Page 145 - Inventory Report
P. 145

Revisions                               Unit Cost   Approved  Unit Cost   Approved               $1.29 -   revised   unit cost  Unit Cost   Approved  $2.37 -   revised   unit cost
       AA






       Z       $ 1,021,287.64




              Extended

       Y            $         5.99    $         5.64    $         5.51    $         5.37    $         5.34    $         4.54    $         4.36    $         4.04    $         3.09    $         2.93    $         2.76    $         2.59    $         2.58    $         2.51    $         2.43    $         2.43    $         2.37    $         2.14    $         2.10    $         1.95



             Unit
       X      Cost   $    1.00    $    0.40    $    2.76    $    0.41    $    1.78    $    1.51    $    4.36    $    0.24    $    0.77    $    0.98    $    0.21    $    1.30    $    1.29    $    1.25    $    1.21    $    1.21    $    2.37    $    0.71    $    0.42    $    0.98


             Package   Cost

       W            $      9.99    $    10.07    $    27.56    $      4.13    $    17.80    $    96.90    $    61.06    $      9.52    $      7.71    $    24.38    $    21.20    $    32.42    $    30.96    $    30.07    $    30.33    $    30.33    $    28.44    $    17.80    $    12.63    $    24.38





       V      SOURCE  7300005298  7300007361  7300008761  7300000445  7300001155  MIS NADAC  MIS NADAC  7300010088  7300006334  7300005782  7300010125  7300006896  MIS   NADAC/UPD  ATED   MIS NADAC  7300009140  7300009140  MIS   NADAC/UPD  ATED   7300006438  7300011065  7300005782






                 28080800-OPIATE   AGONISTS  28240800-  BENZODIAZEPINES   28049200-GENERAL   ANESTHETICS,   MISCELLANEOUS  56222000-5-HT3   RECEPTOR   ANTAGONISTS  28080800-OPIATE   AGONISTS  40120000-  REPLACEMENT   PREPARATIONS  40120000-  REPLACEMENT   PREPARATIONS  52160000-LOCAL   24240000-BETA-  ADRENERGIC   BLOCKING AGENTS  08120604-  CEPHALOSPORINS,   28080800-OPIATE   AGONISTS  72000000-LOCAL   ANESTHETICS   (PARENTERAL)  40200000-CALORIC   AGENTS  40120000-  REPLACEMENT   PREPARATIONS  72000000-LOCAL   ANESTHETICS   (PARENTERAL)  72000000-LOCAL   ANESTHETICS   (PARENTERAL)  40120000-  REPLACEMENT   PREPARATIONS  H2-ANTAGONISTS  AGGREGATION   INHIBITORS  08120604-  CEPHA

       U      AHFS         (ANXIOLYTIC,SEDATIV/                        ANESTHETICS (EENT)                                                              56281200-HISTAMINE   20121800-PLATELET-






         DEA
       T    CLAS  S  II    IV     III            II                                             II


       S  GENER  IC   CODE  32806  33799  12852  33309   2962   2961    11941  12241  25519     70491        68237  99573   2962   11854   11854  2962    99002  17157  25519


              MANUFACTURER



       R           Hospira, Inc.  Fresenius Kabi   USA, LLC  West-Ward   Pharmaceuticals   Corp.  Heritage   Pharmaceuticals   Inc.  Hospira, Inc.  B. Braun Medical   Inc.  Baxter Healthcare   Corporation  Hi-Tech Pharmacal   Co., Inc.  Athenex   Pharmaceutical   Division, LLC.  Hospira, Inc  Rhodes   Pharmaceuticals   L.P.  Hospira, Inc.  B. Braun Medical   Inc.  B. Braun Medical   Inc.  B. Braun Medical   Inc.  West-Ward   Pharmaceuticals   Corp.  Company  Hospira, Inc





              DOSE FORM                   S INJECTION,   S INJECTION,   S INJECTION,   S INJECTION,   S INJECTION,       S INJECTION,   PERINEURAL Hospira, Inc.  PERINEURAL Hospira, Inc.  S INJECTION,   TABLET, FILM  Eli Lilly and   S INJECTION,

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




            SIZE
       P      TXT


            UOI
       O      SIZE


         PACK  AGE   2     2      10        2    1       100    1000    15     5    1           100          20     500     500    20      20     1000    2      30   1
       N      SIZE



       M    STRENG  TH  50ug/mL  1mg/mL  50mg/mL  2mg/mL  4mg/mL  9mg/mL  4.5g/1000  mL  20mg/mL  5mg/5mL  1g/1  5;   325mg/1;   mg/1  20;   10mg/mL;   ug/mL  10g/100m  L  0.9g/100  mL  10mg/mL  10mg/mL  0.9g/100  mL  10mg/mL  10mg/1  1g/1





