Page 139 - Inventory Report
P. 139

Revisions                                         Unit Cost   Approved  $2.37 -   revised   unit cost    Unit Cost   Approved
       AA






       Z       $ 1,021,287.64




              Extended

       Y               $     226.73    $     196.63    $     192.46    $     191.37    $     173.15    $     167.80    $       91.47    $       87.44    $       78.21    $       72.09    $       71.87    $       65.48    $       64.15    $       64.10    $       47.15    $       39.40    $       30.63    $       29.82    $       28.86    $       28.12



             Unit
       X      Cost     $  12.60    $    1.63    $  64.15    $  19.14    $    3.04    $  15.25    $    1.25    $  43.72    $    2.37    $    5.15    $    7.19    $  65.48    $  64.15    $  12.82    $    1.47    $  19.70    $    7.66    $    1.30    $    4.81    $    5.62


             Package   Cost

       W               $  314.90    $    16.25    $    64.15    $    19.14    $    54.68    $    76.27    $    30.07    $    43.72    $    28.44    $  308.96    $  179.68    $  327.40    $    64.15    $    12.82    $  123.77    $  236.38    $    76.58    $    32.42    $  120.25    $    56.24





       V      SOURCE  7300005748  7300009149  7300005109  7300008867  6770006206  7300006115  MIS NADAC  7300011047  MIS   NADAC/UPD  ATED   7300011527  7300005137  7300011914  7300005109  7300008681  MIS NADAC  6770000260  7300005250  7300006896  7300005141  7300005650









       U      AHFS    ALKALINIZING AGENTS  72000000-LOCAL   GLYCOGENOLYTIC   12120400-ALPHA-  ANTICOAGULANTS,   24289200-CALCIUM- CHANNEL BLOCKING   20121800-PLATELET-  ANTIMUSCARINICS/AN  24160000-SCLEROSING   GLYCOGENOLYTIC   68040000-ADRENALS  12120808-SELECTIVE   BETA-1-ADRENERGIC   40200000-CALORIC   72000000-LOCAL   20280800-ANTIHEPARIN   28100000-OPIATE
                   40080000-  ANESTHETICS   (PARENTERAL)  68221200-  ADRENERGIC   AGONISTS  20120416-  HEPARINS  AGENTS, MISC.  40120000-  REPLACEMENT   PREPARATIONS  20281600-  HEMOSTATICS  40120000-  REPLACEMENT   PREPARATIONS  AGGREGATION   INHIBITORS  12080800-  AGENTS  68221200-  40120000-  REPLACEMENT   AGONISTS  AGENTS  ANESTHETICS   (PARENTERAL)  AGENTS  ANTAGONISTS




         DEA
       T    CLAS  S


       S  GENER  IC   CODE  2790  26884  25473  20310  99925  2331  2962  99309  2962    29385  18678  37574  25473  28302  2962  977  6771       68237   25860  45132


              MANUFACTURER  AuroMedics Pharma                             RECOTHROM                                                                              Inc.



       R              Hospira, Inc.  LLC  Eli Lilly and   Company  Avadel Legacy   Pharmaceuticals,   LLC  Hospira, Inc.  Hospira, Inc.  B. Braun Medical   Inc.  BAXTER   B. Braun Medical   Inc.  AstraZeneca   Pharmaceuticals LP  American Regent,   Inc.  Leucadia   Pharmaceuticals  Eli Lilly and   Company  Pharmacia and   Upjohn Company   LLC  B. Braun Medical   Inc.  Hospira, Inc.  Hospira, Inc.  Hospira, Inc.  Fresenius Kabi   USA, LLC  Hospira,





              DOSE FORM  S INJECTION,            S INJECTION,   S INJECTION,   S INJECTION,   S INJECTION,   S INJECTION,   S INJECTION,   S INJECTION,   S INJECTION,   S INJECTION,

       Q         INTRAVENOU  SOLUTION  EPIDURAL;   INFILTRATIO  N;   KIT   INTRAVENOU  S INJECTION  INTRAVENOU  SOLUTION  INTRAVENOU  SOLUTION  INTRAVENOU  SOLUTION  KIT  INTRAVENOU  SOLUTION  ORAL   TABLET  INTRAMUSCU  LAR/INTRAVE  INTRAVENOU  SOLUTION  KIT   INTRAMUSCU  LAR/INTRAVE  NOUS   INJECTION,   INTRAVENOU  INTRAVENOU  SOLUTION  INTRAVENOU  INFILTRATIO  N;   PERINEURAL   INJECTION,   SOLUTION  INTRAVENOU  SOLUTION  INTRAMUSCU  LAR/INTRAVE  NOUS;




