Page 309 - Inventory Report
P. 309
Revisions okay to leave out of Unit Cost Approved Unit Cost Approved
AA
Z $ 1,021,287.64
Extended
Y $ 0.27 $ 0.25 $ 0.23 $ 0.22 $ 0.22 $ 0.21 $ 0.21 $ 0.18 $ 0.13 $ 0.13 $ 0.12 $ 0.09 $ 0.08 $ 0.08 $ 0.07 $ - $ 5,725.29 $ 5,232.27 $ 3,624.38 $ 2,800.88 $ 947.53 $ 917.13 $ 826.41 $ 741.34
Unit
X Cost $ 0.03 $ 0.06 $ 0.02 $ 0.03 $ 0.04 $ 0.02 $ 0.01 $ 0.05 $ 0.03 $ 0.02 $ 0.04 $ 0.01 $ 0.02 $ 0.01 $ 0.01 $ 1.86 $178.92 ######## ######## $466.81 $236.88 $ 33.97 $275.47 $ 49.42
Package Cost
W $ 3.37 $ 6.31 $ 1.91 $ 2.79 $ 3.71 $ 2.36 $ 0.33 $ 4.61 $ 1.57 $ 1.82 $ 4.14 $ 0.87 $ 2.11 $ 0.28 $ 0.28 $ 44.62 ######## ######## ######## ######## ######## $ 33.97 ######## $ 494.22
V SOURCE 7300003036 7300010091 7300001755 7300002728 7300009732 7300003001 7300001403 7300002761 7300009182 7300004964 7300000069 7300000401 7300004978 7300011519 7300011519 MIS NADAC 7300018720 7300000218 7300012444 7300011209 7300004672 7300005381 7300001576 7300006430
U AHFS BENZODIAZEPINES (ANTICONVULSANTS) BENZODIAZEPINES (ANXIOLYTIC,SEDATIV/ 56120000-CATHARTICS ANTIFLATULENTS 56120000-CATHARTICS 20121800-PLATELET- 88200000-VITAMIN E BENZODIAZEPINES BLOCKING AGENTS NONSTEROIDAL ANTI- 40282000-THIAZIDE ANTICOAGULANTS, DIRECT FACTOR Xa ANTICOAGULANTS, DIRECT FACTOR Xa 68280000-PITUITARY BLOCKING AGENTS 16000000-BLOOD 20121800-PLATELET- MONOBACTAMS,
28120800- 28240800- AND LAXATIVES 56100000- 04040400- ETHANOLAMINE DERIVATIVES AND LAXATIVES AGGREGATION 88280000- MULTIVITAMIN 28240800- 24240000-BETA- ADRENERGIC 28080424- DIURETICS 20120414- 20120414- 40120000- REPLACEMENT PREPARATIONS 20122000- THROMBOLYTIC 92320000- COMPLEMENT 40282800- VASOPRESSIN ANTAGONISTS 24240000-BETA- ADRENERGIC DERIVATIVES AGGREGATION 08120716-
DEA
T CLAS S IV IV IV
S GENER IC CODE 17471 45972 8762 14221 20661 161 34824 30818 30818 2962 37407 47142 24294 14799 25060 46043 41912
MANUFACTURER AmerisourceBergen THERAPY INC
R Teva Pharmaceuticals USA, Inc. Mylan Pharmaceuticals Inc. (Good Neighbor Pharmacy) Rugby Laboratories Inc. Major Pharmaceuticals, Inc Major Pharmaceuticals, Inc American Health Packaging Rugby Laboratories Inc. ENZYMATIC Mayne Pharma Inc. Teva Pharmaceuticals USA, Inc. Rugby Laboratories Inc. Accord Healthcare, Inc. Janssen TABLET, FILM Pharmaceuticals, Inc. Janssen TABLET, FILM Pharmaceuticals, Inc. B. Braun Medical Inc. Par Pharmaceutical Companies, Inc. Genentech Inc. Leucadia Pharmaceuticals Otsuka America Pharmaceutical, Inc. Baxter Healthcare Corporation GRIFOLS USA, LLC Baxter Hea
DOSE FORM S INJECTION,
