 enoxaparin (Lovenox) 60 mg/0.6 lacosamide (Vimpat) 50 mg Tab 12 gm/50 mL Bottle (

I FUMARATE 200-300 300mg TABS package dolutegravir (Tivicay) iohexol (Omnipaque) iron sucrose complex FE SUCROSE (Vibramycin) 100 mg

Alert
H Tab

1 2187 2188 2189 2190 2191 2192 2193 2194 2195 2196 2197 2198 2199 2200 2201 2202 2203 2204 2205 2206 2207 2208