Page 337 - Inventory Report
P. 337

Revisions  $30.91 -   revised   unit cost                                                                                                               Unit Cost   Approved
       AA






       Z       $ 1,021,287.64




              Extended

       Y               $     185.46    $     183.21    $     178.68    $     167.70    $     155.28    $     154.92    $     152.53    $     146.73    $     146.55    $     144.21    $     143.74    $     140.32    $     120.39    $     118.50    $     109.99    $     106.71    $     106.58    $       97.59    $       96.10    $       94.93    $       92.36



             Unit
       X      Cost     $  30.91    $    1.47    $  29.78    $181.10    $    9.70    $  51.64    $112.40    $    6.38    $  29.31    $  14.42    $  10.27    $    7.39    $    3.76    $    9.12    $    2.89    $  21.34    $  15.23    $  32.53    $  48.05    $    8.63    $    1.51


             Package   Cost

       W               $  309.10    $  146.57    $  714.71    $  181.10    $  873.45    $  516.39    $  112.40    $  127.59    $  293.10    $  432.63    $  102.67    $  738.54    $    37.62    $  911.55    $    28.94    $  213.42    $  167.49    $  780.72    $  480.49    $  258.89    $    96.90





       V      SOURCE  MIS   NADAC/UPD  ATED   7300010110  7300010392  7300011120  7300011635  7300011128  7300011465  7300010910  7300002184  7300010242  7300006228  7300010225  7300008693  7300012339  7300000972  7300008950  7300019547  7300011306  7300009143  7300000493  MIS NADAC









       U      AHFS  ROENTGENOGRAPHY   AND OTHER IMAGING   24120800-NITRATES   MISCELLANEOUS B-  68200816-INSULINS,   40181900-PHOSPHATE-  REMOVING AGENTS  ANTICONVULSANTS,   68200804-INSULINS,   28080800-OPIATE   ANTIPARATHYROID   68040000-ADRENALS  IMMUNOSUPPRESSIVE   68040000-ADRENALS  56160000-DIGESTANTS  08121292-OTHER   40181800-POTASSIUM-  REMOVING AGENTS 28089200-ANALGESICS   AND ANTIPYRETICS,
                 36680000-   AND NITRITES  08120712-  CEPHAMYCINS,   LONG-ACTING  28129200-  RAPID-ACTING  AGONISTS  20040400-IRON   PREPARATIONS  68240400-  AGENTS  92440000-  AGENTS  MACROLIDE   08122400-  TETRACYCLINE   MISC.  08120708-  CARBAPENEMS,   56283200-  PROTECTANTS  40120000-  REPLACEMENT   PREPARATIONS




         DEA
       T    CLAS  S                                   V              II


       S  GENER  IC   CODE  25520  1772  99106  13072  27483  14344  5679  37159  86371  21497  27350  19647                34557  48795  40340  44775  29311  15527     2962


              MANUFACTURER



       R              GE Healthcare Inc.  Glenmark   Pharmaceutials   Inc., USA  B. Braun Medical   Inc.  Sanofi-Aventis U.S.   LLC  Dr. Reddy's   Laboratories, Inc.  UCB, Inc.  Eli Lilly and   Company  Purdue   Products LP  American Regent,   Inc.  Packaging  Somerset   Therapeutics, LLC  Mylan Institutional   Inc.  Sagent   Pharmaceuticals  AbbVie Inc.  Pfizer Laboratories   Div Pfizer Inc  Fresenius Kabi   USA, LLC  AstraZeneca   Pharmaceuticals LP  Mallinckrodt   Hospital Products   Inc.  Merck Sharp &   Dohme Corp.  Precision Dose Inc.  B. Braun Medical   Inc.





              DOSE FORM           S INJECTION,                    TABLET, FILM  Pharmaceutical   S INJECTION,   TABLET, FILM  American Health   S INJECTION,   S INJECTION,   S INJECTION,   S INJECTION,

       Q           INTRAVENOU  S INJECTION  SUBLINGUAL   TABLET  INTRAVENOU  SOLUTION,   SUBCUTANE  OUS   INJECTION,   ORAL   POWDER,   INTRAVENOU  S INJECTION  INTRAVENOU  S;   SUBCUTANE  ORAL   COATED,   INTRAVENOU  SOLUTION  ORAL   COATED  INTRAMUSCU  LAR/INTRAVE  NOUS   ORAL   TABLET,   DELAYED   INTRAMUSCU  LAR/INTRAVE  NOUS   INJECTION,   ORAL   CAPSULE,   DELAYED   RELEASE   PELLETS  INTRAVENOU  INTRAVENOU  ORAL   POWDER,   FOR   INTRAVENOU  SOLUTION,   INTRAMUSCU  LAR/INTRAVE  ORAL   SUSPENSION  INTRAVENOU  SOLUTION




