Page 224 - Inventory Report
P. 224

Revisions                   $1.75 -   revised   unit cost     $2.37 -   revised   unit cost  Unit Cost   Approved              Unit Cost   Approved
       AA






       Z       $ 1,021,287.64




              Extended

       Y            $     120.91    $     100.56    $       68.37    $       54.31    $       52.50    $       41.82    $       38.05    $       37.22    $       33.18    $       32.42    $       28.12    $       25.64    $       24.59    $       24.12    $       22.97    $       18.36    $       18.12    $       15.44    $       14.32



             Unit
       X      Cost   $    5.04    $  50.28    $    5.26    $  27.15    $    1.75    $  20.91    $    3.80    $    6.20    $    2.37    $    1.47    $    5.62    $  12.82    $    8.20    $    3.45    $    7.66    $    2.30    $    6.04    $    0.70    $    4.77


             Package   Cost

       W            $    60.45    $  201.12    $    52.59    $    27.15    $  147.00    $  209.08    $    95.12    $    62.03    $    28.44    $  123.77    $    56.24    $    12.82    $    81.98    $      3.45    $    76.58    $    27.54    $      6.04    $    17.55    $    47.74





       V      SOURCE  7300009081  7300010412  7300005820  7300010087  MIS   NADAC/UPD  ATED   6770001023  7300009145  7300005613  MIS   NADAC/UPD  ATED   MIS NADAC  7300005650  7300008681  7300006052  7300004156  7300005250  MIS NADAC  7300000693  7300008748  7300011133









       U      AHFS  CORTICOSTEROIDS   92120000-ANTIDOTES 12121200-ALPHA- AND   BETA-ADRENERGIC   52160000-LOCAL   ANESTHETICS (EENT)  40200000-CALORIC   40200000-CALORIC   72000000-LOCAL   ANTIARRHYTHMIC   AGENTS, CLASS Ib   28100000-OPIATE   68040000-ADRENALS  ANTIMUSCARINICS/AN  ANTIFLATULENTS  40200000-CALORIC   52160000-LOCAL   ANESTHETICS (EENT)  BLOCKING AGENTS
                 84060800-                     AGENTS  AGENTS   ANESTHETICS   (PARENTERAL)  24040408-  40120000-  REPLACEMENT   PREPARATIONS  40120000-  REPLACEMENT   ANTAGONISTS  12080800-  TISPASMODICS  56100000-  AGENTS  40120000-  REPLACEMENT   PREPARATIONS  04040400-  ETHANOLAMINE   DERIVATIVES  24240000-BETA-  ADRENERGIC




         DEA
       T    CLAS  S


       S  GENER  IC   CODE  27941  4391  19411  11942  6641  25211  68233  26893  2962  2962  45132     28302  18661        6771                2840             46013   45117


              MANUFACTURER      Inc.                                                          Inc.             Inc.



       R         Paddock   Laboratories, LLC  Paddock   Laboratories, LLC  Hospira,  Lannett Company,   Inc.  B. Braun Medical   Inc.  Baxter Healthcare   Corporation  Hospira, Inc.  Hospira, Inc.  B. Braun Medical   Inc.  B. Braun Medical   Inc.  Hospira,  Pharmacia and   Upjohn Company   LLC  Hospira,  Cardinal Health Inc.  Hospira, Inc.  B. Braun Medical   Inc.  Actavis Pharma,   Inc.  Fresenius Kabi   USA, LLC  Hospira, Inc.





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

       Q         RECTAL   SUPPOSITOR  INTRAVENOU  SOLUTION,   ENDOTRACH  EAL;  ORAL   SOLUTION  INTRAVENOU  SOLUTION  INTRAVENOU  S EMULSION  INFILTRATIO  N;   PERINEURAL   INJECTION,   SOLUTION  INTRAVENOU  SOLUTION  INTRAVENOU  SOLUTION  INTRAVENOU  INTRAMUSCU  LAR/INTRAVE  NOUS;  INTRAMUSCU  LAR/INTRAVE  NOUS   INJECTION,   INTRAVENOU  SOLUTION,  ORAL   EMULSION  INTRAVENOU  INTRAVENOU  SOLUTION  TOPICAL   JELLY  INTRAMUSCU  LAR/INTRAVE  NOUS   INJECTION,   INTRAVENOU  SOLUTION




            SIZE
       P      TXT


            UOI
       O      SIZE


         PACK  AGE   12    30   10     50      50     250          50     5      1000  50     1         1      10      30   50                  1000   5         1       4
       N      SIZE



