Page 268 - Inventory Report
P. 268

Revisions                                                     Unit Cost   Approved                                                                    Unit Cost   Approved
       AA






       Z       $ 1,021,287.64




              Extended

       Y               $       37.24    $       35.92    $       35.50    $       35.19    $       33.62    $       33.57    $       32.15    $       30.97    $       30.94    $       30.63    $       30.38    $       29.34    $       28.95    $       28.66    $       27.87    $       27.68    $       27.35    $       26.57    $       26.09    $       25.74



             Unit
       X      Cost     $    5.32    $    2.76    $    7.10    $    1.76    $    3.06    $    1.68    $    4.02    $    1.15    $    1.47    $    7.66    $    3.38    $    7.34    $    3.62    $    4.09    $  27.87    $    3.46    $    3.04    $    2.66    $    5.22    $    1.51


             Package   Cost

       W               $      5.32    $    82.88    $  213.00    $    17.60    $    30.56    $    16.79    $  120.55    $  114.70    $  123.77    $    76.58    $    33.76    $      7.34    $    90.48    $  122.85    $  334.41    $    86.49    $    30.39    $  159.39    $  313.03    $    96.90





       V      SOURCE  7300010027  7300000352  7300009563  7300011746  7300002914  7300010869  7300011272  7300003712  MIS NADAC  7300005250  7300000368  7300002818  7300008768  7300011005  7300011815  7300010060  7300005882  7300003649  7300011911  MIS NADAC









       U      AHFS  ANTIBACTERIALS (SKIN   BENZODIAZEPINES  (ANXIOLYTIC,SEDATIV/  28080800-OPIATE   56283600-PROTON-  PUMP INHIBITORS  28080800-OPIATE   92160000-ANTIGOUT   52401200-CARBONIC   INHIBITORS (EENT)  40200000-CALORIC   08121616-EXTENDED-  ANTIBACTERIALS,   24082000-DIRECT   12120812-ALPHA- &   BETA-ADRENERGIC   ANTIARRHYTHMIC   AGENTS, CLASS III   56281200-HISTAMINE   H2-ANTAGONISTS  BUTYROPHENONES   ANTIPSYCHOTIC   CEPHALOSPORINS,  SECOND GENERATION  ANTICOAGULANTS,
                 84040400-  & MUCOUS   28240800-  24060500-  CHOLESTEROL   ABSORPTION   AGONISTS  AGONISTS  AGENTS  ANHYDRASE   40120000-  REPLACEMENT   AGENTS  SPECTRUM   PENICILLINS  08122820-  LINCOMYCINS  VASODILATORS  24040420-  28160808-  08120608-  20120414-  40120000-  REPLACEMENT   PREPARATIONS




         DEA
       T    CLAS  S          IV                II             II


       S  GENER  IC   CODE  47450  13845  18387  34707   13025  33308  35674  34722  2962  6771  53281  40822  1225  98776  30039                 15490   47281  30239  2962


              MANUFACTURER                            LLC, a subsidiary of                    Inc



       R         Teva   Pharmaceuticals   USA, Inc.  Major   Pharmaceuticals,   Inc  Major   Pharmaceuticals,   Inc  Hospira, Inc.  Wyeth   Pharmaceuticals   Pfizer Inc.  Hospira, Inc.  American Health   Heritage   Pharmaceuticals   Inc.  B. Braun Medical   Inc.  Hospira, Inc.  Hospira,  Akorn, Inc.  Mylan Institutional   Inc.  Mylan Specialty   L.P.  Baxter Healthcare   Corporation  Amerisource   Bergen  Patriot   Pharmaceuticals,   LLC  Laboratories, LLC  E.R. Squibb &   B. Braun Medical   Inc.





              DOSE FORM                            S INJECTION,   TABLET, FILM  Packaging  S INJECTION,   S INJECTION,   PARENTERAL   S INJECTION,     TABLET, FILM  Ascend   TABLET, FILM  Sons, L.L.C.  S INJECTION,

       Q           TOPICAL   OINTMENT  ORAL   CAPSULE  ORAL   TABLET  INTRAMUSCU  LAR/INTRAVE  NOUS;   SUBCUTANE  INTRAVENOU  POWDER,   FOR   INTRAMUSCU  LAR/INTRAVE  ORAL   ORAL   TABLET  INTRAVENOU  INTRAVENOU  INTRAVENOU  S;   INJECTION,  INTRAVENOU  S INJECTION  INTRAMUSCU  LAR/INTRAVE  NOUS   RESPIRATOR  INTRAVENOU  SOLUTION,   ORAL   TABLET  INTRAMUSCU  LAR   INJECTION  ORAL   COATED  ORAL   INTRAVENOU  SOLUTION




            SIZE                                                                                                  Y
       P      TXT


