Page 112 - Inventory Report

Revisions Unit Cost Approved
AA

Z $ 1,021,287.64

Extended

Y $ 54.16 $ 53.05 $ 52.79 $ 51.94 $ 51.67 $ 51.63 $ 51.35 $ 49.34 $ 47.17 $ 46.22 $ 45.04 $ 42.56 $ 42.52 $ 41.73 $ 41.12 $ 40.30 $ 40.18 $ 39.33 $ 39.17 $ 38.98 $ 38.46

Unit
X Cost $ 4.51 $ 1.47 $ 1.76 $ 5.19 $ 3.23 $ 7.38 $ 7.34 $ 1.27 $ 4.72 $ 3.56 $ 4.09 $ 5.32 $ 4.72 $ 10.43 $ 4.11 $ 5.04 $ 4.02 $ 1.12 $ 1.78 $ 3.90 $ 3.50

Package Cost

W $ 451.31 $ 123.77 $ 17.60 $ 155.82 $ 96.87 $ 73.75 $ 7.34 $ 126.51 $ 141.52 $ 85.33 $ 122.85 $ 5.32 $ 141.72 $ 52.16 $ 411.21 $ 60.45 $ 120.55 $ 531.57 $ 17.80 $ 116.94 $ 104.88

V SOURCE 7300001433 MIS NADAC 7300011746 7300001849 7300010357 7300001408 7300002818 7300009601 7300000668 7300001866 7300011005 7300010027 7300009745 7300011253 7300003498 7300009081 7300011272 7300004199 7300001155 7300011305 7300002106

U AHFS PHENOTHIAZINES ANTIPSYCHOTIC 28080800-OPIATE ANTIRETROVIRALS, HIV NUCLEOSIDE & IMMUNOSUPPRESSIVE ANTICOAGULANTS, ANTIBACTERIALS, 68040000-ADRENALS ANTIRETROVIRALS, HIV NUCLEOSIDE & 12120812-ALPHA- & BETA-ADRENERGIC ANTIBACTERIALS (SKIN ERYTHROMYCINS 28080800-OPIATE SMOOTH MUSCLE CORTICOSTEROIDS 92160000-ANTIGOUT 28080800-OPIATE 24060600-FIBRIC ACID
28160824- AGENTS 40120000- REPLACEMENT AGONISTS 08180820- 92440000- AGENTS 20120416- 08122820- LINCOMYCINS 08180820- 40120000- REPLACEMENT PREPARATIONS 84040400- & MUCOUS 08121204- MACROLIDES, AGONISTS 86160000- RESPIRATORY 84060800- AGENTS 48080000- ANTITUSSIVES AGONISTS DERIVATIVES 24320800- ANGIOTENSIN II RECEPTOR

DEA
T CLAS S II II II II

S GENER IC CODE 14432 2962 34707 94668 19646 62773 40822 27056 26720 3282 98776 47450 40730 24635 326 27941 35674 13973 33309 93437 73543

MANUFACTURER LLC

R Upsher-Smith Laboratories, Inc. B. Braun Medical Inc. Hospira, Inc. Major TABLET, FILM Pharmaceuticals, Inc American Health Packaging Sanofi-Aventis U.S. LLC Akorn, Inc. American Health Packaging Packaging Baxter Healthcare Corporation Mylan Specialty L.P. Teva Pharmaceuticals USA, Inc. Arbor Pharmaceuticals, Inc. SpecGx Endo Pharmaceuticals, Inc. Paddock Laboratories, LLC American Health KVK-Tech, Inc. Hospira, Inc. American Health Packaging Mylan Pharmaceuticals Inc.

DOSE FORM S INJECTION, TABLET, FILM American Health S INJECTION, TABLET, FILM Packaging

Q ORAL TABLET, SUGAR COATED INTRAVENOU INTRAMUSCU LAR/INTRAVE NOUS; SUBCUTANE ORAL COATED ORAL TABLET, DELAYED SUBCUTANE OUS INTRAVENOU S INJECTION ORAL TABLET ORAL COATED INTRAVENOU SOLUTION RESPIRATOR TOPICAL OINTMENT ORAL TABLET, DELAYED TRANSDERM AL PATCH, EXTENDED ORAL CAPSULE, EXTENDED RECTAL SUPPOSITOR ORAL ORAL LIQUID INTRAMUSCU LAR/INTRAVE ORAL CAPSULE ORAL TABLET

