Page 205 - Inventory Report

Revisions $6.81 - unit cost Unit Cost Approved $1.19 - revised unit cost
AA

Z $ 1,021,287.64

Extended

Y $ 30.21 $ 30.01 $ 29.20 $ 28.61 $ 28.44 $ 28.31 $ 28.09 $ 27.60 $ 27.33 $ 27.24 $ 27.08 $ 26.60 $ 26.18 $ 25.18 $ 25.16 $ 24.96 $ 24.86 $ 24.57 $ 24.45 $ 23.94 $ 23.75 $ 23.14

Unit
X Cost $ 5.03 $ 2.50 $ 5.84 $ 1.79 $ 3.56 $ 1.01 $ 4.68 $ 5.52 $ 3.90 $ 6.81 $ 1.29 $ 5.32 $ 1.19 $ 1.68 $ 83.87 $ 4.99 $ 6.21 $ 4.09 $ 3.06 $ 11.97 $ 4.75 $ 1.78

Package Cost

W $ 5.03 $ 25.01 $ 58.39 $ 17.88 $ 85.33 $ 25.27 $ 140.45 $ 165.60 $ 97.62 $ 6.81 $ 103.17 $ 5.32 $ 28.56 $ 16.79 $ 83.87 $ 299.46 $ 6.21 $ 122.85 $ 30.56 $ 119.70 $ 118.73 $ 17.80

V SOURCE 7300009868 7300000364 7300001899 7300010642 7300001866 7300001623 7300010287 7300007921 7300012201 UPDATED PRICE MIS NADAC 7300010027 MIS NADAC/UPD ATED 7300010869 7300011334 7300005921 7300002817 7300011005 7300002914 7300005655 7300009516 7300001155

52920000-EENT DRUGS, MISCELLANEOUS SPECTRUM PENICILLINS 81206 - CEPHALOSPORINS 28129200- 40120000- REPLACEMENT PREPARATIONS 28080492-OTHER INFLAM. AGENTS 48100808- 28160420- SELECTIVE 40200000-CALORIC AGENTS 84040400- & MUCOUS 40120000- REPLACEMENT PREPARATIONS 28080800-OPIATE AGONISTS INTERMEDIATE- ACTING 08180820- 08122820- ANTIBACTERIALS, LINCOMYCINS 56283600-PROTON- PUMP INHIBITORS 12202000- NEUROMUSCULAR AGENTS 28080800-OPIATE AGONISTS
U AHFS 08121616-EXTENDED- ANTICONVULSANTS, NONSTEROIDAL ANTI- CORTICOSTEROIDS (RESPIRATORY TRACT) ANTIDEPRESSANTS 68040000-ADRENALS ANTIBACTERIALS (SKIN 68200812-INSULINS, ANTIRETROVIRALS, 12120812-ALPHA- & BETA-ADRENERGIC BLOCKING AGENTS 48240000-MUCOLYTIC

DEA
T CLAS S II II

S GENER IC CODE 53280 27163 3282 35239 17958 16374 97837 6641 47450 2962 33308 11660 50912 98776 13025 2400 33309

MANUFACTURER Inc LLC, a subsidiary of

R Medtech Products Inc. Hospira, Apotex Corporation Sagent Pharmaceuticals Baxter Healthcare Corporation Sagent Pharmaceuticals Teva Pharmaceuticals Roerig Fresenius Kabi USA, LLC ICU Medical Inc. Teva Pharmaceuticals USA, Inc. B. Braun Medical Inc. Hospira, Inc. Eli Lilly and Company TABLET, FILM Apotex Corporation Akorn, Inc. Mylan Specialty L.P. Wyeth Pharmaceuticals Pfizer Inc. Sandoz Inc. American Regent, Inc. Hospira, Inc.