            UOI
       O      SIZE


         PACK  AGE    22     30      30        0.5       1    1    30     100  50   50        1      50      1    2      100               25     1       60   60     100
       N      SIZE



       M    STRENG  TH  20mg/g  7.5mg/1  10mg/1  1mg/mL  40mg/10  mL  2mg/mL  0.6mg/1  250mg/1  9mg/mL  25g/50mL  3;   .375g/15  mL;   g/15mL  900mg/50  mL  20mg/mL  20ug/2mL  1.5mg/mL  20mg/1  5mg/mL  250mg/1  2.5mg/1  9mg/mL





       L      GENERIC  MUPIROCIN  TEMAZEPA  M  EZETIMIBE  HYDROMO  RPHONE   HYDROCHL  ORIDE  PANTOPRA  ZOLE   SODIUM  MORPHINE   SULFATE  COLCHICIN  E  ACETAZOL  AMIDE  SODIUM   CHLORIDE  DEXTROSE   MONOHYD  PIPERACILL  IN SODIUM;   TAZOBACT  AM SODIUM  CLINDAMYC  IN   PHOSPHAT  HYDRALAZI  NE   HYDROCHL  FORMOTER  OL  AMIODARO  NE   HYDROCHL  FAMOTIDIN  E  HALOPERID  OL   LACTATE  CEFUROXI  ME AXETIL  APIXABAN  SODIUM   CHLORIDE






       K      TRADE   MUPIROCIN  TEMAZEPA  M  EZETIMIBE  HYDROMOR  PHONE   HYDROCHL  ORIDE  PROTONIX   I.V.  MORPHINE   SULFATE  COLCHICIN  E  ACETAZOLA  MIDE  SODIUM   CHLORIDE  DEXTROSE  PIPERACILL  IN AND   TAZOBACT  AM  CLINDAMYC  IN   PHOSPHAT  HYDRALAZI  NE   HYDROCHL  PERFOROM  IST  NEXTERON  E 150MG  GOOD   NEIGHBOR   PHARMACY   ACID   REDUCER   Maximum   Strength  HALOPERID  OL   LACTATE  CEFUROXIM  E AXETIL  ELIQUIS  SODIUM   CHLORIDE










       J      MERIDIAN DESC MUPIROCIN 0.02 OINT  package size 22 divisor   1  TEMAZEPAM 7.5mg   CAPS package size 30   divisor 30 EZETIMIBE 10mg TABS  package size 30 divisor   30  HYDROMORPHONE  HCL 0.5mg/0.5ml SYRN  package size 0.5 divisor   10  PANTOPRAZOLE   SODIUM 40mg PWVL   package size 1 divisor   10  MORPHINE SULFATE  2mg/Ml CARP package   COLCHICINE ORAL  TABLET 0.6 MG 0.6 mg   ACETAZOLAMIDE   250mg TABS package   size 100 divisor 100  SODIUM CHLORIDE   0.9% 0.009 IVSL  50  84  DEXTROSE   50%/WATER 0.5 ABBJ  PIPERACILLIN/TAZOBA  CTAM 3.375gm PWVL   package size 1 divisor   10  CLINDAMYCIN   PHOS/D5W   900mg/50ml BTTL   HYDRALAZINE HCL  20mg/Ml SDPF package   size 1 div








              Med Desc  mupirocin 2%   Ointment 22 gm   (Bactroban) (22   temazepam   ezetimibe (Zetia) 10   mg Tab  HYDROmorphone   mL Injection  pantoprazole   (Protonix) 40 mg/10   mL Injection  morphine 2 mg/1 mL   Injection  colchicine (Colcrys)   0.6 mg Tab  acetaZOLAMIDE   (Diamox) 250 mg   sodium chloride   0.9% (NaCl 0.9%)   dextrose 50%-water   (50 mL) Syringe  piperacillin-  tazobactam (Zosyn)   3.375 gm Injection  clindamycin/D5W   (Cleocin/D5W) 900   mg/50 mL Bag  hydrALAZINE   mL Injection  formoterol   (Perforomist) 20   amiodarone   (Cordarone) 150   mg/100 mL Bag  famotidine (Pepcid)   20 mg Tab  mg/1 mL Injection  cefuroxime axetil   (Ceftin) 250 mg Tab  apixaba

       I                     (Restoril) 7.5 mg Cap  (Dilaudid) 0.5 mg/0.5                                 (Apresoline) 20 mg/1                  haloperidol (Haldol) 5 LACTATE 5mg/Ml





              Alert
       H                                                                  Tab


              1       5418   5419    5420      5421      5422  5423  5424  5425  5426  5427   5428   5429    5430  5431  5432              5433   5434    5435  5436  5437
   263   264   265   266   267   268   269   270   271   272   273