Page 4 - Inventory Report

Revisions Unit Cost Approved
AA

Z $ 1,021,287.64

Extended

Y $ 188.17 $ 184.70 $ 179.62 $ 178.92 $ 174.81 $ 160.42 $ 157.01 $ 151.74 $ 138.21 $ 137.84 $ 123.80 $ 117.73 $ 109.21 $ 106.57 $ 103.72 $ 94.19 $ 89.41 $ 89.37 $ 85.91 $ 74.44 $ 70.70 $ 69.70

Unit
X Cost $ 20.91 $ 5.96 $ 3.90 $178.92 $ 15.89 $ 10.69 $ 6.04 $ 16.86 $ 9.21 $ 7.66 $ 2.21 $ 1.18 $ 10.92 $ 8.20 $ 10.37 $ 1.18 $ 5.26 $ 5.96 $ 3.90 $ 6.20 $ 6.43 $ 7.74

Package Cost

W $ 250.89 $ 119.16 $ 97.62 ######## $ 158.92 $ 106.95 $ 60.39 $ 421.50 $ 92.14 $ 76.58 $ 55.27 $ 117.73 $ 273.01 $ 81.98 $ 103.72 $ 47.09 $ 52.59 $ 119.16 $ 97.62 $ 62.03 $ 160.69 $ 77.44

V SOURCE 6770001023 7300002564 7300012201 7300018720 7300002578 7300009415 7300000693 7300007439 7300005091 7300005250 7300005988 7300002433 7300018868 7300006052 7300005876 7300002433 7300005820 7300002564 7300012201 7300005613 7300005203 7300000702

40200000-CALORIC 28049200-GENERAL ANESTHETICS, 28049200-GENERAL ANESTHETICS, 56229200- ANTIEMETICS, 52160000-LOCAL 28249200- ANXIOLYTICS, SEDATIVES & HYPNOTICS,MISC. 40120000- REPLACEMENT 40200000-CALORIC 40280800-LOOP INFECTIVES, MISCELLANEOUS BETA-ADRENERGIC AGONISTS 12080800- 40080000- INFECTIVES, MISCELLANEOUS BETA-ADRENERGIC 28049200-GENERAL ANESTHETICS, 24040408- ANTIARRHYTHMIC AGENTS, CLASS Ib 40120000- REPLACEMENT BETA-ADRENERGIC AGONISTS

U AHFS AGENTS 68040000-ADRENALS 68280000-PITUITARY ANESTHETICS (EENT) PREPARATIONS AGENTS DIURETICS 52049200-EENT ANTI- 12121200-ALPHA- AND ANTIMUSCARINICS/AN TISPASMODICS ALKALINIZING AGENTS 52049200-EENT ANTI- 12121200-ALPHA- AND 68040000-ADRENALS PREPARATIONS 12121200-ALPHA- AND

DEA
T CLAS S

S GENER IC CODE 25211 14021 97837 37407 14021 18160 42360 3751 6771 34940 23248 26184 18661 32144 23248 19411 14021 97837 26893 3820 476

MANUFACTURER Par Pharmaceutical, Par Pharmaceutical, Inc. Inc.

R B. Braun Medical Inc. Fresenius Kabi USA, LLC Somerset Therapeutics, LLC Inc. Hospira, Inc. Baxter Healthcare Corporation Akorn, Inc. Athenex Pharmaceutical Division, LLC. Hospira, Inc. Hospira, Inc. Baxter Healthcare Corporation Xttrium Laboratories, Inc. Inc. Hospira, Hospira, Inc. Dash Pharmaceuticals LLC Hospira, Fresenius Kabi USA, LLC Somerset Therapeutics, LLC International Medication Systems, Limited Fresenius Kabi USA, LLC Amneal Pharmaceuticals LLC

DOSE FORM S INJECTION, S INJECTION, S INJECTION, S INJECTION, S INJECTION, S INJECTION, S INJECTION, S INJECTION, LIQUID S INJECTION, S INJECTION, S INJECTION,

Q INTRAVENOU INTRAVENOU INTRAMUSCU LAR; 25X1ML INTRAVENOU INTRAVENOU 25X1ML S INJECTION INTRAVENOU TRANSDERM 10X1EA AL PATCH, TOPICAL INTRAVENOU SOLUTION, 25X2ML CONCENTRA INTRAVENOU SOLUTION, SINGLE- INTRAVENOU INTRAVENOU 25X4ML S INJECTION, ORAL RINSE INTRAMUSCU LAR; 25X1ML INTRAVENOU INTRAVENOU SOLUTION, INTRAVENOU ORAL ENDOTRACH EAL; INTRAVENOU INTRAMUSCU LAR; 25X1ML INTRAVENOU INTRAVENOU 10X5ML S INJECTION INTRAVENOU SOLUTION, INTRAVENOU 10X4ML SOLUTION,

