Page 193 - Inventory Report
P. 193

Revisions                                                                                           Unit Cost   Approved  Unit Cost   Approved        Unit Cost   Approved
       AA






       Z       $ 1,021,287.64




              Extended

       Y               $       73.28    $       73.17    $       67.99    $       65.73    $       64.15    $       64.10    $       60.41    $       59.31    $       52.92    $       48.27    $       45.42    $       44.20    $       43.47    $       43.42    $       42.87    $       42.68    $       39.22    $       37.62    $       37.40



             Unit
       X      Cost     $    1.47    $  10.45    $    9.71    $    3.46    $  64.15    $  12.82    $    8.63    $    7.41    $    1.82    $    4.83    $    1.51    $    1.47    $    1.01    $    2.89    $  10.72    $    3.88    $    2.06    $    3.76    $    1.29


             Package   Cost

       W               $  146.57    $  104.52    $    97.13    $    86.49    $    64.15    $    12.82    $  258.89    $    37.07    $    87.59    $    48.27    $    96.90    $  123.77    $    25.27    $    28.94    $    32.15    $    46.56    $    51.61    $    37.62    $  103.17





       V      SOURCE  7300010110  7300008687  7300018999  7300010060  7300005109  7300008681  7300000493  7300000325  7300007515  7300005469  MIS NADAC  MIS NADAC  7300001623  7300000972  7300010023  7300010179  7300008924  7300008693  MIS NADAC




                   24120800-NITRATES   AND NITRITES  56220800-  ANTIHISTAMINES (GI   DRUGS)  36680000-  56281200-HISTAMINE   H2-ANTAGONISTS  68221200-  GLYCOGENOLYTIC   68040000-ADRENALS  56283200-  PROTECTANTS  72000000-LOCAL   ANESTHETICS   (PARENTERAL)  24120800-NITRATES   AND NITRITES  12209200-SKELETAL   40120000-  REPLACEMENT   PREPARATIONS  40120000-  REPLACEMENT   28080492-OTHER   INFLAM. AGENTS  08121292-OTHER   MACROLIDE   08121292-OTHER   MACROLIDE   94000000-DEVICES  12080800-  68040000-ADRENALS  40200000-CALORIC   AGENTS



       U      AHFS                     ROENTGENOGRAPHY                                                       MUSCLE RELAXANTS,   NONSTEROIDAL ANTI-    ANTIMUSCARINICS/AN






         DEA
       T    CLAS  S


       S  GENER  IC   CODE  1772  30314  10905                25473     28302              68238        1720        2962  2962   35239  48795  48790  37508  32847    6641


              MANUFACTURER           Bracco Diagnostics,



       R         Glenmark   Pharmaceutials   Inc., USA  Heritage   Pharmaceuticals   Inc. d/b/a Avet   Pharmaceuticals   Inc.  Inc  Amerisource   Bergen  Eli Lilly and   Company  Pharmacia and   Upjohn Company   LLC  Precision Dose Inc.  Fresenius Kabi   USA, LLC  Savage   Laboratories a   division of Fougera   Pharmaceuticals   Inc.  Actavis Pharma,   Inc.  B. Braun Medical   Inc.  B. Braun Medical   Inc.  Sagent   Pharmaceuticals  Pfizer Laboratories   Div Pfizer Inc  Pfizer Laboratories   Div Pfizer Inc  Ethicon, Inc.  Exela Pharma   Sciences, LLC  Sagent   Pharmaceuticals  ICU Medical Inc.





              DOSE FORM                                                                                           S INJECTION,   S INJECTION,   S INJECTION,          S INJECTION,

       Q           SUBLINGUAL   TABLET  INTRAMUSCU  LAR;   INTRAVENOU  S INJECTION  INTRAVASCU  LAR   ORAL   TABLET  KIT   INTRAMUSCU  LAR/INTRAVE  NOUS   INJECTION,   ORAL   SUSPENSION  EPIDURAL;   INFILTRATIO  N;   INTRACAUDA  TOPICAL   OINTMENT  INTRAMUSCU  LAR;   INTRAVENOU  SOLUTION  INTRAVENOU  INTRAMUSCU  LAR/INTRAVE  NOUS   INTRAVENOU  ORAL   POWDER,   SPONGE  INTRAMUSCU  LAR/INTRAVE  INTRAMUSCU  LAR/INTRAVE  NOUS   INJECTION,   INTRAVENOU




