Page 187 - Inventory Report

Revisions Unit Cost Approved
AA

Z $ 1,021,287.64

Extended

Y $ 22.83 $ 21.81 $ 17.97 $ 16.11 $ 15.69 $ 15.32 $ 14.24 $ 14.22 $ 13.56 $ 13.50 $ 12.64 $ 12.16 $ 12.13 $ 12.08 $ 12.02 $ 10.38 $ 10.15

Unit
X Cost $ 3.80 $ 4.36 $ 5.99 $ 1.61 $ 5.23 $ 7.66 $ 1.78 $ 3.56 $ 0.90 $ 3.38 $ 1.26 $ 3.04 $ 1.21 $ 0.17 $ 1.50 $ 3.46 $ 1.01

Package Cost

W $ 95.12 $ 61.06 $ 59.91 $ 16.11 $ 5.23 $ 76.58 $ 17.80 $ 85.33 $ 22.60 $ 33.76 $ 63.21 $ 30.39 $ 30.33 $ 20.37 $ 15.03 $ 86.49 $ 25.37

V SOURCE 7300009145 MIS NADAC 7300001429 7300001622 7300010142 7300005250 7300001155 7300001866 7300008690 7300000368 7300002822 7300005882 7300009140 7300008659 7300005294 7300010060 7300008982

72000000-LOCAL ANESTHETICS (PARENTERAL) 40120000- REPLACEMENT PREPARATIONS 20120416- ANTICOAGULANTS, 28080492-OTHER INFLAM. AGENTS INFECTIVES, MISCELLANEOUS 40200000-CALORIC AGENTS 28080800-OPIATE AGONISTS 40120000- REPLACEMENT PREPARATIONS 04041200- PHENOTHIAZINE DERIVATIVES SPECTRUM PENICILLINS 28080800-OPIATE AGONISTS 28160808- ANTIPSYCHOTIC 72000000-LOCAL ANESTHETICS (PARENTERAL) 48080000- ANTITUSSIVES 28080800-OPIATE AGONISTS H2-ANTAGONISTS AGENTS

U AHFS NONSTEROIDAL ANTI- 84049200-LOCAL ANTI- 08121616-EXTENDED- BUTYROPHENONES 56281200-HISTAMINE 56320000-PROKINETIC

DEA
T CLAS S II II

S GENER IC CODE 68233 2961 62772 35236 6771 33309 3282 14970 53281 15490 11854 33312 20510

MANUFACTURER Inc Inc.

R Hospira, Inc. Baxter Healthcare Corporation Sanofi-Aventis U.S. LLC Athenex Pharmaceutical Division, LLC. ACTAVIS/TEVA Hospira, Inc. Hospira, Inc. Baxter Healthcare Corporation West-Ward Pharmaceuticals Corp. Hospira, Major Pharmaceuticals, Inc Patriot Pharmaceuticals, LLC Cardinal Health Inc. Hospira, Inc. Amerisource Bergen Hospira,

DOSE FORM S INJECTION, S INJECTION, S INJECTION, PARENTERAL PERINEURAL Hospira, Inc.

Q INFILTRATIO N; PERINEURAL INJECTION, SOLUTION INTRAVENOU SOLUTION SUBCUTANE OUS INTRAMUSCU LAR/INTRAVE NOUS CREAM (G) INTRAVENOU INTRAMUSCU LAR/INTRAVE INTRAVENOU SOLUTION INTRAMUSCU LAR; INTRAVENOU S INJECTION INTRAVENOU S; INJECTION, ORAL TABLET INTRAMUSCU LAR INJECTION INFILTRATIO N; ORAL LIQUID INTRAMUSCU LAR/INTRAVE ORAL TABLET INTRAMUSCU LAR/INTRAVE NOUS INJECTION,

SIZE
P TXT

UOI
O SIZE

PACK AGE 50 1000 0.8 2 50 50 1 100 1 1 50 1 20 118 1 25 2
N SIZE

M STRENG TH 10; 10mg/mL; ug/mL 4.5g/1000 mL 80mg/.8m L 30mg/mL 1 % 25g/50mL 4mg/mL 0mL 25mg/mL 3; .375g/15 mL; g/15mL 50; 325; 40mg/1; mg/1; mg/1 5mg/mL 10mg/mL 5; 100mg/5 mL; mg/5mL 10mg/mL 20mg/1 5mg/mL

