Page 43 - Inventory Report

Revisions Unit Cost Approved Unit Cost Approved
AA

Z $ 1,021,287.64

Extended

Y $ 270.15 $ 268.61 $ 266.78 $ 262.74 $ 257.01 $ 256.62 $ 255.53 $ 249.90 $ 249.89 $ 244.25 $ 243.88 $ 243.58 $ 239.95 $ 238.91 $ 238.91 $ 236.38 $ 234.57 $ 232.49 $ 230.17 $ 224.31 $ 222.54 $ 216.78

Unit
X Cost $ 30.02 $ 89.54 $ 88.93 $ 18.77 $ 85.67 $ 64.15 $ 23.23 $ 49.98 $124.94 $ 24.42 $121.94 $ 2.44 $ 26.66 $119.45 $119.45 $ 4.73 $117.28 $ 19.37 $ 3.07 $ 56.08 $ 24.73 $ 2.44

Package Cost

W $ 30.02 $ 268.61 $ 88.93 $ 18.77 $ 85.67 $ 64.15 $ 232.30 $ 49.98 $ 124.94 $ 24.42 $ 121.94 $ 60.89 $ 26.66 $ 119.45 $ 119.45 $ 236.38 $ 117.28 $ 19.37 $ 153.45 $ 56.08 $ 247.27 $ 60.89

V SOURCE 7300019354 7300010650 7300007846 7300005229 7300002957 7300005109 7300009195 7300011537 7300009525 7300003711 7300006705 7300005902 7300010235 7300010603 7300010603 MIS NADAC 7300002463 7300011219 7300011959 7300006427 7300005902

U AHFS ANTIMUSCARINICS/AN TISPASMODICS CONTRACEPTIVES 92120000-ANTIDOTES 68040000-ADRENALS 52400400-ALPHA- AGONISTS (EENT) GLYCOGENOLYTIC AGENTS 28160804-ATYPICAL ANTIPSYCHOTIC AGENTS 08360000-URINARY ANTI-INFECTIVES 68280000-PITUITARY 52401200-CARBONIC INHIBITORS (EENT) ANTITUBERCULOSIS 68040000-ADRENALS 28160804-ATYPICAL ANTIPSYCHOTIC ANTIBACTERIALS (SKIN ANTIBACTERIALS (SKIN IMMUNOSUPPRESSIVE ANTIBACTERIALS (EENT) 28080492-OTHER NONSTEROIDAL ANTI- ANTIMALARIALS MIS NADAC CORTICOSTEROIDS (RESP
12080800- 68120000- ADRENERGIC 68221200- ANHYDRASE 08160400- 84040400- 84040400- 92440000- 52040400- 08300800- 48100808- 08120716-

DEA
T CLAS S

S GENER IC CODE 98921 45886 7166 27033 13752 28808 55389 26173 34680 41470 27354 17407 24926 31774 13917 9076 45680 42890 98499 41911 27354

MANUFACTURER Sun Pharmaceutical

R Boehringer Ingelheim (INHALATION) Pharmaceuticals, Inc. Teva Pharmaceuticals USA, Inc. Hope Pharmaceuticals Pharmacia and Upjohn Company LLC Inc Sandoz Boehringer Ingelheim Pharmaceuticals, Inc. DR REDDYS LABORATORIES INC Allergan, Inc. Industries, Inc. X-GEN Pharmaceuticals, Inc. Sanofi-Aventis U.S. LLC Mylan Institutional LLC American Regent, Inc. Sandoz Inc. Prasco Laboratories AbbVie Inc. Alcon Laboratories, Inc. Cipla USA Inc. Rising Pharmaceuticals, Inc. AstraZeneca (INHALATION) Pharmaceuticals LP Fresenius Kabi USA, LLC Fresenius Kabi USA, LLC

DOSE FORM S INJECTION, OPHTHALMIC S INJECTION, S INJECTION, OPHTHALMIC

Q RESPIRATOR SPRAY, ORAL INTRAVENOU INTRAMUSCU LAR/INTRAVE NOUS INJECTION, SOLUTION, DROPS, KIT INTRAMUSCU LAR INJECTION, ORAL POWDER NASAL SOLUTION INTRAVENOU POWDER, INTRAVENOU INTRA- ARTICULAR; 25X5ML INTRALESION INTRAMUSCU LAR TOPICAL GEL TOPICAL GEL ORAL SOLUTION OINTMENT TOPICAL GEL ORAL TABLET RESPIRATOR INTRAMUSCU 10X1EA LAR/INTRAVE INTRAMUSCU LAR/INTRAVE

SIZE Y 3X21EA TABLET 10X1EA POWDER, Y 25X5ML NOUS
P TXT 4 GM 50 ML 1 EA 5 ML 1 EA 1 EA 5 ML 1 EA 1 EA 1 EA 60 GM 55 GM 50 ML 3.5 GM 100 GM 50 EA 6.9 GM

