Page 238 - Inventory Report
P. 238

Revisions                                    Unit Cost   Approved
       AA






       Z       $ 1,021,287.64




              Extended

       Y            $         8.59    $         5.70    $         4.91    $         4.52    $         3.96    $         3.90    $         3.40    $         2.53    $         2.48    $         1.85    $         1.79    $         1.08    $         1.03    $         0.15    $     962.79    $     933.63    $     808.18    $     564.05    $     461.77    $     449.93    $     441.58    $     403.52



             Unit
       X      Cost   $    1.72    $    0.71    $    0.70    $    0.25    $    1.32    $    3.90    $    0.57    $    0.42    $    0.41    $    0.04    $    0.36    $    0.03    $    0.02    $    0.02    $  96.28    $466.81    $  80.82    $  56.41    $  38.48    $  64.28    $  33.97    $  17.54


             Package   Cost

       W            $    42.94    $    17.80    $    17.55    $      2.51    $    13.19    $    97.62    $    14.17    $    10.56    $      4.13    $      3.71    $      8.95    $      0.66    $      1.71    $      2.08    $    96.28   ########   $    80.82   ########  ########   $    64.28    $    33.97    $  438.61





       V      SOURCE  7300008718  7300006438  7300008748  7300000255  7300006378  7300012201  MIS NADAC  7300006402  7300000445  7300009732  7300005637  7300011854  7300000448  7300002770  7300010862  7300011209  7300011512  7300012126  7300011213  7300005203  7300005381  7300008680







                 40280800-LOOP   DIURETICS  H2-ANTAGONISTS  04040400-  ETHANOLAMINE   DERIVATIVES  04080000-SECOND   GENERATION   08120612-  40120000-  REPLACEMENT   PREPARATIONS  201204 -   56222000-5-HT3   RECEPTOR   ANTAGONISTS  04040400-  ETHANOLAMINE   DERIVATIVES  96000000-  PHARMACEUTICAL   AIDS  40404 -   ETHANOLAMINE   DERIVATIVES  MISC.  MISC.  08141600-  ECHINOCANDIN   40282800-  VASOPRESSIN   ANTAGONISTS  AGENTS  08180812-  08122830-  ANTIBACTERIALS,   RIFAMYCINS  40120000-  REPLACEMENT   16000000-BLOOD   DERIVATIVES
       U      AHFS      56281200-HISTAMINE     CEPHALOSPORINS,   68040000-ADRENALS  ANTICOAGULANTS,     28089200-ANALGESICS   AND ANTIPYRETICS,   28089200-ANALGESICS   AND ANTIPYRETICS,   68360400-THYROID   ANTIRETROVIRALS,   68040000-ADRENALS






         DEA
       T    CLAS  S


       S  GENER  IC   CODE  34940  99002  46013  28945  39962  97837  3034  25692     45972   2709           16892       97472   24294  30926  35079  28530      25060   27354


              MANUFACTURER                                   Inc.



       R           Hospira, Inc.  West-Ward   Pharmaceuticals   Corp.  Fresenius Kabi   USA, LLC  Bayer HealthCare   LLC.  Hospira, Inc  Fresenius Kabi   USA, LLC  Hospira,  APP/FRESENIUS K  Heritage   Pharmaceuticals   Inc.  Major   Pharmaceuticals,   Inc  Fresenius Kabi   USA, LLC  Major   Pharmaceuticals,   Inc  Major   Pharmaceuticals,   Inc  Johnson & Johnson   Consumer Inc.  Astellas Pharma   US, Inc.  Otsuka America   Pharmaceutical,   Inc.  Par Pharmaceutical   Companies, Inc.  ViiV Healthcare   Salix   Pharmaceuticals,   Inc.  APP/FRESENIUS K  GRIFOLS USA,   LLC  Mylan Institutional   Inc.





              DOSE FORM                                                   S INJECTION,                                   S INJECTION,   S INJECTION,   TABLET, FILM  Company

       Q         INTRAMUSCU  LAR/INTRAVE  INTRAVENOU  S INJECTION  INTRAMUSCU  LAR/INTRAVE  NOUS   INJECTION,   ORAL   CAPSULE,   INTRAMUSCU  LAR/INTRAVE  INTRAMUSCU  LAR/INTRAVE  NOUS   INTRAMUSCU  LAR/INTRAVE  NOUS;  VIAL  INTRAVENOU  SOLUTION  ORAL   CAPSULE  INTRAMUSCU  LAR;   INTRAVENOU  ORAL   CAPSULE  ORAL   CAPSULE  ORAL   TABLET  INTRAVENOU  ORAL   TABLET  INTRAVENOU  POWDER,   ORAL   ORAL   TABLET  VIAL  INTRAVENOU  S SOLUTION  INTRA-  ARTICULAR;   INTRALESION




