Page 233 - Inventory Report
P. 233

Revisions                                                                              Unit Cost   Approved  $1.19 -   revised   unit cost
       AA






       Z       $ 1,021,287.64




              Extended

       Y               $       15.49    $       15.46    $       15.20    $       14.93    $       14.56    $       14.04    $       12.82    $       12.82    $       12.66    $       11.05    $       10.02    $       10.00    $         9.52    $         8.35    $         8.15    $         7.78    $         7.78    $         7.71



             Unit
       X      Cost     $    7.74    $    1.72    $    3.04    $    0.50    $    1.21    $    0.70    $  12.82    $  12.82    $    4.22    $    2.21    $    1.25    $    1.25    $    1.19    $    1.04    $    2.72    $    3.89    $    3.89    $    2.57


             Package   Cost

       W               $    77.44    $    42.94    $    30.39    $    49.76    $    30.33    $    17.55    $    12.82    $    12.82    $    42.21    $    55.27    $    30.07    $    12.50    $    28.56    $    26.11    $    67.91    $    97.30    $    97.30    $    64.22





       V      SOURCE  7300000702  7300008718  7300005882  7300009416  7300009140  7300008748  7300008681  7300008681  7300019482  7300005988  MIS NADAC  7300005290  MIS   NADAC/UPD  ATED   7300001521  7300005292  7300008694  7300008694  7300005818



                 12121200-ALPHA- AND   BETA-ADRENERGIC   AGONISTS  40280800-LOOP   DIURETICS  28160808-  BUTYROPHENONES   ANTIPSYCHOTIC   84280000-  72000000-LOCAL   ANESTHETICS   (PARENTERAL)  04040400-  ETHANOLAMINE   DERIVATIVES  68040000-ADRENALS  68040000-ADRENALS  28249200-  ANXIOLYTICS,   SEDATIVES &   HYPNOTICS,MISC.  40280800-LOOP   DIURETICS  40120000-  REPLACEMENT   PREPARATIONS  28080800-OPIATE   AGONISTS  40120000-  REPLACEMENT   PREPARATIONS  20120416-  ANTICOAGULANTS,   HEPARINS  28080800-OPIATE   AGONISTS  68040000-ADRENALS  68040000-ADRENALS  20120416-  ANTICOAGULANTS,   HEPARINS




       U      AHFS                          KERATOLYTIC AGENTS






         DEA
       T    CLAS  S                                                                                               II                    II


       S  GENER  IC   CODE  34940  15490    97839   11854     46013     28302    28302     37807  34940  2962     34855  2962    46952  25605     28143     28143   46952


              MANUFACTURER  Inc.                                                                                                        Inc.



       R              Hospira,  Hospira, Inc.  Patriot   Pharmaceuticals,   LLC  Arzol Chemical   Company  Fresenius Kabi   USA, LLC  Pharmacia and   Upjohn Company   LLC  Pharmacia and   Upjohn Company   LLC  Hospira, Inc.  Hospira, Inc.  B. Braun Medical   Inc.  Hospira, Inc.  B. Braun Medical   Inc.  Meitheal   Pharmaceuticals   Inc.  Hospira,  Pharmacia and   Upjohn Company   LLC  Pharmacia and   Upjohn Company   LLC  Pfizer Laboratories   Div Pfizer Inc





              DOSE FORM  S INJECTION,              PERINEURAL Hospira, Inc.              S INJECTION,   S INJECTION,   S INJECTION,

       Q         INTRAVENOU  SOLUTION,  INTRAMUSCU  LAR/INTRAVE  INTRAMUSCU  LAR   INJECTION  TOPICAL   STICK  INFILTRATIO  N;   INTRAMUSCU  LAR/INTRAVE  NOUS   INJECTION,   INTRAMUSCU  LAR/INTRAVE  NOUS   INJECTION,   INTRAMUSCU  LAR/INTRAVE  NOUS   INJECTION,   INTRAVENOU  SOLUTION  INTRAMUSCU  LAR/INTRAVE  INTRAVENOU  SOLUTION  INTRAMUSCU  LAR/INTRAVE  NOUS;   SUBCUTANE  INTRAVENOU  SOLUTION  INTRAVENOU  S;   SUBCUTANE  INTRAMUSCU  LAR/INTRAVE  NOUS;  INTRAMUSCU  LAR/INTRAVE  NOUS   INJECTION,   INTRAMUSCU  LAR/INTRAVE  NOUS   INJECTION,   INTRAVENOU  S;   SUBCUTANE




