Page 339 - Inventory Report
P. 339

Revisions                                         Unit Cost   Approved                                                                             Unit Cost   Approved
       AA






       Z       $ 1,021,287.64




              Extended

       Y            $       64.99    $       64.27    $       64.23    $       62.14    $       60.72    $       60.15    $       59.32    $       58.10    $       58.06    $       57.39    $       57.33    $       56.26    $       56.18    $       54.45    $       51.63    $       51.60    $       51.36    $       50.60    $       50.02    $       49.78    $       47.15    $       44.25



             Unit
       X      Cost   $    8.12     $    3.06    $    5.84    $    6.21    $    5.52    $    4.63    $    1.29    $    5.81    $    3.06    $    3.38    $    4.09    $    3.31    $    4.68    $    3.89    $    1.78    $    5.73    $    6.42    $    5.62    $    5.00    $    3.56    $    1.47    $    7.38


             Package   Cost

       W            $  243.70      $  306.06    $    58.39    $      6.21    $  165.60    $    46.27    $  103.17    $  174.31    $    30.56    $    33.76    $  122.85    $      3.31    $  140.45    $    38.89    $    17.80    $  344.00    $    64.21    $  168.68    $  150.06    $    85.33    $  123.77    $    73.75





       V      SOURCE  7300001028  7300011087  7300001899  7300002817  7300007921  7300006676  MIS NADAC  7300011521  7300002914  7300000368  7300011005  7300000900  7300010287  7300006675  7300001155  7300019104  7300011039  7300010858  7300011298  7300001866  MIS NADAC  7300001408









       U      AHFS  IMMUNOSUPPRESSIVE   56160000-DIGESTANTS  CEPHALOSPORINS  ANTIBACTERIALS,   ANTIDEPRESSANTS   40200000-CALORIC   IMMUNOSUPPRESSIVE   56283600-PROTON-  PUMP INHIBITORS  08121616-EXTENDED-  12120812-ALPHA- &   BETA-ADRENERGIC   MISCELLANEOUS B-  CORTICOSTEROIDS  (RESPIRATORY TRACT)  28080800-OPIATE   ANTICOAGULANTS,   DIRECT FACTOR Xa   ANTIBACTERIALS,   GLYCOPEPTIDES  PARASYMPATHOMIME  PHOSPHODIESTERASE   ANTICOAGULANTS,
                 92440000-           81206 -   08122820-  LINCOMYCINS  28160420-  SELECTIVE   68290400-  SOMATOSTATIN   AGONISTS  AGENTS  92440000-  SPECTRUM   PENICILLINS  08120708-  CARBAPENEMS,   48100808-  68290400-  SOMATOSTATIN   AGONISTS  AGONISTS  20120414-  08122816-  12040000-  24121200-  40120000-  REPLACEMENT   PREPARATIONS  40120000-  REPLACEMENT   20120416-




         DEA
       T    CLAS  S                                                                                                         II


       S  GENER  IC   CODE  13919  26177              16374   24220  6641        13025     53281  98776        17958   24221  33309  36934  33205  98640       3282  2962  62773


              MANUFACTURER                                                     LLC, a subsidiary of   Inc                                  Inc.



       R           AbbVie Inc.    AbbVie Inc.  Apotex Corporation  Akorn, Inc.  Roerig  Novartis   Pharmaceuticals   Corporation  ICU Medical Inc.  American Health   Wyeth   Pharmaceuticals   Pfizer Inc.  Hospira,  Mylan Specialty   L.P.  AstraZeneca   Pharmaceuticals LP  Teva   Pharmaceuticals   Novartis   Pharmaceuticals   Corporation  Hospira, Inc.  Janssen  TABLET, FILM  Pharmaceuticals,   Inc.  Hospira,  Sandoz Inc.  Dr. Reddy's   Laboratories, Inc.  Baxter Healthcare   Corporation  B. Braun Medical   Inc.  Sanofi-Aventis U.S.   LLC





              DOSE FORM                            TABLET, FILM   S INJECTION,   TABLET, FILM  Packaging  S INJECTION,   PARENTERAL   (INHALATION) USA, Inc.  S INJECTION,   S INJECTION,   S INJECTION,

       Q         ORAL   CAPSULE  ORAL   CAPSULE,   DELAYED   RELEASE   PELLETS  VIAL  INTRAVENOU  S INJECTION  ORAL   COATED  INTRAVENOU  S;   SUBCUTANE  INTRAVENOU  ORAL   INTRAVENOU  POWDER,   FOR   INTRAVENOU  S;   INJECTION,  RESPIRATOR  VIAL  RESPIRATOR  INTRAVENOU  S;   SUBCUTANE  INTRAMUSCU  LAR/INTRAVE  ORAL   COATED  INTRAVENOU  POWDER,  TRANSDERM  AL PATCH,   ORAL   TABLET  INTRAVENOU  SOLUTION  INTRAVENOU  SUBCUTANE  OUS




