Page 196 - Inventory Report
P. 196

Revisions                                                Unit Cost   Approved        Unit Cost   Approved
       AA






       Z       $ 1,021,287.64




              Extended

       Y                    $         9.61    $         9.12    $         9.11    $         9.02    $         8.91    $         8.89    $         8.63    $         8.08    $         7.64    $         7.63    $         7.51    $         7.51    $         7.02    $         6.79    $         6.63    $         6.48    $         6.25



             Unit
       X      Cost          $    4.81    $    3.04    $    2.28    $    0.36    $    8.91    $    2.22    $    0.17    $    0.81    $    1.27    $    0.21    $    1.50    $    2.50    $    0.70    $    1.13    $    2.21    $    0.26    $    3.12


             Package   Cost

       W                    $      4.81    $    30.39    $    54.65    $    42.55    $    89.12    $    26.67    $    20.37    $    80.76    $    15.29    $    21.20    $    15.03    $    25.03    $    17.55    $    56.60    $    55.27    $    25.94    $      3.12





       V      SOURCE       7300010119  7300005882  7300007746  7300004113  7300011079  MIS NADAC  7300008659  7300003981  MIS NADAC  7300010125  7300005294  7300008911  7300008748  7300001383  7300005988  7300011694  7300010699









       U      AHFS         VASOCONSTRICTORS  BUTYROPHENONES   ANTIPSYCHOTIC   08121800-QUINOLONE   28080800-OPIATE   12121200-ALPHA- AND   BETA-ADRENERGIC   40200000-CALORIC   08121604-NATURAL   40200000-CALORIC   28080800-OPIATE   28080800-OPIATE   CEPHALOSPORINS,   ANTIHISTAMINES (GI   28080800-OPIATE   MISCELLANEOUS
                        52320000-  28160808-  ANTIBIOTICS  AGONISTS  AGONISTS  AGENTS  48080000-  ANTITUSSIVES  PENICILLIN   ANTIBIOTICS  AGENTS  AGONISTS  AGONISTS  08120612-  04040400-  ETHANOLAMINE   DERIVATIVES  56220800-  DRUGS)  40280800-LOOP   DIURETICS  AGONISTS  52920000-EENT   DRUGS,




         DEA
       T    CLAS  S                                      II                                                       II   II                                      II


       S  GENER  IC   CODE        15490   52122          13974     97790  6931                39055  6940         70491  33312  39963  46013  14773  34940     12486     95766


              MANUFACTURER



       R              Major   Pharmaceuticals,   Inc  Patriot   Pharmaceuticals,   LLC  Hospira, Inc.  Neos Therapeutics,   LP  BPI Labs, LLC     B. Braun Medical   Inc.  Cardinal Health Inc.  Rising  TABLET, FILM  Pharmaceuticals,   Inc.  B. Braun Medical   Inc.  Rhodes   Pharmaceuticals   L.P.  Hospira, Inc.  Hospira, Inc  Fresenius Kabi   USA, LLC  AvKare, Inc.  Hospira, Inc.  American Health   Packaging  VALEANT/BAUSCH





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

       Q                NASAL   SPRAY  INTRAMUSCU  LAR   INJECTION  INTRAVENOU  SOLUTION  ORAL   SUSPENSION  , EXTENDED   RELEASE  INTRAVENOU  SOLUTION,   CONCENTRA  INTRAVENOU  SOLUTION  ORAL LIQUID  ORAL   COATED  INTRAVENOU  SOLUTION  ORAL   TABLET  INTRAMUSCU  LAR/INTRAVE  INTRAMUSCU  LAR/INTRAVE  INTRAMUSCU  LAR/INTRAVE  NOUS   INJECTION,   ORAL   TABLET  INTRAMUSCU  LAR/INTRAVE  ORAL   TABLET  IRRIG SOLN




            SIZE
       P      TXT


            UOI
       O      SIZE


         PACK  AGE         30     1       200            118       1      1000        118     100    1000         100  1    1         1      50   4            100       118
       N      SIZE



       M    STRENG  TH     5g/100mL  5mg/mL  2mg/mL  10; 8   mg/5mL;   mg/5mL  1mg/mL  5;   .9g/100m  L;   5;   100mg/5  mL;   mg/5mL  500mg/1  5;   .45g/100  mL;   5;   325mg/1;   mg/1  10mg/mL  2g/1  50mg/mL  5mg/1  10mg/mL  5;   325mg/1;   mg/1





