Page 442 - Inventory Report

Revisions $1.01 - revised unit cost Unit Cost Approved Unit Cost Approved
AA

Z $ 1,021,287.64

Extended

Y $ 18.61 $ 17.78 $ 17.25 $ 17.17 $ 16.66 $ 16.58 $ 16.19 $ 15.57 $ 15.32 $ 15.23 $ 14.48 $ 14.42 $ 14.39 $ 13.26 $ 12.47 $ 12.40 $ 12.22 $ 12.20 $ 11.87 $ 11.47

Unit
X Cost $ 6.20 $ 3.56 $ 4.31 $ 1.01 $ 1.51 $ 0.98 $ 8.09 $ 3.89 $ 7.66 $ 7.61 $ 3.62 $ 4.81 $ 7.19 $ 1.66 $ 0.57 $ 2.07 $ 3.06 $ 4.07 $ 1.32 $ 2.87

Package Cost

W $ 62.03 $ 85.33 $ 43.11 $ 25.25 $ 96.90 $ 24.38 $ 97.14 $ 97.30 $ 76.58 $ 7.61 $ 90.48 $ 4.81 $ 86.34 $ 41.44 $ 14.17 $ 51.69 $ 30.56 $ 40.67 $ 13.19 $ 28.68

V SOURCE 7300005613 7300001866 7300005552 MIS NADAC/UPD ATED PRICE MIS NADAC 7300005782 6770009770 7300008694 7300005250 7300006870 7300008768 7300010119 6770006170 7300008746 MIS NADAC 7300005152 7300002914 7300006236 7300006378 7300006356

U AHFS ANTIARRHYTHMIC AGENTS, CLASS Ib CARDIOTONIC AGENTS CEPHALOSPORINS, 24120800-NITRATES 68040000-ADRENALS 40200000-CALORIC ANTIBACTERIALS 24082000-DIRECT VASOCONSTRICTORS 12120808-SELECTIVE BETA-1-ADRENERGIC 76000000-OXYTOCICS ANTICOAGULANTS, 56283600-PROTON- PUMP INHIBITORS 28049200-GENERAL MISCELLANEOUS CEPHALOSPORINS, 28080800-OPIATE
24040408- 40120000- REPLACEMENT PREPARATIONS 24040800- 40120000- REPLACEMENT PREPARATIONS 40120000- REPLACEMENT PREPARATIONS 08120604- AND NITRITES AGENTS 52040400- (EENT) VASODILATORS 52320000- AGONISTS 40120000- REPLACEMENT PREPARATIONS 20120416- ANESTHETICS, 08120612- AGONISTS

DEA
T CLAS S II

S GENER IC CODE 26893 3282 101 56780 2962 25519 15509 28143 6771 33540 1225 15353 11400 3034 25691 13025 12831 39962 28882

MANUFACTURER Inc. LLC, a subsidiary of

R Hospira, Inc. Baxter Healthcare Corporation Inc. Sandoz Hospira, Inc. B. Braun Medical Inc. Hospira, Inc Baxter Healthcare Company Pharmacia and Upjohn Company LLC Hospira, Inc. Paddock Laboratories, LLC Mylan Institutional Inc. Major Pharmaceuticals, Inc Hospira, Inc. Par Pharmaceutical Companies, Inc. Hospira, Pfizer Laboratories Div Pfizer Inc Wyeth Pharmaceuticals Pfizer Inc. Athenex Pharmaceutical Division, LLC. Hospira, Inc Hospira, Inc.

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

Q INTRAVENOU SOLUTION INTRAVENOU SOLUTION INTRAMUSCU LAR; INTRAMUSCU LAR/INTRAVE NOUS; SUBCUTANE INTRAVENOU SOLUTION INTRAVENOU INTRAVENOU S INJECTION INTRAMUSCU LAR/INTRAVE NOUS INJECTION, INTRAVENOU OINTMENT INTRAMUSCU LAR/INTRAVE NOUS NASAL SPRAY INTRAVENOU SOLUTION INTRAVENOU S INJECTION INTRAMUSCU LAR/INTRAVE NOUS; INTRAVENOU S; INTRAVENOU POWDER, FOR INTRAVENOU SOLUTION INTRAMUSCU LAR/INTRAVE EPIDURAL; INTRAVENOU

