Page 310 - Inventory Report
P. 310
Revisions $109.03 - unit cost $30 - unit cost Unit Cost Approved $15.69 - unit cost
AA
Z $ 1,021,287.64
Extended
Y $ 654.18 $ 576.58 $ 565.73 $ 524.43 $ 508.87 $ 423.29 $ 385.65 $ 385.11 $ 368.43 $ 360.00 $ 344.13 $ 337.20 $ 311.85 $ 293.14 $ 292.77 $ 282.04 $ 261.95 $ 260.33 $ 257.58 $ 251.04
Unit
X Cost $109.03 $ 48.05 $ 80.82 $ 15.89 $101.77 $ 38.48 $ 64.28 $ 96.28 $ 17.54 $ 30.00 $ 68.83 $ 33.72 $181.10 $ 1.47 $ 32.53 $ 12.82 $ 13.10 $ 16.27 $ 85.86 $ 15.69
Package Cost
W $ 109.03 $ 480.49 $ 80.82 $ 158.92 ######## ######## $ 64.28 $ 96.28 $ 438.61 $ 30.00 $ 688.26 $ 134.88 $ 181.10 $ 146.57 $ 780.72 $ 12.82 $ 13.10 $ 178.98 $ 85.86 $ 15.69
V SOURCE UPDATED PRICE 7300009143 7300011512 7300002578 7300018671 7300011213 7300005203 7300010862 7300008680 UPDATED PRICE 7300005408 7300007439 7300011120 7300010110 7300011306 7300008681 7300005589 7300019546 MIS NADAC UPDATED PRICE
U AHFS 68360400-THYROID 28049200-GENERAL ANTIRETROVIRALS, HIV NUCLEOSIDE & ANTIBACTERIALS, 68040000-ADRENALS ERYTHROMYCINS HYPNOTICS,MISC. 68200816-INSULINS, 24120800-NITRATES 28089200-ANALGESICS AND ANTIPYRETICS, 68040000-ADRENALS 12120400-ALPHA- 40181800-POTASSIUM- REMOVING AGENTS 20121800-PLATELET-
08120708- CARBAPENEMS, AGENTS ANESTHETICS, 08180820- NUCLEOTIDE REVERSE 08122830- RIFAMYCINS 40120000- REPLACEMENT 08141600- ECHINOCANDIN 08121204- MACROLIDES, 28249200- ANXIOLYTICS, SEDATIVES & LONG-ACTING AND NITRITES MISC. ADRENERGIC AGONISTS AGGREGATION INHIBITORS
DEA
T CLAS S
S GENER IC CODE 15527 30926 14021 40092 28530 97472 27354 25529 30867 13072 1772 29311 28302 20310 44774 50331
MANUFACTURER Inc.
R Merck Sharp & Dohme Corp. Par Pharmaceutical Companies, Inc. Sagent Pharmaceuticals Gilead Sciences, Inc. Salix Pharmaceuticals, Inc. APP/FRESENIUS K Astellas Pharma US, Inc. Mylan Institutional Inc. Hospira, WG Critical Care, LLC Sanofi-Aventis U.S. LLC Glenmark Pharmaceutials Inc., USA Mallinckrodt Hospital Products Inc. Pharmacia and Upjohn Company LLC Fresenius Kabi USA, LLC AstraZeneca Pharmaceuticals LP Medicure International Inc
DOSE FORM S INJECTION, S INJECTION, S INJECTION, S INJECTION, S INJECTION, S INJECTION, S INJECTION,
Q INTRAMUSCU LAR/INTRAVE INTRAVENOU POWDER, INTRAVENOU ORAL TABLET ORAL TABLET VIAL INTRAVENOU INTRA- ARTICULAR; INTRALESION INTRAVENOU POWDER, INTRAVENOU SOLUTION, CONCENTRA SUBCUTANE OUS INJECTION, SUBLINGUAL TABLET INTRAVENOU SOLUTION, INTRAMUSCU LAR/INTRAVE NOUS INJECTION, INTRAVENOU S INJECTION ORAL POWDER, FOR INTRAVENOU SOLUTION
