Page 450 - Inventory Report
P. 450

Revisions                               Unit Cost   Approved                      $5.65 -   revised   unit cost
       AA






       Z       $ 1,021,287.64




              Extended

       Y               $       15.23    $       14.42    $       14.39    $       13.99    $       13.63    $       13.58    $       13.50    $       12.39    $       12.02    $       11.47    $       11.30    $       11.25    $       11.23    $       10.56    $       10.32    $       10.07    $         9.50    $         9.38    $         9.26



             Unit
       X      Cost     $    7.61    $    4.81    $    7.19    $    1.00    $    1.51    $    2.72    $    3.38    $    2.48    $    1.50    $    2.87    $    5.65    $    1.25    $    0.70    $    1.32    $    2.06    $    5.03    $    0.41    $    0.94    $    0.71


             Package   Cost

       W               $      7.61    $      4.81    $    86.34    $      9.99    $    96.90    $    67.91    $    33.76    $      2.48    $    15.03    $    28.68    $  141.25    $    12.50    $    17.55    $    13.19    $    51.61    $      5.03    $      4.13    $    56.28    $    17.80





       V      SOURCE  7300006870  7300010119  6770006170  7300005298  MIS NADAC  7300005292  7300000368  7300001800  7300005294  7300006356  MIS   NADAC/UPD  ATED   7300005290  7300008748  7300006378  7300008924  7300009868  7300000445  7300007823  7300006438









       U      AHFS  ANTIBACTERIALS   VASOCONSTRICTORS  12120808-SELECTIVE   BETA-1-ADRENERGIC   28080800-OPIATE   28080800-OPIATE   08121616-EXTENDED-  BLOCKING AGENTS  28080800-OPIATE   28080800-OPIATE   28080800-OPIATE   CEPHALOSPORINS,   ANTIMUSCARINICS/AN  MISCELLANEOUS  PROSTAGLANDINS  56281200-HISTAMINE   H2-ANTAGONISTS
                 52040400-  (EENT)  52320000-  AGONISTS  AGONISTS  40120000-  REPLACEMENT   PREPARATIONS  AGONISTS  SPECTRUM   PENICILLINS  24240000-BETA-  ADRENERGIC   AGONISTS  AGONISTS  28249200-  ANXIOLYTICS,   SEDATIVES &   AGONISTS  04040400-  ETHANOLAMINE   DERIVATIVES  08120612-  12080800-  52920000-EENT   DRUGS,   56222000-5-HT3   RECEPTOR   ANTAGONISTS  56282800-




         DEA
       T    CLAS  S                              II             II                    II      II               II


       S  GENER  IC   CODE  33540           15353  32806  2962  25605     53281  18990  33312  28882  15489    34855     46013  39962  32847                8251    99002


              MANUFACTURER                                      Inc.      Inc



       R           Paddock   Laboratories, LLC  Major   Pharmaceuticals,   Inc  Hospira, Inc.  Hospira, Inc.  B. Braun Medical   Inc.  Hospira,  Hospira,  West-Ward   Pharmaceuticals   Corp.  Hospira, Inc.  Hospira, Inc.  American Regent,   Inc.  Hospira, Inc.  Fresenius Kabi   USA, LLC  Hospira, Inc  Exela Pharma   Sciences, LLC  Medtech Products   Inc.  Heritage   Pharmaceuticals   Inc.  Lupin   Pharmaceuticals,Inc  West-Ward   Pharmaceuticals   Corp.





              DOSE FORM  OPHTHALMIC       S INJECTION,   S INJECTION,   PARENTERAL            S INJECTION,                                        S INJECTION,   .

       Q              OINTMENT  NASAL   SPRAY  INTRAVENOU  SOLUTION  INTRAMUSCU  LAR/INTRAVE  INTRAVENOU  SOLUTION  INTRAMUSCU  LAR/INTRAVE  NOUS;  INTRAVENOU  S;   INJECTION,  INTRAVENOU  S INJECTION  INTRAMUSCU  LAR/INTRAVE  EPIDURAL;   INTRAVENOU  INTRAMUSCU  LAR/INTRAVE  NOUS   INTRAMUSCU  LAR/INTRAVE  NOUS;   SUBCUTANE  INTRAMUSCU  LAR/INTRAVE  NOUS   INJECTION,   INTRAMUSCU  LAR/INTRAVE  INTRAMUSCU  LAR/INTRAVE  DROPS  INTRAVENOU  SOLUTION  ORAL   TABLET  INTRAVENOU  S INJECTION




