Page 177 - Inventory Report
P. 177

Revisions              Unit Cost   Approved                                            Unit Cost   Approved
       AA






       Z       $ 1,021,287.64




              Extended

       Y                    $         5.93    $         5.93    $         5.87    $         5.87    $         5.83    $         5.72    $         5.70    $         5.68    $         5.62    $         5.61    $         5.61    $         5.56    $         5.51    $         5.48    $         5.37    $         5.34    $         5.33    $         5.33    $         5.04    $         5.00    $         4.97    $         4.96



             Unit
       X      Cost          $    0.42    $    0.35    $    1.17    $    0.08    $    0.32    $    1.43    $    0.71    $    0.44    $    0.35    $    0.28    $    0.43    $    2.78    $    0.55    $    1.10    $    0.36    $    1.78    $    0.33    $    1.33    $    1.68    $    0.08    $    1.66    $    0.26


             Package   Cost

       W                    $    42.38    $    34.86    $    11.75    $      7.72    $    32.37    $    35.77    $    17.80    $    43.71    $    31.62    $    16.84    $    43.13    $    88.91    $    49.62    $    32.88    $      8.95    $    17.80    $      9.99    $    39.95    $  167.84    $      9.24    $    41.44    $      7.84





       V      SOURCE       7300009606  7300000492  MIS NADAC  7300008074  7300001672  7300009142  7300006438  7300001228  7300000663  7300010229  7300010054  MIS NADAC  7300007956  7300000427  7300005637  7300001155  7300002355  7300007855  7300010311  7300010135  7300008746  7300000383









       U      AHFS                12120812-ALPHA- &   BETA-ADRENERGIC   36580000-OCULAR   CONVERTING ENZYME   72000000-LOCAL   56281200-HISTAMINE   H2-ANTAGONISTS  BENZODIAZEPINES  (ANXIOLYTIC,SEDATIV/  28920000-CENTRAL   NERVOUS SYSTEM   28121200-HYDANTOINS  40200000-CALORIC   28080492-OTHER   NONSTEROIDAL ANTI-  PHARMACEUTICAL   28080800-OPIATE   12120812-ALPHA- &   BETA-ADRENERGIC   12121200-ALPHA- AND   BETA-ADRENERGIC   ANTIDEPRESSANTS,   MISCELLANEOUS  68040000-ADRENALS  76000000-OXYTOCICS
                      56080000-  ANTIDIARRHEA   AGENTS  48080000-  ANTITUSSIVES  AGONISTS  DISORDERS  24320400-  ANGIOTENSIN-  ANESTHETICS   (PARENTERAL)  28240800-  HYP)  24320800-  ANGIOTENSIN II   RECEPTOR   AGENTS, MISC.  AGENTS  24320800-  ANGIOTENSIN II   RECEPTOR   96000000-  AIDS  AGONISTS  AGONISTS  28160492-  48102400-  LEUKOTRIENE




         DEA
       T    CLAS  S        V                                                 IV                                                  II


       S  GENER  IC   CODE  65030  29840  21815     960    11857   99002     14032  14850  20773   17700       13846  35930  2709  33309  22697  22696  20317  9115  11400  94444


              MANUFACTURER



       R              G.D. Searle LLC   Division of Pfizer   Inc  Pfizer Laboratories   Div Pfizer Inc  West-Ward   Pharmaceuticals   Corp.  Akorn, Inc.  Major   Pharmaceuticals,   Inc  West-Ward   Pharmaceuticals   Corp.  Teva   Pharmaceuticals   USA, Inc.  Dohme Corp.  American Health   Packaging  Major   Pharmaceuticals,   Inc  Hospira, Inc.  Novartis   Pharmaceuticals   Corporation  Precision Dose Inc.  Fresenius Kabi   USA, LLC  Hospira, Inc.  Nephron SC Inc.  Nephron SC, Inc.  Packaging  Hi-Tech Pharmacal   Co., Inc.  Par Pharmaceutical   Companies, Inc.  Merck Sharp &





              DOSE FORM                   OPHTHALMIC       PERINEURAL Hospira, Inc.  TABLET, FILM  Merck Sharp &   S INJECTION,              (INHALATION)   TABLET, FILM  American Health   TABLET, FILM  Dohme Corp.

