Page 13 - Inventory Report
P. 13

Revisions    Unit Cost   Approved  Unit Cost   Approved  Unit Cost   Approved  $2.05 -   revised   unit cost                 Unit Cost   Approved
       AA






       Z       $ 1,021,287.64




              Extended

       Y                 $       10.54    $       10.43    $       10.41    $       10.10    $         8.17    $         8.11    $         7.51    $         6.30    $         5.91    $         5.47    $         4.75    $         4.10    $         3.83    $         3.80    $         2.84    $         2.46    $         2.42    $         1.89    $         1.79    $         1.24    $         1.18



             Unit
       X      Cost       $    0.02    $    0.40    $    1.16    $    5.05    $    8.17    $    0.08    $    0.75    $    0.42    $    1.97    $    0.09    $    0.95    $    2.05    $    1.91    $    0.04    $    2.84    $    2.46    $    0.02    $    0.02    $    0.00    $    1.24    $    1.18


             Package   Cost

       W                 $    11.08    $    16.04    $  115.63    $      5.05    $    81.67    $      8.11    $    75.13    $    12.59    $      1.97    $      5.47    $    11.40    $      2.05    $    47.84    $      9.59    $      2.84    $    61.48    $      2.60    $      1.89    $      2.09    $      1.24    $    35.32





       V      SOURCE    7300010503  7300006890  7300011222  MIS NADAC  7300009158  7300004438  7300002959  7300003456  7300004308  MIS   NADAC/UPD  7300008867  7300004146  7300007175  7300006405  7300010830  MIS NADAC  7300009553  7300007111  7300002433









       U      AHFS    PHENOTHIAZINE  DERIVATIVES                 401000 - AMMONIA  DETOXICANTS                 MIS NADAC  CYCLOOXYGENASE-2  56120000-CATHARTICS  AND LAXATIVES                ANTIBACTERIALS,   GLYCOPEPTIDES  52160000-LOCAL  ANESTHETICS (EENT)      08142800-POLYENES        ANTAGONISTS               AMINOPENICILLINS         MIS NADAC  DIURETICS                        56120000-CATHARTICS  AND LAXATIVES                AMINOPENICILLINS         ATED   12120400-ALPHA-  AGONISTS                 56120000-CATHARTICS  AND LAXATIVES               84049200-LOCAL ANTI-  72000000-LOCAL   (PARENTERAL)            04080000-SECOND   ANTIHISTAMINES          DERIVATIVES
                   04041200-    28080408-  08122816-            56222000-5-HT3   RECEPTOR   08121608-  40280800-LOOP   08121608-  ADRENERGIC   INFECTIVES,   ANESTHETICS   GENERATION   04040400-  ETHANOLAMINE   INFECTIVES,   INFECTIVES,   INFECTIVES,




         DEA
       T    CLAS  S


       S  GENER  IC   CODE  15035  30962  42002  86212  25802  11941  42440  20046  39683  34950  9240  39683  20310  8660  24340  26885  49290      23248  29761     23248


              MANUFACTURER             Laboratories



       R           Morton Grove   Pharmaceuticals,   Inc.  PHARMACEUTICA  American Health   Packaging  Rugby  Fresenius Kabi   USA, LLC  Hi-Tech Pharmacal   Co., Inc.  VistaPharm, Inc.  Aurobindo Pharma   Limited  Inc  Sandoz  West-Ward   Pharmaceuticals   Corp.  Major   Pharmaceuticals  Teva   Pharmaceuticals   USA, Inc.  Avadel Legacy   Pharmaceuticals,   LLC  Geri-Care   Pharmaceuticals,   Corp  Rugby Laboratories  West-Ward   Pharmaceuticals   Corp  Perrigo New York   Inc  Cardinal Health  Xttrium   Laboratories, Inc.  Major   Pharmaceuticals  Precision Dose, Inc.





              DOSE FORM      L              S INJECTION,

       Q                473 ML   ORAL SYRUP  SOLUTION  ORAL   CAPSULE  ORAL   POWDER,  INTRAVENOU  ORAL;   TOPICAL   ORAL   SUSPENSION  ORAL   TABLET,   ORALLY   3X10EA DISINTEGRA  ORAL   POWDER,  ORAL   SOLUTION  ORAL LIQUID  ORAL   POWDER,   FOR   INTRAVENOU  25X1ML S INJECTION  237 ML   ORAL LIQUID  TOPICAL   EPIDURAL;   INFILTRATIO  ORAL   ORAL   473 ML   ORAL RINSE  TOPICAL   OINTMENT  ORAL RINSE




            SIZE                               10X1EA POWDER,   100 ML   SOLUTION                                   207 ML   SHAMPOO  25X5ML N;   118 ML   SOLUTION  118 ML   SOLUTION
       P      TXT          40X30M  L  10X10E  A   238 GM   100X5M  L      80 ML     60 ML     12X296  ML  80 ML                                           28.35   GM  30X15M  L