SIZE Y
P TXT

UOI
O SIZE

PACK AGE 100 50 0.5 30 30 1 50 100 30 100 2 22 30 5 100 12 30 473 1 30 30
N SIZE

M STRENG TH 25mg/1 9mg/mL 1mg/mL 300mg/1 180mg/1 100mg/m L 900mg/50 mL 4mg/1 150mg/1 0mL 20ug/2mL 20mg/g 250mg/1 12.5ug/h 300mg/1 25mg/1 0.6mg/1 5; 1.5mg/5m L; mg/5mL 4mg/mL 200mg/1 8mg/1

L GENERIC CHLORPRO MAZINE HYDROCHL ORIDE SODIUM CHLORIDE HYDROMO RPHONE HYDROCHL ORIDE ABACAVIR SULFATE MYCOPHEN OLATE SODIUM ENOXAPARI N SODIUM CLINDAMYC IN PHOSPHAT METHYLPR EDNISOLON LAMIVUDIN E POTASSIUM POTASSIUM 14.9g/100 CHLORIDE FORMOTER OL MUPIROCIN ERYTHROM YCIN FENTANYL THEOPHYL LINE ANHYDROU HYDROCOR TISONE COLCHICIN E HYDROCOD ONE BITARTRAT E; HOMATROP INE MORPHINE SULFATE FENOFIBRA TE CANDESAR TAN CILEXETIL

K TRADE CHLORPRO MAZINE HYDROCHL ORIDE SODIUM CHLORIDE HYDROMOR PHONE HYDROCHL ORIDE ABACAVIR SULFATE MYCOPHEN OLIC ACID LOVENOX CLINDAMYC IN PHOSPHAT METHYLPR EDNISOLON LAMIVUDIN CHLORIDE PERFOROM IST MUPIROCIN ERY-TAB FENTANYL TRANSDER MAL THEO-24 HYDROCOR TISONE COLCHICIN E HYDROCOD ONE E AND HOMATROP INE MORPHINE SULFATE FENOFIBRA TE CANDESAR TAN CILEXETIL

J MERIDIAN DESC CHLORPROMAZINE HCL 25mg TABS package size 100 divisor 100 SODIUM CHLORIDE 0.9% 0.009 IVSL 50 84 HYDROMORPHONE HCL 0.5mg/0.5ml SYRN package size 0.5 divisor 10 ABACAVIR 300mg TABS package size 30 divisor 30 MYCOPHENOLATE (Myfortic) 180 mg ER SODIUM 180mg TABS package size 30 divisor ENOXAPARIN SODIUM 100mg/Ml SYRN CLINDAMYCIN PHOS/D5W 900mg/50ml BTTL METHYLPREDNISOLO NE 4mg TABS package LAMIVUDINE ORAL TABLET 150 MG 150 mg TAB package size 30 E POTASSIUM CHLORIDE 20meq/100ml IPSL package size 100 divisor FORMOTEROL FUMARATE 20mcg/2ml MUPIROCIN 0.02 OINT package size 22 divisor 1 ERYTHROMYCIN BASE 2

Med Desc chlorproMAZINE (Thorazine) 25 mg sodium chloride 0.9% (NaCl 0.9%) HYDROmorphone mL Injection abacavir (Ziagen) 300 mg Tab mycophenolic acid enoxaparin (Lovenox) 100 mg/1 clindamycin/D5W (Cleocin/D5W) 900 mg/50 mL Bag methylPREDNISolon e (Medrol) 4 mg Tab lamiVUDine (Epivir) 150 mg Tab potassium chloride (Potassium Chloride Premix) 20 mEq/100 mL Bag formoterol (Perforomist) 20 mupirocin 2% Ointment 22 gm (Bactroban) (22 erythromycin (Ery- Tab) 250 mg EC 12) 12 mcg/1 patch theophylline 24) 300 mg CR hydrocortisone acetate (Anusol-HC) colchicine (Colcrys) 0.6 mg Tab HYDROcodone- homatropine (Hy

I (Dilaudid) 0.5 mg/0.5 fentaNYL (Duragesic- anhydrous CR (Theo-

Alert
H Tab Tablet Tablet Patch Syrup Cap

1 2249 2250 2251 2252 2253 2254 2255 2256 2257 2258 2259 2260 2261 2262 2263 2264 2265 2266 2267 2268 2269