       L      GENERIC  OXYMETAZ  OLINE   HYDROCHL  ORIDE  HALOPERID  OL   LACTATE  CIPROFLOX  ACIN  ONE;   CHLORPHE  NIRAMINE  EPINEPHRI  NE  DEXTROSE;   SODIUM   CHLORIDE  DEXTROME  HYDROBRO  MIDE;   GUAIFENES  PENICILLIN   V   POTASSIUM  DEXTROSE;   SODIUM   CHLORIDE  OXYCODON  E   HYDROCHL  ORIDE;   ACETAMIN  MORPHINE   SULFATE  CEFTRIAXO  NE SODIUM  DIPHENHYD  RAMINE   HYDROCHL  ORIDE  PROCHLOR  PERAZINE   MALEATE  FUROSEMI  DE  HYDROCOD  ONE   BITARTRAT  E;   ACETAMIN  EYE   PRODUCTS






       K      TRADE  12 HOUR   NASAL   DECONGES  TANT 0.05%   Regular  HALOPERID  OL   LACTATE  CIPROFLOX  ACIN  HYDROCOD  ONE  POLISTIREX  HYDROCOD  AND   CHLORPHE  NIRAMINE   EPINEPHRI  NE  DEXTROSE   AND   SODIUM   CHILDREN'S THORPHAN   MUCUS &   COUGH   RELIEF  PENICILLIN   V   POTASSIUM  DEXTROSE   AND   SODIUM   OXYCODON  E AND   ACETAMINO  PHEN  MORPHINE   SULFATE  CEFTRIAXO  NE SODIUM  DIPHENHYD  RAMINE   HYDROCHL  ORIDE  PROCHLOR  PERAZINE   MALEATE  FUROSEMI  DE  HYDROCOD  ONE   BITARTRAT  E AND   ACETAMINO  EYE RELIEF










       J      MERIDIAN DESC  0.05% (Afrin) 1 spray  OXYMETAZOLINE HCL   0.0005 SPIN package   size 30 divisor 1  HALOPERIDOL   AMPS package size 1   CIPROFLOXACIN   LACTATE/D5W   400mg/200ml IPSL   HYDROCODONE/CHLO  ORAL SUS 44112 SUS  package size 118 divisor   118  EPINEPHRINE 1mg/Ml   AMPS package size 1   divisor 10  DEXTROSE 5%/0.9%   NACL 5-0.9% IVSL    1000  12  GUAIFEN/DM 100-  5mg/5ml LIQD package   size 118 divisor 118  PENICILLIN V   POTASSIUM ORAL  TABLET 500 M 500 TAB  DEXTROSE 5%/0.45%   NACL 5-0.45% IVSL    1000  12  OXYCODONE  HCL/ACETAMINOPHEN   ORAL TABLET 5- TAB  (PercoCET 5 mg-325 package size 100 divisor   100  MORPHINE SULFATE  10mg/Ml CARP package   CEFTRIA








              Med Desc  oxymetazoline HCl   (15 spray) Nasal   mg/1 mL Injection  ciprofloxacin/D5W   (Cipro I.V.) 400   mg/200 mL Bag  poli (Tussionex   PennKinetic) 5 mL   Oral Suspension  EPINEPHrine IM   Anaphylaxis Kit   (Adrenalin IM   Anaphylaxis Kit) (1   dextrose 5% with   0.9% NaCl (D5NS)   (1000 mL) Bag  guaiFENesin-  dextrometh   (Robitussin-DM) (10   mL) Syrup  penicillin V   potassium (Penicillin-  VK) 500 mg Tab  D5W 0.45% NaCl   (dextrose 5% 0.45%   NaCl) (1000 mL) Bag  oxyCODONE-APAP   5 mg-325 mg   mg) Tab  morphine 10 mg/1   mL Injection  cefTRIAXone   (Rocephin) 2 gm   diphenhydrAMINE   (Benadryl) 50 mg/1   mL Injection  prochlorperazine   maleate   (Compazine

       I                        haloperidol (Haldol) 5 LACTATE 5mg/Ml   HYDROcodone-chlor-RPHEN P-STIREX                                                         ophthalmic irrigation,





              Alert
       H                   Spray


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