Page 169 - Inventory Report

Revisions Unit Cost Approved Unit Cost Approved
AA

Z $ 1,021,287.64

Extended

Y $ 39.29 $ 38.46 $ 38.28 $ 37.85 $ 37.73 $ 37.28 $ 36.79 $ 36.67 $ 36.34 $ 35.95 $ 35.84 $ 35.09 $ 34.49 $ 34.39 $ 34.06 $ 33.89 $ 32.77 $ 32.69 $ 32.35 $ 32.24 $ 31.78

Unit
X Cost $ 13.10 $ 12.82 $ 6.38 $ 3.78 $ 5.39 $ 6.21 $ 5.26 $ 3.06 $ 1.51 $ 5.99 $ 17.92 $ 2.06 $ 4.31 $ 3.44 $ 6.81 $ 1.78 $ 4.68 $ 8.17 $ 2.02 $ 1.29 $ 15.89

Package Cost

W $ 13.10 $ 12.82 $ 127.59 $ 90.83 $ 26.95 $ 6.21 $ 315.38 $ 30.56 $ 96.90 $ 59.91 $ 215.03 $ 51.61 $ 43.11 $ 85.98 $ 6.81 $ 17.84 $ 140.45 $ 196.13 $ 60.66 $ 103.17 $ 158.92

V SOURCE 7300005589 7300008681 7300010910 7300006118 7300000353 7300002817 7300011912 7300002914 MIS NADAC 7300001429 6770005541 7300008924 7300005552 7300009151 7300010440 7300006633 7300010287 7300011774 7300010233 MIS NADAC 7300002578

12120400-ALPHA- ADRENERGIC AGONISTS 28080800-OPIATE AGONISTS 40120000- REPLACEMENT PREPARATIONS 08122820- ANTIBACTERIALS, LINCOMYCINS 20120414- ANTICOAGULANTS, 56283600-PROTON- PUMP INHIBITORS 40120000- REPLACEMENT PREPARATIONS 20120416- ANTICOAGULANTS, 40281200-OSMOTIC DIURETICS 12080800- 24040800- 72000000-LOCAL ANESTHETICS (PARENTERAL) 24289200-CALCIUM- AGENTS, MISC. 28080800-OPIATE AGONISTS 48100808- BETA-ADRENERGIC AGONISTS 84080000- 40200000-CALORIC AGENTS 28049200-GENERAL ANESTHETICS,

U AHFS 68040000-ADRENALS 28322800-SELECTIVE SEROTONIN AGONISTS ANTIMUSCARINICS/AN CARDIOTONIC AGENTS CHANNEL BLOCKING CORTICOSTEROIDS (RESPIRATORY TRACT) 12121200-ALPHA- AND ANTIPRURITICS AND

DEA
T CLAS S II II

S GENER IC CODE 20310 28302 37159 41321 33935 13025 2962 62772 34532 32847 101 26151 2641 34853 17958 50272 6641 14021

MANUFACTURER LLC, a subsidiary of

R Fresenius Kabi USA, LLC Pharmacia and Upjohn Company LLC Purdue Products LP Baxter Healthcare Corporation Sagent Pharmaceuticals Akorn, Inc. E.R. Squibb & Wyeth Pharmaceuticals Pfizer Inc. B. Braun Medical Inc. Sanofi-Aventis U.S. LLC Hospira, Inc. Exela Pharma Sciences, LLC Inc. Sandoz Hospira, Inc. Akorn, Inc. Hospira, Inc. Teva Pharmaceuticals QUVA PHARMA INC Actavis Pharma, Inc. ICU Medical Inc. Sagent Pharmaceuticals

DOSE FORM TABLET, FILM Pharmaceutical S INJECTION, TABLET, FILM Sons, L.L.C. S INJECTION, S INJECTION, S INJECTION, (INHALATION) USA, Inc. S INJECTION, S INJECTION,

Q INTRAVENOU S INJECTION INTRAMUSCU LAR/INTRAVE NOUS INJECTION, ORAL COATED, INTRAVENOU SOLUTION VIAL INTRAVENOU S INJECTION ORAL INTRAVENOU POWDER, FOR INTRAVENOU SOLUTION SUBCUTANE OUS INTRAVENOU INTRAMUSCU LAR/INTRAVE INTRAMUSCU LAR; INJECTION, SOLUTION RETROBULB INTRAVENOU S INJECTION INTRAMUSCU LAR/INTRAVE NOUS; SUBCUTANE RESPIRATOR PLASTIC BAG TOPICAL PATCH INTRAVENOU INTRAVENOU

