Page 362 - Inventory Report
P. 362
Revisions Unit Cost Approved Unit Cost Approved
AA
Z $ 1,021,287.64
Extended
Y $ 76.86 $ 74.08 $ 73.79 $ 71.87 $ 70.63 $ 70.56 $ 69.69 $ 69.61 $ 69.32 $ 69.25 $ 69.04 $ 68.80 $ 66.99 $ 66.02 $ 65.59 $ 63.96 $ 63.59 $ 62.27 $ 59.00 $ 58.39 $ 57.89 $ 57.07 $ 54.60
Unit
X Cost $ 5.91 $ 2.96 $ 8.20 $ 10.27 $ 6.42 $ 5.88 $ 23.23 $ 4.09 $ 5.33 $ 1.47 $ 8.63 $ 5.73 $ 4.79 $ 7.34 $ 8.20 $ 3.76 $ 1.51 $ 3.89 $ 7.38 $ 5.84 $ 2.89 $ 1.68 $ 10.92
Package Cost
W $ 118.25 $ 29.63 $ 491.94 $ 102.67 $ 64.21 $ 5.88 $ 232.30 $ 122.85 $ 159.97 $ 123.77 $ 258.89 $ 172.01 $ 47.85 $ 7.34 $ 491.94 $ 37.62 $ 96.90 $ 97.30 $ 73.75 $ 58.39 $ 28.94 $ 16.79 $ 273.01
V SOURCE 7300000865 7300010434 7300012295 7300006228 7300011039 7300000904 7300009195 7300011005 7300010789 MIS NADAC 7300000493 7300001848 7300000372 7300002818 7300012295 7300008693 MIS NADAC 7300008694 7300001408 7300001899 7300000972 7300010869 7300018868
28080800-OPIATE AGONISTS 08122816- ANTIBACTERIALS, GLYCOPEPTIDES 24320800- ANGIOTENSIN II RECEPTOR 08122816- ANTIBACTERIALS, GLYCOPEPTIDES 08120708- CARBAPENEMS, 28160804-ATYPICAL ANTIPSYCHOTIC 12120812-ALPHA- & BETA-ADRENERGIC 56360000-ANTI- INFLAMMATORY 40120000- REPLACEMENT 56283200- PROTECTANTS 86120400- ANTIMUSCARINICS SPECTRUM PENICILLINS 08122820- ANTIBACTERIALS, LINCOMYCINS 24320800- ANGIOTENSIN II RECEPTOR 40120000- REPLACEMENT PREPARATIONS 20120416- ANTICOAGULANTS, 81206 - CEPHALOSPORINS 08121292-OTHER MACROLIDE 28080800-OPIATE AGONISTS BETA-ADRENERGIC
U AHFS 68040000-ADRENALS AGENTS (GI DRUGS) 08121616-EXTENDED- 68040000-ADRENALS 68040000-ADRENALS 12121200-ALPHA- AND
DEA
T CLAS S II II
S GENER IC CODE 37161 25545 39046 27350 33205 17037 98776 97842 2962 12264 40822 39046 2962 28143 62773 48795 33308 26184
MANUFACTURER Inc. Inc.
R Purdue Products LP Hospira, Novartis Corporation Somerset Therapeutics, LLC Hospira, Par Pharmaceutical Companies, Inc. Roerig Mylan Specialty L.P. American Health Packaging B. Braun Medical Inc. Precision Dose Inc. Major Pharmaceuticals, Inc Apotex Corporation Akorn, Inc. Novartis Corporation Sagent Pharmaceuticals B. Braun Medical Inc. Pharmacia and Upjohn Company LLC Sanofi-Aventis U.S. LLC Apotex Corporation Pfizer Laboratories Div Pfizer Inc Hospira, Inc. Par Pharmaceutical Companies, Inc.
