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
Alert
H Bag
1 2801 2802 2803 2804 2805 2806 2807 2808 2809 2810 2811 2812 2813 2814 2815 2816 2817 2818 2819 2820