Page 225 - Inventory Report

Revisions Unit Cost Approved Unit Cost Approved $6.02 - revised unit cost $1.19 - revised unit cost
AA

Z $ 1,021,287.64

Extended

Y $ 14.31 $ 13.63 $ 11.29 $ 10.86 $ 10.11 $ 9.99 $ 9.99 $ 8.77 $ 8.70 $ 8.15 $ 7.78 $ 7.56 $ 7.54 $ 6.36 $ 6.20 $ 6.02 $ 5.85 $ 5.07 $ 4.76 $ 4.55

Unit
X Cost $ 0.16 $ 1.51 $ 3.76 $ 3.62 $ 1.01 $ 1.00 $ 1.00 $ 1.25 $ 1.09 $ 2.72 $ 3.89 $ 1.26 $ 1.88 $ 3.18 $ 1.24 $ 6.02 $ 0.98 $ 1.01 $ 1.19 $ 2.28

Package Cost

W $ 37.69 $ 96.90 $ 37.62 $ 90.48 $ 25.27 $ 9.99 $ 9.99 $ 30.07 $ 1.09 $ 67.91 $ 97.30 $ 31.50 $ 188.39 $ 31.82 $ 1.24 $ 6.02 $ 24.38 $ 25.37 $ 14.28 $ 54.65

V SOURCE 7300011259 MIS NADAC 7300008693 7300008768 7300001623 7300005298 7300005298 MIS NADAC 7300010025 7300005292 7300008694 7300007392 7300004582 7300007885 7300001124 MIS NADAC/UPD ATED PRICE 7300005782 7300008982 MIS NADAC/UPD ATED 7300007746

84920000-SKIN AND AGENTS, MISC. 40120000- REPLACEMENT PREPARATIONS 68040000-ADRENALS 24082000-DIRECT VASODILATORS 28080492-OTHER INFLAM. AGENTS 28080800-OPIATE AGONISTS 28080800-OPIATE AGONISTS 40120000- REPLACEMENT PREPARATIONS 84040400- 28080800-OPIATE AGONISTS 68040000-ADRENALS 28240800- BENZODIAZEPINES AND ANTIPYRETICS, 28920000-CENTRAL NERVOUS SYSTEM AGENTS, MISC. 24320400- ANGIOTENSIN- 68200808-INSULINS, SHORT-ACTING 08120604- CEPHALOSPORINS, AGENTS 40200000-CALORIC AGENTS ANTIBIOTICS

U AHFS MUCOUS MEMBRANE NONSTEROIDAL ANTI- ANTIBACTERIALS (SKIN (ANXIOLYTIC,SEDATIV/ 28089200-ANALGESICS 56320000-PROKINETIC 08121800-QUINOLONE

DEA
T CLAS S II II II IV

S GENER IC CODE 23742 2962 1225 35239 32806 32806 2962 31810 25605 28143 33823 28021 47580 11642 25519 20510 6641 52122

MANUFACTURER Inc. Inc.

R CutisPharma, Inc. B. Braun Medical Inc. Sagent Pharmaceuticals Mylan Institutional Inc. Sagent Pharmaceuticals Hospira, Inc. Hospira, Inc. B. Braun Medical Inc. Actavis Pharma, Inc. Hospira, Pharmacia and Upjohn Company LLC Fresenius Kabi USA, LLC Pharmaceutical Associates, Inc. West-Ward Pharmaceuticals Corp. Hospira, Inc. Eli Lilly and Company Hospira, Inc Hospira, B. Braun Medical Inc. Hospira, Inc.

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

Q MOUTHWAS INTRAVENOU SOLUTION INTRAMUSCU LAR/INTRAVE NOUS INJECTION, INTRAMUSCU LAR/INTRAVE NOUS INTRAMUSCU LAR/INTRAVE NOUS INTRAMUSCU LAR/INTRAVE INTRAMUSCU LAR/INTRAVE INTRAVENOU SOLUTION TOPICAL OINTMENT INTRAMUSCU LAR/INTRAVE NOUS; INTRAMUSCU LAR/INTRAVE NOUS INJECTION, INTRAMUSCU LAR/INTRAVE NOUS ORAL SOLUTION INTRAVENOU SOLUTION INTRAVENOU INJECTION, SOLUTION INTRAVENOU INTRAMUSCU LAR/INTRAVE NOUS INJECTION, INTRAVENOU S SOLUTION INTRAVENOU SOLUTION