       L      GENERIC  FENTANYL   CITRATE  M   HYDROCHL  KETAMINE   HYDROCHL  ORIDE  ONDANSET  RON   HYDROCHL  ORIDE  MORPHINE   SULFATE  SODIUM   CHLORIDE  SODIUM   CHLORIDE  LIDOCAINE   HYDROCHL  ORIDE  METOPROL  OL   TARTRATE  CEFAZOLIN   SODIUM  OXYCODON  E   HYDROCHL  ORIDE;   ACETAMIN  LIDOCAINE   HYDROCHL  ORIDE;   EPINEPHRI  NE   DEXTROSE   MONOHYD  RATE  SODIUM   CHLORIDE  LIDOCAINE   HYDROCHL  ORIDE  LIDOCAINE   HYDROCHL  ORIDE  SODIUM   CHLORIDE  FAMOTIDIN  E  PRASUGRE  L   HYDROCHL  CEFAZOLIN   SODIUM






       K      TRADE  FENTANYL   CITRATE MIDAZOLAM MIDAZOLA  HYDROCHL  ORIDE  KETAMINE   HYDROCHL  ORIDE  ONDANSET  RON   HYDROCHL  ORIDE  MORPHINE   SULFATE  SODIUM   CHLORIDE  SODIUM   CHLORIDE  LIDOCAINE   HYDROCHL  ORIDE  METOPROL  OL   TARTRATE  CEFAZOLIN   SODIUM  OXYCODON  E AND   ACETAMINO  PHEN  LIDOCAINE   HYDROCHL  ORIDE AND   EPINEPHRI  NE  DEXTROSE  SODIUM   CHLORIDE  LIDOCAINE   HYDROCHL  ORIDE  LIDOCAINE   HYDROCHL  ORIDE  SODIUM   CHLORIDE  FAMOTIDIN  E  EFFIENT  CEFAZOLIN   SODIUM










       J      MERIDIAN DESC  FENTANYL CITRATE   50mcg/Ml AMPS   MIDAZOLAM HCL   1mg/Ml MDV package   size 2 divisor 25  KETAMINE HCL   50mg/Ml MDV package   size 10 divisor 10  ONDANSETRON HCL  ondansetron (Zofran)  2mg/Ml SDPF package   size 2 divisor 10 MORPHINE SULFATE 4   mg/ml CARP package   SODIUM CHLORIDE   0.9% 0.009 IVSL  100    64  SODIUM CHLORIDE   1000  14  LIDOCAINE HCL 0.02   SOLN package size 15   divisor 40  METOPROLOL   TARTRATE 1mg/Ml   SDPF package size 5  CEFAZOLIN SODIUM 1   gm ADDV package size   OXYCODONE  HCL/ACETAMINOPHEN  ORAL TABLET 5- TAB  (PercoCET 5 mg-325 package size 100 divisor   100  LIDOCAINE/EPINEPHRI  package size 20 divisor   25  DEXTROSE  10








              Med Desc  (Sublimaze) 100   midazolam (Versed)   2 mg/2 mL Injection  ketamine (Ketalar)   4 mg/2 mL Injection  morphine 4 mg/1 mL   sodium chloride   0.9% (NACL 0.9%)   sodium chloride   (Xylocaine Viscous)   metoprolol tartrate   (Lopressor) 5 mg/5   ceFAZolin (Ancef) 1   oxyCODONE-APAP   Epinephrine 2%-  with EPI) (20 mL)   dextrose 10%-water   (D10W) (500 mL)   sodium chloride   0.9% (NACL 0.9%)   (Xylocaine) (20 mL)   (Xylocaine) (20 mL)   sodium chloride   0.9% (NACL 0.9%)   famotidine (Pepcid)   ceFAZolin (Ancef) 1

       I                                                     0.45% (NACL 0.45%) 0.45% 0.0045 IVSL    lidocaine viscous 2%   1:100,000 (Xylocaine  NE 2-0.001% MDV   prasugrel (Effient) 10
                 fentaNYL       500 mg/10 mL   Injection  Injection  (100 mL) Bag  (1000 mL) Bag  (15 mL) Oral   mL Amp/Vial  gm Injectable  5 mg-325 mg   mg) Tab  lidocaine-  Injection  Bag  (500 mL) Bag  lidocaine 1%   Injection  lidocaine 1%   Injection  (1000 mL) Bag  20 mg/2 mL   Amp/Vial  mg Tab  gm Injectable




              Alert
       H


              1    2926    2927   2928      2929  2930   2931   2932    2933   2934  2935       2936         2937   2938    2939   2940    2941   2942    2943   2944  2945
   140   141   142   143   144   145   146   147   148   149   150