Q ORAL TABLET ORAL TABLET ORAL TABLET ORAL TABLET, ORAL CAPSULE ORAL TABLET, COATED TABLET DR ORAL CAPSULE ORAL TABLET, ORAL TABLET ORAL TABLET ORAL TABLET, ORAL TABLET ORAL COATED ORAL COATED INTRAVENOU SOLUTION INTRAVENOU S INJECTION KIT, VIAL + DILUENT SUBCUTANE OUS ORAL TABLET INTRAVENOU S INJECTION INTRAVENOU S SOLUTION INTRAVENOU S INJECTION INTRAMUSCU LAR/INTRAVE
SIZE
P TXT
UOI
O SIZE
PACK AGE 100 100 100 100 100 100 30 100 60 100 100 120 100 30 30 250 1 1 3 10 250 50 100 1
N SIZE
M STRENG TH 1mg/1 1mg/1 8.6mg/1 80mg/1 50mg/1 5mg/1 325 MG UNIT 400 2mg/1 50mg/1 81mg/1 25mg/1 15mg/1 15mg/1 0.9g/100 mL 20[USP'U ]/mL 100mg/1 15mg/1 10mg/mL 12.5g/50 mL 75mg/100 mL 2g/1
L GENERIC CLONAZEP AM LORAZEPA M SENNOSIDE S NE DIPHENHYD RAMINE HYDROCHL ORIDE BISACODYL ASPIRIN VITAMIN E (DL,TOCOP HERYL MULTIVIT/M INERALS DIAZEPAM ATENOLOL ASPIRIN HYDROCHL OROTHIAZI RIVAROXAB AN RIVAROXAB AN SODIUM CHLORIDE VASOPRES SIN ALTEPLASE ICATIBANT ACETATE 10MG/ML TOLVAPTA N ESMOLOL HYDROCHL ORIDE ALBUMIN HUMAN EPTIFIBATI DE AZTREONA M
K TRADE CLONAZEP AM LORAZEPA M SENNA-LAX GAS RELIEF SIMETHICO DIPHENHYD RAMINE HYDROCHL ORIDE BISACODYL ASPIRIN EC VITAMIN E ALIVE MENS DIAZEPAM ATENOLOL ASPIRIN Low Dose HYDROCHL XARELTO XARELTO SODIUM CHLORIDE VASOSTRIC T ACTIVASE ICATIBANT SAMSCA BREVIBLOC ALBUTEIN 25% EPTIFIBATI DE AZACTAM
J MERIDIAN DESC CLONAZEPAM ORAL TABLET 1 MG 1 TAB package size 100 divisor LORAZEPAM 1mg TABS package size 100 divisor 100 GNP SENNA 8.6MG TABLET 100CT 8.6mg TAB package size 100 SIMETHICONE 80mg CHEW package size 100 Antiflatulant DIPHENHYDRAMINE HCL 50mg CAPS package size 100 divisor 100 BISACODYL 5mg TABS package size 100 divisor 100 ASPIRIN 325mg TABS package size 30 divisor VITAMIN E 400u CAPS package size 100 divisor 100 MULTIVIT/MINERALS Not Available CHEW DIAZEPAM ORAL TABLET 2 MG 2 TAB ATENOLOL 50mg TABS package size 100 divisor 100 ASPIRIN EC 81 MG TAB 120 81 mg EC TAB HYDROCHLOROTHIAZI DE 25mg TABS package OROTHI
Med Desc clonazePAM (KlonoPIN) 1 mg Tab 1 mg Tab senna (Senokot) 8.6 mg Tab simethicone (Mylicon) 80 mg diphenhydrAMINE (Benadryl) 50 mg bisacodyl (Dulcolax) 5 mg EC Tablet aspirin enteric (Ecotrin) 325 mg EC Vitamin E 400 unit multivitamins (Fruity Chews) Chew tab DIAZepam (Valium) 2 mg Tab atenolol (Tenormin) 50 mg Tab aspirin enteric (Ecotrin) 81 mg EC hydrochlorothiazide (HydroDiuril) 25 mg 15 mg Tab 15 mg Tab sodium chloride 0.9% (NACL 0.9%) (250 mL) Bag vasopressin (Pitressin) 20 unit/1 alteplase (Activase) 100 mg Injection icatibant (Firazyr) 30 mg/3 mL Amp/Vial tolvaptan (Samsca) 15 mg Tab esmolol
I LORazepam (Ativan) rivaroxaban (Xarelto) rivaroxaban (Xarelto) (Integrilin) 75 mg/100 0.75mg/Ml IPSL
Alert
H Cap Cap
1 6240 6241 6242 6243 6244 6245 6246 6247 6248 6249 6250 6251 6252 6253 6254 6255 6256 6257 6258 6259 6260 6261 6262 6263
