Page 149 - Inventory Report

Revisions Unit Cost Approved $1.75 - revised unit cost Unit Cost Approved
AA

Z $ 1,021,287.64

Extended

Y $ 52.39 $ 51.48 $ 50.75 $ 49.45 $ 49.01 $ 48.85 $ 48.47 $ 47.36 $ 46.07 $ 44.97 $ 44.45 $ 44.25 $ 43.15 $ 42.68 $ 41.73 $ 40.95 $ 40.39 $ 38.72 $ 38.64

Unit
X Cost $ 13.10 $ 1.51 $ 1.75 $ 24.73 $ 1.29 $ 24.42 $ 9.69 $ 6.77 $ 9.21 $ 3.46 $ 2.96 $ 7.38 $ 8.63 $ 21.34 $ 4.17 $ 1.78 $ 4.49 $ 7.74 $ 5.52

Package Cost

W $ 13.10 $ 96.90 $ 147.00 $ 247.27 $ 103.17 $ 24.42 $ 193.88 $ 33.83 $ 92.14 $ 86.49 $ 29.63 $ 73.75 $ 258.89 $ 213.42 $ 41.73 $ 17.80 $ 4.49 $ 77.44 $ 165.60

V SOURCE 7300005589 MIS NADAC MIS NADAC/UPD ATED 7300006427 MIS NADAC 7300003711 7300005248 7300010058 7300005091 7300010060 7300010434 7300001408 7300000493 7300008950 7300006550 7300001155 7300005736 7300000702 7300007921

12120400-ALPHA- ADRENERGIC AGONISTS 40120000- REPLACEMENT PREPARATIONS 40200000-CALORIC AGENTS 08120716- MONOBACTAMS, 40200000-CALORIC AGENTS 240824 40080000- 84080000- 40120000- REPLACEMENT PREPARATIONS H2-ANTAGONISTS 08122816- ANTIBACTERIALS, GLYCOPEPTIDES 20120416- ANTICOAGULANTS, 56283200- PROTECTANTS 08122400- TETRACYCLINE 24040424- ANTIARRHYTHMIC 28080800-OPIATE AGONISTS 72000000-LOCAL ANESTHETICS (PARENTERAL) BETA-ADRENERGIC AGONISTS 28160420- SELECTIVE

U AHFS ALKALINIZING AGENTS ANTIPRURITICS AND LOCAL ANESTHETICS 56281200-HISTAMINE 12121200-ALPHA- AND ANTIDEPRESSANTS

DEA
T CLAS S II

S GENER IC CODE 20310 2962 6641 41911 6641 2792 5987 3751 25545 62773 40340 35350 33309 11701 16374

MANUFACTURER Inc. Inc.

R Fresenius Kabi USA, LLC B. Braun Medical Inc. B. Braun Medical Inc. E.R. Squibb & Sons, L.L.C. ICU Medical Inc. Sagent Pharmaceuticals Exela Pharma Sciences, LLC Amneal Pharmaceuticals, LLC Hospira, Inc. Amerisource Bergen Hospira, Sanofi-Aventis U.S. LLC Precision Dose Inc. Fresenius Kabi USA, LLC Akorn, Inc. Hospira, Inc. Hospira, Inc. Hospira, Roerig

DOSE FORM S INJECTION, S INJECTION, S INJECTION, S INJECTION, S INJECTION, S INJECTION, S INJECTION, S INJECTION, S INJECTION, TABLET, FILM

Q INTRAVENOU S INJECTION INTRAVENOU SOLUTION INTRAVENOU SOLUTION INTRAMUSCU LAR/INTRAVE INTRAVENOU VIAL INTRAVENOU SOLUTION TOPICAL CREAM INTRAVENOU SOLUTION, SINGLE- ORAL TABLET INTRAVENOU POWDER, SUBCUTANE OUS ORAL SUSPENSION INTRAVENOU INTRAVENOU INTRAMUSCU LAR/INTRAVE PERINEURAL INJECTION, SOLUTION INTRAVENOU SOLUTION, ORAL COATED

