Page 208 - Inventory Report
P. 208
Revisions Unit Cost Approved $1.99 - revised unit cost $1.29 - revised unit cost Unit Cost Approved
AA
Z $ 1,021,287.64
Extended
Y $ 13.34 $ 13.26 $ 13.25 $ 12.68 $ 12.41 $ 12.21 $ 12.16 $ 12.13 $ 11.94 $ 11.87 $ 11.75 $ 11.64 $ 11.63 $ 11.61 $ 11.56 $ 11.48 $ 11.24
Unit
X Cost $ 2.22 $ 2.21 $ 1.66 $ 2.54 $ 6.20 $ 4.07 $ 3.04 $ 1.21 $ 1.99 $ 1.32 $ 3.92 $ 3.88 $ 1.06 $ 1.29 $ 1.65 $ 2.30 $ 1.25
Package Cost
W $ 26.67 $ 55.27 $ 165.67 $ 60.87 $ 62.03 $ 101.73 $ 30.39 $ 30.33 $ 23.88 $ 13.19 $ 3.92 $ 46.56 $ 31.72 $ 30.96 $ 165.12 $ 27.54 $ 62.45
V SOURCE MIS NADAC 7300005988 7300006024 7300001703 7300005613 7300007697 7300005882 7300009140 MIS NADAC/UPD ATED PRICE 7300006378 7300010039 7300010179 7300003573 MIS NADAC/UPD ATED 7300003674 MIS NADAC 7300010708
40200000-CALORIC AGENTS 40280800-LOOP DIURETICS 04040400- ETHANOLAMINE DERIVATIVES ANTIBIOTICS 24040408- ANTIARRHYTHMIC AGENTS, CLASS Ib AGENTS 28160808- BUTYROPHENONES ANTIPSYCHOTIC 72000000-LOCAL ANESTHETICS (PARENTERAL) 40120000- REPLACEMENT PREPARATIONS 08120612- CEPHALOSPORINS, 52040400- ANTIBACTERIALS (EENT) 94000000-DEVICES 08169200- 40200000-CALORIC AGENTS 24280800- DIHYDROPYRIDINES 40120000- REPLACEMENT PREPARATIONS 28129200-
U AHFS 08121800-QUINOLONE 48240000-MUCOLYTIC ANTIMYCOBACTERIAL ANTICONVULSANTS,
DEA
T CLAS S V
S GENER IC CODE 6931 34940 89596 26893 2401 15490 11854 7040 39962 33580 37508 43361 99573 2222 2840 23047
MANUFACTURER
R B. Braun Medical Inc. Hospira, Inc. Pharmaceutical Associates, Inc. WG Critical Care, LLC Hospira, Inc. American Regent, Inc. Patriot Pharmaceuticals, LLC B. Braun Medical Inc. Hospira, Inc Akorn Inc. Ethicon, Inc. Nostrum Laboratories, Inc. B. Braun Medical Inc. American Health B. Braun Medical Inc. Dr. Reddy's Laboratories, Inc.