SIZE
P TXT

UOI
O SIZE

PACK AGE 5 100 2 30 100 1 250 1 50 3.5 1 30 250 1 10 1 1 20 1 1
N SIZE

M STRENG TH 20mg/mL 0mL 250ug/mL 9mg/mL 9mg/mL 1g/1 10mg/100 mL 125mg/2 mL 25g/50mL 5mg/g 20mg/mL 5g/100mL 1.6mg/mL 10[iU]/mL 9mg/mL 5000[US P'U]/mL 40mg/10 mL 2mg/mL 1g/1 50ug/mL

L GENERIC LIDOCAINE HYDROCHL ORIDE POTASSIUM POTASSIUM 14.9g/100 CHLORIDE DIGOXIN SODIUM CHLORIDE SODIUM CHLORIDE CEFAZOLIN SODIUM NITROGLYC ERIN METHYLPR EDNISOLON E SODIUM SUCCINATE DEXTROSE MONOHYD ERYTHROM YCIN HYDRALAZI NE HYDROCHL OXYMETAZ OLINE HYDROCHL ORIDE DOPAMINE HYDROCHL ORIDE OXYTOCIN SODIUM CHLORIDE HEPARIN SODIUM PANTOPRA ZOLE SODIUM ETOMIDATE CEFTRIAXO NE SODIUM SUFENTANI L CITRATE

K TRADE LIDOCAINE HYDROCHL ORIDE CHLORIDE DIGOXIN BACTERIOS TATIC SODIUM CHLORIDE SODIUM CHLORIDE CEFAZOLIN SODIUM NITROGLYC ERIN IN DEXTROSE SOLU- MEDROL DEXTROSE ERYTHROM YCIN HYDRALAZI NE HYDROCHL 12 HOUR NASAL DECONGES TANT 0.05% Regular DOPAMINE HYDROCHL ORIDE IN DEXTROSE PITOCIN SODIUM CHLORIDE HEPARIN SODIUM PROTONIX I.V. ETOMIDATE CEFTRIAXO NE SODIUM SUFENTANI L CITRATE

J MERIDIAN DESC LIDOCAINE HCL 0.02 divisor 10 POTASSIUM CHLORIDE 20meq/100ml IPSL package size 100 divisor DIGOXIN 0.25mg/Ml AMPS package size 2 SODIUM CHLORIDE 0.9% 0.009 MDV 30 25 SODIUM CHLORIDE 0.9% 0.009 IVSL 100 64 CEFAZOLIN SODIUM 1 gm ADDV package size NITROGLYCERIN/D5W 0.1mg/Ml BTTL package size 250 divisor 12 METHYLPREDNISOLO NE SOD SUCC 125mg PWVL package size 1 divisor 25 DEXTROSE 50%/WATER 0.5 ABBJ ERYTHROMYCIN BASE 5mg/Gm OINT package size 3.5 divisor 1 HYDRALAZINE HCL 20mg/Ml SDPF package size 1 divisor 25 0.05% (Afrin) 1 spray OXYMETAZOLINE HCL 0.0005 SPIN package size 30 divisor 1 DOPAMINE HCL/D5W

Med Desc lidocaine 2% mL Syringe potassium chloride (Potassium Chloride Premix) 20 mEq/100 mL Bag mg/2 mL Amp/Vial sodium chloride bacteriostatic (NS Bacteriostatic) (30 mL) Amp/Vial sodium chloride 0.9% (NACL 0.9%) (100 mL) Bag ceFAZolin (Ancef) 1 gm Injectable nitroglycerin/D5W (Nitro-BID IV) 50 mg (250 mL) Bottle methylPREDNISolon e sodium succinate mg/2 mL Injection dextrose 50%-water (50 mL) Syringe erythromycin 0.5% (Erythromycin) (3.5 APP) Ophth Oint hydrALAZINE mL Injection oxymetazoline HCl (15 spray) Nasal mg (250 mL) Bag oxytocin (Pitocin) 10 unit/1 mL Injection sodium chloride 0.9% PF (NACL 0.9%)

I (Xylocaine) 100 mg/5 ABBJ package size 5 digoxin (Lanoxin) 0.5 (Solu-MEDROL) 125 (Apresoline) 20 mg/1 DOPamine/D5W 400

Alert
H Spray

1 9003 9004 9005 9006 9007 9008 9009 9010 9011 9012 9013 9014 9015 9016 9017 9018 9019 9020 9021 9022