            SIZE                                                                           L;
       P      TXT


            UOI
       O      SIZE


         PACK  AGE                2    100               25   1         1      10          30           1    2      100  50      1    1    3      12   1         1    100
       N      SIZE    4X25



       M    STRENG  TH  0.4mg/1   5mg/mL  755mg/m  L    20mg/1  1MG  100mg/2  mL  1GM/10M  10;   .005mg/m  L; mg/mL  20mg/g  30mg/mL  9mg/mL  9mg/mL  30mg/mL  500mg/5  mL  1g/1  12-7MM  0.2mg/mL  40mg/mL  5g/100mL





       L      GENERIC  NITROGLYC  ERIN  PROCHLOR  PERAZINE   EDISYLATE  IOPAMIDOL  FAMOTIDIN  E  GLUCAGON  HYDROCOR  TISONE   SODIUM   SUCCINATE  SUCRALFA  TE                  L  LIDOCAINE   HYDROCHL  ORIDE;   EPINEPHRI  NE   NITROGLYC  ERIN  ORPHENAD  RINE  SODIUM   CHLORIDE  SODIUM   CHLORIDE  KETOROLA  C   TROMETHA  AZITHROMY  CIN   AZITHROMY  CIN  GELATIN   SPONGE   ABSORBAB  GLYCOPYR  ROLATE  METHYLPR  EDNISOLON  E SODIUM   SUCCINATE  DEXTROSE   MONOHYD






       K      TRADE  NITROGLYC  ERIN  PROCHLOR  PERAZINE   EDISYLATE  ISOVUE 370  GOOD   NEIGHBOR   PHARMACY   ACID   REDUCER   Maximum   Strength  GLUCAGON   SOLU-  CORTEF  SUCRALFAT  E  XYLOCAINE-  MPF WITH   EPINEPHRI  NE  NITRO-BID  ORPHENAD  RINE   SODIUM   CHLORIDE  SODIUM   CHLORIDE  KETOROLA  C   TROMETHA  ZITHROMAX  ZITHROMAX  SURGIFOA  M  METHYLPR  EDNISOLON  E SODIUM   SUCCINATE  DEXTROSE










       J      MERIDIAN DESC  NITROGLYCERIN   SUBL 0.4 MG 0.4 TAB   PROCHLORPERAZINE   EDISYLATE 5mg/Ml   SDV package size 2   divisor 10  IOPAMIDOL 0.76 BTTL  package size 100 divisor   GNP FAMOTIDINE   20MG MAX/STR   TABLET 25CT 20 mg   TAB package size 25   divisor 25  1mg KIT package size 1   HYDROCORTISONE   SOD SUCC 100mg   PWVL package size 1   divisor 1  SUCRALFATE ORAL  ORAL SUSP 1 G/10 ML   1 SUS package size 10   LIDOCAINE/EPINEPHRI  NE 1-0.0005% SDPF   package size 30 divisor   5  NITROGLYCERIN 0.02   OINT package size 1   divisor 48  ORPHENADRINE   SODIUM CHLORIDE   0.9% 0.009 IVSL  100    64  SODIUM CHLORIDE   0.9% 0.009 IVSL  50  84  KETOROLAC   TROMETHAMINE  30mg/M








              Med Desc  nitroglycerin   tab) DIS Tablet  prochlorperazine   edisylate   (Compazine) 10   mg/2 mL Injection  iopamidol (Isovue-  250) 12.5 gm/50 mL   famotidine (Pepcid)   20 mg Tab  1 mg Injection  hydrocortisone   (Solu-CORTEF) 100   mg/2 mL Injection  sucralfate (Carafate)   1 gm/10 mL Oral   Suspension  lidocaine-  EPINEPHrine 1%-  1:200,000 MPF   (Xylocaine with EPI   MPF) (30 mL)   nitroglycerin 2%   Ointment UD pkt   (Nitro-Bid) (1 in)   orphenadrine   sodium chloride   0.9% (NACL 0.9%)   (100 mL) Bag  sodium chloride   0.9% (NaCl 0.9%)   ketorolac (Toradol)   30 mg/1 mL Injection  azithromycin   (ZITHROmax) 500   azithromycin   (ZITHROmax) 1   mm (Surgifoam

       I           (Nitrostat) 0.4 mg (25 SUBLINGUAL TAB   glucagon (GlucaGen) GLUCAGON HUMAN   sodium succinate PF   (Norflex) 60 mg/2 mL  CITRATE 30mg/Ml   gelatin sponge 12 x 7 GELATIN SPONGE   dextrose 5% in water





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