            SIZE
       P      TXT


            UOI
       O      SIZE


         PACK  AGE    5      2    1         10      500    2       500    1      1000    60   1      2    1         1    50      250  50          20      5      1
       N      SIZE



       M    STRENG  TH  42mg/mL  20mg/mL  1MG  10mg/mL  200[USP'  U]/100mL  2.5mg/mL  0.9g/100  mL  0.9g/100  mL  90mg/1  1mg/mL  30mg/mL  1MG  100mg/2  mL  9mg/mL  200mg/10  0mL  25g/50mL  20;   10mg/mL;   ug/mL  10mg/mL  0.4mg/mL





       L      GENERIC  SODIUM   BICARBONA  TE  LIDOCAINE   HYDROCHL  ORIDE  GLUCAGON  PHENYLEP  HRINE   HYDROCHL  ORIDE  HEPARIN   SODIUM  VERAPAMIL   HYDROCHL  ORIDE  SODIUM   CHLORIDE  THROMBIN   5MU  SODIUM   CHLORIDE  TICAGRELO  R  ATROPINE   SULFATE  SODIUM   TETRADEC  YL  GLUCAGON  HYDROCOR  TISONE   SODIUM   SUCCINATE  SODIUM   CHLORIDE  DOBUTAMI  NE   HYDROCHL  DEXTROSE   MONOHYD  LIDOCAINE   HYDROCHL  ORIDE;   EPINEPHRI  NE   E SULFATE  NALOXONE   HYDROCHL  ORIDE






       K      TRADE  SODIUM   TE  LIDOCAINE   HYDROCHL  ORIDE  GLUCAGON   VAZCULEP  HEPARIN   SODIUM  VERAPAMIL   HYDROCHL  ORIDE  SODIUM   CHLORIDE  RECOTHRO  M  SODIUM   CHLORIDE  BRILINTA  ATROPINE   SULFATE  SODIUM   TETRADEC  YL   GLUCAGON   SOLU-  CORTEF  SODIUM   CHLORIDE  DOBUTAMI  NE IN   DEXTROSE  DEXTROSE  LIDOCAINE   HYDROCHL  ORIDE AND   EPINEPHRI  NE  PROTAMINE PROTAMIN  SULFATE  NALOXONE   HYDROCHL  ORIDE










       J      MERIDIAN DESC  sodium bicarboante  0.5meq/Ml SDV package  BICARBONA  size 5 divisor 25  LIDOCAINE HCL 0.02   AMPS package size 2   divisor 10  1mg KIT package size 1   PHENYLEPHRINE HCL   10mg/Ml MDV package   size 10 divisor 1  HEPARIN SOD   PORCINE/0.9% NACL  2units/Ml IVSL package   VERAPAMIL HCL 2.5   mg/ml AMPS package   size 2 divisor 5  SODIUM CHLORIDE   0.9% 0.009 IVSL  500    24  THROMBIN 5mu PWVL   package size 1 divisor 1  SODIUM CHLORIDE   0.9% 0.009 IVSL  1000    12  TICAGRELOR 90mg  TABS package size 60   divisor 60  ATROPINE SULFATE   1mg/Ml SDV package  SODIUM TETRADECYL   SULF 60 MG MDV 5X2   ML 60 mg/2 ml MDV   1mg KIT package size 1   HYDROCORTISO








              Med Desc  sodium bicarbonate   (5 mL) Injection  lidocaine 2% PF   (Xylocaine) (2 mL)   Injection  1 mg Injection  phenylephrine HCl   mg/1 mL Injection  heparin / 0.9% NS   1000 unit/500 mL   verapamil HCl   (Verapamil) 5 mg/2   mL Injection  sodium chloride   0.9% (NACL 0.9%)   (500 mL) Bag  thrombin topical   (Recothrom) (5000   Inter. units) Powder  sodium chloride   0.9% (NACL 0.9%)   (1000 mL) Bag  ticagrelor (Brilinta)   90 mg Tab  atropine 1 mg/1 mL   Injection  sodium tetradecyl   sulfate (Sotradecol)   60 mg/2 mL   1 mg Injection  hydrocortisone   (Solu-CORTEF) 100   mg/2 mL Injection  sodium chloride   0.9% (NaCl 0.9%)   DOBUTamine/D5W   (Dobutrex/D5W) 50

       I           4.2% (Neut) 2.5 mEq   glucagon (GlucaGen) GLUCAGON HUMAN   (Neo-Synephrine) 10       glucagon (GlucaGen) GLUCAGON HUMAN   sodium succinate PF   1:100,000 (Xylocaine  NE 2-0.001% MDV





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