Page 449 - Inventory Report
P. 449

Revisions                                           $1.01 -   revised   unit cost                                  Unit Cost   Approved  $1.75 -   revised   unit cost
       AA






       Z       $ 1,021,287.64




              Extended

       Y                 $       21.33    $       20.92    $       20.91    $       20.33    $       19.70    $       19.24    $       19.19    $       18.64    $       18.61    $       18.22    $       18.13    $       17.82    $       17.20    $       16.87    $       16.67    $       16.19    $       15.75    $       15.57    $       15.41



             Unit
       X      Cost       $    3.56    $    5.23    $  20.91    $    4.07    $  19.70    $    4.81    $    1.01    $    6.21    $    6.20    $    3.64    $    6.04    $    8.91    $    5.73    $    5.62    $    2.78    $    8.09    $    1.75    $    3.89    $    2.57


             Package   Cost

       W                 $    85.33    $      5.23    $  209.08    $    40.67    $  236.38    $  120.25    $    25.25    $      6.21    $    62.03    $      3.64    $    60.44    $    89.12    $  137.63    $    56.24    $    66.68    $    97.14    $  147.00    $    97.30    $    64.22





       V      SOURCE    7300001866  7300010142  6770001023  7300006236  6770000260  7300005141  MIS   NADAC/UPD  ATED   PRICE  7300002817  7300005613  7300009275  7300018903  7300011079  6770006375  7300005650  MIS NADAC  6770009770  MIS   NADAC/UPD  ATED   7300008694  7300005818









       U      AHFS         84049200-LOCAL ANTI-  MISCELLANEOUS  40200000-CALORIC   28049200-GENERAL   MISCELLANEOUS  12120808-SELECTIVE  BETA-1-ADRENERGIC   20280800-ANTIHEPARIN   ANTIBACTERIALS,   ANTIARRHYTHMIC   AGENTS, CLASS Ib   ANTIFUNGALS (SKIN,  MUCOUS MEMBRANE),   NEUROMUSCULAR   BLOCKING AGENTS  12121200-ALPHA- AND   BETA-ADRENERGIC   ANTICOAGULANTS,   28100000-OPIATE   40200000-CALORIC   24120800-NITRATES   40200000-CALORIC   68040000-ADRENALS  ANTICOAGULANTS,
                   40120000-  REPLACEMENT   PREPARATIONS  INFECTIVES,   AGENTS  ANESTHETICS,   AGONISTS  AGENTS  40120000-  REPLACEMENT   PREPARATIONS  08122820-  LINCOMYCINS  24040408-  84040808-  12202000-  AGONISTS  20120416-  HEPARINS  ANTAGONISTS  AGENTS  AND NITRITES  AGENTS  20120416-  HEPARINS




         DEA
       T    CLAS  S


       S  GENER  IC   CODE  3282       25211   12831  977     25860     56780         26893   28380  37201     97790   26597  45132        15509  6641      28143   46952


              MANUFACTURER                                                                                                    Inc.



       R              Baxter Healthcare   Corporation  ACTAVIS/TEVA  Baxter Healthcare   Corporation  Athenex   Pharmaceutical   Division, LLC.  Hospira, Inc.  Fresenius Kabi   USA, LLC  Hospira, Inc.  Akorn, Inc.  Hospira, Inc.  Actavis Pharma,   Inc.  Hikma   Pharmaceuticals   USA Inc.  BPI Labs, LLC     Fresenius Kabi   USA, LLC  Hospira,  Hospira, Inc.  Baxter Healthcare   Company  B. Braun Medical   Inc.  Pharmacia and   Upjohn Company   LLC  Pfizer Laboratories   Div Pfizer Inc





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

       Q           INTRAVENOU  SOLUTION  CREAM (G)  INTRAVENOU  S EMULSION  INTRAVENOU  SOLUTION  INTRAVENOU  SOLUTION  INTRAVENOU  SOLUTION  INTRAMUSCU  LAR/INTRAVE  NOUS;   SUBCUTANE  INTRAVENOU  S INJECTION  INTRAVENOU  SOLUTION  VAGINAL   CREAM  INTRAVENOU  S INJECTION  INTRAVENOU  SOLUTION,   CONCENTRA  INTRAVENOU  SOLUTION  INTRAMUSCU  LAR/INTRAVE  NOUS;  INTRAVENOU  INTRAVENOU  S INJECTION  INTRAVENOU  SOLUTION  INTRAMUSCU  LAR/INTRAVE  NOUS   INJECTION,   INTRAVENOU  S;   SUBCUTANE