            SIZE
       P      TXT


            UOI
       O      SIZE


         PACK  AGE    4    2      1         100     20        1         1        1         20   4       500       1      250     1      1         1         1       10
       N      SIZE



       M    STRENG  TH  1mg/mL  10mg/mL  5mg/mL  75mg/100  mg;   mg/100m  10mg/mL  50mg/mL  100mg/2  mL  100mg/2  mL  4ug/mL  10mg/mL  0.9g/100  mL  2mg/mL  0.9g/100  mL  1000[US  P'U]/mL  50mg/mL  125mg/2  mL  125mg/2  mL  1000[US  P'U]/mL





       L      GENERIC  NOREPINEP  HRINE   BITARTRAT  FUROSEMI  DE  HALOPERID  OL   LACTATE  POTASSIUM 25;   NITRATE;   SILVER   NITRATE  LIDOCAINE   HYDROCHL  ORIDE  DIPHENHYD  RAMINE   HYDROCHL  ORIDE  HYDROCOR  TISONE   SODIUM   SUCCINATE  HYDROCOR  TISONE   SODIUM   SUCCINATE  DEXMEDET  OMIDINE   HYDROCHL  ORIDE  FUROSEMI  DE  SODIUM   CHLORIDE  HYDROMO  RPHONE   HYDROCHL  ORIDE  SODIUM   CHLORIDE  HEPARIN   SODIUM  MEPERIDIN  E   HYDROCHL  METHYLPR  EDNISOLON  E SODIUM   SUCCINATE  METHYLPR  EDNISOLON  E SODIUM   SUCCINATE  HEPARIN   SODIUM






       K      TRADE   LEVOPHED  FUROSEMI  DE  HALOPERID  OL   LACTATE  SILVER   NITRATE   RS  LIDOCAINE   HYDROCHL  ORIDE  DIPHENHYD  RAMINE   HYDROCHL  ORIDE  SOLU-  CORTEF  SOLU-  CORTEF  PRECEDEX  FUROSEMI  DE  SODIUM   CHLORIDE  HYDROMOR  PHONE   HYDROCHL  ORIDE  SODIUM   CHLORIDE  HEPARIN   SODIUM  DEMEROL  SOLU-  MEDROL  SOLU-  MEDROL  HEPARIN   SODIUM










       J      MERIDIAN DESC  NOREPINEPHRINE   BITARTRATE 1mg/Ml   AMPS package size 4  FUROSEMIDE 10mg/Ml   SDPF package size 2   HALOPERIDOL   AMPS package size 1   SILVER NITRATE Not  Available STCK package  APPLICATO  size 100 divisor 100  LIDOCAINE HCL 0.01   MDV package size 20   divisor 25  DIPHENHYDRAMINE   HCL 50mg/Ml SDPF   package size 1 divisor   25  HYDROCORTISONE   SOD SUCC 100mg   PWVL package size 1   divisor 1  HYDROCORTISONE   SOD SUCC 100mg   PWVL package size 1   divisor 1  DEXMEDETOMIDINE   HCL 4 mcg/ml SDPF   package size 20 divisor   10 FUROSEMIDE 10mg/Ml   SDPF package size 4   SODIUM CHLORIDE   0.9% 0.009 IVSL  500    24  HYDROMORPHONE   HCL 2mg/Ml AMPS








              Med Desc  norepinephrine   4 mg/4 mL Amp/Vial  furosemide (Lasix)   20 mg/2 mL Injection  mg/1 mL Injection  silver nitrate   applicator (Silver   Nitrate) 1 EA Stick  lidocaine 1%   (Xylocaine) (20 mL)   Injection  diphenhydrAMINE   (Benadryl) 50 mg/1   mL Injection  hydrocortisone   (Solu-CORTEF) 100   mg/2 mL Injection  hydrocortisone   (Solu-CORTEF) 100   mg/2 mL Injection  dexmedetomidine   (Precedex) 400   mcg/4 mL Amp/Vial  furosemide (Lasix)   40 mg/4 mL Injection  sodium chloride   0.9% (NACL 0.9%)   (500 mL) Bag  HYDROmorphone   Injection  sodium chloride   0.9% (NACL 0.9%)   (250 mL) Bag  heparin 1000 unit/1   mL Injection  meperidine   (Demerol) 50 mg/1

       I           bitartrate (Levophed)   haloperidol (Haldol) 5 LACTATE 5mg/Ml   sodium succinate PF   sodium succinate PF   (Dilaudid) 2 mg/1 mL   (Solu-MEDROL) 125   (Solu-MEDROL) 125





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