Page 164 - Inventory Report

Revisions okay to leave out of Unit Cost Approved Unit Cost Approved Unit Cost Approved Unit Cost Approved $781.79 - revised unit cost $30.91 - revised unit cost
AA

Z $ 1,021,287.64

Extended

Y $ 0.13 $ 0.11 $ 0.06 $ - $14,039.46 $ 5,232.27 $ 5,078.92 $ 3,624.38 $ 3,578.30 $ 3,196.80 $ 2,525.55 $ 781.79 $ 643.28 $ 512.17 $ 500.25 $ 449.08 $ 370.92 $ 368.82

Unit
X Cost $ 0.01 $ 0.02 $ 0.01 $ 2.78 ######## ######## $423.24 ######## $178.92 ######## $280.62 $781.79 $ 33.86 $ 56.91 $ 38.48 $ 64.15 $ 30.91 $ 92.20

Package Cost

W $ 0.87 $ 1.91 $ 0.28 $ 66.68 ######## ######## $ 423.24 ######## ######## ######## $ 280.62 $ 781.79 $ 338.57 $ 569.08 ######## $ 64.15 $ 309.10 $ 92.20

V SOURCE 7300000401 7300001755 7300011519 MIS NADAC 7300009403 7300000218 7300019040 7300012444 7300018720 7300011242 7300010339 MIS NADAC/UPD ATED 7300011808 7300002448 7300011213 7300005109 MIS NADAC/UPD ATED 7300010249

U AHFS NONSTEROIDAL ANTI- 56120000-CATHARTICS ANTICOAGULANTS, DIRECT FACTOR Xa 40200000-CALORIC 80040000-ANTITOXINS 80040000-ANTITOXINS 68280000-PITUITARY 80120000-VACCINES 92120000-ANTIDOTES 80080000-TOXOIDS 80120000-VACCINES ANTIBACTERIALS, GLYCOGENOLYTIC ROENTGENOGRAPHY AND OTHER IMAGING ANTIBACTERIALS
28080424- AND LAXATIVES 20120414- AGENTS AND IMMUNE 20122000- THROMBOLYTIC AND IMMUNE GLOBULINS 92320000- COMPLEMENT 20281600- HEMOSTATICS 08122830- RIFAMYCINS 68221200- 36680000- 52040400- (EENT)

DEA
T CLAS S

S GENER IC CODE 161 30818 15446 47142 44608 37407 99696 33921 24618 98819 28530 25473 25520 20188

MANUFACTURER AmerisourceBergen

R Rugby Laboratories Inc. (Good Neighbor Pharmacy) Janssen TABLET, FILM Pharmaceuticals, Inc. Hospira, Inc. BTG International Inc. Genentech Inc. GRIFOLS USA, LLC Leucadia Pharmaceuticals Par Pharmaceutical Companies, Inc. Novo Nordisk Pharma, Inc. GlaxoSmithKline Biologicals SA Meridian Medical Technologies, Inc. GlaxoSmithKline Biologicals SA GlaxoSmithKline Biologicals SA Salix Pharmaceuticals, Inc. Eli Lilly and Company GE Healthcare Inc. Alcon Laboratories, Inc.

DOSE FORM S INJECTION, S INJECTION, S INJECTION,

Q ORAL TABLET, ORAL TABLET ORAL COATED INTRAVENOU SOLUTION INTRAVENOU KIT, VIAL + DILUENT INFILTRATIO N; INTRAMUSCU SUBCUTANE OUS INTRAVENOU S INJECTION KIT KIT INTRAVENOU POWDER, INTRAMUSCU LAR SUSPENSION INTRAMUSCU LAR INJECTION, ORAL TABLET KIT INTRAVENOU S INJECTION AURICULAR (OTIC) SUSPENSION / DROPS

