Page 204 - Inventory Report
P. 204

Revisions                                                                  Unit Cost   Approved  $2.37 -   revised   unit cost
       AA






       Z       $ 1,021,287.64




              Extended

       Y                         $       38.06    $       37.63    $       37.26    $       36.68    $       36.16    $       35.95    $       35.03    $       33.91    $       33.89    $       33.34    $       33.18    $       32.54    $       31.56    $       31.54    $       31.51    $       31.18    $       30.61    $       30.55    $       30.45    $       30.38



             Unit
       X      Cost               $    3.46    $    2.89    $    1.10    $    7.34    $  12.05    $    5.99    $    3.89    $    1.88    $    1.78    $    2.78    $    2.37    $    2.50    $    5.26    $    6.31    $    3.50    $    3.90    $    3.06    $    3.82    $    7.61    $    3.38


             Package   Cost

       W                         $    86.49    $    28.94    $    32.88    $      7.34    $    60.26    $    59.91    $    97.30    $  188.39    $    17.84    $    66.68    $    28.44    $    25.03    $    52.59    $  567.77    $  105.03    $  116.94    $  306.06    $    38.19    $      7.61    $    33.76





       V      SOURCE            7300010060  7300000972  7300000427  7300002818  7300010061  7300001429  7300008694  7300004582  7300006633  MIS NADAC  MIS   NADAC/UPD  ATED   7300008911  7300005820  7300007953  7300007568  7300011305  7300011087  7300005570  7300006870  7300000368




                             56281200-HISTAMINE   H2-ANTAGONISTS  08121292-OTHER   MACROLIDE   28080492-OTHER   NONSTEROIDAL ANTI-  08122820-  ANTIBACTERIALS,   LINCOMYCINS  28080800-OPIATE   AGONISTS  20120416-  ANTICOAGULANTS,   68040000-ADRENALS  AND ANTIPYRETICS,   28080800-OPIATE   AGONISTS  40200000-CALORIC   AGENTS  40120000-  REPLACEMENT   PREPARATIONS  08120612-  CEPHALOSPORINS,   BETA-ADRENERGIC   24320800-  ANGIOTENSIN II   RECEPTOR   24060600-FIBRIC ACID   DERIVATIVES  08182800-  NEURAMINIDASE   52040400-  ANTIBACTERIALS   08121616-EXTENDED-  SPECTRUM   PENICILLINS



       U      AHFS                                                        28089200-ANALGESICS             12121200-ALPHA- AND   28361200-CATECHOL-O- METHYLTRANSFERASE  56160000-DIGESTANTS






         DEA                                                                                                                                              (EENT)
       T    CLAS  S                                      II                           II


       S  GENER  IC   CODE           48795  35930  40822  19203  62772  28143         34853        2962  39963  19411  13844  95079  93437   26177  73441  33540    53281


              MANUFACTURER                                                                                   Inc.                                                   Inc



       R                     Amerisource   Bergen  Pfizer Laboratories   Div Pfizer Inc  Precision Dose Inc.  Akorn, Inc.  Mylan   Pharmaceuticals   Inc.  Sanofi-Aventis U.S.   LLC  Pharmacia and   Upjohn Company   LLC  Pharmaceutical   Associates, Inc.  Hospira, Inc.  Hospira, Inc.  B. Braun Medical   Inc.  Hospira, Inc  Hospira,  Jubilant Cadista   Pharmaceuticals   Inc.  Mylan Institutional   American Health   Packaging  AbbVie Inc.  Genentech, Inc.  Paddock   Laboratories, LLC  Hospira,





              DOSE FORM              S INJECTION,                                          S INJECTION,   S INJECTION,   TABLET, FILM  Inc.            OPHTHALMIC   PARENTERAL

       Q                     ORAL   TABLET  INTRAVENOU  ORAL   SUSPENSION  INTRAVENOU  S INJECTION  TRANSDERM  AL PATCH  SUBCUTANE  OUS   INTRAMUSCU  LAR/INTRAVE  NOUS   INJECTION,   ORAL   SOLUTION  INTRAMUSCU  LAR/INTRAVE  NOUS;   SUBCUTANE  INTRAVENOU  INTRAVENOU  SOLUTION  INTRAMUSCU  LAR/INTRAVE  ENDOTRACH  EAL;  ORAL   TABLET  ORAL   ORAL   CAPSULE  ORAL   CAPSULE,   DELAYED   RELEASE   PELLETS  ORAL   CAPSULE  OINTMENT  INTRAVENOU  S;   INJECTION,