            SIZE                                                                                Y            Y
       P      TXT


            UOI
       O      SIZE


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



       M    STRENG  TH  100mg/1  60000;   12000;   38000[US  P'U]/1;   [USP'U]/1  ;   2 G  600mg/50  mL  50mg/1  50ug/mL  5g/100mL  0.5mg/1  40mg/10  mL  3;   .375g/15  mL;   g/15mL  20ug/2mL  500 MG  0.5   mg/2mL  100ug/mL  4mg/mL  2.5mg/1  750mg/1  4.6mg/24  h  0mL  9mg/mL  100mg/m  L





       L      GENERIC  CYCLOSPO  RINE  PANCRELIP  ASE   LIPASE;   PANCRELIP  ASE   PROTEASE;   CEFEPIME   HCL  CLINDAMYC  IN   PHOSPHAT  SERTRALIN  E   HYDROCHL  OCTREOTID  E ACETATE  DEXTROSE   MONOHYD  SIROLIMUS  PANTOPRA  ZOLE   SODIUM  PIPERACILL  IN SODIUM;   TAZOBACT  AM SODIUM  FORMOTER  OL  MEROPENE  M  BUDESONI  DE  OCTREOTID  E ACETATE  MORPHINE   SULFATE  RIVAROXAB  AN  VANCOMYC  IN   HYDROCHL  RIVASTIGMI  NE  TADALAFIL   20MG  POTASSIUM  POTASSIUM 14.9g/100  CHLORIDE  SODIUM   CHLORIDE  ENOXAPARI  N SODIUM






       K      TRADE  GENGRAF      CREON  CEFEPIME   HCL  CLINDAMYC  IN   PHOSPHAT  ZOLOFT  SANDOSTA  TIN  DEXTROSE  SIROLIMUS  PROTONIX   I.V.  PIPERACILL  IN AND   TAZOBACT  AM  PERFOROM  IST  MERREM  BUDESONID  E   SANDOSTA  TIN  MORPHINE   SULFATE  XARELTO  VANCOMYC  IN   HYDROCHL  RIVASTIGMI  NE  TADALAFIL   INP  CHLORIDE  SODIUM   CHLORIDE  LOVENOX










       J      MERIDIAN DESC  CYCLOSPORINE   MODIFIED 100mg   AMYLASE/LIPASE/PRO  TEASE 12000u CAPS  package size 100 divisor   100  CEFEPIME HCL 2gm   PWVL package size 1   CLINDAMYCIN   PHOS/D5W   600mg/50ml BTTL   SERTRALINE HCL   50mg TABS package   size 30 divisor 30  OCTREOTIDE   ACETATE 0.05mg/Ml   AMPS package size 1  DEXTROSE 5%/WATER   0.05 IVSL  100  80  SIROLIMUS 0.5mg  TABS package size 30   PANTOPRAZOLE   SODIUM 40mg PWVL   package size 1 divisor   10 PIPERACILLIN/TAZOBA CTAM 3.375gm PWVL   package size 1 divisor   10  FORMOTEROL  FUMARATE 20mcg/2ml   MEROPENEM 500mg   PWVL package size 1   divisor 1  BUDESONIDE   0.5mg/2ml AMIH   package size 2 divisor   OCTREOTIDE








              Med Desc  cycloSPORINE-  modified (Gengraf)   pancrelipase DR (12-  38-60) (Creon DR)   CR Capsule  cefepime HCl   (Maxipime) 2 gm   clindamycin/D5W   (Cleocin) 600 mg/50   mL Bag  sertraline HCl   (Zoloft) 50 mg Tab  octreotide   (SandoSTATIN) 50   mcg/1 mL Amp/Vial  (D5W) (100 mL) Bag  sirolimus   (Rapamune) 0.5 mg   pantoprazole   (Protonix) 40 mg/10   mL Injection  piperacillin-  tazobactam (Zosyn)   3.375 gm Injection  formoterol   (Perforomist) 20   meropenem   (Merrem) 500 mg   Injection  budesonide respule   (Pulmicort Respule)   0.5 mg/2 mL Neb  octreotide   (SandoSTATIN) 100   mcg/1 mL Amp/Vial  morphine 4 mg/1 mL   Injection  2.5 mg Tab  vancomycin   (Van

       I                                                        dextrose 5% in water                                             rivaroxaban (Xarelto)   rivastigmine (Exelon)





              Alert
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