DOSE FORM TABLET, FILM Pharmaceutical S INJECTION, TABLET, FILM Pharmaceuticals S INJECTION, S INJECTION, TABLET, FILM Pharmaceuticals S INJECTION, S INJECTION,
Q ORAL COATED, INTRAVENOU POWDER, ORAL COATED INTRAMUSCU LAR/INTRAVE NOUS INTRAVENOU POWDER, VIAL INTRAMUSCU LAR RESPIRATOR ORAL TABLET, DELAYED INTRAVENOU ORAL SUSPENSION ORAL CAPSULE, EXTENDED VIAL INTRAVENOU S INJECTION ORAL COATED INTRAMUSCU LAR/INTRAVE NOUS INJECTION, INTRAVENOU SOLUTION INTRAMUSCU LAR/INTRAVE NOUS INJECTION, SUBCUTANE OUS VIAL INTRAVENOU INTRAMUSCU LAR/INTRAVE INTRAMUSCU LAR;
SIZE Y
P TXT
UOI
O SIZE
PACK AGE 20 1 60 10 1 1 1 2 30 50 10 30 1 50 60 1 100 1 1 1 1 1 1
N SIZE
M STRENG TH 20mg/1 1g/1 24; 26mg/1; mg/1 10mg/mL 750mg/1 G 1 20mg/mL 20ug/2mL 1.2g/1 9mg/mL 1GM/10M 2mg/1 4.5 G 900mg/50 mL 24; 26mg/1; mg/1 40mg/mL 9mg/mL 125mg/2 mL 100mg/m L 2 G 500mg/5 mL 2mg/mL 1mg/mL
L GENERIC OXYCODON E HYDROCHL VANCOMYC IN HYDROCHL SACUBITRIL ; VALSARTA DEXAMETH ASONE SODIUM VANCOMYC IN HYDROCHL MEROPENE M ZIPRASIDO NE FORMOTER OL MESALAMIN E SODIUM CHLORIDE SUCRALFA TE L TOLTERODI NE TARTRATE PIPERACILL IN SODIUM/TA CLINDAMYC IN PHOSPHAT SACUBITRIL ; VALSARTA METHYLPR EDNISOLON E SODIUM SUCCINATE SODIUM CHLORIDE METHYLPR EDNISOLON E SODIUM SUCCINATE ENOXAPARI N SODIUM CEFEPIME HCL AZITHROMY CIN MORPHINE SULFATE EPINEPHRI NE
K TRADE OXYCONTIN VANCOMYC HYDROCHL ENTRESTO DEXAMETH ASONE SODIUM VANCOMYC IN HYDROCHL MEROPENE M GEODON PERFOROM IST MESALAMIN SODIUM CHLORIDE SUCRALFAT E TOLTERODI NE TARTRATE PIPERACILL IN- TAZOBACT CLINDAMYC IN PHOSPHAT ENTRESTO METHYLPR EDNISOLON E SODIUM SUCCINATE SODIUM CHLORIDE SOLU- MEDROL LOVENOX CEFEPIME HCL ZITHROMAX MORPHINE SULFATE ADRENALIN
J MERIDIAN DESC OXYCODONE HCL 20mg TABS package size 20 divisor 20 VANCOMYCIN HCL 1gm ADDV package size IN 1 divisor 10 SACUBITRIL/VALSART AN 24-26mg TABS package size 60 divisor DEXAMETHASONE SODIUM PHOSPHATE INJECTION 100 MDV VANCOMYCIN HCL 750 mg ADDV package size 1 divisor 10 MEROPENEM 1gm PWVL package size 1 ZIPRASIDONE MESYLATE 20mg FORMOTEROL FUMARATE 20mcg/2ml MESALAMINE ORAL TABLET DR 1.2 G 1.2 gm TAB package size 30 E SODIUM CHLORIDE 0.9% 0.009 IVSL 50 84 SUCRALFATE ORAL ORAL SUSP 1 G/10 ML 1 SUS package size 10 TOLTERODINE TARTRATE 2 mg CAPS package size 30 divisor PIPERACILLIN/TAZOBA CTAM 4.5gm PWVL p
Med Desc oxyCODONE SR ER Tablet vancomycin (Vancocin) 1 gm Injection sacubitril-valsartan 24 mg-26 mg (Entresto) Tab dexamethasone sodium phosphate (Decadron) 10 mg/1 vancomycin (Vancocin) 750 mg Injection meropenem (Merrem) 1 gm ziprasidone (Geodon) 20 mg formoterol (Perforomist) 20 mesalamine (Lialda) 1.2 gm ER Tablet sodium chloride 0.9% (NaCl 0.9%) sucralfate (Carafate) 1 gm/10 mL Oral Suspension tolterodine (Detrol LA) 2 mg CR Capsule piperacillin- tazobactam (Zosyn) 4.5 gm Injection clindamycin/D5W (Cleocin/D5W) 900 mg/50 mL Bag sacubitril-valsartan 24 mg-26 mg (Entresto) Tab methylPREDNISolon
I (OxyCONTIN) 20 mg (Solu-MEDROL) 125
Alert
H
1 7297 7298 7299 7300 7301 7302 7303 7304 7305 7306 7307 7308 7309 7310 7311 7312 7313 7314 7315 7316 7317 7318 7319