            SIZE
       P      TXT


            UOI
       O      SIZE


         PACK  AGE   2     2         1    10   1      1       10   5         2        100     5      24      100    100  1       10     1    30      60   100    50      30
       N      SIZE



       M    STRENG  TH  10mg/mL  10mg/mL  50mg/mL  10mg/1  1g/1  10mg/mL  9mg/mL  100U/ML  2mg/mL  50mg/1  1mg/mL  25 MG  500mg/1  325MG  20mg/mL  15mg/1  100ug/5m  L  50mg/1  550mg/1  100   MG/ML  12.5g/50  mL  4mg/mL





       L      GENERIC  FUROSEMI  DE  FAMOTIDIN  E  DIPHENHYD  RAMINE   HYDROCHL  ORIDE  LORATADIN  E  CEFTRIAXO  NE SODIUM  DEXAMETH  ASONE   SODIUM  SODIUM   CHLORIDE  HEPARIN   SOD  ONDANSET  RON   HYDROCHL  ORIDE  DIPHENHYD  RAMINE   HYDROCHL  ORIDE  WATER  DIPHENHYD  RAMINE   HCL  ACETAMIN  OPHEN  ACETAMIN  OPHEN           MICAFUNGI  N SODIUM  TOLVAPTA  N  LEVOTHYR  OXINE   SODIUM   DOLUTEGR  AVIR  RIFAXIMIN  CALCIUM   GLUCONAT  ALBUMIN   HUMAN  DEXAMETH  ASONE   SODIUM






       K      TRADE  FUROSEMI  DE  FAMOTIDIN  E  DIPHENHYD  RAMINE   HYDROCHL  ORIDE  CLARITIN   Liqui-Gels  CEFTRIAXO  NE SODIUM  DEXAMETH  ASONE   SODIUM   SODIUM   CHLORIDE  HEPARIN   LOCK   ONDANSET  RON   HYDROCHL  ORIDE  DIPHENHYD  RAMINE   HYDROCHL  ORIDE  STERILE   BANOPHEN  MAPAP   Extra   Strength  TYLENOL  MYCAMINE  SAMSCA  LEVOTHYR  OXINE   SODIUM  TIVICAY  XIFAXAN  CALCIUM   GLUCONAT  ALBUTEIN   25%  DEXAMETH  ASONE   SODIUM










       J      MERIDIAN DESC FUROSEMIDE 10mg/Ml   SDPF package size 2   FAMOTIDINE 10mg/Ml   SDPF package size 2   divisor 25  DIPHENHYDRAMINE   HCL 50mg/Ml SDPF   package size 1 divisor   25  LORATADINE 10mg   GCAP package size 10   CEFTRIAXONE   SODIUM 1gm PWVL   DEXAMETHASONE   SOD PHOS 10mg/Ml   SDPF package size 1   SODIUM CHLORIDE   0.9% 0.009 SDPF  10    25  HEPARIN SOD   PORCINE 100units/Ml   ONDANSETRON HCL  ondansetron (Zofran)  2mg/Ml SDPF package   size 2 divisor 10  DIPHENHYDRAMINE   HCL 50mg CAPS  package size 100 divisor   100  WATER STERILE -   INJECTION Not  Available SDPF package  WATER  DIPHENHYDRAMINE   HCL 25mg CAPS   package size 24 divisor  ACETAMINOPHEN 500








              Med Desc  furosemide (Lasix)   20 mg/2 mL Injection  famotidine (Pepcid)   20 mg/2 mL   Amp/Vial  diphenhydrAMINE   (Benadryl) 50 mg/1   mL Injection  loratadine (Claritin)   10 mg Tab  cefTRIAXone   (Rocephin) 1 gm   dexamethasone PF   (Decadron PF) 10   mg/1 mL Amp/Vial  sodium chloride   0.9% PF (NACL   0.9%) (10 mL)   Heparin Lock Flush   500 unit/5 mL   4 mg/2 mL Injection  diphenhydrAMINE   (Benadryl) 50 mg   water, sterile (Sterile   water for injection)   (10 mL) Injection  diphenhydrAMINE   (Benadryl) 25 mg   acetaminophen ES   (Tylenol ES) 500 mg   acetaminophen   (Tylenol) 325 mg   micafungin   (Mycamine) 100   tolvaptan (Samsca)   15 mg Tab  levothyroxin

       I                                                                                                                                   dolutegravir (Tivicay)





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