SIZE H
P TXT

UOI
O SIZE

PACK AGE 237 100 1 1 1 2 2 500 14 1 1 1 20.3 5 1 3 1 2 1000 200
N SIZE

M STRENG TH 25-200/30 9mg/mL 40mg/mL 20mg/mL 30mg/mL 50ug/mL 50ug/mL 0.9g/100 mL 500[USP' U]/g 50mg/mL 125mg/2 mL 5mg/mL 160mg/5 mL 0.1mg/mL 1.25mg/m L 100[iU]/m L 1g/1 5mg/mL 5g/100mL 2mg/mL

L GENERIC DIPHENHYD /LIDO/ALH/ MGH/SIMET H SODIUM CHLORIDE METHYLPR EDNISOLON E SODIUM SUCCINATE HYDRALAZI NE HYDROCHL KETOROLA C TROMETHA FENTANYL CITRATE FENTANYL CITRATE SODIUM CHLORIDE BACITRACI N ZINC MEPERIDIN E HYDROCHL METHYLPR EDNISOLON E SODIUM SUCCINATE M HYDROCHL ACETAMIN OPHEN FLUMAZENI L ENALAPRIL AT INSULIN HUMAN CEFAZOLIN SODIUM METOCLOP RAMIDE HYDROCHL ORIDE DEXTROSE MONOHYD RATE CIPROFLOX ACIN

K TRADE FIRST- MOUTHWA SH BLM SODIUM CHLORIDE METHYLPR EDNISOLON E SODIUM SUCCINATE HYDRALAZI NE HYDROCHL KETOROLA C TROMETHA FENTANYL CITRATE FENTANYL CITRATE SODIUM CHLORIDE BACITRACI N ZINC DEMEROL SOLU- MEDROL MIDAZOLAM MIDAZOLA HYDROCHL ORIDE ACETAMINO PHEN FLUMAZENI L ENALAPRIL AT HUMULIN R CEFAZOLIN SODIUM METOCLOP RAMIDE HYDROCHL ORIDE DEXTROSE CIPROFLOX ACIN

J MERIDIAN DESC DIPHENHYD/LIDO/ALH/ MGH/SIMETH Not Available KIT package size 237 divisor 1 SODIUM CHLORIDE 0.9% 0.009 IVSL 100 64 METHYLPREDNISOLO NE SOD SUCC 40mg PWVL package size 1 divisor 10 HYDRALAZINE HCL 20mg/Ml SDPF package size 1 divisor 25 KETOROLAC TROMETHAMINE 30mg/Ml SDPF package FENTANYL CITRATE 50mcg/Ml AMPS FENTANYL CITRATE 50mcg/Ml AMPS SODIUM CHLORIDE 0.9% 0.009 IVSL 500 24 BACITRACIN ZINC 500u/Gm OINT package MEPERIDINE HCL 50mg/Ml AMPS package size 1 divisor 25 METHYLPREDNISOLO NE SOD SUCC 125mg PWVL package size 1 divisor 25 MIDAZOLAM HCL 5mg/Ml MDV package size 1 divisor 25 ACETAMINOPHEN

Med Desc diphenhyd-lidocaine- AlOH-mgOH- simethicone (Magic Mouthwash) (15 mL) sodium chloride 0.9% (NACL 0.9%) (100 mL) Bag methylPREDNISolon e sodium succinate (Solu-MEDROL) 40 mg/1 mL Injection hydrALAZINE mL Injection ketorolac (Toradol) 30 mg/1 mL Injection fentaNYL (Sublimaze) 100 fentaNYL (Sublimaze) 100 sodium chloride 0.9% (NACL 0.9%) (500 mL) Bag bacitracin 15 gm Ointment (15 APP) meperidine (Demerol) 50 mg/1 mL Amp/Vial methylPREDNISolon e sodium succinate mg/2 mL Injection midazolam (Versed) 5 mg/1 mL Injection acetaminophen (Tylenol) 650 flumazenil (Romazicon) 0.5 mg/5 mL Injection enalaprila

I (Apresoline) 20 mg/1 (Solu-MEDROL) 125 (Reglan) 10 mg/2 mL package size 2 divisor dextrose 5% in water

Alert
H Bag

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