            UOI
       O      SIZE
                                                                                                                                                                      30
         PACK  AGE      473  30   100  238     1      100  5         30   80     60   296     80        1      237  207     5      118       118     473    28.35     15
       N      SIZE



       M    STRENG  TH  6.25mg/5  mL  20GM/30  200mg/1  17g/17g  750mg/15  mL  20mg/mL  100000[U  SP'U]/mL  8mg/1  250mg/5  mL  10mg/mL  1.745g/29  .6mL  250mg/5  mL  10mg/mL  8.8mg/5m  L  10mg/mL  20mg/mL  5mg/5mL  12.5mg/5  mL  1.2mg/mL  100mg/g  1.2mg/mL





       L      GENERIC  PROMETHA  ZINE   HYDROCHL  ORIDE  LACTULOS  E                    ML  CELECOXIB  ENE  VANCOMYC  IN   HYDROCHL  LIDOCAINE   HYDROCHL  ORIDE  NYSTATIN  ONDANSET  RON   HYDROCHL  ORIDE  AMOXICILLI  N  FUROSEMI  DE  MAGNESIU  M CITRATE  AMOXICILLI  N  PHENYLEP  HRINE   HYDROCHL  ORIDE  SENNOSIDE  S  SELENIUM   SULFIDE  LIDOCAINE   HYDROCHL  ORIDE  CETIRIZINE   HYDROCHL  ORIDE  DIPHENHYD  HYDROCHL  ORIDE  CHLORHEXI  DINE   GLUCONAT  POVIDONE-  IODINE  CHLORHEXI  DINE   GLUCONAT  E






       K      TRADE  PROMETHA  ZINE   HYDROCHL  ORIDE  LACTULOSE  CELECOXIB RUGBY PEG POLYETHYL  3350  VANCOMYC  IN   HYDROCHL  LIDOCAINE   HYDROCHL  ORIDE  NYSTATIN  ONDANSET  RON   HYDROCHL  ORIDE  AMOXICILLI  N  FUROSEMI  DE  CITROMA  AMOXICILLI  N  VAZCULEP  GERICARE   SENNA   SYRUP  RUGBY   ANTI-  LIDOCAINE   HYDROCHL  ORIDE  CETIRIZINE   HYDROCHL  ORIDE  LEADER   CHILDREN'S RAMINE   ALLERGY   RELIEF  CHLORHEXI  DINE   GLUCONAT  POVIDONE   First Aid   Ointment  PAROEX   CHLORHEXI  DINE   GLUCONAT










       J      MERIDIAN DESC  PROMETHAZINE HCL   SYRUP 6.25MG/5ML   473  SOLUTION 20 G/30 ML  CELECOXIB CAPSULE   200 MG   POLYETHYLENE   GLYCOL 3350   VANCOMYCIN HCL   VIAL 750 MG 1  LIDOCAINE HCL  VISCOUS SOLUTION 2   % 100 NYSTATIN ORAL SUSP   100000/ML 5  ONDANSETRON ODT   TAB RAPDIS 8 MG 30  AMOXICILLIN SUSP  RECON 250 MG/5ML 80  FUROSEMIDE   SOLUTION 10 MG/ML   60 MAGNESIUM CITRATE   SOLUTION  296  AMOXICILLIN SUSP  RECON 250 MG/5ML 80  VAZCULEP VIAL 10   MG/ML 1  SENNA SYRUP  8.8MG/5ML 237SENNA   8.8 MG/5 ML SYRUP  ANTI-DANDRUFF   SHAMPOO 1 % 207 LIDOCAINE HCL 2%  LIDOCAINE HCL VIAL 2   % 5  CETIRIZINE HCL   SOLUTION 1 MG/ML   118 LEADER CHILDREN'S   ALLERGY RELIEF   12.5mg








              Med Desc  Promethazine Hcl   6.25mg/5ml SYRP   473 ML  SOLN 40X30ML  10X10UD  Peg 3350   17gm/Dose POWD   VANCOMYCIN HCL   750MG 10 PF FTV  LIDOCAINE HCL   VISC 2% 100ML  Nystatin 500mu/5ml   SUSP 100X5ML  Ondansetron 8mg   TDIS 3X10EA  AMOXICILLIN   250MG/5ML 80ML  FUROSEMIDE   10MG/ML  60ML    Magnesium Citrate   1.745gm SOLN   AMOXICILLIN   250MG/5ML 80ML  Vazculep 10mg/Ml   SDV 25X1ML  Senna 8.8mg/5ml   SYRP 237 ML  ANTI-DANDRUFF   1% 207ML  25X5ML  CETIRIZINE HCL   1MG/ML 118ML  LDR CHD A/R   12.5MG/5ML 118ML  Chlorhexidine   Gluconate 0.12%   LIQD 473 ML  OINT 28.35 GM  PAROEX 0.12%   30X15MLUD AF

       I                   Lactulose 20gm/30ml LACTULOSE   CELECOXIB 200MG                                                                                Povidone Iodine 10% POVIDONE-IODINE





              Alert     Qty                                                                                                                          Qty
       H                                                                         ORAL


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