            SIZE
       P      TXT


            UOI
       O      SIZE


         PACK  AGE    50             1      10   90   20      10     20      5      30     10      100       1              100  1    1      11      100  1      10      100
       N      SIZE           4X25



       M    STRENG  TH  240mg/m  L  0.4mg/1  2g/50mL  100[iU]/m  L  800mg/1  10mg/mL  100[iU]/m  L  15mg/1  20mg/mL  30mg/1  10mg/mL  360mg/1  40mg/mL  36000;   180000;   114000[U  SP'U]/1;   [USP'U]/1  ;   500mg/5  mL  100mg/10  mL  10g/10g  10mg/mL  1g/1  1GM/10M  9mg/mL





       L      GENERIC  IOHEXOL  NITROGLYC  ERIN  CEFOTETA  N   DISODIUM  INSULIN   GLARGINE  SEVELAME  R  LACOSAMID  E  INSULIN   LISPRO  OXYCODON  E   HYDROCHL  IRON   SUCROSE  CINACALCE  T   HYDROCHL  DEXAMETH  ASONE   SODIUM  MYCOPHEN  OLIC ACID  METHYLPR  EDNISOLON  E SODIUM   SUCCINATE  PANCRELIP  ASE   LIPASE;   PANCRELIP  ASE   PROTEASE;   AZITHROMY  CIN   DOXYCYCLI  NE   SODIUM   ZIRCONIUM   CYCLOSILI  ACETAMIN  OPHEN  ERTAPENE  M SODIUM  SUCRALFA  TE                  L  SODIUM   CHLORIDE






       K      TRADE  OMNIPAQU  E  NITROGLYC  ERIN  CEFOTETA  N AND   DEXTROSE  LANTUS  SEVELAME  R   VIMPAT  HUMALOG  OXYCONTIN  VENOFER  CINACALCE  T   HYDROCHL  DEXAMETH  ASONE   SODIUM   MYCOPHEN  OLIC ACID  METHYLPR  EDNISOLON  E SODIUM   SUCCINATE  CREON  ZITHROMAX  LOKELMA  OFIRMEV  INVANZ  SUCRALFAT  E  SODIUM   CHLORIDE










       J      MERIDIAN DESC  IOHEXOL 240mg/Ml   BTTL  50  10  NITROGLYCERIN   SUBL 0.4 MG 0.4 TAB   CEFOTETAN  DISOD/DW 2gm PGBK   package size 1 divisor   INSULIN GLARGINE   100u/Ml MDV package   size 10 divisor 1  sevelamer carboante   Not Available PCKT  LACOSAMIDE 10mg/Ml   SDV package size 20   INSULIN LISPRO   100u/Ml MDV package   size 10 divisor 1  OXYCODONE HCL   15mg TABS package   size 20 divisor 20  COMPLEX 20mg/Ml   SDPF package size 5   CINACALCET HCL   ORAL TABLET 30 MG  30 TAB package size 30   DEXAMETHASONE   SODIUM PHOSPHATE   INJECTION 100 MDV   MYCOPHENOLATE  (Myfortic) 360 mg ER SODIUM 360mg TABS  package size 100 divisor   METHYLPREDNISOLO  NE SOD SUCC 40mg








              Med Desc  12 gm/50 mL Bottle  nitroglycerin   tab) DIS Tablet  cefoTETan/D5W   (Cefotan) 2 gm/50   mL Bag  insulin glargine   (Lantus) 1 unit/0.01   mL (0.01 mL) Units  0.8 gm/1 packet   lacosamide (Vimpat)   200 mg/20 mL   insulin lispro   (HumaLOG) 1   unit/0.01 mL (0.01   oxyCODONE SR   ER Tablet  (Venofer) 100 mg/5   mL Injection  cinacalcet HCl   (Sensipar) 30 mg   dexamethasone   sodium phosphate   (Decadron) 10 mg/1   mycophenolic acid   methylPREDNISolon  e sodium succinate   (Solu-MEDROL) 40   mg/1 mL Injection  pancrelipase DR (36-  CR Capsule  azithromycin   (ZITHROmax) 500   doxycycline   sodium zirconium   cyclosilicate   (Lokelma) 10 gm   acetaminophen

       I           iohexol (Omnipaque)   (Nitrostat) 0.4 mg (25 SUBLINGUAL TAB   sevelamer (Renvela)   (OxyCONTIN) 15 mg   iron sucrose complex FE SUCROSE   (Vibramycin) 100 mg





              Alert
       H                                                                            Tab            Tablet


              1       6808   6809    6810   6811  6812  6813  6814   6815    6816   6817   6818    6819      6820           6821  6822  6823  6824   6825  6826  6827    6828
   332   333   334   335   336   337   338   339   340   341   342