Page 234 - Inventory Report

Revisions $6.02 - revised unit cost $1.29 - revised unit cost Unit Cost Approved
AA

Z $ 1,021,287.64

Extended

Y $ 7.34 $ 6.99 $ 6.75 $ 6.20 $ 6.02 $ 5.87 $ 5.62 $ 5.51 $ 5.34 $ 5.33 $ 5.16 $ 4.79 $ 4.54 $ 4.13 $ 4.03 $ 3.77 $ 3.72 $ 3.62 $ 3.36 $ 2.96 $ 2.92

Unit
X Cost $ 7.34 $ 1.00 $ 1.12 $ 1.24 $ 6.02 $ 0.65 $ 1.12 $ 2.76 $ 1.78 $ 0.33 $ 1.29 $ 4.79 $ 1.51 $ 0.41 $ 0.40 $ 3.77 $ 0.41 $ 0.90 $ 0.42 $ 0.42 $ 0.19

Package Cost

W $ 7.34 $ 9.99 $ 11.25 $ 1.24 $ 6.02 $ 6.52 $ 11.25 $ 27.56 $ 17.80 $ 9.99 $ 30.96 $ 47.85 $ 96.90 $ 4.13 $ 10.07 $ 37.72 $ 4.13 $ 22.60 $ 12.60 $ 10.56 $ 1.94

V SOURCE 7300002818 7300005298 7300001801 7300001124 MIS NADAC/UPD ATED PRICE 7300006073 7300001801 7300008761 7300001155 7300002355 MIS NADAC/UPD ATED 7300000372 MIS NADAC 7300000445 7300007361 7300006488 7300000445 7300008690 7300010227 7300006402 7300009148

U AHFS ANTIBACTERIALS, 28080800-OPIATE BENZODIAZEPINES (ANXIOLYTIC,SEDATIV/ 68200808-INSULINS, BENZODIAZEPINES BENZODIAZEPINES (ANXIOLYTIC,SEDATIV/ 28049200-GENERAL MISCELLANEOUS 28080800-OPIATE 12120812-ALPHA- & BETA-ADRENERGIC 40200000-CALORIC 08121616-EXTENDED- BENZODIAZEPINES (ANXIOLYTIC,SEDATIV/ AMINOPENICILLIN PHENOTHIAZINE ANTICOAGULANTS, ANTICOAGULANTS, 72000000-LOCAL
08122820- LINCOMYCINS AGONISTS 28240800- 24320400- ANGIOTENSIN- SHORT-ACTING 28240800- 28240800- ANESTHETICS, AGONISTS AGENTS SPECTRUM PENICILLINS 40120000- REPLACEMENT PREPARATIONS 56222000-5-HT3 RECEPTOR ANTAGONISTS 28240800- 08121608- ANTIBIOTICS 56222000-5-HT3 RECEPTOR ANTAGONISTS 04041200- DERIVATIVES 20120416- 201204 - ANESTHETICS (PARENTERAL)

DEA
T CLAS S II IV IV IV III II IV

S GENER IC CODE 40822 32806 33815 47580 11642 45118 33815 12852 33309 22697 99573 2962 33799 89521 14970 26424 25692 26879

MANUFACTURER AuroMedics Pharma

R Akorn, Inc. Hospira, Inc. West-Ward Pharmaceuticals Corp. Hospira, Inc. Eli Lilly and Company Hospira, Inc. West-Ward Pharmaceuticals Corp. West-Ward Pharmaceuticals Corp. Hospira, Inc. Nephron SC Inc. B. Braun Medical Inc. Apotex Corporation B. Braun Medical Inc. Heritage Pharmaceuticals Inc. Fresenius Kabi USA, LLC Roerig Heritage Pharmaceuticals Inc. West-Ward Pharmaceuticals Corp. Becton Dickinson and Company APP/FRESENIUS K LLC

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

Q INTRAVENOU S INJECTION INTRAMUSCU LAR/INTRAVE INTRAMUSCU LAR; INTRAVENOU INTRAVENOU INJECTION, SOLUTION INTRAMUSCU LAR/INTRAVE INTRAMUSCU LAR; INTRAVENOU INTRAMUSCU LAR; INTRAVENOU INTRAMUSCU LAR/INTRAVE RESPIRATOR INTRAVENOU S SOLUTION VIAL INTRAVENOU SOLUTION INTRAVENOU SOLUTION INTRAMUSCU LAR/INTRAVE NOUS INTRAMUSCU LAR/INTRAVE NOUS INJECTION, INTRAVENOU SOLUTION INTRAMUSCU LAR; INTRAVENOU S INJECTION SYRINGE VIAL EPIDURAL; INFILTRATIO N;