            SIZE
       P      TXT


            UOI
       O      SIZE


         PACK  AGE              25   1    10     50      5    0.8       1    20.3     1    250     1000  1   10     90   30   30             100  10      3.5       1
       N      SIZE



       M    STRENG  TH          20mg/1  500mg/5  mL  200mg/10  mL  900mg/50  mL  100ug/h  80mg/.8m  L  125mg/2  mL  160mg/5  mL  1mg/mL  5g/100mL  0.9g/100  mL  2g/1  0.1mg/mL  160mg/1  200mg/1  200mg/1  60000;   12000;   38000[US  P'U]/1;   [USP'U]/1  ;   75mg/1  5mg/g  3;   .375g/15  mL;   g/15mL





       L      GENERIC        FAMOTIDIN  E  AZITHROMY  CIN   IBUPROFEN  CLINDAMYC  IN   PHOSPHAT  FENTANYL  ENOXAPARI  N SODIUM  METHYLPR  EDNISOLON  E SODIUM   SUCCINATE  ACETAMIN  OPHEN  HYDROMO  RPHONE   HYDROCHL  ORIDE  DEXTROSE   MONOHYD  SODIUM   CHLORIDE  CEFTRIAXO  NE SODIUM  EPINEPHRI  NE  VALSARTA  N  ENTACAPO  NE  FENOFIBRA  TE  PANCRELIP  ASE   LIPASE;   PANCRELIP  ASE   PROTEASE;   OSELTAMIV  IR  ERYTHROM  YCIN  PIPERACILL  IN SODIUM;   TAZOBACT  AM SODIUM






       K      TRADE  GOOD   NEIGHBOR   PHARMACY   ACID   REDUCER   Maximum   Strength  ZITHROMAX  IBUPROFEN  CLINDAMYC  IN   PHOSPHAT  FENTANYL  LOVENOX  SOLU-  MEDROL  ACETAMINO  PHEN  HYDROMOR  PHONE   HYDROCHL  ORIDE  DEXTROSE  SODIUM   CHLORIDE  CEFTRIAXO  NE SODIUM  EPINEPHRI  NE  ENTACAPO  NE  FENOFIBRA  TE  CREON  TAMIFLU  ERYTHROM  YCIN  PIPERACILL  IN AND   TAZOBACT  AM










       J      MERIDIAN DESC  GNP FAMOTIDINE   20MG MAX/STR   TABLET 25CT 20 mg   TAB package size 25   divisor 25 AZITHROMYCIN 500mg   PWVL package size 1  IBUPROFEN 100mg/5ml  CHILDREN'S   SUSP package size 10   CLINDAMYCIN   PHOS/D5W   900mg/50ml BTTL  FENTANYL 100mcg/Hr   PTCH package size 5   divisor 5 ENOXAPARIN SODIUM   80mg/0.8ml SYRN   METHYLPREDNISOLO NE SOD SUCC 125mg   PWVL package size 1   divisor 25  ACETAMINOPHEN   160mg/5ml SOLN   HYDROMORPHONE   HCL 1mg/Ml AMPS   package size 1 divisor   10 DEXTROSE 5%/WATER   0.05 IVSL  250  24  SODIUM CHLORIDE  0.9% 0.009 IVSL  1000    12  CEFTRIAXONE   SODIUM 2gm PWVL   EPINEPHRINE  0.1mg/Ml ABBJ package   VALSARTAN ORAL   TABL








              Med Desc       famotidine (Pepcid)   20 mg Tab  azithromycin   (ZITHROmax) 500   ibuprofen (Motrin)   200 mg/10 mL Oral   clindamycin/D5W   (Cleocin/D5W) 900   mg/50 mL Bag  fentaNYL   (Duragesic) 100   mcg/1 patch Patch  enoxaparin   (Lovenox) 80 mg/0.8   methylPREDNISolon  e sodium succinate   mg/2 mL Injection  acetaminophen   (Tylenol) 650   HYDROmorphone   Injection  (D5W) (250 mL) Bag  sodium chloride   0.9% (NACL 0.9%)   (1000 mL) Bag  cefTRIAXone   (Rocephin) 2 gm   EPINEPHrine   (SHORT) 1 mg/10   valsartan (Diovan)   160 mg Tab  entacapone   (Comtan) 200 mg   fenofibrate 200 mg   pancrelipase DR (12-  38-60) (Creon DR)   CR Capsule  oseltamivir (Tamiflu)

       I                                                             (Solu-MEDROL) 125   (Dilaudid) 1 mg/1 mL   dextrose 5% in water





              Alert
       H                                                                                                                      Cap


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