L GENERIC LIDOCAINE HYDROCHL ORIDE; EPINEPHRI NE SODIUM CHLORIDE ENOXAPARI N SODIUM KETOROLA C TROMETHA SILVER SULFADIAZI NE DEXTROSE MONOHYD MORPHINE SULFATE POTASSIUM POTASSIUM 14.9g/100 CHLORIDE PROMETHA ZINE HYDROCHL ORIDE PIPERACILL IN SODIUM; TAZOBACT AM SODIUM ACETAMIN OPHEN; BUTALBITA L; HALOPERID OL LACTATE LIDOCAINE HYDROCHL ORIDE DEXTROME HYDROBRO MIDE; GUAIFENES MORPHINE SULFATE FAMOTIDIN E METOCLOP RAMIDE HYDROCHL ORIDE

K TRADE LIDOCAINE HYDROCHL ORIDE AND EPINEPHRI NE SODIUM CHLORIDE LOVENOX KETOROLA C TROMETHA SILVER SULFADIAZI NE DEXTROSE MORPHINE SULFATE CHLORIDE PROMETHA ZINE HYDROCHL ORIDE PIPERACILL IN AND TAZOBACT AM BUTALBITA L, ACETAMINO PHEN, AND HALOPERID OL LACTATE LIDOCAINE HYDROCHL ORIDE CHILDREN'S THORPHAN MUCUS & COUGH RELIEF MORPHINE SULFATE GOOD NEIGHBOR PHARMACY ACID REDUCER Maximum Strength METOCLOP RAMIDE HYDROCHL ORIDE

J MERIDIAN DESC LIDOCAINE/EPINEPHRI package size 50 divisor 25 SODIUM CHLORIDE 1000 14 ENOXAPARIN SODIUM 80mg/0.8ml SYRN KETOROLAC TROMETHAMINE 30mg/Ml SDV package SILVER SULFADIAZINE 0.01 CRM package size DEXTROSE 50%/WATER 0.5 ABBJ MORPHINE SULFATE 4 mg/ml CARP package POTASSIUM CHLORIDE 20meq/100ml IPSL package size 100 divisor PROMETHAZINE HCL (Phenergan) 25 mg/1 25mg/Ml AMPS package size 1 divisor 25 PIPERACILLIN/TAZOBA CTAM 3.375gm PWVL package size 1 divisor 10 acetamin/butalb/caff 325- mg-40 mg (FioriCET) 50-40mg tabs package size 50 divisor 50 HALOPERIDOL AMPS package size 1 LIDOCAINE HCL 0.01 MDV package s

Med Desc EPINEPHrine 1%- with EPI) (50 mL) sodium chloride (Lovenox) 80 mg/0.8 ketorolac (Toradol) 60 mg/2 mL Injection silver sulfADIAZINE dextrose 50%-water (50 mL) Syringe morphine 4 mg/1 mL potassium chloride (Potassium Chloride Premix) 20 mEq/100 promethazine HCl tazobactam (Zosyn) 3.375 gm Injection butalbital-acetamin- caffeine 50 mg-325 mg/1 mL Injection (Xylocaine) (20 mL) (Robitussin-DM) (10 morphine 10 mg/1 famotidine (Pepcid) metoclopramide

I 1:100,000 (Xylocaine NE 1-0.001% MDV 0.45% (NACL 0.45%) 0.45% 0.0045 IVSL (Silvadene) (50 APP) 50 divisor 1 haloperidol (Haldol) 5 LACTATE 5mg/Ml (Reglan) 10 mg/2 mL package size 2 divisor
lidocaine- Amp/Vial (1000 mL) Bag enoxaparin 1% Cream Injection mL Bag mL Injection piperacillin- Tab lidocaine 1% Injection guaiFENesin- dextrometh mL) Syrup mL Injection 20 mg Tab Injection

Alert
H

1 3770 3771 3772 3773 3774 3775 3776 3777 3778 3779 3780 3781 3782 3783 3784 3785 3786