DOSE FORM S INJECTION, S INJECTION, S INJECTION, PERINEURAL Hospira, Inc. S INJECTION, OPHTHALMIC TABLET, FILM Packaging S INJECTION,
Q INTRAVENOU SOLUTION INTRAMUSCU LAR/INTRAVE ORAL SOLUTION INTRAVENOU SOLUTION INTRAVENOU SOLUTION ORAL; RESPIRATOR INTRAMUSCU LAR INJECTION INFILTRATIO N; INTRAVENOU SOLUTION INTRAMUSCU LAR/INTRAVE SOLUTION, DROPS SPONGE ORAL TABLET INTRAVENOU S SOLUTION ORAL INTRAVENOU SOLUTION ORAL CAPSULE
SIZE Y
P TXT
UOI
O SIZE
PACK AGE 1000 4 10 150 5 4 1 20 1000 1 2.5 12 30 500 100 1000 50
N SIZE
M STRENG TH 5; .9g/100m L; 10mg/mL 12.5mg/5 mL 5mg/mL 20mg/mL 200mg/m L 5mg/mL 10mg/mL 5; .6; .31; .03; .02g/100 mL; g/100mL; g/100mL; g/100mL 1g/1 3mg/mL 12-7MM 25mg/1 10g/100m L 60mg/1 .6; .31; .03; .02g/100 g/100mL; g/100mL; g/100mL 75mg/1
L GENERIC DEXTROSE; SODIUM CHLORIDE FUROSEMI DE DIPHENHYD RAMINE HYDROCHL ORIDE LEVOFLOX ACIN LIDOCAINE HYDROCHL ORIDE ACETYLCY STEINE HALOPERID OL LACTATE LIDOCAINE HYDROCHL ORIDE DEXTROSE MONOHYD RATE; SODIUM CHLORIDE; SODIUM LACTATE; POTASSIUM g/100mL; CHLORIDE; CALCIUM CEFTRIAXO NE SODIUM CIPROFLOX ACIN HYDROCHL ORIDE GELATIN SPONGE ABSORBAB DAPSONE DEXTROSE MONOHYD RATE NIFEDIPINE SODIUM CHLORIDE; SODIUM LACTATE; POTASSIUM mL; CHLORIDE; CALCIUM CHLORIDE PREGABALI N
K TRADE DEXTROSE AND SODIUM FUROSEMI DE DIPHENHYD RAMINE HYDROCHL ORIDE LEVOFLOXA CIN LIDOCAINE HYDROCHL ORIDE ACETYLCYS TEINE 20% HALOPERID OL LACTATE LIDOCAINE HYDROCHL ORIDE 5% DEXTROSE IN LACTATED RINGERS CEFTRIAXO NE SODIUM CIPROFLOX ACIN HYDROCHL ORIDE SURGIFOA M DAPSONE DEXTROSE NIFEDIPINE LACTATED RINGER'S PREGABALI N
J MERIDIAN DESC DEXTROSE 5%/0.9% NACL 5-0.9% IVSL 1000 12 FUROSEMIDE 10mg/Ml SDPF package size 4 DIPHENHYDRAMINE HCL 12.5mg/5ml ELIX package size 10 divisor 100 LEVOFLOXACIN IN DEXTROSE 5 % INTRAVEN PI 750 mg LIDOCAINE HCL 0.02 divisor 10 ACETYLCYSTEINE 200mg/Ml AMIH package size 4 divisor HALOPERIDOL AMPS package size 1 LIDOCAINE HCL 0.01 MDV package size 20 divisor 25 1000 12 CEFTRIAXONE SODIUM 1gm PWVL CIPROFLOXACIN HCL 0.003 DROP package size 2.5 divisor 1 ABSORBABLE Not Available SPNG DAPSONE ORAL TABLET 25 MG 25 TAB DEXTROSE 10%/WATER 0.1 IVSL 500 24 NIFEDIPINE 60mg (Procardia XL) 60 mg TABS pack
Med Desc dextrose 5% with 0.9% NaCl (D5NS) (1000 mL) Bag furosemide (Lasix) 40 mg/4 mL Injection diphenhydrAMINE (Benadryl) 25 mg/10 mL Elixir levofloxacin/D5W (Levaquin) 750 mg/150 mL Injection lidocaine 2% mL Syringe acetylcysteine 20% (Mucomyst) 600 mg/3 mL (4 mL) mg/1 mL Injection lidocaine 1% (Xylocaine) (20 mL) Injection mL) Bag cefTRIAXone (Rocephin) 1 gm ciprofloxacin 0.3% drop) Ophth Soln mm (Surgifoam) 1 EA Sponge dapsone (Dapsone) 25 mg Tab dextrose 10%-water (D10W) (500 mL) NIFEdipine XL lactated ringers (1000 mL) Bag pregabalin (Lyrica) 75 mg Cap
I (Xylocaine) 100 mg/5 ABBJ package size 5 haloperidol (Haldol) 5 LACTATE 5mg/Ml dextrose 5%-lactated DEXTROSE 5%/LACT ringers (D5LR) (1000 RINGERS 0.05 IVSL 2.5 mL (Ciloxan) (50 gelatin sponge 12 x 7 GELATIN SPONGE
Alert
H Bag
1 4184 4185 4186 4187 4188 4189 4190 4191 4192 4193 4194 4195 4196 4197 4198 4199 4200