SIZE
P TXT

UOI
O SIZE

PACK AGE 120 100 30 250 1 1 1 3 1 1 1 1 0.5 1 60 1 50 7.5
N SIZE

M STRENG TH 81mg/1 8.6mg/1 15mg/1 5g/100mL 40mg/1 100mg/1 300[iU]/m L 20[USP'U ]/mL 1MG 2.5U 5g/250mL 5; 2.5; 8; 8; 2.5[iU]/.5 mL; [iU]/.5mL; ug/.5mL; ug/.5mL; ug/.5mL 1440[iU]/ mL 550mg/1 1MG 240mg/m L 3; 1mg/mL; mg/mL

L GENERIC ASPIRIN SENNOSIDE S RIVAROXAB AN DEXTROSE MONOHYD RATE OVINE DIGOXIN ALTEPLASE HUMAN RABIES VIRUS ICATIBANT ACETATE 10MG/ML VASOPRES SIN COAGULATI ON FACTOR VIIA RABIES VACCINE HYDROXOC OBALAMIN CLOSTRIDI UM TETANI TOXOID ANTIGEN; CORYNEBA CTERIUM DIPHTHERI AE TOXOID ANTIGEN; BORDETEL LA PERTUSSIS TOXOID- FILAMENTO US HEPATITIS A VIRUS STRAIN RIFAXIMIN GLUCAGON IOHEXOL CIPROFLOX ACIN HYDROCHL ORIDE; DEXAMETH ASONE

K TRADE ASPIRIN Low Dose SENNA-LAX XARELTO DEXTROSE DIGIFAB ACTIVASE HYPERRAB ICATIBANT VASOSTRIC T NOVOSEVE N RT RABAVERT CYANOKIT BOOSTRIX HAVRIX XIFAXAN GLUCAGON OMNIPAQU E CIPRODEX

J MERIDIAN DESC ASPIRIN EC 81 MG TAB 120 81 mg EC TAB GNP SENNA 8.6MG TABLET 100CT 8.6mg TAB package size 100 RIVAROXABAN 15mg TABS package size 30 divisor 30 DEXTROSE 5%/WATER 0.05 IVSL 250 24 DIGOXIN IMMUNE FAB 40mg PWVL package ALTEPLASE 100mg PWVL package size 1 RABIES IMMUNE GLOBULIN 300 u/ml SDPF package size 1 ICATIBANT 30 MG PFS 3 ML 30 mg PFS VASOPRESSIN 20u/Ml MDV package size 1 NovoSeven RT with MixPro 1 mg package size 1 divisor 1 RABIES VACC PF CHICK-EMB CELL 2.5u HYDROXOCOBALAMIN (VITA B12) 5gm KIT 1 1 DIPHTH PERTUSS(ACELL) TET VAC Not Available SDPF package size 0.5 divisor 10 HEPATITIS A VACCINE

Med Desc aspirin enteric (Ecotrin) 81 mg EC senna (Senokot) 8.6 mg Tab 15 mg Tab (D5W) (250 mL) Bag digoxin immune fab (DigiFab) 40 mg alteplase (Activase) 100 mg Injection rabies immune globulin, human icatibant (Firazyr) 30 mg/3 mL Amp/Vial vasopressin (Pitressin) 20 unit/1 factor VIIa (NovoSeven RT) 1 mg/1 mL REC rabies vaccine (Rabavert) 2.5 unit/1 hydroxocobalamin (Cyanokit) 5 gm Kit tetanus-diphtheria- pertussis (Tdap) (7 yrs and older) (Boostrix) (0.5 mL) Injection hepatitis A vaccine (HepA) (19 yrs and older) (Havrix) 1440 rifaximin (Xifaxan) 550 mg Tab 1 mg Injection 12 gm/50 mL Bottle ciprofloxaci

I rivaroxaban (Xarelto) dextrose 5% in water (HyperRAB) 300 unit glucagon (GlucaGen) GLUCAGON HUMAN iohexol (Omnipaque)

Alert
H

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