DOSE FORM PARENTERAL S INJECTION, S INJECTION, (INHALATION) USA, Inc. TABLET, FILM S INJECTION, S INJECTION, S INJECTION,

Q DROPS INTRAVENOU S; INJECTION, VIAL INTRAVENOU INTRAVENOU SOLUTION INTRAMUSCU LAR/INTRAVE NOUS RESPIRATOR ORAL COATED INTRAMUSCU LAR/INTRAVE NOUS INTRAVENOU TOPICAL OINTMENT INTRAVENOU SOLUTION INTRAMUSCU LAR/INTRAVE SUBCUTANE OUS INJECTION, ORAL INTRAVENOU S INJECTION RESPIRATOR INTRAVENOU POWDER, FOR INTRAMUSCU LAR; INTRAVENOU ORAL; RESPIRATOR INTRAMUSCU LAR/INTRAVE

SIZE Y Y Y
P TXT

UOI
O SIZE

PACK AGE 15 1 1 5 100 1 2 30 1 100 22 250 1 10 60 50 2 1 10 4 1
N SIZE

M STRENG TH 0.6-0.5% 2; .25g/10m L; g/10mL 2 G 500mg/5 mL 0mL 30mg/mL 0.5 mg/2mL 50mg/1 10mg/mL 5g/100mL 20mg/g 0.9g/100 mL 2mg/mL 100[iU]/m L 100mg/1 600mg/50 mL 20ug/2mL 40mg/10 mL 20mg/mL 100mg/m L 4mg/mL

L GENERIC POVIDONE/ POLYVINYL ALCOHOL PIPERACILL IN SODIUM; TAZOBACT AM SODIUM CEFEPIME HCL LEVETIRAC ETAM POTASSIUM POTASSIUM 14.9g/100 CHLORIDE KETOROLA C TROMETHA BUDESONI DE SERTRALIN E HYDROCHL DEXAMETH ASONE SODIUM DEXTROSE MONOHYD MUPIROCIN SODIUM CHLORIDE MORPHINE SULFATE INSULIN HUMAN LAMIVUDIN E CLINDAMYC IN PHOSPHAT FORMOTER OL PANTOPRA ZOLE SODIUM SUCCINYLC HOLINE CHLORIDE ACETYLCY STEINE MORPHINE SULFATE

K TRADE CLEAR EYES NATURAL PIPERACILL IN AND TAZOBACT AM CEFEPIME HCL LEVETIRAC ETAM CHLORIDE KETOROLA C TROMETHA BUDESONID E ZOLOFT DEXAMETH ASONE SODIUM DEXTROSE MUPIROCIN SODIUM CHLORIDE MORPHINE SULFATE HUMULIN N LAMIVUDIN E CLINDAMYC IN PHOSPHAT PERFOROM IST PROTONIX I.V. ANECTINE ACETYLCYS TEINE 10% MORPHINE SULFATE

J MERIDIAN DESC POLYVINYL ALCOHOL/POVIDONE OPHTHALMIC DR BTL PIPERACILLIN/TAZOBA CTAM 2.25gm PWVL package size 1 divisor 10 CEFEPIME HCL 2gm PWVL package size 1 LEVETIRACETAM 100mg/Ml SDPF POTASSIUM CHLORIDE 20meq/100ml IPSL package size 100 divisor KETOROLAC TROMETHAMINE 30mg/Ml SDPF package BUDESONIDE 0.5mg/2ml AMIH package size 2 divisor SERTRALINE HCL 50mg TABS package size 30 divisor 30 DEXAMETHASONE SOD PHOS 10mg/Ml SDPF package size 1 DEXTROSE 5%/WATER 0.05 IVSL 100 80 MUPIROCIN 0.02 OINT package size 22 divisor 1 SODIUM CHLORIDE 0.9% 0.009 IVSL 250 24 MORPHINE SULFATE 2mg/Ml CARP package insulin

Med Desc ocular lubricant (Artificial Tears) 1 drop (15 mL) Ophth piperacillin- tazobactam (Zosyn) 2.25 gm Injection cefepime HCl (Maxipime) 2 gm levETIRAcetam (Keppra) 500 mg/5 potassium chloride (Potassium Chloride Premix) 20 mEq/100 mL Bag ketorolac (Toradol) 30 mg/1 mL Injection budesonide respule (Pulmicort Respule) 0.5 mg/2 mL Neb sertraline HCl (Zoloft) 50 mg Tab dexamethasone PF (Decadron PF) 10 mg/1 mL Amp/Vial dilTIAZem/D5W Add- (D5W) (100 mL) Bag mupirocin 2% Ointment 22 gm (Bactroban) (22 sodium chloride 0.9% (NACL 0.9%) (250 mL) Bag morphine 2 mg/1 mL Injection (HumuLIN N) 1 unit/0.01 mL (0.01

I (Cardizem/D5W) 125 dextrose 5% in water

Alert
H EASE

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