       M    STRENG  TH  25mg/1  200mg/m  L  0.1mg/mL  20mg/mL  50mg/mL  20g/100m  L  10;   10mg/mL;   ug/mL  20mg/mL  0.9g/100  mL  9mg/mL  0.4mg/mL  100mg/2  mL  0.1mg/mL  20mg/.3m  L  25g/50mL  .6; .31;   .03;   .02g/100  g/100mL;   g/100mL;   g/100mL  20mg/mL  50mg/mL  5mg/mL





       L      GENERIC  HYDROCOR  TISONE  ACETYLCY  STEINE  EPINEPHRI  NE  LIDOCAINE   HYDROCHL  ORIDE  DEXTROSE   MONOHYD  RATE  SOYBEAN   OIL  LIDOCAINE   HYDROCHL  ORIDE;   EPINEPHRI  NE   LIDOCAINE   HYDROCHL  ORIDE  SODIUM   CHLORIDE  SODIUM   CHLORIDE  NALOXONE   HYDROCHL  ORIDE  HYDROCOR  TISONE   SODIUM   SUCCINATE  ATROPINE   SULFATE  SIMETHICO  NE  DEXTROSE   MONOHYD  SODIUM   CHLORIDE;   SODIUM   LACTATE;   POTASSIUM mL;   CHLORIDE;   CALCIUM   CHLORIDE  LIDOCAINE   HYDROCHL  ORIDE  DIPHENHYD  RAMINE   HYDROCHL  ORIDE  LABETALOL   HYDROCHL  ORIDE






       K      TRADE  HYDROCOR  TISONE   ACETYLCYS  TEINE  EPINEPHRI  NE  LIDOCAINE   HYDROCHL  ORIDE  DEXTROSE  INTRALIPID  LIDOCAINE   HYDROCHL  ORIDE AND   EPINEPHRI  NE  LIDOCAINE   HYDROCHL  ORIDE  SODIUM   CHLORIDE  SODIUM   CHLORIDE  NALOXONE   HYDROCHL  ORIDE  SOLU-  CORTEF  ATROPINE   SULFATE   Abboject  LEADER   INFANTS   GAS RELIEF  DEXTROSE  LACTATED   RINGER'S  LIDOCAINE   HYDROCHL  ORIDE  DIPHENHYD  RAMINE   HYDROCHL  ORIDE  LABETALOL   HYDROCHL  ORIDE










       J      MERIDIAN DESC  hydrocortisone acetate   25mg SUPP package   ACETYLCYSTEINE   200mg/Ml SDPF   package size 30 divisor   EPINEPHRINE  0.1mg/Ml ABBJ package   LIDOCAINE HCL   MUCOUS MEM   SOLUTION 40 MG/ 4   DEXTROSE 5%/WATER   0.05 IVSL  50  84  FAT EMULSION 0.2  IVSL package size 250   divisor 10  LIDOCAINE/EPINEPHRI  package size 50 divisor   25  LIDOCAINE HCL 0.02   divisor 10  SODIUM CHLORIDE   0.9% 0.009 IVSL  1000    12  SODIUM CHLORIDE  0.9% 0.009 IVSL  50  84  NALOXONE HCL   0.4mg/Ml CARP   package size 1 divisor   HYDROCORTISONE   SOD SUCC 100mg   PWVL package size 1   divisor 1  ATROPINE SULFATE  0.1mg/Ml ABBJ package   size 10 divisor 10  SIMETHICONE   40mg








              Med Desc  hydrocortisone   acetate (Anusol-HC)   acetylcysteine 20%   IV (Acetadote) 6000   mg/30 mL Amp/Vial  EPINEPHrine   (SHORT) 1 mg/10   lidocaine 4% Topical   (Xylocaine) (50 mL)   (D5W) (50 mL) Bag  fat emulsion 20%   (INTRAlipid) 50   gm/250 mL Emulsion  lidocaine-  EPINEPHrine 1%-  with EPI) (50 mL)   Amp/Vial  lidocaine 2%   mL Syringe  sodium chloride   0.9% (NACL 0.9%)   (1000 mL) Bag  sodium chloride   0.9% (NaCl 0.9%)   naloxone (Narcan)   0.4 mg/1 mL   Injection  hydrocortisone   (Solu-CORTEF) 100   mg/2 mL Injection  atropine 1 mg/10 mL   Syringe  simethicone   (Mylicon) 2000   mg/30 mL Oral   dextrose 50%-water   (50 mL) Syringe  lactated ringers

       I                                    dextrose 5% in water   1:100,000 (Xylocaine  NE 1-0.001% MDV   (Xylocaine) 100 mg/5 ABBJ package size 5   sodium succinate PF   (Xylocaine) 1 APP (5





              Alert
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