SIZE Y
P TXT

UOI
O SIZE

PACK AGE 50 2 5 1 3 1 5 10 1 1 500 1 100 2 2 1 2 1 5 5 2
N SIZE

M STRENG TH 900mg/50 mL 50ug/mL 1mg/mL 1.25mg/m L 100[iU]/m L 2mg/mL 1mg/mL 50mg/mL 4mg/mL 2.5mg/.5 mL 10g/100m L 4.5 G 9mg/mL 2mg/mL 1mg/mL 2; 1g/1; g/1 2mg/mL 25mg/mL 10UNITS/ ML 100U/ML 10mg/mL

L GENERIC CLINDAMYC IN PHOSPHAT FENTANYL CITRATE M HYDROCHL ENALAPRIL AT INSULIN HUMAN LORAZEPA M M HYDROCHL KETAMINE HYDROCHL ORIDE MORPHINE SULFATE L SULFATE DEXTROSE MONOHYD RATE PIPERACILL IN SODIUM/TA SODIUM CHLORIDE ONDANSET RON HYDROCHL ORIDE M HYDROCHL AMPICILLIN SODIUM; SULBACTA M SODIUM ONDANSET RON HYDROCHL ORIDE PROMETHA ZINE HYDROCHL ORIDE HEPARIN SOD HEPARIN SOD LIDOCAINE HYDROCHL ORIDE

K TRADE CLINDAMYC IN PHOSPHAT FENTANYL CITRATE MIDAZOLAM MIDAZOLA HYDROCHL ORIDE ENALAPRIL AT HUMULIN R LORAZEPA M MIDAZOLAM MIDAZOLA HYDROCHL ORIDE KETAMINE HYDROCHL ORIDE MORPHINE SULFATE ALBUTEROL ALBUTERO SULFATE DEXTROSE PIPERACILL IN- TAZOBACT SODIUM CHLORIDE ONDANSET RON HYDROCHL ORIDE MIDAZOLAM MIDAZOLA HYDROCHL ORIDE UNASYN ONDANSET RON HYDROCHL ORIDE PROMETHA ZINE HYDROCHL ORIDE BD POSIFLUSH HEPARIN LOCK LIDOCAINE HYDROCHL ORIDE

J MERIDIAN DESC CLINDAMYCIN PHOS/D5W 900mg/50ml BTTL FENTANYL CITRATE 50mcg/Ml AMPS MIDAZOLAM HCL 1mg/Ml MDV package size 5 divisor 10 ENALAPRILAT DIHYDRATE 1.25mg/Ml INSULIN REG HUMAN RECOMB 100u/Ml MDV 3 1 LORAZEPAM 2mg/Ml CARP package size 1 MIDAZOLAM HCL 1mg/Ml MDV package size 5 divisor 10 KETAMINE HCL 50mg/Ml MDV package size 10 divisor 10 MORPHINE SULFATE 4 mg/ml CARP package ALBUTEROL SULFATE 2.5mg/0.5ml AMIH DEXTROSE 10%/WATER 0.1 IVSL 500 24 PIPERACILLIN/TAZOBA CTAM 4.5gm PWVL package size 1 divisor SODIUM CHLORIDE 0.9% 0.009 IVSL 100 64 ONDANSETRON HCL ondansetron (Zofran) 2mg/Ml SDPF package

Med Desc clindamycin/D5W (Cleocin/D5W) 900 mg/50 mL Bag fentaNYL (Sublimaze) 100 midazolam (Versed) 5 mg/5 mL Injection enalaprilat (Vasotec) 1.25 mg/1 mL insulin regular (HumuLIN R 3 mL) (HumuLIN R) 1 unit/0.01 mL (0.01 2 mg/1 mL Injection midazolam (Versed) 5 mg/5 mL Injection ketamine (Ketalar) 500 mg/10 mL Injection morphine 4 mg/1 mL Injection albuterol 0.5% dextrose 10%-water (D10W) (500 mL) piperacillin- tazobactam (Zosyn) 4.5 gm Injection sodium chloride 0.9% (NACL 0.9%) (100 mL) Bag 4 mg/2 mL Injection midazolam (Versed) 2 mg/2 mL Injection ampicillin-sulbactam (Unasyn) 3 gm Injectable 4 mg/2 mL I

I LORazepam (Ativan) (Ventolin) 2.5 mg/0.5

Alert
H Bag

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