SIZE
P TXT

UOI
O SIZE

PACK AGE 5 100 50 1 100 1 50 5 10 25 1 1 10 1 2 1 50 4 30
N SIZE

M STRENG TH 10mg/mL 9mg/mL 50mg/mL 1g/1 5g/100mL MG 500 84mg/mL 25; 25mg/g; mg/g 100mg/m L 20mg/1 1g/1 100mg/m L 1GM/10M 100mg/10 mL 3mg/mL 4mg/mL 5mg/mL 1mg/mL 50mg/1

L GENERIC PHENYLEP HRINE HYDROCHL ORIDE SODIUM CHLORIDE DEXTROSE MONOHYD RATE AZTREONA M DEXTROSE MONOHYD ACETAZOL AMIDE SODIUM BICARBONA TE LIDOCAINE; PRILOCAIN E CALCIUM CHLORIDE FAMOTIDIN E VANCOMYC IN HYDROCHL ENOXAPARI N SODIUM SUCRALFA TE L DOXYCYCLI NE ADENOSINE MORPHINE SULFATE BUPIVACAI NE HYDROCHL NOREPINEP HRINE BITARTRAT SERTRALIN E HYDROCHL

K TRADE PHENYLEP HRINE HYDROCHL ORIDE SODIUM CHLORIDE DEXTROSE AZACTAM DEXTROSE ACETAZOLA MIDE SODIUM BICARBONA TE LIDOCAINE AND PRILOCAIN CALCIUM CHLORIDE LifeShield Abboject GOOD NEIGHBOR PHARMACY ACID REDUCER Maximum Strength VANCOMYC HYDROCHL LOVENOX SUCRALFAT E ADENOSINE MORPHINE SULFATE MARCAINE LEVOPHED ZOLOFT

J MERIDIAN DESC PHENYLEPHRINE HCL 10mg/Ml MDV package size 5 divisor 1 SODIUM CHLORIDE 0.9% 0.009 IVSL 100 64 DEXTROSE 5%/WATER 0.05 IVSL 50 84 AZTREONAM 1gm PWVL package size 1 DEXTROSE 5%/WATER 0.05 IVSL 100 80 ACETAZOLAMIDE SODIUM 500mg PWVL SODIUM BICARBONATE INTRAVEN VIAL 1 LIDOCAINE/PRILOCAIN E 2.5-2.5% CRM package size 5 divisor 5 CALCIUM CHLORIDE package size 10 divisor 10 GNP FAMOTIDINE 20MG MAX/STR TABLET 25CT 20 mg TAB package size 25 divisor 25 VANCOMYCIN HCL 1gm ADDV package size IN 1 divisor 10 ENOXAPARIN SODIUM 100mg/Ml SYRN SUCRALFATE ORAL ORAL SUSP 1 G/10 ML 1 SUS package size 10 DOXYCYC

Med Desc phenylephrine HCl mg (5 mL) Amp/Vial sodium chloride 0.9% (NACL 0.9%) (100 mL) Bag (D5W) (50 mL) Bag aztreonam (Azactam) 1 gm (D5W) (100 mL) Bag acetaZOLAMIDE (Diamox) 500 mg sodium bicarbonate 8.4% 50 mEq/50 mL Injection lidocaine-prilocaine Cream 5 gm (EMLA) (5 APP) Tube Syringe 1000 mg/10 mL Syringe famotidine (Pepcid) 20 mg Tab vancomycin (Vancocin) 1 gm Injection enoxaparin (Lovenox) 100 mg/1 sucralfate (Carafate) 1 gm/10 mL Oral Suspension doxycycline adenosine (Adenocard) 6 mg/2 morphine 4 mg/1 mL Injection BUPivacaine 0.5% (Sensorcaine) (50 mL) Injection norepinephrine 4 mg/4 mL Amp/Vi

I (Neo-Synephrine) 50 dextrose 5% in water dextrose 5% in water calcium chloride 10% 100mg/Ml ABBJ (Vibramycin) 100 mg bitartrate (Levophed)

Alert
H

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