Page 15 - Inventory Report
P. 15
Revisions Unit Cost Approved Unit Cost Approved
AA
Z $ 1,021,287.64
Extended
Y $ 404.00 $ 400.67 $ 370.55 $ 357.74 $ 341.31 $ 327.47 $ 325.44 $ 324.04 $ 314.64 $ 303.88 $ 300.85 $ 299.66 $ 283.01 $ 280.60 $ 266.52 $ 257.67 $ 239.17 $ 236.08 $ 235.28 $ 225.29 $ 225.29 $ 216.32
Unit
X Cost $ 57.71 $ 40.07 $ 14.82 $ 23.85 $170.65 $ 65.49 $ 0.79 $ 0.52 $ 3.50 $ 9.21 $ 9.70 $ 16.65 $ 16.65 $ 9.35 $ 26.65 $ 2.58 $ 5.98 $ 11.80 $ 23.53 $ 7.51 $ 7.51 $ 14.42
Package Cost
W ######## ######## ######## $ 715.49 $ 341.31 $ 654.94 $ 79.38 $ 51.85 $ 314.64 $ 552.52 $ 873.45 $ 499.43 $ 499.43 $ 280.60 ######## $ 257.67 $ 358.76 $ 354.12 $ 705.85 $ 225.29 $ 225.29 $ 432.63
V SOURCE 7300018712 7300000176 7300009545 7300000928 7300005425 7300002951 7300002106 7300010352 7300011635 7300010390 7300010390 7300003678 7300010995 7300011829 7300012424 7300012402 7300010857 7300000339 7300000339 7300010242
U AHFS ANTIRETROVIRALS, HIV NUCLEOSIDE & 08143200-PYRIMIDINES MIS NADAC ANTITUBERCULOSIS AGENTS 24120800-NITRATES AND NITRITES ANTHELMINTICS SELECTIVE ALPHA- 68040000-ADRENALS ANTIMALARIALS MIS NADAC ANTIRETROVIRALS, 40181900-PHOSPHATE- REMOVING AGENTS ANTIRETROVIRALS, ANTIDEPRESSANTS TRICYCLICS & OTHER NOREPINEPHRINE- ANTIRETROVIRALS, 52401200-CARBONIC INHIBITORS (EENT) 20121800-PLATELET- ANTICOAGULANTS, ANTIRETROVIRALS, HIV NONNUCLEOSIDE ANTICONVULSANTS, MISCELLANEOUS ANTICONVULSANTS, MISCELLANEOUS ANTIPARATHYROID AGENTS
08180820- NUCLEOTIDE 08160400- 08080000- 12160404-NON- ADRENERGIC 08300800- 24320800- ANGIOTENSIN II RECEPTOR 08180808- HIV PROTEASE 08180820- 28160428- 08180808- ANHYDRASE AGGREGATION INHIBITORS 20120414- 08180816- 28129200- 28129200- 68240400-
DEA
T CLAS S
S GENER IC CODE 40953 42560 1743 53290 1590 27428 42940 73543 19952 27483 20019 16602 99434 34741 39407 37676 15555 38022 38022
MANUFACTURER
R Gilead Sciences, Inc. Lupin Pharmaceuticals,Inc Lupin Pharmaceuticals, Inc. Ingenus Pharmaceuticals, LLC Lineage West-Ward Pharmaceuticals Corp West-Ward Pharmaceuticals Corp. Amneal NY LLC Mylan Pharmaceuticals Inc. Teva Pharmaceuticals USA, Inc. Aurobindo Pharma Limited Gilead Sciences, Inc. American Health Packaging Janssen Products ANI Pharmaceuticals, Inc. AstraZeneca Pharmaceuticals LP TABLET, FILM Daiichi Sankyo Inc. Bristol-Myers Company Amneal Pharmaceuticals LLC Amneal Pharmaceuticals LLC Pharmaceuticals
DOSE FORM . TABLET, FILM Therapeutics Inc TABLET, FILM Pharmaceuticals TABLET, FILM LP TABLET, FILM Squibb Pharma TABLET, FILM Slate Run