SIZE
P TXT
UOI
O SIZE
PACK AGE 1 1 100 30 60 100 1 30 1 4 10 100 1 5 11 100
N SIZE 4X25
M STRENG TH 1g/1 100ug/5m L 10mg/mL 150; 150; 200; 10mg/1; mg/1; mg/1; 550mg/1 100 MG/ML 20mg/mL 4mg/mL 500mg/10 0mL 100ug/mL 100[iU]/m L 0.4mg/1 10mg/mL 100mg/2 mL 10mg/mL 5g/5g 5mg/100 mL
L GENERIC ERTAPENE M SODIUM LEVOTHYR OXINE SODIUM PROPOFOL ELVITEGRA VIR; COBICISTA T; EMTRICITA RIFAXIMIN CALCIUM GLUCONAT MICAFUNGI N SODIUM DEXAMETH ASONE SODIUM ERYTHROM YCIN LACTOBION DEXMEDET OMIDINE HYDROCHL ORIDE INSULIN GLARGINE NITROGLYC ERIN ACETAMIN OPHEN HYDROCOR TISONE SODIUM SUCCINATE PHENYLEP HRINE HYDROCHL ORIDE SODIUM ZIRCONIUM CYCLOSILI TIROFIBAN HYDROCHL ORIDE
K TRADE INVANZ LEVOTHYR OXINE SODIUM PROPOFOL GENVOYA XIFAXAN CALCIUM GLUCONAT MYCAMINE DEXAMETH ASONE SODIUM ERYTHROCI LACTOBION DEXMEDET OMIDINE HYDROCHL ORIDE LANTUS NITROGLYC ERIN OFIRMEV SOLU- CORTEF PHENYLEP HRINE HYDROCHL ORIDE LOKELMA AGGRASTA T
J MERIDIAN DESC ERTAPENEM SODIUM 1gm PWVL package LEVOTHYROXINE SODIUM 100mcg PWVL package size 1 divisor 1 PROPOFOL 10mg/Ml SDPF package size 100 elvitegravir-cobicistat- ELVIT/COBIC/EMTRIC/ TENOF ALAF 150-150- 200-10mg TABS package size 30 divisor 30 RIFAXIMIN 550mg TABS package size 60 divisor 60 CALCIUM GLUCONATE 0.1 MDPF package size MICAFUNGIN SODIUM 100mg PWVL package DEXAMETHASONE SOD PHOS 4mg/Ml MDV package size 30 ERYTHROMYCIN LACTOBIONATE 500mg N ADDV package size 1 DEXMEDETOMIDINE HCL 100mcg/Ml MDV package size 4 divisor 4 INSULIN GLARGINE 100u/Ml MDV package size 10 divisor 1 NITROGLYCERIN SUBL 0.4 MG 0.4
Med Desc cisatracurium/NS Add-EASE (Nimbex/NS) 200 ertapenem (INVanz) 1 gm Injection levothyroxine (Synthroid) 100 mcg Injection propofol (Diprivan) 1000 mg (100 mL) emtricitabine- tenofovir ALAFENAMIDE 150- 150-200-10 mg rifaximin (Xifaxan) 550 mg Tab calcium gluconate 10% 1 gm/10 mL micafungin (Mycamine) 100 dexamethasone sodium phosphate (Decadron) 4 mg/1 norepinephrine/D5W (Levophed/D5W) 16 mg/250 mL Bag erythromycin lactobionate 500 mg Injectable dexmedetomidine (Precedex) 200 mcg/2 mL Amp/Vial insulin glargine (Lantus) 1 unit/0.01 mL (0.01 mL) Units nitroglycerin tab) DIS Tablet acetaminophen (
I (Nitrostat) 0.4 mg (25 SUBLINGUAL TAB sodium succinate PF (Neo-Synephrine) 50
Alert
H
1 6264 6265 6266 6267 6268 6269 6270 6271 6272 6273 6274 6275 6276 6277 6278 6279 6280 6281 6282 6283