            SIZE
       P      TXT


            UOI
       O      SIZE


         PACK  AGE    3.5         30        250  2       100    1         1      20   1       1      2         1         1    1    1       15        2      60      2
       N      SIZE



       M    STRENG  TH  5mg/g     5g/100mL  1.6mg/mL  50ug/mL  9mg/mL  50mg/mL  3;   .375g/15  mL;   g/15mL  5mg/mL  10mg/mL  50ug/mL  2.5mg/mL  2mg/mL  50mg/mL  1g/1  0.2mg/mL  0.6-0.5%  2mg/mL  100ug/1  10mg/mL





       L      GENERIC  ERYTHROM  YCIN  OXYMETAZ  OLINE   HYDROCHL  ORIDE  DOPAMINE   HYDROCHL  ORIDE  FENTANYL   CITRATE  SODIUM   CHLORIDE  MEPERIDIN  E   HYDROCHL  PIPERACILL  IN SODIUM;   TAZOBACT  AM SODIUM  LABETALOL   HYDROCHL  ORIDE  MORPHINE   SULFATE  SUFENTANI  L CITRATE  DROPERID  OL  HYDROMO  RPHONE   HYDROCHL  ORIDE  DIPHENHYD  RAMINE   HYDROCHL  ORIDE  CEFTRIAXO  NE SODIUM  GLYCOPYR  ROLATE  POVIDONE/  POLYVINYL   ALCOHOL      ONDANSET  RON   HYDROCHL  ORIDE  MISOPROS  TOL  FAMOTIDIN  E






       K      TRADE  ERYTHROM  YCIN  12 HOUR   NASAL   DECONGES  TANT 0.05%   Regular  DOPAMINE   HYDROCHL  ORIDE IN   DEXTROSE  FENTANYL   CITRATE  SODIUM   CHLORIDE  DEMEROL  PIPERACILL  IN AND   TAZOBACT  AM  LABETALOL   HYDROCHL  ORIDE  MORPHINE   SULFATE  SUFENTANI  L CITRATE  DROPERID  OL  HYDROMOR  PHONE   HYDROCHL  ORIDE  DIPHENHYD  RAMINE   HYDROCHL  ORIDE  CEFTRIAXO  NE SODIUM  CLEAR   EYES   NATURAL   ONDANSET  RON   HYDROCHL  ORIDE  MISOPROS  TOL  FAMOTIDIN  E










       J      MERIDIAN DESC ERYTHROMYCIN BASE  5mg/Gm OINT package   size 3.5 divisor 1  0.05% (Afrin) 1 spray  OXYMETAZOLINE HCL   0.0005 SPIN package   size 30 divisor 1  DOPAMINE HCL/D5W   400mg/250ml IVSL  package size 250 divisor   12  FENTANYL CITRATE   50mcg/Ml AMPS   SODIUM CHLORIDE   0.9% 0.009 IVSL  100    64  MEPERIDINE HCL  50mg/Ml AMPS package   size 1 divisor 25 PIPERACILLIN/TAZOBA  CTAM 3.375gm PWVL   package size 1 divisor   10  LABETALOL HCL   5mg/Ml MDV package   size 20 divisor 1  MORPHINE SULFATE  10mg/Ml CARP package  SUFENTANIL CITRATE   50mcg/Ml AMPS   package size 1 divisor   DROPERIDOL   INJECTION VIAL 2.5   MG/ML 2.5 VL  2  25  HYDROMORPHONE   HCL 2mg/Ml








              Med Desc  erythromycin 0.5%   (Erythromycin) (3.5   APP) Ophth Oint  oxymetazoline HCl   (15 spray) Nasal   mg (250 mL) Bag  fentaNYL   (Sublimaze) 100   sodium chloride   0.9% (NACL 0.9%)   (100 mL) Bag  meperidine   (Demerol) 50 mg/1   mL Amp/Vial  piperacillin-  tazobactam (Zosyn)   3.375 gm Injection  labetalol (Trandate)   100 mg/20 mL   Injection  morphine 10 mg/1   mL Injection  SUFentanil citrate   (Sufenta) 50 mcg/1   mL Amp/Vial  droperidol (Inapsine)   5 mg/2 mL Amp/Vial  HYDROmorphone   Injection  diphenhydrAMINE   (Benadryl) 50 mg/1   mL Injection  cefTRIAXone   (Rocephin) 1 gm   glycopyrrolate   (Robinul) 0.2 mg/1   ocular lubricant   (Artificial Tears

       I                                  DOPamine/D5W 400                                                   (Dilaudid) 2 mg/1 mL





              Alert
       H                          Spray


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