Q ORAL TABLET ORAL CAPSULE ORAL CAPSULE TRANSDERM AL PATCH ORAL INTRAMUSCU LAR; 10X1ML INTRAVENOU ORAL TABLET ORAL COATED ORAL TABLET ORAL CAPSULE ORAL POWDER, ORAL CAPSULE ORAL ORAL ORAL TABLET ORAL TABLET ORAL ORAL COATED ORAL TABLET ORAL TABLET ORAL COATED
SIZE 5X6EA CAPSULE
P TXT 30 EA 100 EA 100 EA 30 EA 2 EA 100 EA 100 EA 60 EA 90 EA 30 EA 60 EA 100 EA 60 EA 30 EA 30 EA 30 EA 30 EA 30 EA
UOI
O SIZE
PACK AGE 30 100 100 30 2 1 100 100 90 60 90 30 30 60 100 60 30 30 30 30 30
N SIZE
M STRENG TH 200; mg/1 250mg/1 150mg/1 60mg/1 200mg/1 1mg/mL 4mg/1 200mg/1 8mg/1 150mg/1 800mg/1 200mg/1 25mg/1 600mg/1 25mg/1 60mg/1 30mg/1 600mg/1 600mg/1 600mg/1 30mg/1
L GENERIC EMTRICITA BINE; TENOFOVIR 25mg/1; ALAFENAMI FLUCYTOSI NE RIFABUTIN NITROGLYC ERIN ALBENDAZ OLE DIHYDROE RGOTAMIN E DEXAMETH ASONE HYDROXYC HLOROQUI NE CANDESAR TAN CILEXETIL ATAZANAVI R SULFATE SEVELAME R EMTRICITA BINE CLOMIPRA MINE HYDROCHL ORIDE DARUNAVIR ETHANOLA METHAZOL AMIDE TICAGRELO R EDOXABAN TOSYLATE EFAVIRENZ FELBAMAT E FELBAMAT E CINACALCE T HYDROCHL
K TRADE DESCOVY FLUCYTOSI NE RIFABUTIN NITRO-DUR ALBENDAZ OLE DIHYDROER GOTAMINE MESYLATE DEXAMETH ASONE HYDROXYC HLOROQUI NE CANDESAR TAN CILEXETIL R SULFATE SEVELAME R EMTRIVA CLOMIPRA MINE HYDROCHL ORIDE PREZISTA METHAZOL AMIDE BRILINTA SAVAYSA SUSTIVA FELBAMATE FELBAMATE CINACALCE T HYDROCHL
J MERIDIAN DESC DESCOVY TABLET 200MG-25MG 30 FLUCYTOSINE CAPSULE 250 MG 100 RIFABUTIN CAPSULE 150 MG 100 NITRO-DUR PATCH TD24 0.3 MG/HR 30 ALBENDAZOLE TABLET 200 MG 2 DIHYDROERGOTAMIN E MESYLATE AMPUL 1MG/ML 1 TABLET 4 MG 100 HYDROXYCHLOROQUI NE SULFATE TABLET 200 MG 100 CANDESARTAN CILEX TB8MG MYL90 ATAZANAVIR SULFATE ATAZANAVI CAPSULE 150MG 60 SEVELAMER CARBONATE POWD EMTRIVA CAPSULE 200 MG 30 CLOMIPRAMINE HCL CAPSULE 25 MG 30 PREZISTA TABLET 600 MG 60 METHAZOLAMIDE TABLET 25 MG 100 BRILINTA TABLET 60 MG 60 SAVAYSA TABLET 30 MG 30 SUSTIVA TABLET 600 MG 30 FELBAMATE TABLET 600 MG 30 FELBAMATE TABLET 600 MG 30
Med Desc Descovy 200-25mg TABS 30 EA Flucytosine 250mg CAPS 100 EA Rifabutin 150mg CAPS 100 EA Nitro-Dur 0.3mg/Hr PTCH 30 EA ALBENDAZOLE 200MG 2 Dihydroergotamine Mesylate 1mg/Ml AMPS 10X1ML TABS 100 EA HYDROXYCHLORO Q 200MG 100 COV CANDESARTAN CILEX TB8MG MYL90 Atazanavir Sulfate 150mg CAPS 60 EA Sevelamer Carbonate PCKT 90 Emtriva 200mg CAPS 30 EA EMTRICITABINE 200MG 30 Clomipramine Hcl 25mg CAPS 5X6EA Prezista 600mg TABS 60 EA Methazolamide 25mg TABS 100 EA Brilinta 60mg TABS SAVAYSA 30MG 30 SUSTIVA 600MG 30 Felbamate 600mg TABS 30 EA Felbamate 600mg TABS 30 EA Cinacalcet Hcl 30mg TABS 30 EA
I Dexamethasone 4mg DEXAMETHASONE
Alert /Pkg /Pkg /Pkg Qty Qty /Pkg /Pkg /Pkg
H 60 EA
1 262 263 264 265 266 267 268 269 270 271 272 273 274 275 276 277 278 279 280 281 282 283