SIZE 10X5ML JELLY
P TXT 12X250 ML 20X50M L 10X100 ML 10X10M L 10X50M L 100X15 ML 10X10M L 10X10M L 40X15M L 10X10M L 20X50M L 25X10M L

UOI
O SIZE

PACK AGE 250 50 1 1 100 10 5 2 10 50 4 15 1 10 10 15 10 50 1 5 10 4
N SIZE

M STRENG TH 20g/100m L 10mg/mL 10mg/mL 20[USP'U ]/mL 10mg/mL 1mg/3d 20mg/mL 100ug/mL 100mg/m L 25g/50mL 10mg/mL 1.2mg/mL 1mg/mL 0.1mg/mL 84mg/mL 1.2mg/mL 0.1mg/mL 10mg/mL 10mg/mL 20mg/mL 98mg/mL 1mg/mL

L GENERIC SOYBEAN OIL PROPOFOL DEXAMETH ASONE SODIUM VASOPRES SIN PROPOFOL SCOPOLAM INE LIDOCAINE HYDROCHL ORIDE DEXMEDET OMIDINE HYDROCHL ORIDE CALCIUM CHLORIDE DEXTROSE MONOHYD FUROSEMI DE CHLORHEXI DINE GLUCONAT EPINEPHRI NE ATROPINE SULFATE SODIUM BICARBONA CHLORHEXI DINE GLUCONAT E EPINEPHRI NE PROPOFOL DEXAMETH ASONE SODIUM LIDOCAINE HYDROCHL ORIDE CALCIUM GLUCONAT E NOREPINEP HRINE BITARTRAT

K TRADE NUTRILIPID DIPRIVAN DEXAMETH ASONE SODIUM VASOSTRIC T PROPOFOL TRANSDER M SCOP LIDOCAINE HYDROCHL ORIDE DEXMEDET OMIDINE HYDROCHL ORIDE CALCIUM CHLORIDE LifeShield Abboject DEXTROSE FUROSEMI DE CHLORHEXI DINE GLUCONAT ADRENALIN ATROPINE SULFATE Abboject SODIUM BICARBONA DASH CHLORHEXI DINE GLUCONAT E 0.12% ORAL EPINEPHRI NE DIPRIVAN DEXAMETH ASONE SODIUM LIDOCAINE HYDROCHL ORIDE CALCIUM GLUCONAT E NOREPINEP HRINE BITARTRAT

J MERIDIAN DESC NUTRILIPID EMULSION 20 % 250 DIPRIVAN VIAL 10 MG/ML 50 DEXAMETHASONE SODIUM PHOSPHATE VIAL 10MG/ML 1 VASOSTRICT VIAL 20 UNIT/ML 1 PROPOFOL VIAL 10 MG/ML 100 TRANSDERM-SCOP PATCH TD 3 LIDOCAINE HCL JELLY(ML) 2 % 5 DEXMEDETOMIDINE HCL VIAL 200MCG/2ML 2 CALCIUM CHLORIDE SYRINGE 100 MG/ML 10 DEXTROSE/WATER DEXTROSE IN WATER SYRINGE 50 % 50 Furosemide 10mg/Ml FUROSEMIDE VIAL 10 MG/ML 4 CHLORHEXIDINE GLUCONATE MOUTHWASH 0.12 % ADRENALIN VIAL 1 MG/ML(1) 1 ATROPINE SULFATE SYRINGE 0.1 MG/ML 10 SODIUM BICARBONATE CHLORHEXIDINE GLUCONATE MOUTHWASH 0.12% 15 EPINEPHRINE SYRINGE 0.1 MG/ML 10 DIPRIVAN VIA

Med Desc NUTRILIPID 20% 12X250ML Diprivan 10mg/Ml SDPF 20X50ML Dexamethasone Sodium Ph 10mg/Ml SDPF 25X1ML Vasostrict 20u/Ml MDV 25X1ML Propofol 10mg/Ml SDV 10X100ML Transderm Scop 1mg/72hr PTCH Lidocaine Hcl 2% JELY 10X5ML Dexmedetomidine Hcl 100mcg/Ml SDPF 25X2ML Calcium Chloride 100mg/Ml ABBJ 10X10ML 50% 10X50ML SDV 25X4ML CHLORHEX GLUC 0.12% 100X15ML ADRENALIN 1MG/ML 25X1ML Atropine Sulfate 0.1mg/Ml ABBJ 10X10ML SODIUM BICARB 8.4% 10X10ML PED CHLORHEX GLUC 0.12% 40X15UD Epinephrine 0.1mg/Ml ABBJ Diprivan 10mg/Ml SDPF 20X50ML Dexamethasone Sodium Ph 10mg/Ml SDPF 25X1ML 100MG/5ML-IMS Calcium Gluco

I

Alert /Pkg
H

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