       Q                ORAL   TABLET  ORAL   CAPSULE  SUBCUTANE  OUS   INJECTION  STRIP  ORAL   TABLET  INFILTRATIO  N;   INTRAVENOU  S INJECTION  ORAL   CAPSULE  ORAL   COATED  ORAL   TABLET  ORAL   CAPSULE  INTRAVENOU  ORAL   TABLET  ORAL   SUSPENSION  INTRAMUSCU  LAR;   INTRAVENOU  INTRAMUSCU  LAR/INTRAVE  RESPIRATOR  RESPIRATOR  SOLUTION  ORAL   COATED,   ORAL   SOLUTION  INTRAVENOU  S INJECTION  ORAL




            SIZE                                                                                                                      Y    Y
       P      TXT


            UOI
       O      SIZE


         PACK  AGE         100  100    1    100     100    20      2         100    90     60      100  150    90   10      5    1    1         1      100     120  1    30
       N      SIZE



       M    STRENG  TH  2.5;   .025mg/1;   mg/1  100mg/1  1mg/mL  1mg/1  5mg/1  20mg/mL  10mg/mL  25mg/1  25mg/1  5mg/1  100mg/1  5g/100mL  80mg/1  200mg/10  mL  1mg/mL  4mg/mL  2.5mg/.5  mL  11.25mg/.  5mL  150mg/1  5mg/5mL  10[iU]/mL  10mg/1





       L      GENERIC  DIPHENOXY  LATE   HYDROCHL  ORIDE;   ATROPINE   BENZONAT  ATE  TERBUTALI  NE   SULFATE  FLUORESC  EIN  ENALAPRIL   MALEATE  LIDOCAINE   HYDROCHL  ORIDE  FAMOTIDIN  E  CHLORDIAZ  EPOXIDE   HYDROCHL  ORIDE  LOSARTAN   POTASSIUM  MEMANTIN  E   HYDROCHL  PHENYTOIN   SODIUM  DEXTROSE   MONOHYD  VALSARTA  N  IBUPROFEN  WATER  MORPHINE   SULFATE  L SULFATE  RACEPINEP  HRINE   HYDROCHL  ORIDE  BUPROPIO  N   HYDROCHL  PREDNISOL  ONE   SODIUM  OXYTOCIN  MONTELUK  AST






       K      TRADE        LOMOTIL  TESSALON  TERBUTALI  NE   SULFATE  FUL-GLO  ENALAPRIL   MALEATE  LIDOCAINE   HYDROCHL  ORIDE  FAMOTIDIN  E  CHLORDIAZ  EPOXIDE   HYDROCHL  ORIDE  COZAAR  MEMANTIN  E   HYDROCHL  EXTENDED   PHENYTOIN   SODIUM  DEXTROSE  DIOVAN  IBUPROFEN  STERILE   MORPHINE   SULFATE ALBUTEROL ALBUTERO  SULFATE   ASTHMANE  FRIN  BUPROPIO  N   HYDROCHL  PREDNISOL  ONE   SODIUM   PITOCIN  SINGULAIR










       J      MERIDIAN DESC  DIPHENOXYLATE/ATR  OPINE 2.5-0.025mg  TABS package size 100   divisor 100 BENZONATATE 100mg  GCAP package size 100   TERBUTALINE  (Brethine) 1 mg/1 mL  SULFATE 1mg/Ml SDV    1  10  FLUORESCEIN   SODIUM 1mg STRP   ENALAPRIL MALEATE   5 mg TABS package   size 100 divisor 100  LIDOCAINE HCL 0.02   MDV package size 20   divisor 25 FAMOTIDINE 10mg/Ml   SDPF package size 2   divisor 25  CHLORDIAZEPOXIDE   HCL 25mg CAPS  package size 100 divisor   100  LOSARTAN   POTASSIUM ORAL  TABLET 25 MG 25 TAB   MEMANTINE HCL   ORAL TABLET 5 MG 5   TAB package size 60   PHENYTOIN SOD   EXTENDED 100mg  CAPS package size 100  DEXTROSE 5%/WATER   0.05 IVSL  150  32  VALSAR








              Med Desc  diphenoxylate 0.025   mg-2.5 mg (Lomotil)   terbutaline sulfate   fluorescein (Fluor-I-  Strip) (1 strip) Strip  enalapril maleate   (Vasotec) 5 mg Tab  (Xylocaine) (20 mL)   famotidine (Pepcid)   chlordiazePOXIDE   HCl (Librium) 25 mg   LOsartan (COzaar)   phenytoin sodium   extended (Dilantin)   valsartan (Diovan)   ibuprofen (Motrin)   200 mg/10 mL Oral   water, sterile (Sterile   water for injection)   (10 mL) Injection  morphine 4 mg/1 mL   racEPINEPhrine   (racEPINEPhrine)   buPROPion XL   (Wellbutrin XL) 150   prednisoLONE *NP*   15 mg/5 mL Syrup  oxytocin (Pitocin) 10   unit/1 mL Injection  (Singulair) 10 mg

       I                        (Tessalon Perle) 100                                       (Namenda) 5 mg Tab  dextrose 5% in water   (Ventolin) 2.5 mg/0.5
                   atropine-  Tab  benzonatate   Amp/Vial  lidocaine 2%   Injection  20 mg/2 mL   Amp/Vial  Cap  25 mg Tab  memantine   100 mg Cap  (150 mL) Bag  80 mg Tab  Injection  albuterol 0.5%   2.25%   0.5 mL Neb  mg CR Tablet  montelukast




              Alert
       H


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