UOI
O SIZE

PACK AGE 4 21 50 1 5 1 1 1 5 1 1 5 1 60 55 50 3.5 100 50 6.9 1 5
N SIZE

M STRENG TH 3.124ug/1 1; .035mg/1; mg/1 250mg/m L 500mg/m L 1.5mg/mL 1MG 20mg/mL 3g/1 0.1mg/mL 500mg/1 600mg/10 mL 4mg/mL 10mg/2m L 10mg/g 10mg/g 100mg/m L 3mg/g 10mg/g 250mg/1 80mcg/1; 4.5mcg/1 1g/1 4mg/mL

L GENERIC TIOTROPIU M BROMIDE MONOHYD RATE NORETHIN DRONE; ETHINYL SODIUM THIOSULFA METHYLPR EDNISOLON E SODIUM SUCCINATE BRIMONIDI NE TARTRATE GLUCAGON HYDROCHL ORIDE ZIPRASIDO NE MESYLATE FOSFOMYC IN DESMOPRE SSIN ACETATE ACETAZOL AMIDE SODIUM RIFAMPIN DEXAMETH ASONE SODIUM OLANZAPIN E METRONID AZOLE METRONID AZOLE CYCLOSPO RINE CIPROFLOX ACIN HYDROCHL ORIDE DICLOFENA C SODIUM CHLOROQU INE PHOSPHAT BUDESONI DE; FORMOTER AZTREONA M DEXAMETH ASONE SODIUM

K TRADE SPIRIVA RESPIMAT NORTREL 21 1/35 SODIUM THIOSULFA SOLU- MEDROL BRIMONIDI NE TARTRATE GLUCAGEN ZIPRASIDO NE MESYLATE MONUROL DESMOPRE SSIN ACETATE ACETAZOLA MIDE RIFADIN IV DEXAMETH ASONE SODIUM OLANZAPIN E METRONID AZOLE METRONID AZOLE GENGRAF CILOXAN DICLOFENA C SODIUM CHLOROQU INE PHOSPHAT SYMBICORT AZTREONA M DEXAMETH ASONE SODIUM

J MERIDIAN DESC SPIRIVA RESPIMAT MIST INHAL 2.5 MCG 4 NORTREL TABLET 1 MG-35MCG 21 SODIUM THIOSULFATE VIAL SOLU-MEDROL VIAL 500 MG 1 BRIMONIDINE TARTRATE DROPS 0.15 % 5 GLUCAGEN VIAL 1 MG/ML 1 ZIPRASIDONE MESYLATE 20mg/mL INTRAMUSCULAR INJECTION, POWDER, MONUROL PACKET 3 G 1 DESMOPRESSIN ACETATE SPRAY/PUMP ACETAZOLAMIDE SODIUM VIAL 500 MG 1 RIFADIN VIAL 600 MG 1 DEXAMETHASONE SODIUM PHOSPHATE VIAL 4 MG/ML 5 OLANZAPINE VIAL 10 MG 1 METRONIDAZOLE GEL (GRAM) 1 % 60 METRONIDAZOLE GEL W/PUMP 1 % 55 GENGRAF SOLUTION 100 MG/ML 50 CILOXAN OINT. (G) 0.3 % 3.5 DICLOFENAC SODIUM GEL (GRAM) 1% 100 CHLOROQUINE PHOSPHATE T

Med Desc RSPMT2.5MCG 0.035MG 3X21 BPK Sodium Thiosulfate SOLU-MEDROL Brimonidine Tartrate 0.15% DROP 5 ML Glucagen 1mg ZIPRASIDONE MESYLATE 20MG Monurol 3gm PCKT Acetate 0.1mg/Ml Acetazolamide Sodium 500mg Rifadin 600mg Dexamethasone Sodium Phosphate Olanzapine 10mg METRONIDAZOLE METRONIDAZOLE 1% 55GM PUMP Gengraf 100mg/Ml Ciloxan 0.003 OINT DICLOFENAC SOD 1% 100GM TOP CHLOROQUINE Symbicort Inp 80- 4.5mcg ARIN 6.9 Aztreonam 1gm PWVL 10X1EA Dexamethasone Sodium Phosphate

I Dshp 250mg/Ml SDV
SPIRIVA 4GM INP 10 NORTREL 1- 500MG PWVL 1 EA 10 1 EA Desmopressin SPIN 5 ML PWVL 1 EA PWVL 1 EA 4mg/Ml MDV PWVL 1 EA 1% 60GM SOLN 50 ML 3.5 GM PHOSPHATE 250MG 50 GM 4mg/Ml MDV

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