SIZE Y
P TXT

UOI
O SIZE

PACK AGE 5 1 20 50 0.5 50 60 1 100 0.8 500 1 2 5 25 1 2 250 30 100 100
N SIZE

M STRENG TH 10mg/mL 100mg/2 mL 15mg/1 0mL 6 MG/0.5M L 600mg/50 mL 5mg/1 40mg/10 mL 9mg/mL 80mg/.8m L 20g/100m L 0.2mg/mL 250ug/mL 40 mg/mL 5mg/mL 1mg/mL 0.5 mg/2mL 4 MG 50mg/g 5g/100mL 10mg/mL

L GENERIC PHENYLEP HRINE HYDROCHL ORIDE HYDROCOR TISONE SODIUM SUCCINATE OXYCODON E HYDROCHL POTASSIUM POTASSIUM 14.9g/100 CHLORIDE SUMATRIPT AN SUCCINATE CLINDAMYC IN PHOSPHAT APIXABAN PANTOPRA ZOLE SODIUM SODIUM CHLORIDE ENOXAPARI N SODIUM MANNITOL GLYCOPYR ROLATE DIGOXIN LIDOCAINE HYDROCHL ORIDE DILTIAZEM HYDROCHL ORIDE HYDROMO RPHONE HYDROCHL ORIDE BUDESONI DE NOREPINEP HRINE BITARTRAT E/D5W LIDOCAINE DEXTROSE MONOHYD PROPOFOL

K TRADE PHENYLEP HRINE HYDROCHL ORIDE SOLU- CORTEF OXYCONTIN CHLORIDE SUMATRIPT AN SUCCINATE CLINDAMYC IN PHOSPHAT ELIQUIS PROTONIX I.V. SODIUM CHLORIDE LOVENOX MANNITOL DIGOXIN LIDOCAINE HYDROCHL ORIDE HYDROCHL ORIDE HYDROMOR PHONE HYDROCHL ORIDE BUDESONID E NOREPINEP HRINE BITARTRAT E-D5W LIDOCAINE DEXTROSE PROPOFOL

J MERIDIAN DESC PHENYLEPHRINE HCL 10mg/Ml MDV package size 5 divisor 1 HYDROCORTISONE SOD SUCC 100mg PWVL package size 1 divisor 1 OXYCODONE HCL 15mg TABS package size 20 divisor 20 POTASSIUM CHLORIDE 10meq/50ml IPSL package size 50 divisor 24 SUMATRIPTAN SUCCINATE 6mg/0.5ml SDV package size 0.5 CLINDAMYCIN PHOS/D5W 600mg/50ml BTTL APIXABAN 5mg TABS package size 60 divisor PANTOPRAZOLE SODIUM 40mg PWVL package size 1 divisor 10 SODIUM CHLORIDE 0.9% 0.009 IVSL 100 64 ENOXAPARIN SODIUM 80mg/0.8ml SYRN MANNITOL 0.2 IVSL package size 500 divisor GLYCOPYRROLATE 0.2mg/Ml SDPF package GLYRX-PF DIGOXIN 0.25mg/Ml AM

Med Desc phenylephrine HCl mg (5 mL) Amp/Vial hydrocortisone (Solu-CORTEF) 100 mg/2 mL Injection oxyCODONE SR ER Tablet potassium chloride (Potassium Chloride Premix) 10 mEq/50 mL Bag SUMAtriptan succinate (Imitrex) 6 mg/0.5 mL Injection clindamycin/D5W (Cleocin) 600 mg/50 mL Bag apixaban (Eliquis) 5 mg Tab pantoprazole (Protonix) 40 mg/10 mL Injection sodium chloride 0.9% (NACL 0.9%) (100 mL) Bag enoxaparin (Lovenox) 80 mg/0.8 mannitol 20% 100 gm/500 mL Bag glycopyrrolate (Robinul) 0.2 mg/1 mg/2 mL Amp/Vial lidocaine 4% PF (Xylocaine-MPF) (5 mL) Injection dilTIAZem (Cardizem) 125 mg/25 mL Injection HYD

I (Neo-Synephrine) 50 sodium succinate PF (OxyCONTIN) 15 mg digoxin (Lanoxin) 0.5 (Dilaudid) 1 mg/1 mL dextrose 5% in water

Alert
H

1 3403 3404 3405 3406 3407 3408 3409 3410 3411 3412 3413 3414 3415 3416 3417 3418 3419 3420 3421 3422 3423