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
H
1 6847 6848 6849 6850 6851 6852 6853 6854 6855 6856 6857 6858 6859 6860 6861 6862 6863 6864 6865 6866 6867 6868