            SIZE
       P      TXT


            UOI
       O      SIZE


         PACK  AGE      100     50     250     20     250     5         30     50     5       45     10        1       250    1    250     250    50        1       10
       N      SIZE



       M    STRENG  TH  0mL     1 %  20g/100m  L  2mg/mL  200mg/10  0mL  10mg/mL  9mg/mL  600mg/50  mL  20mg/mL  20mg/g  10mg/mL  1mg/mL  10000[US  P'U]/100  mL  0.4mg/mL  5g/100mL  10mg/100  mL  50mg/mL  125mg/2  mL  1000[US  P'U]/mL





       L      GENERIC  POTASSIUM  POTASSIUM 14.9g/100  CHLORIDE  SILVER   SULFADIAZI  NE  SOYBEAN   OIL  ETOMIDATE  DOBUTAMI  NE   HYDROCHL  E SULFATE  SODIUM   CHLORIDE  CLINDAMYC  IN   PHOSPHAT  LIDOCAINE   HYDROCHL  ORIDE  MICONAZO  LE NITRATE  ROCURONI  UM   BROMIDE  EPINEPHRI  NE  HEPARIN   SODIUM  NALOXONE   HYDROCHL  ORIDE  DEXTROSE   MONOHYD  NITROGLYC  ERIN  DEXTROSE   MONOHYD  RATE  METHYLPR  EDNISOLON  E SODIUM   SUCCINATE  HEPARIN   SODIUM






       K      TRADE     CHLORIDE  SILVER   SULFADIAZI  NE  INTRALIPID  ETOMIDATE  DOBUTAMI  NE IN   DEXTROSE  PROTAMINE PROTAMIN  SULFATE  BACTERIOS  TATIC   SODIUM   CHLORIDE  CLINDAMYC  IN   PHOSPHAT  LIDOCAINE   HYDROCHL  ORIDE  MICONAZOL  E 7  ROCURONI  UM   BROMIDE  EPINEPHRI  NE  HEPARIN   SODIUM  NALOXONE   HYDROCHL  ORIDE  DEXTROSE  NITROGLYC  ERIN IN   DEXTROSE  DEXTROSE  SOLU-  MEDROL  HEPARIN   SODIUM










       J      MERIDIAN DESC  POTASSIUM   CHLORIDE   20meq/100ml IPSL  package size 100 divisor  SILVER SULFADIAZINE  0.01 CRM package size   FAT EMULSION 0.2   IVSL package size 250   divisor 10  ETOMIDATE 2mg/Ml   SDPF package size 20   divisor 10  DOBUTAMINE  HCL/D5W 500mg/250ml   IVSL package size 250  PROTAMINE SULFATE  10mg/Ml SDPF package   size 5 divisor 25  SODIUM CHLORIDE  0.9% 0.009 MDV  30  25  CLINDAMYCIN   PHOS/D5W   600mg/50ml BTTL   LIDOCAINE HCL 0.02   divisor 10  MICONAZOLE   NITRATE 0.02 CRM   package size 45 divisor   ROCURONIUM   BROMIDE INTRAVEN  VIAL 10 MG/M 100 MDV   EPINEPHRINE 1mg/Ml   AMPS package size 1   divisor 10  HEPARIN SOD  PORCINE/0.45% NACL   10








              Med Desc  potassium chloride   (Potassium Chloride   Premix) 20 mEq/100   mL Bag  silver sulfADIAZINE   1% Cream   fat emulsion 20%   (INTRAlipid) 50   gm/250 mL Emulsion  etomidate (Amidate)   40 mg/20 mL   Injection  DOBUTamine/D5W   (Dobutrex/D5W) 500   mg (250 mL) Bag  protamine sulfate   (Protamine) 50 mg/5   mL Amp/Vial  sodium chloride   bacteriostatic (NS   Bacteriostatic) (30   mL) Amp/Vial  clindamycin/D5W   (Cleocin) 600 mg/50   mL Bag  lidocaine 2%   mL Syringe  miconazole nitrate   2% Cream 45 gm   (Monistat-7) (45   rocuronium   (Zemuron) 100   mg/10 mL Injection  EPINEPHrine IM   Anaphylaxis Kit   (Adrenalin IM   Anaphylaxis Kit) (1   heparin / 0.45%

       I                        (Silvadene) (50 APP)  50 divisor 1                  (Xylocaine) 100 mg/5 ABBJ package size 5     dextrose 5% in water   dextrose 5% in water   (Solu-MEDROL) 125





              Alert
       H                                                                                                               Bag


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